MEETING MINUTES · Web viewDr. Nadia Charguia, Assembly Resident Representative, has been working with the Committee on Medical Students and Residents on a questionnaire that asks

COUNCIL RETREATJune 29-July 1, 2012

Bolger Conference Center, Potomac, MDMEETING MINUTES

Council members in attendance: Drs. Marty Drell, Paramjit Joshi, David DeMaso, Steve Cuffe, Louis Kraus, Steven Adelsheim, Wayne Batzer, Mark Borer, Deborah Deas, Ruth Gerson, Larry Greenhill, Kathy Kelley, Richard Martini, Yiu Kee Warren Ng, Melvin Oatis, Neal Ryan, Sourav Sengupta, and Margaret Stuber

Also participating: Drs. Gabrielle Carlson, Michael Houston, Michael Jellinek, James C. MacIntyre, II, Andres Martin, Richard Sarles, Heather Walter

STAFF: Virginia Anthony, Quentin Bernard, Mary Billingsley, Adriano Boccanelli, Larry Burner, Caitlyn Camacho, Nicole Creek, Yoshie Davison, Maureen Dubois, Alan Ezagui, Hilary Flowers, Heidi Fordi, Naomi Franklin, Liz Goggin, Rob Grant, Jared Hoke, Danielle Jackson, Cecilia Johnson, Lynda Jones, Audrey Kerr, Lauren, Kokernak, Kristin Kroeger, Michael Linskey, Earl Magee, Ashley Partner, Kristine Pumphrey, Andrea Silva, Nelson Tejada and Jill Zeigenfus

FRIDAY, JUNE 29, 2012Welcome and President’s Comments Marty Drell, M.D. Dr. Drell reviewed accomplishments since the last Council meeting and asked for feedback on the weekly Council update emails. It was agreed that the emails were helpful in keeping everyone up-to-date on the relevant topics. Dr. Drell remarked that this meeting will be a confluence of many important things including Virginia Anthony’s retirement and the selection of her successor as well as the appointment of the Journal editor. Each member of Council introduced themselves and highlighted their careers and personal lives.

After reviewing the major agenda items and decisions facing Council, Dr. Drell presented a proposed budget for Back to Project Future, part of his Presidential Initiative. The budget was predistributed.

ACTION: A MOTION WAS MADE, SECONDED, AND UNANIMOUSLY PASSED TO APPROVE THE $101,000 BUDGET.

Dr. Drell reported that a historian is writing the history of AACAP for the Sixtieth Anniversary and is currently reviewing documents in the archives and interviewing members. The Sixtieth Anniversary Committee will plan activities similar to those celebrated during the 2003 Annual Meeting for the Fiftieth Anniversary.

Dr. Drell noted that Wun Jun Kim, M.D.’s term as editor of AACAP News will be ending this year and asked for recommendations for a new editor.

AACAP Mission Statement The Mission statement was reviewed.

Disclosure of Affiliations The disclosures were predistributed. There were no new disclosures to report.

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Consent Agenda October 19 & 22, 2011 Council Meeting Minutes President-Executive Director’s Report

ACTION: A MOTION WAS MADE, SECONDED, AND PASSED TO APPROVE THE CONSENT AGENDA. Executive Director’s Comments Virginia Q. Anthony Mrs. Anthony thanked the Executive Committee, Council, and staff, for their work. She spoke briefly about her 39 years at AACAP, affirming her legacy of Kristin Kroeger Ptakowski and Heidi Buttner Fordi and for the staff of the future. Staff were introduced.

President’s Elect’s Comments Paramjit Joshi, M.D. Dr. Joshi introduced her Presidential Initiative: International Mental Health. She noted that many developing countries are completely lacking in any sort of child mental health care. Since many people view AACAP as an international venue for child and adolescent psychiatry, Dr. Joshi feels it is the duty of AACAP members to share their resources with the international community. The Initiative will consist of several components:

• Membership initiatives• Joint sponsorships• AACAP resources & outreach• Annual Meeting initiatives• Development of an International corner on AACAP web-site• Development of an International Basic Curricular Guidelines for training in Child & Adolescent

Psychiatry

Journal Editor’s Report Andrés Martin, M.D., M.P.H. A reported dated June 12, 2012 was pre-distributed. Dr. Martin highlighted this report and thanked Council for their support. He elaborated on the letters sent to Dr. Jellinek (April 20, 2012) and Dr. Drell (May 17, 2012) in response to the report from the Ad Hoc Committee on Editorship and Publications. Noting feedback that the Journal is not clinical enough, Dr. Martin outlined his key priority over the next five years- enhancing the clinical focus of the Journal. Dr. Martin reported that the Journal will be bringing back Clinical Perspectives and will be adding Clinical Guidance to select articles. Clinical Guidance will be a bullet list of “take-away” messages of the study, written by the authors, that will appear in a box at the end of the article. He also discussed several new series and article types including Translations and Clinical Reviews. He acknowledged that the 2011 impact factor, released June 28 rose significantly over the 2010 impact factor, and commented on other vital statistics that were outlined in the pre-distributed written report. In the discussion, concerns were raised regarding the decline in submissions, stringency acceptance level, changes in the Journal’s scope, and the Journal’s most significant competitors.

