2009 Annual Reports for Boards and Committees

Committee for the Advancement of Professional Practice

The Committee for the Advancement of Professional Practice (CAPP) serves a dual role, having governance responsibilities for both the 501(c)(3) American Psychological Association (APA) and the 501(c)(6) APA Practice Organization (APAPO). CAPP serves as the administrative agent of the APA Board of Directors 501(c)(3) exercising general governance supervision over the relevant affairs of the Practice Directorate. In addition, CAPP, in its role, as the administrative agent for the APAPO Board of Directors 501(c)(6) identifies, plans and implements projects important to the protection, defense and enhancement of professional practice.

The following provides highlights of CAPP members activities throughout 2009 related to its governance responsibilities for both the 501(c)(3) American Psychological Association (APA) and the 501(c)(6) APA Practice Organization (APAPO).

CAPP Members

According to Association Rule 90-2.1, CAPP consists of nine regular members who shall be psychologists who provide health care services who are licensed to practice psychology in at least one state, district, or province, and who pay the annual assessment. CAPP may also appoint up to two special members, who need not be psychologists, chosen for their expertise. The same members who are elected to the CAPP (c)(3) constitute the same individuals who serve as the CAPP (c)(6).

The 2009 members of CAPP were: Sanford Portnoy, PhD (Chair); J. Paul Burney, PhD (Vice-Chair); Laura Barbanel, EdD (completed the term of Nancy Gordon Moore, PhD); Helen Coons, PhD; Larry James, PhD; Jennifer Kelly, PhD; Elaine LeVine, PhD; Susan McDaniel, PhD; Bill Safarjan, PhD; and Peter Sheras, PhD, and David White, CAE. Paul Craig, PhD, served in an ex-officio capacity as APA Treasurer; and Jean Carter, PhD and Armand Cerbone, PhD, served as the Board of Directors liaisons.

(c)(3) Mission

As the administrative agent of the APA Board of Directors 501(c)(3), CAPP is charged with the responsibility to: (a) be the administrative agent of the Board of Directors exercising general governance supervision over the relevant affairs of the Practice Directorate, (b) recommend to Council through the Board of Directors procedures for the enhancement of human welfare through the professional practice of psychology, (c) identify projects important to the enhancement of human welfare through the professional practice of psychology, and (d) recommend to the Board of Directors the needed funding for such projects.

(c)(3) Programs and Activities

Several major program areas and activities of the APA Practice Directorate reflect CAPP’s (c)(3) mission and purpose. During 2009, these included a number of major programs benefiting the APA and the public.

Governance Groups:

The Committee on Rural Health (CRH), reports through CAPP to the APA Board of Directors and Council. The CRH held in September 2008, in cooperation with the Education Directorate, a meeting of leaders who have a focus in integrated behavioral healthcare. As a result of the meeting, the CRH began developing in 2009 a fact sheet for the State of Maine that addresses working cooperatively with a state primary care association. CRH hopes that the fact sheet will act as a template for other states developing fact sheets about working cooperatively with state primary care associations. In addition, CRH is distributing a survey to psychologists working in integrated primary healthcare settings.

CRH members continue to spread the word to members of its Rural Health Coordinator Network about the loan forgiveness opportunities that are available through the National Health Service Corps (NHSC) Loan Repayment Program. CRH produced once again in 2009, with assistance from staff, a primer on the NHSC for licensed psychologists. CRH members hosted a two-hour symposium with the Committee on Socioeconomic Status (Division 37) at the August 2009 APA Convention. The symposium was well attended by committee members, rural health coordinators, and APA members.

The CAPP Task Force on Serious Mental Illness and Serious Emotional Disturbance (TFSMI/SED) focuses on evaluating policy issues and supporting the unique contributions of psychologists working with populations experiencing serious mental illness and serious emotional disturbance. In 2009, TFSMI/SED members developed a Resolution on Recovery and a Petition for the Renewal of the Proficiency on the Assessment and Treatment of Serious Mental Illness. Both documents were approved by the Council of Representatives at it August 2009 meeting.

