Annual Children’s Services State of the Art Conference August 27 - 28, 2015 DoubleTree Hilton, 100 Middle Street, New Bern, NC E xciting sessions are happening for the annual children’s services state of the art conference this year! The conference format continues to include two full days of outstanding plenary and concurrent sessions, with an increased selection of seven concurrent sessions per day, with five evening breakout sessions, allowing attendees to earn up to 15 hours of credit. A one day rate is also offered for those who are unable to attend both days. Topics include autism spectrum disorder (ASD) diagnostic issues, refugee children, child abuse and mental illness in children, sex trafficking of children/youth, psychological testing, social media and online predators, traumatic brain issues and sports concussions, working with resistant children and families, street drugs, social/emotional regulation issues with ASD, integrated care and foster children, child parent psychotherapy, ethics, money/financial issues in families, grandparents raising children, animal assisted therapy, filial play therapy, bullying, working with military families, behavior interventions for children with ADHD, self-injurious behavior, and many more. Sessions run the age gamut as well, from infants up to late adolescence, including traditional and nontraditional families. Don’t miss this premier annual conference opportunity to explore a variety of evidencebased approaches, treatment techniques and service issues in children’s services. Group discounts are available. Come join your peers and colleagues from across the eastern region at this leading educational event! Target Audience This conference will be of immense benefit to all child and adolescent service providers, including child mental health therapists, counselors and clinicians in clinical, residential, or outpatient settings. This also includes family therapists, psychologists, social workers, licensed counselors, case managers, CDSA staff, early intervention staff, guardian ad litem workers, public health providers, juvenile court counselors, domestic violence staff, school personnel, at-risk youth personnel and all other interested professionals. Provided by Credit This conference offers UP to 15.0 hours of credit, for participants attending all sessions. Category A-NC Psychology Credit: This pr ogr am will pr ovide UP to 15.0 hour s of (Categor y A) continuing education for North Carolina Psychologists. No partial session credit will be given. Contact Hours: Cer tificates r eflecting UP to 15.0 contact hour s of education will be awar ded at the completion of the program. National Board for Certified Counselors Credit (NBCC): Easter n AHEC is an NBCC Appr oved Continuing Education Provider and may offer NBCC- approved clock hours for events that meet NBCC requirements. The ACEP solely is responsible for all aspects of the program. (Provider #5645). Substance Abuse Counselor Credit (SAC): Application has been made to the Nor th Car olina Substance Abuse Professional Practice Board for UP to 15.0 hours of Substance Abuse General Skill Building and Specific hours. North Carolina Public School Personnel Renewal Credit: Cer tificates for UP to 15.0 contact hour s of education will be awarded at the completion of the program. Registration Information Seating is limited—Please register early to ensure a space! Online registration available at http://eahec.ecu.edu Registration (received by 8/20/15) Both Days……………………………………………………………………………………… …$165.00 One Day..……………………………………………………………………………………………$95.00 Registration (received after 8/20/15) Both Days………………………………………………………………………………………….$190.00 One Day…...……………………………………………………………………………………….$120.00 The registration fee includes all program materials, credit, refreshments, and two lunches. Participants are encouraged to take advantage of the reduced fee by registering by August 20, 2015. If you register early and must subsequently cancel, a full refund will be made through August 20, 2015. No refunds will be made thereafter, but a substitute may attend. We would appreciate advance notification of any substitutes so that we can prepare materials in that person’s name. If you register, do not attend and do not cancel by the deadline date (August 20, 2015), you or your agency will be billed for the full amount of the r egistr ation fee. Individuals with disabilities, requesting accommodations under the Americans with Disabilities Act (ADA), should contact the Department of Disability Support Services at (252) 737-1016 (Voice/TTY) by August 13, 2015. If you would like more information on the program, call Mental Health Education at EAHEC at (252) 744-5228. Accommodations The DoubleTree by Hilton New Bern-Riverfront is located at 100 Middle Street in historic, downtown