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

Similar documents
Daniel Esparza, Senior Program Manager, Mental Health Association of San Francisco The Center for Dignity, Recovery, & Stigma Elimination

MEMBER BENEFITS MEMBERSHIP WITH FLORIDA HOSPICE AND PALLIATIVE CARE ASSOCIATION. Patron Associate

Continuing Education

Application for Graduate Admission

2014 Board of Directors Candidates Statement of Willingness

Integrating Behavioral Healthcare and Medical Care: The Future. Passavant Hospital Foundation Conference Center Thursday, June 11 th, 2015

General Membership Handbook

M&O Lead Generation Programs

Landlord/Tenant Rights- California Department of Consumer Affairs, A guide to residential tenants and landlords rights and responsibilities.

COUNTY OF SAN DIEGO, HEALTH AND HUMAN SERVICES AGENCY, BEHAVIORAL HEALTH SERVICES

Designing and Implementing Effective Programs in the Natural Environment

COUNTY OF SAN DIEGO, HEALTH AND HUMAN SERVICES AGENCY, BEHAVIORAL HEALTH SERVICES

California Community Colleges Student Mental Health Program. Stigma and Discrimination (SDR) and Suicide Prevention (SP) Efforts in Higher Education

Certified Peer Support Specialists TRAINING APPLICATION

EXHIBITOR, ADVERTISING, & SPONSORSHIP OPPORTUNITIES

COPM Vendor CEU Pre-Approval Rev. 6/2012

APPLICATION FOR SANTA CLARA COUNTY MENTAL HEALTH DEPARTMENT STUDENT INTERN PROGRAM ACADEMIC YEAR

Anthroposophic Counseling Psychology for the 21 st Century Summer Seminar & Intensive July 29 August 2, 2013 at Rudolf Steiner College

2014/2015 REGISTRATION FORM YEAR 1 FOUNDATIONS CLASSES MASSACHUSETTS

2016 SCHOLARSHIP AWARDS

Prospectus for CII Benchmarking and Metrics Research Charter Group

Model Pipeline Diversity Programming - A Roundtable

Conference Center LICENSE AGREEMENT

Case Management Conference

NORTHEAST HOME HEALTH LEADERSHIP SUMMIT

Office of Graduate Admission 2083 Lawrenceville Road Lawrenceville, NJ T

California Senate s Distinguished Speaker Series Sandra Naylor Goodwin, PhD, MSW President and CEO, CiMH

EDUCATIONAL BACKGROUND

BIKE MS: WAVES TO WINE 2014 SPONSORSHIP PROPOSAL

Psychiatric Social Worker I/II Marriage & Family Therapist I/II - Spanish Speaking Required

Supporting Transition-Aged Foster Youth

MODELING CONSUMER DECISION MAKING

Our Innovative Journey. Helping you eliminate the stigma around mental illness 5/14/2013

Recovery Oriented Supervision in PSR Programs. A Summary of the Presentation at the Israel Psychiatric Rehabilitation Association (ISPRA) Conference

Moving Mountains An Evening to Empower Education in National Parks. Thursday, October 8, 2015 G2 Gallery

Psychology in Paris, France

Meeting the Challenges of Dual Diagnosis Sponsored by Frank D. Lanterman Regional Center

(310) For the latest course information and to register visit and click on CME courses.

12 TH ALL-OHIO INSTITUTE ON COMMUNITY PSYCHIATRY

The American Academy of Forensic Sciences

Through Nonlinear Applied Behavior Analysis

CPRS. Application GRANDPARENTING. VCB P.O. Box Richmond, VA Certified Peer Recovery Specialist

2015 INSTITUTIONAL MEMBER APPLICATION

Nurturing Parenting Three Day Seminar. Stockton, CA September 25-27, 2012

July 28, 2011 The Wynfrey Hotel Birmingham, Alabama

RN Refresher Program CONTINUING EDUCATION PROGRAM

2015 NATIONAL SCHOOL SAFETY CONFERENCE

PREPARING TO BECOME A

Graduate and Professional Programs SUPPLEMENT for Doctor of Nursing Practice (BSN to DNP)

2015 ANNUAL AWARDS LUNCHEON. JEFF IMMELT, CEO GENERAL ELECTRIC (ge) TO KEYNOTE ECONOMICS CENTER LUNCHEON IN CINCINNATI

2016/2017 REGISTRATION FORM YEAR 1 FOUNDATIONS CLASSES FREDERICKSBURG, VA

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Nurse Practitioner Masters Program Web Page Address:

Assisted Outpatient Treatment (W&I Code 5345~5349) (AB 1421) Laura s Law

Society for Melanoma Research 2015 Congress

Orthopedic. Nursing Symposium. Co-Sponsored by Hoag Orthopedic Institute and the Orange County Chapter of NAON FOURTH ANNUAL

