President’s Update, Beverley Conrad, Ph.D.

Posted By Editor on June 14, 2010

I want to begin by welcoming some of our newest members: Charlotte Ormond, Ph.D., Kylie Jackson, Ph.D., Claire Levin, Ph.D. and Anders Greenwood, Ph.D. SMCPA is keen on gathering new members as we seek to expand and to inform psychologists of the benefits of chapter and CPA membership. These are some challenging times for psychologists and health care; more reasons to network and get support.

To keep abreast of our activities, please be sure to go to the “Members Only” section of our website and enter your ID and password. You will then have access to our “Calendar,” which lists up and coming activities and important addresses (of members’ homes) where events occur. We are sponsoring with Santa Clara County Chapter of CAMFT a workshop on “From Parenting to Peacemaking” on June 11th. The Book Club meets again on June 25. Our Annual SMCPA International Film Festival will be August 7 and will be a double feature: “Capote” and “In Cold Blood.” We will eat food from Kansas (read “barbeque”) and discuss Truman Capote’s life and intensions. More details to follow in an email. Looking ahead, we will have another City Party in the Fall in Menlo Park and the Holiday Party is set for December 11. Hopefully the Fall will also include a co-presentation with Santa Clara County Psychological Association featuring time with one or two of our congressmen and a special guest speaker; stay tuned for this GAC/PAC special!

I want to thank all of my Board members for their service to SMCPA. We are looking ahead to next year when Lea Goldstein, Ph.D. will take over as President. An election will be held in the Fall to elect her as well as a new secretary, and reelect others. If you are interested in serving on our Board, please let me or Lea know about your inclinations. She will be appointing committee chairs for 2011 and welcomes ideas and energy.

Finally, I want to thank all of our members who have served on the Information and Referral (I and R) over the years. Due to the internet replacing the yellow pages, the Board decided after several years of deliberation, to shut it down and focus elsewhere to enable a wider chapter and membership exposure.

Have a wonderful summer and stay mindful and grateful!

CPA Board of Directors Web-based Meeting, Linda Schneider, Ph.D., CPA Rep

Posted By Editor on June 14, 2010

This is the second year that the second in the year CPA Board of Directors meeting was held via Cyber/telephone.  This approach not only saves wear and tear on attendees, but saves money as well.

Janet Hurwitz, CPA President opened the meeting with a notation that this date, May 22, 2010 would have been Harvey Milk’s 80th birthday.

Financial issues included a Financial Review and a Convention Financial Report.

An independent auditing firm did a financial review of the CPA books finding “very healthy” with no areas of concern and no need for any adjustments or a full audit at this time.

The details of the Convention Finances were reviewed.  The final numbers were well within the projected expenses and income for the 2010 Convention.

Dr Jo Linder Crow reported on Membership and Marketing.  Two small but simple revenue sources are Therapysites and Amazon.  Therapysites offers website services and Amazon, both accessed by clicks on the CPA website.The use of social media as a CPA presence was discussed.  Dr Linder-Crow. has a CPA site on Twitter…and on Linked in. Both have CPA members and non-member followers.

June 18 at noon will be the first ever “Call Us” telephone member conference.  Members and nonmembers will be able to call in and ask questions of CPA.

The dial in number is 1-866-740-1260. The access code is 2867979.

A CPA Whistleblower Policy was covered and approved.  It allows reporting of wrongdoing without consequence to the person reporting.

Reports from Committees were given.  Dr. Michael Ritz of the Public Education Committee had given a ‘healthy families’ talk translated into Spanish in East L.A. Drs Ritz and Jana Martin have been asked to head a Public Education Panel at APA this August in San Diego.  Word from the Prescribing Privileges Committee noted the won ability to prescribe on Indian Reservations.  A morning meeting with noontime Indian cultural performance celebration  will be held at APA Saturday, August 14.  This will be co sponsored by the Indian Health Service and others involved in local Indian affairs in the San Diego area.

Peace until the next CPA Board Meeting on October 30.

Developing Cultural Competence in Disaster Mental Health*, Dr, Marilyn Foley

Posted By Editor on June 13, 2010

Important Considerations When Interacting with People of Other Cultures

1. Communication: Both verbal and non-verbal communication can be barriers to providing effective disaster crisis counseling when survivors and workers are from different cultures. Barriers, which interfere with communication, can make both responders and victims of disasters feel alienated and helpless.

2. Personal Space: “Personal space” is the area that immediately surrounds a person, including the objects within that space. In some cultures, touch may be perceived as a friendly gesture, whereas other cultures might consider such behavior invasive. In a disaster, crisis counselors must look for clues to a survivor’s need for space, such as the survivor moves away from the counselor, or steps towards the counselor.

