Summer 2003
Summer 2003 • Volume 54, Issue 2
Summer 2003 Volume 54, Issue 2
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w w w . a m e r i c a n p r o f e s s i o n a l . c o m
Claire Jacobs, PhD Editor David White, CAE Executive Director SUMMER 2003
Robert McPherson, PhD Director of Professional Affairs Lynda Keen Membership Manager/Bookkeeper
VOLUME 54, ISSUE 2
Features 8
Go Boldly Forth! Making Psychology a Household Word Ronald F. Levant, EdD, ABPP
Sherry Reisman Director of Conventions & Non-Dues TPA BOARD OF TRUSTEES
10 TPA and Rio Grand Valley Psychological Association Meets for International Exchange Mary Elizabeth De Ferreire, PhD
Deanna Yates, PhD President
15 PSY-PAC Update C. Alan Hopewell, PhD President-Elect Paul Burney, PhD President-Elect Designate
Paul Burney, PhD
Departments
Walter Cubberly, PhD Past-President
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Board Members Ron Cohorn, PhD Patrick Ellis, PhD Richard Fulbright, PhD Charlotte Kimmel, PhD Joseph C. Kobos, PhD Suzanne Mouton-Odum, PhD Roberta L. Nutt, PhD Dean Paret, PhD Elizabeth L. Richeson, PhD Ollie Seay, PhD Jarvis Wright, PhD
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EX-OFFICIO BOARD MEMBERS Richard M. McGraw, PhD Federal Advocacy Coordinator Melba J. T. Vasquez, PhD CAPP Representative
FROM THE PRESIDENT Deanna Yates, PhD
FROM TPA HEADQUARTERS: Sunset Process David White, CAE, Executive Director
12 Council of Representatives Joseph C. Kobos, PhD, ABPP
16 Substance Abuse Norman Anderson, PhD
17 Legislative Day C. Alan Hopewell, PhD
18 LAW: The Duty to Report Sexual Abuse by Any Mental Heath Care Provider Sam A. Houston
19 Spotlight on Sherry L. Lee Jerry R. Grammer, PhD Texas Psychology Foundation President Mary Martin Student Division Director
PUBLISHER Rector Duncan & Associates P.O. Box 14667 Austin, Texas 78761 512-454-5262
20 A Test Drive: The Brand New HIPAA Product from the APA Practice Organization Charlie Cooper, PhD, Director of Professional Affairs, North Carolina Psychological Association, and Sally Cameron, Executive Director, North Carolina Psychological Association
21 The “Must Do” Steps for HIPAA Compliance 22 Interested in Practicing in Rural Underserved Communities? Nina Levitt, EdD, Director for Education Policy of APA Public Policy Office
Stephanie Shaw Managing Editor
23 Membership Application
Pat Huber Advertising Sales
27 New Members
Julie Mangano Art Director The Texas Psychological Association is located at 1011 Meredith Drive, Suite 4, Austin, Texas 78748. Texas Psychologist (ISSN 0749-3185) is the official publication of TPA and is published quarterly.
www.texaspsyc.org
26 PSY-PAC Contributors 28 TPF donations 29 Inside TPA 32 Classified Advertising 32 Advertisers’ Index
SUMMER 2003
Texas Psychologist
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FROM THE PRESIDENT
Presidential Briefing As I write this article, we are in the middle of the 78th Texas Legislative session. By the time you receive this journal, I am sure the session will be over. Whether or not the prescriptive legislation is passed remains to be seen, but what we have learned about the legislative process has been invaluable.
Deanna F. Yates T PA P r e s i d e n t
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ach session, we, as psychologists, become more knowledgeable in the legislative arena. Yet, we are about twenty years behind many of the other health care groups. We finally comprehend what other groups have understood for years—the absolute importance and priority of grassroots advocacy. While TPA has seen the need for lobbying and, to some extent, the importance of the PAC, actual grassroots advocacy has not developed as well as it should have. I believe that in spite of Legislative Day falling on the day of the ice storm in Austin, we had a more sophisticated group of psychologists appear on the hill this session. For the first time, we felt it unnecessary to do the usual training before going to the capitol, because the group that showed up 2
Texas Psychologist
already knew the process. And even though the turnout was small, our presence was felt, and a great deal was accomplished. We are learning that our visits to the capitol pay off when we already have a good relationship with our legislators. Because our organization is not known in the capitol as well as many other groups, we have a lot of catching up to do. We psychologists need to develop relationships with our legislators by both monetarily and physically taking a part in the work of the campaigns. We need to be seen at fundraisers, and we need to be seen on the hill supporting issues other than our own professional ones. This session, the Public Policy Committee has been extremely active, both physically on the hill and also by sending out alerts and TPA public policy statements. We have testified for several bills besides our own. We have supported agendas of other groups including the TSBEP, the Mental Health Association of Texas, and the social workers. Ollie Shea has worked tirelessly on issues relating to appropriations affecting MH/MR and on other issues, such as competency to stand trial and the death penalty for the mentally retarded and mentally ill. Other psychologists have setup and attended meetings with their house representatives and our lobbyists. These meetings are important in getting our issues on the table. Furthermore, having a constituent arrange these visits and actually travel to Austin for
the meetings is essential for our organization. Establishing relationships will also make the road easier in 2005 when we come up against Sunset. One personally important happening is the completion of the report to the Commission on Mental Health. By the time this article is printed, the Commission report should have been published. Having worked mainly in the private sector, my year of work on the report was very challenging due to unfamiliarity with certain topics. However, the experience was very rewarding, and hopefully the report will be well received. We made many recommendations to President Bush, and we are hopeful that many of them will be put either into executive order or legislation. We naturally asked for parity for mental health and expect that that bill will become law in the very near future. I am also hopeful that many of the issues in the report will be addressed in presentations at our convention this year. By now, I hope everyone is up to date on HIPAA compliance. We have kept our professional affairs officer, Bob McPherson, very busy this year presenting workshops around the state on HIPAA. By now, he should be one of the country’s best experts on the topic, and he is still open to doing more workshops for those of you who have been in denial. He is also available for phone consultations that can be arranged through the TPA central office. TPA is also SUMMER 2003
making continuing education programs on various topics available over the Internet. They can be found and downloaded at the TPA web site, so you can complete them on your own time schedule. A major activity coming up before convention is TPA’s Annual Family
Getaway. This year, we will be traveling to Cancun, a favorite site for past getaways. The trip is planned for July 19th-23rd. Suzanne Mouton has agreed to do the workshop, which will be on Trichotillomania (compulsive hair pulling). Suzanne is a nationally known expert in this
New home study articles now available from TPA
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disorder. You can earn six hours of CE credit, bring your family on a very reasonably priced vacation, and have a tax write-off—all at the same time. So, I hope to see you there for some fun in the sun. ✯
2003
nnual convention
November 6-8, 2003 Westin Galleria Dallas, Texas Texas Mental Health Law CE exam (J. Ray Hays, PhD, JD) This CE exam is an accompaniment to the Texas Mental Health Law book published by Texas Psychological Association - 4 hours A Practical Guide to Risk Assessment CE article and exam (Mary Alice Conroy, PhD) - 1 hour The Therapeutic Contract CE article and exam (Eric Marine, American Professional Agency) - 1 hour Download them online at
www.texaspsyc.org on the front page or call
888-872-3435 or 512-280-4099 to have them e-mailed to you! SUMMER 2003
100+ continuing education offerings including workshops, symposia, research papers, and roundtable discussions. Also included in registration fee: Exhibits, receptions, breaks and luncheons. Registration opens online at www.texaspsyc.org in mid-June. Programs to be mailed in August. Sponsorship opportunities are still available. For more information, call:
888/872-3435 or 512/280-4099 Texas Psychologist
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FROM TPA HEADQUARTERS
Sunset Process David White, CAE Executive Director
As I go into my 12th year of serving psychologists in this state, I am constantly amazed at the dedication and commitment of our members. We have asked members to serve on committees and task forces, to take personal time to serve as TPA leaders, to come to Austin to testify at legislative hearings, and to represent TPA and the profession at different political and organizational events.
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he volunteerism of our members is so appreciated. However, one group that has gone beyond the call of duty is TPA’s Sunrise Task Force. TPA’s 2002 president, Walt Cubberly, PhD, had the foresight to create this task force in preparation of the Sunset Review of the Texas State Board of Examiners of Psychologists that will take place in 2005. In short, the Sunset Review Process is the assessment by the state of the continuing need for a state agency to exist. The Sunset Commission, the state agency that researches and recommends to the state legislature their findings, asks a very simple question: “Does an agency (TSBEP) continue to be needed?” That is the question that the Texas Legislature will decide about the Psychology Board in 2005. You might assume that a profession that has been in existence as long as psychology (created in 1969) would not have to worry about this process, but all you have to do is look back to 1993 when the State Board of Dental Examiners was abolished after having been created in 1897! There are no automatic renewals in this process. Therefore, each psychologist must not assume that the TSBEP will be intact in 2005. If there is no TSBEP, then there will no longer be any licensed psychologists.
