22 May 2017

A Collection of Clinical Psychology Articles Booklet

A Collection of Clinical Psychology Articles Booklet

Clinical psychology is a complex and diverse specialty area within psychology. It addresses a breadth of mental, emotional and behavioral disorders, integrating the science of psychology with the prevention, assessment, diagnosis and treatment of a wide variety of complicated human problems. Clinical psychologists help people live healthier lives, applying the research and science of behavior change to the problems their patients experience.

This booklet, A Collection of Clinical Psychology Articles from APA Journals, highlights recent papers on everything from post-traumatic stress disorder to medication for childhood depression and the role of self-determination in mental health recovery.

If you enjoy these articles, don’t stop here. APA’s Journals Program maintains a database of hundreds of papers on clinical psychology. And as an APA member, you enjoy highly discounted access that enables you to explore these and other research topics online at www.apa.org/pubs/journals.

 

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24 Apr 2017

Substance Use Disorders and Addictions Series

Substance Use Disorders and Addictions Series

Over the past few decades great advances have been made towards understanding the psychology of substance use disorders (SUDs) and addictions. This five-part series is designed to provide psychologists and psychology students with cutting-edge information about SUDs and addictive behaviors.

This series is a collaboration with the American Psychological Association (APA) Office of Continuing Education in Psychology, the APA Science Directorate, the APA Center for Learning and Career Development, the National Institute on Drug Abuse, the National Institute on Alcohol Abuse and Alcoholism, and the Society of Addiction Psychology (Division 50 of APA). *This series is eligible for CE credit. Earn 2 CE credits for each session.

The five two-hour programs focus on:

Overview of Substance Use Disorders and Addictions

An overview of the basic concepts of substance use and substance use disorders (SUDs) including, a review diagnostic criteria as defined in the DSM-IV, DSM-5 and the ICD-10, and comorbidity between SUDs and other psychological disorders.

Screening, Brief Intervention, and Referral for Treatment (SBIRT) for Substance Use Disorders and Addictions

SBIRT is recommended practice for many addictive behaviors demonstrating effectiveness in reducing risk and promoting movement through the stages of change. This workshop describes screening and brief intervention strategies that can be used to identify risky involvement with alcohol, marijuana, heroin, cocaine, tobacco, nonprescription medications and gambling behaviors.

Understanding People With Substance Use Disorders and Addictions

A look at some of the psychological, biological, and environmental factors that have been linked to the development of substance use disorders. The discussion also seeks to understand the challenges of living with addiction and considers the process of recovery and some of the factors that may help facilitate successful resolution of substance misuse.

Evidence-Based Clinical Practice Guidelines for the Management of Substance Use Disorders

An overview of the VA/DoD Clinical Practice Guidelines recommendations and how they were developed, including discussion of some of the gaps in the evidence base and selected clinical challenges.

Treatment of Substance Use Disorders in the Real World

A look at the most common addiction treatment modalities and content, with specific focus on identifying empirically-based principles of treatment and coordinating care with addiction treatment providers.

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21 Apr 2017

A Collection of Health Psychology & Medicine Articles Booklet

A Collection of Health Psychology & Medicine Articles Booklet

Health psychology and medicine examines how biological, social and psychological factors influence health and illness. Health psychologists use psychological science to promote health, prevent illness and improve health care systems.

This booklet, A Collection of Health Psychology & Medicine Articles, covers a range of topics—from sleep loss among teens to the heightened risk of hospitalization among older adults—and highlights some of the most innovative research in recent years.

If you enjoy these articles, don’t stop here. APA’s Journals Program maintains a database of hundreds of papers on health psychology and medicine, and as an APA member you enjoy highly discounted access that enables you to explore these and other research topics online at www.apa.org/pubs/journals.

 

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06 Apr 2017

Evidence-Based Clinical Practice Guidelines for the Management of Substance Use Disorders

The VA/DoD Clinical Practice Guidelines updated in 2015 addresse many of the critical decision points in the management of substance use disorders among adults. The guidelines incorporate findings from a systematic review of empirical literature and other decision domains by the guideline's development panel to support actionable recommendations that can inform shared decision making by patients and providers to promote individualized care. This webinar involves an overview of the guidelines recommendations and how they were developed, including discussion of some of the gaps in the evidence base and selected clinical challenges.

