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November newswletter pub


									                                                                                                  November, 2008

                                    SEE PAGES 18-21

            SAVE THE DATE APRIL 23-24, 2009

               Big Victory! President Signs Mental Health Parity into Law

Congratulations to NASW members who have long advocated passage of mental health and
addiction services parity legislation. Just this afternoon the House passed the final mental
health parity bill by a strong vote margin (263-171) and the President has already signed the
bill into law. The Senate voted earlier this week to add parity language (the Paul Wellstone
and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008) to the much
larger Wall Street rescue, tax and disaster relief bill (H.R. 1424). The House subsequently
agreed to the Senate’s version of the bill this afternoon. The new federal law will provide
mental health and addiction services parity for about 113 million Americans who work for
employers with 50 employees or more.
                                                                      continued on page 7

                                                                                    What's Inside

                                                       Presidents Update......................................................2
                                                       Ex Directors Update..................................................3
                                                       Branch Updates.........................................................4
                                                       New Members...........................................................6
                                                       Legislative Corner.....................................................7
                                                       Guatemala Service Learning.....................................8
                                                       Clinical Practice Update............................................9
                                                       Lyme Disease...........................................................17
    Election day is November 4, 2008                   Call for Presentations ..................................... ........18
       YOUR VOICE MATTERS                              Continuing Education...............................................22
The NASW Maine Chapter Newsletter is
                                                                         PRESIDENT’S REPORT
published 6 times per year (January, March,
May, July, September, and November) by:
                                                                                  BONNIE SWARTZ, LCSW
National Association of Social Workers
NASW-Maine Chapter
Post Office Box 5065
Augusta, ME 04332                                       Being from New England has many benefits, and I was most grateful this past
Phone: (207) 622-7592                                  Delegate Assembly for how small our region of the country is. Delegate
FAX: (207) 512-2255
                                                       Assembly is the body that is responsible for revising and updating policy
           NASW-Maine Chapter
                                                       statements in Social Work Speaks, creating and revising by-laws for the
             Board of Directors                        organization, and revising the Code of Ethics. Historically, Delegate Assembly
      Executive and Branch Leadership
                                                       has been a live event held in Washington D.C once every three years. This year,
      PRESIDENT                                        in order to respond to the ever increasing costs of fuel, lodging, and hosting an
      Bonnie Swartz (2008-2010)
      VICE-PRESIDENT                                   event for over 300 people, it was decided that the Delegate Assembly would be
      Sally Sutton (2007-2009)                         held through web and phone conferencing technology. On one hand, it was
      Paul Maheux (2007-2009)                          exciting that this technology was going to be used. On the other hand, it meant
      TREASURER                                        that many chapters, and sometimes individuals, would not be able to be with the
      Susan Fineran(2008-2009)
      BRANCH A                                         other Delegates who were part of their coalition and would only able to
      Southern Maine
      Sondra Doe (2007-2009)                           communicate with each other through instant messaging and private chat rooms
      Susan Bartlett (2008-2009) Vice-Chair            during the proceedings. Given that Boston is within just a couple hours driving
      BRANCH B
      Augusta / Mid-Coast Areas                        distance of the rest of the New England states, the New England coalition decided
      Stephanie Muri (2008-2010)
      BRANCH C
                                                       to meet at Simmons College. We were the only coalition able to meet in person.
      Southern Central / Western Maine
      BRANCH D                                          The Delegate Assembly kicked off with some technical issues that were quickly
      Aroostook County                                 resolved and we then spent the next 2 days debating issues and making some
      Joy Brakel (2007-2009)
      Jean Cashman Co-Chair                            necessary changes and updates to the by-laws and Code of Ethics. (There is a
      BRANCH E
      Bangor / Down East Areas
                                                       whole separate discussion to be had about the process for revising the Code of
      Mary Kellogg 2008-2010                           Ethics, but perhaps that will be my next column). After all was said and done,
      EXECUTIVE DIRECTOR                               there were a lot of mixed reviews on the success of the first virtual Delegate
      Catherine Stakeman, DSW, MSW
                                                       Assembly. I thought that it was a success - it was my first Delegate Assembly, I
     Heidi Spadter                                     had nothing else to compare it to and was in a room with 26 other people to share
              NASW-Maine Chapter
                                                       the experience with. Had I been one of the people sitting by myself at a computer
              ADVERTISING POLICY                       for 2 days, 9-10 hours each day, and experienced some of the technology issues
The Maine Chapter of NASW accepts paid
advertisements for its newsletter. Qualifications:     that some people had I may have had have a very different opinion.
NASW-Maine Chapter will not be responsible for
the accuracy or validity of job descriptions
provided by agencies or qualifications submitted       Moving forward, since it appears that the days of the in person event have passed,
by individuals. All copy is subject to editorial
approval. In accordance with NASW National             there are many things the organization will need to carefully consider about the
Policy concerning nondiscriminatory personnel
practices, all advertisers must affirm that they are   process. Using the technology available to us is cost effective and logistically
equal opportunity employers. NASW-Maine
Chapter reserves the right to reject any ad for any
                                                       makes sense. On the other hand, we need to balance that piece without losing
reason. Publication of paid advertisements does        one of the key values of social workers – understanding the importance of human
not constitute endorsement by NASW.
                                                       relationships. Imagine if Congress had to try and get laws passed by using web
Advertising Rates: NEW RATES as of 7/1/07
Full page                    $185.00
                                                       and phone conferencing alone and never met in person! Despite these challenges,
Half page                     110.00                   I remain excited about the possibilities that technology brings and would
Quarter page                    75.00
Re-formatting Charge            25.00                  participate in another Delegate Assembly in a heartbeat. Fortunately, we have 3
Subscriptions to the NASW-Maine Chapter                more years to figure out how this process can be improved and even better, the
Newsletter are available for $35.00 per year.
Subscribers will receive each issue of the             conversations have already started.
newsletter, an annual conference brochure, a
continuing education program booklet, and
periodic notices of other continuing education
opportunities. Members of the Maine Chapter of
NASW receive these mailings as a membership
benefit at no extra charge.
Editor’s note:
The Board of Directors of the NASW Maine
Chapter will specifically state Board endorsement
of editorials when appropriate; views expressed in
editorials are not necessarily those of the Board
of Directors.

            Executive Director's Column                                   NASW-Maine Chapter
            Catherine Stakeman, DSW, MSW, ACSW                            Volunteer Leadership

                                                                             Board Committee
              Protect Health Coverage for Maine Families                      Chairpersons

 A referendum supported by the big national beverage companies could      Susan Fineran
cause thousands of Maine children, families, and small businesses to
lose their health coverage. But Maine people care about our neighbors
and communities.                                                          Personnel
                                                                          Gail Wright
Taking away health insurance from Maine kids and their hard-working
parents isn’t what Maine is all about.
A few extra pennies on beer, wine, and soda is a reasonable solution      Joy Brakel
that will allow 18,000 Maine kids and hard-working adults to keep their
health insurance, while making coverage affordable for an additional
40,000 who are not able to get insurance through their employers.         CCNLI
                                                                          Rachael Tyler
Health insurance coverage is an essential building block of a strong
economy. When kids get preventative care to make them healthier, and
when businesses can count on healthy employees, Maine’s economy           Annual Conference
will be in a position to thrive.                                          Eric Thompson
Maine’s efforts are working. Maine is one of the few states that has
reduced its number of uninsured citizens in recent years. We need to      Continuing Education
build on that success and work together to find creative ways to get      Susan Fineran
more of Maine's children, families and small businesses covered by
health insurance.
                                                                          GLBT Issues
Voting NO on Question One will uphold the Legislation that was            Frank Brooks
passed in April 2008 which provides health coverage for children and
families that could not afford it otherwise.
                                                                          Legislative Action
                                                                          Dyan Walsh
          ELECTION DAY IS TUESDAY NOVEMBER 4TH.                 

                  AND VOTE IN PERSON                                      Chair

                                                                          If you are interested in
                                                                          learning about running for
                                                                          election for future service
                                                                          on the NASW-Maine
                 Interested in Joining NASW?                              Chapter Board of Directors,
                                                                          we welcome you to contact
                                                                          us at:
           You can join online         
                   or give us a call at: 622-7520                         or give us a call at:
                We will mail an application to you.

                                        Branch Updates
NASW Branch A - Cumberland County
Note: All Branch A members are invited to attend all meetings at these two locations.
Date: November 4, 2008 - 5:30 - 7:00             Topic: My Choice Program
Location: Spring Harbor Hospital                 Presenter: Susan LoBosco, LMSW-CC

 Susan has a Master’s Degree in Social Work from Columbia University. Susan has been working in the Child
Welfare field for the past 25 years. She has been a case manager, supervisor and administrator for the State of
Delaware and New York City and worked in protective services, foster care, kinship foster care and adoption
programs. Susan has worked for MAPS in Portland for the past 12 years as a birth parent counselor, a home
study evaluator, and as a clinical supervisor. Susan is also a trainer and the coordinator for the State of Maine
through MAPS that provide Infant Adoption Awareness Training using a federally funded training and
nationally recognized training curriculum. Susan is also an adoptive mother.

 Susan will give an overview on the My Choice program, a pregnancy support service for pregnant women and
teens in Maine. She will also discuss domestic infant adoption issues and give a summary of the Infant Adoption
Awareness Training

 Directions to Spring Harbor Hospital: From the Maine Turnpike (I95) take exit 46 - Jetport Exit. At exit turn
left, remain in right lane of Jetport Road until intersection with Congress St./Route 22. At lights proceed straight
onto Hutchins Drive. Take first road on left, Andover Road, and proceed to stop sign. Visitor parking is on your
right. Enter through the front door and check in at reception.

 Note: If you would like to be a presenter or recommend a speaker for the NASW Branch A meetings, please
contact Sondra SeungJa Doe at or call her at 207-228-8301.

Branch A (Saco) Meeting: - Lead by Co-Chair, Susan Bartlett, LCSW, CRC
                                                           (800) 473-4221 ext. 8781

Date: December 3, 2008 from 4:00 - 5:30
Topic: New Directions for Brain Injury Services for the State of Maine
Location: Sweetser
Presenter: Nancy Benoit, RN, CRRN, CCM

Nancy Benoit is an independent Case Manager, who is in private practice in Auburn, Maine. She specializes in
medical case management for Brain Injury and Spinal Cord Injury. Nancy has built her practice over the past 10
years and is well known and respected by the medical community and Workers Compensation Insurance
companies serving Maine. Nancy Benoit is a certified Life Care Planner and has been active involved as a
Board member of many organizations, including: The Brain Injury Association of Maine, The Association of
Rehabilitation Nurses, and The Case Management Society of New England.

Nancy Benoit will be presenting on “Relationship Building”. Not only is this important for the success of each
individual she serves as a Case Manager, but it is equally important to building a successful practice and in
advocating for the needs of injured individuals on the State and National level. Nancy’s leadership in
professional organizations also positively impacts the working lives of Nurses, Social Workers and others
involved in the work of Case Management

Directions: Sweetser Conference Room at the Executive Building, located at 329 Industrial Park Road in Saco.
This is just off the Turnpike Exit.

