The
Nova Scotia
PSYCHOLOGIST
A Journal Published by The Association of Psychologists of Nova Scotia
Inside... PRESIDENT’S MESSAGE: Advocacy
May 2014 One of the initiatives we have The family physician is often the
been pursuing since the last first health-care professional to
President’s Message 1 AGM is to establish a working whom patients with emotional or
relationship with Doctors NS, the behavioral problems turn.
AGM Minutes May 2013 3 professional association for
physicians in Nova Scotia. Some studies have suggested that
Elections Committee 5 Representatives of our Advocacy up to 70 per cent of consultations
Report 6 Committee (Kiran Pure and David to family physicians involve
Pilon) and I met with Doctors NS psychological problems. In spite of
APA State Leadership President Mike Fleming and Kevin this significant need, family
Conference Chapman, Director, Health Policy physicians often find they have
and Promotion. As a result of that neither the time nor the training to
CPAP/Practice Directorate 7 productive meeting we were provide treatment for the mental
& Advocacy Report invited to present to their General health concerns of their patients.
Practitioner Counsel and to their Consequently, family physicians
Post trauma Services 10 Policies and Health Issues must often refer to mental health
Committee Report Committee. We were also afforded professionals to provide
the opportunity to write an article consultation and evidence-based
NSBEP Notes: Update on 13 for the Doctors NS Magazine on treatments.
Telepsychology primary care collaboration
between psychologists and Psychologists – as the largest,
Continuing Education 14 physicians. The article which specialized regulated mental and
Report recently appeared in the May behavioral health professionals in
edition (online version link: Canada – are positioned to provide
Psychology Month Report 16 collaborative services in primary
http://www.doctorsns.com/site/ care to their physician colleagues.
Membership Survey 17 media/3dIssue/doctorsns-may2014/
Collaborative care models
Robin McGee and the 20 files/25.html) is reproduced below. Several collaborative primary care
Cancer Olympics models involving physicians and
Psychologists, doctors can psychologists have been proposed
Acknowledgements 21 collaborate on diagnosis, in parts of the English-speaking
treatment world. One such model adopted in
Advertisements 22 the United Kingdom and Australia
Positioned to provide collaborative incorporates the psychologist as
Committees & Reps 26 services in primary care the “mental health GP,” who is
able to collaborate with the referral
Vol. 26• No 2 By DR. MARC J. BLUMBERG source on diagnosis and treatment
February 2014 Association of Psychologists of of patients.
Nova Scotia
continued on page 2
Reports Although psychological services aren’t covered by
MSI, most insurance plans will reimburse patients
PRESIDENT’S REPORT (continued from page 1) for psychological services provided by registered
psychologists within the limits of the patient’s
The Psychologists Act of Nova Scotia provides policy.
statutory authority for psychologists to assess,
diagnose, and treat the academic, psychological, Regardless of the reimbursement method, services
and emotional disorders of children and adults. provided by psychologists are cost effective. A
Consequently, psychologists are required by law recent Canadian study appearing in the Canadian
to deliver competent, ethical and professional Family Physician found that assigning primary
services. care patients to psychological treatment resulted in
a 49 per cent reduction of visits to family
They are accountable to the public through their physicians and in significant decreases in total
professional regulatory body, the Nova Scotia health spending.
Board of Examiners in Psychology (NSBEP). It’s
the statutory responsibility of NSBEP to ensure Nova Scotia physicians who want to access the
that psychologists meet rigorous professional services of a psychologist can contact the
requirements and adhere to prescribed standards, Association of Psychologists of Nova Scotia, a
guidelines and ethical principles. Psychologists in voluntary professional organization that represents
Nova Scotia are also required to complete yearly over 500 registered psychologists in the province.
continuing education.
Private practice psychologists directory
In order to be registered in Nova Scotia, a The Association of Psychologists of
psychologist must have a doctoral or master’s Nova Scotia publishes a private practice
degree in psychology. Doctoral training is directory available free of charge to any
typically a minimum of five years and master’s physician upon request.
level training is typically a minimum of two years.
In addition to course work, candidates for A user-friendly online version is on
registration must complete a minimum number of www.apns.ca
years of supervised clinical experience (two years
for doctoral psychologists and four years for (Dr. Marc J. Blumberg, PhD, is the President of the
master’s level psychologists). Association of Psychologists of Nova Scotia.)
Candidates must also pass an oral exam and the
nationally administered Examination for
Professional Practice of Psychology. This
comprehensive national exam, administered in
most jurisdictions in North America, requires the
candidate to demonstrate competency in a variety
of substantive psychological areas.
Page 2 The Nova Scotia Psychologist May 2014
Reports
ANNUAL GENERAL MEETING May 31, 2013 MINUTES
APNS AGM Minutes, May 31 2013 Due to a lack of President Elect last year, the
Room 224/226, Student Union Bldg. President position was shared this year, first half
by Lynne Robinson and second half by Marc
Dalhousie University, Halifax Blumberg. Lynne is absent.
Executive: Marc Blumberg, Julia Holt, Hilary 6.0 Treasurer’s Report
Kitchener, Joanne Mills, Stephanie Allen, Susan (see circulated report and proposed budget)
Marsh (Executive Director) Key revenue – membership fees, CE workshops,
Regrets: Lynne Robinson, Leah Clyburn, Robert private practice directory. Having an electronic
McInerney version of our newsletter reduced expenses.
Members Present: Charles Hayes, Myles Genest, Budgeted more for the move and came out under
David Pilon, Sherry Stewart, Sophie Jacques budget
(guest student award), Janine Olthuis (student
award), Chris Ellsworth, Christine Chambers Approval to receive 2012-2013 budget:
(guest Student award), Katie Birnie (student Moved: Gerald Hann; Seconded: Gordon Butler;
award), Heather Power, Debbie Sutherland, Pam Motion carried: all in favour.
Dixon, Barbara Delong, Liz Pace, Michael
Bryson, Laraine Birnie, Joanne Gusella, Gordon 7.0 Auditor’s Report (see circulated report)
Butler, Karisa Parkington (student awards), Consider using profession auditing services – see
Elaine Ply, Vicky Wolfe, Maria Angelopoulos, S under 11.0 New Business
Gerald Hann, Ann Wetmore, Jennifer Richard, Move to receive the report: Charles Hayes;
David Mensink, Debra Garland, Maureen Seconded: Christine Ellsworth; motion carried; all
Gorman, Victor Day, Fred French. in favour.
