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Includes 3 hours Ethics CE Portland, OR March 22, 2012 DoubleTree Hotel Portland 1000 NE Multnomah St Portland, OR 97232 (503) 281-6111 PLEASE POST CMI Education Institute, Inc. P.O. Box 1000 Eau Claire, WI 54702 NON-PROFIT ORGANIZATION U.S. POSTAGE PAID EAU CLAIRE WI PERMIT NO. 32729 11030/MS Non-Profit Organization serving the educational needs of mental health professionals since 1980. Compassion Fatigue Prevention & Resiliency Check Location: Please print; staple duplicate forms. Eugene, OR, March 21, 2012 11030EUG Portland, OR, March 22, 2012 11030PRT Name_______________________________________Profession ___________________ Employer Name __________________________________________________________ Employer Address__________________________________Dept/Floor/Suite _________ City____________________________________County__________________________ State________ Zip ________________________________________________________ Home/Cell Ph ( _____ ) ________________________ Dept. Ph ( _____ )______________________ Email address________________________________________________________________________ Please note: For your convenience, confirmations are sent via e-mail MAIL CODE: __________________________________ (above name on mail panel) PAYMENT METHOD: Check enclosed payable to CMI Education Institute Purchase Order (attach copy) _______________________________________________________________ Charge to: MasterCard Visa Discover AE Name of Cardholder ________________________________ Exp. Date: _________ / _____________ Card #_______________________________________________________V-Code #: ______________ $79.99 Standard Seminar Tuition ($89.99 Day-of Seminar Tuition) $19.99* Transform Compassion Fatigue (distributed at seminar—saves you shipping cost!) *Attendees add applicable state and local taxes except in AK, DE, MT, NH, OR. I’m an AAB Member. Take $25 off my registration fee. My# is: _______________________________ e REGISTRATION FORM e 4 WAYS TO REGISTER Z PHONE: (800) 844-8260 FAX: (800) 554-9775 ONLINE: at www.pesi.com MAIL TO: CMI Education Institute, Inc. PO Box 1000, Eau Claire, WI 54702 # CAN'T ATTEND THE SEMINAR? See below for individual product orders Product total $ ________ *Shipping ________ Subtotal ________ **Tax ________ TOTAL ________ **Residents add applicable state and local taxes except in AK, DE, MT, NH, OR. *Shipping is $6.95 first item + $2.00 each add’l item. Valuable Seminar For Professionals Counselors • Psychotherapists • Psychologists • Social Workers • Addiction Counselors • Case Managers Marriage & Family Therapists • Nurses • Mental Health Professionals Eugene, OR March 21, 2012 Valley River Inn 1000 Valley River Way Eugene, OR 97401 (541) 687-0123 Special Offer! Limited Time! Discover and implement 5 skills for professional & personal resiliency Take home evidence-based compassion resiliency skills Gain self-regulation skills for yourself—and then teach your clients these techniques to eradicate stress from their lives Recapture your sense of mission, purpose, hope and joy in your career helping others Featuring Michael G. Rank, Ph.D. Expert in the treatment of Compassion Fatigue $ 79 only For 6 Credits .99 Also available on DVD! $ 79 only For 6 Credits .99 Eugene, OR .......................... Wed., March 21, 2012 Portland, OR .....................Thurs., March 22, 2012 For locations and maps, go to www.pesi.com, find your event, and click on seminar title Prevention & Resiliency Featuring Michael G. Rank, Ph.D. Expert in the treatment of Compassion Fatigue Eugene, OR .......................... Wed., March 21, 2012 Portland, OR .....................Thurs., March 22, 2012 Prevention & Resiliency $79.99 Compassion Fatigue DVD/Digital Manual Self-Study Package (ZNV042685) Save $90 on this DVD! Promo Code: CFPR (Expires 03/22/2012) $19.99 Transform Compassion Fatigue book* (PUB010230)

REGISTRATION FORM Compassion Fatigue Prevention ... · of continuing education instruction. Credit requirements and approvals vary per state board regulations. You should save this

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Page 1: REGISTRATION FORM Compassion Fatigue Prevention ... · of continuing education instruction. Credit requirements and approvals vary per state board regulations. You should save this

Includes 3 hours Ethics CE

Portland, OR March 22, 2012

DoubleTree Hotel Portland 1000 NE Multnomah St

Portland, OR 97232 (503) 281-6111

PLEA

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MS Non-Profit Organization serving the

educational needs of mental health professionals since 1980.

