2006_fall broch.qxd

Transcription

2006_fall broch.qxd

Reflect,
Regroup,
Recover
Making a difference
in everyway
Illinois Certification Board
2016 Spring Conference
March 14 - 18, 2016
Westin Chicago Northwest Hotel • Itasca, Illinois
ILLINOIS CHAPTER OF NAADAC DAY
Pre-Conference at The Illinois Certification Board Spring Conference
Date:
Location:
Monday, March 14, 2016
Time: 9:00 A.M. to 5:00 P.M.
Westin Chicago Northwest, 400 Park Boulevard, Itasca, IL
ADDICTIONS TREATMENT IN THE 21ST CENTURY
The world is changing, and it is imperative that addictions counselors change along with the world. Clients are getting younger
and older, drugs of abuse are ever evolving, more women are becoming clients, and there is a need to address trauma.
Topics covered in this workshop include:
• Street drug pharmacology update: A focus on what younger and older clients are using
• What’s sex got to do with it? Addressing sex-related issues in addictions counseling
• Legalization of marijuana and treatment implications, including impact on DUIs
• Are you ready? The future of addictions treatment
By the end of the workshop participants will:
• Be aware of current trends in street drugs used by younger and older clients.
• Be aware of how to address sex-related issues in addictions counseling.
• Be aware of clinical and programmatic shifts that will shape the future of addictions treatment and
have strategies to address these shifts.
About the presenters
Mark Sanders, LCSW, CADC, Lecturer, University of Chicago, International Speaker and author of five books
Raven James, Ph.D., Associate Professor, Addictions Studies and Behavioral Health, Governors State University
James Golding, MSW, MHS, CAADC, CCJP, MAC, Owner, Phoenix Behavioral Services, Senior Lecturer, Addictions Studies
and Behavioral Health, Governors State University
Randall Webber, MPH, CADC, National Trainer and Consultant
7 ICB CEUs
(Counselor I or II, Preventionist I or II, CARS I or II, MISA I or II or III, PCGC II, CCJP I or II, CAAP I, CRSS I or II, MAATP I or II, RDDP,
CFPP II, ATE, GCE)
Fees: $100.00, Student Rate - $50.00
Registration: 8:30 am - 9:00 am
Registration Deadline: March 1, 2016
Walk-Ins Are Welcome!
Walk-In - $110.00, Student Walk-In - $60.00
To pay online visit our website at: www.illinois-aap.org
Or make the check payable to: Illinois Association of Addiction Professionals
Mail to: Illinois Association of Addiction Professionals, P.O. Box 84, Flossmoor, IL 60422
For additional information email: [email protected]
PRINT LEGIBLY
First Name:
MI:
Last Name:
Address
City
State
Email Address
Phone (
1
)
**Lunch is not provided. Please plan accordingly.
Zip Code
Workshops
Pre-Conference
Monday, March 14 (7 CEUs)
Tuesday, March 15 (6 CEUs)
7:00 am - 8:00 am
Registration, Networking, Continental
Breakfast
7:30 am - 5:00 pm
Exhibits
8:00 am - 8:15 am
Welcome Address:
ICB President, Stella M. Nicholson
ICB Executive Director, Jessica Hayes
8:15 am – 9:45 am
Keynote
“Veterans Today”
Joseph E. Troiani, Ph.D., CADC
Historically veterans have experienced social
exclusion within our society. As a group
their rates of suicide, homelessness,
unemployment, engagement in the criminal
justice system, physical health, mental
health, and substance abuse problems are
significantly higher than the non-veteran
population. One has to look no further than
the largest veteran population, those from
the Vietnam War, who were marginalized
often the minute they stepped off the plane
following their tours of duty. Veterans of
that war, as well as those of this the fifteenth
year of what is now being referred to as the
“long war” continue to experience alienation.
Illinois Chapter of NAADAC Day
“Addictions Treatment in the 21st Century”
Mark Sanders, LCSW, CADC, Raven James, Ph.D., James Golding,
MSW, MHS, CAADC, CCJP, MAC, and Randall Webber, MPH, CADC
See adjacent page for registration information and details.
Monday, March 14 (4 CEUs)
10:30 am – 12:00 pm
Registration and Networking
10:30 am – 5:00 pm
Exhibits
12:00 pm – 4:30 pm
Workshops A, B, and C
WORKSHOP A
“Clinical Supervision: Providing Ethical Training and Guidance to
Students and Professional Colleagues of Today”
Robert J. Castillo, LCSW, CAADC, MISA II
Supervision is one of the most important aspects for the development
of a new clinician. This workshop will include methods to help the
supervisee come to supervision prepared to utilize valuable time, the
importance of discussing ethics during supervision as well as defining
the role of the ethical supervisor, and best practice concepts to
facilitate the supervision process.