1.0 Call to Order 8.0 Committee Reports
President Marc Blumberg called the meeting to (as published in Nova Scotia Psychologist, May
order at 12:10 2013).
Move to receive reports: Victor Day; Seconded:
2.0 Approval of agenda Myles Genest; Motion carried; all in favour.
Moved: Myles Genest; Seconded: Charles Hayes;
Motion carried: all in favour
3.0 Approval AGM minutes from May 25, 2012 8.1 Greetings & Update from CRHSPP (Myles
Charles Hayes requested that his name be added to Genest)
the list of attendees. Question on revision to regulation surrounding
Moved: David Pilon; Seconded: Pam Dixon; GST/HST - much discussion. Don’t have to be
Motion carried: all in favour registered with CRHSP to be exempt from HST.
Should collect HST on things that aren’t clearly
4.0 Business Arising health related e.g., reports, assessment, notes to
No Business arising from last year’s meeting third parties. A link on APNS and CRISP website
regarding the HST issue. Suggestion to have a
5.0 President’s Report taxation and accounting workshop in the future.
(as published in Nova Scotia Psychologist, May APNS should ask for a ruling from CRA regarding
2013). HST – to be addressed at the next APNS exec
meeting.
continued on page 4
Page 3 The Nova Scotia Psychologist May 2014
Reports
ANNUAL GENERAL MEETING May 31, 2013 MINUTES (continued from page 3)
9.0 Election of officers 11.1 Appointment of Auditors:
Victor Day presented new Executive members. Gordon Butler suggested in the Auditor’s that
No other nominees ran against the proposed APNS consider using professional auditing
members. services. Gordon suggested that the motion should
say that APNS should try to identify professional
10.0 Awards: auditors but in case that did not happen Gordon
Fellow designation – recognition of long term and James Peake would volunteer to be appointed
service and outstanding contributions to the for 2013-2014.
association – Deborah Garland, presented by Moved: – Myles Genest; Seconded: David Pilon.
Susan Marsh Motion carried; all in favour.
Gerald Gordon Prize (undergrad) :Student 11.2 Appointment of Electoral Officers for 2013
Karisa Parkington nominated by Dr Sophie -2014:
Jacques Victor Day, David Mensink, Louise Stringer
Warner, Past President Lynne Robinson.
Brian Dufton Prize (graduate): tie – Katherine Moved: Joanne Mills; Seconded: Pam Dixon.
Birnie and Janine Olthius nominated by Christine Motion carried; all in favour.
Chamber and Margo Watt respectively.
12.0 Adjournment:
11.0 New Business Moved: Ann Wetmore.
APNS Annual General Meeting
Friday, May 30, 2014
12:00 to 1:15 p.m.
Dalhousie Student Union Bldg., Council Chambers 2nd Floor
6136 University Ave. Halifax
The AGM will occur from noon to 1:15 pm over the lunch break of
the Pearson Assessment Tools workshop.
We encourage all APNS members to join us for lunch while you attend the AGM.
In addition to annual business matters the Student Awards will be presented.
Page 4 The Nova Scotia Psychologist May 2014
Reports
ELECTIONS COMMITTEE REPORT 2013-2014
Members: Victor Day (chair), Louise Stringer- has agreed to serve the three-year term as president
Warren, David Mensink, Debra Garland. -elect for 2014-15, and then president and past-
Lynne Robinson (ex-officio past-president). president. Heather is a clinical and forensic
psychologist in private practice in Bedford, and has
The Elections Committee is responsible for previously been active on the APNS Continuing
soliciting nominations for positions on the Education Committee.
Executive as they become open, and for conducting
elections. It is also responsible for soliciting The committee then had to desperately scrape the
nominations for the annual Fellow appointment, bottom of the barrel to get a second person for the
and passing such nominations on to the Executive other president-elect position, and thus came up
for selection. The Board Nominations with Victor Day, who agreed to serve as President
subcommittee of the Elections Committee is for the upcoming year.
responsible for soliciting nominations of
psychologists for appointment to the NSBEP as There being no other nominations, these candidates
vacancies occur, and for passing such nominations become acclaimed.
on to the Executive with recommendations.
Currently all members of the Elections Committee We have made recommendations to the APNS
are members of the Board Nominations Executive concerning the two openings on NSBEP
subcommittee. occurring as of June 30, 2014.
This year was an unusual year for openings on the Lynne Robinson has served actively on the
Executive. Last year Joanne Mills, who was committee ex-officio as Past-president and has
already a member at large, agreed to begin a new agreed to continue as a regular member of the
two year term as member at large (Treasurer), so committee. Louise Stringer Warren has resigned
there was no need for a member at large from the committee, after serving on it for 12 years,
replacement this year. However Julia Holt, and after 14 years Victor has resigned from
president-elect, resigned in January. Thus we then committee. Fortunately Debra Garland has agreed
needed two President-elects, one to replace Julia to be considered at the AGM for appointment as
and become President for 2014-15, and one to chair of the Elections Committee for the upcoming
serve as President-elect during 2014-15. year.
Respectfully submitted,
Fortunately a very good person, Heather Power, Victor Day, Ph.D., R.Psych.
