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From the Membership Committee

Nicole Keedy headshot

From the Membership Committee

Nicole Keedy headshotI could not be more pleased as I review the membership trends that Dr. Alissa Doobay, Co-Chair of the Membership Committee, diligently updated this year to allow continued tracking of the committee’s outcomes. Two trends immediately captured my attention. First, we experienced the greatest one-year increase in the total number of members, primarily driven by the largest one-year increase in full members with advocacy since we began tracking in 2000. Second, we experienced an increase in student members that returned us to our 2019 number, after a significant drop in student membership from 2019 to 2020 that appeared to be associated with the unfortunate cancellation of the 2020 spring conference. Additionally, we celebrated robust retention across all membership categories this year.

The Membership Committee has implemented a number of tactics in line with the committee’s overarching Strategic Plan goals of Connection, Recruitment, and Retention that have assisted in promoting the notable increases in membership numbers. Additionally, a number of initiatives from IPA’s Executive Council and our fabulous committees have been instrumental in promoting connection, recruitment, and retention.

 

IPA membership trends chart from 2000-2001

With regard to recruitment and retention, the Membership Committee implemented several important tactics over the past year. Specifically, sparked by an idea Past IPA President Dr. Benge Tallman learned while attending a Practice Leadership Conference, the Membership Committee initiated both a Student Mentorship Program and a Student Sponsorship Program. Thanks to the organizational and leadership skills of Dr. Doobay, as well as generous donation of time and financial support from many IPA members, these programs have successfully assisted in connecting students with mentor psychologists and providing one year of free membership for students. Thank you to all members who have participated in these programs, and to the students who have increased their IPA engagement as a result of these programs.

The Membership Committee continues to inform non-members of the many benefits of IPA membership, as well as introducing new benefits for members. In collaboration with the WEB Committee, the Membership Committee has facilitated the members-only benefit of four free continuing education credits for online content. Dr. Doobay continues to send emails to non-members who attend IPA conferences to inform them of the many benefits of IPA membership. The committee owes gratitude to Dr. Jody Jones, who has offered her exceptional writing skills for updating an annual letter the committee sends to newly licensed Iowa psychologists regarding the benefits of membership.

The Membership Committee placed a great deal of effort into encouraging prompt renewals and reminding members to renew after the due date, with outstanding results. Special thanks are due to Dr. Jessica Tartaglione, Dr. Lauren Garvin, Dr. Laura Fuller, and Dr. Ashley Freeman for contacting members to assist with renewals; and to Dr. Alissa Doobay and Executive Director Suzanne Hull for assisting with renewal questions and special renewal circumstances. Thank you also to the vast majority of members who renewed promptly to facilitate a smooth renewal process.

Regarding connection, the Membership Committee has continued to host social events to assist in connecting members, with an exciting new development of pairing with the Diversity and Social Justice Committee to increase interest and attendance. These virtual social events have been thoroughly enjoyable and we are excited for the time we may return to hosting them in person. The committee has also continued sending introductory information to the Elist for new members and connecting new members with established members in their region of the state for a warm welcome.

The Membership Committee has appreciated efforts by other committees that have supported the goals of connection, recruitment, and retention. The Psychopharmacology Committee’s recent lunch and learn drew new interest to IPA as it highlighted the unique advocacy and information this committee offers members. The Diversity and Social Justice Committee has offered numerous avenues for connection and increased awareness regarding diversity, equity, and inclusion for IPA members. The WEB Committee has seamlessly navigated the switch from newsletter to blog and continued updating the website to share information of interest to members and the public. The Advocacy Team has successfully urged state legislators to mandate equivalent reimbursement for telehealth services, which has served as a crucial benefit to many IPA members. The Public Education Committee has launched a podcast to disseminate psychological information to the public, allowing IPA to increase visibility. The Early Career Psychologist Committee’s efforts in recognizing members with awards and scholarships, as well as organizing social events, have no doubt assisted in member retention. The Ethics Committee continues to field questions regarding ethical dilemmas members wish to keep confidential, and the Finance Committee continues to work behind the scenes to provide essential stability and oversight for our association.

To offer a snapshot of gratitude for the benefits IPA offers, three members generously provided the following testimonials that they welcomed the committee to share:

“I never realized the advocacy that IPA was doing on behalf of psychologists and mental health providers across the state of Iowa. Without their intervention, Wellmark would have significantly reduced reimbursements for psychotherapy in 2020. Staying in business as a small private practice would have been a lot harder. I can’t thank IPA enough for fighting for mental health and mental health providers in the state of Iowa.”
-Jason Drwal, Ph.D., LP, Full Member
 
 
“I joined IPA as a full member in summer 2020 in the midst of the COVID-19 pandemic. While teleworking full-time, I was looking for new ways to connect with colleagues, reduce professional isolation, and engage in social justice efforts. The social learning opportunities provided by IPA over this past year have been numerous and enriching. I have connected with psychologists across the state through online events organized by the Diversity & Social Justice committee, including town halls, book discussions, Crucial Conversations group, and continuing education trainings on racial equity topics. These IPA programs give members an opportunity to co-create a professional community working toward social justice, to uphold our ethical responsibility to do so. I am grateful that IPA has become an organization that provides opportunities to channel the privilege we hold as psychologists toward advocacy efforts that promote the health, safety and wellbeing of all Iowans.”
-Sarah Fetter, Ph.D., LP, Full Member
 
“As I transition my practice to fulltime, I want to be as connected to colleagues and resources as possible. This group comes highly recommended and I value the connections and support I can be a part of here.”
-Lauren Wright, MS, LMHC, Associate Member
 
 

As mentioned in a similar article in The Iowa Psychologist last year, the greatest benefit IPA offers is the connection between its members, which currently comprises 258 dedicated members of the psychology community in Iowa. Please continue to reach out to each other as well as to non-members who may benefit from joining this supportive, knowledgeable, and generous community. Thank you for your membership and your engagement in IPA.

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Presidential Update June 2021

headshot of Valerie Keffala

Presidential Update June 2021

headshot of Valerie Keffala

Happy Summer!

This can be a busy time of year, full of transitions for many of us; swimming lessons and summer activities for kids, potentially the first travel many of have done for over a year as we head out on vacation, late nights and early mornings as days with longer sunlight allow time for time in the garden, long walks, and barbeques.

During this time of year, IPA leadership begins to think about recruiting our next group of leaders. Starting with this post, and over the next couple of weeks, we are encouraging members to think about volunteering to run for open positions in IPA leadership next year.

The positions we will be voting for this year are will be: Treasurer, IPA Representative, President Elect, Federal Advocacy Coordinator, and State Advocacy Coordinator. 

Each of these positions vary in time commitment, ranging on average from about 4 hours per month to 4 hours per week. Time in each position varies depending on what is happening during the year.

Though the time commitment may appear daunting, the rewards are great. You will get to work with some amazing folks in IPA, and have the opportunity to be at the heart of all that happens in the organization, helping to direct our growth and respond to the needs of our members, other psychologists in the state, and potentially become involved at a national level with APA and related to federal advocacy.

The Policy and Procedures Manual, found on the Member Resource page of IPA website, has a description of each of these positions, however we are in the process of making updates and revisions to each of these. Please feel free to reach out to meDr. Benge Tallman, or Dr. Nicole Keedy if you are wanting more information about these positions. 

If you are interested in running, please let one of the abovementioned Presidential Triad know over the next few weeks. We will post the ballot sometime during the second week of August, and voting ends 30 days later.

On a personal level, I would like to share that being in leadership has been one of the highlights of my personal and professional career. I’ve deepened relationships that were already important to me, and established new friendships and working relationships with others in leadership. As part of the leadership team, I have loved exploring and developing learning opportunities for psychologists, creating and promoting IPA initiatives, advocating for the profession of psychology on a state and federal level, and looking for ways to support and enhance training for doctoral and postdoctoral psychology students. These are only some of the things that stand out in my mind from my time as part of the Presidential Triad during these past 18 months.

IPA has a long and amazing history of service by some truly outstanding individuals. You are invited to become part of that history by volunteering to run for one of these positions.  I hope you will consider doing so!

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Chasing RxP: From Davenport to Clarinda

Headshot of Ryan Ernst

Chasing RxP: From Davenport to Clarinda

Headshot of Ryan Ernst

We have all been through at least one of those experiences where you get to the end and look back and say, “I am glad I did that but I would never want to do it again.” Completing the requirements to become a prescribing psychologist (RxP) to licensure has certainly not been one of those experiences. If I had the time, I would do all the training over again as there is so much useful information to learn. From the first day of psychopharmacology class in January of 2017 to the first day I was legally able to write a prescription, which was June 21st, 2021, each milestone along the way has been very enjoyable. There was not a single time I thought, “What the heck have I gotten myself into?”

