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IPA Officer’s Documents & Forms
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Prescribing Psychologists
The RxP Difference: Answering the Crisis in Mental Health Care
The Issue: Funding struggles and cuts, doctor shortages, and inadequate care options have created a very real, very dangerous mental health care crisis in Illinois.
• With resources stretched to the limit, psychiatrists and other mental health professionals are in short supply and the demand far exceeds the capabilities of the existing network. Mental health hospitals and community centers are in dire straits, as state funding has dropped dramatically.
• More than 50 Illinois counties have no inpatient psychiatric services in their hospitals. Another 24 counties have no hospitals at all. Yet, 614,000 Illinoisans need treatment right now for serious mental illness. The unmet need is greatest with people who need help the most: low-income, rural, and minority populations whose needs are often underserved.
• As more people have been placed on Medicaid as a result of federal health care reform and states continue to struggle to cover the cost of Medicaid, the problem will only worsen.
• The pain is widespread and growing. When people do not receive the mental health care they need, they end up in hospitals or jails – driving up those costs dramatically and further crunching our tax dollars.
• Cook County Sheriff Tom Dart says his jail has become the state’s largest mental health care provider. Yet, for people with serious mental illness who need appropriate psychotherapeutic and pharmacotherapeutic care, the County jail cannot meet their needs.
There is a better way. RxP provides a meaningful answer to this problem by demonstrating that comprehensive care can be provided by psychologists. Giving prescriptive authority to specialty trained and experienced psychologists will help the mentally ill live better lives; will save money for the public municipalities; and will make our communities safer, since the mentally ill, who are treated, will be less likely to engage in criminal behaviors.
How It Works: The RxP Difference puts in place a much-needed safety net by:
• Improving access to care and allowing freedom of choice for Illinoisans who are stymied by mental health challenges
• Promoting effective, comprehensive, timely patient treatment
• Easing the enormous pressure on the system with licensed, superbly trained psychologists who do collaborative work with their patients
Why It Works: The RxP Difference does not replace the good work done by psychiatrists and hospitals and community centers. It builds on that foundation and takes Illinois’ mental health care to the next level.
• Prescribing psychologists work collaboratively with their patients as well as with all of the other healthcare providers in the community. Prescribing psychologists understand the importance of conducting a thorough review of a patient’s history and symptom presentation. If they determine that a medication may be appropriate for treatment, they will prescribe that medication but often recommend a combination of psychotherapy and pharmacotherapy. More people are able to get the care they need. With mental illness disproportionately affecting Medicaid patients, physicians and hospitals desperately need the help. Prescribing psychologists are the answer.
• The RxP Difference has been an unequivocal success in New Mexico and Louisiana where psychologists are prescribing, and now in Illinois. Overwhelmingly, primary care physicians report work with prescribing psychologists to be of great benefit to them. Civilian psychologists have written hundreds of thousands of prescriptions since 2005 with only 2 lawsuits ending in an indemnity payment.
Prescribing psychologists are dedicated to the highest professional standards. They spend four times as many didactic hours on the study of clinical psychopharmacology than primary care physicians. In many states, psychologists, who have specialized in clinical psychopharmacology, train family practice medical residents. The prescriptive authority of psychologists is limited to the medications that treat mental illnesses and behavioral disorders. The history of prescribing psychologists is that they prescribe 60 – 70% fewer medications than other health prescribers. Moreover, they are more likely than other health prescribers to “unprescribe” medications because they are aware of behavioral therapeutic strategies that can be more effective than medications, thus reducing side effect complications.
The mental health care crisis impact is staggering: 60 million people nationwide with a diagnosable mental disorder each year and estimated annual economic costs of more than $315 billion.
The RxP Difference responds to the call for help by providing timely, effective, and comprehensive treatment that gives people greater opportunity for recovery and hope.
Information for Members & Psychologists
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Introduction to the MCMI-IV: Assessment and Therapeutic Applications
IPA Spring Institute
About the Workshop
This workshop will introduce the newest revision of the MCMI, the MCMI-IV (Millon, Grossman, & Millon, 2015) and provide an overview of changes and updates to its constructs, scales, standardization, and interpretive features. Included in the workshop’s activities will be a comprehensive overview of Millon’s Evolutionary Theory (including the last modifications and additions to the theory prior to his passing), and their application in the new test. The workshop will place particular emphasis on the underlying theory’s usefulness not only in constructing the instrument, but in creating a basis for an enhanced, empathic understanding of persons and an interface for creating effective, personalized therapeutic interventions.