Member Statistics at May 15, 2014
Type 2012‐13 2013‐14 change
Full 374 375 +1
Retired/Inactive 9 11 +2
In Absentia 2 1 ‐1
Student 24 17 ‐7
Honorary 4 3 ‐1
TOTAL 413 407 ‐6 net
Page 5 The Nova Scotia Psychologist May 2014
Reports
APNS PARTICIPATES IN THE APA STATE LEADERSHIP CONFERENCE
A delegation from APNS
participated in the APA listed here. If anyone is
interested in viewing the
State Leadership Conference PowerPoint presentations of
(SLC), March 8-11, 2014. these please contact
This is the annual gathering [email protected]
of State and Provincial
Psychological Association Deborah Baker, JD:
leaders, coordinated by “Developing a Roadmap for
APA’s Practice Organization, Telepsychological Practice:
to promote Psychology’s APA Guidelines for the
advocacy agenda. Over 400 Practice of Telepsychology and
participated from across the Future Regulatory
U.S. and Canada. Susan Canadian night at Bucca di Beppo Developments”
Marsh (Executive Director) and Jo Durup (Public David Barlow, PhD: “Psychological
Education coordinator) attended for APNS this Interventions: Opportunities and Challenges
year. David Pilon did not attend this year for the Ahead”
first time in over 20 years and he was greatly Luana Bossolo: The Value of Partnerships on
missed, not only by the Nova Scotia delegation but Your Roadmap”
our fellow Canadians. Ester Cole, PhD: “Social Inclusion”
The theme of this year’s SLC was “Creating Elena Eisman, EdD: “Electronic Health
roadmaps for practice”. The message embodied in Records: One Good Idea”
this theme is that no single advocacy strategy for
ensuring professional psychology’s inclusion can Arthur Evans, PhD: “Practice Guidelines”
address the diverse legislative, regulatory and Shirley Higuchi, JD: “Alternative Practice
marketplace environments from one state to
another. This has become key in the U.S. where Models for Psychology: Leading-Edge Legal
implementation of their Affordable Care Act and Practice Perspectives”
proceeds. Although the message is targeted toward Nadine Kaslow, PhD: “Leadership Lessons
the American experience, the SLC sessions provide Learned”
lots of information that is of use to the Canadian Alan Nessman, JD: “Further Exploration of
psychologists. Alternative Practice Models for Psychology”
William Pawlucy, CAE, MPA:
a. “Building Effective Volunteer and Staff
Relationships”
“Securing a place for psychologists in the evolving b. “From the Drawing Board to the
health care system will be like using a roadmap; Dashboard: Strategic Plan to Action”
practitioners may consider multiple paths in c. “Board Assessment”
charting their future course and options will vary d. “Strategic Plan Execution Toolkit”
from one practitioner to another. Psychologists e. “Roberts Rules of Order”
play vital roles in the health care system and f. "Financial Dashboard”
beyond. By finely honing our advocacy strategies, Dinelia Rosa, PhD: “Electronic Psychological
we can continue to ensure psychology’s inclusion Record Keeping: Meeting the Ethical and Legal
in evolving health care systems.” Standard of Care through State Specific
Program sessions during the conference covered a Templates”
range of topics. Some of the more relevant ones are continued on page 7
Page 6 The Nova Scotia Psychologist May 2014
Reports
TCPAP/PRACTICE DIRECTORATE & APNS ADVOCACY REPORT
his year we have combined the report on way on this and wanted support from other areas,
APNS advocacy with our annual report from but it appeared that people were not willing to go
the Council of Professional Associations of there yet. It isn't that they were not interested or
Psychologists (CPAP) and the Practice Directorate. supportive, but there appeared to be agreement that
Although APNS carries on many of its own there are other avenues that are priorities
advocacy initiatives, in the last one to two years, predominately the collaborative care initiatives.
we have been receiving a great deal of hands-on Collaborative care projects: APNS’ initiative
support from the Practice Directorate. Amy was welcomed at the meeting - that we had met
Barnard, Manager, Practice Directorate, Andrea with the health minister and had political backing
Piotrowski, Chair CPAP/Practice Directorate and and support and interest. they encouraged that we
Tyler Stacey-Holmes, Manager Association move on this asap. The only other province that
Development and Karen Cohn CPA CEO have has made province in the idea of having
been particularly helpful. psychologists as a part of the primary care model is
Alberta. After 10 years, they are very close to
June 2013 Practice Directorate Meeting having that happen. But no other province has
Discussion topics as reported by our rep Kiran really met with the minister of health, etc. That was
Pure: very promising. Karen Cohen, CEO of CPA said
Blue Cross and other insurance companies she would be happy to come visit and support us in
Tighter regulations are increasingly limiting what any meetings with DOH.
services will be covered. This is starting to affect
people who are in their candidacy periods for Mind Your Mental Health Campaign Results
registration. If you are not a fully registered 1. Press Releases:
psychologist, some insurance companies will not Sent out in every jurisdiction on February 3rd , 2014
cover for services you have provided. If you are Translated versions sent out in Quebec and NB
being supervised by a psychologist or a Media Requests generated from PR
psychologist is sitting in the session, those sessions NB
will not be covered, even if the supervising News 919 (Radio) Moncton
psychologist signs off on your session notes. Also, Interview completed by Graeme Dyck
indirect services like report writing, telephone Did not receive copy of the interview
calls, consultation with agencies are not being NWT
covered by some companies, especially by Blue CBC Yellowknife, interview completed by
Cross. Robert O’Rourke (clip requested)
GSH/HST issues regarding how psychologists Northern Journal, interview completed by
will have to charge tax on services that they had Robert O’Rourke
not in past. Northern Journal (weekly newspaper) then
PEI rep brought forward an issue in that she requested a National perspective, interview
was required to choose between working in private completed by Rehman Abdulrehman
practice or in the school system. She has been told NL
that she cannot do both in PEI. This is now in a VOCM radio, interview completed by Bev
“grievance” and we are waiting to hear the Mclean Clip: http://www.vocm.com/
outcome. This has brought up the concern about newsarticle.asp?mn=2&id=43119&latest=1
School Psychology in general and how we 2. PD/Association Members media appearances:
approach the problems. Manitoba
Prescriptive authority: Ontario is leading the
continued on page 8
Page 7 The Nova Scotia Psychologist May 2014
Reports
CPAP/PRACTICE DIRECTORATE & APNS ADVOCACY REPORT (continued from page 7)
Jackman and Minister of Health Susan Sullivan
in which a MYMH t-shirt was presented, photo
graphed and added to facebook
Unique visits to MYMH.ca in February:
Total (up until January 31st, 2014) - 2528
In February Alone - 6345
Here in Nova Scotia, Mike Smith “Bubbles” of the
Trailer Park Boys agreed to participate and was
photographed in the Mind Your Mental health
Shirt. See other participant photos at:
https://www.facebook.com/mindyourmentalhealth
Other CPA Initiative of Interest to APNS
Federal Government benefits increase
CPA’s advocacy efforts to enhance access to
psychological services. Federal workers and
retirees will see their extended health insurance
coverage for psychological services double from
$1,000 to $2,000 annually. See link for CPA Media
release: http://www.cpa.ca/docs/File/News/2014/
TBSapril2014.pdf
“Bubbles” proudly displays his Mind Your Mental Health shirt CPA announces a new broker and an improved
program for Psychology Practitioner Liability
NB (from press conference and launch of sky Insurance CPA is pleased to announce that
diving video February 14th) members of CPA and provincial/territorial
CBC-Radio Canada lunchtime spot (Feb 14th) associations now have access to an improved
liability insurance program, brokered by BMS
with Louise Morin Group Inc. BMS replaces McFarlan Rowlands as
(TV)6PM on the TéléjournalAcadie the exclusive professional liability insurance
article in the Times and Transcript broker for members of the CPA and provincial and
Article in the AcadieNouvelles territorial associations. BMS brings a new member
Radio interview with Graeme Dyck with CBC- -centric perspective to the design and delivery of
the psychology insurance program, including
Feb 14th with Marshall Button significant immediate and long-term benefits to
Radio interview with Graeme Dyck Feb.20th policy holders. Click here for a summary of the
new program: http://www.cpa.ca/insurance
CJSE
continued on page 9
Newfoundland
Bev Mclean attended the Proclamation signing
yesterday with Minister of Education Clyde
Page 8 The Nova Scotia Psychologist May 2014
Reports
CPAP/PRACTICE DIRECTORATE & APNS ADVOCACY REPORT (continued from page 8)
APNS Advocacy and called/e-mailed them to our local CBC
On our Advocacy committee front, at the Information Morning radio show.
