Ideas
o
f
r
e
f
e
r
e
n
c
e
IdeasIdeas
of Reference
Sept/Oct
2008
M I N N ESOCIETY
S O T A P S Improving
Y C H I A TMinnesota’s
R I C S O mental
C I E T Yhealth care through
Working
on behalf
of psychiatric
physicians
and their
patients4
of Reference
2015, No
4 MINNESOTA PSYCHIATRIC
education,
advocacy
and sound
psychiatric
practice
2015,
Number
Volume XLVIII
M I N N E S O T A
P S Y C H I A T R I C
S O C I E T Y
5■
1■
Improving
Minnesota’s
mental
Summit
Reflections,
Continued
onhealth
page care
5 through education, advocacy and sound psychiatric practice
psychotherapist. Dr. Jordan conducted an
values worth defending in our profesIt will be easier for
informal poll prior to his talk and asked 10
sion. Ideas such as moral unity,
people
“what
is
a
psychiatrist?”
The
wholeheartedness and the
Inside
psychiatrists to venture biopsychosocial orientation presented by
answer was essentially, “someone who
Legislative
Session Report.........
writes
prescriptions.”
He spoke of1his own
our speakers were embraced by this
2015
MPSarmed
Psychiatrist
offeedback
the Year Jerrygroup
Kroll,
MD
forth
with
journey
to
become
a
skilled
psychotheraof psychiatrists.
We must ultiEditor’s Column.......................... 2
pist and how we must sit with our patients
mately
meet
with
other
to
Dr Kroll received strong support for this award stakeholders
and is a stellar
NAMI
Walk
Info...............
2 to
from the membership
and
long
enough
toTeam
understand
them and
be
part
of
the
coming
change
in
psychiaexample of Minnesota psychiatry. His long and varied list of
getPresident’s
the therapeutic
started.3 He has
Letter.process
........................
and the rest
of medicine.
We appeal
accomplishments in thetry
psychiatric
community
not only
in
firmly grounded
in
values
shared his knowledge with young psychiato
all
Minnesota
psychiatrists
getapart.
Minnesota, but also nationally and internationally, settohim
Fall Educational Meeting .......... 3
trists who universally value it. Dr. Jordan
involved.
I would
personallystudy
like to
see
Dr Kroll has a wide range
of interests
in psychiatric
and
worth defending
in
our
Remembering
Eric Brown.
........ 5
advised
that we explain
our .profession
to
the
MPS
sponsor
leadership
training
education, and has special expertise in borderline personalityfor
ourDSM-5
patients
and
that
we
achieve
and
its members
in anticipation
of the need
psychiatry.
His accomplishments
& ICD-10 for
2015 Honorees Drs. Jerry Kroll and disorder and cross-cultural
profession.
Carrie Borchardt
maintain
a
biopsychosocial
view
of
them.
for
psychiatric
leaders
in
the
future.
A
additionally include a remarkable body of peer-reviewed
journals,
Children & Adolescents............. 5
As much as the ideas of the speakers
psychiatric
identity
which
includes
conferences presentations, books, and review articles. His decades of contributions as
Depression & Suicide DVD....... 7
resonated, the order of the breakout
“leader”
will betterof
prepare
our memIt will
be easier
forDepartment
psychiatristsoftoPsychiatry
a faculty
member
of the
at the University
Minnesota,
a
APA Assembly
Report................
8
sessions
likely handicapped
our ability
to consultant
bers
to
create
a
safe
and
effective
mental
venture forth
armed
with
feedback
from
at Wilder, a newsletter editor for MPS, and the head psychiatrist at Communityproduce
a product
at the end of the
health system
for our community
patients. ■
the membership
and Clinic
firmly inspire
grounded
inThe Minnesota
University
Health Care
awe.
psychiatric
Calendar
.....................................
8 day.
The process included all three speakers in overwhelmingly supported his nomination for Psychiatrist of the Year, reflecting the
a row Ideas
followedof
by Reference
all three breakout
appreciation he has earned over his many years of service, from countless others who
is the newsletter
of the Minnesota
Psychiatric
sessions.
Each breakout
session
addressed name him a mentor and role model.
Society, a district branch of the American
a question
posed by each of our three
Psychiatric Association.
speakers. During the breakout sessions, the 2015 Paul Wellstone Advocacy Award Winner Senator Greg Clausen
MPS members will be receiving dues renewal notices in the coming weeks. MPS
large group was broken into four smaller
MPS
recognized
Senator
Greg Clausen
with the and
2015exist
Paulexclusively
Wellstone to represent
and
APA are your
professional
organization
M P S of
F a10
l l individuals.
S c i e n t i f i c Between
Program
groups
Advocacy
Award
on
Saturday,
July
11
for
his
exceptional
leadership,
psychiatry.
Our
members
are
our
greatest
asset
and
we
hope you will continue to
breakout
were
S Asessions,
V E T Hthe
E small
D A Tgroups
E!
advocacy
and
support
to
the
health
and
well-being
of
individuals
with
support
us
with
your
dues
and
your
time.
shuffled so that people would have a
Friday,
November
13,
2015
mental
illness
and
chemical
dependency.
“Senator
Clausen
is
a
strong
In
2006,
MPS
determined
to
raise
dues
for
the
first
time
since
the eighties by
chance to meet and work with as many
advocate
for
Mental
health
professionals
and
we
are
especially
pleased
incrementally
increasing
the
annual
dues
from
$200
to
a
total
of
$300
per year. This
others in
the audience
as possible includVadnais
Commons
with
his
rural
mental
health
professional’s
education
loan
forgiveness
year’s
dues
will
include
the
final
increase
which
amounts
to
just
13¢
a
day. Two
Vadnais Heights, Minnesota
ing our speakers.
program,”
said
MPS
President
Lloyd
Wells,
MD,
PhD. “This
program
years
ago
we
compared
the
increase
to
a
latte
a
month.
In
today’s
healthcare,
It was challenging to stop the momenwilleconomic
help recruit
retainenvironments,
quality healthyour
care membership
professionalsin
tothis
needed
andand
political
organization is
PSYCHIATRIC SOCIETY
Working on behalf of psychiatric physicians and their patients
Cross
Psychiatry
tum
from Cultural
the first
breakout
session, in
areas
and
facilities
in
the
state
and
improve
mental
health
care
across
the board by
simply
too
important
to
measure
in
pennies
and
dimes.
order
toMPS
start
overonwith
a newcommittee
question
Contact
to serve
the planning
encouraging
medical
professionals
to
stay
in
rural
Minnesota
and
other
high-need areas.”
Health
care
reform
has
the
nation’s
attention;
and
physicians,
especially
or benefit
for more information.
without the
of a talk in between. It
MPS
is
thankful
for
Sen.
Clausen’s
bi-partisan
leadership;
he
was
a
voice
of reason
during
psychiatrists,
need
be
at
the
table.
The
APA
represents
psychiatry
in
those
national
would have been easier and more effective
difficult
negotiations
and
worked
hard
to
garner
support
for
common-sense
mental
health
discussions
and
MPS
works
with
the
Minnesota
Medical
Association
and
the
to hear a speaker followed by a breakout
legislation.
mental
health
advocacy
community
in
Minnesota.
