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MUSC Psychiatry Chair Update
Thomas W. Uhde, M.D.
Department of Psychiatry and Behavioral Sciences
Institute of Psychiatry |
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ONGOING STUDIES & PUBLICATIONS |
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National Emergency Declared
for Children's Mental Health |
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The pandemic has pushed the number of kids and teenagers struggling with their mental health to a crisis level, leading three organizations to declare a national emergency. The American Academy of Pediatrics, the American Academy of Child and Adolescent Psychiatry and the Children’s Hospital Association are calling for multiple measures to ease the situation.
Christopher Pruitt, M.D., a fellow of the American Academy of Pediatrics and medical director of the MUSC Shawn Jenkins Children’s Hospital Emergency Department, sees the need firsthand. “These kids often come later in the evening when no other resources are available. If it's deemed that they would benefit from inpatient psychiatric care, those resources are incredibly constrained. Inpatient beds for children and adolescents are at a premium everywhere.”
That needs to change, he said. Children need better treatment, earlier, and their families need more options.
“There is a dearth of mental health providers for children and adolescents across the country. There is a lack of timely resources for kids who are struggling with depression. The way this manifests itself is if there's a crisis moment or a time when a parent or a teacher learns that a child is suicidal; there are very few avenues for these adults to make sure that these young people are safe.”
The Declaration of a National Emergency in Child and Adolescent Mental Health cites the need for:
- More money to pay for scientifically sound mental health care for kids.
- Less red tape.
- Better access to telehealth.
- More mental health care in schools, primary care doctors’ appointments and other community settings.
- Better ways to ease the strain on emergency departments.
- Full funding for programs that connect families with mental health help.
- More people in the field of mental health care, including people from communities that are underrepresented.
- New policies that make sure mental health parity laws are followed.
The organizations that issued the declaration noted that between March and October 2020, emergency department visits for mental health emergencies rose 24% for kids 5 to 11 and more than 30% for children 12 to 17. And in early 2021, suspected suicide attempts among girls age 12 to 17 jumped more than 50% compared with the same period in 2019.
That’s the national picture. Locally, this year, mental health visits to the Emergency Department at the MUSC Shawn Jenkins Children’s Hospital are up noticeably. “It is an unusual day when I come into the Emergency Department and we don't have at least a couple of young people who are waiting for a psychiatric bed to open up,” Pruitt said.
So what’s behind the mental health numbers? The emergency declaration cites not only stress brought on by the pandemic but also inequities related to structural racism and the fact that more than 140,000 kids in this country have lost a primary or secondary caregiver to COVID.
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Kudos to Martha Gomez, LMSW in the National Crime Victims Research & Treatment Center (NCVC) for her work in the community raising awareness for the AFSP Suicide Prevention Walk and the impact of suicide in the Hispanic/Latinx community!
Thank you, Martha, for your incredible advocacy and for helping make sure these community events are accessible to LEP members of our community! She (and Virginia Green) have also helped translate some of the materials for the walk this year, so that we have Spanish-language materials. Recommendations have been given to AFSP to ensure all materials are available in Spanish, but since this will take some time, our team has been very helpful in ensuring our walk this year has access to these materials now.
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EMPLOYEE RECOGNITION PROGRAM |
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Do you know an employee who has gone the extra mile recently? Nominate them for the Department of Psychiatry & Behavioral Sciences' MVP Award! This award will be given quarterly to an employee nominated by their peers for going above and beyond in the workplace. For more information or to nominate an employee, please visit our Employee Recognition Page on the Horseshoe. |
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CHANGES TO CLOZAPINE REMS REQUIREMENTS |
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On July 29, 2021, FDA approved a modification to the Clozapine REMS. The modification to Clozapine REMS will go into effect on November 15, 2021. Important changes include:
- All prescribers and pharmacies must be re-certified by November 15, 2021, or they will no longer be able to prescribe/dispense clozapine.
- Prescribers must re-enroll their patients who will continue clozapine by November 15, 2021. Patients who are not re-enrolled by that day will no longer be able to receive clozapine.