                                          Branch Updates
Branch B - Kennebec, Knox, Lincoln, Sagadahoc and Waldo Counties
Branch B opened the 2008-09 season with Gail Wright leading the group in a “Roundtable for Assessing
Professional Education Needs.” Discussion was lively and set the agenda for meetings for the next several months.

 We also discussed the large geographical area covered by Branch B. A faithful following meets for breakfast
every month in Augusta. However, additional meetings could be organized in the Belfast, Rockland, Wiscasset, or
Bath areas. If you are interested in not only attending but also helping to organize a meeting in one of those areas,
please contact me. If even just a few people are willing, I will help you get started. Contact me at drstar- . I will give you a follow-up report on the interest expressed in the next newsletter.

 The next breakfast meeting of Branch B will be at Rebecca’s on Route 17 in Augusta, from 7:30-9:00am on
Thursday, October 16th. The topic, presented by Gail Wright, will be “The Full Immersion Model of Case
The topic for the November 20th meeting will be "An Update on Domestic Violence and its Ethical Issues"
presented by Barbara Dunlap Warren and Cathleen Dunlap. On December 18th the topic will be, "Books That
Have Significantly Shaped Your Practice," led by Vivian Flamm, with all present describing book(s) of their
choice. Both meetings will be held at Rebecca's in Augusta, starting at 7:30am." See you there!

Members of NASW earn 1 CEU for attending and participating. Non NASW members are charged $15 for the 1
CEU. Please make checks payable to NASW Maine. Breakfast is self pay. Hope to see all of you at the Branch B

 Branch C Androscoggin, Franklin, Oxford and Somerset County

 This position is vacant. Interested parties should contact the chapter office at:

Branch D Aroostook County:
 Our November meeting is deferred to the Ethics Training being offered 10-30-2008 at UMPI. Branch D is
sponsoring this workshop. If interested you'll need to register through NASW-ME Chapter Office Fee:
$65.00 Time: 9:00AM to 1:00PM. This will satisfy the 4 Ethics Contact Hours toward your license renewal.
Please encourage fellow social workers to register for the training even if they are not NASW members.

Please update your calendar. Branch –D meets the 1st Wednesday December 3, 2008.
The meeting begins at 5:30PM and typically ends at 7:00PM. Our primary meeting location is at the Caribou Vet
Center 456 York Street. Joy Brakel and Jean Cashman will offer a summary presentation on the Federal Drug &
Alcohol Confidentiality Law and HIPAA.

    In 2009 we meet in February, March, April, May, September, October, November and December.

 The April 1, 2009 meeting will be held at the University of Maine at Presque Isle (UMPI) Campus Center. Our
presenter is Dr. Momen Elnesr on the topic of Eating Disorders. We are currently in the coordinating phase of
developing the workshop. We will open the workshop to the community. More details to follow in the next
Maine-Chapter newsletter.

    Please try to attend and encourage fellow social workers to come as well.

                                       Branch Updates
 Branch E Update:
 Branch E meetings are held monthly on the third Thursday of month from 9-10:30 at the Wings for Children and
 Families offices in Bangor (900 Hammond Street, Suite 915). Please contact Branch E Chair, Chris McLaughlin,
 LCSW at or at 478-0884 if you would like more information about meetings. Branch E
 is hoping to meet the needs of its membership and welcomes any ideas or suggestions for future meetings.

 October 23rd - Introduction to Branch E and planning for future Branch E meetings
 November 20th - Social Work Services and Supports for GLBTQ Youth (Chris McLaughlin, LCSW)
 December 18th - Topic TBD

 Members of NASW earn 1 CEU for attending and participating. Non NASW members are charged $15 for the 1
 CEU. Please make checks payable to NASW Maine.

                                         August/September, 2008

 Thomas Joseph Gregory Gouthro                             Maura Bannon, LCSW
 Julie Kathleen MacDonald                                  Megan Catherine Boothby
 George Wesley Mele                                        Hope Chrupcala
 Diane Marie Noah, LCSW                                    Stephen O. Deabay, MSW
 Whitney Libby Pinette                                     Grace B Guerrette
 Emory Miller Robotham                                     Hannah Leigh Hanlon
 Justin K Rossner                                          Stephanie B. Hatzenbuehler
 Cynthia Allen Thomas, LCSW                                Martha Lynn Matthews
                                                           Broc A McGowan
                                                           Julia Miller
                                                           Gina Montini Mosca, M.S.W., LCSW
                                                           Kevin P. Sweeney
                                                           Meredith Wurpel

continued from page 17

1. Become familiar with the signs and symptoms of Lyme and its co-infections. If your clients’ neuropsychiatric
symptoms are not resolving in therapy, ask them about exposure to ticks, and review the symptoms of Lyme
disease with them;
2. Communicate your concerns about psychological symptoms to your clients’ physicians, and ask about further
3. Become familiar with the following resources for yourself and your clients:
a. Websites of The Center for Disease Control, The Lyme Disease Association, ILADS and the IDSA; b. Under
Our Skin, a newly released documentary; c. Dr. Joseph Burrascano’s Lyme Symptom Checklist; d. Cure
Unknown, Inside the Lyme Epidemic, by Pamela Weintraub; e. Bull’s Eye, Unraveling the Medical Mystery of
Lyme Disease, by J. Edlow, M.D.; f. Maine Lyme disease support groups. g. The State of Connecticut Attorney
General’s Office Press Release, May 1, 2008, Connecticut Attorney General’s Investigation Reveals Flawed
Lyme Disease Guideline Process

                                 Legislative Committee Update
                                     Dyan M. Walsh, MSW
                               Chair Legislative Action Committee
          We are now just days away from electing a new president of the United States. Never before in
presidential history have we had a campaign where age, race and sex have converged as primary issues in
electing our next president. The reality is that even though there are those in the media that want to make these
the core issues in deciding our next leader, we all know they are not. In the past few weeks we have lived through
a time in American history that we will not soon forget. We are watching our economy take a steady decline
every day and we wait not knowing how to react. For most of us we hope that our vote on November 4th will be
that magic elixir that will put our country back on track, but that remains to be seen.

