>> AAGP Annual Meeting 2011 Session Learning Objectives

The 2011 AAGP Annual Meeting will take place at the Grand Hyatt in San Antonio, Texas, 600 E. Market Street San Antonio, Texas, USA 78205.

The brand new Grand Hyatt is located on the San Antonio Riverwalk. There are over 1,000 guest rooms that include flat planel panel televisions, ihome stereos and wi-fi in the public areas. For more information on the hotel, visit its website at http://grandsanantonio.hyatt.com/hyatt/hotels/index.jsp. Housing reservations will open at this site in Summer 2010 or may be made at http://www.grandsanantonio.hyatt.com/groupbooking/satghchem2011.

Within walking distance of the AAGP Annual Meeting headquarters hotels is the Alamo, Historic Missions, River Center, the famed San Antonio Riverwalk, and many other cultural and fun attractions. Additional information on San Antonio will be posted on this site.

Preliminary Schedule of Events

March 17
AAGP Board of Directors Meetings

March 18
Pre Conferences
AAGP CME Courses (Begin After Lunch)
Opening Plenary Session
Opening Reception

March 19
AAGP CME Courses Poster Presentations
Exhibit Hall
Governance Activities

March 20
AAGP CME Courses
Poster Presentations
Exhibit Hall
Governance Activities

March 21
AAGP CME Courses
Governance Activities

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Session Learning Objectives

• Select appropriate evaluation tools for diagnostic assessments.
• Describe treatment interventions for psychiatric disorders in the elderly.
• Compare and contrast treatment options in diverse practice settings.
• Explain the role of the geriatric psychiatrist in health care systems.
• Discuss practice-related federal policies.

• learn current ACGME requirements for fellowship program evaluation and be familiar with at least one program's example of this assessment
• understand why fellows choose particular geriatric psychiatry fellowship programs
• learn ways in which training directors and fellows evaluate program quality and how their perspectives may differ

• Describe the characteristics of cognitive aging
• Describe biological mechanisms that may underlie cognitive aging
• Discuss the role of factors such as inflammation, oxidation, and nutrition on cognitive aging

• Understand the legislative and regulatory policies that impact geriatric psychiatry and older patients.
• Identify incentives and barriers to choosing and maintaining a career in geriatrics, particularly geriatric psychiatry.

• Conduct a multiaxial assessment of elderly patients with depressive symptoms, evaluating medical and psychological comorbidities
• Complete an accurate differential diagnosis of major depressive disorder (MDD) in elderly patients, distinguishing it from similar presentations, such as dysthymia, bipolar disorder, and dementia
• Formulate patient-specific pharmacologic strategies for MDD in elderly patients
• Design and implement a long-term multimodal treatment plan for elderly patients with depression to improve clinical and functional outcomes

• Incorporate early identification of Alzheimer's disease into practice through the use of validated screening tools and earlier assessment of risk factors
• Implement new strategies to manage patients, in accordance with current evidence and guidelines, to minimize the delay between diagnosis and initiation of treatment.
• Stratify patients by disease severity; individualize treatment plans; and describe current and emerging therapies for Alzheimer's disease.

• Explain the impact of underdiagnosis and undertreatment of Alzheimer's disease (AD) and strategize with primary care physicians to facilitate earlier and appropriate diagnosis and treatment
• Review and discuss updates to the latest treatment recommendations for AD
• Discuss emerging treatment strategies and novel AD therapeutic targets currently under investigation
• Recommend AD therapeutic strategies consistent with patient characteristics

• be able to identify the most frequently cited barriers and challenges to effective implementation of evidence based geriatric mental health practices across a diverse array of clinical and social service settings
• be able to describe a standardized process to assessing stages and components of effective implementation.
• be able to discuss a targeted approach to providing technical assistance in implementing geriatric mental health evidence-based practices for a range of service delivery settings and practices.
• learn lessons from a large-scale implementation effort of evidence-based programs for depression in primary care.
• be able to identify common PEARLS implementation barriers.
• understand strategies to overcome implementation barriers.
• learn a process for fidelity instrument development.

• To describe development of a Forensic module in Geriatric Psychiatry Fellowship training that arose in response to fellow feedback.
• To review current ACGME policies and processes on fellowship program evaluation and whether these enable programs to adequately prepare trainees for future practice developments in Geriatric Psychiatry.
• To discuss the forces, politics and policies that shaped initial Geriatric Psychiatry Fellowship curriculum and program requirements and how these impacted the field.
• To describe development and implementation challenges of a new curriculum in Research and Academic Training for a Geriatric Psychiatry Fellowship Program.