Other initiatives developed by the TFSMI/SED in 2009 included the Catalogue of Clinical Training Opportunities: Best Practices for Recovery and Improved Outcomes for People with Serious Mental Illness. The Catalogue is a comprehensive listing of evidence based practices, best practices, training information and literature which is linked on the APA website. The TF developed, and with CAPP support circulated, a survey of Clinical Training Directors to determine the extent to which graduate students have opportunities to learn about and work with, individuals with serious mental illness.

Other Governance and Liaison Activities:

CAPP continues to support and welcome cooperative initiatives with other APA boards and committees. CAPP received updates on various initiatives during its meetings from representatives of the Board of Professional Affairs (BPA), the Committee of Early Career Psychologists (CECP), the American Psychological Association of Graduate Students (APAGS), and the Committee of State Leaders (CSL). CAPP members attended meetings of the Council of Representatives, Finance Committee, Board of Professional Affairs (BPA), Board of Educational Affairs (BEA), and the Interdivisional Healthcare Committee (IHC). In addition, CAPP reviewed and provided comments on practice guidelines and other governance documents during its meetings.

The Council of Representatives approved at its August 2009 meeting, the revised RxP Model Curriculum and Model Legislation and the proposed APA Designation Process for Postdoctoral Psychopharmacology Education and Training Programs. The final designation proposal was approved by the Board of Educational Affairs and CAPP and forwarded to the other boards and committees at the 2009 Spring Consolidated 2009 meetings. CAPP approved the call for nominations for the Designation Committee at its October 2009 meeting and the announcement was sent to all boards and committees.

Presidential Summit on the Future of Psychology Practice:

President James Bray, PhD, convened the Presidential Task Force on the Future of Psychology Practice in 2008 to address practitioners’ needs and create a new vision for the future of psychology practice. To achieve its goals, the Task Force planned and convened the Presidential Summit on the Future of Psychology Practice in San Antonio, TX, in May 2009. CAPP members attended the Summit and participated as facilitators of group discussions during the Summit.

The purpose of the Summit was to engage participants in an agenda setting meeting that would inform the work of the APA and the American Psychological Association Practice Organization (APAPO) to meet the needs of practitioners and the future of psychology practice. The Task Force recommended that the APA Board of Directors accept a report of recommendations submitted to the Board of Directors at its December 2009 meeting with the specific request that the Board identify a board or committee with the responsibility for the monitoring and follow-up of the recommendations in the report.

The Board of Directors identified CAPP as the governance entity with responsibility for monitoring and followingup on the recommendations in the report. CAPP will review the recommendations and identify a process for follow-up at its meeting on January 29-30, 2010.

Public Education Campaign (PEC):

CAPP members participate in national and grassroots efforts of the Public Education Campaign (PEC). The PEC has a solid grassroots foundation with the PEC network of psychologists working through community and media outreach activities, and in 2009, working with Division 42, in a partnership with the National YMCA. The focus of the partnership will be for both organizations to work together on initiatives to promote health and wellness. An initial workshop, “Making Healthy Choices for Your Family,” was made available during 2009 to APA members and the more than 2,600 YMCAs throughout the U.S.

APA’s 2009 Stress in America Survey made headlines around the globe as stories about the results reached nearly 28 million people through 850 news features on TV and radio, in newspapers, blogs and news and health Web sites. High-profile coverage included NBC’s Today Show, MSNBC, USA Today, the Wall Street Journal blog and the Chicago Tribune. Among the survey’s principal findings, stress related to school pressure and family finances had a greater impact on young people than believed by parents.

The PEC’s focus on lifestyle and behavior in stress management reinforces APA’s Psychologically Healthy Workplace Program messages linking employee well-being to organizational performance and creates an opportunity for a natural partnership between the programs. Through the campaign, APA works with its affiliated state, provincial, and territorial psychological associations (SPTAs) to carry out their local Psychologically Healthy Workplace programs.

APA’s inaugural Psychologically Healthy Workplace Conference in Washington, D.C. held February 28 through March 2, 2009 provided a forum for employers and psychologists to learn effective strategies for fostering healthy, high-performing organizations. Conference participants attended APA’s 2009 Psychologically Healthy Workplace Awards ceremony, where exemplary organizations were recognized for their achievements in promoting employee health and well-being.