- Re-certification and re-enrollment can begin on August 16, 2021.
- Pharmacies will no longer be able to use the telecommunication verification (also known as the switch system) to verify safe use conditions. The authorization to dispense will be obtained either through the contact center or online via the REMS website.
- A new Patient Status Form will document absolute neutrophil count (ANC) monitoring for all outpatients. This form must be submitted monthly. Patient monitoring must continue per the Prescribing Information.
To re-certify and re-enroll in the Clozapine REMS, please see the Important Program Update at www.clozapinerems.com. More information about changes and Clozapine REMS requirements can be found here.
The Psychiatric Pharmacy group will be disseminating some additional information in the next few weeks you can or you can contact the group at psychpharmd@musc.edu if you have questions.
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2021-2022 GRAND ROUND SERIES |
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OUT OF THE DARKNESS
CHARLESTON AREA WALK |
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It’s officially here! Please join us THIS SUNDAY (10/24/2021) at 1pm at the North Charleston Riverfront Park for the 2021 AFSP Out of the Darkness Suicide Prevention Walk for the Charleston Area.
Congrats to the MUSC Psychiatry Team for currently being the #1 Team Fundraiser and for having the Top 2 Individual Fundraisers for the event!
The MUSC Psychiatry Team has raised $9,354.00 toward our team goal of $10,000.
If you are still interested in joining or fundraising for the event, visit our team page: https://supporting.afsp.org/index.cfm?fuseaction=donordrive.team&teamID=270066
We look forward to seeing you all there! |
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SURVIVORS OF HOMICIDE
SUPPORT GROUP VIGIL |
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All MUHA and MUSCP care team members are required to have the influenza vaccine or have completed a declination.
Flu Shot Locations
Visit any of the convenient MUSC Health locations below to get your flu shot. Remember to bring your picture ID and insurance cards with you. Many insurances cover the shot with no out-of-pocket expense.
- MUSC Pharmacies:
- Rutledge Tower Pharmacy
- Ashley River Tower Pharmacy
- Shawn Jenkins Children’s Hospital Pharmacy
- Mobile unit-based rounding
- MUSC Health Primary Care
Off-Site Flu Vaccination Documentation & Declination
Please note that if you get your flu shot at any location outside of MUSC, you will need to upload your documentation to the tracking system below.
Employee Health Services cannot accept faxed copies of flu vaccination documentation or declination forms. All documentation must be submitted online using the documentation tracking system at https://www.dmsdomore.com.
Login: flu2021
Password: flu2021
Non-Compliance Disciplinary Actions
MUSC Health Care Team Members, trainees, students/visiting students, volunteers, contract staff, members of the medical staff, temporary workers, medical residents, and volunteers who do not receive the flu vaccine or submit an appropriate declination by November 15, 2021 by midnight; will be subject to the following:
- Employees will be placed on leave without pay until the flu vaccine is received or the required declination is submitted to Employee Health Services.
- Employees who fail to comply by December 1, 2021 will be terminated from employment.
- Non-compliant employees on approved leave of absence (including FMLA or Military leave) on December 1, 2021, must receive the flu vaccine or submit a declination, before returning to work during the flu season.
- Contract staff, volunteers, trainees, students/visiting students may not return to any MUSC Health facility, except to receive care, until the flu vaccine is received, or the required declination is submitted to Employee Health Services.
For more information about the flu vaccine, documentation, frequency asked questions, and more please visit the MUHA Intranet flu info page.
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HOLLINGS CANCER CENTER
T32 ITOS FELLOWS APPLICATION |
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CHAIR'S RESEARCH DEVELOPMENT FUND |
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The Chair’s Research Development Fund (CRDF) supports several goals related to maintaining high quality research training programs. Primary goals are:
- Increase the number of extramurally--funded junior investigators
- Encourage integration of trainees into research projects
- Enhance mentor-mentee collaborations within and across department divisions
- Increase minority representation among funded junior investigators
Awards
The CRDF will support a number of awards each year to be determined by available financial resources. The maximum requested award amount will be $25,000. Most awards will be in the $10,000 – 25,000 range.
