NYCCAP News is published four times per year. The Editor-in-Chief, Akeem Marsh, MD, and the Editorial Board developed the newsletter format. Submissions to the newsletter should be sent to Dr. Marsh at  All articles and newsletters will be archived for future reference. 

Continuing with Dr Paramjit Joshi’s initiative to engage further with international organizations regarding mental health, many members of NYCCAP, including many board members, travelled to Geneva, Switzerland this month to participate in the biannual conference of ESCAP. The conference was based near the United Nations building at the Centre International de Conférences Genève (CICG). This has been the third year in a row that our members participated in an international conference with the encouragement of our regional organization. This was a great opportunity for many of us to present and later socialize together. 

Below is a list of some of our members' presentations and please enjoy some of our photographs. Next year, many of us are hoping to participate in the 23rd World Congress of the International Association for Child and Adolescent Psychiatry and Allied Professions (IACAPAP) in Prague, Czech Republic (July 23-27, 2018). If you are interested in speaking more, please contact NYCCAP's International Committee. 

Novel Therapeutic Approaches for Transitional Age Youth
Drs. Maalobeeka Gangopadhyay (New York Presbyterian-Columbia University), Adriana Rego, Alexandra Canetti, Pamela Hoffman and Carolina Zerrate
Creative Therapies for Early Adolescent Patients
Drs. Scott Palyo and Simret Nanda and Ms. Kristin Long and Katherine Deats

Culture and Access to Care
Drs. Scott Palyo, Melvin Oatis, Gabrielle Shapiro, and Iliyan Ivanov

Re-examining Conduct Disorder through the lens of Complex Trauma
Drs. Jennifer Cabrera, Jessica Linick, Lara Cox, and Akeem Marsh

Thursday, March 16, 2017, 6:30 - 9:00 p.m.
Location: New York Presbyterian Hospital-Weill Cornell Medical College, Room F 1190 (11th Flr), 525 East 68th Street (corner of York Ave), New York, NY
Speakers: Lorilei A. Williams; Alexander D. Kalogerakis, MD; Cristina Muniz de la Pena, PhD; Brett Stark, ESQ; Alan Shapiro, MD; and Lauren Pesso, LMSW, MPA

On a cold, mid-March night, following a mini NYC blizzard that put some breaks on the intensity of the city, the intensity of the attendees of the “Immigration and Human Rights” event sponsored by NYCCAP, was unstoppable. Forty attendees--Board members, panelists, and audience—participated in the event from various walks of the human services fields (i.e. social workers, psychologists, psychiatrists, pediatricians, and lawyers). The goal was to learn as much as possible about immigrant children, in particular unaccompanied minors and refugees and to see how we could collaborate and help them in this time of heated sociopolitical struggles that has created even greater hurdles to an already highly traumatized and marginalized population. We were exceptionally lucky to have a phenomenal group of diverse panelists on board with some expertise in this area, and the night started off with their presentations. We learned about several incredible organizations including Terra Firma and the Human Rights Clinic at Health Right International and their tireless work with these vulnerable populations. Terra Firma’s marvel—the medical-legal, patient-centered home—allows unaccompanied minors to get help with legal status and their entire, comprehensive medical and mental health treatment in one place. The Health-First model-training volunteer physicians and mental health providers presented on how to provide and write evaluations that play a largely important role in helping them get their legal status through the immigration courts. An immigration lawyer from Staten Island Legal Services, Ms. Lorilei Williams, described the nuts and bolts of writing legal status letters and advocating for this population in court, along with discussing realities of how this process is becoming murkier and less predictable with the current political situation. She also discussed the dire need for mental health and medical support in boroughs and communities outside of NYC (which are underserved when it comes to medical/mental health personnel), who have a prevalence of unaccompanied minors, to help these populations and lawyers working with them, attempt to get their legal status. Finally, Dr. Alexi Kalogerakis painted a global picture of the child’s psychological experience in an immigration process from the pre-immigration steps to the adjustment period and how developmental phases could make the experience more or less traumatic based on the individual stories of the patients. He also discussed his work with United Nations NGO on Mental Health and how it inspired his curiosity in migration/immigration studies that led to a recent book chapter publication. After this a lively question and answer session with the audience brought in case examples, legal questions, and philosophical quandaries from the audience that lasted for a good hour and continued after the end of the event with individual meetings with audience members and the panelists. 

