New England Psychologist - July 2018

PRSRT STD U.S. POSTAGE

PAID

PERMIT #22 Palmer, MA 01069

Change Service Requested P.O. Box 5464 Bradford, MA 01835

JULY 2018

AN INDEPENDENT VOICE FOR THE REGION’S PSYCHOLOGISTS

VOL. 26, NO. 6

School psychologists: In a class of their own ME Gov. LePage continues and social emotional issues as Health at the University of push for step-down unit

By Phyllis Hanlon ccording to the American Psychological Association (APA), school psychology has “… evolved as a specialty area with core knowledge rooted in psychology and education.”

Once focused primarily on assessments, today’s school psychologists under-go advanced training, leading to deeper knowledge and understanding of developmental stages, culture, environment,

they currently apply to school systems.

Graduate students who choose to become school psychologists have two certification options, according to Sandra M. Chafouleas, Ph.D. Chafouleas is a Board of Trustees Distinguished Professor in the department of educational psychology, Neag School of Education. She is also co-director of the Collaboratory on School and Child

“That’s the paradox of school psychology.

To impact kids’ lives, you have to be effective at impacting adults.”

Sandra M. Chafouleas, Ph.D, professor at Neag School of Education, co-director, Collaboratory on School and Child Health, University of Connecticut.

Connecticut.

The National Association of School Psychologists (NASP) offers a master’s specialist program that certifies the psychologist to work as an employee in a school system.

The APA-accredited doctoral program takes certification one step further, allowing the psychologist to work in private practice, in a hospital or other setting as well as in a school.

Originally viewed as “assessor experts,” school psychologists still monitor the continuum of development in children from birth to age 21, identify risk indicators and foster social emotional learning skills, Chafouleas said.

But they now have an increased understanding and awareness of other responsibilities that includes helping students and families access health and community services.

Chafouleas emphasized that school psychologists must be cognizant that they do not have direct influence on students.

“You live in a system of family and school. A lot of the Continued on Page 9

Red Flag bill moves through Mass. legislature

By Janine Weisman assachusetts may be poised to become the next state to enact a law allowing courts to issue protection orders to temporarily confiscate guns from people deemed a threat to themselves or others.

The Senate approved a socalled “red flag” bill on June 7, voting on a similar House version while adding several of its own amendments.

It was up to House leaders to determine whether to concur with those amendments or send the bill to a confer-

ence committee comprised of House and Senate legislators to work out the details.

The House of Representatives overwhelmingly passed its bill to issue what are more formally known as Extreme Risk Protection Orders (ERPOs) on May 23.

The House bill sponsored

by Rep. Marjorie Decker (D-Cambridge) would require a court to conduct a hearing on a petition for an extreme risk protection order within 10 days of receipt of a petition.

But the court may also issue an emergency order without notice to the respondent and

prior to the required hearing if there is reasonable cause to conclude the respondent poses a risk of causing bodily injury to self or others by being in possession of a firearm.

At a hearing, the court may order a person deemed a risk to surrender within 24 hours all firearms, rifles, shotguns, machine guns, weapons, or ammunition and his or her license to carry a firearm for up to one year or longer if the order is renewed.

The identity and contact information of petitioners Continued on Page 9

By Janine Weisman epublican Maine Gov. Paul LePage’s effort to build a privately run 21-bed stepdown unit for Augusta’s Riverview Psychiatric Center on state land in Bangor has quietly resumed with a developer’s permit application filed with the Bangor Planning Board.

Bangor Holdings LLC in Hermon submitted an application and site development plan on May 30 to build a onestory, 9,536 square foot secure forensic rehabilitation facility on State Hospital Drive on the grounds of the Dorothea Dix Psychiatric Center.

Although the application sought a site review, Bangor Planning Officer David Gould said the proposed 2.32-acre site would need a conditional use permit in order to be built in the city’s government institutional service district.

Gould said the application has not yet been added to an agenda yet for the Planning Board, which meets twice a month.

“I’ll be optimistic and say July but I just don’t know at this point in time,” Gould said. “We’ve got to advertise, we’ve got to do notice and that takes more time.”

It’s unclear whether the applicant would ultimately own the land and/or the building itself, Gould said.

“We know that it is state land,” Gould said. “You need access to get there. Are you subdividing the lot? It

just raises a bunch of questions that we don’t know the answers to right now.”

The state needs to build a facility to house residents found not guilty by reasons of mental defect or insanity to free up space and resolve safety issues that led the Centers for Medicare and Medicaid Services to decertify Riverview in 2013.

Federal regulators disallowed the state from using federal funds at the facility, but the state continued to spend $51.1 million in federal funds between Dec. 31, 2013 and March 31, 217, according to a state auditor’s report that warned the money could have to be paid back.

LePage’s original plan was to put the new facility next to Riverview in Augusta – at an estimated cost of between $3.5 million and $4 million.

That was blocked by a 3-3 party line vote by lawmakers in November 2016. Democratic Attorney General and gubernatorial candidate Janet Mills then said LePage needed legislative approval to build a new state facility anywhere.

LePage then looked 75 miles north to state-owned land at 159 Hogan Road in Bangor. But the city imposed a moratorium on developing secure psychiatric facilities after public outcry over the proposed site’s proximity to an apartment complex and several single-family homes.

A May 2017 request for Continued on Page 7

INSIDE

School-based Health Care may be only care for kids........................................Page 6 CARE Act would allow 72-hour involuntary commitment for addicts ....Page 6 CE listings.................................................Page 10

2

New England Psychologist

July 2018

ASSESS FUNCTIONAL IMPAIRMENT ACROSS 6 IMPORTANT LIFE AREAS.

• Determine if DSM-5/ICD-10 impairment criteria for a diagnosis are met by identifying specific areas where functioning is impacted • Develop targeted treatment plans and monitor progress by focusing on areas with the greatest impairment • Determine if service eligibility requirements are met with IDEA compatibility • Assess impairment more clearly by separating functional limitations from symptoms

Learn more at MHS.com/RSI

®

Goldstein & Naglieri Exce ence I n A s s elsls m e n t s

July 2018

New England Psychologist

3

Researcher Nicole Overstreet, Ph.D., focuses on concerns of women, marginalized groups Until recently, medical and psychological research was done with a “one-size-fitsall” approach - white men around the age of 35 made up the majority of research subject pools and findings were then extrapolated to apply to women, other ethnic groups, children and the elderly.

Researchers began to question standard practices as concerns rose around the over-medication of children by using much larger test subject prescriptions.

Also playing a role was the realization that symptoms of the same illness may differ between men and women and that certain treatment regimens work differently for different ethnic populations.

There’s been a shift towards either including a variety of participants in larger studies or creating independent studies to look at how one particular group may respond.

At Clark University, Nicole Overstreet, Ph.D, an assistant professor in the department of psychology, has used the support of the school to focus on one group in particular, black women, and their specific concerns such as the prevalence of HIV and intimate partner violence.

Her work looks at the sociocultural factors that play a part in the mental and health disparities in Black women while recognizing that there may be cross-sectional findings that come into play.

With that in mind, she has broadened her scope to take in other marginalized groups to see how these same factors may affect them.

Overstreet spoke with New England Psychologist’s Catherine Robertson Souter about her research and the surprising benefits it can have for the participants themselves.

First, can you tell us a little bit about the work you are doing.

