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AAC - 4th Annual Lifestyle Intervention National Conference: Intervening on Process Addictions at Home and in the Workplace
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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):
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.
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:
Objective 2: Utilize relevant assessments and appropriate treatments available to address co-occuring 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 3: Explain how to incorporate evidence-based practices for the diagnosis and treatment of clients facing addiction
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.
Identify significant differences between male and female substance abusers
Describe relationship of trauma to multi-addictive and co-occurring disorders
List relapse factors specific to the female's socialization
Describe conscious and subconscious patters that rule our lives
List good patterns that help us reach goals
State reasons why patterns could be limiting and hold you back
Identify how the trauma responses to flight, fight and freeze become acted out in the family impacted by addiction
Describe framework to assist family in grasping the concept of powerlessness
Name a variety of strategic interventions for use with family members in primary treatment
Name 2 resources that will provide them with tools to make proper treatment plans.
Explain how to work more closely with EA Professionals by utilizing the tools taught d
Use their newly acquired diagnostic skills related to sex
Define what an unhealthy relationship is
State who can be a part of unhealthy relationships
Explain how co-dependency can lead to unhealthy relationships
Differentiate between what does and what doesn't correlated to long-term change
Identify the process of Structured Family Recovery
List the eight essential elements that lead to lasting sobriety and how they are implemented into a family model
Explain how to deal with thorny issues in real-life inerventions
Summarize how to galvanize a fractured team
Answer diffcult objections from family and individual
Identify, recognize and influence behavoral patterns
Identifty the co dependance and family roles and gain tools to deal with them
Explain how the EAP can play a critical role in the employee's response to getting help.
List the role of the EAP in communicating with the workplace.
Summarize ow the EAP can maximize recovery success for an individual
Name the key hormones, their functions and how to test for them
Explain how hormones affect behavior, especially with those with addictions
Identify the approaches used to treat hormonal imbalances
Identify significant differences between male and female substance abusers
Describe relationship of trauma to multi-addictive and co-occurring disorders
List relapse factors specific to the female's socialization
Explore the positive aspects for having fear work
Explain how to get past fear during presentations
Summarize how to increase skills in engaging public speaking
Explain how individuals can have more than 1 addiction and how they interact with one another
Define the nature of process addictions
List the different types of addiction interaction
List key characteristics of the nine Enneagram personality types
Use the Enneagram as a tool to improve communication & resolve conflict.
Applying these models to guide sessions with clients,
Summarize how research shows are successful strategies in long-term weight control
Explain how behavior and cognition prohibits long-term success
Name simple strategies that lead to long-term success
Identify what is gambling & Identify the 9 DSM-V diagnostic criteria for pathological gambling
List the stages of problem gambling & Know how to assess for problem gambling
Name the policy issues of workplace gambling
Name the benefit of Invitational Intervention compared to surprise methods
Summarize the value of involving support systems for long-term positive outcome
Explain the delicate role of abstinence when treating Process Addictions.
Name the neurobiology of chemical and process addictions, and their relationship to escalat
List the biological and psychological traits that attract individuals to celebrity lifestyl
List three tools for screening and assessment of problem gamblers
Define the subtypes of problem gamblers
Utilize the ASAM Criteria for the purpose of referral and treatment planning
Identify blocks
Emphasize and encourage communications
Create compassion and curiosity with family members
Identify the resources available in the sexual addiction assessment process
Summarize current research as it relates to changes in sex addiction treatment and recovery
List unique challenges for high profile patients in sex addiction treatment and recovery
Identify at least two screening instruments for gambling disorder
Perform a DSM-5 diagnostic assessment for gambling disorder
Explain how to perform a six dimension ASAM assessment of the patient with a gambling disorder.
Explain how individuals can have more than 1 addiction and how they interact with one another
Define the nature of process addictions
List the different types of addiction interaction
Identify the understandthe stages of disordered gambling
Develop an understanding of the link between substance abuse and disordered gambling based on the DS
Name what treatment options are availabe for the different stages of disordered gambling.
Identify and discuss current research regarding the neurobiological associations between eating disorders and substance abuse
Explain the neurophysiologic and clinical similarities, differences, and interactions between an Eating Disorder and Substance Use
Conceptualize and develop a treatment plan specific to women who are dually diagnosed with both an Eating Disorder and Substance Use Disorder
Summarize the relationship between the clinician and the patient as a dance of attachment.
Describe entrainment and why those with problems generally solve them on their own while in your
Summarize the silence connected to "truth", the "actual", the eternal. This is where all the pow
Differentiate between shame and stigma in process addiction and recovery
Name four primary brain circuits in process addictions
Apply neuroscience to common stigmatizing messages in process addiction and recovery
Explain how trauma and neglect, affect commitment
Create a new monogamy agreement after infidelity
Explain how erotic recovery can heal developmental wounds after affairs
Define financial infidelity and shopping/spending addiction
Present and discuss origins and dynamics of various money disorders
Present and discuss treatment and intervention strategies for the home and workplace
Compare and contrast shared characteristics and risk factors for the eating disorder/substance us
Explain the recovery processes of eating disorders and substance use disorders.
Identify similarities and differences between treatment approaches and how to merge the two.
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:

Only Florida licensees need to answer this question.  Notice to Florida Licensees:  In order for us to report your hours to CE Broker, you MUSTprovide us with your Florida alpha-numeric license number (e.g., PY1234, SS123, MH1234, MT1234).  Please be sure you enter this number accurately, or CE Broker will not record your hours.
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