Attendance at Keynote Required to Meet
Full Day CEU Requirement. Sign-in
Sheets Will Be Circulated and Audited.
WORKSHOP B
“The Art of Counseling Addictions” – Don Pinkston, LCSW, CADC, ATE,
10:15 am - 12:00 pm
Workshops D, E, F, and G
QHEIC and Kim Pinkston, MA, LCPC, CADC, BC-SMT, GL-CMA
This workshop will focus on how counselors can employ their creative
WORKSHOP D
skills to provide effective, individualized treatment and documentation.
“Easy to See What’s Wrong - Harder to See What’s Right”
It will educate counselors on how to use their creativity to engage clients
Cheri DeMoss, MA, LCPC, CAADC, NCADCII, MAC, NCRS
in the treatment process, develop effective therapeutic relationships, and
It’s easy to see what’s wrong with others, the world, and ourselves.
translate these qualities to unique/individual approaches, treatment
What people are not skilled at, is seeing what’s right, what works, and
plans, and improved documentation.
thinking on the side of someone else or ourselves. Participants will
learn
how to stop finding faults and criticizing and how a change in
WORKSHOP C
observation
allows people to see goodness.
“The Interrelatedness of Trauma, Adolescents, and Addiction”
Brenda J. Barnwell, DSW, LCSW, CADC and Laura Donavon, LCSW,
CADC, CCJP, CCJTS
This workshop will focus on adolescents who have been exposed to
significant trauma and/or loss and the relation to addictions. Factors such
as the therapeutic relationship, self-care, and the critical need for
supervision will be examined. Skills will be developed to directly treat
adolescent trauma to assist with the management of their symptoms,
healing from trauma/loss memories, and increasing coping skills to
prepare for future challenges while reducing the risk factors for addiction.
WORKSHOP E
“Military Cultural Competence for Substance Abuse Professionals”
This workshop focuses on understanding United States military
culture for the clinician, which includes the identification of its
cultural and diversity characteristics. This also includes the
development of a better understanding of the identified psychological,
sociological, and spiritual dimensions of military culture and the
impact on the individual, now serving or has previously served, the
family, community, and military organizations.
2
Workshops
WORKSHOP F
“Eliminating the Revolving Door Syndrome: Strategies for Decreasing
Recidivism and Relapse” – Mark Sanders, LCSW, CADC, Benneth Lee,
MA, CADC, and Tommie A. Johnson
Many chemically dependent clients go back and forth between
addictions and mental health treatment, prisons, hospitalizations, with
periods of homelessness in between. Topics will include building
partnerships between treatment and the community and improving
systems in the community to support recovery post-institutionalization
for clients leaving residential treatment centers and prisons.
WORKSHOP G
“Clinical Integration and Documentation for Quality Services”
Michael J. Fonda, LCPC, CSADC
Research shows high-quality documentation yields positive outcomes
with client care, reimbursement, and compliance with various
regulatory and accrediting bodies. Participants will understand the
role of documentation in the overall quality of care and will develop
skills to clinically integrate the client’s treatment experience into a
high-quality record that meets compliance with regulatory bodies and
yields positive outcomes with individualized client care.
12:00 pm - 1:15 pm
Lunch
1:15 pm - 4:30 pm
Workshops D, E, F, and G Continued
7:00 pm - 8:00 pm
Open AA meeting
8:30 am - 12:00 pm
Workshops 1 through 4
WORKSHOP 1
“Mentoring the Next Generation of Treatment Professionals
(A Training of Leaders Presentation)” – Bob Carty, LCSW, CADC, CCJP
Decades ago, mentors played an essential role in promoting the
professional development of addictions counselors and supervisors. In
recent years, increasing demands on one’s time and energy seem to
have decreased mentorship when it may be most needed. This
workshop will examine various aspects of mentoring, qualities of
effective mentors, and how mentors can help to promote leadership
within the next generation of professionals.
WORKSHOP 2
“Women: Their Substance Abuse, Co-Dependency, and Toxic
Relationships” – Stella M. Nicholson, MA, LCPC, CAADC, MAC
Substance abusing women come to treatment with an array of issues
which need to be addressed along with their substance use. Without
addressing their issues around family of origin, co-dependency, and toxic
relationships, they risk having relapses. This workshop will discuss how
counselors can effectively treat these issues to reduce the risk of female
clients returning to old behavioral patterns. Current research findings,
gender specific treatment, and trauma will be addressed.
