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AAC - 3rd Annual Lifestyle Intervention Conference
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Agreement
By completing this form, you attest that you have participated in all selected activities in thier entirety.
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the following:
The program was relevant to my work.
Content matched stated objectives.
Usefulness of handouts/AV.
Quality of facilities.
How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?
If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain in detail (e.g. session title, speaker name, situtation):
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
Having completed the activity, please rate your ability to meet each of the following objectives:

Explain the value of preparing the Safety Valve Team immediately after the intervention to give assistance to the treatment staff with diffusing toxic behavior

Verbalize a basic understanding of the evolution of the term Codependency
Participate in an experiential exercise utilizing a family systems approach
Discuss the 3 primary variables involved in lifetime patterns developed from insecure attachment
Describe the concept of the black hole of Addiction Interaction Disorder and how addictions in substances, processes, relationships, and core affect states interact
List the criteria for Addiction Interaction Disorder
Identify appropriate strategies and treatment for Addiction Interaction Disorder
Describe the effect of hormones on human behavior
Identify hormonal conditions
Explain how identifying hormonal imbalances improves therapeutic outcomes
Differentiate the benefits of Invitational Intervention compared to surprise methods
Communicate the value of involving support systems for long-term positive outcomes
Describe how Invitational Intervention leads to individual & family healing
List EAP models and how they identify addictions
Compare the EAP's teaching role to the overall organizational training provided by Human Resources
List the observable behaviors associated with any addiction
Identify the major changes in the field of sex addiction treatment over the past 30 years
Name the current issues in the treatment of sex addiction including current research trend and implications for treatment
Describe the challenges facing professionals working in the field of addiction and the identification of appropriate strategies to meet those challenges
Define the term compassion fatigue and identify symptoms of the impact of caring and compassion fatigue
Improve self-care skills by learning mindfulness and resilience techniques
Develop a self care action plan to follow as a means of improving professional competence as measured by an increase in positive therapeutic outcomes and professional satisfaction
List three ways to respond to resistance and motivate patients with eating disorders
Identify four myths about popular food trends (past and present), and how they can impact eating disorder treatment
Describe three therapeutic interventions and tools to improve the recovery process
Articulate 4 key skills used by Employee Assistance Program consultant to engage and assist employees, their family members, managers, other workplace connections in dealing with work/personal life issues, including process addictions
Identify 4 techniques and tasks of an on-site EAP in using screening and brief assessment with employees in order to help them access and use mental health and addiction treatment resources outside the corporation and to utilize existing community support, and corporation based healthcare support
Identify 3 strategies for working with managers, including Human Resource managers, to engage, assess, intervene with employees at risk due to decline in performance
Define employee theft and cite the prevalence of this in the U.S.
List the reasons why people steal from the workplace
Identify prevention and treatment strategies for employee theft
List ten key nutrients to include when designing a personal diet for brain recovery
Discuss what foods to avoid or minimize to prevent further brain deterioration
Demonstrate what is nutritionally necessary to ensure the regeneration of neurotransmitters
Describe a work-based intervention, which utilizes natural group process to decrease stress, build resilience, mutual support and a general state of well-being
List behavioral characteristics that contribute to the stress experienced by health care and workers
Describe and contrast Relaxation Response, Mindfulness, Cognitive Behavioral Therapy and Positive Psychology, and how these techniques contribute to stress
Discuss the role of insulin, leptin in the reward system
Discuss the role of fructose in generating reward, and in downregulation of dopamine receptors
Discuss the ubiquity of sugar in the food supply as a means to influence food consumption
Assist family members in structuring language to invite the addict to an intervention workshop
Give tools for specific invitational dialogue
Help the addicts feel safe in attending a workshop on addiction
Identify the areas of the country where the most critical mental health/substance abuse crisis exists, receive information about how states are addressing this national crisis, and clarify the difference between treatment and “boarding” of the patient in the emergency room
Compare and contrast how the lack of beds and lack of funding is being handled across various states, what measures are being taken to address the problem of treating the mentally ill and dually diagnosed and the benefit of inpatient vs. outpatient treatment
Analyze the alternatives and their effectiveness and apply them to the service that you provide through design of a therapeutic program that fits your needs
Identify codependent traits that frequently enable self defeating behavior
Discuss family of origin influences
Identify shared elements of the addiction and identify critical parameters that lead to stabilization
Introduce professionals to the specific role of the addiction professional as a consultant to the industry
Discuss the ethical issues the addiction professional faces when dealing with the industry
Teach how the industry may respond to social issues
Describe a variety of strategies to utilize with clients addressing foundational clinical issues
Distinguish a difference between false and honest forgiveness
Identify four reasons to disclose to children
List three ways in which the media has changed perceptions in American culture of the body, beauty and the development of eating disorders and obesity
Explain research on the exposure to media, including television and how it promotes the development of eating disorders
Discuss the effects of television viewing on food choice, food consumption and disordered eating
Demonstrate a methodology to help clients identify and explore the nature of pivotal lifespan experiences/responses and their connection to persistent high risk/maladaptive patterns of behavior related to problematic behavior and addiction
Conduct highly structured and dynamic group sessions using the Gerwe Orchestration Group process for both large and small group sessions
Facilitate G-OM case management tools in diagnosis, treatment planning, prognosis, aftercare planning/referral, integrating G-OM with ASAM dimensional criteria
Objective 1: Discover and develop protocols to serve their specific clientele who struggle with food, sex and gambling addictions
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Objective 2: Examine innovative methods, which will generate on-going support and advancement within the industy
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Please answer the following:
Do you believe this activity was appropriate for the scope of your professional activities?
Was the educational content scientifically sound?
If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?
Was the mode of education effective to learning?
If you answered "No" to any of the above questions, please explain.
Did you perceive any product/service/company/commercial bias in any educational session you attended or materials you received?
If you answered "Yes" to the above question, please detail the situation below (e.g. session title, speaker name):
Were you solicited by sales personnel in an educational room (other areas do not matter) while you attended this educational activity?
If you answered "Yes" to the above question, please explain in detail (e.g. who, when, where):
How much did you learn as a result of this education program?
What specifically did you learn during this activity that you intend to integrate into your practice?

What questions have arisen in your practice for which you need answers/strategies that you can implement?

What patient/client problems or patient/client challenges do you feel you are not able to address appropriately or to your satisfaction?
What problems are your patients/clients communicating to you that need attention or follow up?

Are you interested in basic, intermediate or advanced level trainings?

What barriers might you have that would interfere with implementation of new information learned from this training?

How can this training (the overall meeting) be improved to better impact competence, performance and/or patient/client outcomes?

Please rate your experience with online registration.
Please rate your experience with onsite registration and pick up of conference materials.
Did you feel the conference was well organized with appropriate communication while attending?
Did you find that the various tracks were beneficial in helping you choose which sessions to attend?
Please list some future tracks you would be interested in attending.
Did you find the conference workbook to be easily accessible and a valuable source of information about the conference?
Will you utilize the USB flash drive provided to review the powerpoints and handouts for each session?
Did you like the layout and close proximity of the meeting rooms and exhibit hall?
Did the Bellagio meet your expectations as a guest of the hotel?
If you did not stay on property, please let us know why.
Was the quality and quantity of the breakfast, lunches, and refreshments satisfactory?
Did you attend the evening event on Tuesday and feel this was a fun event which added value to your conference experience?
If you did not attend the evening event, please let us know why.
Do you feel the registration fee was appropriate for the amount of content, resources, and amenities provided?
Did the 2013 Lifestyle Intervention Conference meet your expectations? Please explain.

Additional Comments:

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