MPS
is
looking
for
volunteers
to
session while the ideas generated by the
serve on our Legislative Committee, our Subcommittee on Non-medical Prescribspeaker were still fresh
and then repeat the
we exist, that we are personMPS lobbyist
ing, our CNS Task Force and our
PublicKashtan,
Affairs Committee.
Please contact Linda
JOIN
TODAY!
Judith
MD, Distinguished
Service
process with another
speaker
and
that
ally/actively
involved,
and that
ates running
Your
patients,
your
colleagues,
Vukelich
at
l.vukelich@comcast.net
or
651-407-1873
to
volunteer.
we
generate
local
warmth
and
simply chip in speaker’s breakout
Dr
Kashtan
has
served
MPS
and
the
APA
in
a variety of
PAC andquestion.
We
obtained
your profession thank you.
even heat, quite apart from
elps us decide
We need your voice as well roles
as your
dues to effectively
advocate
for psychiatry
throughout
her
career.
Her
dedication
to
mentoring
considerable
feedback
from
the
breakout
MPS-PAC donations. This looks to be a hot year in the legislature
unknown
and the patients you serve. Please
renew
today.
■
other
women
psychiatrists,
residents and medical stuwith
contested
funding,
careran
reform,out
psychologist
prescribegislative
MINNESOTA
PSYCHIATRIC
SOCIETY
groups
but
thehealth
day
before
the
ing — all the serious issues that squeeze our practices and
s are handdents in each of those roles is profound; many of today’s
feedback
could be boiled down into a
freedoms.
phone call,
Improving Minnesota’s mental health
leaders point to those interactions as their introduction
Incare
the absence
of
the
old
checkoff
contributions
through
APA,
emind
whole
group
consensus.
Also,
some
of
the
through education, advocacy
APA CEO Saul Levin, MD; Kristin Kroeger, Judith
you’ll find in each newsletter a MPS-PAC contribution form. Any
nd what our
to organized medicine. She has served as MPS presiandissues
soundwere
psychiatric
practice. in depth Kashtan, MD and Dionne Hart, MD
harder
not
addressed
amount serves as your bona fide membership intent; our goal is
m for
dent,
chair–ofAdvocating
the MPS Membership
andMental
PublicIllnesses
Affairs
still an unapologetic
100%examples,
MPS membershipsuch
enrollment.
Weconflict
need
with
concrete
as
of
A
new
booklet
is
available
through
NAMI
for People with
Our vision is physician leadership
to rapidly restock our MPS-PAC coffers for the next election cycle
y sitting
Committees
and
contributed
as
a
member
of
the
Legislative,
Private
Practice,
and
Program
interest,
perhaps
because
of
group
in
the
Minnesota
Criminal
Justice
System
.
The
new
NAMI
video
entitled
Coming
Home:
creating
theand
nation’s
quality,
(2010),
when all House
Senate seatshighest
will be “in play”
as these
ed their
Committees,
much
to the
U of Mfor
in$20
her plus
role shipping
as adjunctand
faculty.
Dr. Kashtan
and accessible
system
of
suppressed
difficult
Supportingand
Youroffers
Soldier
is also
available
handling.
To orderhas
sameaffordable
issues surfacewhich
again.
mbers to then dynamics,
mental
care.for your
MPS-PAC membership
is anhealth
excellent
er limits; we
ledone
discussions
about e-mail
Electronic
Health Records, and continues to support educational
discussion
for the
sake defense
of cohesion.
or both, please
libsen@nami.org.
profession in a time of dizzying change, amidst serious threats to
u all to do
(Continued on Page 2)
www.mnpsychsoc.org
MPS 2015 Honors
Valuable Assets in Tumultuous Times
Elective Breathholding
d to know that
MPS
Minnesota Psychiatric Society Political Action Commitee
NAMI-MN Resources
patient access and safety. Thanks for your support! ■
Ideas Ideas
of Reference
Sept/Oct
2008
of Reference
2015,
No 4
MPSYCHIATRIC
I N N E S O T
A
P S YImproving
C H I A Minnesota’s
T R I C mental
S O Chealth
I E T care
Y through education,
Workingadvocacy
on behalf of
psychiatric
physicians andpractice
their patients
MINNESOTA
SOCIETY
and
sound psychiatric
■6
■2
Editor’s Column
Ideas of Reference
The newsletter of the Minnesota Psychiatric Society is
published bi-monthly: Jan-Feb, Mar-April, May-June,
July-Aug, Sept-Oct and Nov-Dec for members of MPS
Allison Holt, MD
and others on request. Signed articles express the opinBobofNesheim
MPS-PAC
President
ion
the authorMD,
and do
not necessarily
reflect policies
of
MPS.
submitted
are subject
For
theArticles
(honestly
bipartisan)
Boardto review by the
editors.
This issue of our newsletter is special because in it we recIdeas
Reference accepts
follow:
we exist, that
personYourofMPS-PAC
Boardadvertising.
— with theRates
research
help of MPS lobbyist
ognize several of the great psychiatrists
in we
ourare
community.
Display ad
1 Issue 2 Issues 4 Issues
ally/actively
involved, and
that
Dominic
Sposeto —
carefully reviewed all candidates
running
I feel
lucky to have worked with each of them. They
were all attendings
of mine
Full Page $500$400$350
weagenerate
localEach
warmth
and
for the Minnesota House. We do not endorse, but simply
chip
during
myinresidency
and
they
helped
shape
me
as
psychiatrist.
one
of
Minnesota Psychiatric Society Political Action Commitee
1/2 page350300250
even heat,
apart
fromPTSD,
a bit, encouraging conversations. Dominic also helps
us decide
them
taught me about different aspects of psychiatry,
such quite
as how
to treat
1/4 page225200175
MPS-PAC
donations. conceptualize
This looks to be
a hot yearPersonality
in the legislature
when to simply sit-out a race – with new faces of unknown
take
care
of
myself
as
a
psychiatrist,
Borderline
Disor
1/8 page12510075
withtherapist
contestedand
funding,
health care reform,
psychologist
prescribdisposition, or old races not likely to impact our legislative
der,
be
an
effective
psychopharmacologist,
etc.
More
importantly,
Classified Rates: 25 words or less for $75 with each
ingme
— all
the past
serious
thatdistressing
squeeze our
practicesand
andstories;
agenda inword
2009.at When
PAC
contributions
are
handall of
them taught
to see
myissues
patients’
behaviors
additional
35¢. Allpossible,
advertising
copy
is subject
freedoms.
delivered
candidate
over conversations.
A phone
call,
to
approval to
bythe
the editors.
Meetings
and events may be
to recognize
each
patient as more than a grouping of symptoms but as a human
listed
Calendar
of Eventsisfree
of charge.
of remind
In the
absence
the oldwho
checkoff
through
letteron
orthe
follow
up check-in
another
goalIdeas
— to
who is suffering; and
to treat
my of
patients,
comecontributions
to me for healing
andAPA,
to
Reference has a quarterly circulation of 450. Deadlines
you’ll find
inrespect
each newsletter
a MPS-PAC
contribution
form.
Any
recipients just who and especially where we are, andrelieve
what our
their
burdens,
with
and
to
focus
on
their
resiliency
and
incredible
are the 15th of the month prior to publication.
Touch Lives
MPS-PAC and Elective Honorees
Breathholding
MPSPAC
serves as Iyour
bona
membership
intent;
ouringoal
issues mean to their public. This is a portable forum strength
for
in the amount
face of hardship.
know
theyfide
have
touched many
lives
our is
Ideas of Reference
Editors spinning.
still an unapologetic
100%
MPS
membership
enrollment.
We need
education,
rather than simplistic
community, psychiatrists
and patients
alike,
and
in this issue
we thank them
for
MNNot
Psychiatric
Society
Allison
Holt,
MD
to rapidly
restock
our
MPS-PAC
for the and
nextsacrifice
election on
cycle
all funds
we distribute
stay
“given.”
Many sitting
their care and tireless
work,
which
I know
took coffers
much energy
2233 Hamline Ave No, #217 Matt Kruse, MD
members
are “PAC’ed out,” having already receivedtheir
theirpart. n (2010), when all House and Senate seats will be “in play” as these
Roseville, MN 55113
Managing
Editor
same issues surface again.
maximum.
candidates
encourage
MPS members to then
Phone: (651) Some
407-1873
Linda Vukelich
www.mnpsychsoc.org
MPS-PAC membership is an excellent defense for your
consider
individual donations, which have broader limits; we
MPS
(Continued
profession
in afrom
timepgof1)dizzying change, amidst serious threats to
did that in our districts, and would encourage you all
to doHonors
outreach
on thispatient
important
topic.
in a number
of Area
4 and■APA roles
access
and Service
safety. Thanks
for your
support!
likewise
your ownConstitutional
candidates. They
all need to
know that
Executivewith
Council
Committees
recently
culminating
with
her
term
on
the
APA
Board
of
Trustees.
She has genConstitution/Bylaws
President
erously volunteered her time, talent, and passion to psychiatry for so long that it
Maurice Dysken, MD
Lloyd Wells, MD
President Elect
feels like this award is long overdue.
Ethics
Joel Oberstar, MD
Past President
Michael Koch, MD
Secretary/Treasurer
Carrie Parente, MD
APA Assembly Rep.
Dionne Hart, MD
APA Assembly Dep. Rep.
Maria Lapid, MD
Early Career Rep.
Maria Harmandayan, MD
MSCAP Representative
George Realmuto, MD
Councilors
Allison Holt, MD
Renee Koronkowski, MD
Andrea Nelsen, MD
Helen Wood, MD
RFM Representatives
Ewa Bieber, MD
Ankur Goyal, MD
Matt Kruse, MD
Executive Director
Linda Vukelich
Legislative Affairs
Dominic Sposeto
MPS PAC President
Robert Nesheim MD
Bill Clapp, MD
Membership/Fellowship
Judith Kastan, MD
Nominating
Michael Koch, MD
Program
Sheila Specker, MD
Standing Committees
Legislative
Jonathan Uecker, MD
Public Affairs
Dionne Hart, MD
Julie Petersen, MD
Private Practice
Helen Wood, MD
Awards/Research
Maurice Dysken, MD
Early Career Psychiatrists
Maria Harmandayan, MD
Disaster Preparedness
Lori LaRiviere, MD
DHS Committee
George Realmuto, MD
Women Psychiatrists
Judith Kashtan, MD
Carrie Parente, MD
Carrie Borchardt, MD, Recognized for Presidential Service
Carrie Borchardt, MD served MPS as president from May 2013 through May
2014, and saw MPS through its two year strategic planning and reorganization.
Working with her predecessor, Dr. Bill Clapp, they gathered member input
through a series of regional meetings and provided leadership in MPS’s committee and organizational restructure. The result? MPS has a focus on communication and a process to support members and committees to invigorate the
organization with innovation and action. Dr Borchardt continues to be involved
in MPS as the chair of our NAMI Walk team, the MPS Stigma Stompers, and also
serves on the NAMI Minnesota Board. n
Minnesota Psychiatrists
Step up for NAMI!
NAMI Walk September 26!
Join the MPS Stigma Stompers Team
Stop by the MPS Table, grab a button and a treat,
and leave a donation and a note of support.
All psychiatrists are invited to be in the MPS photo. Call MPS for details.
IdeasIdeas
of Reference
Sept/Oct
2008
M I N N ESOCIETY
S O T A P S Improving
Y C H I A TMinnesota’s
R I C S O mental
C I E T Yhealth care through
Working
on behalf
of psychiatric
physicians
and their
patients
of Reference
2015, No
4 MINNESOTA PSYCHIATRIC
education,
advocacy
and sound
psychiatric
practice
5■
3■
Reflections
Summit Reflections, Continued on page 5
psychotherapist. Dr. Jordan conducted an
values worth defending in our profesLloyd A. Wells, MD, PhD
It will be easier for
informal poll prior to his talk and asked 10
sion. Ideas such as moral unity,
MPS President
people “what is a psychiatrist?” The
wholeheartedness and the
psychiatrists to venture biopsychosocial orientation presented by
answer was essentially, “someone who
writes prescriptions.” He spoke of his own
our speakers were embraced by this
forth armed with feedback group of psychiatrists. We must ultijourney to become a skilled psychotherapist and how we must sit with our patients
mately meet with other stakeholders to
from the membership and be part of the coming change in psychialong enough to understand them and to
continue for long – patients
arethe
being
because
it.
These
areprocess
often full
of good
get
thecolumns
therapeutic
started.
Henews
has and high aspirations,
try and
restharmed
of medicine.
Weof
appeal
firmly
grounded
in
values
The
state
is
not
fulfilling
its
obligations,
but
it
has
a
responsibut I want
to devote this
one
to serious
issues affecting many
shared
his knowledge
with
young
psychiato all Minnesota psychiatrists to get
bility to do so.
Minnesota
psychiatrists
andit.their
patients. The news is not
trists
who universally
value
Dr. Jordan
involved. I would personally like to see
worth defending
inwords
ourare overused.
Some
Crisis
is one
of them, as
is
good. that we explain our profession to
advised
the MPS
sponsor
leadership
training
for
resilience,
which
is
the
preferred
way
to
react
to
a
crisis.
I
andthat
struggles
in theand
Department of Human SerourCutbacks
patients and
we achieve
its members in anticipation of theBut
need
profession.
suggest
that
the
current
bed
situation
in
Minnesota
is
a
crisis
vices (DHS)
are apparent toview
anyone
who reads the newspapers
maintain
a biopsychosocial
of them.
for psychiatric leaders in the future. A
and that the Minnesotapsychiatric
Psychiatricidentity
Society which
wouldincludes
be remiss
or As
works
with
ill the
patients.
Our small, state-operated
much
as seriously
the ideas of
speakers
in
its
duty
to
its
members
and
their
patients
if
it
did
notmemtake
services hospitals
are
well below capacity,
with
a greatfor psychiatrists to
resonated,
the order
ofoperating
the breakout
“leader” will better prepare our
It will
be easier
a
stand
on
it.
We
have
long
had
a
dialogue
with
the
DHS,
many beds
closed,
because of
budget
and staffing
issessions
likely
handicapped
our
abilityconcerns
to
bers to create a safe and effective mental
venture
forth armed
with feedback from
whichgrounded
we need in
to continue,
I suggest
thatpatients.
we reach■out in
sues. There
is far less
continuity
of care
should be, and
produce
a product
at the
end of the
day. than there
healthbut
system
for our
the membership
and firmly
the
immediate
future
to
legislators
and
members
of the execfar too
few beds.
Anoka
State speakers
Hospital in
has had significant safety
The
process
included
all three
utive
branch.
The
Society
just
honored
Senator
Clausen
with
as well,
has had
a reduction in beds.
aconcerns,
row followed
by and
all three
breakout
the
Paul
Wellstone
Award
for
his
contributions
to
our
patients
Because
of these
issues,
it is very
difficult for judicially
sessions.
Each
breakout
session
addressed
and young psychiatrists, and our profession has several other
patients
to be of
admitted
to the facilities which the
acommitted
question posed
by each
our three
friends in the Legislature. But we can’t just tell the public
state provides
to treat
them. This
situation
speakers.
During
the breakout
sessions,
the is made worse by a
MPS
members
will
be
receivingand
dues
renewal notices
the coming
weeks.
MPS
servants
ourselves,
“Ain’t itinawful!”
We need
a specific
relatively
new
which
provides
that mentally ill jail inmates
large
group
waslaw
broken
into
four smaller
and
APA
are
your
professional
organization
and
exist
exclusively
to
represent
agenda
and
well-crafted
action
plan.
I
would
appreciate
input
be transferred
within a very
short time to a state psychiatric
groups
of 10 individuals.
Between
psychiatry.
Our
members
are
our
greatest
asset
and
we
hope
you
will
continue
to
from
as
many
of
you
as
possible.
Please
contact
me
directly
hospital. sessions,
These patients
receive
preference
breakout
the small
groups
were over other committed
support
us
with
your
dues
and
your
time.
at
wells.lloyd@mayo.edu.
We
shall
discuss
your
responses
patients.so
The
state
currently
shuffled
that
people
wouldcannot
have aeven comply with this law
2006,
MPS determined
tostrategy
raise dues
for the
time since
the in
eighties
by to
and our
at our
nextfirst
council
meeting
September,
becausetoofmeet
bed and
shortages,
and as
some
of the sheriffsIn
are
threatenchance
work with
many
incrementally
increasing
the
annual
dues
from
$200
to
a
total
of
$300
per
year.
This
which
all
members
are
welcome.
With
your
help,
I
hope
I can
ing to in
suethe
DHS.
others
audience as possible includyear’s
dues
will
include
the
final
increase
which
amounts
to
just
13¢
a
day.
Two
write
some
happier
columns
in
the
future.
n
sickest, committed patients are largely being housed in
ing Our
our speakers.
yearsfacility.
ago weThis
compared the increase to a latte a month. In today’s healthcare,
non-public
hospitals, to
awaiting
It was challenging
stop theadmission
momen- to a state
economic
and
political environments, your membership in this organization is
is certainly
good
for them
– theyinare often spending weeks
tum
from thenot
first
breakout
session,
simply
too
important
to measure in pennies and dimes.
or months
onover
wards
designed
to keep people for just a few days.
order
to start
with
a new question
M P S F a l l S c i e n t i f i c P r o g r a m
Health
care
reform
has the nation’s attention; and physicians, especially
This direthe
situation
brought
home toItme when I recently
without
benefit was
of a talk
in between.
need be at the table. The
participated
in a Jarvis
foreffective
a committedpsychiatrists,
patient awaiting
S APA
A Vrepresents
E T H psychiatry
E D A inT those
E ! national
would
have been
easier hearing
and more
discussions
and
MPS
works
with
the
Minnesota
Medical
Association
and the
placement
in a state
facility.
judge said to me, “You do realto
hear a speaker
followed
byThe
a breakout
mental
health
advocacy
community
in
Minnesota.
MPS
is
looking
for
volunteers to
ize, Dr. while
Wells,the
that
his commitment
session
ideas
generated byruns
the out in three weeks.” The
serve
on
our
Legislative
Committee,
our
Subcommittee
on
Non-medical
Prescribpatient had
an acute-care
speaker
werebeen
still with
freshus,
andinthen
repeat the ward, for that long!
ing,
our
CNS
Task
Force
and
our
Public
Affairs
Committee.
Please
contact
Linda
Non-public
the state,
process
withpatients
another in
speaker
andwho
thatare usually well served by
Vukelich
at
l.vukelich@comcast.net
or
651-407-1873
to
volunteer.
Vadnais
Heights,
Minnesota
these short-term
units,
are additionally
affected. The backlog of
speaker’s
breakout
question.
We obtained
need
your voice as well as your dues to effectively advocate for psychiatry
committed patients
awaiting
placement
other
patients
considerable
feedback
from the
breakout can leave We
and
the
patients
waitingbut
forthe
days
in ran
emergency
departments
or sent to places you serve. Please renew today. ■
groups
day
out before
the
far from their
anddown
families
feedback
couldhomes
be boiled
into(e.g.
a South Dakota). Family
involvement
is crucial for
the some
care ofofthese
whole
group consensus.
Also,
the short-term patients,
and they
should
benot
treated
near their
homes. If they are fortunate
harder
issues
were
addressed
in depth
enough
to be admitted
a local,
non-public
they
are often
with
concrete
examples,to
such
as conflict
of unit,
A new
booklet
is available through NAMI – Advocating for People with Mental Illnesses
afraid toperhaps
come out
of theirofrooms,
areMinnesota
now housing
interest,
because
group as these units
in the
Criminal Justice System. The new NAMI video entitled Coming Home:
more severely
ill suppressed
patients. difficult
dynamics,
which
Supporting Your Soldier is also available for $20 plus shipping and handling. To order
Contact MPS for more information.
Thus far,
remarkdiscussion
fornon-public
the sake ofhospitals
cohesion.and groups have
one orbeen
both,
please e-mail libsen@nami.org.
ably cooperative with the state about this situation, but it cannot
Serious Issues
Valuable Assets in Tumultuous Times
Friday, November 13, 2015
Vadnais Commons
Cross Cultural Psychiatry:
Exploring Intersections and
NAMI-MN Resources
Building Bridges
Ideas Ideas
of Reference
Sept/Oct
2008
of Reference
2015,
No 4
MPSYCHIATRIC
I N N E S O T
A
P S YImproving
C H I A Minnesota’s
T R I C mental
S O Chealth
I E T care
Y through education,
Workingadvocacy
on behalf of
psychiatric
physicians andpractice
their patients
MINNESOTA
SOCIETY
and
sound psychiatric
■6
■4
MPS-PAC and Elective Breathholding
54,400+ MPS
Bob Nesheim MD, MPS-PAC President
For the (honestly bipartisan) Board
WE SUPPORT YOU
PPORT
SU
PRMS
15
PAC
CHARLES D. CASH, JD, LLM, ARM
ASSISTANT VICE PRESIDENT, RISK MANAGEMENT
N
D
E
YEARS
we exist, that we are personally/actively involved, and that
we generate local warmth and
Minnesota Psychiatric Society Political Action Commitee
even heat, quite apart from
MPS-PAC donations. This looks to be a hot year in the legislature
with contested funding, health care reform, psychologist prescribing — all the serious issues that squeeze our practices and
freedoms.
In the absence of the old checkoff contributions through APA,
you’ll find in each newsletter a MPS-PAC contribution form. Any
amount serves as your bona fide membership intent; our goal is
still an unapologetic 100% MPS membership enrollment. We need
to rapidly restock our MPS-PAC coffers for the next election cycle
(2010), when all House and Senate seats will be “in play” as these
same issues surface again.
MPS-PAC membership is an excellent defense for your
profession in a time of dizzying change, amidst serious threats to
patient access and safety. Thanks for your support! ■
DIC TIO
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Your MPS-PAC Board — with the research help of MPS lobbyist
Dominic Sposeto — carefully reviewed all candidates running
for the Minnesota House. We do not endorse, but simply chip in
a bit, encouraging
conversations. Dominic also helpsRISK
us decide
PSYCHIATRIC-SPECIFIC
when to simply sit-out a race – with new faces of unknown
MANAGEMENT ISSUES ADDRESSED
disposition, or old races not likely to impact our legislative
agenda in 2009. When possible, PAC contributions are handdelivered to the candidate over conversations. A phone call,
letter or follow up check-in is another goal — to remind
recipients just who and especially where we are, and what our
issues mean to their public. This is a portable forum for
education, rather than simplistic spinning.
Not all funds
distributeover
stay54,400
“given.”
Many sitting risk
Havingwe
addressed
psychiatric-specific
membersmanagement
are “PAC’edissues
out,” having
already
received
on the Risk Managementtheir
Consultation
maximum. Some candidates encourage MPS members to then
Service helpline since 1997, our knowledgeable team
consider individual donations, which have broader limits; we
of in-house risk managers is committed to providing
did that in our districts, and would encourage you all to do
assistance when you need it most. With a library of 360 risk
likewise with your own candidates. They all need to know that
management articles and tips, our clients have access to
informative and timely resources free of charge.
IdeasIdeas
of Reference
Sept/Oct
2008
M I N N ESOCIETY
S O T A P S Improving
Y C H I A TMinnesota’s
R I C S O mental
C I E T Yhealth care through
Working
on behalf
of psychiatric
physicians
and their
patients
of Reference
2015, No
4 MINNESOTA PSYCHIATRIC
education,
advocacy
and sound
psychiatric
practice
5■
Remembering Eric Brown
Summit Reflections, Continued on page 5
psychotherapist. Dr. Jordan conducted an
values worth defending in our profesIt will be easier for
informal poll prior to his talk and asked 10
sion. Ideas such as moral unity,
Dr. Eric Brown died on March
stand out impressively wholeheartedness
against the landscape
psychiatry. In
people “what is a psychiatrist?” The
andof
the
12,
2015,
of
Amyotrophic
Lateral
his
role
as
President
of
the
Minnesota
Psychiatric
he by
psychiatrists
to
venture
answer was essentially, “someone who
biopsychosocial orientationSociety,
presented
Sclerosis
at
the
age
of
44.
He
was
established
a
connection
with
residents
from
all
three
residenwrites prescriptions.” He spoke of his own
our speakers were embraced by this
a healer, a teacher,
andarmed
a friend. with
cy programs
in our state
and founded
the Minnesota
Resident’s
forth
feedback
journey to become a skilled psychotheragroup
of psychiatrists.
We must
ultiHe
graduated
from
Stillwater
Caucus,
the
first
of
its
kind.”
pist and how we must sit with our patients
mately meet with other stakeholders to
College,
Just priorand
to his retirement
to coming
his illness
in December,
from the
membership
long enough to understand them High
and toSchool, Macalester
be part due
of the
change
in psychiaand
the
University
of
Minnesota
2014,
Dr.
Brown
was
awarded
the
VA
Undersecretary’s
get the therapeutic process started. He has
try and the rest of medicine. We Hearts
appeal
School.
He completed
and in
Hands
award. This
award given
to just oneto
individfirmly
grounded
values
shared his knowledge with youngMedical
psychiatoisallanMinnesota
psychiatrists
get
psychiatric residency at the
ual at each hospital andinvolved.
designedI to
recognize
someone
trists who universally value it. Dr.his
Jordan
would
personally
likewho
to see
U of MNthat
andwe
also
served
asprofession
chief resident
program.defending
He
goes above
and beyondthe
theMPS
call of
duty for
patient care.
I canfor
in our
advised
explain
our
to for thatworth
sponsor
leadership
training
practiced
in and
the PTSD
clinic
at the
VA medical center for over 10
think of no one who deserved
this recognition
more.
“I guess
our
patients
that we
achieve
and
its members
in anticipation
of the
need
years
and
served
as
the
team’s
medical
director.
He
spent
much
the
thing
that
stands
out
when
I
think
of
Eric
is
his
kindness
profession.
maintain a biopsychosocial view of them.
for psychiatric leaders in the future. A
of his
time teaching
andof
loved
working with medical students
and humbleness. He was
whip-smart
and without
trying to,
As much
as the ideas
the speakers
psychiatric
identity
which includes
and
residents.
We
asked
some
of
his
colleagues
and
students
to
taught
me
a
lot
about
what
kind
of
psychiatrist
I
wanted
to be.”
resonated, the order of the breakout
“leader” will better prepare our memIt will be easier for psychiatrists to
comment
on
their
memories
of
Dr.
Brown
and
the
response
was
Nearly
everyone
spoke
of
his
passion
for
teaching.
“Eric
sessions likely handicapped our ability to
bers to create a safe and effective mental
venture forth armed with feedback from
overwhelming.
was agrounded
gifted teacher.
He
taught
like Fred
Astaire
danced,
produce
a product at the end of the day.
health
system
for our
patients.
■ with
the membership and firmly
in
Dr.
Brown
started
working
with
MPS
while
he
was
still
in
grace
and
such
understated
style
that
he
made
it
look
easy.”
He
The process included all three speakers in
training,
serving
as
the
resident
representative.
He
stayed
coninfluenced
both
students
and
colleagues
with
his
lectures
and
a row followed by all three breakout
tinuouslyEach
involved
in MPS
and addressed
served as President from 2011also with the example that he set. “His passion for educating
sessions.
breakout
session
12.
In
2013,
he
was
named
Psychiatrist
of
the
Year.
His
fellow
was evident in each of his lectures.” He won several teaching
a question posed by each of our three
members
remarked,”He
was
such
a
stalwart
member
of
MPS
awards in his decade on the faculty. “He was so approachspeakers. During the breakout sessions, the
MPS
members
will
be
receiving
dues
renewal
notices
in the coming
weeks. It
MPS
from
residency
to
becoming
President,
in
his
thoughtful,
warm
able
and laid
back
but with
a wickedly
sharp mind.
was a
large group was broken into four smaller
and
APA
are
your
professional
organization
and
exist
exclusively
to
represent
and
knowledgeable
manner.”
“Dr.
Brown’s
legacy
continues
to
joy
to
be
in
class
with
him.
He
was
always
so
curious,
with
groups of 10 individuals. Between
psychiatry. Our members
are our
asset and
we hope from
you will
continue to
a mind
thatgreatest
was constantly
absorbing
his environment
breakout sessions, the small groups were
support
us
with
your
dues
and
your
time.
and
took
great
joy
in
sharing
his
knowledge
and
experiences
shuffled so that people would have a
In
2006,
MPS
determined
to
raise
dues
for
the
first
time
since
the
eighties
by in
with
others.”
He
loved
getting
medical
students
interested
chance
to meet
and work
as many AND ADOLESCENTS
DSM-5
& ICD-10
FORwith
CHILDREN
incrementally
increasing
the
annual
dues
from
$200
to
a
total
of
$300
per
year.
This
psychiatry,
“I’m
sure
by
his
quiet
charisma,
and
I
suspect
this
others in the audience as possible includFriday,
September
11
from
8:30
am
–
4:00
pm
year’s
dues
will
include
the
final
increase
which
amounts
to
just
13¢
a
day.
Two
was
a
major
factor
in
the
resurgence
in
recruitment
to
U
of
MN
ing our speakers.
years
ago
we
compared
the
increase
to
a
latte
a
month.
In
today’s
healthcare,
psychiatry
department
in
past
few
years.”
Auditorium
A & B Education
Ctr,momenAbbott Northwestern Hospital
It was challenging
to stop the
economic and political environments,
yourand
membership
in this organization
In his last weeks
days, he stopped
seeing most is
visitors,
tum from the first breakout session, in
Each session will be capped with ICD-10 implementation
simply
too
important
to
measure
in
pennies
and
dimes.
but
he
continued
to
make
time
for
connecting
with
others
and
order to start over with a new question
strategies from our coding expert. Health care reform for
has
the
nation’s
attention;
and
physicians,
especially
saying
goodbye.
Four
days
prior
to
his
death,
he
posted
without the benefit of a talk in between. It
psychiatrists, need be aatgoodbye
the table.message
The APAonrepresents
psychiatry
in those
national
his Caring
Bridge page
and managed
would
have been
easier
more effective
Linguistic
Markers
of and
Therapeutic
Process and Developmental
discussions
and
MPS
works
with
the
Minnesota
Medical
Association
and
the
to
respond
to
the
many
goodbye
emails
and
text
messages
he
Change
in Adolescents:
Implications of DSM-5
to hear a speaker
followed
by a breakout
mental
health
advocacy
community
in
Minnesota.
MPS
is
looking
for
volunteers
to
received.
“It
blew
my
mind
that
even
in
his
last
days
of
life
he
session
while
ideas
generated
by to
theAutism Spectrum Disorder
DSM-5
and the
Other
Changes
Related
serve
on
our
Legislative
Committee,
our
Subcommittee
on
Non-medical
Prescribwas
outwardly
focused
and
able
to
respond
to
me.”
speaker were still fresh and then repeat the
Mood Disorders in Children and Adolescents: Changes
with
DSM-5
ing, our
CNS
Task Force and
our PublicofAffairs
Committee.
In November
2013, Eric
gave a 5Please
minutecontact
talk forLinda
Ignite
process with another speaker and that
Schizophrenia Spectrum and other Psychotic
Disorders
Vukelich
at
l.vukelich@comcast.net
or
651-407-1873
to
volunteer.
Minneapolis
titled
“What
I’ve
Learned
from
ALS.”
In
that short
speaker’s breakout question. We obtained
We
need
your
voice
as
well
as
your
dues
to
effectively
advocate
for
psychiatry
talk,
we
were
all
reminded
of
why
we
admired
Eric
and
why
DSM-5 Updates
Child
Adolescent Anxiety Disorders
considerable
feedbackon
from
the& breakout
and
the
patients
you
serve.
Please
renew
today.
■
many
of
us
aspire
to
be
more
like
him:
his
compassion,
not
&
Pediatric
OCD
groups but the day ran out before the
only for others, but also for himself, his sense of humor and
DSM-5
for Feeding
feedback could
be Criteria
boiled down
into a& Eating Disorders
humanness, his love of teaching and of learning. He was an
whole group
consensus.
Also, some
of thein Adolescence
Borderline
Personality
Disorders
exceptional human being.
harder issues were not addressed in depth
From DSM-IV to DSM-5: Diagnosing Substance Abuse Disorders
his own
words:
When bad things
happen,
liveMental
anyway.
n
with concrete examples, such as conflict of
A new booklet is available In
through
NAMI
– Advocating
for People
with
Illnesses
Valuable Assets in Tumultuous Times
NAMI-MN Resources
Trauma and Stress Related Disorders
interest, perhaps because of group
in the Minnesota Criminal Justice System. The new NAMI video entitled Coming Home:
Editor’s Note: The comments and contributions about Dr Brown
DSM-5which
Documentation
vs.difficult
ICD-10 DiagnosisSupporting
Code Selection
dynamics,
suppressed
Your Soldier is also available for $20 plus shipping and handling. To order
were too numerous to include in their entirety here, so they have been
discussion
for the sakeorofgocohesion.
onefor
orinformation.
both, please e-mail libsen@nami.org.
Call 651-407-1873
to www.mnpsychsoc.org
posted on the MPS website. Please read more there.
Ideas Ideas
of Reference
Sept/Oct
2008
of Reference
2015,
No 4
MPSYCHIATRIC
I N N E S O T
A
P S YImproving
C H I A Minnesota’s
T R I C mental
S O Chealth
I E T care
Y through education,
Workingadvocacy
on behalf of
psychiatric
physicians andpractice
their patients
MINNESOTA
SOCIETY
and
sound psychiatric
■6
MPS-PAC and Elective Breathholding
Bob Nesheim MD, MPS-PAC President
For the (honestly bipartisan) Board
MPSPAC
we exist, that we are personYour MPS-PAC Board — with the research help of MPS lobbyist
ally/actively involved, and that
Dominic Sposeto — carefully reviewed all candidates running
we generate local warmth and
for the Minnesota House. We do not endorse, but simply chip in
Minnesota Psychiatric Society Political Action Commitee
even heat, quite apart from
a bit, encouraging conversations. Dominic also helps us decide
MPS-PAC donations. This looks to be a hot year in the legislature
when to simply sit-out a race – with new faces of unknown
with contested funding, health care reform, psychologist prescribdisposition, or old races not likely to impact our legislative
ing — all the serious issues that squeeze our practices and
agenda in 2009. When possible, PAC contributions are handfreedoms.
delivered to the candidate over conversations. A phone call,
In the absence of the old checkoff contributions through APA,
letter or follow up check-in is another goal — to remind
you’ll find in each newsletter a MPS-PAC contribution form. Any
recipients just who and especially where we are, and what our
amount serves as your bona fide membership intent; our goal is
issues mean to their public. This is a portable forum for
still an unapologetic 100% MPS membership enrollment. We need
education, For
rather
than
simplistic
spinning.
over 40 years, we have provided psychiatrists with
Not all funds we distribute stay “given.” Many sitting
exceptional protection and personalized service. to rapidly restock our MPS-PAC coffers for the next election cycle
(2010), when all House and Senate seats will be “in play” as these
members are “PAC’ed out,” having already received their
We offer comprehensive insurance coverage and superior
same issues surface again.
maximum. Some candidates encourage MPS members to then
risk management
through
an limits;
“A” rated
consider individual
donations,support
which have
broader
we carrier. MPS-PAC membership is an excellent defense for your
profession in a time of dizzying change, amidst serious threats to
did that in In
our
districts,
wouldprotection,
encourage our
you clients
all to doreceive individual
addition
toand
superior
patient access and safety. Thanks for your support! ■
likewise with
your
own
candidates.
They
all
need
to
know
that
attention, underwriting expertise, and, where approved
We’ve got
you covered.
by states, premium discounts.
Endorsed by the American Psychiatric Association,
our Professional Liability Program Provides:
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L E A D E R S
I N
P S Y C H I A T R I C
M E D I C A L
L I A B I L I T Y
I N S U R A N C E
IdeasIdeas
of Reference
Sept/Oct
2008
M I N N ESOCIETY
S O T A P S Improving
Y C H I A TMinnesota’s
R I C S O mental
C I E T Yhealth care through
Working
on behalf
of psychiatric
physicians
and their
patients
of Reference
2015, No
4 MINNESOTA PSYCHIATRIC
education,
advocacy
and sound
psychiatric
practice
5■
7■
Summit Reflections, Continued on page 5
Free Depression Care and Suicide
DVD Sets Available
psychotherapist. Dr. Jordan conducted an
values worth defending in our profesIt will be easier for
informal poll prior to his talk and asked 10
sion. Ideas such as moral unity,
people “what is a psychiatrist?” The
wholeheartedness and the
psychiatrists to venture biopsychosocial orientation presented by
answer was essentially, “someone who
writes prescriptions.”
HeWisconsin
spoke of his own
our speakers were embraced by this
Minnesota &
Jamesfeedback
Jordan, MD, former Medical Director of the Hamm
forth armed with
journey to become a skilled psychotheragroup of psychiatrists. We must ultiClinic, and Mary Hanson, LISW, Executive Producer of The
HealthPartners
one
of the
Midwest’s leading
pist and
how we mustissit
with
ourUpper
patients
mately meet with other stakeholders to
multispecialty physician groups. We have practice
Mary Hansonand
Show, are now working on distributing DVD
from the membership
long enough to understand them and to
be part of the coming change in psychiaopportunities for talented, caring BC/BE psychiatrists in
sets of two TV series that they co-produced on depression and
get the metropolitan
therapeutic process
started.
He
has
try and the rest of medicine. We appeal
Minneapolis/St. Paul, central Minnesota
suicide.
“Understanding Depression: The Suicide Connecfirmly
grounded
in
values
shared and
his knowledge
with
young
psychiato all Minnesota psychiatrists to get
neighboring western Wisconsin communities:
tion,” a five part television series on the connection between
trists who universally value it. Dr. Jordan
involved. I would personally like to see
depression
and suicide, was recently broadcast on public and
worth defending
in our
advisedInpatient/Adult
that we explain our profession to
the MPS sponsor leadership training for
cable television. This series evolved out of an earlier series on
our patients
and
that
we
achieve
and
its members in anticipation of the need
• Amery Hospital (Amery, WI):
major depression, “Understanding Depression: Hope through
Our Geropsychiatric
in this busy community profession.
maintain a biopsychosocial
viewUnit
of them.
for psychiatric leaders in the future. A
Treatment,” and both series were done in collaboration with
hospital
provides
inpatient and outpatient
As much as
the ideas
of thecritical
speakers
psychiatric identity which includes
care in this beautiful rural setting, but with
KSTP-TV with foundation and individual donor support.
resonated, the order of the breakout
“leader” will better prepare our memIt will be easier for psychiatrists to
the support of our larger Behavioral Health
The series are being distributed to outstate cable systems,
sessions likely
handicapped
our
ability
to
bers to create a safe and effective mental
venture
forth
armed
with
feedback
from
division. Leadership and other practice growth
regional public television stations, colleges and universities,
produce a product
at
the
end
of
the
day.
health system for our patients. ■
the
membership
and
firmly
grounded
in
opportunities are available.
libraries and family practice and psychiatrists’ offices and clinThe process included all three speakers in
ics. The goal is to get the program into the hands of as many
• Regions Hospital (St. Paul, MN): Our state-ofa row followed
by all three breakout
the-art inpatient psychiatric facilities allow our
people as possible.
sessions. Each
breakout
session addressed
team
of psychiatrists,
residents, therapists, social
The programs in the second series showcase the stories of
a question posed
by each
of our
three
workers,
NPs/PAs
and
nursing staff to provide
suicide
survivors and experts’ efforts to reduce the number of
exceptional
care to sessions,
adult psychiatric
inpatients.
speakers. During
the breakout
the
deaths
by
suicide,
whilenotices
emphasizing
alternatives
to suicide
MPS
members
will
be
receiving
dues renewal
in the coming
weeks.
MPS
Our broken
Regionsinto
carefour
model
schedule is 7 days on/
large group was
smaller
and
resources
for
help.
Dr.
Edward
Ehlinger,
MD,
Minnesoand
APA
are
your
professional
organization
and
exist
exclusively
to
represent
7
days
off,
with
no
call
responsibilities.
groups of 10 individuals. Between
ta Commissioner
of asset
Heath,
Macaran
Baird,
MD,continue
Professorto
psychiatry. Our members
are our greatest
and
we hope
you will
breakout
sessions, the small groups were
Outpatient/Adult
and
Head
of
Family
Medicine
and
Community
Health
at the
support
us
with
your
dues
and
your
time.
shuffled so that people would have a
• Central Minnesota (Sartell/St. Cloud) In 2006, MPS determined
University
of
Minnesota,
and
Anne
Gearity,
LICSW,
therapist
to
raise
dues
for
the
first
time
since
the
eighties
by
chance to meet and work with as many
in private
practice,
spoke
suicide
crisisper
emerging
in
the annual
dues all
from
$200totothe
a total
of $300
year. This
• Metropolitan
Minneapolis/St.
others in the
audience as possible
includ- Paul incrementally increasing
the
young
and
elderly,
the
importance
of
depression
detection,
year’s
dues
will
include
the
final
increase
which
amounts
to
just
13¢
a
day.
Two
ing ourThese
speakers.
teams provide integrated outpatient mental
risk
effective
treatment
thathealthcare,
usually begins in
years ago we compared
theassessment,
increase to and
a latte
a month.
In today’s
It was
challenging
toour
stopprimary
the momenhealth
services in
care and outpatient
primary
care
practices
but
may
require
psychiatric
consultation
economic
and
political
environments,
your
membership
in
this
organization
is
specialty
clinics
located
within in
a variety of urban,
tum from
the first
breakout
session,
or
treatment.
simply
too
important
to
measure
in
pennies
and
dimes.
and
semi-rural
communities. Full-time or
order tosuburban
start over
with
a new question
part-time practices are available. No hospital call
depressive
illnessand
across
the life cycle
is the focus of
Health care reform hasMajor
the nation’s
attention;
physicians,
especially
without the benefit of a talk in between. It
responsibilities.
the
first
series:
“Understanding
Depression:
Hope
Through
psychiatrists,
need
be
at
the
table.
The
APA
represents
psychiatry
in
those
national
would have been easier and more effective
Treatment.”
In
the
segments
guests
talk
openly
and
candidly
discussions
and
MPS
works
with
the
Minnesota
Medical
Association
and
the
competitive
to hearIn
a addition
speaker to
followed
by a salaries,
breakoutHealthPartners
with
Dr.
Jordan
and
Mary
Hanson
about
their
experiences
with
mental
health
advocacy
community
in
Minnesota.
MPS
is
looking
for
volunteers
to
excellent
benefits package,
sessionoffers
whilean
the
ideas generated
by the including an
employer-matched
401(k) and 457(b), generous
major
depression.
The
guests
include
Patricia
Lindholm,
MD,
serve
on
our
Legislative
Committee,
our
Subcommittee
on
Non-medical
PrescribMichael
Koch
speaker were still fresh and then repeat the
personal time off, malpractice insurance ing, our CNS Task Force
FAAFP,
Family
Physician
and former Please
President
of the
Minneand our
Public
Affairs Committee.
contact
Linda
processcoverage,
with another
etc. speaker and that
sota
Medical
Association;
Cheree
Langmade,
RN,
BSN,
Public
Vukelich
at
l.vukelich@comcast.net
or
651-407-1873
to
volunteer.
speaker’s breakout question. We obtained
Health
Nurse;
John
C.
Hottinger,
attorney
and
former
MinneWe
need
your
voice
as
well
as
your
dues
to
effectively
advocate
for
psychiatry
Let us tell
you more!
forward your CV and
considerable
feedback
fromPlease
the breakout
sota State
Senate
Majority
letter
lori.m.fake@healthpartners.com,
and the patients you serve.
Please
renew
today. ■Leader; and Peter Gillette, former
n cover
groups
but the
dayto:
ran
out before the
apply online at healthpartners.com/careers,
CEO
of
Norwest
Bank.
Of particular interest is the story of Dr.
feedback
could
be boiled down
into a
or call
800-472-4695
x1. EOE
Lindholm.
Patricia
discusses
the challenges she faced as a busy
whole group consensus. Also, some of the
physician
finding
access
to
personalized
care, then her struggle
harder issues were not addressed in depth
with
selection
of
and
adjustment
to
antidepressant
medication
with concrete examples, such as conflict of
A new booklet is available through NAMI – Advocating for People with Mental Illnesses
trials.
She
emphasizes
that
effective
medication
was
fortunateinterest, perhaps because of group
in the Minnesota Criminal Justice System. The new NAMI video entitled Coming Home:
ly
combined
with
finding
helpful
psychotherapy.
Dr.
Lindholm
dynamics, which suppressed difficult
Supporting Your Soldier is also available for $20 plus shipping and handling. To order
leads
a
physician
wellness
initiative
in
Minnesota.
Resource
discussion for the sake of cohesion.
one or both, please e-mail libsen@nami.org.
Continued on page 8.
healthpartners.com
Psychiatrists
Valuable Assets in Tumultuous Times
NAMI-MN Resources
© 2015 NAS
(Media: delete copyright notice)
MINNESOTA PSYCHIATRIC SOCIETY
PRSRT STD
US POSTAGE
PAID
TWIN
CITIES
MN
M
I
N
N
E
S
O
T
A
P
S
Y
C
H
I
A
T
R
I
C
S
O
C
I
E
T
Y
Working
on
behalf
of
psychiatric
physicians and
their patients
MINNESOTA PSYCHIATRIC SOCIETY
Improving Minnesota’s mental health care through education, advocacy and sound
psychiatric
practice
PERMIT NO. 1435
2233 Hamline Avenue North, #217
Roseville, MN 55113
Ideas Ideas
of Reference
Sept/Oct
2008
of Reference
2015,
No 4
■6
■8
Address Service Requested.
MPS-PAC and Elective Breathholding
Bob Nesheim MD, MPS-PAC President
For the (honestly bipartisan) Board
Your MPS-PAC Board — with the research help of MPS lobbyist
Dominic Sposeto — carefully reviewed all candidates running
for the Minnesota House. We do not endorse, but simply chip in
a bit, encouraging conversations. Dominic also helps us decide
when to simply sit-out a race – with new faces of unknown
disposition, or old races not likely to impact our legislative
agenda in 2009. When possible, PAC contributions are handdelivered to the candidate over conversations. A phone call,
letter or follow up check-in is another goal — to remind
recipients just who and especially where we are, and what our
issues mean to their public. This is a portable forum for
education, rather than simplistic spinning.
Not all funds we distribute stay “given.” Many sitting
members are “PAC’ed out,” having already received their
maximum. Some candidates encourage MPS members to then
consider individual donations, which have broader limits; we
did that in our districts, and would encourage you all to do
likewise
your
Michaelwith
Koch,
MDown candidates. They all need to know that
Report on APA Assembly meeting,
Toronto 2015
MPSPAC
we exist, that we are personally/actively involved, and that
we generate local warmth and
Minnesota Psychiatric Society Political Action Commitee
even heat, quite apart from
MPS-PAC donations. This looks to be a hot year in the legislature
with contested funding, health care reform, psychologist prescribing — all the serious issues that squeeze our practices and
freedoms.
In the absence of the old checkoff contributions through APA,
you’ll find in each newsletter a MPS-PAC contribution form. Any
amount serves as your bona fide membership intent; our goal is
still an unapologetic 100% MPS membership enrollment. We need
C A L coffers
E N forDtheAnext
R election cycle
to rapidly restock our MPS-PAC
(2010), when all House and Senate seats will be “in play” as these
September
2015 6-7:30pm, 300 First, Rochester, MN
same issues
surface9,
again.
Early Career Psychiatry Dinner Program 651-407-1873
MPS-PAC membership is an excellent defense for your
September 11, 2015
profession
in a time of dizzying change, amidst serious threats to
DSM-5 and ICD-10 for Children and Adolescents
patient access
safety. Thanks
for Minneapolis,
your support!
Abbottand
Northwestern
Hospital,
MN■
Membership contains to grow for the second year in a row and the
financial report is positive with a $9.8 million gain. Projects include
plans to purchase a new headquarters in Washington D.C.
The Assembly is being reorganized. Minnesota will now have 2
voting representatives in the assembly.
Dr. Mora, President and CEO of the American Board of Medical
Specialties, made her argument for keeping Maintenance of Certification (MOC) in place but thinks it needs to be more relevant to
practice. Changes and proposals include accepting CME participation, reducing burden and costs, and increasing relevance of the
exams.
Recently proposed new CMS valuation of CPT codes will result
in a roughly 6% increase in psychiatry reimbursement.
The APA responded to a NY Times report recently on psychologists’ participation in CIA torture by emphasizing that no psychiatrists were involved. In addition, the American Psychological Association is under investigation and there may be class-action litigation
for allegedly imposing a mandatory assignment on members’ dues
to pay for lobbyists.
At times members question the relevance of the Assembly.
Discussions can be long-winded but matters concerning the APA
policy on torture, MOC, creating a staff directory and increasing 20
psychiatric slots in the VA originated in the Assembly.
This was my last Assembly Meeting. Thank you for electing me
to be your representative. I have enjoyed it and I think I have been
effective, but I also think it is appropriate for younger members of
our society to take over this role. n
September 12, 2015 9am-noon, Forum at 10 am
MPS Council Meeting - MMA Offices, Minneapolis, MN
September 17, 2015 6-8pm, Moscow on the Hill, St Paul, MN
Residents Caucus (Meet & Greet)
September 23, 2015 5:30-8pm, PsychCinema U of M
Masonic Children’s Hospital, Wilf Auditorium, Minneapolis
September 26, 2015
NAMI Walk Minihaha Park, Minneapolis, MN
651-645-2948 www.NAMIhelps.org
Contact MPS for info (651-407-1873 www.MnPsychSoc.org
Depression Care and Suicide DVD Kits
(Continued from page 7)
numbers for the public are given at the end of each of the
programs.
Public awareness of the many faces of depressive
illness across the lifecycle is at the core of Minnesota’s
statewide effort (e.g. DIAMOND Project) to detect and
treat depression, a public mental health priority. Minnesota primary care physicians and psychiatrists have a
shared stake in our state’s public mental health mission
in early detection and effective treatment of depression
in all its forms across the life cycle. Both series are now
available for use in patient and staff education.
To receive a free DVD copy of one or both series,
contact Nancy Kaiser at nkaiser@scc.net or by phone
(612-875-0159). n