Sunset Process A 10-member body appointed by the state’s lieutenant governor and the speaker of the House of Representatives guides the sunset process. This body reviews assessments of the agency’s programs, giving 4
Texas Psychologist
the Texas Legislature the information needed to draw conclusions about the program’s necessity and workability. The chart on page 6 outlines the steps that are involved in the sunset process. As you can see by reviewing the chart, early on in the process there is an opportunity for interested groups to meet with the Sunset Commission staff to share with them their perspective of the agency. This is a formal process, in which “the profession” (TPA) actually submits a formal report of what TSBEP services should change, modify or even be abolished. This report is taken very seriously, as the state wants to hear from the licensees. TPA has already begun developing their recommendations to the Sunset Commission. Back in September 2002, when TPA’s Sunset Task Force met and began planning for this process. They have met on several occasions since then and have actually looked at every aspect of the board. They will be forming their recommendation in the near future. One aspect of their work is to get input from the members of TPA on their perspective. This is an important task in their research, because they want to understand what the licensees are thinking about the future of the board. They will soon have their final survey completed, and it will be sent to only current TPA members. You will be able to keep up with the Sunset Task Force by checking TPA’s Web site at www.texaspsyc.org. Periodic reports will be posted there when they are complete. The folks serving on this task force have
committed three years of their time and energy to position the profession for the future in this competitive health care arena. The members of the committee are: Melba Vasquez, PhD (co-chair) (Austin) David Rudd, PhD (co-chair) (Waco) Charles McDonald, PhD (Austin) Dee Yates, PhD (San Antonio) Tom Lowry, PhD (Austin) Jerry Grammer, PhD (Austin) Suzanne Mouton-Odom, PhD (Houston) Bob McPherson, PhD (Houston) Walt Cubberly, PhD (Houston) Rick McGraw, PhD (San Angelo) Sam Buser, PhD (Houston) Paul Burney, PhD (Woodlands) Brian Stagner, PhD (College Station) Alan Hopewell, PhD (Ft. Worth) Just as this is a very important task force, TPA has other committees and task forces that play an important role in the success of TPA. They are as follows: MEMBERSHIP COMMITTEE Charlotte Kimmel, PhD, and Jarvis Wright, PhD (Co-Chairs) Mission To develop a membership recruitment and retention program.
AWARDS COMMITTEE Roberta Nutt, PhD (Chair)
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Mission To solicit names from TPA membership and submit to TPA board of trustees nominations for TPA awards. ANNUAL CONVENTION COMMITTEE Pat Ellis, PhD (Chair)
PROGRAM
Mission To plan the program content for TPA’s 2003 Annual Convention which will be held on November 6-8, 2003, at the Westin Galleria in Dallas, Texas.
THIRD PARTY RELATED ISSUES COMMITTEE Dean Paret, PhD (Chair) Mission To review agendas of other mental health and consumer groups in order to determine what areas can be jointly supported by TPA.
TELEHEALTH Alaire Lowry, PhD (Chair) Mission To research the issue of telehealth and prepare a white paper for board of trustees.
Sunset Review Process Legislature sets time frame for agency’s Sunset Review
DISASTER RESPONSE NETWORK COMMITTEE Judith Andrews, PhD (Chair)
• Agency submits Self-Evaluation Report (SER) • Staff evaluates SER and develops a review plan • Agency educates staff about its operations throughout overview meetings • Staff meets with interest groups, affected agencies and other interested persons
Sunset Staff Evaluates Agency, Develops Recommendations and Publishes Staff Report
Mission To work within the APA network and develop a network of psychologists in Texas that could be contacted and mobilized in case of a disaster. FINANCE COMMITTEE Paul Burney, PhD (Chair) Mission To oversee the TPA finances and to work with the executive director in preparing the annual budget.
Sunset Commission conducts public hearing
Commission receives: • Staff recommendations • Agency responses • Public testimony
LEGISLATIVE COMMITTEE Dee Yates, PhD (Chair) Commission decides on recomendations to the Legislature
Mission To implement TPA’s 2003 legislative agenda and to assure that every member of TPA understands the importance of TPA’s legislative efforts. ELECTIONS COMMITTEE Jerry Grammer, PhD (Chair) Mission To identify candidates to run for TPA’s board of trustees and to oversee TPA’s 2003 elections.
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Pass Agency is continued with Legislative modifications
Fail Sunset bill is filed with the Legislature
Agency is abolished and begins one-year wind-down process
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PUBLIC POLICY COMMITTEE Ollie Seay, PhD, and Richard Fulbright, PhD (Co-Chairs) Mission To make contact with organizations, state agencies and other entities to relay and to represent psychologists’ viewpoints. LAS/DIVISION COUNCIL Alan Hopewell PhD (Chair) Mission To chair the LAS/Division Council that meets during TPA’s annual convention. ENTREPRENEURIAL COMMITTEE Rick McGraw, PhD (Chair) Mission To identify programs and services that TPA could implement that would bring in non-dues revenue to the association. BY-LAWS TASK FORCE Ron Cohorn, PhD (Chair) Mission To prepare TPA by-laws to reflect the intent of the board and to oversee their approval by the membership. ✯
ARTICLE REPRINTS Call Jared Hensley at
(512) 454-5262, x123 for rates and information. SUMMER 2003
Texas Psychologist
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WASHINGTON UPDATE Go Boldly Forth! Making Psychology a Household Word Ronald F. Levant, EdD, ABPP
From my vantage point as both a dean of a graduate school of psychology and an officer of the American Psychological Association, I have unique opportunities to reflect on the applicability of psychology to everyday life. Over the past few decades, psychology has commendably gained a higher profile in our society. But, I envision a future in which psychology will become a household word, and psychologists will enjoy the status of physicians in our society.
C
ertain qualities of our dynamic discipline/profession have been moving us toward greater relevance to our society. There is tremendous creativity within psychology that enables us to respond to an expanding set of human needs, developing increasing areas of science, application, and service. Moreover, psychologists tend to question authority and put things to the empirical test, which helps advance the field. Many psychologists are also activists and choose not to wait in the ivory towers for the public to clamor over their discoveries but, instead, use sophisticated political skills to insure the public’s access to psychological services and public support for psychological science. Psychologists are also tremendously responsive to people-in-need, whether they be victims of disasters or minorities who are chronically underserved and discriminated against — such as ethnocultural minorities, gays and lesbians, women, the poor, and persons with disabilities. When laypersons think of psychology, they often think of helping people who suffer from emotional illness (like anxiety or depression), marital and family problems (like domestic violence or unmanageable children), or substance abuse. While psychology certainly deals with these problems, few realize how broadly applicable psychology is to everyday life.
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Psychology, 110 years old, has grown and diversified beyond the dreams of its early pioneers and has produced research-based applications for nearly every aspect of human endeavor. From health care to education, family life to corrections, religion to the arts, business and industry to law, and sports to the military and engineering, it is hard to find an area of human activity where psychology doesn’t have relevance. A few examples illustrate this point: • Psychology helps teachers design instruction to meet individual student needs. • Psychology helps patients manage chronic diseases like diabetes and hypertension. • Psychology improves safety by advising the aviation industry on how to design cockpits and fire departments on the color of fire engines. • Psychology helps athletes and executives reach their peak performance. • Psychology advises the FBI on how to combat terrorism. • Psychology helps public health officials prevent injuries and violence. The broad applicability of psychology is reflected in the careers of some notable
psychologists: Colleen Hacker, coach of the U.S. women’s soccer team; Ted Strickland and Brian Baird, congresspersons; Judith Albino, Richard Atkinson, Judith Rodin, and Sharon Brehm, university presidents and chancellors; John Gardner, secretary of the U. S. Department of Health, Education SUMMER 2003
and Welfare; Nicholas Cummings, CEO of American Biodyne, Inc.; Joyce Brothers, media psychologist; Bill Cosby, entertainer; Jonathan Kellerman, novelist; Dick Suinn, mayor of Fort Collins, CO; Tom Osborne, coach of the number one rated Nebraska football team and now U.S. congressperson; William Bevan, Bel Williams, and Ruby Takanishi, leaders of major foundations; Alan Leshner, director of the National Institute of Drug Abuse and now CEO of the American Academy of Science; Kathy Hawks, director of the U.S. Bureau of Prisons; and Beverly Malone, Deputy Surgeon General of the U.S. Furthermore, the scope of psychological practice is expanding and diversifying into new areas, areas where the distinction between applied scientist and professional practitioner begins to blur, such as health psychology (and its related aspects such as psychology in primary care, psychoneuroimmunology, and applied psychophysiology), neuropsychology, rehabilitation psychology, forensic psychology, child and family psychology, multicultural psychology, geropsychology, business and industry consultation, and psychopharmacology. The future evolution of professional psychology will entail the development of roles that do not currently exist or are just emerging — roles in health care, the public sector care of those diagnosed with serious mental illnesses, the public policy arena, the courts, the correctional system, the military, schools, businesses, communities of faith, and the media — in the numbers that psychologists entered the role of outpatient therapist in the 1970s and 80s. But above and beyond the career paths of extraordinary psychologists and the evolution of new roles responsive to public need, I envision a future in which psychology becomes a household word, and psychologists enjoy the status of physicians in our society. Consider this: Most of us see our optometrist once per year, our dentist twice per year, and our internist once per year. I can imagine a day in the not too distant future when people will make appointments for annual psychological checkups. At these checkups, they will address such matters as their stress level and their psychological well-being, auditing their work/family life balance, their relationships, how they are managing children and/or aging parents, and health basics like diet, nutrition, sleep and exercise. Less than five percent of the population has a doctoral degree. Hence, we are among the most highly educated people of our time. Our chosen field, psychology, is applicable to every aspect of human life. As former APA President Patrick DeLeon has said, if we take care of society’s most pressing needs, society will take care of us. The future of psychology is as bright as we dare to imagine it to be. As always, I welcome your thoughts on this column. You can most easily contact me via email: Rlevant@aol.com. ✯
Psychological Association. He was the Chair of the APA Committee for the Advancement of Professional Practice (CAPP) from 1993-95, a member-at-large of the APA Board of Directors (1995-97), and APA Recording Secretary (1998-2000). He is Dean of the Center for Psychological Studies at Nova Southeastern University in Fort Lauderdale, FL. 1. This column is reprinted, with permission, from the National Psychologist, 2003. References DeLeon, P. (2000). The critical need for licensure mobility. Monitor on Psychology, 31(4), 9. Smith, D. (2001, May). Helping psychologists on the move: States and
provinces
make
professional
mobility
easier
for
psychologists. Monitor on Psychology, 32(5), 73. Sullivan, M. J. (2000-2001, Winter). Directorate helps to promote mechanisms for mobility. Practitioner Focus, 13, 4, 16.
