SPONSORSHIP or BOOTH INFORMATION. Coni D or SILENT AUCTION

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1 Speakers Tonier Cain Founder and President of Neen Cares, Inc. Founder and Co-CEO of MET-R Integrated Health Ricardo Irizarry, MD, MMM Psychiatrist, Edinburg Clinic Medical Director Edinburg, Texas SPONSORSHIP or BOOTH INFORMATION Coni D or DIEDRICH@ttbh.org Pam Beach, J.D., M.B.A. Texas Council Risk Management Fund and Private Practice Sugarland, Texas Eluterio JR Blanco, Ph.D., LCDC Licensed Chemical Dependency Counselor Clinical Instructor UTRGV School of Rehabilitation Services SILENT AUCTION Cash, Check, Credit Card A processing fee will be included in credit card charge. Gerardo Mireles, Ph.D. Licensed Psychologist Family Focus Psychological Services McAllen, Texas Marlon Quinones, MD Medical Director and Founder, ikare, Mood Trauma Recovery Clinic San Antonio, Texas Janis Tondora, PsyD Associate Professor Department of Psychiatry Yale University School of Medicine HOTEL INFORMATION Rooms for the conference will be at the Hilton Garden Inn South Padre Island. A $91 Single/ Double room rate has been secured for conference attendees until 10/1/2017. The room rate is good for Thursday and Friday. Please make reference to. For hotel accommodations, please contact: Antonio Zavaleta, Ph.D., L.D. Board Certified Behavior Analyst Doctoral Licensed Professional Counselor & Supervisor Coastal Bend Psychological Associates Corpus Christi, Texas Stephen Vega, LPC, LCDC Certified Master s Addiction Counselor Director of Substance Use Disorder Services Edinburg, Texas Hilton Garden Inn South Padre Island 7010 Padre Blvd. South Padre Island, Texas

2 7:30 a.m. 8:15 a.m. Registration and Light Breakfast 7:30 a.m. 1:15 p.m. Silent Auction 8:15 a.m. 8:30 a.m. Opening Session: Welcome by Mr. Terry Crocker, CEO 8:30 a.m. 9:30 a.m. General Session Part I: A Personal Story of Trauma and Recovery by Tonier Cain Healing Neen 9:30 a.m. 9:45 a.m. Mid-Morning Break/Exhibitor Booths/ Silent Auction 9:45 a.m. 10:45 a.m. General Session Part II: Person Centered Care: A Critical Ingredient in Healing by Dr. Janis Tondora 10:45 a.m. 11:00 a.m. Mid Morning Break/Exhibitor Booths/ Silent Auction Session I: 11:00 a.m. 12:00 p.m. A. Person-Centered Recovery Planning: What Do We Know About Impact and Outcomes? by Dr. Janis Tondora B. The Evolution of Intellectual Disability Assessment by Dr. Gerardo Mireles C. Technology and the Future of Mental Health Delivery PTSD as an example by Dr. Marlon Quinones 12:00 p.m. 1:15 p.m. LUNCH Pick up your boxed lunch Conference Agenda 1:15 p.m. Silent Auction Closes Session II: 1:15 p.m. 2:45 p.m. A. Screening, Brief Intervention & Referral to Substance Use Disorder Treatment by Stephen Vega and Eluterio Blanco B. Trauma of Victimization/Bullying Institute (3 part series until 4:45 pm) C. Ethics-Part 1: Legal and Ethical Issues in Behavioral Health by Pam Beach (Part I & II must be attended to receive Ethics CEU credits) 2:45 p.m. 3:00p.m. Afternoon Break Session III: 3:00 p.m. 4:30 p.m. A. Latino Folklore & Mental Healthcare by Dr. Antonio Zavaleta B. Trauma of Victimization/Bullying Institute (3 part series until 4:45 pm) C. Ethics-Part 2: Legal and Ethical issues in Behavioral Health by Pam Beach (Part I & II must be attended to receive Ethics CEU credits) 4:30 p.m. Silent Auction Pay and Pick-Up 4:30 p.m. Evaluations and CEU Certificates Total Credit Hours CEU/CME/CNE/TCOLE: 6 Hours CEUs is a CEU provider for the following licenses: Social Work, Licensed Professional Counselor (LPC), and Licensed Marriage and Family Therapist (LMFT). CMEs This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Texas Medical Association (TMA) through the joint providership of Doctors Hospital at Renaissance and. Accreditation Statement: Doctors Hospital at Renaissance is accredited by the Texas Medical Association to provide continuing medical education for physicians. Credit Designation: Doctors Hospital at Renaissance designated this live educational activity for a maximum of 6 AM PRA Category 1 Credits tm. Physicians should claim only credit commensurate with the extent of their participation in the activity. CNEs Doctors Hospital At Renaissance Health System is an approved provider of continuing nursing education by the Texas Nurses Association Approver, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. This CNE activity has been jointly provided by Doctors Hospital At Renaissance Health System collaboratively with. TCOLE-TX A&M Commissioned Peace Officers attending the conference will be eligible to receive up to 6 hours of TCOLE credit through the Texas A&M Engineering Extension Service (TEEX). Attendees needing TCOLE hours: After registering for the TTBH Conference go to documentsresources/extension/extension_reg_form.pdf to register to receive TCOLE Hours. On 10/27/17 you must sign in at the TCOLE booth before the conference starts and return to the TCOLE booth at the end of the conference to initial the sign in sheet in order to get your TCOLE certificate.

