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Division of Clinical Neuropsychology
Newsletter 40
American Psychological Association
Volume 15, Number 1 Winter/Spring 1997
DIVISION 40 OFFICERS AND COMMITTEE CHAIRS
AUGUST 1996 - AUGUST 1997
PRESIDENT- EILEEN B. FENNELL, PhD
PRESIDENT-ELECT- LINAS BIELAUSKAS, PhD
PAST-PRESIDENT-KENNETH M. ADAMS, PhD
SECRETARY - ANN C. MARCOTTE, PhD
TREASURER-WILDRED G. VANGORP, PhD . *
MEMBERS-AT-LARGE-
RICHARD BERG, PhD.
JILL S. FISCHER PhD
KERRY HAMSHER, PhD
COUNCIL REPRESENTATIVES-
GERALD GOLDSTEIN, PhD
ANTONIO PUENTE, PhD
THOMAS J. BOLL, PhD
COMMITTEE CHAIRS (STANDING COMMITTEES)
FELLOWS - STAN BERENT, PhD
MEMBERSHIP-WILLIAM B. MENEESE, PhD ELECTIONS - KENNETH M. ADAMS, PhD
PROGRAM -
KEITH YEATES, PhD MARK BONDI, PhD
COMMITTEE HEADS (AD HOC COMMITTEES/TASK FORCES)-
SCIENCE ADVISORY - ANN C. MARCOTTE, PhD EDUCATION ADVISORY - BRUCE CROSSON,
PhD
PRACTICE ADVISORY- JOSEPH D. EUBANKS, PhD
PUBLIC INTEREST ADVISORY - (currently vacant) ETHICS - BRUCE BECKER,
PhD
MINORITY AFFAIRS - TONY L. STRICKLAND, PhD
NEWSLETTER - JOHN DE LUCA, PhD
DATA BANK-LLOYD CRIPE, PhD
HECAEN AWARD -KERRY HAMSHER, PhD BENTON, LEVITT AWARDS- IDA SUB BARON,
PhD
INTERNATIONAL RELATIONS - ROBERT HEILBRONNER, PhD
CPT CODE - ANTONIO PUENTE, PhD
President's Message
I thought that it would be helpful to utilize my
first Newsletter column to update you on recent activities within the Division.
The APA meetings proved quite successful in terms of our program and in
the recognition of Clinical Neuropsychology as a specialty by APA. Many
individuals within Division 40 contributed their time and energy to both
efforts and on behalf of the Division membership I thank you. With the
recognition of our specialty by the APA, several processes will be set
into motion. Among these will be efforts to apply for certification/accreditation
by training programs at the doctoral, internship and postdoctoral levels.
However, the final composition of the Specialty Council that will review
applications and forward these to the Committee on Accreditation is still
in development, as are the specific criteria and procedures for approval.
As a result, representatives from several organizations in Clinical Neuropsychology
met in Chicago on October 20, 1996, to develop a cooperative and cohesive
voice regarding these developments. Representatives from Division 40, the
American Board of Clinical Neuropsychology, the Association of Post-Doctoral
Programs in Clinical Neuropsychology, the National Academy of Neuropsychology,
and an observer from the International Neuropsychological Society were
in attendance. This group has been meeting regularly at INS and APA under
the name of the Clinical Neuropsychology Synarchy in order to promote interorganizational
communication about issues of relevance to our specialty. It has been chaired
by Kerry Harrisher, who is a member of the IOC (Interorganizational Committee)
of APA, which is being phased out in the transition to a Specialty Council.
At the meeting, a letter was drafted and sent (under signature of the members
present) to Deborah Biedel, Chair of the APA Committee on Accreditation.
This letter communicated the consensus of the group that: (1) There was
a need to develop an integrated model of training in Clinical Neuropsychology
from the doctoral through postdoctoral levels; and (2) that accreditation
should proceed first with postdoctoral programs and then address internship
and doctoral programs once a consensus model of training is better articulated.
Whether such a letter will have an impact is yet to be determined, but
it was offered in the spirit of voices from the specialty area.
On another front, there have been mixed reviews
of the recent AAN Report of the Therapeutics and Technology Subcommittee
entitled
Continued on page two
[Page 2]
Newsletter 40
President's Message
Continued from page one
Assessment: Neuropsychological Testing of Adults” (Neurology, 1996,
47,592-599). A letter (under the signatures of the President, Past-President,
and President-Elect [me, Ken Adams, and Linas Bieliauskas]) has been sent
to the Editor that addresses some controversial statements in the report.
This letter was sent at the urging of a number of Division 40 members who
felt that a response from the organization was needed. After many drafts,
we believe that we have fairly represented our positions and concerns about
the report.
Several members of the Division have agreed to work
with Barbara Wilson on the Public Interest Advisory Committee. These include
Reuben Echimendia, Robert J. Barth, Martin Zehr, and Daniel W. Edwards.
Thanks to all of you and to Roberta White, who resigned as Chair after
many years of service.Dan Eubanks has been nominated to represent our Division
to a Task Force of On-Line Psychotherapy and Counseling called by the Board
of Professional Affairs. Ken Adams has been nominated to serve on the APA
Committee on Ethics. Bob Ivnik will be our representative on the APA Task
Force on Test User Qualifications, which will be meeting later this year.
Byron Rourke will be our representative on the 50th Anniversary Celebration
of the creation of the divisions to be held at next year's annual meetings.
He will be briefing us on special plans for our Division's celebration.