Biographical Sketch Ronald F. Levant, EdD, ABPP, is a candidate for APA President. He is in his second term as Recording Secretary of the American SUMMER 2003
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TPA and Rio Grande Valley Psychological Association Meets for International Exchange in Reynosa, Tamaulipas, Mexico Mary Elizabeth De Ferreire, PhD
TPA President, Dr. Dee Yates, and the Rio Grande Valley Psychological Association President, Dr. Mary E. De Ferreire, and members were invited by Cristina Pena de Gomez and Alejandra Trevino de Ruiz, two private practice psychologists working at the Lancet Clinic, and Ramiro Cavazos Galvan, practicing attorney in Reynosa, Tamaulipas, Mexico, to spend a day visiting centers that provide mental health counseling and services to Mexican children and families.
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his exchange was coordinated by the two groups and highlighted in the Mexican press before the visit. It was the first ever formal, thus historical, interchange between the Texas Psychological Association, the Rio Grande Psychological Association, and Mexican professionals in psychology and law. Reynosa, on the Rio Grande River border, ten miles directly south of McAllen, Texas, is a sprawling Mexican border town known for its business industry and also for being “the gateway to America” for many workers. It has similar problems of an American city, such as immigration, child abuse, drug abuse, illiteracy, and mental health needs for families. A recent Mexican newspaper article noted that “800,000 Mexican workers cross daily to legally work in the United States, and that the United States, yearly, accepts between 150,000 to 200,000 Mexicans as legal permanent residents representing 20 percent of the total accepted by the USA as legal permanent residents per year.” It is because of this “interdependence” at the border, as well as the historical connections between our two countries, that the Rio Grande Valley Psychological Association has reached out to meet its professional counterparts across the river to learn, know, and share a passion for the profession of helping and healing others. Ms. Pena and Ms. Trevino arranged for a series of site visits for Dr. Yates, accompanied by her husband Thomas Yates, who was born in Laredo, Texas and speaks fluent Spanish.
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The Rio Grande Valley Psychological Association was represented by its President, Mary E. De Ferreire, PhD; Treasurer, Eloy Vela, MEd, LPC; Arthur Linsky, PhD; Mr. Jose Equia, businessman from McAllen, Texas; and German Segura, BS, who served as Dr. Yates’ translator. The Mexican psychologists, also members of the Rio Grande Valley Psychological Association, worked diligently to organize the day-long program of visits to various locations. All sites were sponsored by the Mexican government’s Department for Families (DIF), which is the USA’s counterpart of Child Protective Services. The American group met up with them at Reynosa’s central plaza and began the first visit to the “Centro De Ninos Deportados” (The Center for Deported Children), a small stucco house with a locked door guarded on the inside by a male. The building houses two bare bedrooms with bunk beds, a central room with a metal table, metal chairs, and a television hung up in a corner. There, the group met with six young male teens, ages 13 to 18 years, who were waiting to return to their homes in various cities in Mexico, from as close as Monterrey, Nuevo Leon, to as far away as the coastal city of Veracruz. These young men had been caught by U.S. Border Patrol agents on the American side. Some were caught while casually walking north along a main street in McAllen; others were caught as they attempted to pass what is considered the “real border” of the U.S. Border Patrol check point in Falfurrias, Texas, which is approximately 80
miles north of the Rio Grande River. These young men said they were coming “al Norte” to work or to join families already here — some as far away as Houston — or just “to start a new life.” Although the goal of this facility is family reunification, all of these young men said they would return to the United States, as their goal is to have a good life here in this country despite having already undergone a grueling series of incarcerations for illegal entry. Some paid thousands of dollars to the “coyotes,” men who guided their illegal crossing of the Rio Bravo, as the Mexicans call the Rio Grande River. The boys said they raised the money “by selling anything and everything to have enough money to pay the coyote.” Their social worker had made contact with the boys’ families and had counseled them about the need to stay united with their families in their own country to work and be productive citizens. Some of the boys stated that their parents were already in the USA and that they had an urgency to reunite with them. The social worker said it was rare to have a very aggressive or suicidal child in that facility. Counseling them about the illegality of what they had done and family reunification were the goals of the social worker. The average length of stay is three days before they board a bus on a one-way ticket to their hometowns. Site number two was the “La Casa Hogar del Nino” (A Home for Children) which provides shelter/care for an average of 90 infants, toddlers, and latency age children whose parents have been accused of child SUMMER 2003
abuse. The group visited three different rooms with the physician and staff on site. The first room was lined with elaborately carved wooden cribs and contained infants of ages one month to about 20 months. A set of onemonth old twins, whose cribs were labeled Twin A and Twin B, had been taken from their mother at two days of age after she tried selling them to a couple who later reported her to the police. The mother was incarcerated for the crime. The other children were either abandoned or also had mothers in jail. There is no adoption, but there is a very small group of foster parents who are certified to care for some of these children. The second room, also lined with cribs, was full of toddlers, many standing up, smiling, and reaching out to be greeted and held. The third room visited was a small bedroom with twin beds covered by warm Mexican blankets. The older children were in the television room, as it was a Saturday morning, and like American children, they were watching cartoons. This facility receives money from fundraisers led by the mayor’s wife, who is the traditional sponsor of this center. It was a very cold day on this visit. All of the children were dressed in warm apparel and were bundled in blankets, as there was no heat in the facility. Site number three was the “El Centro de SUMMER 2003
Menores en Circunstancias Especialmente Dificiles” (A Center for Minors with Especially Difficult Circumstances). This was a newly inaugurated program — a combination of a small inpatient medical clinic, a school, a rehabilitation center, and a counseling center staffed with a psychologist and a social worker. The children who were in the clinic had been gathered the night before by the Reynosa police and the center’s social worker, because it was a very cold night and there was an 8 pm curfew in the town. Many of these “ninos de la calle” (children of the street) were taken from their mothers by the program’s social workers and the Mexican police, because the mothers used the children to beg for money on the streets and plazas. The mothers use their children as props to create sympathy in order to get donations from the public. The women are brought to this area from as far south as the state of Oaxaca and are called “Las Marias” (the Marys). The mothers are also known to borrow children of relatives or friends to work as beggars. They often live as a group in a small apartment with the children. Many report coming to the area due to its close proximity to the border. This makes them feel that they are “so very close to entering into the USA.” If the police and/or social workers find these children out past curfew, the city takes over the
responsibility for them at the center until their mothers can show proper documentation such as a birth certificate for family reunification. Once the children and mothers, are known to the center, they are enrolled in school classes at the level of their skills, using computers to teach them to read, spell, and learn other skills. They are also counseled, and other shelter is found for them. The psychologists noted that over 500 families are receiving services at the center. Site number four was the “El Centro de Atencion a la Juventud” (The Center for Attention to the Youth), a modern, state-run outpatient clinic recently opened by the Tamaulipas’ governor’s wife. This facility offers psychological, social, psychiatric, and drug rehabilitation services. The governor’s Coordinator for the State of Tamaulipas for Mental Health and Control of Addictions, Ms. Laura Elena Gaiten Jimenez, drove several hours from the capitol city of Victoria to make a special presentation to the group about the governor’s programs, which have documented positive effects for the drug treatment and parent educational programs now in effect in the high schools throughout most large cities. Ms. Jimenez invited the group to visit next year in Matamoros, the city at the mouth of the Rio Bravo, to see the governor’s new mental health program of a village of cottages and a rehabilitation center for the seriously mentally ill. After all of these very interesting interchanges of ideas and information, the group then met at a local fine-dining Mexican restaurant in Reynosa, “La Fogata” (The Hearth), to share in a traditional meal of guacamole, Mexican white goat cheese with chorizo, fajitas, ribs, goat meat, and chicken, as well as a desert of traditional flan and Mexican coffee. The group made mutual toasts to thank each other for the wonderful day of learning and exchange between professionals. Dr. Yates announced that she would support the establishment of the first ever “Special Interest Group in International Issues” for TPA. Dr. Yates also announced the theme of the TPA convention and invited all in attendance to participate in this year’s activities. ✯ Texas Psychologist
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COUNCIL OF REPRESENTATIVES
Joseph C. Kobos, PhD, ABPP American Psychological Association February 13-16, 2003
The weekend of the APA–CoR meeting in Washington, D.C., was filled with events, activities and memories that will last a lifetime. First, 9-11 continues to cast a shadow over our country. Just days before the meeting, an orange alert was announced, and people started buying duct tape. When I was a child, cellophane Scotch tape could fix anything; now, duct tape is the universal cure-all. We flew into DC looking for the increased security and anti-craft installations that had been reported on the news.