I attended undergraduate at the University of Nebraska-Lincoln in the 1990s. While trying to build a resume for application to graduate school I worked at the clinic of Dr. Matthew Nessetti, who was one of the early presidents of Division 55 (Society for Prescribing Psychology). It was from his energy and enthusiasm about psychopharmacology and his vision for the future of psychologists being able to practice medicine, that I too became excited for RxP before I ever set foot into graduate school. That is when the chase began. 

Around 1996, I traveled to Davenport, Iowa, to the Iowa Psychological Association annual convention that was organized by Dr. Bethe Lonning. Along with Dr. Nessetti, I assisted in a presentation on the history of the pursuit of prescription privileges. Fast forward to over 20 years later, in December of 2019 I left my position as a neuropsychologist for Madonna Rehabilitation Hospital in Lincoln, Nebraska, where I had a rewarding career in neurorehabilitation. I left that job to take a position at Clarinda Regional Health Center in Clarinda, Iowa. Honestly, it was not a tough decision to leave and that has nothing to do with Madonna. For me, it was the last piece I needed to fulfill the chase of becoming a prescribing psychologist. Over the next year I completed supervised hours in physical assessment working alongside family practice and internal medicine physicians mainly as well as co-prescribing for my patients or those of the hospital physicians. It was at that time I realized just how different the rest of my career was going to be. 

As a neuropsychologist with RxP training, I find the scope of my practice to be much broader than before. Honestly, at times in the past, I found the practice of neuropsychology to be limited. I would provide a clinical interview, testing, and a written evaluation that usually would describe the severity of one’s deficits, the impact of limitations inherent to those deficits, and recommendations for symptom relief and functional improvement. We offered some interventions such as computer based cognitive rehabilitation programs, neurofeedback, virtual reality neurorehab, and we did explore some new interventions such as transcranial direct current stimulation and near-infrared spectroscopy. The research behind such interventions is quite fascinating and is some cases, very promising, but typically those interventions are difficult to incorporate into clinical practice due to barriers of insurance reimbursement, mainly. I also saw patients with possible dementia and found working with that population to be rewarding though limited as far as assuming a typically consultative role. The culmination of my work would either indicate the patient had dementia, did not have dementia, or had some other illness masquerading as such. From the training received through the psychopharmacology program, the expansion of my role as a neuropsychologist has been tremendous. At this time, I am much more comfortable evaluating the medications patients are prescribed to discern whether there may be a culprit that could be responsible for cognitive inefficiency presenting as memory impairment. I am much more comfortable evaluating patient’s medical history to identify alternative explanations to account for the presenting problem of memory impairment. I am able to conduct a full neurological examination from the training I received, and order laboratory work which has been a totally new experience and one I find of great value through the process of performing an evaluation for the differential diagnosis of dementia. I am able to order imaging to evaluate the structural integrity of the brain without having to rely upon someone else to do so based upon their schedule or preferences. And, in the unfortunate circumstances where a diagnosis of dementia is confirmed, I am able to follow along with the patient for medication management and for the first time, find myself to be taking a lead role in patient treatment, rather than a consultative role. So, at this point some of you may be thinking, “Congratulations, you are a quasi-neurologist.” However, that is not the case; RxP training expanded my role as a psychologist and did not change my role. 

I find such liberty in being able to use the many tools available whether it is behavioral modification, cognitive therapy and even an early love of mine, existential psychotherapy, integrated into the medical evaluations and interventions available through RxP training. Also, during the years practicing as a neuropsychologist I somewhat fell out of the practice of psychotherapy and experienced subsequent anxiety about my rusty psychotherapy skills. As we know, exposure is the best intervention for anxiety and exposure is certainly what I have experienced, now working at a rural hospital setting where the needs of the community are broad and diverse. Reassuming the role as a general clinical psychologist, it has been very rewarding to evaluate, diagnose, and treat people of all different ages for varying conditions. Whether that be psychological and cognitive testing for the diagnosis of ADHD, the treatment of anxiety associated with one’s life tragedies, or the unfortunate and firm hold bipolar I disorder has on a person’s life, utilizing the combination of psychometric testing, psychotherapy and now medication intervention, has been by far the most enjoyable experience of my career so far. Whether engaged in medication reduction for an intellectually disabled person with autism or changing the diagnosis of someone with chronic PTSD who has been mistakenly treated for bipolar disorder for many years, the role of a prescribing psychologist is exactly what I hoped it would be. Our training as psychologists with a sound foundation in assessment, as patient listeners, as ultra-pragmatic thinkers, as humble practitioners, as believers of the potential for human change, with respect for the mind and not just the brain, and now with a sound foundation in psychopharmacology, prescribing psychologists in my opinion should not considered just another prescriber of psychiatric medication, but as a profession with a unique set of skills and training that prepares us to have the patience for the simplest of cases and the expertise of treating the most difficult of cases. 

If there is a word I can use to describe my experience of becoming a conditional prescribing psychologist, it is grateful. I am grateful for the opportunity to earn the trust of patients to assist them with their psychological and physical health. I am grateful for those who put in the decades of work it took to make the pursuit of prescription privileges a reality for practicing psychologists. I am grateful for those in our field who are willing to share their enthusiasm, time and knowledge with others in the field, especially young psychologists or those aspiring to enter the field. I am grateful for Iowa. These are wonderful times in the history of the practice of psychology and spreading our passion is a key to attracting others into the profession. I believe RxP can be a big component to this as it drastically expands the role of practicing psychologists and subsequently, can be more attractive to a greater number of aspiring college students. If you have been considering enrolling in a RxP program, quit wasting the time and energy of considering and start planning on how to make it a reality. When you get to the other side, I very much doubt there will be any regrets. 

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Diversity Spotlight – Juneteenth

headshot of Dr. Joyce Goins-Fernandez

Diversity Spotlight – Juneteenth

headshot of Dr. Joyce Goins-Fernandez

Today, June 19, is celebrated as Juneteenth National Independence Day, or as I’ve always called it, “Juneteenth.” We celebrate Juneteenth in honor of one of the final acts of emancipation of slaves in the United States. On June 19, 1865, the announcement was made that tens of thousands of African-Americans in Texas had been emancipated. Juneteenth traces its origins back to Galveston, Texas where on June 19, 1865, Union soldiers, led by Major Gen. Gordon Granger landed in the city with news that the Civil War had ended and slaves were now free. The announcement came two-and-a-half years after President Lincoln’s Emancipation Proclamation of January 1, 1863 that had ended slavery in the U.S. However, since that proclamation was made during the Civil War, it was ignored by Confederate states, and it wasn’t until the end of the war that the Executive Order was enforced in the South. This day is also known as African American Freedom Day or Emancipation Day.
 
This week, President Joe Biden, signed a law making Juneteenth Day a Federal holiday. While this is good news, let us not forget the issues that continue to affect the Black community (e.g., voter suppression, health care disparities, over- and under-policing of Black communities). I hope that we can continue to work on solutions to solving these inequities.
 
Juneteenth banner 
 
Below are some short videos that share additional information about this important date. I am also providing a link by the University of Iowa Carver College of Medicine’s DEI office where you can go to learn more about Juneteenth Day.
 

 

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Benefits of the IPA Student Mentorship Program

headshot of Alissa Doobay

Benefits of the IPA Student Mentorship Program

headshot of Alissa Doobay
The IPA Membership Committee launched the Student Mentorship program in the Fall of 2020. The primary goal of this program is to increase student engagement in IPA early in their doctoral training by building relationships between current members and doctoral students in psychology training programs. An additional goal for this program is to promote professional endeavors of students and interns within the state of Iowa through their increased engagement. All student members of IPA are provided with the opportunity to be connected with a mentor. At present, IPA has 30 student members, and 35 IPA members have volunteered to serve as mentors.

Over the past month, mentors and mentees participating in this program were invited to share about their experiences, both to highlight the benefits, as well as to identify aspects of the program that may need some reworking. Thank you to those of you who responded!

First, many of those surveyed expressed an appreciation for the opportunity to connect with others through this program, including by learning about specific individuals’ backgrounds and the unique experiences they bring to IPA, as well as hearing about how graduate training has changed over time. Some individuals identified specific benefits, such as being able to talk with a mentor about preparing for the internship application process.

“This past semester, I applied to internships and submitted my rankings and it was really nice to have a mentor to talk about their experiences with internship and how they decided on their rankings, especially because they weren’t my direct supervisor or from my training program. I really appreciated being able to talk about the application process with someone who has gone through it and can ask me questions about things like training goals that I had not thought about before. I also found that my mentor was very supportive around the time of my interviews and served as a great “trial run” for getting to know someone completely online and just how to present myself during interviews. She helped me feel like interviews were less scary. My mentor also was really great at helping me decide how to rank my internship sites. She was someone with whom I was able to share my genuine reactions, whereas I felt I had to be overly positive when speaking to my major professor. I can honestly say that my internship application experience was made much better by my mentor and her guidance.” –IPA Mentee

Mentors reported that they have been able to support their student in connecting with additional resources or psychologists in the state who share professional interests with the students. Others noted that, since connecting with a student mentee, the student has become more active in IPA through committee participation. Another mentor shared that they have benefitted from their mentee’s enthusiasm, and specifically enjoy the opportunity to have conversations about professional topics and discussing visions for career growth.

