To address the crucial, often controversial, conversations that psychiatrists and other clinicians have with patients (and peers), it is vital to stay up-to-date on the issues as they relate to their impact on mental health. This conference will inform attendees about social determinants and why they matter, address harm reduction in addiction treatment, and abortion as it relates to mental health. In addition, there will be a deep dive into depression and whether it is a biological condition. Finally, we will have presentations on medication considerations for aging populations, as well as an overall update on psychopharmacology.

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Yarelix Estrada, MSPH, is a first-generation Central American, drug policy and harm reduction researcher, advocate, and community outreach worker. Yarelix works as a City Research Scientist with the New York City Department of Health and Mental Hygiene conducting community-based harm reduction outreach and research. Her work is currently largely focused on implementation of the first higher-technology drug checking research study in New York City with local syringe service programs and an overdose prevention center. Yarelix is passionate about supporting people throughout the full continuum of drug use, from use for pleasure and healing to overdose prevention. She received her Master of Science in Public Health in Health Policy at the Johns Hopkins Bloomberg School of Public Health.

At Case Western Reserve University, Cleveland, Ohio, Faye Gary, EdD, RN, FAAN, is a Distinguished University Professor and the Medical Mutual of Ohio Kent W. Clapp Chair and Professor of Nursing.  She holds a secondary appointment in the Department of Psychiatry, School of Medicine, and served on the National Advisory Council of the National Institutes of Health. Her work spans six continents. Dr. Gary is the Founding Director of the Provost Scholars Program. She has published more than 150 research/scholarly papers and has received numerous awards. Her latest (2022) textbook, Population Health, and Health Disparities is an interdisciplinary publication. 

Alissa Huth-Bocks, PhD, is Director of the Merrill Palmer Skillman Institute for Child & Family Development and Professor of Psychology at Wayne State University in Detroit, Michigan. She is a licensed clinical psychologist with expertise in early childhood mental health. Through interdisciplinary and collaborative team science, her research has focused on understanding the effects of adversity, such as interpersonal violence, parental mental health and substance use disorders, and poverty, on family relationships and childhood development. Her translational research has focused on evaluating primary prevention and early intervention models to mitigate the effects of trauma on young children within healthcare and community settings. 

Alex Keuroghlian, MD, MPH, is Associate Professor of Psychiatry, Harvard Medical School (HMS); Director, Division of Education and Training at The Fenway Institute; and Director and Michele and Howard J Kessler Chair, Division of Public and Community Psychiatry at Massachusetts General Hospital (MGH). He is principal investigator of the National LGBTQIA+ Health Education Center at The Fenway Institute, a HRSA BPHC-funded cooperative agreement to improve care for LGBTQIA+ people across the U.S., as well as the HRSA HAB-funded 2iS Coordinating Center for Technical Assistance, which implements interventions nationally for people with HIV. Dr. Keuroghlian established the MGH Psychiatry Gender Identity Program and is clerkship director for two senior electives in sexual and gender minority health at HMS. He also co-directs the HMS Sexual and Gender Minority Health Equity Initiative, which leads longitudinal medical curriculum and faculty development in LGBTQIA+ health. 

When your new colleagues find out that you’re a psychiatrist who also has a PhD in pharmacology… people start asking you questions about their most challenging cases. Erik Messamore, MD, PhD has been answering these types of questions for most of his clinical career. He holds a PhD in pharmacology, and had conducted Alzheimer drug development and schizophrenia biomarker research. He’s been an ECT practitioner for over a decade and remains a complex case consultant in the areas of mood disorders and psychosis. He is an associate professor of psychiatry at Northeast Ohio Medical University and hosts a free weekly consultation and telementoring service for Ohio clinicians.

Henry A. Nasrallah, MD, DFAPA is a widely recognized neuropsychiatrist, educator and researcher. Following his psychiatric residency at the University of Rochester and neuroscience fellowship at the NIH, he served for 18 years as chair of psychiatry at two universities (Ohio State and St. Louis) and as associate dean for four years at the University of Cincinnati College of Medicine. He is currently Vice-Chair for Faculty Development and Mentorship, Professor of Psychiatry, Neurology and Neuroscience, Medical Director of Neuropsychiatry Program and Director of the Schizophrenia Program in the Department of Psychiatry and Behavioral Neuroscience at the University of Cincinnati College of Medicine. Dr. Nasrallah’s research focuses on the neurobiology and psychopharmacology of schizophrenia and psychotic mood disorders. He has published 440 scientific articles, 600 abstracts, 185 editorials, and 13 books. He is Editor-In-Chief of three journals (Schizophrenia Research, Biomarkers in Neuropsychiatry and Current Psychiatry) and is the co-founder of the Schizophrenia International Research Society (SIRS). He is a Fellow of the American College of Neuropsychopharmacology, Distinguished Fellow of the American Psychiatric Association and served as president of the Ohio Psychiatric Physicians Foundation, president of the American Academy of Clinical Psychiatrists, president of the Missouri Psychiatric Association and the Scientific Director of the CURESZ Foundation. He has twice received the NAMI Exemplary Psychiatrist Award and was chosen as the U.S.A. Teacher of the Year by the Psychiatric Times. He has received the Golden Apple Teaching Award at four different universities. He has received over 95 research grants and is listed annually in the book “Best Doctors in America”.