Summer in Madrid, Spain

AP Teacher Training - Auburn University

Los Angeles Regional Food Bank Food and Fund Drives

Sponsorship Opportunities. Ride Don t Hide. Sunday, June 21 st, 2015

The American Academy of Forensic Sciences and California State University, LA

NNSWM West Coast Region Launch Event

Program Schedule

2011 Southwest Diabetes Symposium

SAN MATEO COUNTY BEHAVIORAL HEALTH & RECOVERY SERVICES DOCTORAL LEVEL PRACTICUM PLACEMENTS

DATE. Mary Vixie Sandy, Executive Director California Commission on Teacher Credentialing 1900 Capitol Avenue Sacramento, CA

Sports Medicine Seminars 2015

Government Finance Officers Association Training Seminars Registration Form January 2016 April 2016

2015 ILLINOIS SEXUAL OFFENDER CE TRAININGS ALL STATE-REQUIRED CE HOURS IN ONE PLACE

REGISTERED NURSING PROGRAM ENROLLMENT PROCEDURES FOR RETURNING, TRANSFER, OR CHALLENGE STUDENTS Effective Fall 2007

CENTRAL FLORIDA GATOR CLUB SCHOLARSHIP APPLICATION UNIVERSITY OF FLORIDA 2014 APPLICATION YEAR

CREATING AND GUIDING...

Using Photovoice to Teach Stigma in College Psychology

2015 CENTRAL FLORIDA GATOR CLUB SCHOLARSHIP APPLICATION UNIVERSITY OF FLORIDA

CALIFORNIA INSTITUTE FOR BEHAVIORAL HEALTH SOLUTIONS (CIBHS) LEADERSHIP INSTITUTE

Now Accepting Applications for Open Door s Nurse Practitioner/ Physician Assistant Postgraduate Residency Program

Development of Health Career Pathway for California. Psychiatric Mental Health Nurse Practitioner/Clinical Nurse Specialist Career Pathway

JOB ANNOUNCEMENT MENTAL HEALTH LICENSED CLINICIAN - GERIATRIC SPECIALTY (GS) DATE POSTED: June 17, 2015 APPLICATION DEADLINE: OPEN UNTIL FILLED

Sponsorship Opportunities

APPLICATION FOR CERTIFICATION TO PRACTICE AS A NURSE PSYCHOTHERAPIST IN INDEPENDENT PRACTICE INFORMATION SHEET CRITERIA FOR CERTIFICATION

October Convention & Trade Show. Thursday. Friday 17. October 16-17, 2014 Hyatt Regency Hotel Tulsa, Oklahoma

Tuition & Payment Information. A timely, compelling program exclusively for. surgical specialists and their staff presented by

Thursday, November 6, 2014 Palace Hotel, San Francisco

2016 CORPORATE / VENDOR SPONSORSHIP PROGRAM

EDUCATION Psy. D. Candidate Cal Southern University Irvine CA, Degree TBA Need 5 Classes to Graduate

Transitional Kindergarten Parent Engagement Toolkit

Third Quarter Update. Judy Green, FFI president

CREATIVE IMPULSE IN THERAPY

2016 SCHOLARSHIP PROGRAM

NEPSY-II TRAINING: A FLEXIBLE NEUROPSYCHOLOGICAL MEASURE FOR CHILDREN Presenter: Alexander Quiros, Ph.D.

Opportunities for sponsors, exhibitors and advertisers

Application for Admission Graduate

Introducing NAMI Lansing s Signature Programs for

Mindful Health Advantage, LLC

Application for Graduate Study

AASBO CFSO Certificate Program Core Curriculum (All 48 core hours are required)

MASTER OF DIVINITY & MASTER OF ARTS IN THEOLOGICAL STUDIES COMPLETING THE APPLICATION

Authority and Leadership in Groups and Organizations Exploring the Price of Learning

Annual Revenue and Expenditure Report Adopted Budget

OKLAHOMA STATE UNIVERSITY BIG DATA CONFERENCE. April 7, 2015

2010 Safety and Learning Month - Helicopter Foundation Scholarship

Transcription:

Register : www.mentalhealthsf.org 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.

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

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: http://www.mentalhealthsf.org/stigma-conference/ or call: (650) 692-3500 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

Registration Form One registrant per form. Please print clearly. Registration is confirmed once payment has been processed by MHASF. Ways to register: Online: www.mentalhealthsf.org Fax: (415) 421-2928 Stard Mail: Mental Association of San Francisco, 870 Market Street, Suite 928 San Francisco, California 94102 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 email: michelle.yang@calmhsa.org or by phone: (916) 471-5357. 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 email: monica@mentalhealthsf.org or by phone at (415) 341-9524. 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

Registrant Information: Title: Mr. Mrs. Ms. Dr. Name: Agency: Address: Work Home City: State: Zip: Phone: Work Home Cell Email: 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) Email 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: