UAB Insight Psychiatry Volume 4 - Page 2

N E W Faculty UAB MEDICINE NEWS UAB Addiction Recovery: Fighting Dependence New Psychosomatic Training Program Drug Research Institute, India, and completed a research fellowship ACGME has provided initial accreditation for a UAB fellowship at the Illinois State Psychiatric Institute and the University of F e atu r e d clinical T R I A L S The UAB Addiction Recovery Program provides in psychosomatic medicine.  This 1-year subspecialty program is Illinois, Chicago, where he became professor of psychiatry and Trial of Low Field Magnetic motivational and partnered care between physician and recruiting candidates who would start their training in Summer pharmacology. His research is funded by the National Institute Stimulation Augmentation of patient in a 12-week treatment phase that places an 2014. The UAB Psychosomatic Medicine Fellowship Program of Mental Health, the Stanley Foundation, and the American emphasis on healthcare professionals, young adults, and will provide training not previously available at UAB in this Foundation for Suicide Prevention and has led to a number of pregnant women. psychiatric subspecialty. Psychosomatic medicine specialists awards and honors. Author of 99 peer-reviewed publications and provide psychiatric consultations to physicians caring for patients three book chapters, he recently edited The Neurobiological Basis depressed patients. This project with medical, surgical, or obstetric conditions who also have of Suicide. He is on the scientific advisory board of the American tests the benefits and side effects programs to pro vide addiction recovery for all healthcare pre-existing psychiatric diagnoses or have developed psychiatric Foundation for Suicide Prevention and serves on the NPASD professionals in the state. conditions while undergoing treatment. Unmanaged, these Review Committee for the NIMH. 1. Brendan Clark, PhD, joined the Department of Psychiatry in August 2013 as an assistant professor in the Division of Behavioral Neurobiology. Clark, a licensed clinical psychologist, came to UAB in September of 2010 following the completion of his training at the University of Southern Mississippi. He recently completed a research fellowship with a focus in addiction. Clark’s primary interest is in the development of a new line of patient-based research focused on economics and cooperative behavior. Li Li, MD, PhD, has joined the Department of Psychiatry as an assistant professor in the Division of Behavioral Neurobiology. Li received her medical degree in China and her PhD from Georgia State University. She It is one of only two recognized providers in Alabama 2. that provide treatment for physicians, and it is one of three comorbid psychiatric conditions interfere with medical and surgical Recently UAB Addiction Recovery launched a program see an issue with this patient population, and we strive to keep week, family sessions, weekly individual therapy sessions, Resistant Depression (RAPID). This study is evaluating the effectiveness of a novel magnetic therapy for of magnetic field treatments added to an antidepressant medication. NCT01654796. PI: Richard Shelton, MD. Contact: Samantha White, Resource Center an Alternative to Jail management, lengthening hospital stays and increasing the costs for emerging adults between ages 18 and 26. “We began to Antidepressant Therapy in Treatment- 205.934.9189. UAB Psychiatry and Jefferson County Drug Court recently of care. The psychosomatic fellowship is under the direction of developed a partnership to operate The Resource Center (TRC), A Study of the Effectiveness of a program for nonviolent, first-time drug offenders. Individuals GLYX-13 in People with Depression with Incomplete Response to these adolescents focused in school and on the right track for a psychological and psychiatric evaluation as needed, and at the Wendell Bell, MD, assistant professor, Consult & Liaison Division. future,” says addiction specialist Peter Lane, DO, the program’s end of the treatment, discharge planning. 3. Meador-Woodruff Receives APA Mentorship Award pleading guilty to drug charges may be offered participation James Meador-Woodruff, MD, Heman E. Drummond Professor in TRC as an alternative to jail or probation. The program occurring disorders, including eating disorders and sexual and chair of Psychiatry, was named the recipient of the 2013 requires complete participation and attendance by clients, whose addictions. Research Mentorship Award of the American Psychiatric individually tailored program is supervised by a case manager. The effective in many people with Association. This award is presented annually to one academic program facilitates and tracks community service hours, which depression, including those not responsive to standard treatments. medical director. UAB Addiction Recovery also assesses and treats co- He says the program has been successful in working with people from all areas of life “who struggle with alcohol, drug and substance addiction and with the retention of lifelong Levels of treatment include a Detoxification Program, a Antidepressants. Ketamine, which blocks a receptor for the brain chemical glutamate, is rapidly completed her psychiatry residency sobriety.” Lane says the program’s staff creates a strong Recovery Stabilization Unit, a Partial Hospitalization Program, psychiatrist who has, in a significant traditional or innovative