3 Mindscape: Behavioral Health Today Trauma of Victimization/Bullying Institute Friday, October 27, 2017 Conference Theater 1:15 p.m. 2:15 p.m. Session I Trauma of Victimization: Bullying Overview and Statistics by Ricardo Irizarry, MD, MMM 2:15 p.m. 2:30p.m. Break 2:30 p.m. 3:30 p.m. Session II Trauma of Victimization: Bullying Workshop by Ricardo Irizarry, MD, MMM 3:30 p.m. 3:45 p.m. Break 3:45 p.m. 4:45 p.m. Session III Expert Panel Discussion: TTBH Clinicians; School Officials; School Police Department Moderated by Dr. Ricardo Irizarry

4 Send with Registration form by Mail: Attn: Doreen Willis 1901 S. 24th Ave. Edinburg, TX OR Fax: OR Please place a ( ) in box for preference. A. Chunky Chicken Salad served on a Croissant B. Smoked Turkey Tomato Basil Wrap with fresh spinach and roasted red pepper cheese C. White Tuna Salad served on Wheat Bread D. Veggie Wrap Meal Selection E. Caesar Salad with choice of (SELECT ONE) 1. Grilled Salmon OR 2. Grilled Chicken Breast F. Lunch on Own If you would like to purchase a T-Shirt, please indicate size. A. Small B. Medium C. Large D. X-Large E. 2x F. 3x G. 4x $15.00 each TTBH Staff: Turn in payment by 10/5/17 and get your shirt BEFORE the conference when you receive your name badge.

5 Registration Information Please Check Box: Community (Agency/School, etc.) TTBH Employee (skip payment section) PAYMENT: Check Money Order Credit Card # CCV (3-Digit number on back of card) Purchase Order # PayPal Please Print: Name: Credentials: Mailing Address: Agency Name : PID#: * Please Include for Confirmation Phone Number: Fax Number: TTBH Employee Only: (Must be filled out.) Department: Cost Center: Site: ====================================== FEE SUMMARY Send Registration by: Mail S. 24th Ave. Edinburg, TX Attn: Doreen Willis OR OR Fax ( ) The following amount is due: Registration Fee: T-Shirt Fee: TOTAL FEES: $ Registration Fees Note: Registration is limited. Application will be returned with our regrets when capacity is reached. Lunch is included with registration. Early Registration until..$90 October 5, 2017 Registration..$130 October 6, 2017 At the Door..$150 Commissioned Peace Officer.$50 (PID# and last 4 digits of SS# required at registration.) Student (Minimum of 12 Hrs.)...$50 (Copy of School ID will need to be provided at time of registration.) Ethics Only..$100 (Two sessions required to receive three hours of Ethic credit. Partial credit will not be given. Tonier Cain's Presentation Only..$30 External Prescribers $25 CME Fee (In addition to Registration Fee and will be paid at CME table.) Payment Processing Check, money order, and purchase order will be accepted. Credit card payment can be made through PayPal at or by providing your credit card number. *An additional fee for registration processed through PayPal will be included in your credit card charge. Please make checks payable to: Memo: CEU Conference Please mail Check/ Money Order/Purchase Order to: P. O. Drawer 1108 Edinburg, TX ATTN: Doreen Willis CEU Conference If submitting a Purchase Order, please provide Purchase Order Number. Cancellation Policy By submitting my registration I understand that cancellation requests must be submitted in writing and fax to Doreen Willis at (956) A fee of $25.00 will be deducted from all refund requests received by October 19, Registrants who do not cancel by October 20, 2017 and do not attend the conference will be responsible for the full registration fee.

6 Please place an X next to the presentations you would like to attend. You will only be able to attend one presentation per session. Session I: 11:00 A.M. 12:00 P.M. A. Person Centered Recovery Planning: What Do We Know About Impact and Outcomes? by Dr. Janis Tondora B. The Evolution of Intellectual Disability Assessment by Dr. Geraldo Mireles C. Technology and the Future of Mental Health Delivery PTSD as an example by Dr. Marion Quinones Turn Page Over for Completion of Registration Information Send Registration form by Mail: Attn: Doreen Willis 1901 S. 24th Ave. Edinburg, TX OR dwillis@ttbh.org OR Fax: You can choose Session II or Session III to attend for the afternoon sessions OR choose to attend the 3-part series from 1:15 4:45 p.m. Please keep a copy of Sessions chosen and mail pages to TTBH. (Registration/Sessions/Meal Selection) Please Note: Both Ethics sessions must be attended in order to receive three (3) hours of credit. You cannot sign up for only one session for partial credit. Session times and speakers may change prior to the conference date. Session II: 1:15 P.M. 2:45 P.M. Session III: 3:00 P.M. 4:30 P.M. 1:15 P.M. 4:45 P.M. A. Screening, Brief Intervention & Referral to Substance Use Disorder Treatment by Stephen Vega and Eluterio Blanco A. Latino Folklore & Mental Healthcare by Dr. Antonio Zavaleta OR Trauma of Victimization Bullying (3-part series) (Must attend the 3 sessions to receive certificate.) B. Part 1-Ethics: Legal and Ethical Issues in Behavioral Health by Pam Beach B. Part 2-Ethics: Legal and Ethical Issues in Behavioral Health by Pam Beach

7 Platinum Sponsor South Texas Behavioral Health The Palms Behavioral Health Gold Sponsors Behavioral Health at Renaissance Cigna LACKS Furniture Corporate Sponsor Driscoll Health Plan Superior HealthPlan Peacock General Contractor Sunovion Pharmaceuticals Allergan