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					ICISFConference
The latest training and education on                                                                                      Who Should

Comprehensive
                                                                                                                            Attend...


Crisis Intervention Systems
                                                                                                                                 This ICISF
                                                                                                                  Regional Conference is a
                                                                                                                   must attend experience


                       Minneapolis, MN
                                                                                                                    for anyone working in
                                                                                                                               the fields of:
                                                                                                                        crisis intervention,

                       April 26-29, 2007                                                                                     mental health,
                                                                                                                           traumatic stress,
                                                                                                                              spiritual care,
      Pre-Conference Workshop: April 25, 2006                                                                       emergency services &
      The Bullet Proof Mind: Mental Preperation for Comabt (see page 7 for details)                                 disaster mental health.

  Session I: Thursday & Friday          Session II: Saturday & Sunday
  Two Day Classes                       Two Day Classes
  u Individual Crisis Intervention & Peer Support   u Group Crisis Intervention
  u Advanced Group Crisis Intervention              u Strategic Response to Crisis
  u Law Enforcement Perspectives                    u Line of Duty Death: Preparing the Best for the Worst
  u CISM: When Disaster Strikes: Linking Emer-      u Domestic Terrorism and Weapons of Mass
    gency Management with Stress Management           Destruction: A CISM Perspective
  u CISM in the Healthcare Setting                  u Early Intervention and Crisis Response in EAP
                                                                                                                    International Critical
                                                      and Behavioral Healthcare Settings                                   Incident Stress
                                                    One Day Class                                                        Foundation, Inc.
                                                    u Psychotraumatology: A Cognitive Therapeutic                 3290 Pine Orchard Ln.
Benefits of attending...                                Approach                                                                 Suite 106
                                                                                                                          Ellicott City, MD
   4   Training in the ICISF-model from renowned instructors                                                                        21042
   4   Continuing Education toward your license (see page 8 for specifics)                                          Tel: (410) 750-9600
   4   Networking with other CISM practitioners from around the World                                              Fax: (410) 750-9601
   4   Opportunity to discuss issues facing you or your team with ICISF                                          Emerg: (410) 313-2473
       faculty & staff                                                                                           Website: www.ICISF.org
                                                                                                       ICISFConference•Minneapolis, MN Page 1
  Letter from ICISF’s
  Executive Director
  Dear Colleague:
                                                 Conference Location                                  Secure Online Registration for this
                                                    and Lodging                                                 Conference:
  The need for trained crisis                   THE MINNEAPOLIS, MN CONFERENCE                            https://www.icisf.org/registration
  responders has never been
                                                         WILL BE HELD AT THE
  greater. War, terrorism, natural                                                                                        2007
                                                                                                     Register by April 9, 2007 to qualify for
  disasters, as well as various            THE HYATT REGENCY MINNEAPOLIS                                the lowest registration price
                                                                                                                                  price.
  “small-scale” critical incidents           A block of sleeping rooms is being held at the
  with significant local impact          Hyatt Regency Minneapolis, 1300 Nicollet Mall,
  (Line of Duty Death, as an             Minneapolis, Minnesota, 55403. This limited num-
                                                                                                    Register On-Line and earn a chance
  example) take their emotional toll
                                         ber of rooms has been reserved at a special dis-
                                                                                                                to WIN your
  on those directly and indirectly
                                         counted rate for conference attendees of $129.00 +            Minneapolis, MN Conference
  involved. By attending this ICISF
  conference, you will become a          tax and can be reserved by calling (800) 233-1234                 Registration for FREE!
  part of a caring community of          or (612) 370-1234 or fax (612) 370-1463. To                   For every 50 Minneapolis, MN Conference on-line
  thousands trained to help the          obtain this rate, please identify yourself as an          registrations received by April 9, 2007, ICISF will hold
  helpers and others impacted by                                                                   one prize drawing on-site during the Minneapolis, MN
  traumatic events.
                                         attendee at the ICISF conference. These special
                                         rates can be guaranteed until April 9, 2007, or until     Conference from those registrants. The winner(s) will
  The multi-phase, multi-tactic          the block of rooms sells out, whichever comes first.      receive a refund of their Minneapolis, MN Conference
  process known as Critical                  u Attendees are responsible for their
                                                                                                   registration fees, up to a maximum of $350.The final
  Incident Stress Management has                                                                   refund amount excludes membership dues. Refund will
                                                own lodging arrangements, as well as
  become the standard of care                                                                      be paid to the original payor via the original registration
  utilized by agencies and commu-               air/ground transportation to and from
                                                                                                   payment method. Please allow three weeks for process-
  nities across the U.S. and around             the conference facility.
  the World when emergency
                                                                                                   ing of refunds.
                                             u Hotel may charge extra for parking.
  mental health assistance is needed
                                             u Registration confirmations are e-mailed
  after a crisis. I encourage you to
  attend this conference to increase            two weeks prior to course date.                      Please join us for a CISM Town Meeting
  your knowledge and expand your                                                                       Thursday, April 26, 2007 5:00 p.m.- 6:00 p.m.
  network. Consider participating                                                                       1) to improve communication between ICISF &
  in the “CISM Town Hall Meet-                                                                           CISM practitioners & CISM Teams in the field,
  ing,” and consider joining ICISF           For Local Minneapolis, MN                               2) discuss the most current developments in CISM and
  to maintain your connection with
  this community of committed and
                                                    Information:                                           3) assist in planning for the future of CISM.
  caring people.                             Steve Wickelgren (612) 879-0712                     This meeting is open to anyone interested in CISM and
  Warmest regards,
                                               Sue Johnston (612) 822-3925                       will be conducted by International Critical Incident Stress
                                                                                                                 Foundation, Inc. faculty.
   Don
  Donald R. Howell
                                                                                                             There is no charge for the meeting.
  Executive Director
                                                                                                 The location will be posted at the ICISF registration desk.

Page 2 ICISFConference•Minneapolis, MN
                                                                                                   Session One: Thursday & Friday, April 26 & 27
                                                                                                                                                Choose one class from the five listed on pages 3-4

