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S p r i n g 2 0 1 4 - A PU B LI C AT I O N OF UA M S P S Y CHIAT R IC R E S E A R CH IN S T I T U T E

The last 11 months have been some of the most trying and most enjoyable of my medical career, thanks to you and the staff at the Psychiatric Research Institute. When Dr. Rick Smith was named dean of the UAMS College of Medicine last April, he appointed me the interim chair of the Department of Psychiatry and interim director of PRI. I accepted the roles, knowing that I had a great group of people to support me through what I knew was going to be a difficult period. For almost a year, I watched our institution grow and mature, taking on some challenges that might have weakened a lesser group. I am proud to say PRI and its staff have shown great determination throughout the last year. They never forgot what our true mission is, to serve, search and educate with the needs of those we serve always in mind. We have a great group of health-care professionals, researchers and administrators. I am very fortunate to have had their assistance and understanding during this time. Leading a large group requires a concentrated effort, and I would not have been able to fulfill my responsibilities without their help. I appreciate the confidence Dr. Smith showed in giving me the chance to captain the ship. It’s a strong vessel, one that is capable of weathering even the most difficult of storms. I would also like to thank my family for their generosity and graciousness during this sensitive time. Knowing that I had their support and consideration made the job all the more easier. At last but not least, I would like to thank the members of the community that stood by PRI during this period of transition. We rely on you every day to spread the word about our work and our team, and with your help, we will continue to expand and make a difference in the lives of more and more people every day. I hope you will welcome our new director and chairman, Dr. Pedro Delgado, I think he will do a great job of leading us. I for one look forward to what the future holds for us at PRI. Best wishes,

Jeff Clothier, M.D. Medical Director, Psychiatric Research Institute

Delgado Named New Chairman of Psychiatry, Director of PRI Pedro L. Delgado, M.D., was named the director of the Psychiatric Research Institute and chair of the University of Arkansas for Medical Sciences’ Department of Psychiatry on Feb. 26. Delgado, who has served as professor and chairman of the University of Texas Health Science Center (UTHSC) in San Antonio’s Department of Psychiatry since 2005, joined PRI’s faculty on March 28, only the fourth chair of the Department of Psychiatry since its inception in 1951. Delgado succeeded G. Richard Smith, M.D., who assumed the position of dean of the UAMS College of Medicine in May 2013. Delgado’s research interests include the molecular genetics of mood and anxiety disorders, and the neurobiological mechanisms of antidepressants. He also served as associate dean for faculty development and professionalism at UTHSC, and held the Dielmann Distinguished Chair in Psychiatry there since 2005. Delgado was chairman of the Department of Psychiatry and the Douglas Danford Bond Professor of Psychiatry at Case Western and University Hospitals of Cleveland while also serving as president and CEO of the Foundation for Clinical Neuroscience there. He previously held faculty posts at the University of Arizona College of Medicine in Tucson and Yale University School of Medicine in New Haven, Conn.

Pedro L. Delgado, M.D.

Delgado received his medical degree from the University of Texas Medical Branch (UTMB) in Galveston, Texas, in 1983, and a Master of Arts in pharmacology from UTMB the following year. He completed his internship and residency in psychiatry at Yale and worked on the faculty there until 1992. He is board certified in psychiatry. “Dean Smith and Chancellor (Daniel) Rahn have challenged me to take PRI to the next level and I have enthusiastically accepted this challenge based of the strength of their commitment, the level of involvement and support provided to PRI by the Little Rock community and the Arkansas State Legislature, and the support and commitment evident in the collaborating hospitals and the outstanding faculty, trainees and staff of PRI,” said Delgado.