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he caucus meeting on Thursday night did not have the same excitement and energy of previous meetings. Perhaps an agenda with little controversy, along with preoccupation about the Iraq and UN negotiations, prompted us to take comfort in our own camaraderie. And, of course, many talked of Valentine’s Day and being separated from loved ones. Many lamented about these important professional meetings conflicting with more important relationships of family 12
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and loved ones. On several occasions, people commented that with all the conflict and tension in the world, it was unfortunate that this council could do little to change or have an impact on current world events. When the formal meeting began on Friday at 9 a.m., we found hearts from the “chocolate caucus,” a loving touch of friendship. President Bob Sternberg began the meeting with a report on his goals for his presidency. He is a very bright, witty, and clever thinker and clearly outlined his initiatives to bring more unity to our efforts. Look for his publications in these areas. Two themes were prominent in the deliberation and action of the council. One, budget and finances were interwoven in everything. Just as individuals, families, and companies have seen their net worth reduced in the past three years, so has APA seen its own equity investments reduced. Fortunately, the losses at APA are not as large as the average losses in the market. APA has been largely invested in value stocks, so the loss has not been as deep as the market average. Our success with the two buildings has provided us the opportunity to refinance and to fix the cash flow problems of the recent past. We are on a sound financial footing. A major cost savings initiated in 2002, primarily reduced meetings and committee activity, along with a voluntary reduction in staff must be addressed in 2004. All are agreed that a
membership organization, based on the voluntary participation of members through the board and committee structure, must be nurtured and maintained. Committees must interact and also have a competent central office staff. Norman Anderson, our new CEO of six weeks, gave his first report to the council. He has started a process of working with the management team to increase non-dues revenue and to continue to operate in the most cost-efficient manner. It is important for APA members and all psychologists who benefit from the ongoing work of the association to know that member dues are only a small fraction of our revenue stream. Publications, grants, investments, and real estate all produce much more revenue. My opinion is that Norm Anderson and Chief Financial Officer Jack McKay, along with directorate heads Russ Newman (Practice), Henry Tomes (Public Internet), Cynthia Belear (Education), and Kurt Salzinger (Science) are all taking a prudent and realistic approach to dealing with the financial base of the association. The second theme of the meeting was governance, and how the council can be most effective in exercising its fiduciary responsibility in overseeing and directing the affairs of the association. Council, as any board of directors, has the responsibility of reviewing all that is done by the association for the benefit of its SUMMER 2003
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FIND OUT WHAT THIS BUSINESS CAN MEAN TO YOU. Please contact Shereen Moreland to schedule an appointment to meet. Ask for our proprietary information on The Human Element® Gero-Psychology Practice Program, or visit our website for details. You’ll see what you can expect in terms of improved service and cash flow. It’s time to make a change. Act now! 16365 Park Ten Place, Suite 150 Houston, TX 77084 Tel: 888-271-5217 Fax: 888-271-5218 www.seniorconnections.com
SUMMER 2003
Texas Psychologist
13
members and of offering a clear guidance to the staff about what the needs of the membership are and also what kinds of programs should be pursued. A new caucus of council, known as COUNT, has spearheaded this discussion. Council members can be inundated with lengthy reports on topics generated years prior to their membership to council and written by board or committee members with whom they have had no contact. The recent use of combined board and committee meetings has helped some of these problems. Some council members also serve on a board of committee. However, there is limited or no structure in place to facilitate ongoing communication between boards/committee and council. President Sternberg has initiated a task force or governance that will address these issues. A recent change in the council meeting formats includes the use of more focus groups to get input from the council members about critical issues in the
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association. In the recent meeting, the topics included: task force on governance; APA election processes; convention; membership recruitment and retention; how to increase diversity in APA governance; and how to make and save money. These focus groups have served to surface important issues and to generate potential solutions to thorny problems. To understand their usefulness, you should know that when the council is in formal session, it functions in a formal manner according to parliamentary procedure with designated microphones and a speaking list. This format makes it difficult to have a genuine debate on the issues. Late on Friday, weather forecasts became ominous. While we knew snow was on the way, predictions were now telling us that more than a foot of snow was coming, and the city would be snowbound. On Saturday morning, we all were awakened to the weather channel telling us
that a big storm was around the corner. Dr. Stenberg exercised deft leadership and wise decision-making. He asked us if we wanted to finish up with all voting on Saturday morning so everyone could find their way out as soon as practical. The group response was unanimous—let’s focus on all the items that require a vote and prepare to depart. Your representative was fortunate to get on a Saturday afternoon flight and hit golf balls in San Antonio on Monday afternoon. Some reps were not as fortunate. Their planes were full, cancelled, or unavailable. The CoR e-mail list serve became their contact to the outside world. Subsequently, a new caucus COSSP — the caucus of snow struck psychologists — was formed. It was Thursday after the meeting when the last council member left D.C. So, we went from duct tape and Valentine’s chocolate, to freeform discussion and voting in the great snowstorm of 2003. ✯
SUMMER 2003
PSY-PAC UPDATE Paul Burney, PhD President
Financial contributions are critically important to the success of TPA’s legislative agenda. These contributions are the key to opening doors so our lobbyists have the access they need to present TPA’s legislative agenda. Political campaigns are very costly, and regardless of how we might feel about campaign financing, the reality is that politicians cannot run effective campaigns without contributions from individuals and PACs. Legislative successes require solid lobbying, effective grassroots activism, personal contact with legislators, and generous financial contributions.
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contribute to PSY-PAC. Eight percent of sychology currently ranks at the TPA members contribute the majority of bottom when compared to Health PSY-PAC funds. This eight percent who Care Professions’ political contribute the majority of the funds contributions (source, Government contributes sixty-four percent of PSY-PAC Relations Office APA Practice Organization funds! Many contribute monthly. Monthly June 2002). contributions are an excellent way to The following is paraphrased from an contribute to PSY-PAC. article Richard L. Fulbright, PhD, wrote for It is important, as we look ahead to the the Dallas Psychological Association. Dr. year 2005, that we prepare now for the Fulbright is a TPA board of trustees Sunset Review of our Psychology License member and is legislative coordinator of the and Practice Act. Political giving, grassroots Dallas Psychological Association. Thanks to advocacy, and personal contact with Dr. Fulbright for the use of this legislators are important to this preparation information. and the foundation of political activism for You can be a big contributor to PSYTPA. ✯ PAC by making small monthly contributions on a credit card or bank draft. For example, you could contribute $500.00 per year to PSY-PAC — far more than most psychologists contribute as illustrated in the POLITICAL CONTRIBUTIONS BY HEALTH PROFESSIONS table to the right — for a monthly fee of $41.66 charged to your Profession Members PAC Disbursed Per Member/ credit card or drafted from your 99-00 year checking account. Skip Starbucks Optometrists in AOA 23,000 $ 1,029,000.00 $ 22.37 and save psychology! Only 20 Chiropractors in ACA 10,000 407,000.00 20.35 cups of Starbuck’s coffee a month Nurse Anesthetists in AANA 29,500 1,198,000.00 20.31 cost $34.60 or $415.00 per year. Podiatrists in APMA 11,000 443,000.00 20.14 A $250.00 contribution would Physicians in AMA 290,000 4,496,150.00 7.75 cost only $20.83 per month. Physical Therapists in APTA 65,000 612,000.00 4.71 Most psychologists do not even Social Workers in NASW 150,000 1,282,574.00 4.28 contribute $100.00 per year to Dietitians in ADA 65,000 514,000.00 3.95 PSY-PAC, even though it would Occupational Therapists in AOTA 46,000 330,000.00 3.59 only cost $8.33 per month! Psychologists Who Pay the Currently, only slightly over 33 Special Assessment 39,000 $197,000.00 $2.52 percent of psychologists belong to TPA and only 13 percent
SUMMER 2003
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Substance Abuse Norman Anderson, PhD Chief Executive Officer of the American Psychological Association
I am writing to tell you about an important opportunity for psychologists who are interested in the treatment of substance abuse. As you know, addiction to heroin and other opioids (e.g., prescription pain relievers) is a major public health problem in our nation. For example, data from the Substance Abuse and Mental Health Services Administration’s (SAMHSA) 2001 National Household Survey on Drug Abuse indicates that 8.4 million people reported in 2001 that they had used prescription pain relievers for non-medical purposes in the past year. Such abuse contributes to an estimated $97.7 billion in total economic loss for our society when other non-medical substance abuse is considered.
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urthermore, only an estimated one in four addicted individuals receives treatment for opioid addiction, and the number of available treatment slots in traditional methadone maintenance clinics is woefully inadequate. But, a new medication, a new law and a new way of thinking may provide the means to meet that challenge. Psychologists have a critical role to play in the provision of relevant treatment services. The new drug, buprenorphine, has been under development for over a decade, and many APA members have contributed to understanding its psychopharmacologic properties via animal and human laboratory research. Equally important has been research demonstrating the importance of combining behavioral and psychosocial interventions with medications in the treatment of opiate dependence. In December of last year, APA Public Policy Office and Practice Directorate staff, with assistance from APA Division 50, organized a review of the Substance Abuse and Mental Health Services Administration‘s (SAMHSA) “Buprenorphine Clinical Treatment Guidelines,” setting the stage for a critical science/practice translation activity. Buprenorphine was approved by the Food and Drug Administration (FDA) for the treatment of opiate dependence last October. It represents an important new treatment option beyond traditional 16
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methadone clinics. The combination of buprenorphine and the Drug Abuse Treatment Act of 2000 will allow outpatient treatment of opioid addicts in physicians’ offices. The act also requires physicians who provide buprenorphine treatment to have the ability to refer patients to full-spectrum care for their social and psychological needs. That’s where you come in. Now APA is working with SAMHSA by reaching out to APA members and other psychologists interested in learning about buprenorphine and possible opportunities for patient referrals. SAMHSA has initiated a 14-stop nationwide public education tour known as “New Paths to Recovery.” The tour will cross the country and return to the East Coast concluding in the New York area at the end of May. The full schedule and additional information about buprenorphine is available at: www.samhsa.gov/news/click_bupe.html. With increasing recognition of the toll substance abuse is taking on our society, buprenorphine offers yet another opportunity to demonstrate the important contribution that psychologists can make in partnership with our physician colleagues. Collaboration is critical because without effective psychological services, the potential benefit of this new medication cannot be realized. In a recent survey conducted by the APA Practice Directorate and funded by the Center for Substance
Abuse Treatment at SAMHSA, 24 percent of provider psychologists indicated that a client selected from their practice at random had a known or suspected problem related to substance abuse. (For complete details, see: www.apapracticenet.net/results.asp.) If you currently provide substance abuse services, I hope you will consider becoming part of the buprenorphine treatment network. Whether or not you provide substance abuse services, I encourage you to take advantage of some of the excellent continuing education offerings to enhance your knowledge and skills in providing new and effective psychological treatments in this important area. For those of you questioning your role in the treatment of substance abuse, I’d refer you to a helpful article, “Why Psychologists Should Know How to Treat Substance Use Disorders” by Arnold M. Washton, PhD, which has been published in several state psychological association newsletters. You can find the article at: www.apa.org/ppo/issues/washton303.html. ✯
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LEGISLATIVE DAY C. Alan Hopewell, PhD TPA President-Elect
At least two “Blue Norther” blizzards hit the 78th Texas Legislature during the last week of February. The first blizzard was a genuine “Blue Norther” ice storm that paralyzed a swath from south of Austin all the way to Oklahoma with freezing rain and ice. The second was the “blizzard” of psychologists who breezed into Austin in order to lobby for TPA Legislative Day.