Individual Crisis Intervention and Peer Support                    Advanced Group Crisis Intervention                                                  Law Enforcement Perspectives for CISM Enhancement
   Crisis intervention is NOT psychotherapy; rather it is a           This training program has been designed to provide participants with the            The “Law Enforcement Perspectives for CISM Enhancement”
specialized acute emergency mental health intervention             latest information on critical incident stress management techniques and            course provides a dynamic system perspective that examines an
which requires specialized training. As physical first-aid is to   post-trauma syndromes. The program emphasizes a broadening of the                   individual law enforcement officer with the psychological and
surgery, crisis intervention is to psychotherapy. Thus, crisis     knowledge base concerning critical incident stress interventions as well as         emotional pressures of the “Blue Culture.” This interactive program
intervention is sometimes called “emotional first-aid.” Most       Post-traumatic Stress Disorder, which was established in the “Group Crisis          will be an in-depth exploration of what is behind the “Blue Wall of
crisis interventions are typically done individually (one-on-      Intervention” program and/or in publications.NOTE: This course does not             Silence.” The course’s emphasis will provide insight and understanding
                                                                   provide basic CISD instruction, but rather addresses advanced concepts in           as to the stresses and pressures inherent in law enforcement. Partici-
one). This program is designed to teach participants the           CISD and CISM. Special emphasis will be placed upon troubleshooting
fundamentals of, and a specific protocol for, individual                                                                                               pants will learn crisis intervention techniques needed to support law
                                                                   difficult and complex situations. At the conclusion of this educational             enforcement officers and organizations.
intervention and increase Emergency Mental Health skills.          program, the participants will have been exposed to specific, proven
At the completion of this course, participants will be able        strategies to intervene with those suffering the ill effects of their exposure to      This training has been designed for law enforcement officers and
to: List at least four fundamental principles of crisis            trauma. The emphasis will be on advanced defusings and debriefings in               their families, CISM team members serving law enforcement agencies,
intervention; Describe common psychiatric symptoms after           complex situations such as Line of Duty Deaths and suicide of a colleague.          EAP, Human Resources and mental health professionals who interact
trauma; Demonstrate crisis communication techniques; and              The “Advanced Group Crisis Intervention” training has been developed             with the law enforcement community. At the end of this course,
List risk factors for suicide. (13 Contact Hours; 13 CE            to teach advanced crisis intervention,more specifically, the group                  participants will be able to: Understand the history of law enforce-
Credits for Psychologists; 13 PDHs for EAPs; 13 CE Hours           interventions of defusings and Critical Incident Stress Debriefings (CISD)          ment, the organizational structure and the role of police in society;
for Calif. MFTs & LCSWs; 13 Contact Hours for National             and Emergency Mental Health skills to those who are already trained in the          and Conceptualize functional dysfunctional survival skills in a system
Certified Addiction Counselors; OR 1.3 General CEUs from           critical incident stress debriefing format. Upon completion, participants           and how it fits into a law enforcement organization. (14 Contact
UMBC)*                                                             will be able to: Discuss the pathological consequences of traumatic stress;         Hours; 14 CE Credits for Psychologists; 14 PDHs for EAPs; 14 CE
   Completion of “Individual Crisis Intervention and               Understand the theoretical basis for CISM and research evidence regarding           Hours for Calif. MFTs & LCSWs;14 Contact Hours for National
Peer Support” and receipt of a certificate indicating              CISM; and Conduct a CISD. (14 Contact Hours; 14 CE Credits for                      Certified Addiction Counselors OR 1.4 General CEUs from UMBC)*
full attendance (13 Contact Hours) qualifies as a CORE             Psychologists; 14 PDHs for EAPs; 14 CE Hours for Calif. MFTs & LCSWs;                  Completion of “Law Enforcement Perspectives for CISM
                                                                   14 Contact Hours for National Certified Addiction Counselors; OR 1.4                Enhancement” and receipt of a certificate indicating full
class in ICISF’s Certificate of Specialized Training Pro-
                                                                   general CEUs from UMBC)*                                                            attendance (14 Contact Hours) qualifies as a class in
gram.                                                                 Completion of “Advanced Group Crisis Intervention” and                           ICISF’s Certificate of Specialized Training Program.
                                                                   receipt of a certificate indicating full attendance (14 Contact
Individual Crisis Intervention and Peer Support                    Hours) qualifies as a CORE class in ICISF’s Certificate of
Instructor to be Determined                                        Specialized Training Program.                                                       Law Enforcement Perspectives for CISM Enhancement
Days 1 & 2 (8:30 a.m. - 4:30 p.m.)                                                                                                                     Taught by Peter Volkmann, LMSW
  • Concept of CISM as a comprehensive crisis interven-            Advanced Group Crisis Intervention                                                  Day 1 (8:30 a.m. - 5:00 p.m.)
     tion program                                                  Taught by Jeffery M. Lating, PhD                                                      • History of Law Enforcement
  • Understanding the role that individual crisis interven-        Day 1 (8:30 a.m. - 5:00 p.m.)                                                         • Organizational Structure of Law Enforcement Departments
     tion plays in the comprehensive CISM program                    • Defining a crisis                                                                 • Roles of Police and Corrections in Society
  • Basic terms and concepts relevant to the study of                • The nature of crisis intervention                                                 • Understanding the Blue Culture
     crisis, traumatic stress and crisis intervention                • “Standard of care” issues                                                         • Functional Dysfunctionalism-A Systems Perspective
  • Differential utilities of selected crisis communication          • A rationale for CISM                                                                of Law Enforcement Survival
  • Psychological reactions to crisis and trauma including           • Mechanisms of action in CISM                                                      Day 2 (8:30 a.m. - 5:00 p.m.)
     common psychopathological conditions                            • Psychotherapy vs. crisis intervention                                             • Stress in Law Enforcement
  • SAFER protocol for individual crisis intervention and            • Post-traumatic Stress Disorder                                                    • Suicide in Law Enforcement - the Taboo Topic
     its role in comprehensive CISM                                  • Research outcomes in CISM                                                         • Line of Duty Death - Special Needs and Considerations
  • Use of the SAFER protocol for individual crisis                Day 2 (8:30 a.m. - 5:00 p.m.)                                                         • Police Shootings and CISM Applications
     intervention                                                    • Disasters and CISM                                                                • Addictions in Law Enforcement - confronting Addiction
  • Practice in the use of the SAFER protocol for                    • Lessons learned in CISM                                                             Topics
     individual crisis intervention                                  • Common mistakes in defusings and CISD                                             • Breaking the Blue Wall of Silence - Applications of CISM
  • Common problems encountered while working with                   • Troubleshooting the Critical Incident Stress Debriefing (CISD)
     individuals in crisis                                           • Practice in defusings
                                                                     • The multi-incident CISD
                                                                     • Multiple Line of Duty Death
                                                                     • Symbolic Debriefings
                                                                     • Multiple Incident Debriefings
                                                                     • Comprehensive CISM approach to complex situations


                                         Secure Online Registration for this Conference:
                                              https://www.icisf.org/registration/
                        *Refer to page 8 for complete details about continuing education available at this conference.
                                                                                                                                                                          ICISFConference•Minneapolis, MN Page 3
  Session One: April 26 & 27                                                                                                                              Session Two: Saturday &
  Choose one class from the five listed on pages 3-4
                                                                                                                                                          Sunday, April 28 & 29
  CISM: When Disaster Strikes: Linking Emergency                                CISM in the Healthcare Setting                                            Group Crisis Intervention
  Management with Stress Management                                                  The effects of acute, chronic, and cumulative stress in the             The “Group Crisis Intervention” training program is
     “CISM: When Disaster Strikes: Linking Emergency Management                 healthcare environment are becoming increasingly obvious. However,        designed to present the core elements of a comprehensive,
                                                                                the healthcare setting provides unique challenges in providing            systematic and multicomponent crisis intervention curriculum.
  with Stress Management” is designed as a primer course for fire,                                                                                        The two day course prepares participants to understand a wide
  police, emergency medical services, emergency managers, doctors,              effective CISM interventions. This course will examine the types of
                                                                                stressors in healthcare and approaches to critical incident interven-     range of crisis intervention services including pre and post
  nurses, mental health professionals, clinicians, practitioners, current                                                                                 incident crisis education, significant other support services, on-
  and future CISM Team members, chief executive officers of                     tions. Through facilitation and group exercises, the participants will
                                                                                explore assessment and implementation of a CISM program, CISM             scene support services, crisis intervention for individuals,
  municipalities and governmental agencies, as well as CEOs of business
                                                                                team development, legal issues facing healthcare providers, and           demobilizations after large scale traumatic incidents, small
  and industry. This course will serve as a basis upon which participants                                                                                 group defusings and the group intervention known as Critical
  will have an opportunity to interact with others responsible for the          special factors in the healthcare environment. Effects on family and
                                                                                personal coping styles will also be explored. This is a two-day           Incident Stress Debriefing (CISD). The “Group Crisis Interven-
  provision of Emergency Management activities and decisions during
                                                                                program for healthcare professionals who wish to explore the              tion” course specifically prepares participants to provide
  disasters and major emergency situations. Utilizing concepts of                                                                                         several of these interventions–specifically demobilizations,
  Emergency Management and Critical Incident Stress Management,                 implementation of a critical incident stress program in their
                                                                                organization or a multi-hospital team. The course is appropriate for      defusings and the CISD. The need for appropriate follow up
  participants will engage in several interactive exercises dealing with
                                                                                individuals who have not received ICISF’s “Group Crisis Interven-         services and referrals when necessary is also described.
  the various phases of Disaster Management. The role of CISM Teams                                                                                       Considerable evidence gathered to date strongly supports the
  deployed to disaster areas along with individuals and organizations           tion” training but does not replace that class. Delivery format
                                                                                includes a combination of facilitation, group exercises, dyads, and       multicomponent crisis intervention strategy, which is discussed
  who have preparedness, response, recovery and mitigation functions
                                                                                planning exercises. At the conclusion of this course, the participant     in this course.
  associated with disasters will be discussed. Participants will be able to:                                                                                 The “Group Crisis Intervention” course is designed to
  Relate how Emergency Management & Stress Management have                      will be able to: List situations that may be critical incidents in the
                                                                                healthcare setting; Discuss challenges in providing CISM services in      specifically teach crisis intervention and Emergency Mental
  developed and grown through the years; List the four phases of the
                                                                                the healthcare setting; Describe the types of CISM team interven-         Health skills such as demobilizations, defusing and CISD. At the
  Life Cycle of disasters and apply those cycles to Critical Incident                                                                                     completion of this course, participants will be able to: Define
  Stress Management team concerns; Identify several possible hazards            tions that are most effective in the healthcare setting; Describe CISM
                                                                                intervention and process issues in the healthcare setting; and Design a   stress, CIS, and PTSD; List the 10 basic interventions of
  and assess their risks, vulnerability & potential human impact; List 20
                                                                                CISM team for a healthcare organization. (13 Contact Hours; 13 CE         CISM; and Define and describe in detail the CISM group
  items of concern needed to deal with various aspects of disasters; and                                                                                  processes of Demobilizations, Defusings and Debriefings. (14
  Identify various CISM interventions to assist victims of disaster and         Credits for Psychologists; 13 PDHs for EAPs; 13 CE Hours for Calif.
                                                                                MFTs & LCSWs;13 Contact Hours for National Certified Addiction            Contact Hours; 14 CE Credits for Psychologists; 14 PDHs for
  be able to describe means of coping with the stress of disasters. (14                                                                                   EAPs; 14 CE Hours for Calif. MFTs & LCSWs; 14 Contact
  Contact Hours;14 PDHs for EAPs; 14 CE Hours for Calif. MFTs &                 Counselors OR 1.3 General CEUs from UMBC)*
                                                                                     Completion of “CISM in the Healthcare Setting” and                   Hours for National Certified Addiction Counselors; OR 1.4
  LCSWs; 14 Contact Hours for National Certified Addiction Counse-                                                                                        general CEUs from UMBC)*
  lors OR 1.4 General CEUs from UMBC; CE credits for Psychologists              receipt of a certificate indicating full attendance (13 Contact
                                                                                Hours) qualifies as a class in ICISF’s Certificate of Special-               Completion of “Group Crisis Intervention” and
  are not available for this course). *                                                                                                                   receipt of a certificate indicating full attendance (14
     Completion of “CISM: When Disaster Strikes: Linking                        ized Training Program.
                                                                                                                                                          Contact Hours) qualifies as a CORE class in ICISF’s
  Emergency Management with Stress Management” and                                                                                                        Certificate of Specialized Training Program.
  receipt of a certificate indicating full attendance (14 Contact               CISM in the Healthcare Setting
  Hours) qualifies as a class in ICISF’s Certificate of Special-                Taught by Patricia L. Tritt, RN, MA
                                                                                Day 1 (8:30 a.m. - 4:30 p.m.)                                             Group Crisis Intervention
  ized Training Program.
                                                                                  • Types of stressors in healthcare                                      Taught by Peter Volkmann, LMSW
  CISM: When Disaster Strikes: Linking Emergency                                  • Stress and critical incident interventions in the                     Day 1 (8:30 a.m. - 5:00 p.m.)
  Management with Stress Management                                                  healthcare setting: what works?                                        • General, cumulative, critical incident stress and PTSD
  Taught by Douglas J. Mitchell, MPA                                              • Types of interventions                                                  • High risk populations – emergency services, military,
  Day 1 (8:30 a.m. - 5:00 p.m.)                                                   • Lessons from peer support                                                 other
    • Chronicle and Foundations of Disaster Management                            • The nature of givers                                                    • ‘Critical Incidents’ – death, injury, threat, terror, etc.
    • Development and Outgrowth of Disaster Management                          Day 2 (8:30 a.m. - 4:30 p.m.)                                               • Critical Incident Stress Management (CISM) fundamentals
    • Four Attributes of Disaster Management                                      • CISM team development considerations                                    • Core intervention tactics
    • Grouping of Disasters                                                       • CISM team implementation considerations                                 • Demobilization
    • Components of Disasters and/or Emergencies                                  • Designing a CISM team                                                   • Defusing of small groups
    • Organizing for Disaster Management                                          • Policies for the organization                                         Day 2 (8:30 a.m. - 5:00 p.m.)
    • Incident Command System Overview                                            • The family perspective                                                  • Defusing Demonstration
  Day 2 (8:30 a.m. - 5:00 p.m.)                                                   • Personal coping techniques                                              • Essentials of group intervention, Critical Incident Stress
    • Hazard, Vulnerability and Potential Human Impact                            • Ripped from the headlines: cases                                          Debriefing (CISD)
      Assessment                                                                  • Advice and counsel to administration                                    • Assessing the need for CISD
    • Concept of Field Operations for CISM Teams                                  • Legal issues and CISM                                                   • Factors which enhance CISD success
    • Planning for CISM Activities During Disasters                               • Assessment and implementation of CISM services                          • Question/Answer
    • Disaster Communications
    • Responder and Victim Stresses
                                                                               Secure Online Registration for this Conference:
                                                                                    https://www.icisf.org/registration
                                                             *Refer to page 8 for complete details about continuing education available at this conference.
Page 4 ICISFConference•Minneapolis, MN
Session Two: Saturday & Sunday, April 28 & 29
Choose one class from the six listed on pages 4-6

