Michigan Association of Community Mental Health Boards2015 Annual Winter Conference

“The Challenge of Change”February 9, 2015: Pre-Conference Institutes

February 10 & 11, 2015: Full ConferenceRadisson Plaza Hotel & Suites, Kalamazoo, Michigan

HOTEL INFORMATIONRadisson Plaza Hotel & Suites100 W. Michigan Ave., Kalamazoo, MI 49007

2015 Room Rates: $125 plus taxes (Single/Double)

Deadline for special room rate: Friday, January 23, 2015

To make reservations via phone: call 269-343-3333 and reference “MACMHB 2015 Winter Conference” to receive the discounted rate.

The hotel is currently full and taking a waiting list. As rooms are released, those on the waiting list will be contacted. An overflow hotel will be identified next week.

CONFERENCE AGENDA

Monday, February 9, 2015

12:30pm Registration for Pre-Conference Institutes($20 registration fee - see separate registration form)

1:00pm – 4:00pm Pre-Conference Institute #1: “Providing Quality Behavioral Health Services within an Integrated Complex Care Model”

¦ Qualifies for 3 CE hours for Social Workers and 3 Specific Substance Abuse Contact Hours Michele Virva, LMSW, Lead Clinical Social Worker, network180/ Spectrum Health Medical Group -

Center for Integrative MedicineIntegration of behavioral health into physical health is a hot topic in healthcare right now. Learn how the Center for Integrative Medicine has successfully integrated behavioral health and physical health by taking a team based approach to treating super utilizers of the emergency departments. You will hear the successes and challenges for behavioral health providers in this setting as well as the skills needed to successfully work in this complex care environment. This includes effective strategies for managing difficult behavior within a primary medical setting, understanding the complexities substance misuse/ co-occurring disorders can have on patient fears and provider behavior, and identifying these issues as well as effective strategies to manage them. Participants will be able to: 1. Identify the skill set needed to work with complex care patients in an integrated primary care setting; 2. Recognize how SUD and co-occurring disorders complicate patient care in a primary care setting; and 3. Understand how a patient’s attachment to medications and how fear of losing it often drives behavior.

1:00pm – 4:00pm Pre-Conference Institute #2: “Neurobiology of Substance Use Disorders: Understanding the Addicted Brain”

¦ Qualifies for 3 CE hours for Social Workers and 3 Specific Substance Abuse Contact Hours Kathleen A. Gross, MD, Associate Director of Psychiatry Research, Western Michigan University

Homer Stryker MD School of Medicine Maritza E. Lagos, MD, DABAM, Associate Professor of Psychiatry & Psychiatry Medical Student,

Clerkship Director, Western Michigan University Homer Stryker MD School of Medicine Michael R. Liepman MD, DLFAPA, DABAM, Professor and Director of Psychiatry Research,

Western Michigan University, Homer Stryker MD School of MedicineThis is an exciting time in Medicine as we learn more about the neurobiology of addiction. Evolving knowledge provides a framework for diagnosis, prevention and treatments for various stages of the addiction cycle. This workshop will provide insight into this knowledge: the brain reward circuit, its normal function and development over the lifespan, and how key elements of this system interact during the transition from drug experimentation to compulsive drug taking, treatment, relapse and recovery. You will gain a greater understanding of how people become addicted, what happens to the brain after a period of substance misuse, how current medications and psychosocial interventions can be utilized in the treatment of substance use disorders, and how and where in the brain they do their work. Clinician understanding of this helps in planning a comprehensive treatment approach. It clarifies why it is important for patients to cooperate with all aspects of this treatment plan. It reduces stigma for patient, family and community, and explains self-defeating behavior, impulsivity and loss of control that many addicted people experience during relapse. Participants will be able to: 1. List five parts of the brain that participate in decisions to use psychoactive addictive drugs and other substances; 2. Explain how craving is triggered, and why it is so difficult to resist; and 3. Discuss two reasons why a comprehensive treatment plan is more effective than each of its parts.

1:00pm – 4:00pm Pre-Conference Institute #3: “Dialectical Behavior Therapy and DBT for Suicidal Adolescents”¦ Qualifies for 3 CE hours for Social Workers and 3 Related Substance Abuse Contact Hours Carol Hartford, MSW, Therapist, Team Leader, Ann Arbor DBT Center Amy Marzulla, MSW, Therapist, Ann Arbor DBT Center

This training program will provide participants with a brief overview of DBT therapy and specific information on DBT for the treatment of Suicidal Adolescents. Information will be provided about the adaptation and the inclusion of family members or supports for the treatment of the invalidating environment. Walking the Middle Path and dialectical dilemmas between parents and teens will be addressed. The treatment modalities include Individual Therapy and Skills Training Group Therapy. The individual therapy portion of the training will address the behavior chain analysis. Participants will be able to: 1. Define what DBT is and the adaptation of DBT for the Treatment of Suicidal Adolescents; 2. Understand the five modules of DBT for the Treatment of Suicidal Adolescents with specific emphasis on Walking the Middle Path; and 3. Understand the Bio/Social Theory of Borderline Personality Disorder.

4:00pm – 6:00pm Earlybird Registration for MACMHB Winter Conference4:15pm – 5:00pm Board Chairperson Roundtable & Networking (there is no fee for this meeting)6:00pm MACMHB Members: Executive Board Meeting

Tuesday, February 10, 20157:30am – 5:00pm Conference Registration and Exhibits Open7:30am – 8:15am Group Breakfast8:15am – 8:30am Conference Welcome

Jeff Patton, Executive Director, Kalamazoo CMH & Substance Abuse Services8:30am – 9:30am Plenary Session: “Mental Health in the World of Healthcare Reform”

¦ Qualifies for 1 CE hour for Social Workers and 1 Specific Substance Abuse Contact Hour Linda Rosenberg, MSW, President and CEO, National Council for Behavioral Health

This is a complex time in healthcare and turmoil is not unique to any one sector. The Affordable Care Act (ACA) not only expanded insurance coverage, it created a framework for redesigning how healthcare services are delivered and paid for. Mental health and addiction services have a unique role in the changing healthcare landscape. Within new service and payment models, people with multiple chronic conditions that include mental and substance disorders are in the forefront as they are costly and outcomes are far from optimal. But Tuscon, Aurora, Sandy Hook – all horrific tragedies – highlighted our nation’s neglect of the mental health safety net. Much will be required to ensure that a continuum of quality mental health and addiction treatment services are available in all communities. This presentation will briefly: offer an overview of the models embedded in the ACA that are designed to address chronic costly illnesses; explore the implications of new service and payment models for people with mental and substance disorders; and examine forces that are continuing to impact healthcare. Participants will be able to: 1. Name the models embedded in the ACA that are designed to address chronic costly illnesses; 2. Describe the implications of new service and payment models for people with mental and substance disorders; and 3. Examine forces that are continuing to impact healthcare.

