This is a copy of the program handed out at The Second Curtis J. Berger Symposium on Mental Health, "Assisted Outpatient Treatment in Context: Gaining Compliance in the Community". The program includes an agenda of the presentations as well as biographies on the presenters and panelists.

1. Assisted Outpatient Treatment in Context:
Gaining Compliance in the Community
The Second Curtis J. Berger Symposium
on Mental Health and the Law
November 20, 2009
8:30am – 12:30pm
Conference Program
8:30 a.m. Registration & Breakfast
9:00 a.m. Introduction
Peter D. Beitchman, DSW, LMSW
Executive Director, The Bridge Inc.
9:10 a.m. Welcome
Vivian O. Berger, Esq.
Professor Emerita, Columbia Law School
9:15 a.m. Moderator’s Remarks
Paul Appelbaum, M.D.
Elizabeth K. Dollard Professor of Law, Psychiatry and Medicine, Columbia University
9:25 a.m. Techniques for Gaining Outpatient Compliance: Findings from the National Research
John Monahan, Ph.D.
John S. Shannon Distinguished Professor of Law, University of Virginia Law School
9:50 a.m. ACT as a Case Study of Outpatient Compliance
Beth Angell, Ph.D.
Associate Professor, Rutgers University School of Social Work
10:15 a.m. BREAK
10:30 a.m. New York State Assisted Outpatient Treatment Program Evaluation:
Review of Major Findings
Marvin S. Swartz, M.D.
Principal Investigator & Professor of Psychiatry, Duke University School of Medicine
11:05 a.m. Perspective on Assisted Outpatient Treatment
Michael F. Hogan, Ph.D.
Commissioner, New York State Office of Mental Health
11:30 a.m. Reactor Panel and Discussion
Steve Miccio, Executive Director, PEOPLe, Inc.
Julissa Viana, Board Member, NAMI NYC-Metro
Sam Tsemberis, Ph.D., Executive Director, Pathways to Housing
12:20 p.m. Closing Remarks
Paul Appelbaum, M.D.

2. Paul S. Appelbaum, M.D. is the Elizabeth K. Dollard Professor of Psychiatry, Medicine, and Law, and Director,
Division of Law, Ethics, and Psychiatry, Department of Psychiatry, College of Physicians and Surgeons of Columbia
University. He was previously A.F. Zeleznik Distinguished Professor of Psychiatry, Chairman of the Department of
Psychiatry, and Director of the Law and Psychiatry Program at the University of Massachusetts Medical School. He is
the author of many articles and books on law and ethics in clinical practice and research. Dr. Appelbaum is a Past
President of the American Psychiatric Association, the American Academy of Psychiatry and the Law, and the
Massachusetts Psychiatric Society, and twice served as Chair of the Council on Psychiatry and Law for the American
Psychiatric Association. He has been elected to the Institute of Medicine of the National Academy of Sciences.
John Monahan, PhD, a psychologist, holds the Shannon Distinguished Professorship in Law at the University of
Virginia, where he is also a Professor of Psychology and of Psychiatry and Neurobehavioral Sciences. He was the
founding President of the American Psychological Association's Division of Psychology and Law. Dr. Monahan is
the author or editor of 15 books and has written over 200 articles and chapters. His casebook with Laurens Walker,
Social Science in Law, is in its 7th edition. He has twice won the Manfred Guttmacher Award of the American
Psychiatric Association, and has been elected to membership in the Institute of Medicine of the National Academy of
Sciences. He directs the MacArthur Foundation’s Research Network on Mandated Community Treatment.
Beth Angell, Ph.D., is an Associate Professor in the School of Social Work and the Institute for Health, Health
Care Policy, and Aging Research at Rutgers, the State University of New Jersey. After training and practicing as a
social worker in assertive community treatment programs in Madison, Wisconsin, Dr. Angell has conducted research
on various aspects of ACT. Most particularly, she has studied how adherence problems are managed in ACT and
other similar programs at the ground level, as manifest in interactions between providers and clients. She is
currently completing a study of an ACT program tailored to serve people with mental illnesses leaving state prisons,
and is also collaboratively engaged in projects evaluating Critical Time Intervention for prison reentry and the
implementation of Crisis Intervention Teams within a large urban police department.
Marvin S. Swartz, M.D., currently serves as Interim Chair of the Department of Psychiatry and Behavioral
Sciences at Duke University where he is also Professor and Head of the Division of Social and Community
Psychiatry. Dr. Swartz's major research and clinical interests are in improving the care of severely mentally ill
individuals. He is a Network Member in the MacArthur Foundation Research Network on Mandated Community
Treatment examining use of legal tools to promote adherence to mental health treatment and leads the Duke team
studying the use of Assisted Outpatient Treatment in New York. He also co-leads a North Carolina study examining
the effectiveness of Psychiatric Advance Directives and co-leads the Duke team investigating the role of
antipsychotic medications in treatment outcomes in schizophrenia as part of the landmark NIMH funded CATIE
study. Dr. Swartz is also Director of the National Resource Center on Psychiatric Advance Directives.
Michael F. Hogan, Ph.D., was confirmed in March 2007 as Commissioner of Mental Health in New York State.
The NYS Office of Mental Health operates 25 accredited psychiatric hospitals, and oversees New York’s $5B public
mental health system that serves 650,000 individuals annually. Dr. Hogan previously served as Director of the Ohio
Department of Mental Health and Commissioner of the Connecticut DMH. He chaired the President’s New Freedom
Commission on Mental Health in 2002-2003, and was appointed as the first behavioral health representative on the
board of The Joint Commission in 2007. He has also served on NIMH’s National Advisory Mental Health Council, as
President of the National Association of State Mental Health Program Directors and Board President of NASMHPD’s
Research Institute. He has received leadership awards from the National Governor’s Association, the National
Alliance on Mental Illness, the Campaign for Mental Health Reform, the American College of Mental Health
Administration and the American Psychiatric Association.