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espite the weather, the “blizzard” of psychologists was effective and countered to some extent the effects of the weather. Most of the attendees either made it to Austin just before the storm hit, in time for the board meeting Monday night, or were able to get in from Houston, San Antonio, or points west. Unfortunately, a large contingent of psychologists and students from the South Plains Psychological Association and the Lubbock area became stranded in Dallas. Some people, such as Dr. Virginia Neal of Dallas, could not even make it to Love Field. On Tuesday morning, a number of folks called in from local motels, stranded and trying to contact us in order to coordinate visits. Although the weather was challenging, the legislative visits went well. TPA worked with legislative members in regards to two of our primary bills — the prescriptive authority bill and the bill authorizing subpoena power for TSBEP. Legislative Day paid handsome dividends in that our prescriptive authority bill was introduced as H.B. 3451 by Rep. Noriega of Houston and now has been referred to the Public Health Committee. A grassroots effort is now underway to support this bill. The subpoena power bill also made it through committee and seems assured of passage. Contact TPA Central Office to find out how you may further help with these bills. Visits also cover other mental health issues, such as the work of BOT members, Drs. Kimmel and Seay, on issues regarding forensic competency. Although many members were either late or absent, the Appropriations Committee met and persistence paid off in getting in touch with staff and legislative members eventually. SUMMER 2003
The trip back home was equally eventful. Yours truly found several miles of scenic routes through the country, with hundreds of tractor-trailers in Hillsboro, Georgetown, and Salado, which allowed bypassing multiple shutdown areas of I-35; the weather was no match for someone who has lived for years in Germany and New Hampshire! Ed Eckert wound up almost spending the night in his car. Jim Quinn and Lane Ogden left Austin at 3:45 on Tuesday afternoon and made it to Georgetown two-and-a-half hours later, where they called Jim’s sister and spent the night. They left there at 11:00 am on Wednesday and got home at 8:30 pm. Carol Grotheus had some interesting tales of her truck spinning around a couple of times on the way home. Dee Yates, TPA President; Alan Hopewell, President–Elect; and Betty Richeson, board member, were all interviewed on Austin television as they slipped and slid on ice up to the Capitol — the theme being “determined psychologists advocating for mental health issues despite inclement weather.” After returning home, we made up for some of our difficulties in
meeting with members of the Legislature by contacting them again and making other appointments to discuss our agenda. All in all, the Psychologists’ “blizzard” was an equal match for nature’s blizzard. We would not allow ourselves to be defeated by the weather. ✯
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LAW
The Duty to Report Sexual Abuse by Any Mental Heath Care Provider Sam A. Houston
In my telephone consultation service, I have been repeatedly asked whether a psychologist must report sexual abuse perpetrated by a mental health care provider who is not a licensed psychologist. This issue arises particularly if a psychiatrist or a licensed professional counselor has engaged in the conduct. The answer to the questions is—yes! Failure to report any mental health care provider subjects you to appropriate discipline by the licensing board and is also a Class C misdemeanor.
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he duty to report is codified in the Civil Practice & Remedies Code §81.006. The section provides that if a mental health service provider has reasonable cause to suspect that a patient has been a victim of sexual exploitation by another mental health care provider, then that person must report the alleged conduct no later than thirty days after he or she becomes
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aware of it. The report should be made to the following: (1) the prosecuting attorney of the county in which the alleged sexual exploitation occurred, and (2) any state licensing board that has responsibility for the mental health service provider’s licensing. Before making the report, you should inform the victim of your duty to report and determine if the victim wants to remain anonymous. If the victim does want to remain anonymous, the report need only contain information to identify yourself and express suspicion that exploitation has occurred. You should not identify the victim if he or she has not consented. As long as the report is made in good faith, you are immune from any civil or criminal liability that may result from filing the report. It is presumed that a report filed pursuant to the chapter is made in good faith. Even if you have a suspicion that the report is not truthful, you must report the abuse if you have “reasonable cause” to believe it occurred. It is a good idea for you and your staff to have a good working knowledge of the statutory requirements for reporting sexual abuse, as well as child or elderly abuse. Make sure you comply with all the prerequisites, and if you have any questions about your duty to report, it would be a good idea to contact a lawyer and make sure the reporting is done properly. Please call me at 713-650-6600 if you are interested in applying for our telephone consultation program. You can also e-mail me at shouston@crusescott.com. ✯ SUMMER 2003
SPOTLIGHT ON SHERRY L. LEE For almost seven years, Sherry L. Lee has been executive director of the Texas State Board of Examiners of Psychologists. She was selected from a group of over 100 applicants for the position with TSBEP. What set Lee apart was her strong experience, having worked in state agencies and the legislature. She previously served as executive director of both the Executive Council of Physical Therapy and Occupational Therapy Examiners and the Texas State Board of Physical Therapists and also worked as a program specialist for the Texas Commission for the Deaf. In addition, Lee worked in several capacities for the Texas House of Representatives, one of which was press secretary for Bill Clayton, Speaker of the Texas House of Representatives.
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ee reports that she enjoys the challenges of her position at TSBEP and the varied responsibilities associated with being executive director. She notes that the most significant challenge facing her, particularly in the current legislative and financial climate, is learning how to do more with less. Since taking her position with TSBEP, Lee has seen some significant changes in how things are done at Board meetings. Previously, the Board met five times each year, typically for three days at a stretch. Now, the Board meets only four times each year and manages to complete their business in a day and a half. Lee reports that she and the staff of the Board have taken over many of the clerical and administrative duties previously left for Board members to complete, such as writing letters and drafting rules. A native Texan raised in Wichita Falls, Lee is a graduate of the University of Texas in Austin where she completed her Bachelor of Fine Arts in Drama in 1970 and her Bachelor of Science in Secondary English Education in 1974. Lee lives with her husband and their 17 year old son in Austin. She is currently anticipating how she will spend some extra free time this fall
SUMMER 2003
when her son enters UT. Lee predicts that she will use her newfound spare time reading and catching up on movies. She
looks forward to spending more time working out, traveling, and working on her oil paintings. âœŻ
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A Test Drive: The Brand New HIPAA Product from the APA Practice Organization Charlie Cooper, PhD, Director of Professional Affairs, North Carolina Psychological Association & Sally Cameron, Executive Director, North Carolina Psychological Association
We have just had the opportunity to test drive the new HIPAA for Psychologists. It is sleek, sophisticated, big, interesting, intimidating, deep, pretty, and authoritative.
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his “product,” as it is labeled, is hard to describe because it is actually so many different things. At this writing, it has just been released by the APA Practice Organization and the APA Insurance Trust. It is, as we anticipated, the best single resource for psychologists in solo and small group practices, who strive to reach HIPAA compliance by the fast approaching deadline of April 14, 2003. But what exactly is the “product”? HIPAA for Psychologists is a complete package: a curriculum wrapped in an online program that features a toolkit of downloadable, customized forms and explanations of state and federal regulations. As a curriculum, the program operates online to walk a user through a short orientation and then an interactive tutorial on all relevant HIPAA concepts, terms, and requirements. As each concept is introduced, relevant forms and sample policies and procedures are offered. In addition, for each topical area, there are spicy little dialogues and vignettes introducing the area and illustrating critical aspects of the issue when applied in practice. At any juncture throughout the curriculum, there are easily 20
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located prompts, buttons, and icons to assist the user in finding additional or related information including a comprehensive glossary of HIPAA regulatory terms. Following each topical area is a short self-test that anticipates the end-of-program online CE test. Completion of the curriculum and passage of the CE test gives the user four hours of APA CE credit. As a compliance resource, the program provides well-written, customized, and downloadable forms that are state law compatible. The HIPAA privacy rule establishes a floor of consumer protection, but many more protective state privacy provisions preempt it. This dance between
federal HIPAA regulations and state law creates a very complex set of considerations for the practitioner. The APA/APAIT
product addresses this difficulty most effectively, saving us the time and expense of researching state statutes and then creating forms, policies, and procedures that fit North Carolina’s unique status. The eight forms include the following: • A North Carolina-specific Notice Form, which describes how psychological and medical information may be used and disclosed and how a patient can get access to this information. Distribution of a form of this type is a HIPAA requirement. • A North Carolina-specific Psychotherapist-Patient Agreement Form that contains important information about a psychologist’s professional services and business policies as they relate to HIPAA. This form is not HIPAA mandated but recommended by APAIT. • A Request for Accounting for Disclosures of Health Information Form that allows patients to request an accounting of all disclosures that were made of their protected health information over a specific period of time. • An Accounting for Disclosures Form which allows psychologists to keep track of when and to whom a patient’s protected health infor-mation has been disclosed. This completed form can be given to a patient after they have submitted a “Request for Accounting of Disclosures of SUMMER 2003
Health Information.” • A Request for Confidential Handling of Information Form to be used by a patient in requesting the confidential handling of correspondence regarding protected health information. • The Authorization Form psychologists can give patients to have them authorize the disclosure of protected information from clinical records. • A Privacy Policies and Procedures Document that provides psychologists with model policy language and implementation requirements of the HIPAA Privacy Rule. This document should be modified as appropriate to fit the size and scope of one’s own practice and state laws. • A Model Business Associates Contract for psychologists to use in their dealings with entities like accountants, lawyers, billing services, and collection agencies who use patients’ health information to carry out services on behalf of a psychologist. Finally, as an updateable archive of HIPAA regulations, translated especially for psychologists (with our special needs to have higher levels of protection for psychotherapy notes), the program will serve as an authoritative information source for persons in the HIPAA-mandated role of privacy officers when detailed questions arise regarding maintenance, use, and disclosure of records. In sum, HIPAA for Psychologists is a beautiful piece of work. It is both a rich HIPAA online curriculum and a virtual library of resources we can cut and paste right into our practices. For those who enjoy using online tools, it will be an adventure to use. For those who are less familiar with computer-based products, it could initially appear somewhat intimidating. But a little experience using it goes a long way to ease one into confidence that—at last—we have everything needed to comply with the HIPAA privacy rule. APA has done a truly magnificent job at taming the HIPAA beast. ✯
SUMMER 2003
The “Must Do” Steps for HIPAA Compliance Note: This information was developed by the North Carolina Healthcare Information and Communications Alliance, of which NCPA is a member.