9:30am – 10:00am Exhibitor Refreshment BreakConcurrent Workshops:

10:00am – 11:30am 1. Multi-disciplinary Health Care Integration – An Update on the Efforts to Integrate Holistic Care in this Northwest Michigan Community¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Specific Substance Abuse Contact Hours- Ingemar Johansson, Business Economics, University of Gothernburg, Sweden, Chief Operating

Officer, Centra Wellness NetworkCentra Wellness Network (f.k.a. Manistee-Benzie CMH) embarked on an integration project in 2008 in which we located psychiatric services in a primary care clinic. Since then we initiated the Northern Michigan Health Coalition consisting of nine multi-disciplinary community health care organizations attempting to forward the care system towards the triple aim of the ACA. We also re-located all of our clinical staff into the Manistee Wellness Center in which mental health, primary care, substance use disorder treatment, elder care, and specialized hospital services co-exist. This presentation gives an update on the project and tells the story of the successes and the challenges of physical, clinical, and cultural integration of these different community organizations, how our organization has evolved and where we want to see it go. Participants will be able to: 1. Identify the components for organizational readiness for care integration; 2. Identify which disciplines are necessary for developing a full community health care system; and 3. Identify the clinical components that are necessary for clinical integration at a facility.

10:00am – 11:30am 2. A History of CMH General Funds (GF), CMHSP Allocations, and Current Status of GF¦ Qualifies for 1.5 CE hours for Social Workers Judith Taylor, Ph.D, Consultant, MACMHB

The CMH General Funds have been used to provide the local public mental health safety net through the CMHSP system for the past 50 years. The presentation will cover the history of the CMH General Funds (GF) and how we got to where we are today, including the factors and events over time that affected each CMHSP’s allocation and the various funding factors, GF equity, and redistribution efforts. The current and future GF status will be discussed as well as the safety net implications along with an update on the current GF allocation workgroup. Participants will be able to: 1. Summarize the CMH General Fund appropriation history; 2. Understand the factors that impacted each CMHSP GF allocation – past and present; and 3. Summarize the uses of CMH GF for the public mental health safety net.

10:00am – 11:30am 3. Michigan Department of Community Health, Michigan Medicaid EHR Incentive Program Session¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours Cindy Buege, Bachelor of Science Health Education, Health Information Project Manager,

Michigan Public Health Institute Ryan Koolen, Bachelor of Science Human Biology and Doctor of Chiropractic, Department/Audit

Specialist, Michigan Department of Community Health: EHR Incentive ProgramMDCH will give an update on the Medicaid EHR Incentive Program which will cover Meaningful Use and any recent CMS rulings or proposed rulings. Additionally MDCH will give an update on HIT/HIE infrastructure and program development at the State of Michigan. Participants will be able to: 1. Educate on Michigan Medicaid EHR Incentive Program and/or updates; 2. Educate on recent CMS rulings or proposed rulings; and 3. Educate on HIT/HIE infrastructure and program development at the State of Michigan.

10:00am – 11:30am 4. Learning to Speak a new ▃▇█▃▂: Using Data in System Transformation¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours Josh Hagedorn, MA CHTS-PW, Senior Associate, TBD Solutions Nancy Miller, MS, Chief Executive Officer, Mid-State Health Network Rich VandenHeuvel, MSW, Chief Executive Officer, Lakeshore Regional Partners

As behavioral and physical health systems collide, there is need for a shared definition of the situation facing the population receiving behavioral health services. Unfortunately, most people love to talk about “data” but stumble while trying to use it to capture problems “in the wild”. We address this issue by providing a recipe for using data analytics to support integrated healthcare at multiple levels: strategic partnerships, population health management, utilization management, clinical protocols, outcome management and individual care coordination and treatment planning. This course is for anyone who wants to make decisions that are driven by data but continues to make decisions that are merely illustrated by it, for leaders who want to bridge gaps between evidence-based practice and practice-based evidence by leveraging objective knowledge to support person centered care and policy management decisions. Participants will be able to: 1. Identify (a) causes of data avoidance and (b) strategies to address them in yourself and others; 2. Transform common data into live questions to support integrated partnerships at the health plan and clinical practice levels; and 3. Classify their own organization (size, diversity, culture, etc.) in order to articulate an approach for getting friendly with data in routine meetings, strategy sessions and more.

10:00am – 11:30am 5. Building and Sustaining Active Consumer and Family Groups through NAMI¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours Mark Creekmore, PhD. Sociology and Social work, President, NAMI Washtenaw County Gini Haffner, President, NAMI Calhoun County

The National Alliance on Mental Illness (NAMI) provides a network of support and training for local affiliates which are structured by 10 signature programs. The signature programs have been developed by the national organization and are implemented through state NAMI organizations for implementation by local NAMI affiliates. Community mental health providers, courts and law enforcement agencies have found significant support from NAMI that helps them achieve their core missions. In this session, NAMI Michigan will present effective collaborative strategies for CMH providers to help local NAMI affiliates develop and thrive. Participants will be able to: 1. Identify methods for using NAMI signature programs to recruit, train and vet consumers and family members as collaborative partners; 2. Understand how NAMI signature programs complement treatment services; and 3. Understand how NAMI creates organizational supports for leadership development.