“Having conversations about professional topics and discussing how a person sees their career growing has been very rewarding. It is also helpful to hear about how training, approaches to interviewing, and different pathways can shape next steps for someone. I have enjoyed the opportunity to connect and hear about someone’s enthusiasm toward the field.”  –IPA Mentor

A few mentors focused on how this program benefits IPA more broadly through gaining an understanding of contemporary interests and needs of current graduate students. Mutual benefits were described about the mentor becoming more aware of how the IPA community can contribute to the success of graduate students and early career psychologists through the development of additional resources and tools, while the mentee may benefit from reflecting with a mentor on opportunities that fit with a person’s desired career path that are available but may not be readily apparent without the support of someone with more experience.

“Reflecting on how we (as a community) can provide others with extra resources/tools to be successful has been beneficial.”  –IPA Mentor

The primary challenge identified was initial difficulty connecting with assigned student mentees. Some mentees have either not responded to their mentor’s emails, or they have expressed not needing or not having time to participate in the mentorship program. Additionally, some mentees have reported a desire to engage in this process, but were unsure how to best take advantage of this time and resource.

“It has gone well to schedule zoom meetings every month or so and set the date at the end of the current call, that way it is for sure on each of our schedules. I looked forward to our meetings and getting to check-in!”  –IPA Mentee

A few ideas were presented for improving the program. As one mentee noted, scheduling regular check-in times with their mentor helped to ensure that they both made time to develop the relationship. It was also recommended that students and mentors could be provided with tips on how they can benefit from this program. A couple of respondents suggested a system of having mentees opt into the program rather than being automatically assigned a mentor upon joining IPA, which may increase the likelihood of the student mentor showing active engagement in the program. Likewise, there was a suggestion of matching mentees and mentors based on shared professional interests or goals. Student respondents had some creative suggestions for growing this program, such as potentially incorporating the opportunity to shadow the mentor at work to gain experience and familiarity with different work settings and interdisciplinary teams. Additionally, there was a recommendation to facilitate opportunities for social engagement between mentors and mentees.

“I would have like a full zoom call with all the mentors and all the students involved to get to network and just connect with the other students of IPA. This could involve like an icebreaker game with us and our mentors on a team for trivia or some other game, just something that could highlight some team building!” –IPA Mentee

This is very useful feedback that the IPA Membership Committee will take under advisement. Plans are already underway to host a mentor/mentee social event in Fall 2021. We also encourage mentors and mentees to connect at IPA conferences and trainings, particularly as we begin to resume in-person events.

“I think all the current efforts to connect and to seek input have been outstanding.” – IPA Mentor

More information about the IPA Student Mentorship Program is available here on the IPA website, including expectations of mentors and mentees, and a list of potential discussion questions. If you would like to serve as an IPA mentor, or if you have any questions or comments regarding this program, please contact Alissa Doobay at alissa-doobay@uiowa.edu.

 

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My Road to RxP – FDU

headshot of Scott Young

My Road to RxP – FDU

headshot of Scott Young

Before beginning graduate school in counseling psychology, I had been actively discerning the psychiatry route versus the psychology path. I have always been fascinated with the biological aspects of mental health, but psychotherapy was (and remains) my first love. When I learned that virtually no psychiatrists still practice psychotherapy (and even fewer practice it as their primary treatment), I knew psychiatry was not the right fit for me. While I grieved being able to integrate prescribing into my practice, I foreclosed on that option and moved on.

While I was early in graduate school, I became aware that New Mexico and Louisiana had granted prescribing authority to psychologists. I am somewhat obsessive when it comes to reading about topics of interest, and I immediately read any article, journal, or book I could find on prescribing psychology (commonly abbreviated RxP). The more I learned, the more interested I became. I even wrote a paper in my Ethics course on the topic, considering the implications for professional identity and ethical practice.

Fast forward to 2006, when my road to RxP really took off. I was delighted to learn that my program would be offering an introductory psychopharmacology course Summer 2006, and I signed up. I was eager to learn all I could to build on the fledgling interest in health psychology I had already been developing through my work at the Student Health Center and coursework. I’m reasonably sure that most of my classmates took the class to fulfill their biological basis of behavior requirement, but I was enamored with the content! 

I began to dream about the possibility that Iowa might one day follow suit, and read everything through IPA on the subject that came out over the listserv. I participated in the IPA 2008 survey on RxP, and attempted to offer some small support to the three psychologists who were really doing the major work.  (It’s worth taking this opportunity to offer a BIG thank you to Bethe Lonning and Brenda Payne!)

When I learned IPA had worked to get RxP legislation introduced, I was so excited and hopeful.  Here was my chance to resurrect the interest I had foreclosed on when I decided to become a psychologist…boy was I naïve! I learned over several years that the legislative process was arduous, and that our efforts were not as universally supported as it seemed logically (to me at least) they should be.

Then 2016 happened. In April 2016, when the Iowa House passed the most recent version of the RxP bill, I felt like I was holding my breath. I remember trying to tell myself not to get my hopes up; the Senate still had to approve the revisions and the governor (Branstad) had to sign off. I kept checking the IPA listserv for any updates, and read every email. I can still remember where I was when I read that fateful email after 9 PM on May 27th. I was brushing my teeth before bed that night, and I saw the forward from Bethe that Governor Branstad had signed the bill into law! My poor wife was awakened by her over-excited husband, and we started talking about what this might mean for my career and our family. We agreed that this was something that could mean a lot (she’s an L.I.S.W. so she understands the trouble with psychiatric access better than most), and I applied to the Fairleigh Dickinson University Program after Bethe was kind enough to spend some time on the phone giving me some guidance and coaching.

I started the program in August 2016, and was fortunate to receive the APF Walter Katkovsky Scholarship to support psychopharmacology training (another “thank you” to Bethe for her support and her letter). The program was challenging, fascinating, and required a lot of sacrifice from my family. During my time in the program, I was diagnosed with Crohn’s, had two surgeries, started biologic treatment (which I unfortunately understood well enough to be pretty anxious about…one downside of the basic medical knowledge the program had provided), had our second daughter, and went through a major job transition for my wife when her clinic was closed. This last event led me to delay my required clinical lab training week for another year (but I was fortunate to meet a then-colleague from Colorado and our now blog editor, Dr. Katie Kopp), and I graduated the program officially in February 2019.

Now able to start the practicum/preceptorship, I sent out letters, emails, phone calls, and met with anyone I could to seek a placement. My hope to work with my Center’s psychiatrist had fallen flat with the administrative rules specifying board-certification was required (in family medicine, internal med, peds, neurology, or psychiatry), so I reached out to psychiatrists and family medicine providers first. While I was eventually able to start working with my own primary care physician, I learned that being near the Des Moines Metro (with all the psychiatrists that implies) was not the benefit I had hoped. Many psychiatrists did not respond, some few responded with professionally-worded encouragement where I could stick this whole idea, some few responded with willingness but without time, a couple gave me the contact of others they thought might be willing, and one said YES…and then the pandemic closed down his hospital’s training program! So, after a break when MercyOne closed their preceptorships down for several months, I resumed working with my own PCP, who has been great! I would encourage anyone thinking about seeking a preceptorship to give thought to family practice physicians (and maybe especially to D.O.s) who really seem to get why this is helpful to patients and to family practice. I’ve learned a lot, and am still accruing hours and experience. I have been, a bit at a time, continuing to work on finding a psychiatrist or psychiatric setting to finish out my requirements, and I plan to take the revised Psychopharmacology Examination for Psychologists (PEP) as soon as I work up the courage (and the $850).

I have said, and will say again, that I encourage any psychologist to consider pursuing this training. IPA now has built relationships with New Mexico State to bring training to our psychologists, and it seems like a really solid option for CEs or for the postdoctoral master’s degree in clinical psychopharmacology. Whether or not you ever want to prescribe, I think the information is invaluable for improving collaboration with medical providers, and improving care for patients. I still hope to eventually prescribe, but I know that I’m a better psychologist regardless simply for having this training and knowledge. Much like the process of getting the legislation passed, this is a long road, but a worthwhile one.

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Navigating Use of Mobile Apps in Practice

headshot of Amanda Johnson

Navigating Use of Mobile Apps in Practice

headshot of Amanda Johnson

In 2016, after practicing psychology for a little over 5 years I decided to return to graduate school to study Human Factors Engineering. Apart from being a lover of learning and a glutton for punishment, I had begun to realize both the importance of technology in mental health and the deficits in the design of those technologies. Fast forward 5 years and another degree later, I have learned even more about this.

