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Redwood Psychological Association is a chapter of the California Psychological Association
Mailing: PO Box 15209 Santa Rosa, CA 95402
Editor: Mary L. Flett, PhD. PO Box 134 El Verano, CA 95433
(707) 938-5531
New Board Elect edMarch , 2017 Volum e 24, Num ber 1
In t h is issue . . .- Letter from the President- Member Profile- Upcoming CE Event- Calendar of Events- Chapter News- Practice Tips- New Members- Ethics Corner- Announcements and Ads
RPA Past President Katherine Andre announced the newly elected members of the Board at the RPA meeting held on February 6, 2017.
President Joe Puent es, PsyDVice-President Chr ist ine Naber , PhDSecretary Just in Form an, PhDTreasurer Anne Babin, PsyD
The new board thanked Kathrine for her leadership during the past year, acknowledging the challenges and changes that we are facing as a profession in meeting the ever growing needs of individuals, families, and systems in Sonoma County.
In additional changes, Mary Flett, PhD. will be taking over editing the newsletter.
The Board extends a warm thank you to Meg Tippy, PhD. for her able editing and managing of the newsletter these past years.
RPA encourages all members to find ways to contribute. If you are interested in participating as a standing committee member or helping with programs and events, please contact one of your Board Members!
Left to right: Kathrine Andre, Justin Forman, Christine Naber, Joe Puentes, and Annie Babin
www.redwoodpsych.org
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Karen Roller , PhD, MFT, will be our presenter on Wednesday, Apr i l 26, 2017 at a new venue: Hilton Sonoma Wine Country, 3555 Round Barn Blvd, Santa Rosa. 6 pm sign in, socializing, 7 pm ? 8:30 pm talk
The current era of anti-immigration has heightened realistic fears participants have about their ability to stay in the communities where they are raising their children, and is forcing a conversation about what may happen in an age of mass deportation. This unknown future has cast a shadow over the developmental processes of these families, and highlighted the desperation that sent them migrating in the first place. This CE presentation (for beginning to advanced practitioners) will share relevant theory, research and clinical practice of portable wellness practices to support and stabilize these families.
Karen is a somatic psychotherapist serving migrant families, and core faculty at Palo Alto University?s MA Counseling program. She served the foster care and migrant communities of Santa Cruz County for 15 years, including work in juvenile detention diversion programs addressing
disproportionate minority confinement. Karen is currently Clinical Coordinator at Family Connections in Redwood City, a First 5 parent-involvement preschool serving the migrant community of the peninsula.
As a Clinical Traumatologist and Compassion Fatigue Therapist, she has published on trauma training in counselor education programs to increase trauma-sensitive treatment for underserved populations, and reduce risk of Compassion Fatigue in counselors. In collaboration with Global Trauma Research, she is performing trauma training and outcome research in Haiti. She is a Fellow of the American Academy of Experts in Traumatic Stress, Clinical Fellow of the American Association of Marriage and Family Therapists, and Diplomate in the National Center for Crisis Management.
The venue location will be at Hilton Sonoma Wine Country, 3555 Round Barn Blvd, Santa Rosa. They will keep it at $30 per person for dinner. CE w il l now be $20 due t o increase in pr ice f rom CPA. $25 for non m em bers. Questions should be directed to Christine Naber. 1.5 CEs available.
CE Event and Dinner -- Apr i l 26, 2017R
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Serving Undocum ent ed Migrant Fam ilies in an Ant i-Im m igrant Era
Hilton Sonoma Wine Country 3555 Round Barn Blvd.