beginning of 2013 we reviewed our plans and After the election we sent congratulatory
prioritized our activities. Although we did not letters to the Minister of Health and the
name a Chair, David Pilon and Kiran Pure Premier.
provided a strong knowledge base for the
committee and Susan Marsh agreed to continue to Outreach to Doctors Nova Scotia
attend meeting as a resource. Arranged a meeting with Dr Mike Fleming,
President of Doctors Nova Scotia who met with
One of our plans including the continued APNS President Dr Marc Blumberg and
relationship-building with provincial government, Advocacy committee representatives Dr David
specifically, NDP Minister of Health, David Pilon and Dr Kiran Pure
Wilson and NSP MLA Pam Birdsall. However
with the October election, the government As a result of the meeting there was discussion
changed which meant that we would have to with Kevin Chapman. Director of Health Policy
being again. However with the assistance of the and Promotions for Doctors Nova Scotia.
Practice Directorate we were able to carry out an Kevin Chapman suggested the following 3
active election advocacy campaign. concrete steps to move forward:
Election Advocacy 1). A presentation to the GP Council. They meet
Set up a section of the CPA website to which quarterly. Kevin will be sending suggestions
regarding the types of information we could
we could refer our members to encourage provide that would be helpful (things like who are
their participation by allowing them to send a we, what services can we provide, how to refer to
letter to their MLA use, how we are paid, etc.). We will receive an
Sent message to the full APNS membership invitation to present. This has not happened as
about the election website and encouraged yet.
them to participate; We rec’d some very 2). A meeting with the Policies and Health Issues
positive feedback about the site from several Committee (PHIC). They meet more regularly
members. (When I used the website I did get a than the GP Council and Kevin is going to send
response from one of the candidates in my Marc their schedule. This will be a great
riding. Other Psychologists reported similar opportunity for members of our Advocacy
responses) Committee to establish an ongoing relationship
Sent a special package with all info to our with members of PHIC in order to get their
Legislative reps encouraging them to reach support in moving forward our agenda.
out to them local candidates. 3). Write an article to be included in their
Sent a letter to all the party offices. magazine. (See Marc’s article on page one of this
Sent a letter with our informational piece on newsletter).
Primary care to all candidates. We have rec’d
some good responses so far which we If you are interested in APNS’ advocacy
compiled and sent to the full membership initiatives we invite you to join the Advocacy
tomorrow. Committee. Please contact [email protected] for
Created four “Questions for the Candidates” more information.
Page 9 The Nova Scotia Psychologist May 2014
Reports
POST TRAUMA SERVICES COMMITTEE REPORT 2013-2014
In 1978 the Post Trauma Services Committee Switzerland. The crash resulted in a loss of all
(PTSC) were concerned by how easy it was for 229 people on board. This airline crash, like the
provincial and state resources to be overwhelmed San Diego crash referred to above, overwhelmed
when faced with a Mass Critical Incident (MCI). the ability of the Nova Scotia Emergency
A collision between a commercial jet liner, Measures Organization to cope.
Pacific Southwest Airlines (PSA) Flight 182 and The APNS-NSEMO MoU has proved its value in
a private Cessna 172 occurred over San Diego, the Swissair III recovery operation. The services
California. This collision resulted in the loss of provided by Nova Scotia Psychologists were
144 lives: 135 on the jet liner, 2 in the Cessna, quickly and efficiently rolled out to meet
and 7 on the ground when the planes crashed to demands when needed. Indeed many
the ground. The State of California and the City psychologists providing service at the time have
of San Diego were overwhelmed in coping with letters and certificates of appreciation
this disaster. acknowledging their important contributions
The PTSC began advocating for a Memorandum during that recovery operation.
of Understanding (MoU) which would enable Unfortunately, since that event changes were
authorities to call into service volunteer made which the PTSC feels are detrimental to the
psychologists who had the necessary training and efficient roll-out of professional psychological
experience to offer assistance at such times. resources. For example, following the Swissair III
Initially negotiations were held with the managers recovery operation the psychosocial response
of the Halifax International Airport. component was assumed by the Department of
It took 20 years for a MoU to be developed. The Health and Wellness (DoH&W). At that time the
Association of Psychologists of Nova Scotia APNS-NSEMO MoU was dismissed by DoH&W
(APNS) through its Post-Trauma Services without notification, negotiation or discussion
Committee (PTSC) established one of the first with APNS.
Canadian MoUs pertaining to the roll-out of The PTSC remained convinced that a MoU is
volunteer psychologists in cases where a disaster needed and could be germane to any DoH&W
response overwhelmed Provincial resources. That response to an MCI. The Committee therefore has
MoU was established with the Nova Scotia been active in trying to establish a MoU with the
Emergency Measures Organization (NSEMO) on DoH&W. To date this effort has not been
February 3, 1998. It was designed to be employed successful.
during a Mass Critical Incident (MCI) which
overwhelmed provincial resources and its utility It has been difficult to establish meetings with
was that it could be applied to any type of MCI DoH&W but when there have been meetings it
and not just to one affecting air traffic. seems that there is agreement in principle that
That APNS-NSEMO MoU allowed the Director there needs to be a recognized and formal
of the NSEMO to call out pro-bono volunteer agreement for the role-out of volunteer
psychologists when provincial resources were psychologists when the Province is being
overwhelmed. The value of the MoU was seen overwhelmed or likely to become overwhelmed.
