Check the Workshop You Will Attend: REGISTER BY MAIL Autism, Sensory and ADHD Hasbrouck Heights, NJ - April 06, 2015 Whippany, NJ - April 07, 2015 Receipts Sent Via Email - Please Print Clearly! ATTENTION: Copy as needed for each attendee or print additional forms at www.summit-education.com EMAIL OR PHONE # REQUIRED! Name*____________________________________________________ Email*___________________________________________________________ Profession/Job Title* ______________________________________________ Organization_____________________________________________________ Pricing* All prices are per person Easy Registration! EARLY $199 | Single Person $189 | 2-4 People $169 | 5+ People 1. Online: www.summit-education.com 2. Phone: (800) 433-9570 3. Fax: (615) 376-8233 4. Mail: Summit Professional Education PO Box 908 | Franklin, TN 37065 REGULAR $219 | Single Person $209 | 2-4 People $189 | 5+ People *Early registration must be received 14 days prior to workshop. GROUPS: Registrations and payment must be received together via fax or mail. You may also register online if payment is with a single credit card. Billing Address*___________________________________________________ Address2 _______________________________________________________ An Interactive One-Day Workshop Edison, NJ - April 09, 2015 Newark, NJ - April 10, 2015 City*_____________________________State*_______ Zip*_______________ Summit Professional Education PO Box 908 Franklin, TN 37065 EMAIL OR PHONE # REQUIRED! Phone*_____________________________________Ext._________________ (MM) (YY) (YRS) CE Renewal Date _________ / _________ License Cycle Length ____________ Healthy Interventions for Autism, Sensory and ADHD PRSRT STD U.S. POSTAGE PAID NASHVILLE,TN PERMIT NO. 989 Payment Required For Registration Check, credit card or company purchase order (PO#) MUST accompany this registration form. In Children and Adolescents PRIORITY CODE: Price ____________ X Quantity ___________ = Total __________________ Check enclosed, payable to Summit Professional Education Gary M. Eisenberg, Ph.D., CPQ, is a licensed psychologist and professor with over 30 years of experience in psychotherapy and psycho-educational testing. Currently a practicing clinical psychologist and adjunct professor at Florida Atlantic University, Dr. Eisenberg has been President of the Child, Adolescent and Family Division of the Florida Psychological Association, recipient of their Child Psychologist of the Year Award, and News Editor for their Child-Adolescent-Family Division. PO#: __________________ VISA MC Amex Discover Cardholder’s Name: ______________________________________________ Card #:__________________________________________________________ Exp. Date: _______________________ 3 Digit CSC/CVC: _________________ CAASGE.0415.1 PLEASE RETURN ENTIRE PANEL Benefits to Attending Workshop Dates • Evidence-based effective Interventions for autism, Asperger’s, SPD and ADHD An Interactive One-Day Workshop Healthy Interventions for Autism, Sensory and ADHD In Children and Adolescents Workshop Dates Hasbrouck Heights, NJ April 06, 2015 Whippany, NJ April 07, 2015 Edison, NJ April 09, 2015 Newark, NJ April 10, 2015 Gary M. Eisenberg, Ph.D., CPQ, is a licensed psychologist and professor with over 30 years of experience in psychotherapy and psycho-educational testing. Currently a practicing clinical psychologist and adjunct professor at Florida Atlantic University, Dr. Eisenberg has been President of the Child, Adolescent and Family Division of the Florida Psychological Association, recipient of their Child Psychologist of the Year Award, and News Editor for their Child-Adolescent-Family Division. Benefits to Attending • Evidence-based effective Interventions for autism, Asperger’s, SPD and ADHD • Comparative effectiveness of alternative vs. pharmacological approaches in childhood disorders • Reduce conflict due to transitions, sensory sensitivities and hyperactivity • Diet and Supplements for autism and ADHD • Manage problem behaviors including inappropriate sexual behaviors • The participant will be able to initiate a social skills program for all levels of autism • Differentiate meltdowns from tantrums and identify practical techniques for reducing both • Use preventive techniques to reduce the need for intervention. SPEECH-LANGUAGE 800-433-9570 l Online at www.summit-education.com • DSM-5 update: new diagnosis Social (Pragmatic) Communication Disorder, and the new severity levels of autism • Comparative effectiveness of alternative vs. pharmacological approaches in childhood disorders Hasbrouck Heights, NJ April 06, 2015 Whippany, NJ • Reduce conflict due to transitions, sensory sensitivities and hyperactivity April 07, 2015 • Diet and Supplements for autism and ADHD Edison, NJ • Manage problem behaviors including inappropriate sexual behaviors April 09, 