10:00am – 11:30am 6. Boardworks Pilot: Children’s Services¦ Qualifies for 1.5 Related Substance Abuse Contact Hours- Kim Batsche-McKenzie, LMSW, Programs for Children with Serious Emotional Disturbance

Division of Services to Children and Families, MI Department of Community Health- Constance Conklin, LMSW, Executive Director, Livingston County CMH- Amy Shears, Statewide Parent Support Partner Coordinator, Association for Children's Mental

HealthThis presentation will provide an introduction to Children and Families Services provided by the CMH system. This presentation will cover the following areas: a. the key issues and requirements of children and family services that should be provided across the state; b. population served: Children with serious emotional disturbance and intellectual/developmental disabilities; c. System of Care framework; d. how to access services; e. service array; f. funding for services; g. current advocacy and policy issues; and h. outcomes and evaluation. A question and answer session will also be incorporated into the workshop. Participants will be able to: 1. Identify at least three key issues regarding children’s mental health; 2. Develop an understanding of the array of services offered to children and families through the CMH system; and 3. Learn at least three key statistics and outcome areas regarding children’s mental health.

10:00am – 11:30am A. Medication Assisted Treatment for Addiction Disorders

¦ Qualifies for 1 CE hour for Social Workers and 1 Specific Substance Abuse Contact Hour Belal M. Hegazy, MD, DABAM, Assistant Professor of Psychiatry, Western Michigan University

Homer Stryker MD School of Medicine Maritza E. Lagos, MD, DABAM, Associate Professor of Psychiatry & Psychiatry Medical Student

Clerkship Director, Western Michigan University Homer Stryker MD School of Medicine Michael R. Liepman, MD, DLFAPA, DABAM, Professor and Director of Psychiatry Research

Western Michigan University Homer Stryker MD School of Medicine Sonia Motin, MD, Instructor of Psychiatry & Psychiatry Resident III, Western Michigan University

Homer Stryker MD School of MedicineA number of medications have been developed by scientists to assist with addiction recovery. Most of these medications work on primitive parts of the midbrain that are involved with the reward process and craving. Combining these medications with counseling, behavior modification, psychoeducation, and recovery support can increase participation in relapse prevention efforts, and provide greater opportunities to return to normal activities and roles, build confidence in one’s ability to remain sober, establish new ways to cope with stress, extinguish learned patterns of response to relapse triggers, and reduce stigma, shame, and social isolation. Ultimately, studies have shown greater success when patients are provided these medications early in the treatment process so they can follow through with recovery. Participants will be able to: 1. List at least 8 commonly used medications for addictive disorders; 2. List at least 3 addictive disorders that are more likely to remit with the help of medications; 3. Discuss relative merits of combining medication assistance with psychosocial & behavioral counseling and support; and 4. Discuss the ways in which various medications can affect the brain to prevent relapses.

11:30am – 12:20pm Group Lunch12:20pm – 1:20pm Plenary Session: “Key Issues Update from Michigan Department of Community Health”

¦ Qualifies for 1 CE hour for Social Workers and 1 Related Substance Abuse Contact Hour- Lynda Zeller, MA, Deputy Director, Behavioral Health and Developmental Disabilities

Administration, MI Department of Community HealthLynda Zeller will address the conference attendees about her vision for the coming year. Ms. Zeller will provide an update about the Department of Community Health's work to protect, preserve and promote the health and safety of the people of Michigan, examining both the challenges and opportunities that exist in our state and nation. She will provide updates on state and federal activities including MDCH strategic plan initiatives, the federal Excellence in Mental Health Act, Home and Community Based Services rule, MI Health Link, Healthy Michigan Plan, and other recovery oriented and integrated transformational efforts. Participants will be able to: 1. List at least two key goals DCH BHDDA plans to achieve in the coming year; and 2. Restate two or more projects driven by federal opportunity, law or rule.

Concurrent Workshops:1:30pm – 3:00pm 7. Understanding Healthy Michigan Program Forecasts – How do you Estimate what will Happen to

Enrollment and Revenue?¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours Dale K. Howe, PhD, Owner, Dale K. Howe Consulting, LLC

Every business collects data on its activities and most yield to the temptation to use that data to forecast the future. Even the most basic computer skills will allow you to summarize a set of data and build an apparent basis for supporting your decisions about what the future holds. The HMP revenues have been based on four different rate sets in the last year. The HMP enrollment has grown more than 60% faster than expected. Both of these make estimating growth and revenue particularly problematic. We will look at what can be done to better understand why the estimated growth is so much different from the actual growth. We can also use what is now known about enrollment patterns to improve the forecast accuracy. Then we will look at ways to take the new enrollment estimates to forecast revenue streams. This program is about patterns and logic, it is not a math class. It is much harder to determine how much faith to put into the forecast results. Too often a couple colorful charts will be interpreted as proof of accuracy. We will briefly explore the basics of forecasting. What data will you need? How much historical data is needed? How far out can you project based on what data you have? What questions should you ask before you start reading the results? How do you balance “what everyone knows” against what the numbers seem to say? With just a little background on the topic, you can be better prepared the next time someone hands you a forecast to support their arguments. Participants will be able to: 1. List three factors that would aid a user in determining how much trust to put into a forecast; 2. List three factors that should raise serious red flags as to the validity of a forecast; and 3. Understand how much historical data is needed to forecast out the desired number of months.

1:30pm – 3:00pm 8. Putting Integrated Care in Practice at the PIHP and Medicaid Health Plan Level¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours Holly Davis, HAP Midwest Mary Dooley, LMSW, Supervisor of Adult Programs, BHPi/CareLink Audrey E. Smith, MPH, Director, Integrated Healthcare Initiatives, Detroit Wayne Mental Health

AuthorityThe presentation will describe how a PIHP created the business case for MHPs to establish an effective relationship with the PIHP to improve the health and wellbeing of consumers. The presentation will describe how the sharing of data and CFR 42 Part B with the MHP was addressed. Representatives from the PIHP and MHP will describe how each organization prepared for the data sharing and care coordination. Representatives will discuss the lessons learned, systemic policy changes and the improved consumer outcomes as a result of this project. Participants will be able to: 1. Use the steps explained to establish an effective mutually beneficial relationship with the Medicaid Health Plans in their region; 2. Describe the key quality characteristics to care coordination and implement them at the PIHP and MHP level; and 3. Recognize how their case management can be enhanced to address the holistic needs of the consumer, including the physical health needs.

