THE MPA ANNUAL CONVENTION 2014 Maryland Psychological Association/Foundation 10025 Governor Warfield Pky, #102 Columbia, MD 21044 EARN UP TO 7 CEs IN ONE DAY NON-PROFIT US POSTAGE PAID PERMIT 211 COLUMBIA, MD Choose from 11 different workshops plus a one-hour bonus workshop for those registering for the whole day. Workshops include offerings to meet the Maryland License Renewal Requirements for Ethics/Law/Risk Management, and the Cultural Diversity Requirement. FRIDAY, OCTOBER 10, 2014 SHERATON HOTEL 173 JENNIFER ROAD ANNAPOLIS, MD COMPREHENSIVE APPROACHES IN CONTEMPORARY PRACTICE THE MPA ANNUAL CONVENTION 2014 Maryland Psychological Association/Foundation Presents W E L C O M E T he Maryland Psychological Association (MPA) leadership and the MPA Education Committee and would like to extend a personal invitation to each of you to attend the MPA’s Annual Convention this year. As those who look forward to the Convention every year know, it is both an educational and social event. In addition to having a wonderful educational experience, the Convention allows us to enjoy a break from work to catch up with old friends and make new ones. The Convention is not only a time for learning, but for celebrating what a joy it can be to be part of such a dynamic, diverse community of professionals. Whether this is your first Convention or your 22nd, your questions, insights, and conversation enrich the experience for everyone. The Education Committee is delighted with this year’s line-up of esteemed presenters and workshops. This year’s convention focuses on expanding your skill and approach in a variety of critical clinical areas. We hope that each of you will leave invigorated with new ideas to use in your practice. We also hope that our Ethics offering will serve to bring clarity around divorce issues, and our Multicultural workshop delivers up-to-theminute information about treating families with disability issues. We would like to thank Ann Cipro, Continuing Education Coordinator; Judith DeVito, Executive Director; Bethany Wetherill, Public Relations Coordinator; and Megan Smith, Office Manager, for their tireless efforts in making this event a reality. We would also like to thank all the members of the Education Committee whose creativity, hard work, and insight have kept us mindful of our commitment to excellence in continuing education. Under the leadership of Past Chair, Rebecca Resnik, and incoming Chair, Beth Williams-Plunkett, the Education Committee focused their efforts in developing programming that will expand our members’ knowledge in a range of areas. For our 2014 Convention, we offer opportunities for broadening your areas of expertise, through attention to the ‘nuts and bolts’ of clinical work, and in keeping up-to-date on new assessment tools. As always, MPA is interested in providing you with CE that expands not only your clinical skills but stimulates your intellectual curiosity. Our goal is to bring the best and the brightest presenters to our continuing education programs. Lastly, we would like those of you who are not members to consider joining the only organization working to promote and defend the practice of psychology in the state of Maryland. Each and every one of you is important in helping psychology continue to thrive as a profession during these challenging and changing times. To those of you who are members, thank you for your continuing support of MPA. Your membership allows us to continue to be heard in places that shape the future of our profession. We welcome you and look forward to seeing you at Convention. MPA Elected Officers as of 9/1/14 Laura Estupinan-Kane Ph.D., President Joann Altiero, Ph.D., President-elect R. Patrick Savage, Jr., Ph.D., Past President Grady Dale, Jr. Ed.D., Rep. to APA Council Richard G. Wirtz, Psy.D., Treasurer Dana O’Brien, Ph.D., Secretary MPA Educational Affairs Committee Elizabeth Williams-Plunkett, Ph.D., Chair Esther Finglass, Ph.D. Scott Holzman, Ph.D. S. John Jeffreys, Ed.D. Gwen Martinsen, Ph.D. Venus Masselam, Ph.D. Diane Pomerantz, Ph.D. Sheela Reddy, Ed.D. Carol Ann Robbins, Ph.D. Cheryl Rubenstein, Ph.D. Scott Wolfe, Ph.D. Anne Molloy, Psy.D., Diversity Rep. Matt Golebiewski, MPAGS Rep. MPA Staff Judith C. DeVito, Executive Director Ann Cipro, CE Coordinator Bethany Wetherill, Managing Editor/Public Relations Coordinator Megan Smith, Office Manager Consultants J. William Pitcher, Esq. & Julia Worcester Governmental Affairs Paul Berman, Ph.D., Professional Affairs Officer Richard Bloch, Esq., Legal Counsel—Shiling, Bloch and Hirsch, P.A. ALL DAY WORKSHOP 6 CE CREDITS FEATURED SPEAKER BONNIE ZUCKER, PH.D. COGNITIVE-BEHAVIORAL TREATMENT OF CHILDHOOD ANXIETY DISORDERS WORKSHOP LEVEL: Intermediate. Some familiarity with basic cognitive-behavioral approach and good familiarity with childhood anxiety disorders (workshop will focus on treatment, not assessment of anxiety disorders). Anxiety disorders are the most common form of psychopathology in children and adolescents. Cognitive-behavioral therapy (CBT) is the most