A Bylaws Committee has been formed to review our bylaws and update these.
It will be chaired by Linas Bieliauskas and includes Keith 0. Yeates, Ann
Marcotte, and Rod Vanderploeg. Thanks also to John De Luca, who advises
me that a special issue of the Newsletter will be devoted to Nelson Butters.
And thanks also to Bruce Crossen and the Education Committee, who have
worked very hard in the past year and a half as specialty issues escalated.
Bruce is going to organize a meeting of individuals who are heads of neuropsychology
internship programs at the February INS meetings. If you are such an individual,
please consider going in order that the voices of these training settings
can be heard and their specific issues can be identified.
Almost weekly I receive a request from various committees
and work groups of APA for participation of Division 40 in some specific
task. If you are interested in volunteering, please contact me or Ann Marcotte
and tell us what you would like to do. We are still being asked for volunteers
to serve on the Gay and Lesbian Task Force of APA.If you would like to
volunteer, let us know.
Finally, congratulations to our newly elected Fellows:
Guila Glosser, Tom Hammeke, Gregory Lee, Arnold Purisch, and Jerry Sweet.
If you are interested in applying or nominating someone, contact Stan Berent,
who chairs that committee for our Division.
Again, thanks to all of you whose energy, spirit
and wisdom have helped to make my transition to President smoother and
whose efforts help our Division to have an activevoice in APA.
Eileen B. Fennell, PhD
Fax: 352-395-0408;
email: efennel1.hrp @ mail .health.ufl.edu
In This Issue
President's Message &nbs
p;
1
From The Editor &nb sp; 3
From The Membership 3
On the Emergence of
Clinical Neuropsychology as a Specialty
4
Profiling Division 40 Members: The CAPP
Practitioner Survey &nbs
p;
5
Annual Business Meeting Division 40 9
Division 40 Executive Committee
Meeting Minutes &n
bsp;
10
[Page 3]
Newsletter 40
From the Editor
In this issue, we are proud to announce that APA
has officially recognized Clinical Neuropsychology as a distinct specialty.
It is important to remember that this goal was not achieved overnight.
It took the hard work of numerous individuals, over many years. From day
1, Dr. Manfried Meier was one of the major figures in moving this issue
of specialty recognition along. As such, I am honored and pleased that
Dr. Meier has agreed to make the official announcement of our specialty
recognition to the membership, and to provide us with a brief history on
how it all started.
This issue also presents the results of a practitioner
survey conducted by APA. Dr. Randy Phelps has been so kind as to provide
us with data from this survey pertaining specifically to our Division.
I am sure you will find this article informative.
Of course we have our regular columns for this issue
including: The Presidents message, minutes from important meetings, and
our new column From the Membership”. I want to again invite anyone from
our membership to contribute to this new column. It is meant to serve as
a voice among ourselves to discuss virtually anything regarding our field.
Feel free to contribute.
I hope you enjoy this issue.
John DeLuca, Ph.D.
Division 40 Newsletter Editor
From The Membership
Reading the interview of Dr. Ralph Reitan reminded
me of his marvelous sense of humor and the powerful way in which he communicates
his ideas. A few years ago, we were discussing the pros and cons of using
a neuropsychological screening battery. He made his point by saying, Susan,
it depends on how much you care.” He knew exactly how to make me think.
Now, every time I consider a shortcut in any regard, I head his words ring
in my ears. The man's integrity haunts me!
Susan Downs Parrish, PhD, Scottsdale, Arizona
I just wanted to express my appreciation for the
On the History of Neuropsychology” series you have started. I really enjoyed
reading Dr. Reitan's reflections on Ward Halstead. I look forward to other
articles on historic” neuropsychologists. I trust you will get someone
(maybe Kerry Hamsher?) to write some reflections on Arthur Benton.
F. Beth Stone, PhD, Evansville, Illinois
(Editor's Note: This letter was written in response to Edward Helmes' letter, which appeared in the Spring/Fall 1996 issue of the Newsletter.)
I noted with interest your letter to the editor in the most recent APA Division 40 Newsletter. I must certainly agree that the Woodcock-Johnson Psychoeducational Battery-Revised (WJ PB-R) is appealingly marketed by its publishing company, and that it includes a variety of measures that presumably are of neuropsychological interest. In addition to the three references to the test in your Psych-Lit search, I must point out my own research with the original edition of the test, which certainly addresses the WJ's Potential application in neuropsychology. I refer you to a paper published in the Journal of Learning Disabilities (1990:23:306- 310; David E. Tupper), which includes some discussion of the earlier edition's strengths and weaknesses (many of these probably still apply to the Revised version of the test). The WJ PB-R is a more comprehensive battery of measures than the original edition, and is divided into two major content domains (Tests of Cognitive Ability [TCA] and Tests of Achievement [TAch]). The TAch are well-respected achievement tests, while the TCA are measures of more discrete cognitive abilities than are perhaps typically assessed in the usual Weschler-type intelligence
Continued on page seven
If you have problems receiving your Newsletter because you have changed
your address, contact the APA office. The central APA offices maintain
all mailing lists.
Newsletter 40
On the Emergence of Clinical Neuropsychology as a Specialty
comments by
Manfred J. Meier, Ph.D.
I am deeply gratified to be asked to comment on the various circumstances which led to the recognition of clinical neuropsychology as a specialty by the Commission for the Recognition of Specialties and Proficiencies in Psychology (CRSPP) and by the APA governance structure. This process was thoroughly outlined in a previous issue of the Division 40 Newsletter by Professor Thomas J. Boll. As chair of the Farmington Division and of the subcommittee that prepared the petition package, I offer some reflections regarding the events that preceded this form of recognition and implications for the future of our specialty.
These reflections begin with what I first recall as specific concerns regarding professional standards in clinical neuropsychology. At that time, there was a rather small community of clinical neuropsychologists. Starke (Dr. Starke Hathaway), better known as the co-developer of the MMPI, was Director of the Division of Clinical Psychology within the Department of Psychology and Neurology at the University of Minnesota. He offered a small fund of discretionary money” to bring in a group of neuropsychologists to discuss the current status and future directions of clinical applications in this very area of practice. This meeting was convened in Minneapolis in 1965 and brought together people like Charles Matthews, Paul Satz, Louis Costa, Ralph Reitan, and Hallgrim Klove. We spent some time presenting current research data from our respective laboratories and then we talked about what might comprise a pre- or post-doctoral curriculum in the future. Ralph had already produced a considerable number of people from his own laboratory and was already conducting formal workshops for which he is so well known. We also established what would become an increasingly important issue,beginning with the design of training programs, but also for the long term, the credentialing of individuals.
The next major occurrence happened over a decade later when the INS Taskforce on Education, Accreditation and Credentialing was established. The INS Board of Governors was having its usual lengthy meeting at the its Convention in Toronto in 1976 when students' issues became a heated topic of discussion. As the day wore on, it was obvious that more questions were being raised than could possibly be answered during the session. Arthur Benton, a past president of INS at that time, concluded the meeting by proposing that such a taskforce be established and charged with informing the Board of Governors about the relevant and realistic directions that INS might take in support of generating such standards. Furthermore, Arthur noted that it was late in the day and people were getting hungry, so that the meeting was eagerly adjourned. Thus, the task force was given birth; the rest is history.
At the APA meeting, I gave a presentation in the ABPP Convocation to update ABPP on the training and practice of neuropsychology at the time. The then Executive Secretary of ABPP was not supportive of developing an examination in this area of practice and the overture was over. The task force then went to work immediately to issue a report that would provide a foundation for guiding initiatives in all necessary directions. Division 40 established a steering committee made up of some task force members, which was interdisciplinary and international. Gradually, the task force relinquished control to Division 40 steering committee, where it was activated and terminated or re-activated over time as needed. The task force's role was then limited to the conceptualization of issues', and a strategy for implementing proposed activities evolved, moving forward in the direction of organizational development. This strategy seemed to facilitate the participation of individuals out in the field, many of whom were motivated and dedicated to getting things done.
There was an enormous groundswell of interest in the 70's and 80's which virtually guaranteed the formation of healthy organizations. In 198 1 The American Board of Clinical Neuropsychology (ABCN) was established and was quickly embraced by ABPP to become a member board with appropriate representation on the ABPP Board of Directors. Soon ABCN introduced an examination which was based on the assessment center approach. The flow of applicants for the examination was impressive; it clearly suggested that neuropsychology was sufficiently well organized to
Continued on page seven
[Page 5]
Newsletter 40
Profiling Division 40 Members: The CAPP Practitioner Survey
Randy Phelps, Ph.D.
APA Practice Directorate
In 1995 year the Committee for the Advancement of Professional Practice (CAPP) commissioned a survey of APA's practitioner members to find out more about the effects of the dramatically changing health care environment on the many practitioner constituencies represented by CAPP and the Practice Directorate. The survey was mailed to all 47,119 licensed practitioner members of APA, and asked about the member's professional activities, work settings and key concerns. The response was overwhelming, with one out of three members (33.8%) returning the questionnaire, yielding a sample size of 15,918 surveys. This article will report findings for members of the Division of Clinical Neuropsychology who participated in the survey.
Division 40 Respondents
The survey asked respondents to identify their APA division memberships and also to indicate the relative importance of those division affiliations. Of those who provided division information, 809 indicated that Division 40 was their primary, secondary or tertiary division. This represents approximately 21% of the total membership of the division at the time of the survey. Of the 809, respondents, 552 endorsed the division as their primary division, 188 as their secondary division and 69 as their tertiary division affiliation.
Sample Characteristics
Division 40 members were more likely to be members of the National Register than those from the general sample, with respective values of 46% and 38%. The majority (55%) of division respondents were licensed during the 1980's, followed by 28% in the period through 1979, and 16% licensed from 1990- 1995. These findings parallel those of the general sample of respondents. Forty (40) percent of the division sample reported using some form of outcome measurement in their clinical work, which is significantly greater than the 28% figure reported by the general sample.
Professional Activities
Division 40 respondents reported spending about 41% of their total time engaged in assessment activities (see Figure 1). Therapy activities and supervision/teaching were next in order of frequency, with about 19% and l0%, respectively, of the average respondent's time spent in each of these activities. The remainder of time was distributed across a wide range of other activities, including administration (8%), research (7%) and forensics (7%).
These results are quite similar to the distributions from the total sample of survey participants (n=15,918), with the exception of psychotherapy and assessment. Division members spend significantly more of their time doing assessment than those in the general sample (41% vs. 14%, respectively). By contrast, the average respondent's most frequent activity is psychotherapy (44%).
