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FOCUS Quiz: Fall 2018 - Psychotherapy: Access to Effective Treatments

Activity Type:

  • Journal CME

Release Date: 10/1/2018

Expiration Date: 12/31/2020

  • AMA PRA Category 1: 5
  • Participation: 5

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Psychotherapy: Access to Effective Treatments

FOCUS, APA's clinical review and continuing medical education journal, is designed as a personal study resource to help practicing psychiatrists keep abreast of significant advances in the field, with particular attention to clinical practice and incorporation of core competencies. The goal of FOCUS is the dissemination of up-to-date clinical information, facilitation of lifelong learning skills, maintenance of certification, and opportunity for self-assessment in order to improve patient care. Each issue, prepared by distinguished faculty who are recognized in their fields, provides up to date clinical information and incorporates a CME component. The material can be used effectively by establishing a regular schedule of study.


This activity is only available to 2018 Focus subscribers.

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Educational Objectives

This issue of Focus provides the reader with an overview of advances in improving access to effective psychotherapies and how these therapies might be applied in patient care.

Participants will review evidence for effectiveness and gain a better understanding of

  • implementation of integrated primary care in increasing access to effective psychotherapies
  • implementation of efforts to improve access to psychotherapy using self-guided Internet-based treatments, minimal contact psychotherapies, and mental health mobile apps
  • options for the delivery of treatment of substance use disorders using Internet- and smartphone-delivered interventions

Target Audience

This program is one element of a lifelong learning program for psychiatrists and is an aid for psychiatrists and other clinicians participating in maintenance of certification.

Estimated Time to Complete

Estimated Duration: 5 hours
Begin Date: October 1, 2018
End Date: December 31, 2020

How to Earn Credit

In order to earn CME credit, participants should read through the material presented in the issue. After reading the materials, complete the CME quiz by answering multiple-choice questions with a single correct answer. A score of 60% or higher is required to receive credit. Retakes are available for the test. Review the rationales, complete the online course evaluation, and then claim and print your CME certificate. The APA provides a CME certificate of credit for physicians and a certificate of participation for non-physicians.

Continuing Education Credit

The American Psychiatric Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The APA designates this journal-based CME activity for a maximum of 5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Program Planners – Editor and Associate Editors and Guest Editors

Mark H. Rapaport, M.D., Editor of FOCUS, and Chairman and Chief of Psychiatric Services, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Ga. No financial relationships with commercial interests.

Dorothy Stubbe, M.D., Editor and Author, Communications Commentary, Associate Professor and Program Director, Yale University School of Medicine Child Study Center, New Haven, CT.- No financial relationships with commercial interests.

Laura Dunn, M.D., Co-Editor Ethics Column; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA; Dr. Dunn reports: Consultant: Otsuka America Pharmaceutical Inc.

Ian A. Cook, M.D., D.F.A.P.A., Section Editor and Author Patient Management: Dr. Cook is with the Semel Institute for Neuroscience and Human Behavior at the University of California, Los Angeles, and is in practice at the Los Angeles TMS Institute. Dr. Cook reports that his active biomedical device patents are assigned to the University of California. In the last year, he has advised Arctica Health, Cerêve, HeartCloud, and BrainCloud, and the University of California, Los Angeles, has received research grant funding from NeoSync, Inc., for his work. He has been granted stock options in NeuroSigma, the licensee of some of his inventions, and he currently is on leave as its chief medical officer and senior vice president. He is director of the Los Angeles TMS Institute, Inc., and chief executive officer at HeartCloud, Inc., and BrainCloud, Inc.

Boadie Dunlop, M.D.  Section Editor, Applied Armamentarium, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.  Grant/Research: Axome, Assurex, Acadia, Janssen, NIMH, Takeda

A Review of Recent Efforts to Improve Access to Effective Psychotherapies

Carly Yasinski, Ph.D., Sheila A. M. Rauch, Ph.D., ABPP

Dr. Yasinski and Dr. Rauch are with the School of Medicine, Emory University, Atlanta. Dr. Rauch is also with the Mental Health Service Line at the VA Atlanta Healthcare System, Atlanta.

Dr. Yasinski receives support from Wounded Warrior Project. Dr. Rauch receives support from the Veterans Health Administration, National Institutes of Health, U.S. Department of Defense, Woodruff Foundation, McCormick Foundation, and Wounded Warrior Project. Dr. Rauch also receives royalties from Oxford University Press.

Treatment for Anxiety and Depression via Clinical Videoconferencing: Evidence Base and Barriers to Expanded Access in Practice

Peter W. Tuerk, Ph.D., Stephanie M. Keller, Ph.D., Ron Acierno, Ph.D. Dr. Tuerk and Dr. Keller are with the Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston; Dr. Acierno is with the College of Nursing, Medical University of South Carolina. Dr. Tuerk is also with the Sheila C. Johnson Center for Clinical Services, Department of Human Services, University of Virginia, Charlottesville; Dr. Keller and Dr. Acierno are also with the Ralph H. Johnson VA Medical Center, Charleston South Carolina.

Dr. Tuerk receives compensation or royalties related to telehealth consultation, projects, and publications from the Cohen Veterans Network, Virtually Better Inc., and Springer International. Drs. Keller and Acierno report no conflicts

Use of Ecological Momentary Assessment and Intervention in Treatment With Adults

Meghan E. McDevitt-Murphy, Ph.D., Matthew T. Luciano, M.S., Rebecca J. Zakarian, B.A.

Dr. McDevitt-Murphy, Mr. Luciano, and Ms. Zakarian are with the Department of Psychology, University of Memphis, Memphis, Tennessee.

The authors report no financial relationships with commercial interests.

The Role of Integrated Primary Care in Increasing Access to Effective Psychotherapies in Veterans

Health Administration

Kyle Possemato, Ph.D., Robyn L. Shepardson, Ph.D., Jennifer S. Funderburk, Ph.D.

Drs. Possemato, Shepardson, and Funderburk are with the Veterans Administration Center for Integrated Healthcare, New York/New Jersey Veterans Administration Healthcare System, and the Department of Psychology, Syracuse University, New York.

The authors report no financial relationships with commercial interests.

The Limits of Confidentiality: Informed Consent and Psychotherapy

William Connor Darby, M.D., Robert Weinstock, M.D.

Dr. Darby and Dr. Weinstock are with the Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles.

The authors report no financial relationships with commercial interests.

Internet-Based Cognitive-Behavioral Therapy in the Treatment of Depression

Pim Cuijpers, Ph.D., Heleen Riper, Ph.D., Eirini Karyotaki, Ph.D.

Dr. Cuijpers, Dr. Riper, and Dr. Karyotaki are with the Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit, Amsterdam, the Netherlands.

The authors report no financial relationships with commercial interests.

American Psychiatric Association Staff Involved in Planning:  

Tristan Gorrindo, M.D.  Director, Division of Education, APA – no financial relationships with commercial interests

Kristen Moeller, Director of CME, Associate Director of FOCUS – no financial relationships with commercial interests

Hardware/Software Requirements

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration

  • Flash Player: Adobe Flash Player 10.1+ 
  • Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+ 
  • Operating System: Windows XP+ or Mac OS X 10.4+ 
  • Internet Connection: 1 Mbps or higher

Minimum Requirements

Windows PC:
500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera

Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit

For assistance: Contact for questions about this course | Contact for technical assistance

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