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The Newsletter of the California Psychiatric Association
By Robert M. McCarron, D.O.,
DFAPA; President-elect, CPA
As we approach CPA election time,
I’d like to thank our candidates for
their leadership within our growing
Association. In my mind, as can-
didates, all of them “win” because
they are taking the time, energy,
personal financial resources and ini-
tiative to represent and support the mission of the CPA
and our profession. Although there are numerous facets
to the CPA, I believe our first priority is to advocate for
our patients; many of whom are uniquely vulnerable and
with suboptimal preventive, primary and even behavioral
Leadership often begins with mentorship. Each of our
candidates -- whether early, mid or late career -- have the
distinction of being outstanding mentors. Additionally,
as mentees, they have actively sought out and benefited
from ongoing mentorship. This personal connection and
support network is critically im-
portant to the success of organized
medicine (including the CPA) and
the delivery of superb, statewide
patient care.
I encourage all members to join us
for Advocacy Day, Council Meet-
ings and our many continued med-
ical education meetings. For those
who may be interested in joining
Volume 34, Number 3 Jan/Feb 2018
By William Arroyo, M.D.,
CPA President
Many of you may have spent New
Year’s Eve at home with loved ones
as I did. After a fabulous crab din-
ner, I sat in my family room iPad
in hand and decided to catch the
CNN’s New Year’s Eve (NYE) event
with a new anchor, Andy Cohen, and
the traditional venerable Anderson
Cooper. Cohen and Anderson have performed together
on prior extensive tours across the country so there was
seemingly minimal risk here from an entertainment per-
spective. I must admit that I have not routinely viewed
NYE broadcasts on major networks every year, but I dont
recall alcohol, for example, being touted in the same man-
ner that was evident with cannabis this NYE. Liquid, ed-
ible and cigarette forms of cannabis were on full display
along with cannabis paraphernalia. I am guessing that this
broadcast was viewed by many households that included
children. The “normalization” of recreational cannabis
use was in full swing during this broadcast that took place
on the eve of
Proposition 64 ‘s Adult
Use Marijuana Act (AUMA) in
California effective date. My prima-
ry concerns with full scale promo-
tion of recreational cannabis relate
to the following:
(1) individuals with
severe mental ill-
ness may have exacerbations of their
illness due directly to effects of can-
nabis and (2) children are at high
All CPA Election
From the President-Elect
Robert McCarron, D.O.William Arroyo, M.D.
The Presidents Message
(Continued on page 16) (Continued on page 15)
Inside This Issue
Candidate Statements
- CPA President Elect............... Page 9
- CPA Treasurer........................ Page 10
- CPA ECP Deputy Rep...........Page 11
Capitol Insight...........................Page 4
A New High (Proposition 64)
In California and New Low
In the Media
California Psychiatrist
Page 2 Jan/Feb 2018
California Psychiatric Association
921 11
Street, Suite 502, Sacramento, CA 95814
Office 916-442-5196 FAX 916-442-6515
CPA Officers
William Arroyo, M.D., CPA President ............................. 213-738-6152
Robert McCarron, D.O., CPA President-Elect ................. 530-574-4139
Timothy Murphy, M.D., CPA Immediate Past President . 760-723-5459
Mary Ann Schaepper, M.D., CPA Treasurer ..................... 951-271-0397
Melinda Young, M.D., APA/CPA Area 6 Trustee ............. 925-944-8880
Joseph Mawhinney, M.D., Area 6 Assembly Rep .............. 858-259-0599
Barbara Weissman, M.D., Area 6 Assembly Dep Rep ....... 650-573-2683
CPA Staff
Lila Schmall, CPA Executive Director .............................. 916-442-5196
Randall Hagar, CPA Govt. Affairs Director ...................... 916-442-5196
Vanessa Smith, CPA Associate Executive Director ............ 916-442-5196
Juliet Grimble-Morris, CPA Administrative Assistant ....... 916-442-5196
District Branches
Central California Psychiatric Society (CCPS)
John Onate, M.D., CCPS President ................................. 530-574-6185
Chris Stockton, Executive Director .................................. 888-234-1613
Northern California Psychiatric Society (NCPS)
Firdouse Huq, M.D., NCPS President ............................. 707-552-3815
Ashleigh Servadio, Executive Director .............................. 415-334-2418
Orange County Psychiatric Society (OCPS)
Yujuan Choy, M.D., OCPS President .............................. 949-288-3098
Natalie Kaczur, Executive Director ................................... 949-250-3157
San Diego Psychiatric Society (SDPS)
Lawrence Malak, M.D., SDPS President .......................... 510-499-9411
Michelle Gallice, Executive Director................................. 858-279-4586
Southern California Psychiatric Society (SCPS)
Joseph Simpson, M.D., SCPS President ........................... 310-963-1968
Mindi Thelen, Executive Director .................................... 310-815-3650
Volume 34, Number 3 Jan/Feb 2018
The Advertisements, Letters to the Editor, Columns and Articles published
in this newsletter state the authors’ opinions and do not represent endorse-
ment of those opinions by the California Psychiatric Association. Informa-
tion submitted by advertisers has not been verified for accuracy by the Cali-
fornia Psychiatric Association
The President’s Message: A New High (Proposition 64) In California and
New Low In the Media...........................................................Front Cover
William Arroyo, M.D.
All CPA Election Candidates Win!.......................................Front Cover
Robert McCarron, D.O., D.F.A.P.A.
New Law Will Aid Treatment of People
with Severe Mental Illness............................................................. Page 3
Joe Simpson, M.D., Ph.D.
Perilous Political Times .................................................................Page 3
Lawrence Malak, MD, Chair, CPPAC
Capitol Insight.............................................................................Page 4
Randall Hagar, Director of Gov. Relations
Board of Trustees Highlights........................................................Page 6
Melinda L. Young, M.D.
Resident Fellow Member..............................................................Page 7
Jorein Campbell, M.D.
CPA Candidate Statements .........................................................Page 9
New Health Laws .......................................................................Page 14
Barbara Weissman, MD
Check our WebSite at
APA WebSite:
Yvonne Ferguson, M.D.
Since this is the election issue, I have no commentary about the candidates other than they are all well
qualified and CPA members need to be sure to vote. Instead I am taking the editorial liberty to focus on
the recent disasters that ravaged the northern wine country and central coast areas of our state. When
one thinks of California’s disaster vulnerability, earthquakes usually come to mind; however, of recent,
wildfires, magnified by our historic drought, have been front and center in the news. I can person-
ally attest to the collateral effects of the Thomas wildfire that came close to my community in Santa
Barbara. Those of us fortunate enough to have not lost loved ones or property found ourselves requir-
ing masks if we ventured out into a surreal toxic, ash-laden atmosphere. A free standing psychiatric
hospital in Ventura that was the only facility between Los Angeles and San Francisco with adolescent
beds burned to the ground. Still worse were the Montecito mudslides that claimed a total of 23 lives
and scores of homes. Aside from the acute traumatic stress that impacted those residents, these disas-
ters pointed out what all physicians need to be cognizant of, which is to educate our patients about
the need for disaster preparedness. With the major highway artery through my community being closed for over one week, I
would suggest we encourage our patients to have a two-week supply of all their medications handy as evacuations are some-
times ordered immediately and pharmacies may be inaccessible or without adequate inventory. Emergency water and nonper-
ishable food supplies are a must as well as important documents and an emergency radio. Physicians need to have portability
features to their practices, especially if you practice solo. EHRs can be accessed from one’s home computer or a mobile device
if you are unable to get to your office and, of course, having the same supplies in place for yourself and family as youre recom-
mending for your patients is imperative. A plan for how your patients would be cared for in the unfortunate circumstance of
your demise is thinking ahead as should also be the case for us baby boomers approaching retirement.
– Yvonne B. Ferguson, M.D., MPH, Editor
Editors Note
Table of Contents
California Psychiatrist
Jan/Feb 2018 Page 3
Perilous Political Times
By Joe Simpson, M.D., Ph.D.
Assembly Bill 720, the result of a suc-
cessful collaboration between the
California Psychiatric Association,
including Cap Thompson, M.D.
and Randall Hagar; the Los Angeles
County Sheriffs Department; and
Assembly member Susan Eggman,
was signed into law last fall and
took effect on January 1st, 2018.
For the majority of readers of this newsletter AB 720 will
be of only academic interest. But for those who treat pa-
tients in county jail facilities, AB 720 holds great poten-
tial to help the most severely mentally ill patients receive
needed treatment.
AB 720 modifies an existing statute, Penal Code Section
2603, to allow a legal proceeding similar to a Riese peti-
tion for jail inmates who are awaiting trial. Previously
it was not possible to administer involuntary medication
to pretrial jail inmates unless they were transferred to an
LPS-designated psychiatric unit either within the jail it-
self (something most jails do not have) or at a hospital.