1:30pm – 3:00pm 9. Flip This House: Restructuring the Home Culture to Best Serve the Needs of Individuals with Co-Occurring Disorders¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Specific Substance Abuse Contact Hours- Michael Kirby, BS, Administrator/President, Kirby’s Adult Foster Care, Community Mental Health for

Central Michigan - Clare County- Deana Pitts, MSW, LMSW, QMHP, QIDP, CMHP, Supervisor, Community Mental Health for Central

MichiganThis session is intended to share CMHCM’s experience in identifying and developing a home culture to support the needs of individuals with Co-Occurring Disorder. Individuals with Co-Occurring Disorder have historically not been successful in the traditional home environments provided by our agency. The presenters will describe their assessment process for identifying a home provider that has the flexibility to create the type of home culture to best support individuals with Co-Occurring Disorder. Once the assessment was completed, a plan was developed with CMHCM agency and the Home Provider to implement the changes needed to “Flip This House”. Changes included transitioning some residents with I/DD to other living situations and addressing training needs for the Direct Support Professionals to create a home culture that promotes safety, stability and positive relationships no matter the stage of change in recovery an individual with Co-Occurring Disorder is in. Participants will be able to: 1. Identify the process and how to implement a plan for successful home transitions; 2. Learn at least 3 home structure factors that support individuals with Co-Occurring Disorders; and 3. Describe the training needs for Direct Support Professionals caring for individuals with Co-Occurring Disorders.

1:30pm – 3:00pm 10. Developing Mental Health/Criminal Justice Collaborative Programs¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours- Tim Bourgeois, MPA, Chief of Police, Charter Township of Kalamazoo Police Department- Robert Butkiewicz, MA, LPC, Criminal Justice Services Supervisor, Kalamazoo Community Mental

Health and Substance Abuse ServicesThrough a state pilot jail diversion grant, Kalamazoo Community Mental Health and Substance Abuse Services has developed programming to complement its collaborative programming with the criminal justice system. Two pilot programs – Crisis Intervention Team Training (CIT) and co-responding mental health/law enforcement programs – will be discussed. KCMHSAS has used the Sequential Intercept Points for Mental Health and Criminal Justice programming as a guide for program development. The grant is also funding the development of a computer application which will compare jail admission and discharge and upcoming court appearances to CMH consumer rosters in a HIPPA, CFR 42 and MI mental health code compliant manner. The presentation will focus on developing these programs and common pragmatic, political, and financial obstacles to the implementation and maintenance with these programs. Participants will be able to: 1. Identify key “Mental Health/Criminal Justice Sequential Intercept Points” for jail diversion and collaboration; 2. Discuss Crisis Intervention Team training for Law Enforcement and Police/CMH arrest avoidance/prevention co-responding models; and 3. Discuss obstacles and solutions to developing partnerships with the Criminal Justice System.

1:30pm – 3:00pm 11. Further Along the Path of Integration: Promoting Pediatric Care¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours- Crystal Palmer, LMSW, Director, Children’s Initiatives, Detroit Wayne Mental Health Authority- Dianne Shaffer, LMSW, Program Manager, Kalamazoo Community Mental Health and Substance

Abuse Services- Matt Wojack, LMSW, Supervisor, Children's Services Healthcare Integration, CMH Authority of

Clinton-Eaton-Ingham CountiesThis workshop will focus on critical components for the integration of behavioral health into primary care settings to develop a coordinated system of care for children with behavioral health needs. The Action Learning Network, a consortium of CMH’s Children’s Services, has created three Practice Briefs: Pediatric Integration Opportunities and Challenges; Community Action and Analytics Guide; and Using ACEs Research. This presentation will provide an overview of each practice brief, and guidance on how to use the material to promote pediatric integration in participants’ home community. Additionally, three counties—Detroit, Ingham and Kalamazoo—will provide examples of pediatric care integration in their respective communities including the role of Behavioral Health Consultants in pediatric settings will be discussed. These presentations will include successes, challenges, and future directions. Participants will be able to: 1. Identify 3 reasons pediatric integrated care is important; 2. Apply 3 aspects of ACE study research data to support pediatric integrated care; and 3. Identify 3 core functions of Behavioral Health Consultant’s role.

1:30pm – 3:00pm 12. Boardworks 2.0: Fundamentals William Davie, Board Member, Pathways Community Mental Health

This workshop will focus on the functional, operational, organizational and relational aspects of the board member. Participants will be able to: 1. Examine and explore the role, responsibilities and authority of the board as individual members, as elected officers and as a collective body; 2. Consider the relationship between the CEO and the board as individual members, as elected officers and as a collective body and learn at least two skills to improve that relationship; 3. Consider implications of the accountability of a public board as related to areas such as the Mental Health Code, parliamentary procedures, open meetings and freedom of information; 4. Explore board by-laws and governance policies; and 5. Develop at least two relationships within the board with a team orientation.

3:00pm – 3:20pm Exhibitor Refreshment BreakConcurrent Workshops:

3:30pm – 5:00pm 13. Beginning to Use CareConnect 360 Data in Integrated Care at Van Buren Community Mental Health Authority¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours Liz Courtney, LMSW, Adult and Family Division Manager, Van Buren Community Mental Health

Authority Kyleen Gray, MA, Quality Improvement Coordinator, Van Buren Community Mental Health

AuthorityThe purpose of this presentation will be to provide a CMH perspective on how data from CareConnect 360 (Medicaid physical, pharmacy, and behavioral health) data can be used to reduce risk and improve coordination and quality of care for members in active CMH services. The first steps Van Buren CMH has taken to implement rapid improvement methodologies to cases at the greatest risk due to lack of physical health testing and/or medications prescribed will be discussed, along with next steps for improvement expansion of the pilot. A brief history of the data and the use of CMT as a vendor will be provided for context for participants. Participants will be able to: 1. Summarize the status of CareConnect 360 data (what it is and accessing the data); 2. Demonstrate the types of analysis that can be completed with data; 3. Review how data has been applied to the Access process and Clinical Care for Van Buren CMH; and 4. Discuss the implementation of Rapid Improvement Methodologies to identified areas of risk.