The use of mobile applications to address health and mental health is growing exponentially. According to IQVIA (2017) there are over 300,000 health related mobile applications available and nearly 100 more being added daily. Of the overall number of health apps, more than 10,000 relate to mental health (Torous et al., 2018). Despite the apparent proliferation of mental health applications, 90% of all current mental health app use can be narrowed down to just two apps, Calm and Headspace (Wasil et al., 2020). Some of that may be due to the lack of usability, credibility, and trustworthiness of some of the apps on the market.

Anyone can create an application and put it in the Android or Apple app marketplaces. An app’s existence doesn’t ensure its origins, safety, or quality. For example, looking at suicide prevention applications, researchers have found that many applications are not designed with the user in mind, do not solve problems most users care about, are not seen as trustworthy, and are unhelpful in emergencies (Torous et al., 2018). Furthermore, many individuals using mental health applications are experiencing one or more mental health conditions. Some of these conditions including depression, anxiety, bipolar disorder, and schizophrenia have been shown to impact cognitive functioning (Bosaipo, et al., 2017; Stergiopoulos, et al., 2015; Bora and Pantelis, 2015; Rock, et al., 2014; Keefe and Eesley 2006; Heaton, et al., 2001; McKenna 1994). 

Combining the usability issues with existing applications and the needs of users with mental health concerns, highlights the importance of psychologists and other mental health practitioners to be versed in the art of evaluating and recommending applications that are safe, usable, and useful. Applications should always be reviewed by a mental health professional before they recommend them to clients. There are three important topics to consider when reviewing applications for use by those with mental health concerns: security, credibility, and usability.

Clients often trust their mental health providers and trust that information that they are providing to them is credible. This makes reviewing an application’s information even more paramount than when you are using an app for personal use. When examining an application’s information credibility, it is important to look at multiple criteria including:

  • Can you locate the sources of information?
  • Is the information accurate and of good quality?
  • Does the information source have good integrity and is it trustworthy?

Most mental health professionals are well versed in privacy and security of information when it pertains to client records. It is at the core of what they do and helps their clients to feel safe. Applications present risks to that privacy and security. Many applications are for profit and will seek personal and financial information. This may be intrusive to clients already struggling with concerns about stigma, privacy, or safety. Some applications may allow clients to store personal information like safety plans, thought diaries, and mood charts. Because this information can be sensitive it is also important that applications that collect this information have security built in to protect it. Applications can also have GPS or activity tracking features. This information also needs to be protected and used in a way that is consistent with a client’s preferences and safety. Some important points to consider in terms of evaluating privacy and security:

  • Is the application transparent about information policy, what is shared, and with who?
  • Is the user agreement easily accessible?
  • Does the application collect personal or sensitive information?
  • Does the application allow for password protection?
  • Is the application tracking your client’s usage or location?
  • Are there others in the client’s life that may be able to access sensitive information from the application?
  • Does the app allow the user to transmit personal information without encryption?
  • Does the app access the phones address book, microphone, camera, or location without permission?

Last but certainly not least important, usability. One of the primary reasons why people discontinue use of an otherwise useful interface is poor usability. Applications that are not usable can be difficult to navigate. Because of cognitive impacts of mental illness, the user needs of those with some mental health diagnoses may be different than those of the general population. For example, a recommendation for an application for someone in the general population may be the use of bright colors. This is not recommended because bright colors can be overwhelming for someone experiencing psychotic symptoms or concentration difficulties.  Some usability principals to consider when reviewing applications:

  • Is the application easy to navigate? Can you find what you are looking for?
  • Does it malfunction or crash unexpectedly?
  • Is the interface cluttered, distracting, or overwhelming?
  • Does the app provide accessibility features for those with hearing or vision impairment?
  • Is there user support or help built into the application?
  • Are icons, buttons, and other app features consistent throughout?
  • Is the text written at a level that all users can understand regardless of education level?

Those are just some of the important questions and points to consider as you are reviewing applications for recommendation to your clients. If you need some assistance doing this, there is a great resource called the One Mind PsyberGuide that can help to point you in the direction of some good quality apps.

References

Bora, E., & Pantelis, C. (2015). Meta-analysis of cognitive impairment in first-episode bipolar disorder: comparison with first-episode schizophrenia and healthy controls. Schizophrenia bulletin, 41(5), 1095-1104.

Bosaipo, N. B., Foss, M. P., Young, A. H., & Juruena, M. F. (2017). Neuropsychological changes in melancholic and atypical depression: a systematic review. Neuroscience & Biobehavioral Reviews, 73, 309-325.

Heaton, R. K., Gladsjo, J. A., Palmer, B. W., Kuck, J., Marcotte, T. D., & Jeste, D. V. (2001). Stability and course of neuropsychological deficits in schizophrenia. Archives of general psychiatry, 58(1), 24-32.

IQVIA. (2017) The Growing Value of Digital Health: Evidence and Impact on Human Health and  the Healthcare System. Retrieved from https://www.iqvia.com/-/media/iqvia/pdfs/institute-reports/the-growing-value-of-digital-health.pdf?_=1516285763041 on January 18, 2018.

Keefe, R. S. E., & Eesley, C. E. (2006). Neurocognitive impairments. In J. A. Lieberman, T. S. Stroup & D. O. Perkins (Eds.), Textbook of schizophrenia. Arlington, VA: American Psychiatric Publishing.

McKenna, PJ. Schizophrenia and Related Syndromes. Oxford: Oxford University Press, 1994.

Rock, P. L., Roiser, J. P., Riedel, W. J., & Blackwell, A. D. (2014). Cognitive impairment in depression: a systematic review and meta-analysis. Psychological medicine, 44(10), 2029-2040.

Stergiopoulos, V., Cusi, A., Bekele, T., Skosireva, A., Latimer, E., Schütz, C., … & Rourke, S. B. (2015). Neurocognitive impairment in a large sample of homeless adults with mental illness. Acta Psychiatrica Scandinavica, 131(4), 256-268.

Torous, J., Nicholas, J., Larsen, M. E., Firth, J., & Christensen, H. (2018). Clinical review of user engagement with mental health smartphone apps: evidence, theory and improvements. Evidence-based mental health, 21(3), 116-119.

Wasil, A. R., Gillespie, S., Shingleton, R., Wilks, C. R., & Weisz, J. R. (2020). Examining the reach of smartphone apps for depression and anxiety. The American journal of psychiatry.

IPA Awards Ceremony

IPA topographic inspired pattern

IPA Awards Ceremony

 April 10, 2021, IPA virtually held its annual awards ceremony following the Saturday morning session of the Spring Conference, which can be viewed in full here. After the introduction and announcements from President Valeria Keffala, Past-President Benge Tallman began the ceremony by thanking various members who had ended their terms of service in 2019 and 2020:

Ending 2019:

  • Dr. Sam Graham: Executive Council, Presidential Triad 2017 – 2019
  • Dr. Laura Fuller: Executive Council, IPA Rep 2017 – 2019
  • Dr. Alissa Doobay: Executive Council, Secretary, 2017 – 2019
  • Ms. Mallory Bolenbaugh: Executive Council, APAGS Rep 2017 – 2019
  • Dr. Suzanne Zilber: Executive Council, Membership Committee Chair: 2017 – 2019

Ending in 2020:

  • Dr. Warren Phillips: Executive Council, Presidential Triad 2018 – 2020
  • Dr. William Stearns: Executive Council: IPA Rep 2018 – 2020
  • Dr. Stewart Ehly: Executive Council: TIP Editor 2011- 2020
APA Advocacy Champion Award

Dr. Nicole Keedy kicked off the official awards presentation by sharing the citation for the APA Advocacy Champion Award, which was presented to Dr. JoAnna Romero Cartaya during the APA Advocacy Summit March 14, 2021:

Dr. JoAnna Romero Cartaya, IPA’s Federal Advocacy Coordinator (FAC), was one of three APA psychologists honored as an APA Advocacy Champion during the APA Advocacy Summit on March 14, 2021. Her expertise as an advocate for federal legislation serves IPA members, and psychologists in general, immensely. Among her many accomplishments as our FAC, the following efforts were highlighted during the summit:

  • Dr. Romero Cartaya spearheaded outreach to Senator Charles Grassley’s office to personally discuss APA’s legislative priorities.
  • She helped arrange psychologist representation at a roundtable held in Iowa by Senator Joni Ernst in August 2020.
  • She organized and directed a meeting with an Iowa Congressional office regarding HR884, the physician definition bill or “Medicare Mental Health Access Act”, in September 2020.
  • She generated comments from IPA psychologists to the Centers for Medicare and Medicaid Services about HR884, leading to nearly 200 contacts to the Iowa Congressional offices.