Panelists emphasized the bigger picture of how mental health practitioners can help this population: 1: Get your organizations, like AACAP, involved in making public statements, hosting events as this one, creating immigration tool-kits, etc. (following the steps of the American Academy of Pediatrics). 2: Get clinicians to inquire about volunteer opportunities through organizations like Health Right to help evaluate these patients PRO BONO and write letters to the court in support of appropriate legal status/rights provisions. 3. Continue trying to collaborate and make connections with agencies as the ones represented at this event, to build networks that provide safety and openness to these types of populations. 

NYCCAP Career Night 2017
Wednesday, January 18, 2017
7:00 p.m. (Food and beverages provided. Event opened to everyone.)
Location: New York Child Study Center, Central Park Room, 1 Park Avenue, New York, NY 10016

Over 50 attendees, including trainees and board members, gathered to welcome four star-studded guest panelists--Drs. Jessica Stack, Sarah Fitzgerald, Matthew Lorber, and Scott Krakower as they shared their current careers, a day-in-the-life, and the pros/cons of their job choices. After the panelist discussion, the crowd broke into groups to discuss various topics such as private practice, work-life balance, academia, public psychiatry and early career. Delicious Cuban food complimented an overall successful evening!

"Bridging the Workforce Shortage: Psychiatric Nurse Practitioners in Clinical Practice 
Wednesday, September 28, 2016
Location:  Weill Cornell Medical College, Uris Auditorium

The Collaborative Committee’s event brought together psychiatrists, psychiatric nurse practitioners, and pediatricians for an intimate presentation and discussion about the changing landscape of mental health care delivery for children and adolescents. The event highlighted Penelope Buschman, MS, RN, PMHCNS-BC, FAAN, Director of the Psychiatric Mental Health Nurse Practitioner Program at Columbia University School of Nursing, imparting to the audience her own personal experience in becoming a psychiatric nurse practitioner when the field was at its infancy and the current NYS legislations governing the scope of training and practice for psychiatric nurse practitioners. Latisha Hanson, DNP, PMHNP-BC and Beth Maletz, FPMHNP both shared their individual experiences on becoming psychiatric nurse practitioners. Ms. Maletz spoke in detail about the rewards and challenges of working as the psychiatric provider in a pediatric primary care clinic in the Integrative Mental Health Program located at the Washington Heights Family Health Center, which is a part of NYPH-Columbia campus. Ms. Hanson spoke about her experience working at Riverdale Mental Health Association and the network of collaborators she has built for herself to confidently serve the high risk, complex patient population in her clinical setting. Cori Green, MD, who is an Assistant Professor of Pediatrics at Weill Cornell Medical College and Associate Director of Undergraduate Medical Education, presented her work in advancing mental health training in pediatric residency, the work she has done with CAP-PC (Child and Adolescent Psychiatry for Primary Care) and the Integrated Mental Health Program she has helped incorporate in the pediatric residency clinic at Cornell with psychiatric NP Matt Tirelli. It was an informative night with a productive exchange of ideas on how best to continue to promote the relevance and importance of collaborative and integrative care in child and adolescent psychiatry.

MIT Planning Dinner
Monday, August 22, 2016
Location: Lantern Thai (East Village)

NYCCAP’s MIT Subcommittee of the Training Committee held a dinner to plan for a fall event. The dinner included 15 attendees that began working on the event to be held in October and will include a question-answer segment and a meet-and-greet session for trainees applying to CAP fellowship. What a great turnout filled with energy and enthusiasm!