• To teach symposium participants the Maintenance of Certification requirements and their rationales.
• To teach symposium participants how to use the Performance in Practice Case Review Form for depression.
• To teach symposium participants how to use Performance in Practice peer and patient feedback forms for patients with depression.
• To increase participant's knowledge and understanding of the ABPN Performance in Practice Patient and Peer Feedback Modules.
• To role model, using actual clinical material from older patients with major depression, the use of patient and peer survey tools which will fulfill the requirements of the Patient and Peer Feedback Modules which are part of the Performance in Practice Co
• Complete a model Performance in Practice tool for Depressive disorders using patient data collected from a representative sample and evaluate the results.
• Participants will understand the broad foundational principles associated with MOC.
• Participants will have guidelines and timelines for the ABPN's MOC cycle.

• To appreciate the relevance of applying a specially designed model to fit the needs of an aging population struggling to cope with multiple losses.
• To learn about the challenges and rewards of working with an older adult population.
• To review the main forms of therapy used with older patients, including important adaptations.
• To review the main barriers and countertransferential issues in therapy with older patients.
• Participants in this seminar will learn the recent research on the effectiveness of PST, as well as how to effectively engage in this intervention.

• The session participant will be able to identify at least three interventionist training domains related to the provision of psychosocial care to depressed Latino consumers.
• To describe common presentations of depression among older Mexican-American men.

• Characterize the epidemiology of substance abuse in the baby boom generation
• Characterize medical and psychiatric comorbidites of substance abuse in the Baby Boom generation
• Characterize different barriers and difficulties to the treatment of substance abuse in the Baby Boom generation
• Practical review of different screening methods for alcohol, tobacco abuse and dependence.
• Practical review of different screening methods for opiate, cocaine and other substances commonly abused by baby boomers.

• Participants will gain an historical appreciation for factors deterring older Holocaust survivors from seeking psychaitric care.
• To identify 2 strategies effective in reducing staff sense of helplessnes.
• Attendees will learn how a community-based social service provider, working in collaboration with the Geriatric Psychiatry Division of Montefiore Hospital, enabled the provision of mental health services to a hard-to-reach population

• Understanding regarding the Home Based Primary Care Program as an interdisciplinary setting for mental health education
• Educate audience members on novel approaches to intergrating geriatric psychiatry fellows into community interdisciplinary care settings.
• The audience will be able to discuss curriculum development and lessons learned about implementing a geriatric psychiatry fellowship rotation in a community aging services setting.
• The audience will be able to discuss the interdisciplinary experience from the perspective of a trainee.
• The audience will be able to discuss the potential advantages and disadvantages of learning in this environment.

• Discuss the importance of incorporating use of validated rating scales for several common illnesses in everyday practice.
• Patient and staff training to incorporate use of scales.
• Measure progress with use of validated scales.
• At the end of this presentation, participants will be able to describe how to incorporate routine use of scales into their practice.
• At the end of this presentation, participants will be able to describe 10 different typs of scales commonly used in geriatric psychiatry.

• Identify opportunities for developing a career in geriatric psychiatry research.
• Discuss the types of research training and support that may be available.
• Describe ways to persist in the research field.

• Participants will learn about the disparity that exists in mental health service use among white and minority older adults.
• Participants will learn about an innovative intervention to help depressed older adults engagement in treatment.
• Describe the major sources of mental health disparities in older adults.
• Name three advantages to community-based interventions for mental health care among older adults.
• Discuss the major factors in creating partnerships with community organizations around mental health issues.
• Understand mental health care disparities in older adults of diverse and underserved populations and strategies to eliminate disparities.
• Participants will learn about the different levels of community-based participatory research and how this framework can be used to address mental health disparities in treatment utilization among older adults.
• Recognize that older African American women with late-life depression experience disparities in mental health care and outcomes.
• Learn about one culturally adapted depression intervention designed specifically for middle-aged and older African American women.
• Learn about preliminary results of two pilot studies providing evidence of the feasibility, acceptability, and effectiveness of this intervention.