Workshop Outline
8:30 – 9:00 am: Registraton and Continental Breakfast
9: 00 – 10:15am: Structure and changes from MCMI-III to MCMI-IV: An overview
10:15 – 10:30am: Break
10:30am – noon: Millon’s Evolutionary Theory: Application to personality assessment
Noon – 1pm: Lunch on your own
1 – 2:30pm: MCMI-IV and the nature of deductive personality assessment
2:30 – 2:45pm: Break
2:45 – 4:30pm: Therapeutic Applications with the MCMI- IV
Learning Objectives
Attendees will be able to:
1. List the structures, scales, and constructs of the MCMI-IV.
2. Discuss three ways in which Millon’s evolutionary theory was utilized in test construction, assessment and interpretation of the MCMI.
3. List 3 changes from the MCMI-III to the MCMI-IV.
4. Describe an example of utilizing underlying Millon theory to develop an interpretation of scale configuration.
5. List 3 examples of how the MCMI-IV primary personality scales can be utilized with the Grossman Facet Scales to develop a personalized psychotherapy approach.
6. Define and describe how clinical hypotheses drawn from the MCMI-IV contribute to the structure of collaborative and therapeutic assessment.
Six (6) CE Credits
This program is sponsored by the Illinois Psychological Association. The Illinois Psychological Association is approved by the American Psychological Association to sponsor CE credits for psychologists. The Illinois Psychological Association maintains responsibility for this program and its content. The Association is also a registered Social Worker Continuing Education Sponsor #159-000291. American Psychological Association Continuing Education Credits are also accepted for Licensed Clinical Professional Counselors.
Cancellation Policy
There are generally no refunds for cancellations but refunds may be made on a case-by-case basis if requested in writing. Grievances about the workshop may be addressed to the Illinois Psychological Association in writing.
Illinois Psychological Association
67 E. Madison Street Suite 1817
Chicago, Illinois 60603
Arrangements for Persons with Disabilities
Persons with disabilities attending these workshops should contact Ms. Marsha Karey (312) 372-7610 ext. 201 concerning arrangements that they may need to facilitate workshop attendance. To ensure the avail- ability of workshop assistance, arrangements should be made a minimum of two weeks before the work- shop. The workshop facility is accessible.
About the Setting About the Setting
The workshop will take place at The Chateau Hotel and Conference Center in Bloomington, Illinois located at 1601 Jumer Drive (just off Veterans Parkway) in the Jesse Smart Auditorium. The hotel is holding a group of rooms at the special rate of $89 for a single or double for arrival on April 28. Please contact the hotel directly for reservations at (309) 662-2020 by 4/1/2016.
The Illinois Psychological Association is committed to accessibility and non-discrimination in continuing education activities. Presenters and attendees are asked to be aware of the need for privacy and confidentiality during and after the program. Additionally, if a participant has special needs, she/he should contact Marsha Karey by April 22, 2016 to discuss what accommodations can be provided. All questions, con- cerns, or complaints should be directed to Ms. Karey (312-372-7610 x201) or mkarey@illinoispsychology.org.
There is no commercial support for this program, nor are there any relationships between the CE sponsor, presenting organization, presenter, program content, research, grants, or other funding that could reason- ably be construed as conflicts of interest.
PRE-CONFERENCE DINNER
For those arriving on April 28, 2016, there will be get-together dinner at 7 PM at the Destihl Restaurant and Brew Works at 318 S. Towanda Avenue in the Shoppes at College Hill Mall. RSVP to Dr. Mary Dellorto by April 23, 2016 at 309-825-1050 or drdellorto@frontier.com.
Workshop #1 Worry, Panic and Anxiety
Illinois Psychological Association 2016 Clinical Workshop Series
The Illinois Psychological Association is sponsoring a series of 3 workshops in 2016.These workshops will provide training for psychologists wishing to develop their clinical knowledge and skills. The following information is about Workshop #1.