In addition to the public education campaign, APA’s Disaster Response Network (DRN) continues to provide a major vehicle for community outreach and support by member psychologists. The DRN is a national network of psychologists with training in disaster response who offer volunteer assistance to relief workers and survivors in the aftermath of disasters. Since the launch of the DRN in 1992, more than 2,000 psychologists have volunteered their time and professional skills to individuals, families and communities.

In 2009, staff for the APA Disaster Response Network (DRN) collaborated with the Centers for Disease Control on preparing educational materials for the public about psychological aspects of H1N1 influenza. A new Online Deployment Kit that includes resources on cultural awareness and self care was developed for DRN members who provide crisis support in their local communities. During its February 2009 meeting, CAPP appointed three representatives to the DRN Advisory Committee, and one of its appointments represented the program’s first Canadian representative.

Parenting Coordination Program Initiatives:

A Parenting Coordination Program, initiated four years ago, with the Family Court of the DC Superior Court provides pro bono parenting coordination services to low-income families involved in child custody disputes, while providing training for closely supervised advanced psychology students at Argosy University. CAPP members supported and attended a Parenting Coordination Program Reception held at the DC Superior Court in February 2009. Additional events throughout 2009 included a pre-conference institute entitled “Developing a Court-Based Parenting Coordination Program: Working with Special Populations” that was held at the AFCC Conference in New Orleans in May, 2009. In addition, a pre-convention workshop entitled “Parenting Coordination: Practice, Research and the Interface between Psychology and Law” was held at the APA Convention in August 2009.

Diversity Initiatives:

CAPP members are mindful of the importance of having governance members that reflect the diversity of practitioners and the patients they serve and continue to work to enhance diversity within its own membership. CAPP has a designated diversity slate and this member functions as liaison to the Committee on Ethnic Minority Affairs (CEMA) and is knowledgeable about related issues. During 2009, CAPP initiated a “culture check” during its meetings. One of the goals of the “culture check” is to have diversity and multiculturalism threaded throughout the committee discussion. CAPP members have begun instituting the process of considering diversity in presenting agenda items during its meeting and CAPP members are asked to note diversity implications when recording minutes.

CAPP Member (c)(6) Role and Responsibilities

The APAPO Articles of Incorporation charge CAPP with the responsibility “to identify, plan and implement projects important to the protection, defense, and enhancement of professional practice and recommend to the Board of Directors the needed funding for such projects". As a separately incorporated (c)(6) organization, the Practice Organization is able to engage in advocacy on behalf of the profession free of the IRS provisions that constrain advocacy by a (c)(3) organization.

(c)(6) Mission and Vision

During 2009, CAPP through is strategic planning process developed new mission and vision statements to govern the work of the APAPO.

Mission

The mission of the APAPO is to advance, protect, and defend the professional practice of psychology.

Vision

APAPO is the resource of choice for professional psychologists.

APAPO is influential and respected in shaping sound healthcare and organizational system design, policy, and legislation.

APAPO promotes psychology as a culturally competent, valued, and respected profession.

APAPO advances the public understanding of psychologists as professionals who are guided by a strong scientific knowledge base and ethical principles and are uniquely qualified to promote health and positive functioning in diverse settings.

APAPO advocates for the availability and accessibility of psychological services and confronts abusive and restrictive policies and practices that limit practitioners’ ability to deliver services.

(c)(6) Programs and Activities

In addition, to the development of new mission and vision statements in 2009, CAPP developed a series of goals and objectives to guide the work of CAPP and the Practice Organization. The development of goals and objectives reflect the ongoing role of CAPP members as policymakers and elected representatives of specific practice communities. CAPP members are guided by the expertise of Practice Directorate staff in carrying-out their (c)(6) responsibilities including those responsibilities related to federal and state advocacy, prescriptive authority and legal and regulatory activities.