empirically supported approach for the treatment of anxiety disorders. The lecture will provide participants with a clear understanding of the cognitive-behavioral treatment of childhood anxiety disorders and obsessive-compulsive disorder. The three components of anxiety will be discussed: physiological (body), cognitive (thoughts), and behavioral (behavior), and the treatment of each component will be explained in detail. Participants will learn specific techniques, including relaxation strategies, positive self-talk, conquer worry strategies, cognitive restructuring of thinking errors, uncertainty training, metacognitive therapy, and how to address the behavioral manifestations (typically avoidance) of anxiety. This lecture will also address parental and teacher involvement in the treatment process. Finally, case examples will be reviewed to demonstrate application of the treatment techniques. CE Credit is granted to participants with documented attendance at individual workshops and completed evaluation forms for those sessions. Attendance is monitored. Credit will not be granted to registrants who are more than 15 minutes late, are absent for more than 15 minutes, or depart more than 15 minutes early from a session. Credit will not be granted to registrants who do not submit a completed evaluation form at the end of the session. It is the responsibility of registrants to comply with these requirements. PSYCHOLOGISTS: The Maryland Psychological Association is approved by the American Psychological Association to sponsor continuing education for psychologists. The Maryland Psychological Association maintains responsibility for these programs and their content. SOCIAL WORKERS: The Maryland Psychological Association is approved by the Maryland Board of Social Work Examiners as a sponsor of continuing education. The Maryland Psychological Association maintains responsibility for these programs and their content. ALL OTHER MENTAL HEALTH DISCIPLINES: Check with your respective board to inquire if they will accept these workshops for CE credit. SCHEDULE Requirements for Successful Completion to Obtain CE Credit This workshop is designed to help you: • Describe the application of the cognitive-behavioral therapy model to the treatment of anxiety disorders and obsessive-compulsive disorder in children and adolescents; • Explain the three parts of anxiety according to the cognitive-behavioral approach, and how to address each; • Utilize five cognitive-behavioral techniques or strategies when treating children and adolescents with anxiety and OCD; • Apply knowledge of family and school systems in the treatment of childhood anxiety disorders and OCD; • Design hierarchy of anxiety-provoking situations to systematically desensitize anxious children to their feared and/or avoided situations. 7:30 – 8:30 8:30 – 11:30 AM Morning Workshops AM 10:00 – 10:15 11:45 Registration and Check-In Continental Breakfast in Chesapeake Ballroom Exhibitor Visitation AM AM – 1:20 PM Morning Break, Exhibitor Visitation Luncheon 1:30 – 4:30 PM Afternoon Workshops 3:15 – 3:30 PM Afternoon Break, Final Exhibitor Visitation, Door Prize Raffle Drawing (WILL START PROMPTLY AT 3:20 PM) 4:45 – 5:45 PM When Life and Practice Collide: Implications for the Treatment Relationship and Clinical Practice (1 CE CREDIT) MORNING WORKSHOPS All in the Family: Supporting and Empowering Families Dealing with Disabilities Sara Palmer, PhD 1 Meets the Maryland licensing requirement for activities designed to enhance competence in the provision of psychological services to culturally diverse populations. WORKSHOP LEVEL: This is a beginning workshop, designed for psychologists who want to learn more about how to support and assist clients who are family members or family caregivers of someone with a disability. The population of people with disabilities is growing and psychologists often encounter clients dealing with a disability in their spouse or family member. Family members are likely to seek professional help during times of crisis, for example, the onset of a new disability; when additional pressures such as their own health concerns overwhelm their ability to cope; or when there is a chronic stress as in caring for a spouse with Alzheimer’s disease over many years. A basic knowledge of disability, its effects on the family and relevant interventions is essential to working with these clients. Problems faced by family members include emotional distress, relationship and role changes, task overload, and the frustrations of interacting with complex medical systems. Caregivers, particularly spouses, are vulnerable to more serious problems, such as social isolation, depression, and health problems. The adult child, parent or sibling of a person with a disability each has particular issues related to their family role. Differentiating normal emotional reactions to a crisis situation from depression, social isolation and relationship dysfunction is critical to effective intervention. This workshop will be interactive, including both lecture and discussion, beginning with a brief overview of disability (definition, subgroups, prevalence, and social impact) and common emotional, relationship and social problems faced by families dealing with a disability. Effective treatment strategies, including individual and family interventions, structured group interventions, self-management techniques and peer supports will be described. Finally, the specific needs of spouses, adult children, parents and siblings will be discussed; clinical examples and case vignettes will be used to illustrate interventions targeted to these particular family members and roles. Emphasis will be placed on empowering families and encouraging resilient responses to disability, developing coping skills and self-care strategies to prevent future crises, and enhancing positive adaptation and well-being of family members. This workshop is designed to help you: • Summarize common psychosocial issues for families coping with disability; • Recognize the different needs, potential problems and potential benefits for specific family members (e.g. spouses, adult children); • Apply a variety of therapeutic and supportive interventions to treat and empower families coping with disability. The Assessment of Adolescents and Children with the Wechsler Intelligence Scale for Children—Fifth Edition (WISC-V©) Antolin Llorente, PhD, ABPdN 2 WORKSHOP LEVEL: Intermediate to Advanced. Skills in psychological assessment supported by empirical research required. This workshop is designed for professionals who conduct psychological and/or neuropsychological evaluations requiring the assessment of intelligence and other neurocognitive domains with adolescents and children, or those who wish to enhance and broaden their evaluative skills in these areas. The workshop will initially and briefly focus on current, modern theoretical aspects of intelligence and their applications during the course of assessment with particular emphasis on Catell-Horn-Caroll’s (C-H-C) theory of cognitive abilities. Psychometric issues and other factors associated with the inferences derived from the WISC-V then will be covered emphasizing factors such as standardization sample, factor analytic models, reliability, and validity and their impact on the eventual development of the test. Detailed applied examples using index scores and subtest performance interpretation will be presented with introduction and exposition of new subtests, index, and Basic Learning Processes subtests. The 3 CE CREDITS workshop additionally will cover selected aspects of the computerized version of the WISC-V using Q-interactive. Examples focusing on application of the test also will be discussed including applied examples with selected populations (e.g. specific learning disorder, TBI). Finally, limitations associated with these evaluations and their applications will be discussed. This workshop is designed to help you: • Describe modern theoretical foundations underlying test and the developments of the WISC-V; • Review psychometric properties, characteristic and selected research issues associated with the WISC-V; • Demonstrate applied WISC-V use during the course of assessment with children and adolescents; • Describe interpretive strategies using the WISC-V; • Utilize the WISC-V with various populations (specific learning disorders, TBI, etc.) and address limitations of such assessments. Integrating Aspects of Dialectical Behavior Therapy into your Treatment of Clients with Borderline Personality Disorder Judi Sprei, PhD 3 WORKSHOP LEVEL: Intermediate. No prior knowledge of DBT required. Therapists often dread treating clients diagnosed with Borderline Personality Disorder (BPD). Understandably, many therapists have trepidations about treating these clients given the suicide risks, intense anger (often directed at the therapist) and the frequent coexistence of other mood disorders. The emotional states of both the client and the therapist often deteriorate during treatment. Yet, when clients feel validated, learn and use emotional regulation skills, and when acceptance and change are balanced in the therapy process, the ongoing therapeutic work with these clients can be very rewarding for both the clients and the therapist. Dialectical Behavior Therapy (DBT), now used for treating many disorders of emotional dysregulation, was originally developed specifically to treat clients with BPD and suicidal behavior who were not responding Q U E S T I O N S ? C A L L , A N N C I P R O , 4 1 0 - 9 9 2 - 4 2 5 8 O R E M A I L : C E @ M A R Y L A N D P S Y C H O L O G Y. O R G F O R F A C U L T Y B I O S A N D M O R E I N F O R M A T I O N V I S I T W W W. M A R Y L A N D P S Y C H O L O G Y. O R G well to other treatments. By integrating aspects of cognitive behavior therapy, Zen practice and dialectical philosophy, clients were better able to tolerate and remain in therapy. By requiring that therapists participate in consultation teams and learn to observe their own limits, therapists were better able to adhere to the treatment protocol and avoid their own burn-out. Thus, therapy became more effective. In this workshop, participants will learn how to conceptualize BPD from a DBT perspective and how to integrate DBT principles into their treatment in order to be more effective in their work with this challenging population. Participants will learn the importance of being flexible while observing their own limits in order to validate the client while preventing their own burn-out. Techniques for increasing client motivation will be explored and some aspects of treating problematic behaviors such as self-harm will be briefly addressed. The importance of teaching clients skills to regulate their emotions will be discussed. The focus will be on the treatment process and not on research, statistics or how to diagnose BPD. The goal of this workshop is to learn aspects of DBT practice that can be integrated into participants’ own practices to improve the effectiveness of their work with this challenging population; it is not to teach participants to become DBT therapists. This workshop is designed to help you: • Utilize the Biosocial Theory of Borderline Personality Disorder; • Synthesize acceptance and change within the treatment process; • Apply location perspective, validation and motivational techniques to engage clients in the treatment process; • Explain to clients the importance of learning and using skills in order to regulate their emotions; • Teach clients how to track behaviors and emotions on a daily basis in order to reduce vulnerability to emotional dysregulation, increase emotional regulation skills and be mindful of problematic target behaviors; • Prevent burn-out by observing your own limits during the treatment process. Military Sexual Assault— Epidemiology, Intervention and Prevention Morgan Sammons, PhD, ABPP Family-centered Treatment with Struggling Young Adults Brad Sachs, PhD WORKSHOP LEVEL: Intermediate. WORKSHOP LEVEL: Beginner/Intermediate/ Advanced. Workshop will be tilted towards those with intermediate to advanced experience. 4 Despite numerous intervention attempts, reports of Military Sexual Assault (MST) continue to increase. This year alone, the Department of Defense (DoD) published figures suggesting a 5% overall increase in reporting of military sexual assault crimes. Most such assaults involved service members, not civilians. Although some of this increase can be attributed to enhanced reporting mechanisms and expanded victim protection, military sexual assault remains a significant issue affecting readiness and morale. In this presentation, the history of DoD’s response to military sexual assault will be reviewed, and enhanced legal, procedural and mental health protections for victims will be discussed. An understanding of the psychological processes experienced by victims and how best to provide psychological assistance in the context of the military environment will also be discussed, along with suggestions for further reduction in the occurrence of such crimes in the military. This workshop is designed to help you: • Understand and describe how a permissive culture of sexual assault has developed in the US military and the challenges faced by a victim who reports a sexual assault. These challenges include reactions from fellow soldiers, the tendency of the chain of command to not respond to MST claims, and the psychological process the victim goes through once they decide to report the assault. • Identify specific resources and networks available for an individual who reports a MST. • Discuss mechanisms to avoid the duplication of advocacy efforts by using effective programs already in place in the civilian and military communities. This includes utilizing outreach, awareness, and education programs established specifically to help victims of sexual trauma. 5 Individual and family therapists increasingly find themselves working with young adults who appear to be developmentally marooned, still dependent on their parents and unable to take the necessary steps toward adult self-reliance. In this workshop, you will become acquainted with a clinical framework which integrates individual and family therapy, one that is designed to excavate and ameliorate the unspoken fears, unresolved conflicts, and unacknowledged grief and sorrow that typically conspire to compromise the ability of struggling young adults and their families’ ability to progress and evolve. By eschewing superficial and simplistic sobriquets such as “helicopter parents” and “boomerang children”, you will learn how to unearth, understand and improve the underlying individual and multigenerational dynamics that contribute to a developmental stalemate, as well as how to help families enlarge their conversation and, in the process, create a new narrative that will disentangle them from each other and carry both generations forward in the direction of a more effective, engaged and fulfilling future. The workshop will include lecture, case presentation and group discussion, along with poetry, film, and