Compassion Fatigue Prevention & Resiliency Check Location: Please print; staple duplicate forms.

Eugene, OR, March 21, 2012 11030EUG Portland, OR, March 22, 2012 11030PRT

Name_______________________________________Profession ___________________

Employer Name __________________________________________________________

Employer Address__________________________________Dept/Floor/Suite _________

City____________________________________County__________________________

State________ Zip ________________________________________________________

Home/Cell Ph ( _____ ) ________________________ Dept. Ph ( _____ )______________________

Email address ________________________________________________________________________Please note: For your convenience, confirmations are sent via e-mail

MAIL CODE: __________________________________ (above name on mail panel)

PAYMENT METHOD: Check enclosed payable to CMI Education Institute Purchase Order (attach copy) _______________________________________________________________

Charge to: MasterCard Visa Discover AE

Name of Cardholder ________________________________ Exp. Date: _________ / _____________

Card #_______________________________________________________V-Code #: ______________

$79.99 Standard Seminar Tuition ($89.99 Day-of Seminar Tuition)

$19.99* Transform Compassion Fatigue (distributed at seminar—saves you shipping cost!) *Attendees add applicable state and local taxes except in AK, DE, MT, NH, OR.

I’m an AAB Member. Take $25 off my registration fee. My# is: _______________________________

e

R E G I S T R A T I O N F O R M

e

4WAYS TO REGISTER

Z PHONE: (800) 844-8260 FAX: (800) 554-9775 ONLINE: at www.pesi.com MAIL TO: CMI Education Institute, Inc.

PO Box 1000, Eau Claire, WI 54702

#CAN'T ATTEND THE SEMINAR? See below for individual product orders

Product total $ ________ *Shipping ________ Subtotal ________ **Tax ________ TOTAL ________**Residents add applicable state and local taxes except in AK, DE, MT, NH, OR.

*Shipping is $6.95 first item + $2.00 each add’l item.

Valuable Seminar For Professionals

Counselors • Psychotherapists • Psychologists • Social Workers • Addiction Counselors • Case Managers Marriage & Family Therapists • Nurses • Mental Health Professionals

Eugene, OR March 21, 2012

Valley River Inn 1000 Valley River Way

Eugene, OR 97401 (541) 687-0123

Special Offer! Limited Time!

• Discoverandimplement5skillsforprofessional& personal resiliency

• Takehomeevidence-basedcompassionresiliencyskills

• Gainself-regulationskillsforyourself—andthenteachyour clients these techniques to eradicate stress from their lives

• Recaptureyoursenseofmission,purpose,hopeandjoy in your career helping others

Featuring

Michael G. Rank, Ph.D. Expert in the treatment of Compassion Fatigue

$79only

For 6 Credits

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For locations and maps, go to www.pesi.com,

find your event, and click on seminar title

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Eugene, OR ..........................Wed., March 21, 2012

Portland, OR .....................Thurs., March 22, 2012

Prevention & Resiliency

$79.99 Compassion Fatigue DVD/Digital Manual Self-Study Package (ZNV042685) Save $90 on this DVD! Promo Code: CFPR (Expires 03/22/2012)

$19.99 Transform Compassion Fatigue book* (PUB010230)

Page 2: REGISTRATION FORM Compassion Fatigue Prevention ... · of continuing education instruction. Credit requirements and approvals vary per state board regulations. You should save this

RegistRation infoRmation

DVD Recording of Compassion Fatigue6 Credits for only $79.99! See order form for details.

oRdeR with youR RegistRation-save shipping

objectives

About Your Presenter

1 Summarize the causes, effects, treatments and prevention of compassion fatigue that include burnout, secondary traumatic stress & caregiver stress.

2 Explain how compassion fatigue erodes professional resiliency.

3 Implement skills for successful self-regulation.

4 Demonstrate an increased capacity to remain comfortable and maximally effective regardless of external demands.

5 Develop a personalized professional “moral compass” for the starting point for professional maturation and resiliency.

6 Implement simple, yet powerful, strategies to prevent the symptoms of Compassion Fatigue.

7 Create a self-directed, easy-to-use, personalized Professional Resiliency Plan.

Opening Exercise “Silent Witness”Viktor Frankl: That which is to give light must endure burning What is professional resiliency? Why caregiving work is “chronic pain” Causes and effects of stress in the caregiving workplace

Tools for Hope Perceived threat & the autonomous nervous systemSelf-Regulation & Intentionality

Compassion Fatigue What it is—and what it isn’t? Secondary traumatic stress Causes/cures/prevention Burnout Causes/cure/prevention The four maxims of professional resiliency

IntentionalityArticulation of intention From reactivity to intentionalityMission-focused living—resiliency and symptom reduction Empower clients with this powerful transformative process

Self-RegulationSelf-regulation vs. relaxationParasympathetic nervous system dominance Shifting from sympathetic to parasympathetic dominance for stress reduction forever!Self-regulation—learn how in 30 seconds!

Self-ValidationFrom weakness to strength Disruptions and weakening of the self through placating, people-pleasing, entitlement and indulgenceTools for developing, maintaining and strengthening self-hoodExercise: Compassionate self-supervision

Connection“I am never stronger than when I am asking for help”Four important functions of a support network Developing the support network

Self-CareSelf-care assessmentWhy it isn’t indulgenceRefueling—the necessity of “re-creative” activities Different modalities of self-care

ApplicationSELF-DIRECTED RESILIENCY PLAN FOR COMPASSION FATIGUE (Rank 2004)The five skills for resiliency to compassion fatigue into an easy-to-utilize self-care planImplementing the planClosing

This seminar has been identified by hundreds of professionals as life changing, essential and exhilarating. Join Dr. Michael Rank, trauma and compassion fatigue expert, and take home evidence-based compassion resiliency and prevention skills drawn from the Accelerated Recovery Program for Compassion Fatigue. Learn self-regulation—practical skills that are critical to your being maximally effective with your clients and improving treatment outcomes.

For the past 30 years, research has been steadily accumulating to demonstrate that caring has its costs. We now know that working with others who suffer from depression, pain, abuse and trauma have negative effects on the caregiver—many of which are potentially debilitating. Attend this seminar and learn powerful tools (the anti-bodies) that are critical for professional resiliency and integrate them into your practice immediately. Additionally, you will leave with techniques to teach and help your clients improve their lives.

Let Dr. Rank show you how to recapture your sense of mission, purpose, hope and joy in your career helping others.

Compassion Fatigue

**CMI Education Institute, Inc. offers continuing education programs and products under the brand names CMI Education Institute, Premier Education Solutions, PESI, and MEDS-PDN.

THIS COURSE INCLUDES 3.0 HOURS OF GENERAL ETHICS INSTRUCTION.

COUNSELORS: CMI Education Institute, Inc, is an approved provider of the National Board of Certified Counselors, NBCC

Provider #: 5637. We adhere to NBCC Continuing Education Guidelines. This course qualifies for 6.0 contact hours.

SOCIAL WORKERS: CMI Education Institute, Provider #1062, is approved as a provider for continuing education by

the Association of Social Work Boards, 400 South Ridge Parkway, Suite B, Culpeper, VA 22701. www.aswb.org. ASWB Approval Period: January 27, 2011-January 27, 2014. Social workers should contact their regulatory board to determine course approval. Social workers will receive 3.0 clinical and 3.0 (ethical) continuing education clock hours in participating in this intermediate course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

PSYCHOLOGISTS: CMI Education Institute, Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. CMI maintains responsibility for this program and its content. CMI is offering this activity for 6.0 hours of continuing education credit. Full attendance is required; no partial credits will be offered for partial attendance.

MARRIAGE AND FAMILY THERAPISTS: This activity consists of 360 minutes of continuing education instruction. Credit requirements and approvals vary per state board regulations. You should save this course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

ADDICTION COUNSELORS: CMI Education Institute is an approved provider of continuing education by the

National Association of Alcoholism & Drug Abuse Counselors (NAADAC), provider #: 00131. Full attendance is required; no partial credit will be awarded for partial attendance. This course qualifies for 7.0 contact hours.

NURSES/NURSE PRACTITIONERS/CLINICAL NURSE SPECIALISTS: This activity meets the criteria for an American Nurses Credentialing Center (ANCC) Activity. CMI Education Institute, Inc, is an approved provider by the American Psychological Association, which is recognized by the ANCC for behavioral health related activities. Full attendance is required; no partial credit will be awarded for partial attendance.

This activity qualifies for 6.0 contact hours.