My research examines how experiences of stigma, stereotyping, and

discrimination influence health outcomes among marginalized groups, particularly how these social processes relate to experiences of intimate partner violence and HIV. Some of the questions that we ask are how do stigmatizing reactions to intimate partner violence disclosure — for example, victim blame, disbelieving survivors or belittling them when they disclose IPV — shape mental health outcomes among survivors.

How do stigma, stereotyping, and discrimination influence help-seeking among those who experience intimate partner violence and those living with HIV and how do stigma, stereotyping and discrimination play out in different social contexts?

In your research, can you tease out how much of the poorer health outcomes are related to racial disparities rather than lower income barriers? I imagine the racial issues are still significant?

These are the things we think a lot about in our lab. There are several systems of oppression at play that could contribute to health disparities for marginalized groups.

Racism, sexism, classism, heterosexism; these things may play a role independently and they may also play a role inter-sectionally.

Racism is a system of oppression that disempowers and devalues social groups and impacts the resources and opportunities these groups have and it relates to health outcomes.

There is research to suggest that stereotypes about black women in the U.S. may be associated with racial disparities in maternal deaths.

For instance, some researchers have argued that implicit bias and beliefs that black Americans experience less pain than whites

may influence how health professionals perceive black women who are in pain during delivery and subsequently how these professionals administer care to black women during the birthing process.

There is also research to suggest that racial stereotypes about who is likely to adhere to a medication regimen may influence whether health care providers prescribe certain types of medications.

When thinking about intimate partner violence, there is evidence to suggest that some service providers have negative attitudes about survivors, which can include victim-blame.

There is another issue that you have spoken of in the past: a distrust of the medical profession within the black community. From the Tuskegee Syphilis Study to Henrietta Lacks and beyond, there are many stories about blatant disregard for the life and human rights of African-Americans in this country. These things are still a factor.

I think that is a great point to bring out, this mistrust that is grounded in a history of medical mistreatment of marginalized groups. It is not something that marginalized groups, particularly black Americans, are making up.

Enslaved black women were mistreated and did not

have anesthesia as people were experimenting on their bodies without their consent.

There are historical instances of ethical violations. That to me is a clear example of a structural stigma.

Harriet Washington has a great book called “Medical Apartheid” (2007, Doubleday) that talks about how Tuskegee was not the last (or first) instance of ethical violations in research. It still persists today. We can’t think that these ethical violations are just in the past; we still have to worry about how this history can affect people today.

We are going to keep having these issues because the world is constantly changing and we still have racism, sexism, and classism in play.

You are going to have novel situations that may emerge that we may not have rules or regulations for but these violations that are based in power can emerge because these systems of oppression exist.

We must acknowledge past maltreatment but also think about ways it can happen again.

You said that a lot of this work you are doing is novel. Are there others doing this research - looking at the experiences, specifically, of black women?

There are tons of great researchers who are committed to doing this work. What I want to emphasize is not necessarily who is doing the work but in the how. It is about how we engage communities in the work and thinking critically about the types of questions we ask as researchers. We can also go a step further to think about the meaning and dissemination of our findings.

One example of this is the Jezebel stereotype, a pervasive stereotype of black women as sexually promiscuous. I have conversations

with communities to ask them what do they think about this stereotype and how does it impact the way people treat you as a black woman?

I also talk to young girls about what the stereotype means to them and very clear ways in which they reject these stereotypes and other ways in which it may impact their sexual identity.

Those conversations occur outside of the research context but they are still important as ways to build that bridge between the university and the community, bringing those findings down from the ivory tower and into the community.

These conversations are informative for me as well because I think of new ways to approach a question based on these women’s experiences.

What stands out for you in the research you have done, in the results?

One point that I find powerful, is in thinking of our participants as experts of their own experience.

Moreover, I also think about research as an opportunity for participants to tell their own stories.

That in and of itself may have therapeutic or psychological intervention for the participants. A lot of stigma is about the silence around it. It is taboo. When you are doing research on stigma, it provides people an opportunity to talk about things they may not have shared with many people or with anyone.

Having the voices of these communities within the research that we do is an important factor.

There is a lot of work that needs to be done and a lot of work that has been done and we are just building off of that momentum. n

4

New England Psychologist

IN PERSON

July 2018

EDITORIAL

The upholstered clock

By Alan Bodnar, Ph.D ill you miss it?” I asked my wife as we stood at opposite ends of the couch in the middle of the floor, aimed at the sliding doors of our family room.

“Miss what?” she replied. “Me neither,” I answered.

And so, one day after the Salvation Army rejected our offer because of some fraying of the upholstery, the junk man came and carted the old couch away.

The piece was one of two that we bought on a single visit to the furniture store 16 years ago as soon the builders had finished our new family room.

The other piece was a wicker chair that looked good but proved less comfortable than it promised and was too big to re-position easily to a more practical spot in the room. Now, it sits in the basement until we can find someone who will appreciate its charms.

Wicker doesn’t fray. The coming and going of furniture may be a strange way to mark the passage of time but time passes and reminders of its flow are everywhere.

There is nothing like the beginning of new enterprise to break the monotony of everyday routine with a good dose of excitement and anticipation. That’s why we take vacations, make new friends, try new foods, and buy new furniture.

When the furniture is intended for a new room in the house as it was for our family room all those years ago, then the excitement is multiplied by all the imagined pleasures that this new space can provide.

And so it was that we strode into the furniture store with all the confidence of Adam and Eve walking into their garden to name the plants and animals that lived there.

We pointed to the couch and the chair and, abandoning our typically cautious and methodical approach to

shopping, said simply, “We’ll take it.”

That was a long time ago and since then, our Adam and Eve act has worn as thin as the fabric of the couch that never managed to justify our early excitement.

It looked nice and served its purpose though we struggled with overly large cushions that seemed intent on pushing us forward and onto the floor.

The chair sat like a throne in the corner of the room, too narrow and too high off the floor for comfort, and not easily moved away from a ceiling light that shone in the eyes of anyone sitting there.

Even so, we had invited these furnishings into our home and our life and they bore witness to the changes that took place over the years.

Already firmly entrenched in Alzheimer’s disease, my mother, newly arrived from her home in New Jersey, sat on the couch wondering where she was and whose house she was visiting.

She looked around the new room that she had never before seen and assumed it was hers.

Together with each other, our children, extended family, or our friends, we enjoyed conversation, television, games, the fireplace, or quiet companionship.

In solitude, we read or napped. On Christmas morning with everyone home, the couch and chair along with all other available seats were fully occupied as little mounds of presents grew beside each one of us.

When the couch first came

into our home, our daughter was already grown and out of the house and our son was in high school. Now they are adults with places and furniture of their own.

Last summer, we accompanied our son and his wife when they went shopping for a new couch. They seemed to know exactly what they wanted and quickly narrowed their search to one particular store and a handful of options.

It was fun to watch them trying out all the couches that fit their requirements and we happily joined them in testing each one.

This one was too soft and that one too hard. Another was too wide and many too narrow. The right couch had the wrong fabric but that could be easily changed and, in less time than we had spent thinking about how we wanted to change our own furniture, our son had bought his.

Inspired by the young folks’ determination, perseverance, and confidence, we returned home with renewed enthusiasm for our own quest to find the perfect sofa.

And, in time, we came as close as we could, having learned from experience that nothing is perfect. The Goldilocks “just right” couch is as elusive as any object of desire or value but the years and our son’s example remind us of the importance of searching well. Temper zeal with discernment, keep moving, and try not to repeat the mistakes of the past.

Our new couch is sturdier, more comfortable, and better suited to the room it occupies.

The old one served us as well as it could but we won’t miss it. It did its job and one thing more. It bore witness to the passing years and the changes in our family life – an 84-inch, three-cushioned, upholstered clock, replaced now by a new timepiece for new times ahead. n Alan Bodnar, Ph.D. is a psychologist formerly at the Worcester Recovery Center and Hospital.

The suicide struggle The June 2018 CDC report (https://www.cdc.gov/media/ releases/2018/p0607-suicide-prevention.html) showing a dramatic 25 percent increase in the rate of suicide since 1999 should be a wake-up call to all mental health professionals.

We are not doing enough to stem the tide, even as access to useful information and resources about suicide has changed dramatically over the same time period.

In 1999, you’d be hard pressed to find much online about suicide, other than encouragement to telephone a suicide hotline, and a few web pages and sites devoted to the topic.

Today, Google will return more than 345 million results related to the topic of suicide, the vast majority of which are resources to help a person understand suicide better and to reduce its occurrence.

In addition to crisis hotlines (Suicide Prevention Lifeline: 800-273-8255), we have both free text messaging (https://www. crisistextline.org/) and text chat (https://www.contact-usa.org/ chat.html) crisis services that can help reach people through a variety of more modern modalities than a telephone call.

In short, reaching out for help has never been easier. Yet more people than ever are ending their lives by suicide.

One article I read recently might shed a little light on the problem. Many people who are suicidal do not always suffer from a traditional mental disorder, such as depression. Rather, they are considering suicide because of a bad relationship breakup, significant relationship problems, a serious school or career setback, or some other family trauma.

Reaching out to people who would not ordinarily seek out psychological help is a challenge, as they may not even recognize the severity or extent of their own emotional pain.

Once a person’s coping resources have exceeded their threshold for that emotional pain, however, suicide looms as a much larger option.

Like any problem that has taken years to grow, it will take an equal amount of time – as well as concerted effort and more resources – to help to effectively combat it. But in an era of mental health services cutbacks for the populations we already serve, is it likely such resources will become available any time soon?

Consider referring your clients to Psych Central’s suicide resources here: https://psychcentral.com/suicide.

By John M. Grohol, Psy.D.

Publisher:

Editor-in-Chief:

Contributing Writers:

Graphic Designer:

John M. Grohol, Psy.D. Psych Central Susan Gonsalves Pamela Berard Alan Bodnar, Ph.D. Phyllis Hanlon Catherine Robertson Souter Eileen Weber Janine Weisman Karen H. Woodward

New England Psychologist is published 11 times a year (no August issue) by New England Psychologist, P.O. Box 5464, Bradford, MA 01835. It is mailed at no charge to all CT, ME, MA, NH, RI, and VT licensed psychologists. Distribution of this publication does not constitute an endorsement of products and services. The publisher reserves the right to reject any advertisement or listing considered inappropriate.

New England Psychologist accepts unsolicited articles, press releases and other materials for consideration as editorial items. Photographs will not be returned unless requested.

New England Psychologist assumes no responsibility for mistakes in advertisements, but will reprint that part of the advertisement that is incorrect if notice is given within 10 days of publication.

Reproduction of any part of this publication by any means without permission is prohibited. Back issues of New England Psychologist may be obtained by sending payment of $25.00 along with name and address to:

New England Psychologist P.O. Box 5464 Bradford, MA 01835 Tel. 978-225-3082 www.nePsy.com

July 2018

New England Psychologist

BOOK REVIEW

THE PRACTICAL PRACTICE

Author takes on industry in book written with broad strokes

By Stan Rockwell, Psy.D have read “Insane Consequences: How the Mental Health Industry Fails the Mentally Ill” a couple of times and am still contemplating it. It inspired me to research further how we treat the seriously mentally ill in America.

Author DJ Jaffe takes on what he calls the “mental

help engulfed him in the mental health system and all its shortcomings. The experience started him on “a 30-year journey to try to find out what is wrong with the mental health system and what can be done to fix it.”

As a provider, I felt many of the frustrations that Jaffe describes as a caregiver.

Jaffe takes a step by step approach in laying out what he thinks is wrong. The first

“Insane Consequences: How the Mental Health Industry Fails the Mentally Ill” DJ Jaffe Prometheus Books

health industry,” and I think that’s a fair characterization.

He is not the only writer to use the phrase, and he confronts that industry with a voice that reminds me of a prosecuting attorney on a mission.

Jaffe became involved in the mental health system in the 1980s when his wife’s 18-year-old sister, Lynn, came to New York from Wisconsin to live with them. Lynn had been a high performing high school student who began to have behavioral issues with her Hungarian immigrant mom, and Jaffe thought that coming to New York to live with “aging hippies” might help.

Things went well at first, but Lynn’s behavior became more and more difficult – from screaming at voices that only she could hear, to paranoia.

Jaffe’s attempts to get her

5

15 chapters are about how and why things are wrong, and the final two are recommendations for how to do better.

He emphasizes that our system does not focus on the seriously mentally ill; those with “schizophrenia spectrum disorders, major bipolar disorder and severe major depression.”

He makes a distinction between those who advocate for the seriously mentally ill and those who advocate for the mental health industry.

The divide is essentially between those who advocate for the medical model and those who advocate for the recovery model. For Jaffe, the recovery movement focuses too much on individual rights and not enough on outcomes.

He feels that too much time is spent on programs and methods like peer support

Continued on Page 6

How to combat the pitfalls of workplace stress

By Catherine Robertson Souter orkplace stress is unavoidable, of course, but for many Americans it’s become a chronic issue. According to the APA’s studies on Stress in the Workplace, 65 percent of U.S. employees cite work as a significant source of stress with many complaining of constant stress at work.

“More than one third of U.S. workers feel chronically stressed out during the day,” said David Ballard, Psy.D, director of APA’s Center for Organizational Excellence, and an in-house expert on work-related issues.

One would think that with all the knowledge and tools at hand, psychologists and their practices would avoid most of the obvious pitfalls for workplace stress. That is not always the case, however.

“There are some unique aspects for psychologists when it comes to workplace stress,” said Ballard, “and there are overarching work stress issues common to all professions as well.”

Constant changes to the health care system and sinking reimbursement rates can be a major source of aggravation, he added, noting that, in many cases, therapists can spend more time dealing with administrative tasks than with the mental health care they were trained to do.

Plus, because of the higher level of emotional engagement required by therapists, the levels of burnout in the profession can be higher.

Burnout can disguise itself in devious ways, Ballard explained, and it is important to recognize the signs.

“Start out with a good sense of self-awareness of your own stress levels,” Ballard said.

“Understanding what stresses you out and identifying your symptoms is key.

Some people may have headaches or a lack of energy, while others may find themselves getting into interpersonal conflicts or having difficulty making decisions.”

How one deals with stress is the main issue. Beyond

John Agee, Ph.D, clinical psychologist and owner of The Gardiner Center for Stress Management in Gardiner, Maine basic self-care of exercise, good diet and sleep, what else can a therapist do?

It can take constant diligence and stepping back to look at the big picture to keep both one’s own schedule under control and to make sure that the entire practice adheres to low stress guidelines.

“I think it’s been important for me to remember to always practice what I preach,” said John Agee, Ph.D, clinical psychologist and owner of The Gardiner Center for Stress Management in Gardiner, Me. “We are always telling our clients that they need to be mindful throughout each day, even at a traffic light, and we need to do those things, too.”

The bigger picture view helps keep things running more smoothly, Agee said.

“For me, I went into private practice so I could have a flexible schedule, take a walk in the sunshine so to speak,” he said. “It is so important to keep remembering to use that flexibility and to encourage my staff and colleagues to do the same.”

Outsource administrative tasks and avoid booking clients one after another, he said, to reduce emotional exhaustion at the end of the day.

Keep “play time” as part of your life: going for a run, taking a yoga class, heading out to a wine tasting or a movie, or even curling up

with a good book.

And then there is the elephant in the room… or rather the small handheld computer … that we all know brings more stress into our lives but is very difficult to put down.

The cell phone that we carry with us may seem like a life saver but it has raised stress levels over the past two decades.

“There is an increased expectation to be available at all times,” said Agee.

Taking a technology break during meals or a long walk works wonders with reducing stress. It may be counter-productive to do it for too long since catching up on missed calls and emails can bring on more stress, but short, definitive breaks added to each day allow the brain a chance to disconnect and regenerate a bit.

With staff, make sure to have a supportive environment where employees feel they are being heard, paid fairly, and able to enjoy their own lives outside of the office.

Hire for “good fit,” Ballard said, be sure to offer training opportunities, provide both guidance and autonomy and ensure proper mental health support for staff.

Perhaps the biggest tool for creating a low-stress workplace environment, of course, is reducing stress at the top.

A crazed, erratic boss raises the stress level for everyone else. So, when taking time off to “walk in the sunshine” seems like a waste of time, think of it as an investment in the overall health and wellbeing of your practice. n

Recruit a PSYCHOLOGIST with your help wanted ad in

Advertising @nepsy.com

6

New England Psychologist

BOOK REVIEW Continued from Page 5 and prevention, which he says are not researched, at least by independent researchers.

Indeed, Jaffe writes, serious mental illness cannot be prevented. The U.S. spends too much time and money on treating the worried well and on redefining what were once everyday behaviors like worry, stress, and bullying as mental illnesses.

The industry then makes money by treating those with the least need but the most resources. Meanwhile, those with the most need and the least resources are deinstitutionalized from mental hospitals to jail, prison, and the streets.

Because he addresses such a broad scope of issues, the wealth of evidence for each is abbreviated. In this relatively short work, Jaffe has to use a broad brush that sometimes misses details that could have given even more support for

what he advocates.

Jaffe includes 78 pages of notes at the end of the book, in which he goes into a bit more depth on some of the studies and incidents.

Jaffe also includes 18 pages of researched and well thought out solutions that range from cutting what he sees as wasteful programs, while consolidating and coordinating others to specific changes in law and policies such as HIPAA and FERPA. He looks at civil commitment reforms, law enforcement, the use of medication and electroconvulsive therapy (ECT), group homes, intensive case management, assertive community treatment teams, and mandated assistive outpatient treatment.

I was troubled by some things left out of this work.

Jaffe naturally takes on recovery-oriented advocates like Robert Whitaker, who wrote “Mad In America.” He doesn’t address how the conditions

of the “snake pits” of mental hospitals transitioned to the horrors experienced by the mentally ill in jails.

He doesn’t seem to address that there are programs, such as described by Whitaker, that don’t require forced medication and work. He also doesn’t address the cultural aspects that have had a role in bringing about the social justice aspects of treatment.

Jaffe’s work is thoughtful and a good place to start a dialogue around working towards solutions on how to treat people diagnosed with mental illness, a question that has been with us for centuries.

He goes to great lengths to define outcomes for improvement in treatment such as “homelessness, arrests, violence, hospitalizations, or suicides” and not “soft measures like hopefulness, sense of empowerment and wellness.”

Jaffe’s ideas and focus deserve serious consideration. n

CARE Act would allow 72-hour involuntary commitment for addicts

By Catherine Robertson Souter s part of an effort to combat the drug overdose epidemic, the CARE Act is currently wending its way through the Massachusetts legislature. If enacted, the new law would allow certain medical profes-

the right to judge if a patient’s addiction poses an immediate danger to themselves or to others.

The law would allow this involuntary commitment on the basis of the facts and circumstances even if the patient refuses to be examined.

This new law would mirror a state law providing for

“In many cases, it is the family looking for the involuntary commitment. And to have to wait over a weekend until Monday is a long time when a life is at stake.”

Patrick Cronin, director of business development at Northeast Addictions Treatment Center, Quincy sionals to hospitalize people who are addicted to drugs for up to 72 hours while waiting for a court order.

The law would give physicians, psychiatric nurses, qualified licensed psychologists or clinical social workers

a 72-hour psychiatric hold in cases of mental illness that could lead to harm.

Currently, Massachusetts does allow for involuntary commitment for up to 90 days where addiction is a concern but the decision must be made

by a court order.

The new law was introduced as part of a broader mental health bill by Governor Charlie Baker in both the House and the Senate in November, 2017.

The bill would also set up a commission on school and community-based behavioral health, increase access for mental health care for children, and set up a statewide program to provide remote consultations.

It would also establish a trust fund for behavioral health promotion, and prepare a drug formulary of clinically appropriate opioids for use in the treatment of patients with workers’ compensation claim among other things.

At the time of publication, the bill had been recommended to pass by both branches and referred to the Joint Committee on Rules.

“Building on our first bill, the CARE Act will allow for the Commonwealth to continue combatting the opioid epidemic by expanding access to treatment and employing effective strategies like the use Continued on Page 7

July 2018

School-based Health Care may be only care for kids

By Eileen Weber ince the advent of school nursing at the turn of the 20th century, schoolbased health care for students has significantly grown.

Mental health and substance abuse counseling, case management, nutrition, immunizations, health education, even regular dental check-ups with fluoride treatments are

“Across all services, there’s a much different distribution. The demographic has changed.”

The Connecticut Department of Public Health shows a different breakdown from the 2014-2015 school year.

Of the 45,000 students enrolled in the state’s funded SBHC services, Hispanics represent forty-seven percent, blacks are twenty-three per-

“Kids come to school worried they’re going to be shot. That didn’t happen 10 years ago.”

Emily Segal, LCSW, clinical supervisor and social worker, the School Based Health Center at Stamford High School.

available during school hours.

“It’s not just medical. It’s from dental to mental.” said Ellen Carroll, Ph.D, RN, CPNP, program director for the Dr. Appleby School Based Health Centers and the Human Services Council in Norwalk.

Connecticut has had School Based Healthcare Centers (SBHCs) for the past 25 years.

For low-income black and Hispanic families without insurance, this may be their only access to health care. But, those students aren’t the only ones seeking help.

“I see all the colors of the rainbow coming in and out of the office,” Carroll said of the variety of students that use the health centers.

Jesse White-Fresé, MA, LPC, executive director of the Connecticut Association of School Based Health Centers, Inc., agreed. She sees a relatively equal distribution of demographics.

“There was a study in 2012 that showed black and Latino male teens going to SBHCs instead of community-based services,” she explained.

cent, whites are eighteen percent, while Asian and other demographics make up the remainder.

As of 2017, there were 538,839 students enrolled in 1,148 schools in the 200 school districts. Those seeking healthcare in schools make up less than 10 percent.

Yet, there is overwhelming approval from Connecticut lawmakers to continue funding SBHCs. Every clinician interviewed for this article praised the state’s support.

So, what are the benefits?