Given the shortage of acute inpatient beds in the state,
and the security and other concerns hospitals have about
accepting patients directly from a jail while they still have
criminal charges pending, it can be extremely challenging
to transfer a jail inmate in need of medication to a hospi-
tal. Even in systems such as the Los Angeles County jail,
which has its own LPS-designated inpatient hospital unit,
the number of beds is far less than what is necessary to
meet the demand. This leads to delays in treatment and
extended durations of untreated psychosis.
Prior to 2018, PC 2603 provided for jails to petition the
court for authorization to involuntarily treat a jail inmate
who has a mental illness and is a danger to self, a danger
to others, or is gravely disabled, if the inmate had already
(Continued on page 18)
(Continued on page 17)
Daniel H. Willick, Esq.
New Law Will Aid
Treatment of People with
Severe Mental Illness
in Jails
Lawrence Malak, MD, Chair,
Hello Colleagues and Friends,
As we start 2018 and face a rather
tumultuous political and social
climate, I am spurred to reflect on
why I entered practice psychiatry,
why I am part of the CPA and
contribute to the CPA PAC.
When I entered medical school, my
goal was simple: to care for people. Being a physician
would allow me the privileged ability to care for those
who needed help. Those who were sick, those in need
and those in pain. As I progressed through clerkships
and rotations, it became clear that psychiatry was the
place I could not just care for the sick and medically ill,
but also the disenfranchised, marginalized, vulnerable,
stigmatized populations who face mental health and
substance use disorder. I try to remember this privilege on
a daily basis, but it is easy to get swept away in the prior
auths, the compliance issues and other administrative
barriers that we all encounter in different ways. But at the
core of what we do, is the ability to take care of people.
And our patients are the ones who often have no other
support or voices in the system. They are the ones who
are victims of trauma, abuse, violence and our critical role
helps them to regain their ability to function and improve
their physical and mental health
In my practice and career, being a member of the APA,
CPA and SDPS is a critical element of this work. There
are the practical, educational elements which help me stay
on top of CME, practice guidelines and the latest research
and studies. While those benefits help prepare me to
practice, it is the advocacy and policy work that enhances
my ability to care for my patients. The political action
committees and lobbying efforts at the state and national
level help to protect the rights and improve the access to
quality care for those same vulnerable populations we
care for.
By ensuring parity for psychiatric services, increasing
the use of evidence-based treatments and pushing for,
innovative efforts in the legislature, the CPA and your
Joe Simpson, M.D., Ph.D.
California Psychiatrist
Page 4 Jan/Feb 2018
By Randall Hagar, Director of
Government Relations
Technology is a wonderful thing,
mostly, a blessing and a curse some
say, but here to stay. Communica-
tions technology has exploded since
I wrote my first “Capitol Insight”
column for the Fall 2003 Edition
of the California Psychiatrist.
Starting with this edition I’m relaunching “Capitol
Insight” as a platform for communication, oriented
towards social media and more digital communications.
This change has been a long time coming. Several events
have spurred this development. I wont abandon my faith-
ful readers who doggedly cling to older forms of commu-
nication like email and hardcopy, nor make it harder to
access information and insights I provide. But I think a
repackaging is in order to attain cleaner and, pardon the
expression, “meaner” messaging and information sharing.
I helped to update the CPA website recently so that we
have the capacity to capture reader views of our online
content. The online fall 2017 edition of the California
Psychiatrist had 352 views and the associated “Capitol In-
sight,” 44 views. Views of my column for the past two
years have bounced between the low of 44 to a high of
180 views, averaging about 100. While the newsletter
views ranged from a low of 53 to a high of 516, a number
of editions broke 500 views, but the average was 325. I
think these are credible numbers, at least at times, but we
can do better. We will be analyzing these trends for corre-
lation to the publication date and season, specific content
and other factors to see if there are insights to be gained
to better serve the needs of CPA members who read, and
dont read, our publications.
One of the takeaways for me is that “Capitol Insight” -
in this day of tweeters, tweets and twits who sometimes
inhabit the “twitterverse” - is too dense, too lengthy. It
could easily be broken up into blogletts, tweets, and Face-
book posts. My blast email “breaking news” and “media
alerts” can all be folded into the mix. The reasons for
Capitol Insight being published separately from the news-
letter have vanished in the mists of time, so we’ll incorpo-
rate a shorter version of it into the corpus of the newsletter
that itself will probably also undergo some revisions.
It’s a good time to announce the new CPA Facebook page:
California Psychiatric Association, @calpsych. Navigate
online here: Check it
out. Hit the “like” button, share content with friends and
colleagues, suggest content, comment. Just remember this
is not a secure page at this point, (that will be coming
later) so comment with the idea in mind that the entire
world could be reading your post forever!
While you are at it, my twitter handle is also California
Psychiatric Association, @calpsych. Please follow me. I
have an interesting mix of followers, people and organiza-
tions that I follow and retweet. For instance, I follow the
tweets of the Chairs of the Health Committees in both
legislative houses, as well as the Senate President pro Tem-
elect, Toni Atkins. Senator Atkins is very mental health
literate and will be a great leader for the Senate when she
assumes her position formally in March.
Senator Atkins and I have shared pictures with each other
because, as it turns out, we both share bonds with two
smaller dogs who await our return at home each night and
who are always endearing sources of amusement, if not
comfort. Politics is relationship.
I had a very stark reminder just the other day that those
of us immersed in legislation, policy development and
politics, use a distinct, dense “policyspeak” that can be
inaccessible to those interested in but not initiated into
the practice. I was called out (very nicely) by no less than
Randall Hagar
California Psychiatrist
Jan/Feb 2018 Page 5
Darinka Aragon, MD, resident-fellow representative to
the CPA Council, who pointed out it would be very help-
ful to have basic policy “explainers” to provide orientation
for CPA members who may want to personally under-
stand or engage in the policy-making process and advo-
cate for patient care. Thank you, Dr Aragon!
We are going to use the CPA website to make available
explainers” on fundamental policy issues. We will give
notice by email, twitter and Facebook to “drive” our read-
ers to the “explainers” when they are posted. I anticipate
the first one will be an “explainer” on understanding re-
strictions on gun ownership as it may apply to your pa-
tients. Then an “explainer” on invasion of privacy protec-
tions for psychiatric records, followed by thumbnails on
diversion from criminal justice involvement and under-
standing proposed changes to 5150 treatment standards,
Laura’s Law.
What follows? You decide. Send me an email
(randall- with suggestions for future topics.
What policy issue would you like to understand better?
What topic do you find perplexing?
We will also be posting bill letters on the CPA website.
Bill letters communicate the CPA position and rationale
for that position to policy-makers on specific pieces of leg-
islation. These letters are educational to generalist policy
makers. CPA members may find them good primers on
select subjects. An example, SB 215 (
can be found under the tab for “policy.” The CPA letter
explains why diverting people with mental illness from
the criminal justice system is more therapeutic, more hu-
mane, and more cost-effective than current practice.
CPAs policy platform explains “where we stand” on a va-
riety of general topics: a compendium of issues reviewed,
debated and approved by the CPA Council available here:
Creating Future Success for the CPA. It is an exciting time
for the CPA in the legislature. We have assumed a strong
state leadership role in developing mental health policy.
The success of CPAs Annual Advocacy Day is an excit-
ing element in our success. Last year we had 19 RFMs
participate and three CPA bills signed by the Governor. A
new record for the number of bills CPA carried, and we
managed to do it with zero votes cast against our bills!
Something we should all be proud of.
However as great as Advocacy Day success has been, once
it’s over CPA members and RFMs who participated go
back to their practice settings or programs and advoca-
cy is more or less over for the year. My hope had always
been that the advocacy skills learned would continue to
be honed, and the knowledge base about mental health
policies would expand throughout the year. In individual
cases it has, but CPA didnt have the resources to actively
support broad continued education and growth in advo-
cacy until now.
The CPA has been awarded an APA Innovation Grant that
CPA will use to form an advocacy community specifically
for RFMs. We want to invite all RFMs to join in shaping
and advancing CPA leadership in policy-making. Using
digital/online/social media as well as some face-time with
CPA leaders we want to take our advocacy skills and the
information about specific policy issues from Advocacy
Day on the road thereby expanding RFM advocacy from
the one-event-a-year frequency to an ongoing process.
Darinka Aragon, MD and Jorien Campbell, MD, CPA
Council RFM Representative and Deputy Representa-
tive, respectively will help oversee the statewide effort and
assure the CPA gets this right. CPA has also hired a con-
sultant to oversee communications, develop content and
generate the social media/internet/digital aspects of our
Our consultant has been renewing the CPA website with
these goals in mind with a new secure section for RFMs
who desire to participate. She has also set up for the first
time a Facebook page for broader educational content.