          One message that has come across loudly and clearly over the past few weeks is that the lobbying that
has gone on in Congress over the past eight years must stop. Our elected officials know that their longevity in
political office depends on their ability to listen to their constituents. As individuals we have separate goals, but
as social workers we have a common purpose, and that is to make the voices of those we serve heard by those in
political office. I recently attended the Northern Maine Advocacy Conference hosted by Maine Equal Justice
Partners. The central message expressed at the conference was that we must advocate for our clients but we must
also give them the education to advocate for themselves. The funding for all our programs will surely see
significant cuts again this year and we need everyone to encourage their clients to engage in self-advocacy.

          Another message heard at the advocacy conference is that we cannot assume that our elected officials
are educated on all issues. It is unrealistic for any of us to think that one person could be an expert on so many
different issues. So it is up to each of us to take the time to share our expertise and knowledge with those in
political office so they can make informed decisions. After the elections are over take the time to make a phone
call, send an e-mail, or write a letter to the elected officials in your area offering them the opportunity to learn
more about the wide range of important issues that impact constituents in their home towns. Once again I say that
our collective voice is strong and we can effect change, but we must take action and not be disheartened by the
legacy of the past eight years. Let your voices be heard and those of your clients and remember to vote on
November 4th.

continued from page 1
                                      Government Relations Update
                                                 October 03, 2008

NASW members and thousands of other mental health advocates have battled for years to enact federal mental
health parity legislation for private insurance coverage. Throughout this year, advocates have made more progress
toward enactment than at any time since our efforts began. Over the past two weeks, Senate and House leaders
struggled to bring mental parity to the floor before Congress adjourns for the elections. Our last major problem
was a congressional rule requiring a "pay-for" to offset the impact of implementing parity on federal revenues
(estimated by the Congressional Budget Office to cost $3.8 billion over 10 years). Congressional budget rules
require legislation with a fiscal impact to include either increases in revenues or decreases in spending to remain
budget neutral. The Senate earlier this week added our parity bill to the huge Wall Street bailout bill as an
enticement to gain House approval for the highly controversial package. This final strategy has now proven
successful, ensuring the parity bill would be signed into law quickly by the President.

NASW greatly appreciate social workers’ continued commitment to support passage of this landmark legislation.
At this time we don’t have a detailed analysis of the law, but more information will be forthcoming. Members
interested in seeing the full text of the federal mental health parity law may view it beginning on page 310 of this
bill:     H.R. 1424 Emergency Economic Stabilization Act of 2008

                            Guatemala Service Learning: Brief on Time and Money

 To explore multicultural service learning possibilities for students with limits on time and money, I worked with
the Honors Program at the University of Maine at Augusta to plan a brief trip to Guatemala to experience a
different culture and explore a range of possibly short (as well as longer) service learning opportunities.

 In May 2008, our group of 10 traveled for 8 days and included visits to 3 service programs. These programs were
chosen because 2 have their U.S. base here in Maine and each offers possibilities for short service experiences of
one-week to 10 days as well as longer experiences. Opportunities do exist for students, professionals, or anyone
with a little time or ability to get away at reasonable costs. I thought this may be of interest to my social work
colleagues too.

 In San Marcos on Lake Atitlan we visited homes where volunteers have built stoves with money raised by
Masons on a Mission and saw the composting toilets that are being introduced
( Based in Washington, Maine, Pat Manley will plan with groups
who are interested building stoves for a one-two week stay (no specific construction skills are needed, just a
willingness to work). Cook stoves are needed in homes to replace the method of cooking inside with an open fire
which substantially increases the risk of respiratory illnesses.

 Common Hope partners with children, families and communities around Antigua focusing on improving their
lives though education, health care and housing. While education is free in Guatemala, many families are unable to
afford the costs associated with children attending schools, such as uniforms, two pair of shoes, school supplies as
well as not having the child available to assist with income or child care of younger siblings. Common Hope
( offers a range of services for affiliated low-income families. Common Hope has a
10 day volunteer program for small groups, which includes accommodations/meals and transportation within
Guatemala During that time among other service activities, groups will build a house and accompany social
workers visiting families. There is no Spanish language requirement for this brief stay. Longer experiences are also
available and do require some level of Spanish.

 While in Antigua we stayed at the Posada Lazos Fuertes, a hotel run by Safe Passage. Based in Yarmouth, Maine,
Safe Passage ( serves children and families in Guatemala City who depend on
scavenging in the Guatemala City dump for items to sell or recycle. The hotel in Antigua provides opportunities
for young people to learn skills for jobs in tourism. Safe Passage’s main services are located in Guatemala City in
the neighborhood surrounding the dump. Programs include early childhood, educational enrichment, health care
services, nutrition and adult literacy. Safe Passage utilizes volunteers in a variety of capacities both long and short
term. Knowledge of Spanish is required for longer service stays. A one week focused service learning experience,
which does not require ability to speak Spanish, is available for small groups.

