The Psychiatrists' Program
             
 
Consultation Project
Maine Association of Psychiatric Physicians
PO Box 190
Manchester, ME 04351		  

 

 

 

Executive Council and Committee Chair meeting minutes:

Executive Committee & Committee Chairs
February 28, 2008

Participants: E. Pontius, MD; L. Barnhart, MD; B. Brooks, MD; B. Crocker, MD; S. Gressitt, MD; P. Maidman, MD; J. Maier, MD; W. Matuzas, MD; L. Mutty, MD; J. Petzel, MD; D. Whitesell, MD
View minutes.

Executive Committee & Committee Chairs
January 17, 2008

Participants: E. Pontius, MD; R. Bailyn, MD; L. Barnhart, MD; B. Brooks, MD; B. Crocker, MD; R. Croswell, MD; S. Gressitt, MD; W. Matuzas, MD; D. Moltz, MD; L. Mutty, MD; J. Petzel, MD; D. Whitesell, MD
View minutes.

Executive Committee & Committee Chairs
September 8, 2007

Participants: E. Pontius, MD; L. Barnhart, MD; B. Brooks, MD; R. Croswell, MD; S. Gressitt, MD; D. Moltz, MD; J. Petzel, MD; R. Anderson, MD; P. L. Ouellette, MD; D. Snyder
View minutes.

Executive Committee & Committee Chairs
June 14, 2007

Participants: Dr. S. Gressitt, Dr. J. Lebenzon, Dr. P. Maidman, Dr. W. Matuzas, Dr. L. Mutty, Dr. J. Pease, Dr. J. Petzel, Dr. E. Pontius
View Conference Call Minutes.

Executive Committee & Committee Chairs
April 12, 2007

Participants: Dr. L. Barnhart, Dr. S. Gressitt, Dr. J. Lebenzon, Dr. P. Maidman, Dr. W. Matuzas, Dr. D. Moltz, Dr. L. Mutty, Dr. J. Pease, Dr. J. Petzel, Dr. E. Pontius
View Conference Call Minutes

Executive Committee & Committee Chairs Meeting
February 8, 2007

Present: Dr. Stevan Gressitt, Dr. P. Maidman, Dr. J. Maier, Dr. W. Matuzas, Dr. L. Mutty, Dr. J. Pease, Dr. J. Petzel, Dr. E. Pontius, G. Smith
Participating conference call: Dr. J. Lebenzon
View minutes.

Executive Committee & Committee Chairs
January 11, 2007

Atendees: Dr. L. Barnhart, Dr. B. Brooks, Dr. R. Croswell, Dr. S. Gressitt, Dr. U. Jacobsohn, Dr. J. Leitzer, Dr. J. Maier, Dr. W. Matuzas, Dr. L. Mutty, Dr. J. Pease, Dr. J. Petzel, Dr. D. Whitesell
Participating via teleconference: Dr. E. Pontius, Dr. J. Lebenzon
View minutes

Executive Committee & Committee Chairs Meeting
March 31, 2005
Minutes

Present: Dr. D. Bates, Dr. B. Brooks, Dr. B. Crocker, Dr. R. Croswell, Dr. S. Gressitt, Dr. P. Maidman, Dr. L. Mutty, Dr. J. Pease, Dr. J. Petzel and Dr. E. Pontius
Participating via conference call: J. Stenzel, MD
View Meeting Minutes

Executive Committee and Committee Chairs Meeting
January 20, 2005

Present: R. Bailyn, B. Brooks, S. Gressitt, P. Maidman, J. Maier, W. Matuzas, D. Moltz, L. Mutty, J. Pease, E. Pontius, R. Trehan,

1. Minutes: The minutes of the December 2004 were reviewed. After discussion of the minutes it was decided to change the beginning of the last sentence to "It was suggested…" A motion was made, seconded and passed to accept the minutes as presented with the above change. Dr. Maidman reviewed the process to approve and post minutes to the website. The minutes will be posted on the EC listserve and members have 1 week to approve the minutes. The minutes will be posted on the website following the allotted time for approval; the minutes will be posted even if a majority of voting members of the EC have not responded. If the minutes are being posted without approval such a note will be included when the minutes are posted on the website.
2. Clinical Practice: Dr. Moltz reported the following:
- 100 +- participants on the clinical list serve - the considered a success
- PDL - no new information to report
- At the 11 January MMA Legislative Committee meeting, Dr. Pontius and Dr. Gressitt made a compelling presentation concerning the devastating impact of the planned discontinuation of Medicare coverage of BZPs on 1 Jan 2006. In response, a motion was passed by the MMA Legislative Committee, that a resolution be drawn up for the MMA Delegation to bring to the annual meeting of the American Medical Association in Chicago in June.
- Dr, Mutty indicated it would be most appropriate that the Clinical Practice Committee draft such a resolution. As in the past, Mr. MacLean would be happy to assist in the formatting of this document. In order to be ready for the June meeting. It would be advisable to submit this resolve to the Chairman of the MMA Executive Committee, Dr. Flanigan for inclusion on that committee's 2 March agenda.
- Requested to receive the resolution by March 2, 2005.
- The Consultation Project will have an exhibitor booth at the joint MAFP & MPA meeting in April. The CP will start to offer both Child/Adolescent and Adult consultations to the family practices.
- A motion was made, seconded and passed to be a sponsor of the NAMI Walkathon again this year ($1,000). Dr. Maier will draft a notice to be sent via email to the members encouraging their participation and donating to the walkathon. If needed the funds for this donation will be transferred from the investment account.
- A Corrections Committee will be formed; this will be a subcommittee of the Clinical Practice Committee. Dr. Stevan Gressitt will chair the committee.
3. Program:
- Dr. Crocker would like the assistance of the EC in recruiting exhibitors for the joint meeting, thus far 8 or 9 vendors have expressed in exhibiting at the meeting.
- It was decided to ask Dr. Sandra Jacobson to present at the April GM meeting. Dr. Crocker will offer her $500.00 plus expenses.
- The EC approved inviting physician assistants and nurse practitioners.
- A save the date post card will be sent electronically to those members with email addresses and mailed via USPS to members without email addresses.
4. Public Affairs: A motion was made, seconded and passed to support LD 310. Legislative leadership at MMA will be informed.
5. Fellowship: Congratulations were extended to Drs. Julie Pease and Benjamin Crocker for being granted Distinguished Fellowship status by the APA. Dr. Rubin was reappointed Chair of the Fellowship Committee.
6. By-laws: Briefly reviewed what by-law questions will be on the next ballot.
- At this time it will included changing the quorum from 25% to 10% (will confirm with Gordon Smith this is appropriate). Other wording changes will be submitted by Dr. Julie Pease.
7. Membership: The final dues drop list was reviewed. New members, reinstatement and upgrades were approved. The dues relief request of Kristen Smith was tabled until input from the membership chair is received.
8. MMA Update:
- MMA testified regarding the study of Maine Hospital's, Dr. Mutty reported that psychiatric units were not included in the study.
- The Veteran's Administration may conduct a pilot project allowing eligible vets to receive their pharmacy benefits without having to see both their PCP and their physician at the VA. This is going to be presented to the Governor.
- Coalition for Tort Reform is moving forward. The reform would place a $250,000 cap. Tort reform appears to be a national concern at this time and at a crisis level in 23 states.
9. Governmental & Legislative Affairs: Dr. Pontius informed attendees that no psychologist prescribing bills have been submitted for consideration. Senator Brennan has submitted bill LD 37 Resolve, to Establish a Demonstration Project to Create Mental Health and Substance Abuse Treatment Programs for Immigrant and Refugee Populations. Both MMA and MPA are on-record as supporting this bill. Dr. Pontius reviewed the process of the MMA Legislative Committee of determining which bills to Support, Oppose or Monitor. LD 151 An Act to Improve the Delivery of Maine's Mental Health Services may be of particular interest to the MPA. Dr. Pontius asks for input on the position the MPA should take on LD 151 and other bills of interest to the MPA in a GLAC conference call scheduled for Tuesday evening, January 25th. An invitation to the conference call will be extended to MPA members by email. Dr. Pontius asked of those present who would be attending Psychiatric Physicians Day at the Legislature - Drs. Maier, Pontius, Brooks, Matuzas, Mutty and Maidman have agreed to be in attendance, Dr. Gressitt may possibly be able to attend. Dr. Pontius will contact the contracted lobbyists, Cathy & Andrea, to request assistance with legislative appointments with key legislators and revise talking points. Patient safety will be the theme again this year. There will be a conference call on Feb. 1, 2005 at 6:30 pm to discuss plans for the day.
10. Assembly: Dr. Brooks made attendees aware that thus far the majority of the Area 1 Representatives support the Action Paper regarding the disposal of unused pharmaceuticals. If Area 1 Representatives approves the action paper it will then be presented to the APA Assembly at the Annual Meeting in May 2005.
11. Finances: Dr. Pease reminded the EC that funds are very tight this year and if a balanced budget is not maintained funds would need to be withdrawn from the investment account. Also noted that the financial report for 2005 will have a different format and categories.
12. New Business:
- Joint Coalition: Dr. Maidman informed attendees the Joint Coalition meeting has been rescheduled to February 9, 2005 at 5:30 pm at the Maine Medical Association.
- MMA Physicians Day: The EC voted to participate.