2015 • The participant will be able to initiate a social skills program for all levels of autism Newark, NJ • Differentiate meltdowns from tantrums and identify practical techniques for reducing both • Use preventive techniques to reduce the need for intervention. • DSM-5 update: new diagnosis Social (Pragmatic) Communication Disorder, and the new severity levels of autism Who Should Attend ;; ;; ;; ;; ;; ;; OTs & OTAs SLPs & SLPAs Special Education Teachers PTs & PTAs Psychologists School Counselors ;; ;; ;; ;; ;; ;; Paraprofessionals Early Childhood Educators All K-5 Teachers Parents and Caregivers Social Workers Early Intervention Specialists SPEECH-LANGUAGE 800-433-9570 l Online at www.summit-education.com April 10, 2015 Dates & Locations Hasbrouck Heights, NJ April 06, 2015 Hilton Hasbrouck Heights/ Meadowlands 650 Terrace Ave Hasbrouck Heights, NJ 07604 (201) 288-6100 Whippany, NJ April 07, 2015 Hanover Marriott 1401 Route 10 East Whippany, NJ 07981 (973) 538-8811 Edison, NJ April 09, 2015 Crowne Plaza 2055 Lincoln Highway Edison, NJ 08817 (732) 287-3500 Newark, NJ April 10, 2015 Courtyard Newark Downtown 858 Broad Street Newark, NJ 07102 (973) 848-0070 SCAN HERE QR Help? www.tinyurl.com/qrhelp Healthy Interventions for Autism, Sensory and ADHD in Children and Adolescents The DSM-5 dictates that the diagnosis of autism now subsumes Asperger’s Syndrome and PDD-NOS, with reports by the CDC estimating that 1 in 68 U.S. children are identified as having an Autism Spectrum Disorder (ASD). Despite the overwhelming prevalence of ASD, the true causes of the disorder are only now coming to light. Parents & therapists are subjected to a confusing array of therapies. This fresh one-day workshop was designed to integrate traditional & alternative therapies for the best possible outcomes. Utilizing multiple video demos, interventions as diverse as diet, video modeling & medication are explored. Behavioral interventions and social skills training are taught for use in the classroom and PT/OT/SLP office, as well as new methods for handling meltdowns and increasing classroom compliance. This workshop will put the teacher and therapist in the mind of the individual with autism thereby allowing them to speak the child’s language. Non-pharmacological interventions for ADHD and Sensory Processing Disorder will be thoroughly examined. Participants will leave this interactive workshop with a proactive look at these disorders, and the tools to identify alternative, traditional and behavioral techniques & how they may apply in your setting. About Your Program Instructor Gary M. Eisenberg, Ph.D., CPQ, is a licensed psychologist and professor with over 30 years of experience in psychotherapy and psycho-educational testing. Currently a practicing clinical psychologist and adjunct professor at Florida Atlantic University, Dr. Eisenberg has been President of the Child, Adolescent and Family Division of the Florida Psychological Association, recipient of their Child Psychologist of the Year Award, and News Editor for their Child-Adolescent-Family Division. Dr. Eisenberg is an active member of the American Psychological Association, the Florida Psychological Association (FPA), and the Association of State and Provincial Psychology Boards. He is a past presenter to the FPA annual convention speaking on Child Developmental Disorders, has testified in Broward and Palm Beach County courts on child developmental custody and trauma cases and is a Florida Supreme Court-Certified Mediator. Dr. Eisenberg is a frequent lecturer to schools, parent groups, and mental health organizations. He has recently been trained (2010) in Nutritional interventions for Autism Spectrum Disorders by the Autism Research Institute. Dr. Eisenberg attended Muhlenberg College and received his doctorate in Clinical Psychology from the University of South Florida. Learning Objectives 1. Identify proven alternative and traditional therapies for all childhood development disorders. 2. Differentiate plausible from fad therapies in treating ADHD and autism. 3. Determine the role of using diet to treat autism and ADHD. 4. How to fine tune the home and school environment to reduce toxins related to autism. 5. Utilize ABA and Floortime techniques to stem distracting behaviors in the therapists office. 6. Use four techniques to combat inappropriate sexual behaviors. 7. Specify innovative social skills and parenting techniques to treat ADHD and Asperger’s. 8. Reference up-to-the minute research, resources and apps for parents and professionals working with children. Workshop Schedule Your instructor will break for 15 minutes in the morning and afternoon at appropriate times. 