Wednesday, July 27, 2016, 7:00 - 9:00 p.m.
Location: Professor Thom's Bar & Restaurant, 219 2nd Avenue, New York, NY 10003

On July 27, the Training Committee and the Members in Training (MIT) Subcommittee hosted by members Akeem Marsh, MD, Owen Muir, MD, Jennifer O'Keeffe and Jessica Simberlund, MD, sponsored a Welcome Night for members and new trainees of child and adolescent psychiatry. Over 60 people attended from a variety of institutions around the NYC area, including new trainees and the NYCCAP Board members. Throughout the night there was food, drink and mingling, which was further facilitated by a very interactive ice breaker game, the winner of which was granted a $75 voucher towards a ticketed event at the upcoming AACAP Annual Meeting to be held in NYC, October 2016.

Dr. Akeem Marsh spoke about NYCCAP, upcoming events, and ways to become more involved in NYCCAP, and Dr. Angel Caraballo introduced himself to the attendees as the new local President of NYCCAP. The MIT Subcommittee is looking forward to hosting more events later this year, including Career Night and Private Practice Night.

"International Child and Adolescent Psychiatrists: Updates on Visas and Your Career"

Co-sponsored by the International Committee and the Training Committee. 
Monday, June 6, 2016, 7:00 - 9:00 p.m.
Location: Child Mind Institute, 445 Park Avenue, Fascitelli Board Room, New York, NY 10022
Drs. Angel Caraballo and Akeem Marsh lead the panel that featured Suzanne B. Seltzer, MD, The Seltzer Firm PLLC who is a CAP and an attorney.  The event consisted of brief presentations about who IMG's are and their needs, acculturation issues faced by IMGs, and available legal assistance with obtaining visas and waivers, etc. Attendees had the opportunity to ask questions of the experts about support and potential solutions for IMG related issues.

May 24, 2016, 7:00-9:00 p.m.
Location: 99 John Street, 4th Floorr Lounge, New York, NY 

On May 24, over 60 members attended NYCCAP’s End of the Year Event. The evening awarded the Wilfred C. Hulse Award to Victor Fornari, MD. Dr. Fornari, who is deserving of NYCCAP’s highest honor, has contributed in so many ways to our community of child and adolescent psychiatry in his many leadership and training roles. His amazing story about a former patient was so moving and such a tribute to what he does every day. His commitment and dedication to patients and their families is humbling. Thank you for enriching our field, profession, and community. You are truly an inspiration!

AACAP President Greg Fritz, MD spoke to members about his Presidential Initiative—Integrated Care. He shared the importance of integrating healthcare particularly with pediatricians and has created a task force to guide this critical initiative. 

During the Hulse presentation, we were honored to have so many people speak about their experiences with Dr Fornari. Thank you to Alice Fornari, EdD, RD, Jack Katz, MD, Robert Dicker, MD, Akeem Marsh, MD, and Jennie Goldstein, MD (who wrote a congratulatory letter to Dr. Fornari that was read by Shervin Shadianloo, MD). 

A special thank you to Dr. Fritz who honored us with his presence at our most prestigious event of the year. AACAP Past Presidents Clarice Kestenbaum, MD and Larry Greenhill, MD along with AACAP Treasurer Warren Ng, MD also attended as honored guests. AACAP Assembly Executive Committee members—Melvin Oatis, MD, Jose Vito, MD, and Jennifer Cabrera, MD—joined the festivities.  (Photo Gallery)

CAP Informal hosted by
Clarice Kestenbaum, MD
May 4, 2016

It was a chilly rainy night in the beginning of May 2016, but the atmosphere in Dr. Clarice Kestenbaum's living room was warm, cozy and filled with enthusiasm and a hopeful spirit. Child and Adolescent Psychiatry fellows, leaders of NYCCAP’s Training Committee and MIT Subcommittee, the NYCCAP President, and 5 diverse speakers:

Mary Sickles, MD--Solo Private Practice
Eve Freidl, MD--Faculty Practice at Columbia University 
Jessica Stack, MD--Group Practice at Union Square Psychiatry 
Scott Shaffer MD--Faculty Practice at Albert Einstein 
Clarice Kestenbaum, MD--Solo Private Practice

In all, 25 people spent an informal evening in Dr. K's living room, sitting in an inviting circle, discussing the possibilities of different types of private practice careers after training. Speakers from solo private practice, group private practice, and faculty practices associated with academic centers shared their experiences in their areas of work, along with strengths and weaknesses of each of these specific settings. All shared happiness and excitement with their chosen areas of work, which was inspiring to the young trainees hungry for career advice. The spirit of mentorship filled the night and networking bridges were created between trainees, speakers, and NYCCAP’s leadership, energizing the evening with vigor and zest of a new generation of child psychiatrists to come!