Executive Committee and Committee Chairs Meeting
December 16, 2004

Present: D. Bates, B. Brooks, B. Crocker, R. Croswell, S. Gressitt, J. Lebenzon, P. Maidman, J. Maier, W. Matuzas, L. Mutty, E. Pontius, J. Rubin, J. Santopietro J. Stenzel

MMA: A. MacLean, W. Eldridge

Committee Reports
1. Governmental & Legislative Affairs:
- The Fund: Dr. Matuzas reviewed his proposal to establish a fund to support educational efforts of the MPA. He suggested that the EC reach a decision at this meeting. A motion was made by Dr. Lawrence Mutty for the Maine Psychiatric Association to form a PAC. The motion was seconded and passed with a vote of 10 in favor and 1 abstain. The formation of a PAC may cost up to $1,000. Staff will contact the APA and request any information regarding the formation of a PAC; Andrew MacLean will provide a copy of the MMA PAC bylaws. It was noted that 23 district branches of the American Psychiatric Association have PACs. The MPA President will appoint a subcommittee to define the PAC and bring their suggestions for approval to a future EC meeting. It was suggested members of the EC be asked to make the initial contributions to the PAC to set an example for all members.
- Contracted Lobbyists: There was a discussion whether or not to renew a contract with Gallagher, Callahan & Gartrell for lobbying services. A motion was made, seconded and passed to retain the current contracted lobbyists at the cost of $1,000 per month through June 2005. Dr. Pontius will advise the lobbyist of the decision.
2. Program: Dr. Crocker reported that he had participated in a conference call with the MAFP regarding the April joint meeting. He reported that Dr. Nancy Coyne has agreed to provide a presentation at the meeting - topic to be decided. Other topics being considered:
- Eating disorders
- Extenuating circumstances regarding patients on anti-depressants
- Integration of primary care
- Buprenorphine
- Include a panel discussion again
- Consultation Project Update
- David Fassler as a speaker
The MPA will attempt to recruit vendors to exhibit at the joint meeting in April. Members were asked to send contact information for pharmaceutical reps or any appropriate entities that may be interested in exhibiting to Warene. There will be a fee to exhibit.
3. Public Affairs:
- Op-ed Article: Dr. Maier provided a draft op-ed article "About SSRI's, Safety and Commons Sense". Staff will post the draft on the EC list serve and request suggestions be sent via email to Dr. Maier.
- MPA Name Change: Dr. Maier reviewed the results of the poll taken asking members whether or not the Maine Psychiatric Association should change its name to Maine Association of psychiatric Physicians. The majority of responses were in favor of the change. Staff will post information regarding the procedure and expenses on the website in the near future.
4. Professional Practice: No report
5. Fellowship: Expect to receive decision from the APA in the near future whether or not the nominees are granted Distinguished Fellowship status.
6. By-laws: No report
7. Membership:
- New Member: Edgar Caldwell, MD, MT - approved
- Dues Relief: Kristen Smith - tabled until the next meeting
- Dues Drop: Drs. B. Blackman, A. Hallward, N. Price, M. Simmons and J. Spiegel have stated they want to continue their membership and will pay the outstanding dues. Dr. Maier will contact Linda Smith, Dr. Rubin has not received a reply from Jerome Collins, Drs. Rubin and Maier will contact Dr. Bernard Gordon, Dr. Stenzel will continue to attempt to contact Dr. Haines and Dr. Bates will contact Dr. Suzuki.
8. Child & Adolescent: The Maine Chapter American Academy of Child and Adolescent Psychiatry will be asked if they would like to provide a speaker to present at the joint meeting of the Maine Academy of Family Physicians and the Maine Psychiatric Association on April 8, 2005. Dr. Croswell advised attendees that the adolescent inpatient unit at the Seton Campus of MaineGeneral Medical Center is closing; they will provide intensive outpatient services.
9. MMA Update: Dr. Mutty informed the attendees
- The Augusta City Council has approved the continuation of a suicide fence on the Memorial Bridge.
- The Riverview Psychiatric Center Bed Review Committee met this am at MMA and decided to send a letter to the Maine Department of Transportation in support of the fence
- The RPC will also send a letter to the HUD opposing the decrease of the fair market value in the Central Maine area, this letter will also be sent to the Maine Congressional delegation
- Dr. Mutty made attendees aware that in his article as the MMA President he included information regarding psychologist prescribing.
10. Ethics: No report
11. Finance: A motion was made, seconded and passed to adopt the proposed 2005 budget with adjustments. Dr. Stenzel requested that comments be sent to him via email.
12. Assembly: Dr. Brooks reported that the action paper on unused pharmaceutical drugs is being sent to Area1 for consideration and endorsement. If endorsed it will then be presented to the APA Assembly in May. It was also noted that Dr. Robert Croswell will continue as the Deputy Representative to the APA Assembly.
13. New Business:
- Request for member mailing addresses: It was decided addresses will not be released without the approval of the membership. It was discussed the process for the approval.
- Use of Member Email Address: Agenda item for next meeting
- MPA Psychiatrists Day at the Legislature - not discussed
- MMA's Physicians Day at the Legislature - not discussed
- Newfoundland Request - withdrawn by Dr. Stevan Gressitt
- Joint Coalition - Dr. Maidman announced a meeting of the invited groups is scheduled for January12th at the Maine Medical Association. The GLAC is asked to send a representative also.
- Position on Involuntary Treatment of Psychiatric Patients - not discussed.
12. Old Business:
- Travel Reimbursement Policy - not discussed.

Executive Council and Committee Chairs Meeting
November 18, 2004

Present: Ronald Bailyn, MD, Bogan Brooks, MD, Stevan Gressitt, MD, Patrick Maidman, MD, James, Maier, MD, William Matuzas, MD, David Moltz, MD, Lawrence Mutty, MD, Julie Pease, MD, Janis Petzel, MD, Edward Pontius, MD, Joseph Rubin, MD and John Santopietro, MD.

1. Membership. A motion was made by Dr. Lawrence Mutty to approve the following membership items. The motion was seconded and approved.

  • Transfers into the MPA;
    Aaron Greenwald, MD, MT
    Michael Simson, MD, MT

  • Upgrade to General Member:
    Amy Ouellette, MD

The latest list of members to be dropped Dec. 31, 2004 for nonpayment of dues was reviewed. Staff will send an email to members of the Executive Council and Committee Chairs of the members they are to contact.

There was a brief discussion regarding the recent newspaper article stating that Dr. Carl Metzger's license will not be renewed by the State of Maine Board of Licensure in Medicine. Staff will inform the APA of the situation and a letter will be sent to Dr. Metzger explaining that his membership will be terminated as he no longer is eligible for licensure which is a membership requirement.