New Bern. Standard river view or city view rooms with one king or two double beds will be available at a rate of $119.00 plus tax (per night). All rooms have complimentary internet access, a hair dryer and coffeemaker. Guests also have access to a business center, fitness center, outdoor pool and an excellent on-site restaurant, Christoph’s on the Water. A block of rooms for conference attendees will be available until July 15, 2015. Please mention Eastern AHEC to receive the special rate. The group rate will be available for the conference dates of August 27-28 as well as 2 days prior and post conference. Make reservations directly by calling 800-326-3745. Check-in time is 3:00 pm and check-out time is 12:00 pm August 27, 2015 8:15 am - REGISTRATION 8:45 am - Opening Remarks 9:00 am - Opening Plenary Ethics: Issues in Assessment and Evaluation Erik Everhart, PhD, Professor, Department of Psychology, East Carolina University This session will focus on ethical issues that are encountered during psychological assessment and evaluation of children. A case study approach will be used to demonstrate ethical principles and resolution. 11:00 am - BREAK 11:15 am - Morning Concurrent Sessions Choose one session to attend Session A - Assessment and Intervention for TBI and Sports Concussions Erik Everhart, PhD This session focuses on mild to moderate brain injuries. Included within the session are the following topics: current research, basic assessment techniques, interventions, return to play guidelines, and readiness for return to the classroom. Session B - Getting Clients to the Finish Line: Working with Resistant Children and Families in Therapy Jennifer Hodgson, PhD, Professor, Department of Child Development and Family Relations, College of Health and Human Performance, East Carolina University There are times when it seems like our practice panel is filled with cases that seem to be hanging out in the mid-phase of therapy. We all have those experiences where we just wanted more for our clients but for some reason treatment stalled, or never really took off, and we were left wondering what we could have done to mobilize them toward change. This session will invite attendees to open up about the tough cases that have challenged them and offer evidence-based strategies for helping to infuse new energy and ideas into one’s therapeutic process. Session C - From Exile to Resettlement: Challenges, Resources, and Recommendations for Integration of Refugee Children, Youth, and Families Priti P. Desai, PhD, MPH, CCLS, Associate Professor, Department of Child Development and Family Relations, College of Health and Human Performance, East Carolina University Children and youth constitute more than half of any refugee population and face great hazards to their safety and well being. This presentation will provide an overview of the often violent, disruptive, and grim circumstances that typify a refugee’s exile experience. Challenges faced and resources available for refugee resettlement work will be highlighted. Recommendations for education, health, and human service providers and need for cultural competence will be emphasized. Morning Concurrent Sessions (continued) Choose one session to attend Session D - DSM 5 - Autism Spectrum Disorder: Diagnostic Issues John M. Diamond, MD, Professor and Head, Department of Child and Adolescent Psychiatry, Brody School of Medicine, East Carolina University This session will review the new criteria to diagnose Autism Spectrum Disorder (ASD) and will also highlight diagnostic controversies, and discuss how quirky behavior might be differentiated from ASD. Session E - Child Maltreatment and Mental Illness: How Trauma Affects the Developing Brain Jodi Flick, MSW, LCSW, ACSW, Clinical Assistant Professor, School of Social Work, University of North Carolina at Chapel Hill We used to think that child abuse and childhood trauma left only emotional scars that followed people into adulthood. But, science is giving us a much clearer understanding of the physical damage done to the developing brain by child maltreatment. This damage can cause the symptoms we see in many children with mental illness. This session will focus on seeing the connection between child maltreatment and behavioral disorders, and what treatments are known to be effective for children with these disorders. Session F - Trafficking of Boys, Shocking Truths, and Seldom Spoken Reality: Human Trafficking 101 Anna Smith, BSW, Co-founder and Executive Director, Restore One, Greenville; Blace Nalavany, PhD, LCSW, Associate Professor, School of Social Work, College of Health and Human Performance, East Carolina University Sex trafficking is a hushed crime. To be sure, while the reality of female sex trafficking is widely recognized, emerging studies claim up to 50% of child victims in the United States are boys. Learn from real case studies, nationally recognized research reports and work in the field. Session G - Welcome to WISC-V Gail C. Rodin, PhD, Assessment Consultant, Pearson Clinical Assessment This session will provide an overview of the new WISC-V for assessing cognitive abilities in children ages 6 to 16. The session will focus on changes from WISC-IV to WISC-V, including new subtests and composite scores and a new fivefactor model for interpretation. We will also review options for administration and scoring: traditional paper-and-pencil, web-based Q-global scoring and reporting, and digital administration using two iPads and the Q-interactive system. 