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FOCUS Quiz: Winter 2020 - Diversity, Equity and Inclusion in Psychiatry

Activity Type:

  • Journal CME


Release Date: 1/1/2020

Expiration Date: 12/31/2022

  • AMA PRA Category 1: 5
  • Participation: 5

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Overview

Diversity, Equity and Inclusion in Psychiatry

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

Pricing

This activity is only available to 2020 Focus subscribers.

Don't have a subscription to 2020 Focus? Subscribe online or by phone at 1-800-368-5777.  

If you have questions about Focus subscriptions, please contact appi@psych.org.

Educational Objectives

This issue of Focus provides the reader with a current view of  increasing diversity of the population as well as the inequities in social determinants, expressions of health, and experiences with healthcare requiring attention.

Participants will: 

  • Provide culturally informed care to a richly diverse patient population that will invariably include individuals from differing backgrounds, identity groups and preferences
  • Describe strategies to increase awareness and efforts to improve access and quality of care for individuals who are psychiatrically underserved
  • Be able to use the DSM5 Cultural Formulation Interview to enhance assessment and planning approach for all individuals
  • Apply principles of affirmative care and trauma informed care

Target Audience

This program is one element of a lifelong learning program for physicians.

Estimated Time to Complete

Estimated Duration: 5 hours
Begin Date: January 1, 2020
End Date: December 31, 2022

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.

Accreditation

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,  MD, 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, MD, 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,  MD, Editor Ethics Column; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA; No financial relationships with commercial interests.

Boadie Dunlop, M.D.,  Editor, Applied Armamentarium section, Associate Professor of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Director, Mood and Anxiety Disorders Program, Emory University School of Medicine. Dr. Dunlop reports: Consultant: Myriad Neuroscience, Sophren Therapeutics. Grant/Research: Acadia, Aptinyx, Intracellular Therapies, Takeda, Compass Pathways, Sage.

Guest Editor: Francisco Moreno

Introduction to Diversity and Inclusion in Psychiatric Care

Francisco A. Moreno M.D., Department of Psychiatry, University of Arizona College of Medicine- Tucson.

Jasleen Chhatwal, M.B.B.S., M.D., Department of Psychiatry, University of Arizona College of Medicine- Tucson.

Francisco A. Moreno reports Consultant LivaNova: VNS for Depression Study. Jasleen Chhatwal has no financial relationships with commercial interests to disclose.

Trauma-Informed Care and Cultural Humility in the Mental Health Care of People from Minoritized Communities

Noshene Ranjbar MD, Department of Psychiatry, University of Arizona; Matt Erb PT, The Center for Mind-Body Medicine; Othman Mohammad MD, Department of Psychiatry, University of Massachusetts; Francisco Moreno MD, Department of Psychiatry, University of Arizona. Disclosures. Noshene Ranjbar, Matt Erb, Othman Mohammad, no financial relationships with commercial interests. Francisco A. Moreno reports Consultant LivaNova: VNS for Depression Study

The Social Determinants of Mental Health: Psychiatrists’ Roles in Addressing Discrimination and Food Insecurity

Ruth S. Shim, M.D., M.P.H. Professor in Cultural Psychiatry Associate Professor, Department of Psychiatry & Behavioral Sciences University of California, Davis. Michael T. Compton, M.D., M.P.H. Professor of Clinical Psychiatry Columbia University College of Physicians & Surgeons. Drs. Shim and Compton report no financial relationships with commercial interests.

Update on the Cultural Formulation Interview

G. Eric Jarvis, M.D., Laurence J. Kirmayer, M.D., Ana Gómez-Carrillo, M.D., Neil Krishan Aggarwal, M.D., M.B.A., Roberto Lewis-Fernández, M.D., M.T.S. Division of Social and Transcultural Psychiatry, McGill University, and Culture and Mental Health Research Unit, Institute of Community and Family Psychiatry, Jewish General Hospital, Montreal, Quebec (Jarvis, Kirmayer, Gómez-Carrillo); Department of Psychiatry, Columbia University, New York (Aggarwal, Lewis-Fernández); New York State Center of Excellence for Cultural Competence (Aggarwal, Lewis-Fernández), Anxiety Disorders Clinic (Lewis-Fernández), and Hispanic Treatment Program (Lewis-Fernández), New York State Psychiatric Institute, New York. The authors report no financial relationships with commercial interests. Dr. Lewis-Fernández also reports receipt of royalties from American Psychiatric Publishing, Inc.

Affirmative Care Across Cultures: Broadening Application

Natasha S. Mendoza, M.S.W., Ph.D., Francisco A. Moreno, M.D., G. Alexander Hishaw, M.D., Albert C. Gaw, M.D.,

Lisa R. Fortuna, M.D., M.P.H., Anna Skubel, M.Ed., Michelle V. Porche, Ed.D., Mary Hasbah Roessel, M.D., Jay Shore, M.D.,

Anthony Gallegos, B.S. Center for Applied Behavioral Health Policy, Watts College of Public Service and Community Solutions, Arizona State University, Phoenix (Mendoza, Gallegos) College of Medicine, University of Arizona Health Sciences, Tucson and Phoenix (Moreno); College of Medicine, University of Arizona Health Sciences Center, Tucson (Hishaw); University of California, San Francisco, Medical School (Gaw); Boston Medical Center, School of Medicine (Fortuna), and Wheelock College of Education and Human Development (Skubel, Porche), all at Boston University; Caucus of American Indian, Alaska Native and Native Hawaiian Psychiatrists, American Psychiatric Association, Washington, DC (Roessel); Department of Psychiatry, Anschutz Medical Campus, University of Colorado, Aurora. Dr. Moreno is a consultant with LivaNova; chairman of the data safety monitoring board for the Vagal Nerve Stimulation for Depression Study. Dr. Shore is chief medical officer of AccessCare a provider of Telemental Health Services. He has received royalties from Springer and American Psychiatric Association Press. The other authors report no financial relationships with commercial interests.

Challenges and Opportunities to Meet the Mental Health Needs of Underserved and Disenfranchised Populations

Francesca Mongelli, M.D., Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy, Penelope Georgakopoulos, DrPH, Institute for Genomic Health, SUNY Downstate, Brooklyn, Michele T. Pato, M.D., Institute for Genomic Health/ Department of Psychiatry College of Medicine SUNY Downstate, Brooklyn. The authors report no financial relationships with commercial interests.

Ethics Commentary: Diverse Patient Populations in Psychiatry: Ethical and Clinical Issues

Samuel Ricardo Saenz, M.D., M.P.H., Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA.

Dr. Saenz reports no financial relationships with commercial interests.

Ask the Expert: Engaging Remote and Underserved Populations

James Griffith, M.D. Chair, Department of Psychiatry & Behavioral Sciences George Washington University, Washington, DC.

Dr. Griffith reports no financial relationships with commercial interests

Applied Armamentarium: Clinical Issues to Consider in Clozapine Patients Who Vape: A Case Illustration

Caren Jacquetta Blacker BMBCh, MA, Assistant Professor of Psychiatry, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN. Dr. Blacker reports no financial relationships with commercial interests

American Psychiatric Association Staff Involved in Planning:  

Tristan Gorrindo,  MD  Director, Division of Education, APA – no conflicts

Kristen Moeller, Director of CME, Associate Director of FOCUS -- no conflicts   

 

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

Macintosh:
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 educme@psych.org for questions about this course | Contact learningcenter@psych.org for technical assistance

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