Integration of Pediatric Mental Health Care: An Evidence Based
Workshop for Primary Care Providers
March 2 & 3, 2012
8:00AM-5:00PM daily
For Pediatricians, Family Practice Physicians, Nurse Practitioners,
Physician Assistants, Social Workers and Nurses
Free to all participants! Materials included
Location TBA but will be in the Wilkes Barre, PA area
This intensive two-day workshop will provide primary care providers (PCPs) with a
greater understanding of how to implement behavioral and mental health care into
pediatric primary care practices. The focus of the workshop will be on the assessment
and management of Attention Deficit Hyperactivity Disorder (ADHD), depression,
anxiety and autism assessment and management for PCPs who work with children and
adolescents in primary care settings. How to implement a program in your practice will
be presented including billing and coding, instruments and tools to use as well as how
to schedule visits to maximize practice.
This free workshop will be held on Friday, March 2, 2012, and Saturday, March 3, 2012,
from 8:00 a.m.- 5:00 p.m. Since this is a comprehensive program, we ask that
participants commit to attend both days of the workshop. We strongly encourage
participants to attend with a colleague from your practice who will be working with you to
implement a mental health program in your practice.
There is no cost to participants, as this program is supported by a grant from the Jewish
Healthcare Foundation. The workshop is also sponsored by the Pennsylvania Chapter
of the American Academy of Pediatrics, Medical Home Initiative Program and Three
Rivers Chapter of NAPNAP. We have received approval for CME credits for physicians,
Continuing Education and Pharmacology Credits for Nurse Practitioners and nurses,
and continuing education credits for social workers.
If you agree to participate in this intensive two day workshop, we will ask you to
complete questionnaires regarding your experience and level of understanding before
and after the program as well as after a 1 month period.
For questions, please email Susan Van Cleve at vancleve@rmu.edu or Stacy Burka at
sdbst14@mail.rmu.edu or call us at the numbers below. Registration form is attached
and is required. Registration is on a first come, first served basis due to limited capacity.
Susan Van Cleve, RN, DNP, CRNP Office: 412-397-5440
Stacy Burka, BSN, DNP student Cell: 724-712-6176
Sheree Shafer, RN, DNP, CRNP, Course Directors
Registration Form
Integration of Mental Health into Pediatric Primary Care
How to Develop a Mental Health Program for Your Practice Workshop
March 2&3, 2012
Location TBA but will be in the Wilkes Barre, PA area
8:00 AM- 5:00 PM daily
Name:
Age
Gender
Home Address:
City:
State
Zip Code:
Home phone number:
Address of your practice site:
County:
Work phone:
Cellular phone:
Email address:
Do you see children & adolescents for primary health care > 50% of your time?
Are you Fulltime?
Part-time?
If part-time, how many hours per week do you work?
Credentials: (All that Apply)
License number (necessary for CEUs)
Years of Practice in your field ______ Years of Practice in Primary Care
Highest Level of Education
Other Academic Degrees ___________________________________
Please send or Fax or email this form before February 24, 2012 to: Dr Susan Van
Cleve, Robert Morris University School of Nursing 108 Benjamin Rush Building , 6001
University Blvd. Moon Township, PA 15108Or Fax to Dr Van Cleve at 412-397-3977.
Email is vancleve@rmu.edu
Registration will be on a first come first serve basis due to limited seating.