• Differentiate the key differences between an E&M from a psychotherapy procedure
• Apply proper techniques to document E&M procedures in an efficient manner
• To properly match a service description with its corresponding CPT E&M procedure code

• To better understand the frequency and correlates of ICDs and related disorders in PD.
• To understand the available management strategies for ICDs and related disorders in PD.
• To understand the frequency, cognitive characteristics, neurobiology and best ways to screen for and treat MCI in PD.
• Understand the present data and implications for clinical practice in the treatment of dPD.
• Understand the recent data from the SAD-PD trial outlining the responce of dPD to an SSRI and SNRI and the implications for clinical practice.
• Understand the areas of future research that are needed in dPD.
• Recognize the clinical presentations of anxiety disorders in patients with Parkinson's disease
• Understand the relationships between motor, other somatic, cognitive, and psychiatric symptoms in the context of anxiety disturbances in Parkinson's disease
• Initiate appropriate treatments for anxiety in patients with Parkinson's disease

• Participants will be able to differentiate effectiveness from implementation research.
• Participants will be able to describe the benefits of cluster randomized designs.
• Participants will be able to list at least five significant geriatric mental health services research questions.
• Participants will be to identify three reasons for using a multi-site model to research training.
• Participants will be able to identify three reasons for using a community partnership approach to research.

• At the end of this presentation, the participant will have a greater appreciation of the depth and breadth of many mentoring relationships.
• At the end of this presentation, the participant will be able to give 2 examples of how men and women differ in the mentoring relationship.
• At the end of this presentation, the participant will have at least 2 ideas for meeting the needs of mentees who seek a mentor in the academic setting.
• Audience will understand the responsibilities of a mentor and mentee
• Audience will gain an understanding of possible gender differences in teaching and learning
• Audience will gain an appreciation for the fact that learning never stops for both women and men
• The audience will learn how the gender of both mentor and mentee, among other factors, may affect mentoring relationship from mentee's perspective.
• The audience will learn how awareness of possible gender difference in mentoring may influence the choice of a mentor, expectations for a mentor and qualities of an “ideal mentor”

• Understanding the evidence regarding the risks and benefits of anti-psychotics in people with dementia.
• Understanding a consensus framework for improved clinical use of anti-psychotics in people with dementia.
• Review the care needs of community residing individuals with dementia
• Discuss pragmatic approaches to meeting the above needs with a special focus on neuropsychiatric symptoms
• Identify nonpharmacologic approaches to managing neuropsychiatric symptoms
• Understand principles for managing behaviors
• Understand the most common behaviors perceived as problematic to families

• To learn more about the risks of mortality associated with antipsychotics in patients with dementia.
• To better understand prescribing practices for antispychotic use in AD, PD and DLB
• To better understand the balance between benefit (efficacy) and risk (adverse events) for antipsychotic use in common neurodegenerative diseases.
• To better understand the adverse effect profiles of other medications (antidepressants and cholinesterase inhibitors) commonly used to treat psychiatric symptoms in neurodegnerative diseases
• Participants will be able to identify limitations of current dosing recommendations for antipsychotic dosing in the elderly, and how combining pharmacokinetic and neurochemical PET data is being used to address this limitation

• To describe the benefits of an electronic medical record system toward efficiency and patient safety in a private practice setting.
• By the end of this session, participants should be able to identify the basic resources needed to set up a private practice in geriatric psychiatry.

• To review the impact of legal inequality on the mental health of older lesbian and gay individuals.
• To present information on the demography and epidemiology of psychiatric problems of older LGBT individuals in the U.S.
• To discuss issues impacting the mental health and well-being of older lesbians.

• Describe the career and the findings and themes that have guided the work of the 2011 AAGP Distinguished Scientist.
• Discuss patterns of cortical thickness in late-life depression and its relationship to psychotherapy treatment outcomes.
• Describe mental illness and its treatment in older adult public housing residents who have a high concentration of risk factors for anxiety and depression.

