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*Full Name (to appear on name badge): ______________________________________________________ *Credentials (to appear on name badge): __________________ Company/Institution: _________________________________ *Address: ____________________________________________ *City/State/Zip: ______________________________________ Phone: ______________________________________________ *Email Address: ______________________________________ Please indicate any special dietary needs: ______________________________________________________ CONFERENCE REGISTRATION FEES Check all that apply Thursday Pre-Conference Workshop: $25 Conference Registration (Thursday Evening/Friday) $250 – WPA Members $350 – Non-Member Physicians $250 – Other Providers: PAs, NPs, RNs $25 – Residents & Medical Students Thursday Evening Dinner Program Only: $75 Thursday Dinner Guest of Registered Attendee: $50 Guest’s Name: _______________________________________ TOTAL DUE: _______________ METHOD OF PAYMENT Check (payable to WPA) Credit Card: VISA MasterCard Discover Card Number: _______________________________________ Expiration Date: __________ Security Code: ____________ Billing Address (if different from address above): Name on Card: ______________________________________ Signature: ___________________________________________ Please return registration form and payment to: Wisconsin Psychiatric Association 563 Carter Court, Suite B, Kimberly, WI 54136 Email: [email protected] Fax: 920-882-3655 | Phone: 920-560-5643 WPA 2019 FALL CONFERENCE REGISTRATION FORM Visit www.TheWPA.org to register online Wisconsin Psychiatric Association 563 Carter Court, Suite B Kimberly, WI 54136 ATTENDEE REGISTRATION Register online at www.TheWPA.org Jointly provided by the American Psychiatric Association and the Wisconsin Psychiatric Association SUICIDE: A Population Approach to Prevention WPA 2019 Fall Conference September 12-13, 2019 Saint Kate the Arts Hotel, Milwaukee PRE-CONFERENCE TRAIN-THE-TRAINER WORKSHOP Typical or Troubled? School Mental Health Education Program Faculty: Christopher Seeley, MSW; Program Director, School and Justice Initiatives, APA Foundation Overview While adolescence is a difficult time for many students, there is a real difference between “typical” youth behavior and signs of “trouble.” Training teachers, administrators and coaches to recognize the difference can better their students’ lives. Mental health concerns in students are real, may be painful and, if left untreated, can have serious, life changing consequences. Early recognition, intervention and treatment of mental health concerns make a positive and lasting difference in an adolescent’s life. Background Typical or Troubled? ® was developed by the American Psychiatric Association Foundation (APAF) and recently redeveloped with input from APA members as a school-based mental health program to promote educator and staff understanding and identification of psychiatric problems in adolescent students. For more than 10 years, the program has equipped teachers, coaches and school personnel with the knowledge needed to recognize the warning signs of mental health concerns and what course of action to take in addressing potential issues. Early referral for treatment is key in preventing or lessening maladaptive outcomes. Evidence-based reviews support the implementation of school-based programs for altering negative trajectories and giving youth the greatest chance possible at a healthy future. Certification This workshop trains participants to become certified instructors, so they can then bring training sessions into schools throughout their community. Certification allows members to effectively train the staff of middle and high schools to: • NOTICE early warning signs of mental health and other distress • TALK with the individual about what they have noticed, and • ACT to connect them to support services. This workshop is supported in part by an educational grant from Professional Risk Management Services, Inc. (PRMS).

WPA 2019 FALL CONFERENCE PRE-CONFERENCE TRAIN-THE … · Association (WPA). The APA is accredited by the ACCME to provide continuing medical education for physicians. DESIGNATION

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Page 1: WPA 2019 FALL CONFERENCE PRE-CONFERENCE TRAIN-THE … · Association (WPA). The APA is accredited by the ACCME to provide continuing medical education for physicians. DESIGNATION

*Full Name (to appear on name badge):

______________________________________________________

*Credentials (to appear on name badge): __________________

Company/Institution: _________________________________

*Address: ____________________________________________

*City/State/Zip: ______________________________________

Phone: ______________________________________________

*Email Address: ______________________________________

Please indicate any special dietary needs:

______________________________________________________

CONFERENCE REGISTRATION FEES Check all that apply

Thursday Pre-Conference Workshop: $25

Conference Registration (Thursday Evening/Friday)