Nina Ross, MD, completed her psychiatry residency at the University of Pittsburgh Medical Center Western Psychiatric Hospital, where she also completed the Academic Administrator Clinician Educator Track and the Women’s Mental Health Area of Concentration. She attended forensic psychiatry fellowship at Case Western Reserve University, where she currently practices as a forensic and reproductive psychiatrist. Dr. Ross has published and presented locally and nationally on reproductive and forensic psychiatry topics. Dr. Ross currently serves as the co-chair of the American Academy of Psychiatry and the Law Gender Issues Committee.

Raj Tampi, MD is the Professor and Chairman, Department of Psychiatry, Inaugural Bhatia Family Endowed Chair in Psychiatry, Creighton University School of Medicine and Catholic Health Initiatives (CHI) Health Behavioral Health Services, Omaha, Nebraska. He is also an Adjunct Professor of Psychiatry at Yale School of Medicine, New Haven, Connecticut.  Dr. Tampi is the Past President of the American Association for Geriatric Psychiatry (AAGP). He is also the inaugural Historian of the AAGP. Dr. Tampi is a Past President of the International Medical Graduates (IMG) Caucus at the American Psychiatric Association (APA). He is a Distinguished Fellow of the APA and of the AAGP.  

Psychopharmacology Update

Henry Nasrallah, MD, DLFAPA | Professor of Psychiatry, Neurology and Neuroscience, University of Cincinnati College of Medicine

The psychopharmacological toolbox for major psychiatric disorders is rapidly evolving. New mechanisms of action are being developed for the treatment of mood and psychotic disorders, which will expand the therapeutic armamentarium for psychiatric physicians. Most of the new drugs represent a genuine paradigm shift in psychopharmacology. In depression, the movement away from monoamines (serotonin and norepinephrine) is rapidly growing. The innovation began with the discovery of ketamine’s rapid efficacy for treatment-resistant depression via the antagonism of the NMDA receptor. It is now extending to new agents that exert antidepressant effects through glutamatergic, and sigma 1 receptor agonism. Other drugs have antidepressant effect by agonist effects on the serotonin 5HT-2A receptor, which includes psilocybin and other psychedelics. Another discovery was the opioid pathways also medicate antidepressant effects. The treatment of postpartum depression focused on the GABA-A receptors, a completely different approach. In schizophrenia and the psychosis spectrum, 2 novel drugs are being actively developed and have had controlled trials that were successful. The first strategy is cholinergic agonist (Xanomeline) on the muscarinic M1 and M5 receptors, in combination with a peripheral anticholinergic drug (trospium) to counteract the cholinergic side effects.  There is a possibility of improving negative symptoms and cognitive deficits with this approach. The second innovation is the TAAR 1 trace amine pathway (Ulotaront), which has had a successful phase 2 trial and phase 3 is currently underway. Other mechanisms of action are also being explored for the treatment of psychosis. In summary, the field of psychopharmacology research is vibrant and will translate into novel interventions in psychiatric practice in the very near future.

Pregnancy Termination: What Psychiatrists Need to Know

Nina E. Ross, MD | Assistant Professor of Psychiatry, Case Western Reserve University

This presentation will review the information about pregnancy termination that psychiatrists need to know. Any psychiatrist who treats women from the age of menstruation to menopause must recognize that their patients could become pregnant and apply this this knowledge into psychiatric treatment plans. Accordingly, psychiatrists who treat these women must also understand the landscape of pregnancy termination in the United States because this will inevitably affect women of reproductive age. We will review the literature on the relationship between pregnancy termination and mental health, including evaluating the problematic designs of many past studies and discussing the most up-to-date literature. We will review key elements of the past, present, and future of pregnancy termination legislation in the United States, including the recent U.S. Supreme Court Case Dobbs v. Jackson and its implications for both patients and psychiatrists.