Santa Rosa6 pm sign in, socializing,
7 pm ? 8:30 pm talk
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President Joe Puentes, Psy.D. (707) 583-9663
Vice President Christine Naber, Ph.D (707) 322-8378
Secretary Justin Forman, Ph.D. (707) 536-7804
Treasurer Anne Babin, Psy.D. (707) 385-1681
Past President Katherine C. Andre, Ph.D. (707) 263-6360
Local Advocacy Richard Zimmer, Ph.D. (707) 526-7720x326
Newsletter Editor Mary L. Flett, Ph.D. (707) 938-5531
Website Annie Babin, Psy.D. (707) 385-1681
Continuing Education Christine Naber, PhD. (707) 322-8378
Elections Katherine C. Andre, Ph.D. (707) 263-6360
Ethics Michael R Pinkston, Ph.D. (707) 575-7230
Governmental Affairs Vacant
Membership
2017 RPA Board Mem bers
RPA Com m unicat ions and Response
2017 RPA Board Mem bers2017 RPA Board Mem bers
2017 RPA St anding Com m it t ees
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President 's Colum nI?d like to use this first President?s Column
of 2017 to announce the 2017 RPA executive board, share appreciation for outgoing board members and leaders, and give an idea of what is to come in the year ahead for our organization. I?m glad to start with announcing the 2017 board m em bers, Secret ary Just in Form an, Ph.D, Treasurer Annie Babin, Psy.D., and Vice President Chr ist ine Naber , Ph.D. I?m honored to serve as Chapter President and Kat her ine Andre, Ph.D. will continue to serve on the board in the role of Past President . Several other leadership positions I am happy to announce, Pet er Dunlap, Ph.D. has taken on the role of Local Advocacy Net work Represent at ive and we are lucky to have Mary Flet t , Ph.D. take on the role of Newslet t er Edit or . Also Chr ist ine has stepped in to chair the Cont inuing Educat ion Com m it t ee and Annie will be utilizing her computer engineering skills and expertise to be our Websit e Adm inist rat or . For members that would like more information on the leadership roles in RPA, please visit our organizational website at redwoodpsych.org.
In getting into appreciation for outgoing board members and leaders, first, I want to share a big thank you to Greg Thigpen, Ph.D., the 2016 Past President , for chairing the election committee and working very hard to lead us in a successful election process. Alongside that I want to express gratitude to the members who ran for board positions to serve the RPA community. As the CEO of CPA Jo Linder Crow shared, having several members run for several positions in the past election is a great sign for the engagement of the organization.
Next I want to express deep appreciation for outgoing board members Meg Tippy, Psy.D. (2016 Secretary) and Michael Pinkst on Ph.D. (2016 Treasurer). Last but not least, gratefulness to Carol Weser , Ph.D. for her multiple years of service as CE Coordinator. I know each of these leaders and members of RPA will continue to play varying roles of service to the organization, but I wanted to make sure and take this opportunity to honor the work they have done in the past year. I truly believe if most members knew how much hard work and good intention has been shared with the organization from the members above, they would give each of them a big hug or a handshake in thanks next time they see them. I hope you take my word for it and thank Greg, Meg, Michael and Carol wholeheartedly if you get the chance.
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Joe Puent es, Psy.D., Chair
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President 's Colum n con'tThe current 2017 board has met two times this year
and I have found the group passionate, hardworking, ambitious and motivated. As we sat for our first meeting and shared why we wanted to serve on the RPA board, a wonderful shared vision of fostering a progressive, connected and engaged organization emerged.
I want to highlight several projects the current board has been working on. First, the organizational bylaws are due for revisions. A committee will be formed to tackle this task and members interested in playing a role in this can contact the committee chair Christine Naber.
Also there will be some changes and updates to the website and listserve to make both even easier and cost efficient for members. Stay tuned to organizational and listserve emails for updates.
Next, to learn how to best serve the organization as a board, we would like to hear from our members about what they want and need in RPA. First up will be a survey coming out some time in the Spring to all members asking for their interests in future Continuing Education events.
Another important item to note is that board procedures will be moving to align closer with CPA and other chapter organizations by starting to publish board meeting times and minutes either through organization wide emails and or postings on the website.
Finally, as the board moves forward this year we will be reaching out to invite members to serve and share their expertise and passions in various roles. If you are interested in serving in some way and or playing a leadership role in the organization, whether it be in a committee, at an event or a submission to the newsletter, please contact me or one of your board members to share your interest.
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Seek and Ye Shall Find
Chapt er News
Birds of a Feat her
Birding enthusiasts and RPA members once again joined Jeffrey Martin as he led all on the Annual RPA Birding Adventure. The weather cooperated as members and their families explored the remarkable bounty of nature in our own backyard at Shollenberger Marsh
Members also enjoyed the post-birding brunch and took the opportunity to get to know each other better.
Dr. Jeffrey Martin presented an engaging evening on using psychotherapy homework to cultivate a corrective emotional experience in our patients. Participants were introduced to collaborative processes that tapped into their own skills and creative approaches to identify readiness and opportunities for patient change and working with psychodynamic resistance.
February 22, 2017 CE Event and Dinner --RAVE REVIEWS!