when Swissair Flight III crashed into St. The DofH&W confirmed that a psychosocial
Margarets Bay on September 2, 1998. This flight response is a vital role in the Nova Scotia
had left from John F. Kennedy Airport en-route to Health’s system’s ability to respond to
Cointrin International Airport in Geneva, emergencies. The psychosocial response is led by
continued on page 11
Page 10 The Nova Scotia Psychologist May 2014
Reports
POST-TRAUMA SERVICES COMMITTEE REPORT 2013-2014 (continued from page 10)
Mr. Russell Stuart, Director of the Health advantage of the opportunity caused by the large
Services Emergency Management. It is numbers of people and the resultant confusion.
coordinated through the Director of Mental
Health, Ken Scott, DoH&W in partnership with Data from Canada and elsewhere is clear. The
Joanne Lawlor, Director Emergency Social surge happens quickly and overwhelms
Services, Department of Community Services. institutions. This happens well before any
perimeter control can be established. Dr. Hayes
The DoH&W established a Psychosocial stated that it would not be a good time then to be
Response to Emergencies Committee in 2013. It trying to determine the necessary mechanism to
consisted of representatives from NSEMO, employ non-DoH&W psychologists to assist.
DoH&W, the Executive Directors of the College
of Registered Nurses of Nova Scotia and the The PTSC is working to re-establish a roster of
Nova Scotia Association of Social Workers and a volunteer non-DoH&W psychologists with the
representative from the APNS PTSC. necessary training and experience to be called out
during a MCI. However, as yet no MoU has been
The DoH&W had developed two paper responses established with contact information and the
outlining response to provincial disasters. The identification of key people.
main paper entitled “Nova Scotia Health System:
All Hazard Plan” contained primarily a medical Mr. Stuart indicated in a letter dated October 29,
response to disasters. A second document, the 2013 that under the Better Care Sooner Initiative,
Psychosocial Annex included an outline of the Emergency Care Standards have been developed.
psychosocial response. These documents included One feature of the Initiative is that triage
a Provincial All Hazard Psychosocial Emergency standards have been developed to ensure that all
Response template including an organizational patients are assessed using the same criteria. It
chart to be followed when triggered. was his opinion that this would take place using
hospital based personnel likely in an off-hospital
These documents did not specifically address the site.
use of community based, non-DoH&W,
psychologists. Dr. Hayes wrote the Director, Mr. Each of the nine District health Authorities and
Russell Stuart on October 22, 2013 explaining the Isaac Walton Killam Hospital are charged
that the all hazards incident plan as outlined in the with meeting requirements for surge capacity,
psychosocial annex would work for small scale disaster or MCIs. Mr. Stuart acknowledged that
events. Dr. Hayes noted that too often resources APNS is a critical stakeholder during
are overwhelmed by seemingly small critical emergencies, and therefore he would like to
incidents. ensure non-DoH&W psychologists are brought in
early to assist. However, as yet no formal
Dr. Hayes pointed out by using primarily North mechanism exists for doing this.
American data that health facilities could expect a
surge of potential patients with the least injured On April 10, 2014 one of our Committee
arriving first using their own resources, followed members, Dr. Charles Hayes, asked to be invited
by the more seriously injured by ambulance and to a presentation that Mr. Russell Stuart, Director
other conveyances, in addition concerned friends of Health and Wellness, Health Services
and relatives arrive searching for injured friends Emergency Management, was making to the
and relatives, reporters and news media converge Nova Scotia Regulated Health Professions
on the hospital, as do felons wishing to take Network (NSRHPN) regarding the DoH&W
Page 11 continued on page 12
The Nova Scotia Psychologist May 2014
Reports
POST-TRAUMA SERVICES COMMITTEE REPORT 2013-2014 (continued from page 11)
needs in case of an over-whelming crisis. This response to an overwhelming psychosocial
request was granted and he attended the response. For example, the rule-of-thumb for an
presentation on April 10, 2014. interprovincial/territorial response means a delay
of four or five days during any roll-out. During this
The NSRHPN consists of 22 regulated health time a ready and available provincial response of
professions and was formed in response to the non-governmental employed psychologists could
growth of inter-professional practice with the be effectively utilized.
health care system. Some of those in attendance
were the Executive Directors of the College of To date there has been no formal agreed-upon
Registered Nurses of Nova Scotia and of the Nova mechanism for the roll-out of Nova Scotia
Scotia Association of Social Workers. The psychologists. The PTSC continues to interact with
governance of psychology differs from these the DoH&W to ensure that a MoU is re-
organizations in that psychology has a bicameral established. The government states that they would
structure: the Nova Scotia Board of Examiners in be calling upon Nova Scotia psychologists should
Psychology (NSBEP) representing the governance there be need. However, the necessary preliminary
of the practice of psychology and the APNS work of devising a mechanism for the roll-out has
representing the fraternal interests of psychology. yet to be formally developed.
The presentation by Mr. Russell Stuart emphasized The PTSC will be developing a new collection of
the inter-provincial and inter-territory aspects of names of experienced and appropriately trained
any psychosocial response to any large-scale clinical psychologists over the next few months.
disaster. It appears that DoH&W is primarily The Committee will continue to advocate for an
concerned about the demands that would be APNS-DoH&W MoU to establish a formal agreed
created if there was an outbreak of avian flu or an upon mechanism for the efficient and effective roll
H1N1 variant. Such a concern would focus -out of volunteer psychologists.
primarily on a medical response.
The PTSC has been developing an introduction
The ability to call in professionals from out-of- letter for soliciting psychologists for the pro bono
Province means that regulatory organizations like roster, a Screening Questionnaire, and has
NSBEP will need to develop provisions for the maintained contact with the DoH&W in an attempt
recognition of extra-territorial psychologists to to have a MoU in place.
allow them to practice during a crises but does not
recognize them automatically as being vetted for Work will continue on updating the roster as a first
independent practice within Nova Scotia. step. It was clear from the NSHRPN meeting that
attention needs to be given to credentialing and
However in provincial jurisdictions with bicameral training.
governance such as Nova Scotia, the regulatory
body is unconcerned with the mechanics of a roll- Respectfully submitted,
out during a crisis as long as every psychologist Gilles Chiasson, M.Sc., C. Psych., M.P.A.
functioning in the roll-out is registered either as a Chair, PTSC
psychologist or candidate or on a temporary
register and that the psychologists operate within &
their sphere of expertise.
Charles Hayes, Ph.D., Member, PTSC
In contrast, the roll-out mechanism for fraternal
organizations, such as APNS, is a critical piece of Post Traumatic Services Committee members:
preparation for the efficient, effective, and timely Gilles Chiasson, M.Sc. (Chair)
Charles Hayes, Ph.D.