WORKSHOP 3
“Roles and Ethical Responsibilities of Clinical Supervision”
George K. Rafeedie, MPA, CSADC
Tuesday Evening Workshop (3 CEUs)
This workshop is designed to assist supervisors with many aspects of
clinical supervision and will provide a forum to discuss the issues of
6:00 pm - 9:15 pm
clinical supervision using TIP 52 “Clinical Supervision and
“Spirituality: Clinical, Ethical, and Diverse Approaches for Working with
Professional Development of the Substance Abuse Counselor.”
Recovering Clients” – Renee Y. Smith-Lee, MSW, CADC
Participants will review and discuss clinical supervision methods and
Clinicians can face moral and ethical dilemmas that may have an impact models, ethical and legal issues, and performance monitoring.
on the therapeutic relationship. Participants will gain an understanding
of the biopsychosocialspiritual context of the recovery process. Topics WORKSHOP 4
will include religion, beliefs, diversity, spiritual principles, and a holistic “Integrating Stages of Change and the Developmental Model of Recovery
approach connecting the client’s understanding of spirituality and with 12 Step Recovery” – David W. Schilling, MA, LCPC, CAADC
addiction.
This workshop will review key components of the Stages of Change
Model developed by Prochaska and DeClemente along with the
Participants interested in attending this workshop must select it on the contributions of William Miller (Motivational Interviewing). It will
registration form and pay the evening workshop registration fee. If also review the Developmental Model of Recovery by Gorski and
participants choose to attend the entire day or other days in addition to Brown and the basic principles attributed to 12 Step Recovery. Attention
this workshop, all registration fees apply.
will be placed on how these intervention approaches can be integrated.
Wednesday, March 16 (6 CEUs)
7:00 am - 8:00 am
Breakfast
7:30 am - 5:00 pm
Exhibits
8:00 am - 8:15 am
Welcome Address:
3
12:00 pm - 1:15 pm
Lunch
1:15 pm - 4:30 pm
WORKSHOP 5
“A Jail Based Risk Reduction Model for Drug/Justice Involved Court
Mandated Clients” – Kenneth L. Osborne, CRADC
This workshop explores risk reduction services among court mandated
male clients. This group has been identified as a most difficult to serve
population. This workshop will examine the roadblocks and pathways
to successful community reintegration and will address a prominent
issue among detainees - father absence.
2016 Spring Conference
WORKSHOP 6
“Improving Our Spiritual Wellbeing” – Nanette V. Larson, BA, CRSS
Spirituality is an essential element of recovery. It can help foster a
7:00 am - 8:00 am
positive worldview, make sense of difficult situations, and give our
lives meaning and purpose. Research has demonstrated positive
associations between spiritual practice and involvement and a wide 7:30 am - 5:00 pm
range of behavioral health indicators. This workshop will present five
indicators of internal spiritual wellbeing and provide tools for working 8:00 am - 8:15 am
toward improving two of them: sense of purpose and forgiveness.
Thursday, March 17 (6 CEUs)
WORKSHOP 7
Great Lakes ATTC Presentation
“Compassion Doesn’t Make You Tired! Unmasking and Addressing
Compassion Fatigue” – Pamela Woll, MA, CPS and David Folkes, LCPC
One reason “compassion fatigue” is hard to address is it’s a catch-all
term for many challenges with different causes and remedies. This
workshop distinguishes the conditions lumped under the terms
“compassion fatigue” or “burnout,” explores ethical implications of the
impact of these conditions on the effectiveness of treatment,
introduces a tool for differentiating these conditions, and suggests
evidence-based practices to address them.
8:30 am - 11:30 am
Breakfast
Exhibits
Welcome Address:
WORKSHOP 9
“How to Become a Certified Community Behavioral Health Center
(An Education for Executives Presentation)”
Last year SAMHSA, Center for Mental Health Services placed a request
for proposals for Fiscal Year 2016 Planning Grants for Certified
Community Behavioral Health Clinics (CCBHC). The intent of this
grant is to support the selected states (including Illinois) in certifying
their clinics, establish prospective payment systems for Medicaid
WORKSHOP 8
reimbursable services, and prepare an application to participate in a
“Luck Be a Lady Tonight - Gambling in America in the 21st Century”
multi-year demonstration program. Populations to be served include
Lawrence A. Dunbar, MS, CAADC, MISA II, CPS, PCGC
adults with serious mental illness, children with serious emotional
The effects of gambling disorder are usually severe and quite often life disturbance, and those with long term and serious substance use
threatening. Clinicians who deal with substance use disorders often do disorders, as well as other mental illness and substance use disorders.