music, all of which will help to illuminate the predicament of stalled maturity and the potential avenues that clinicians can create for their struggling young adult patients and families to travel on their journey toward living a life of resilience, relatedness and meaning. This workshop is designed to help you: • Identify the typical psychological dilemmas that struggling young adults encounter as they prepare to leave home; • Identify the typical maladaptive family dynamics that compromise the successful departure of young adults; • Implement clinical strategies designed to dissolve the impediments to young adults’ arrested growth and to propel the entire family’s healthy development. AFTERNOON WORKSHOPS Sleep Disorders Charlene E. Gamaldo, MD, FAASM and Luis Buenaver, PhD 6 WORKSHOP LEVEL: Beginner/Intermediate/ Advanced. Despite the prevalence of sleep disorders and chronic sleep deprivation, up to 70 million Americans remain undiagnosed, misdiagnosed, or untreated due to a lack of awareness amongst the general population and limited exposure to and knowledge of sleep medicine among health care providers. Sleep disruption has been associated with increased risk of stroke, hypertension, diabetes, depression, anxiety, COPD, asthma and even certain forms of cancer. Mounting evidence suggests that sleep disturbance is a risk factor for mood disorders including depression and anxiety. The sleep medicine community is charged with assisting the non-sleep specialist with basic sleep education and providing them with the tools to potentially treat patients with sleep complaints that may not require more formal sleep expert intervention. In this interactive instructional series, two sleep experts will cover the following topics: 1. Common sleep disorders and established medical and behavioral treatments; 2. Current evidence related to the consequences of untreated sleep disorders; 3. Applications for sleep health interventions by non-sleep specialists in their respective patient population. This workshop is designed to help you: • Summarize the most common sleep disorders and established medical and behavioral treatments; • Recognize the relationship, risk factors and consequences related to sleep disorders and overall, health and well-being; • Recognize the indications for a referral to a sleep center/specialist; • Utilize sleep health tools and treatment strategies in your practice. Essentials of Acceptance and Commitment Therapy Sonja V. Batten, Ph.D. 7 WORKSHOP LEVEL: Beginner/Intermediate/ Advanced. Clients frequently come to therapy wanting to eliminate or reduce their symptoms—to feel less depressed, have fewer panic attacks, and have fewer cravings to use drugs and alcohol. Many of them are waiting to feel better in order to live better. Traditional treatment approaches are designed exactly for this purpose—to assist in symptom reduction. But what if there were another way of approaching our clients’ difficulties in living? What if it were not the thoughts, memories, and feelings that are the problem, but instead that individuals presenting for treatment have lost touch with what is important to them? That they are not living a life in support of those things that they truly value? Often, we find that years of disappointment, disenfranchisement, and avoidance have led our clients to make choices based on attempts to feel good, rather than based on building a life that is meaningful to them. Acceptance and Commitment Therapy (ACT) is based on the view that much of psychological suffering is caused by experiential avoidance and cognitive fusion. Rather than trying to change difficult thoughts and feelings as a means of coping, ACT alters the relationship between private experiences and life choices. This workshop will discuss and demonstrate techniques designed to change the ways that one relates and responds to challenging thoughts, feelings, and memories. This overview of the essentials of ACT will also include a strong emphasis on the ACT therapeutic stance and relationship. This workshop is designed to help you: • Promote life changes through metaphors experiential exercises designed to help clients move toward their values, rather than away from their pain; • Identify the role and significance of avoidance in the development and maintenance of psychopathology; • Conduct a personalized values assessment with clients. Maryland Divorce Law: Understanding the Legal System For Your Patients While Protecting Yourself From Legal Liability Ferrier Stillman, Esq. 8 Meets the Maryland licensing requirement for Ethics/Laws/or Risk Management 3 CE CREDITS expert witness; the interrelationship between custody and child support; the different types of visitation and access; what to do when served with a subpoena; what to do when an attorney seeks information about your patient; obligations to report and when not to report abuse and neglect; and the different things it could mean when a patient says “I’m going to court.” The program will also help protect psychologists from legal liability before both the Board of Examiners of Psychology and in litigation. Frequently, psychologists come across issues pertaining to Maryland family law in their practices. Sometimes, it is obvious, such as when the process server knocks loudly on your office door. And, sometimes, it’s not so obvious, such as when a previously “normal” clinical encounter with a patient becomes a heated issue in a high conflict divorce case. This seminar will teach psychologists about Maryland law as it is typically, and even atypically, encountered by psychologists and what psychologists should and should not do. This workshop is designed to help you: • Describe Maryland divorce law and how it affects adult patients going through a divorce; • Determine what to do when they receive subpoenas or other demands for mental health records or their appearance in court or a deposition; • Describe the current federal and state laws applicable to same sex couples in Maryland; • Describe the rights, and sometimes lack of rights, parents have to obtain psychological treatment for their children and to their children’s psychological records prior to, during and after separation and divorce; • Explain, when attorneys are appointed for children in custody cases, what the 3 different types of attorneys are for children in custody cases; what rights each of those 3 different types of those attorneys have; and what responsibilities psychologists have to each of those 3 different types of attorneys. WORKSHOP LEVEL: Beginner/Intermediate. The workshop will cover many aspects of divorce law, including joint and sole, legal and physical custody; the 3 types of attorneys for children in divorce cases; who has the legal right to see adult and child patients’ mental health records; how custody evaluations work in the legal system; the difference between a treating doctor and an Q-Interactive: Development Process and Research Findings Dustin Wahlstrom, Ph.D. and Michael Suess, M.S., N.C.S.P. 9 WORKSHOP LEVEL: Intermediate. As the field of psychological assessment moves to incorporate and capitalize on BONUS WORKSHOP digital technology, practitioners will be introduced to a number of new tools that change the way they interact with their clients. The purpose of this workshop is to introduce practitioners to advanced issues relating to the development of Q-interactive, a new technology that uses tablet devices to assist in the administration of commonlyused assessments such as the WAIS-IV and WISC-IV, among others. Attendees will learn about the design and development process supporting Q-interactive, which will focus specifically on 1) how test design focused on the preservation of construct equivalence to paper tests, and 2) the research data that support this equivalence. This workshop is designed to help you: • Describe the major components that comprise Q-interactive; • Explain the clinical and psychometric decisions that influenced the development of Q-interactive and how they relate to assessment using the system; • Summarize equivalency studies and other data comparing raw scores obtained from digital and paper versions of tests; • Apply the results of these studies to the interpretation of scores; • Allow you to prepare a plan (if desired) on how to integrate tech-assisted assessment into practice. A Psychoanalytic Approach to Borderline Personality Disorder John Gartner, Ph.D. 10 WORKSHOP LEVEL: Beginner/Intermediate/ Advanced. Borderline patients are among the most challenging, but the majority of these patients are treatable using the right approach. This workshop will present practical and effective techniques that should empower clinicians to feel competent to treat this difficult population. The workshop will be based on Otto Kernberg’s psychoanalytic therapy. Dr. Gartner, who trained with Otto Kernberg in the 1980’s, has been teaching clinicians this method for almost 30 years. This workshop is designed to help you: • Diagnose BPD; • Set limits and behavioral contracts; • Confront acting out; • Make advanced interpretations of split transferences; • Teach meditation. 1 CE CREDIT 4:45–5:45 PM INCLUDED FOR ALL DAY REGISTRANTS When Life and Practice Collide: Implications for the Treatment Relationship and Clinical Practice DIANE POMERANTZ, PhD WORKSHOP LEVEL: Beginner/Intermediate/Advanced. This workshop will delve into both the clinical and practical implications that might occur when a therapist is confronted with a major, perhaps life-altering event. Various ways of dealing with these unexpected issues, both clinically and practically, will be addressed. This workshop is designed to help you: • Use clinical examples to describe ways in which significant life events, from positive to tragic, in the life of the therapist impact the therapeutic process and clinical ways in which to address these issues; • Outline and discuss the nuts and bolts of how to handle practice decisions when confronted with a life-altering event, e.g. who contacts patients; coverage; etc. REGISTRATION INFORMATION REGISTRATION DEADLINE SEPTEMBER 29, 2014 FEES MEMBER ALL DAY $225 ONE 3-HR WORKSHOP (ONLY) $110 ONE 3-HR WORKSHOP + LUNCHEON $160 WHEN LIFE AND PRACTICE COLLIDE WORKSHOP (ONLY) $30 Late Registration: After Sept. 29, 2014 registrations will be accepted based on space available and will be charged an additional $25 late fee. Please call to verify available space before submitting late registrations. MPA Vouchers: Vouchers are NOT valid for this Convention. Students: Fees are half the member/ nonmember prices as applicable. Proof of student status, (i.e., valid student ID) is required. MPA’s Americans with Disabilities Act Policy: MPA strives to ensure that no potential participant with a disability is excluded, denied services, segregated or otherwise treated differently from other individuals attending any MPA sponsored CE workshop. If you require special accommodations in order to fully participate in an MPA program please contact our office at 410-992-4258 at least 2 weeks before the scheduled program to discuss your needs. NONMEMBER $325 $145 $195 $45 Cancellations: Request for full refund must be in writing or by email ([email protected]) no later than Sept. 29, 2014. Cancellations made between Sept. 29–Oct. 3, 2014 will be refunded less a $50 administrative fee. No refunds will be given after Oct. 3, 2014, except in cases of personal or family illness. HOTEL INFORMATION SHERATON HOTEL 443-321-1906 173 Jennifer Road Annapolis, MD 21401 MPA has secured a small block of sleeping rooms for Thursday evening at a reduced rate of $129 + tax a night. The deadline for this block of rooms is Aug. 16, 2014. When you call to make your reservation be sure to mention that your are part of the Maryland Psychological Association group. 3 WAYS TO REGISTER MPA CONVENTION 2014 REGISTRATION FORM Online www.marylandpsychology.org Mail REGISTRATION DEADLINE SEPTEMBER 29, 2014 Please TYPE or PRINT Clearly NAME __________________________________________________________DEGREE ______________________ MPAF Convention 10025 Governor Warfield Pkwy Suite 102 Columbia, MD 21044 Fax 410.992.7732 BUSINESS ADDRESS ____________________________________________________________________________ CITY ____________________________________STATE____________ ZIP___ ___ ___ ___ ___ – ___ ___ ___ ___ HOME ADDRESS ______________________________________________________________________________ CITY ____________________________________STATE____________ ZIP___ ___ ___ ___ ___ – ___ ___ ___ ___ DAY PHONE # ________________________________________________________________________________ HOME PHONE # ______________________________________________________________________________ FAX __________________________________________________________________________________________ E-MAIL ________________________________________________________________________________________ MUST INCLUDE FOR RECEIPT/CONFIRMATION MPA/MSPA Member Non-Member Student Member Student Non-Member PLEASE REGISTER ME FOR: MEMBER #_________ #_________ All Day: (6 Hour • Morning: #1-5 • Afternoon: #6-10) Morning Afternoon When Life and Practice Collide Workshop (included with all day registration): Yes One 3-Hour Workshop ONLY: (Morning: #1-5 • Afternoon: #6-10) #_________ #_________ 1st Choice 1st Choice NONMEM. $325 No $110 $145 $160 $195 $30 $45 2nd Choice One 3-Hour Workshop + Luncheon: #_________ #_________ (Morning: #1-5 • Afternoon: #6-10) $225 2nd Choice When Life and Practice Collide Workshop ONLY: Please check the appropriate boxes if you: Require a vegetarian lunch. Require special accommodations. Please call the MPA Office at least 2 weeks in advance. DO NOT want business address printed in the convention directory. Would like to receive email updates about MPA CE Workshops. Will be a volunteer driver from _______________________________________________________ PAYMENT METHOD ONLY registration forms with payment will be processed. CHECK enclosed (payable to MPAF) for $ _________________ Charge my VISA MC $ _________________ Card #: ___ ___ ___ ___ – ___ ___ ___ ___– ___ ___ ___ ___– ___ ___ ___ ___ Exp. Date: ___ ___ /___ ___ Signature __________________________________________________________Date ________________ QUESTIONS? CALL, ANN CIPRO, 410-992-4258 OR EMAIL: [email protected] JOIN MPA TODAY AND SAVE! Persons applying to join MPA are eligible for the member rate if application is complete and on file in our office before September 29, 2014. Other membership benefits: • Receive The Maryland Psychologist • Access to MPA listservs • Member rates on all CE workshops • Free consultation on ethics and practice issues • Online Referral Service Associate, graduate student, and teacher memberships are also available. Please visit the MPA website: www.marylandpsychology.org or contact the office 410-992-4258 for more information. MPA WOULD LIKE TO RECOGNIZE AND GIVE SPECIAL THANKS TO THIS YEAR’S SILVER LEVEL SPONSOR CERTIFIED CIO Be sure to thank them for supporting your Association when you stop at their convention exhibit.
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