Strategic Response to Crisis                                          Line of Duty Death: Preparing the Best for the Worst               Domestic Terrorism and Weapons of Mass Destruction:
   Knowing what sequence of crisis intervention processes to use         This interactive class has been designed to prepare             A CISM Perspective
for which individuals or groups, at what times, and under what        Emergency Service providers, military personnel, school
circumstances is crucial to all effective early intervention          administrators, municipal officials, CISM teams and others for         The United States is spending millions of dollars to prepare for, as
programs. The course will present essential information for the       what may be the toughest situation they will face. The             well as prevent, acts of terrorism. Physical destruction and death are
assessment of both crisis situations and the effects of critical      administrative and logistical aspects of a LODD are often          actually means to an end. The goals of terrorism are to induce
incidents on people involved in those situations. Participants        overwhelming to those individuals and agencies that are ill        psychological fear and trauma, to cause a collapse of social cohesion
will learn to create an effective plan of action to assist those in   prepared. This class will address many of those issues. Special    within communities, and ultimately undermine the government. Who
crisis. Strategic planning and tactical decision making are           attention will be given to pre-incident planning as well as to     are the terrorists? Are they revolutionaries, religious zealots, suprema-
emphasized, as are rationales for choosing one set of crisis          proper follow-up services. Upon completion, participants will      cists, agents of rogue states, anarchists or lone operators? What is
intervention processes over another. Participants will complete       be able to: Explain the emotional impact of a line of duty         terrorism? What are the risks for your community, organization, loved
a series of exercises designed to sharpen their assessment and        death or injury; Identify principles of verbal and written line    ones and self? We will take an in depth look at these issues including
crisis planning skills. This course builds confidence that crisis     of duty death or injury notification; Demonstrate awareness        conventional types of terrorism such as kidnapping, hijacking and
interventionists will make the right choices of interventions for     of additional resources on line of duty death or injury that are   bombings, as well as a detailed analysis of chemical, biological and
the populations they are assisting under specific circumstances.      available for different types of agencies/professions; Develop     nuclear/radiological threats, the weapons of mass destruction. Looking
   At the conclusion of this course, participants will be able to:    an administrative and a logistical action plan for a department    historically at acts of terrorism will provide us with information
Define strategic planning as it applies to crisis intervention;       or agency; and Define and describe in detail the debriefing        regarding reactions and long-term consequences of exposure to a
Outline the elements of the National Incident Management              steps of a line of duty death process. (13 Contact Hours; 13       terrorist act. Terrorist incidents differ from other disasters. Knowledge
System and relate those elements to crisis intervention; Describe     CE Credits for Psychologists; 13 PDHs for EAPs; 13 CE Hours        regarding these differences is essential to advanced preparation and
a comprehensive, integrated, systematic and multi-component           for Calif. MFTs & LCSWs; 13 Contact Hours for National             effective response. How do emergency responders deal with on-site
crisis intervention program; Participate actively in a planning       Certified Addiction Counselors OR 1.3 General CEUs from            risks? If it is chemical or biological warfare, are the reactions stress or
process designed to assist the participants in assessing target       UMBC)*                                                             exposure? What psychological reactions can we anticipate? How do we
populations and in determining the type, timing and resources            Completion of “Line of Duty Death: Preparing the                win psychological warfare? This course is essential for emergency
necessary to assist large numbers of people involved in a crisis;     Best for the Worst” and receipt of a certificate                   responders, CISM teams, mental health professionals, emergency
and Choose from a list the most important crisis intervention         indicating full attendance (13 Contact Hours) qualifies            managers, planners, chief executives, department heads of public and
tactics to apply in a simulated complicated or large scale crisis     as a class in ICISF’s Certificate of Specialized Training          private organizations, and others who will be involved with providing
event. (14 Contact Hours; 14 CE Credits for Psychologists; 14         Program.                                                           humanitarian services after an attack of domestic terrorism or a
PDHs for EAPs; 14 CE Hours for Calif. MFTs & LCSWs;14                                                                                    weapons of mass destruction incident occurs. (14 Contact Hours;14
Contact Hours for National Certified Addiction Counselors; OR         Line of Duty Death: Preparing the Best for the Worst               PDHs for EAPs; 14 CE Hours for Calif. MFTs & LCSWs; 14 Contact
1.4 general CEUs from UMBC)*                                          Taught by Paul V. Jockimo                                          Hours for National Certified Addiction Counselors OR 1.4 General
   Completion of “Strategic Response to Crisis” and                   Day 1 (8:30 a.m. - 4:30 p.m.)                                      CEUs from UMBC; CE credits for Psychologists are not available for
receipt of a certificate indicating full attendance (14                 • Introduction and statistical overview                          this course). *
Contact Hours) qualifies as a CORE class in ICISF’s                     • Emotional impact of LODD                                             Completion of “Domestic Terrorism and Weapons of Mass
Certificate of Specialized Training Program.                            • What makes it different                                        Destruction: A CISM Perspective” and receipt of a certificate
                                                                        • Family issues                                                  indicating full attendance (14 Contact Hours) qualifies as a
Strategic Response to Crisis                                            • Community                                                      class in ICISF’s Certificate of Specialized Training Program.
Taught by Jeffrey T. Mitchell, PhD                                      • Operational issues
Day 1 (8:30 a.m. - 5:00 p.m.)                                           • Delivery of death notification                                 Domestic Terrorism and Weapons of Mass Destruction:
  • Crisis Intervention Strategy                                        • Administrative issues                                          A CISM Perspective
  • What is Strategic Planning?                                         • Incident Command System                                        Taught by Douglas J. Mitchell, MPA
  • Elements of Effective Planning                                      • Delegation of liaisons/details                                 Day 1 (8:30 a.m. - 5:00 p.m.)
  • Steps in Developing the Plan                                        • Group activities                                                 • Nature of Terrorism
  • Task Analysis                                                     Day 2 (8:30 a.m. - 4:30 p.m.)                                        • Psychological profiles of terrorists
  Day 2 (8:30 a.m. - 5:00 p.m.)                                         • Funeral                                                          • Assessment of risks of terrorism
  • Planning Exercises                                                  • Cultural and religious differences                               • Common weapons of terrorism and mass destruction
  • Planning Models                                                     • Organization and logistics                                       • Overview of CISM elements useful in the response to terrorism
  • Application of Tactical Components                                  • Logistics and support                                          Day 2 (8:30 a.m. - 5:00 p.m.)
  • Discussion/Guidance                                                 • Post incident support                                            • Demobilization for emergency services personnel
This course requires previous training and experience.                  • Family                                                           • Crisis management briefing for communities
ICISF’s “Group Crisis Intervention” and “Individual                     • Organization/Agency                                              • Essential elements in winning the war against terrorism
Crisis Intervention and Peer Support” should be viewed                  • Community                                                        • Formulating a comprehensive crisis intervention response to
as prerequisites.                                                       • CISM Team operations                                                 terrorism
                                                                        • Lessons learned                                                  • Necessary skills for interventionists
                                                                                                                                           • Useful stress reduction techniques

                 Register On-Line and earn a chance to WIN your Minneapolis, MN Conference Registration for FREE!
                                           Refer to pg. 2 for more details and restrictions.
                                                  *Refer to page 8 for complete details about continuing education available at this conference.
                                                                                                                                                ICISFConference•Minneapolis, MN Page 5
  Session Two: Saturday & Sunday, April 28 & 29
  Choose one class from the six listed on pages 4-6
                                                                                                                                    Conference Faculty
                                                                                                                                    Jeffrey T. Mitchell, PhD, CTS, is Clinical Professor of Emergency
  Early Intervention and Crisis Response in EAP                       Psychotraumatology: A Cognitive Therapeutic Approach          Health Services at the University of Maryland in Baltimore County,
  and Behavioral Healthcare Settings                                     The “Psychotraumatology: A Cognitive Therapeutic           Maryland and President Emeritus of the International Critical Incident
  In the aftermath of domestic terrorism, Employee Assistance         Approach” workshop will be an in-depth presentation on the    Stress Foundation. He earned his Ph.D. in Human Development from
  Programs and Behavioral Health Programs are incorporating           nature and treatment of PTSD from a neurocognitive            the University of Maryland. After serving as a firefighter/paramedic he
  comprehensive early intervention and prevention services into       perspective. The instructor will guide the participants       developed a comprehensive, systematic, integrated and multi-compo-
  traditional workplace service models. Building and creating a       through the most recent research and theories on the          nent crisis intervention program called “Critical Incident Stress
  resilient workforce has become a priority for many business         neurological and psychological foundations of posttraumatic   Management.” He has authored over 250 articles and 10 books in the
  and government agencies and best practices for doing so have        stress with a focus upon treatment and prevention. This       stress and crisis intervention fields. He serves as an adjunct faculty
  become a matter of considerable debate. This interactive            workshop is designed for psychologists, social workers,       member of the Emergency Management Institute of the Federal
  seminar will explore the concepts of early intervention,            psychiatrists, psychiatric nurses and counselors who treat    Emergency Management Agency. He is a reviewer for the Journal of the
  prevention and crisis response with an emphasis on the most         PTSD victims or for those responsible for designing trauma    American Medical Association and the International Journal of
  recent recommendations and guidelines in an EAP or Behav-           prevention programs. At the completion of this course,
                                                                      participants will be able to: Define the scope of
                                                                                                                                    Emergency Mental Health. He has been honored by the Austrian Red
  ioral Health Services setting. Workplace violence prevention                                                                      Cross with the Bronze Medal for his work in Crisis Intervention. Dr.
  and response techniques will be addressed. Working with             psychotraumatology; Define the 2-factor model of PTSD;
                                                                      and Explain how to formulate a psychotherapeutic strategy     Mitchell is board certified in traumatic stress and credentialed as a
  traumatized employees who remain at risk for further exposure                                                                     Diplomate and a Member of the Board of Scientific and Professional
  to trauma, such as workers at previous terrorist attack sites,      for PTSD. (7 Contact Hours; 7 CE Credits for Psycholo-
                                                                      gists;7 PDHs for EAPs; 7 CE Hours for Calif. MFTs &           Advisors of the American Academy of Experts in Traumatic Stress. He
  federal buildings and correctional institutions, will be examined
  and discussed. Workshop participants will learn how to              LCSWs; 7 Contact Hours for National Certified Addiction       has been approved as a Certified Trauma Specialist by the Association
  implement and expand existing programming to accomplish             Counselors; OR .7 General CEUs from UMBC)*                    of Traumatic Stress Specialists. The United Nations has appointed him
  outreach, normalize stress and trauma reactions, provide               Completion of “Psychotraumatology: A Cognitive             to the United Nations Department of Safety and Security Working
  psycho-education, mitigate PTSD symptoms, promote                   Therapeutic Approach” and receipt of a certificate            Group on Stress.
  resilience and facilitate access to treatment.(14 Contact           indicating full attendance (7 Contact Hours) qualifies
  Hours; 14 CE Credits for Psychologists; 14 PDHs for EAPs;           as a class in ICISF’s Certificate of Specialized              Paul V. Jockimo is a veteran of over 17 years in Fire and EMS,
  14 CE Hours for Calif. MFTs & LCSWs;14 Contact Hours for            Training Program.                                             currently working for the Westchester County (NY) Department of
  National Certified Addiction Counselors; OR 1.4 general                                                                           Emergency Services. A member of the ICISF’s Speakers Bureau as well as
  CEUs from UMBC)*                                                    Psychotraumatology: A Cognitive Therapeutic                   an approved instructor, Paul has gained notice nationally not only for
       Completion of “Early Intervention and Crisis                   Approach                                                      speaking on CISM and LODD issues but for his motivational presenta-
  Response in EAP and Behavioral Healthcare Settings”                 Instructor to be Determined                                   tions as well. The subject of a 1974 book entitled “Don’t Feel Sorry for
  and receipt of a certificate indicating full attendance             One Day (8:30 a.m. - 4:30 p.m.)                               Paul”, he brings his unique life experience to his teaching style. In
  (14 Contact Hours) qualifies as a class in ICISF’s                    • Diagnostic Criteria for PTSD
                                                                        • PTSD as a spectrum disorder
                                                                                                                                    addition, Paul is the President of PVJ Consulting and is actively pursuing
  Certificate of Specialized Training Program.                                                                                      his degree in Social Work.
                                                                        • Biological Mechanisms of PTSD – Advanced Topics
  Early Intervention and Crisis Response in EAP and                     • Diagnosis of PTSD – Psychological Methods
                                                                        • Diagnosis of PTSD – Psychophysiological Methods           Jeffery M. Lating, PhD, is an Associate Professor of Psychology and
  Behavioral Healthcare Settings
                                                                        • Pathogenic Core of PTSD – Biological                      Director of Clinical Training at Loyola College in Maryland. He was
  Taught by Karen Wright, LICSW, SAP
  Day 1 (8:30 am - 5:00 pm)                                             • Pathogenic Core of PTSD – Psychological                   formerly the Chief Psychologist and Director of Clinical Training at
   • Role of EAP and Early Intervention                                 • Premorbid Personality in PTSD                             the Union Memorial Hospital in Baltimore. He earned bis BA in
   • Early Intervention Standards and Guideline                         • The use of Psychotropic Medications in Treatment of       psychology at Swarthmore College and his PhD in clinical psychology
   • Applied Crisis Intervention Principles and CISM in EAP/               PTSD                                                     at the University of Georgia. Dr. Lating also completed a postdoctoral
      BHS                                                               • The Use of Relaxation Training in Treating PTSD           fellowship in medical psychology at the Johns Hopkins Hospital. He is
   • Immediate and On-going Traumatic Stress Responses                  • Diagnosing the ‘Violated World View’ in Trauma            co-editor of the text Psychotraumatology: Key Papers and Core
   • High Risk Populations/Environments                                 • Re-Integrating Trauma into the ‘World View’               Concepts in Posttraumatic Stress with Dr. George S. Everly, Jr,PhD, and
   • Working with Individuals after Trauma                              • Cognition Therapy versus Hypnotic Abreaction              coauthor of the second edition of A Clinical Guide to the Treatment of
   • Interview and Assessment Skills and Practice                       • Group Therapy of PTSD – General Consideration             the Human Stress Response.
   Day 2 (8:30 am - 5:00 pm)
   • Management Training for Service Utilization/Referral             Saturday Only, April 28                                       Douglas J. Mitchell, MPA, Lt. (Ret.) FDNY - retired as a Lieutenant
   • EAP/BHS Workplace Violence Prevention and Response                                                                             from the Fire Department of the City of New York (FDNY) after 28
   • Working with Groups after Trauma/Skills and Practice                                                                           years of service in some of the most fire prone sections of the city. He
   • Promoting Resilience                                                                                                           has taught Fire Science, Fire Prevention, and Arson Investigation
   • Education as a Programming/Intervention Strategy                                                                               Courses within the FDNY. As an adjunct professor for John Jay College
   • Program Evaluation as a Necessary Feature of EAP/BHS                                                                           of Criminal Justice, he has taught at the United Stated Military
   • Self-care for Clinicians in a High Risk Environment
                                                                                                                                    Academy at West Point. He is a member of the ICISF’s faculty, serves