My twitter account is also receiving a makeover. Drs Ara-
gon and Campbell are helping to establish a list of topics
to develop into short, succinct basic “explainers” of fun-
damentally important policy topics.
Stay tuned!
California Psychiatrist
Page 6 Jan/Feb 2018
(Continued on page 19)
Board of Trustees
Melinda L. Young, DLFAPA
APA Area 6 (CPA) Trustee
By the Numbers
Total membership in APA remains
above 37,000. Income remains
strong: comparing September 30,
2017, with the same date in 2016,
net income is ahead by $2.5 mil-
lion. APA administration is project-
ing to finish the year with a net in-
come of $387 thousand, an improvement of $1.1 million
over the $700 thousand budgeted deficit. The increase is
due to increased investment income offset by an increase
in expenses associated with the registry, the office reloca-
tion to Washington DC, and software development costs.
The Work of the Board of Trustees (BOT) and the
The Board of Trustees (BOT) is charged with formulat-
ing and implementing the policies, as well as managing
the affairs, of the Association. This includes overseeing
internal work for the Association, developing educational
programs and tools for members, developing tools for
practice, working with legislators, both at the state and
federal levels, as well as working with federal regulatory
bodies and the judiciary, and working with outside agen-
Legislative Objectives:
• Strong support for reauthorization of Childrens Health
Insurance Program (CHIP)
• Strong support for Combating the Opioid Epidemic
Act (S. 2004)
• Strong support for Veterans health care legislation
• Support of bipartisan legislation to align current limits
on the use and disclosure of patients’ substance use re-
cords with HIPAA to allow appropriate access to patient
information by providers
Regulatory Objectives:
Melinda L. Young, MD.
• Ligature Risk Assessment: APA, is participating in a
multi-stakeholder technical expert panel to address the
lack of guidance provided by CMS to Joint Commission
surveyors regarding ligature risk assessments.
• Physician Fee Schedule Regulations: CMS has ad-
opted new CPT codes for collaborative care services and
payment for those services when provided in Federally
Qualified Health Centers and rural health centers, which
was strongly supported by APA.
• MACRA 2018 Rule: Positions supported by APA
were accepted by CMS, including (1) increasing the low-
volume threshold to 200 Part B patients or $90,000, (2)
allowing development of virtual groups of up to 10 clini-
cians who otherwise would not qualify for the low-volume
threshold, (3) increasing advantages to small practices (of
up to 15 clinicians), (4) allowance for fewer than the cur-
rent requisite six Quality measures for the MIPS Quality
Category, if no other measures are available that are rel-
evant a psychiatrist’s practice or patients, and (5) allowing
hospital-based clinicians to apply for a hardship exception
for the MIPS Advancing Care Information Category.
Work for Members’ Practices:
Psychiatric Reimbursement: Using claims data 2013-
2015, Milliman, an independent actuarial firm, analyzed
disparities in network use and provider reimbursement
rates between addiction and mental health vs. physical
Results: primary care physicians were compensated, on
average, 20% more than psychiatrists doing the same
work, and that out of-network use of addiction and men-
tal health treatment is extremely high when compared
to physical health providers. APA will be in discussions
with State Insurance Commissioners and State Attorneys
General on parity laws and inequality.
Managing Affairs of the APA:
The APAs New Headquarters: 800 Maine Street
S.W., Suite 900, Washington, D.C. 20024 as of January.
The BOT committed to the purchase of the headquarters
suite of offices when the opportunity arises in 2020, con-
tingent upon their final terms of the transaction approval.
APA Registry - PsychPRO: Over 322 participants
The Joint Commission Perspectives (November 2017), vol 37, number 11; Two articles from Barrins & Associates: Guidance from the Joint Commission Regarding Ligature Risks”
and “Update on Surveying Ligature Risks: CMS Memo, TJC Guidance for Non-Hospital BH Settings” (November 17, 2017 and January 17, 2018), and “Center for Clinical Standards
and Quality/Survey & Certication Group, S&C Memo: 18-06-Hosptials” [from CMS]. Denition of ligature is on page 2 of the last document:
“A ligature risk (point) is dened as anything which could be used to attach a cord, rope, or other material for the purpose of hanging or strangulation.
Ligature points include shower rails, coat hooks, pies, and radiators, bedsteads, window and door frames, ceiling ttings, handles, hinges and closures.”
California Psychiatrist
Jan/Feb 2018 Page 7
By Jorien Campbell, MD, Resident-Fellow Deputy Rep.
California Resident/Fellow Members (RFMs) who are graduating this year have been busy
thinking about their future. The Northern California Psychiatric Society (NCPS) recently
hosted their 33rd Annual Job Fair to help residents and fellows navigate the job market. There
were about 50 RFMs in attendance at this year’s Fair. The goal of the job fair was to give
RFMs the opportunity to meet face-to-face with employers and network with psychiatrics in
the area. This year’s sponsors were the Medical Insurance Exchange of California (MIEC)
and Professional Risk Management Services, Inc. (PRMS). Residents and fellows who
attended gave the Job Fair rave reviews:
“I talked to people from public psychiatry, private health systems, the California Corrections health service, and locums place-
ment. It was a great way to get to better understand the landscape and see how many opportunities there are out there right
now.” Jacob Izenberg, MD, UCSF PGY-4, Residency Research Training Program
“I was so impressed by the variety of clinical interests, settings, and locations represented at the fair! I found it to be
a great opportunity to learn more about the diverse systems and positions throughout NorCal, explore a wide range of
job options, and hear valuable job search insights. Everyone I spoke to was warm, enthusiastic, and welcoming.
Sara Baumann, MD, Chief Resident UCSF
As the end of June approaches, graduating RFMs will continue to look to the California Psychiatric Association and
the local district branches for career advice and mentorship – highlighting the value of organized psychiatry!
Area 1 Trustee
Eric M. Plakun, MD
Area 4 Trustee
Cheryl D. Wills, MD
Area 7 Trustee
Annette M. Matthews, MD
Resident Fellow Member
Trustee Elect (RFMTE)
Rana Elmaghraby, MD
Jorein Campbell, M.D.
Resident Fellow Member Column
2018 APA Election Results
At its meeting on February 8th, the Committee of Tellers approved the following results for the 2018 APA National
Election. Please note that these results are considered public, but not official until approved by the Board of Trustees
at their March 17-18, 2018 meeting.
President Elect
Bruce J. Schwartz, MD
Gregory W. Dalack, MD
Trustee at Large
Richard F. Summers, MD
Early Career Psychiatrist
(ECP) Trustee at Large
Ayana Jordan, MD, PhD
California Psychiatrist
Page 8 Jan/Feb 2018
Participate in the Future of Psychiatry –
Melinda L. Young, MD, DLFAPA,
Chair, CPA Nominating Committee
This edition of the CPA newsletter features candidates run-
ning for CPA President-elect, CPA Treasurer, and Deputy
Representative from Area 6s (CPAs) Early Career Psychia-
trists to the American Psychiatric Associations Committee
of Early Career Psychiatrists. All candidates are highly ex-
perienced CPA members and each is exceptionally qualified
to hold office. Each candidate has his or her own vision for
CPA and its future, including how CPA focuses its work and
its resources. He or she will influence the future of psychiat-
ric practice in California, including how CPA will collaborate
with our five District Branches and the APA, as well as how
CPA will interface and communicate with the California leg-
islature, regulatory bodies, and the judiciary. This is a criti-
cal time for psychiatry in California and nationwide, and the
stakes are high. We face changes in healthcare delivery and re-
imbursement models, decisions on which patients can receive
care and which professionals will deliver that care, limitations
or expansions in scope of practice for healthcare professionals,
as well as what kind of care will be allowed.
State and federal financial participation in Medi-Cal and
Medicare is threatened by tight and tightening budgets and
by politics and politicians. Please spend the time reading the
candidates’ biographies and statements to select your future
leaders and the path forward for CPA. Dont know a can-
didate? Contact the candidates themselves, speak with col-
leagues from your District Branch and from District Branches
around the state, and/or speak with your District Branchs and
CPAs current leadership.
Exercise your right to influence and shape the future of orga-
nized psychiatry and the practice of psychiatry, in the state of
California. Voter turnout is historically small for all profes-
sional societies including CPA. That means individual mem-
bers voting in the CPA election can have enormous power to
influence who its future leaders will be. Each and every vote
Elections for CPA Officers are open from February 20-March 20, 2018
Elections for CPA Early Career Psychiatrists are open from March 1st- April 1st.
(Only ECPs will vote in this election)
We have made online voting effortless this year by embedding a link in your email that will take you
right to your ballot! Those without email addresses will receive a paper ballot via regular mail.