3:30pm – 5:00pm 14. Implementation of a Cross-System Integrated Health Care Initiative in Safety Net Clinics: What Does That Really Look Like?¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours Sara Cuson, MSW, LMSW, Integrated Health Care Manager, University of Michigan Health System Teague Simoncic, MSW, LLMSW, Research Coordinator and Patient Enrollment Specialist,

University of Michigan Health SystemThis workshop will highlight the real-world challenges and opportunities in the implementation of an innovative collaborative care pilot project in Washtenaw County. The Tailored Mental Health Management Support (TaMMS) intervention for primary care is a flexible care management program designed to support the treatment of depression and anxiety for patients treated in four safety-net clinics across three unique health systems. TaMMS is a project developed by the Washtenaw Health Initiative (WHI), which is a voluntary, county-wide collaboration of over 70 nonprofits and organizations working to improve access to care for low-income, uninsured, and Medicaid populations. The TaMMS project combines several evidence-based collaborative care practices with the goal of increasing access to care for the under- and uninsured. The presenters will provide an overview of the TaMMS project and implementation successes and challenges. An integrated behavioral health care manager will present vignettes of typical patients along with an outline of integrated care team member roles. We will also provide an overview of evidence-based outcome measures used in primary care settings, as well as preliminary project data. Participants will be able to: 1. Discuss one integrated health collaborative care model for primary care safety-net clinics serving Medicaid populations; 2. Identify the unique challenges and opportunities that accompany a university partnership across separate health systems, along with recognizing the variability of implementation strategies in different clinics with varying needs and resources; 3. Describe the use of evidence-based outcome measures to facilitate treatment-to-target in primary care settings, along with the clinical utility of using outcome measures as part of treatment; and 4. Recognize the various roles and responsibilities of the integrated care team members, including CMH providers.

3:30pm – 5:00pm 15. Combining Not Competing: Brief Strategic Family Therapy (BSFT) and Other Evidence-Based Practice Treatment in Family Systems with Severe Emotional Disturbance and/or Substance Use Disorder¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Specific Substance Abuse Contact Hours- Katherine Dollard, Psy D, LP, CAADC, Program Director, Community Mental Health For Central

Michigan- Debra Miller, MSW, LMSW, QMHP, CMHP, Certified BSFT Supervisor, Community Mental Health for

Central MichiganParticipants will learn how to utilize Brief Strategic Family Therapy (BSFT), an award winning, SAMHSA endorsed, evidenced-based practice for treatment of substance use and other emotional disturbance diagnoses in youth and families, in concert with other well-known evidence-based and best practices in order to yield long lasting and effective family change. BSFT’s innovative diagnostic schema, restructuring sequences and congruence with other practices will be presented via PowerPoint presentation and DVD vignettes of family sessions from BSFT implementation sites. Participants will be able to: 1. Describe BSFT’s theoretical basis, including at least 2 treatment frameworks common to BSFT implementation; 2. List 3 out of 5 diagnostic components of the BSFT model; 3. Identify 3 parts of the BSFT restructuring sequence that allow for integration of other evidence-based or best practices; and 4. Recognize at least 2 other evidence-based practices or best practice strategies that are congruent in use with BSFT.

3:30pm – 5:00pm 16. Initial and Ongoing Training of Behavior Aides in an Early Intervention Clinic¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours- Marissa Allen, MS, BCBA, Behavior Analyst, Doctoral Student, Western Michigan University

Department of Psychology- Mindy Newhouse, MA, BCBA, Behavior Analyst, Doctoral Student, Western Michigan University

Department of PsychologyThis presentation will provide an overview of a process for both initial and ongoing training of behavior aides in an early intervention clinic. The presentation will identify important skills that should be targeted during behavior aide training and explain the importance of those skills. A training method will be described which incorporates Advanced Training Solutions' on-line training modules with in-vivo training using the Model-Lead-Test method. This behavior aide training will be presented as a continuous process and examples of the tools used in this training will be provided. Participants will be able to: 1. Identify important skills that need to be taught to behavior aides working in an early intervention clinic; 2. Explain how Advanced Training Solutions on-line learning modules can be used in the initial training of those skills; 3. Explain how the Model-Lead-Test method can be used in both the initial training and on-going training and supervision of behavior aides; and 4. Explain the importance of ongoing training and supervision.

3:30pm – 5:00pm 17. The Internet of Health: Wearables, Apps, Engagement and Population Health¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours Jeremy Nelson, BSE, CEO, Afia, Inc.

This session will be an industry update on the latest "wearables", mobile devices, and healthcare app technologies and provide analysis on how these rapidly emerging tools are likely to impact behavioral health providers as we address consumer engagement, population health management, and integrated care. Participants will be able to: 1. Discuss the current state of technology as it relates to consumer directed health and management; 2. Summarize how the future of wearables and cloud services will revolutionize the care delivery model; and 3. Experiment with patient apps to manage physical health conditions such as diabetes and hypertension.

3:30pm – 5:00pm 18. Boardworks 2.0: Leadership - Participatory Governance and Ethical Implications (formerly Character) Clinton Galloway, Board Member, Ionia County CMH Robert Lathers, LMSW, Chief Executive Officer, Ionia County CMH

This workshop is designed to mirror the nature of successful leadership in the public sector responsible for community well-being. The inherent wisdom of the participants will be engaged in the dynamics of addressing the following subjects and exploring, “How do we do that?” Participants will be able to: 1. Learn the qualities of leadership; capturing the passion for justice and healthy communities; 2. Cultivate the values and intent of public policy; 3. Discuss the board’s commitment to the promotion and protection of the intended beneficiary’s individual rights and responsibilities of full citizenship; 4. Explore ethical issues of special interests, influence, conflict of interests and operating outside the role and responsibilities of the Board’s defined authority; 5. Learn how to distinguish matters of Board and community ethical considerations from issues of personal morality; and 6. Discuss ethical responsibility of identifying and developing core competencies for governance members.

Wednesday, February 11, 20157:45am – 12:00pm Conference Registration and Exhibits Open7:45am – 8:45am Breakfast Activities (full breakfast buffet will be served until 8:45am)

Regional Breakfast MeetingsProvider Alliance Breakfast Meeting1Non-Member and Staff Networking Breakfast

8:50am – 9:00am Boardworks Certificate Presentations9:00am – 10:00am Plenary Session: “Early Intervention: The Path to Prevention”

¦ Qualifies for 1 CE hour for Social Workers and 1 Related Substance Abuse Contact Hour William R. McFarlane, MD, Professor of Psychiatry, Tufts University School of Medicine/ Maine

Medical Center Research InstituteThis talk will review the scientific background, clinical theories, methods, results and future implications of intervention for youth at the earliest point of, or just prior to, onset of an initial psychosis. Participants will be able to: 1. Identify 3 key indicators of risk for first-episode psychosis; 2. Identify 3 major advantages of early intervention; and 3. Identify key outcomes of pre-psychotic intervention.

