• Thursday, March 15
• Friday, March 16
• Saturday, March 17
• Sunday, March 18
• Monday, March 19

: ALL (GENERAL) TRACK
: EDUCATOR TRACK
: CLINICAL TRACK
: INDUSTRY SUPPORTED SYMPOSIUM
: RESEARCH TRACK

8:00 AM–10:00 AM
Family Breakfast
Attendees' family members are invited to this light breakfast to meet one another and learn about things to do in Washington, DC. The city offers many attractions within walking distance of the Washington Hilton.

8:00 AM–10:45 AM
Scholars Program for Medical Students
Sponsored by the AAGP Teaching and Training Committee and funded by the Geriatric Mental Health Foundation
Chair: Brent Forester, MD
Co-Chairs: E.J. Santos, MD, and Steven Huege, MD

This program is designed to increase interest in geriatric psychiatry among medical students, inform about opportunities to learn more about clinical elective and research opportunities during medical school, inform about opportunities available in psychiatry residency programs, and connect medical students with a mentor who can help them to further their understanding of the profession and enhance their academic learning.

This program is designed to showcase the benefits of fellowship training in geriatric psychiatry, educate residents about the scope and practice of geriatric psychiatry, and foster professional relationships to assist residents with career planning now and in the future.

This symposia will include leaders in the field of ECT and present the most recent data on research in ECT particularly as it applies to the elderly. The session will include research on the response and relapse rates in the elderly as well as modifications to the anesthesia and administration of ECT in older patients. Data on the use of different electrode placements as well as ultrabrief ECT will be reviewed and finally recommendations on maintenance ECT will be discussed. Included in the presentation will be recommendations from the APA Task Force for ECT for revised guidelines for ECT practice which are due to be published in 2011–2012. The presenters will also review the recent FDA hearings on ECT and the potential impact on ECT practice.

This session will present new data in patients with dementia on current trends and modifiers of antipsychotic use, results of a recently concluded placebo-controlled risperidone trial (ADAD trial) on the risk of relapse after discontinuation, and comparison of the effectiveness of SSRIs and antipsychotics in the CATIE-AD study.

This symposium will highlight recent developments in psychiatry that emphasize dimensional perspectives in the diagnosis of mental disorders. In particular, the presentations will describe the incorporation of dimensional constructs in the American Psychiatric Association's ongoing DSM-5 development process, and the centrality of this aspect in NIMH's Research Domains Criteria (RDoC) Project, designed to provide an alternative classification framework for use in psychopathology research. The presenters will discuss the applicability and implications that these initiatives may have for geriatric mental health research and practice.

This public policy workshop explores the Federal health policy development through an analysis of the content and status of mental health and health care issues in the 112th Congress. Speakers will provide participants with an overview of the impact of a sharply divided Congress, a muscular approach to fiscal policy, and the volatile environment of a presidential election year on health policy issues.

The proposed session will be conducted in a think tank format. The presenters will provide a brief overview of their successes in engaging the community in translational research, and will open the floor to discussion about future directions for this research. The session will end with a list of recommendations and directions for research.

This presentation includes clinical, biochemical, cultural, and ethnic features regarding older patients in this important region of the United States, the border with Mexico.

12:15 PM–2:15 PM
Mentoring Lunch
(INVITED PARTICIPANTS—FOR ASSIGNED MENTORS AND TRAINEES)

Following the Scholars Program morning meetings, all program participants will attend a luncheon to meet individually with a geriatric psychiatrist mentor. This special event is an excellent opportunity to learn more about geriatric psychiatry and make a connection with a mentor who can assist you in making career decisions, connecting with others in the field, and advancing your academic achievements.

2:30 PM–4:00 PM
Antidepressant Treatment of Geriatric Depression with Executive Dysfunction and other Cognitive Impairments
Chair: Joel Sneed, PhD
Faculty: Patrick Brown, PhD
David Steffens, MD
Discussant: Charles Reynolds, MD

This session will focus specifically on antidepressant treatment of late-life depression and the impact executive dysfunction and other cognitive impairments have on treatment outcome in this population.

This public policy workshop explores the political environment in 2012, including elections of president of the United States and the 113th Congress, and what it may mean for advocates of mental health and aging policies and programs. It will provide participants with an overview of the 2012 presidential and congressional races and the role of health care issues.

This symposia will highlight new work in the area of translational neuroscience supported by the National Institutes of Mental Health. The research is integrating novel biological markers of aging into the study of geriatric mental health. Experts in the fields of basic and clinical neuroscience will discuss their work and future directions for research in this area.

This seminar will discuss strategies to improve staff clinicians' recognition and management of pain in nursing home patients. Included in the discussion will be cognitive, communication, and cultural barriers to pain assessment, assessment tools, staff learning needs, and common misconceptions about the management of pain.

Antiretroviral medications have profoundly changed the course of illness for many people infected with HIV. Those who are able to respond to the medications, and can maintain sufficient adherence to their medications, may increase their life span to that approaching a normal life span. However, evidence shows increasing rates of mild neurocognitive disorder in HIV-positive people with increased longevity, even in the absence of significant immunological deficiency. The over-50 population is at increased risk for cognitive changes with increasing age due to other medical co-morbidities as well. In addition to those growing older with HIV, the rate of new infections is also increasing in those over 50. This presentation will discuss the epidemiology, assessment and treatment of HIV-related cognitive disorders in the over-50 population as well as prevention strategies.

4:15 PM–5:45 PM
Enhancing Culturally Competent Mental Health Care for Older Adults: Overview and Application of the DSM Cultural Formulation
Sponsored by the AAGP Diversity Committee
Faculty: Ladson Hinton, MD
Rita Hargrave, MD
Zahinoor Ismail, MD
Iqbal Ahmed, MD

This session will provide an introduction to the DSM Cultural Formulation (CF) and its application to the mental health care of older adults with mild cognitive impairment and dementia. The CF is a valuable tool for teaching and clinical care to enhance the cultural competence of clinical care. The session will include an update on changes to the CF that are being considered for DSM-V and in-depth case studies using the CF format.

The Role of the Geriatric Psychiatrist Under Health Care Reform

This session will explore and clarify possible roles for a geriatric psychiatrist as health care reform evolves with the development of Patient Centered Medical Homes and Accountable Care Organizations.

New for the 2012 Annual Meeting: clinical case presentations. Sign up for a small group discussion at one table where faculty will present a clinical case and engage the group in a detailed discussion of the case. Bring your own cases on the topic for discussion as well. See the New Programs page for a list of topic discussions and watch your email for information about signing up, beginning in January.

4:30 PM–6:30 PM
Early Investigator Poster Session
(POSTER AUTHORS PRESENT)
Poster rounds will be led by senior investigators from 4:30 PM to 5:30 PM.

5:00 PM–6:30 PM
Early Investigator Poster and Exhibit Hall Reception

7:00 PM–8:30 PM
GMHF Exceptional Donors Reception
(INVITED PARTICIPANTS—FOR HIGH DONORS TO THE GMHF)
Donate on the AAGP Annual Meeting Registration Form or www.GMHFonline.org.

>> Schedule of Events

Sunday, March 18

7:00 AM–9:00 AM
Developing Your Research Career
Sponsored by the AAGP Research Committee
Moderators: Julie Dumas, Ph.D.
University of Vermont College of Medicine
Olivia Okereke, M.D.
Harvard Medical School
Panel Members: Martha Bruce, Ph.D.
Weill Cornell Medical College
Jovier Evans, Ph.D.
Geriatrics Research Branch, NIMH
Denise Feil, M.D.
UCLA and West Los Angeles VA
Barry Lebowitz, Ph.D.
UCSD
Jeffery Lyness, M.D.
University of Rochester

This is the opportunity to hear from the experts on how to start a research career in geriatric psychiatry. The panel will share insights on how to get started, how to pursue research training, how to get research support, and how to succeed in the research field. Grab a coffee or breakfast snack at the store in the hotel lobby as no refreshments will be served in the room.