Nearly 97 percent of students with access to schoolbased centers return to class the same day, according to the Agency for Healthcare Research and Quality. There is also a decrease in emergency room visits. Adding to that, SBHCs have the opportunity to teach kids how to take responsibility for their own health needs with each visit.

“We are teaching them health education and good self-care every time they come down,” said White-Fresé.

Continued on Page 7

July 2018

New England Psychologist

School-based Health Care Continued from Page 6 “They may not be able to control their circumstances, but they can control their behavior.”

Early on, few people understood the concept of SBHCs. Why would kids want inschool services when they can go anywhere?

But, doctor’s appointments can be costly. The centers see students whether they have insurance or not. And because it is located in their everyday environment, students feel more comfortable and the staff becomes more integrated.

“One theme comes up over and over again,” said WhiteFresé. “Kids say they feel safe and comfortable and they know it’s confidential and convenient. It’s an important piece of what we do.”

But, not all kids stop in for the sniffles. Mental health issues have been on the rise for some time.

“There’s been a dramatic change in 10 years with students receiving mental health

CARE Act Continued from Page 6 of more recovery coaches,” Baker said in a written statement issued by his office.

Designed to reduce drug or alcohol-related deaths during times when courts are not open, (i.e. on nights and weekends), the law has both supporters and detractors.

Gov. LePage

care,” said White-Fresé.

“Since 2014, we’ve seen an 11 percent increase. In the beginning, medical care outweighed mental. But now there’s a lot more anxiety and depression.”

Kids are stressed out and feeling overwhelmed. School work, overscheduling, and even social media play a role.

But there’s one aspect that kids today have to deal with that many students didn’t in the past.

“Kids come to school worried they’re going to be shot,” said Emily Segal, LCSW, clinical supervisor and social worker at the School Based Health Center at Stamford High School. “That didn’t happen 10 years ago.”

Sexual orientation and gender identity have also become big issues. Kids struggling with these problems come in at younger ages and with greater intensity.

Having access to care enables them to start advocating for their own health. If they feel sick or sad, they know where to go. n

qualifications for a developerbuilder-design team indicated the state would sell the land for a suggested list price of $495,000 to a developer that would build the facility and then lease it back to the state for a term not to exceed 30 years.

The proposed new site on State Hospital Drive “would sit in the front yard of the hospital proper” of Dorothea Dix, said architect Richard Borrelli, project manager, healthcare studio director and principal with WBRC in Portland. Once the necessary approvals were obtained, the construction timeline would be about nine months, he added.

“This is an unusual facility because it’s not a psych hospital, it is not a nursing home, it is not a detention facility, but it has characteristics of all three,” Borrelli said.

Bangor Holdings LLC was formed April 28 with its registered agent listed as Bangor attorney Hans Peterson, who

Patrick Cronin, director of business development at Northeast Addictions Treatment Center in Quincy, where he himself went through recovery treatment more than a decade ago, supports the new law.

When families come to the center looking to get a loved one committed for their own safety, the wait time for courts to be open can be painful.

“In many cases, it is the

family looking for the involuntary commitment,” he said. “and to have to wait over a weekend until Monday is a long time when a life is at stake.”

For Sandra Staub, an attorney with the Northampton-based Center for Public Representation, any increase in forced hospitalization should be avoided as it impedes on personal rights.

Continued from Page 1

7 did not return a phone call seeking comment.

The LePage administration has intended to have the new facility staffed and managed by a private contractor. On Jan. 30, the state selected Correct Care LLC of Deerfield Beach, Florida, for a $60.3 million conditional contract over 10 years to provide services at the

“This is an unusual facility because it’s not a psych hospital, it is not a nursing home, it is not a detention facility, but it has characteristics of all three.”

Richard Borrelli, WBRC project manager, healthcare studio director and principal stepdown unit with an address of 219 Hogan Road.

The state asked Correct Care to supply three years of audited financial statements before starting contract negotiations.

LePage is prevented by term limits from seeking re-election this year. The Department of Health and Human Services (DHHS) did not respond to

full access to treatment plans for patients at the facility.

“We don’t believe that DHHS has the capacity to make these decisions without the peer and family advocacy community engaged and have it turn out to be in the best interest of the individuals it’s intended to serve,” Mehnert said. n

She believes where the money should really go would be into better programs for addicts at the community level.

“We need more money to be readily available for community-based services,” she said. “We would rather see funds go there and we would be opposed to this proposal.”

While Cronin agrees that fixing a broken communitybased system should come

first, concerns about impeding on rights do not hold up, he said, when the same medical professionals who would do the 72-hour hold are also appearing in front of a judge to provide their expert opinion on whether someone should be committed for longer time periods.

“If the doctor has the ability to make that decision, why not let them make this one?” he asked.

Involuntary commitment has not been proven to reduce overall deaths by drug addiction, say detractors. It may only postpone the tragedy.

To Cronin, that postponement can’t hurt even if it does not save a life forever.

“No one ever said that commitment ruined my life,” he said. n

Legal Advice for Psychologists

Please contact Attorney Kerstein at 617- 965-9698.

60 Walnut Street, Wellesley, MA 02481

We provide legal counsel in the following areas: • Licensing Board Complaints • MassPRO Medical Audits • Professional Liability • Patient Confidentiality • Provider Agreements • Medicare Compliance • Partnerships / Corporations • Malpractice Defense • Employment Contracts • Family Law • Trusts & Estates • Civil / Criminal Litigation

requests for comment.

“There’s not any communication out of the Department of Health and Human Services.

There’s been no public stakeholder process,” said Jenna Mehnert, executive director of NAMI Maine.

NAMI Maine wants to see the establishment of an independent oversight board with

Attorney Milton L. Kerstein of Kerstein, Coren & Lichtenstein, LLP provides legal services to psychologists and other mental health professionals.

We offer quality legal services in a caring and confidential environment.

FREE CONSULTATION! As a service to the readers of New England Psychologist, we offer one FREE fifteen-minute consultation to discuss any general legal concerns you may have.

Check out Psych Central Professional pro.psychcentral.com

8

New England Psychologist

July 2018

William James College acquires Teachers21 to make schools better

By Phyllis Hanlon hen Teachers21 needed to move four years ago, it turned to the campus of William James College for new space.

Teachers21, a 30-year-old organization that offers customized professional development for academic leaders, used the opportunity to also draw upon William James’

offers has taken on greater importance, he noted.

Jennifer Antonucci, M.Ed., associate director of Teachers21, indicated that educators of every ilk are concerned with the challenges around mental and behavioral health of students, but most are not trained for the issues they face.

Teachers21 works with K-12 educators and stakeholders in their professional devel-

“We’re intervening at an upstream level.”

Nicholas Covino, Psy.D, William James College president experienced faculty to help spearhead its programs.Last year, an opportunity arose and the two entities joined forces.

Nicholas A. Covino, Psy.D., president of William James College, explained that Teachers21 has been offering “sophisticated consulting work with schools” and has developed a robust relationship with school superintendents and principals across the Commonwealth.

With the growing interest in social emotional learning in the last couple of years, the programming Teachers21

opment through graduate level course work, online education, face-to-face learning, consulting, in-service workshops, one-on-one coaching and team development.

Antonucci said, “The content includes pedagogy, leadership training, and addresses school culture and climate.”

Teachers21 also runs institutes for new academic leaders and offers degree and certificate programs. These one-year institutes enable teachers to learn from others in the profession through roundtable discussions focused on prior-

ity issues that reflect authentic problems schools are facing.