Secretary’s Report David DeMaso, M.D. and Rob Grant Dr. DeMaso and Rob Grant reviewed the membership statistics from October 2011-June 2012, including renewal numbers, recruitment and retention highlights, and member “hardship cases” as well as comparisons to past years numbers of new members, Life Members, and Distinguished Fellows. It was noted that the pre-distributed Membership Report also included members on inactive status, members who have resigned, and deceased members. A list of delinquent members was predistributed. Rob Grant and his staff will send out sample emails Council members can use to contact people in their Regional Organization.

Rob Grant compared the 2011 and 2012 dues survey results regarding the value of AACAP membership and

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showed the responses to other questions from the 2012 dues survey. Council asked about the possibility of dividing the results by member category and having more years for comparison at one time.

ACTION: ROB GRANT WILL LOOK INTO DIVIDING THE SURVEY RESULTS BY MEMBER CATEGORY AND WILL PULL TOGETHER SEVERAL YEARS FOR COMPARISON. THIS WILL BE REVIEWED BY THE AACAP SECRETARY.

Assembly Chair’s Report Louis Kraus, M.D. Dr. Kraus gave an overview of the May 12, 2012 Assembly meeting in Washington, DC which had 73 participants representing 33 regional organizations and 27 states including Puerto Rico.Delegates also participated in the 2012 Advocacy Day where they educated federal legislators on children’s mental health and child and adolescent psychiatry. Highlights of the meeting include:

Election of Mark Chenven, M.D. (San Diego) and Bela Sood, M.D. (VA) to the Assembly Nominating Committee

Post-lunch roundtable discussions on telecommunications, RO Infrastructure issues, and orienting new delegates.

Two regional organizations receiving Advocacy and Collaboration Grants in 2012 (Eastern Pennsylvania/Southern New Jersey Council and the San Diego Academy) presented on their programs

Bryan Samuels, Commissioner, Administration of Children, Youth and Families, U.S. Department Health and Human Services (HHS), presented “Psychotropic Medication Use among Children Known to Child Welfare.”

Judith Warner, author of “We’ve Got Issues, Children and Parents in the Age of Medication,” received the Friends of Children’s Mental Health Media Award (formerly known as the “Special Friends” Award) in recognition and appreciation for her work in conveying that children’s mental illnesses are real, common, and treatable.

The Regional Organization Infrastructure Task Force (ROITF) has been reaching out to 13 Level 1 regional organizations (i.e., income of $1000 or less and under 50 members). This support has led several Regional Organizations to hold meetings, create bylaws, hold elections, and find permanent administrative support.

Dr. Nadia Charguia, Assembly Resident Representative, has been working with the Committee on Medical Students and Residents on a questionnaire that asks regional organizations about medical student and resident involvement.


Cluster 4: Healthcare and Systems of Care Rich Martini, M.D./Kristin Kroeger Ptakowski Adoption and Foster Care Committee (George Fouras, M.D. and Terry Lee, M.D.) Committee on Collaboration with Medical Professions (Bob Hilt, M.D. and Rich Martini, M.D. Community Based Systems of Care (Mark Chenven, M.D. and Kaye McGinty) Health Promotion and Prevention Committee (Jim Hudziak, M.D.) Healthcare, Access, and Economics Committee (Anthony Jackson, M.D. and Harsh Trivedi, M.D.) Inpatient, Residential, and Partial Hospitalization Committee (Erin Malloy, M.D. and Michael Sorter, M.D.) Juvenile Justice Reform Committee (William Arroyo, M.D. and Louis Kraus, M.D.) Physically Ill Child Committee (Maryland Pao, M.D.) Rights and Legal Matters Committee (Chris Thomas, M.D. and Steve Zerby, M.D.) Schools Committee (Shashank Joshi, M.D. and Sheryl Kataoka, M.D.)

Highlights from committees in Cluster Four include: the Adoption and Foster Care Committee participated in the GAO Report on Psychiatric Medications for Foster Youth; the Committee on Community Based Systems of Care and Inpatient, Residential, and Partial Hospitalization Committees are collaborating on the Youth Coalition; the Juvenile Justice and Rights and Legal Matters Committees are developing a Practice Parameter on Adolescent Sex Offenders; and the Healthcare Access and Economics Committee’s has requested that a Nurse Practitioner join the committee.

Cluster 7: Therapies and Deliveries Steve Adelsheim, M.D./Jennifer Medicus Art Committee (Stuart Copans, M.D. and Charles Joy, M.D.) Complementary and Integrative Medicine Committee (Wayne Batzer, M.D. and Scott Shannon, M.D.) Family Committee (Douglas Kramer, M.D. and John Sargent, M.D.) Psychotherapy Committee (Timothy Dugan, M.D. and Sergio Delgado, M.D.) Rural Psychiatry Committee (Stuart Copans, M.D. and Glenn Kashurba, M.D.) Telepsychiatry Committee (Dehra Gluek, M.D. and Kathleen Myers, M.D.)