Work Settings
Figure 2 compares the primary work settings of division respondents with those of the total sample. Medical settings predominate, making up the primary work setting for 39% of respondents from the division. Breaking the medical category down further, 10% of the total division sample work in medical schools, 11% work in rehabilitation settings, another 10% work in general medical hospitals, and
Figure 1. Professional Activities
Div 40 Respondents
[Page 6]
Newsletter 40
Profiling Division 40 Members:
Continued from page five
the remainder (8%) of medical setting respondents work in other types of medical settings. Solo independent practice is the second most frequent primary work setting for division respondents (28%). By contrast, 41% of general respondents practice in the solo settings.
Figure 2. Primary Work Setting Div 40 vs Total Sample Percentage
Solo Practice
Group Practice
Academic
Government
Medical
Other
Impact of Managed Care
Participants were asked to provide a rating on a 7- point scale of the impact of managed care on their professional work. From Figure 3 it is apparent that Division 40 members are experiencing about the same or a slightly greater negative impact from managed care than the average survey respondent. Overall, eight out of ten division members rated the impact as low, medium or highly negative.
The proportion of members reporting a favorable impact from managed care was close to 10% for both the division and the general sample as well. And, as the figure shows, only a small percentage of division members have remained untouched by managed care.
Professional Concerns
Respondents were also asked to indicate their top five professional concerns from a list of 18 complaints frequently mentioned by members in contacts with APA. Division members' key
Figure 3. Impact of Managed Care Div 40 vs Total Sample
Hi Neg
MedNeg
Lo Neg
No Imp
Pos (all)
complaints were:
1. managed care changing clinical practice (50%)
2. difficulty getting reimbursed for services (48%)
3. excess precertification a n d UR requirements of managed care panels (47%)
4. income decreased due to managed care fee structure (44%)
5. ethical dilemmas created by managed care (34%)
Again, division respondents had essentially the same chief concerns as their colleagues from the general sample, with one exception. While about a third (30%) of the general respondents placed difficulty getting reimbursed for services” in their top five complaints, almost half (48%) of division participants indicated this is a key problem.
APA Response
The survey's findings underscore the importance for Division 40 members of a number of Practice Directorate initiatives on behalf of practitioners. Many of these involve legal and legislative strategies to remedy significant problems created in the health system by overly aggressive cost containment and managed care. Notable also is a broad series of initiatives and projects for marketplace advocacy, which will help psychology take greater control over its fate in the evolving delivery system. Clearly, the data indicate that CAPP should sustain and expand these activities. The results also suggest a strong need for APA to play a greater role in offering
[Page 7]
guidance to practitioners about the ethical dilemmas created by managed care, an issue which CAPP is now beginning to specifically address.
Division 40 participants noted that reimbursement issues are a significant problem, and one that is experienced more frequently by neuropsychologists than the average practitioner who participated in the survey. Clearly the directorate's work in this area is of special interest to division members, and has included advocacy that resulted in the inclusion of neuropsychological rehabilitation as a new CPT procedure (97770development of cognitive skills”), as well as ongoing work with HCFA regarding reimbursement problems, particularly for assessment.
CAPP and the Practice Directorate will continue to use these data to
guide new and enhanced efforts to address practitioners' concerns about
and obstacles to practice in all settings.And, we hope to continue our
ongoing partnership with Division 40 and its members to provide additional
advocacy for neuropsychology as the delivery system continues to evolve.
tests. You will find the TCA well-described (a la cognitive-empirical
foundations) in K. McGrew's 1994 book Clinical Interpretation of the
W-J TCA-R (Allyn & Bacon). There is, however, little research exploring
the neuropsychological aspects of the TCA, although the research of Telzrow
and others has investigated the relationship between the TCA reasoning
subtests and the Category test, for example (see Tupper's paper).In my
experience, the WJ PB-R has mostly been utilized by educational psychologists
and speech-language pathologists rather than neuropsychologists, although
there is probably a great deal to be learned about its neuropsychological
foundations. Much open potential for investigation of this test remains
(I think I heard a rumor recently about Raymond Dean and Woodcock putting
together a developmental neuropsychological battery with some similarity
to the WJ PB-R also).
Daniel E. Tupper, PhD, Minneapolis
On the Emergence of Clinical Neuropsychology Continued from page four
have generated the pursuit of this credential into the professional identity of neuropsychological practitioners (at least those who met the ABCN educational and experiential requirements). It became clear that ABCN was examining in a highly vital professional context and that its approach was most successful.
Gradually, the ABPP Board of Directors began to see a major change within the organization toward the goal of increasing the effectiveness of all the areas of specialization which endeavor to credential individuals in specialized competencies. As more groups representing different areas of practice began to follow ABCN's example, ABPP was prompted to reorganize into a collection of individual boards in order to assure the independence of each board and avoid possible conflicts of interest.
Another major organizational direction was the formation of the Association of Postdoctoral Programs in Clinical Neuropsychology (APPCN). The Task Force's work in the area of curriculum design was directed primarily at pre-doctoral programs,since specialized competencies were expected to be built upon a generic base (usually clinical). A major direction for training in clinical neuropsychology, then, became through the postdoctoral route,or some combination of internship and supervised postdoctoral activities. A consortium of postdoctoral programs was formed by a group of ABCN/ABPP diplomates who were directors of postdoctoral programs in clinical neuropsychology in the midwest. They handed-out self study criteria for future accreditation purposes, and ultimately expanded into a nationwide network of over 35 programs, most of which were directed by ABCN diplomates. In the meantime ABPP posted a meeting in Minneapolis in 1991 that led to the coalescence of a number of major organizations interested in the accreditation of postdoctoral programs in all areas of psychology. The midwest group presented its wares at that meeting and was quickly applauded for its definitive groundwork in the area of postdoctoral education in psychology. That facilitated the expansion of the midwest group into the APPCN, as well as the formation of the Interorganizational Council for the Accreditation of Postdoctoral Programs in Professional Psychology. This is made-up of representatives from ABPP, APA,
[Page 8]
On the Emergence of Clinical Neuropsyehology Continued from page seven
the National Register of Health Service Providers in Psychology, State & Provincial Boards of Psychology, the Association of Psychology Postdoctoral and Internship Centers (APPIC), and the various specialties being recognized by ABPP. We now have a mechanism for monitoring and evaluating specific accreditation initiatives, specialty by specialty, beginning with clinical neuropsychology. Once again our discipline (and new specialty) was instrumental in effecting major changes within the profession as a whole. There appears to have been a substantial need, and readiness for change within the profession as a whole, toward the issues related to standards in education, accreditation, and credentialing.
