Harford child psychologist pleads guilty to abusing 3 girls

By Mary Gail Hare
The Baltimore Sun
August 22, 2011

A Harford County child psychologist pleaded guilty Monday to child abuse and sexual assault of three young girls he had been treating at his Fallston office.

David Wayne Schrumpf, 55, of Whiteford will serve six years in prison, where he will undergo sex offender treatment, under terms of a plea agreement filed in Harford County Circuit Court. He is charged with one count of child sex abuse and two counts of second-degree assault.

Schrumpf will be required to register as a sex offender for the rest of his life. He must also surrender his license to practice psychology and cannot seek another in any jurisdiction, according to the plea agreement.

The charges arose after one 7-year-old girl reported to her mother that Schrumpf had touched her inappropriately during a session at his office. Two other victims, who were 9 and 10 years old at the time of the abuse, came forward during the investigation, county State's Attorney Joseph I. Cassilly said. All the incidents occurred at Schrumpf's office in Fallston over a year beginning in October 2009, Cassilly said.

Sentencing is scheduled for Oct. 31 in Harford County Circuit Court before Judge Maurice Baldwin.

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Local Psychologist Arrested on Child Sex Charges
By Collin Hoofnagle, News Editor
The Patriot, John Carroll's Online Student Newspaper
December 9, 2010

In a Dec. 8 email to parents, Principal Paul Barker said that an area psychologist used by students was recently arrested on child sex charges.

According to “The Aegis,” David W. Schrumpf is a licensed psychologist with a practice in Fallston. He was charged Friday, Dec. 3, with 10 counts of third-degree sex offense and 10 counts of sex abuse of a minor.

According to the Aegis, a local woman was discussing appropriate touching with her seven-year-old daughter when the daughter mentioned her psychologist. The mother then talked to her 10 year-old daughter, who is also a patient of Strumpf’s, when the daughter said that Strumpf touches her in private places during sessions.

In the email, Barker said, “While John Carroll has no formal connection with Dr. Schrumpf, we are aware that over the years some of our students have used Dr. Schrumpf’s services for ADHD diagnostic testing or for counseling.”

NIH Finalizes Financial Conflict of Interest Rules

By Brian Vastag

The Washington Post

Published: August 23

The National Institutes of Health has finalized rules to reduce financial conflicts of interests among federally funded researchers who also receive payments or stock from drug and medical device companies.

The rules, which will affect more than 40,000 researchers, come after a string of high profile cases in which federally funded researchers failed to disclose millions of dollars from companies with a financial interest in the outcome of their work.

Researchers who receive more than $5,000 in income from drug or device companies must disclose the payments. Universities or other institutions employing the researchers must collect the data and provide for public access to it.

But in an about-face from proposed rules announced last year, institutions will not be forced to disclose conflict-of-interest information online. (See our prior blog post).  Instead, they may maintain the data offline and provide it only when requested.

This change reduces the administrative burden of the proposed public disclosure rule for institutions employing federally funded researchers, said Sally Rockey, the NIH’s deputy director for extramural research.

Universities also will be required to develop plans to manage the financial conflicts of individual researchers, but the plans do not have to be made public.

Praising the “vast majority of researchers” as ethical and sensitive to conflicts of interest, NIH Director Francis S. Collins called the new rules “an insurance plan against potential trouble downstream.”

Collins added that the rules will ensure that government-funded researchers can continue working with private companies.

The rest of the story can be read here.

Team Decisions Better for the Weary

by Robert Preidt
MedicineNet.com

Teamwork can help tired people avoid making poor decisions, a new study indicates.

Pilots, doctors and others in demanding professions can make dangerous errors when they're weary. But, fatigued people who work as a team have better problem-solving skills than those who work alone, British researchers report.

They asked 171 army officer cadets, aged 18 to 24, at a weekend training exercise to solve a series of math problems. Some were tested before they began the training session and were rested, while others did the math problems at the end of the weekend when they were exhausted.

Individual cadets who were fatigued did far worse on the tests than those who were rested. However, teams of exhausted cadets did just as well as teams of rested cadets.

The study appears online in the Journal of Experimental Psychology: Applied.

"Teams appear to be more highly motivated to perform well, and team members can compare solutions to reach the best decision when they are fatigued. This appears to allow teams to avoid the inflexible thinking experienced by fatigued individuals," study author Daniel Frings, a senior lecturer in social psychology at London South Bank University, said in a journal news release.