Eligibility
The PI must a) have a primary faculty appointment in the Department of Psychiatry and Behavioral Sciences at the rank of Assistant Professor or below or b) be a trainee within the Department of Psychiatry and Behavioral Sciences with a commitment from Division/Program of faculty appointment.
Award recipients are eligible to receive only one CRDF pilot research grant; once they have received a CRDF grant, they are not eligible to apply for another.
Application Submission Dates
There are two submission dates each year as funds are available: May 1 (with funding to begin on August 1) and November 1 (funding to begin on February 1). Applications must be submitted by 5:00 PM on those dates to be eligible for review.
The application is available within InfoReady here.
Full program guidelines can be found here.
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STAR CHILDREN'S DAY TREATMENT PROGRAM |
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CAREER DEVELOPMENT PROGRAM: LEADERSHIP AND ADVANCEMENT |
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Applications now being accepted:
“Career Development Program: Leadership and Advancement”
March 24 & 25, 2022
Open to ALL FACULTY
Applications are now being accepted for a virtual two-day intensive Career Development Program (CDP) focused on leadership and career advancement on Thursday, March 24 & Friday, March 25, 2022 from approximately 8:30 am – 1:00 pm. The CDP is sponsored by ARROW (Advancement, Recruitment, and Retention of Women). The program is open to both women and men faculty in all ranks and tracks (tenure and non-tenure track) who are planning to submit their promotion or tenure application in the next two years. Early and mid-career faculty are highly encouraged to apply.
The program will include panel discussions, as well as large and small group interactive sessions. The ARROW CDP is an excellent opportunity to learn leadership skills and career advancement tips in a high-level, interactive, and intensive program. To participate, you will be required to submit an updated CV and personal statement six weeks prior to the program for review by a faculty mentor.
Before applying, please consult with your department chair and/or division director to ensure that you will be released from all duties to attend the entire two-day program. Space is limited; Priority will be given to applicants who have not attended one of the previous two-day programs held in 2018 and 2020. If you attended one of the half-day CDPs focused on promotion and tenure, you are welcome to apply.
If you are interested in attending this program, please complete the application by November 12, 2021. Applicants accepted into the program will be notified by December 3, 2021. Please contact Rachel Simmons with any questions about the application or program. Thank you!
Sincerely,
ARROW Career Development Program Planning Committee Chair,
Emily Johnson, Ph.D. and the ARROW Career Development Program Planning Committee
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Struggling with Depression?
We are currently seeking individuals between the ages of 21-70, diagnosed with Major Depressive Disorder (MDD) to participate in a research trial using repetitive transcranial magnetic stimulation (rTMS). Treatment and study related assessments will be provided at no charge.
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STAFF
Eligible full-time staff can carry up to 360 annual leave hours and 1,440 sick leave hours. The cutback leave date for staff is always December 31 each year.
Please reach out to your designated timekeeper if you’re unsure of how much leave you have.
FACULTY
Due to the ongoing pandemic, MUSC Executive Leadership has extended the Faculty Annual Leave cutback date to December 31, 2021 (normally 6/30). Based on the December 31 faculty cutback extension, all unused annual leave in excess of 360 hours, regardless of future leave approvals in the Kronos system, will be cutback to 360 hours in January 2022.
We encourage you to review the annual leave balances for the faculty members in your areas and determine if you have individuals who stand to lose leave when the automatic reduction occurs, and if so, we ask that you share this information with them. We also ask that you update all leave records as necessary to ensure we have the correct leave balances on file before the automatic reduction occurs. Leave balances can be viewed directly using MyRecords, found on the Horseshoe under the Employee Corner, http://horseshoe.musc.edu/human-resources/univ/employee-corner.