California Psychological Associat ion's Annual Convention will be held April 6-9, 2017 at the San Francisco Airport Waterfront Marriott. For more information check out CPA's website or click here to register: http://www.cpapsych.org/?24
RPA members gather for morning walk Ritual flocking behaviors captured by intrepid nature photographer
CPA Annual Convent ion
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It?s hard to believe that Medicare hasn?t been around forever. But it is actually a ?new? program having been signed into law by President Lyndon B. Johnson in July, 1965. Since that time, Americans 65 and older, and individuals with disabilit ies have benefited by ever-expanding coverage to insure the quality of health as they age.
Providers, on the other hand, have had to adapt to an increasing maze of rules and regulations that govern this insurance program. The focus of this article is on helping psychologists understand where we fit into the overall scheme of payments, and hopefully to shed some light on the challenges of outpatient treatment under Part B.
Medicare Part A covered hospitalization and was funded through payroll deductions. Back in the 1960?s, hospitals typically provided services to people for emergencies, surgery, chronic care, and birth. Average length of stay for older adults in 1968 was 7.8 days, according to a JAMA article (Utilization of Short-Stay Hospitals.
Arch Intern Med. 1968;121(6):584. doi:10.1001/archinte.1968. 03640060098044).
Hospitalization has always been the most expensive covered service, and hence, it is the one that most regulations are written to manage.
Medicare Part B was initially an optional program, where individuals would pay a small additional fee out of pocket to cover limited outpatient treatment. Both Part A and B were known as ?fee-for-service? programs, and the Federal government set reimbursement rates for these services using the ?usual, customary, and reasonable standard?, which was then adopted by the Centers for Medicare and Medicaid (CMS). This held true until the Omnibus Reconciliation Act was signed in 1989. Congress adopted a new method to calculate payment known as ?relative value units? (RVUs) that consisted of three factors: the physician?s work, practice expense, and malpractice costs. Once identified, this RVU is then assigned to a specific CPT code. (Physicians Practice
(http://www.physicianspractice. com/blog/how-medicare-other-payers -determine-physician- reimbursement-rates).
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Navigat ing Medicare Fee-for -Serviceby Mary L. Flett, Ph.D.
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According the Physician?s Practice, ?CMS sets RVUs based upon the recommendations of the Specialty Society Relative Value Scale Update Committee (RUC). The RUC is made up of 29 physicians, 23 of whom are nominated by professional societies. Almost all are specialists. CMS is not bound to accept either the professional society nominees or the RUC's recommendations, but it has historically approved more than 90 percent of RUC recommendations.? Various groups have argued for more transparency, including private insurers, employer-sponsored plans and other interested groups. Psychologists and other non-physician providers do not have a seat at the table.
Two other items go into the fee calculation: Geographic Practice Cost Indices (GPCI) and a Conversion Factor (CF). A GPCI is calculated, by CMS, for each of the RVU components. The GPCIs are reviewed every three years and attempt to take into account the different costs associated with different areas of the country. Sonoma County has suffered under this as we are still considered a ?rural county?, but unlike our surrounding neighbors in the North Bay, CMS has determined that we are should receive a very low GPCI and RVU. We cannot blame CMS completely, as they are limited by Federal statute in how much they may increase their annual budget (no more than $20 million.) If shifts in the RVUs would increase CMS' budget by more than $20 million, the CF is used to achieve, essentially, budget neutrality. Other terms that are necessary to understand in finding the correct reimbursement rate include ?Non-Facility? Payment Amount (e.g., a physician's office). Inpatient facilit ies, hospital outpatient clinic
settings, and off-site hospital-owned locations are considered "facilit ies." The payment for each CPT code in a non-facility is calculated as follows:
Payment = [(Physician Work RVU X Work GPCI) + (Non-Facility Practice Expense RVU X Practice Expense GPCI) + (Malpractice RVU X Malpractice GPCI)] X (Conversion Factor, adjusted for budget neutrality) Just so you don?t get too upset, back in 2014, the largest fee increases went to psychiatry, clinical psychologists, and clinical social workers, as well as other providers of mental health services. This, however, was offset by the Sequestration orchestrated by the Republicans when they shut down the government in opposition to the Affordable Care Act.
So, is everyone clear? A simple explanation is that as psychologists, we are at the mercy of a secretive group within which we have no representation, who recommend to CMS changes in rates that may be overridden by regulatory restrictions that continue to determine the value and worth of our services.