For IPA members who recently attended the Practice Leadership Conference, Dr. Romero Cartaya’s knowledge and skill in preparing for meetings with senators, representatives, and their legislative staff were essential to our efforts. We entered the virtual meetings ready to deliver a strong message with a powerful mix of stories to illustrate the importance of our requests. She led the meetings skillfully, beginning each conference with a warm congratulatory statement regarding recent elections and inquiring regarding their well-being following the Capitol attack. She guided us in preparation of a list of contact information and supportive information for our requests to send to each office. She was also knowledgeable regarding appropriate follow-up with the senators and representatives after the visits.

It was evident that Dr. Romero Cartaya has successfully navigated similar meetings many times, as she masterfully led persuasive discussions with seamless transitions among multiple participants. The IPA team made a strong showing in the Hill visits in 2021, with significant credit due to Dr. Romero Cartaya. It is clear, given knowledge of her communication and advocacy efforts across the year, her growing knowledge and use of the Voter Voice advocacy platform, as well as observation of her preparation during the Hill visits, that this Advocacy Champion award from APA to Dr. Romero Cartaya is well-deserved.

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Ann Ernst Service Award

Next, Dr. Nicole Keedy and Dr. Sam Graham worked together to present the Ann Ernst Service Award to Dr. Suzanne Zilber: 
From Dr. Keedy: It is our honor and pleasure to nominate Suzanne Zilber, Ph.D., for the Ann Ernst Public Service Award. Dr. Zilber has served The Iowa Psychological Association, The Iowa Psychological Foundation, her community, her faith community, and the Iowa State University Community in a multitude of pro bono roles throughout her career. She is an ideal candidate for this award, demonstrating not only a single major contribution to the field of psychology and its organizational efforts in Iowa, but a history of many contributions to our discipline and to society.

In a major contribution to psychology, Dr. Zilber assumed the leadership of the IPA Membership Committee in 2017 and she served as Chair until November 2019. She was the first IPA member to commit to serve as the Membership Committee Chair after a significant restructuring of IPA administrative tasks had occurred. During the restructuring, many responsibilities had been reassigned from the former Executive Director position to the Membership Committee Chair, Dr. Jennifer Kauder at that time. Additionally, IPA was implementing a new strategic plan with ambitious goals for increasing focus on member recruitment and retention.

Despite knowing the arduous responsibility that had been transferred to Dr. Kauder during the transition, Dr. Zilber later committed to step into the role selflessly, devoting endless hours to tasks associated with leading the committee for recruitment and retention of IPA members. Among many accomplishments during her time, she led the committee in developing materials to highlight member benefits for new members and new Iowa licensees, created a role description and multiple documents to facilitate subsequent leadership changes for the Membership Committee Chair, met with staff and students in a variety of locations to introduce them to the benefits of IPA, initiated the creation of our popular Raygun t-shirts, organized conference activities to promote member and non-member connection, and consistently facilitated warm outreaches for new IPA members. She brought a surprising level of creativity and organization to her role on this committee, given she was also working full-time and volunteering in multiple capacities in the community during her tenure as Membership Committee Chair.

No doubt secondary to her efforts, during Dr. Zilber’s two years of leadership, 103 new members joined IPA and many of them remain active members. Dr. Zilber’s contribution of time and energy to the volunteer task of IPA Membership Committee Chair was a significant force in the revitalization of IPA and, as a result, a major contribution to psychology in Iowa.

In addition to her significant contribution as Membership Committee Chair, Dr. Zilber also served IPA as the editor of The Iowa Psychologist from December 2004 to May 2008, The President of the Iowa Psychological Foundation from April 2011 to November 2013, and a board member of the Foundation until February 2015.

As a staff psychologist at the Iowa State University Counseling Center, Dr. Zilber served as an intern and practicum training coordinator. She volunteered as a Red Cross Disaster Counselor during the 1993 flood. Furthermore, Dr. Zilber has offered numerous guest lectures for Iowa State University.

While serving in her dedicated career as a trainee, a supervisor, and a private practice clinician, Dr. Zilber has presented a combined total of 56 professional conference programs and published articles.

Outside her service to the field of Psychology, Dr. Zilber has served as a leader in her faith community, on multiple community organization boards, and as an essential advocate in the Women’s Studies program at Iowa State University. She has consistently demonstrated volunteerism in providing presentations and facilitated discussions regarding social justice issues, further devoting her time and energy to promoting interpersonal growth and increased diversity awareness in society.

Dr. Zilber has served as an exemplary public servant, demonstrating a life of generous devotion to her profession, her community, and our discipline. She clearly warrants the recognition signified by receiving an award titled after a similarly devoted public servant, the Ann Ernst Public Service Award.

From Dr. Graham: A few words for the presentation of the Ann Ernst Public Service Award to Suzanne Zilber. Carmella and I were at a state leadership conference when we first envisioned an award to recognize the work of psychologist in Iowa who have given generously to IPA and their community. Suzan Enzel later further defined the public service criteria to further define the award.

My wife wrote a book “Victorian America: A Family Record of the Heartland” based on the collection of letters of her family from 1812 to 1938. In her introduction, she used the phrase “these good and useful lives” taken from one of the letters to describe the lives of her family.

Working with Nicole to prepare your nomination was an unexpected pleasure for me because it provided me an opportunity to learn of many “good and useful” aspects of Suzanne’s life beyond IPA that I was unaware of. Suzanne has embodied the traits we honor in this award.

My work over the years in IPA has given me the opportunity to experience the work of many “good and useful lives.”

I hope those of you with us on Zoom will take the opportunity to honor the “good and useful lives” of our colleagues and enjoy the experience of learning about the breath of their contributions.

Join me now in congratulating Suzanne with this award.

Headshot of Dr. Zilber

Dr. Zilber responded with the following remarks: Thank you Sam and Nicole. This award is very meaningful to me. Yesterday was the 16th anniversary of seeing my first client in solo private practice. I joined IPA a few months before that date and it has provided essential support to my work ever since, especially this past year. 

I am not a runner, but I am going to use a running analogy to encourage psychologists to serve in IPA and IPF. You may have noticed a pattern in the description of my service – I am a relay runner – I take up a baton for 3 years and then I take a 4 year “rest” while I am taking up a political or learning baton, and then I run another 3-year sprint in Iowa Psychology. Some in IPA are cross country runners and they just keep going – you know who you are. 

In order for any of us to feel that we can keep up the long-term relay for organizational sustainability, we need to know that there are people preparing to grab the baton. This means that people need to serve on committees to build the skills to take on needed leadership roles later. When a leader knows that they can hand off the baton in three years, they will be more willing to step up and enter the relay.  A three-year structure has been in place for the Presidential Triad and executive council terms and I recommend that structure for other committees as well. 

Another pathway to leadership in the running scenario, is that an athlete from another sport decides to take up running. I thought I was an OK writer and loved sharing information, so I said yes, when asked to edit the newsletter – VERY shortly after joining IPA. I had no prior experience editing a newsletter, but I did get great coaching from the newsletter designer and the IPA executive director.

For all my roles, someone asked me to do them. It works best when an individual person asks another individual person. 

I am going to confess here the real reason I took on the Membership Committee chair role: I wanted the power – to get new members to share more details about themselves on the listserv so we could welcome them properly. And then there was all this other stuff to do, which challenged my technophobia!  And some stuff was fun and thank you if you participated in our “get to know each other” games! 

And not everyone has to take on a leadership role. We need our worker-bees, behind the scenes, show up for one task, invite friends to join, or simply show up for a conference folks too. 

So I encourage you to take up the baton to add variety to your work, take up the baton to learn a new skill, take up the baton to make new friends, and take up the baton to broaden your impact. Join this relay to make Iowa healthier and happier. Thank you.  

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Early Career Award

Dr. Zilber moved directly from award recipient to presenter. She honored Dr. Brittany Neef with the Michele Greiner Early Career Award:

I am nominating Brittany Neef, Psy.D., for the Michele Greiner Early Career Psychologist Service Award for her consistent work to improve the education and connectedness of Iowa Psychologists so that we may better serve mental health consumers in Iowa. Overall, Brittany brought clarity, enthusiasm, a collaborative spirit and a practical task-focused commitment to foster the goals of both the Iowa Psychological Association and Iowa Psychological Foundation.  

When I asked others to contribute their experiences with Brittany, they were eager to do so. 

From Jen Kauder, Ph.D. the first Membership Committee Chair: Brittany joined the committee in August 2016 and I recall that Brittany was actively interested in serving on the committee (specifically) and being involved in IPA (in general). I was impressed that Brittany drove all the way to Iowa City on a summer Saturday in 2017 when she could have Zoomed in to participate in that vital meeting about structural changes in IPA and ways to improve communication within the organization. She was always willing to help out with committee tasks and I really appreciated her thoughtful and insightful comments/ideas.

