Check the Workshop You Will Attend: REGISTER BY MAIL Long Branch, NJ - January 21, 2015 New Brunswick, NJ - January 22, 2015 Parsippany, NJ - January 23, 2015 Sensory Diets 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_____________________________________________________ Teaneck, NJ - January 28, 2015 Staten Island, NY - January 29, 2015 Manhattan, NY - January 30, 2015 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 _______________________________________________________ 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 ____________ A Hands-On Workshop for Therapists, Educators & Other Professionals Developing and Implementing Sensory Diets Practical & Effective Modulation Plans for Children of All Ages PRSRT STD U.S. POSTAGE PAID NASHVILLE, TN PERMIT NO. 508 Payment Required For Registration Check, credit card or PO# MUST accompany registration form. PRIORITY CODE: Price ____________ X Quantity ___________ = Total __________________ Check enclosed, payable to Summit Professional Education Benefits to Attending PO#: __________________ (PO FORM required for registration) VISA MC Amex Discover Workshop Dates Long Branch, NJ • Standardized assessment tests such as Sensory Processing Measure, Sensory Integration and Praxis Test (SIPT), SI Checklist Cardholder’s Name: ______________________________________________ Card #:__________________________________________________________ January 21, 2015 • Modulating activities for different age groups: 0-3, school-age, teens Exp. Date: _______________________ 3 Digit CSC/CVC: _________________ CSPDDS.0115.1 PLEASE RETURN ENTIRE PANEL New Brunswick, NJ • Video case studies with specific treatments - Before and after January 22, 2015 A Hands-On Workshop for Therapists, Educators & Other Professionals Developing and Implementing Sensory Diets Workshop Dates Long Branch, NJ January 21, 2015 New Brunswick, NJ January 22, 2015 Parsippany, NJ January 23, 2015 Teaneck, NJ January 28, 2015 Staten Island, NY January 29, 2015 Manhattan, NY January 30, 2015 Practical & Effective Modulation Plans for Children of All Ages Benefits to Attending • Standardized assessment tests such as Sensory Processing Measure, Sensory Integration and Praxis Test (SIPT), SI Checklist • Modulating activities for different age groups: 0-3, school-age, teens • Video case studies with specific treatments Before and After • The latest available tools and resources needed to create the most effective Sensory Diet R MAKE-IT, TAKE-IT LAB! Create a visual sensory diet tool at the workshop REGISTER SPEECH-LANGUAGE www.summit-education.com or call 800-433-9570 • The latest available tools and resources needed to create the most effective Sensory Diet Parsippany, NJ R MAKE-IT, TAKE-IT LAB! January 23, 2015 Create a visual sensory diet tool at the workshop Teaneck, NJ January 28, 2015 Who Should Attend ;; ;; ;; ;; ;; ;; ;; OTs & OTAs Special Education Teachers SLPs & SLPAs Early Childhood Educators Child Developmental Specialists PTs & PTAs School Psychologists REGISTER Staten Island, NY ;; ;; ;; ;; ;; ;; January 29, 2015 Gifted Teachers School Counselors School Administrators Paraprofessionals Social Workers Parents and Caregivers Manhattan, NY January 30, 2015 www.summit-education.com or call 800-433-9570 Continuing Education Available... Details Inside SCAN HERE SPEECH-LANGUAGE QR Help? www.tinyurl.com/qrhelp Developing and Implementing Sensory Diets Practical & Effective Modulation Plans for Children of All Ages Dates & Locations Long Branch, NJ January 21, 2015 Sheraton Eatontown 6 Industrial Way East Eatontown, NJ 07724 (732) 542-6500 New Brunswick, NJ January 22, 2015 La Quinta Inn & Suites 60 Cottontail Lane Somerset, NJ 08873 (732) 560-9880 Parsippany, NJ January 23, 2015 Hilton Short Hills 41 John F Kennedy Parkway Short Hills, NJ 07078 (973) 379-0100 Teaneck, NJ January 28, 2015 Hilton Hasbrouck Heights/Meadowlands 650 Terrace Ave Hasbrouck Heights, NJ 07604 (201) 288-6100 Staten Island, NY January 29, 2015 Hilton Garden Inn 1100 South Avenue Staten Island, NY 10314 (718) 477-2400 Manhattan, NY January 30, 2015 New York Marriott Marquis 1535 Broadway New York, NY 10036 (212) 398-1900 Children with SPD often require a daily routine that incorporates various calming and organizing activities referred to as a Sensory Diet. It is essential that therapists, clinicians, teachers, and parents have a comprehensive set of practical and proven sensory-based strategies necessary to create a Sensory Diet that is effective across all functional environments. This exciting, hands-on workshop will provide participants with the latest conceptual and practical information to be able to further understand and obtain a complete picture of a child’s sensory functioning at home, school or virtually any setting. Every child is different, and when one treatment plan may work for one, it may be ineffective for another. Using the latest assessment tools, treatment strategies and real life case studies, participants will be able to immediately create and implement a specifically designed Sensory Diet (a.k.a. sensory modulation) upon return to your practice or home. Using certain types of tactile objects, foods and smells to music, sounds and movement you will be able to individualize an activity schedule that a child needs to stay focused and organized throughout the day and keep the body functioning at its optimal level. About Your Program Instructor Donna Schulman, MS, OTR/L, is an occupational therapist with over 20 years experience treating children with a variety of disabilities including autism, ADHD, and sensory processing disorders. Ms. Schulman is the owner of The Pediatric Therapy Clinic in Georgia & Palacios Pediatric Therapy Clinic in Texas, providing speech and occupational therapy to the pediatric population with developmental disabilities. In addition to her extensive experience with screening, evaluating and treating students Ms. Schulman has consulted with teachers regarding IEP and RTI objectives, led department team meetings and provided in-service trainings. Ms. Schulman currently specializes in researching and providing the latest information regarding the various domains necessary for milestone development and the most current research-based therapy interventions to her patients. An effective mentor to students during fieldwork placements, Ms. Schulman has worked with special needs children in public school classrooms, rehabilitation hospitals, and hand clinics and has presented information to teachers on the topic of fine motor skill development. Ms. Schulman received her Bachelor of Science Degree in Occupational Therapy from the University of Texas Medical Branch in Galveston and received a Master of Science degree in Psychology from California Coast University. Learning Objectives 1. 2. 3. 4. 5. Recognize the latest research and empirical studies supporting the use of a sensory diet for children with SPD. Identify standardized assessment tests available to aid in the process of establishing an effective sensory diet. Discuss resources available to help children understand self-regulation of sensory processing. List activities that assist in sensory modulation for each of the 7 sensory systems. Define how a sensory approach can go hand-in-hand with a behavioral approach to have a greater impact on challenging behaviors. 6. Use effective communication and behavioral strategies already in the home or classroom and carry those strategies over to the sensory diet. 7. Utilize resources readily available for the creation of visual sensory diet programs. 8. Complete a visual sensory diet tool at the workshop ready for immediate use in their practice or with their own student or child. Workshop Outline Continuing Education Credit I. Sensory Diet Theory »» A “Sensory Diet” – What is it? Who needs one? »» Assessing behavior from a modulation standpoint »» Best practice using a sensory modulation perspective »» Research and empirical studies supporting the use of sensory diets Speech-Language Pathologists & Audiologists - This program is offered for 0.6 CEUs (Intermediate level, Professional Area). II. Determining the Need for a Sensory Diet »» Sensory processing “red flags” »» Standardized assessments and checklists »» Linking assessment to treatment −− Identifying target behaviors −− Data-tracking »» Sensory vs. Behavior III. Impact on Behavior & Learning »» Modulation issues and the 7 sensory systems »» Modulation issues - Effect on social skills and learning »» Modulation issues vs. bipolar, anxiety, ADHD and more R VIDEO CASE STUDIES IV. End Goal: Self-Regulation »» Tools for teaching modulation »» Visual sensory diet tools Summit Professional Education is currently seeking qualified professionals to develop and teach workshops nationally. Visit www.summit-education.com/instructor for more information. 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. REGISTRATION, CONFIRMATION & CERTIFICATES Confirmations of registration will be sent via email. A copy of your registration confirmation will serve as 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. 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. 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. R VIDEO CASE STUDIES VI. Recommendations for Home & School »» Classroom accommodations »» Classroom-based sensory motor programs »» Practical home guides »» Family involvement VII. Forms, Templates, & Resources »» Commercially available sensory diet programs »» Online tools for creating sensory diets »» Freebies to take home – forms and templates VIII. 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 submitted to the New Jersey State Board of Physical Therapy Examiners for approval, 6.0 hours. 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. 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. V. Activities for Modulation »» Age-specific activities for modulation »» 0-3 »» Children »» Adolescents R HANDS ON LAB »» Participants will be assisted in creating a visual sensory diet tool that can be designed for use with a specific child or as a general tool for many children »» Group problem solving for difficult cases Child Development, Early Intervention, Daycare, and Other Professionals - This workshop qualifies for 6.0 continuing education hours as required by many national, state and local licensing boards and professional organizations. If you can supply Summit with a specific certifying agency and contact information we will seek pre-approval upon request on your behalf. 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. WORKSHOP HANDBOOK Included with your registration you will receive a comprehensive manual compiled by the instructor. DISCLOSURES: Guidelines exist whereby all speakers must disclose any relevant relationships. Donna Schulman is the owner of Palacios Pediatric Therapy Clinic, LLC and The Pediatric Therapy Clinic, Inc. from which she receives a salary and she is compensated by Summit as an instructor. She has no non-financial relationships to disclose. 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. This content of this program is germane to children, students and clients ages 2-12. Workshop Schedule Join Our Faculty 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 instructor will break for 15 minutes in the morning and afternoon at appropriate times. 7:30am – Registration & Breakfast 8:00am – Workshop Begins 11:30am - 12:30pm – Lunch On Your Own 3:30pm – Workshop Adjourns 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 Have continuing education credit questions? Please email our CE Department at [email protected] for the latest approval status. For the “Make-It, Take-It,” project, we recommend that you bring a set of markers, scissors, glue stick, plain manila file folder, a sheet of green, yellow and red construction paper, and at least 30 velcro dots. 800-433-9570 | www.summit-education.com
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