2. Public Affairs. Dr. Maier opened a discussion whether or not a letter to the Editor should be submitted regarding SSRIs and tying the issue with safe prescribing. It was decided not to submit a letter on this issue at this time. Dr. Maier also informed attendees that he had been asked to provide a presentation on the use of a CALF Grant to "Defeat the Trojan Horse." There was a brief discussion regarding the recent series in the Portland Press Herald regarding teen suicide written by Barbara Walsh. It was felt the article provide appropriate information regarding teen suicide, however it may have lent a negative image of the PIER program. There was also a discussion regarding the possibility of changing the name of the Maine Psychiatric Association. A motion was made by James Maier, MD to include on the next election ballot a question asking do you support changing the name of the Maine Psychiatric Association to the Maine Association of Psychiatric Physicians (MAPP). The motion was seconded and passed. Dr. Pease will research if the By-laws will be affected by the name change.

3. Program. Dr. Crocker reported that he has had further conversations with Dr. Kenneth Minkoff requesting that he provide educational presentations at small dinner meetings. Dr. Minkoff is willing to provide educational sessions for an honorarium of $500.00 per session. Attendees were asked if the MPA would participate in educational dinner meetings if sponsored by a pharmaceutical company. It was decided to continue to not have that type of relationship with pharmaceutical companies.

Dr. Crocker reported he will continue to attempt to recruit speakers that will not charge an honorarium. The MAFP would like some of the presentations to be case-based and also possible panel type sessions. Drs. Janis Petzel and William Matuzas offered to provide an educational session. Dr. Crocker will continue to recruit additional speakers. Psychiatry related educational sessions will be presented on Friday, April 8th. There was also an interest of possibly doing a meeting in conjunction with the Maine Chapter of ACP. Warene will provide Dr. Crocker with contact information.

4. Fellowship. No report

5. By-laws. Dr. Pease provided suggested amendments to the current by-laws. The proposed changes would allow email voting of the Executive Council and would revise the definition of a quorum from 25% to 10% of active members of the District Branch shall constitute a quorum. It was suggested the section regarding quorum should have 2 paragraphs one that reflects Executive Council and the other for General Membership. There was a discussion regarding the wording in Section 3.1 Number. It was proposed that the section in question be changed to: In addition, District Branch members who hold office in the Assembly of the Association shall become voting ex-officio members of the Council for the duration of their office, subject to confirmation by a majority of the voting members present at a Council meeting, a quorum being present. A motion was made by Dr. Lawrence Mutty to accept, for vote by the General Membership, the proposed by law changes including the above amendment. The motion was seconded and passed.

6. Child & Adolescent. No report

7. Ethics. No report

8. Professional Practice. Dr. Moltz reported that the list serves are still active. Attendees were informed that requests for the participants in the Consultation Project is increasing and expects that trend to continue. Many members of the Steering Committee have not participated in the conference calls and Dr. Moltz is going to delete them as members of the Steering Committee. More practices are requesting both child and adult psychiatrists, he will discuss this with Dr. Andrew Cook. The consultation project initially was going to invite participation only in the rural areas of Maine, it has been decided to expand the geographical area to the majority of the state. There is still availability of psychiatrists to consult for practices.

9. Finance. Drs. Stenzel and Pease provided an updated proposed 2005 budget. The budget proposes income of $30,000 and expenses of 29,550.00. There was much discussion regarding the budget. Specific areas of the budget discussed were: meeting expenses, Governmental and Legislative Affairs, particularly contracted lobbyists expenses and Psychiatry Day at the Legislature. It was decided to continue with Psychiatry Day at the Legislature, however the MPA will not provide lunch. Either breakfast or a morning break will be provided by the MPA.

10. Governmental and Legislative Affairs. Dr. Pontius reported that he had a conversation with the contracted lobbyists regarding the current retainer amount ($2,000. per month thru Dec. 2004). They offered to change the agreement to a retainer fee of $1,000 per month for the period of October 2004 to October 2005. Dr. Pontius made a motion: On behalf of the GLA he recommends the MPA budgets $1,000 a month to extend a contract with the current lobbyists to cover the period of Oct. 2004 to Oct. 2005. The motion was seconded, but a majority did not vote in favor of the motion. A motion made passed to close the discussion. There was a discussion whether or not to continue with Psychiatry Day at the Legislature. A motion was made by Dr. Brooks to hold psychiatry day at the Legislature with a budget not to exceed $1,500. The motion was seconded and passed. Dr. Pontius reviewed the suggestion of the development of a coalition which would include such associations as: (not limited to) Maine Psychological Association, Maine Clinical Counselors Association and NAMI-ME. A motion to move was made, approved and seconded. This will be a future agenda item. Dr. Matuzas led a discussion regarding "The Fund." The proposal is pending with the EC. The Fund would solicit money from all licensed psychiatrists and other members of the medical community in an effort to support education. The hope is to set-up The Fund in a manner that would allow tax deductible donations be made. It was discussed that it could be set up as a separate account of the MPA and be operated by the MPA. Dr. Matuzas suggested that all members of the Executive Council make the initial donations.


11. Assembly. Dr. Brooks provided a written report of the recent Assembly meeting held Nov. 5 - 7, 2004 in Washington, DC. The highlights presented were:

  • APA initiative to deal with new black box warnings
  • Development of a task force on psychologist prescribing
  • Texas proposal
  • APA financial surplus; even though the APA will have a surplus, there will probably be LESS money available from CALF this year.
  • Financial grants available to DBs
  • Reinstatement of Legislative and Public Affairs list serve and the planning of Legislative Day
  • Legion Insurance
  • "Trojan Horse" presentation to the Assembly by Dr. James Mainer (MPA)
  • IMD Exclusion
  • MPA action paper

12. RPC Bed Review Committee. Dr. Mutty reported that the RPC Bed Review Committee had met that morning. Attendance included Brenda Harvey, Diana Scully, Marta Frank (Governor's office), President of the Maine Chapter of ACEP and a representative of the Health & Welfare Association.

13. PDL Update. Dr. Pease reported that it is being considered to require a prior authorization on atypicals if more than 1 atypical is being prescribed. She also stated there may be restrictions in the future on Seraquel.

Executive Committee and Committee Chairs Meeting
October 14, 2004

Present: R. Bailyn, D. Bates, B. Brooks, R. Fortier, S. Gressitt, J. Lebenzon, P. Maidman, L. Mutty, E. Pontius, J. Rubin, J. Stenzel
Participating via conference call: J. Pease, B. Crocker

1. Budget: Dr. Pease and Dr. Stenzel presented presented a reorganization of the MPA financial data to facilitate the formation of the 2005 proposed budget, approximately ½ of the budget are fixed expenses, approximately ¼ meeting expenses and ¼ GLA and travel. There is a need to look for ways to decrease expenses and increase income. Areas to review: catered meals at EC meetings, psychiatrists day at the legislature and lobbying expenses. Committee chairs were asked to submit their projected expenses and income. It was noted that a process will need to be developed for unexpected expenditures. A policy will also be needed for the use of reserves. A motion was made, seconded and approved to continue the development of a budget using Quicken.

2. Program: Dr. Crocker, program chair, submitted a written report which was reviewed. A discussion followed whether or not to invite Dr. Ken Minkoff to present at a dinner meeting. Dr. Minkoff will be in the state for other reasons, Dr. Crocker will discuss with Dr. Minkoff what his honorarium will be and what date he would be available. It was suggested to apply for noncommercial grants to assist in expenses. Attendees were asked if there is an interest in a dinner meeting on how to protect assets - there was minimal interest in this topic. There was also a discussion as to what would be the appropriate type of meeting to hold in the Bangor area. It was suggested to have a journal type meeting at a restaurant in the Bangor area, participants would pay for their own meals. The Annual Meeting of the Maine Academy of Family Physicians will be held at the Marriott at Sable Oaks in Portland, ME April 7 & 8, 2005. Dr. Crocker will contact Dr. Richard Hobbs to inquire whether or not the MPA may participate again this year. If the MPA participates it is felt that other allied healthcare workers should be invited to attend also.

Dr. Crocker also announced that Ramneesh Trehan, MD has agreed to be a member of the program committee.

3. Fellowship: Dr. Rubin informed attendees that Dr. Robert Croswell the 2003 MPA nominee for Distinguished Fellow status had been approved and that Drs. Benjamin Crocker and Julie Pease were the 2004 nominees. It was noted that Distinguished Fellow status for the 2004 nominees has not yet been determined.

