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Depression as a Mind-Body Disorder in Minority Populations: Special Challenges in Diagnosis and Treatment

neuroscienceCME Webcast

Premiere Date: Monday, September 22, 2008
This activity is a companion to a monograph titled Depression as a Mind-Body Disorder in Minority Populations: Special Challenges in Diagnosis and Treatment.
If you would like more information, please click here.

This activity offers CE credit for:

  1. Physicians (ACCME/AMA PRA Category 1)
  2. Nurses (CNE)
  3. Pharmacists (ACPE)
  4. Psychologists (APA)
  5. Social Workers (NASW)


All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Credit™

Credit Expiration Date:
Tuesday, September 22, 2009
Note: Credit Is No Longer Available

Faculty


Rakesh Jain, MD, MPHRakesh Jain, MD, MPH 
Clinical Professor, Department of Psychiatry
Texas Tech Health Sciences Center School of Medicine – Permian Basin
Midland, TX

Rahn Kennedy Bailey, MD, FAPARahn Kennedy Bailey, MD, FAPA 
Chairman of Psychiatry
Executive Director of Elam MHC
Meharry Medical School
Vice Speaker, House of Delegates
National Medical Association
Deputy Representative, Black Caucus
American Psychiatry Association
Nashville, TN

Vladimir Maletic, MDVladimir Maletic, MD 
Associate Clinical Professor of Neuropsychiatry and Behavioral Science
University of South Carolina School of Medicine
Columbia, SC
Consulting Associate, Division of Child and Adolescent Psychiatry
Department of Psychiatry
Duke University
Durham, NC

Madhukar H. Trivedi, MDMadhukar H. Trivedi, MD 
Professor of Psychiatry
Betty Jo Hay Distinguished Chair in Mental Health
University of Texas Southwestern Medical Center
Dallas, TX

Statement of Need

Despite the availability of clinical guidelines for the identification and treatment of patients with major depression, studies consistently report that patients with depression are not diagnosed or treated as often as necessary. This is especially true when it comes to patients of racial or ethnic minority.(1) However, the effectiveness of treating depression in minority patients has been demonstrated.(2-7) Therefore there is a critical need to educate clinicians to screen, diagnose, and treat minority patients with depression within the context of cultural sensitivity and to provide clinicians with the skills to overcome any cultural issues that may impede diagnosis and successful treatment of minority patients with depression. Healthcare providers caring for minority populations need to actively engage patients in their treatment and regularly follow-up with these patients to ensure compliance with therapy and the best outcome for the patients.


  1. Williams DR, et al. Arch Gen Psychiatry 2007;64:305-315.
  2. Hong Ng C, et al. Int Clin Psychopharmacol 2006;21:87-92.
  3. Pinto C, et al. J Indian Med Assoc 2007;105:364-368.
  4. Wu YS, et al. J Clin Pharm Ther 2007;32:353-363.
  5. Lee P, et al. Psychiatry Clin Neurosci 2007;61:295-307.
  6. Lewis-Fernandez R, et al. J Clin Psychiatry 2006;67;1379-1390.
  7. Bailey RK, et al. J Natl Med Assoc 2006;98:437-447.

Activity Goal

To enable healthcare providers to gain insight into the specific needs of minorities when they are treated for depression, including such items as diagnosis, screening, compliance, and stigma.

Learning Objectives

At the end of this CE activity, participants should be able to:

  • Identify manifestations of depression in minorities.
  • Apply culturally sensitive approaches to involve minority patients in the diagnosis and treatment of depression.
  • Create goal-directed therapy plans to treat depression in minority patients.

Financial Support

This continuing education activity is jointly sponsored by Quadrant Medical Education and CME Outfitters, LLC. The joint sponsors gratefully acknowledge an educational grant from Eli Lilly and Company and Wyeth Pharmaceuticals in support of this CE activity.

Target Audience

Physicians, physician assistants, nurse practitioners, nurses, psychologists, social workers, certified case managers, pharmacists, and other healthcare professionals interested in mental health.