12:45 pm - LUNCHEON 1:15 pm - LUNCHEON PLENARY Luncheon Plenary - Social Media in the Digital Age Detective Glenn Webb, Greenville Police Department, Special Victims Unit This presentation will give a base knowledge of social media and its uses and pitfalls for potential victims. It also seeks to educate users on how to protect themselves and loved ones from online predators. 2:15 pm - BREAK 2:30 - 4:30 pm Afternoon Concurrent Sessions Choose one session to attend Session A - Assessment and Intervention for TBI and Sports Concussions (continued) Erik Everhart, PhD This session is continued from the morning session. Participants must attend the entire session to receive credit. Session B - Getting Clients to the Finish Line: Working with Resistant Children and Families in Therapy (continued) Jennifer Hodgson, PhD This session is continued from the morning session. Participants must attend the entire session to receive credit. Session C - What’s Trending: Current Trends in the Use and Misuse of Street Drugs Samantha M. Coleman, MA, MAC, LCAS, PhD student in Rehabilitation Counseling and Administration, Department of Addictions and Rehabilitation Studies, East Carolina University In the United States, 23.5 million people over the age of 12 needed treatment for an illicit drug or alcohol abuse problem in 2009. The world of street drug use and treatment has changed dramatically over the past decade. Prescription drug abuse is on the rise and designer drugs are rapidly created. This session will outline the current trends in street drug use, and adolescent treatment. Prevention programs that are typically geared toward elementary school age children will also be discussed. Afternoon Concurrent Sessions (continued) Choose one session to attend Session D - Strategies for Addressing Social and Emotional Regulation Issues for Clients with Autism Spectrum Disorder Jill Britton Scercy, MS, LMFT, Clinical Assistant Professor, Assistant Director, Greenville TEACCH Center This session will discuss and provide video examples of strategies and resources to address social and emotional needs of clients with Autism Spectrum Disorder (ASD). Session E - Child Maltreatment and Mental Illness: How Trauma Affects the Developing Brain (continued) Jodi Flick, MSW This session is continued from the morning session. Participants must attend the entire session to receive credit. Session F - Trafficking of Boys, Shocking Truths, and Seldom Spoken Reality: Treatment Implications Anna Smith, BSW; Blace Nalavany, PhD, LCSW Once rescued, recovery is not simple. Survivors are haunted by their past trafficking experience. Learn practical methods of intervention and best practices for treating male survivors. Session G - The Integrated Care Team in the Pediatric Medical Home Regina Schaaf Dickens, EdD, LCSW, RSD Consulting, Littleton, NC This session will describe the Pediatric Medical Home model with an emphasis upon team-based care and the role of the Behavioral Health clinician on the team. Through a combination of didactic and experiential approaches the following concepts will be explored: Screening, brief intervention, and referral Family engagement Care Coordination Population management 4:30 pm - BREAK 4:45 - 6:45 pm Evening Concurrent Sessions Choose one session to attend Session A - Ethical Challenges Common to Working with Children and Families Jennifer Hodgson, PhD Working with children and families in treatment is different from working with individuals in treatment. There are systemic and confidentiality differences that must be carefully monitored so therapists do not accidentally commit an ethical violation. This session will address those challenges and provide attendees with possible solutions to implement into their work immediately. 