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ETHICAL CODES AND PROFESSIONAL STANDARDS Brown (1979) suggests that school psychology emerged as an identifiable profession in the 1950s. Two professional associations, APA and NASP, have shaped the development of the profession. Within APA, Division 16 is the Division of School Psychology.1 Each organization has formulated its own ethical code, professional standards for the delivery of services, and standards for training programs. APA and NASP Codes of Ethics In joining APA or NASP, members agree to abide by the association s ethical principles. Additionally, psychologists who are members of the National School Psychologist Certification System and those who are members of state associations affiliated with NASP are bound to abide by NASP s code of ethics. We believe school psychology practitioners should be thoroughly familiar with NASP s Principles for Professional Ethics and Guidelines for the Provision of School Psychological Services (NASP, 2000a) and APA s Ethical Principles of Psychologists and Code of Conduct (APA, 2002), whether or not they are members of a professional association.

A three-pronged treatment approach should be used in order to (1) promote healing of the current ulcer, (2) reduce pain and suffering, and (3) induce long-term remission In general, when faced with extensive systemic lesions or resistant/intractable local lesions, oral steroids and steroid-sparing adjunct treatments such as methotrexate should be used in combination Thus, consultation with a dermatologist with experience in the treatment of ulcerative mucocutaneous lesions should be initiated in the rst visit Treatment with topical anti-in ammatory agents and local anesthetics can then be used to treat the in ammation and pain associated with active lesions In this case, a pulse oral steroid regimen was used starting with a 40-mg dose, tapered very slowly over 4 months to 25 mg/day In addition, in order to decrease the probability of ares, she was started on weekly intramuscular methotrexate.

There is a world of difference between giving a property an industrial-strength cleaning and doing an extreme makeover like the ones shown on TV, where they take a building apart and put it back together. An industrial-strength cleaning is nothing more than a very thorough cleaning, which dramatically improves a property s curb appeal by: 1. Removing all of the trash from the building and grounds. 2. Putting the building and grounds in a broom- and rake-clean condition. 3. Cutting and removing all of the overgrown brush, grass, and weeds from the grounds. 4. Trimming shrubs and trees. 5. Pressure washing all exterior walls to remove grime, mildew, mold, graffiti, and peeling paint. 6. Pressure washing concrete walkways to remove grime, mold, grease, and oil. Whatever you do, please do not do like a rookie option investor in Dallas, Texas, who got carried away during a property cleanup and had new carpet installed in a house he had under a three-month option. I learned about this bigtime blunder when the investor sent me an e-mail, lamenting about how he lost $4,500 on his first option deal. As I told him in my reply, his first mistake was in paying $2,000 for a three-month option with no right to extend the option period. And then he compounded his mistake by having $2,500 worth of carpet installed in a house he did not own. The option expired before he was able to find a buyer and he was out $4,500, with nothing to show for the time, effort, and money he had spent on the property.

While her oral lesions rapidly responded to steroids (within 2 weeks), her vulvo-vaginal lesions were more resistant (4 6 weeks), necessitating a concurrent use of vaginal hydrocortisone suppositories In our experience, a prolonged titration regimen (up to 3 4 months) is required with vulvar lesions This patient was co-managed by our colleagues in dermatology Please note the discussion below about the role of topical agents in treating in ammation localized to the vulva (plasma cell vulvitis) and vagina (DIV) In our experience, commercially available topical anesthetic agents (especially Benzocaine) are allergenic and are not well tolerated Thus, we often use a compounding pharmacy in order to develop individualized treatment While a detailed discussion of compounding medications, including the pros and cons, are beyond the scope of this chapter, most specialized compounding pharmacies with a focus on women s health can serve as a valuable resource for busy clinicians (http://wwwpcab.

info/) Our typical regimen for the management of pain with active ulcers is as follows: 5% lidocaine and 10% benzocaine compounded in hydrophilic petrolatum For oral.