 With the assistance of Total Tours International, specializing in professional/educational travel
( we were able to visit all the programs, meet with the director of Namaste to learn
about micro loans to women, visit a Shaman, hike a volcano, visit Mayan ruins and hot springs and enjoy good
food, good music and good shopping.

 If you would like more information about our trip, please feel free to contact me. I am also interested in hearing
from colleagues about areas of interest for brief learning/travel experiences. We are currently working on
developing a short visit to Denmark to learn more about their social welfare system.

Mary Jo Blazek, LCSW
Professor of Human Services
University of Maine at Augusta

                       Clinical Social Work Practice Update
         2008 Medicare Bonus Incentive Program for Clinical Social Workers
                                               Mirean Coleman, LICSW, CT
                                                 Senior Policy Associate
                                                       June 2008

 A quality reporting system for Medicare providers was established by the Tax Relief and Health Care Act of 2006
(TRHCA). The program is known as the Physician Quality Reporting Initiative (PQRI) and was first implemented
during the period of July 1, 2007 through December 31, 2007.

 The final rule of the 2008 Medicare Physician Fee Schedule continues the PQRI for 2008 and includes a 1.5 per cent
bonus incentive payment of total allowed charges for Medicare covered services. To receive the bonus payment,
providers must report quality measures on claims and correctly file these claims for reimbursement. Participation in the
PQRI is optional at this time for clinical social workers and other Medicare providers. Since Medicare is moving
towards a pay-for-performance system, all Medicare providers may eventually be expected to report quality measures to
receive payment.

 For 2008, there are a total of 119 measures available for use by Medicare providers. Six of these quality measures are
for use by clinical social workers. Three of the six new measures were developed by Quality Insights (QI) of
Pennsylvania, a Medicare contractor, in consultation with NASW and the American Psychological Association. NASW
members participated in alpha and beta testing to validate the appropriateness of the measures in social work practice.
The three measures are:
• screening of depression
• screening of cognitive impairment
• co-development of treatment plan.

 An additional three measures were developed through the American Medical Association Physician Consortium for
Performance Improvement (PCPI) and the American Psychiatric Association. They are:
• patients who have major depression disorder who meet the DSM-IV criteria
• patients with major depression disorder who are assessed by suicide risks
• antidepressant medication during acute phase for patients with new episode of major depression.

 Reporting for the 2008 Medicare bonus incentive program has been simplified through the development of reporting
tools which have been designed by the AMA and several other groups including the Centers for Medicare and Medicaid
Services (CMS) and the National Committee for Quality Assurance (NCQA). There are three reporting tools for each of
the six quality measures to assist clinical social workers in successfully reporting the measures for reimbursement. The
documents are:
• Measure Description – This informational sheet describes the measure, what information to report, and how
     frequently to report it. It helps clinical social workers to determine whether they would like to use the measure.
• Data Collection Sheet – This data sheet is a tool for clinical and billing use. It helps clinical social workers record
     the required clinical information and select the appropriate measurement code.
• Coding specifications – This coding specification sheet includes a list of ICD-9-CM and CPT codes to identify
     eligible patients for the measure. This tool is used with the data collection sheet to help determine the
     reimbursement codes to report.

 The tools for each of the six codes are located online at It is not too late for clinical social
workers to begin reporting measures for 2008. The deadline for filing claims to receive the 2008 bonus incentive
payment is February 28, 2009.
NASW is advocating for additional measures for clinical social workers in order that they may have a variety of
measures to choose from when participating in the bonus incentive program. An expert work group of clinical social
workers is working with QI and CMS to develop additional measures for use in 2009 by clinical social workers.
Additional information on the PQRI is available online at the following CMS Web page:

                 HEALTH EDUCATION &

    Register online!

      ♥ Intro to Acceptance Commitment Theory
              October 24th 2008 - 6 CEU (ME) - $99
  ♥Teaching MI in Agencies, Institutions & Schools
               November 10, 11, 12th 2008 18 CEU (ME) - $450
            ♥Motivational Interviewing-Basic
         December 9th & 10th 2008 12 CEU (ME) - $150
         ♥Advanced Motivational Interviewing
 December 11th 2008 6 CEU (ME) - $89 ($65 if reg. with MI Basic)
            ♥Motivational Interviewing-Basic
          February 4th & 5th 2008 12 CEU (ME) - $150
         ♥Advanced Motivational Interviewing
 February 6th 2008 6 CEU - $89 ($65 if registered with MI Basic)
        ♥Using MI with Chronically Ill Patients
            November 4th & 5th, 2008 (at USM) *
  * For USM workshops register @
Workshops are located at 25 Middle St., Portland, ME 04101
                unless noted otherwise.

 We’d love to talk with you if you’re interested in an Intern-          On-line CEU's approved by NASW
      ship/ Coaching in Motivational Interviewing…
  Call Cheryl @ 207-773-3275 or email us:

                                                                                      ONLINE UPDATING
     Social Workers and Therapists Trust
     Rhoda Mitchell, M.Ed., Career Counselor
                                                                            EDITING HAS NEVER BEEN EASIER.
     Do you have clients who:
      • Are on medical leave from their jobs and need
                                                                            Members can update personal data online.
            to decide whether to return?
      • Need guidance in choosing a career path?                       1.    Go to
      • Need help sorting through their work and life                  2.    Click on "members login."
            priorities?                                                3.    Click on "update your member profile."
      Refer them to Rhoda Mitchell                                     4.    Click "edit" to update.
     Skilled career counselor with over 20 years experience            5.    Make changes and click "submit".
     Her work is to make their work work!
                                                                                     Portland Office Space
      Rhoda Mitchell                                                    Located in beautiful Victorian building within
     New Leaves, Inc.                                                        walking distance of USM and MMC.
     207 774-0816                                                         Includes all utilities, parking, waiting area,                                                                 and kitchen.                                           Building houses several psychotherapy practices
                                                                       with a full time office suite suitable for adult and
                                                                                         child treatment.

