Registration Form - National Conference on Peer Support

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NCPS 2016 Conference Registration
Early Bird: Until January 29, 2016
Email registration to: sherry@innovative4you.com
Fax submission to: 705-456-9786
2016 NATIONAL CONFERENCE ON PEER SUPPORT CONFERENCE REGISTRATOIN
PARTICIPANT DETAILS
Last Name:
First Name:
Organization:
City:
Province:
Country:
Phone Number:
Email:
Type of Organization:
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Peer-Led Community Mental Health & Addiction
Community Mental Health & Addiction
Workplace – Non Health Care
Health Care
Research/Academic
Government
Independent – Not connected to an organization
Other: Please Describe: ____________________________________________
Special Needs: (Dietary or Mobility related)
NCPS 2016 Conference Registration
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REGISTRATION
X
CONFERENCE PACKAGES
Early Bird Registration - $449.00 + HST ($507.37) until January 29th, 2016
Conference Registration - $499.00 + HST ($563.87) after January 29th, 2016
WEDNESDAY, APRIL 27TH, 2016 – CONCURRENT SESSION REGISTRATION
10:30AM – 12:00PM
X
WORKSHOP CHOICES
A1: Peer Support as an Effective Component of Mental Health Programming within an
Integrated Fire/EMS Setting.
A2: Integrating Peer Support onto Alberta Health Services Clinical Teams
A3: Creative Collaborations: How One Individual, Service Provider, Peer Supporter and Family
Worked
A4: Le Baramètre, vers l’amélioration de ma qualité de vie
A5: Pieces to Pathways LGBTTQQ2SIA peer substance use support for youth
A6: Peers as professionals
WEDNESDAY, APRIL 27TH, 2016 – CONCURRENT SESSION REGISTRATION
1:00pm – 2:30pm
X
WORKSHOP CHOICES
B1: Participatory Video Approaches to Mental Health
B2: Peer Support for Psychosis: Support, engagement and connection
B3: Addictions and Substance Abuse Roundtable: A Collaborative Peer Support Discussion
B4: The Power of Collaboration
B5: Building a Network to provide Community Peer Support
B6: Peer Debriefing: An essential strategy for reducing seclusion and restraint
WEDNESDAY, APRIL 27TH, 2016 – CONCURRENT SESSION REGISTRATION
3:00pm – 4:30pm
X
WORKSHOP CHOICES
C1: Mothers offering mutual support in Sudbury, Ontario: Growth and Evaluation
C2: Does it Matter who Supervises Peer Support Workers?
C3: Leadership Training: Peer Training using the Voices from the Street Model
C4: Transitional Discharge Model for Successful Re-Integration from Hospital to Community
C5: Guidelines for Recovery-Oriented Practice: promoting hope, dignity & inclusion in peerbased organizations
C6: Operational Stress Injury Social Support (OSISS)
NCPS 2016 Conference Registration
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THURSDAY, APRIL 28TH, 2016 – CONCURRENT SESSION REGISTRATION
10:30am – 12:00pm
X
WORKSHOP CHOICES
D1: Freedom Fighters
D2: Beyond head counts: Recovery-based evaluation strategies for peer run organizations
D3: By Families, for Families: Engaging and Collaborating with Youth, Families and Community
D4: Virtual Peer Support - Reach your most vulnerable clients
D5: Enhancing Peer Support Services at the Provincial Level
D6: From Institutions to Rooming and Boarding Homes to Supportive Housing - "Still Crazy
After All These Years?"
THURSDAY, APRIL 28TH, 2016 – CONCURRENT SESSION REGISTRATION
2:15pm – 3:15pm
X
WORKSHOP CHOICES
E1: Innovative Strategies To Advance Recovery-oriented Mental Health Care In Clinical Settings
E2: Aller Mieux....ma faison outil personnalis de soutien l'autogestion
E3: Co-creating, Co-Designing, Co-Delivering: Stella’s Place Peer Support Training Program
E4: Peer Support: Community of Practice
E5: Integrating Harm Reduction into Peer Support Groups
E6: Providing Trauma Informed Support
THURSDAY, APRIL 28TH, 2016 – CONCURRENT SESSION REGISTRATION
3:45pm – 4:45pm
X
WORKSHOP CHOICES
F1: Self-Help Resource Centre: Engaging the Community in Personal and Professional Peer
Development
F2: Peer Workforce Management and Online Services: Are They Aligned?
F3: York Regional Police Peer Support Team: Lessons Learned in the First Year
F4: Lighting the Way Forward: Peer Support for those with Eating Disorders
F5: Breaking Ground at Edmond Place: There is a place in this world for you
F6: Introducing inpatient peer support workers: Successes and Challenges
FRIDAY, APRIL 29TH, 2016 – CONCURRENT SESSION REGISTRATION
10:30am – 12:00pm
X
WORKSHOP CHOICES
G1: Profiling the OPP’s commitment to a Healthy Workforce
G2: Developing the PSACC Standard of Practice
G3: Making Peer Support Fit
G4: Implantation d’un programme innovant et efficient: la stratégie Québécoise
G5: The Art of Building a thriving Peer Supporter Community of Practice
G6: Age of Recovery: Developing Transitional-Aged Youth Peer Recovery Programming
NCPS 2016 Conference Registration
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FRIDAY, APRIL 29TH, 2016 – CONCURRENT SESSION REGISTRATION
1:00pm – 2:00pm
X
WORKSHOP CHOICES
H1: The evolution of youth peer support: engaging the Champlain LHIN on an unmet need
H2: Mental Wellness Recovery Group
H3: Caregivers Re-Discovering Wellness: Reconnecting after Trauma and the Strength of
Community
H4: Focusing Skills to Support Clear Communication
H5: The Role of Veteran Peer support specialists in recovery
H6: What kind of system can peer support thrive in?
PAYMENT METHOD
EARLY BIRD (UNTIL January 29th, 2016): $449.00 plus HST $507.37
REGULAR RATE (AFTER January 29th, 2016): $499.00 plus HST $563.87
 Cheque
 Money Order
 VISA
 MasterCard
Credit Card #:
Expiration Date:
3 Digits on Back of Credit Card:
Authorized Signature:
Please return this form by fax: 705-456-9786
Email: sherry@innovative4you.com
To pay by cheque:
Please make cheque payable to: Peer Support Accreditation and Certification (Canada)
Please mail cheque to: PSACC, 1818 Tattersall Way, Mississauga, Ontario L5M 3H7
NCPS 2016 Conference Registration
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