3. Steve Miccio has been the Executive Director of PEOPLe, Inc., a consumer/peer operated advocacy agency for
the past 10 years. Under Mr. Miccio’s leadership, PEOPLe, Inc. has developed a peer operated complementary
continuum that addresses psychiatric crisis in a more proactive manner consisting of warm lines, peer staff working
directly in a hospital emergency room, a hospital diversion house and mobile peer companions. Mr. Miccio has been
working with The Institute of Behavioral Health Improvement to assist in creating alternatives to crisis services for
hospitals across the nation. He also speaks and consults nationally and internationally on developing more effective
approaches to crisis diversion with the use of peers. Mr. Miccio is a member of the Mid Hudson NYS Office of
Mental Health Suicide (SPEAK) Coalition, co-founder of the American Foundation for Suicide Prevention Hudson
Valley Chapter, and is an appointed member of the New York State Council of Mental Health Services. He is past
co-chair of New York Association of Psychiatric Rehabilitation Services (NYAPRS) and serves as faculty advisor to
the Institute for Behavioral Improvement Institute and is a member of the American Association for Emergency
Psychiatry.
Julissa Viana is Vice President of the Board of Directors at the National Alliance on Mental Illness NYC Metro
Chapter and Board Member of the Rockland County NAMI Chapter. Ms. Viana also serves as a member of the
NYC Mental Health Care Monitoring Advisory Committee for the Care Monitoring Demonstration Project. Ms. Viana
has served on the Board of NAMI-NYC on and off for the past decade and brings a unique perspective as a
healthcare communications expert, specifically in the areas of CNS, but also as a family member. Ms. Viana has
shared her communications expertise with NAMI-NYC Metro to broaden the organization's reach and deliver its
messages to those who may not be aware of its services. Ms. Viana’s dedication to NAMI and her professional
focus on mental health issues have been motivated by her brother, who suffered for more than nine years with
schizophrenia until he took his own life in 2004. She credits NAMI and their resources, support and family education
programs as a key factor in providing her with the knowledge needed to advocate and manage, sometimes
successfully, her brother’s illness.
Sam Tsemberis, PhD, a clinical-community psychologist, founded Pathways to Housing, an organization based on
the belief that housing is a basic right, in 1992. He currently serves as the Executive Director. Pathways developed
the Housing First program that provides immediate access to permanent independent apartments and intensive
treatment and support services for individuals who are homeless and who have psychiatric disabilities and
substance use disorders. Pathways’ Housing First is listed on the Substance Abuse and Mental Health
Administration national registry of evidence based programs and has received recognition and numerous awards
including the American Psychiatric Association’s Gold Award in the area of community mental health. Dr. Tsemberis
serves on the faculty of The Department of Psychiatry at Columbia University Medical Center. He has also served
as principal investigator for several federally funded studies of homelessness, mental illness, and addiction, and has
published numerous articles and book chapters on these topics. In 2006, Dr. Tsemberis was the recipient of the
prestigious Macy Award for individual achievement in the battle to end homelessness from the National Alliance to
End Homelessness.
About Curtis J. Berger
Curtis J. Berger was teacher, scholar, lawyer, humanitarian, “birder” and volunteer who approached everything he
did with intellect, gusto and dedication. He served The Bridge as a board member for close to 20 years and as
president for 6 years encouraging the development of housing for clients and securing more than $4 million in
funding to relocate The Bridge to its current headquarters. He joined the Columbia Law School faculty in 1962 and
was named Lawrence A. Wien Professor of Real Estate Law, a position he held until his death in 1998. Curtis
Berger was a Bridge Builder who helped pave the way for our success.