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Looking Back at the History of Psychiatry at UAMS

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hen the Medical Department of Arkansas Industrial University, the precursor of today’s University of Arkansas for Medical Sciences, was founded in 1879, there were no classes or programs involving the study of psychiatry. The first diagnosis and treatment of any kind of disorder associated with mental health was handled by the school’s first dean, Dr. P.O. Hooper, one of the founders of the Arkansas State Lunatic Asylum. In 1885, Hooper left the college to become superintendent of the State Lunatic Asylum, which eventually became the Arkansas State Hospital, establishing a connection between UAMS and

1911 The first formal psychiatric course is taught at the Medical Department of Arkansas Industrial University by Dr. James L. Green, superintendent of the Arkansas State Hospital.

first resident, Robert F. Shannon, completed the program in 1961, going on to head the Adolescent Psychiatry Section in 1963 and the joint UAMC-VA residency program in 1971.

1912 The Department of Nervous 1967 Dr. John E. Peters is named

director of Child and Adolescent and Mental Diseases is established, headed by Dr. Green and Dr. Edward Psychiatry. He was the first and, at the time, only child psychiatrist in P. Bledsoe. Arkansas. 1920 Dr. Patrick Murphy, after completing military service, relocates 1969 The Department to Little Rock and joins the staff of of Psychiatry the medical school, serving as its moves into first clinical professor of neurology the newly and psychiatry, a position he held constructed until his retirement in 1946. Dr. Murphy is credited with creating the Child Study Center on the UAMS first psychiatric clinic at the medical campus. school. 1979 The Marie

1948 The Department of

Neuropsychiatry is established under the leadership of Dr. H. Clay Chenault. The department’s offices included a “mental hygiene clinic” near McArthur Park staffed primarily by Veterans Affairs psychiatrists.

1951 The

department is renamed the Department of Psychiatry and Neurology and then divided into two separate departments, Psychiatry and Neurology; Dr. William G. Reese was named a professor in the Department of Psychiatry and later the first chairman of the department.

1956 The new University of

Arkansas Medical Center provides space in its basement for psychiatric clinics and a psychophysiological laboratory.

1958 The University of Arkansas

Medical Center establishes its 2 psychiatric residency program; the

the State Hospital that continues even today. The Psychiatric Research Institute at UAMS has, since it opened in 2008, evolved into a leader in the field of mental health, developing authoritative methods of treatment through extensive research while grooming some of the nation’s brightest medical minds. Built on the grounds of the former State Lunatic Asylum, PRI has an extensive and colorful background. Here are some of the highlights of the UAMS Department of Psychiatry and PRI:

1990 The Division of Health

Services Research is formed, one of the largest health services research centers in the nation. Currently headed by Dr. John Fortney, Ph.D., DHSR includes three distinct VA research centers, all designed to be developmental centers stimulating further research in health services for mental health and substance use disorders.

2000 G. Richard

Smith replaces Dr. Guggenheim as the chairman of the UAMS Department of Psychiatry.

adults. The Child Diagnostic Unit opens the following year, the only location on the UAMS campus to treat children on an inpatient basis.

2008 PRI – Northwest, PRI’s

satellite facility, headed by Dr. Michael Hollomon, M.D., opens in Springdale. The facility offers both inpatient and outpatient care. Dr. Jon Rubenow, D.O., is the current division chief.