10:00am – 10:20am Exhibitor Refreshment BreakConcurrent Workshops:

10:30am – 12:00pm 19. Early Intervention: The Path to Prevention”¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours William R. McFarlane, MD, Professor of Psychiatry, Tufts University School of Medicine/ Maine

Medical Center Research InstituteThis talk will review the scientific background, clinical theories, methods, results and future implications of intervention for youth at the earliest point of, or just prior to, onset of an initial psychosis. Participants will be able to: 1.Identify 3 key indicators of risk for first-episode psychosis; 2. Identify 3 major advantages of early intervention; and 3. Identify key outcomes of pre-psychotic intervention.

10:30am – 12:00pm 20. Southwest Michigan Behavioral Health MI Health Link Implementation: Lessons Learned¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours Tim Dubois, BS Computer Science, MBA, Information Technology Project Manager- Lori Ryland, PhD, LP, CAADC, CCS-M, BCBA-D, Chief Clinical Officer, Southwest Michigan

Behavioral Health- Patrick Visser, MBA, Care Integration Projects Manager, Southwest Michigan Behavioral Health

Southwest Michigan Behavioral Health is one of four Regional Entities selected to participate in the MI Health Link demonstration project. MI Health Link provides the opportunity to co-manage Medicare and Medicaid benefits with the Integrated Care Organizations (Medicaid Health Plans) for behavioral and physical health care needs of dual eligibles. Southwest Michigan Behavioral Health is one of two PIHPs with the first implementation date in 2015. This workshop is co-facilitated to cover several areas of behavioral health managed care including information technology, quality, clinical, utilization management, provider network, etc. This project has required adherence to NCQA Health Plan accreditation standards, close coordination with the Physical Health Plans, and the development and implementation of effective and efficient business practices, including reports and technology. Participants will be able to: 1. Understand 5 core objectives of the MI Health Link demonstration project; 2. Describe 7 key components of the MI Health Link Implementation in areas such as IT, Clinical, Quality, and Provider Network; 3. Discuss 4 changes that were required for SWMBH to meet NCQA standards in the area of behavioral health managed care; and 4. Describe current status and 3 lessons learned.

10:30am – 12:00pm 21. Recovery Oriented Data Action Network (RODAN): Data as a Pie Ingredient¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours Grayce Davis, CPSS, Certified Peer Support Specialist, Recovery Institute of SW Michigan Carmesha Dixon, CPSS, Certified Peer Support Specialist, Recovery Institute of SW Michigan Becca Sanders PhD, MSW, MS, Evaluator, Iteration Evaluation

Have you ever wanted to know more about using data to assure goal planning for service seekers is both quality and recovery oriented in nature? Or how it can be used to help further our understanding of where people are at on their recovery journeys and measure outcomes over time? Or how data can help service seekers better get their needs met and move forward in their recovery? Come learn how team RODAN (Recovery Oriented Data Action Network) has put data to work in these continuous quality improvement capacities, and practice the skill set yourselves! This session will give attendees the nuts and bolts of a peer embedded, data driven approach to recovery oriented goal planning. You will hear from peers and an evaluator partnering to do this important work in SW Michigan and have a chance to try it out yourselves. Attendees will walk away with the tools, connections and supports needed to get started on a data driven, continuous quality improvement approach to recovery oriented planning in their own communities. Participants will be able to: 1. Recognize the role that data can (and should) play in assuring a quality, recovery oriented goal planning process for behavioral health service recipients; 2. Identify and recognize the recovery oriented domains measured by the Mental Health Recovery Measure (MHRM) tool; and 3. Apply a peer embedded, data driven model of decision making in order to assure that goal planning is recovery oriented in nature.

10:30am – 12:00pm 22. Meet ALICE – Your Community Depends on ALICE¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours Scott Dzurka, MBA, President and CEO, Michigan Association of United Ways Nancy Lindman, MA, Director, Public Policy and Partnerships, Michigan Association of United

WaysMeet ALICE - the acronym stands for Asset Limited Income Constrained Employed. ALICE represents men and women of all ages and races who get up each day to go to work but still cannot afford the basics. ALICE is your child care worker, home health aide, store clerk, and office assistant - all workers essential to you and to our community’s success. Michigan’s first ALICE Report reveals that 40% of Michigan households cannot afford life’s basic necessities. While it is true that ALICE has existed long before this study, it was not until the release of this Report that there was any way to discuss the consequences for these households and quantify them on state, county and town/city levels. Join this interactive session to identify ALICE in your community, discuss this population’s impact on your organization, and explore policy strategies to ensure a strong foundation for ALICE. Participants will be able to: 1. Describe who the Asset Limited Income Constrained Employed (ALICE) are in their community; 2. Quantify the magnitude of ALICEs in their geographic scope of work; 3. Identify the impact of ALICE on their work and discuss linkages to their organizations’ mission; and 4. Use the ALICE data for advocacy in accomplishing their organizational goals.

10:30am – 12:00pm 23. Neonatal Abstinence Syndrome Project: A Community Collaborative to Improve the System of Care for Infants Prenatally Exposed to Opioids¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Specific Substance Abuse Contact Hours Dr. Kristine Gibson, MD, Pediatrician, Pediatrics P.C. Dr. Robin Pierucci, MD, Neonatologist, Southwest Michigan Neonatology, P.C. Dianne Shaffer, LMSW, Program Manager, Kalamazoo Community Mental Health and Substance

Abuse ServicesLeaders from health, mental health, early childhood education, and foundations in the Kalamazoo Community worked together to identify a health-focused initiative which could be impacted through collaborative work. With the rise in opioid use in recent years, the local hospitals have seen an increase in infants born prenatally exposed to opioids. These infants experience multiple physiologic consequences, often born with low birth weight and poor prenatal brain growth. As these children grow and develop, they are at risk to experience deficits in many domains. Our mission is to optimize childhood development and family functioning for infants prenatally exposed to opioids through strengthening systems collaboration. The long range goal for this project is to demonstrate successful community change and reconstruct the current system to better serve vulnerable children and their families with a wide range of health risks in a sustainable way. Participants will be able to: 1. Define neonatal abstinence syndrome and understand effects of substance use on fetal development; 2. Identify 3 barriers to coordinating care between hospitals, health and mental health providers, families, and early childhood programs; 3. Describe 3 strategies that have been implemented to improve the system of care for infants with NAS; and 4. Demonstrate the ability to relate strategies employed by NAS Project to an integrated healthcare project in their own community.