• To develop an understanding of the current barriers for the elderly in accessing mental health services.
• To understand how the planning for the delivery of services to the elderly differs from the planning for a younger population.
• To learn how community services for the elderly has developed in the U.S. and internationally.
• To understand the specific advantages of an interdisciplinary approach to providing mental health services to frail homebound elderly.
• To understand how geriatric psychiatry services are delivered in Ireland.
• To understand how population ageing will impact on the delivery of services in Ireland and Western Europe.
• To teach the principles of setting up a continuum of psychiatry services for the elderly in an era increasing needs and diminishing resources.
• To learn how severly demented nursinghome residents may have access to specialist attention from the university hospital without going anywwhere
• To learn how careful assessment of psychological and behavioral symptoms may lead to better treatment strategies and less inappropriate medication

• the prevalence and incidence of MCI.
• the longitudinal outcomes of MCI including frequency of conversion and reversion.
• about the major biomarkers of dementing pathologies.
• about a time-dependent hypothetical model of AD biomarkers.
• how using CSF and imaging biomarkers relates to the model above.
• about the ways in which depression may be neurotoxic.
• about the potential pathways through which depression may increase risk for dementia.

• The participant will be able to discuss the financial implications of Medicare's decision to eliminate reimbursement for the consultation codes.
• The participant will identify alternative coding and documentation of consultation services provided to Medicare recipients.
• To provide expert comment on the presentations in the Symposium.
• Following this presentation, the participant will become familiar with the development of psychosomatic medicine as an accredited fellowship program discipline.
• The participant will become familiar with the general directives of the discipline of psychosomatic medicine.
• The participant will become familiar with the similarities and differences between psychosomatic medicine and geriatric psychiatry.
• Compare findings from surveys of geriatric psychiatry fellowship programs in 2006/07 to 2001/02.

• At the end of the session the participants will be able to describe the history of psychiatric advance directives and distinguish them from other forms of advance directive.
• To understand ethical, legal and practical issues in geropsychiatric patient care as related to powers-of-attorney and guardianship.
• The participant will understand the role of powers of attorney in geriatric psychiatry as well as their limitations.
• To understand legal, ethical, policy, and practical issues in guardianship applicable to geriatric psychiatry.

• Learn about the challenges in caregiver participation in the treatment of depressed elders with advanced cognitive impairment.
• Learn about the employment of environmental adaptations.
• To understand the elements involved in a successful intervention for behavioral medicine problems such as chronic pain or obesity in home care.
• Identify three strategies to develop relationships and mutually beneficial research projects related to mental health with home-based agencies serving older adults.

• define the term 'executive functions'
• identify the specific executive functions predictive of remission rate in Geriatric depression
• discuss brain systems indirectly indicated in the relationship of neurocognitive behavioral data and treatment remission in geriatric depression.
• identify neuropsychological factors associated with depression outcome.
• articulate brain changes seen on neuroimaging that are associated with antidepressant treatment outcomes in the elderly.
• understand the complex relationship between executive impairment and vascular brain changes, as it relates to depression treatment outcomes.
• understand what is executive functioning and what are its fundamental components
• understand what aspects of executive dysfunction have been shown to predict poor antidepressant treatment response
• understand what neurocircuitry mediates the executive functions and may interfere with antidepressant response

• Discuss the challenges faced by medical students as they learn clinical skills in the Lower Rio Grande Valley.
• The audience will learn about the available clinical teaching resources in the Lower Rio Grande Valley.
• The audience will learn about the challenges to construct teaching sites in the border region that expose students to elders with mental illness.
• Describe the demographic and cultural characteristics of the Lower Rio Grande Valley.
• Describe the challenges faced for developing medical student geriatric psychiatry education in this border region including a very limited psychiatry workforce with no formal fellowship training in geriatrics and issues related to student safety.
• Describe the learning opportunies unique to this region including immersion into a Hispanic culture with strong Mexican economic and cultural ties, unprecedented opportunities to develop cross cultural empathy, and exposure to systems of care.

• To better understand how SSRI's can be used to treat depressive symptoms in middle aged and older patients with schizophrenia
• To learn about the prevalence of depression in older adults with schizophrenia and how it compares to their age peers in the general population and with younger persons with schizophrenia.
• To learn about the outcome of depression among older adults with schizophrenia.
• To learn about factors that predict depression outcome in older adults with schizophrenia.
• To better understand the development of a coping manual which can be used to treat middle aged and older patients with schizophrenia and suicidal behavior.

• Identify research initiatives that cross institute and center boundaries at the National Institutes of Health that may be relevant to geriatric psychiatry research.
• Discuss research opportunities at the National Institute of Mental Health and the National Institute on Aging.
• Describe research outside the traditional areas of research for aging and mental health to which geriatric psychiatry research could make important contributions.