These developments have now led to the recognition of Clinical Neuropsychology as a distinct specialty. Not surprisingly, the latest steps taken by APA in arriving at such recognition made clinical Neuropsychology the only fully recognized specialty in the profession. The older, de facto specialties (e.g., clinical, school, etc.) are now being asked to go through the same process that we did in support of their claim to be a psychological specialty. In the meantime, they are recognized provisionally, but are being asked to prepare the documentation necessary to prepare a petition for the package to CRSPP. Thus, we are in the midst of a major direction of increased responsibility and credibility for the maintenance of specialties. This is analogous to programs being held responsible for meeting the criteria for accreditation and for individuals being held responsible for demonstrating professional competence. Part of the responsibility is being assigned to specialty organizations (recognition), educational programs (accreditation), and individual practitioners (credentialing). Specialty recognition will be based on a demonstration every seven years of meeting specialty criteria. Designations Full” and Provisional”are identical to those used for programs in the accreditation context. Individual credentials, such as Diplomate” status, will probably also require periodic re-verification in the future.
Having covered all this ground over the past few decades, my first inclination is to heave a sigh of great relief and retire into obscurity, at least from this scene. However, I would be remiss in failing to underscore a prominent implication for our specialty.
Obviously, we are deserving of being recognized as a specialty and being applauded at having demonstrated and effectively coordinating a group effort toward achieving our goals. However, attainment of one set of goals always implies establishment of future goals and for maintaining a process. This has placed us squarely in the center of our profession at this juncture in its own evolution. More than ever, we have a responsibility not only to the profession but to our public whom we serve - -to monitor, continually refine, and adapt our activities to the standards in the public interest. We are in a position to provide further leadership for our profession in the area of education, credentialing, and accreditation. The related responsibility is to continue to generate a firm knowledge base for our professional practices and to develop new roles to expand our base of application, as well as modernizing or deleting older roles from our professional repertoire.Continued professional vitality will require cooperation and compromise among the various organizations that now represent neuropsychology's interests. Just as the Task Force facilitated change over its lifetime, the clinical neuropsychology synarchy will hopefully be a responsible agent for change in the future. The association will hopefully mediate in the aim to bring Division-40, NAN, APPCN, ABCN and other interested organizations for the unified pursuit of goals for the specialty of neuropsychology in the future.
[Page 9]
ANNUAL BUSINESS MEETING
DIVISION 40 - DIVISION OF CLINICAL NEUROPSYCHOLOGY
AUGUST 11, 1996
ROYAL YORK HOTEL, TORONTO, ONTARIO, CANADA
1. The Business Meeting of Division 40 was called to order by President Kenneth Adams at 4:03. Division members were asked to review the minutes of the 1995 Business meeting in the Winter 1996 Edition of the Newsletter 40.
2. Treasurer's Report: Dr. Wilfred Van Gorp reviewed the Division's financial status, and informed members that the Division's fiscal year now follows APA's fiscal year, which runs from January to December of the calendar year. Expenses from january, 1996 through June 30, 1996 were $10, 063.43, well within the year's budget of $56,245.00. The Division's current assets are $124,746.87. The 1997 budget was approved at the Executive Committee, and budgets $59,060.00 for Divisional expenses.
3. Elections: Dr. Dodrill reported on the results of the recent Division 40 election. Dr. Linas Bieliauskas was elected President Elect for 1996-1997, and will serve as President of the Division in 1997-1998. Dr. Richard Berg was elected to a three year term as Member at Large of the Executive Committee.
4. Council Representatives' Report: Drs. Goldstein and Puente reported on Council activities. On August 8, 1996, the APA Council of Representatives approved the application that clinical neuropsychology be recognized by the APA as a specialty area within psychology. Drs. Goldstein and Puente thanked the efforts of Dr. Manfred Meier on behalf of the Division for his tireless work at achieving this important goal for clinical neuropsychology. The names of the five Division 40 members put before council for fellow status within APA were approved; the new Division 40 Fellows are: Drs. Gaily Glasser, Arnold Purrisch, Thomas Hammeke, Jerry Sweet and Gregory Lee. Dr. Goldstein also update members on APA's recent advertisement campaign, and its work on parity for mental and physical health insurance coverage. APA dues will not be increased in 1997.
5. Newsletter 40: Dr. John DeLuca reported that the Summer/Fall 1996 edition of Newsletter 40 was mailed to all members, including the Division's student members. There is an early September deadline for members interested in contributing to a special edition which will be published this fall in honor of Dr. Nelson Butters. The next historical piece in Newsletter 40 will highlight the career of Dr. Benton; Dr. Deluca will be travelling to Iowa to interview him for the piece.
6. Membership: Dr. Meneese reported that only 75 Division 40 members resigned from the division after the 1996 dues increase. He announced that the Executive Committee approved the membership applications of 367 applicants. This brings the current membership of Division 40 to 4,137 members (not including student members).
6. Program: Dr. Trennery reported that 160 submissions were received this year. Abstracts of accepted papers, posters and symposia appear in The Clinical Neuronsvcholoeist. He reminded members that the Social Hour following the Business meeting has been generously underwritten by The Psychological Corporation and Psychological Resources, Inc. Dr. Trenerry encouraged members to begin preparing submissions for next year's convention. The Call for Papers will appear in next month's APA Monitor. Dr. Keith Yeates will serve as Program Chair next year, assisted by Co-Chair, Dr. Mark Bondi. Any member interested in working on this committee was encouraged to send his/her vita to Dr. Yeates. Dr. Adams thanked Dr. Trenerry on behalf of the Division for his excellent work during his three year term as Chair of this committee.
7. Fellows: Dr. Berent encouraged members to nomination themselves for fellow status within the Division. They can contact him to receive the application materials, which are due back in his office no later than December 16, 1996. Members can also contact him by e-mail at: sberent@umich.edu.
7. Announcements: Dr. Adams thanked Dr. Thomas Hammeke whose term as member at large on the EC ends with this meeting. A request has also been made to Division 40 to appoint a liaison to Division 44's Gay and Lesbian Affairs Committee. Division 40's Public Interest Advisory Committee is also now without a Chairperson. Any members interested in serving in either of these positions was encouraged to speak to the Division secretary, Dr. Ann Marcotte.
8. Awards: Dr. Ida Sue Baron announced that Dr. John Gabrielli was the recipient of this year's Levitt Award. Dr. Charles Matthews was also recognized as this year's Benton Lectureship Recipient. Dr. Adams also announced to the membership that Dr. Arthur Benton has established a new award, to be named in honor of Dr. Manfred Meier.
9. Bylaws Review Task Force: Dr. Adams announced that Dr. Bieliauskas has agreed to Chair a Task Force to review and update as needed the Division 40 Bylaws. Dr. Adams informed members that several of the existing Bylaws are not in concordance with APA Bylaws. The Bylaws have never been revised in the history of the Division. Any member interested in serving on this Task Force was encouraged to speak with Dr. Bieliauskas after the meeting.
10. Dr. Adams also updated members on progress made in reaching a consensus on the definition of a clinical neuropsychologists. Talks have occurred with members of other neuropsychology groups to reach consensus on the working definition approved in August, 1996 by the Division 40 Executive Committee. Unfortunately, APA has recently placed a moratorium on the publication of any guidelines or definitions pertaining to practice. Dr. Adams informed members that work is nevertheless continuing on this project, with the goal of developing a definition that is reasonable to all.
10. Dr. Carl Dodrill presented Dr. Dodrill with a plaque, and on behalf of the Division 40 membership, thanking him for his work this year as Division President.
11. There being no other business, the meeting was adjourned at 4:50.
Respectfully Submitted,
Ann C. Marcotte, Ph.D.
Secretary, Division 40
[Page 10]
Newsletter 40
DIVISION 40 EXECUTIVE COMMITTEEMEETING MINUTES
August 9, 1996
Boardroom Crown Plaza Toronto Center Hotel
Toronto, Ontario, Canada
Present: K. Adams, I.S. Baron, B. Becker, S. Berent, R. Ber Dodrill, D. Eubanks, E. Fennell, J. Fischer, G. Goldstein, T. # L. Bieliauskas, M. Bondi, L. Cripe, B. Crosson, J. DeLuca, C. ammeke, K. Hamsher, R. Heilbronner, A. Marcotte (Recording Secretary), W. Meneese, A. Puente, M. Trenerry, W. Van Gorp, K. Yeates.
Absent: T. Boll
1. The meeting was called to order by Dr. Adams at 3:00pm.
2. Minutes of last Executive Committee (EC) meeting, held in Chicago, IL on February 14, 1996 were reviewed and approved.
3. Treasurer's Report: Dr. Van Gorp reported that the Division's fiscal year is now in s runs from January 1 to December 31. To date, only $10,063.43 of the $56,3 4y nchwith the APA fiscal year, which 5.00 1996 budget has been spent to date, although Dr. Van Gorp reminded members that the greatest costs are usually incurred in August and Setember.Fiscal assets of Division 40 as of June 30, 1996 were as follows: $90,802.80 cash on deposit with APA and $ 3,944.07 in a s certificate of deposit with Southern Pacific Thrift and Loan.Committees appear to be working within their 1996 budgets, although extra expenses will be incurred with Newsletter 40 running an additional edition this Fall honoring Nelson Butters. Extra expenses for this project were approved b Division 40 budget for the 1997 calendar year? which includes 5 +.the EC. Dr. Van Gorp also reviewed theo 8 ysed o increases for committee budgets. The C iscussed Dr. Van Gorp's proposed budget; the EC unanimously approved the 1997 budget.
4. Council Representatives' Report: Drs. Goldstein and Puente reported on the activities of the APA Council. They announced that on August 8, 1996, the APA Council recognized clinical neuropsychology as a specialty area within psychology. This marks the successful end of many years of work by division members to attain this status. The EC thanked Dr. Manfred Meier for his tireless efforts in helping reach this important mission for our field. Dr. Goldstein also reported that the special assessment for practitioners will continue to be collected from licensed psychologists as part of the annual dues. It was unclear if dues would be increased; council would be discussing this issue later in the convention. APA membership continues to grow, with over 100,000 members.