Location
Argosy University’s Illinois School of Professional Psychology will support this program by hosting this series at their campus at 225 N. Michigan Ave., Suite 1300, Chicago. IL. (312-777-7600). This building requires preregistration and a picture ID to pass through security.
The Illinois Psychological Association is committed to accessibility and non-discrimination in continuing education activities. Presenters and attendees are asked to be aware of the need for privacy and confidentiality during and after the program. Additionally, if a participant has special needs, she/he should contact Marsha Karey by February 19, 2016 to discuss what accommodations can be provided. All questions, concerns, or complaints should be directed to Ms. Karey (312-372-7610 x201 or mkarey@illinoispsychology.org.
There is no commercial support for this program, nor are there any relationships between the CE sponsor, presenting organization, presenter, program content, research, grants, or other funding that could reasonably be construed as conflicts of interest.
Time
This workshops is scheduled from 9:00 AM to 4:30 PM. Bagels and coffee will be offered for breakfast. Lunch is on your own.
Parking
Argosy University does not have parking facilities; however, there are several commercial parking lots close to campus. There is a Self-Park one block west of Michigan Avenue on Lake Street.
Continuing Education:
Each full day workshop offers 6.0 continuing education credits. The Illinois Psychological Association is approved by the American Psychological Association to sponsor continuing education for psychologists. The Illinois Psychological Association maintains responsibility for this program and its content.
The IPA has been approved by The Illinois Social Work Continuing Education Committee for the Illinois Department of Professional Regulation to offer CE credit for social workers. #159-000291.
APA CE credits satisfy the continuing education requirements of Illinois Licensed Professional Counselors.
Cancellation Policy
No refunds will be offered for this workshop for cancellations after Tuesday, March 8, 2016.
Grievances about the workshop may be addressed to the Illinois Psychological Association in writing.
Illinois Psychological Association
67 East Madison Street Suite 1817
Chicago, Illinois 60603
The Workshop
Friday March 11
Worry, Panic and Anxiety
Dave Carbonell, Ph.D. and Patrick McGrath, Ph.D.
Learning Objectives:
1. Attendees can list 3 evidence based therapy techniques to treat anxiety disorders.
2. Attendees will be able to describe to their patients a rationale for using CBT and ERP to treat anxiety.
3. Attendees can explain to patients how to utilize effective change techniques.
4. Attendees will be able to teach patients anxiety tricks to avoid getting stuck and how to turn that around.
5. Attendees can demonstrate how to apply exposure techniques to worries as readily as to feared objects and activities.
Workshop Schedule
9 – 10:30 AM: Workshop
10:30 – 10:45AM: Break
10:45 – Noon: Workshop
Noon – 1PM: Lunch on your own Workshop
1 – 2:30 PM: Workshop
2:30 – 2:45PM: Break
2:45 – 4:30-PM: Workshop
Letter to IPA Members Regarding the Hoffman Report
Dear Colleagues,
We, like you, are saddened and sickened by the findings of the Hoffman Report: an ongoing pattern of collusion between a select group of APA top leaders and the Department of Defense (please see more details below). The 500+ page report is extraordinarily detailed and thorough and is available in its entirety at www.apa.org. Our initial response is based on this profoundly important report. Given the gravity of the findings, the density of the document, and the importance of being thorough, you may be receiving further communications from us as we continue to digest the material.
While the report does not conclude that APA or anyone within it promoted torture, it did find there was an effort to "curry favor" with the Department of Defense and that APA lent support to the Department’s interrogation program and thereby contributed to abuse by DoD and the CIA. We, the IPA leadership, do not approve of and cannot defend what this group of APA representatives did.
Bruce Bonecutter, our IPA representative to APA Council in 2006, should be commended for co-sponsoring a resolution to be inserted into the APA Ethics Code points 1.02 and 1.03: "Under no circumstances may this standard be used to justify or defend violating human rights." APA immediately published its intention to include this sentence in our Ethics Code and the 2010 APA Ethics Code does include this sentence in both of these sections.