In situations where fatigue is a concern, decisions should be made by teams rather than individuals if possible, the study concluded.

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This research supports the idea that group consultation can be very helpful for tired and overworked psychologists, especially when working with high risk or clinically challenging patients.

Vignette 5: A Tricky Situation

Dr. Smith is a psychologist who has worked with a young woman for about 9 months. The patient presents with a history of rejection and abandonment as well as persons of power misusing her. She recently received an offer to become a sales representative for a pharmaceutical company. The psychologist and patient discussed the type of job she was entering because she may experience rejection from doctors, nurses, and other office personnel.

After her 6 weeks of training, the company assigns her to a regional director that the psychologist knows personally. Along with the initial anxiety of the new job, her territory, and her boss, she reports a fear of failure and other anxiety related symptoms. The psychologist knows her new boss, Mr. Biggy. The psychologist seeks to reassure the patient that he, the psychologist, knows Mr. Biggy on a personal basis and that “he is a really a good guy” that seems bright, friendly, and fair. He indicates that Mr. Biggy is a good “family man”. The patient is reassured, and reported less anxiety. In actuality, Mr. Biggy’s wife is a very close friend of Dr. Smith’s wife. They have dinner as couples several times per year.

Several weeks into going on sales calls, your patient reports that Mr. Biggy is complimenting her on the way she looks and her ability to make the sale. They start spending more time together. However, she begins to feel uncomfortable as she feels like they are spending too much time together. Mr. Biggy starts asking questions that are more personal, forwards her “funny” emails, and texts some inappropriate remarks to her, mainly about her alluring power that helps make sales.

Mr. Biggy and Dr. Smith meet in an unplanned social venue. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. He thinks that she is young and impressionable. He confides that he would like to have an affair with her.

Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. Mr. Biggy indicates that he wants to talk more about his feelings. Dr. Smith suggests a referral to a psychologist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. After some other small talk, Dr. Smith leaves to mingle with other friends.

Dr. Smith is now worried about the entire situation.

In hindsight, what triggered some possible difficulties in this situation?

What are the ethical issues involved in this scenario?

How are the client’s emotional and interpersonal issues related to the psychologist’s dilemma?

What are the options for the psychologist for both his relationship with his patient and his relationship with Mr. Biggy?

Fraud in a Labcoat

By Gareth Cook

The Boston Globe

MARC HAUSER has plenty of company when it comes to scientific misconduct.  (See our prior blog post.)

Hauser, you’ll recall, had built a brilliant career at Harvard. He directed a primate lab and published a long list of scientific papers on topics like the cognitive nature of morality, and the similarities between human and animal behavior. He was a popular teacher, and author of the hit book “Moral Minds.’’ And then it turned out that he was taking liberties with his scientific data. One paper was retracted, others were corrected, and, earlier this month, he left the university.

Also this month, federal authorities announced that a cancer researcher at the Boston University School of Medicine was inventing data. Two papers have been retracted. The scientist, and I use the term loosely, was shown the door.

These two cases are part of a remarkable flood of scientific retractions. Between 2001 and 2010, the number of retractions increased more than 15-fold, according to a recent investigation by the Wall Street Journal. There were 22 retractions in 2001, and 339 last year, according to the Journal, over a period of time when the number of publications increased by only 44 percent.

It would seem a grim development, this sudden scourge of epic sloppiness and outright fraud in the halls of science. But it’s actually news we should all welcome: We are not witnessing an explosion of misconduct, but a new openness about it.

There are some forces, including easy access to image manipulation software like Photoshop, that are making it easier to fake results. But the problem has festered for decades, and now, finally, science is beginning to get serious about dealing with it.

The most spectacular recent case of scientific fraud came out of South Korea. In early 2004, researchers there announced that they had cloned a human cell, earning front-page headlines around the world, and tantalizing the public with the prospect of future disease treatments. Invitations to collaborate poured in from top biologists. The South Korean government ensured that the lead scientist, Hwang Woo-suk, had every resource at his disposal. He was a national hero.

The rest of story can be found here.

Nearly 1 in 10 U.S. Kids Diagnosed With ADHD

By Alan Mozes
MedicineNet.com

Over the last decade, an increasing number of American children have been diagnosed with attention-deficit hyperactivity disorder (ADHD), a new government survey reveals.