Credit Information

CME Credit (Physicians):
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of CME Outfitters, LLC, and Quadrant Medical Education. CME Outfitters, LLC, is accredited by the ACCME to provide continuing medical education for physicians. CME Outfitters, LLC, designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CNE Credit (Nurses):
CME Outfitters, LLC, is an approved provider of continuing nursing education by the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

It has been assigned code 6WASUP-PRV-0640. 1.0 contact hours will be awarded upon successful completion. This activity is co-provided with Quadrant Medical Education.
Note to Nurse Practitioners: The content of this CNE activity pertains to Pharmacology.

CEP Credit (Psychologists):
CME Outfitters is approved by the American Psychological Association to sponsor continuing education for psychologists. CME Outfitters maintains responsibility for this program and its content. (1.0 CE credits)

NASW Credit (Social Workers):
This program was approved by the National Association of Social Workers (provider #886407722) for 1 continuing education contact hour.

CPE Credit (Pharmacists):
ACPE CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 1.0 contact hours (0.1 CEUs)
Universal Program Number: 376-999-08-017-H04-P

Credit request forms/activity evaluations can be completed online at www.neuroscienceCME.com (click on the Testing/Certification link under the Activities tab - requires free account activation), and participants can print their certificate or statement of credit immediately (70% pass rate required).

This CE activity can be used toward mandatory Cultural Competence CE requirements in states where applicable.

Rahn Kennedy Bailey, MD, FAPA
Dr. Bailey is a dual board-certified forensic psychiatrist. He completed his general psychiatric training at the University of Texas Medical School in June 1994. Thereafter, Dr. Bailey completed his forensic psychiatric fellowship at Yale University in June 1995. He became board certified in general psychiatry in March 1998. In April 1999, he achieved board certification in Forensic Psychiatry.

Dr. Bailey recently held positions as an Associate Professor at University of Alabama-Birmingham and Past Director of Bryce Hospital in Alabama. Dr. Bailey currently serves as Chairman of the Department of Psychiatry and Behavioral Sciences at the School of Medicine of Meharry Medical College in Nashville, TN.

Dr. Bailey served as the Secretary to the House of Delegates of the NMA in 2006-2007. He was elected as the Vice Speaker in August, 2007 and currently serves the Association in this role. He is a member of the Administrative Council of the American Academy of Psychiatry and Law (AAPL). Dr. Bailey is a staff physician at Clear Lake Regional Hospital. He has served as a Principal Investigator for several clinical research studies. He is a national forensic expert, who has testified and participated in both civil, racial discrimination, and criminal cases both locally and nationally. Of particular note, he is a psychiatrist for the State of Texas which involves evaluating Sexually Violent Predator (SVP). He evaluates and provides treatment assessments for the United States and Texas Rehabilitation Commission. Additionally, he is an expert for the Federal Social Security Office of Disability Hearings and Appeals. He has testified in five states (Texas, Louisiana, Kansas, Indiana, and Connecticut). He has written and lectured on various forensic topics including Confidentiality, Insanity Defense, and Ethnic Differences in Psychopharmacology, Competency and Medical Student Education. In addition, he has written various articles on Post Traumatic Stress Disorder, Sexual Offenders, Ethics in Forensic Practice, Juvenile Crime, Capital Punishment, Atypical Antipsychotic Treatment and Efficacy, Cocaine Dependence and Clinical Treatment, and Stalking. Dr. Bailey has been featured live on MSNBC Television, as well as on Cable Network News (CNN), and on local TV/Radio discussing Psychiatric Treatment, the Insanity Defense and Violent Criminal Behaviors. Dr. Bailey is currently the host of “Good Psychiatry is Good Medicine”, a weekly radio program on Voice America Internet Radio.

Vladimir Maletic, MD
Dr. Maletic is Associate Clinical Professor of Neuropsychiatry and Behavioral Science at the University of South Carolina School of Medicine in Columbia, and Consulting Associate in the Division of Child and Adolescent Psychiatry in the Department of Psychiatry at Duke University in Durham, North Carolina. Dr. Maletic received his MD in 1981 and his MS in Neurosciences in 1985, both at the University of Belgrade in Yugoslavia. He went on to serve a residency in Psychiatry at the Medical College of Wisconsin in Milwaukee, followed by a residency in Child Psychiatry at Duke University.