Page 6 ICISFConference•Minneapolis, MN
Conference Faculty                                                                                          Pre- Conference Workshop
as representative to the United Nations for ICISF, and developed and taught both the “CISM:
                                                                                                                         The Bulletproof Mind:
When Disaster Strikes: Linking Emergency Management with Disaster Management” and
“Domestic Terrorism and Weapons of Mass Destruction: A CISM Perspective” course for
                                                                                                                      Mental Preparation for Combat
emergency services, government, and private industry. He is the Director of Emergency Manage-
ment for the Town and Village in which he resides in New York. Mr. Mitchell serves as the “On-
                                                                                                                           Lt Col David Grossman
Scene Disaster Coordinator” for the ICISF and has provided consultation, advise, interventions,
and training during and after major disasters. Mr. Mitchell has operated a consulting firm known as                                Date: April 25, 2007
Emergency Management Consultants for the past several years.                                                        (One day prior to the ICISF Regional Conference)
Patricia L. Tritt, RN, MA is the Director of EMS and Trauma for HealthONE in Denver,                                           Time: Registration: 0800-0830
Colorado. She has been involved in Emergency Medical Services and Trauma systems for over                                 Presentation: 0830-1600 (lunch on your own)
twenty years. She is responsible for the administration of a complex EMS medical direction system
for both metropolitan and rural areas, and a diverse EMS education program for all levels of                              Location: Hyatt Regency, Nicollet Mall
prehospital providers. She also provides administrative direction for a Level I Trauma Center. Her
experience and interests include program development and management. In 1985, she organized                                           Cost: $75/person
the Mayflower Critical Incident Stress Management Team, and continues as Team Coordinator.
She has coordinated the Colorado Critical Incident Stress Management Network since inception in
                                                                                                            Lt Col. Grossman is one of the nation’s leading law enforce-
1988. She is an ICISF faculty member for the “Group Crisis Intervention”, “Advanced Group                   ment trainers. He is the author of the Pulitzer-nominated
Crisis Intervention”, “Assisting Indivdiuals in Crisis”, and “Strategic Response to Crisis” courses.
Pat has trained CISM teams across the United States, and has presented training programs in                 book, On Killing. He has served as a trainer and keynote
Canada and Australia. She is a Certified Trauma Responder and a contributing author on stress and           speaker for all major national and international law en-
EMS issues for numerous emergency services texts. Pat has received recognition from the State of
Colorado for lifetime achievement and contributions to EMS and has received the 9 Who Care                  forcement training organizations (including: FLETC, IALEFI,
Award for her contributions as a leader of volunteer services in Colorado.                                  ASLET, NTOA and PPCT) and he has taught the representa-
Peter Volkmann, LMSW graduated with a Bachelor of Science in Criminal Justice from Mercy                    tives of literally thousands of federal and regional agencies
College and received his Masters in Social Work from Fordham University. Peter is the East Coast
Liaison Coordinator and a representative to the United Nations for the International Critical               in the US Canada, New Zealand and Australia.
Incident Stress Foundation (ICISF) in Ellicott City, MD. Because of his vast experience in the
different rescue fields and the social work profession, Peter is utilized as a crisis interventionist and
trainer for rescue departments, government municipalities, schools, and corporate organizations             Name:_______________________________________________________
around the United States who have experienced traumatic events. Peter has been featured as an
expert on stress for Dateline (NBC), Discovery Channel, MSNBC, and Law Enforcement
Television Network (LETN). Peter developed “Law Enforcement Perspectives for CISM                           Address______________________________________________________
Enhancement” which is an approved course of ICISF. He has trained and assisted the startup of
numerous critical incident response teams throughout the eastern United States. Peter is a retired
police officer and emergency medical technician with the Town of Ossining, New York Police                  Phone #:_____________________Email : ___________________________
Department. Peter maintains a private practice in Dutchess County, New York in which he
specializes in trauma counseling with a concentration in Eye Movement Desensitization Repro-
cessing (EMDR) therapy.                                                                                     Please remit check to: The Metro CISM Team, 4306 Bryant Ave. S.,
                                                                                                            Minneapolis, MN 55409
Karen Wright, LICSW, SAP, is a federal EAP counselor with the Executive Office for the
United States Attorney’s (EOUSA) office, providing internal counseling and consultation services
to the Executive Office for United States Attorneys, United States Attorneys Offices, and family
members. Prior to joining EOUSA Karen was a EAP counselor with COPE Inc., providing on-site                                            SPONSORED BY:
EAP services to the National Geospatial-Intelligence Agency. Karen started her EAP career
providing clinical assessment, treatment recommendations, and short term counseling for a variety                     The Metro Critical Incident Stress Management Team
of mental health issues for the Pentagon Employee Referral Service. She has extensive experience
with both trauma and substance related concerns in the workplace. She is very active in EAPA, her                                                    Contact person:
professional association, and currently holds the position of President of the Potomac chapter.
Karen received her Master of Social Work with Concentration in Employee Assistance Programs                                                               Sue Johnston
from the University Of Maryland School Of Social Work, Baltimore, MD.                                                                                 suej@metrocism.org
                                                                                                                                                         612-203-0379
                                                                                                             WWW.METROCISM.ORG
                                                                                                                                                 ICISFConference•Minneapolis, MN Page 7
                                          Certificate of Specialized Training
                                               International Critical Incident Stress Foundation, Inc. now offers an optional, voluntary “Certificate of Specialized Training” program in
                                          CISM. The Certificate of Specialized Training attests to the completion of a standardized curriculum in Crisis Intervention. The certificate
                                          does not indicate competence in the field, but rather completion of the curriculum. For more information, visit our website, www.ICISF.org, or
                                          contact Michelle Parks, “Certificate of Specialized Training” Program Coordinator, at mparks@icisf.org.




  ICISF
  Mission Statement
                                          Continuing Education
  The International Critical Incident          The International Critical Incident Stress Foundation, Inc. (ICISF) is approved by the American Psychological Association to sponsor
  Stress Foundation, Inc. (ICISF) is a    continuing education for psychologists. ICISF maintains responsibility for this program and its content. CE credit for psychologists is
  non-profit, open membership             granted on a one credit per one contact hour basis (refer to course descriptions for Contact Hours & CE Credits). If applying for CE Credits
  foundation dedicated to the             for Psychologists, please request CE Credit Application upon arrival at the conference. Psychologists are required to verify attendance as
  prevention and mitigation of            instructed at the conference and to complete an evaluation form for each course attended. Please note that full attendance is required in
  disabling stress through the            order to receive documentation of CE Credits. CE Credit Application Packets are to be mailed to ICISF post-conference along with the
  provision of: Education, training and   application fee of $18.00. Complete instructions will be provided upon arrival at the Conference.
  support services for all Emergency
  Services and helping professions;            Professional Development Hours (PDHs) are available for Employee Assistance Professionals for all courses offered at this confer-
  Continuing education and training in    ence. The number of approved PDHs depends on the course selected, and is equal to the number of contact (instructional) hours for that
  Emergency Mental Health Services        course. Upon arrival at the conference, please request a Training Attendance Record form and instructions at the conference registration desk;
  for the Mental Health Community;        EACC Approval Numbers, content areas and approved number of PDHs for each course will be included in this material.
  and Consultation in the
  establishment of Crisis and Disaster          All courses offered at this conference meet the qualifications for 13 or 14 hours (depending on the course attended) of continuing
  Response Programs for varied            education credit for MFTs and/or LCSWs as required by the California Board of Behavioral Sciences (CA BBS). Provider Approval No.
  organizations and communities           PCE 2033. California-resident MFTs and LCSWs must pick up an MFT/LCSW CE Hour Application and instructions at the conference
  worldwide.                              registration desk upon arrival at the conference. There is an application fee of $15. Non-California MFTs and LCSWs: it is possible that your
                                          state licensing board will recognize CE Hours from the CA BBS; please check with your licensing board to determine this.

                                               All courses offered at this conference meet the qualifications for 13 or 14 hours (depending on the course attended) of contact hours for
                                          National Certified Addiction Counselors by NAADAC, The Association for Addiction Professionals, Provider Approval No. 497. Please
                                          request CE Hour Application and instructions at the conference registration desk upon arrival at the conference.



                                          Certifications & Certificate Programs
                                                All courses offered by ICISF meet partial requirements for individuals seeking certification from the Association of Traumatic Stress
                                          Specialists (ATSS) as a Certified Trauma Specialist (CTS), Certified Trauma Responder (CTR), and/or Certified Trauma Services Specialist
                                          (CTSS) designation. ATSS offers board certification to qualified individuals who provide services, intervention, and treatment in the field of
                                          traumatic stress. Those seeking certification from ATSS must present evidence of attendance for specific courses. For information regarding
                                          certification or ATSS membership, call (800) 991-ATSS (2877) or visit the ATSS web site at www.ATSS.info.