Researchers from the U.S. Centers for Disease Control and Prevention found that between 2007 and 2009, an average of 9% of children between the ages of 5 and 17 were diagnosed with the disorder. This compared with just under 7% between 1998 and 2000.

The survey also indicated that previously notable racial differences in ADHD incidence rates have narrowed considerably since the turn of the millennium, with prevalence now comparable among whites, blacks and some Hispanic groups.

"We don't have the data to say for certain what explains these patterns, but I would caution against concluding that what we have here is a real increase in the occurrence of this condition," stressed study author Dr. Lara J. Akinbami, a medical officer with the National Center for Health Statistics. The findings appear in an Aug. 18 report from the agency.

"In fact, it would be hard for me to argue that what we see here is a true change in prevalence," Akinbami added. "Instead, I would say that most probably what we found has a lot to do with better access to health care among a broader group of children, and doctors who have become more and more familiar with this condition and now have better tools to screen for it. So, this is probably about better screening, rather than a real increase, and that means we may continue to see this pattern unfold."

According to the National Institutes of Health, ADHD is the most common behavioral disorder among children.

Children with ADHD are apt to have problems staying focused, and often suffer learning and behavioral problems as a result of a tendency to engage in hyperactive and/or impulsive behaviors.

The entire article can be here.

Angela Dean: Winner of the Patricia M. Bricklin Award

The PPA Ethics Committee presents the annual Patricia M. Bricklin Award to a Pennsylvania graduate student who submits the best work product (such as a paper) on ethics.  This year, Angela Dean, a student at Catham University earned the award.  Her professor is Anthony Goreczny, Ph.D.

The award comes with $500 that is funded by the Pennsylvania Psychological Foundation. 

The Ethics Committee invited Ms. Dean to our annual Ethics Educator Conference to be held in October, 2011.  Additionally, Ms. Dean will have a version of her paper published in The Pennsylvania Psychologist.


The title of the paper is Facebook for Psychologists: "Friend"ship Ethics.  It can be reviewed or downloaded from docstoc (below).


FB_Psychological_Ethics -

OCR Data Breach Tally Passes a Milestone

Dom Nicastro for HealthLeaders Media

Covered entities have reported breaches of unsecured protected health information affecting 500 or more individuals to the Office for Civil Rights (OCR) nearly once every other day since the HIPAA privacy and security enforcer began posting the information 18 months ago.

The list, posted on the OCR breach notification website, hit the 300 mark this week. OCR went live with the site in February 2010, recording breaches that date back to September of 2009.

That's about 13 breaches per month dating back to the fall of 2009.

The website is part of the breach notification interim final rule, in effect since September 2009. OCR withdrew the rule a little more than one year ago from the hands of the Office of Management and Budget (OMB), which reviews rules for government agencies. OCR wanted more time to pursue changes to the rule.

The rest of the story can be read here.

HIPAA Auditor Involved in Own Data Breach

Dom Nicastro, for HealthLeaders Media

The company hired by the Office for Civil Rights (OCR) to conduct nationwide HIPAA privacy and security compliance audits was responsible for a breach that includes the loss of an unencrypted flash drive and affects more than 4,500 patient records.

OCR’s request for audit proposals came in February 2011, about eight months after KPMG, LLP, reported its breach to the New Jersey healthcare system.

KPMG, which won OCR’s $9.2 million contract for HITECH-required HIPAA audits in June 2011, told the Saint Barnabas Health Care System of West Orange, NJ, in June 2010 that a KPMG employee lost an unencrypted flash drive that may have contained a list with some patient names and information about their care, Saint Barnabas reported on its website. 

The potential breach affected individuals at two facilities—3,630 patients at Saint Barnabas Medical Center in Livingston, NJ, and 956 patients at Newark Beth Israel Medical Center in Newark, NJ—according to a report on the OCR breach notification website. The website lists entities reporting breaches affecting 500 or more individuals, a HITECH requirement that went live in February 2010.

The flash drive did not include patient addresses, Social Security numbers, personal identification numbers, dates of birth, financial information, or other identifiable information, according to the report on the Saint Barnabas website.

KPMG reported the matter to the New Jersey healthcare system June 29, 2010. KPMG believes the flash drive was misplaced on or about May 10, 2010, according to Saint Barnabas.