Social Determinants of Health, Health Disparities, and Equity: A Wicked Problem?

Faye Gary, EdD, RN, FAAN | Distinguished University | Professor, Bolton School of Nursing, Case Western Reserve University

The presentation will address the social context of health care, including a historical and contemporary perspective, about policies and practices that have helped to create and maintain health disparities. The presentation will conclude with a discussion about wicked problems embedded in health systems.

Flash Talks

New this year, is the integration of five-minute Flash Talk presentations by resident/fellow members, from multiple training programs throughout Ohio, who will share novel research to improve quality of care in psychiatric treatment. Flash Talks are designed to quickly engage participants by sharing an idea, methodologies and outcomes in a clear and concise manner.

Updates on Pharmacotherapy for Late Life Psychiatric Disorders

Rajesh Tampi, MD | Professor and Chairman, Department of Psychiatry, Inaugural Bhatia Family Endowed Chair in Psychiatry, Creighton University School of Medicine and Catholic Health Initiatives (CHI) Health Behavioral Health Services, Omaha, Nebraska.

Psychiatric disorders are not uncommon among older adults. Approximately 200/o of older individuals in the United States present with a diagnosable psychiatric disorders. Common psychiatric disorders included anxiety disorders and depressive disorders. Substance use disorders, psychotic disorders and neurocognitive disorders are also seen fairly commonly among older adults. Aging is associated with various pharmacokinetic and pharmacodynamic changes in the human body. Available evidence indicates that older adults respond to treatment with psychotropic medications as well as younger individuals, but they tend to experience more side-effects form these medications. In this presentation, I will describe the pharmacokinetic and pharmacodynamic changes associated with aging. Additionally, I will then discuss the benefits and risk of using psychopharmacological agents among older adults. Furthermore, I will enumerate evidence based guidelines for the treatment of some common psychiatric disorders among older adults.

Evidence-Based Diagnosis and Treatment for Complex Trauma in Children and Adolescents

Alissa Huth-Bocks, PhD | Director of the Merrill Palmer Skillman Institute, Professor, Department of Psychology, Wayne State University

Children and adolescents experience potentially traumatic events at high rates. The most common forms of trauma tend to be interpersonal in nature, and most occur within close relationships. Youth who experience multiple and prolonged interpersonal trauma are at greatest risk for mental health difficulties and pervasive developmental disruptions; this is sometimes referred to as ‘complex trauma’ or ‘developmental trauma’. Accurate assessment and diagnosis of trauma-related disorders is critical, as trauma symptoms or reactions may mimic symptoms consistent with other psychiatric diagnoses leading to misdiagnosis and ineffective treatment. This presentation will present information on the prevalence of multiple types of traumatic events, evidence-based assessments for trauma exposures and traumatic stress reactions, challenging differential diagnoses, and core components of effective psychotherapeutic trauma treatments.

OPPF Annual Awards Presentation
     -  The Henry and Amelia Nasrallah Annual OPPF Research Awards
     -  Enlightenment Award
     -  Announcement of the recipient of The Henry and Amelia Nasrallah Annual OPPA Lectureship
        on Advances in Psychiatric Medicine 

Harm Reduction in Addiction Treatment

Yarelix Estrada, MSPH | Alliance for Collaborative Drug Checking, Urban Survivors Union, New York City Psychedelic Society

Every overdose death is a policy failure. In the one year period ending in April of 2021, we lost over 100,000 lives to drug overdose deaths in our nation. There are many factors that got us where we are today, including the failed, racist war on drugs and resulting draconian drug policies and criminalization of people who use drugs, drug prohibition, the pervasive stigma of drug use and people who use drugs within our society and more specifically within the healthcare system and forced “tough love” and inflexible abstinence-based ideologies. Harm reduction provides an approach and practices that are rooted in nonjudgemental, person-centered care that meets each individual where they are and provides vital resources that are needed to keep people alive with dignity at that time. In this presentation I will provide different examples of harm reduction tools and practices and offer ideas that might help us collectively shift towards systemic changes that will not only save lives but foster community care in the process.

Mental Health Care for Transgender and Gender Diverse People

Alex Keuroghlian, MD, MPH | Director of Education and Training Programs, The Fenway Institute

This session will contextualize mental health inequities across diagnostic categories within a gender minority stress framework, propose culturally responsive tailoring of evidence-based clinical practices, and offer strategies for building inclusive, affirming, and trauma-informed mental health care environments in order to optimize mental health outcomes for transgender and gender diverse people.