Highlights from committees in Cluster Four include: the Art Committee is taking steps to increase art submissions to AACAP News; the Family Committee is working with the Development Committee to create an award; and the Psychotherapy Committee is presenting the Reiger Award again this year. The committees asked for time to collaborate with committees outside of their cluster. It was recommended that this should be done by chair-to-chair contact instead of arranging another time for committees to collaborate.

SATURDAY, JUNE 30, 2012Program Committee Report and Future Annual Meeting Information Gaye Carlson, M.D. Dr. Carlson reviewed the pros and cons of holding the 2018 Annual Meeting in either Chicago or Seattle. The Executive Committee had previously discussed the matter and recommended Seattle. AACAP has only had one Annual Meeting in Seattle, 1988, and attendance was strong compared to the previous five years. The Meetings Department has been working to find availability to hold the meeting in Seattle for quite some time, so this is a unique opportunity.

ACTION: A MOTION WAS MADE, SECONDED AND UNANIMOUSLY PASSED TO HOLD THE 2018 ANNUAL MEETING IN SEATTLE.

Dr. Carlson reviewed the goals of the Program Committee including: Balance


Having programs that meet the needs of our diverse membership Having high quality education that improves patient care and outcomes Good science

She also highlighted important events that will take place during the 2012 Annual Meeting in San Francisco and noted that free Wi-Fi will be offered again this year. New additions to the meeting include:

Annual Meeting app Poster Docent program PDFs of several publications

ACTION: A MOTION WAS MADE, SECONDED, AND PASSED TO COMMEND DR. CARLSON FOR HER LEADERSHIP AND THE PROGRAM COMMITTEE FOR ITS IMPORTANT CONTRIBUTIONS TO AACAP. Quality Issues Committee Heather Walter, M.D. Quality Issues Committee Co-Chairs Heather Walter, M.D. and Oscar Bukstein, M.D. (via conference call) spoke about AACAP’s Practice Parameters and the development process. The general definition of Clinical Practice Guidelines was explained as were the types of guidelines produced by AACAP:

Patient-oriented (nine published and current with three more in final review) Clinician-oriented (seven published and current with two more in final review)

Dr. Walter reviewed the current practice parameter development process as well as information on the standards set forth by the Institute of Medicine on guideline development and on the American Psychiatric Associaton’s new development process. Some of the problems with the current system include:

Delays (author, process, resources) Perceived bias (e.g. vested interests of principal authors, experts, and Quality Issues Committee members,

non-expert evidence review & summary, etc.) Currentness

Dr. Walter presented the committee’s ideal recommendation for a revised process that would parallel the APA’s process. The Quality Issues Committee would serve as Steering Committee and would select Guideline Writing and Systematic Review Committee. All outdated patient-oriented parameters would be re-written according to the new process, beginning with:

ADHD Oppositional Defiant Disorder Depressive Disorders Bipolar Disorder Anxiety Disorders

Parameters currently under development would be completed according to the current process

They also presented an alternative recommendation that would leave the current process essentially intact (Quality Issues Committee chooses topic & author, directs & participates in iterative development process) and clearly separate patient-oriented and clinician-oriented parameters.

ACTION: COUNCIL ACKNOWLEDGED THE CRITICAL IMPORTANCE OF THE PRACTICE PARAMETERS AND COMMENDED THE COMMITTEE FOR ITS EXCELLENT WORK ALONG WITH ITS DILIGENCE IN PRODUCING PARAMETERS OF THE HIGHEST QUALITY. COUNCIL ASKED THAT THE QUALITY ISSUES COMMITTEE DEVELOP A PROPOSAL FOR THE


RESOURCES NECESSARY TO ENSURE THAT AACAP PRACTICE PARAMETERS MEET THE NEW IOM RECOMMENDATIONS FOR CLINICAL PRACTICE GUIDELINES.

Cluster 6: Special Populations Melvin Oatis, M.D./Earl Magee Deaf and Hard of Hearing Committee (Margo Benjamin, M.D. and Karen Goldberg, M.D.) Diversity and Culture Committee (Cheryl Al-Mateen, M.D. and Andres Pumariega, M.D.) HIV Issues Committee (Mark DeAntonio, M.D.) International Relations Committee (Shirley Alleyne, M.D. and Ayesha Mian, M.D.) Native American Child Committee (Michael Storck, M.D. and Tom Jones, M.D.) Religion and Spirituality Committee (Mary Lynn Dell, M.D.) Sexual Orientation and Gender Identity Issues Committee (Sarah Herbert, M.D.)