4:45 - 6:45 pm Evening Concurrent Sessions (continued) Choose one session to attend Session B - Medication Update John Diamond, MD This session will update participants on medication concerns and current pharmacological issues/problems specific to children and adolescents. Existing medications and psychopharmacological treatment issues will also be thoroughly reviewed. Session C - Client Violence: Keeping Yourself and Others Safe Jodi Flick, MSW, LCSW, ACSW Our society, and especially our work settings, have become significantly more dangerous, yet few mental health professionals have had specific training in how to recognize, prevent or effectively intervene in potentially violent situations. This presentation addresses the growing problem of violence against health and mental health professionals, with recommendations on both clinical and administrative issues regarding client dangerousness. The primary goal is to ensure the safety of practitioners, clients and others involved. Session D - Early Mental Health Intervention in Eastern North Carolina: Child Parent Psychotherapy Alicia Bell, MS, LPCA, LCASA, Doctoral Candidate, Child Parent Partners Clinical Supervisor, New Bern This session will include several areas within Child Parent Psychotherapy (CPP). These are: importance of early intervention; how trauma affects the brain; the pilot project in eastern NC; CPP Process and specific interventions and discussing importance of utilizing dyad in therapy; assessments and data collected; sample cases; and how individuals can promote early childhood mental health in NC. Session E - The Human-Animal Connection: Exploring Applications of Animal Assisted and Social Dog Therapies Dianna Aideuis, LCSW, BSN, RN, Certified Advanced Children, Youth, Family Social Worker, Certified Clinical Trauma Professional, Greenville The merits of the human-animal connection have been explored since the early 1940’s. The use of animals in treatment was originally restricted to convalescent hospitals. Though recently, animal assisted therapy has been deemed useful when incorporated in the treatment of post-traumatic stress, depression, anxiety, sexual trauma, and substance abuse. This presentation is designed for professionals involved in the care of children with physical, psychological, and/or behavioral issues. Topics include historical highlights of animal assisted therapy, animal therapy research, integration of animal assisted therapy with various treatment models, ethical and cultural considerations, as well as practical application of social dog therapy. This presentation will also provide healthcare professionals with a better understanding of animal assisted therapy and its potential uses in their own practice. This presentation will include Toby, who is a 7-8 year old mix breed Airedale/Hound and was adopted by Dianna several years ago. His certifications include completion of Basic Obedience in February of 2009, Canine Good Citizenship in March 2009 and Social Therapy in October 2009. Dianna and Toby work as a team. 6:45 pm ADJOURNMENT August 28, 2015 8:30 am - CHECK-IN/REFRESHMENTS 9:00 am - 12:15 pm Morning Concurrent Sessions Break 10:30 am - 10:45 am (ALL sessions continue after the break) Choose one session to attend Session A - Money Matters: Helping Families with Money Issues Bryce L. Jorgensen, PhD, Assistant Professor, Department of Child Development and Family Relations, College of Health and Human Performance, East Carolina University Money permeates all aspects of our lives and either contributes to life satisfaction or leads to additional stress. This session will discuss ways to work with and strengthen couples, parents, and families regarding money issues. It is key for couples and parents to be able to effectively communicate about money in order to not only create financial goals but to work together on accomplishing the goals. Topics covered during this session include: money personalities and histories, managing the money you have, communicating about money as a couple, teaching kids about money, debt management, saving for the future, importance of credit, and setting goals. There will also be time for Q&A in order to answer any and all questions you have regarding families and money issues. Session B - Parenting the Second Time Around: A Curriculum for Grandparents and Relatives Who Are Parenting Again Anne Williams, Certified Parent Educator/Group Facilitator, Bullock, NC This session is an interactive educational overview of the Cornell University Workshop series, which is designed to assist grandparents and other family caregivers. Training will include the following topics: Changing Parameters in Trans -generational Parenting; Coping with Role Changes and Transitions for Parent, Grandparent and Extended Family; Child Development - Age Appropriate Expectations; Alternative Discipline Techniques; Discipline Versus Punishment; Tips for Positive Interactions with Children with ADHD, ODD, etc.; Effective Communication Skills; Family Stress and Anger Management; Expectations Regarding Rules, Routines, and Responsibilities; Creative Ways to Have Fun