4. Membership: The dues drop list was reviewed and members identified those on the list that they will contact. It was decided that the list would be reviewed again at the Nov. 18th MPA EC meeting and those on the list would then be contacted. Below are the contact matches:

Maier: Linda Austin Smith
Maidman: Bruce Blackman, Pedro Guimaraes, Anne Hallward, Neil Price, Jeremy Spiegel
Rubin: Jerome Collins, Bernard Gordon
Lebenzon: Cynthia Daughtery, Frederick Goggans
Gressitt: James Fine, Margaret Jenner, Steve Kruilkoski
Stenzel: Robert Haines, Paul Perkins
Santopietro: Catherine Jakubowitch, Jennifer Miller, Yvonne Walker, John Young, Deepika Agrawal, Teodora Andrei
Bailyn: David Lobozzo, Leora Rabin
Brooks: Miles Simmons, Christine White
Bates: Joji Suzuki

4. Child & Adolescent: Dr. Lebenzon reported that Dr. David Fassler, Vermont spoke at the recent council meeting which was successful. He asked what information members would like taken to the council. R. Lebenzon will advise the child & adolescent council of the dues structure of the MPA (no dues for students and residents and graduated dues for ECPs).

5. Governmental & Legislative Affairs: The fundraising proposal from Dr. William Matuzas was reviewed. Dr. Pontius explained that the fund would collect from entities other then only MPA members and would be able to accept bequests. He also explained that due to the tax status of the MPA political contributions cannot be made and the plan would be to have a tax status that would allow such donations to be made. He reminded those in attendance that continued grants from the APA may not be available and that a tool is needed to assist in fundraising. It was also noted however that there will be expenses incurred with the development of the fund and it will need to be determined who and how those expenses will be met. A name will be needed for the fund - a suggestion was made to call it the Ulrich Jacobsohn Fund.

Dr. Pontius also reviewed the report submitted by the contracted lobbyists. He reminded everyone that it is unknown at this time whether or not a prescribing scope of practice bill will be introduced in the next session; the MPA should be moving forward on the thought that a bill will be introduced. He also stressed the importance of building relationships with all supportive parties including psychologists that do not support psychologist prescribing rights. Dr. Maidman reported that he had met with Christine Gray, Immediate Past President Maine Psychological Association. She did not disclose whether or not they will submit legislation, but they are willing to sit at the table to discuss common ground and goals.

There was also a discussion regarding the relationship with the outside contracted lobbyists. It is felt that the services provided are important, and how the level of service be maintained at a fee affordable by the MPA. The Council would like more accountability of time/what and when items are done. It was suggested a subcommittee meet with the contracted lobbyists and discuss how to decrease the expense and maintain a working relationship.

6. Assembly: Dr. Brooks presented a written report of the recent Area 1 Council meeting. Highlights of the report were:

  • APA drafting guidelines for closing of a practice
  • Development of a taskforce of members to identify initiatives regarding psychologist prescribing
  • APA provides liability insurance for DB Executive Council members
  • Texas proposal to allow members to join the DB and not join the APA - will be discusses at the Nov. Assembly
  • Proposal to develop "Legislative Day" to train DB Assembly Reps about advocacy
  • Availability and amounts of future CALF Grants will be discussed at the next Assembly meeting
  • Reviewed what national legislation the APA supports
  • Area 1 will general more patient focused action papers instead of governance related action papers.
  • Possible dues reduction for ECPs

7. Old Business:

  • Travel Policy: Dr. Rubin suggested that MPA drafted travel policy include a statement similar to "rate of reimbursement will be same as the APA." This will be an agenda item for the next EC meeting.
  • RPC Bed Review Update: Dr. Mutty provided a written report on the bed review committee. He reviewed the history of the committee and discussed the downsizing of mental health beds statewide. There was also a discussion of other entities that possibly should be invited to the meeting.

Adjourn

Executive Council and Committee Chairs
September 11, 2004

1. Present: D. Bates, DO, R. Croswell, MD, Stevan Gressitt, MD, P. Maidman, MD, W. Matuzas, MD, D. Moltz, L. Mutty, MD, J. Pease, MD, E. Pontius, MD, J. Stenzel, MD

2. Nominations & Elections: Dr. Matuzas presented the proposed slate of nominees for the next MPA election. They are:

  • President-Elect: Edward Pontius, MD
  • Public Affairs Representative: James Maier, MD
  • Counselor: Stevan Gressitt, MD
  • MMA Representative: Janis Petzel, MD
  • Resident Representative: TBD

A motion was made, seconded and passed to accept the slate of nominees. At the next EC meeting Dr. Matuzas will announce the candidate for the position of Resident Representative. Ballots will be mailed by staff in the spring.

3. Finances: Dr. Stenzel presented a financial statement. A motion was made, seconded and passed to accept the financial statement with correction made to the total amount of expenses paid to date. Dr. Stenzel discussed the need to prioritize the future financial needs of the MPA.

  • A proposed travel policy for members and staff was reviewed. This policy does not override the current policy for reimbursement of representatives to the Assembly.
  • Dr. Stenzel stated that internal controls to handle financial requests, expenses and payments will be drafted and presented to the EC at a future EC Meeting. The strategic planning committee will work with Dr. Stenzel in developing a budget.
  • A request to assist in funding for the disposal of expired pharmaceuticals, LD 1826, was reviewed. A motion was made, second, and passed to donate $500.00.

4. Minutes: The minutes of the June Executive Council and Committee Chairs meeting were reviewed. A motion was made, approved and passed to accept the minutes as presented. Dr. Maidman proposed that drafted meeting minutes will be sent via email to voting members for approval and then posted to the MPA website and the members list serve. A motion was made, approved and passed to accept this proposal.

It was also decided that the minutes of the Riverview Psychiatric Bed Review Committee minutes will also be shared with the members of the MPA. They will be posted on the MPA website.

5. Legislative & Governmental Affairs (GLA): Dr. Pontius provided a written report of the year's activities. He highlighted the following:

  • LD 1713 had language promoting prescribing privileges for psychologists which resulted in a vote of "ought not to pass."
  • The GLA has met with members of the administration of Riverview Psychiatric Center. Members have also met with jail administrators and members have attended fundraisers for state level candidates.
  • There has been a partnership with the APA on some of the issues and the MPA has received financial support from the APA also.
  • Next steps of the GLA include funding of the disposal of expired pharmaceuticals and continued participation in ME election fundraisers and relationship development with key persons.
  • Dr. Pontius pointed out that the MPA continues to build relationships with such organizations as NAMI, Maine Psychological Association and the DUR and will continue to develop more relationships.
  • Dr. Matuzas presented a written fundraising proposal that would develop a separate organization to support the activities to further the goals and interests for members. He stressed the fund should start with members of the EC making the initial donations. Items that will need to be address include
    i. Identify a mechanism to set-up the fund and to keep separate
    ii. Set an annual income goal
    iii. Name the fund

6. Communications and Professional Practice: Dr. Moltz reported that the suspension of prior authorization for atypical medications is nearing the date set to end. However, the current policy will continue until more data is collected and reviewed before a final decision will be made. Dr. Moltz will keep members updated via the clinical list serve.


General Membership Meeting
September 11, 2004

1. Opening Remarks. There was a moment of silence prior to the start of the meeting in memory of the 9/11 disaster. Dr. Maidman provided opening remarks informing attendees of the continuing development of relationships in our state and nationally that will affect policy development. He encouraged all psychiatrists to have conversations in their communities to educate legislators and community members of the profession of psychiatry. Dr. Maidman presented Dr. William Matuzas a gift from the MPA for his leadership as the President of the Maine Psychiatric Association for the previous 2 years. Dr. Maidman announced that Lindsey Tweed, MD and Joseph Lebenzon, MD have been appointed the co-chairs of the newly formed Child & Adolescent Committee.

2. Minutes. The minutes of the April 16, 2004 General Membership Meeting were reviewed. A motion was made, seconded and passed to accept the minutes as presented. Dr. Maidman announced that minutes of both the EC/Committee Chairs & General Membership meetings will be sent via email to the voting members of the EC for approval. They will have approximately 1 week to approve or not approve the minutes and suggest changes . Once the minutes have been approved they will be posted on the MPA website. This will become effective with the minutes of this meeting and the EC/Committee Chairs meeting held earlier today.