Highlights from committees in Cluster Six include: the Diversity and Culture Committee is collaborating with the Ethics committee to create a Curriculum for Cultural Competency; the HIV Issues Committee plans to work closely with Dr. Joshi’s Presidential Initiative on international HIV awareness and prevention; Dr. Ayesha Mian’s is now co-chair of the International Relations Committee (replacing Dr. Joshi when she became President-Elect); and the Sexual Orientation and Gender Identity Issues Committee’s Practice Parameter on Gay, Lesbian, or Bisexual Orientation, Gender-Nonconformity, and Gender Discordance in Children and Adolescents has been adopted by the state of Tennessee.

Cluster 5: Education, Research and Disorders Deborah Deas, M.D./Yoshie Davison Autism and Intellectual Disability Committee (Bryan King, M.D. and Jeremy Veenstra-VanderWeele, M.D.) Committee on Medical Students and Residents (Ruth Gerson, M.D. and Eric Williams, M.D.) Continuing Medical Education Committee (Jeff Bostic, M.D. and Tristan Gorrindo, M.D.) Early Career Psychiatrist Committee (Boris Lorberg, M.D. and Anita Kishore, M.D.) Lifelong Learning Committee (Drew Russell, M.D. and Sandra Sexson, M.D.) Research Committee (Melissa DelBello) Substance Abuse and Addiction Committee (Kevin Gray, M.D. and Alessandra Kazura, M.D.) Training and Education Committee (Jeffrey Hunt, M.D. and Howard Liu, M.D.) Work Force Issues Committee (Jess Shatkin, M.D.)

Highlights from committees in Cluster Five include: the Lifelong Learning Committee’s decision to become more internet based with their documents; the Research Committee seeking funding for the Senior Investigator Award; the Substance Abuse and Addiction Committee’s Policy Statement on Medical Marijuana which was recently approved by Council and the committee’s continued work on a Facts for Families for Marijuana. The Training and Education Committee’s name will be changed to the Teaching, Training, and Education Committee.

Cluster 2: Finance Neal Ryan, M.D./Larry Burner Building Committee (Thomas Walsh, M.D.) Development Committee (David Herzog, M.D. and Chris Kratochvil, M.D.) Financial Planning Committee (Michael Jellinek, M.D.) Gifts and Endowment Oversight Committee (Owen Lewis, M.D. and James C. MacIntyre II, M.D.) Grants Oversight Committee (Peter Tanguay, M.D.)

Highlights from committees in Cluster Two include: the Building Committees recommends that the HVAC system in the National Office be updated and also reported that the National Office was thoroughly inspected after the earthquake and was not impacted in any way. The Development Committee reported that the Virginia Q. Anthony Fund is active. The Gifts and Endowments Oversight Committee requested advice from council on the


maximum percentage of Pharma funding that should be used for the Annual Meeting and the maximum percentage of Pharma funding that was reasonable as a percentage of our overall budget.

ACTION: IT WAS AGREED THAT COUNCIL FINDS CURRENT PHARMA FUNDING LEVELS TO BE REASONABLE BOTH AS A PERCENTAGE OF THE ANNUAL MEETING AND AS A PERCENTAGE OF OVERALL BUDGET. COUNCIL WILL REVIEW THE OVERALL PHARMA LEVELS ANNUALLY AND INFORM THE GIFTS AND ENDOWMENTS OVERSIGHT COMMITTEE IF COUNCIL DETERMINES FUNDING LEVELS NEED TO BE ADJUSTED.

Treasurer’s Report Steve Cuffe, M.D. Dr. Cuffe thanked Larry Burner for his assistance during his first few months as treasurer. Mike Jellinek, M.D., chair of the Financial Planning Committee, joined the Council meeting and explained processes and issues that impact the budget (i.e., salaries). Dr. Cuffe reviewed the Treasurer’s Report dated May 2012.

AACAP finances as of May 31, 2012 are: YTD

May 2012

BudgetYTD

May 2012

YTDVariance

2012 Approved

Budget

Year Ending December

2011

Year Ending December

2010Total Revenue $4,561,991 $4,542,600 $19,491 $8,658,750 $8,392,423 $8,361,020Total Expenses $3,136,982 $3,259,426 ($122,444) $8,615,267 $8,647,407 $8,256,710Subtotal Income\(Loss) $1,425,009 $1,283,074 $141,935 $43,483 ($254,984) $104,310Investments $124,277 - $124,277 - ($412,686) $422,878Net Income\(Loss) $1,549,286 $1,283,074 $266,212 $43,483 ($667,670) $527,188

Dr. Cuffe reviewed Pharma revenue and the percentage differential between 2009 & 2010 and 2010 & 2011. He also spoke about Pharma revenue for JAACAP and how that revenue is allocated.

The investments since 2007 were reviewed. The current balance (as of 5/31/2012) is $7,165,000 and the current balance of the reserve fund is $2,939,000.

Dr. Cuffe spoke about unbudgeted expenses for this year. He reviewed the process of checks and contracts and a proposal made to the Executive Committee to change the SOP: Treasurer to review all contracts above $100,000 for budget items and $50,000 for unbudgeted items.