Dr. Maletic is a member of several professional organizations, including the Southern Psychiatric Association. In addition, he has published numerous articles and has participated in various national and international meetings and congresses. His special areas of interest include neurobiology of mood disorders, anxiety disorders, ADHD and regulation of sleep and wakefulness. Dr. Maletic is board-certified in Psychiatry and Neurology.

Madhukar H. Trivedi, MD
Dr. Trivedi is currently a Professor and Chief of the Division of Mood Disorders, Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas. He holds the Betty Jo Hay Distinguished Chair in Mental Health and the Lydia Bryant Test Professorship in Psychiatric Research. Dr. Trivedi is an established efficacy and effectiveness researcher in the treatment of depression.

Dr. Trivedi has been a principal investigator in multiple clinical trials funded through NIMH and the Texas Department of Mental Health. He has been involved with evidence-based depression guideline development since 1990, when he joined the Depression Guideline Panel of the AHCPR. Dr. Trivedi has been the Director of the Depression Algorithm for TMAP since its inception. Dr. Trivedi has served as the chair of the Depression Work Group of the International Psychopharmacology Algorithm Project and as the scientific content expert for the San Antonio Cochrane Center’s evidence-based, AHCPR-funded efforts to update the Depression Guidelines. Dr. Trivedi spearheaded the rollout of best practices for the treatment of MDD in various MHMR centers across the State of Texas. Dr. Trivedi is also studying the effectiveness of treatments of Depression in Primary Care.

Dr. Trivedi was also the co-principal investigator of the NIMH-funded project entitled “Sequenced Treatment Alternatives to Relieve Depression” (STAR*D). Dr. Trivedi is currently the co-principal investigator of the Depression Trials Network Combining Medication to Enhance Depression Outcomes (COMED) trial, which focuses on the use of specific antidepressant combinations to increase remission rates by treating a broader spectrum of depressed patients and by capitalizing on additive pharmacological effects. Dr. Trivedi is also principal investigator of three current NIMH grants entitled “CBASP Augmentation for Treatment of Chronic Depression (REVAMP),” “TReatment with Exercise Augmentation for Depression (TREAD),” and “Computerized Decision Support System for Depression (CDSS-D).”

Dr. Trivedi has mentored multiple psychopharmacology postdoctoral fellows and research track residents over the past many years in the Mood and Anxiety Disorders.

Dr. Trivedi has received numerous awards including the Gerald L. Klerman award from the National Depressive and Manic-Depressive Association Scientific Advisory Board-NDMDA and the Psychiatric Excellence Award from the Texas Society of Psychiatric Physicians-TSPP.

Dr. Trivedi is or has been a member of several institutional review groups of the NIMH. Dr. Trivedi has published over 275 articles and chapters related to the Diagnosis and Treatment of Mood Disorders.

Rakesh Jain, MD, MPH, Moderator
Dr. Jain is Director of Psychiatric Drug Research for the R/D Clinical,Research Center at Lake Jackson, Texas. Dr. Jain attended medical school at the University of Calcutta in India. He then attended graduate school at the University of Texas School of Public Health in Houston, where he was awarded a National Institute/Center for Disease Control Competitive Traineeship. His research thesis focused on alcohol abuse issues. He graduated from the School of Public Health in 1987 with a Masters of Public Health (MPH) degree. After graduate school, Dr. Jain completed a postdoctoral fellowship in Research Psychiatry with the Gerontology Center of the University of Texas Mental Sciences Institute in Houston. He received the National Research Service Award for the support of the postdoctoral fellowship. After this, he served a three-year residency in Psychiatry at the Department of Psychiatry and Behavioral Sciences at the University of Texas Medical School at Houston as well as a two-year fellowship in Child and Adolescent Psychiatry.