7:30am – Registration & Coffee 8:00am – Workshop Begins 11:30am - 12:30pm – Lunch On Your Own 3:30pm – Workshop Adjourns Workshop Outline Continuing Education Credit I. Autism »» Managing meltdowns – Methods to reduce and methods to avoid Speech-Language Pathologists & Audiologists - This program is offered for 0.6 CEUs (Intermediate level, Professional Area). R VIDEO DEMONSTRATIONS »» Biomarkers and early identification of ASD »» DSM-5 changes for the SLP »» Behavioral interventions including ABA and Floortime »» VIDEO: Handling Tantrums »» Biomedical interventions - Research-based effectiveness −− Diets, probiotics and supplements »» Environmental interventions to reduce autism symptoms »» Preparing for a safe pregnancy and safe baby’s room »» Effective teaching techniques for ASD »» Addressing the peers of the ASD student »» Alternative therapies including music/equine/neurofeedback »» Latest research on factors thought to cause autism II. Asperger’s Syndrome or Level 1 Autism »» How to teach using Youtube and videos: −− Emotions, contextual cues, body language, perspectives, and empathy R VIDEO DEMONSTRATIONS »» Social skills training integrated into the classroom »» Bullying interventions that work with children with Asperger’s »» Rediagnosing Asperger’s Syndrome under DSM-5 »» Evidenced-based techniques in video modeling »» Preventing or responding to inappropriate sexual behavior »» Disciplining obsessive and repetitive behaviors »» Classroom methods to connect to the unique style of the child with autism »» Simple techniques for increasing prevention to reduce intervention »» Transitioning the HS student to the world of work or college III. Sensory Processing Disorder »» The unique role of the pediatric therapist »» Auditory solutions and oral-motor ideas »» Hypersensitivity in oral, tactile, auditory and proprioceptive areas −− Techniques for combating each −− Special techniques for the fidgeting and sensory-seeking child IV. ADHD »» Traditional and integrative treatments »» Are we over-labeling those with behavior problems ? »» Non-pharmacological interventions for ADHD including supplements and diet »» Parenting and disciplinary tough love interventions »» Models for seamlessly integrating parents into therapy and education »» Common misdiagnoses of disorders mimicking ADHD »» Medications, current and future use »» Differences between bipolar disorder and ADHD in diagnosis and treatment »» Comprehensive list of accommodations for study skills and classroom modifications V. Gaining the School’s Cooperation: IEPs, 504s & OHIs REGISTRATION, CONFIRMATION & CERTIFICATES Confirmations of registration will be sent via email. A copy of your registration confirmation will serve as Psychologists - Summit Professional Education is approved by the American Psychological Association to sponsor continuing education for psychologists. Summit Professional Education maintains responsibility for this program and its content - 6.0 hours. Professional Counselors - Summit Professional Education is an NBCC-Approved Continuing Education Provider (ACEP) and may offer NBCC-approved clock hours for events (or programs) that meet NBCC requirements. Sessions (or programs) for which NBCC-approved clock hours will be awarded are identified in the program bulletin (i.e. brochure or in the catalogue or Web site), 6.0 hours. The ACEP is solely responsible for all aspects of the program. Social Workers – Summit Professional Education, provider # 1201, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. Summit Professional Education maintains responsibility for the program. Social workers participating in this course will receive 6.0 clinical continuing education clock hours. NJ and NY: not available. Educators – CT: This continuing education workshop is worth 6.0 professional development hours if you have it pre-approved at the school or district level. NJ: Summit Professional Education has been approved by the New Jersey Department of Education as a continuing education provider - Provider Identification #5703 - 6.0 hours. NY: This continuing education seminar counts as 6.0 professional development hours if you have it pre-approved by the employing school district within the context of the district professional development plan. PA: Summit Professional Education is an approved ACT 48 Provider - please make sure we have your professional personnel identification number so that your credits can be uploaded into the PERMS system, 6.0 hours. Physical Therapists - CT: This course meets the continuing education standards set out for physical therapists and assistants by the Connecticut Department of Public Health, 6.0 hours. NJ: This course has been approved by the New Jersey State Board of Physical Therapy Examiners for 6.0 Contact Hours, approval # 1106-2014. NY: Summit Professional Education has been approved by the New York State Education Department Office of the Professions Board for Physical Therapy to offer continuing education for physical therapists and physical