Registration Form. The Conference to Fight Stigma is Here. Register : Get the word out -

Transcription

1 Register : Get the word out - The Conference to Fight Stigma is Here Registration Form A project of the Mental Association of San Francisco in partnership with the California Mental Services Authority, funded by the voter approved Proposition 63.

2 Keynote Presentations by: Education Leadership Education Leadership Patrick Corrigan, Psy.D. Cultural Diversity Cultural Diversity Lawrence Yang, Ph.D. Best Practices for Behavioral Best Practices for Behavioral Sharing Stories of experience Recovery from Mental Challenges Keris Jän Myrick M.B.A., M.S., Ph.D.c Sharing Stories of experience Recovery from Mental Challenges The 2013 Tools for Change Conference, presented by the Center for Dignity, Recovery Stigma Elimination, is the inaugural multidisciplinary training conference on effective tools, methods, practices for the reduction of discrimination stigma associated with mental health mental illness. Bringing together communitybased programs, consumers, county state agencies, experts throughout California the nation to provide community change agents with the knowledge, skills tools of the CalMHSA Stigma Discrimination Reduction initiative in order to maximize their impact effectiveness. Expect to learn about: Stigma & Discrimination Reduction (SDR) tools to improve community based county programs Cultural responsiveness cultural practices in underserved communities The advancement of public policy in SDR initiatives Consumer family support groups

3 Conference Objectives Provide learning/training opportunities relevant to local SDR initiatives Provide an effective forum for projects to share, report on efforts successes Foster a learning community around the goals of SDR especially the various roles individuals organizations can play in these efforts Engage empower new champions outside of the mental health fold Highlight new learning Californias leadership in regards to cultural, ethnic racial communities Build bridges to related national & international centers of influence in SDR Launch significant SDR projects materials Hotel Information The Westin San Francisco Airport 1 Old Bayshore Highway. Millbrae, CA 94030, United States To book a room, visit: or call: (650) Keynote Presenters Patrick Corrigan, Psy.D. California Center for Dignity, Recovery, Stigma Elimination, Co-Principal Distinguished Professor of Psychology at the Illinois Institute of Technology National Consortium on Stigma Empowerment, (NCSE), Co-Principal Editor-in-Chief of the American Journal of Psychiatric Rehabilitation Lawrence Yang, Ph.D. California Center for Dignity, Recovery, Stigma Elimination, Co-Principal Assistant Professor of Epidemiology at Columbia University Center for the Study of Social Inequalities Keris Jän Myrick M.B.A., M.S., Ph.D.c President Chief Executive Officer (CEO) of Project Return Peer Support Network President of NAMI National Board of Directors

4 Registration Form One registrant per form. Please print clearly. Registration is confirmed once payment has been processed by MHASF. Ways to register: Online: Fax: (415) Stard Mail: Mental Association of San Francisco, 870 Market Street, Suite 928 San Francisco, California If you are an employee of a CalMHSA Member county or a contractor for a CalMHSA member county s Department of Mental, you may be eligible for a reduced rate. For more information please contact Michelle Yang vi a michelle.yang@calmhsa.org or by phone: (916) If you want to get involved in the fight against stigma, you are an individual mental health consumer or family member without the ability to pay, a teacher or an employee of small community-based organization in California, you may be eligible for a scholarship. For more information please contact Monica Martinez via monica@mentalhealthsf.org or by phone at (415) Conference Registration Fees Registration Options California Resident Non California Resident CalMHSA Member County Employee Full Conference $250 $350 $150 Day 1 only $150 $200 $75 Day 2 only $150 $200 $75 Continuing Education Units: Available for LCSW, MFT, RN, LPT, CNA & LVN. MHASF will contact you about obtaining your license information. One License Full Conference $55 $110 Day 1 only $28 $56 Day 2 only $28 $56 Two Licenses

5 Registrant Information: Title: Mr. Mrs. Ms. Dr. Name: Agency: Address: Work Home City: State: Zip: Phone: Work Home Cell How did you first find out about this conference? MHASF Website Internet Search Friend or Colleague Newspaper / Newsletter Meeting / Announcement (specify meeting) Flyer / Brochure (specify location) list (specify list) Other (specify) Resident status: California Non-California Partner Status: CalMHSA Member County Employee Registration Option: Full-Conference Day 1 Only Day 2 Only Total Registration Fees + CEUs: Payment: Check payable to MHASF enclosed, or Charge my Visa Mastercard American Express Discover Name on card: Credit card number: Expiration date: Signature: