Psychiatric Comorbidities in Eating Disorders and Treatment

Presented By DAVID BARON, MSEd, DO, DLFAPA and D. ANDREW BARON

Provided by RiverMend Health Institute

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Release date: December 1, 2015

Valid through: December 31, 2018

Specialty: Eating Disorder

Topic: Eating Disorder

Media: Internet

Estimated Time to Complete Activity: 60 minutes

Program Overview

With an ever shrinking number of inpatient psychiatric beds, the Emergency Department (ED) serves as both a lifeline and safety net for millions of patients suffering from new onset as well as acute exacerbations of chronic mental illness. Between 1992 and 2001, there were 53 million mental health-related Emergency Department (ED) visits in the United States. By 2007, psychiatric and behavioral emergency visits accounted for 12.5% of the 95 million visits to the ED, almost doubling from the proportion (6.3%) in 2001.

Like a modern day Sherlock Holmes, the Emergency Physician (EP) must elucidate whether the patient’s psychiatric or behavioral emergency is the result of an organic/functional or psychological cause. Simply put, if a patient’s symptoms are rooted in medical pathology, the treatment of the underlying medical problem will often remove the need for inpatient psychiatric hospitalization. The process of examining the patient and ruling out medical etiologies for psychiatric symptoms is often referred to medical clearance.

The term is understood differently by psychiatrists and EPs, though effective medical clearance truly requires multidisciplinary collaboration. The scope of medical clearance is to provide an accurate and complete medical assessment without ordering tests that unnecessarily compound the problem or prolong length of stay; as such, an effective yet thorough medical clearance is a challenge.

This program will provide scenarios and suggestions to address the gap between specialists as well as the challenges that face providing care to this underserved population.

Learning Objectives

At the end of this presentation, participants will be able to: 

  1. List the most common comorbid psychiatric conditions seen in ED
  2. Compare and contrast treatment strategies for Ed pts. with comorbidities
  3. Review high risk population based screening for ED

Continuing Education

APA, American Psychological Association

RiverMend Health Institute is approved by the American Psychological Association to sponsor continuing education for psychologists.

APA CE credit Awarded: 1.0

ADACGBA, Approved Continuing Education Provider

RiverMend Health Centers, a RiverMend Health LLC entity, maintains responsibility for this program and its content. RiverMend Health LLC is a ADACGBA Approved Continuing Education Provider and may offer ADACBGA approved hours for events that meet ADACBGA requirements. Provider #15-55-03-916.

ADACBGA Continuing Education Units Awarded: 1.0

NAADAC, The Association for Addiction Professionals

RiverMend Health Institute is a NAADAC Approved Continuing Education Provider and may offer NAADAC- National Certification Commission approved hours for events that meet NAADAC requirements. Provider # 146437.

NAADAC Continuing Education Units awarded: 1.0

NBCC, National Board of Certified Counselors

RiverMend Health is an NBCC-Approved Continuing Education Provider (ACEP™) and may offer NBCC approved clock hours for events that meet NBCC requirements. The ACEP solely is responsible for all aspects of the program. Provider #6781.

NBCC CE credit Awarded: 1.0

CBBS, California Board of Behavioral Sciences

This course meets the qualifications for continuing education credit for MFTs, LPCCs, LEPs and/or LCSWs as required by the California Board of Behavioral Sciences. Rosewood Centers for Eating Disorders Provider #4688.

CBBS CE credit awarded: 1.0

CDR, Commission on Dietetic Registration

RiverMend Health Institute is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians registered (CDR). Registered dietitians (RDs) and dietetic technicians registered (DTRs) will receive continuing professional education units (CPEUs) for the completion of this program. CDR Provider #R1656.

CDR CPEU awarded: 1.0

ACCME, Accreditation Council for Continuing Medical Education

AHC Media is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

AHC Media designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity (Expires on 3/2/2017).

ANCC, American Nurses Credentialing Center's

AHC Media is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity has been approved for 1.0 nursing contact hours using a 60-minute contact hour. Provider approved by the California Board of Registered Nursing, Provider #CEP14749, for 1.0 Contact Hours. Nurses licensed in California should retain this credit letter for four years (Expires on 3/2/2017).

Faculty

DAVID BARON, MSEd, DO, DLFAPA

DAVID BARON, MSEd, DO, DLFAPA

Dr. David Baron is currently a Professor and Interim Chair of Psychiatry at the Keck School of Medicine at University of Southern California, Director, and Global Center for Exercise, Psychiatry and Sports at USC and Adjunct Professor at the USC School of Cinema-Television. Dr. Baron is currently working on cutting edge research on Traumatic Brain Injuries funded by the NFL.

Dr. Baron received his M.Ed. from USC, and trained in bioethics at Georgetown University and NIH. Additionally, he was the NIMH bioethics representative at NIH.

Dr. David Baron’s past experience includes:

  • Professor and Chair, Department of Psychiatry, Temple University School of Medicine
  • Deputy Clinical Director, National Institute of Mental Health (NIMH)
  • Director, Medical Student and Residency Education, National Institute of Mental Health (NIMH)
  • President, American College of Neuropsychiatrists
  • NIH Representative, Alcohol Drug Abuse and Mental Health Administration, Office of Education
  • Editor-in-Chief, Journal American College of Neuropsychiatrists
  • Chief, Psychiatric Services, Kenneth Norris Cancer Hospital and Research Institute
In addition, Dr. Baron has over eighty publications, authored or co-authored 12 books and has over four hundred domestic, national and international speaking engagements.

While Chairman, of Psychiatry at Temple University he headed the Physician Health Program for the State of Pennsylvania. Dr. Baron created a model addiction treatment program for Temple University in the Pocono Mountains.

Disclosures of Conflicts of Interest

DAVID BARON, MSEd, DO, DLFAPA
  • No financial relationships relevant to this field of study.
D. ANDREW BARON
  • No financial relationships relevant to this field of study.

Instructions for Participation and Credit

There are no fees for participating and receiving credit for this activity. During the accredited period, participants must read the learning objectives and faculty disclosures; study the educational activity; and complete the post-test and the evaluation form. If you pass the post-test and complete the evaluation, your certificate will be available immediately for download in PDF format.

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Disclaimer

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.