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Thursday, October 21 • 9:00am - 12:15pm
Roles for Psychologists and Social Workers in Medical-Aid-in-Dying

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Hawaii’s Our Care Our Choice Act (OCOCA), which went into effect in January 2019, allows terminally ill, mentally competent, adult residents of the state to request medical aid in dying (MAID) to relieve unbearable suffering at the end of life. Licensed psychiatrists, psychologists and clinical social workers are authorized to conduct mental health consultations for MAID patients. Our presentation will begin with a brief review of the history and content of the law, focusing particularly on Hawaii’s unique mental health provisions. Dr. Goodyear will then discuss essential components of the mental health consultation and important elements of the reporting process. Case examples will be presented to illustrate the types of clinical issues that may be encountered in the evaluation of MAID patients. We will consider the question of whether a mandatory mental health evaluation is necessary for all MAID patients. Dr. Spira will present further insights about the evaluation process and additional case examples. Dr. Spira will also discuss existential issues that may arise in the continuum of end-of-life care. Jodi Shaw will then address the roles that social workers may play as patient navigators, members of the medical treatment team, and other roles that help to support patients and families in the MAID process and end-of-life care. Finally, Samantha Trad will present data to illustrate both national trends in MAID and utilization of OCOCA in Hawaii. Proposed improvements to OCOCA designed to better facilitate patient access will be addressed.
Attendees will be able to:
  • Describe the provisions of Hawaii’s Our Care Our Choice Act.
  • Describe the essential components of the mental health consultation.
  • Describe the various roles that psychologists and social workers may play in the medical aid in dying process.
  • Describe national trends in medical aid in dying and proposed changes to the Our Care, Our Choice Act.

The evaluation/CE request form for this program can be found HERE.

avatar for James Spira, PhD, MPH, ABPP

James Spira, PhD, MPH, ABPP

Director, Pacific Behavioral Health
Dr. Spira is a Licensed Psychologist (HI, CA), in private practice (Pacific Behavioral Health), and 2017 President of the Hawaii Psychological Association. He obtained his doctorate from the University of California, Berkeley with a specialty in Health Psychology, and completed postdoctoral... Read More →
avatar for Brian Goodyear

Brian Goodyear

Licensed Psychologist, Private Practice
Brian Goodyear, Ph.D.: Licensed Psychologist.  Dr. Goodyear completed his Ph.D. in Clinical Psychology at the University of Hawaii at Manoa and a post-doctoral fellowship at the Rehabilitation Hospital of the Pacific.  He has maintained a private practice on Oahu for almost 30... Read More →
avatar for Samantha Trad, M.A.

Samantha Trad, M.A.

Senior Campaign Director, Hawaii & California for Compassion and Choices
Samantha Trad M.A.: Senior Campaign Director for Hawaii and California for Compassion and Choices. Samantha passionately works hard to expand patient-centered and patient-directed end-of-life care across the state. She is an expert on implementing medical aid in dying laws and leads... Read More →
avatar for Jodi Anne Shaw

Jodi Anne Shaw

Patient Care Coordinator, Kaiser Permanente Hawaii
Jodi Shaw, LSW, CCM, OSW-C, APHSW-C: Licensed Social Worker. Jodi Shaw is the oncology social worker for Kaiser Permanente Hawaii and one of two Patient Care Coordinators for the Medical Aid in Dying option. Jodi received her BA in Asian American Studies at the University of Washington... Read More →

Thursday October 21, 2021 9:00am - 12:15pm HST
Room 4