with your Grandchildren; and Community Resources. Participants will learn practical skills for helping grandparents and other caregivers. Session C - Adolescent Substance Use Trenette T. Clark, PhD, Assistant Professor, School of Social Work, University of North Carolina at Chapel Hill Drug addiction is a complex disorder that usually begins during adolescence. This session will focus on the epidemiology, etiology, and consequences of adolescent substance use. It will cover subgroup differences including differences by gender, race/ethnicity, and sexual orientation. This session is intended to serve as an introduction to adolescent substance use and misuse. Morning Concurrent Sessions (continued) Choose one session to attend Session D - Helping Families Build Stronger Attachments through the Power of Play Andy Brimhall, PhD, LMFT, Assistant Professor, Department of Child Development and Family Relations, College of Health and Human Performance, East Carolina University This presentation will highlight several of the major challenges facing the parent-child relationship in today’s society. It will address the negative impact these challenges have on the parent-child connection and talk about how Filial Therapy can help restore those relationships. Filial Therapy is one of the most effective evidence-based family models that has been proven to help improve: a) the child’s behavioral problems (both internal and external); b) the parent-child relationship; c) the parent’s level of functioning (both as a parent and in regards to their own mental health); d) the marital relationship. For these reasons it is one of the most effective interventions that truly involves the entire family. This session will introduce participants to Filial Play Therapy and provide them with a basic understanding of how it helps improve family functioning. Session E - Addressing Childhood Exposure to Domestic Violence Trishana Jones, MSW, Children and Youth Coordinator, North Carolina Coalition Against Domestic Violence, Durham This presentation will concentrate on the dynamics of domestic violence and the impact of witnessing domestic violence on children and teens. The goal of this presentation is to expand service providers’ knowledge base and skills in order to effectively support child witnesses of domestic violence. Session F - Bullying: It Affects Everyone! William Lassiter, MPA, Deputy Director, North Carolina Department of Public Safety - Center for Safe Schools In this session, participants will learn why it is important to focus on the challenge of bullying, and how bullying plays a part in future and more extensive violent behaviors. In order to address this challenge, schools must first construct a common definition of what bullying is. After looking at how bullying is defined, the causes of bullying will be presented. Finally, participants will be given some concrete tools they can use to prevent bullying in their schools and communities. Session G - Administration and Interpretation of WISC-V Gail Rodin, PhD This session is designed as a follow-on to W elcome to W ISC-V!, but you may also attend if you did not attend that session. The presenter will provide a very brief overview of the new test, then focus on the nuts and bolts of administering, scoring, and interpreting the new measure of cognitive abilities in children ages 6 to 16. The session will stress how the changes from WISC-IV to WISC-V affect interpretation of the new test, as well as how it can be used within a cross-battery model of assessment. 12:15 pm - LUNCHEON 12:45 pm - LUNCHEON PLENARY Luncheon Plenary - Breaking the School to Prison Pipeline J.H. Corpening, II, Chief District Court Judge, 5th Judicial District, New Hanover County Zero tolerance policies in the 80’s and 90’s that began with the war on drugs also crept into school discipline policies. Exclusionary discipline policies have had an unfortunate effect on many of our students, with the most dramatic impact on children of color. The good news is that school-justice partnerships can be effective in changing this trend, improve outcomes for youth, improve school climate, and make schools safer. These partnerships are beginning to spread around the country, and have now come to North Carolina as well. This lunch plenary session will chart the development and progress of a school-justice partnership in New Hanover County designed to address the issues surrounding the School to Prison Pipeline 1:45 pm - BREAK 2:00 pm - Afternoon Concurrent Sessions Choose one session to attend Session A - Evidence-Based Caregiver-Provider Partnerships: Working Collaboratively with Families of Children Who Have Special Needs Tamara Norris, MSSW, MPA, Director, Family Support Program and Clinical Associate Professor, School of Social Work, University