                                                                                    FMI contact: Jim Smith 363-7301

                                 Social Work Examination Services
                                          Preparing social workers for license exams since 1983

                         NEW: 2-day Review Courses in Portland, Maine at USM
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                                         3 Faculty Positions, Department of Social Work
The Department of Social Work at the University of New Hampshire (UNH) invites applications for two full-time,
tenure-track faculty positions, one at the Associate Professor level and one at the Assistant Professor level, in addition to
applications for one full-time Clinical Assistant Professor. All three positions are expected to teach in the combined
BSW-MSW program. UNH tenure-track faculty members are expected to maintain a balance of teaching, scholarship, and
service. The University actively creates and nurtures a dynamic learning environment in which qualified individuals of
differing perspectives, life experiences, and cultural backgrounds pursue academic goals with a mutual respect and shared
spirit of inquiry.

Requirements for Tenure-Track Associate Professor Position:
   An MSW degree and doctorate in social work or a related field,
   A record of excellence in teaching at an accredited Social Work program,
   An ability to teach at both the undergraduate and graduate levels in Research, HBSE, and Macro-level courses (Policy,
        Management, Community organization).
   A minimum of two years post-MSW social work practice experience,
   An established record of grant funding and scholarly productivity,
   A demonstrated ability to work collaboratively with faculty, staff, students, and community groups of diverse

Requirements for Tenure-Track Assistant Professor Position:
   An MSW degree and doctorate in social work or a related field,
   A record of excellence in teaching at an accredited Social Work program,
   An ability to teach at both the undergraduate and graduate levels in Practice, Field, and HBSE courses.
   A minimum of two years post-MSW social work practice experience,
   a clearly defined research agenda and evidence of scholarly productivity,
   A demonstrated ability to work collaboratively with faculty, staff, students, and community groups of diverse

Requirements for Clinical Assistant Professor Position:
   An MSW degree,
   A record of excellence in teaching at an accredited Social Work program,
   An ability to teach at both the undergraduate and graduate levels in Practice and Field courses,
   An ability to administer an undergraduate social work field program,
   A minimum of five years post-MSW social work practice experience,
   Current licensure/certification,
   A demonstrated ability to work collaboratively in both college campus and community settings with faculty, staff,
        students, and community groups of diverse backgrounds.

           The Department of Social Work is an accredited undergraduate/graduate program with 100 undergraduate SW
majors and a total of 130 full and part-time graduate SW students in Durham and at the off-campus site in Manchester, NH.
Both programs offer a family-centered, community-focused, strengths-based curriculum and a student-centered environment.
           Mission and Institutional Identity: The University of New Hampshire is the state’s public research university,
providing comprehensive, high-quality undergraduate programs and graduate programs of distinction. Its primary purpose is
learning: students collaborating with faculty in teaching, research, creative expression, and service. The University of New
Hampshire has a national and international agenda and holds land-grant, sea-grant and space-grant charters. From its main
Durham campus and its urban campus in Manchester, the University serves New Hampshire and the region through
continuing education, cooperative extension, cultural outreach, economic development activities, and applied research.
           The University of New Hampshire is an Equal Opportunity/Equal Access/Affirmative Action institution. The
University seeks excellence through diversity among its administrators, faculty, staff, and students. The university prohibits
discrimination on the basis of race, color, religion, sex, age, national origin, sexual orientation, gender identity or expression,
disability, veteran status, or marital status. Application by members of all underrepresented groups is encouraged.
           Salaries are commensurate with qualifications and experience. Positions will remain open until filled. For the best
consideration, please submit an application by December 1, 2008. E-mail a letter of interest, curriculum vitae and the
names of three references to: Dr. Jerry Marx, Chair, Search Committee, Department of Social Work, University of New
Hampshire. The e-mail address is

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              Update on What Every Social Worker Needs to Know About Lyme Disease
                                                 by Jane Sloven, LCSW, BCD