Designate a Privacy official. You must designate an individual to be responsible for the development and implementation of the HIPAA compliance policies and procedures.
Develop a Notice of Privacy Practices. This notice is a public statement that documents your privacy policies and procedures. (There is a sample in the APA product.)
Develop an authorization form. Authorizations are required for all disclosures of Protected Health Information (PHI) for purposes other than what HIPAA defines as treatment, payment, and health care operations. (There is a sample in the APA product.)
Develop a business associate contract. Identify all business partners for whom a new contract may be needed. Business associates to whom you may disclose PHI must agree to respect the HIPAA privacy rules regarding PHI. (There is a sample contract in the APA product.)
Develop policies and procedures to handle patient requests for PHI.
Develop policies regarding “minimum necessary” uses and disclosures of PHI. Disclosure must be limited to the minimum amount of information necessary to carry out the intended purpose of the request.
Develop a training program. A practice must train its employees about its own compliance policies and procedures. (The APA product provides an information base for training.)
Deal appropriately with privacy infractions. You must have and apply appropriate sanctions against employees who fail to comply with privacy policies and procedures.
Develop appropriate security safeguards. This is to protect the privacy of PHI from any intentional or accidental use or disclosure or violation of Privacy Rule requirements.
Keep records of HIPAA compliance. Document your privacy practices. (Sample accounting for disclosures form in APA product.) ✯
A provider must permit individuals to request and must accommodate reasonable requests to inspect, copy, and amend their PHI, with some exceptions. (There is a sample in the APA product.)
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Interested in Practicing in Rural Underserved Communities? Nina Levitt, EdD, Director for Education Policy of APA Public Policy Office
Psychologists now have a greater opportunity to participate in the National Health Service Corps Loan Repayment and Scholarship Programs as a result of the passage of the Safety Net legislation in 2002. APA Education Public Policy staff successfully advocated increasing the role of psychologists in the National Health Service Corps and expanding the provision of mental and behavioral health services through the National Community Health Centers Program in this important legislation. The National Health Service Corps (NHSC) provides financial assistance to psychologists and other health professionals in exchange for providing health care services in designated underserved areas known has Health Professional Shortage Areas (HPSAs). There are three categories of health professional shortage areas: medical, dental, and mental health. Psychologists are listed in the mental health category. Federally funded Community Health Centers that are in underserved areas have HPSA designations. President Bush has fulfilled his pledge to significantly increase funding for the NHSC and to double the Community Health Center Program funding for which many NHSC participants work. Both of these federal programs hold promising employment prospects for psychologists willing to work in our nation’s underserved communities, particularly in rural areas.
Designation. [Note: The Bureau of Primary Health Care administers the Community Health Center Program. Both of the abovementioned bureaus are in the U.S. Department of Health and Human Services’ Health Resources and Services Administration.
Getting Started
Another Option
In order to participate in the NHSC programs, psychologists and other health professionals must find a facility or site that is: 1) designated as a health professional shortage area and 2) willing to hire them. The NHSC (and over thirty other federal agencies) uses a list compiled by the Office of Shortage Designation to determine health professional shortage areas. This list can be found at bphc.hrsa.gov/databases/ newhpsa/newhpsa.cfm. Like the NHSC, the Bureau of Health Professions administers the Office of Shortage
Besides finding a facility or site designated as a mental health HPSA, a psychologist who wants to participate in the NHSC Loan Repayment program may seek out a public facility or site in an underserved area that is willing to become designated as a Mental Health HPSA. The facility may apply for the designation, which is a simple process, and then hire the psychologist. Filling out the application only requires some time and effort to gather the appropriate information. Furthermore, the Office of Shortage Designation is
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available to provide technical assistance (1800-400-2742 or sdb@hrsa.gov). Along with the Office of Shortage Designation, your state’s Primary Care Office (PCO) can also assist with the data collection. The purpose of a state PCO is to increase access to primary and preventative health care and to improve the health status of underserved and vulnerable populations. Contact information of your state’s PCO can be found at bphc.hrsa.gov/OSNP/PCODirectory.htm. The types of data required include: provider to population ratio, access to primary health care (distance and time), and poverty levels. Further information about mental health HPSA designations is available online at bhpr.hrsa.gov/shortage/hpsapply.htm and on the NHSC website at http://nhsc.bhpr.hrsa.gov/. ✯
SUMMER 2003
MEMBERSHIP APPLICATION If you are not already a TPA member, please complete this form and return it immediately!
TPA Membership (Select one)
❏ ❏
Member Associate
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$275.00 $125.00
Send to: Texas Psychological Association 1011 Meredith Dr. Ste 4 Austin, TX 78748 Fax # 512-280-4334
New Member within 2yrs. of Doctorate New Associate within 2yrs. of Masters
$137.50 $ 62.50
Texas Psychological Foundation - Tax Deductible (Optional)
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Centennial Member Member
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$1000.00 $ 500.00
Contributor Contributor
$100.00 $ 50.00
Texas Psychological Association Political Action Committee (Optional)
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Platinum Member Gold Member
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$1000.00 $ 500.00
Silver Member Member
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$250.00 $100.00
Other
$100.00
Special Interest Groups (Check all that apply) NO ADDITIONAL CHARGE
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Psychopharmacology Psychology of Women Child/Adolescent Issues
Total Dues $________ Method of Payment:
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Psychology of Diversity ❏ Psychologist in Schools Special Interest Groups on Aging ❏ Forensic Practice Mental Retardation/Developmental Disabilities
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❏ M/C
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Answers to the following questions are required for membership. Please attach a detailed explanation for any affirmative answers. Has your license/certification been suspended, revoked, or limited in the last 12 months by a state licensing board? ❏ Yes ❏ No Have you been convicted of a felony during the past year? ❏ Yes ❏ No Have you been found guilty of unethical or unprofessional conduct by a local, state or national ethics committee, professional organization or licensing board during the past year? ❏ Yes ❏ No Have you been found guilty of malpractice during the past year? ❏ Yes ❏ No Home Address, City, State, Zip
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Membership
T PA M E M B E R B E N E F I T S
Calendar of Events
w w w. t e x a s p s y c . o r g • Are you in the market for professional liability insurance? Call TPA’s preferred vendor, American Professional Agency, 800-421-6694. • Discounted Legal Consultation Service: Sam A. Houston 713-6506600. • List serve subscription for timely updates.
member questions and requests for information concerning professional affairs, including (but not limited to) ethics, insurance /managed care, and practice management.
Continuing Education Member Mall
• Subscription to the Texas Psychologist. Your quarterly journal is designed to provide you with the most current information about professional news and practice changes in the state.
• Legislative Support: We are your voice before the Texas State Legislature, Governor, Texas State Board of Examiners of Psychologists, and Congress.
• Continuing Education: We offer both live and home study at substantially discounted member rates.
• Professional Counsel: Executive Director on staff to answer
• Fee Collection Service: System 800-325-6884.
I.C.
TOOLS FOR YOUR BUSINESS… www.TexasPsyc.org
Couples Retreat
Couples Enrichment Weekend
with Drs. David Schnarch & Ruth Morehouse
3 DAYS CAN MAKE A HUGE DIFFERENCE
Loveland, Colorado October 24 - November 2, 2003
• Stop bickering and blaming, and resolve repeated arguments
Why Attend the Couples Retreat? Feel like you’ve lost yourself in your marriage? Are you and your spouse constantly in conflict? This Retreat’s length and setting provides the time and place to work through difficult issues and long-standing emotional gridlock. All attendees share a common interest in greater connection with their partner and developing themselves as
with Drs. David Schnarch & Ruth Morehouse Dallas, Texas September 19-21, 2003 9am - 5pm daily
• Turn “communication problems” and emotional alienation into profound intimacy and renewed commitment •Enhance romance, passion, and sexual desire
The RESEARCH-VALIDATED Passionate Marriage® Couples Enrichment Weekend, is a unique psychoeducational program addressing common-but-difficult problems in emotionally committed relationships. Its non-pathological approach will warm your heart, stimulate your mind, and invigorate your commitment.