not understand gambling disorder nor its impact on patients and their
families. This introductory workshop will explore what gambling WORKSHOP 10
disorder is, the importance of an accurate diagnosis, tools for “Working with Special Populations: What Makes Them so Special?”
assessing, and treatment options. It will include a comparison of the Robert J. Castillo, LCSW, CAADC, MISA II
similarities, differences, and interaction between gambling disorder The DHS/DASA has identified specific “special” populations for
preferential admission to substance abuse treatment services as priority
and substance use disorders.
status. These populations include: pregnant injecting drug users,
pregnant, post-partum women and women with their children, DCFS
Wednesday Evening Workshop (3 CEUs)
referred persons, DOC releases, and TASC referrals. Participants will
learn about a new perspective of how to approach the challenges of these
6:00 pm - 9:15 pm
populations and engagement and treatment strategies.
“Butterflies and Sweat: Conquering Client Fear”
Cheri DeMoss, MA, LCPC, CAADC, NCADCII, MAC, NCRS
Real maturity requires clients to learn how to reassess beliefs and WORKSHOP 11
actions taught as kids and make objective choices about how they want “A Closer Look at Denial” – Bob Carty, LCSW, CADC, CCJP
to think, feel, and respond. Participants will see how to replace clients’ Counselors may sometimes underestimate the power of denial that is
fear with fascination and objectively have them learn who and what is in the lives of people with substance use disorders. This workshop
examines this psychological defense which begins as a self-protective
actually running their lives and decisions.
reaction related to one’s substance use and progressively grows into a
Participants interested in attending this workshop must select it on more comprehensive delusional system, leaving individuals less able to
the registration form and pay the evening workshop registration fee. manage their lives. Case studies will be offered for discussion and
If participants choose to attend the entire day or other days in addition clinical interventions will be suggested.
to this workshop, all registration fees apply.
WORKSHOP 12
“What Are the Kids Using? - Inhalants, CCCs, Dextromethorphan,
6:00 pm - 7:00 pm
Open NA meeting
Hallucinogens, and Others” – Kirk Moberg, MD, Ph.D.
Young people are using a variety of easily obtainable drugs and not
7:00 pm - 8:00 pm
Open AA meeting
enough is being said about them. This workshop will address drugs that
don’t receive sufficient attention. Topics will include confusion regarding
classification, receptor chemistry, clinical effects, and epidemiology.
4
Workshops
11:45 am - 12:15 pm
Annual Meeting, Reports and Awards
12:15 pm - 1:15 pm
Lunch
1:15 pm - 4:30 pm
WORKSHOP 13
“Illinois Family Resource Center: Supporting Family Involvement in
Treatment Services” – Nancy J. Gwin Phillips, MSEd, ICAADC
The goal of the Illinois Family Resource Center is to assist
DHS/DASA in ensuring family involvement and input in all aspects
of family and adolescent care within the Illinois substance use
disorder treatment system. Participants will discuss the research
addressing family systems and the perceived family resistance to being
involved in the treatment of a loved one. Discussion will examine how
attitudes, behaviors, and beliefs may influence the clinical success of
delivery of family services.
Friday, March 18 (4 CEUs)
7:00 am - 8:00 am
Registration, Networking, Buffet
Breakfast
7:30 am - 1:00 pm
Exhibits
8:15 am - 8:30 am
Welcome Address:
8:30 am - 1:00 pm
Workshop 17
WORKSHOP 17
“20 Strategies for Increasing Recovery Rates with Chemically
Dependent Clients: A Focus on Improving Outcomes for Clients with
Co-Occurring Conditions” – Mark Sanders, LCSW, CADC
Participants will leave this workshop with tools that will enable them to
achieve greater results with clients with substance use disorders. Topics
WORKSHOP 14
will include strategies for increasing recovery rates, for effectively
“Marijuana: The Inevitable Progression from Medical to Recreational
retaining clients in treatment, and for increasing 12-step attendance.
Use” – Kirk Moberg, MD, Ph.D.
Special emphasis will be placed on improving outcomes for clients with
The successful timeline of legalization of marijuana has always
co-occurring conditions, including mental illness, criminality, and
progressed through a “medical” phase. This workshop will address the
medical complications, which accompany their addiction.
cannabinoid drugs from a variety of perspectives: neurochemistry,
addiction liability, impairment potential, proposed medical uses, and 1:00 pm
Adjourn
public policy.