• To participate in peer discussions evaluating psychiatric conditions that impact older adults
• To formulate self-assessed critiques of one's knowledge base of complex issues within the field of geriatric psychiatry
• To design lifelong learning strategies to improve clinical and functional care for elderly patients with mental illness

• Participants in this symposium will learn about medical transitions for patients with cognitive impairment, and gain skills to help both patients and caregivers navigate these transitions.
• Participants in this symposium will learn strategies for prioritizing safety and clinical mental health issues following inpatient psychiatric treatment for symptoms of dementia.

• understand interactions among clinical, research, and community psychiatry in the advance of services for mentally ill older Latinos in a rural setting.
• be able to appreciate the differences between in-person neuropsychological testing and testing done using telemedicine
• understand clinical and research considerations when working with mentally ill older Latinos in a rural setting.
• learn about a particular model of providing psychiatric services in an underserved community highly represented by minority individuals.
• learn about including research practices in a predominantly clinical psychiatric center.

• To appreciate the role of molecular/biochemical imaging in clinical research and to separate a research tool from a diagnostic test.
• To develop understanding of the relationship between different imaging methodologies that can assess white matter degeneration, and increase understanding how 31P MRS can be used to assist in this process.
• To increase understanding of the metabolic pathways in cell membrane anabolism and catabolism and how quantification of membrane precursors and metabolites can assist in the understanding of overall membrane health
• To elaborate on the role of quantifiable cell membrane metabolites on specific mitochondrial function.
• Understand the hypothesis of mitochondrial dysfunction in bipolar disorder.
• Become familiar with the utility of Magnetic Resonance Spectroscopy in the evaluation of biological markers of treatment response in geriatric mood disorders.
• Develop strategies for initiating clinical research in biomarker research in geriatric mood disorders.
• Understand how and why type 2 diabetes and major depression are mutual risk factors
• Understand how magnetic resonance spectroscopy can be used to identify biochemical differences in the brain
• Understand the how glutamate may play a role in the pathophysiology of major depression
• To gain a basic understanding of the physical principles of MRS.
• To identify the prime advantages and disadvantages of MRS over other common imaging modalities.
• To be able to knowledgably apply the appropriate MRS technique to a given neuropsychiatric illness and clinical question.

• Describe the reasons that family caregiving is stressful and coping strategies that can be taught to family caregivers.
• Describe the adaptation and dissemination of the Stress-Busting Program to a lay leader model delivered in community settings.
• Increase understanding of the concept of burden within the context of Latino/Hispanic culture.
• Discuss the meaning of the word 'burden' (carga) for Hispanic/Latino caregivers.
• State concepts that are culturally and linguistically congruent with the Latino/Hispanic caregiving experience.
• Describe the adaptation of the Stress-Busting Program to the needs of military family caregivers of wounded warriors.

• be able to identify the best instruments to identify delirium in the hospital setting.
• be able to describe practical steps to improve delirium care in the hospital.
• understand the clinical methods to distinguish delirium from delirium tremens
• understand the risks of misdiagnosing delirium as mania or hypomania
• understand that balancing risk is essential in the treatment of delirium
• be able to review the frequency of delirium among elderly patients admitted to an inpatient geriatric psychiatry unit, will also review other published delirium prevalence studies of patients inappropriately admitted to inpatient psychia
• be able to analyze/review the factors that contribute to underrecognition and misdiagnosis of delirium among elderly patients, particularly among those with underlying cognitive disturbances, and other psychiatric disorders.
• be able to discuss the medical, psychosocial, and educational implications of underrecognition and inappropriate placement of elderly delirium patients.

• To better understand barriers to accessing depression treatment among low-income, homebound older adults
• To describe how telehealth delivery of problem-solving treatment may be a practical soultion fot increaing the access to depression treatment for homebound older adults
• To describe challenges and promises of telehealth delivery of depression treatment
• To describe how existing telehealth systems in home care can potentially be used to deliver guideline-based geriatric depression care management.
• To describe the training and infrastructure support necessary to implement a telehealth depression care management program in homecare.
• To describe the implementation and research challenges associated with such a program.
• Learn about the latest state of tele-medicine for depressed homebound elders.
• Learn about the advantages and challenges on its application.