2009 Dr. Clint Kilts, Ph.D., joins

PRI as the first director of the Helen L. Porter and James T. Dyke Brain Imaging Research Center. The center is utilizing a state-of-the-art magnetic resonance imaging scanner to explore brain mechanisms behind mental 2003 The “Beautiful Minds” illness and search for novel insights luncheon series was organized by volunteers as a way of enhancing and into the causes of brain-related illnesses such as depression and drug Wilson Howells Chair broadening people’s understanding addiction. of the UAMS Department of in Psychiatry and Psychiatry’s services and resources, Behavioral Sciences 2013 The Women’s Mental Health while supporting and educating each Program, the state’s only women’s is established at other. UAMS. Howells, only treatment program for mental a native of Mississippi County, illness, expands to include a 10-bed 2004 The Center for Addiction died in 1978, leaving $3 million inpatient unit on the fifth floor Research is launched at PRI, to UAMS’s psychiatric department dedicated to reducing or eliminating of PRI. Dr. Zachary Stowe is the and the psychology programs at the threat of drug addiction through program's medical director. the University of Arkansas and the research. 2013 Smith leaves the position of University of Arkansas at Little Rock. director of PRI and chairman of the 2006 At the time, it was the largest gift ever UAMS Department of Psychiatry to Ground made to the University of Arkansas become dean of the UAMS College is broken System. Dr. Reese is the first holder of Medicine. Dr. Jeff Clothier is for PRI on of the chair. appointed interim chairman and the former director. 1985 Frederick home of G. Guggenheim the Arkansas State Lunatic Asylum. 2014 Dr. Pedro L. replaces Dr. Reese Fred and Louise Dierks of Hot Delgado is named as chairman of the Springs and members of the Pat and the chairman of the UAMS Department of Willard Walker family, representing UAMS Department of Psychiatry. the Walker Family Charitable Trust Psychiatry and director Foundation, were recognized for their of the Psychiatric 1988 The Child Study Center contributions to the construction. Research Institute. moves to Arkansas Children’s Hospital. The building was later demolished to accommodate expansion of UAMS’ Rockefeller Cancer Institute.

2008 The Psychiatric Research

Institute officially opens on Dec. 2, marking the first time in 30 years that UAMS has offered inpatient care for


In The Field, On The Go And In Demand

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any of the Psychiatric Research Institute’s more than 350 employees spend little or no time actually in the facility’s central location at UAMS. They are holding training sessions, serving stakeholders and spreading the word about PRI throughout a large portion of Arkansas. AR BEST (Arkansas Building Effective Services for Trauma), STRIVE (Seeking To Reinforce my Identity and Values Everyday) and the Employee Assistance Program (EAP), are just samples of how far PRI reaches into the state in an effort to improve its residents’ health and lifestyles. The three programs’ employees see a great deal of the state as they maintain contact with hundreds of Arkansans needing assistance. Since it started in July 2009, AR BEST has made a tremendous impact on the lives of a vulnerable portion of the state’s population, its children; specifically, children who have suffered physical or sexual abuse. Funded by a state appropriation spearheaded by Sen. Percy Malone (D-Arkadelphia), AR BEST works with the state’s Child Advocacy Centers and Community Mental Health Centers. The program has trained more than 670 mentalhealth professionals in the evidenced-based intervention, trauma-focused cognitive-behavioral therapy (TF-CBT). Mental-health professionals who have attended this annual training have registered more than 2,500 children into the AR BEST database, all of whom are currently receiving treatment utilizing TF-CBT. “We have had over 1,000 attendees at our TraumaInformed Care meetings across the state, everyone from juvenile judges to foster parents and child advocates,” said Teresa L. Kramer, Ph.D., director of the AR BEST program and chief psychologist for UAMS. “We have been very fortunate to have the support of the state legislature and Arkansas’ mental-health professionals as we extend our network of communication and training. The website alone has attracted over 3,000 unique visitors, and we are continuing to look for new and effective ways of helping address this very important group.” The AR BEST program has been recognized nationally as a leader in effectively working with traumatized children. In October 2012, the AR BEST program received a grant worth $1.85 million from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) to increase its ability to disseminate other evidence-based interventions.

STRIVE, PRI’s student treatment program, serves 31 schools and 16 UAMS Head Start centers in Pulaski County. The program’s 26 therapists and 11 mentalhealth paraprofessionals have been providing individual and group therapy to students from 3 to 5 years of age (in Head Start) or in elementary, middle and high schools since 1996. Last year alone, STRIVE saw a total of 458 clients, their average age 9.02, providing a total of 25,162 services. “There are so many kids out there in need of help, and we are going to their schools and daycare centers, trying to help them overcome some severe emotional and behavioral problems,” said Paula McCarther, LCSW, STRIVE’s director. “Many of the students are from low-income families and they wouldn’t have access to the kind of care they need to stay in school were it not for our counselors.