WORKSHOP 15
“Positive Partnerships ARE Possible: What You Need to Know About
Working with Managed Care Organizations (MCO)
(An Education for Executives Presentation)”
Samantha Olds Frey, MPPA, Executive Director, IAMHP
This workshop will provide insights from the viewpoint of managed
care organizations about how to successfully navigate through clinical
documentation, rate-setting, and billing processes. Participants will
leave this session with a better understanding of what MCOs require
and why certain protocols are so critical to quality patient care and
getting paid timely.
WORKSHOP 16
“Sex, Drugs, and Interactions” – Brian Lengfelder, LCPC, CAADC,
MISA I, CCJP, SAP, MAC, ACRPS, CSAT, CMAT
The understanding of sex addiction as a mental health problem has
paralleled a growing acceptance of multiple addictions, including
substances and behaviors. It is important to explore how multiple
addictions interact in order for clients to have successful outcomes from
treatment. This workshop is designed to assess, explore, and provide
appropriate treatment for individuals with multiple addictions.
4:45 pm - 5:45 pm
Trainers’ Corner
This is an informal group to discuss
training goals and projects.
All are welcome to attend.
6:00 pm - 7:00 pm
Open NA meeting
7:00 pm - 8:00 pm
Open AA meeting
5
Conference Highlights
Exhibit Hall
Monday, March 14 –
Friday, March 18, 2016
Education for Executives
Workshops 9 & 15
Thursday, March 17, 2016
Evening Workshops
Tuesday, March 15, 2016
Wednesday, March 16, 2016
Annual Meeting
Trainers’ Corner
,
Spring Conference 2017 Scholarship Awarded
ATTENTION
In an effort to help our environment, ICB is going “green” for
our Spring Conference. You will notice a change this year and
we hope you will embrace it with us. ICB will not be providing
handouts for the workshops. Instead, handouts made available
to us by the presenters will be posted on our website,
www.iaodapca.org, one week prior to our conference for those
participants who wish to view, print, and/or download them.
Please note, not all presenters may post their materials. Wi-Fi
is available through the hotel for a fee.
Westin Chicago Northwest
Registration and Cancellation policy:
Please return the registration form in this
brochure with full payment (check, money
order or VISA/MasterCard). You may also
register by fax (217-698-8234) with payment
(VISA/MasterCard). We do not send
confirmation
notices
to
registered
participants. When your registration is
received, your name is added to the
conference roster. Should you choose to
verify receipt of registration, please contact
our office.
Cancellation requests must be in writing and
received by ICB prior to February 26, 2016.
A $50.00 administrative fee will be assessed
to all cancellations prior to February 26,
2016. Registrations cancelled after
February 26, 2016 will not be refunded.
Pre-registrants who fail to attend without
notification are liable for the full
registration fee.
Location/Accommodations:
All conference activities will be held at the
Westin Chicago Northwest, 400 Park
Boulevard, Itasca, IL 60143.
A block of rooms has been reserved for ICB
conference participants at the Westin
Chicago Northwest for the conference rate of
$131.00, plus all applicable taxes, per night.
Please make your own reservations by
contacting the hotel directly at 630-7734000. Be sure to identify yourself as an ICB
conference participant to receive the special
group rate. Reservations must be made by
February 19, 2016. After this date rooms
may be reserved on a space-available basis
only at the customary rate.
400 Park Boulevard • Itasca, IL 60143 • 630-773-4000
Transportation:
The hotel provides transportation to and from
the Metra based on scheduled times of arrival
and departure. Please contact the hotel for
further information at 630-773-4000.
Limousine
Service
from
O’Hare
International and Midway airports is
available by calling 800-244-6200 at least 24
hours in advance of arrival/departure.
Disclaimer:
The workshops do not necessarily reflect
the policies or practices of ICB, Inc.
NOTICE
CEU certificates will be sent to participants
after the completion of the conference.
Participants will be required to sign in and
sign out of workshops to verify attendance to
obtain CEUs. Participants are expected to
Continuing Education:
All CEUs are ICB Certified AODA Counselor, attend the entire length of each workshop.
with/without Gender Competent Endorsement We appreciate your cooperation with this
and Adolescent Treatment Endorsement, process.
Certified Prevention Specialist, Certified
Associate Addictions Professional, Certified Mail registrations to:
Recovery Support Specialist, Certified ICB, Inc.
Assessment/Referral Specialist, Certified 401 E. Sangamon Avenue
Problem and Compulsive Gambling, Certified Springfield, IL 62702
Criminal Justice Addictions Professional, or fax to: 217-698-8234
Medication Assisted Addiction Treatment
Professional, Certified Family Partnership
Professional, National Certified Recovery
Specialist Category I/II, MISA Category I/II/III
and Registered Dual Disorder Professional.
NORTH: Take Rt. 53 South.
Professionals certified by other certification
Exit at Thorndale Ave. and turn left.
boards should contact their respective boards
Turn left at the 1st signal light, Park Blvd.
for CEU requirements.
Directions
ICB is a licensed CEU provider through
IDFPR for LCSWs (159-000254), LMFTs
(168-000113), and LCPCs and LPCs (197000010).
CEAP PDHs are pending. Those applied
for are marked in the CEAP Information
section of this brochure. NOT ALL
workshops are approved for PDHs. Please
contact our office if additional information
is needed.
CEAP PDHs Information
CEAP PDHs are pending. The following workshops have been applied for:
Monday, March 14
Workshop C
The Interrelatedness of Trauma, Adolescents, and Addiction
Tuesday, March 15
Workshop G
Clinical Integration and Documentation for Quality Services
Wednesday, March 16
Workshop 2
Women: Their Substance Abuse, Co-Dependency, and Toxic Relationships
Workshop 6
Improving Our Spiritual Wellbeing
Workshop 8
“Luck Be a Lady Tonight” - Gambling in America in the 21st Century
Thursday, March 17
Workshop 10
Working with Special Populations: What Makes Them so Special?
Workshop 13
Illinois Family Resource Center: Supporting Family Involvement in Treatment Services
Workshop 16
Sex, Drugs, and Interactions
Friday, March 18
Workshop 17
20 Strategies for Increasing Recovery Rates with Chemically Dependent Clients: A Focus on
Improving Outcomes for Clients with Co-Occurring Conditions
SOUTH: Take I-294 North to I-290 West.
Exit at Thorndale Ave. and turn right.
WEST: Take I-90 East to Rt. 53 South.
Exit at Thorndale Ave. and turn left.
THE LOOP: Take I-90 West to Rt. 53
South. Exit at Thorndale Ave. and turn left.
OR
THE LOOP: Take 290 West.
Exit at Thorndale Ave. and turn right.
O’HARE: Take Mannheim Rd. South to
Irving Park Rd. Turn right on Irving Park Rd.
Turn right on York Rd. Turn left on
Thorndale Ave. Turn right at Park Blvd.
SINCE ICB CANNOT CONTROL THE
HOTEL THERMOSTAT, BRING A
JACKET OR SWEATER JUST IN CASE IT
IS COOLER THAN YOU MIGHT LIKE
JUST A REMINDER: ALL ICB
FUNCTIONS ARE SMOKE-FREE
Please contact our office if additional information is needed.
6
Award Nominations
ATODA VOLUNTEER
OF THE YEAR
AWARD
CERTIFIED ATODA
PROFESSIONAL OF THE YEAR
AWARD
We invite all ICB members to nominate their most deserving colleagues for this
annual award of Professional of the Year. The efforts and achievements of Certified
Professionals should be recognized. All ICB Certified members are eligible to be
entered in the selection process.
The criteria for selection is as follows:
1. The candidate must be certified and in good standing with ICB.
2. The candidate must have demonstrated an outstanding contribution to the
ATODA field in Illinois.
3. The candidate must currently be working in, or retired from, the social
service field.
4. This individual may have worked in direct service, administration, or
education.
5. Staff and employees of ICB are not eligible.
We invite all ICB members to nominate their most deserving
community volunteers for this award. The efforts and achievements of
volunteers in the ATODA field should be recognized. All community
volunteers who work in the ATODA treatment and/or prevention field
are eligible to be entered into the selection process.
The criteria for selection is as follows:
1. The candidate must have demonstrated their dedication to the
cause of ATODA treatment/prevention.
2. The candidate must have brought public attention to the need
for ATODA treatment/prevention services.
3. The candidate must have demonstrated their willingness to
advocate for treatment/prevention services in their community.
4. The candidate must have demonstrated a personal commitment
to helping people in their community.
Please fax or send your nominations delineating why you feel your nominee should be selected, to:
Jessica Hayes
Illinois Certification Board, Inc.