$250 – WPA Members

$350 – Non-Member Physicians

$250 – Other Providers: PAs, NPs, RNs

$25 – Residents & Medical Students

Thursday Evening Dinner Program Only: $75

Thursday Dinner Guest of Registered Attendee: $50

Guest’s Name: _______________________________________

TOTAL DUE: _______________

METHOD OF PAYMENT

Check (payable to WPA)

Credit Card: VISA MasterCard Discover

Card Number: _______________________________________

Expiration Date: __________ Security Code: ____________

Billing Address (if different from address above):

Name on Card: ______________________________________

Signature: ___________________________________________

Please return registration form and payment to:

Wisconsin Psychiatric Association 563 Carter Court, Suite B, Kimberly, WI 54136

Email: [email protected] Fax: 920-882-3655 | Phone: 920-560-5643

WPA 2019 FALL CONFERENCE REGISTRATION FORM

Visit www.TheWPA.org to register online

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ATTENDEE REGISTRATION

Register online at www.TheWPA.org

Jointly provided by the American Psychiatric Association and the Wisconsin Psychiatric Association

SUICIDE: A Population Approach to Prevention

WPA 2019 Fall Conference

September 12-13, 2019

Saint Kate the Arts Hotel, Milwaukee

PRE-CONFERENCE TRAIN-THE-TRAINER WORKSHOP

Typical or Troubled? School Mental Health Education Program

Faculty: Christopher Seeley, MSW; Program Director,

School and Justice Initiatives, APA Foundation

Overview While adolescence is a difficult time for many students, there is a real difference between “typical” youth behavior and signs of “trouble.” Training teachers, administrators and coaches to recognize the difference can better their students’ lives.

Mental health concerns in students are real, may be painful and, if left untreated, can have serious, life changing consequences. Early recognition, intervention and treatment of mental health concerns make a positive and lasting difference in an adolescent’s life.

Background

Typical or Troubled?® was developed by the American Psychiatric Association Foundation (APAF) and recently redeveloped with input from APA members as a school-based mental health program to promote educator and staff understanding and identification of psychiatric problems in adolescent students. For more than 10 years, the program has equipped teachers, coaches and school personnel with the knowledge needed to recognize the warning signs of mental health concerns and what course of action to take in addressing potential issues. Early referral for treatment is key in preventing or lessening maladaptive outcomes. Evidence-based reviews support the implementation of school-based programs for altering negative trajectories and giving youth the greatest chance possible at a healthy future.

Certification This workshop trains participants to become certified instructors, so they can then bring training sessions into schools throughout their community. Certification allows members to effectively train the staff of middle and high schools to:

• NOTICE early warning signs of mental health and other distress

• TALK with the individual about what they have noticed, and

• ACT to connect them to support services.

This workshop is supported in part by an educational grant from Professional Risk Management Services, Inc. (PRMS).

Page 2: WPA 2019 FALL CONFERENCE PRE-CONFERENCE TRAIN-THE … · Association (WPA). The APA is accredited by the ACCME to provide continuing medical education for physicians. DESIGNATION

COURSE DESCRIPTIONAs the 10th leading cause of death in the United States and the second leading cause of death (after accidents) for people aged 10 to 34, suicide is a serious public health problem. Yet, suicide is preventable. Knowing the risk factors and recognizing the warning signs for suicide can help prevent suicide. This conference will explore mental health disparities and risk factors related to suicide, and the importance of documentation for reducing risk.

LEARNING OBJECTIVES • Discuss risk factors of suicide • Describe suicide disparities among youth,

young adults and adults • Describe the Zero Suicide Initiative and discuss

its pros and cons • Discuss the relation between firearm

prevalence and suicide rates • Examine state level governmental policy

on suicide

CONFERENCE HANDOUTSConference handouts will be available electronically approximately one week prior to the conference, providing attendees with the option to review, download or print the materials in advance. No printed session handouts will be available on site.

EVALUATION & CLAIMING CREDIT At the conclusion of this activity, participants will be provided with a link to use the APA’s Learning Management System (LMS) in order to complete an evaluation and claim credit. After completing the program evaluation, attendees may print their certificate.

