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Management of Mental Health Disorders: From the Nursery to the Nursing Home: Controversies in Clinical Care
Co-Sponsored with School of Medicine, SUNY at Stony Brook

Norwegian Cruise Line's Pride of America

7-Night Hawaiian Islands Cruise Conference
from Honolulu, Hawaii
July 13 - 20, 2013

BIAS FREE CME - No Commercial Support was provided for this CME activity.

14 AMA PRA Category 1 Credit(s)™
14 Contact Hours

Course Fee:
Physicians - $695
All Others - $450

Course Fee Cancellation Policy:
30 days or more - None; 7-29 days - 50%; less than 7 days - 100%

Faculty

Lory E. Bright-Long, M.D., CMD, Clinical Assistant Professor of Psychiatry; Medical Director, Maria Regina Residence, Brentwood, NY; Geropsychiatry Consultant, Long Island State Veterans HomeStony Brook, NY

Dr. Bright-Long graduated from and did Internal Medicine at Medical College of Ohio. She completed a Psychiatry Residency and Geropsychiatry Fellowship at SUNY Stony Brook. She joined the SUNY Stony Brook faculty after the fellowship and developed a Mental Health Teaching Nursing Home program at St. Johnland Nursing Center and cofounded the Long Island Alzheimer Disease Assistance Center. After leaving Stony Brook she was the Director of Geriatric Psychiatry at Pilgrim Psychiatric Center and Director of the John P. Pavilion for Dementia Care at St Johnland Nursing Center. Currently she is the Medical Director of Maria Regina Residence in Brentwood and. the psychiatric consultant at the Long Island State Veterans Home.

As a Clinical Assistant Professor of Psychiatry at SUNY Stony Brook she is actively involved in teaching geriatric psychiatry and medical fellows) medical students, nursing under graduate and graduate students, dental students, and physician assistant students.

Dr. Bright-Long served the Suffolk County Psychiatric Society as Secretary-Treasurer, Delegate, President, and sat on the Greater Long Island Psychiatry Society Board of Directors. Nationally she was a member of the American Psychiatric Association's Council on Aging and the Committee on Long-Term Care. She was on the initial Alzheimer's Disease and Related Dementia Practice Guideline work group and helped develop the manual for nursing home psychiatry.

She has been active with the American Medical Directors Association, chairing the Mental Health Committee of the national Education Committee which created a monograph on mental health documentation in long-term care. She also has been a part of the AMDA Palliative Care Workgroup as it created the Palliative Care toolkit for long term care.

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Physicians, Psychiatrists, Nurses, Physicians Assistants

MANAGEMENT OF MENTAL HEALTH DISORDERS FROM THE NURSERY TO THE NURSING HOME: CONTROVERSIES IN CLINICAL CARE

Overview: This series of lectures is designed to update the primary care physician on common psychiatric conditions and controversies in clinical care throughout the life span. The seminar will be relevant to family practitioners, internists, pediatricians and other physicians and health professionals who manage patients with mental disorders. The topics and related learning objectives follow below.

Program
July 13 2:30-3:30 pm
Introduction to Diagnosis: Did We Really Need a New DSM?
At the conclusion of this presentation the participant will be able to:

1. Demonstrate an understanding of the development of the diagnostic criteria
2. Discuss the differences of diagnostic thought over the last 18 years which led to the DSM V
3. Be prepared to engage in conversation about the succeeding presentations in the context of new psychiatric thought

1. Do we diagnose and treat too much or too little?
2. What happens to the hyperactivity, anxiety, depression as we age?

1. Discuss the incidence and prevalence of pediatric and adolescent mental illness
2. Recognize the difficulties and controversies of diagnosing pediatric psychiatric disorders
3. Be familiar with the concerns of increasing psychopharmacologic use in childhood including off-label use, long-term safety and the social and ethical meaning of pharmacological treatment
4. Demonstrate an understanding of the life-long implications of pediatric mood, emotional and behavioral changes
5. Diagnose disorders and syndromes in adulthood which may have been missed in a patient’s childhood/adolescence
6. Develop evidence-based treatment strategies for your practice

1. Can sexuality be preserved in the context of mental illness and its treatment?
2. Is there evidence to support or refute treatment of mental illness in pregnancy?

1. Define terms associated with sexuality, sensuality, and sexual health
2. Recognize psychiatric and medical conditions which present with sexual dysfunction
3. Understand sexual dysfunction in the context of psychiatric illness
4. Discuss the implications of psychiatric disorders on an individual pre, peri, and postnatally
5. Define behavioral teratogenesis and perinatal syndromes
6. Explain risks and benefits of somatically treating psychiatric illness during pregnancy
7. Demonstrate an understanding of women’s unique mental health issues

1. Are depression and anxiety genetic?
2. How can we handle that suicide is now the number one cause of accidental death?

1. Discuss the depressive disorder spectrum and diagnostic criteria
2. Discuss anxiety and response to stress
3. Develop recognition and office screening protocols of depression
4. Discuss the populations at greatest risk for suicide
5. Discuss suicide recognition and prevention strategies
6. Be familiar with the controversies associated with antidepressant medications
7. Be familiar with complementary and alternative medicine treatments available to your patients and their risks and benefits

1. Describe substances of abuse and the presentations across age groups
2. Comfortably use available screening tools for substance abuse recognition
3. Develop cessation and treatment strategies
4. Understand the comorbidity of substance abuse and psychiatric illness

1. Define the nosology of mild cognitive impairment
2. Incorporate in to an office setting screening tools for cognition and function
3. Discuss dietary and life style strategies which may be cognition-sparing
4. Discuss current trends in pharmacologic strategies for preserving cognition
5. Define and describe etiologies of delirium and dementia
6. Understand the risk for developing neuropsychiatric symptoms
7. Develop strategies for defining and targeting distressed behaviors
8. Formulate non-pharmacological interventions for distressed behaviors
9. Be familiar with the benefits and burdens of pharmacological interventions
10. Be familiar with referral sources for caregivers in the community

The School of Medicine, State University of New York at Stony Brook, is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians.

The School of Medicine, State University of New York at Stony Brook designates this activity for a maximum of 14 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Accredited status does not imply endorsement by Continuing Education, Inc/University at Sea or ANCC of any commercial products displayed or used with an activity.

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Conference Sessions generally take place during the days at Sea (depends on program and itinerary) so that conflict with any Ports of Call or evening entertainment is minimized.

(A Convenient Calendar to Check Your Dates)

DATE	PORT OF CALL	ARRIVE	DEPART
Sat Jul 13	Honolulu, Hawaii Lectures 2:30pm-4:30pm	-	7:00pm
Sun Jul 14	Kahului (Maui), Hawaii (overnight)	8:00am	-
Mon Jul 15	Kahului (Maui), Hawaii Lectures 4:00pm-7:00pm	-	6:00pm
Tue Jul 16	Hilo, Hawaii Lectures 5:00pm-7:00pm	8:00am	6:00pm
Wed Jul 17	Kona, Hawaii Lectures 5:00pm-7:00pm	7:00am	6:00pm
Thu Jul 18	Nawiliwili (Kauai), Hawaii (overnight)	8:00am	-
Fri Jul 19	Nawiliwili (Kauai), Hawaii Lectures 1:00pm-6:00pm	-	2:00pm
Sat Jul 20	Honolulu, Hawaii	7:00am	-

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