3. Nominations & Elections. Dr. Matuzas presented the proposed slate of nominees for the next MPA election. They are:

  • President-Elect: Edward Pontius, MD
  • Public Affairs Representative: James Maier, MD
  • Counselor: Stevan Gressitt, MD
  • MMA Representative: Janis Petzel, MD
  • Resident Representative: TBD

The floor was open to further nominations none were made. A motion was made, seconded and passed to accept the slate of nominees. At the next EC meeting Dr. Matuzas will announce the candidate for the position of Resident Representative. Ballots will be mailed to members in 2005, results of the election will be announced at the Spring General Membership meeting.

4. Finance. Dr. Stenzel presented a financial statement. A motion was made, seconded and passed to accept the financial statement with correction made to the total amount of expenses paid to date. Dr. Stenzel discussed the need to prioritize the future financial needs of the MPA.

  • Dr. Stenzel stated that internal controls to handle financial requests, expenses and payments will be drafted and presented to the EC at a future EC Meeting. The strategic planning committee will work with Dr. Stenzel in developing a budget.
  • Dr. Stenzel informed attendees that at the Executive Council/Committee Chair meeting held earlier that day a request to assist in the funding for the disposal of expired pharmaceuticals, LD 1826, was reviewed. A motion was made, second, and passed to donate $500.00. Staff will forward a check to the Maine Medical Association.

5. By-laws and Strategic Planning. The By-laws and Strategic Planning Committee is working with Dr. Stenzel, MPA Treasurer, to develop a strategic plan that will work within the financial constraints of the MPA. Dr. Pease is asking for input from the members as to what the future priorities of the MPA should be. Dr. Pease also reported that the recent revamped by-laws continue to be reviewed with particular attention to the quorum required to pass a motion at EC and GM meetings. Also being reviewed is the mechanism for the EC to conduct some business via email.

6. Professional Practice. Dr. Moltz updated attendees regarding the Consultation Project. The project is operating. There are still psychiatrists that have not been assigned to a practice yet. There are 8 to 10 psychiatrists following 12 to 14 practices currently. There are still psychiatrists and practices that have not signed and submitted the agreement. The Consultation Project is receiving national attention, there have been request from other District Branches for information on the program and a number of articles have been written.

7. Membership. Dr. Maidman announced there are currently 218 members of the Maine Psychiatric Association, which is 5 more then reported at the April GM meeting. Dr. Maidman announced the name of each new member. He asked all members to encourage their colleagues to join the MPA.

8. Governmental & Legislative Affairs. Dr. Pontius reported the activities of the GLA. In 2004 they have held a total of 7 meetings and have meet with outside interests such as the new administration of the Riverview Psychiatric Center, jail administrators and BDS. Dr. Pontius stressed the importance of relationships with Maine Legislators to influence legislation. GLA committee members have represented MPA at numerous fundraisers during summer and fall. He also informed members of the monthly issues forum and invited all members to participate. Dr. Pontius also highlighted the strong relationships with the Maine Medical Association and the American Psychiatric Association. He reminded attendees that the MPA received more than $62,000 in CALF Grants from the APA in the past year to assist with defeating LD 1713. LD 1713 was a bill that was initially introduced with language promoting prescribing privileges for psychologists, but was voted "Ought Not to Pass. Members of GLA will be meeting with key stakeholders soon on this issue and reporting back to the membership.

9. Educational Presentation. Dr. Mark Publicker of Mercy Recovery Center provided an educational session on "Introduction to Buprenorphine."

Maine Association of Psychiatric Physicians
Executive Council and Committee Chairs Meeting
June 17, 2004

1. Present: Jeffrey Stenzel, MD, Roger Wilson, MD, Edward Pontius, Joseph Rubin, MD, Julie Pease, MD, David Moltz, MD, Patrick Maidman, MD, Bogan Brooks, MD, Stevan Gressitt, MD, Janis Petzel, MD, Benjamin Crocker, MD

2. Committee Chairs and Members: The list of MPA committees and their members were distributed. Attendees were asked to inform Warene of any discrepancies.

3. Minutes: The minutes of the May Executive Council and Committee Chair meeting was reviewed. A motion was made, seconded and passed to accept the minutes as presented.

4. Membership: The following membership items were approved:
- Reinstatement of J. Lindsey Tweed, MD
- Upgrade to General Member: J. Lindsey Tweed, MD and Kenneth Lerner, MD

5. Public Affairs: The name change poll question drafted by Message Strategy Group (MSG) was reviewed. It was decided to include examples of other District Branch name changes and also the Maine Ophthalmology title. MSG will be contacted and asked to include the examples and to change the main question to something similar to: Through polling and other means, we know that many people do not understand that psychiatrists are medical doctors. This widespread confusion, at least in part, has apparently led to some support for psychologists prescribing. In recent weeks the Louisiana Legislature passed legislation, signed into law by the Governor of Louisiana, granting prescriptive authority to psychologist in that state. This follows on the heels of New Mexico granting similar authority. Other District Branches of the APA have all ready changed their name to better define themselves to the public, e.g. Georgia Psychiatric Physicians Association, Kentucky Psychiatric Medical Association, Oklahoma Psychiatric Physicians Association other specialty societies have also changed their name. The local association of ophthalmologist is called Maine Society of Eye Physicians and Surgeons.

It was also decided to delete question #2 and to reword question number 3 into an open ended question - something similar to The MPA would appreciate your comments on what concerns the MPA should address in the coming year. Staff will discuss the changes with MSG.

It was decided to forward this with the invitation for the fundraiser for John Richardson to those members the MPA has email addresses for and to mail via USPS to all other members.

6. Program: Dr. Maidman announced that the MPA has been invited to provide a presentation on Telepsychiatry at their Annual Session in September. The specific time has not been set. There will be a general membership meeting held at the Colony Hotel in Kennebunkport during the MMA Annual Session, the time has not been yet determined.

7. Distinguished Fellowship: Dr. Rubin reminded attendees that the MPA has nominated 3 members for distinguished fellowship status, Julie Pease, MD, Benjamin Crocker, and William Matuzas, MD. Those in attendance were reminded they must submit a complete package to the MPA office no later than June 28th.

8. By-laws & Strategic Planning: Dr. Pease will research proposed wording from the APA regarding quorum. Dr. David Moltz volunteered to also be a member of this committee and Dr. Joseph Rubin accepted placement of Dr. Richard Fortier on this committee on his behalf.

9. Communication and Professional Practice: Dr. Moltz informed attendees that the Consultation Project is moving forward, but slowly. Only 3 of the volunteer psychiatrists consultants have had encounters. There are approximately 21 family practices that are interested in participating in the project, but 8 or 9 have submitted the signed agreement. Consultants are going to be encouraged to contact their practices and schedule a weekly or monthly 10-minute telephone call to review any cases or to provide other information. Dr. Moltz was asked to write a short article on the project to be submitted to the MMA Bulletin. Dr. Pontius will show the areas of the state being supported by the consultation project; this will be included in the article for the Bulletin also.

10. Finances: The current financial report was reviewed. A motion was made, seconded and passed to accept the report as presented. It was reported that the expenses for this year have been increased, largely due to psychologist prescribing authority legislation, and the MPA needs to search for ways to decrease expenditures. Dr. Stenzel suggested that the MPA no longer cover the expense of dinner for members at meetings and that the Legislative and Governmental Affairs committee become self-sustaining. Dr. Brooks suggested placing a cap on the amount the GLA committee can spend and anything above the cap must be presented to the EC for approval. Dr. Stenzel will draft a budget and the strategic planning committee will then develop a plan to determine the ability of MPA to financially support committees.

Dr. Stenzel then reviewed the proposal from MMA for continued administrative support services. The new contract will charge $8,000 annually for administrative support; the fee for legislative services will not change. A motion was made, seconded and approved to accept the MMA proposal.