Furthermore, we believe that, as psychologists, we have a primary commitment to always do what is in the best interest of our patients, first and foremost, our clients and to our colleagues. We recognize that the profession of Psychology is going through a very difficult time because of the actions of a select group of psychologists in leadership within the APA, but this crisis gives us all, and in particular the leadership at IPA, an opportunity to come together as a cohesive community to support each other, to support social justice initiatives, to demonstrate transparency, and to represent ourselves, in all of our outreach with our larger community as committed, compassionate professionals who seek to build alliances that will promote human understanding, and to reduce interpersonal violence in all sectors of our society.
As per Joe Scroppo Ph.D. JD wrote on D42 [with permission from the author]: "The lesson is to avoid repetitions of the fiasco…we must actively support legitimate dissent…by building into these systems a role for persons whose primary job is to challenge the consensus…painful though it is to have onlookers when difficult, complicated and morally fraught decisions have to be made, the exposure brings our moral conscience to the fore and helps us to resist our baser impulses.”
We welcome any and all initiatives for social justice and organizational ethics programming and their implementation for IPA. Please contact any one of us in IPA leadership (see our names below).
There are many media reports about the Hoffman Report. Please read the full document at your earliest convenience to understand the entire context. Here is the link: http://www.apa.org/independent-review/APA-FINAL-Report-7.2.15.pdf. We very much appreciate the thoughtful approach that our IPA community is taking in beginning to process information that can be overwhelming. We appreciate you.
If you have specific thoughts or questions that you would like to have addressed at the APA Council meeting at the Toronto Convention, our IPA representative to APA Council, Cliff Saper, would very much like to hear them. He can be reached at: cliffsaper@gmail.com. We are also planning to have a dinner at Convention on Saturday night, August 8th, at 7 p.m. at a venue to be determined. At that dinner, we will be discussing the APA plight. If you’d like to join us, please let Cliff know!
On the APA website related to the Report of the Independent Reviewer (http://www.apa.org/independent-review/index.aspx), a public comment section has been added where anyone can add comments and those comments can be viewed by governance, members and the public.
Most sincerely,
Karla Steingraber, Psy.D., IPA President
Joe Troiani, Ph.D., IPA President-elect
Blaine Lesnik, Psy.D., IPA Immediate Past President
Laura Faynor-Ciha, Ph.D., IPA Secretary
Beth N. Rom-Rymer, Ph.D., IPA Treasurer
Cliff Saper, Ph.D., IPA representative to APA Council
Nancy Molitor, Ph.D., APA Public Education Campaign
Susan Zoline, Ph.D., Co-Chair, IPA Ethics Committee
Abigail B Sivan, Ph.D., Co-Chair, IPA Ethics Committee
Bruce Bonecutter, Ph.D., Past IPA President (1989-1990), IPA Fellow
Alexander J. Paret, Ph.D., Membership Chair
Gregory Sarlo, Ph.D., Past-President, Consortium Chair
Abby Damsky Brown, M.A., Parliamentarian
Amy L. Robinson, Psy.D., Metro-Area Representative
Daniel Brewer, Psy.D., SOGI Chair
Ellen M. Stone, Psy.D., Co-Chair of the Employee Assistance Program
Lisa Lombard, Ph.D., Clinical Issues Section Chair
Carsi Hughes, Ph.D., Placement Chair
Michele Womontree, Psy.D. South Central Region
Chris Bibby, Psy.D., Social Responsibility Chair
Patricia Pimental, Psy.D., Legislative Chair
Patricia Farrell, Ph.D. Past President, Healthcare Reimbursement Reform Sub-Committee Chair
Terri Schultz, Ph.D., Healthcare Reimbursement Reform Sub-Committee Chair
TMS Psychological Services, PC
Here is APA’s press release:
http://cirrus.mail-list.com/tpaboardplus/43358736.html
Here is the full report:
http://www.apa.org/independent-review/APA-FINAL-Report-7.2.15.pdf
Please see this letter, below, from APA Immediate Past President, Nadine Kaslow and APA President-elect, Susan McDaniel:
"Dear Members,
The APA Board of Directors commissioned Mr. David Hoffman of Sidley Austin to do a thorough and independent review related to allegations of a relationship the APA and Bush Administration related to the use of abusive interrogation techniques during the War on Terror. The report was recently received confidentially by Council who were in the process of providing recommendations to the Board when it was leaked to the New York Times. We had planned on a public release this coming week after Council’s input, but we have now posted the complete report on the APA website along with a press release that includes the Board’s initial recommendations. The supporting documents will be made available on our website this weekend.