Tuesday, May 3, 2016, 7:00 p.m.
Pre-Show Location: Social Bar, Grill and Lounge, 795 8th Avenue, New York
Location: Circle in the Square Theatre, 235 West 50th Street, New York

NYCCAP Meet and Greet for Medical Students
March 29, 2016
Location: Patsy's Pizzeria, 69th and 1st Street, New York

About 15 medical students from WCMC had the opportunity to sit down for an informal dinner with NYCCAP members to discuss their interest in child and adolescent psychiatry and ask questions of the experts. NYCCAP members shared their experiences and advice with the next generation of physicians. 
Location: Roberto Clemente Center, 540 E. 13th Street, New York, NY
This evening's panel discussion on the care of unaccompanied youth was an excellent event that captured the attention of attendees! The Roberto Clemente Clinic was a great venue, and the compelling presentations made for truly collaborative discussions. Congratulations to Carolina Zerrate, MD; Annie Li, MD; and Susan Yeung, MD for organizing this incredibly informative event! 
  • Unaccompanied minors benefit from collaborative care for therapy and pediatricians to maintain optimal mental and physical health in order to speak with lawyers who are helping them with their legal case to gain asylum.
  • Unaccompanied minor defined as a person below 18 years old, crossing the border on their own. They may be trying to reunite with a relative or friend in the US who's been in the US for a number of years. 
  • Unaccompanied minors have no rights to a public defender. Status stays with them throughout even when they are eventually reunited with parent or guardian in the US (a sponsor) and even when they are over 18 years old. Sometimes you may be seeing an unaccompanied minor in your office and you may not even know it!
  • Majority of unaccompanied minors are from El Salvador, Honduras, and Guatemala 
  • Legal representation is crucial: 73% won case vs 15% without lawyer. 85% deported vs 27% with lawyer.
  • Trauma focused CBT is often used for treatment of unaccompanied minors. 
  • Major need for sponsor support groups as well as they themselves may have gone through trauma or don't know how to take care of an unaccompanied minor. 
  • Re-evaluation over time is very important as there may have been a honeymoon period after unaccompanied minors have been reunited with family in the US. 

Thursday, March 8, 2016, 8:00 a.m. - 12:30 p.m.
Lewis Swyer Theater- The Egg; Empire Plaza, Albany, NY

Today over 200 physicians from multiple specialties held an exciting day of legislative updates and discussion with legislators.

Many medical students and residents were in attendance. The morning sessions were held in 'The Egg' at the capital where we discussed current concerns in healthcare with legislators, including Assembly Majority Leader Joseph Morelle, Senators Hannon and Seward, Assembly people Gottfried and Cahill and Senate Majority Leader Flanagan.

After a lunch with legislators and physicians from all over the state, we branched off for our constituent legislative visits. I participated in a group with Dr. Zebulon Taintor and met with staff for Senators Espaillot, Hoylman and Squadron and Assemblywoman Seawright and discussed scope of practice concerns regarding psychologists currently trying to pass a bill to prescribe medications to patients, parity issues, concerns regarding confidentiality in e-prescribing, the need for more residency spots in NY State, the high attrition rates for doctors finishing training in NY State, formulary concerns along with many other topics.

It was a busy and productive day that reinforced our commitment to collaboration with our colleagues in order to advocate for our patients and profession.  I encourage all our members to attend any advocacy visits they can.

Local visits during the spring and summer will take place.  We will keep you posted on upcoming dates to have your voice be heard!  --Gabrielle Shapiro, M.D.