The Affordable Care Act began a process of shifting from this fee-for-service model by replacing the Sustainable Growth Rate (SRG) with a value for outcomes model with the passage of the Medicare Access and CHIP Reauthorization Act (MACRA). This is a quality based system designed to give
providers financial incentives to keep
people healthy and out of the hospital. Because of the change in administration and the current majority party platform to Repeal and Replace the ACA, it is not clear how MACRA and the Quality Payment Program (QPP) will unfold.
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Monday Tuesday Wednesday Thursday Friday Saturday
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March, 2017Sunday
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Sunday Monday Tuesday Wednesday Thursday Friday Saturday
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Apr il, 2017
Board Meeting
Board Meet ing
CPA Annual Conference
Burlingame, CA!
CE - Sonom a Hilt on 7:00 p
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Neuropsychology Associat es is a CAPIC approved t rain ing sit e w it h oppor t unit ies for supervision and/or t eaching locat ed in Sant a Rosa w it h est ablished group pract ice and consist ent refer ral base. Adult and pediat r ic cases available. This is a paid posit ion w it h com pensat ion provided as a percent age share. All equipm ent , adm inist rat ive suppor t and refer rals provided.
The per fect candidat e w il l have a PhD/PsyD f rom an accredit ed universit y w it h preference given t o t hose w it h t wo-year fel lowship and/or exper ience w it h neuropsychology. Candidat es can be assessm ent or t herapy focused. Cur rent HMO paneling prefer red, but we can assist w it h credent ial ing. Send vit ae t o: Carolyn Cr im m ins, PsyD, Neuropsychology Associat es, 1260 N Dut t on Ave #225, Sant a Rosa, CA 95401 or call (707) 526-5424
Ear ly Career Neuropsychologist or Psychologist w it h int erest in Assessm ent and/or Neurocognit ive Rehabil i t at ion
Sant a Rosa Com m unit y Healt h Cent ers is looking to hire 2 psychologists for our Vista Family Health Center. One position is for a child and family specialist and the other psychologist will treat adults. Please send a CV directly to me at [email protected]. For more information, call Maryellen and check SRCHC website at www.srhealthcenters.org.
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Beaut ifu l Furnished Therapy Of f ice Available in Novat o
Rates start at $180 a day. Available Monday, Wednesday, Friday and weekends. Large office that can accommodate families and groups. Part of a 5-office suite with a waiting room.
- Terrific location for clients coming from all directions. Two minutes from Hwy 101 at San Marin Drive.
- Waiting room with call light system, small fridge and microwave. - Natural setting, ample parking, and hiking trails nearby. - HVAC can be controlled for the suite. - Rent includes all utilit ies, janitorial service, High Speed Internet.
For more information please contact Andrea at [email protected] or at 415-686-7364
TWO OFFICES In Sant a Rosa, Each 2 DAYS A WEEK, one is large enough for group work; rent $346 for the 2 days per month bigger room, $290 for the 2 days per month smaller room. Both furnished. Both in a suite with kitchen, copy machine, frig, microwave, purified water, wi-fi available $11 per month, handicapped accessibility, competent friendly office mates, walking distance to Farmer 's Lane plaza with shops and restaurants. Interested?: email Carol Weser at [email protected].
Psychotherapy office sublet available on Fridays in downtown Santa Rosa. Very large (480 sf), spacious and comfortable sunlit office with large windows, high ceilings and charming Victorian architectural details. Furnished and suitable for individual, couples, or family therapy and small classes. Wi-fi, kitchenette, copier, large waiting room, private tenant parking lot. Well-maintained and landscaped building. Quiet, free street parking, residential neighborhood. Congenial colleagues. Please contact Margaret Caminsky-Shapiro at [email protected] or 707-575-8820.
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ETrainings/Consult at ions/Groups
Face to face consultation group sessions with Andrew M. Leeds, Ph.D. EMDRIA Approved Consultant meet EMDRIA standards for group consultation. We discuss case formulation, treatment planning issues, and how to enhance outcomes during the reprocessing phases of treatment. We meet the first (or occasionally the second) Thursday of the month from 8:30 AM to 10:00 AM at my office in downtown Santa Rosa. For more details http://emdrconsultation.net/Choices/ Face-to-Face-Group-Consultation/ or call 707-579-9457.
EMDR Therapy Consult at ion Group
Complete training over four weekends in Alameda. Saturdays and Sundays: March 4 and 5, April 1 and 2, May 6 and 7, June 3 and 4, 2017. Non-profit, agency and pre-licensed discounts available. BBS and CPA approved for 47.5 CE Credit s. This all-inclusive training meets and exceeds EMDR International Association standards. Sonoma Psychotherapy Training Institute, Andrew M. Leeds, Ph.D. Director of Training, EMDRIA and EMDR Europe Approved Trainer. Full details at http:/www.sonomapti.com/basictraining.html or call 707-579-9457
EMDR Therapy Training for Clin icians
Steve Frankel, Ph.D., J.D., past consultant to 4 psychiatric hospital trauma programs and past president of the Int?l. Society for the Study of Trauma & Dissociation, is starting a monthly consultation group for clinicians interested in assessment and treatment of childhood trauma survivors in Santa Rosa, CA. Each 2.5 hr. meeting attended qualifies for 3.5 CE credits, acceptable to all non-physician clinicians. specific information, including fees and logistics are found at www.sfrankelgroup.com
Childhood Traum a Consult at ion Group
MIDLIFE AND BEYOND: WOMEN IN TRANSITION ? This women?s group provides a safe, supportive setting in which to explore the challenges of midlife. Come together with other women to find out what you can learn about yourself, what is holding you back, how to cope with the challenges of transitions. Denise A. Traina, Ph.D. 707-583-2377 - www.drtrainatherapy.com.
STRENGTH IN AGING ? THERAPY GROUP FOR WOMEN: Come share your story in the presence of other women, offer wisdom based on your life experiences, create a sense of connection and empowerment. Overcome isolation. Experience understanding, validation, compassion, and a sense of trust and belonging in a safe environment. Denise A. Traina, Ph.D. 707-583-2377 - www.drtrainatherapy.com
CLINICAL CONSULTATION ON DREAMS
Yours or your clients' can yield invaluable diagnostic, prognostic, and general psychodynamic information and guidance? like nothing else! Meredith Sabini, Licensed psychologist (PSY7397) and director of The Dream Institute of Northern California, with over 30 years specializing in dreams, is available for consultation in Santa Rosa one week per month. Call 510-849-8511 for
appointment (no emails). Office near Montgomery Village.
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One invaluable member benefit is consultation with colleagues who volunteer their time to help members work through ethical decision making and issues we face on a daily basis.
To take advantage of this benefit, all you need to do is call one of our four volunteers. While each is happy to help you, we have coverage set up based on which month it is.
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JULIET DANTIN, PH.D.. . . . . . . . . . . (707) 829-5355
JEFF KAHN, PH.D. . . . . . . . . . . . . . (707) 546-4349
M ICHAEL PINKSTON, PH.D. . . . . . . . (707) 575-7230
ANN STRACK, PH.D. . . . . . . . . . . . (707) 762-6216
Et hics Quest ions dur ing March/Apr i l?
Call Jef f Kahn, Ph.D. (707) 546-4349
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RPA welcomes six new members. Names, addresses, and contact information shown below. Remember that this information is also found on our website. Check there to update your information or find out about your colleagues.
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Michael Newm ark , Psy.D. I began my private therapy practice in Santa Rosa seven months ago, and I?m grateful to be doing this work. I hold a B.A. in Psychology from Vassar College and an M.A./Psy.D. from the Wright Institute in Berkeley. I enjoy treating a variety of clinical concerns (addiction, relationships, eating disorders and trauma, most notably), and I utilize a flexible and client-centered approach, developed over years of finding my own therapeutic voice. I believe in the power of personal connection to enlighten, soothe and heal, especially in today?s difficult and disjointed world. And I look forward to cultivating further connections with the North Bay?s psychological community.
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These images are from the eye and heart of Carol Weser. You may be familiar with her, as she coordinated our CE offerings for many years. Carol has a long history of social engagement and exploration of meaning and purpose through a variety of sensate and intuitive veins. These pictures reflect both her history and her heart.
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"This is the sort of house some of our ancestors lived in before they immigrated to the U.S.? "This statue in the middle of the
Saone River in Lyon France, must have been designed by a psychotherapist; its tit le is ?the Burden of Oneself?
"Generation gaps occur in many countries, including in this isolated village?
Edit or 's Not e: After many years of administering the CE programs for RPA, Carol has decided to spend more energy planning her travels, and has resigned. She says ?It has been a real real pleasure meshing with so many of you, whom I hope to see as fellow learners at future CE programs?. We extend our gratitude and best wishes to you, Carol!
Carol Weser , Ph.D.
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