It was reported that AACAP will purchase $6,000 in event insurance for the 2012 Annual Meeting because San Francisco is such a high risk area for acts of nature such as earthquakes.

Council discussed the proposal to move the following Temporarily Restricted Funds: the Karl Menninger Plenary, the Lawrence A. Stone Plenary, the Douglas Hanson Annual Review Course, and the Stubblefield House of Delegates, to Board Restricted Funds.

ACTION: COUNCIL APPROVED REMOVAL OF THE FOUR FUNDS FROM THE TEMPORARILY RESTRICTED NET ASSETS SCHEDULE (AS OF DECEMBER 31, 2011) AND BECOME BOARD DESIGNATED FUNDS SO AS TO ENSURE THE FUND CONTINUE TO SUPPORT THESE PROGRAMS AND RECEIVE ALLOCATIONS OF INVESTMENT INCOME OR LOSS.

Auditor Report Stuart Elkin and Steve Marconi of McGladrey & Pullen Mr. Elkin and Mr. Marconi reviewed the audit process, including internal controls and highlighted AACAP’s financial statement (pre-distributed) particularly the member dues increase, grants, and contributions. The A-133


Report was explained as was the 5-year trend of unrestricted net assets. It was reported that AACAP did not have any findings/concerns on its audit. The Audit Committee, a subgroup of the Financial Planning Committee, meets privately with McGladrey & Pullen to discuss the audit in detail.

Investment Report and Stock Listing Norman Barker of Alliance Bernstein AACAP’s Investment Policy and Objectives were predistributed. Council receives these policies twice per year.

Mr. Barker summarized AACAP’s investments and noted that in his opinion, AACAP is poised to be rewarded by having 56% in stocks because they are undervalued in the market. He reviewed equity markets vs. bonds as well as what affects they have on our portfolio, particularly the risks of investments. He also briefly reviewed AACAP’s investment guidelines and noted that AACAP’s policy does not allow investments in alcohol and tobacco.

ACTION: A MOTION WAS MADE, SECONDED AND UNANIMOUSLY APPROVED TO ACCEPT THE INVESTMENT REPORT AND STOCK LISTING AS SUBMITTED.

Report of the Ad Hoc Committee on Editorship Mike Jellinek, M.D. Dr. Jellinek reported on the Committee’s process. Council deliberated on appointing the current Journal editor, Dr. Andres Martin, for a second five year term.

ACTION: BY A MAJORITY OF 11 TO 5, THE COUNCIL VOTED TO APPROVE A SECOND FIVE YEAR TERM FOR DR. ANDRES MARTIN AS JAACAP EDITOR. IT WAS AGREED THAT THERE SHOULD BE AT MINIMUM ANNUAL MEETINGS BETWEEN THE EDITOR, THE PRESIDENT, AND THE EXECUTIVE DIRECTOR. THESE MEETINGS WILL BE INFORMED BY REGULAR DISCUSSIONS BY COUNCIL CONCERNING JAACAP IN ADDITION TO THE EXISTING REGULAR ASSEMBLY AND COUNCIL REPORTS BY THE EDITOR. COUNCIL ENDORSED THE AD HOC REVIEW AND EXECUTIVE COMMITTEE RECOMMENDATIONS ON THE NEED FOR MORE CLINICALLY RELEVANT CONTENT AND ASKED DR. MARTIN TO PROVIDE A ‘SINGLE’ JAACAP SCOPE STATEMENT THAT ENSURES AN ENHANCED FOCUS ON CLINICAL MATTERS. COUNCIL ALSO REQUESTED A REVIEW OF THE INSTRUCTIONS TO AUTHORS TO ENSURE THAT THEY ALSO REFLECT THE ENHANCED CLINICAL FOCUS.

Performance in Practice Task Force Michael Houston, M.D. Dr. Houston briefly explained the background of Task Force which includes Drs. Rick Spiegel, Bob Batterson, and Susan Milan Miller. Goals of the Task Force:

Define an AACAP position regarding Performance in Practice Develop ways to address AACAP’s concerns about discoverability and confidentiality and it’s intrusion on the doctor-patient relationship Explore with ABPN the costs to the practitioners in terms of time, effort and financial expenses to complete this requirement, particularly given the anticipated pass rate being so high Continue our dialogue with ABPN Formally share this and other concerns with APA

Conclusions: There is no evidence that MOC-PIP activities will have the desired effect.


The estimated time this will take is 10-20 hours per three year term which is not an excessive amount of time.

There are concerns regarding discoverability and potential effects on patients/physician relationships (especially in locations where it would be impossible to respond to surveys anonymously).

Members are confused as to how to specifically develop quality improvement plans once data has been collected.

Future Plans: Meet with representatives of ABPN to explore additional ways in which member might meet PIP

requirements Coordinate efforts with APA, if feasible Work with the Lifelong Learning Committee to explore the development of Web-based tools.

The Task Force hopes to complete its work by June 2013.