Dr. Jain is currently involved in multiple research projects studying the effects of medications on short-term and long-term treatment of depression, anxiety, pain/mood overlap disorders, and psychosis in adult and child/adolescent populations. He is the author of several articles on the issue of mood and pain conditions. He serves on several Boards focusing on drug development and disease state education. He was recently named “Public Citizen of the Year” by the National Association of Social Workers, Gulf Coast Chapter, in recognition of community and peer education and championing of mental health issues. He was also recently awarded the “Extra Mile Award” by the local school district, in recognition of the service to the children of the school district and consultation to the teachers and counselors.

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all its CE activities. Faculty must disclose to the participants any significant relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Dr. Bailey has disclosed that he receives research support from Ortho-McNeil, Inc. He is on the speakers bureaus of Eli Lilly and Company, Bristol-Myers Squibb Company, and Ortho-McNeil, Inc., and serves as a consultant to Eli Lilly and Company and Bristol- Myers Squibb Company.

Dr. Maletic has disclosed that he is on the speakers bureaus of Eli Lilly and Company, Novartis Pharmaceuticals Corporation, and Takeda Pharmaceuticals North America, Inc., and that he serves as a consultant to Eli Lilly and Company and Pfizer Inc.

Dr. Trivedi has disclosed that he receives research support from Bristol-Myers Squibb Company, Cephalon, Inc., Corcept Therapeutics, Inc., Cyberonics, Inc., Eli Lilly and Company, Forest Laboratories, Inc., GlaxoSmithKline, Janssen, L.P., Merck & Co., Inc., National Alliance for Research on Schizophrenia and Depression, National Institute of Mental Health, Novartis Pharmaceuticals Corporation, Pfizer Inc., Pharmacia & Upjohn, Inc., Predix Pharmaceuticals, Solvay Pharmaceuticals, Inc., and Wyeth-Ayerst. He is on the advisory boards of and/or serves as a consultant to Abbott Laboratories, Akzo (Organon Pharmaceuticals USA Inc.), AstraZeneca Pharmaceuticals LP, Bayer Corp., Bristol-Myers Squibb Company, Cephalon, Inc., Cyberonics, Inc., Eli Lilly and Company, Fabre-Kramer Pharmaceuticals, Inc., Forest Laboratories, Inc., GlaxoSmithKline, Janssen, L.P., Johnson & Johnson Pharmaceutical Research & Development, L.L.C., Mead Johnson, Neuronetics Inc., Park-Davis Pharmaceuticals, Inc., Pfizer Inc., Pharmacia & Upjohn, Inc., Sepracor Inc., Solvay Pharmaceuticals, Inc., VantagePoint, and Wyeth-Ayerst. Dr. Trivedi is on the speakers bureaus of Abdi IBrahim, Akzo (Organon Pharmaceuticals USA Inc.), Bristol-Myers Squibb Company, Cephalon, Inc., Cyberonics, Inc., Eli Lilly and Company, Forest Laboratories, Inc., GlaxoSmithKline, Janssen, L.P., Pharmacia & Upjohn, Inc., Solvay Pharmaceuticals, Inc., and Wyeth-Ayerst.

Dr. Jain has disclosed that he receives research support from Forest Laboratories, Inc., Eli Lilly and Company, Pfizer Inc., and Wyeth Pharmaceuticals. He is on the speakers bureaus of Forest Laboratories, Inc., Eli Lilly and Company, Pfizer Inc., and Takeda Pharmaceuticals North America, Inc. Dr, Jain serves as a consultant to Forest Laboratories, Inc., Eli Lilly and Company, Pfizer Inc., and Takeda Pharmaceuticals North America, Inc. He also receives support for CME program development from Forest Laboratories, Inc., Eli Lilly and Company and Pfizer Inc.

Unlabeled Use Disclosure

Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.

CME Outfitters, LLC, Quadrant Medical Education, the faculty, and Eli Lilly and Company and Wyeth Pharmaceuticals do not endorse the use of any product outside of the FDA labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.

Questions about this activity? Call us at 877.CME.PROS (877.263.7767).

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