10:30am – 12:00pm 24. The Sweat-Equity of Recovery: One CMH’s Experience with In-Shape Program Implementation¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours Cheryl Keaney, NA, In-Shape Mentor, St. Clair County CMH Services Thomas Seilheimer, PhD, LP, Care Management Director, St. Clair County CMH Services

This is a program outcomes study of the St. Clair County CMH (SCCCMH) In-Shape program, focusing on program operations from 2012 to present-day. Key service outcomes achieved by a cross-section of program participants and analyzed, including participants’ psychiatric inpatient utilization pre and post program. Outcome metrics focused on EBP physical health outcomes: a) weight change (favorable loss), b) blood pressure (favorable decrease), c) body proportion (favorable decrease in inches – waist and hips), d) flexibility (increase), e) cardio-vascular capacity (increase). Participants will be able to: 1. Identify key program elements of the In-Shape EBP; 2. Recognize key program outcomes pertaining to this particular implementation of an EBP; and 3. Understand and apply how program outcomes information can assist with ongoing program evaluation and planning.

10:30am – 12:00pm 25. Creating a Trauma Informed Care Environment¦ Qualifies for 1.5 CE hours for Social Workers and 1.5 Related Substance Abuse Contact Hours

Daryl Goodman, MA, Team Leader MI Adult Case Management, ACT, DBT and Peer Services, West Michigan CMH System

- Karen Goodman, MSW, LMSW, Team Leader, Family and Children Service and Health Services Team, West Michigan CMH System

- Mark Lowis, LMSW, Evidence-based Implementation, MI Department of Community HealthTrauma is the expectation, rather than the exception, among a majority of the populations referred for behavioral healthcare services with 90% of mental health clients having been exposed to trauma.We need to presume clients we serve have a history of traumatic stress and exercise “universal precautions” by creating systems of care that are trauma-informed (Hodas, 2005). In order to avoid the retraumatization of clients it is necessary for organizations to understand the complexity of trauma. Participants will be able to: 1. Demonstrate an understanding of completing a trauma informed assessment as a first step in creating a trauma informed care organization; 2. Demonstrate an understanding of the epidemic and complexity of trauma that has occurred among persons with a mental illness and/or developmental disabilities; and 3. Identify the process whereby assistance and consultation is available to agencies on a voluntary basis who wish to complete a trauma informed care self-assessment.

10:30am – 12:00pm 26. Boardworks 2.0: Current and Future Funding for CMHSPs and PIHPs (Previously Budgets) Carol Mills, MPA, MBA, Director of Operations, Newaygo County Mental Health Center

This workshop will center on the public policy driven financing and accountability expectations for which the board serves as the fiduciary. Participants will be able to 1. Examine and explore state, federal and local public revenues including each source of revenue, definition as derived by statute, contract and/or public policy directive, conditions for use, determination of amounts to be distributed/available, method of distribution/receipt, application in practice, risk implications, reporting and accounting and audit requirements; and 2. Explore current state initiatives and proposals regarding pending changes to the funding of the CMH system and its potential implications for CMHSPs and PIHPs.

12:00pm – 1:00pm Group Lunch1:00pm – 2:00pm Plenary Session: To Be Determined

Birdena Oakley - Peer Recovery Specialist, Centerstone of Indiana2:00pm Conference Adjourns

Conference Objectives:

¦ Use of innovative technologies to support behavioral healthcare services.¦ MI Health Link (dual eligibles) planning.¦ To address the impact of current local, state and federal policy and planning issues related to healthcare reform, including a focus on local

initiatives being used to assist people with enrollment in the Healthcare Exchange and Healthy Michigan programs.¦ To provide examples of local pathways to implementing improved healthcare outcomes through such as: local initiatives/arrangements between

CMHs, PIHPs, provider organizations and physical healthcare providers such as FQHCs/Rural Health Centers/Hospitals/Medicaid health plans/Primary care physicians.

¦ Gain insight to successful advocacy strategies with local elected officials.¦ Obtain a better understanding of new Home and Community Based Services rules.¦ To identify strategies for overcoming barriers, offering solutions and focusing on the role of supervision for successfully sustaining evidence-

based, best and promising practices with new populations in local communities.¦ To show how communities have embedded existing evidence-based, best and promising practices into their system for sustainability.¦ To have increased understanding of the ways in which continuous quality improvement in evidence-based, best and promising practices can

improve outcomes and performance measures.¦ To increase participants’ awareness, knowledge, and skills, related to mental illness, developmental disability, substance use disorders and

veterans services.¦ To focus on trauma informed care for all populations.

Continuing Education Credits:

Social Work: The Michigan Association of Community Mental Health Boards (MACMHB), provider #1140, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. MACMHB maintains responsibility for the program. ASWB Approval Period: 11/10/13-11/10/16. Social workers should contact their regulatory board to determine course approval. Social Workers participating in the pre-conference institutes (2/9/15) may receive a maximum of 3 clock hours. Social Workers participating in this full conference (2/10/15–2/11/15) may receive a maximum of 9 clock hours. Course Delivery Method: Conference

Substance Abuse Professionals: MACMHB is approved by Michigan Certification Board for Addiction Professionals (MCBAP). MACMHB maintains the responsibility for the program and content. Substance Abuse Professionals participating in the pre-conference institutes (2/9/15) may receive 3 contact hours. Substance Abuse Professionals participating in full conference (2/10/15–2/11/15) may receive a maximum of 9 contact hours. Some "Related" workshops may meet MCBAP/IC&RC educational requirements for focused topics in addiction certification domains, such as for Peer Recovery or Supervisor credentials. It is important that attendees keep a copy of conference program brochure containing the workshop descriptions along with their attendance record form.

Certificate Awarded: At the conclusion of this conference, turn in your Verification of Attendance form to the MACMHB Staff to be initialed. You will turn in the top sheet and retain the bottom sheet which serves as your certificate of participation.

Who Should Attend: This conference attracts more than 550 attendees including board members, CEOs, COOs, CFOs, medical directors, clinical directors, case workers, supports coordinators, children’s supervisors and other practitioners at all levels of practice (beginning, intermediate and/or advanced).