WEB Michael Houston, M.D. Dr. Houston gave a brief background on the WEB, its members (David DeMaso, M.D., Justine Larson, M.D., and Basheer Lotfi-Fard, M.D), and staff (Colleen Dougherty and Joe Winkle). He reviewed web statistics for the past four months which included the most accessed Facts for Families (Obesity in Children and Teens, Bullying, Children & Video Games, and ODD) and the most accessed pages on the member’s only section (PIP Tools, Advocacy resources, and the member’s only entry page). He also spoke about future plans of the WEB including developing and distributing guidelines for submission of content, and creating templates & guidelines for webinars. Dr. Houston also highlighted many changes that have been made or those scheduled to be made in the near future including:

Home Page redesign Review/Reorganization of the website as a whole. Developemnt of new sections Infrastructure changes (iMIS and CMS)

Executive Director Search Committee Report Dick Sarles, M.D. Dr. Richard Sarles, chair of the Executive Director Search Committee (and past AACAP president) met with Council to review the results of the search. The Committee included Drs. Marilyn B. Benoit (past AACAP president), John Dunne (past Assembly Chair), Ruth Gerson (Council resident), and Christopher Kratochvil (at-large AACAP member) supported by AACAP’s Director of Human Resources, Maureen DuBois.

Dr. Sarles reported that there were 90 applicants. Per the job description that was provided to the committee after review by the Council, the committee reviewed qualifications. Using the applicants’ resumes and cover letters, they examined each candidate’s experience in the areas of fiscal responsibility, federal and public relations issues, development, board relations, leadership, experience in the mental health industry and ability to build strong relationships with outside organizations. The committee narrowed the pool to the top seven, who were interviewed.

After conducting the interviews, the committee deliberated on each candidate and decided to send four candidates forward for second round interviews with the Executive Committee. Although Council requested the search committee to rank order the final candidates, the committee felt the very small degree of difference in the final candidates demanded that the committee rank two candidates in the number one position and two in the number two position. It was the consensus of the committee, however, that AACAP would be well served with any one of the final four candidates. A final report, applications, and resumes of all four applicants were sent to all members of Council. References were also sent to all members of the Council. The Executive Committee interviewed the /tt/file_convert/5b5a44527f8b9aa30c8bbe10/document.docx 5/9/2023 9

final four candidates and essentially concurred with the findings of the Search Committee though they rank ordered the candidates from numbers one to four.

The Council convened in Executive Session. All members of Council participated in a discussion of the strengths and vulnerabilities of the four truly excellent and qualified candidates. After this discussion, a vote was taken with a majority vote of the Council needed to approve an applicant as Executive Director.

ACTION: THE COUNCIL VOTED TO APPROVE HEIDI BUTTNER FORDI AS THE NEW AACAP EXECUTIVE DIRECTOR. MS. FORDI HAS ACCEPTED AND WILL ASSUME HER NEW POSITION ON SEPTEMBER 1, 2012.

SUNDAY, JULY 1, 2012

Back to Project Future James MacIntyre, M.D. Dr. MacIntyre presented the origin of the project, components of the project, FAQs, and stimulating questions. He reported that Back to Project Future (BPF) creates a structure and organized process that enables creative and energized thinkers to come together and work on developing a consensus “road map” to guide AACAP in the coming decade – i.e. prioritized goals and recommended actions in the three focal areas: Service & Clinical Practice, Training & Workforce, and Research. Each of these areas has been assigned a Task Force guided by a Steering Committee. Dr. MacIntyre noted that the Steering Committee and Subgroups do not duplicate existing AACAP committees, but are charged with this specific time-limited task.

The BPF Plan strives to answer three questions:1. Where do we think child and adolescent psychiatry will be/needs to be in 2023?2. What does AACAP need to do to support its members across the coming decade?3. How can AACAP best provide leadership to the field during the coming decade?

Members can learn about the project through: BPF articles in AACAP News Special “webpage” for BPF on AACAP’s Website (Members Only) BPF “Town Meeting” at the 2012 AACAP Annual Meeting in San Francisco

Members of Council provided suggestions for each of the subgroups including the following: Service & Clinical Practice

o Develop different consultation models to enable CAPS to better meet the diverse needs of the country’s C&A population.

o Increase the “branding” of CAPS and AACAP as “experts” (e.g. scope of practice, setting standards, etc.). CAPS should be marketed as physician sub-specialists, not as “child mental health professionals”.

o Improve the image of CAPS with other child-serving systems (e.g. schools, child welfare, juvenile justice, etc.) – highlighting that CAPS are experts at diagnosis and evidence-based treatments.

o AACAP should increase the marketing and dissemination of its initiatives and products (e.g. recent abolition of juvenile death penalty, Best Principles on Integrating Pediatric Health and CAP) highlighting their impact on the field of CAP and understanding of development and mental illness in children and adolescents.


Research o Reduce the separate “silos” of research and training institutions/programs-enhance cross-talking

and sharing.o Research outcomes need to be more child and family relevant (e.g. number of school days missed,

etc.).o Increase the translation of research findings to clinical practice.o Enhance the perception and value of clinical services research within the research community.

