Registration form - Alliance Behavioral Healthcare

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Making Shift Happen:
An Introduction to
Motivational Interviewing
Presenter
Target Audience
This program is designed for healthcare
professionals, substance abuse professionals,
psychologists, and counselors. Other interested
mental health professionals are invited to attend.
Program Description
Motivational Interviewing is a client-centered,
directive and efficient evidence based counseling
approach for enhancing motivation and
strengthening commitment for behavior change.
Consistent with the Stages of Change model
developed by Prochaska and DiClemente (1986)
and, as based on the work of Miller and Rollnick
(1991), Motivational Interviewing uses an
effective complex skill set of skills that leads to
positive and productive encounters with clients.
This discussion about the change process as
well as to the principles and skills of Motivational
Interviewing will be helpful to those seeking a
greater understanding of how to best help clients
clarify and resolve feelings of ambivalence
regarding targeted behavior change. Particular
attention will be given to the therapeutic
relationship and how that relationship itself
enhances the motivation for change. Participants
will have opportunity to learn and practice
specific motivational skills through a supportive
peer feedback process.
Objectives
Upon conclusion of this program, participants
should be able to:
 describe the foundations of motivational
interviewing.
 review principles and theory of change
 identify the principles, philosophy, and
assumptions of motivational interviewing
 describe and practice specific motivational
skills and techniques
In affiliation with
Duke University Medical Center
Part of the NC AHEC Program
Paul D. Nagy, M.S., LPC, LCAS, CCS is an Assistant
Professor in the Duke University School of Medicine
where he has served as Program Director of the
Duke Addictions Program and Director of Substance
Abuse Clinical Training and Consultation in the Duke
Department of Psychiatry and Behavioral Sciences
for the past 25 years. Mr. Nagy has over 30 years of
clinical, administrative and teaching experience and
conducts seminars and workshops to audiences
throughout the United States. Mr. Nagy has also
worked as an Expert Content Director overseeing the
development of Treatment Improvement Protocols
and Technical Assistance Publications for the Center
for Substance Abuse Treatment and is a member of
the Motivational Interviewing Network of Trainers
(MINT).
Credits
1.3 CEUs and 13.0 contact hours will be awarded to
participants who attend 100% of this program.
Southern Regional AHEC adheres to NBCC
Continuing Education Guidelines Provider #5362 and
adheres to NAADAC Education Provider Guidelines
Provider #843 (Substance Abuse Credit). This
program will provide 13.0 contact
hours (category A) continuing
education credit to NC Psychologists.
SR-AHEC is an NBCC-Approved
Continuing Education Provider (ACEP™) and may
offer NBCC-approved clock hours for events that
meet NBCC requirements. The ACEP solely is
responsible for all aspects of the program. (Provider
#5362)
No partial credit will be given. You must attend both
days to receive credit. Individuals arriving 15 minutes
or more after the starting time will not be eligible for
credit.
Fees
This training is sponsored by Southern Regional
AHEC for Alliance Behavioral Healthcare. Training is
restricted to their staff and providers. The fee for
Alliance Providers is $80; there is no fee for Alliance
staff.
This program presented for
Alliance Behavioral Healthcare
Making Shift Happen:
An Introduction to
Motivational Interviewing
September 23 & 24, 2015
Registration at: 8:30 am, Program 9:00 am to 5:00 pm each day
Alliance Behavioral Healthcare, 4600 Emperor Blvd. Durham, NC
Registration restricted to Alliance Behavioral Healthcare staff and providers.
The fee for Alliance Providers is $80; there is no fee for Alliance staff.
No registration will be accepted without payment or purchase order.
To register:
Fill out this form electronically & email it to:
Kate.Smith@sr-ahec.org
Dr.
Mr.
Mrs.
(CASCE #47592)
Or fax this form to: 910-323-0674
Ms.
Employer:
Name:
Work Address:
Last 4 digits of SSN:
Degree:
City, State, Zip:
Home Address:
Work phone:
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Work County:
Home County:
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Job Title:
Your Specialty Areas:
Preferred Email address:
(i.e., substance abuse, developmental disability, etc.)
Signature:
VISA/MC #
Exp Date:
(electronic signatures are acceptable))
Please note: We need the last four digits of your social security number to register you for any program. No registrations
will be accepted without payment or purchase order. We will only contact you by email. Please print or type.
I
Important Information
Payment Policy
NOTICE: SR-AHEC now requires full payment for all registrations prior
to the program date. We no longer accept purchase orders or
supervisor's approval signatures in lieu of payment. Access to workshop
materials and handouts cannot be released until payment is received.
Substitutes/Refunds/Transfers
Participants who register for a program and do not attend will forfeit the
full amount of the registration fee.
American With Disabilities Act
If you need any of the auxiliary aids or services identified in the
Americans With Disabilities Act of 1990 in order to attend any of these
programs, please call (910) 678-7305.
Our Promise To You
Southern Regional AHEC strives to offer the highest quality educational
programming. If, for any reason, any of these programs do not meet
your needs, please let us know. We value your feedback and will resolve
the issue to your satisfaction.
Questions And Suggestions
Please contact La-Lisa Hewett-Robinson at (910) 678-7293 or lalisa.hewett-robinson@sr-ahec.org.
In affiliation with
Duke University Medical Center
Part of the NC AHEC Program
o
Agenda
Day One: Foundations
9:00 – 10:30
Foundations of Motivational Interviewing
10:30 – 10:45 Break
10:45 – 12:00 Principles of change; the trans-theoretical
model of change
12:00-1:00
Lunch (on your own)
1:00 – 2:30
Assessing readiness to change and
practice
2:30 – 2:45
Break
2:45 – 5:00
M I philosophy, assumptions, principles
Day Two: Applications
9:00 – 10:30
Motivational Interviewing Skills: OARS
10:30-10:45
Break
10:45-12:00
Traps, change planning and techniques
12:00-1:00
Lunch (on your own)
1:00 – 2:30
Role plays and feedback
2:30 – 2:45
Break
2:45 – 5:00
Role plays, feedback and wrap up
This program presented for
Alliance Behavioral Healthcare
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