Hilton San Francisco Union Square
333 O'Farrell Street, San Francisco, California 94102, (415) 771-1400
October 24 and 27, 2012
MEETING MINUTES
Council members in attendance: Drs. Marty Drell, Paramjit Joshi, Steven Cuffe, David DeMaso, Louis Kraus, Steven Adelsheim, Mark Borer, Deborah Deas, Ruth Gerson, Laurence Greenhill, Kathy Kelley, D. Richard Martini, Warren Y.K. Ng, Melvin Oatis, Neil Ryan, Sourav Sengupta, Margaret Stuber
Incoming Council members: Drs. Stephen Cozza, Joan Luby, Jenna Saul, Harsh Trivedi, and Marika Wrzosek
Staff members in attendance: Mary Billingsley, Adriano Boccanelli, Larry Burner, Yoshie Davison, Colleen Dougherty, Alan Ezagui, Heidi Fordi, Rob Grant, Kristin Kroeger Ptakowski, Earl Magee, Jill Zeigenfus
Also participating: Drs. Gaye Carlson, Robert Hendren, Michael Houston, WunJung Kim, Chris Kratochvil, Bennett Leventhal, Andres Martin, Susan Milam Miller, and James MacIntyre, II
BUSINESS MEETING
Wednesday, October 24, 2012, San Francisco, CA
1. Approval of October 19, 2011 Business Meeting Minutes (Toronto, Ontario)
ACTION: A motion was made, seconded and passed to approve the OCTOBER 19, 2011 BUSINESS meeting minutes.
2. President’s Report Martin J. Drell, M.D.
Dr. Drell welcomed those present and overviewed his Presidential Initiatives: Back to Project Future, 60th Anniversary, History Initiative, Presidential Trip, Committee System/ROCS, Virginia Q. Anthony Fund and Lobby.
3. Executive Director’s Report Heidi B. Fordi, CAE
Mrs. Fordi presented AACAP’s Positive Health Indicators for the period July – October 2012. She thanked the staff for their enormous contributions and recognized Nelson Tejada and Naomi Franklin for their respective 15 and 10 years of service to AACAP.
Mrs. Fordi thanked the Local Arrangements Committee chaired by Robert Hendren, D.O. and John Sikorski, M.D. She extended a special thank you to Program Committee Chair Gaye Carlson, M.D. and Meetings Manager Bennett Leventhal, M.D.
4. Secretary’s Report David DeMaso, M.D.
Membership Report
Members elected to Distinguished Fellow status include:
· Sucheta Connolly, M.D., Chicago, Illinois
· Melissa DelBello, M.D., Cincinnati. Ohio
· Arden Dingle, M.D., Atlanta, Georgia
· Fayez El-Gabalawi, M.D., Havertown, Pennsylvania
· Robert Findling, M.D., Cleveland, Ohio
· Cathryn Galanter, M.D., Brooklyn, New York
· Ellen Katherine Heyneman, M.D., San Diego, California
· Kathleen Kelley, M.D., Chicago, Illinois
· Brian Keyes, M.D., Woodbridge, Connecticut
· Young Ho Kim, M.D., Bloomfield Hills, Michigan
· MaryBeth Lake, M.D., Chicago, Illinois
· James McGough, M.D., Los Angeles, California
· Michael Naylor, M.D., Chicago, Illinois
· Jeffrey Newcorn, M.D., New York, New York
· Joel Oberstar, M.D., Maple Grove, Minnesota
· Caroly Pataki, M.D., Los Angeles, California
· Elias Sarkis, M.D., Gainesville, Florida
· Roomana Sheikh, M.D., Merion Station, Pennsylvania
· Deborah Simkin, M.D., Destin, Florida
· Kenneth Sonnenschein, M.D., Overland Park, Kansas
· Christopher Thompson, M.D., Los Angeles, California
· Heather Walter, M.D., Boston, Massachusetts
· Timothy Wilens, M.D., Boston, Massachusetts
In Memoria:
· Irving H. Berkovitz, M.D., Los Angeles, California
· Joseph F. Colligan, M.D., Sneads Ferry, North Carolina
· James H. Duffy, M.D., Roanoke, Texas
· Joseph Fischhoff, M.D., West Bloomfield, Michigan