7:30 AM–9:00 AM
AAGP-PAC Board of Directors Meeting
(AAGP-PAC BOARD MEMBERS ONLY)

7:30 AM–8:30 AM
Past Presidents Meeting
(PAST PRESIDENTS ONLY)

8:30 AM–10:00 AM
Homelessness and the Older Adult
Sponsored by the Geriatric Mental Health Foundation
Chair: Maria Llorente, MD
Faculty: Anthony Love, MA
Vicenzio Holder-Perkins, MD

This presentation will review the epidemiologic data on homelessness among the elderly, including the most commonly encountered co-morbid medical conditions and successful models to address this issue.

This symposium begins with an overview of sexuality and aging, followed by a case presentation. We then systematically review and discuss inappropriate sexual behaviors in dementia and their treatments. Content includes the nature and prevalence of inappropriate sexual behaviors in dementia, their underlying neurobiology, and evidencebased treatment of such behaviors.

This symposium will present an overview of screening tools that can be used by clinicians to detect memory and other cognitive problems. Such tools are currently being reviewed by experts through the National Institute on Aging (NIA) at the NIH and collaborators to develop recommendations to the Centers for Medicare & Medicaid Services (CMS) for implementation of the new annual wellness exam for Medicare beneficiaries.

This research symposium will cover recent advances in our understanding of older persons with schizophrenia. The topics will range from research studies examining the longitudinal course of remission rates in this population (Dr. Cohen), research examining interventions aimed to improve outcomes (Dr. Vahia), and research examining how the relationship between depressive symptoms and suicidal behaviors is affected by age. Dr. Dilip Jeste will serve as discussant.

This session will emphasize the critical role psychotherapy plays in treating a variety of late-life disorders, and will include primers on Problem-Solving Therapy and group psychotherapy.

This symposium will take the form of an interactive workshop and will review the recognition, assessment and evidence-based treatment of pain medication misuse/abuse in the outpatient clinic and geriatric clinic setting. Videotape of clinician-patient interaction and interactive lecture will be used to stimulate discussion among participants specifically designed to produce discussion about attitudes, beliefs and treatment options concerning pain medication abuse/misuse in a growing cohort of older Americans. Content will include discussion of prevalence, at-riskuse, substance misuse and abuse versus substance dependence involving opoid pain medications. Screening and assessment techniques and the available evidence-based psychosocial and pharmacological treatment techniques will be presented. Beliefs and attitudes toward substance use and treatment in this population will also be discussed.

With the first baby boomers turning 65 in 2011 there is increasing awareness of the urgent need to prepare all medical students to address the mental health needs of older adults. This symposium will review background public policy and pipeline issues, perceptions of geriatric psychiatry among medical students, strategies to improve geriatric psychiatry curricular content for medical students, and the role of AAGP initiatives in promoting interest and leadership in geriatric psychiatry among medical students.

11:30 AM–1:00 PM
Gay and Gray III: Addressing the Mental Health Care Needs of Older Lesbian, Gay, Bisexual and Transgendered Individuals
Co-sponsored by the AAGP Education and Diversity Committees
Chair: Daniel Sewell, MD
Faculty: Lin Fraser, EdD
Frederic Blow, MD
Antoine Douaihy, PhD

This symposium will provide clinically useful information regarding the growing number of older LGBT individuals in the U.S. Speakers will summarize some of the best scientific and clinical data available regarding aging and the transgender person; alcohol and substance use and abuse in older members of the LGBT community; and aging with HIV.