The contract with Message Strategy Group expires at the end of June 2004. A motion was made by Dr. Brooks to not renew the contract and to use the services of MSG on an ad-hoc basis and not on a retainer. The motion was seconded, passed and approved.

The contract with Gallagher, Callahan and Gartrell was also reviewed. A motion was made, seconded and passed to continue with the current contract through September 2004. Prior to the General Member meeting in September Gallagher, Callahan and Gartrell will be asked to submit a contract proposal which is to include details of what services will be provided and address any possible additional expenses that may be incurred.

11. Child Psychiatry: Drs. Joseph Lebenzon and J. Lindsey Tweed have both accepted the appointment of co-chairs of this new committee. They will submit a report for the September General Member meeting.

12. Legislative and Governmental Affairs: Dr. Pontius discussed the fundraiser for John Richardson, the likely candidate for the Speaker of the House in the next session. He encouraged all attendees to attend the fundraiser and if not possible to attend to send a donation. Dr. Pontius requested that funds be allocated to mail the invitation to all members of the MPA that do not have email and to all non-members also. The request was approved. This will be mailed with the name change polling question.

It was announced that Elizabeth Jones the court receiver for Riverview Psychiatric Center (AMHI) accepted the invitation to meet with members of the MPA. It was decided this will be a closed meetings and attendance is by invitation only, the meeting will be held at the MMA on June 29th. There will be a conference call on Wednesday 5:15 -5:45 pm. Those invited to participate in the conference call and to attend the meeting are: L. Mutty, U. Jacobsohn, P. Maidman, E. Pontius, D. Moltz, W. Matuzas, S. Gressitt and J. Maier.

June 29th was the date of the next Governmental and Legislative Affairs Committee meeting, this meeting will be rescheduled. Dr. Pontius will advise Cathy Lee and Jeff Toorish of the change of plans.

13. Assembly: Dr. Brooks reviewed a request from Dr. Jeffrey Geller requesting a member from each DB become the representative on the Medicaid Advisory Group (MAG). The purpose of the group is to establish a network to facilitate the two-way collection of data, dissemination of information, and development of strategies in addressing Medicaid issues that have an impact on the practice of psychiatry. The exchange of information will be through an APA sponsored list serve. Dr. Joseph Lebenzon agreed to the representative of the Maine Psychiatric Association. Dr. Brooks will advise Dr. Geller.

14. New Business: Dr. Maidman reviewed a letter from Dr. Benjamin Grasso asking if the MPA would like to submit an article on Restricting formularies as a means of cutting health care expenditures: Implications for patient safety. The article will be printed in the Patient Safety Forum for Psychiatric Services. Drs. David Moltz, Julie Pease and Edward Pontius will draft the article.

Respectfully submitted.
Joseph Rubin, MD, Secretary

Maine Association of Psychiatric Physicians
Executive Council and Committee Chairs Meeting
May 20, 2004

Present: Dr. William Matuzas, Dr. Patrick Maidman, Dr. Jeffrey Stenzel, Dr. Ronald Bailyn, Dr. Stevan Gressitt, Dr. Bogan Brooks, Dr. Lawrence Mutty, Dr. Benjamin Crocker

1. Minutes: Minutes were reviewed; a motion was made, seconded and passed to accept the minutes as presented.

2. Committee Reports:

Membership:
a. Transfers into the MPA - both approved
- Deepika Agrawal, MD
- William Jeanblance, MD
b. Chair: Dr. Madeline Goodman has resigned as the chair of the membership committee. Dr. Maidman appointed John Santopietro as the new chair. A motion was made, seconded and passed to accept Dr. Santopietro.
- Ethics: Dr. Matuzas reported that Dr. Diane Schetky does not want to accept the position of Chair of the Ethics Committee and suggested Dr. Eric Kuntz. Dr. Kuntz is currently a member of the Ethics Committee. Dr. Maidman informed attendees that Dr. William Jeanblanc has expressed some interest in this position also. It was decided to ask Dr. Kuntz to accept the position, as he is currently a member of the committee. Dr. Maidman will speak with Dr. Kuntz and if he is not available he will speak with other members of the committee as well. He will also invite Dr. Jeanblanc to join the Ethics Committee.
- Legislative & Governmental Affairs:
- Update of April 29th meeting: Dr. Matuzas reported that at the last Leg. & Gov't Affairs Committee meeting they discussed how to be use available resources, how to bring outside groups of interest to the legislative meetings, the need to partner more closely with child psychiatrists. He also reported that psychologist scope of practice issue will return and have an impact on the finances of the MPA. Cathy Lee and Jeff Toorish will attend the next L & G meeting scheduled for Thursday, May 27th. At they meeting some of the issues that will be discussed are program to be developed by BDS and how the MPA may participate, legislative campaigns, development of strategies for networking.
- Fundraising: Dr. Matuzas suggested the development of a special fund to assist when facing special legislative issues. A letter would be sent to all psychiatrists (member and nonmember of the MPA) explaining the reasons for the fund and identify the income and expenses of the MPA. The Legislative and Governmental Affairs Committee was asked to identify their goals and forward that information to the budget and public affairs committee. The goals of the L & G Committee will be included in the letter.
- Public Affairs: There was a discussion whether or not the name Maine Psychiatric Association should be changed to easily identify psychiatrists as physicians. It was noted that at least 6 of DBs have changed their name. It was decided to ask Jeff Toorish to draft a survey/query to be forwarded to members proposing to change the name of the Maine Psychiatric Association to the Maine Psychiatric Physician Association. Dr. Maier will be asked to contact the DBs that did change their name to inquire what the process was, how supportive was membership, do they feel this was the right thing to do, etc. The attendees felt that a name change is a great opportunity to educate the public and to better define ourselves.
 
- Program:
1. Update of April 16th: The joint educational session had approximately 25 attendees. It was felt that for the first meeting of its type in a number of years and late meeting notification to psychiatrists that the sessions were a success. The finances are not known yet as all bills have not been received.
 
2. Dr. Maidman presented the appointment of Dr. Benjamin Crocker as Program Chair to the attendees; a motion was made, seconded and passed to approve the appointment.
 
3. It was decided to hold a general membership meeting on Saturday, September 11th during the Maine Medical Association's Annual Session. Gordon Smith will provide a draft agenda of the annual session so the MPA may decide the time of day to meet. It was not determined whether or not to have an educational session during the GM meeting. Attendees were informed that Lawrence Mutty, MD, DLF will become the President of the Maine Medical Association on that evening, Ulrich Jacobsohn, MD, DLF and Richard Jennings, MD, all MPA members will be recognized as 50 year pin recipients.
- By-laws: Dr. Pease forwarded 2 suggested by-law changes. The first would change the required quorum from 25% to 10% of the membership. The council supports the change, however would like clarification of the section that states … "a quorum shall be the act of the Council." The second by-law change would allow votes to be taken electronically. The council supports this change as well. After clarification of the quorum question a ballot will be sent to the membership for approval.
- Fellowship: It was reported the following have been nominated for Distinguished Fellow status of the APA: Benjamin Crocker, MD, William Matuzas, MD and Julie Keller-Pease, MD.
- Nominations & Elections: Dr. Maidman appointed Dr. William Matuzas as the new chair of the committee. A motion was made, seconded and passed to accept the appointment.
- Communication/Professional Practice: There are currently 97 psychiatrists on the practice list serve. A request was put forth asking the MPA to fund a list serve for the consultants participating on the Consultation Project. The expenses would be $20.00 set-up fee and $10.00 monthly maintenance fee. A motion was made, seconded and passed to support the list serve. It was reported that the consultation project is off the ground. Some of the consultants have received calls from the practices they have been paired with. There are currently 20 consultants and 21practices participating.
There was a brief discussion regarding the proposal from the Institute for Quality Behavioral Health Care to be a "partner" on this project. It is believed it will be more of an advisory group to monitor the implementation of the plan, address issues related to implementation and to contribute suggestions, feedback, etc. It was decided that the MPA would accept the invitation if a member will volunteer to accept the position. Dr. Maidman will contact Dr. William Sullivan and Dr. Shawn Willson to inquire if either of them is interested.
- Finance & Budget: Dr. Stenzel reported that as a result of the many expenses related to the defeat of LD 1713 our cash on hand is not as plentiful as it has been. He suggested expenses that may be able to be lowered be reviewed, such as meeting expenses. He suggested that the MPA no longer cover the expense of dinner for members. It was decided that Dr. Stenzel will draft a query to forward to members asking whether or not the MPA should accept unrestricted educational grants from pharmaceutical companies to assist in defraying meeting expense. The query will include a statement from Dr. Stenzel explaining the challenges facing the MPA, expenses past & future and will be asked for suggestions to generate more income. A motion was made, seconded and passed to accept the financial statement as presented.
Gordon Smith informed attendees that the amount of time required to support the MPA is much more than originally discussed and that the stipend for such services will either need to be increased or the volunteer members of the MPA will need to do more of the work themselves. Gordon will provide staff expenses and time at the June meeting along with a financial proposal for continued staffing.
 