3. Social Organization: Beliefs, values, and attitudes are learned and reinforced through social organizations, such as family, kinships, tribes, and political, economic, and religious groups. Understanding these influences will enable the crisis counselor to more accurately assess a survivor’s reaction to disaster. A survivor’s answer to questions about hobbies, and social activities can lead to insight into his or her life before the disaster.

4. Time: Time perceptions may be altered during a disaster. Crisis counselors acting with a sense of urgency may be tempted to set timeframes that are not meaningful or realistic to a survivor. The result may be frustration for both parties.

5. Environmental Control: Beliefs that events occur because of some external factor—luck, fate, will of God, or the control of others—may affect the way in which a survivor responds to disaster and the types of assistance needed. Survivors, who feel that events and recovery are out of their control, may be pessimistic regarding counseling efforts. In contrast, individuals who perceive that their own behavior can affect events may be more willing to act (Rotter, 1966). Disaster crisis counselor need to understand beliefs related to environmental control because such beliefs will affect survivors’ behavior.

You can help the American Red Cross Bay Area Chapter by becoming a trained disaster relief volunteer to provide basic mental health services to people affected by disaster.

In order to become a trained disaster relief volunteer in the area of mental health, you must take the following course:

  • Foundations of Disaster Mental Health

Continuing education units are available for licensed medical professionals upon completion of the Foundations of Disaster Mental Health course. Please contact ARCBADSTraining@usa.redcross.org for more information.

*Developing Cultural Competence in Disaster mental Health Programs, US Department of Health and Human Services

GOT QUESTIONS FOR CPA….GET ANSWERS…CPA’S 1ST”ASK US”

Posted By Editor on June 13, 2010

You are invited to join  the first CPA state-wide  teleconference call -”Ask Us.” This one- hour call is open to ALL California psychologists and will be held on Friday, June 18th at Noon.

The dial in number is 1-866-740-1260 The access code is 2867979

It will be hosted by CPA President, Janet Hurwitz and Dr. Jo Linder-Crow, Executive Director, CPA staff will be on hand to talk about their current projects, we hope to be joined by representatives of CPA  divisions and commiittees.

Using Patient Feedback to Improve Outcome, Dr. Nancy Marx, Ethics Chair

Posted By Editor on June 13, 2010

I have been interested in the research on obtaining feedback from psychotherapy patients for some time now. I routinely tell new patients from the onset that I will attempt to assess the effectiveness of treatment with them in the course of therapy, that our collaboration will inform the nature of the treatment, but I often fall short in this endeavor. I am plagued by the situation in which the patient seems engaged in treatment early on but then simply disappears. There has been increasing evidence that a larger percentage of patients will improve when clinicians obtain feedback (Munsey, 2009). If the consumer is able to give feedback with regard to their progress, whether or not progress is being made, then outcomes can improve as much as 65% (Miller, 2006). In addition, research indicates that clinicians are not adept at determining which patients are ‘at risk’ for dropping out of treatment (Miller, 2008). Rather than using evidence-based practice to inform the course of therapy, we are advised to use ” practice-based evidence to inform the use of evdience-based practice” (Peters, 2009, Miller, 2008). Miller advises the therapist to utilize outcome and alliance language versus a diagnostic and treatment approach. He bases this strategy on evidence that suggests that there is no difference in outcome between different types of treatment. Clinicians have the flexibility to vary the intervention, to shape and mold the therapy in order to maximize the patient’s progress. As therapists we are advised to remain open to feedback, be flexible in terms of intervention, and committed to outcome. According to Miller (2008), the “supershrink” “seeks, obtains, and maintains more consumer engagement; is “exceptionally alert to risk of drop out and treatment failure”; and “pushes the limits of their current realm of reliable performance.” In “deliberate practice”, the practioner attributes failures or problems to controllable processes instead of attributing errors to external or uncontrollable factors. Miller also points out that clinicans in general have no method of comparing their treatment outcomes with those derived by other clinicians.

A number of practioners have developed questionnaires to obtain feedback from the patient (i.e. Miller, 2000; Lambert, 2009). Even very brief questionaires of 4-9 items may have adequate reliability and validity for most measurement needs (Peters, 2009). Routine use of session rating/ therapeutic reliance scales may permit clinicians to identify and repair problems in the working alliance. Miller suggests creating a “culture of feedback” by providng an explanation for seeking client feedback during the initial appointment. He advises clinicians to “expose” themselves to ongoing feedback.

I have provided the following resources as a sample for those who wish to do further reading on the subject. I welcome your thoughts and feedback.

Resources:

The Heart and Soul of Change, Miller, 1999; Expertise and Expert Performance, Ericsson, 2006 ; The Great Psychotherapy Debate, Wampold, 2001; Psychotherapy Relationships That Work, Norcross, 2002; TWiki site; psychoutcomes.org

Website Update, Dr. Diane Leroi

Posted By Editor on June 13, 2010

Hi everyone,
I’m pleased to report that we now have a two tier calendar and online renewal process in place for next years membership process for 2011.  The two tier calendar allows us to show events in a public format for new members to be informed about all our activities and still maintain the confidentiality of the home locations of our membership.  The online renewal system is completed and in the process of testing to remove any bugs that might crop up with first time use of software codes.  It will allow each member to renew online and choose to pay via PayPal or send in a check by mail.  As part of our new renewal system we can automatically check whether a member’s license status is in good order with the click of a button which eases one more burdensome task of our hard working volunteer board and chairs.  The remaining marketing project will go forward soon once I have completed some additional detail work that must come first.  I wish to thank our board and our executive committee for their continued support of a strong, vibrant, and eventually self sustaining website which, I believe, stands out among the many such websites in the state.  Happy summer to all, Diane

Continuing Education Update

Posted By Editor on June 13, 2010

Hello everyone,

We co-sponsored with Santa Clara CAMFT a 6 CE credit event on June 11, from 9AM-4PM, in Mountain View. The course was taught by Drs. Sarah Burge and Julie Kriegler, and was entitled “From Parenting to Peacemaking: Helping our clients develop healthy emotional, social, and global functioning.” Personal characteristics of peace activists and exemplary engaged citizens were studied from an interpersonal neurobiological perspective.

There will be no additional continuing education events scheduled during the summer, but we plan on having several evening potluck lectures beginning in October.

President’s Column, Dr. Beverley Conrad

Posted By Editor on February 20, 2010

I want to again thank my Executive Board and Committee Members for their service to SMCPA. We’ve added Linda Schneider, Ph.D. as CPA representative and June Martin, Ph.D. as CLASP chair. Lea Goldstein, Ph.D. is our President-Elect, taking over in 2011. Lori Luft, Ph.D. is stepping down as Speakers’ Bureau Chair after a stellar job.

We welcome Marybeth Viglione, Ph.D. and Pam Rudd, Ph.D. who will co-chair the position. Thanks to all who came to our Holiday Party, a smashing success as usual. We have several events in the wind. The Film Club meets Feb. 26 to discuss “Tyson,” the documentary from 2008. We’ll meet at Nancy and Alan Marx’s home in Belmont. All are welcome. The Redwood City “City” Party is to be held on Friday, March 5, 6-8 at Evelyn Marchini’s, Ph.D. and Shirley Waldum’s, Ph.D. beautiful and historic office. It’s a “Meet and Greet” networking affair with wine and cheese. We are inviting the San Mateo Psychiatric Society as well. A warm welcome is especially extended to new and student members. Let me know if you will be attending; another invitation will be forthcoming. Monday, April 26 is the annual Mills-Peninsula Woman’s Luncheon with guest speaker, Andrew Weil, MD addressing “The Future of Healthcare and Healthy Aging.” If you would like to join us, please respond to my email. As most of you know, after many years of deliberation, the Executive Board voted to change the function of the I and R. It will now be rolled over into a new format which will augment our “Find a Psychologist” area on our website. Jeff Bruno, Ph.D. will work with Webchair Diane Leroi, Ph.D. to make the transition. Thanks to all who have served over the years. Please let any of the Board members know how we can better serve your needs. Enjoy the spring!

There is no THEY, only US AND WE: CPA BOARD MEETING 2/6/10,

by Dr. Linda Schneider

Posted By Editor on February 20, 2010

There is no THEY, only US AND WE: CPA BOARD MEETING 2/6/09, by Dr. Linda Schneider

The first CPA Board Meeting of 2010 was held in Burbank February 6. I was there as SMCPA’s new rep to the Board. The Board has 39 voting members of which I am now one. Dr Ednal Esnil (Menlo Park) attended, representing Division 7. Dr. Janet Hurwitz (Berkeley), our new CPA President, began the meeting with “There is no They only US and We.” She emphasized that it is not ‘THEY’ who do the work of CPA member or not.….It is all of US together that account for what gets done.

The following is some of what WE covered in the full day meeting: legislative and related issues, briefs from our executive director, goals of our new president, and the upcoming convention.

These are some of the legislative and related issues CPA continues to address tirelessly:

1. Improving lobbying presence.

CPA is the only entity that can and does lobby for California Psychologists.

2. The Sunseting of the BOP will again need to be addressed in 2010.

CPA has successfully fought this (and our governor’s attempt to push this) in previous years. Without the BOP we could be blended with the Board that licenses MFT’s, which would (not maybe) have implications for our reimbursements with insurance companies.

3. A Class Action Suit is in process against Blue Cross/Blue Shield for underpaying non-MD providers (that includes us) and for fishy calculating of reasonable and customary fees.

4. Hospital practice.

5. Keeping a watchful eye on LMFTs’ and Psychiatrists’ attempts to expand practice areas (this may not be a Zen attitude….but it may effect your revenue potential)

6. RX privileges.

7 Joining with Primary Care Associations to increase the number of psychologists in primary care settings.

8. PARITY…Regulations are just now in. CPA is keeping abreast of IMPLEMENTATION and continued definition of these regs with ‘US’ in the trenches in mind.

Still not convinced that WE need CPA to watch our back?

Let me just detail the class action suit above to exemplify work being done by CPA on our behalf. Our Professional Practice person Chuck Faltz, hearing of a similar suit in the east.. gathered evidence and secured one of the best Class Action Firms ON CONTINGENCY (no cost to US) to take this case forward. It has now been established that a crime has been committed by Blue Cross/Blue Shield. Harm to CPA and to individual psychologists is being ascertained. The suit is now in the discovery phase; depositions will be taken probably later this year. And in the end, some guidelines as well as more reasonable reimbursements may follow, as well as some sort of settlement. This suit will set a precedent for other insurance companies to follow in the present circus of reasonable and customary fee calculation.

Executive Director Jo Linder-Crow Ph.D. discussed the following points:

REDUCED FEES FOR NEW MEMBERS:

First year member fee is $133. This is less than 33 cents/day. Second year membership is $205. New doctorates have a 5 year reduced fee…and students also have a reduced fee.

CPA BENEFITS:

Free CE Credit (check the CPA website and the California Psychologist Magazine).

Free consultation on any Ethics issue with M. Donner, and free consultation on any issues of professional practice with Chuck Faltz. I have used this latter service with better than expected—no, with excellent and timely results! As a member you can be on the CPA list serve and post practice questions. Check the CPA website members only section for contact information

CPA Linked-In site. A CPA Facebook presence is in the works.

CPA BUDGET: Unlike several non profits, CPA was fiscally sound in 2009 and continues to be, due to an eye on the budget, wise investing, and cost cutting measures

Our CPA President, JANET HURWITZ, OUTLINED HER GOALS FOR THE COMING YEAR:

1.Increasing visibility of Psychologists to the public.

Public education including a now-working relationship with the YMCA, which gives a public face to Psychologists with the Y’s millions of members for local and other events.

2 Living diversity will include areas previously not engaging our focus, such as aging, bilingual presentations to the community, and LGBT education sessions at the convention.

3. Reviving the ailing CPA speakers Bureau (if interested stay tuned)

4. Developing diverse revenue streams. This includes learning from other nonprofits…and partnering with individuals and businesses.

5. Improving lobbying. Power in numbers.

6. 10% increase in CPA membership.

7. Receiving feedback from Psychologists in Education, Public Service, and Research members and nonmembers to make CPA more relevant to those sectors.

The CPA Convention will be April 15-18 in Costa Mesa, a nice beach community in Orange County not far from Disneyland and South Coast Plaza. The Hilton Hotel, the host hotel, is conveniently located across from Orange County Airport (formerly known as John Wayne Airport). The speakers and workshops this year are exciting. Here is just a taste of programming: CPA Annual Lunch (Saturday): Chip Conley, Author of PEAK: How Great Companies Get Their Mojo from Maslow. Daniel J. Siegel, MD (Sunday): Author and Executive Director, Mindsight Institute, UCLA. As a member you should have received or will receive shortly the Program for the Convention. If a nonmember you can view the program on the CPA website.

So in closing I want to stress that if you want a voice…an advocate…and you want that advocate to be as strong as it can be…you will join CPA. So click on http://www.cpapsych.org/ and join.

Website Update, by Dr. Diane Leroi

Posted By Editor on February 20, 2010

Hi everyone,
The work on our website to improve and enhance its flexibility and ease of use for our members continues.  We currently have the ability to change our speaker’s bureau lists/details, board and committee chair members, and provide our board meeting minutes for the membership, without using outside assistance which costs additional monies.  We have also completed three new changes to better serve our membership:  1) It is now possible to list events on our calendar which occur at a member’s home without that information being available to the public sector; 2) This coming year all members can chose to renew their membership online and pay via PayPal. New members will be able to do the same.  We are just now testing this new feature before it goes online for new and old members use; and 3) We have also initiated search engine optimization work for us so that we appear much earlier in a search of the internet by potential clients.  This work will be supported by further analysis to see if this effort generates more contacts for our members.  In a previous email I asked everyone to please inform me atdleroi@comcast.net if they were contacted via our website by a client.  We need this information to test the effectiveness of how we use our website.  Please assist us in this way. If any of our members would like additional features or services on our website please let me know and I will explore their suggestion.  Hope you are all well, Diane Leroi