          Many social workers have been propelled into the controversy surrounding Lyme disease because Lyme is an
increasingly unfortunate fact of life in Maine. If we ourselves aren’t infected, someone in our family, or circle of friends
and colleagues is likely to be – and whether or not we are aware of it – many of our clients. Those of us with an intimate
knowledge of this illness know that it isn’t always easily vanquished with a short course of antibiotics, that it can devastate
families, dash life ambitions, and drain life savings.
          Lyme presents unique challenges for clinicians. Clients who have been infected may present like any other client
– with depression, panic disorders, irritability, symptoms of bi-polar or obsessive-compulsive disorder, cognitive
difficulties, learning disabilities, or explosive tantrums. Your only clues may be the mention of accompanying fatigue, or
joint pain. At that point, social workers need to ask other questions – to determine whether Lyme disease might be part of
the problem, because if it is, psychotherapy alone will not resolve their symptoms.
          We cannot simply rely on our clients’ physicians to accurately diagnose and treat this illness. Lyme escapes
detection. Ticks can be as small as a poppy seed. People often don’t know they’ve been bitten, and less than half those
infected get the classic bulls-eye rash. Borellia Burgdorferi, the microorganism identified as the causative agent of Lyme
disease, is a spirochete, similar to the one that causes syphilis. Ticks transmit it, along with other infections – like Babesia,
Bartonella, and Mycoplasma. When the infections are in combination, they don’t look like the textbook description of any
single one of them. Imagine, for example, describing how flour looks – in a bag, in a fruitcake, or in a loaf of bread.
Our clients might say they were already tested, but the test might have been a false negative – it said they did not have the
infection, but they did. The disease will not show up via testing for at least four weeks after a bite, and the initial blood test
is an ELISA, which has a high percentage of false negatives. If the ELISA is negative, the patient is not given a more
accurate test, the Western Blot. Only a few labs have the expertise to develop and read this test accurately, physicians
disagree over which labs are reliable, and Western Blots can give false results too. Many physicians do not believe
co-infections are common, so they don’t test for them, and those tests are not definitive either.
          A hostile disagreement rages among physicians about diagnosis and treatment. It has divided the medical field
into essentially two opposing views. The International Lyme and Associated Disease Society (ILADS), comprised of
physicians and researchers from various specialties, published guidelines for the diagnosis and treatment of Lyme disease
in 2003. ILADS physicians treat Lyme as a complex, multi-systemic illness with co-infections that can become chronic,
disabling, and challenging to eradicate. Their guidelines emphasize the importance of the clinical picture, with test results
as supportive, not definitive. The length of treatment with antibiotics is based upon patient symptoms. Long-term treatment
for chronic Lyme and late stage Lyme may be aggressive, with multiple antibiotic combinations.
          The Infectious Disease Society of America (IDSA) and The American Academy of Neurology (AAN) are larger
organizations with political clout. Their 2006 guidelines for the treatment of Lyme disease were published in close
succession, and the panels that formulated them shared members. Their guidelines recommend two to four weeks of
treatment as curative, and disavow the efficacy of longer treatment, treatment with multiple antibiotics, and the existence
of a chronic form of Lyme. Any symptoms after two to four weeks of antibiotic treatment are not considered to be from an
infection. They are “post Lyme syndrome,” and patients are referred to other specialists.
          In May of this year, the Connecticut Attorney General determined that the IDSA panel that developed their
guidelines was tainted by financial and professional conflicts of interest, as well as scientific bias. As part of a legal
agreement, The IDSA will convene a new panel to revise those guidelines with the oversight of a medical ethicist.
Social workers need to know these details because most physicians have relied on the IDSA guidelines. As our client’s
neuropsychiatric symptoms worsen, they might not be diagnosed despite being infected. If they are diagnosed, their
treatment might be based on two to four weeks of antibiotics when they need more. If longer-term antibiotics are
prescribed, insurance companies, relying on the IDSA, may refuse coverage. Our clients might have to pay out-of-pocket
for medications, or go without. They may not improve because their co-infections might remain undetected.
          When the medical conflicts maroon our clients with a complex illness and ineffective treatment, when our clients
become suicidal, chronically ill, disabled, dependent on SSDI, or face foreclosures and bankruptcy – what is our
professional responsibility? The NASW Code of Ethics sets out our mission: to enhance human well-being and help
meet…basic human needs… with particular attention to the needs and empowerment of people who are vulnerable,
oppressed, and living in poverty…Fundamental to social work is attention to the environmental forces that create,
contribute to, and address problems in living.
          I suggest that in the context of Lyme disease, our mission includes understanding the illness, educating our
clients, and helping them advocate for themselves. These are suggested interventions for social workers:
                                                                                               continued on bottom of page 6

                        CALL FOR PRESENTATIONS


                      “THE POWER OF SOCIAL WORK”

                     SAMOSET RESORT, Rockport, ME
                           April 23-24, 2009
 The NASW Maine Chapter invites you to submit a proposal for presentations at the 2009
NASW Maine Annual Conference. Take advantage of this opportunity to present at this
annual professional development event for Maine’s social work community.

 “THE POWER OF SOCIAL WORK” is the conference theme. Presentations must provide
current, relevant, and innovative information/concepts that will inform social work practices,
enhance professional and personal development and promote social action. Incorporation of
the theme into the presentation is strongly encouraged. The NASW MAINE CHAPTER
Annual Conference Committee will utilize a peer review process in the selection of
presentation proposals.


                               PRESENTATION FORMATS

The three (3) types of presentation formats are:

        Workshop will incorporate oral/visual presentations with opportunities for question
          and answer period. (2 hours total)

        Thursday Lunch Roundtable Discussion is an interactive session designed to
          facilitate discussion on the specified topic. No audio/visual equipment is to be
          used in this format. (Length: 45-60 Minutes)

        Poster Presentation Professionals and social work students are encouraged to submit
          proposals for poster presentations. Must be present for designated poster session
          times. See page 18 for details.

                       GUIDELINES FOR SUBMISSION
Your proposal must incorporate the theme and include the following:

1. Proposal Cover Page (see attached)
2. A biographical summary (50 words max.) and current resume/C.V. for EACH Presenter
   describing their credentials, experience relevant to the proposed topic, and current
3. A 50 word abstract of your presentation.
4. A 300-500 word detailed description containing specific learning objectives.

 The NASW Maine Annual Conference Committee will review proposals based on the
following points:
       • Well Conceived and theory/evidence based
       • Well Organized and relates to objectives
       • Timely and relevant for social work practice or policy
       • Presents new and innovative ideas
       • Implications for social work practice are discussed
       • Presenter expertise and previous presentations on the proposed topic
The conference committee reserves the right to accept a proposal with a modified presentation
format. All accepted presenters will receive an invitation to participate, at which time any
format modifications will be specified.

All accepted presenters are required to register for the conference by January 15, 2009 to be
included in the final program. Presenters are invited to attend the conference on the day that
they present as our guest. To attend the full conference there is a $25.00 meal surcharge. All
travel expenses are incurred at the cost of the presenter. Presenters are also responsible for
providing their own handouts.