The conclusions of the Independent Review report are deeply disturbing. Mr. Hoffman found evidence of an ongoing pattern of collusion between a small group of APA representatives and the Department of Defense. The Hoffman report states that the intent of the individuals who participated in the collusion was to "curry favor" with the Defense Department, and that may have enabled the government’s use of abusive interrogation techniques. As a result, the 2005 PENS report became a document based at least as much on the desires of the DoD as on the needs of the psychology profession and the APA’s commitment to human rights. Mr. Hoffman did not find evidence of collusion with the CIA or in the 2002 change to our Code of Ethics.
The Hoffman report clearly writes a difficult chapter in our organization’s history. We sincerely apologize for the actions, policies and lack of independence from governmental influence detailed in the report. Our members, our organization, our profession, and the public expected and deserved better. We have announced a series of corrective actions related to policies and procedures to strengthen our organization and demonstrate our commitment to ethics and human rights.
We realize it is a lengthy document, but encourage you to read the full report. Although the Executive Summary thoroughly overviews the findings, the specific details that provide the background (emails and interview data) are in the actual document. Reading the full document will help you to better understand how Mr. Hoffman came to his conclusions.
As troubling as the findings are, it is important that they have come to light so we can address them in a systematic and thoughtful way. As a result of the report, there will be significant changes in the organization, in terms of both policies and procedures. Dr. Stephen Behnke is no longer an employee of APA as a result of the findings in the Hoffman report, and other personnel actions are under consideration.
APA as an organization is a tremendous force for good in the world. Our members and our staff include so many talented, committed, and ethical psychologists. Our task now is to use what we have learned to ensure that something like this can never happen again, to return to a focus on our core values in everything we do, and to work to regain the trust of both our members and the public.
The months ahead will be very challenging for the association. We have much work ahead of us to address the findings of the report and to move toward healing. Nothing will ever undo what was done in the past, and we cannot deny that it is a stain on the honor of “Psychology,” but we must and we will return to our roots to rebuild a new organization of which all of us can be proud. With your patience, support and engagement, we truly believe that we can come through this painful time an even stronger organization.
Sincerely,
Drs. Nadine Kaslow and Susan McDaniel
IPA Graduate Student Section (IPAGS)
To our IPAGS student members,
To ensure that we are taking into account our graduate student’s varying schedules, we have gathered all IPAGS related webinar and panel recordings into one folder. All recorded videos will be titled accordingly.
https://drive.google.com/drive/folders/1hAuPI8wK5QPOQCocE3NWxd4uGmOTBusA?usp=sharing
If you have any difficulties, please email ipags.section@gmail.com.
Thank you,
IPAGS Board Members
The Illinois Psychological Association for Graduate Students (IPAGS) is a special interest subsection of the IPA organization. IPAGS is dedicated to the promotion of graduate students’ clinical and academic training experience, the advocacy of graduate students’ professional development during their formative training years, informing the professional community of graduate student events and activities, and connecting graduate students in Illinois with other graduate students and resources. We at IPAGS aim to educate ethically-minded future psychologists through discussion of clinical issues and legal concerns through programming. IPAGS develops psychologically-relevant programming aimed at educating on current clinical topics, targeting social inequalities, and generating dialogue on best practices and competency development. IPAGS also encourages the building of professional relationships by networking psychologists working in the field with graduate students. IPAGS hopes to foster competent future psychologists by cultivating an environment of learning, connectedness, and professionalism.
If you are interested in learning more or becoming a member, IPAGS can be reached via email at ipags.section@gmail.com. You can keep up to date on IPAGS information via Twittter at @IpagsSection or Facebook at https://www.facebook.com/groups/IPAGS/.