From Suzanne Zilber, Ph.D.: In my term as Membership Committee Chair, which started the summer of 2017, Brittany would volunteer to do something at every meeting. She did an interview and wrote an article in TIP on Natalie Sandbulte, Ph.D., and her successful strategies to recruit post-docs to Iowa. She later wrote an article on why it is good to be in practice in Iowa. Brittany was an excellent editor for letters that would go out to potential and current members to encourage joining or renewing membership. Brittany did a super job of getting an excel file created of new licensees in Iowa from Sept 1, 2016 to Sept 1, 2017 to facilitate our first mailing to new licensees. She engaged in warm outreaches with new members. She modernized the way the committee shared files. She made her fair share of calls and emails to encourage people to renew. She helped welcome people in the lobby at conferences and encouraged them to participate in our activities. She was an active contributor to the Private Practice Toolkit. She put in great collaborative effort to create a psychology career panel for undergraduates at Drake University.  

Brittany agreed to take on the Salon Coordinator role in January of 2018. She participated in creating the job description, policy and procedures, and she sent out a survey to gauge interest in salon topics and called for presenters. She coordinated with presenters for salons that covered a variety of topics to include ethics, legislation, diversity, and the EPPP2. She did a lot of work that went unseen when some salons did not end up occurring. She started to enhance her own education with yoga certification and took a graceful leave from the committee.

Brittany served simultaneously on the IPA Membership Committee and the Iowa Psychological Foundation Board. The following quotes are about her work for IPF. 

From Jim Thorpe, Ph.D.: “As a board member of the Iowa Psychological Foundation for 12 years and president for the past five years, I have had the honor and pleasure to serve with many board members, psychologists and non-psychologists alike. When vacancies on the board emerged two years ago, Dr. Phil Laughlin unreservedly nominated Dr. Neef for consideration. He correctly perceived that she would bring to the foundation both the energy and insight of an early career psychologist, a perspective greatly needed on the board. Dr. Neef immediately became active in board initiatives and quickly assumed a leadership role as IPF treasurer. Her keen observations, financial savvy and passion to advance the mission of the foundation has been impactful. Dr. Neef has demonstrated through action and attitude a level of professionalism clearly worthy of consideration of the IPA Early Career Psychologist Award. Should the award committee select Dr. Brittany Neef as the 2020 recipient, I believe it will have made a wise decision.

From Carlos Canales, Ph.D.: Over the past five years, Dr. Britany Neef has proven herself to be a quiet, supportive, reliable, and optimistic voice in our psychological organizations. Her presence, team spirit, and belief in many aspects of IPA and IPF have made her quiet personality hard to ignore, creating a strong sound in her contributions. In IPF, she participated as a board member for a year and then added treasury and bookkeeping responsibilities, working closely with Dr. Jim Thorpe and presenting bimonthly reports. Her willingness to serve is consistent, kind-hearted, and inspirational.

Dr. Neef had the following remarksDr. Neef had the following remarks: Thank you so much for the Michele Greiner ECP Award. I didn’t have the pleasure of knowing Dr. Greiner, but I’m aware she was special to many of you. I’ve heard she was vibrant, an excellent mentor, passionate about bringing ECPs to Iowa, and skilled at cultivating community amongst professionals in our field, so it is truly an honor to receive an award in her name. When Benge emailed me about this award, I was having a week to which many ECPs can likely relate. I had a newborn baby and was embarking on starting a practice with my business partner Dr. Mark Poeppe. I was being pulled in a million different directions and felt I wasn’t doing much of anything well. The notification of this award came at the most opportune time, and I was grateful for the validation from my peers that I wasn’t a complete failure! I have appreciated the support and community IPA and IPF have offered me since I moved back to the Des Moines area from Chicago in 2016. Thank you to Suzanne Zilber and my IPA colleagues for granting me this award, and congratulations to the other awardees!

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IPA Service Award

Dr. Nicole Holmberg presented the 2021 IPA Service Award to Mr. Maxwell Mowitz:

It is my honor to talk to you today about Max Mowitz. Max is a native Iowan who has dedicated his professional and personal life to the pursuit of social justice and advocacy for LGBTQ Iowans and others in need of supportive services. Though he is early in his career, he has an impressive record of trauma-informed, intersectional service that aligns with IPA’s value of multicultural awareness and commitment to upholding our ethical principles of beneficence, justice, and respect for people’s rights and dignity.

Max’s various professional roles illustrate his core value of service, his passion for social justice and diversity work, as well as promoting the wellbeing of his community. He currently serves as the Program Director for One Iowa, a non-profit organization dedicated to serving LGBTQ Iowans by advocating for equality and inclusion through education, increasing healthcare access, and improving workplace culture. As Program Director, he is responsible for the development and oversight of One Iowa programming, including the Central and Eastern Iowa LGBTQ Health and Wellness Conferences, Workplace Culture Summits, the LGBTQ Leadership Institute, and state-wide Inclusivity Trainings. He ensures that an intersectional approach to diversity is woven into all aspects of program curricula. Under Max’s direction, these programs have educated hundreds of Iowa’s providers, employers, and community members on key issues impacting the LGBTQ community, as well as how to promote equality and inclusivity in their respective professional and personal spaces. 

Prior to joining One Iowa in 2019, Max worked for several years as the Volunteer and Office Coordinator at the Young Women’s Resource Center, a transgender-inclusive non-profit organization in Des Moines working to promote the health and wellbeing of girls and women. There he was responsible for interviewing, onboarding, training, and monitoring 250+ volunteers. He also facilitated the Trauma Response Team, which was charged with implementing trauma-informed and sanctuary model support practices.  

In addition to his professional advocacy efforts, Max is also generous with his personal time and has a long history of volunteer work and community engagement. During his time with Polk County Crisis and Advocacy Services (2016-2019), he was the only volunteer trained to perform all the organization’s services. He worked to achieve optimal outcomes for sexual assault survivors by responding to hospital calls, working with sexual assault nurse examiners and hospital staff, and educating survivors on their rights and options. He also contributed to Take Back the Night events and police force trainings. Furthermore, he has offered his experience in and knowledge of volunteer organizing through his service on the program committee for Volunteer Coordinators of Central Iowa. 

Max is a natural leader but that has not stopped him from seeking opportunities to further develop his leadership skills to better serve his community. He was a member of the inaugural cohort (2018) of the One Iowa LGBTQ Leadership Institute, one of the programs currently under his direction. He was also selected to be a 2021 New Leaders Council Institute Fellow. The New Leaders Council Institute is a competitive national six-month program that will help him further hone his leadership skills to help him achieve his service goals. He has a clear vision of what he intends to achieve, including launching a comprehensive, sliding-scale doula practice and establishing a mutual aid fund to provide micro grants to with help with gender transition expenses.  

Max’s professional and personal community involvement clearly reflects his core value of serving others. He is enhancing the multicultural awareness of Iowans, ceaselessly advocating for social justice and inclusion, and persistently working to protect the rights and dignity of LGBTQ Iowans. For these reasons, he is more than worthy to receive the IPA Service Award. 

It was my pleasure to recommend Max for this award, and it is my privilege to present him with it today. Max, thank you.

Max accepted his award and shared his remarksMax accepted his award and shared his remarks: Thank you so much for honoring me with this award. I want to recognize that I am receiving this award on stolen Lakota, Dakota, Mesqwaki, and Ioway peoples. We must acknowledge the stolen land that we stand on through land declarations like this, in addition to connecting with organizations that focus on Native/Indigenous liberation, such as the Great Plans Action Society, because Native and Indigenous liberation is connected to all liberation.

This award means so much to me because one of my foundational values is to live my life in service to others in everything that I do. As I move forward in my career, I bring the values of service and intersectionality into the work I do at One Iowa and beyond. At One Iowa, my work focuses on the liberation of all LGBTQ individuals across the state, focusing on the areas of healthcare access, workplace culture, and leadership development. In my work beyond One Iowa, I am a gender-affirmation doula, supporting Trans and Nonbinary people as they come out and transition socially and medically. I am on the path to full-spectrum birth and abortion doula certification, allowing me to provide a wide array of doula services to LGBTQ Iowans. It is in this work that I turn to my value of service to reflect on the best ways to serve my community. As I move forward with this work, I will be launching a doula service so that more people are aware of and can benefit from the work that I do. I am so excited to keep working in service to others with the values of abolition, intersectionality, and community care as my guides.

Thank you again for the incredible honor. I hope that you take time today to reflect on the ways that you can actively give up your power and privilege to dismantle systems of oppression, and challenge yourself in ways that make you uncomfortable. What are you doing to uplift those of marginalized identities? How are you engaging with current work around racial justice?  These are questions we can ask to continually be in service to others every day.