Antonucci explained that Teachers21 partners with a school district and conducts a needs assessment before assigning a trainer to the school.

Each program is specifically tailored to the school.

“There is no off-the-shelf curriculum,” she said. Rather, the program evaluates the unique goals and challenges and adjusts its plan accordingly.

Additionally, Teachers21 helps school districts understand and comply with state mandates and academic requirements.

William James’ role in this partnership is to provide faculty from its School Psychology and Organizational and Leadership Psychology Departments, who will lend their expertise in behavioral health training to teachers, principals, and superintendents.

Covino pointed out that the partnership gives Teachers21 a chance to offer educational leadership, social emotional learning and create healthy environments.

The acquisition gives William James an opportunity to do more primary preventive mental health work, get more involved in school programming and create more socially responsible school settings.

Although Teachers21 comprises a number of retired or active educators, William James has clinical professionals who are “the boots on the ground,” said Covino.

“William James is not training mental health professionals but training teachers and developing resources around

How about a little EXTRA help filling an open position?

Advertise in

Plus, reach extra job seekers at

Contact us at advertising@nepsy.com

mental health. It’s a marriage made in heaven,” said Covino.

He said that 20 percent of students today have mental health problems with an “incredible shortage of psychologists” to treat them.

“We’re intervening at an upstream level.”

By working together, Teachers21 and William James can address the psychosocial needs of every student and help build greater capacity.

And Covino emphasized that rather than offer a series of after-school development programs, which often have little impact, Teachers21 has the capability of “being a resource and an advocate for social emotional learning and behavioral health.”

He said, “Other programs train and then leave. We’ll

continue to support through occasional additional training, distance education or consulting.”

While the Teachers21 programs offer academic credit, they also carry a more important perk, according to Covino. “The reward is professional development and a boost in pay.”

The goal of Teachers21 is to “build a psychologically safe, highly accountable place of work,” according to Antonucci.

Covino added that this approach will be a primary intervention that creates a healthier environment, ameliorates and assists children and families in the early development stages of psychological problems. n

,

Experience Quality Trainings in the Application of EMDR Therapy A two part course offering 40 CE Credits

• Effective and efficient treatment for trauma and other adverse life experiences • Empirically validated in over 24 randomized studies • Recommended in both domestic and international treatment guidelines • Recommended by the World Health Organization for the treatment of PTSD in children, adolescents, and adults

● Portland ME Jul 13-15, 2018 Nov 30-Dec 2 , 2018 ● Asheville NC Jul 20-22 , 2018 Nov 2-4, 2018● ● Salt Lake City UT Sep 7-9, 2018 Mar 8-10, 2019 ● Boston MA Sep 14-16, 2018 Feb 1-3, 2019 ● Cincinnati OH Oct 19-21, 2018 Mar 15-17, 2019

Visit www.emdr.com for further information, domestic & International schedules, research, referrals & media publications 40 CE Credits

The speed at which change occurs during EMDR contradicts the traditional notion of time as essential for psychological healing.

Bessel van der Kolk, MD Boston University School of Medicine EMDR Institute Inc PO Box 750 ● Watsonville ● CA 95077 831-761-1040 ● www.emdr.com

July 2018

New England Psychologist

for all people,” Silva said. “A culturally responsive practice reflects growing diversity.”

Moreover, the over-whelming number of regulations, standards and mandates require balancing skills that place incredible demands on time, Silva said.

Today’s graduate students working toward a school psychologist specialty also differ in a couple of ways from students of the past, according to Jen Arner Welsh, Ph.D, professor of psychology at Quinsigamond Community College in Worcester, Massachusetts.

She pointed out that current students have spent their entire academic lives “in the shadow of Columbine,” so come into the program with different concerns and perspectives.

Welsh added that these students are also a highly diverse group related to ethnicity, culture, sexuality, and ability.

She emphasized that these attributes are “incredible strengths, especially for school psychologists,” since many American schools comprise a diverse body of students.

Additionally, many of these students have undergone mental health counseling personally or know someone who

has so have more experience with what a school psychologist is, Welsh said.

“They have thought more about school psychology, which might be what draws them to the profession.”

As a school psychologist specialist for the last 20 years in the Maranacook Area Schools System in Southern Maine, Susan Holinger, MS, NCSP, has witnessed firsthand the evolution in the field.

Passionate about her role, she was named School Psychologist of the Year in 2015 by the state of Maine.

Holinger has developed organizational skills that have helped her grow in the position and enable her to execute multiple responsibilities more effectively.

In addition to the usual duties of performing highquality assessments and serving on the intervention team, Holinger has worked with Maine legislators to create laws focused on a specialist certificate.

She has also been involved in several state level associations, advocacy groups, and panels. Her participation helps foster professional contacts, enhances her knowledge in the field and allows her to share information with others

in the school district.

Additionally, Holinger and two colleagues revised learning disability eligibility forms and conducted trainings on the new document for directors, teachers, and other specialists.

While some school districts struggle with violence, Holinger’s district faces a different issue. She said that half of all children born in this geographic area have crackaddicted mothers.

These children are not cognitively delayed. Rather, they have significant emotional and behavioral difficulties, having suffered “insult before birth,” Holinger said.

She indicated that working with teachers helps them understand the underlying reasons for this behavior.

Portland, Maine-based Jane Boulas, Psy.D, NCSP, works with elementary, middle, and high school students in the public school system and also teaches graduate students in the school psychology program at the University of Massachusetts.

Boulas said that while developmental levels differ depending on the specific age group, anxiety, learning disabilities and social emotional problems cut across all demographics.

Successfully addressing these issues requires collabo-

people from #gunviolence!”

Senate Majority Leader Sen. Cynthia Creem (D-Newton) tweeted on June 7. “This is a commonsense measure that will save lives!!!”

Decker also tweeted on June 7: “Very proud that #ERPO passed in the @MA_Senate.

Thank you @SpeakerDeLeo @Sen_Chandler @cindycreem for your leadership. Grateful for the commitment and support of my colleagues who worked on this together.”

The House and Senate must agree on a final version before the bill can be sent to Republican Gov. Charlie Baker’s desk before midnight on the July 31, when the legislative session ends.

Rhode Island adopted a red flag law on June 1, and Vermont passed such a law in April.

There is significant public support for red flag laws, especially after the Feb. 14

mass shooting at a high school in Parkland, Florida, that left 17 people dead.

An investigation revealed the shooter’s behavior before the incident had attracted attention from local police and school officials on several occasions. Florida Gov. Rick Scott signed a red flag bill into law on March 9.

There is also growing evidence that these laws reduce firearm suicides. A new study published June 1 in Psychiatric Services, the peer-reviewed journal of the American Psychiatric Association, found a 7.5 percent decrease in firearm suicides in Indiana in the 10 years following the adoption of a red flag law there.

The same study found a 1.6 percent reduction in firearm suicides in Connecticut immediately after the red flag law there was passed in 1999, but the decrease grew to 13.7 percent after a substantial increase in enforcement following the 2007 mass

shooting at Virginia Tech.

The bill underwent a dozen amendments before passage in the House. Another 17 proposed amendments were rejected, including several by Rep. Joseph McKenna (R-Webster). He tried unsuccessfully to strike language that automatically granted extreme risk protection orders when the respondent failed to appear at a hearing.

McKenna, a gun owner, said he voted against the bill because it does nothing to connect someone deemed an extreme risk to meaningful help and services.