CME ACCREDITATIONThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American Psychiatric Association (APA) and Wisconsin Psychiatric Association (WPA). The APA is accredited by the ACCME to provide continuing medical education for physicians.

DESIGNATIONThe American Psychiatric Association designates this live activity “WPA Fall Conference, Suicide: A Population Approach to Prevention” for a maximum of 8 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Psychiatric Association designates this live activity “Typical or Troubled? Instructor Certification Training” for a maximum of 4.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

TARGET AUDIENCE This activity is designed for psychiatrists, behavioral health providers, primary care providers, residents and medical students.

LOCATION Saint Kate the Arts Hotel 139 E Kilbourn Av., Milwaukee WI 53202

HOTEL ACCOMMODATIONSReserve your overnight accommodations before August 20, 2019 to receive the WPA group rate of $164. Call the hotel directly at 414-488-0540 and request the WI Psychiatric Association room block. Or, find the custom hotel reservations weblink on the conference page at www.TheWPA.org/event/2019Fall.

REGISTRATION DETAILSWPA is pleased to offer the member registration rate for this conference to NPs, PAs, RNS and other advanced practice providers. See Registration Form for fee information or contact [email protected] with questions.

Conference registration fees include lecture presentations, electronic access to handouts, meals, breaks and access to exhibit hall on Friday. All cancellations/requests for refund must be received by August 20 and will be subject to a $50 cancellation fee.

QUESTIONS?Please contact the WPA office at 920-560-5643 or [email protected] with questions.

9:00 - 10:00 am Gun Violence and Suicide Rahn Bailey, MD

10:00 - 10:30 am Networking Break/Visit with Exhibitors

10:30 - 11:20 am How to Talk with Your Patients about Guns and Gun Safety Gene Yang, MD

11:20 am - 12:20 pmReadin’, Ritin’ and Reduction of Risk: The Art of High Acuity Documentation Tony Thrasher, DO

12:20 - 1:20 pmLunch & Networking/Visit with Exhibitors 1:20-2:30 pmPanel Debate: Pros & Cons of The Zero Suicide Initiative Steven Garlow, MD; Claudia Reardon, MD; John Schneider, MD; Justin Schoen, MD

2:30 - 3:00 pm Networking Break/Visit with Exhibitors 3:00 - 3:40 pm Private Screening & Moderated Discussion Hoan Alone: Personal Stories from the Bridge Aaron Johnson, Producer & Director 3:40-4:45 pm Policy Impact and the Speaker’s Task Force on Suicide PreventionModerator: Kimberly Kane

4:45 - 5:30 pm Post-Conference Reception

PROGRAM PLANNING COMMITTEE

• Katrina Hickle-Koclanes, MD, Chair • John Schneider, MD, Co-Chair • Jeffrey Marcus, MD • Michael Peterson, MD • Justin Schoen, MD

PARTICIPATING FACULTY

• Rahn Bailey, MD, DFAPA, NMA COBB Research Institute

• Steven Garlow, MD, PhD, University of Wisconsin • Aaron Johnson, Plum Media • Kimberly Kane, Kane Communications Group • Sarah Kohlbeck, MPH, Medical College of

Wisconsin • Claudia Reardon, MD, University of Wisconsin • John Schneider, MD, Milwaukee County

Behavioral Health Division • Justin Schoen, MD, Marshfield Clinic • Tony Thrasher, DO, DFAPA, Milwaukee County

Behavioral Health Division • Gene Yang, MD, University of Wisconsin

CONFERENCE SCHEDULE (subject to change)

Thursday, September 12, 2019 11:00 am - 4:00 pm Pre-Conference Training Workshop Typical or Troubled? Engaging the Community in Early Recognition of Mental Health Concerns 6:15 - 7:15 pmAttendee Reception & Dinner 7:15 - 8:30 pm Mental Health Disparities and Suicide Rahn Bailey, MD

Friday, September 13, 2019

7:00 - 8:00 am Registration/Breakfast with Exhibitors 8:00 - 9:00 am Suicide in Wisconsin: Addressing Adolescent and Young Adult Risk Factors Sarah Kohlbeck, MPH