OTHER PROFESSIONS: This seminar qualifies for 6.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

Continuting Credit information

Fed ID # 26-3896894 © 2012 CMI Education Institute, Inc.

REGISTER: on line, at www.pesi.com, or by phone, fax or mail. Credit card information, check, money order, or purchase order, along with the registration information, may be sent to CMI Education Institute, Inc., PO Box 1000, Eau Claire, WI 54702. Registration confirmations are sent via email. All registrations must be prepaid. Walk-ins are welcome, but admission cannot be guaranteed. If registering a week prior to the seminar, please call for space availability, 800-844-8260, Monday through Friday, 7:00 am to 5:00 pm, CST.

ada: Please contact CMI early for ADA needs, or special accommodations, 800-844-8260.

DISCOUNTED STUDENT RATES: As part of its mission to serve educational needs, CMI Education Institute offers a reduced rate of 50% off standard tuition for students. Go to www.pesi.com/students or call 800-844-8260 for details.

IF YOUR PLANS CHANGE … please contact us before the seminar date, you can exchange for a DVD/digital manual self-study package, a certificate to attend another CMI seminar, or receive a tuition refund less a $30 cancel fee. Substitutions are permitted at any time.

QUESTIONS? We would be happy to assist you, please call 800-844-8260, Monday through Friday, 7:00 am to 5:00 pm, CST or email [email protected]

BRING THIS TRAINING ON SITE: You can bring this program, and hundreds of other topics prepared by mental health professionals, to your workplace, customized to your needs, and your convenience. Call 800-844-8260.

NO RISK CMI GUARANTEE: Your satisfaction is our guarantee. If you are not satisfied with this conference, call, write or email us, and we’ll make it right!

REDUCED TUITION OPTION: $30 Tuition. If you are interested in being our registration coordinator for the day, go to: www.pesi.com for availability and job description, or call our Customer Service Dept. at 1-800-844-8260.

8:00 REGISTRATION 8:30 PROGRAM BEGINS12:00-1:00 LUNCH (ON YOUR OWN) 4:00 PROGRAM ENDS

P R O G R A M S C H E D U L E

MichAel G. rAnk, Ph.D. is a tenured associate professor at the University of South Florida (USF), School of Social Work and an international scholar and researcher. He is a decorated Vietnam veteran, having served as a combat infantryman in the U.S. Army between 1969-1970. Michael directed Family Advocacy and Children Have a Potential (CHAP) programs for the United States Air Force; was a Team Leader for the Veterans Administration Vet Center program, and was a director of Employee Assistance Programs for Family Service America. In addition to the clinical services required by each of these positions, he also maintained a private practice specializing in treating stress and anxiety disorders.

Michael has researched, published, and presented seminars and workshops about veterans’ issues, treating veterans and their families, the psychological effects of biological and chemical disasters, critical incident stress debriefing, traumatic stress, posttraumatic stress disorder and compassion fatigue. Most notably he completed an investigation of the experiences of survivors of traumatic stress in three countries: Nicaragua, the Dominican Republic, and selected counties in South Florida, which was funded by the Office of Naval Research through the USF Center for Disaster Management and Humanitarian Assistance. He has also created a bioterrorism training protocol for mental health preparedness funded by the Department of the Army.

Michael received his doctorate in Social Work Education from the University of South Carolina, his master’s degree in Social Work from Bryn Mawr College, and his B.A. in Sociology from Bloomsburg University.

Transform Compassion Fatigue: How to Use Movement & Breath to Change Your LifeBy Karl LaRowe, MA, LCSW “As caregivers, we cannot stop or block compassion fatigue, but we can transform it into something positive.”

Compassion Fatigue is secondary traumatic stress and is pervasive among professional and family caregivers. It is physical, emotional, mental and even spiritual exhaustion that can result from absorbing and internalizing the pain and

suffering of the people you care for.

Transform Compassion Fatigue: How to Use Movement and Breath to Change Your Life is your guide to specific, real-life solutions to address Compassion Fatigue. Discover how secondary trauma is absorbed and internalized into the body and mind, leaving you exhausted, burned out and depressed. Be introduced to the practice of FlowMotion™. Based on Qigong, an ancient Chinese martial art used to harmonize breath, energy and movement, FlowMotion™ provides real and immediate relief from the exhaustion of compassion fatigue so that you feel better now.