therapist assistants. This workshop is offered for 7.2 contact hours. PA: This course has been submitted to the Pennsylvania State Board of Physical Therapy for approval, 6.0 hours. Early Intervention, Childhood Development and Other Specialists - This seminar qualifies for 6.0 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. This event contains intermediate level content. SATISFACTORY COMPLETION Participants must pay tuition fee, sign in, attend the entire seminar, complete an evaluation and sign out in order to receive a certificate of completion. Participants not fulfilling these requirements will not receive a certificate. Failure to sign in or out will result in forfeiture of credit for the entire workshop. No exceptions will be made. Partial credit is not available. VI. DSM-5 Update »» Levels of severity of the autism spectrum diagnosis »» New diagnoses: Social (Pragmatic) Communication Disorder »» Disruptive Mood Dysregulation Disorder WORKSHOP HANDBOOK Included with your registration you will receive a comprehensive manual compiled by the instructor. VII. Issues for Professionals & Parents Working with Children with Developmental Disorders »» Emphasizing priorities: The child first, the disorder second −− Procedural steps for differential diagnosis »» Utilizing a developmental approach with ongoing treatment planning −− Criteria for evaluating professional and treatment options SCOPE OF PRACTICE: Workshop content is not intended for use by participants outside of the regulatory scope of practice of their license(s). You are responsible for knowing what lies within and without your professional scope of practice. VIII. Resources for Professionals & Parents »» Books, internet sites, support groups DISCLOSURES: Guidelines exist whereby all speakers must disclose any relevant relationships. Gary M. Eisenberg is compensated by Summit as an instructor. He has no non-financial relationships to disclose. This content of this program is germane to children, students and clients ages 4-18. Have continuing education credit questions? Please email our CE Department at [email protected] for the latest approval status. Join Our Faculty Summit Professional Education is currently seeking qualified professionals to develop and teach workshops nationally. Visit www.summit-education.com/instructor for more information. Some facilities may charge for parking, which is at your own expense. THE SUMMIT GUARANTEE Summit Professional Education is a national leader in high-quality educational products and services for today’s professional. Our seminars and training programs are designed to help professionals achieve improved performance and results in all areas. Our faculty is the “best of the best” in their fields of expertise, providing programs that really make a difference to participants. If for any reason you are not satisfied with the program, simply notify the registrar of your intent to withdraw from the program prior to the first morning break, turn in your workshop materials and receive a 100% refund or credit on a future program. Occupational Therapists - Summit Professional Education is an AOTA Approved Provider of continuing education - provider #5873. This course is offered for 0.6 AOTA CEUs (6.0 contact hours). The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. your receipt for fees paid at the time of registration. Walk-ins are welcome but must register onsite. Please notify us at least thirty (30) days in advance if you have special needs or require assistance. Certificates are mailed to the seminar location 5 business days in advance. If your certificate is not available the day of the seminar, please complete a certificate request onsite and a copy will be sent to you. Hotel locations must occasionally be adjusted. Please provide an email address and phone number to receive any important updates. attendee. If the cancellation is made within ten days or less, refunds will not be granted for any reason. A credit voucher will be issued that may be used toward a future seminar. Credit vouchers are transferable and do not expire. In cases of inclement weather where the seminar is conducted as scheduled, you may request a credit voucher toward a future seminar. If we must cancel or change the seminar for any reason, our liability is limited to the cost of tuition. If you register and do not attend, you are still responsible for payment. SUBSTITUTION & CANCELLATION POLICY Substitutions may be made at any time. Requests for cancellation must be received in writing by fax or mail ten (10) days prior to the seminar in order to receive a refund less a $20.00 administrative charge per canceled W-9: To download a copy, logon to www.summit-education.com/w-9 FEID Number: 47-1189590 800-433-9570 | www.summit-education.com
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