Page 12 Janice Howes, Ph.D.
Dean Perry, M.Sc.
The Nova Scotia Psychologist May 2014
Reports
NSBEP NOTES: Update on Telepsychology Allan R. Wilson, Ph.D., Registrar
In March of this year, the Nova Scotia Board of
Examiners in Psychology signed a Psychologists planning to engage in the practice of
telepychology should be familiar with the Model
Memorandum of Understanding with the Prince Standards for Telepsychology Service that were
Edward Island Psychologists Registration Board developed by the Association of Canadian
regarding the practice of telepsychology. Psychology Regulatory Organizations (ACPRO),
adopted by NSBEP, and issued to registrants as an
The MOU allows psychologists registered with Advisory for Psychological Practice (see NSBEP
NSBEP to provide psychological services, via website).
telepsychology (only), to the residents of Prince
Edward Island (and vice versa for psychologists The Nova Scotia Board and the PEI Board have
registered in PEI). initiated discussions with the College of
Psychologists of New Brunswick with the hope
Previously, psychologists providing services to the that this agreement may eventually expand to
residents of another Canadian jurisdiction would be include Nova Scotia, PEI, and New Brunswick.
required to be registered in that jurisdiction. The The Board is proud to announce that this is the first
MOU with PEIPRB provides an alternate pathway, telepsychology agreement to be signed between
in that psychologists registered with NSBEP, two psychology jurisdictions in North America
would need to notify the PEI Registration Board of
their intention to provide telepychology services,
their name, contact information and NSBEP Allan R Wilson, Ph.D.
registration number at the beginning of each year. Registrar
Deadline for the APNS
Private Practice Directory is June 2nd
If you are interested in being listed in this year’s Directory
and web listing, please contact the APNS
office for more information.
[email protected]
Page 13 The Nova Scotia Psychologist May 2014
Reports
CONTINUING EDUCATION ANNUAL REPORT
Committee members: Eileen suggested that a day which combined a workshop
Donahoe, Gisele Ellefsen, and other activities during the day with a gala event
Heather Power, Carol Shirley in the evening. We are in the process of putting
(Acting Chair). together a brainstorming session. If anyone is
interested please contact [email protected]
Another busy year for
Continuing Education Venues outside of Halifax
has come to a close. We would like to thank the There was much discussion around the idea of
members of the Continuing Education committee doing workshops on the outskirts of Halifax rather
for their ideas and participation. We would also than in the city. The benefit of which is to avoid
like to thank you, the members of APNS, for traffic and parking issues. The downside is that
supporting the workshops and for continuing to venue options are fewer and tend to be hotels
share your “wants” for future topics, titles and which are more expensive. Also coming into the
speakers. In this report we highlight some of the city does have an attraction from some who, if
issues which we have been dealing throughout the coming that far anyway, would rather be in the city
past year and on which we will be focusing in 2014 than on the outskirts. Discussion suggested that
-2015. perhaps it would be better to focus on having
workshops in regions for communities that have
Continuing Competency enough interest, rather than moving Halifax-based
In addition to her role as Acting Chair of the CE workshops out of the downtown core.
Committee, Carol Shirley has had the privilege of
sitting on the NSBEP Continuing Competency It has been some time since we have done a
Committee. She is now beginning her 2nd year. workshop outside of HRM. Perhaps it is time to do
Ethics workshops around the province again? Are
Volunteer Involvement there other topics that might generate enough
An on-going challenge on the Committee is to get interest? Please let us know.
volunteers. Several people have expressed an
interest but with busy schedules and too much to Technology – live stream and webinars status
do, it is hard to find room for another meeting. The above issue of location may become irrelevant
We continue to look for people and if you are if we can move along with technology to present
interested please contact Carol Shirley workshop as webinars.
[email protected]
On reviewing the response to the streaming event
Conference and 50-Anniversary 2015 in December, aside from a few problems with
The survey done with the membership shows little firewalls and computers which were not enabled
interest in a conference for fall of 2015. Most of for the technology, the main issue was sound.
those who were interested wanted it to be in Those on-line could not hear comments and
Halifax rather than in either the Valley or South questions from the audience. This problem has no
Shore. This is disappointing to the CE committee. easy solution in that mics pick up ambient sound as
After discussion with the Executive, it was well as speakers. Passing a mic around is not a
suggested that one of the reasons for the conference great solution either. The best solution might be to
was to celebrate the 50th anniversary of APNS, and make webinars not dependent on live events.
although the conference was not of interest we We are looking at a model where webinars would
should try at least to do a one-day event that would be the speaker only. Live events might repeat as
recognize the significant anniversary. It was webinars rather than trying to combine the two.
continued on page 13
Page 14 The Nova Scotia Psychologist May 2014
Reports
CONTINUING EDUCATION ANNUAL REPORT (continued from page 12)
Susan’s research shows that Adobe Connect, a web 3. We have also been concerned about not
-based solution, seems to be the most efficient and offering the intermediate or higher level
cost-effective way to go and offers more control workshops. We often offer introductory
and better A-V reception than Skype. It can be workshops which tend to attract more people.
controlled from the office and the speaker can be This may or may not be the case, but it is a
anywhere. This would give us the option of concern if attendance is smaller and revenues
attracting well-known speakers (e.g. Sue Johnson) are less or we lose money. However if the topic
who no longer travel but would do webinars. The was of broad interest and the speaker well-
other option would be to use this for local speakers know this might not be an issue.
for short 2-4 hour sessions on topics of interest to
local audiences. It will require some test runs to see 4. Specifically we discussed the ACT workshop
how it best works. Eileen will bring this back to the last November. Dr. Forsyth was popular and
Valley group for ideas for local presentations to try many want him back, but the experience was
this out. Focus will be on getting the tech set up unsatisfactory to some, in that the focus was
and finding a subject and speaker for a test run. If more introductory than was planned. It was
your have any ideas please contact [email protected] decided that involving a CE committee member
who specialized in the topic in the content
Planning workshops for 2015 and 2016 development would help to ensure the best
1. As a result of our tech discussions, we decided workshop experience.
to focus on webinar development for 2015. We encourage you to suggest speakers and topics,
2. We will continue to look at the possibility of not only for well-known speakers, but for those that
access local presenters and answer a specific need
bringing in the occasional more expensive in your community. Remember if you have enough
speaker if it will attract large crowds outside of people who are interested in a particular topic we
psychology. Deborah Korn, Treating Complex will try to answer that need.
Trauma and Patricia Couglin were mentioned.
Upcoming: May 30th; 9 am ‐ 4:30 pm
Pearson Assessment Tools:
Intro and update on assessment tools:
What to use and when to use it
Dalhousie Student Union building, room 303, Halifax
9:00 am – 12 Noon: Personality Assessment tools (e.g. MCMI, MMPI‐A, MMPI‐2, MMP‐RF)
Career Assessment tools
1:15 ‐ 4:30 pm: Memory, Cognitive assessments
Registration brochure available on our website:
http://www.apns.ca/documents/PearsonAssmtbrochure.pdf
Also watch for an early October workshop featuring Pearson assessment tools for
school and educational issues. What would you like to see addressed?
Page 15 The Nova Scotia Psychologist May 2014
Reports IWK, CDHA Psychology, the Dalhousie
Department of Psychology and Neuroscience and
PSYCHOLOGY MONTH REPORT APNS to present a film to the public that has a
significant message about mental health. The film,
This year APNS focused on a few key “A Beautiful Mind” was shown at the Oxford
initiatives for Psychology Month that have Theatre. After the showing a open panel discussion
proven of value in the past. was presented with local experts on the topics of
youth and adult mental illness. Donations were also
Chronicle Herald spread: Saturday, Feb 22th accepted on site on behalf of The Schizophrenia
In co-operation with NSBEP and various private Society of Nova Scotia and Laing House.
practice psychologists we published our annual
spread. This year our article was Psychologists Mind Your Mental Health http://mymh.ca/
Meets Technology. If you missed the spread you
can view a pdf version at: http://www.apns.ca/ This campaign began a
documents/PsychMonth_Feb2014.pdf
We would like to thank the following couple of years ago with
psychological practices for purchasing an ad in the
spread. the Manitoba
Cornerstone Psychological Services
Dr. Shelley L Goodwin Psychological Society and
Carleen Hall Psychological Services
Dr. Julia Holt was adopted by CPA last
Dr. Kathy Hubley Carruthers Counselling &
year as a focus on mental
Psychological Services
Chimène Jewer, CBI Health Group health advocacy.
Kings Physiotherapy Clinic Ltd
Marsh-Knickle and Associates Provincial psychology
Jacqueline Milner-Clerk & Associates
Dr. Kiran Pure & Associates associations including
Waldegrove Psychological Services
Shelley West APNS have provided
information for the
website. In celebration of
Psychology Month, CPA
APNS member Chimène increased their advocacy
Jewer models the shirt around this website by
Public Film Screening encouraging provincial association to distribute t-
The IWK Health shirts and encourage local celebrities to participate.
Centre has
always made a In Nova Scotia we were pleased to get the support
point of
participating of Mike Smith, “Bubbles” of Trailer Park Boys.
wholeheartedly
in Psychology (Thanks to Kiran Pure for that.) See page 7-8 for
Month. This year
they wanted to more info on the national campaign. Also see
do something a
little different. Facebook link for more photos:
Lead by Dr.
Vicky Wolfe, https://www.facebook.com/media/set/?
they initiated a
partnership with set=a.776600719035208.1073741825.5628865370732
95&type=1
Do you have an idea for celebrating
Psychology Month for next February? We
would like to hear from you. [email protected]
Page 16 The Nova Scotia Psychologist May 2014
Reports
AMEMBERSHIP SURVEY 4. Please indicate area of the province in which
few months ago APNS did a member survey you primarily practice.
to get a sense of members opinions on issues. Digby and Victoria Counties do not appear
Overall survey response rate: 63.1%, although not because no one selected them.
everyone responded to all of the questions.
1. What is your work setting? The percentages Geographic Area by County %
Annapolis 5.2
Work Setting % Antigonish 4.6
Cape Breton 6.9
Hospital / Community Mental Health Centre 33.1 Colchester 5.8
Cumberland 2.9
School 21.9 Guysborough 0.6
Halifax 54.9
Private Practice full-time 29.2 Hants 4.0
Inverness 0.6
Private Practice part-time 32.6 Kings 2.9
Lunenburg 2.3
shown in questions 1, 2 and 3 are the result of Pictou 5.8
psychologists in more than one work setting/ Queens 1.2
area. Although the numbers are skewed, the Richmond 0.6
relative placement is of value. Shelburne 0.6
Yarmouth 1.2
2. What is your primary practice area?
Practice Area %
Clinical 68.4
School 28.8
Health Psychology 17.5
Research / Teaching 10.7
Forensic 10.7 5. Based on your personal experience do you
think there is a shortage of psychologists in
3. Do you participate in any integrated health care your geographic region?
teams that involve other health care
professionals? If yes, please select the various Psychologist Shortage %
professions Yes 64.8
Of those who responded, 24.5% did not work No 23.3
with multi-disciplinary teams. The most Unsure 11.9
common professions with which psychologists
worked:
Team Participants %
Social Workers 47.9
Psychiatrists 43.3
Physicians 40.4
None 24.5
continued on page 16
Page 17 The Nova Scotia Psychologist May 2014
Reports
MEMBERSHIP SURVEY (continued from page 15)
6. Are you generally in favour of the province School Psychology Section
expanding public coverage for some or all
psychological services? 1. As a School Psychologist, do you think there
are wait times of more than three months for
Support Public Coverage % children or youth to see school psychologists in
Yes 86.7 your geographic area? If so, please estimate the
No 0.6 wait times
Undecided 12.7
Wait Times
7. Are you generally in favour of expanding the 5% 2% 1‐3 months
scope of practice of psychologists to include 26% 5% 4‐6 months
prescription privileges? 7‐9 months
24% 10‐12 months
13‐15 months
Support Prescriptive Privileges % 24% 16‐18 months
Yes 26.8 19‐21 months
No 40.9
Undecided 32.3 14%
8. Are you generally in favour of regulating the 2. Are there employment vacancies for school
title psychotherapy and psychotherapists? psychologists that remain unfilled for a
significant length of time in your geographic
area?