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IPA Phil Laughlin Meritorious Achievement Award

Dr. Benge Tallman concluded the awards ceremony with presentation of the 2021 IPA Phil Laughlin Meritorious Achievement Award to Dr. Warren Phillips:
I am delighted to honor my friend and esteemed colleague Dr. Warren Phillips as the 2021 Phil Laughlin Meritorious Achievement Award recipient.

I am now going to read the nomination letter written by Dr. Keffala, Dr. Keedy, and Myself.

headshot of Dr. Warren PhillipsDear Executive Council of the Iowa Psychological Association,

The Presidential Triad of the Iowa Psychological Association (IPA) is pleased to nominate Dr. Warren Phillips for the 2021 Phil Laughlin Meritorious Achievement Award. Dr. Phillips has provided outstanding service to IPA for many years and he was, in fact, awarded the Meritorious Achievement Award in 2014 for his significant professional contributions. Since that time, he has continued dedicated service to the association, including serving as President Elect, President, and Past President, as well as volunteering to serve as co-chair of our Public Education Committee as our state experienced unprecedented hardship related to COVID-19. His exceptional advocacy work over the past 1.5 years, however, sets him apart as an ideal candidate for the 2021 Meritorious Achievement Award and notably, as the first IPA member who would receive this award a second time.

For the past 1.5 years Dr. Phillips has spearheaded efforts to advocate for Iowa psychologists regarding professional issues essential to the practice of psychology. In response to concerns expressed by Iowa psychologists, he assembled a collaborative and broad-ranging group of professionals to address unfair actions by the largest health insurance company in the state of Iowa. Specifically, Dr. Phillips worked with a coalition of Iowa psychologists, APA attorneys, APA leadership, Iowa state lawmakers, and other Iowa mental health organizations to address a series of highly inappropriate and harmful actions in which Wellmark Blue Cross/Blue Shield targeted many mental health providers in the state of Iowa. The included bullet-point list highlights his deliberate and ultimately successful efforts.

Dr. Phillips’ diligent work with colleagues from IPA and the American Psychological Association (APA) resulted in a series of direct communications with Wellmark, who ultimately rescinded their efforts to claim their unreasonable clawbacks, which were based on inaccurate audit findings. Dr. Phillips’ advocacy efforts continue, as ever-changing tactics persist to undermine Iowa psychologists’ efforts to provide optimal mental health care to the citizens of Iowa. 

Throughout his career, Dr. Phillips has demonstrated unwavering passion and commitment to advocate for psychologists and Iowans. His tireless perseverance over the past 1.5 years on behalf of Iowans is unparalleled. His leadership, hard work, and vision directly contributed to the clawbacks being rescinded.

Dr. Phillips has compassionately engaged in difficult discussions during this process, receiving anxious phone calls and emails by IPA members as their livelihood and practices were being threatened. He has flawlessly navigated frustrating conversations with Wellmark. Throughout, Dr. Phillips has maintained a sense of equanimity and quiet strength. He has expertly balanced his passion about this issue with calm, articulate, and curious attention, remaining open and flexible. He has provided a tremendous example of how a psychologist most effectively traverses difficulty while maintaining a reassuring presence. 

Dr. Phillips has worked tirelessly to address a series of highly inappropriate and harmful actions by Wellmark Blue Cross/Blue Shield toward many mental health providers in the state of Iowa. He has organized unique responses and broad communication to affected entities regarding each of the following unfair practices:

  • Wellmark withholding payments for several months while switching to a new claims payment system
  • Wellmark arbitrarily deciding, without notice, that group therapy would not be paid at the 100% rate for telehealth services like other forms of therapy during a period of time in which they had previously agreed to pay at 100% 
  • Wellmark conducting a series of very severe, inaccurate, and unfair audits of psychologists around the state in an attempt to clawback large sums of money, including a payment of more than $100,000.00 from one practice in Iowa City, for using certain acceptable and previously allowed CPT codes
  • After the results of the initial audit was rescinded, Wellmark conducted a second series of audits claiming that nearly the exact same sum of money was owed by the same psychologists engaged in the first series of audits, based on supposed documentation errors. This audit and attempted clawback was also shown to be severe, inaccurate, and unfair, resulting in Wellmark again rescinding. 
  • Wellmark then pushed out a required contract amendment with all providers in their network forcing arbitration in lieu of a class action lawsuit by providers in dispute with Wellmark. The only recourse providers have under this amendment is to refuse to agree, thus ending their in-network status by the end of the year and ultimately decreasing the network of providers available to see Iowans insured by Wellmark.

Dr. Phillips continues to move forward, leading the effort with IPA leadership, Iowa psychologists, APA counsel, other mental health professionals, and lawmakers to address these concerns for psychologists practicing in Iowa and the Iowans whom they serve. Exemplary actions taken by Dr. Phillips include:

  • Fielding phone calls, emails, and letters from psychologists regarding attempted clawbacks by the largest health insurance company in the state of Iowa, Wellmark Blue Cross/Blue Shield
  • Gathering IPA leadership to consult on this issue and to plan steps forward
  • Initiating difficult communication with Wellmark outlining concerns by Iowa psychologists
  • Seeking counsel from APA and working closely with APA attorneys to write letters and communicate concerns with Wellmark
  • Initiating conversation with other Iowa mental health organizations to determine if and how this effort was affecting their members, and to invite unified response
  • Consulting with Iowa state lawmakers to express concerns and to explore potential impact on the state of Iowa as a result of the aggressive actions by Wellmark on the citizens of Iowa
  • Seeking professional input to understand the potential legal implications of Wellmark’s actions
  • Communicating frequently and clearly with IPA leadership and members about progress
  • Engaging in direct inducement of Wellmark to rescind their unfounded clawback claims
  • Leading the effort with IPA psychologists and APA counsel as, in response to the previous advocacy efforts, Wellmark created a forced arbitration amendment to their provider contracts
  • Collaborating with Dr. Jared Skillings and Mr. Alan Nessler to write a letter to Wellmark BCBS leaders that was highlighted in a post on the APA Services website [American Psychological Association. (2020, August 13). APA stops abusive insurance recoupment demands over $100,000. http://www.apaservices.org/practice/legal/managed/insurance-recoupment-demands]

Dr. Phillips has exquisitely represented IPA and the profession of psychology as he worked with IPA leadership and members, APA counsel, APA leadership, and legislative leaders across Iowa to advocate for the livelihood of Iowa psychologists. In addition to protecting access to the mental health care for the citizens of Iowa, Dr. Phillips set a precedent in demanding mental health parity from a powerful insurance company, ultimately promoting the livelihood of psychologists at a national level. It is for these reasons, and many more, that we offer our nomination of Dr. Warren Phillips for the well-deserved 2021 Phil Laughlin Meritorious Achievement Award.

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Clinician’s Corner – Exposure & Response Prevention

headshot of Greg Lengel, PhD

Clinician’s Corner – Exposure & Response Prevention

headshot of Greg Lengel, PhDI was fortunate to acquire an academic job directly out of my pre-doctoral internship. However, the downside of this was that opportunities to apply my clinical skills were largely nonexistent, and acquiring the required 1500 hours of postdoctoral licensure hours was a daunting task while embarking on the tenure track. While I had always found academia fulfilling, after two years focusing solely on teaching and research, a level of monotony began to appear, and the lack of opportunities to work with clients began to frustrate me. Not to mention, I dreaded the prospect of having to repeat the same stories from my past clinical work to my students for the next 50 years if something did not change. Accordingly, despite the challenge and risk of adding a new responsibility to an already full workload, I decided to take on a part-time clinical position to complete my licensure hours. Looking back, this was one of the best decisions I have ever made, and the following case exemplifies why I will always have one foot in the clinic.

One of the aspects of clinical practice that I always admired is the variety of challenges, twists, and turns it brings. Even the most seemingly “simple” cases always seem to offer a wealth of complexity, opportunities for creativity and problem solving, as well as the ability to put science to practice. Needless to say, “monotonous” is never a descriptor I would use for clinical practice. This brings me to the case of “Jerry.”

Due to my behavior therapy training and experience, I received a referral to treat Jerry, a college student who was seeking treatment for an unspecified phobia. The referring psychologist contacted me and informed me that Jerry would benefit from exposure and response prevention (ERP) therapy, but cautioned me that his phobia was “unique” and that he was very reluctant and embarrassed to discuss it. Given my experience, I had my initial assumptions of what this phobia could possibly be. Never in a million years would I have guessed that his phobia involved an intense fear of makeup and cosmetics. More specifically, Jerry had an intense fear response to the sight of makeup. Even the discussion of makeup, or seeing someone casually apply makeup, caused him to feel uncomfortable, nauseous, and panicked. Worse yet, “unnatural,” unexpected, or heavy applications of makeup made him faint—often in social situations. Jerry did not know how or why he had these fears, but his difficulties existed as he could remember.