2922 Evergreen Parkway, Suite 310 • Evergreen, CO 80439
more details at www.passionatemarriage.com or call us at 303.670.2630
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Texas Psychologist
SUMMER 2003
The Texas Psychological Foundation
Texas Psychological Foundation Donations 1/1/03 – 3/31/03
$51 - $100 Cox, Jim Dalton, Caryl Gordon, Robert Grammer, Jerry Lazar, George Matthews, Catherine McLaughlin, Robert Ramirez, Oscar Robinson, Laurie Sharp, Robbie $50 and under Abrams, Barbara Benfield, Connie Broun, Stacy Buser, Sam Coburn, Dennis Edens, Annette Erwin, William Gleaves, Deborah Whitehead Hall, Barbara Hawkins, JoBeth Hensley, David Hirsch, Victor Kittay, Burton Kornfeld, Amelia Ladogana, Angela Lanier, Betty Maas, Marilyn Neuman, Karl Probber, Shelley Quick, James Campbell Wachtel, David Walter, Colleen Willis, Shirley Yates, Deanna Yeager, Martin
SUMMER 2003
The mission of the Texas Psychological Foundation is to fund initiatives that advance the field of psychology and research to the benefit of all Texans. An example of recent Foundation activity was the Town Hall on School Violence at the TPA Annual Convention in October, 2001. The Town Hall brought a diverse group of professionals including judges and school leaders along with teens and parents from the community to establish a framework to deal with violence in the school setting. The Foundation accepts gifts, memorials that honor colleagues, family members and friends, and bequests from estates. Gifts or bequests may include cash, securities or insurance proceeds. The Foundation is available to assist individuals in establishing memorials or bequests from an estate. All contributions to the Foundation are tax deductible. The Foundation accepts both general and earmarked contributions. Earmarked donations can be made to the following designated funds: ❑ Schoenfeld-McCann-Schmidt-Ehrisman Fund for Ethics Education: Provides education in ethics in the field of psychology in the state of Texas. ❑ Rose Costello Education Fund: Provides awards for furthering education in psychology. ❑ Roy Scrivner Gay, Lesbian and Bisexual Issues Award: Provides an annual award for the best student paper on gay & lesbian research issues. ❑ Bo and Sally Family Psychology Research Award: Provides awards for research projects related to family psychology. ❑ TPA/TPF-Student Merit Research Awards: Given to one graduate student and one undergraduate student to defray costs of meritorious research projects. ❑ Alexander Award: Provides an award for the best paper submitted by a graduate student in psychobiology, psychophysiology and related areas. ❑ Manuel Ramirez III Dissertation Award for Ethnic Minority Research: Provides awards for research projects related to Minority Psychology.
Please complete the following to make a contribution or request further information:
NAME ADDRESS CITY ZIP IN HONOR OF AMT. OF DONATION CONTACT ME TO DISCUSS A DONATION
Make check payable to Texas Psychological Foundation and mail to 1011 Meredith Dr., Ste. 4, Austin, TX 78748.
Texas Psychologist
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2003 PSY-PAC Contributors January 2003 – March 2003 $2000 Edward Davidson, PhD
$1000 Paul Burney, PhD Walter Bordages, PhD Tim Branaman, PhD C. Alan Hopewell, PhD Deanna Yates, PhD
$500-$999 Mimi Wright, PhD Cheryl L. Hall, PhD Ethel W. Hetrick, PhD Lane Ogden, PhD Frankie Clark, PhD
$100-$499 Richard Fulbright, PhD Joan Berger, PhD Patricia Driskill, PhD Joseph McCoy, PhD Laurie Robinson, PsyD Jev Sikes, PhD Michael D. Whitley, PhD Jo Ann Murphy, PhD John W. Worsham, Jr., PhD Dean Paret, PhD Kevin G. Smith, PhD T. Walter Harrell, PhD Jarvis A. Wright, Jr., PhD Barbara Abrams, EdD Elizabeth Barry, PhD Barbara Beckham, PhD Connie Benfield, PhD, ABPP Malcolm Bonnheim, PhD Erica Burden, PhD Robin Burks, PhD Paul K. Chafetz, PhD Gloria Chriss, PhD Ron Cohorn, PhD Jim Cox, PhD Ray Coxe, PhD Robert Cross, PhD Walter Cubberly, PhD Anette T. Edens, PhD Wayne Ehrisman, PhD 26
Texas Psychologist
Raymond Finn, PhD Alan T. Fisher, PhD Joseph E. Fogle, PhD Susan D. Gifford, PhD Josue R. Gonzalez, PhD Michael C. Gottlieb, PhD Jerry R. Grammer, PhD Steven G. Gray, PhD David Hopkinson, PhD Robert R. Hughes, PhD Sheila Jenkins, PhD Burton A. Kittay, PhD Harry F. Klinefelter,III, PhD Angela Ladogana, PhD Nancy A. Leslie, PhD Alaire Lowry, PhD Thomas W. Lowry, PhD Janna E. Magee, PhD Patricia R. Martinez, EdD Xavier Martinez, PhD Donald C. McCann, PhD Glen McClure, PhD Jerry C. McGill, PhD Richard M. McGraw, PhD Robert W. McKenzie, PhD Robert J. McLaughlin, PhD Robert F. Mehl, III, PhD James M. Meredith, PhD Brad Michael, PhD Charles B. Middleton, PhD Leon Morris, EdD Lee L. Morrison, PhD Suzanne Mouton-Odum, PhD Frank D. Ohler, PhD Michael C. Pelfrey, PhD Laurence Perotti, PhD Walter Y. Quijano, PhD Lynn Rehm, PhD John K. Reid, PhD Leigh S. Scott, PhD Robbie N. Sharp, PhD Alan Stephenson, PhD Thomas A. Van Hoose, PhD Mark N. Voeller, PhD David S. Wachtel, PhD David J. Welsh, PhD Joan Weltzien, EdD
Richard D. Wheatley, Sr., PhD Caroline Williams, BA M. Wright Williams, PhD Shirley Willis, PhD Connie S. Wilson, PhD James R. Womack, PhD Eirene Wong-Liang, PhD
Under $100 Carol A. Grothues, PhD Jana Swart, PhD Bruce Allen, PhD Karen S. Berkowitz, PhD M. Lee Berryman-Tedman, PhD Bonnie Brookshire, PhD Stacy Broun, PhD Timothy Brown, PhD King Buchanan, PhD L. Carol Butler, PhD C. Munro Cullum, PhD Kenneth Cyr, PhD Sharon P. Davis, PhD William M. Erwin, PhD Alan B. Frol, PhD Adrienne (Ann) Gardner, PhD Jayne Gordon, PhD JoBeth Hawkins, PhD Annette Helmcamp, PhD David B. Hensley, PhD Victor Hirsch, PhD Carola Hundrich-Souris, PhD Adele H. Hurst, PhD Sarah Kramer, PhD Richard P. Krummel, PhD Betty Lanier, EdD Rebecca LeBlanc, PhD Rochelle Levit, PhD Marilyn L. Maas, PhD Patricia P. Mahlstedt, EdD Dwayne D. Marrott, PhD Charles McDonald, PhD Lynn Aikin Price, PhD Aurelio Prifitera, PhD Norman M. Shulman, EdD Nanette Stephens, PhD Thomas J. Tully, EdD William C. Whitehead, PhD SUMMER 2003
Sylvia Gearing, PhD Elizabeth Abbott, PhD Ralph Casazza, PhD Dana Davies, PhD John Deines, PhD Alfred R. Dooley, EdD S. Jean Ehrenberg, PhD Wanda Kuehr, PsyD Muriel Meicler, PhD Kathryn Wortz, PhD Patricia D. Weger, PhD Barbara-Ann P. Hall, MA Dorothy C. Pettigrew, PsyD Alison Wilson, PhD
SUMMER 2003
New Members The following individuals joined TPA between January 29, 2003 and March 31, 2003. Doctoral Members
Associate Members
Paul Cinciripini, PhD Beth Colaluca, PhD David Egerton, PhD Phyllis Jones, PhD Mary McCarthy, PhD Stephen McCauley, PhD Neil Ravella, PhD Christina Ryser, PhD Marci Stickney, PhD Margaret Tripp, PhD Joseph White, PhD Dawn Wiatrek, PhD
James Wigley, MEd
Student Members Kelly Arnemann, PhD Kathryn Kaiser, BS Kevin Metcalf Amy O’Neill Stacey Tomanik, MA Adria Villarreal, MA Jennifer Yeaw, MA
Texas Psychologist
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Dear Psychologist: The longstanding and honorable profession of Psychology is in danger of losing its licensure! As you are already probably aware, the profession of Psychology will be undergoing the critical Sunset Review in June 2003. It is imperative that all psychologists unite to protect their licenses, their profession and their livelihood. Also at stake are your patients who would not benefit if you lose your license. Imagine if anyone who wanted to practice Psychology with minimum education, experience, and qualifications were able to practice Psychology on the same level as one who has worked as hard and as diligently as you. Your profession would no longer be held in the high esteem that it is now and your patients would suffer the ramfications as well as pychologists. The Texas Psychological Association is working diligently to prevent this from happening. Join the psychological association in taking a proactive role in saving your license. You must consider taking part in this extremely important mission a privilege as well as an obligation. The first step is to become a member of the Texas Psychological Association and therefore prove to the Sunset Committee that psychologists are committed to their profession and to their patients and are united to protect their profession and their patients. The second step is to commit to donating $100 to the Sunrise Fund TPA has set up to fight for your profession. TPA cannot do it alone; you must do your part to save your license and the profession of Psychology to the Sunset Committee. I am confident that you would agree that this is a small price to pay for your future in Psychology. Please call the Texas Psychological Association today, complete the application on page 23, or register online at www.texaspsyc.org to become a member of the association which is working to protect you and your patients. Your participation is essential to your profession and cannot be left to only a few committed psychologists to bear the responsibility. Sincerely, Deanna F. Yates, PhD, President
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Texas Psychologist
SUMMER 2003
INSIDE TPA For the past few years, Sheila Garos, PhD, (assistant
this mentoring program more than five years ago — a program
professor, Department of Psychology, Texas Tech University) has
which provides an effective link between students’ training and
coordinated a mentoring program associated with the South
the real world application of professional psychology.