Regulating Title “Psychotherapy” % Emplyment Vacancies
in School Psycholgist Positions
Yes 64.0
No 7.3
Unsure 28.7
9. The Continuing Competency guidelines were 2. 7% 8. 29% 1‐3 months
introduced by NSBEP about one year ago. Do 6. 21% 4‐6 months
you have any concerns about the process? 7‐9 months
10‐12 months
Longer
Not sure
Not applicable
NSBEP Continuing Competency Process % 9. 32% 1. 3%
No concerns 47.8
Yes minor concerns 44..7 1. 4%
Yes major concerns 7.5 1. 4%
Page 18 continued on page 17
The Nova Scotia Psychologist May 2014
Reports
MEMBERSHIP SURVEY (continued from page 16) 2. Do you maintain a waitlist? %
Private Practice Section Length of waitlist 63.2
Less than 1 month 32.2
1. Please estimate with percentages, from where 1 to 3 months 4.4
you receive referrals. Multiple answers 4 to 6 months or more
possible. Percentages in this case indicate
aggregated responses from highest indicated
percentage to lowest.
Referrals % 3. Do you offer a sliding scale for clients with
Self-referral (friends, family, other clients) 88.6 limited resources?
Family doctors 81.8
Other psychologists 61.4 Sliding Scale %
Agencies (WCB, VA, DND, Corrections, 56.8 Yes 46.1
Child/Youth Services No 53.9
APNS PPD 48.9
My own website 33.0
Psychiatrists in private practice 30.7
Private insurers 22.7
Private health clinics (physio, chiropractor, 20.5
massage therapist, etc.)
Public health care system 18.2
University health centres 15.9
Other 15.9
Non-APNS web sources 10.2
Page 19 The Nova Scotia Psychologist May 2014
Acknowledgements
ROBIN MCGEE and THE CANCER OLYMPICS
Many of you know Dr. Robin McGee, a
former President of the APNS Executive
Committee and a Fellow of APNS. Since Robin
left the Executive she has had a number of personal
and public struggles to deal with. Those of us who
know her have been awed by her energy and
commitment in facing of an illness that would have
flattened most of us. In addition to fighting
colorectal cancer she reached out to the community
through her blog entitled “Robin’s Cancer
Olympics.” and became a vocal advocate to
government for a treatment that was not available
to Nova Scotians. That has changed thanks to her.
Robin has never given up and now some years later
has added another achievement to her list. She has
written a book about her experiences. The Cancer
Olympics was launched in Halifax on Monday,
April 28 with great success. I encourage you to buy
this uplifting book.
The best way to buy The Cancer Olympics online For more information about The Cancer
is from the Friesenpress bookstore: http:// Olympics visit thecancerolympics.com or
bit.ly/1foPEif. This is the best price, and Facebook at: http://on.fb.me/1joL0pj
also results in the maximum amount of money
going to the Canadian Cancer Society More pictures from the launch are available
Hardcover and softcover formats are also available at: http://bit.ly/1iOZHO9
through Amazon: http://amzn.to/1gx2mv6
It is available in e-book format from Kobo, Kindle,
Google Play, Nook, and the iTunes Bookstore.
Page 20 Photos from the Halifax book launch including one with Hon Diane Whelan who Robin met through her lobbying efforts
The Nova Scotia Psychologist May 2014
Acknowledgements
Welcomes its Latest Members as of May 15, 2014
Julie Longard, B.Sc.
Patricia MacDonald, B.A.
Mary Nearing
Kate Renshall, Psy.D.
We would like to thank the membership for supporting APNS in its efforts to promote the
interests of Nova Scotia psychologists through advocacy,
continuing education and the support of special interests in the field.
Congratulations to the following who have
recently become Registered Psychologists*
Robert Johansson, Ph.D.
Sonya MacDonald, M.Ed.
Kara MacDougall, M.A.S.P.
Congratulations to the following who have
recently become Candidates*
Kate Renshall, D. Clin. Psych.
Ailis Walker, D. Clin. Psych.
This information provided by NSBEP as of May 1, 2014
Page 21 The Nova Scotia Psychologist May 2014
Advertisements
The advertisements on these pages are paid placements. APNS does not take responsibility for the content and does not necessarily subscribe
to the opinions expressed in these advertisements.
Psychologist Position ‐ Maternity Leave (with option to join permanently)
Dr. Kathy Hubley Carruthers, Counselling & Psychological Services is seeking a Registered Psychologist,
or Candidate Registered Psychologist, to join her team of independent practitioners. Specifically, Dr.
Kathy Hubley Carruthers is looking for a qualified individual who can offer comprehensive therapy
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viduals and couples (and/or families), taking over the caseload of one of the existing team members (due to a maternity leave commenc‐
ing in November of 2014). The successful applicant would also have the option of continuing to work with the Practice on a full or part‐
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The qualified individual will be highly skilled, ethically minded, and client focused. He/she will welcome the opportunity to work along‐
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Dr. Hubley Carruthers, Counselling and Psychological Services is conveniently is located on Brenton Street in downtown Halifax (just off
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Interested psychologists may contact Dr. Kathy Hubley Carruthers, Chief Psychologist/Owner, or Nakita Strowbridge, Office Manager, by
phone, fax, or email. A curriculum vitae and the names of two referees are requested. For more information about Dr. Kathy Hubley
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Dr. Kathy Hubley Carruthers Counselling and Psychological Services
First Floor, 1331 Brenton Street, Halifax, Nova Scotia B3J 2K5
Phone: 902‐407‐1234 Fax: 902‐407‐1235 Email: [email protected]
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Interested Psychologists may contact Dr. April D’Aloisio by phone, email or fax.
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Page 22 The Nova Scotia Psychologist May 2014
Advertisements
The advertisements on these pages are paid placements. APNS does not take responsibility for the content and does not necessarily subscribe
to the opinions expressed in these advertisements.
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You can now access the special rates for APNS when making online reservations at
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This link** takes you to your own special rate page where a direct booking button
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APNS members are eligible to get 15% off Cambridge Suites Hotel Halifax Best
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Regardless of the time of year, APNS members would be offered this reduced price
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*This discount is only available at the Halifax Cambridge Suites.
**This discount is also available if you book directly with the hotel by phone.
Fenwick Psychological Services Inc. has a position to offer to the right individ‐
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Page 23 The Nova Scotia Psychologist May 2014
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The advertisements on these pages are paid placements. APNS does not take responsibility for the content and does not necessarily subscribe
to the opinions expressed in these advertisements.
Page 24 The Nova Scotia Psychologist May 2014
Advertisements
The advertisements on these pages are paid placements. APNS does not take responsibility for the content and does not necessarily subscribe
to the opinions expressed in these advertisements.
Page 25 The Nova Scotia Psychologist May 2014