What Exactly is Depression?

Eric Messamore, MD, PhD | Associate Professor of Psychiatry, Northeast Medical University

This presentation is made possible by The Henry and Amelia Nasrallah Annual OPPA Lectureship on Advances in Psychiatric Medicine

Questions like “why am I so sad all the time?” or “how can this medication help?” arise because the brain requires explanations as intensely as the body demands oxygen. Framing depression as a “chemical imbalance” satisfies this need for explanation. It makes depression feel more understandable and less stigmatizing. And it explains how medications can help. This explanation, however, has been strongly criticized. Critics assert that there is no persuasive evidence of a chemical imbalance relevant to human depression (e.g., Moncrieff et al., 2022). These criticisms often attract significant media attention and controversy. Although the critical viewpoint has its own set of flaws, depression care based on now-conventional paradigms is often far from adequate. I will argue in this talk that the chemical imbalance explanation is like cotton candy. It is less substantial than it first appears, and harmful if overused. I will describe the syndromes of depressive illness in ways that will be consistent with scientific knowledge and clinical experience, and hopefully more useful for clinicians, patients, and society.

The Ohio Psychiatric Physicians Association’s Annual Psychiatric Update brings together psychiatrists and other mental health clinicians from all over Ohio to examine a broad array of topics of clinical interest and relevance to those who want to provide the best, evidence-based care possible for individuals with a mental illness, including substance use disorders. The objective is to educate and provide information on current research, cutting edge treatment options, advances in treatment in the area of psychopharmacology and more.

This is an excellent opportunity for companies to interact with and/or make products and services known to hundreds of psychiatrists, advanced practice nurses, physician assistants, psychologists, social workers, clinical counselors and other mental health professionals, including some of Ohio’s most prominent psychiatric physicians in leadership roles and academia.

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Complete Online Agreement

Letter To Prospective Exhibitors 2023

W9 - OPPA

Details About Meeting

THANK YOU SPONSORS!

Platinum Supporter

Silver Supporter

Neurocrine Biosciences

THANK YOU EXHIBITORS!

Advanced Recovery Systems

Alkermes

Axsome Therapeutics

BioXcel Therapeutics

Corium

Indivior Solutions, Inc.

Idorsia Pharmaceuticals

Jannsen Neuroscience

Jannsen Pharmaceuticals

Karuna Therapeutics

Neurocrine Biosciences

OhioHealth

OPPA/OPPF/OPPAC

Otsuka

Professional Risk Management Services

SUN Behavioral

Takeda Pharmaceuticals

Teva Pharmaceuticals

The Emily Program

Special Gift of Music certificate - Two (2) complementary ticket vouchers for Akron Symphony

Four (4) rounds of golf and cart

(Granville)

Four (4) game tickets in the stadium seating bowl for a Dayton Dragons game for the 2023 baseball season during the month of May. Plus, 4 hats

Two "Do it all passes"

(Sandusky)

Two (2) passes for narrated sightseeing tour

(Cleveland)

Two (2) ticket vouchers A-Level seating to 2022-23 Season

(Cleveland)

Complimentary admittance for four (4) for any production in 2023-2024 academic year

(Columbus)

Weekday Lift Ticket/Tubing Ticket - good for either 8 hours of skiing/snowboarding OR 2 hours of Snow Tubing, Monday through Friday.

Perfect North Slopes

(Lawrenceberg, IN - close to Cincinnati)

Two (2) ticket vouchers 2022-23 Season (Expires May 28, 2023)

Short North Stage

(Columbus)

Two All-Day Lift Tickets for Skiing/Snowboarding including equipment rentals and group lessons.

Snow Trails

(Mansfield)

e-Gift Card $25 (good online or in the store)

American Eagle

Four (4) General Admissions to Columbus Zoo

Columbus Zoo

Table of four (4) for any regular show January-November 2023

Shadowbox Live

(Columbus)

Two tickets in the Ohio Theatre for a performance in the 2023-2024 season - beginning Aug. 2023

BalletMet

(Columbus)

Scavenger Hunts by Let’s Roam

2 Family Scavenger Hunt Six Pack

2 Date Night Scavenger Hunt Two Pack

1 Virtual / In Person Team Building Event For Up to 10 People, PLUS 20% off additional players

Let's Roam

A Taste of the Refectory - $75 toward two dinner entrees

The Refectory

(Columbus)

Two (2) 2023 Single Day Admission Tickets

Kings Island

(north of Cincinnati)

Original artwork 

Art of Sophia McGuire Jewell

$50 Gameplay Voucher

TopGolf

$50 Gift Card

Woodhouse Day Spa

(Dublin)

$50 Gift Card

The Spa at River Ridge

(Dublin)

$50 Gift Card and Hair Products

Square One Salon

(Columbus)

Insulated Jeni’s Traveler Bag and five pint cards that can be redeemed for five pints of the winner’s choice at their local scoop shop.