· Paul Glass, M.D., Austin, Texas
· Hector C. Jaso, M.D., Saunderstown, Rhode Island
· Loretta Loeb, M.D., Portland, Oregon
· Maria Pease, M.D., San Francisco, California
· P. Brent Peterson, M.D., Salt Lake City, Utah
· Donald R. Piggot, M.D., Northville, Michigan
· Kate Plaisier, M.D., Washington, District of Columbia
· Alfredo C. Ramirez, M.D., Tucson, Arizona
· Valerie R. Robinson M.D., Lubbock, Texas
· Herbert S. Sacks, M.D., Westport, Connecticut
· Donald A. Schexnayder, M.D., Metairie, Louisiana
· Robert F. Schreiber, M.D., Berkeley, California
· Alan L. Sterling M.D., Brentwood, Tennessee
· Katharyne M. Sullivan, M.D., Leesburg, Virginia
· Bertha W. Wainerman, M.D., Randolph, Massachusetts
Dr. Bennett Leventhal paid tribute to Paul Glass, M.D.
5. Treasurer’s Report
Dr. Cuffe reported on the state of AACAP’s finances. He reviewed AACAP’s revenue including pharmaceutical income, which is 6.5% of our total budget. He also discussed investments, the reserve fund, and status of the budget.
2013 Proposed Budget / YTDSept 2012 / Budget
YTD
Sept 2012 / YTD
Variance / 2012 Approved Budget / Year Ending December 2011
Total Revenue / 8,543,117 / 7,319,606 / 7,370,574 / (50,968) / 8,658,750 / 8,393,573
Total Expenses / 8,543,117 / 5,345,444 / 5,906,587 / (561,143) / 8,615,267 / 8,648,282
Subtotal Income\(Loss) / - / 1,974,162 / 1,463,987 / 510,175 / 43,483 / ($254,709)
Investments / - / 586,374 / - / 586,374 / - / (412,686)
Net Income\(Loss) / 0.00 / 2,560,536 / 1,463,987 / 1,096,549 / 43,483 / ($667,395)
6. Report of the Assembly of Regional Organizations Louis J. Kraus, M.D.
Dr. Kraus reported there were 107 registrants at the October 2012 Assembly meeting, which ties our all-time high with the New York meeting in 2010. This includes 49 regional organizations in 41 states. Highlights of the meeting include:
· The Honorable Richard Pan, M.D., California State Assembly, spoke to the Assembly on the three main approaches to advocacy.
· The Assembly elected Mark Borer, M.D. as the Assembly Secretary-Treasurer and Jenna Saul, M.D. (WI) and Harsh Trivedi, M.D. (TN) as the Assembly Representatives to Council.
· The Northern California Regional Council’s proposal, “Third Party Funding for Events at Professional Meetings: Conflict of Interest,” presented during the open forum, led to a lively discussion including comments from President-Elect Paramjit Joshi, M.D. who chaired the recent Task Force on Pharma Policy. The Assembly wordsmithed the proposal and agreed to recommend the revision to Council.
· Catchers in the Rye Awards Winners:
§ Individual: Kristin Kroeger Ptakowski
§ Committee (tie): Ethics Committee and Psychotherapy Committee
§ Regional Organization: Big Sky (Montana) Regional Council
7. Report of the Editor of AACAP News WunJung Kim, M.D., Editor
Dr. Kim reported that it has been a good year for AACAP News with timely reporting facilitated by an excellent editing team. He concluded by thanking the members and staff who work to make AACAP News a success. He thanked leadership for the opportunity to be editor that he has thoroughly enjoyed. Dr. Drell presented Dr. Kim with a plaque thanking him for his tremendous contributions as Editor of AACAP News.
8. Report of the Editor of the Journal of the American Academy of Child and Adolescent Psychiatry Andrés Martin, M.D., M.P.H.