4. Assembly: Dr. Brooks provided a written report and briefly discussed:
- Dr. Joseph Rubin, MD, DFAPA was elected as Speaker-Elect of the Assembly.
- Richard Fortier, MD, DFAPA was elected as Area 1 Deputy Representative
- Warren Williams Award for Area 1 was given to William McFarlane, MD, DFAPA.
- Action Papers reviewed:
o Do not use the multiaxial system in DSMIV-TR unless there is clear evidence that its use over the past two decades has benefited the patients with mental illness. Roger Peele, MD. Passed (barely)
o APA elections every two years. Jeffrey Geller, MD. Failed
o Develop and promote model curriculum on organized psychiatry. Ramaswamy Viswanathan, MD. Passed.
o Investigate potential effectiveness of Assembly as governing, not advisory, body of APA. Priscilla Ray, MD. Passed.
o Dr. Brooks also reported that the Louisiana DB did all the right things in their fight against psychologists prescribing. They have a very strong relationship with the state medical association, the association supported their position and they met with the Governor. The APA government affairs department will be reviewing the Louisiana battle to identify the areas the psychiatrists need to strengthen.
 
5. New Business:
- Formation of New Committee: Dr. Maidman suggested that a new committee of the MPA be formed. The committee will be called the Child & Adolescent Committee. The chair will be a member of both the Maine Council of Child & Adolescent Psychiatrists and the Maine Psychiatric Association. Pending approval of membership Dr. Lindsey Tweed was appointed Chair of this committee. A motion was made, passed and seconded to accept the appointment.
- Counselor Vacancy: Dr. Stevan Gressitt was appointed as councilor to complete the term vacated by the resignation of Brian Quint, MD. Dr. Fortier had previously been appointed, but he was nominated and elected as a councilor for the expired councilor term of Ulrich Jacobsohn, MD, DFAPA. A motion was made, passed and seconded to accept the appointment.
- Disaster Planning Subcommittee: Dr. Maidman reported that Dr. John Young has accepted the chair position of the Disaster Planning subcommittee. A motion was made, passed and seconded to accept the appointment.
- Future Meeting Dates: A list of future meeting dates was provided.
- MPA Psychiatrist's Day at the Legislature: Will be held February 16, 2005
- MMA Physician's Day at the Legislature: Will be held March 23, 2005.

6. Old Business:
- Media Training: The next media training session with Jeff Toorish is scheduled for Wednesday, May 26, 2004 to start at 12:30 pm at the Maine Medical Association, lunch will be provided. Currently Dr. Maidman, Dr. Matuzas and John Santopietro will participate, Dr. Timothy Goltz may also participate.
- RPC Bed Review Committee Update: Dr. Mutty provided the history of the RPC and the reason for its formation. The number of referrals to AMHI and the number of accepted and refused referrals for April were reviewed. Dr. Mutty reviewed the letter of agreement that was recently signed by Sabra Burdick.
- Relationship Development: Dr. Maidman reported that he has been in contact with the President of the Maine Psychological Association to invite her to lunch. She accepted the invitation; they are attempting to schedule a date.

Maine Association of Psychiatric Physicians
General Member Meeting
April 16, 2004

1. Dr. Matuzas thanked the members for their support during his term as President of the MPA. He also thanked the members of the Executive Council and recognized Dr. Moltz for his efforts on the Consultation Project and Dr. Pontius for his endeavors regarding LD1713. He also thanked Carol Carothers of NAMI Maine for attending the meeting. Dr. Matuzas introduced Dr. Patrick Maidman as the next President.

2. Dr. Patrick Maidman thanked Dr. Matuzas for his leadership, engaging members in the MPA's committees and subcommittee. Dr. Maidman shared his goals for his 2 year tenure as;

a. Continue the engagement of the membership in MPA activities and continue to recruit members to participate on MPA committee and subcommittees. He recognized the accomplishments of the Consultation Project, input into the PDL, the introduction of 4 list serves (Member, Executive Council & Committee Chairs, Legislative & Governmental Affairs and the Clinical Practice list serve which is open to all psychiatrists in Maine, not just those that are members of the MPA and the defeat of LD 1713.
b. He will meet with psychiatrists in Maine and encourage those that are not members to join the MPA. He will hold regional meetings to meet psychiatrists, the first will be held in Eastern Maine in late spring/early summer.
c. Continue to strengthen the link between psychiatrists and other medical specialties. This will be accomplished by continuing to provide combined educational programs and other joint activities. He will also continue to reach out to other organizations such as the Maine Chapter of the American College of Emergency Physicians, Maine Psychological Association, NAMI and the Maine Council of Child and Adolescent Psychiatrists. He will continue to support the development of such innovative programs as the Maine Telemedicine project and the Consultation Project.
d. He expects the MPA to play an increasingly effective role in shaping state policy through effective advocacy. This will be accomplished with the support of the membership.

3. Assembly: Dr. Brooks directed attendees to the report provided in their packet.

4. Committee Reports
a. Finance: Dr. Matuzas reported that the MPA was granted a CALF grant in conjunction with the Vermont DB and was also recently awarded a CALF grant to assist in covering expenses related to LD 1713. Although the MPA has had quite a few more expenses recently they are still in good financial standing.
b. By-Laws: Dr. Pease reported the proposed by-law changes and the elimination of the Constitution was approved by the membership in the recent election.
c. Nominations: Dr. Croswell reported that all nominees for office were elected. The elected officers are:

- Treasurer: Jeffrey Stenzel, MD
- Secretary: Joseph Rubin, MD, DFAPA
- Councilor: Richard Fortier, MD, DFAPA
- Legislative Rep: Edward Pontius, MD
- MMA Rep.: Janis Petzel, MD
- Resident Rep.: Daniel Bates, DO
- Assembly Rep.: Bogan Brooks, MD, DFAPA
- Dep. Assembly Rep.: Robert Croswell, MD, DFAPA

d. Membership: Dr. Goodman informed attendees that the MPA has over 200 members and that membership continues to grow.
e. Public Affairs: Dr. Maier reported that the first media training session was held and another will be scheduled in either May or April. He also reminded attendees that the NAMI walk will be held on May 8th at Deering Oaks Park and encouraged members to attend and to make personal pledges for the walk.
f. Legislative & Governmental Affairs:
- Dr. Pontius briefly discussed the passage of the psychologist prescribing bill in New Mexico.
- The original submitted wording of LD 1713 and the final wording of the bill were reviewed. Dr. Pontius summarized the final outcome of LD 1713. Attendees were warned that although the fight against LD 1713 was successful do not be fooled and think this is the end of the issue. This type of bill will return again to Maine, possibly as early as the next legislative session and the MPA must be prepared.
- Cathy Lee (lobbyist), Jeff Toorish (Public Relations Consultant),Gordon Smith, EVP Maine Medical Association and Andy MacLean, Director Government Relations, Maine Medical Association were thanked for all of their time, efforts and advice.
- Attendees were also informed that LD 1826 - Safe Disposal of Unused or Expired Pharmaceuticals Medications was approved the legislature and the bill is awaiting the signature of the Governor.