“It simply removes their Second Amendment right and sets them free in society to commit acts of extreme violence using any other means, or even using firearms that they procure illegally,” McKenna said. “This bill provides close to zero protections to the public despite claims otherwise.

The proposed legislation drew criticism from the

School psychologists: In a class of their own Continued from Page 1 work we do is with adults who work with kids,” she said.

“That’s the paradox of school psychology. To impact kids’ lives, you have to be effective at impacting adults.”

According to Arlene Silva, Ph.D, chair of the School Psychology Department at William James College, school psychologists have to think on a system level that encompasses prevention, school climate, practices to promote social emotional learning, consultation and supervision.

“It’s more like a public health model,” she said.

Societal demands have impacted the way schools operate and the problems they now face. Increased awareness of the potential for crisis has led to advance planning and preparedness drills.

Silva noted that the opioid crisis has prompted the creation of substance use prevention programs as well as responsiveness initiatives to mental health issues in the schools.

Additionally, schools are more aware of the importance of cultural diversity.

“There are issues of privilege and power, but school psychologists have to advocate

Red Flag bill Continued from Page 1 may remain confidential.

Failure to comply with an extreme risk protection order would be punishable by a fine of up to $5,000 and/or 2 ½ years in prison. Those found to file petitions knowingly containing false information or with an intent to harass the respondent would face a penalty of a fine ranging from $2,500 to $5,000 and/or up to 2 ½ years in prison.

The bill would require that the court issue a report on or before Dec. 31 of each year detailing the number of extreme protective order petitions filed and granted, and the breakdown of the race and gender of petitioners and respondents.

“Today @MA_Senate took a giant step forward in #guncontrol by passing the #ERPO bill to protect

9 ration with teachers to put appropriate interventions in place and reduce problems.

Boulas said there is an increase in explosive behavior in children, some as young as five-years-old. She attributes this conduct to increased family stress, poverty, the influence of social media, and unrealistic academic and social expectations.

Suicide has also become an issue that requires preventative measures, she added. As a school psychologist, she is charged with addressing these issues.

The use of an evidencebased curriculum is critical, Boulas pointed out and noted that school psychologists today play a combination role of psychologist and educator.

“We are in a unique position. We have good relationships with teachers and administrators. We help each entity understand each other,” she said.

Silva said that schools and emergency rooms have something in common: the needs of anyone who walks through the door must be met, often with limited resources.

But oftentimes, the role of the school psychologist is misunderstood. “This is not just a psychologist in a school. It’s a specialty couched within an academic and emotional arena,” she said. n Gun Owners Action League (GOAL) which voiced concerns about its constitutionality.

While Decker’s original proposal had been characterized as legislation to prevent suicides and mass shootings, GOAL said the final version passed by the House was stripped of all references to mental health.

The Massachusetts Psychological Association (MPA) has not taken a position on the bill because it has been focused mostly on an anti-clawback bill seeking to impose a time limit on the ability of insurance companies to retroactively deny claims already paid, said Director of Professional Affairs Jennifer B. Warkentin, Ph.D. “We may review the red flag bill and take a position at a later date, but currently we simply don’t have the time and resources to give the attention and consideration that we would to any bill that we take a position on,” Warkentin said in an email. n

10

New England Psychologist

July July 2-6: The Anxiety Epidemic in Kids and Teens: A Workshop for Clinicians.

Nauset Regional High School, Eastham, MA. $675, 15 CEs. Workshop by Paul Foxman. Sponsored by the Cape Cod Institute. Learn more at: www.cape.org

July 2-6: A Clinical Introduction to Imago Relationship Therapy: Bringing Couples from Rupture to Connection. Nauset Regional High School, Eastham, MA. $675, 15 CEs. Nauset Regional High School, Eastham, MA. 15 CEs. Workshop by Carol Kramer.

Sponsored by the Cape Cod Institute. Learn more at: www. cape.org

July 2-6: The Emotionally Mindful Therapist: Using Your Emotions to Help Yourself and Others. Nauset Regional High School, Eastham, MA. $675, 15 CEs. Workshop

by Ronald Frederick. Sponsored by the Cape Cod Institute. Learn more at: www.cape. org

July 2-6: Resilience Across the Lifespan: StrengthBased Strategies To Nurture Balance, Self-Discipline, and Hope in Ourselves and Others with Robert Brooks.

Eastham, MA. $599, 15 CEs. Symposium participants will learn: techniques for enhancing empathy and our own stress hardiness; the components of motivation and a resilient mindset; and how to promote change in oneself and others. Sponsored

by New England Education

Institute. Contact 413-4991489 ext.1 or www.neei.org

July 2-6: Clinical Psychopharmacology: Overview and Recent Advances with Ross Baldessarini. Eastham, MA. $599, 15 CEs. Workshop will review the current status of psychotropic drug treatment of psychotic and major mood disorders, with an emphasis on the research base on which sound clinical practice rests.

Sponsored by New England Education Institute. Contact 413-499-1489 ext.1 or www. neei.org

July 9-13: Emotionally Focused Therapy: Cracking the Code of Love in Couples and Families. Nauset Regional High School, Eastham, MA. $675, 15 CEs. Workshop by George Faller. Sponsored by the Cape Cod Institute. Learn more at: www.cape.org

July 9-13: The Optimal Future Self: Overcoming Blocks, Accessing Possibilities. Nauset Regional High School, Eastham, MA. $675, 15 CEs. Workshop by Nancy Napier. Sponsored by the Cape Cod Institute. Learn more at: www.cape.org

July 9-13: Harnessing the Transformative Power of Mindful ACT Therapy. Nauset Regional High School, Eastham, MA. $675, 15 CEs. Workshop by John Forsyth & Jamie Forsyth. Sponsored by the Cape Cod Institute. Learn more at: www.cape.org

July 16-20: Frontiers of Trauma Treatment. Nau-

CONTINUING Education New England Psychologist prints as many continuing education conferences as space allows.

Listings with incomplete information will not be printed. CE credits listed are for psychologists. Deadline for submission is the 1st of each month for the following month’s issue. CE Listing correspondence to: New England Psychologist Attn: Continuing Education P.O. Box 5464 Bradford, MA 01835 ce@nepsy.com

set Regional High School, Eastham, MA. $675, 15 CEs. Workshop by Bessel van der Kolk. Sponsored by the Cape Cod Institute. Learn more at: www.cape.org

July 16-20: Polyvagal Theory in Therapy: Practical Applications for Treating Trauma. Nauset Regional High School, Eastham, MA. $675, 15 CEs. Workshop by Deb Dana. Sponsored by the Cape Cod Institute. Learn more at: www.cape.org

July 16-20: Assessment and Intervention for Child and Adolescent Executive Function Difficulties. Nauset Regional High School, Eastham, MA. $675, 15 CEs. Workshop

by George McCloskey. Sponsored by the Cape Cod Institute. Learn more at: www.cape. org

July 17-18: Trauma and the Internal Family Systems Model: Releasing Personal and Legacy Burdens. Auburndale, MA. 9-4:45 pm, $370, 12 CEs. This presentation by the founder of the model will provide a brief introduction to the basics of the IFS Model fol-

July 2018

lowed by demonstrations of its use with attachment problems and trauma, including intergenerational and cultural burdens.

Sponsored by Therapy Training Boston. Contact 617-9249255.

July 23-27: Who Do We Choose To Be? Facing Reality, Claiming Leadership, Restoring Sanity. Nauset Regional High School, Eastham, MA. $675, 15 CEs. Workshop

by Margaret Wheatley. Sponsored by the Cape Cod Institute. Learn more at: www.cape. org

July 23-27: Trauma Competency: Neuroscience, Diagnosis, and Best Practices for Successful Treatment.