 All communications will go to the primary presenter (if more than one). It will be their
responsibility to convey information to co-presenters.

Submissions must be received by December 1, 2008

Send Proposals to:  
                              Electronic submissions are preferred
                                     NASW Maine Chapter
                                     Annual Conference Committee
                                     PO Box 5065
                                     Augusta, ME 04332
                                     Fax: 207-512-2255

                                        PROPOSAL COVER PAGE

Presentation Title

Format ___Roundtable ___Workshop ___Poster

Proposed Presentation Category

    Aging                                                  Disabilities
    Administration/Workplace                               Diversity
    Advocacy/Public Policy/Social Justice                  Ethics/Management of Professional Liability
    Alcohol/Substance Abuse                                Evidence Based Theory/Practice
    Children/Families/Schools                              Health Care
    Clinical/Mental Health                                 Professional Issues
    Criminal Justice/Legal Systems                         Other (Please Specify)

 Please list submitting presenter’s name first for each presenter, list name, degree(s), licensure,
credentials, employer, address/city/state and biographical paragraph. Additional presenters may be
listed on back as an attachment.
                                      PRESENTER INFORMATION
NASW Member? Yes            No


Degree(s)                                   License

Job Title


Work phone                                                     Fax

Home address

Home phone                                   Email

                              AUDIOVISUAL EQUIPMENT REQUEST

    LCD PROJECTOR *     TV/VCR                 FLIP CHART               SCREEN          NONE

*PLEASE NOTE: One LCD Projector is available. Availability of said projector is not

                       CALL FOR POSTER PRESENTATIONS
                          DEADLINE December 1, 2008

                2009 NASW Maine Chapter Annual Conference
                                    “The Power of Social Work”
                          April 23-24, 2009 Samoset Resort, Rockport, ME

 NASW-ME invites social work professionals and students to participate in the 2009 Annual
Conference by giving a poster presentation. Poster presentations are an alternative to the
traditional presentation method as a way of allowing an individual or a group to communicate to an
audience the substance of work as a social work professional or student has done or is currently
engaged in. Less formal than a paper presentation, poster sessions allow presenters to show
highlights of their work in a briefer format that encourages a wider variety of topics. The success of
a poster presentation relies on the quality of the paper and the effectiveness of the presentation
style. Students(s) who submit a poster proposal must have a faculty sponsor to aid the
student(s) in the preparation of the proposal and presentation. Direction and feedback
regarding the quality of the paper is the responsibility of the faculty sponsor.

Adherence to the following points will facilitate a successful poster presentation:
  1. All poster content must be typed.
  2. A minimum font size of 18 for the poster is recommended.
  3. Use an eye-catching, colorful background for your poster
  4. Poster presentations must be either self-standing or able to be easily displayed on an easel

The information presented in the poster presentation includes one or more pages for each of the following
sections (staying within a 12 page limit)

For a Research Paper:                                         For a Conceptual or Policy paper:
 Title, author, and date (college or university,                Abstract that summarizes the poster
  faculty sponsor)                                               content
 Abstract that summarizes the poster content
 Background including research question and relevant           Background including research
 literature                                                   question and relevant literature
 Methodology used in conducting research                       Review of relevant literature
 Findings-usually presented in tables and charts               Implications of practice/policy
 Discussion of results                                         Discussion of future practice/policy
 Implications for practice                                     References

                                         SUBMISSION DETAILS

Proposals must include: Title, Author(s) name and contact information, date, and an abstract summarizing the
poster content. Students must include the names of their college or university faculty sponsor.
Email submissions are preferred.

                         Submit Poster Proposals by December 1, 2008 to:
              Email: or Fax: 207-512-2255 or Mail to:
             NASW Maine Chapter Conference Committee , PO Box 5065, Augusta, ME 04332

                    2008-2009 Friday Series
                 Continuing Education Program

October 31, 2009                                                       Portland, CFS
Public Benefits Program Addressing low-Income Clients’ Basic Needs
Sara Anne Meerse, MSW, Esq.
October 30, 2008
Ethics Workshop **4 ethics CEU's**                               Presque Isle, UMPI
Sally Sutton
November 21, 2008 **6 Ethics CEUs**                                   Portland, USM
Learning the Ins and Outs of Special Education:
Who Qualifies, What Services and Ways to Advocate,
Sara Anne Meerse, MSW, Esq.
December 12, 2008                                                       Lewiston, BC
The Power of Groups, Stephen R. Andrew, LCSW, LADC, CGP
February 20, 2009                                                       Lewiston, BC
What Works With Chemically Dependent Young People
Stephen R. Andrew, LCSW, LADC, CGP
March 13, 2009                                                         Portland, CFS
Families at Odds: The Use of Guardian ad-Litem—
Therapist Collaboration in Resolving Issues in Families in the
Midst of An Adversarial Court Process
Pheobe Prosky, LCSW, Toby Hollander, Esq., Terry Hayes


May 8, 2009 **4 Ethics CEUs**                                        Brunswick, UNH
Ethical Decision-Making: Tools for Social Workers and Their Organizations
Sally Sutton, MA, MSSW
June 12, 2009                                                        Brunswick, UNH
Understanding New Concepts in Working With Women
Laura Zegel, MSW, M.Div., LCSW

For a full brochure and registration information please see our website
       *******Register online and pay by Credit Card*******

        NASW-MAINE CHAPTER BRANCHS                      NETWORK WITH
                                                        IN YOUR AREA






NASW-Maine Chapter Newsletter
                                                          Presort Standard
Post Office Box 5065
                                                           U.S. Postage
Augusta, Maine 04332-5065
                                                          Augusta, Maine
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