5. Call to Arms: Transforming Our Mental Health System, Jay Scully, MD, Medical Director, APA.

- Dr. Scully thanked attendees for being there and thanked the MPA for inviting him. He reviewed the mission of the APA.
- He discussed that although psychiatry is performing cutting edge research it is still facing discrimination and this will continue to be a focus of the APA.
- MPA was congratulated for its continued membership growth even though the APA membership has declined.
- Dr. Scully reported the top 3 sources of income are: publications (45%), annual meeting (20%) and dues (17%). The top 3 expenses are: publications (33%), annual meeting (14%) and business operations (13%). The APA's move to Virginia from Washington, DC will save approximately $800,000 annually.
- The APA is focusing on regenerating the Public Affairs and Governance Institute.
- The APA is working with the American College of Physicians and the American College of Emergency Physicians on a project to treat depression. He reminded attendees that more than 50% of all prescriptions for mental health issues are written by non-psychiatrists.
- Since 1993 there have been 50 attempts nationwide to authorize psychologist prescribing. The states that have introduced bills were reviewed. Thus far only New Mexico has passed legislation, but psychologists there are not prescribing yet as the guidelines have not been completed. He reviewed the current situation in Louisiana - the billed has been passed out of the House and Senate Committee and will now go to a floor fight. Educating legislators on this issue, advancing the use of telepsychiatry and developing working relationships with family physicians are key to being successful in the fight against psychologist prescribing. DBs must also have strong relationships with their local NAMI and state medical associations. The MPA was congratulated for its strong relationship with the Maine Medical Association and also for the approval of the recent CALF Grant.
- The APA attempted to have N.M. repeal the psychologist prescribing bill, this was unsuccessful. There was no support from the governor and the DB did not have a strong relationship with the state medical association. N.M. is on the verge of adopting weak regulations. There will be a public comment period, the APA will continue to be very actively involved.
- University of Southern California has an MD/PhD program which opposes psychologist prescribing and they routinely testify against the issue.
- Dr. Scully encouraged the building of a relationship with the local psychology association. He suggested to work with the psychologist to have them agree to not submit a scope of practice bill for 5 years and the psychiatric association will support parity to include psychological services and possibly other issues important to the psychological association.

Maine Association of Psychiatric Physicians
Executive Council
March 25, 2004
Minutes

1. Present: Drs. R. Bailyn, B. Brooks, R. Croswell, P. Maidman, J. Maier, W. Matuzas, D. Moltz, L. Mutty, J. Pease, E. Pontius
Guests: Cathy Lee and Andrew MacLean

2. Minutes: The minutes of the February 2004 Executive Council were reviewed. A motion was made, passed and approved to accept the minutes as presented.

3. Membership: Dr. Maidman reviewed the dues drop list. Dr. Maidman reported he had left messages for Drs. G. Floreza and J. Spiegel regarding their dues. Dr. Maier reported that Dr. Austin will submit her dues and continue her membership. Dr. Rubin sent an email stating that Dr. De-Cory will submit her dues and continue her membership. Dr. Stenzel was not present nor sent the status of the members he was to contact (Drs. P. Perkins and E. Haroon). Dr. Maidman will contact Dr. Stenzel. Dr. Maidman will contact Dr. L. Salvesen regarding his membership.

Dr. Maidman presented the following membership items and a motion was made, passed and approved to accept the proposed membership items.

  • Transfers out of Maine
     - Robert Blaik, DO, GM (Illinois)
    - Ian Slayter, MD, GM (Eastern Canada)
  • Transfers into MPA
    - Teodora Andrei, MD, MT (Louisiana)
    - Kenneth Lerner, MD, MT (New Hampshire)
    - Yvonne Walker, MD, GM (Florida)
  • New Members:
    - Patrice Lockhart, MD, MT
  • Dues Relief:
    - 2004 Robert Blaik, DO

4. Legislative & Governmental Affairs:
- LD 1713 - Cathy Lee reported the Health and Human Services Committee voted ought not to pass. The Committee sent a letter to Sabra Burdick, Acting Commissioner of the Department of Behavioral and Developmental Services. The letter has 3 main instructions- each with subsets. They are:
1. BDS serve as a liaison between the stakeholder working group and the HHS Committee.
2. BDS to report back to this committee, no later than April 1 regarding:
- Outcomes of the March 17th stakeholder group including
a. Additional stakeholders that will join the group
b. Status of demonstration projects
- Additional information on waiting lists for mental health services as follows:
a. Geographic distribution of the waiting lists for children and adults respectively
b. Age breakdown of the waiting lists
for children and adults respectively
- Additional information of the use of telemedicine to improve access to care
3. BDS provide a full report to this committee, no later that Jan. 1, 2005. The Committee expects that this report will:
- Provide an analysis, including policy and funding implications, of the full range of research studies and demonstration projects in progress in the State to examine and improve access to mental health care for Maine children and adults
- Provide an analysis of the geographic disparity and structural problems that exist in access to mental health care providers and services for children and adults, respectively, across the State
- Provide an analysis of the use of prescription medication to treat children and adults with mental health disorders in relation to the use of other treatment strategies and interventions.
- Provide information on continuing efforts to develop models for encouraging collaboration among mental health professionals and medical care professionals in order to increase access to necessary mental health services.
Cathy Lee reviewed each of the 3 points. It was decided to request the following be added to the Mental Health Advisory Committee: William Matuzas, MD representing MPA, Richard Fortier, MD representing private practice, B. Brooks, MD representing the Lincoln County Project, Kim Foster representing psychiatric nurses, Frank Lavoie, MD representing emergency physicians (Dr. Maidman will contact him, and Dr. Syd Sewall as a pediatrician (Dr. Mutty will contact him). Ms. Lee reported that legislators need to be educated about psychiatrists and psychiatry. To assist BDS in their charge it was decided that an email will be posted on the member and clinical practice website requesting identification of any projects that integrate psychiatry into primary care or addresses mental health access issues. Would also like to know who is involved and how the project is funded. Cathy Lee will assist Warene in drafting the message to be sent; replies will be requested to be sent by March 30th so that the information will be able to be given to BDS to be able to present on April 1st. It was noted that "mental health services" should include services offered by psychologists when looking at waiting lists.

The charge to BDS is a great opportunity for the MPA to present suggestions and define their role on this issue.

Andy MacLean advised attendees that the MPA as a group and individually should consider sending written communications to candidates. This is another way to educate persons on the differences between psychiatrists/psychologists, who the MPA is and patient safety issues.

At this time the main focuses, legislatively, of the MPA appear to be
- Continue psychologist/psychiatrists fight and education around this issue
- Develop our ideas in parallel with BDS and develop closer collaboration with the medical section
- Funding and reimbursement for mental health services, including those provided by psychologists
- Participating in political campaigns

5. Program: An expanded legislative report will be presented at the GM meeting on April 16th. Each committee chair will be asked to provide a very brief report. Dr. Scully will be given an extended period to speak - the title of his presentation will be
Call to Arms: Transforming Our Mental Health System. Dr. Matuzas will speak with Dr. Scully regarding this and may schedule a conference call for a few members of the EC and Dr. Scully to discuss in further detail. Staff will discuss with Jeff Toorish press releases and possible press interview. It was also decided to invite Carol Carothers to the meeting.

6. Assembly: As time was running out Dr. Croswell asked attendees to review his written report of the recent Area 1 Council meeting. He did point out that CT recently passed legislation which would prohibit a PDL.

7.New Business:
- Ethics Chair: Dr. Matuzas informed the EC that Dr. M. B. Lardizabal has resigned as the Chair of the Ethics Committee as she is relocating to Minnesota. A resolve was passed thanking Dr. Lardizabal for her valuable contribution.
- Next Meeting: The next meeting of the EC will be May 20th and will start at 6:15 pm
- Nami Walk: A motion was made, passed and approved to donate $1,000 to the NAMI walk.
- Name Change: Tabled until the next meeting
- DUR: Dr. Julie Pease was appointed to the DUR. Congratulations.
- Education Committee: Dr. Matuzas asked for suggestions for a Chair of the Education Committee. It was suggested he ask Dr. Ben Crocker if he would accept an appointment as the chair. He will speak with Dr. Crocker.
- MaineCare: Dr. Moltz announced that the DUR lifted antipsychotic meds from the PDL. He is not able to attend the April meeting of the DUR, but will send a letter as the Chair of the Clinical Practice Committee.