Nauset Regional High School, Eastham, MA. $675, 15 CEs. Workshop by Linda Curran.

Sponsored by the Cape Cod Institute. Learn more at: www. cape.org

July 23-27: Internal Family Systems Workshop. Nauset Regional High School, Eastham, MA. $675, 15 CEs. Workshop by Richard Schwartz.

Sponsored by the Cape Cod

Continued on Page 11

TWO PROGRAMS, ONE STANDARD OF EXCELLENCE THE CENTER FOR BEHAVIOR DEVELOPMENT • Autism • Severe Maladaptive Behavior • Dual Diagnosis of Mental illness/Intellectual Disability/Traumatic Brain injury • Postraumatic Stress Disorder • Physical Disability • Ages 6-21 THE CENTER FOR BASIC SKILLS • Autism • Intellectual Disability • Physical Disability • Sensory Impairments • Medical Needs • Ages 6-21 For over 30 years, Evergreen Center has provided living and learning environments for persons with autism and intellectual and developmental disabilities including physical disabilities, behavior disorders and complex health needs. Evergreen Center offers a highly competitive salary commensurate with local and national standards, an excellent benefit package, a retirement plan with company contribution, and tuition support/educational loan repayment programs.

C

ar

thr g n i

ough Compe

ten

ce

For More Information Contact The Director Of Family Services & Admissions Evergreen Center Inc., 345 Fortune Boulevard, Milford, MA 01757 Phone: (508) 478-2631 • Email: Services@evergreenctr.org www.evergreenctr.org Equal Opportunity Employer Our Partners in Education Masters Degree or Post Masters BCBA Course SEQUENCE

Masters Degree in Education Cambridge College.edu

July 2018

New England Psychologist

Institute. Learn more at: www. cape.org

the Cape Cod Institute. Learn more at: www.cape.org

July 30-Aug. 3: Treating Complex Trauma: Optimal Integration of Treatment Models. Nauset Regional High School, Eastham, MA. $675, 15 CEs. Workshop by Deborah Korn. Sponsored by

July 30-Aug. 3: Working with Mindfulness: Practices and Perspectives for Individuals and Organizations. Nauset Regional High School, Eastham, MA. $675, 15 CEs. Workshop by Mirabai Bush.

Sponsored by the Cape Cod

Institute. Learn more at: www. cape.org n

11

THE QUICK FIX

For comprehensive CE listings check out

Classifieds Office Space ACTON: Full/Part-time rental in attractive professional office suite. Collaborative private practice with established referral base. Contact 978 263 3677 or ingermaier@comcast. net BACK BAY (Boston): Parttime furnished psychotherapy office with stunning Boston views. Shared waiting areas, bathrooms, kitchen & free gym access. Many referrals and optional administrative/ billing support available. Free private practice start-up or expansion business consultation. $176 + /month per 4-hour/week block. Parking for additional fee. Please contact: backbayalliance@gmail. com / 617-230-3002 BOSTON: Interior office in beautiful Newbury St. suite (near Arlington T stop). Partor full-time $11/hour (16+ hours/week). Contact bradspickardphd@gmail.com BROOKLINE: 1093 Beacon at Hawes. Sunny, bay windows, hardwood floors, old would charm. Flexible PT hours. Outstanding location.

Please contact Martin Pildis at: mpildismd@gmail.com or 617-731-2678.

CAMBRIDGE, MA: Large furnished office space to sublet in Harvard Square area in beautiful Victorian building.

Available September 1, 24 hours desired. Please contact 401-829-8491 or email dr.lisacoyne@gmail.com.

HARVARD SQUARE (Cambridge): Furnished part-time psychotherapy office sublet in Victorian house/office building. Shared

waiting area/bathrooms/kitchen. Many referrals and optional administrative/billing support available. Free private practice start-up or expansion business consultation. $176 + month per 4-hour/ week block. Please contact: harvardsquarealliance@gmail. com / 617-230-3002 HINGHAM: Office space sublet available June 1, full or part time. Shared suite with other therapists, suitable to see children or adults.

Contact kateleonardpsyd@ gmail.com or 617-877-6646.

QUINCY: Office sublet. Space available in beautiful suite on Mondays. Professional building. Easy access to Rte 93 & 3. Short walk to bus & T. Contact Barbara at 617-4716322 or bmordini@comcast. net

WELLESLEY-NEWTON LINE: Office space to share, available Monday, Thursday, Friday on Washington Street in Wellesley. I currently run my Counseling Practice on Tuesdays and Wednesdays out of this office. It is a clean, professional building with ample parking. The unit consists of two separate rooms approximately 350 square feet. I use one room as my waiting area. Rent for the 3 days is $325/month. Office is on the 2nd floor.

Please check out all of the help wanted ads on Psych Central Professional: https://pro.psychcentral.com/jobs

Donna Barstow

r e b o t c g in O

Comin

will publish the 26th annual Residential School Directory advertising@nepsy.com

Classified Form All classified advertising runs in the next available print edition and on NEPsy.com Deadline is 12th of every month (except for Aug./Sept. issue, which is Aug. 1).

For all other advertising deadlines and rates, including Help Wanted and CE ads, please email us at: advertising@nepsy.com.

Office space/groups forming: $65 per column inch ($55 if submitted online).

Products/services: $160 per column inch ($140 if submitted online).

A column inch contains approximately 20 words; minimum of 1 inch for all ads.

Save money by submitting online! http://www.nepsy.com/classifieds/ Please fill out the below form completely and legibly. Payment must accompany ad (make check payable to New England Psychologist) and mail to: Classified Ads, New England Psychologist, PO Box 5464, Bradford, MA 01835.

Town & State: __________________________________________________________________________________ Ad Copy: _____________________________________________________________________________________ ______________________________________________________________________________________________ Name: ________________________________________________________________________________________ Address: ___________________________________ __________________________________ Phone: ___________ Email: ________________________________________Payment of $_____ is enclosed.

"

12

New England Psychologist

July 2018

Webinars

Advocate Consultations

The Trust Helps Your Practice Move in the Right Direction Navigating curves and avoiding roadblocks in your daily practice can be scary and frustrating. Dealing with subpoenas, new laws and regulations, difficult clients, and obstacles to the success of your practice and financial security are just a few of the common problems facing any practitioner. The Trust is here to help you anticipate and successfully negotiate these practice hazards. We provide not only premier professional liability coverage, life and disability, property and other insurance, but also free confidential risk management consultations; reduced-fee practice and risk management workshops and webinars; and access to sample client contracts among other useful resources. The Trust keeps you going on the road to success!

Risk Management

www.trustinsurance.com • 1-800-477-1200 * Insurance provided by ACE American Insurance Company, Philadelphia, PA and its U.S.-based Chubb underwriting company affiliates. Program administered by Trust Risk Management Services, Inc. The product information above is a summary only. The insurance policy actually issued contains the terms and conditions of the contract. All products may not be available in all states. Chubb is the marketing name used to refer to subsidiaries of Chubb Limited providing insurance and related services. For a list of these subsidiaries, please visit new.chubb.com. Chubb Limited, the parent company of Chubb, is listed on the New York Stock Exchange (NYSE: CB) and is a component of the S&P 500 index.

Navigation 10.25x12.75.indd 1

5/1/2018 1:39:49 PM