Learning Objective 1
Describe at least four of the clinically important topics that provide a context for SUD care delivery that are not covered in the systematic review or by the evidence-based recommendations 

Learning Objective 2
Identify at least one clinical decision about psychosocial treatment and one about pharmacotherapy for which the guideline development panel found insufficient evidence to recommend for or against a treatment approach

Learning Objective 3
Explain advantages and challenges of measurement based care for individualizing treatment and promoting improved outcomes

Daniel R. KivlahanPresenter: Daniel R. Kivlahan, PhD

Dr. Kivlahan is currently Associate Professor, Department of Psychiatry and Behavioral Sciences, University of Washington. From 1998-2010, he was Director of the Center of Excellence in Substance Abuse Treatment and Education at VA Puget Sound in Seattle where he was an addiction treatment clinician and investigator from 1985-2010. In 2010, Dr. Kivlahan was appointed as Associate National Mental Health Program Director for Addictive Disorders, Veterans Health Administration (VHA) and he served as Director from 2012 until his retirement from VHA in 2015. He co-chaired the work groups that in 2009 and 2015 revised the VA/DoD Clinical Practice Guideline for SUD and has been active in development and validation of quality indicators based on guideline recommendations. Among his over 150 peer reviewed publications are validation studies on the AUDIT-C to screen for alcohol misuse across care settings, reports on SUD and co-occurring conditions including PTSD, and analyses from several clinical trials including the COMBINE Study for combined pharmacotherapy and psychosocial treatment of alcohol dependence.

Bruce LieseCourse Director: Bruce Liese, PhD

Bruce S. Liese, PhD, ABPP is Professor of Family Medicine and Psychiatry at the University of Kansas Medical Center, Courtesy Professor of Clinical Psychology at the University of Kansas, and current President-Elect of the Society of Addiction Psychology (SoAP; APA Division 50). Dr. Liese earned his PhD from The University at Albany in 1983. He is a teacher, clinical supervisor, researcher, and clinician.  His work focuses primarily on the diagnosis and treatment of addictive behaviors.  He has been Director of CBT training for a large multi-center NIDA-funded addictions study and over time has supervised hundreds of CB therapists.  Presently he teaches courses on addictive behaviors, psychotherapy, and evidence-based practice in psychology and he supervises more than a dozen psychotherapy trainees.  Dr. Liese has more than 50 publications, and he has co-authored two texts on addictions.  He was Editor of The Addictions Newsletter for ten years, an official publication of APA Division 50.  For his work on this newsletter, Dr. Liese received a President’s Citation from Division 50. He has been chosen to be a member of APA’s Continuing Education Committee, and in 2015 he received the Distinguished Career Contributions to Education and Training award from APA Division 50.

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04 Apr 2017

Understanding People With Substance Use Disorders and Addictions

Why do some people use alcohol and other drugs, but never develop a substance use disorder? What “causes” addiction? And why do some people cease problematic substance use whereas others do not? The answers to these complicated questions are explored in this webcast. The focus, on some of the psychological, biological, and environmental factors that have been linked to the development of substance use disorders. The discussion also seeks to understand the challenges of living with addiction and considers the process of recovery and some of the factors that may help facilitate successful resolution of substance misuse.

Learning Objective 1
Discuss what is known from the current research about factors that influence the development of substance use disorders.

Learning Objective 2
Explain some of the common clinical case presentations of individuals struggling with addiction.

Learning Objective 3
Acquire knowledge regarding the factors involved in the resolution of addictive behavior.

Presenter: Jennifer Read, PhD

Dr. Read received her BA at Denison University, and her Ph.D. in Clinical Psychology from the University of Rhode Island. She completed post-doctoral training at Brown University’s Center for Alcohol and Addiction Studies. Dr. Read currently is a Professor of Psychology, and the Director of Clinical Training at the University at Buffalo, State University of New York.  Dr. Read’s research focuses on individual and environmental factors that influence problematic substance use. Much of her research has examined how trauma and post-traumatic stress may intersect with substance use, particularly in young adults. She has published over 100 articles on these topics.