Dr. Martin reiterated the desire for more clinically-based material, and highlighted three specific new initiatives underway to strengthen the clinical relevance of the Journal.
· Clinical Guidance is a brief list summarizing key clinical ‘take-home’ points from the study, and has been included in select Review and New Research articles beginning with the August issue.
· Translations and Clinical Perspectives are two new article series that have had 13 and 3 installments, respectively. Translations shares the knowledge and views of researchers, clinicians, educators, and policy makers in a way that is accessible and relevant, and considers topics that may be controversial or have implications for the field. Clinical Perspectives is about insight and experiences from interactions with patients, families, peers, and the range of other individuals connected to the field, both professionally and personally. These series were formally introduced in an editorial in the October issue, “Translations and Clinical Perspectives: Toward a More Perfect Union.”
· Clinical Reviews is a new series currently under development, which will seek to address the needs of practitioners working ‘in the trenches’ and provide concrete guidance that is both practical and based on the available evidence base. The first article is expected to be published in early 2013. Dr. Martin thanked Mary Billingsley, Managing Editor, for her work with the Journal.
9. Presentation of AACAP Practice Parameter plaques:
Dr. Drell presented a plaque to Helene M. Keable, M.D., F.R.C.P. for her work on the Practice Parameter for Psychodynamic Psychotherapy with Children. He recognized Rachel Z. Ritvo, M.D., co-author of the parameter on psychotherapy, who was unable to attend the meeting as well as Stewart Adelson, M.D. who was also unable to attend the meeting and authored the Practice Parameter Practice Parameter on Gay, Lesbian, or Bisexual Sexual Orientation, Gender Nonconformity, and Gender Discordance in Children and Adolescents.
10. Old/New Business
There was no old or new business.
The Council meeting resumed at 1:30 p.m.
AACAP Mission Statement
The mission statement was reviewed.
Disclosure of Affiliations
There were no new disclosures to report. Written disclosure from all Council members were pre-distributed.
Consent Agenda
June 29 – July 1, 2012 Council Meeting Minutes (Tab 3)
ACTION: A motion was made, seconded and passed to approve the June 29 – July 1, 2012 Council meeting minutes.
President-Executive Director’s Report (Tab 4)
ACTION: A motion was made, seconded and passed to approve the PRESIDENT-EXECUTIVE DIRECTOR’S REPORT.
President’s Report Martin J. Drell, M.D.
Introductions: Council members each introduced themselves. Dr. Drell recognized incoming members of Council: Drs. Steven Cozza and Joan Luby as Councilors-at-Large, Drs. Jenna Saul and Harsh Trivedi as Assembly Representatives to Council, Dr. Marika Wrzosek as the Jerry Wiener Resident Member of Council, and Dr. Mark Borer who completes his term as an Assembly Representative to Council but has been elected Assembly Secretary-Treasurer. Dr. Drell welcomed Heidi Fordi, CAE as the new Executive Director.
Council agenda, schedule and future calls: Dr. Drell reviewed Council’s agenda and schedule. In September, the Executive Committee agreed to hold two Council conference calls between the face to face meetings to take care of business that arises between the October and June meetings. The one hour calls will be scheduled for January and April.
Journal Editor: As decided by Council in June 2012, moving forward, the Editor-in-Chief and the Associate Editor of the Journal will meet with the President and Executive Director to discuss issues, feedback from the membership and to the editors, and overall progress of the Journal. It was noted that Dr. Laura Prager will shepherd the new Clinical Perspectives section, revisions to the instructions to the author have been completed, and the Journal continues to welcome an open discussion with members and committees.
AACAP News Editor: With Council’s approval, Dr. Drell has appointed Uma Rao, M.D. as the next AACAP News Editor. Her first issue will be January/February 2013.
