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Did you know? Annual Meeting news
AAGP
Did you know that AAGP accepts submissions of late-breaking research posters? AAGP has reserved a few slots for a limited number of late-breaking research posters. Submissions are due Jan. 15. Late-breaking abstracts describe important current research advances that have not been submitted previously. State-of-the-art studies with up-to-date results will be considered as late-breaking abstracts. The selection of abstracts will be based on scientific quality and novelty of research either in basic or clinical science. Learn more at www.AAGPonline.org/2014CFP.

Did you know physicians have two opportunities for self-assessment at the conference? AAGP offers the AAGP 2014 Annual Meeting Self-Assessment Component at no cost to physicians registered for the entire meeting. AAGP also offers a self-assessment component in conjunction with the Review Course in Geriatric Psychiatry. Both are available to physicians who pre-register by Feb. 20.

Learn more about the AAGP 2014 Annual Meeting at www.AAGPmeeting.org. Early-bird discounted rates are now available through Jan. 23.
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News for Members-in-Training
By Isis Burgos-Chapman, MD, MIT Board Member
I am thrilled and honored to have been elected to serve as your Member-in-Training representative for this coming year. My goal is to work with you to collectively increase MIT involvement within the various groups/caucuses of the AAGP and continue to modify the trainee section of the AAGP website. I would also like to work with you on pivotal issues such as recruitment, training needs and transitioning into practice. I am eager to hear from you regarding your thoughts and suggestions for how we could together make this an even better organization for current and future AAGP members.
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AAGP member news: Swantek joins Rush
AAGP
AAGP member Sandra Swantek, MD, joined the Department of Psychiatry at Rush University Medical Center in Chicago as the director of geriatric psychiatry. Mental health professionals in the Department of Psychiatry offer a continuum of care for people with mental illness, including both inpatient and outpatient psychiatric care. Dr. Swantek will coordinate with inpatient and outpatient programs to help patients manage all stages of late-life illness and recovery. She also offers consultation and second opinion services for diagnoses and treatment options.



Share your news with colleagues. If you have professional news such as a move, new responsibilities, or award that you would like to share, please write to kmcduffie@aagponline.org.

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  PRODUCT SHOWCASES
Behavior Imaging Solutions

Behavior Imaging Solutions, formerly Caring Technologies Inc, develops solutions to facilitate the observational, analytical and collaborative needs of Behavioral Healthcare and Special Education professionals.
Credible Behavioral Healthcare Software

Credible Behavioral Health Enterprise Software provides secure, proven, easy to use software for clinic, community, residential, and mobile care providers across the United States. Credible's commitment to innovation, ease of use and optimization runs throughout our software.
The Community Health Facilities Fund
The Community Health Facilities Fund assists non-profit, community-based behavioral care providers in accessing capital through low-cost, fixed-rate loans. The mission of the organization is to assist nonprofit, behavioral healthcare organizations obtain access to capital either through the funding of loans directly to organizations.


AJGP article on vets and psychotropic drugs;
AAGP members' research receives national coverage

AAGP
Three in 10 veterans prescribed psychotropic drugs do not have a diagnosis of a mental illness, a new Yale study shows. The study, "Increased Risk Among Older Veterans of Prescribing Psychotropic Medication in the Absence of Psychiatric Diagnoses," was published online in the American Journal of Geriatric Psychiatry. AAGP members Ilse Wiechers, MD, and Paul Kirwin, MD, and colleague Robert Rosenheck, MD, found that veterans over 65 were much more likely to be prescribed drugs without a psychiatric diagnosis than younger veterans. "As a geriatric psychiatrist, I kept running into patients with psychiatric drug prescriptions and no diagnosis of mental illness," Wiechers said. "The question was, how often is this happening?" The researchers analyzed outpatient administrative data of 1.8 million veterans. They found that even when considering potential use for medical illnesses, older veterans were still more likely to be prescribed a psychiatric medication without a psychiatric diagnosis. The study has received national attention and been covered by several news outlets including Reuters Health and Fox News. The study is online at www.AJGPonline.org/article/S1064-7481%2813%2900383-7/abstract.
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Help us reach 500! Follow AAGP
AAGP
Thanks to your support and involvement, AAGP's social media pages have grown rapidly over the past few months. With over 400 followers on Twitter and over 480 "likes" on Facebook, AAGP's network has grown over 22 percent in the past three months! AAGP's social media pages provide both members and non-members with a wealth of timely information on AAGP, Alzheimer's and dementia research, geriatric psychiatry, nursing, health care policies, and other relevant issues to the field.

Please continue to spread the word, engage in the conversation, and share our pages. Help us reach 500 followers!

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AAGP is seeking the next AJGP editor-in-chief: Applications due before Dec. 1
AAGP
The AAGP is seeking a board-certified geriatric psychiatrist to serve as editor-in-chief of the monthly journal The American Journal of Geriatric Psychiatry. The editor, in collaboration with associate editors and the Editorial Board, establishes editorial policies, develops ideas for new features, and guides the Journal in new directions. The editor directs the Journal's web-based peer-review process, assigning reviewers to submitted manuscripts and making disposition decisions. This part-time, compensated position is served under a five-year contract and does not require relocation. The position will involve a transition period coordinated with the current editor-in-chief, Dilip V. Jeste, MD, beginning in January 2015, and the full position will commence in January 2016. Learn more: www.aagponline.org/index.php?src=gendocs&ref=editorajgp&category=Publications.
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Administration issues final mental health and substance use disorder parity rule
AAGP
On Nov. 8, the Departments of Health and Human Services, Treasury and Labor jointly issued a final rule, increasing parity between mental health/substance use disorder benefits and medical/surgical benefits in group and individual health plans. The final rule implements the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (Public Law 110-343) and ensures that health plan features like copays, deductibles and visit limits are generally not more restrictive for mental health/substance use disorders benefits than they are for medical/surgical benefits.

To address transparency, MHPAEA requires that the criteria for medical necessity determinations be made available to any current or potential enrollee or contracting provider upon request. In addition, the final rule clarifies that states have primary enforcement authority over health insurance issuers. However, the final rule does not apply to any Medicaid Managed Care Organizations, Children's Health Insurance Program or Alternative Benefit Plans (i.e., Medicaid Expansion Plans under the Affordable Care Act), even though the statute applies to these entities.

In general, the final rule is effective for plan years beginning on or after July 1, 2014. For the majority of health plans, their year ends on Dec. 31; consequently, the effective date for most insured will be Jan. 1, 2015.

AAGP strongly supports non-discriminatory treatment for all Americans with mental disorders and non-discriminatory coverage of mental health services under all types of health benefits programs. Arbitrary limits on coverage of mental health care should be eliminated wherever they exist. AAGP worked closely with members of Congress and other mental health advocacy groups to achieve passage of the Mental Health Parity and Addiction Equity Act, and is pleased that the final regulations have now been adopted.

The final rule may be viewed at: www.ofr.gov/OFRUpload/OFRData/2013-27086_PI.pdf. A fact sheet on the rule is available at http://cms.hhs.gov/CCIIO/Programs-and-Initiatives/Other-Insurance-Protections/mhpaea_factsheet.html.

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Help us reach 500! Follow AAGP
AAGP
Thanks to your support and involvement, AAGP's social media pages have grown rapidly over the past few months. With over 400 followers on Twitter and over 480 "likes" on Facebook, AAGP's network has grown over 22 percent in the past three months!

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Research: High belly fat leads to dementia
Science World Report
A research reveals that people with greater abdominal fat are more prone to dementia. Neurological scientists at the Rush University Medical Center along with the National Institutes of Health carried out the research.

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AAGP is seeking the next AJGP editor-in-chief
AAGP
The AAGP is seeking a board-certified geriatric psychiatrist to serve as editor-in-chief of the monthly journal The American Journal of Geriatric Psychiatry.

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Senate committee approves Older Americans Act reauthorization
AAGP
On Oct. 30, the Senate Health, Education, Labor and Pensions Committee held a markup of legislation (S. 1562) that would reauthorize the Older Americans Act. In his opening statement, Chairman Tom Harkin, D-Iowa, noted that the OAA was first passed in 1965 and continues to be a critical vehicle for the delivery of nutrition and social services for seniors. He added that S. 1562 includes improved protections for vulnerable seniors and expanded support for family caregivers. The bill also promotes the delivery of evidence-based services. S. 1562 was approved by the committee by voice vote without any amendments. The bill will now be considered by the entire Senate, although no date for floor debate has been scheduled as yet.

AAGP is a long-time supporter of the Older Americans Act and has been working closely with other health care groups and coalitions, including the Eldercare Workforce Alliance (a coalition of 28 national organizations representing consumers, family caregivers, and health care professionals) to move forward with reauthorization of the Older Americans Act. That reauthorization offers an important opportunity to modernize the aging services network and its programs in order to build an eldercare workforce with the skills and training to meet the "whole person" needs of older adults for health care and long-term services and supports.

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House Ways and Means and Senate Finance Committees' proposal to
repeal SGR

AAGP
On Oct. 30, the Senate Finance Committee and the House Ways and Means Committee released a bipartisan, bicameral discussion draft proposal that "would permanently repeal the SGR update mechanism, reform the fee-for-service payment system through greater focus on value over volume, and encourages participation in alternative payment models." AAGP is working with the American Medical Association and others to build upon and strengthen the draft proposal to best achieve the shared goal of developing a new, more stable Medicare payment and delivery system that supports high-quality care. AAGP will continue its advocacy efforts with the committees and all members of Congress to shape and advance legislation this year to avert the scheduled 24 percent reduction in reimbursement rates and eliminate the SGR.
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SAMHSA releases new behavioral health report
On Oct. 29, the Substance Abuse and Mental Health Services Administration released a report entitled "Behavioral Health, United States, 2012." This report is the latest in a series of publications (formerly known as "Mental Health, United States") issued biennially by SAMHSA since 1980. This report features mental health and substance abuse statistics as the national and state levels from 40 different data sources. A PDF copy of the report can be downloaded at www.samhsa.gov/data/2012BehavioralHealthUS/Index.aspx.
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USPSTF's report to Congress on 'High-Priority Evidence Gaps for Clinical Preventive Services'
The U.S. Preventive Services Task Force released its "Third Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services." In this report, the Task Force focused on the care of older adults, identifying five high-priority evidence gaps that deserve further examination and that, if filled, are likely to result in important new recommendations. The USPSTF believes that identifying evidence gaps and highlighting them as areas for research will inspire public and private researchers to collaborate and target their efforts to generate new knowledge and address important health priorities.

Priorities for improving the health of older adults through research on clinical preventive services:
  1. Screening for Cognitive Impairment and Dementia
  2. Screening for Physical and Mental Well-Being of Older Adults
  3. Preventing Falls and Fractures
  4. Screening for Vision and Hearing Problems
  5. Avoiding the Unintended Harms of Medical Procedures and Testing in Older Adults
See the full report: www.uspreventiveservicestaskforce.org/annlrpt3/index.html.

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Hartford Institute releases national education initiative:
Primary Care for Older Adults

The Hartford Institute for Geriatric Nursing at New York University College of Nursing recently announced the pilot release of its new e-Learning Primary Care for Older Adults clinical training modules (http://hartfordign.org/practice/pcoa).

The 12-module initiative is designed to prepare the primary care workforce to meet the unique health care needs of older adults. Over 50,000 advanced practice nurses, primary care physicians, and other health care professionals will have access to these evidence-based, online resources, which teach interprofessional standards of care for chronic disease management and geriatric syndromes.

PCOA is part of a larger HIGN mission to prepare the interprofessional health care workforce to provide accessible, coordinated and collaborative primary care for the growing aging population. The project is a collaboration between HIGN, the Consortium of NY Geriatric Education Centers, and the National Nursing Centers Consortium, a nation-wide network of Nurse Managed Health Clinics and Federally Qualified Health Centers.

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The American College of Psychiatrists' Award for Research in Geriatric Psychiatry: Applications due Jan. 5
The American College of Psychiatrists
The American College of Psychiatrists' Award for Research in Geriatric Psychiatry is given to an individual who has contributed to advances in geriatric psychiatry. The College first presented the Award in 2004. In addition to receiving a grant and a certificate, the awardee delivers a featured lecture at the Annual Meeting. For more information, go to www.acpsych.org/awards/geriatric-award-nominations-deadline-january-5.
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NIH Loan Repayment Program: Applications due Dec. 2
National Institutes of Health
The National Institutes of Health's Loan Repayment Program is accepting applications for 2014 loan repayment awards. The current cycle has been extended through Dec. 2. The LRPs repay the outstanding student loans of researchers who are or will be conducting nonprofit biomedical or behavioral research. To learn more and apply, visit https://www.lrp.nih.gov/apply_here/index.aspx.
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AAGP wishes its members a Happy Thanksgiving!




INDUSTRY NEWS


Study: Being bilingual may delay the onset of Alzheimer's
Fox News Latino
Bilingual people begin to experience symptoms of Alzheimer's and other forms of dementia about 4.5 years later than those who speak only one language — even when factors like education level and literacy are factored in, a new study found.
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The growing need for psychiatric EDs
By Dorothy L. Tengler
In 2010, there were 129.8 million emergency department visits. However, not all of these visits were injury-related. A January 2012 American Hospital Association TrendWatch reported that there were more than 5 million visits to EDs by patients with a primary diagnosis of mental illness or a substance abuse disorder. Even more alarming, the rate of mental health visits has increased seven times more than overall ED visits. What is the answer? Communities need specially-designed psychiatric EDs.
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Classic show tunes provide boost for dementia patients
The Telegraph
Hearty renditions of show tunes like The Sound of Music can improve the brain function of Alzheimer's patients and increase their quality of life, a study suggests. In an experiment worthy of choirmaster Gareth Malone, American researchers formed a choir of dementia patients at a care home and led them in a rousing chorus of musical classics three times a week.
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Despite early stages, Alzheimer's affects couple's big picture
NPR
NPR has been following Pansy and Winston Greene, a California couple struggling with an Alzheimer's diagnosis. Three years ago, Pansy learned she had Alzheimer's disease, and over this past summer, the couple told NPR that their day-to-day lives haven't changed much. That's still true. But on this second visit, they each seem to be looking at the future a bit differently.
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