NYCCAP, the New York County Psychiatric Society (NYCPS) and the New York County Medical Society (NYCMS)
Sunday February 21, 2016, 9:30 a.m. - 12:00 p.m.
Location: New York Academy of Medicine, 1216 Fifth Avenue (at 103rd Street), New York, NY 10029, Legislators include: NY Senator--Liz Krueger; NYS Assembly--Dick Gottfried; NYC Council--Mathieu Eugene; Manhattan Borough--President Gale Brewer; and Robert J. Rodriguez, New York State Assembly, 68th District (Central and East Harlem)
The Legislative Breakfast, co-sponsored with NYCPS and NYCMS, was a great success. On February 21, 50+ physicians attended a collaborative forum moderated by Michael Goldstein, MD and Stuart Kleinman, MD. Speakers included: NY Senator Liz Krueger; NYS Assembly—Richard Gottfried; NYC Council--Mathieu Eugene, MD; Manhattan Borough--President Gale Brewer; and NYS Assembly--Robert J. Rodriguez. The spirited discussion involved many issues regarding health and mental health that are pertinent to all physicians and patients. 

Legislators expressed interest in having our membership’s expert opinions and in building bridges for our improved and continued communications in an effort to continue our advocacy efforts for our profession and patients. Forum topics included: Increased access to care, the pros and cons of a Single Payer system, parity, and concerns with restrictions on prescription formularies as well as NY State’s e-prescribing law. The need for improved mental health resources in schools and ensuring the role for psychiatrists in the “Thrive NYC” program were highlighted. The event was an informative experience and will be the start of a long term collaboration with our colleagues. Strengthening our relationships by keeping lines of communication open with legislators is the best way for us to advocate for our patients, their families, and our profession.
(sponsored by the MIT Subcommittee and Training Committee)
Tuesday, February 16, 2016
7:00 - 9:00 p.m.
Location: NYU Child Study Center, 1 Park Avenue, Central Park Room, New York, NY 10016
Presenters: Annie Li, MD (Academics); Akeem Marsh, MD (Forensics/Work Life Balance); Carlene MacMillan, MD (Private Practice/Moving); and Nitin Toteja, MD, MBBS (IMG Grad/Visa/Job Finding/Negotiations/Comp Expectations)

Learning Objectives:
  • Learn about various child career pathways from experts in child psychiatry
  • Learn that a first job is a first job, and changing positions in the beginning of a career and at other various points is common in the field of child and adolescent psychiatry.
  • Learn that there are many opportunities that can be catered to one's lifestyle from locum tenems, to inpatient work, to private practice, academics, and/or creating a patchwork of several jobs (in ED, in forensics facilities/etc).
  • Learn to assess personal priorities when making career-related decisions negotiate accordingly.
  • Learn to understand that there is no right choice.
  • Learn to find a balance between following the practical and the heart. For example, if you need money to pay off loans/etc, but do not need benefits, locums is a great way to go. Work with people that you like.
  • Learn to advocate for yourself by emailing and calling programs, and asking about job availability. For example, emailing a chair of a department is reasonable to inquire about jobs.
  • Learn that the best job is often one that is not advertised but a referral by word of mouth.
  • Network, Network, Network at events like Career Night and other NYCCAP/AACAP/other organizations' educational and social events. 

Sponsored by the ECP Committee chaired by Scott Shaffer, MD and Oliver Stroeh, MD
Tuesday, February 9, 2016, 6:30 - 8:30 p.m.
Location: Mount Sinai St. Luke's Hospital, Muhlenberg Auditorium, 440 West 114th Street, 4th Floor, New York, NY
Presenters (topic): Gaye Carlson, MD (DMDD); Richard Pleak, MD,(Gender Dysphoria); and Jeremy Veenstra-VanderWeele, MD (ASD)  Event Photos 
This past Tuesday night, the ECP Committee sponsored an expert panel discussion titled “CAP-Related DSM5 Diagnoses: DMDD, Gender Dysphoria, and ASD.” Drs. Gabrielle Carlson, Richard Pleak, and Jeremy Veenstra-VanderWeele spoke to an audience of almost 40 people about Disruptive Mood Dysregulation Disorder, Gender Dysphoria, and Autism Spectrum Disorders, respectively. They addressed the histories of these diagnoses and their impacts on the clinical mental health care of child and adolescents. A thought-provoking discussion between the expert panelists and attendees closed the evening. A huge thanks both to our panelists and to those of you who were able to attend!