Project Support/Decision Matrix: Dr. Drell reviewed the background of a Project Support/Decision Matrix for AACAP, previously created by Dr. David Pruitt, and asked the Council to consider if other questions should be asked and then to formally approve a Project Support/Decision Matrix for AACAP:
ACTION: AFTER REVIEW AND DISCUSSION, COUNCIL APPROVED THE FOLLOWING PROJECT SUPPORT/DECISION MATRIX AS GUIDELINES FOR AACAP DECISION MAKING FOR PROJECTS, COALITIONS, OR COLLABORATIONS WITH OTHER ORGANIZATIONS. IT WAS ALSO CLARIFIED THAT THE AACAP MISSION STATEMENT SERVES AS THE FOUNDATION FOR THE PROJECT SUPPORT/DECISION MATRIX.
PROJECT SUPPORT/DECISION MATRIX
When making a decision that involves AACAP pursuing a project or joining a coalition, ask the following questions:
1. Does the project protect or expand children’s interests?
2. Is the project consistent with AACAP’s goals?
3. Does it assist members in daily practice?
4. Does it assist in expanding members’ roles as professionals?
5. Does it serve all types of members, i.e., private practice, academic, public psychiatry?
6. Are the project goals realistic and attainable?
7. Are the project goals long term, short term or both?
8. Are there financial, ethical, and legal risks for AACAP?
9. What support is AACAP to provide? Name only? Manpower? Financial?
10. Does collaboration benefit AACAP other than in final goal (e.g., Public Relations)?
11. Is there a reciprocal relationship?
12. Are there risks to our reputation/standing?
Speak Up For Kids: Having previously voted in June 2012 to not participate in the 2013 Speak Up for Kids project, the Executive Committee followed up with discussion. Based on several factors, most notably the disparate drop in interest/participation from the previous year, the Executive Committee, again, affirmed their earlier decision to not participate in 2013.
President-Elect’s Report Paramjit T. Joshi, M.D.
International Focus: Dr. Joshi plans to have an international focus to her Presidency. She talked about support for IMGs (international medical graduates) and developing an international network. She highlighted four areas of focus:
· Membership
· Education
· Relationships with other international organizations
· AACAP resources/website
Travel: The Presidential travel funds are currently intended to be used during the two-year presidential term. The Executive Committee proposed to extend the presidential travel funds so that the President-Elect can have the flexibility to use these funds in his/her second year as President-Elect, as well us during the two-year Presidential term.
ACTION: COUNCIL APPROVED THE PRESIDENT-ELECT USING HIS/HER PRESIDENTIAL TRAVEL FUNDS OVER A 3-YEAR PERIOD WITH THE SAME AMOUNT OF FUNDS.
Future Pharma Support
Council discussed current pharma funding and levels of support as well as future funding. Dr. Kraus presented the Northern California Regional Council’s proposal to the Assembly, “Third Party Funding for Events at Professional Meetings: Conflict of Interest.” Dr. Ed Levin presented the proposal and Dr. Joshi, who chaired the Task Force on Pharma Policy, made comments. The Assembly wordsmithed the proposal and agreed to recommend the revision to Council:
Be it resolved: In order to explore as much as possible the reality and the perception of economic conflicts of interest, the Assembly will petition the Council to establish a task force on AACAP’s relationship with pharma that will develop updated organizational guidelines and Principle VI: Third Party influence that addresses all aspects of AACAP’s relationship with industry and real or perceived conflict of interest.
The task force should be comprised of an equal number of members of the Ethics Committee, the Council, and the Assembly, with each group being responsible for selecting their own representatives. The recommendations of the task force should be available for discussion and modification within 6 months and presented to the Assembly and Council for approval in 1 year.
ACTION: COUNCIL RECOMMENDED THAT THE PRESIDENT CREATE AN EXPANDED TASK FORCE TO REVIEW AACAP’S ECONOMIC RELATIONSHIP WITH PHARMA. THE PRESIDENT AGREED WITH THE COUNCIL RECOMMENDATION AND WILL CONVENE A NEW TASK FORCE IN 2013. THE PRESIDENT WILL SELECT THE MEMBERSHIP OF THE TASK FORCE AT A LATER DATE.