The Employee Assistance Program, meanwhile, began in 1991 as an internal service for UAMS employees, offering care to those dealing with issues like substance abuse, job stress, relationship difficulties and incidents involving death or violence. A year later, the group took on its first external client, Metropolitan Emergency Medical Services (MEMS) of Little Rock, and eventually expanded to offices in Hot Springs, Fayetteville and Fort Smith. EAP’s nine staff members currently serve 20 organizations besides UAMS, offering their expert skills to some of the state’s largest banks, city governments, hospitals and higher-education institutions. “We’re something of a blended program. More than half of our time is devoted to our external clients,” said Rebecca Vercher, LCSW, EAP’s director. “Many of these businesses are unique to Arkansas, with unique challenges, and we are trying to grow to meet those challenges.” 3


Recent Gifts Demonstrate Value Of Donors

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he Psychiatric Research Institute has relied on the generosity of its supporters since its launch in 2008. Numerous gifts and donations have gone a long way toward helping PRI reach its current level of success, important examples of the difference a charitable gesture can make. Three of the most recent examples came from three different sources, all of which recognized a need and set about helping PRI meet it. Four of the institute’s longtime advocates – Don Munro, Caroline Stevenson and Tom and Nancy Vandergrift – donated a combined $30,000 to fund a large glass sculpture/chandelier, which was installed Jan. 20 in the lobby of PRI. The piece, “Horizontal Sunrise,” consists of 286 hand-blown pieces of glass created by renowned Arkansas artist James Hayes, whose work can be found in public and private collections throughout the United States. The sculpture is 14 feet long and 4 feet high, the largest creation of Hayes’ on display in Arkansas. The loose pieces of the artwork were strung to the frame with stainless steel wires by Hayes, who spent two weeks creating the individual parts of the structure and six hours on a scissor lift installing it. The sculpture can best be seen from the second floor of PRI, home to the Walker Family Clinic. “We wanted something cheerful for the patients and everyone that works in that department,” said Hayes, who already has a large chandelier hanging in PRI’s main stairway as well as numerous glass chargers hung throughout the first three floors of the building. “We wanted to fill that space with some happy colors.” Frances Wilson Devany Shackelford of Little Rock, who passed way in November 2013, was another longtime supporter of UAMS, where she served

Nonprofit Organization U.S. Postage

PAID

Permit NO. 1973 Little Rock, Ar

4301 W. Markham St., #554 Little Rock, AR 72205-7199

Information on Giving

Betty Tucker, J.D., Senior Development Director of PRI (501) 526-8134 or batucker@uams.edu.

James Hayes installs his sculpture “Horizontal Sunrise” at PRI. (Photo by Timothy Hursley)

on the Foundation Board for many years, and PRI. Shackelford specified in her will that $50,000 from her estate go toward funding PRI’s research programs. Her donation will be used to defray the cost of sending PRI faculty members to national conferences, meetings that are vital to the careers of PRI’s researchers. To be eligible for the funds, an assistant professor must

successfully submit a scientific paper for presentation at the proposed conference. PRI also received a donation from the Susan & Jordan Greene Charitable Trust late last year. The $50,000 gift was given in support of an endowed chair in Personalized Medicine and Mood Disorders currently being organized by PRI’s development office. A total of $1 million is necessary to completely fund the chair, which will be used to finance research involving mood disorders such as depression and bipolar disorder. “All of these gifts mean a great deal to PRI, not just to the patients but to the staff as well,” said Betty Tucker, PRI’s senior development officer. “We rely on our donors and would not be able to serve our patients as well as we do without their assistance. We are extremely grateful for all they do for PRI, financially or otherwise, and we take their contributions very seriously.”

Mind Matters is published by the UAMS Psychiatric Research Institute in partnership with UAMS Communications & Marketing. Tim Taylor, Editor. Designed by UAMS Creative Services.

Mind Matters Spring 2014  

Mind Matters is a quarterly publication of the Psychiatric Research Institute at the University of Arkansas for Medical Sciences in Little R...

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