The day-to-day practice of managing behavioral symptoms in dementia necessitates a multidisciplinary approach involving comprehensive assessment that carefully seeks to identify antecedents to problem behaviors that may respond to non-pharmacologic interventions. Non-pharmacologic strategies should be implemented prior to evaluation for medication management. When pharmacologic management is necessary, then it is essential to carefully select and monitor medications in view of pre-existing medical comorbidity.

This symposium will review emerging research to aid in the development of new service delivery models for older patients with mood disorders and complex comorbidity. Topics will include novel findings regarding the role of cognitive impairment in mood disorders and implications for practice, application of information technology to assess and reduce disability in older patient populations with mood disorders, adaptation of the Collaborative Chronic Care Model for improving management of mood disorders in primary care and other treatment settings, and emerging medical treatment models using self-directed, group-based psychoeducation and peer modeling. Ultimately, these emerging research initiatives can inform the delivery of services for older patients with mood disorders by addressing specific concerns related to cognitive impairment, medical complexity, and disability under the emerging medical home model.

This symposium will discuss the groundbreaking ideas of Gene Cohen on the role of growth and creativity in late life, and will include a dynamic discussion with a living example of Cohen's theory—90-yearold Roy Rowan, former Life Magazine correspondent and author of the new book Never Too Late.

Placebo effects are large and significant in many disorders of late life. This symposium will include reviews of existing literature and presentation of original data to present the magnitude of placebo response in late-life depression and the treatment of cognitive impairment and its behavioral sequelae, discuss clinical trials features relevant to placebo effects, and explore how the pathophysiology of late-life conditions affects what is known about the biology of placebo effects. Audience participation is welcomed, and time will be alotted for discussion of the presentations.

This session will focus on the mental health challenges in treating older veterans. Dr. Katz will provide an overview of the demographics of the veteran population, the major mental health diagnoses of that group, the studies and initiatives that the VA has done to address the mental health issues of older veterans and the structure of geriatric mental health services in the VA. Dr. Karlin will discuss the STAR-VA Initiative to implement behavioral management of behavior problems of veterans in the nursing home setting. A third presenter will discuss the integration of mental health services into primary care at the VA and will address the value of combining primary care-mental health integration into geriatric care to effectively address the growing disparity between need and resources.

For the second year, AAGP is pleased to offer Discussion Roundtables. Earn CME over lunch by participating in a small-group, in-depth discussion on a topic that interests you. Based on attendee feedback asking for more opportunities for small-group discussion, the Annual Meeting Program Committee has put together these unique discussion roundtables with a variety of topics from which to choose. See the New Programs page for more details, and watch your email for sign-up information in January.

Patients with dementia have changes in patterns of speech, behavior, and routines that vary over time and can be demanding to handle. In this session, the participant will develop hands-on caregiving skills that can reduce dementia patients' resistance to care and challenging behaviors.

This session will provide data regarding the potential influence of major medical and behavioral factors—such as diabetes, smoking, alcohol intake, physical activity and dietary components—on trajectories of late-life mood and cognition.

The large number of older persons who have been exposed to traumatic events makes understanding post-traumatic stress disorder (PTSD) an imperative for clinicians treating older adults. This symposium will present results from recent epidemiologic studies of the prevalence, correlates, and psychiatric and medical comorbidity of PTSD and partial PTSD in a nationally representative sample of U.S. older adults. This will be followed by a review of psychotherapeutic and pharmacologic treatments of PTSD in older adults.

This presentation will outline the diagnosis and treatment of sleep disorders in the elderly with a focus on insomnia. Sleep complaints are a common complaint of older patients and can be associated with a number of psychiatric comorbidities or normal aging. This symposium will outline the neurobiology of sleep disorders in older adults and recommend strategies to evaluate sleep disorders. The current treatment guidelines will also be outlined.

Two presenters will focus functional neuroimaging studies testing distinct aspects of a model of late-life depression. Two presentors will report novel biological and psychosocial interventions targeting specific contributors to late-life depression.