401 E. Sangamon Avenue
Springfield, IL 62702
Fax: 217-698-8234 or E-mail: [email protected]
NOMINATIONS NEED TO BE RECEIVED BEFORE February 2, 2016
_____________________________________________________________________________________________________________________________
All too often we only hear about the problems with our field and complaints about our colleagues and bosses.
Here is an opportunity to do something positive and recognize all the hard work, skill, and dedication that’s out there.
(Please indicate which award, and copy if you wish to make nominations for more than one category)
q Professional of the Year Award
q Volunteer of the Year Award
Nominee’s Name _______________________________________________________________________________________________________________
Nominee’s Organizational Affiliation/Employer _______________________________________________________________________________________
Nominee’s Qualifications: (attach separate sheet if additional space is needed)
Your Name ____________________________________________________________________________________________________________________
Your Address/Telephone _________________________________________________________________________________________________________
7
ICB Exhibition Show
Exhibit space is now available to purchase for the ICB Spring Conference. Join the many organizations that take the
opportunity to empower hundreds of addiction and human service professionals. There is also the opportunity to be
an ICB Scholarship sponsor, below are the details. Simply choose an option and submit with payment to ICB by
February 26, 2016. Space is limited so reserve your exhibit space today! Should you need further details contact
Dianne Gutierrez at 217/698-8110.
Contact Information
Contact Person________________________________ Title __________________________________
Organization ________________________________________________________________________
Address ___________________________________________________________________________
City ________________________________________State _____Zip __________________________
Telephone ( ) _______________________________Fax ( ) _______________________________
Email _____________________________________________________________________________
Option 1
Make Your Reservation
ALL WEEK SET UP
$800.00
This package includes:
One 6’ skirted display table
One complimentary workshop registration each day of the conference
Complimentary lunch tickets for two representatives
*Please complete a conference registration form for those you would like to send to the workshops, if no conference
registration forms are submitted with this form, workshop passes will be sent to the contact person listed above.
Option 2
q March 14th
OR
SINGLE DAY SET UP
$300
(PER DAY)
(Please check the day(s) you plan to attend)
q March 15th
q March 16th
q March 17th
q March 18th
This packet includes:
One 6’ skirted display table
One complimentary lunch ticket for booth representative. (One ticket will be issued for each day of attendance.)
PLEASE INDICATE THE DISPLAY STYLE YOU WILL BE USING
______Table Top Display (A six foot skirted table will be provided for your booth)
______Floor Model Display
______Electric Outlet (hotel charges a fee per day for this service)
– continued on back page –
8
Extended Opportunity
Donate to the ICB Scholarship Fund
ICB understands that since budgets are tight, facilities and counselors have to find a way to utilize the limited
funds they have. When it comes to cuts, education and training are sadly the first to be eliminated. ICB’s mission
is to provide competent addiction professionals to the public and the way we do that is through work experience
and education. ICB firmly believes that no counselor should sacrifice their continuing education due to lack of
funds. Because of that firm belief, a scholarship fund has been established specifically for ICB members who lack
the ability to pay the conference fees. Through donations, ICB will provide members with the funds to attend
workshops, network with you and their peers and experience every opportunity the conference has to offer. To
show our appreciation, exhibitors who donate will be provided with more exposure throughout the conference.
Below is the option to add on to your exhibit purchase along with the details of the exposure you will receive.
Option 1
$325 Full Week Scholarship Donation
Option 2
$95 Full Day Scholarship Donation
This donation will include:
1 Free Quarter Page Black and White Advertisement in the Conference Agenda
1 Free HALF Quarter Page Ad in the April 2016 ICB Newsletter
Special recognition at the ICB Annual Meeting
Included as a sponsor of one conference event
This donation will include:
1 Free Quarter Page Black and White Advertisement in the Conference Agenda
Special recognition at the ICB Annual Meeting
METHOD OF PAYMENT
q Enclosed is check # _________made payable to ICB in the amount of $ _________
q I wish to pay by: VISA ___________
MASTERCARD______________
Card number ___________-___________-___________-___________ Exp Date __________
Name on credit card ________________________________________Security Code_______
Credit Card Billing Address _____________________________________________________
City _______________________________ State ________ Zip _________________________
Exhibit space is limited and will only be reserved upon receipt of this form and fee. Any organizations attending the full
week as an exhibitor will be required to pre-register all complimentary conference attendees by February 26, 2016.
If attendees fail to pre-register, the complimentary registration will be forfeited.