of North Carolina at Chapel Hill Barbara Leach, Family Support Specialist and Special Projects Coordinator, Family Support Program, School of Social Work, University of North Carolina at Chapel Hill This session will focus on building a collaborative partnership between caregivers and providers to improve outcomes for children and their families. It will address the prerequisite values and attitudes needed to build such a relationship and the importance of establishing and maintaining positive communication between caregivers and providers. Difficult topics will also be discussed such as communicating difficult news to caregivers, helping caregivers accept their child’s diagnosis/disability and helping providers understand the grief process of the caregiver. The role of caregiver and provider in developing successful interventions will be examined. Attention will be given to caregiver and provider expectations and strategies to enhance their communication Session B - Working with Veterans, Service Members and Their Families: Military Cultural Competence Nancy B. Hauck, LCSW, MVF-CSW, Clinical Supervisor, Behavioral Health/Family Advocacy Program at Camp Lejeune - New River Marine Corp Installations Participants will develop an understanding of the military as a unique culture and the importance of how this relates to working with military families and veterans. Participants will learn best practice techniques to engage veterans, service members and their families when working with this population. Afternoon Concurrent Sessions (continued) 2:00 - 4:30 pm Choose one session to attend Session C - A Practical Guide to Behavior Interventions for Children and Adolescents with ADHD Brandon K. Schultz, PhD, Assistant Professor, Department of Psychology, East Carolina University Most children diagnosed with ADHD - roughly 70 to 80% - exhibit persistent academic and social difficulties from early childhood into young adulthood. Oppositional and antisocial behaviors also emerge at a disproportionally high rate for children and adolescents with ADHD over this same timeframe. Such problems strain families, schools, and even the juvenile justice system; it is unclear how professionals can effectively intervene. Most recommended treatments focus on late-stage, tertiary interventions for serious conduct problems, particularly when intensive family or multisystemic interventions are warranted; fewer treatments focus on children who are at-risk for such needs. This session will explore primary-and secondary-prevention strategies for youth with ADHD and related disorders. The interventions presented in the session have been extensively studied as part of the Challenging Horizons Program (CHP), which is an evidence-based program designed originally for school settings. The focus will be on how these interventions can be successfully applied in both school and community settings. Session D - Early Relationships: Helping Parents Foster Healthy Development Sarah Cengel, MSW, LCSW, Bilingual Mental Health Therapist, Field Instructor, School of Social Work, University of North Carolina at Chapel Hill This session will help participants develop skills in facilitating attachment with their young children, ages zero to three. Participants will learn skills to assist parents in connecting with their young children. Attendees will explain the impact of early relationships on a child’s development; describe how their support to new parents impacts young children; and demonstrate the skills to foster positive attachment and parent-child interaction. Session E - Social-Emotional Risk for Children and Youth in Foster Care: The Role of Integrated Mental Health and the Primary Care Medical Home Marian F. Earls, MD, MTS, FAAP, Member, Mental Health Leadership Work Group of the AAP, Director of Pediatric Programs, CCNC (Community Care of North Carolina), Raleigh Karen Maynard, LCSW, LCAS, Behavioral Health Clinician, Wake Forest Baptist Medical Center This session will be an interactive presentation discussing trauma-informed care for children and youth in foster care. We will review the AAP (American Academy of Pediatrics) Guidelines for care of children and youth in foster care. (www.aap.org/healthyfostercareamerica) and the Fostering Health NC initiative (www.ncpeds.org), with discussion of promotion, prevention and interventions for healthy social-emotional development. Focus will be on implementation of those guidelines in the setting of a mental health professional as a member of the patient/family-centered team in the medical home. Afternoon Concurrent Sessions (continued) 2:00 - 4:30 pm Choose one session to attend Session F - Assessment in Early Intervention: Recommended Practices Linda Crane Mitchell, PhD, Associate Professor, Department of Child Development and Family