5. Newsletter. Dr. DeLuca reported that Newsletter 40 has been mailed out on time and is under budget. This is due to the decision to mail the Newsletter 3rd class instead of first class. The summer/fall 1996 edition of Newsletter 40 was also mailed to all Division 40 student members. This Fall, a special edition of Newsletter 40 will be published dedicated to the work of Dr. Nelson Butters. As part of a continuing series of articles documenting the history of neuropsychology, Dr. DeLuca expressed an interest to the EC to interview Dr. Arthur Benton. Unfortunately, Dr. Benton will not likely be in attendance at any future neuropsychology meetings, but he did invite Dr. DeLuca to Iowa to interview him for the article. Dr. DeLuca presented a proposal to the EC for himself and the Assistant Newsletter Editor to go to Iowa; the EC voted to approved Dr. DeLuca's request for funds for this trip.
6. Membership: Dr. Meneese submitted the names of 367 aplicants for membership to Division 40 (190 Members, 20 Associate Members, and 157 Student Members). All applicants were approved for membership. This brings the current Division 40 membership count to 4,137 members (exclusive of student members). Dr. Meneese also presented a proposal for a membership drive. The drive would involve a focused mailing of duofold cards to members of Divisions 22, 12, 6, 38 and 42 who are not currently members of Division 40, encouraging them to join. Dr. Meneese reported per APA Division Service Office, a return rate of 10% should be expected, which would yield approximately 1,704 new Division 40 members. Estimated total cost of the project is $4,4 B which would yield approximately 9.04. After discussing the pros and cons of the proposal, the EC voted to approved Dr. Meneese's membership drive proposal. The membership drive will take place in the next few months.
7. Elections/Nomination Statements: Dr. Dodrill announced the results of the recent elections: Dr. Linas Bieliauskas was elected as President-Elect and Dr. Richard Berg was elected as Member-at-Large to the EC. Each candidate had been asked to prepare a 200 word statement, which was mailed by the Secretary's olgftee to all division members eligible to vote in the May, 1996 election. Concerns were expressed regarding the wording of some of the statements. The EC reviewed the process by which these statements are published. After discussion, it was decided that the Secretary should still solicit and review the candidates' statements. If she has any concerns about the content or accuracy of the statements, she should review the statement with the Division President.
The Election Committee, comprised of Dr. Dodrill (Past-President), Dr. Adams (President) and Dr. Fennell (President- Elect) also raised concerns regarding the current Division Bylaws pertaining to the nomination process.At present, the Bylaws state that any member who obtains 5 nominations and is eligible and wishes to run or office will have his/her name placed on the election ballot. These Bylaws have never been revised since they were originally written. The Committee considered that the Bylaws Review Task Force (see below) consider adopting as a new criteria for nomination that the candidate have received nominations from 1% of the Division membership. This is being taken under advisement.
8. Fellows: Dr. Berent reported that 5 Division 40 members' names will be considered for Fellow status by the APA Council during the convnetion; Lee. Dr. Fennel1 suggested theyare: Drs. Guila Glosser, Arnold Purrisch, Thomas Hammeke, Jerry Sweet, and Gregory that the Fellows Committee work in 1997 to target women and minority Division 40 members to apply for fellow status; the EC supported this suggestion.
9. Program: Drs. Trenerry and Yeates reported that the 1996 meeting was underway and proceeding well. This year's social hour in conjunction with Division 22 has been sponsored by the Pschological Corporation and Psychological Assessment Resources, Inc. Dr. Yeates will be the 1997 Program Chairman, and Dr. Mark Bondi will serve as Co-Chair.
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Dr. Yeates reported that next year, APA will celebrate the 50th anniversary of the founding of Divisions; Dr. Byron Rourke is the Division 40 representative to the APA Committee plannin Dr. Yeates encouraged any Division members interested in serving on the 1 $ events ni recognition of this annivers 97 Program Committee to contact him or ? more information. The EC extended its thanks to Dr. Trenerry for his three years of service as Co-Chair and Chair of the Program Committee.
Ad- Hoc Committees
10. Ethics: Dr. Becker reported that the Ethics Committee has been discussing a number of concerns, including the provision of raw data in neuropsychological reports (a topic currently being debated in the column, The Ethical Neuropsychologist” in the Clinical Neuropsychologist); the practice of "third party” observers during assessments; and the assessment of non-English speaking clients.
11. Science Advisory: Dr. Marcotte reported that just prior to the APA Convention, she received a telephone call from the Science Directorate in reply to the letter written to Dr. Howell of the APA Science Directorate m November, 1995. The letter was written seeking to improve the image of Division 40 as a science division within APA. The Science Directorate indicated that they are now shifting their emphasis to begin working with scientist-practitioner oriented divisions. An invitation was extended for a staff member of the Directorate to attend the EC meeting. The committee is continuing to discuss the formation of a research grant program to encourage and fund student research efforts. Dr. Michael Westerveld of the Committee has also agreed to coordinate a continuing Science Scene” column to appear regularly in Newsletter 40.