• Discuss the legal aspects of sexual relations with patients who have dementia.
• Review physiologic and psychological changes in male and female sexual function associated with aging.
• Discuss the impact of residential settings and cognitive illness on sexual expression in late-life

• Participants will learn how systematically combining quantitative and qualitative methods can inform and refine intervention design.
• Learners will understand that older men's sense of masculinity is central to their views about suicide.
• Learners will recognize that older men's sense of loss and masculinity can either encourage or deter suicide attempts or completion.
• Describe three ideas mentioned by older men when asked about suicide.
• Name and discuss three specific features of depression treatment that might be preferred by older adults and could lead to improved treatment engagement and adherence.
• Discuss three advantages and three challenges in applying mixed methods to mental health services research.
• To learn about older men's preferences for depression treatment as ascertained by conjoint analysis survey.

• To understand potential mechanisms by which interferon-alpha may trigger major depression.
• To understand potential mechanisms by which BDNF may influence the risk for major depression.
• To understand relationship of BDNF genotype to antidepressant response of geriatric depression.
• To understand neural circuits related to emotional processing
• To understand the modulation of BDNF Met66 genetic variant on the neural circuits related to emotional processing
• To better understand how the neurotrophic hypothesis of depression may inform us about the development of depression in older individuals and how this theory is supported by the recent research presented at this symposium.

• Participants will appreciate the high prevalence of executive impairments among APS cases.
• Participants will appreciate the differential diagnosis of executive impairment among APS cases.
• Participants will appreciate limitations of executive measures as predictors of squalor among APS cases.
• The participant will gain general knowledge of the elder abuse problem in the United States.
• The participant will learn new methods for colloboration between the medical field and Adult Protective Services.
• The audience will be able to state the legal definition of decisional incapacity (although this definition varies by state, there is little variation in interpretation).
• The audience will be able to describe the utility and limitations of cognitive screening instruments when assessing decisional capacity.
• The audience will learn how performance based functional status measures can inform the clinical interview when assessing decisional capacity.

• Review the effects of hormone therapy on cognitive health and brain MRI scans in elderly women.
• Examine the effects of depressive symptoms and antidepressant use on incident cognitive decline and the brains in postmenopausal women.
• To know the prevalence of depressive symptomatology in older women.
• To know the research about possible adverse cardiovascular effects of anti-depressant medications.
• To understand how contextual level socioeconomic status may be related to cognitive function and the mechanisms underlying this relationship.

• be able to describe two resources to facilitate disaster preparedness for the older adults they serve.
• be familiar with disaster planning as it pertains to nursing homes.
• be able to identify the risks/benefits associated with evacuation versus sheltering in place.

• At the end of this presentation, participants will be able to describe current models of disability and their application to geriatric psychiatry.
• Review the effect of depression on rehabilitation after stroke.
• Discuss possible mechanism explaining depression's negative effect on rehabilitation.
• To increase knowledge about pivotal research describing late-life depression and associated disability.
• To identify risk factors for disability in older adults living with depression.
• To increase knowledge about the biological and psychosocial links between depression and disability.
• Conduct a rationale fall risk and physical performance assessment for older adults.
• Discuss the psychometric properties of key fall risk and physical performance examination items.
• Describe the indications for interventions or referrals for identified older adults at risk for falls or further decline in physical performance.

• Audience will be familiar with how to handle common end-of-life issues in terminal dementia patients.
• Audience will be knowledgeable about late-life surrogate management arrangements.
• Audience will understand the new phenomenon of Alzheimer's Hospice-Eligibility and treatment issues.
• A basic understanding of normal and abnormal pain.
• Identify specific pain syndromes in the elderly and understand treatment options.
• Identifying challenges in diagnosing pain in dementia and depression.
• Audience will be able to describe common causes of pain and psychiatric syndromes (depression, delirium, psychoses, agitation and aggression) during end-of-life care of the elderly.
• Attendees will learn a variety of nonpharmacological strategies and other adjunct treatments that will provide comfort to a geriatric patient who has persistent pain.

• To present information, definitions and regulatory requirements for current models of specialized housing for older persons in the U.S.
• Present and review transition from traditional, institutional, staff-centric model of care for elders to one that embraces the rights of all individuals to make decisions about their daily life and focuses on meaningful relationships.
• Participants will see and learn the value of creating 'Living environments' for people with dementia.

• Participants will be able to identify key clinical features of Lewy Body Disease.
• Participants will be able to discuss diagnostic and treatment issues that are peculiar to this evolving clinical syndrome.