The symposium will provide in-depth discussion of the complementary use of efficacy and neurobiology of mind-body approaches such as mindfulness meditation and yoga, acupuncture and exercise for treatment and prevention of late-life neuropsychiatric disorders. The symposium targets a broad audience of clinicians, researchers and trainees at various levels of training in geriatric psychiatry. Participants will gain familiarity with the potential uses of mindfulness techniques, yoga, exercise, and acupuncture to treat geriatric depression and pain disorders, and will be provided with an overview of the use of CAM in late-life mood, cognitive, and anxiety disorders.

This session will feature presentations by all three AAGP Research Award winners, providing an opportunity to hear from one of the field's most eminent scientists and two of the most promising junior researchers:

• The 2012 AAGP Distinguished Scientist Award, which is based on the body of original scientific works accomplished during the course of a career as well as mentorship of the careers of successful contributing junior researchers in the field of geriatric psychiatry.
• The Barry Lebowitz Early Career Scientist Award, presented for the best original research paper submitted by a scientist in a fellowship or holding an academic rank no higher than assistant professor.
• The Member-in-Training Research Award, presented for the best original research primarily performed by a medical student, resident, or fellow.

5:00 PM–6:30 PM
Poster and Exhibit Hall Reception

7:00 PM–9:00 PM
AAGP-PAC Event
(TICKETED EVENT)
See Meeting Highlights for more information.

>> Schedule of Events

Monday, March 18

7:30 AM–9:30 AM
Breakfast Symposium

9:30 AM–1:00 PM
Skills Workshop: Got Executive Dysfunction? Now What? Learn to Use Interpersonal Psychotherapy for Cognitive Impairment
(TICKETED EVENT)
Chair: Mark D. Miller, MD

This course will use video clips to demonstrate commonly encountered problems working with cognitively impaired patients and their caregivers with such issues as poor insight, judgment and problem solving. Special emphasis will be placed on techniques to successfully manage executive dysfunction tailored individually for the identified patient and caregivers. Executive dysfunction often leads to caregiver exasperation, role disputes and interpersonal conflict, especially early on in the continuum from MCI to dementia when ED is often misinterpreted as willful opposition, unconcern, or just plain meanness. Audience interaction in encouraged. Workshop participants will receive a copy of Interpersonal Psychotherapy for Cognitive Impairment, Helping Cognitively Impaired Elders with Cognitive Impairment or Depression and their Caregivers. Oxford University Press, 2009. See Meeting Highlights for more information. Purchase a ticket for this workshop on the AAGP Annual Meeting Registration Form.

Do you know the difference between a psychiatric and an E&M service and when you might use one or the other? Care to look an auditor in the eye and declare, "This is a 99232" with confidence? The Medicare program remains the primary funding source for most of the clinical work of the geriatric psychiatrist. Knowing an efficient and correct way to document, code and bill your services allows maximum reimbursement with minimum error. This workshop will cover the major billing, coding and documentation needs for psychiatrists providing services to older adults. Service codes and associated documentation along with an update on CMS Pay for Performance will be covered. See Meeting Highlights for more information. Purchase a ticket for this workshop on the AAGP Annual Meeting Registration Form.

Prevention of late-life depression is a public health priority. This session will provide participants with an understanding of the current state-ofthe- science regarding late-life depression prevention, including novel study designs and measurement approaches.

Prevention of psychiatric disorders in the elderly is one of the principal goals of geriatric psychiatry. Selective prevention among patients at high risk for psychiatric disorder has received the most study investigation.

The symposium will focus on outlining the most reliable screening tools and most effective treatment of three common psychiatric comorbidities in PD: depression, psychois, and impulse control disorders.

This symposium will describe three innovative approaches for depression and fear of falling.

The Alzheimer's Foundation of America (AFA) sponsors "National Memory Screening Day," which is held each November to coincide with "National Alzheimer's Disease Awareness Month." This symposium will review the procedures, findings, and future directions of the National Memory Screening Day.

>> Schedule of Events