12. Education Advisory: Dr. Crosson reported on the first meeting of this committee held February 14, 1996. The committee reviewed recent events surrounding possible revisions in the guidelines for doctoral training for the Association for Doctoral Education in Clinical Neuropsychology, and for post-doctoral education by the APPCN. The Education Advisory Committee of Division 40 would like to work in cooperation with these organizations to develop a model of continuum of education in clinical neuropsychology. The need to establish a collaborative relationship with the APA Education Directorate was also discussed. Dr Crosson will be meeting with representatives from the APA Education Directorate during the convention. Significant work lies ahead for the Division in light of approval of neuropsychology as a specialty area within psychology.
13. Practice Advisory: Dr. Eubanks reported that the committee in conjunction with the Public Interest Advisory Committee is continuing work on a brochure about the nature of clinical neuropsychology for distribution to insurance companies and patients. The committee has also discussed continuing issues of managed care, payment and reimbursement for services, and third party observers. The issue of third party observers may be featured in the future in the Ethical Neuropsychologist column. APA has placed a moratorium on the publication of any future guidelines for practice at this time.
14. Dr. Randy Phelps of the APA Practice Directorate made a brief presentation to the EC regarding recent activities of the Directorate. He reported on the outcome of the CAPP Practitioner Survey mailed in June, 1995, specifically the responses of Division 40 members. Unlike other respondents, Division 40 members are more often employed in medical settings. 50% indicated that managed care was changing their clinical practice, with 48% reporting difficulties in getting reimbursement for services. Dr. Phelps also updated the EC on APA's recent educational campaign piloted in Hartford, CT and Denver, CO. The Directorate continues to lobby in Congress for parity of mental and physical health insurance coverage.
15. Dr. Chris Hartell of the APA Science Directorate next made a presentation on changes in the Directorate and their renewed interest in scientist-practitioner divisions. They seek to help out the smaller, more traditional science-oriented divisions by enlisting the support and collaborative efforts with divisions such as Division 40 and 38. They are also currently contemplating changes in the convention, including offering science organizations the opportunities to hold concurrent meetings with the APA convention. A reduction in APA dues fees will be offered this year if an APA member is also a member of a science oranization on a list to be included with the dues statements [Note: the National Academy of Neuropsychology is on this list]. to join. They have also established a Science Leaders Network on e-mail, which Division 40 members are now invited to join.
16. Public Interest Advisory: Dr. White has resigned as Chair of this committee. Members will be encouraged at the Division 40 Annual Business Meeting to volunteer for this important position.
17. Program Listings: Dr. Cripe reported that the Division 40 sponsored listing of training programs in clinical neuropsychology is now available on the Internet on the Swets Publications homepage. The listing isscheduled for its next revision in 1997.
16. CPT Code Task Force: Dr. Puente reported on CPT code changes in the Summer/Fall 1996 edition of Newsletter 40. A CPT code for biofeedback is now available.
18. Minority Affairs: Dr. Strickland and the committee continue to be involved in the NIDA sponsored conference on substance abuse, with particular involvement in program events centered around minority issues.
19. Intemational Affairs: Dr. Heilbronner reported that Division 40 is co-hosting a one hour symposium on international issues in neuropsychology at the APA convention; he encouraged members to attend. Speakers include Dr. Michael Nester from Saudi Arabia and Dr. Jana Glozman from Russia. Dr. Heilbronner continues to work on CIRP projects as the Division 40 representative; he attended the spring meeting of this organization.
21. Awards: Benton. Levitt: Dr. Baron encouraged members to attend the Awards Hour on Sunday of the convention, during
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which last year's Levitt award winner, Dr. Max Trenerry, and this year's recipient, Dr. John Gabrielli will be presenting addresses. This year's Benton Award recipient, Dr. Charles Matthews, was unable to attend the convention to accept his award. A call for nominations for the 1997 Levitt Award will be made this fall.
22. Hecaen Award: Dr. Hamsher reported that this year's recipient of the Hecaen Award is William Irvin from the University of Wisconsin-Madison. Nine applications or this award were received and reviewed by the Committee.
23. Update on Definition: Dr. Adams updated the EC about the status of the working definition of a clinical neuropsychologist which was accepted by the EC in August, 1995. Meetings have been held with representatives of NAN to work on differences. Unfortunately, in the interim, APA has passed a moratorium on Divisions making any new or updating any existing guidelines or definitions pertaining to practice.
24. Accreditation of Residency Programs: Dr. Hamsher reported on the newly APA created committee, the Council of Credentialing Organizations in Professional Psychology (CCOPP). Its mission is the integration of policies and procedures related to credentialing for the professional practice of psychology, to develop and facilitate implementation of common model for the recognition of specialties and proficiencies, and to develop and facilitate implementation of common standards for credentialing for professional practice of psychology. He also reported on the complex relationship of this committee to several already existing committees, such as the Interorganizational Council for the Accreditation of Post-Doctoral Programs in Psychology. Dr. Hamsher will keep us informed of future actions of this group.
25. Division 40 Bylaws: Dr. Adams raised the issue of the need for revisions to the existing Division 40 Bylaws. The Bylaws currently in place are the same Bylaws originally created with the formation of Division 40 in the early 1980's. Some of the Bylaws are now outdated, and in some cases, inconsistent with current APA Blaws. Bieliauskas, the newly elected President-Elect, has been appointed Chair of a Bylaws Revisions Task Force to review and make suggestions for revisions to the Bylaws. Any Bylaws changes will need approval by the voting members of the division. Dr. Bieliauskas anticipates the Task Force will make formal recommendations for changes at the next EC meeting.
26. There being no other business, the meeting was adjourned at 6:05 pm.
Respectfully Submitted,
Ann C. Marcotte, Ph.D.
Secretary, Division 40
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