Thankfully, there is an intervention that can be applied to an infinite number of situations—behavior therapy. I love behavior therapy for its simplicity. Clinical “wisdom” or “insight” is not necessary. In my experience, the most simple and straightforward approaches are often the most successful. We can address the problem as well as make immediate progress without necessarily knowing its origins. Further, behavior therapy is a treatment that is idiographic, and can be uniquely applied to the client’s specific concerns. Moreover, behavior therapy, particularly ERP, is an active treatment that allows one to step outside the walls of the clinic and engage in creative interventions in nearly any environment. I particularly appreciate ERP’s logical and straightforward rationale: exposing one to feared stimuli and situations allows one to habituate to them and unlearn the threatening associations. Best of all, behavior therapy allows a client to take their life back, and ERP is one of the few treatments I feel confident informing the client that, if they complete it, they will get better.

While initially nervous about the intervention, Jerry recognized the opportunity to overcome his phobia and bought in. Our work began in a straightforward manner (e.g., thoroughly discussing his phobia, tracking behavior, creating a fear hierarchy). I was excited to have an opportunity to identify creative exposure exercises to target each level of the hierarchy. However, just as treatment was about to commence, the COVID-19 pandemic escalated, forcing us to move to telehealth. It was back to the drawing board. While I had my initial doubts regarding how we would successfully continue treatment via telehealth, I was motivated by the challenge and it was another opportunity to creatively address my client’s concerns.

Thankfully, Zoom actually happened to be an incredible asset for our work together. Having been previously forced on to Zoom to teach my classes, I was familiar with its capabilities and saw its potential as a stimulus delivery mechanism. Borrowing again from my teaching experience, I put together PowerPoint slide shows of images involving makeup, each photo increasing in intensity. It was successful. At the start, even the most seemingly benign images of makeup elicited a strong fear response from Jerry. However, he was determined, and pushed on. Our work expanded into slideshows targeting specific aspects of his phobia (e.g., makeup application around eyes, extreme unnatural-looking makeup, mortuary makeup). This then advanced to using Zoom to show YouTube makeup application videos, and then eventually, live demonstrations of me applying makeup to my face (which led to many humorous, frantic attempts to remove it before the start of my next class).

Jerry continued to make progress, habituating to more and more intense stimuli. Before long, he had reached the point where he had the courage to go to the store and purchase makeup items himself. Over several sessions, Jerry slowly gained comfort applying makeup to himself—first a dot of eyeliner on his hand, slowly working up to him applying makeup to his face, and eventually, around his eyes. Perhaps the most significant moment was when we began exposures involving nail polish. Mirroring our previous work, we worked up to where he was able to apply the polish to his fingernails, and sit with the anxiety. Beaming with pride and confidence that he overcame an obstacle that he once thought was insurmountable, Jerry went from being incapable of having and seeing the polish on his fingernails, to tolerating it, to eventually embracing it.

To Jerry, being able to wear the nail polish became a symbol of overcoming, a recognition that, if he could triumph over this lifelong fear that negatively affected nearly every domain of his life, he could take on anything. Jerry now confidently wears nail polish on at least one of his fingernails every day. When people ask him about it, Jerry proudly shares his success story of overcoming his fears. He is no longer ashamed and embarrassed about his struggles. Rather, he more confident in social settings and now shares his story to inspire others.  

When our clinic reopened, we continued our exposure work together in-person. Jerry has continued to make strides. While there is much more work to go, the impairment Jerry experiences from his phobia has decreased significantly. He no longer avoids social situations where makeup might be present, nor does he fear having panic attacks or fainting.

Cases like Jerry’s highlight what I admire about clinical practice, and what I missed most when I was away from it. It is a privilege to work with Jerry and several other incredible clients, and I am grateful to have a career where I have opportunities to teach, research, and now, practice.

 

The Clinician Corner is a new monthly feature of the Iowa Psychological Association Blog where we highlight a therapeutic tool, intervention, or style of therapy that has been useful in the therapy room. Please consider contributing so that we all might continue to learn from one another. If you are interested in contributing, contact the blog editor here

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Meet your IPA Representatives!

IPA topographic inspired pattern

Meet your IPA Representatives!

Today’s blog post features introductions from IPA’s two representatives. Per IPA’s policies and procedures, we have three representatives elected to serve as voting members of the Executive Council (EC). The responsibilities of these members are to represent the general membership of IPA and act as liaison to members by inviting their input, conveying their requests to council, responding to their requests, and encouraging their continued support of IPA. They also help to identify and recruit prospective members. Representatives are elected to 3-year terms where they will serve as First Year Rep, Second Year Rep, and Third Year Rep; each year has different responsibilities.

If you are interested in serving as an IPA Representative, contact a current representative or any other member of the EC.

From Second-Year IPA Rep, Scott Young:

headshot of Scott YoungI wanted to introduce myself and say a bit about my role in the IPA.  I have been a member of IPA since I joined as a student, under the encouragement of my major professor, Dr. Norm Scott. During that time, I have been so grateful for the community IPA has provided.

Professionally, I am a staff psychologist and the Director of Psychological Services at the Des Moines Pastoral Counseling Center, where I’ve been since my postdoc there in 2011-2012. I practice with school-aged children through older adults, providing therapy to individuals, couples, and families. I also do some testing and assessment, supervise our postdoc, teach in our Pastoral Care Specialist Program, supervise our psychometrist and testing lab, sit on the Center’s Leadership Team, and drink copious amounts of coffee! Shortly after Iowa passed the RxP legislation, I enrolled in the Fairleigh Dickinson University psychopharmacology program, and I completed that degree in February 2019. I’m now doing clinical hours in a primary care clinic preceptorship, hoping to advance the requirements toward a conditional prescribing license.

Personally, I live in Adel with my wife, Christine, who is a clinical social worker certified in perinatal mental health at Broadlawns, and our two daughters, Emma and Katherine. I grew up in Madrid, attended Wartburg College for undergrad, and then Iowa State for my Ph.D. I’m a fairly stereotypical nerd, who has a major obsession with Star Wars AND Star Trek. Oh, and I also have an unhealthy attachment to coffee in case that wasn’t clear.

Let me say that I am still myself trying to figure out exactly what I’m supposed to be doing as IPA Rep, especially in light of the all changes brought about by the pandemic! As the title suggests, the primary function of my role is to provide representation from the IPA membership to the EC.  Thus, I want to invite any members who might have issues, hopes, concerns, questions, comments, etc. for the EC to reach out to myself or to our other IPA Reps. The second-year Rep is also involved in various other functions, including participating in the Website Committee, helping to identify members for potential service in IPA leadership positions, assist with Student Poster Contest, and other duties.

Thank you all for your membership in our IPA community, and please let myself or the other Reps know how we might best represent you! I can be reached at drspypsy@gmail.com.

From our Third Year IPA Rep, Karen Nelson:

headshot of Karen NelsonLike Scott, my goal is to best represent members’ concerns, wishes and goals. I am a 3rd year rep filling a vacancy created when Dr. Joy Goins-Fernandez assumed another leadership role for IPA.

Professionally, I have been in solo private practice in Coralville since November 2020. IPA members have been tremendously generous with practical advice (“yes, you need to ask clients to pay”) and their time for teaching me about running a small business in private practice. Previously, I was on the clinical faculty in the University of Iowa’s College of Medicine, department of psychiatry and also the faculty of the family medicine residency in Cedar Rapids. I have never been interested in prescribing privileges, so I observe the RxP psychologists with admiration and curiosity. IPA is an organization where professional respect prevails even when opinions or preferences differ. I appreciate friendships I have developed during my 25 years of IPA membership. 

I am also the current President of the Iowa Psychological Foundation (IPF). Please remember that in addition to fundraising, the Foundation seeks to give money to individuals, groups who promote psychology in Iowa.

Personally, I live in Iowa City with my partner Tom. One daughter is in 11th grade and another is wrapping up her freshman year at the University of Wisconsin – Madison. Pre-pandemic, I loved to cook and go to grueling group fitness classes. After a year of cooking, baking, and definitely eating more than usual, I look forward to less culinary and more fitness in the coming months. I collect and disseminate dad jokes and midwestern-isms. If you read this sentence, I will buy you a drink. In grad school, I initiated the myth that two students must bury the previous sentence in their comprehensive exams. We aimed to prove that our faculty did not actually carefully read comps. So, I’ll buy you a beer if you’re still reading…Ragbrai is on my bucket list.

IPA has been a go-to for my continuing education, advocacy and friendships.  

I hope you know I’d welcome your input. To those with whom I am not yet acquainted, I am honored to be a representative. I’ll do a better job if you let me know what’s on your mind.  You can reach me at knelson@clarity.place.

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