The CPA has partnered with Survey & Ballot Systems (SBS) to administer the 2018 election.
To assure your election specific broadcast email arrives safely in your inbox on or around February 20,
2018, simply add the following email address as an approved sender.
If you have any questions about receiving your ballots, please contact the CPA office at
Or email
California Psychiatrist
Jan/Feb 2018 Page 9
Mary Ann Schaepper MD,
Now is the time for psychia-
trists in California to join the
CPA. Collectively we can call
out key issues in mental health
with a powerful voice.
We have the unique opportu-
nity to rally and grow the CPA membership, to showcase
our profession, and to stand by our patients with a unified
presence in California.
When elected, I am fully committed to Empower, to
Connect, and to Represent you, the CPA members, pa-
tients, and the CPA organization.
Adam Nelson, M.D., DFAPA
I am honored to be nominated
for the office of President-elect
of the California Psychiatric As-
sociation. As a member of the
CPA Council for over 10 years
and representative from Area
6 to the APA Assembly, I have
been a passionate and outspo-
ken advocate for psychiatrists in California. If elected,
here are some of the important issues I intend to address.
CPA must continue to nurture our relationships within
our own profession and other mental health
CPA 2018 Candidate Statements - President Elect
(Continued on page 13)
(Continued on page 19)
(Continued on page 11)
(Continued on page 12)
Shannon Suo, MD
I entered organized psychiatry
as a resident representative on
CCPS Council in 2001. I was
impressed with the power of
organized psychiatry in creat-
ing and influencing legislation
and affecting patient care and
the practice of medicine.
I soon realized that my voice
as a physician could be amplified by the megaphone of
CCPS, CPA, and APA. Since joining the CPA Council
in 2010, I have sought further involvement to support the
vital mission of CPA: carrying out legislative, regulatory,
judicial, and educational advocacy, and public affairs ac-
tivities on behalf of organized psychiatry in California.
Our members entrust CPA with the execution of what
they may not have the time/energy/expertise to individu-
ally doupholding and advocating for the quality of care
that our patients deserve and so desperately need. I am
committed to honoring that trust and ensuring that our
organization uses our funds wisely, efficiently, and to
Steve Koh, MD, MPH, MBA
Representing my colleagues to
our psychiatric and medical
professional organizations has
been highlights of my career.
With your trust and confidence,
I hope to serve you as the Trea-
surer of California Psychiatric
My first experience with organized psychiatry was at the
CPA Annual Meeting when I was a resident. I have been
active in APA, CPA and local SDPS ever since. I have been
able to represent my colleagues as the Chair of RFMs and
of ECPs, serve in the APA Assembly, been Member of
the Council on Healthcare Systems and Finance and cur-
rently on the Council on Advocacy and Government Re-
lations, served as APA Board member as Minority Fellow
Representative, and currently a Board member of APA
PAC, served as Chair for the APA Annual meeting, and
am Consultant Member of the APA Finance Committee.
I have been past President of the SDPS. At the CPA, I
have been the Chair of the RFMs, ECPs, Academic
CPA 2018 Candidate Statements - Treasurer
Page 10 Summer 2017
California Psychiatrist
Page 10 Jan/Feb 2018
Farah Zaidi, MD
ECP Deputy Representative
Candidate Statement
It was a relatively smooth transition for me after graduation from residency when I
started working as an attending at my parent institution where I trained. However, one
issue which I encountered intermittently during my training became a more frequent
encounter, after I assumed responsibilities as a full time psychiatrist on an inpatient unit
and psychiatric emergency services. The issue I am referring to is the lack of placement
and next level of care facilities, after acute mental health issues are addressed in psy-
chiatric emergency and inpatient units. There is a significant lack of shelters, Board &
Cares, wet housing/shelters, dual diagnosis treatment centers, detox facilities, intensive
outpatient programs and residential rehabilitation facilities, to name just a few. I real-
ized early on in my training that our patients’ mental wellbeing is often strongly linked
Jonathan Serrato, MD
ECP Deputy Representative Candidate Statement
To my fellow Early Career Psychiatrists, my name is Jonathan Serrato and I graduated
from residency at UC Irvine in 2017. I served as your Area 6/California Resident-Fellow
Member (RFM) Representative from 2015-2017 and I would like to return to the APA
now in the role of representing ECP’s. I currently work in the VA Long Beach Healthcare
System and have helped develop our telemental health program that provides telepsych
services to veterans living in remote and rural areas in California as well as other states. I
have an interest in expanding substance abuse treatment opportunities and increasing ac-
cess to psychiatric care for individuals regardless of socioeconomic status, race/ethnicity,
CPA 2018 Early Career Psychiatrist Deputy Representative
(Continued on page 13)
(Continued on page 18)
Rachel Robitz, MD
ECP Deputy Representative Candidate Statement
I am honored to be considered as a candidate for CPA ECP Deputy Representative. I
completed family medicine/psychiatry residency at UCSD, and I’m currently on fac-
ulty at UC Davis. During residency, I held various leadership roles in the San Diego
Psychiatric Society including RFM Representative, Federal Legislative Co-rep, and
Councilor. I have also been involved in the APA at a national level as the APA Public
Psychiatry Fellowship’s non-voting representative to the APA Board of Trustees. I have
a steady track record of advocating for trainees, and I hope to continue to represent
my peers as the ECP Deputy Representative. I am passionate about advocacy, and I
am pleased to align myself with an organization that works for mental health parity
and combats stigma. Moreover, issues of diversity in the psychiatric workforce are
important to me, and I have worked for this within the APA through my work on the
mentorship steering committee. Thank you for considering my candidacy.
Summer 2017 Page 11
California Psychiatrist
Jan/Feb 2018 Page 11
Statements - Treasurer
Shannon Suo
(Continued from page 9)
further the goals of our members. I have an excellent work-
ing relationship with current executive staff and leadership
within the CPA and am confident in our organizations
ability to work together to produce innovative and effec-
tive products such as the CPA Annual Meeting, the Pre-
Conference Clinical Updates in Psychopharmacology, and
the CPA Primary Care Psychiatry Conference which has
trained hundreds of primary care providers to recognize
and treat mental health conditions in primary care, safely
expanding access to hundreds of thousands of patients
across the state and country!
I believe strongly that the DB’s of CPA need to work to-
gether effectively to accomplish the mission of CPA and
am committed to regular communication with the DB’s
around financial issues involving the APA, CPA, and DBs.
● Fiscal responsibility
● Innovative sources of new income
●Honor the mission of CPA: legislation/education/public
● Involvement/connection/support of DBs
● Representation of and communication with individual
●Patient safety
Support RFMs, ECPs, URMs, and women in CPA/APA
Experience (abbreviated, please see website, for full CV):
Program Director, UC Davis Psychiatry-Family
Medicine Residency Program Medical Director, Turning
Point Community Programs Mental Health Urgent Care,
Sacramento $2.5 million budget
Co-Director, UC Irvine/UC Davis Train New Trainers
Primary Care Psychiatry Fellowship
$1 million budget
Co-Chair, Committee on Integrated Care; Co-Chair,
Womens Caucus; Annual Planning Committee; Nomi-
nations Committee member, CPA Co-Chair, UC Davis
Society for Women in Academic Psychiatry
Past President, Treasurer, Secretary; Deputy Representa-
tive, CCPS
Co-Chair, Membership Committee, Association of
Medicine and Psychiatry Coordinator, UC Davis
IMPART P3 (MHSA WET program) $1.3 million
I humbly ask for your vote to become your next
CPA Treasurer.
Shannon Suo, MD
Contact:, 916-734-8110
September 21-23, 2018
Laguna Cliffs Marriott –
Dana, CA
PLEASE CONTACT 800-772-4271
Page 12 Summer 2017
California Psychiatrist
Statements - President Elect
Mary Ann Schaepper
(Continued from page 9)
Empower patients through direct education on how to
cope with and make meaning of their mental health chal-
lenge. Stand by patients in their transformation of stigma
into courage to seek care. Collaborate with them in over-
coming barriers and finding access to care.
Connect patients to certified psychiatric care. Create and
give access to mental health resources. Inform patients of
their rights, and options through public forums, media
presentations. Enroll them to participate in community
activities such as NAMI Walk.
Represent patients’ distinct mental health needs, e.g. As-
sisted Outpatient Treatment, Laura’s Law, care for vulner-
able populations, and access for timely and appropriate
care at the Community, State, and National levels.
Empower members by advocating for clear boundaries in
mental health delivery and scope of practice. Promote in-
tegration of psychiatry with primary care. Negotiate par-
ity of reimbursement for all CPT codes across all medical
Ensure that continuing education, and maintenance of
certification requirements are relevant, accessible and af-
fordable to all members.
Connect individual members and their concerns to their
District Branch, and to the CPA. Engage with Medical
Students, Residents, Fellows and Early Career Psychia-
trists through mentorship. Embrace their innovative per-
spectives on mental health care.
Represent the diversity and strengths of the CPA mem-
bers to the APA, CMA and State Legislative Bodies.
Empower CPA through the investment in membership re-
tention and growth of the psychiatric clinicians through-
out California.
Connect CPA by engaging with and assisting the District
Branches in their outreach to their constituents and com-
munities. Capitalize on CPA expertise and resources to
support local advocacy and educational efforts.
Represent CPA as a significant contributor to policy and
solutions of Mental Health Care at the State and Nation-
al levels. Hold insurance providers, state legislators and
health care delivery systems accountable to parity of care.
My qualifications for this position and responsibilities are:
I am an experienced, mature clinician, educator and ad-
ministrator. I have been a member and have served at the
local, District Branch, State and National level for over
23 years. I am a distinguished Fellow of the APA. I serve
currently as CPA Treasurer, SCPS Assembly Representa-
tive. I am a member of the CPA Child and Adolescent
Committee, CPA Government Affairs Committee, and
the CPA Womens Caucus Co-Chair.
My past leadership consisted of:
APA Membership Committee
APA Area VI Member-in-Training
CPA Annual Program Committee
SCPS President
2011- 2012
SCPS Secretary
Residency Director, Loma Linda University
CPA/APA has been a part of my professional fabric. Hav
ing grown up in a family whose APA membership spans
113 years, I appreciate the value of this organization. As
program director I introduced this professional home to
each resident. I have mentored Minority Fellows, Wom
en in Psychiatry, Child Fellows, and medical students and
will continue to mentor future leaders of the CPA/APA.
I work in a private group practice, with a focus on child,
adolescent, and the family. In addition, I work with a
local Federally Qualified Health Center, to provide
specialty care to those with Autism and
(Continued on page 18)
Summer 2017 Page 13
California Psychiatrist
ECP Statements–Jonathan Serrato (Continued from page 10)
Statements - Treasurer
Steve Koh (Continued from page 9)
or where they live. Because of the minimal resources available to those seeking mental health care in our communities,
there remains insufficient means to meet the growing demand. Now more than ever it is imperative for the voice of
mental health providers to be heard on a state and national level. I seek to advocate for a greater increase in awareness
and acceptance of mental health issues in our nation, and I’m excited to continue pursuing opportunities as the Area
6 ECP Deputy Representative to help shape the future of psychiatry in the form of policy and legislation.
The APA has proven to be a powerful force in influencing policy in the United States, but in order to remain the lead-
ing voice of mental health care it must continue to have strong membership. It is no secret that the most dramatic drop
in membership in the APA occurs during the transition from residency to early career practice.
I am committed to help stimulate further engagement of ECPs in the APA. During my time as RFM Representative,
I saw a record number of residents involved in CPA Advocacy Day, the CPA Annual Meeting, and voting in elections.
I believe that this was secondary to an increased sense of community and increased outreach to various residency pro-
grams around the state. I now ask to represent early career psychiatrists in Area 6/California to help foster community
amongst this group and to increase relevant resources and opportunities specific to ECP’s.
I am confident that my prior experience in the CPA Council and APA Assembly as well as my experience in various
clinical settings makes me an excellent candidate for being your ECP Deputy Representative and ensuring that our
collective voice is heard on the state and national level.
(Continued on page 18)
Liaison, and have been on the committees for public sector psychiatry, government relations and leadership council.
I have also been actively involved in the CMA and AMA. I represented APA at the AMA with our delegation. Rep-
resenting San Diego County Medical Society, I have been actively involved with CMA and currently serve on the
TeleMedicine Committee.
As faculty at University of California, San Diego, Department of Psychiatry, my responsibilities cover 4 areas. I am the
Director for the Community Psychiatry Program, TeleMentalHealth Program, and Outpatient Psychiatric Services –
Hillcrest. I also serve on our Chair’s Advisory Cabinet in area of community, public sector policy and advocacy. My
professional career’s development has kept pace with my work with organized medicine. They augment one another to
ensure that I have the ability to serve multiple capacities in my leadership positions.
My relevant fiscal responsibility work include entrepreneurialism, formal training in business administration, consul-
tant member of the APAs Finance Committee, oversight of ambulatory clinical operations and community psychiatry
programs at UCSD, and non-profit organizational leadership. These experiences will help me serve our CPA and Dis-
trict Branches to ensure fiscal discipline and add value to our shared initiatives.
My goals will be to streamline our financial relationships with the APA, transparently showcase financial aspects of
CPA endeavors, and coordinate collaborative efforts between District Branches. I believe that we must work closely
with APA to ensure that our Area and each District Branches are able to take advantage of its resources efficiently and
Page 14 Summer 2017
California Psychiatrist
New Health Laws
By Barbara Weissman, MD, CMA Board of Trustees
The California Medical Association follows hundreds of
healthcare related bills every year
through the legislative cycle, and
each year many new laws are enact-
ed. Currently many of the new laws
focus on health care coverage, drug
prescribing, and public health. The
CMA has a summary of the most
significant new laws for physicians
at (les/assets/
Here are just a few of the new laws:
Allied health professional and ancillary services:
• AB 89 will require that psychologists have coursework
in suicide risk assessment and intervention.
• AB 191 allows LMFTs and professional clinical coun-
selors to provide the second signature on the 30-day ex-
tension to a 72-hour hold.
• The optometry (AB 433) and podiatry (AB 1153)
scopes of practice were expanded slightly (and podiatrists
were added to the lists of those able to make a disabled
certification for DMV purposes (SB 611).
• New laws imposed further regulations with regards to
stem cell therapy (SB 512) and extended in-home respite
and IHSS services (AB 126). IHSS issues were also ad-
dressed in the budget (SB 90 and others).
Condential information and drug prescribing:
• AB 210 allows counties to establish homeless teams that
can share confidential information including substance
abuse treatment to ensure continuity of care.
• AB 413 allows a party to record communications for
the purpose of obtaining evidence related to domestic vio-
• AB 1119 deals with the need to communicate
patient information and records during the provision
of emergency services.
• AB 40 requires that the DOJ make CURES informa-
tion able to be integrated with health information tech-
nology systems.
• AB 720 strengthens informed consent in the jail sys-
tem. (refer to Dr. Joseph Simpsons article in this issue).
• AB 1048 sponsored by CMA allows a pharmacist to
partially fill a Schedule II controlled substance.
Health care coverage:
• enrollment periods (AB 156)
• requirements for qualified autism service) providers for
health plan behavioral health therapy services (AB 1074),
requires health plans to arrange for the completion of cov-
ered services from a nonparticipating provider upon cov-
erage termination (SB 133).
• language assistance services (SB 223)
• tightened requirements for mental health parity (SB
• AB 275 increases requirements for long term care facili-
ties when they are no longer able to care for their residents.
• SB 219 strengthens non-discrimination for LGBT indi-
viduals in long term care settings.
• AB 395 expands medication-assisted treatment for sub-
stance use disorders.
• SB 54 limits the involvement of state and local law en-
forcement in federal immigration enforcement.
• AB 205 requires network adequacy for Medi-Cal man-
aged care plans.
• AB 340 develops trauma screening in EPSDT pro-
• AB 1688 extends to 10 years the time that MediCal
providers must retain specified records and renames
the California Mental Health Planning Council as the
California Behavioral Health Planning Council and
changes its composition and duties.
• SB 171 requires a MediCal managed care plan to com-
ply with a minimum 85% Medical Loss Ratio.
Barbara Weissman, MD,
CMA Board of Trustees
Summer 2017 Page 15
California Psychiatrist
Cannabis use and businesses:
• SB 65 states that smoking or ingesting marijuana while
driving or riding as a passenger is an infraction.
• SB 94 establishes a single system of administration for
cannabis laws in California.
Mental Health:
• AB 462 allows the Mental Health Services Oversight
and Accountability Commission to receive quarterly wage
data of mental health consumers.
• AB 1134 establishes a fellowship program for that com-
• AB 974 requires counties to report their Mental Health
Service Act expenditures spent on veterans to that com-
• AB 1315 establishes a pilot program for early psychosis
detection and intervention.
• SB 565 allows notification of family members of certi-
fication reviews for an involuntary patient.
Professional licensing:
• AB 508 repeals provisions of law authorizing boards
to cite and fine or deny licensure or licensure renewal to
a health care practitioner who is in default on a student
• AB 1340 asks the Medical Board to consider requir-
ing a course in integrating mental and physical health in
primary care settings.
Public health sector:
• AB 643 requires school districts to include information
about adolescent relationship abuse in their sexual health
• AB 841 prohibits schools from advertising food or bev-
erages and from participating in incentive programs that
reward pupils with food or beverages that do not meet
nutritional standards.
• AB 1221 requires training on Responsible Beverage
Service Act for alcohol servers.
• AB 1316 expands the definition of “lead poisoning” to
further prevention efforts.
• SB 239 modifies criminal penalties related to HIV that
imposed stricter criminal penalties to individual infected
with HIV in comparison to other communicable diseases.
• SB 536 allows more research on gun violence restrain-
ing orders.
Practice issues:
• AB 168 prohibits an employer from relying on an ap-
plicant’s salary history as a factor in determining whether
to offer employment or in determining salary.
• AB 450 prohibits a public or private employer from
providing access to a federal government immigration en-
forcement agent to any non-public areas of a place of labor
if the agent does not have a warrant.
• AB 1008 limits employers’ abilities to ask about crimi-
nal convictions.
• SB 63 strengthens parental leave.
• AB 461 excludes student loan debt that is cancelled
under specified repayment plans for public service from
being counted as gross income.
• SB 179 provides for a third gender option on state iden-
It is hoped that this article at least raises awareness about
some of the changes and prompts some of you to link to
the more comprehensive CMA review. And consider, if
you havent, joining CMA to support the efforts it makes
on our behalf with all the legislation that is considered
each year.
CPA Election Win! (Continued from page 1)
CPA committees or becoming an elected council mem-
ber, I am happy to discuss this if you have any questions.
The more leaders, mentors and mentees we have within the
CPA, the more we are able to effectively advocate for our
The CPA election starts on February 20 and ends on
March 20, 2018. Please take a moment to register your
California Psychiatrist
Page 16 Jan/Feb 2018
Presidents Message (Continued from page 1)
risk of suffering adverse outcomes due to the effects of can-
nabis on the
developing brain. (In defense of CNN, there
were a few brief statements of caution offered by the an-
chors related to driving under the influence.) Furthermore,
there are lessons to be learned from the
Colorado experience
as it pertains to youth.
With the exception of a few dispensaries in California,
many businesses were not due to open on January 1 due to
the complexity of a combination of state and local regula-
tions that will govern the sale of recreational marijuana but
were only finalized during the last two weeks in December.
However, cannabis businesses in West Hollywood or
“WeHo, were slated to open on January 2nd earning it an
additional nickname of WeedHo.
On the federal level, the classification of cannabis by the
DEA as a category 1 controlled substance continues to dis-
courage relevant research. Additionally, Attorney General
Jeff Sessions’ recent decision to
reverse the federal policy di-
rection of the Obama administration will unleash federal
prosecutors to individually prioritize their resources to
crack down on cannabis possession, distribution and cul-
tivation. This new direction may result in an uptick of
substance related “offenses” and incarcerations, effectively
undermining local jail diversion efforts such as the APA
Foundations initiative, Stepping Up
In spite of the fact that recreational use of cannabis will be
implemented in California as a result of Proposition 64,
look for the following benefits from the ballot initiative:
1) creation of a new administrative unit known as the
Bureau of Cannabis Control (of which Timmen
Cermak, M.D., (recommended by CPA) is a member that
will establish regulations for the sale, distribution, cultiva-
tion, and protection of environment
2) a new tax on both growth and sale of cannabis
3) tax revenues to cover the administrative costs of the new
4) creation of public health programs to educate youth
about prevention and treatment of serious substance use
5) training of local law enforcement to enforce the new law
with a focus on DUI enforcement
6) investment in communities to reduce the illicit market
and create job opportunities; and
7) environmental cleanup and restoration of public lands
which have been damaged by illegal cannabis cultivation
8) establishment of strict prohibitions for access by youth
(bars businesses from being located within 600 feet of
schools; establishes strict packaging and labeling require-
ments; prohibits use of packaging that is attractive to youth)
9) provision of safeguards for local control of businesses
10) allowances for felony offenses but also, reduces penal-
ties for minor non-violent drug offenses
11) prohibition of sale by businesses which sell alcohol or
12) prohibition of cannabis during motor vehicle, vessel,
boat, aircraft, or other vehicular transportation operation
13) provision of $10 million to a public California univer-
sity or universities beginning in 2018-19 until 2028-29 to
research and evaluate the implementation of the AUMA
14) provision of $10 million in 2018-19 and $50 mil-
lion each year beginning in 2022-23 for Community
Reinvestments grants program to local health departments
and at least 50% of which goes to qualified community
based non-profit organizations to support job placement,
mental health treatment, substance use disorder treatment,
etc.; among other benefits.
The consideration of cannabis by all medical personnel as
an etiologic factor in diagnoses will likely become more
routine and systematic than it has previously been. Special
attention will need to be paid to the more vulnerable popu-
lations of patients. Most likely, expertise in the treatment
of substance use problems will be enhanced and expanded
in California.
California Psychiatrist
Jan/Feb 2018 Page 17
Perilous Political Times (Continued from page 3)
CPPAC help to improve patient care and safety of our
entire community. In an election year such as this, the
political and lobby efforts at state, local and national
level are critically important to protect our patients, their
families and the field of psychiatry from being pushed to
the margins and erasing the gains that have been made.
As you are all APA members, I encourage you think of the
reasons you practice medicine and psychiatry and how
you can continue to care for your patients. In addition
to your normal work, consider giving to local nonprofits,
charitable organizations or contributing to the PAC or
the CPA Advocacy & Litigation Fund at the CPA. Any
contribution you can give helps to strengthen our voice in
Sacramento and our ability to care for all of our patients.
Remember, your investment in the PAC is an investment
in the future of psychiatry.
Please visit the Advocacy or PAC pages of the
CPA website to help join the fight:
Thank you for all hard work you do and here’s to
a great 2018!
Contributions to the PAC should be sent to California
Psychiatric Political Action Committee, 921 11th Street,
Ste. 502, Sacramento, CA 95814. Please make your
contribution payable to the California Psychiatric Political
Action Committee.
PAC funds are used to support qualified candidates and
officeholders in the California Legislature by contributing
to their election and re-election campaigns.
Funded with voluntary contributions and contributions
not tax deductible. PAC is an independent legal entity
separate from the CPA with its own governing board.
Two Funds, Two Purposes for Your Donations
1) Advocacy and Litigation Fund
2) Political Action Committee Contributions
Advocacy and Litigation Fund* Political Action Committee
Augments and enhances CPA lobbying through public education i.e. media and social media initiatives aimed at both
policy makers and the public. Provides basis for non-routine legal action related to scope of practice, patient safety,
and quality of care issues. In particular, this fund plays a major role in opposing psychologists’ efforts to practice
medicine without comprehensive medical education.
Funded with voluntary contributions
Contributions not tax deductible
A separate designated fund within the CPA budget
Used for campaign contributions to qualified candidates for elected office to the California Assembly or Senate, and
other statewide office holders who understand and support the importance of safe, accessible, quality psychiatric
care. Funded with voluntary contributions
Contributions not tax deductible A separate legal entity with a separate governing board *
formerly called Education Fund
Page 18 Summer 2017
California Psychiatrist
Statements - President Elect
Mary Ann Schaepper
(Continued from page 12)
Intellectual Disability. Whether it is running a practice,
administering a training program, developing innovative
mental health care worldwide, or being fiscally respon
sible as CPA Treasurer, I bring expertise, aptitude, and a
make it happen” attitude to the table. Your vote allows
me to Empower, to Connect and to Represent patients,
members, the CPA organization, and most importantly
Thank you for your vote of confidence!
Mary Ann Schaepper, MD, M.Ed, DFAPA
(951) 271-0397
directly. I also believe that the CPA must transparently
manage its financial reserves and surpluses to support
California wide initiatives to engage with our members,
increase membership and support younger members. Fi-
nally, the CPA Treasurer position is ideally suited to li-
aison with all District Branch Treasurers to share best
practices and support one another.
It will be an honor to serve as your CPA Treasurer and
please do not hesitate to contact me with any questions.
Thank you.
Steve Koh, MD, MPH, MBA
Statements - Treasurer
Steve Koh (Continued from page 13)
New Law Will Aid (Continued from page 3)
been sentenced to a term of incarceration in the county
jail (either for a misdemeanor conviction, or a convic-
tion subject to AB 109, the prison realignment law). As
a result of AB 720, PC 2603 now also applies to pretrial
inmates, vastly increasing the ability to provide treatment
to inmates in need without waiting for a hospital bed to
become available.
PC 2603 has robust due process protections. The inmate
is represented by legal counsel, and there is a minimum
21-day waiting period between the filing of the petition
and the hearing. The standard of proof which must be
met is clear and convincing evidence, the same as the re-
quirement at a Riese hearing.
The incarceration of people with severe mental illness is
an extremely difficult problem in American society, and
California is certainly no exception. When a violent of-
fense is alleged, time in jail is usually unavoidable. On
the other hand, it is an unfortunate reality that many
people with severe mental illness are landing in jails for
minor charges, and our society has yet to find a ratio-
nal and effective way to reduce this unnecessary incar-
ceration. But now the psychiatric providers in our state’s
jails have a new tool to help patients achieve stabilization
more quickly, instead of languishing untreated for weeks
or even months.
ECP Statements–Farah Zaidi (Continued from page 10)
to, and is affected not only by the availability of basic
resources such as food and shelter but also by the ease
of access to several treatment resources and continuity of
care. Hence, the lack of resources creates a backlog and re-
cidivism and is a big barrier in our patients’ recovery pro-
cess. This limitation also has a significant impact on us as
psychiatrists and is a significant risk factor for burnout,
as inability to provide patients with quality care has been
reported as one of the causes for burnout in psychiatrists.
Psychiatry is facing many challenges and this is one of
the many challenges we face today. As an Area 6 Deputy
Representative to the CPA Council and the APA Com-
mittee of Early Career Psychiatrists (ECP), I plan to work
with my colleagues to represent them and our patients to
overcome these barriers.
Summer 2017 Page 19
California Psychiatrist
BOT Highlights (Continued from page 6)
have joined the APA Registry. Portals to collect needed
information from patients and clinician dashboards to
display quality measure data have been fully built, test-
ed, and deployed. PsychPRO’s Qualified Clinical Data
Registry (QCDR) certification was obtained for 2017,
allowing participants in PsychPRO to meet their qual-
ity reporting requirements for 2017 and avoid payment
penalties. Plans to develop and test new behavioral and
collaborative care setting quality measures.
Membership Matters
1. The BOT Ad Hoc Workgroup on Safe Prescribing,
chaired by John Oldham, MD will present a report to the
BOT in March 2018.
2. BOT approvals:
• position statements on human rights, domestic violence
against women, prevention of violence, police interac-
tions with persons with mental illness, lengthy sentences
without parole for juveniles, and “Health care, inclusive
of mental health care, is a human right”. A position state-
ment on human trafficking was referred to the JRC.
• action paper Addressing the Negative Impact of New
Joint Commission and CMS Policies on Ligature Risk on
Inpatient Psychiatric Units.
request for the seven M/UR Caucus Assembly
Representatives to meet a second time with the Council
on Minority Mental Health and Health Disparities at the
2018 September Components Meeting.
• transition of the Group Membership Pilot Program to
an established membership program.
Innovative Grants to five DB/SAs, including an
Innovative Grant to CPA of $10,000.
professionals with whom we can and should collaborate.
Although California has more psychiatrists than almost
every other state in the country, access to quality mental
healthcare services in our state remains limited. Huge
disparities in the quality of mental healthcare continue
within and across communities. Growing our existing
partnerships and forming new ones is essential.
During my career in many different treatment settings,
multidisciplinary collaboration has been the cornerstone
of my treatment philosophy. Working with NAMI and
with the California Mental Health Planning Council,
I have found that many consumers, professionals, and
other stake-holders share our concern over lack of ac-
cess and adequacy of psychiatric services. They are eager
to welcome us to the conversation on improving mental
healthcare in California. We must solidify these relation-
ships and assure their trust in our desire to collaborate.
We must address the challenges from opposing interests
to limit the practice of psychiatry. Restrictions in confi-
dentiality of patient records, constraints on psychotropic
prescriptions to foster youth, Medical Board monitoring
of controlled prescriptions, administrative barriers by in-
surance companies, and legalizing the practice of
medicine without proper training are but a few of these
challenges. Before those less qualified can carry the ar-
gument, we must take the lead in improving access and
quality of mental health and substance use treatment
services in California.
The best way for us as psychiatrists to lead is by exam-
ple. My record of leadership spans my career, including
President of Sacramento Psychiatric Society in 1994-
1995, East Bay Psychiatric Association in 2000-2001,
Marin Psychiatric Society in 2003-2009, and NCPS in
2011-2012. At Marin General Hospital, I was elected
Department Chair of Psychiatry from 2004-2009 and
served as a Medical Director. I helped establish a Par-
tial Hospitalization Program in the East Bay, where I
am currently Medical Director of a successful model of
Statements - President Elect
Adam Nelson (Continued from page 9)
multidisciplinary collaborative patient care. I served in
the US Air Force during Operation Desert Storm and
subsequently worked in the VA. I helped integrate psy-
chiatric services into primary care settings with the City
of Berkeley, St. Anthony’s Clinic, Glide Church Clinic,
and the Haight-Ashbury Free Clinics. I developed a Psy-
chiatric Homeless Project in San Francisco that became
a precursor for the Mayor’s Homeless Outreach Team.
In addition to being on CPA Council, I have served on
several committees, including Practice, Managed Care,
and Government Affairs.
Please vote for me for CPA President-Elect.
For any questions or comments, contact me at:
ECP Statements–Farah Zaidi (Continued from page 10)
California Psychiatrist
Page 20 Jan/Feb 2018
All providers in your practice - psychiatrists, psychologists, social workers and other behavioral
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California Psychiatrist
Jan/Feb 2018 Page 21
Media: Psychiatry Times
Run date: /1/17
Due date: 7/18/16
Size: 9.25”x6.5” H (1/2 page)
Color: 4c
Layout: Teresa
Route path: \\accounts\hcs\HQ\
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Psychiatric Times
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Butte County Behavioral Health Department is seeking a Medical Director based in
Chico, California to manage department programs. The incumbent will perform approxi-
mately 50% direct services and 50% administration work. In collaboration with the As-
sistant Director – Clinical Services, directs, evaluates, plans, establishes, and implements
the medical services component and all clinical services of the department; participates in
coordination of services across county departments and agencies; provides medical direc-
tion and consultation to all mental health programs and consultation to contracted agencies;
particularly in the areas of quality improvement, medication monitoring, and peer review.
Starting salary is dependent on experience and is negotiable. The Department will also
consider a Medical Director on a contract basis. Salary for a contracted Medical Director
is negotiable. For additional information please contact Geoff Davis, at (530) 891-2986 or for a recruitment packet and appointment to speak with the Behav-
ioral Health Department Director. Please visit the Butte County Human Resources Depart-
ment website for more information, to review the recruitment packet, and to apply for the
California Psychiatrist
Page 22 Jan/Feb 2018
The Recognized Voice of California Physicians
CMA and its county medical societies have represented California’s physicians for
160 years as the recognized voice of the house of medicine. CMA also partners regularly
with the specialty societies of California, and together we stand taller, our combined voic-
es stronger, fighting for the future of medicine and our noble profession.
Key Victories and Priorities
A Commitment to Mental Health: CMA has for years strongly urged
Congress to strengthen its commitment to mental health services, including
screening, prevention and treatment. CMA also regularly adopts policy
supporting increased funding for mental health services across all settings.
Mental Health Care in Underrepresented Populations:
CMA has strong policy in support of public health campaigns and
partnerships that provide outreach and education on culturally-sensitive
approaches to mental health care delivery.
Physician Wellness: CMA joined with the California Society of Addiction
Medicine and the California Psychiatric Association to establish California Public
Protection and Physician Health, Inc., dedicated to providing services for physicians
wiith physical, mental health or addiction issues that, if left untreated, could
compromise their ability to safely practice medicine. CMA has also for years
run the Physicians’ and Dentists’ Confidential Assistance Line, a service for
physicians, dentists and their family members who are seeking help with
problems of alcoholism, drug dependence or mental illness.
Improving Dementia Care: CMA is a member of the California
Partnership to Improve Dementia Care, dedicated to decreasing the use
CMA gives me a sense that I am not alone in the fight to protect my
patients and ensure that they got the best and highest quality of care. It
gives me an opportunity to stand with others.
C. Freeman, M.D., Psychiatrist, Member Since 2006
California Psychiatrist
Jan/Feb 2018 Page 23
of antipsychotic medications in nursing home residents and enhancing the use of non-pharmacologic approaches and person-centered
dementia care practices.
Coordinated Mental Health Care: CMA supports a multi-disciplinary model of integrated care for mental health patients,
including increased collaboration with primary care physician providers to better coordinate health care delivery.
Medical Student Wellness: The CMA Foundation recently awarded a grant to medical students at the University of California,
Irvine and the University of California, San Francisco to help fund the development of a mobile app for the self-management of
depression, anxiety and stress in medical students.
Physician Workforce: We are committed to expanding funding for graduate medical education (GME) to ensure that there are
enough residency slots to train physicians in regions where health care services are needed most. CMA was able to secure $100 million in
the 2016-2017 state budget to expand the Song-Brown Program to create more residency slots in California.
Medical School Debt: CMA sponsored legislation to create the Steven M. Thompson Loan Repayment Program, which provides
physicians with up to $105,000 to repay educational loans in exchange for a three-year service commitment in a medically underserved
area of the state. CMA has worked closely with the selection committee to ensure that psychiatrists receive equal consideration for awards.
Medi-Cal Funding: CMA is a founding member of the “We Care for California” coalition, working to help state leaders understand
how the severe underfunding of Medi-Cal harms millions of children, seniors in nursing homes, pregnant women and people with
disabilities, all of whom have difficulty getting access to the health care they need because of low Medi-Cal rates.
Scope of Practice: Every year, CMA defeats attempts to expand non-physicians’ scope of practice. CMA strongly believes
allowing practitioners to perform procedures they aren’t trained to do can only lead to unpredictable outcomes, higher costs and greater
fragmentation of care.
There are 825 psychiatrist
members of CMA.
CMA and its county medical societies – representing 41,000 physicians, residents and medical students – influence public policy at
the state and federal levels.
Members have free access to valuable professional resources, including nearly 5,000 pages of legal information related to the
practice of medicine in CMAs online health law library.
Our extensive network of benefit partners makes it so that your membership can easily pay for itself.
CMA is only a phone call away! Our live-person call center is available Mon-Fri during business hours at (800) 786-4262.
Rev. 08/09/16
California Psychiatrist
Page 24 Jan/Feb 2018
Interested in moving away from direct patient contact? Prefer not to buy malpractice
insurance, deal with overhead costs, and be on-call? Want your health benefits paid for,
work flexible
hours, either part or full time, and have your weekends free?
Then join our team of professionals! The California Department of
Social Services is seeking a few good psychiatrists who are
interested in working with outside treating sources and other State
professionals that evaluate medical evidence to determine its
adequacy for making disability decisions as defined by Social
Security Regulations. On the job training is provided.
Interested applicants must have a current CA MD/DO License.
Fulltime Salary ranges can start at $9,152.00 - $13,547.00 per month depending on
experience and credentials.
Job Locations: Covina, Fresno, Los Angeles, Oakland, Roseville, Sacramento, San
Diego, Stockton, and Rancho Bernardo.
If you are interested, please contact Ruby Chin at (916) 285-7593 or
Register online now!
The conference oers 20 sessions including four pre/post-conference workshops,
an exhibit hall, “Breakfast Table Talks,” Pracce Inquiry Session, an all-aendee
recepon, poster compeon and Foundaon FUNd Run/Walk.
The California Academy of Family Physicians invites you to join them at
their annual CME meeng in beauful Monterey on April 13-15, 2018.
You can earn up to
23 AMA PRA Category
Call 415-345-8667 or email
California Psychiatrist
Jan/Feb 2018 Page 25
Visit us at or call 877.740.1777 to learn more.
Discounts Off ered Include:
(must be claims free for the last 6 months)
Up to 50% New Doctor Discount (for those who qualify)
10% Claims Free Discount (for those practicing 10 years, after completion
of training, and remain claims free)
50% Resident-Fellow Member Discount
15% Child and Adolescent Psychiatrist Discount (for those whose
patient base is more than 50% children and adolescents)
50% Part-time Discount (for up to 20 client hours a week or less)
5% Risk Management Discount (for 3 hours of CME)
Our Psychiatrists Professional
Liability Program Provides:
Limits up to $150,000 in Defense
Expenses related to Licensing Board
Hearings and other Proceedings
Up to $150,000 in Fire Legal Liability
Up to $100,000 in Medical
Payments for Bodily Injury
Up to $25,000 for First Party Assault
and Battery Coverage
Up to $25,000 for Information
Privacy Coverage (HIPAA)
Up to $15,000 in Emergency Aid
Insured’s Consent to Settle required
in the settlement of any claim –
No arbitration clause
Telepsychiatry, ECT, Forensic
Psychiatry Coverage
Risk Management Hotline with
24/7 Service for Emergencies
(must be claims free for the last 6 months)
Up to 50% New Doctor Discount
10% Claims Free Discount
of training, and remain claims free)
Up to 50% New Doctor Discount
of training, and remain claims free)
50% Resident-Fellow Member Discount
of training, and remain claims free)
15% Child and Adolescent Psychiatrist Discount
patient base is more than 50% children and adolescents)
15% Child and Adolescent Psychiatrist Discount
patient base is more than 50% children and adolescents)
15% Child and Adolescent Psychiatrist Discount
50% Part-time Discount
patient base is more than 50% children and adolescents)
5% Risk Management Discount
(must be claims free for the last 6 months)
(must be claims free for the last 6 months)
For over 40 years we have provided exceptional
protection and have a reputation for outstanding
customer service. Our extensive years of experience and
industry knowledge allows us to help you by providing
worry free coverage so you can concentrate on what you
do best – helping people help themselves. When it comes
to caring about people, we have a lot in common.
*Where allowable by law and currently not available in AK or NY.
(Above Discounts and Coverage Features are subject to individual state approval.)
California Psychiatrist
Page 26 Jan/Feb 2018
$253,600 - $329,700 annually
7 weeks of annual leave
Full benefits & retirement
(Above annual salary includes additional pay for Board Certification and Acute Settings)
Santa Clara Valley Health and Hospital System, a public healthcare system in the heart
of Silicon Valley, is seeking BE/BC psychiatrists & PGY-III/IVs for a variety of clinical
settings, including emergency psychiatric services, inpatient psychiatric services, outpa-
tient behavioral health clinics, and custody health programs. Opportunities for additional
moonlighting also exist within our healthcare system.
As the largest public health care system in northern California, we offer comprehensive
healthcare resources to a large and diverse patient population. Psychiatrists are part of
a robust team of staff that work in collaboration with other medical specialties to provide
integrated health care to patients.
Psychiatrists are eligible for numerous benefits including 7 weeks of annual leave, 1
week of educational leave, 12 holidays, $4500 educational funds, health benefits, life
insurance and CalPERS retirement plan.
If you are interested in working in a dynamic and collegial work environment, please
submit a CV and letter of interest directly to:
Dr. Tiffany Ho
Behavioral Health Medical Director
(408) 885-5767
The County of Santa Clara is an Equal Opportunity Employer
California Psychiatrist
Jan/Feb 2018 Page 27
The University of California San Francisco Fresno Medical Education Program (UCSF Fresno),
Central California Faculty Medical Group (CCFMG) and Community Regional Medical Center
(CRMC) are seeking candidates for full or part-time faculty positions in Child/Adolescent
Psychiatry. We are recruiting for hospital and outpatient positions working with CRMC, the
Fresno County Department of Behavioral Health and/or the faculty practice site. Candidates must
be board certified or board eligible in Child Psychiatry (by date of hire), hold a California medical
license or be eligible to obtain one (by date of hire), and have an expressed interest in teaching in
the clinical environment. CRMC and the Fresno County Department of Behavioral Health are
core training sites for the UCSF Fresno Psychiatry Residency Program, along with numerous
other specialties. Faculty appointment with UCSF will be commensurate with the candidate’s
skills and experience. With a faculty appointment, supervision and teaching of both medical
students and residents will be expected.
The program is based in Fresno, California, a city that combines a high standard of living with a
low cost of living. The result is a quality of life uniquely Californian, yet surprisingly affordable.
Limitless recreational opportunities and spectacular scenery are accessible in a community with
abundant affordable housing. While there is much to see and do in Fresno, the city is ideally located
for fast, convenient getaways to the majestic Sierra (just 90 minutes away) as well as the scenic
Central Coast, (just 2 ½ hours away). Fresno is the only major city in the country with close
proximity to three national parks, including the renowned Yosemite National Park. Fresno is
uniquely placed within a short drive of both San Francisco (just 3 hours away) and Los Angeles
(just 3 ½ hours away), making it easy to enjoy the art, food, and nightlife that both cities have to
Visit our websites:
UC San Francisco seeks candidates whose experience, teaching, research, or community service that has prepared them to
contribute to our commitment to diversity and excellence.
The University of California is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive
consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin,
disability, age or protected veteran status.
California Psychiatric Association
921 11
Street, Suite 502
Sacramento, CA 95814
US Postage
Sacramento, CA
Permit #829
If the stress of 24/7 on-call avaIlabIlIty to patIents has Impacted
your free tIme, dIsrupted your sleep or Intruded on your famIly,
we have good news.
Since 1994, the psychiatric nurses of PsychCoverage have safely triaged over 17,000
routine and emergency after hours calls, earning the thanks of countless patients and
family members. Our promise is a rapid response, professional support and follow up
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By keeping that promise, we’ve also earned the trust of a growing number of Psychiatrists
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