Workshop Description : Please provide a concise, narrative description of your presentation, as you would like it to appear on the conference

website. Be sure to include any information about planned involvement of workshop participants or the benefits your workshop might pro vide for participants. (ACLAIMH reserves the right to edit descriptions as necessary.)

(2,000 characters maximum)

Learning Objectives/Teaching Method of Workshop: (Required information for sessions seeking to provide continuing education hours.)

1.

2.

3.

CONFERENCE NAME DATE

WORKSHOP TITLE

(95 characters maximum)

FOR OFFICE USE ONLY

PRESENTATION DATE PRESENTATION TIME LCSW/LMSW LMHC Section # CE HOURS

CASAC CPP Section # CPS

Workshop Subject/Topic

Workshop Category:

Housing Models/Development Administrative Partnering Recovery/Employment Clinical

Other

Primary Contact/Presenter 1

Full Name: Designation:

Agency: Job Title:

Phone: Email :

Additional Presenters: List As = Full Name, Designation, Job Title, Full Agency Name

2. List As: Email:

3. List As: Email:

4. List As: Email:

5. List As: Email:

Presenter List: Please list the names of every presenter in your group EXACTLY as they should appear in Conference materials - Full Name, Designation,

Job Title, Full Agency Name - and provide their email address for our records. An Instructor Qualifications Form is also required for each person listed here.

Writing Behavioral Learning Objectives

Learning objectives, or learning outcomes, are statements that clearly describe what the learner will know or be able to do as a result of having attended an educational program or activity.

Learning objectives must be observable and measurable.

Learning objectives should (1) focus on the learner, and (2) contain action verbs that describe measurable behaviors.

Verbs to consider when writing learning objectives:

list, describe, recite, write compute, discuss, explain, predict apply, demonstrate, prepare, use analyze, design, select, utilize compile, create, plan, revise assess, compare, rate, critique

Verbs to avoid when writing learning objectives

know, understand learn, appreciate become aware of, become familiar with

Example of well-written learning objectives:

This workshop is designed to help you:

Summarize basic hypnosis theory and technique;

Observe demonstrations of hypnotic technique and phenomena;

Recognize differences between acute and chronic pain;

Utilize hypnosis in controlling acute pain;

Apply post-hypnotic suggestions to chronic pain; and

Practice hypnotic technique in dyads.

Presentation Slides & Additional Handouts All presentations and supporting documents must be submitted to ACLAIMH (1) week prior to the conference.

Regional Events — ACLAIMH will make hard copies of your presentation and additional handouts provided these files are received by the deadline stated above. Copies of any documents not received by the deadline are the responsibility of the presenter.

Statewide Events — ACLAIMH no longer provides hard copies of presentations or handouts at our statewide events. These files are made available for viewing and download through our Mobile Conference App. If you wish to provide paper copies of your materials on your own, you are welcome to do so.

Audio/Visual Needs:

Seating in all workshop rooms is configured to hold the maximum number of participants for all sessions and cannot be altered for an individual presentation.

All workshop rooms will be pre-set with a Screen, LCD Projector, Slide Remote and Laptop running one of the following:

PowerPoint 2010

PowerPoint 2013

PowerPoint Viewer

Larger rooms will also have a podium microphone available; smaller rooms do not need microphones.

Any requests for changes or additions must be made through ACLAIMH, not the hotel staff.

NYS Licensed Social Workers

The Association of Community Living Agencies in Mental Health, Inc. (ACLAIMH), SW CPE is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #0281.

CASAC/CPP/CPS

The Association of Community Living Agencies in Mental Health, Inc. (ACLAIMH) is recognized by New York State Office of Alcoholism and Substance Abuse Services (OASAS) Education and Training – Provider Certification Number 1214. Training under a New York State OASAS Provider Certification is acceptable for meeting all or part of the CASAC/CPP/CPS education and training requirements.

NYS Licensed Mental Health Counselors

Association of Community Living Agencies In Mental Health, Inc. (ACLAIMH) is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0069.

Accreditation Statements