Training and Workforceo Need an earlier “pipeline” to recruit CAPS (e.g. undergraduate, medical school).o Must preserve the positive facets of CAPS roles as new health systems develop and evolve.o Develop a new curriculum (and possible certification) in “collaborative care.”o Need a training curriculum that focuses on CAP’s professional development – including

PAC Report Warren Ng, M.D. and Kristin Kroeger Ptakowski Warren Ng, M.D. reviewed the work of the PAC Task Force to date, including member education efforts, and noted that they will continue their outreach to AACAP Committees and ROCAPs, as well as hold a member webinar in the fall and town hall forum at the Annual Meeting in October. Dr. Ng then outlined the next steps in the formation of an AACAP PAC.

While AACAP’s bylaws do not require a vote, the Task Force recommended that there be a membership referendum on whether AACAP should form a 501(c)6 to house a PAC.

To create the 501(c)6, AACAP must identify and move a revenue source to fund the new organization. The Task Force recommended moving AACAP’s Government Affairs Department to the new 501(c)6 to provide this funding source. This would avoid the misperception that the 501(c)6 is a “cover” for the PAC and keep the 501(c)3 separate from any lobbying activity.

AACAP must also identify a funding source for the administration of the PAC. Dr. Ng reviewed the options for funding the PAC administration, including using a portion of membership dues; using a combination of membership dues and contributions raised from PAC solicitations; and using a combination of contributions raised from PAC solicitations and a donation from an “angel contributor”. Dr. Ng noted that an “angel contributor” has not been identified and the Task Force agreed that while this is not currently a viable option, it should be considered for the future.

In addition to Dr. Ng, attorney Jeffrey Altman a partner at the law firm of Whiteford, Taylor and Preston LLP, was present for Dr. Ng’s presentation. Mr. Altman has over three decades of legal experience specializing in nonprofit organizations, PACs, and campaign finance compliance.

ACTION: COUNCIL UNANIMOUSLY VOTED IN THE AFFIRMATIVE FOR THE FOLLOWING THREE ITEMS:

HAVE AN ALL MEMBER REFERENDUM AT THE END OF THE YEAR ON THE FORMATION OF A 501(C)6 TO HOUSE AN AACAP PAC. THIS REFERENDUM WILL INCLUDE A CLEAR DESCRIPTION OF THE 501(C)6 AND WILL INFORM MEMBERS THAT THEY WILL HAVE THE OPTION OF OPTING OUT OF THE 501(C)6;

UPON AN AFFIRMATIVE MEMBERSHIP REFERENDUM ON THE FORMATION OF A 501(C)6, TO MOVE ALL OR PART OF THE GOVERNMENT AFFAIRS DEPARTMENT TO THE 501(C)6;


UPON AN AFFIRMATIVE MEMBERSHIP REFERENDUM ON THE FORMATION OF A 501(C)6, TO INITIALLY FUND THE ADMINISTRATION OF THE 501(C)6 WITH MEMBERSHIP DUES, WHILE RESERVING THE OPTION TO MODIFY THIS IN THE FUTURE.

Jerry M. Wiener Resident and John E. Schowalter Resident Report Ruth Gerson, M.D. and Sourav Sengupta, M.D. Dr. Sengupta highlighted the projects worked on by the Council Residents which include: leading the Committee on Medical Students and Residents, writing the Mentorship Matters and Schowalter Resident column for AACAP News, and working with the mentorship network. Specifically, the Committee on Medical Students and Residents has been in regular contact with residents about news, advocacy, webinars, and awards. They also recently completed an overhaul of the Medical Students and Residents webpage on the AACAP website.

59th Annual Meeting Programs for Medical Students and Residents Include: The Mentorship Program (200 Trainees/50 Mentorship Network Career Development Forum Medical Student and Resident Breakfast Welcome Social Hour Advocacy Seminar The Resident Town Hall Networking Social Hour with ECP Committee Joint presentation with the ECP Committee: Successful Transition to Practice Joint presentation with the Training and Education Committee: Resident as Teacher New Events

o Advocacy Training with Government Affairs Officeo Submitting, Reviewing, and Getting Published: A Practical Approach with Andres Martino Ethics focus at Mentorship Program and Resident Breakfasto Talking to the Press training: collaboration with Rob Grant and Communications o Guide to Trainee-oriented events organized by other committees

Programs Outside the Annual Meeting: Trainee Advocate Program and Certificate AACAP Mentorship Network Medical Student/DO Outreach

Awards Opportunities for Medical Students and Residents: 12 Life Members Mentorship Grants for Residents 8 Life Members Mentorship Grants for Medical Students 46 EOP Awards supported by Eli Lilly and Company, Shire, the AACAP Endowment and NIAAA

Pharma Task Force Report Paramjit Joshi, M.D.Dr. Joshi gave a brief history of the Pharma funding issue which has been discussed for many years at AACAP. The Task Force on Pharma Policy has was appointed in October from a request from the Gifts and Endowments Committee which asked for an overarching policy that would provide guidance on consolidating our existing policies into an easily navigated system.