Jeni's Ice Cream

Kate Spade Harper Crossbody Purse

Autographed photo of Alex Wright, Cleveland Browns

Cleveland Browns

$25 Gift Card

Dewey's Pizza

$30 Gift Card

Z Cucina di spirito

$50 Gift Card, Pint glass and 6-pack

North High Brewing Company

$25 Gift Card

Frank & Carl's

$5 Gift Card and goodie bag

Our Cupcakery

(Dublin)

One free game of bowling for 10

Pins Mechanical Company

Two (2) $20 Gift Cards

The Morgan House

(Dublin)

$25 Gift Card

Local Cantina

$50 Gift Card

Kona Craft Kitchen & Bar

$25 Gift Card and $50 Gift Card

Nothing Bundt Cakes

$25 Gift Card

Rebol

$50 Gift Card

101 Beer Kitchen

$30 Gift Card

Fado Pub & Kitchen

$25 Gift Card

Dos Hermanos Taco Truck

Hanging basket or plant

Strader's Garden Centers 

$20 Gift Card and various merchandise

Getaway Brewing Company/Seventh Son Brewing/Antiques on High

4 Complimentary Tickets to: Bold Moves Festival June 9-18, 2023

Cincinnati Ballet

Roosters Gift Basket includes: $25 Gift Certificate, T-shirt, Fanny Pack, Tote Bag, Two Cups, Sunglasses, Chip Clip

Roosters Wings

Youngs Fun Pass: Free Ice Cream, Food and Fun on the Farm

Youngs Jersey Dairy

$50 Gift card

Costco Wholesale

Two (2) Complimentary 25-minute full body stretches

Stretch Lab

$25 Gift Card

Condado

Biologique Recherche Classic European skin treatment gift certificate

Medizen Institute

(Dublin)

Two tickets to a production of your choice

Cincinnati Shakespeare Company

Four one-day admission tickets for the 2023 Dublin Irish Festival

Dublin Irish Festival

Certificate for Afternoon Tea for Two

Mozart's Cafe

(Columbus, Clintonville area)

$25 Gift Card

CC's Nail Spa

(Powell)

2023 Reds Tickets - 2 Terrace Line or 4 View Level

Cincinnati Reds

$50 Gift Card and Donation Pail of Car Cleaning Goods

Moo Moo Express Car Wash

Gift certificate valid for (8) Tickets to an Upcoming Murder Mystery Dinner

Gangsters Dueling Piano Bar and Restaurant

(Newport, KY)

Celebrate Life - Certificate Book to Gervasi Destinations $100 Value

The Bistro - $20
The Still House - $20
The Marketplace - $20
The Twisted Olive - $20

Gervasi Vineyard

Two (2) $25 Gift Certificates

Matt the Miller's Tavern

$50 Gift Card to one of the following:

Bakersfield Tacos
The Eagle
Kruegger's Tavern
Maplewood Kitchen & Bar
Pepp & Dolores
Citybird Tenders
Currito
SoHi

Thunderdome Restaurant Group

Two (2) Free Entree Gift Cards
One (1) Free Chips & Queso Blanco

Chipotle

Four (4) tickets to one (1) 2023 Music Festival concert

The Cleveland Orchestra

Gift basket including gift card

Whit's Frozen Custard 

$25 Gift Card

The Old Bag of Nails Pub

Two (2) tickets to May 7th Concert

Central Ohio Symphony

Two (2) $20 Gift Cards

Eclectic Diner & Sweeterie

$25 Gift Card

Amato's Wood Fired Pizza

Two (2) free 14' pizza certificates

Donatos

$25 Gift Card

Tano Bistro

$25 Gift Certificate

Hocking Hills Coffee Emporium

$25 Gift Card

Sweet Tooth Cottage (Powell)

$25 Gift Card

Flyers Pizza (Powell)

One Free Pair of Shoes up to $100

Rack Room Shoes

Ill Mannered Brewing Company sticker pack, T-shirt, growler and a gift certificate to have the growler filled 

Ill Mannered Brewing Company

Two (2) $25 Gift Cards

Starbrick BBQ (Nelsonville, OH)

Level 2 Exterior Detail

Auto Aesthetic, LLC