Government Relations Regulatory/Legislative:

CAPP and the APAPO continue to join forces with practitioners and psychology advocates to educate and effectively influence policy makers on the role and value of professional psychology. The APAPO continues to engage in ongoing advocacy and to monitor congressional actions related to mental health parity and health care reform. Due to persistent advocacy by the APAPO and grassroots psychologists, health care and Medicare reform legislation pending at the end of 2009 contained favorable provisions for professional psychology, including: a) a mandate that mental health and substance use services are a core benefit provided at parity with physical health services by all plans that participate in a new insurance pool designed to extend healthcare coverage to more Americans; b) an extension of a 5 percent payment boost for Medicare psychotherapy services that APAPO first achieved for a two-year period beginning in 2008; and c) the inclusion of mental and behavioral health providers on primary care teams that deliver integrated services.

In February, Congress passed the Health Information Technology for Economic and Clinical Health Act (HITECH) that provides as its centerpiece many of the health records privacy and security provisions sought by APAPO. The APAPO is engaged in ongoing advocacy – including providing comments on draft proposals by the Department of Health and Human Services -- to ensure appropriate implementation of the HITECH law.

During 2009, CAPP received updates from the APAPO on the work to-date done in cooperation with psychiatry, social work, nursing, and others to revalue the Procedural Terminology (CPT) psychotherapy codes as part of the CMS Five Year Review process, and the work-to-date to achieve recognition by Medicare for reimbursement of evaluation and management (E/M) services that psychologists may provide to patients within their licensure.

During its October 2009 CAPP meeting, Wayne Smith and Jerry Klepner, consultants to the APAPO, reviewed and provided updates on the progress to-date of healthcare reform legislation in Congress.

State Advocacy and the State Leadership Conference (SLC):

CAPP continues to support the efforts of state psychological and territorial associations (SPTAs) that educate and influence policy makers on the role and value of professional psychology. The CAPP subcommittee reviewed and distributed funding to SPTAs throughout the year to support organizational efforts. CAPP provided, in 2009, nearly $500,000 to SPTAs to support initiatives that protect the doctoral degree as the standard for psychologist licensure and advance and defend psychology’s scope of practice.

During the annual State Leadership Conference (SLC) nearly 600 psychology leaders from the U.S. and Canada convened in March 2009 for four days of leadership training, networking and legislative advocacy. The conference culminated on Capitol Hill, where SLC participants had more than 300 meetings with their members of Congress and staff to advocate for professional psychology.

Prescriptive Authority:

Several major activities of the APAPO reflect CAPP’s (c)(6) mission and priorities on behalf of prescribing psychologists. The APAPO and CAPP continue to assist state associations in advocating for and promoting legislation that gives qualified licensed psychologists the authority to prescribe psychotropic medications. During the 2009 session, bills were introduced in Hawaii, Illinois, Mississippi, Missouri, Montana, North Dakota, Oregon, Tennessee, and Wisconsin. Fundraising efforts to support activities related to Prescriptive Authority occurred throughout 2009.

The CAPP Grants and RxP Subcommittees offered a joint workshop at the 2009 SLC on the legislative and RxP grants program, application and review process, and CAPP’s strategy to prioritize resources, including grant funds. Workshop attendance will be mandatory for all state associations that plan to apply for CAPP grant funding for 2009, 2010, and 2011 to ensure transparency and understanding by the SPTAs of the grants program and the process.

Managed care and Reimbursement Initiatives:

CAPP continued to provide resources to implement the legal and regulatory strategies that have been put in place by the Practice Organization to influence the changing health care system.

Throughout the year, Legal & Regulatory Affairs staff addressed issues related to managed care. Results from a pilot survey of member perceptions, in GA and NY, of how insurance companies treat providers and consumers of mental healthcare services was presented at the February 2009 CAPP meeting. The APAPO collaborated with the New Jersey and California State Psychological Associations in filing nationwide class action lawsuits against three of the largest managed care companies in the U.S. The lawsuits, which allege that the companies used flawed databases that substantially reduced reimbursement to psychologists, seeks to reform how the companies reimburse psychologists and to compensate those affected by underpayment. Legal & Regulatory Affairs staff continues to review possible collaboration with state governments and legislators on managed care and the funding of mental health in state-funded healthcare initiatives.