Plains Association of Psychologists (SPAP). Approximately 10-15
Donna Davenport, PhD, an expert on grief, was faced with
students in the Counseling Psychology and Clinical Psychology
the slow decline of her beloved mother. In Singing Mother Home,
PhD programs have been paired with psychologists in the area
she imparts to the reader lessons learned, both personal and
who are engaged in full-time professional practice.
professional, in anticipating grief and the loss of a loved one. Her
Through ongoing contact with these mentors, students can
book is aimed more at helping people cope with the expected loss
gain an additional and distinctive understanding of what this
of a loved one, rather than counseling someone who has already
possible career path for psychologist involves. Dr. Catherine
suffered bereavement. It is an excellent resource for caregivers of
Matthews, current president of SPAP, and Dr. Cheryl Hall began
those with Alzheimer’s or otherwise in hospice care. ✯
When The Next Step Is Inpatient, Call Remuda Ranch.
HOPE • H ELP • H EALI NG
Eating disorder symptoms are often difficult to manage in an outpatient setting. Remuda Ranch can help your patient by providing expert care in a healing, positive and encouraging environment. Our treatment team, consisting of Psychiatric and Primary Care Providers, Registered Dietitians, Masters Level Therapists, Psychologists and Registered Nurses, offers Biblically based intensive care. These compassionate professionals will support your referred patient by providing the right tools to live a healthy, productive life. Our individualized programs will prepare her for complete recovery when she returns to you for continued outpatient treatment. In the past 13 years, Remuda Ranch has treated more than 5,000 women and girls with eating disorders. Research suggests a full 92% of our patients are successfully recovering one year after completing treatment. When you have determined that a higher level of care is necessary, give your patient the best possible opportunity for success. Call Remuda Ranch, the nation’s leading treatment facility for anorexia and bulimia.
SUMMER 2003
1-800-445-1900
Programs for Anorexia and Bulimia www.remudaranch.com
Texas Psychologist
29
TPA has published a NEW edition of the Texas Law and the Practice of Psychology! The new edition, Texas Mental Health Law: A Sourcebook for Mental Health Practitioners, is the most comprehensive book for mental health practitioners ever published. Get the latest information on supervising, ethics, subpoenas, confidentiality, and more. If you have never purchased a reference book on the laws that pertain to your practice...the time to do so is NOW!
The book costs $35.00. Order your copy today! Please e-mail orders@bayoupublishing.com or call 800-340-2034 to order your copy!
E-mail Updates
Does TPA have your e-mail address?
@
If not, you could be missing out on important announcements about upcoming CE opportunities and
numerous other important updates. If you have not been receiving
announcements from us via e-mail, then we don’t have your current
address. To have your e-mail address added, send your updated address to admin@texaspsyc.org.
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Texas Psychologist
SUMMER 2003
CLASSIFIEDS
MY FIRST THERAPY GAME introduces children to psychotherapy in a fun, kid approved board game. Available only at www.childtherapytoys.com or call toll free 866-324-PLAY. GERIATRIC FELLOWSHIP FOR CLINICAL PSYCHOLOGISTS Join us for an exciting opportunity to train in Geriatric Medicine at the University of North Texas Health Science Center at Fort Worth. We offer a one-year clinical fellowship and a two-year faculty training fellowship to psychologists with a completed doctoral degree. Training across the continuum of care includes ambulatory, acute care, house calls, long term care, and AlzheimerĂs Special Care Units. Neurocognitive evaluation, psychological assessment and psychotherapy with older adults are emphasized. Opportunities for significant research are available. Applicants must be U.S. Citizens or hold permanent residency status and must have a complete doctoral training in a U.S. accredited institution. Contact Dalila Burgos, MS at 817-7352403 Or by e-mail at dburgos@hsc.unt.edu STAFF PSYCHOLOGIST NEEDED. The Callier Center for Communication Disorders is a nationally recognized research, diagnostic and treatment facility that has been part of the University of Texas at Dallas since 1975. We seek a full-time PHD level clinical psychologist to join the multidisciplinary clinical staff serving individuals with communication impairments. The psychologist will work with speech-language pathologists, audiologists and educators serving individuals with mental health concerns and co-existing communication disorders related to developmental delay, hearing impairment, language disorder, autistic spectrum disorder and/or brain injury. Patients range in age from 6 months - elderly. Minimum Professional Qualifications include a PhD or PsyD in Clinical Psychology from an APA approved training program and a Texas Psychology License. Necessary experience includes administration of nonverbal IQ tests, diagnosis of PDD, mood/anxiety disorders, etc in early childhood, skill in use of parent guidance and coaching, crisis management with suicide and child abuse. Prefer ABPP in Neuropsychology, Texas LSSP, Fluency in Spanish and/or Sign Language may be eligible for a one-time hiring bonus. Contact Dr. Teresa Nezworski, Search Committee Chair at 214-905-3040 or nezworsk@utdallas.edu. PSYCHOLOGISTS needed P/T (weekdays – at least 6-8 hours per week) to do assessment and treatment in nursing homes. We have 400 contracted facilities in Texas we serve, throughout the state. Visit our web site: www.vericare.com. Please send your C.V./resume to Vericare (Formerly Senior Psych Services): E-Mail: lvanderveen@vericare.com, FAX: (800) 503-3842, PHONE: (800) 508-5151.
SUMMER 2003
THRIVING RIO GRANDE VALLEY general psychology practice for sale serving children, adolescents, adults, couples and families. Combined private pay, managed care, EAP and Medicaid. Contact Karen T. Snodgrass, Ph.D. at (956) 428-8582 or email to ksnodgrassphd@aol.com. CLINICAL PSYCHOLOGIST NEEDED for Senior Executive position. Colorado West Mental Health Center located in beautiful Western Colorado is searching for a licensed, experienced Ph.D. clinical psychologist for the Children and Family Program. This management position is responsible for multiple programs, including work with juvenile sex offenders. Works closely in collaborative community partnerships and provides staff supervision along with budgetary duties. Beautiful Grand Junction, population 130,000 provides a mild climate and offers the best of beautiful mountains and scenic desert regions. Fresh air and outdoor activities abound. Traffic jams and long commutes do not exist in this area. Salary is negotiable and includes a generous benefit package. Send cover letter and resume to Dr. Thomas F. Updike, Colorado West Mental Health Center, 858 Grand Avenue, Grand Junction, CO 81503. See employment page at www.cwrmhc.org
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Remuda Ranch
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Texas Psychologist
31
Texas Psychological Association 8th Family Getaway July 19-23, 2003 • Cancun, Mexico • Marriott Casa Magna ancun is paradise found. White sand beaches stretch for miles along the clear turquoise blue waters of the Caribbean sea. Sunny skies. Ancient Mayan ruins. Exotic jungles. International shopping. Spicy foods. Sizzling nightlife. All yours for the taking! Experience world-class snorkeling and scuba diving. Cancun's coral reefs support more than 500 species of tropical fish! Try water-skiing, jet skiing, or sailing. Work out in our state-of-the-art health club. Head out to a nearby golf course, or to one of our lighted tennis courts. Near Cancun you can explore the famous ruins of pre-Colombian civilizations -- at Tulum and Chichen Itza. Visit area wildlife parks, and learn more about the natural habitat of the Yucatan peninsula. Attend a folkloric ballet or a traditional bullfight. Or, shop the open-air markets or the duty-free stores for that perfect take-home gift. Feast your eyes on the cool blue of the Caribbean, while sinking your toes into talcum-white sand at the CasaMagna Marriott Cancun Resort. Located on the tip of Mexico's Yucatan Peninsula, this spectacular resort meets your vacation and meeting needs with a sun-filled slice of heaven. Oh, and pick up a few continuing education credits while you’re at it. There isn’t a better way to combine your continuing education with a family vacation. Make sure we reserve a room for you by completing the enrollment form today and returning it ASAP.
C
Family Getaway Enrollment Form Guest 1 Name____________________________Degree___________ Guest 2 Name____________________________Degree___________ Guest 3 Name____________________________Degree___________ Guest 4 Name____________________________Degree___________ Address _________________________________________________ City/State/Zip____________________________________________ Phone _________________________ Fax______________________ Email ___________________________________________________ Payment: ❑ Check ❑ Visa/MC/Amex/Disc Acct. #___________________________________ Exp. Date _______ Amount to Charge: ___________ In order to arrange your airport transfers to/from the Cancun airport, we need to know the following: Flight TO Cancun: Airline: Departure time/date/city Flight FROM Cancun: Airline: Departure time/date/city
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Texas Psychologist
Flight number Arrival time Flight number Arrival time
❑ 4 Nights Double Occupancy: $385/person ❑ Additional room guests above and beyond double occupancy: $150/person ❑ 4 Nights Single Occupancy: $699 ❑ Additional room nights: $75/person* *
This rate is valid 3 days prior to conference and 3 days postconference and is based on double occupancy.
Mail payments to: TPA, 1011 Meredith Drive, Ste. 4, Austin, TX 78748 OR Fax credit card registrations to (512) 280-4334 OR Phone in credit card registrations to (512) 280-4099 or (888) 872-3435.
SUMMER 2003
TPA’s 8th Family Getaway July 19-23, 2003 Marriott Casa Magna Cancun, Mexico July 19 Arrive, airport transfer provided Evening reception in the Presidential Suite July 20 Continental Breakfast/Workshop July 21 Continental Breakfast/Workshop TPA optional add-on excursion July 22 On your own! July 23 Depart – airport transfers provided Since these group rates have been negotiated, reservations MUST be made through the TPA central office. There is no CE only package.
Bring your family and prepare yourself for a great getaway! Four nights at the four-star Marriott Casa Magna Six hours of continuing education credit Also included: Airport Transfers Evening Reception in the Presidential Suite Continental Breakfasts/Workshops Four nights double occupancy: $385/person Additional room guests: $150/person Four nights single occupancy: $699 * These rates are valid three days prior to the conference and three days immediately following the conference and are based on double occupancy
Make your reservations today! Call 888/872-3435