Relations, College of Health and Human Performance, East Carolina University Assessment is an ongoing process which is essential for specialized services, development of curriculum, provision of intervention and the documentation of progress. Professionals need to know the various types of assessments as well as the standards for the selection of materials. In addition, professionals must have the skills to embed goals/outcomes from the IEP/IFSP into everyday activities and routines. Data collection skills and appropriate techniques to use to determine progress on children’s goals and outcomes are also essential. This session will provide an overview of appropriate assessment practices that can be used with young children. An interactive format will be used. Session G - Non-Suicidal Self-Injury: Effective Interventions & Proactive Responses Jeannie Golden, PhD, Associate Professor, Department of Psychology, East Carolina University Non-suicidal, self-injury (NSSI) or self-mutilation consists of an individual cutting, scraping, picking, biting, or burning their own skin to the point of causing tissue damage. It is a common problem among female adolescents. A recent study found that 46% of the students in a school sample engaged in NSSI on the average either about once a week or once a month. This behavior is often difficult for parents and school personnel to deal with. Using a case example, this presenter will examine NSSI from a functional behavioral perspective and provide effective interventions that can be used by counselors working with individuals exhibiting this behavior as well as ways for parents and schools to respond in a proactive manner. 4:30 pm - ADJOURNMENT interior photo Ibangpots Annual Children’s Services State of the Art Conference August 27-28, 2015 DoubleTree by Hilton, New Bern, NC Register online at http://eahec.ecu.edu Last Name __________________________________________ First Name _______________________________ Middle Initial _____________ Last 4 digits of Soc. Sec. # XXX-XX- Allied Health Dentistry Health Careers Medicine Mental Health Nursing Pharmacy Public Health Other Discipline (check one) Specialties _______________________________________Degrees/Certifications/License ___________________________________________ Mail goes to Home Office or by E-mail Workplace Employer _______________________________________________________________________ Department ________________________________ Position _____________________________ Street/PO Box ___________________________________________________________________ City ____________________________________________ State _________ Zip ____________ Phone ____________________________ E-mail ______________________________________ Home Street/PO Box ___________________________________________________________________ City ____________________________________________ State _________ Zip ____________ Phone ____________________________ E-mail ______________________________________ Please indicate which day(s) you plan to attend: Day 1 Day 2 Both Days Choose concurrent sessions you plan to attend: Day 1: Morning Day 1: Afternoon TBI and Sports Concussions Resistant Children and Families Integration of Refugee Children DSM-5 Autism Spectrum Disorder Child Maltreatment and Mental Illness Human Trafficking 101 Welcome to WISC-V Day 2: Morning Money Matters Parenting the Second Time Around Adolescent Substance Use Power of Play Child Exposure to Domestic Violence Bullying Administration of WISC-V Day 1: Evening TBI and Sports Concussions (continued) Resistant Children and Families (continued) Use and Misuse of Street Drugs Social and Emotional Regulation for ASD Child Maltreatment and Mental Illness (continued) Trafficking of Boys/Treatment Implications Integrated Care Team in the Pediatric Medical Home Ethics/Working with Children & Families Medication Update Client Violence Child Parent Psychotherapy Human-Animal Connection Day 2: Afternoon Caregiver-Provider Partnerships Military Cultural Competence Interventions for Children with ADHD Helping Parents Foster Healthy Development Social-Emotional Risk for Youth in Foster Care Assessment in Early Intervention Non-Suicidal Self-Injury Program Number E46315 Method of Payment (Received by 8-20-15: Both Days $165; One Day $95, Received after 8-20-15: Both Days $190; One Day $120) Check/Cash Enclosed for $ ______________ Charge: Visa MasterCard AMX Discover Signature _______________________________________________________________________ Street/PO Box ___________________________________________________________________ City ____________________________________________ State _________ Zip ____________ Account # Expiration Date ________________ Security Code (Last 3 digits on back of card)
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