Stress in America
American Psychological Association Survey Shows Money Stress Weighing on Americans’ Health Nationwide
WASHINGTON — While aspects of the U.S. economy have improved, money continues to be a top cause of stress for Americans, according to the new Stress in America™: Paying With Our Health survey released today by the American Psychological Association. According to the survey, parents, younger generations and those living in lower-income households report higher levels of stress than Americans overall, especially when it comes to stress about money.
“Regardless of the economic climate, money and finances have remained the top stressor since our survey began in 2007. Furthermore, this year’s survey shows that stress related to financial issues could have a significant impact on Americans’ health and well-being,” APA CEO and Executive Vice President Norman B. Anderson, PhD, said.
The survey, which was conducted by Harris Poll on behalf of APA among 3,068 adults in August 2014, found that 72 percent of Americans reported feeling stressed about money at least some of the time during the past month. Twenty-two percent said that they experienced extreme stress about money during the past month (an 8, 9 or 10 on a 10-point scale, where 1 is “little or no stress” and 10 is “a great deal of stress”). For the majority of Americans (64 percent), money is a somewhat or very significant source of stress, but especially for parents and younger adults (77 percent of parents, 75 percent of millennials [18 to 35 years old] and 76 percent of Gen Xers [36 to 49 years old]).
A gap also appears to be emerging in stress levels between people living in lower-income (making less than $50,000 per year) and higher-income households that mirrors the growing wealth gap nationwide. In 2007, there was no difference in reported average stress levels between those who earned more and those who earned less than $50,000, with both groups reporting the same average levels of stress (6.2 on a 10-point scale). By 2014, a clear gap had emerged with those living in lower-income households reporting higher overall stress levels than those living in higher-income households (5.2 vs. 4.7 on the 10-point scale).
Stress about money and finances appears to have a significant impact on many Americans’ lives. Some are putting their health care needs on hold because of financial concerns. Nearly 1 in 5 Americans say that they have either considered skipping (9 percent) or skipped (12 percent) going to the doctor when they needed health care because of financial concerns. Stress about money also impacts relationships: Almost a third of adults with partners (31 percent) report that money is a major source of conflict in their relationship.
The report also uncovered good news about stress management. Americans who say they have someone they can ask for emotional support, such as family and friends, report lower stress levels and better related outcomes than those without emotional support. Unfortunately, some Americans say that they do not have anyone to rely on for emotional support. According to the survey, 43 percent of those who say they have no emotional support report that their overall stress has increased in the past year, compared with 26 percent of those who say they have emotional support.
On average, Americans’ stress levels are trending downward: The average reported stress level is 4.9 on a 10-point scale, down from 6.2 in 2007. Regardless of lower stress levels, it appears that Americans are living with stress levels higher than what we believe to be healthy — 3.7 on a 10-point scale — and some (22 percent) say they are not doing enough to manage their stress.
“This year’s survey continues to reinforce the idea that we are living with a level of stress that we consider too high,” Anderson said. “Despite the good news that overall stress levels are down, it appears that the idea of living with stress higher than what we believe to be healthy and dealing with it in ineffective ways continues to be embedded in our culture. All Americans, and particularly those groups that are most affected by stress — which include women, younger adults and those with lower incomes — need to address this issue sooner than later in order to better their health and well-being.”
To read the full Stress in America report or download graphics, visit the webpage.
For additional information on stress, lifestyle and behaviors, visit the APA Help Center webpage and read APA’s Mind/Body Health campaign blog. Join the conversation about stress on Twitter by following @APAHelpCenter and #stressAPA.
Methodology
The Stress in America survey was conducted online within the United States by Harris Poll on behalf of the American Psychological Association between Aug. 4 and 29, 2014, among 3,068 adults ages 18 and older who reside in the U.S. Because the sample is based on those who were invited and agreed to participate in the Harris Poll online research panel, no estimates of theoretical sampling error can be calculated. To read the full methodology, including the weighting variables, visit the Stress in America Press Room webpage.
The American Psychological Association, in Washington, D.C., is the largest scientific and professional organization representing psychology in the United States. APA’s membership includes nearly 130,000 researchers, educators, clinicians, consultants and students. Through its divisions in 54 subfields of psychology and affiliations with 60 state, territorial and Canadian provincial associations, APA works to advance the creation, communication and application of psychological knowledge to benefit society and improve people’s lives.
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