Page 8 ICISFConference•Minneapolis, MN
Membership  Membership
Benefits of Membership
  Level One Membership Benefits
  u Membership in ICISF places the member in an international network of Critical Incident Stress Management teams, service providers,
    administrators, commercial and industrial services, researchers, and educators who function in a field of activity associated with critical
    incident stress and post trauma syndromes.
  u Members receive the quarterly ICISF newsletter, LifeNet, which provides important updates on Critical Incident Stress and psychological trauma.
  u Each member receives a certificate of membership, a wallet card, back issues of LifeNet (as available), updates on new procedures and current
    educational programs.
  u Members are eligible for a 15% tuition discount on all education and training programs sponsored by ICISF.
                                                                                                                                                                                  ICISF
  u Routine critical incident stress consultation without charge.
  u Emergency critical incident stress consultation without charge.
                                                                                                                                                                             Membership
  u Regular mailings announcing ICISF activities.
                                                                                                                                                                       Membership in the International
                                                                                                                                                                    Critical Incident Stress Foundation
  Level Two Members will receive all of the benefits associated with Level One Membership, Plus                                                                     (ICISF) is open to any individual,
  u Level Two members will receive a subscription (concurrent with their membership) to the International Journal of Emergency Mental Health.                         full or part time, career or volun-
    This journal is the essence of a practitioner's journal. It combines the latest information on crisis intervention case studies, program                                teer, involved in emergency
    development, research, literature reviews, book reviews and in a section entitled "Emergency Mental Health Update" it reviews important                        services, disaster relief, counseling,
    research from other journals.                                                                                                                                            training, or other aspects of
                                                                                                                                                                      emergency services operations or
                                                                                                                                                                        support services, who wishes to
                       LevelOne Membership                           LevelTwo Membership
                                                                                                                                                                          gain or to continue to develop
                       One Year      Two Years                       One Year      Two Years
                                                                                                                                                                     knowledge of stress, crisis and its
US Resident             $40.00        $65.00                         $ 88.00*      $168.00**
                                                                                                                                                                         effects. The majority of ICISF
International           $45.00        $75.00                         $103.00*      $195.00**
                                                                                                                                                                          members are law enforcement
*This fee includes a journal cost of $28/yr +S/H for 4 issues         **This fee includes a journal cost of $26/yr +S/H for 8 issues.                                 officers, paramedics, firefighters,
The journal portion of the membership fee is not tax deductible as a 501(c)3 contribution. However this may be deductible as an ordinary business                   nurses, physicians, communication
expense. Please check with your tax advisor.                                                                                                                                officers, emergency medical
                                                                                                                                                                      technicians, educators, psycholo-
                                                                                                                                                                          gists, clergy personnel, social
                                                                                                                                                                              workers, airline personnel,



Certificates of Attendance
                                                                                                                                                                    employee assistance program staff,
                                                                                                                                                                     emergency service administrators,
                                                                                                                                                                     and disaster assistance personnel.
                                                                                                                                                                     Students in the above professions
                                                                                                                                                                         and support personnel are also
      In cooperation with UMBC, all ICISF conference participants will be awarded general Continuing Education Units (CEUs) from UMBC on                                           eligible to join ICISF.
their attendance certificate following verification of attendance by checking in at the Conference Registration Desk before 10:00am daily. This
service is offered at no additional charge to participants. All ICISF attendance certificates are distributed on-site at the completion of each class to
participants whose attendance has been verified. Participants who do not pick up their certificate must contact the ICISF office to receive it and
may be charged an additional fee. If pre-payment or invoicing instructions (Purchase Order) are not provided, Certificates of Attendance will be
withheld from attendees until payment is received by ICISF.

     UMBC CEUs are awarded in a ratio of one Continuing Education Unit for every 10 Contact Hours (refer to course descriptions for Contact
Hours & UMBC CEUs). ICISF certificates of attendance are not proof of profession specific CE/Contact Hours. Many national, state and local
licensing boards and professional organizations will grant Continuing Education credit for attendance at our courses (save this brochure and your
Certificate of Attendance). It is the responsibility of the participant to determine if his or her licensing board will accept these CEUs.
                                                                                                                                                           ICISFConference•Minneapolis, MN Page 9
                                     ICISF Official Transportation                                        Fees and Payment Information
                                     American Airlines: Now Book your Discount Fares Directly             Fees are listed in US Funds and cover registration, handout materials,
Conference Attire                    Online to take advantage of a 5% discount off the lowest             coffee breaks and certificate of attendance.
    For all courses casual to        applicable fare on American Airlines, American Eagle and
                                     AmericanConnections. It’s simple! Go directly to www.aa.com
business casual attire is per-                                                                            For your convenience we accept: Visa, Master Card and American
                                     to book your flights. After you have selected your flight(s)
fectly appropriate. Something        under the “Enter Passenger Details” tab, go to the “AA.com           Express. All checks and/or money orders will only be accepted in US
to keep in mind when packing–        Discount Code” field and enter in Authorization Number               Dollars from a US Bank payable to: International Critical Incident
meeting room temperatures are        A6647AL. There is no ticketing or reservation service fee
                                                                                                          Stress Foundation, Inc.3290 Pine Orchard Lane, Suite 106,Ellicott City,
often cool and can be difficult      when booking your flight online. Reservations may also be
                                     made by calling the American Airlines Meeting Services Desk          MD 21042. FEDERAL I.D. # 52 -1676953. $20.00 fee for all
to regulate quickly, especially      toll free at 1 (800) 433-1790 from anywhere in the US or             returned checks.
when there are large numbers         Canada, 5am to 12am CST seven days a week. Note that there
of people in a large room, or        is a $10(US) reservation service fee for tickets issued through
                                     AA reservations and a $15 (US) ticketing fee for tickets issued
                                                                                                          Cancellation Policy
large numbers of people in a
                                     at the airport. Earn AAdvantage® miles for your trip; enroll             Refunds can be made only if requested in writing. A 75% refund,
small room. Be prepared by
                                     online at www.aa.com. Discount Fares are valid for travel on         which includes a $25.00 administrative fee, will be provided only for
dressing in layers, which will       American Airlines, American Eagle®, AmericanConnection®,             registrants who send a cancellation notice postmarked no later than
allow you to remove a layer          oneworld Alliance, and codeshare partners from anywhere to
                                                                                                          April 9, 2007. One person may substitute for another who is unable to
when the room is hot, or add a       your meeting destination. Note: Some fares are not valid for
                                     the discount.                                                        attend on the condition that a letter from the original registrant authoriz-
layer when the room is cold.
                                                                                                          ing the substitution accompanies the new registrant.
                                     AirTran Airways: To take advantage of a 10% discount on                  In the event the International Critical Incident Stress Foundation,
Official Language                    the lowest available AirTran Airways one-way fare, call the
   All courses at the ICISF                                                                               Inc. finds it necessary to cancel a course because of insufficient
                                     AirTran EventSavers Department toll free at 1 (866) 683-
Conference will be presented         8368, 8am to 9pm EST, Monday through Friday. Reference               registration or other reasons beyond our control, notice will be given to
in English.                          Event Code ICISF07 to obtain this discount. Reservations             all affected registrants as soon as possible and a refund of cancelled
                                     may only be made by phone via the toll free number noted             course fees paid will be given to registrants affected.
                                     above to enjoy the benefits of this discount program. The                Refunds are paid in U.S. funds, by the original payment method to
Group Discounts                      EventSavers program offers attendees the advantages of no
    Discounts are available to       minimum stay length or Saturday night requirement, advance
                                                                                                          the original payor. ICISF, Inc. also reserves the right to make instructor
groups of 5 or more registrants.     seat assignments at time of booking, and a one-time waiver of        changes as necessary without prior notification.
                                     the Change Fee per reservation for any name or itinerary change.
All registration forms must be                                                                            Certificate Distribution
                                     EventSavers fares are not refundable.
submitted together via fax or                                                                                ICISF attendance certificates are distributed on-site at the comple-
                                     Avis Rent A Car Systems, Inc. is offering special rental
mail along with payment. On                                                                               tion of each class to participants whose attendance has been verified
                                     rates for all attendees of this conference who use ICISF’s
line registration is not available   assigned Meeting Avis Discount Number J992186 while                  by checking in at the Conference Registration Desk before 10:00 a.m.
if applying for the group            making reservations. Should a lower qualifying rate become
                                                                                                          daily. If pre-payment or invoicing instructions (Purchase Order) are
discount, nor may the group          available, Avis is pleased to present a 5% discount on that
discount be applied retroac-         rate OR if a car size is selected that is not available, Avis will   not provided, Certificates of Attendance will be withheld from attend-
tively. For additonal informa-
                                     discount the best available rate by 5%. Rates are available          ees until payment is received by ICISF.
                                     from April 19-May 6 , 2007 and do not include any state or
tion please contact Jossalyn at      local surcharge, tax, optional coverages or gas refueling            Class Start and End Times
Jtaggart@icisf.org                   charges. Renter must meet Avis’ age, driver, and credit re-
                                     quirements. Reservations may be made by calling (800) 331-              Instruction begin and end times may vary by class and by day.
                                     1600 and mention above discount number or access the Avis            Please look closely at the times for the particular class you will attend.
                                     web page at http://tinyurl.com/82fau.                                Contact hours on certificates are determined based on verified atten-
                                                                                                          dance.