The following existing policy documents were reviewed: Operating Principles for Extramural Support


COI Guidelines for Researchers COI Guidelines for Practitioners The Grassley letter The AACAP Transparency Portal The annual meeting evaluations by attendees as to how they rate the annual meeting sessions to be “free

of commercial bias”. The review of the question on the 2008 dues statement was “should AACAP reduce its level of support

for private pharmaceutical companies below its present level of 12% even if it means fewer educational programs?”

Review AACAP investment strategy Pharma funding of the International Reception at the annual meeting

The Task Force ultimately concluded that Child and Adolescent Psychiatrists, as physicians, need to have a healthy and transparent relationship with Pharma. AACAP as an organization has an obligation to proactively understand the influences and their potential subsequent conflicts of interest with pharma. These conflicts will, in turn, be handled in concordance with our guidelines on ethics which call for managing them through processes that allow for the transparent identification of these influences and their transparent active management for the good of the Academy, its members and the public. The Task Force made minor edits to several of the documents they reviewed.

The Task Force was also asked to look into who at AACAP makes the decision about the International Reception and decisions of funding and hosting the International reception. It was determined that the decision is made annually and jointly by the Meetings Department in collaboration with the Executive Director and the Executive Committee. It is the recommendation of the Task Force that this process is adequate.

Council members were supportive of most suggestions made by the Task Force. There was a discussion about investments in Pharma companies and potential bias knowing which companies AACAP is invested in. Dr. Joshi reiterated the Task Force’s suggestion that Council be made blind to investments. A discussion was had about how not knowing does not eliminate the problem. It was ultimately agreed that it is impossible to be completely “pure” and even if AACAP eliminates Pharma investments, it does not mean AACAP will not invest in other companies people find offensive. Ginger Anthony remarked that this is a moving target. The problem will never be “solved” and policy will change as the rules change.

ACTION: BY A MAJORITY OF 8 TO 5 (THREE MEMBERS IN ABSENTIA FOR THE VOTE), THE COUNCIL VOTED TO APPROVE THE RECOMMENDATIONS OUTLINED BY THE TASK FORCE.THIS WILL BE ADDED TO THE EXECUTIVE COMMITTEE AGENDA FOR FURTHER DISCUSSION.

Cluster 1: Membership David DeMaso, M.D./Maureen DuBois Bylaws Committee (Jacqueline Etemad, M.D. and Warren Ng, M.D.) Ethics Committee (Arden Dingle, M.D.) History and Archives Committee (David Cline, M.D.) Member Benefits Committee (John Dunne, M.D. and Joe Jankowski, M.D.) Membership Committee (David Kaye, M.D. and Rao Goginini, M.D.)

Highlights from committees in Cluster One include: the Ethics Committee has developed the Ethic’s resource center on the AACAP website; Dr. David Cline donation has created the Noshpitz-Cline History Lecture at the Annual Meeting; and the Membership Credentials and Membership Drive Committees have merged to form the Membership Committee. /tt/file_convert/5b5a44527f8b9aa30c8bbe10/document.docx 5/9/2023 13

Cluster 3: Parent and Media Topics Margi Stuber, M.D./Rob Grant Adolescent Psychiatry Committee (Lois Flaherty, M.D. and Hong Shen, M.D.) Child Maltreatment and Violence Committee (Judith Cohen, M.D. and Jeanette Scheid, M.D.) College Student Mental Health Committee (Adele Martel, M.D.) Consumer Issues Committee (Cathryn Galanter, M.D.) Disaster and Trauma Issues Committee (Allan Chrisman, M.D. and Steve Cozza, M.D.) Infant and Preschool Committee (Joan Luby, M.D.) Media Committee (Michael Brody, M.D.) Military Issues Committee (Michael Faran, M.D. and Kris Peterson, M.D.) Quality Issues Committee (Oscar Bukstein, M.D. and Heather Walter, M.D.)

Highlights from committees in Cluster Three include: the Adolescent Committee created its own Twitter account, which led to a discussion on the best ways for committees to communicate, and the College Student Mental Health Committee was created.

Old Business There was no old business.

New Business Deborah Deas, M.D., suggested that Council hold conference calls throughout the year in addition to the two in person meetings to improve communications and continuity. The recommendation was discussed by Council and many members agreed that this would allow for more in depth communications about certain items and allow the agenda to be spread out instead of condensed into two meetings.

ACTION: IN ADDITION TO THE JUNE AND OCTOBER COUNCIL MEETINGS, TWO COUNCIL CONFERENCE CALLS WILL BE HELD BETWEEN THE OCTOBER AND JUNE MEETINGS.

Council adjourned at 12:42 p.m.

Submitted for

David DeMaso, M.D.

AACAP Secretary


Documents

MEETING MINUTES · Web viewDr. Nadia Charguia, Assembly Resident Representative, has been working with the Committee on Medical Students and Residents on a questionnaire that asks