Evaluation: There will be an opportunity for each participant to complete an evaluation of the course and the instructor. If you have any issues with the way in which this training was conducted or other problems, you may note that on your evaluation of the training or you may contact MACMHB at 517-374-6848 or through our webpage at www.macmhb.org for resolution.

* Cancellation Policy: Substitutions are permitted at any time. No-shows will be billed at the full training rate. Cancellations must be received in writing at least 10 business days prior to the conference for a full refund less a $25 administrative fee. If cancellation is received less than

10 business days prior to the training, no refund will be given.

Use Separate Registration Form for Pre-Conference Institute on Monday, February 9, 2015.

Please Check Conference Attendance: Full Conference One Day-Tuesday One Day-Wednesday

Please Check the Meals You Plan to Attend: (Meals are Included in the Cost of the Conference Registration): Tuesday Breakfast Tuesday Lunch Wednesday Breakfast Wednesday Lunch

Is This Your First MACMHB Conference? Yes No

I am requesting CEUs for social workers. Permanent Licensure # (required) I am requesting Contact Hours for substance abuse professionals.

Name as Printed on Badge: Title: Agency: Address, City, St, Zip: Phone: Fax: Email Address:

Special Needs: If You Have Special Dietary Or Physical Needs, Please Specify: Arrangements for special needs will be honored for those written requests received 10 business days prior to the conference. Clearly state your specific needs for mobility assistance, interpreters, etc. Attempts for on-site requests will be made.In Case Of Emergency During Conference, Please Contact: Daytime Phone: Evening Phone: Billing Address if Different Than Above (Contact): Address: City, St, Zip: Evaluation: There will be an opportunity for each participant to complete an evaluation of the course and the instructor. If you have any issues with the way in which this conference was conducted or other problems, you may note that on your evaluation of the conference or you may contact MACMHB at 517-374-6848 or through our website at www.macmhb.org for resolution.

PAYMENT METHODPayment DOES NOT need to accompany registration form. However, payment or purchase order must be received by the day of the conference. Credit cards are no longer accepted for onsite payment. You must pay with check, money order or cash onsite. Check Enclosed (payable to MACMHB) Purchase Order (attached) MACMHB uses PayPal to process all credit card payments. If you are paying by credit card you must pay through PayPal. A PayPal account is not equired. Go to www.macmhb.org; click on “Services,” click on “Make a Payment,” then follow the prompts to complete the process. No on-site credit card payments will be accepted.

QUESTIONS? CALL MACMHB (517) 374-6848

MACMHB WINTER PRE-CONFERENCE INSTITUTES

Michigan Association of CMH Boards Winter Conference Registration FormFebruary 10 & 11, 2015 Radisson Plaza Hotel, Kalamazoo, Michigan

REGISTRATION FEE (per person)Full conference registration fee provides you with a program packet, admission to all plenary sessions,

all workshops, 2 breakfasts, 2 lunches and all breaks.Member Early Bird Member After 1/23 Non-Member Early Bird Non-Member After 1/23

Full Conference $365 $405 $445 $485One Day $270 $310 $350 $390

SCHOLARSHIPS AVAILABLEA limited number of scholarships are available to individuals who receive services and their families. Scholarships will cover conference registration fees only. Consumers who serve as CMH board members are not eligible. Deadline to request scholarship: January 13, 2015. To request a scholarship form, contact Chris Ward at cward@macmhb.org or 517-374-6848.

3 EASY WAYS TO REGISTERON LINE: www.macmhb.org FAX: 517-374-1053 (attn Lisa) MAIL: MACMHB, 426 S. Walnut St., Lansing, MI 48933

EARLY BIRD DEADLINE: JANUARY 23, 2015

Monday, February 9, 201512:30pm Registration

1:00pm – 4:00pm TrainingRadisson Plaza Hotel & Suites, 100 W. Michigan Ave., Kalamazoo, MI

$20 Registration Fee (per participant)Fee includes materials and breaks.

Cancellation Policy: Substitutions are permitted at any time. No-shows will be billed at the full training rate. All cancellations will be assessed a $15administrative fee. Cancellations received less than 10 business days prior to the conference will be charged the full conference rate and no refunds will be given.

Attention: LisaSelect the Pre-Conference you plan to attend:

Pre-Conference #1: “Providing Quality Behavioral Health Services within an Integrated Complex Care Model”

Pre-Conference #2: “Neurobiology of Substance Use Disorders: Understanding the Addicted Brain”

Pre-Conference #3: “Dialectical Behavior Therapy and DBT for Suicidal Adolescents”

I am requesting CEUs for social workers. Permanent Licensure # (required)

Name as Printed on Badge: Title: Agency/Company: Address: City, St, Zip: Phone: Fax: Email Address:

Special Needs: If You Have Special Dietary Or Physical Needs, Please Specify: Arrangements for special needs will be honored for those written requests received 10 business days prior to the conference. Please inform us before February 1 if you require Braille or Large Print. Clearly state your specific needs for mobility assistance, interpreters, etc. Attempts for on-site requests will be made.In Case Of Emergency During Conference, Please Contact: Daytime Phone: Evening Phone: Billing Address if Different Than Above (Contact): Address: City, St, Zip: Evaluation: There will be an opportunity for each participant to complete an evaluation of the conference and the instructor. If you have any issues with the way in which this conference was conducted or other problems, you may note that on your evaluation of the conference or you may contact MACMHB at 517-374-6848 or through our website at www.macmhb.org for resolution.

$20 PAYMENT METHOD: Questions? Call MACMHB (517) 374-6848Payment DOES NOT need to accompany registration form. However, payment or purchase order must be received by the day of the training. Credit cards are no longer accepted for onsite payment. You must pay with check, money order or cash onsite. Check Enclosed (payable to MACMHB) Purchase Order (attached) MACMHB uses PayPal to process all credit card payments. If you are paying by credit card you must pay through PayPal. A PayPal account is not required. Go to www.macmhb.org; click on “Services,” click on “Make a Payment,” then follow the prompts to complete the process. No on-site credit card payments will be accepted.

3 EASY WAYS TO REGISTERON LINE:www.macmhb.org

BY FAX:(517) 374-1053

BY MAIL:MACMHB, 426 S. Walnut St., Lansing, MI 48933