provide clients with job skills for future employment. Coordinator training at UAB in June 2013. Her network of support in treatment through the use of a variety of and an Intensive Outpatient Program. manner, fostered the pursuit of trainee research within his Rita Johnson-Agee says TRC’s employment training program, clinical and research interests are techniques that include individual and group therapy and grief- university department, including both direct mentorship of Job Club, meets weekly to train clients in job search techniques, in the interface of depression and trauma-relationship counseling. Lane, “is to help the patient understand the disease of addiction individuals and the promotion of novel research-oriented training interviewing skills, and completing resumes and interviews. She to ketamine but possibly without and address areas of misunderstanding or lack of knowledge. within a department or residency program.  teaches basic computer and Internet skills and shows clients how to the same side effect problems. This “The core of our program,” says Lane, “is that each patient metabolic illnesses; she is developing “The goal of the UAB Addiction Recovery Program,” says an extramurally funded research has an individualized treatment plan including daily group This can later lay the framework for developing skills that help program focused on mood disorders therapy, lectures and didactics, recreational therapy 5 days a the individual cope with everyday struggles.” in conjunction with the UAB Mood the Department of Psychiatry as an continued from cover prevention and awareness. Among the new investigators College of Georgia, Augusta, and in the Mood Disorders Program completed her UAB psychiatry A Monthly Med for Bipolar I Disorder? Recovery Program, she provides clinical services for adults with dual diagnoses. In addition to these clinical services, Paddock teaches medical students and psychiatry residents. 2 F o r R e f e r r al s : 8 0 0 . 8 2 2 . 6 4 7 8 6,000   Yogesh Dwivedi, PhD, a leader in the science underlying severe therapy in people with incomplete UAB Psychiatry’s Treatment Alternatives for Safer Communities ( TASC), which has worked since 1973 with first-time drug PI: Richard Shelton, MD. Contact: offenders and a variety of other clients. Brittny White, 205.975.4208. an internationally recognized laboratory investigator in the fields of depression and suicide, and Li Li, MD, PhD, who has a unique background in diabetes research 2,000   Disorders Program. Dwivedi earned his doctorate from the Central 0   Among them is the study of a monthly, injectable dose of the partial dopamine agonist aripiprazole to treat bipolar I disorder, in an effort to find out if this M easures of S uccess disorder, while cycling between periods of manic or depressive episodes, frequently experience symptom-free periods during which they can become noncompliant in taking daily medications, which can trigger a relapse. ” He says, “We continue to search for new ways of delivering medication for this and investigates the interface of disorder. If successful, this approach could provide patients with an alternative obesity and metabolic disorders. option to daily medication with the potential benefit of improved adherence. ” Oct   Nov     Dec   Jan   Feb   Mar   Apr   May   Jun   FY12   F13*   Linear  (FY12)   Jul   Aug   Sep   Linear  (F13*)   UAB  Emergency  Department  Psychiatric  Admissions   Psychiatric Emergency Services provides 24/7 consultations in the UAB Hospital ED for mental health issues. Upward trending numbers in both graphs reflect a high community need for more emergency psychiatric resources in medicine, nursing, psychology, and social work. UAB Emergency Department Psychiatric Care Hours     approach will prove more effective than taking daily medication. Mood disorder specialist Richard Shelton, MD, says, “Patients with bipolar response to antidepressant treatment. 1,000   UAB’s Mood Disorders Program is involved in a wide range of investigations. are Yogesh Dwivedi, MD, PhD, medical director of the UAB Addiction safety of GLYX-13 as an adjunct community colleges for programs in skilled trades. TRC is part of of psychiatry and director of translational research in the Mood 3,000   Adult Psychiatry. Paddock received partnership with Peter Lane, DO, project tests the effectiveness and 4,000   for major mental illness and suicide residency training in June 2013. In treatment, GLYX-13, has effects similar UAB  Emergency  Department  Psychiatric    Care  Hours     aid and how to obtain a GED or apply to apply for college financial depression and suicidal thoughts, has joined UAB as professor assistant professor in the Division of her medical degree from the Medical significant side effects. This 5,000   Disorders Program. Cayce Paddock, MD, has joined Dwivedi Leads Translational Neuroscience 7,000   However, ketamine can produce 7,000 500   6,000 450   5,000 400   4,000 350   300   3,000 250   2,000 200   1,000 150   0 100   Oct 50   0   Nov FY12 Oct   Nov     Dec   FY12   Jan   Feb   FY13*     *Denotes  incomplete  FY  data.     Mar   Apr   May   Linear  (FY12)   Jun   Jul   Aug   Dec Jan Feb FY13* Mar Apr May Linear (FY12) Jun Jul Aug Sep Linear (FY13*) Sep   Average Monthly: 4050 Care Hours, 348 admissions Linear  (FY13*)   *Denotes incomplete FY data.   M o r e I nf o r mati o n : u a b m e d i c i n e . o r g / p h y s i c i a n 3