Bruce LieseCourse Director: Bruce Liese, PhD

Bruce S. Liese, PhD, ABPP is Professor of Family Medicine and Psychiatry at the University of Kansas Medical Center, Courtesy Professor of Clinical Psychology at the University of Kansas, and current President-Elect of the Society of Addiction Psychology (SoAP; APA Division 50). Dr. Liese earned his PhD from The University at Albany in 1983. He is a teacher, clinical supervisor, researcher, and clinician.  His work focuses primarily on the diagnosis and treatment of addictive behaviors.  He has been Director of CBT training for a large multi-center NIDA-funded addictions study and over time has supervised hundreds of CB therapists.  Presently he teaches courses on addictive behaviors, psychotherapy, and evidence-based practice in psychology and he supervises more than a dozen psychotherapy trainees.  Dr. Liese has more than 50 publications, and he has co-authored two texts on addictions.  He was Editor of The Addictions Newsletter for ten years, an official publication of APA Division 50.  For his work on this newsletter, Dr. Liese received a President’s Citation from Division 50. He has been chosen to be a member of APA’s Continuing Education Committee, and in 2015 he received the Distinguished Career Contributions to Education and Training award from APA Division 50.

 

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24 Feb 2017

Adventures in Integrated Care Collection Booklet

Adventures in Integrated Care Collection Booklet

Improving the health of people requires that they have access to effective and efficient psychological services for the prevention and treatment of a wide range of emotional and behavioral conditions. Psychologists are actively involved in clinical treatment, health system design, and the implementation of innovative approaches to health care.

To illustrate this important connection and promote the valuable role psychology plays in health care, the Monitor on Psychology published Adventures in Integrated Care, a yearlong series of articles that showcase psychology practitioners who work on a variety of medical teams, reporting on what these practitioners do and how they got the education and training to do it.

We have placed all these articles into a collection booklet for you to read in one convenient place. Please enjoy.

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15 Feb 2017

Survey: Many Americans Stressed About Future of Our Nation

Survey: Many Americans Stressed About Future of Our Nation

New APA Stress in America™ survey shows more Americans reporting symptoms of stress after the election.

With the 2016 elections behind us and having entered a new year, how are Americans feeling?

According to the American Psychological Association’s (APA) report Stress in America™: Coping with Change, two-thirds of Americans say they are stressed about the future of our nation.

An APA poll conducted in January found that the current political climate is a very or somewhat significant source of stress for more than half of Americans (57 percent).  Nearly half (49 percent) say the same about the outcome of the election.

While Democrats were more likely than Republicans (72 percent vs. 26 percent) to report the outcome of the 2016 presidential election as a significant source of stress, a majority of Republicans (59 percent) said the future of the nation was a significant source of stress for them, compared with 76 percent of Democrats.

“The stress we’re seeing around political issues is deeply concerning, because it’s hard for Americans to get away from it,” said Katherine C. Nordal, PhD, APA’s executive director for professional practice. “We’re surrounded by conversations, news and social media that constantly remind us of the issues that are stressing us the most.”

Nordal also noted that while APA is seeing continued stress around politics, the survey also showed an increased number of people reporting that acts of terrorism, police violence toward minorities and personal safety are adding to their stress levels.

These results come on the heels of an APA survey, conducted by Harris Poll last August among 3,511 adults.  The August survey found that 52 percent of Americans reported that the presidential election was a significant source of stress. The latest survey was conducted online by Harris Poll in early January 2017, among 1,019 adults ages 18+ who reside in the U.S.

Between August 2016 and January 2017, the overall average reported stress level of Americans rose from 4.8 to 5.1, on a scale where 1 means little or no stress and 10 means a great deal of stress, according to the APA survey. At the same time, more Americans said that they experienced physical and emotional symptoms of stress in the prior month, health symptoms that the APA warns could have long-term consequences. 

The percentage of people reporting at least one health symptom because of stress rose from 71 percent to 80 percent over five months. A third of Americans have reported specific symptoms such as headaches (34 percent), feeling overwhelmed (33 percent), feeling nervous or anxious (33 percent) or feeling depressed or sad (32 percent).

“While these common health symptoms might seem minor, they can lead to negative effects on daily life and overall physical health when they continue over a long period,” said Nordal.

APA encourages people to stay informed but know their own limits when it comes to taking in information as one way to diminish the constant exposure to potentially distressing news and the resulting physical symptoms.

“For many, the transition of power and the speed of change can cause uncertainty and feelings of stress, and that stress can have health consequences. If the 24-hour news cycle is causing you stress, limit your media consumption,” said Nordal. “Read enough to stay informed but then plan activities that give you a regular break from the issues and the stress they might cause. And remember to take care of yourself and pay attention to other areas of your life.”