Page 10 ICISFConference•Minneapolis, MN
 E

Personal Information
                                                                    Minneapolis, MN Conference Registration
                                                   PLEASE PRINT OR TYPE

LAST NAME___________________________FIRST NAME__________________CREDENTIALS (Maximum 3)__________________                                                                             Conference Course Selection:
ADDRESS____________________________________________________________________________________________________                                                                           Session I (CHECK ONLY ONE)
CITY, STATE_________________________________________POSTAL/ZIP CODE______________ADDRESS IS:q WORK                                                                           q HOME   April 26 & 27, 2007
WORK         PHONE #          (______)_____________________HOME PHONE #                                 (______)_____________________                                                 q  Individual Crisis Intervention... (2 day)
EMAIL ADDRESS (Block print clearly):________________________________________________________________                                                                                  q  Advanced Group Crisis Intervention (2 day)
Check here if you DO NOT wish to receive ICISF email updates q                                                                                                                        q  Law Enforcement Perspectives...(2 day)
COMPANY OR ORGANIZATION: ______________________________________________________________                                                                                               q  CISM: When Disaster Strikes... (2 day)
PRIMARY OCCUPATION (Circle ONLY ONE ): Psychologist / Social worker / Substance Abuse Counselor / Counselor / Fire / EMS / Law Enforcement                                            q  CISM in the Healthcare Setting (2 day)
Nurse / Education / Healthcare / Military / Faith Based Providers / Business & Industry / EAP / Transportation / Student / other: ______________                                      Session II (CHECK ONLY ONE)
Have you attended any prior ICISF Courses? q YES q NO – If no, how did you hear about us? (Circle ONLY ONE and list specifics):                                                       April 28 & 29, 2007
Friend or coworker / Web Link___________________/ Trade Show_____________________/ Other_____________________
                                                                                                                                                                                      q   Group Crisis Intervention (2 day)
Current ICISF Member? q NO                 qYES (Member #________________) q JOINING / RENEWING NOW (circle membership options below)                                                 q   Strategic Response to Crisis(2 day)
CISM Team? q NO                 q YES If Yes, provide Team Name: ____________________________________________________________
                                                                                                                                                                                      q   Line of Duty Death: Preparing the Best... (2 day)
                                                                                                                                                                                      q   Domestic Terrorism and Weapons... (2 day)
q Check here if you require special arrangements to accomodate a disability_______________________________________________                                                            q   Early Intervention & Crisis Response in EAP...(2 day)
ICISF Membership Dues, if joining or renewing (circle option)                                                                                                                         April 28 Only
                               LevelOne Membership                                  LevelTwo Membership                                                                               q Psychotraumatology...(1 day)
                               One Year      Two Years                              One Year   Two Years
US Resident                    $40.00         $65.00                                $ 88.00*   $168.00**                                                                              PAYMENT INFORMATION
International                  $45.00         $75.00                                $103.00*   $195.00**                                                                              (ICISF reserves the right to charge the correct amount if
       *This fee includes a journal cost of $28/yr +S/H for 4 issues   **This fee includes a journal cost of $26/yr +S/H for 8 issues.                                                different from the total payment listed at left)
        The journal portion of the membership fee is not tax deductible as a 501(c)3 contribution. However this may be deductible as                                                  o P.O. # ______________ Attach a copy to this form
        an ordinary business expense. Please check with your tax advisor.
ICISF Membership Dues, if joining or renewing (from circled option above)................................_______                                                                      o VISA       o MASTERCARD             o AMEX
Conference Course Fees (Choose Course Selection to the right)                                                                                                                         NAME AS IT APPEARS ON CREDIT CARD:
         If Attending One Day                             Member        $149.00 .............Non-Member $175.00................._______                                                _______________________________________________
                                                                                                                                                                                      ________________________________________________
         If Attending Two Days                            Member        $298.00 .............Non-Member $350.00................._______                                               CREDIT CARD #: ___________________________
         If Attending Three Days                          Member        $447.00 .............Non-Member $525.00................._______                                               EXP. DATE :_______/_______SEC.CODE________
         If Attending all Four Days                       Member        $510.00 .............*Non-Member $600.00................._______                                              SIGNATURE:
                                                             *price includes $100 Discount!                                                                                            _____________________________________
                                                                                                                                                                                      ______________________________________
         Late Registration charge if registration OR payment received after April 9, 2007                                                                                             o CHECK ENCLOSED, payable to ICISF, Inc. (U.S.
                                                          $50 for 1 course...................$75.00 for 2 or 3 courses .................._______                                      Dollars, U.S. Bank), $20.00 fee on all returned checks. Late
         Registration forms and payment submitted via mail must be postmarked by April 9, 2007 to avoid late charges.                                                                 charge assessed if registration OR payment received after
                                                                                                                                                                                      April 9, 2007
FEE TOTAL .....................................................................................................................................................$__________                  Please DO NOT mail or fax applications after
               Secure Online:www.icisf.org/registration                                                  Mail to:                                                   Fax to:                  April 22, 2007. Instead bring the completed
               Register On-Line and earn a chance to WIN your                                            ICISF                                                      (410) 750-9601        registration form with you to the conference for
               Minneapolis, MN Conference Registration for                                               3290 Pine Orchard Ln, Ste 106                                                                    onsite registration
               FREE!Refer to pg. 2 for more details and restrictions.                                    Ellicott City, MD 21042                                                             ICISFConference•Minneapolis, MN Page 11
                    International Critical Incident
                          Stress Foundation, Inc.
                        3290 Pine Orchard Lane, Suite 106
                                  Ellicott City, MD 21042




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                                                            Minneapolis, MN
                                                            April 26-29, 2007
                            Sponsored by:                                            Hosted by:




                                                                    The Metro CISM Team


Page 12 ICISFConference•Minneapolis, MN

				
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