• Detail the requirements to maintain certification as a geriatric psychiatrist
• Understand the requirements and apply strategies to fulfill those requirements
• Develop a personal plan to accomplish life-long learning objectives

• Attendees will learn about the functional neuroanatomy of geriatric depression.
• To understand how structural and functional neuroimaging can help inform diagnosis and treatment of Alzheimer's disease and memory impairments in older adults.
• To learn how evidence from MRI studies can advance our understanding about poor antidepressant reponse in late-life depression.
• Understand the effects of changing gonadal steroid levels on cognition in older women and how functional imaging can elucidate the effects of hormone manipulations on the brain and cognition in older women.

• Understand the effect of age on the seizure threshold and the potential to lower the seizure threshold in the elderly (in order to obtain an adequate seizure) using pharmacotherapy and anesthetic agents.
• Understand the cognitive complications that can occur in the elderly and how to monitor patients for these complications.
• Understand the vulnerability of older patients to PIA and methods to treat and prevent PIA in the elderly.
• The audience will be familiar with the current literature and research data on relapse prevention treatments after successful ECT for major depression in the elderly.
• Attendees will gain an understanding of clinical variables guiding a decision to use ECT in older patients, along with better awareness of how to predict response and prevent relapse in this population.
• At the conclusion of this presentation, the participant will be able to identify the relative benefits of the three commonly used electrode placements in ECT.

• At the end of the sessions, participants will:
• understand the complexity of assessing and managing eating disorders in the elderly.
• gain an understanding of the psychodynamic aspects of eating disorders in the elderly.
• learn to identify 3 characteristics that may differentiate eating disorders in geriatric population from the modal young adult patient
• gain knowledge of the current existing literature on eating disorders in the elderly.

• To learn about the effects of treatment for depression in homebound elderly.
• Understand the rationale for a treatment model that combines case management with problem solving treatment (PST) to address depression in low-income older adults who live in poverty.
• Learn about a home-delivered psychosocial intervention for depressed elders with cognitive impairment and disability.
• Identify obstacles in delivering psychosocial interventions to depressed, cognitively impaired, disabled elders.
• Learn about the efficacy of PATH vs Supportive Psychotherapy.

• To understand older men's attitudes towards family involvement in their depresson treatment in primary care settings.
• To describe how family can facilitate depression care for older men in primary care.
• To describe how family can impede depression care for older men in primary care.
• To explain the role of depression stigma in family's involvement in depression care for older men
• To investigate how older adults' mental health status relates to rates of accompaniment and physician visit communication by accompaniment status.
• To become familiar with the role of family-related activities in care management of older adults with depression.

• understand the prevalence and impact of treatment-resistant depression and obsessive-compulsive disorder.
• become familiar with the preliminary data on safety and efficacy of deep brain stimulation for psychiatric disorders.
• appreciate the potential challenges and risks that must be considered in expanding the use of DBS to an elderly population.
• be able to discuss potential theoretical benefits of magnetic seizure therapy (MST) over electroconvulsive therapy (ECT).
• understand the most recent data from the largest sham controlled TMS trial to date.
• understand where TMS fits into the algorhythm for treatment resistant depression in the elderly.
• understand how TMS treatments may need to be adjusted to be effective in treating older patients.
• understand the efficacy of ECT in the treatment of severe depression, compared to other brain stimulation modalities.

• gain familiarity with NIMH interests and priorities in supporting translational research on late-life anxiety disorders.
• understand the role of common genetic polymorphism in anxiety-related psychiatric disorders.
• be familiar with outcome data addressing the effects of cognitive behavioral treatment (CBT) for late-life anxiety in academic mental health clinics.
• understand modifications and outcomes related to the use of CBT for late-life anxiety in primary care settings, where most older adults present for treatment.
• be familiar with ongoing research designed to expand the reach of late-life anxiety treatments to rural and underserved community settings.
• be able to describe current understanding of the interplay between the amygdala and medial prefrontal cortex in emotion regulation.
• be able to identify common and distinct neural dysfunction in emotion-related circuitry in anxiety and depressive disorders.

• be able to understand common issues that lead to ethics consults and the methods used to address these conflicts.
• learn key concepts in providing consultation to courts, governmental agencies, and administrative bodies.
• learn about the Geriatric Psychiatry and Law Seminar as an innovative way of teaching forensics and ethics in psychiatry residency.

Photo courtesy of San Antonio Convention & Visitor's Bureau