If you have questions concerning annual leave cutbacks or accruals, please contact Monique Robinson at robinsmo@musc.edu or 843-792-7225. |
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SELF CARE SUPPORT SESSIONS |
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COMPREHENSIVE PSYCHIATRIC
CARE SPECIALISTS (CPCS) |
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The CPCS office is currently taking referrals for youth and adults for outpatient therapy and/or medication management. The CPCS office is located at 26 Bee Street and is seeing patients either virtually or in the office. All patients are self-pay at the time of the appointment and will be provided with the necessary paperwork to submit for reimbursement from their insurance companies. All department of psychiatry faculty members are eligible to see private patients in CPCS.
To make a referral or schedule an appointment, call 843-792-9396.
For more information about making a referral or joining the practice, feel free to contact Hilary Bernstein, LISW, DHA at bernsteh@musc.edu
Check out our website: Psychiatriccarespecialists.com
Like our Facebook page: Comprehensive Psychiatric Care Specialists
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Addiction Sciences Division
Open Rank/Assistant Professor (UNIV, Full-Time): The successful applicant for this position will have either an MD or a PhD degree and will be expected to have an established and independent research program that will interface with the multidisciplinary NIAAA P50 Charleston Alcohol Research Center at MUSC.
Open Rank/Professor (UNIV, Full-Time): The successful applicant for this position will have either an MD or a PhD degree and will be expected to have an established and independent research program that will interface with the multidisciplinary NIAAA P50 Charleston Alcohol Research Center at MUSC.
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FENTANYL URINE TEST
CLINICAL NEUROBIOLOGY LAB |
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FENTANYL URINE TEST NOW OFFERED BY
THE CLINICAL NEUROBIOLOGY LAB (CNL)
The use of the powerful opiate drug, FENTANYL is on the rise, accounting for a large share of overdose deaths in SC, and the greater US.
Previously, urine drug testing at MUSC could not detect Fentanyl use. The Clinical Neurobiology Laboratory has recently completed an extensive validation of a qualitative (positive vs negative) urine test for the presence of Fentanyl which can be used to distinguish this drug from other commonly used/abused opiates such as oxycodone, buprenorphine and morphine. This test should aid clinicians in the evaluation of patients in multiple clinical settings, especially when illicit drug use is suspected.
Simply order: “Fentanyl, Urine, Qual (IOP LAB)” or “LAB9066”
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COVID VACCINE CALL CENTER |
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Individuals needing to contact the MUSC COVID Vaccine Call Center can utilize the information below:
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The COVID-19 Vaccine Task Force will be posting updates on the COVID-19 Vaccine intranet site, including information about the vaccine safety and efficacy, so our care team members can make an informed decision.
**Updated University Directives can be found here.**
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LAB & TESTING OPTIONS
The following resource provides MUSC Health lab and testing options pertaining to COVID-19. Included on this page is information regarding drive-thru and “pop-up” mobile COVID testing locations, antibody or serology tests, drive-in lab and nurse visits, and original/classic lab testing.
MUSC Health Lab & Testing Options
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MANDATORY SELF-MONITORING
Due to the activity of COVID-19 within the hospital and community, all employees, residents, fellows and students within all MUSC entities are directed to begin daily self-monitoring for COVID-19 symptoms. This applies regardless of whether you have been working remotely on a full-time or intermittent basis.
You need to continue daily self-monitoring, even if symptoms are not present.
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UPDATES VIA THE HORSESHOE
In addition to updates provided by MUSC Enterprise, the Department of Psychiatry and Behavioral Sciences will also provide updates through our employee intranet, The Horseshoe. Updates will be provided regularly as new information becomes available. For your convenience, direct links are provided below.
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COVID-19 RESILIENCY CLINIC |
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NAMI CONNECTION & NAMI FAMILY SUPPORT |
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UPDATED MOONLIGHTING POLICY |
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THANK YOU TO OUR SUPPORTERS |
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If you would like to submit content to include in next week's Chair Update, please submit to Dr. Jamie Fisher by 12:00 pm on Monday. Thank you. |
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