9
#
2016 Spring Conference Registration Form
March 14 - 18, 2016 • Westin Chicago Northwest • Itasca, IL • 630-773-4000
Instructions
3 Registrations must be received by February 26, 2016.
3 The walk-in price will be required for registrations received after this date.
3 Requests to cancel registration must be in writing and received prior to February 26, 2016.
3 Cancelled registrations will be assessed a $50.00 administrative fee.
3 Registrations cancelled after February 26, 2016 will not be refunded.
☐ Check if new address
PRINT LEGIBLY
First Name: _________________________________ MI: ________ Last Name: _________________________________________
Agency name as it is to be listed on nametag ______________________________________________________________________
please limit to 25 characters, including spaces (abbreviate if necessary)
Address (home address only) ___________________________________________________________________________________
City ________________________________________________________ State ___________ Zip Code ______________________
Home Email Address (Required)________________________________________________________________________________
email address will be utilized for conference communications
Work Phone (
) _______________________ ext.___________
Home Phone (
)___________________________
ICB Certification # __________________________________________ Certification Level ________________________________
ICB Registration # __________________________________________ Board Registered Level _____________________________
(MISA, RDDP, MAATP)
(I or II)
Monday, March 14, 2016
Select one (A)_____ or (B)_____ or (C)_____
(Registering for the Pre-Conference will not allow you to attend Workshops A, B, or C.
See separate registration form for details.)
Tuesday, March 15, 2016
Select one (D)_____ or (E)_____ or (F)_____ or (G) _____
Meal Preference:
q Regular q Vegetarian
If you have special dietary needs or
preferences, please consider making
other arrangements.
*Tuesday, March 15, 2016 Evening Workshop* _____
(See registration fee information in the description for this Evening Workshop.)
Wednesday, March 16, 2016
AM workshop – select one (1-4)_____ PM workshop – select one (5-8)_____
*Wednesday, March 16, 2016 Evening Workshop* _____
(See registration fee information in the description for this Evening Workshop.)
MAIL REGISTRATION TO:
ICB, INC.
401 E. Sangamon Ave.
Fax: 217-698-8234
AM workshop – select one (9-12)_____ PM workshop – select one (13-16)_____
Workshop 17_____
Member*
1/2 Days (Mon or Fri)
Single Full Days (Tues-Thur)
2 Full days (Tues, Wed, Thur)
3 Full days (Tues, Wed, Thur)
Entire Conference
Tues Evening Workshop
Wed Evening Workshop
ATP Students** $50.00 each day
TOTAL
60.00
95.00
180.00
250.00
325.00
50.00
50.00
Total
Non-Mem. Total
65.00
100.00
190.00
260.00
350.00
55.00
55.00
*Member includes certified, registered, or in the
application process with ICB.
**Student refers to persons not currently certified by
ICB and currently enrolled in an ICB accredited
training program. Students must attach a copy of their
student ID when submitting their registration form.
WALK-IN PRICES FOR ALL PERSONS
ARE $105.00 PER DAY.
continued on back
10
#
ICB, Inc.
401 E. Sangamon Avenue
PRESORTED
STANDARD
U.S. POSTAGE
PAID
SPRINGFIELD, IL
PERMIT NO. #500
Annual Spring Conference
2016 Spring Conference Registration Form
March 14 - 18, 2016 • Westin Chicago Northwest, Itasca, IL
I WISH TO PAY BY: q Check
q Credit Card (VISA & MasterCard ONLY) q Voucher (must attach to registration)
Printed name on card ______________________________________________
Card Number __________- _____________- ____________-_____________
Amount to be charged $_________________Expiration Date ______________
If you have a disability and are in need
of special accommodations to fully
participate in this conference, please
notify ICB in writing at least 30 days
prior to the event.
Security Code______________(Three digit number on the back of the credit card.)
Billing Address ___________________________________________________
City _________________________________State _________Zip Code _____
Signature ________________________________________________________
COMPLETE ONLY IF AGENCY IS TO PAY FULL OR PART OF THE REGISTRATION FEE Agency payment option
is available for
The individual is responsible for payment of fee if the agency does not submit payment.
CEU certificates will not be issued to any registrant who has an outstanding conference registration fee. Members* of ICB only.
Indicate amount to be paid $____________________________ PO# ________________________________________________
Business name and address_ __________________________________________________________________________________
City________________________________________________ State___________________ Zip Code ___________________
Contact Person_________________________________________ Telephone (_____)______________________Ext. _________
A COPY OF THIS REGISTRATION FORM MUST ACCOMPANY AGENCY PAYMENT FOR PROPER CREDIT.
*Member includes certified, registered, or in the application process with ICB

2006_fall broch.qxd

Transcription

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