This marks the 10-year anniversary of the Stress in America report, part one of a two-part release. APA released part two on Feb. 23, highlighting how technology use affects stress among Americans. To read the full report go here. (PDF)

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26 Oct 2016

Member Profile: Kristin Krueger Introduces Improv to Therapy

Member Profile: Kristin Krueger Introduces Improv to Therapy
APA Member Kristin Krueger, is exploring how improv can be used to improve mental health outcomes as well as improv as a cognitive activity.
APA Member Kristin Krueger is exploring how improv can be used to improve mental health outcomes and as a cognitive activity.

Chicago psychologist Kristin Krueger took her first class in improvisational theater at the famed The Second City Theater and Training Center in Chicago in 2006 for fun, but she soon realized improv's tenets and techniques could be useful in her work as well. Today, you might say Krueger has come full circle.

Not only does she employ improv in her group therapy and conduct research into how the use of improv techniques in therapeutic settings can affect mental health outcomes, but she is also a member of the Therapy Players, a professional improv group made up entirely of therapists.

"Being part of an improv community is therapeutic in itself," she says.

For Krueger, the key to improv, a form of live theater in which actors create scenes without prior preparation, is "to be yourself, and to be comfortable with that." That’s therapy's goal as well, she notes. Krueger is by no means the first psychologist to notice the commonalities between the two. "A lot of people are using improv in therapy, but as far as I know, nobody else is measuring it," she says.

Krueger was already a psychologist, and working as a waitress to help pay the bills in her hometown of Chicago a decade ago, when a co-worker suggested they take improv classes together. Krueger thought improv might help her with public speaking, but she mostly went along "just for fun." She suggested taking classes nearby, in their North Side neighborhood, but her friend said, "No way. It's Second City or nothing," Krueger recalls.

It was a serendipitous choice, because The Second City, founded in 1959, stands in a direct line back to Viola Spolin, who developed the system of games and exercises that are the bones of improv. In the 1920s, Spolin trained to be a settlement house worker with Neva Boyd, a pioneer in recreational therapy who was using games and groups in revolutionary ways in education. Spolin eventually moved her career into the performing arts, and took exercises she had developed herself into classes she taught for prospective actors, first in a crossover program in Chicago for the federal Works Progress Administration's Recreation Project during the Great Depression. Spolin's son, Paul Sills, was one of the founders of The Second City.

Krueger went through a good chunk of the improv training series at The Second City, and later took classes at different centers in San Antonio, Texas, and San Francisco, Calif. When she returned to Chicago in 2012, she retook the basic course at The Second City and went on for advanced training there. Meanwhile, she held a number of professional research and clinical positions, notably at Rush University Medical Center, where she coordinated the adaptation for a Spanish-speaking population of two large NIH-funded, longitudinal studies on aging, and served as a staff neuropsychologist for the Veterans Administration and the Cook County Health and Hospitals System in Chicago.

While at Cook County’s John H. Stroger, Jr. Hospital, Krueger introduced some small weekly groups for patients with anxiety and depression that employed exercises she had learned in improv classes. She evaluated the effectiveness of the games on improvements in her patients’ mood and functioning, based on self-reporting. The findings on that work have been submitted for publication.

Krueger now has a private practice in a Chicago suburb with an emphasis on issues of aging. She conducts neuropsychological evaluations in an aging population, leads groups, teaches healthy aging classes, and maintains collaborations at Rush. She finds therapy groups to be a good place to use the interactive games and exercises designed to help improv practitioners become comfortable enough to engage with one another.

One problem with traditional therapy groups can be that some members tend to talk more than others, she says, "but improv exercises are timed and concrete. Everybody can talk equally, and the exercises give people the structure they need to manage their own emotions." Krueger says she thinks improv has a lot in common with that aspect of cognitive-behavioral therapy that encourages patients to "celebrate who you are."

Krueger is following two threads of research into the use of improv in therapy. One thread explores how improv can be used to improve mental health outcomes. For this study, patients engage in a series of psychotherapeutic improv sessions. After the sessions, the patients rate their symptoms of depression and anxiety, self-esteem, perfectionism and ability to relate to others socially.

The second thread looks at improv as a cognitive activity. In this area, Krueger is working with Clifton Saper, PhD, at Amita Health, and Jeff Winer, a PhD candidate, to put together a panel of neuropsychologists who will categorize improv games according to the cognitive domains they align with.

She says she believes "improv can make a big contribution to making people feel better about themselves, live more collaboratively and improve their mental health."

Krueger performs as often as she can with The Therapy Players, which she joined shortly after it began in 2013. This is founder Dave Carbonell's second improv group; he founded The Freudian Slippers in graduate school 30 years ago. The Therapy Players are all full-time therapists, and about half their routines are based in some way on their work, says Carbonell, a clinical psychologist who specializes in anxiety disorders. Members practice for two hours every Sunday morning and typically perform more than a dozen dates a year, at mental health conferences and other meetings, and at clubs like The Den Theater and Stage 773 in Chicago, where, Carbonell says, "We get really good crowds, they come back and, boy, do they have a good time."

Kristin Krueger, center, is a member of the Therapy Players, a professional improv group made up entirely of therapists. (Photo: Ellen Carbonell)
Kristin Krueger, center, is a member of the Therapy Players, a professional improv group made up entirely of therapists. (Photo: Ellen Carbonell)

Of Krueger, Carbonell says, "She's coming at improv from both ends. She's generating research in an area where there's hardly any. She's going to make a big mark—and, she's funny as all get out."

When she was growing up, psychology was "the only thing I wanted to do," Krueger says, but she took several years off between college at the University of Wisconsin and the graduate work that culminated in a PhD degree from the Illinois Institute of Technology in 2004.

"I wanted to have a lot of life experience before I tried to help people. Otherwise, I thought, anything I had to say wouldn't have much weight," she says. That life experience included getting a master's degree in linguistics, extensive travel, and numerous diverse jobs. She is fluent in Spanish, Portuguese and German.

Early on, Krueger was attracted to the role of the therapist as portrayed in popular culture. Her mother's cousin, Dan Kiley, in 1983 wrote the best-selling, popular-psychology book The Peter Pan Syndrome, based on his own research with boys and men who resisted accepting adult responsibilities. Krueger met Kiley as a girl and was impressed. She also was intrigued by the television miniseries Sybil, about a woman with dissociative identity disorder, in which the actress Joanne Woodward portrayed the real-life clinician Dr. Cornelia Wilbur. And she was a big fan of educator, author and motivational speaker Leo Buscaglia, long a popular lecturer on public television.

"He was so present in my childhood," she recalls. "He embodied unconditional positive regard in so many ways."

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23 Sep 2016

Getting Reimbursed for Treatment of Behavioral and Neurocognitive Disorders

APA President-elect Antonio Puente, PhD, discusses effective billing strategies using ICD-10-CM codes specific to mental, behavioral and neurocognitive disorders. This webinar is geared to help psychologists having problems documenting and billing for cognitive deficits covered under ICD-10-CM chapters G and R.

This webinar is brought to you by the Practice Organization, advocating for psychologists on reimbursement issues. The Practice Organization is a legally separate companion organization to APA.

Presenter Bio:

Antonio E. Puente, PhD, is president-elect of the American Psychological Association and the APA Practice Organization. Dr. Puente maintains a private practice focused on clinical neuropsychology. He is an authority on coding and billing for psychological services. Between 1993 and 2008, he was APA’s representative to the American Medical Association’s (AMA) Current Procedural Terminology (CPT) panel. Dr. Puente served two terms on the AMA Editorial Panel of the CPT panel. He was also on the Center for Medicare and Medicaid’s Medicare Coverage Advisory Committee.

Discussant Bio:

Lynn Bufka, PhD, is Associate Executive Director, Practice Research and Policy, at the American Psychological Association. Dr. Bufka oversees programs and projects related to expanding opportunities for professional psychology including integration of psychology in the health care delivery system, diagnostic and functional classification, clinical practice guideline development and outcomes measurement. She frequently serves as a media spokesperson for APA on these topics and other policy matters relevant to professional practice. Additionally, Dr. Bufka is a Maryland licensed psychologist and continues to provide treatment and clinical consultation on a limited basis.

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29 Jul 2016

Evidence-Base and Clinical Use of Mobile Applications

This webinar provides valuable insight on choosing and using mobile health applications.

Telehealth and technology experts provide insight on the clinical value of mobile apps and how they can provide useful patient information, give patients immediate feedback, further treatment goals, promote engagement and more.

This webinar will present resources for clinicians seeking the right app for the right purpose. The presenters will explore key qualities relevant to the clinical utility of apps including safety, validity, relevance to particular goals, effectiveness, usability, interoperability, engagement and comparison with alternative apps.

Help us plan future webinars by taking five minutes to complete our survey.

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