Mr. Virgil S. Tapispisan, M.A. Drug Demand Reduction Coordinator
|
|
- Ezra Craig
- 6 years ago
- Views:
Transcription
1 Drug Demand Reduction Program FY 2017 Training (Calendar) Schedule Mr. Virgil S. Tapispisan, M.A. Drug Demand Reduction Coordinator Reference: Substance Abuse and Mental Health Services Administration (2014). Month-by-month prevention and promotion, call to action and planning guide. Retrieved from
2 OCTOBER 2016 Focus: Drug use and abuse prevention awareness month. Awareness Events: 1. Observance of National Red Ribbon Week primary focus a. Promote Red Ribbon Week at MCX. b. Collaborate with SAP s Alcohol-Abuse Prevention Program for the Red Ribbon Trunk or Treat Event c. Collaborate with Yuma-Anti Drug Coalition to promote Red Ribbon Week in the community. d. Hang Red Ribbon Week banners around MCAS Yuma. e. Promote through social media/mccs MARQUEE 2. Mental health awareness week correlation with substance use 2 nd week a. Distribute brochures around MCAS Yuma and Branch Medical Clinic. b. Create fact sheets to distribute through mass about the prevention of substance use and abuse and the promotion of mental, emotional and behavioral well-being. c. Promote through social media/mccs MARQUE Drug Testing Coordinators/Observers Training Selective/Educational TBD Appointed in writing by the CO Red Ribbon: :2 nd Annual Trunk or Treat Universal/EVENT N/A All hands National Take-Back Day Universal/Information dissemination MCX All hands week RED RIBBON WEEK Universal/Information Dissemination MCX MCAS Yuma and the community Focus: NOVEMBER 2016 ATOD awareness 1. ATOD Awareness a. Promote the awareness through social media b. Create an informational brochure (1-2 page) to distribute to the SACO and their units c. Promote through social media/mccs MARQUE Drug brief: Drunk and Drugged Driving Universal/Educational TBD All hands Drug brief: Drunk and Drugged Driving Universal /Educational TBD All hands NDSL Trip Selective/Comm. Based TBD SACO/UPC/OBS SACO and ASACO Certification Course Selective /6 CSAP Strategies TBD Appointed in writing by the CO MCX Universal/Information Dissemination MCX All hands
3 DECEMBER 2016 Focus Impaired driving awareness month 1. Drugged Driving awareness month a. Provide training on drugged driving. b. Invite Yuma Police Department/PMO to provide training on drug recognition. c. Promote event in social media/mccs MARQUE d. Create flyers/banners to promote the event. 2. Participate in any MCCS pre-holiday events. 3. Provide pre-holiday substance abuse prevention brief to all tenant commands (when requested) Drug Impairment training for Leaders provided by Yuma Police Department/PMO Universal/Educational TBD All hands Drug Testing Coordinator/Observer Training Selective/Educational TBD Appointed in writing by the CO MCX Universal/Information Dissemination MCX All hands
4 JANUARY 2017 Focus Fetal impact of substance use and abuse awareness month 1. National birth defects awareness month a. Enlist the help of branch medical clinic health educators to provide brochures to patients regarding the impact of substance use and abuse on birth defects. b. Share prevention materials with Parent Support Program and promote prevention through social media. 2. Back-in-the-Saddle events (BITS) a. Upon request by tenant commands, provide BITS. 3. National Drug Facts Week (NDFW) a. Visit Yuma Union District High School through MCAS Yuma School Liaison Drug Testing Coordinator/Observer Training Selective/Educational TBD Appointed in writing by the CO NDSL Trip Selective/Educational N/A SACO/UPC/Observers NDFW: Yuma High School Selective/Educational N/A High school students NDFW: Cibola High School Selective/Educational N/A High school students NDFW: Kofa High School Selective/Educational N/A High school students NDFW: San Luis High School Selective/Educational N/A High school students NDFW: Gila Ridge High School Selective/Educational N/A High school students NDFW: Vista High School Selective/Educational N/A High school students FEBRUARY 2017 Focus Adult Children of Alcoholic (ACOA) awareness month 1. ACOA and other drugs awareness a. Download and disseminate facts sheets within MCAS Yuma through the SACO s. b. Promote through social media/mccs MARQUEE c. Develop a local resource guide/list with support group information for the SACO and Substance Abuse Program (SAP) counselors. Date Time Title Strategy Room# Target audience SACO Certification Course Selective /6 CSAP Strategies TBD Appointed in writing by the CO Drug Brief: ACOA SPEAKER Universal/Educational TBD All hands MCX Universal/Information Dissemination MCX All hands
5 MARCH 2017 Focus Drugs and brain awareness month 1. Traumatic Brain Injury (TBI) awareness month a. Develop and distribute pamphlets about the effects of substance abuse on the brain. b. Promote on social media/mccs MARQUEE 2. Inhalant and poison awareness a. Provide training/briefs on inhalants. b. Distribute brochures c. Promote on social media NDSL Trip Selective /Educational N/A SACO/UPC/Observers Drug brief: Drugs and the Brain Universal/Educational TBD All hands Drug Testing Coordinator and Observer Selective/Educational TBD SACO/UPC/Observers Training MCX Universal/Information Dissemination MCX All hands Drug brief: INHALANTS: The Tricky Drugs Universal/Educational TBD All hands APRIL 2017 Focus World health day 1. Collaboration with Branch Health Clinic 2. Collaboration with Health Promotion Department/Semper Fit DT Coordinator/Observer training Selective/6-CSAP Strategies TBD Selected Marines/Sailors Drug brief: The Dangers of Mixing Prescription Drugs and Alcohol Universal/Education TBD Active duty military and DoD civilian employees MCX Universal/Information Dissemination MCX All hands
6 MAY 2017 Focus Mental health promotion awareness 1. Health And safety fair (101 critical days of summer) a. Collaborate with Safety Department/SAPR/AAPP b. Promote in social media/mccs MARQUEE c. Pre- and Post-Memorial Day brief with the unit through the SACO Date Time Title Strategy C- Target audience room SACO Certification Course Selective/6-CSAP Strategies TBD Appointed in writing by the CO NDSL Trip Selective/information dissemination N/A SACO/UPC/Observers Drug brief: Current Trends in Drug Abuse Universal /Education TBD All hands Drug brief: Current Trends in Drug Abuse Universal /Education TBD All hands MCX Universal/Information Dissemination MCX All hands JUNE 2017 Focus Marijuana use and abuse awareness 1. Marijuana use and abuse awareness 2. International day against drug abuse June 26 Date Time Title Strategy C-room Target audience Drug brief: Marijuana Universal/Education TBD All hands Drug Testing Coordinator and Observer Selective/Education TBD Appointed in writing by the CO Training MCX Universal/Information dissemination N/A All hands Drug brief: Marijuana Universal/Education TBD All hands
7 JULY 2017 Focus Prescription drug abuse 1. Prescription/OTC use and abuse awareness Date Time Title Strategy C-room Target audience Drug Testing Coordinator and Observer Training Selective/Education TBD Appointed in writing by CO NDSL Trip Selective/Information dissemination N/A SACO/UPC/Observers Drug brief: Abusing Over-The-Counter (OTC) Universal/Education TBD All hands Drugs MCX Universal/Information dissemination N/A All hands AUGUST 2017 Focus Community needs Awareness activities 1. International overdose awareness day August 31 Date Time Title Strategy C- Target audience room SACO Certification Course Selective/6-CSAP Strategies TBD Appointed in writing by the CO Drug Brief: Prescription Medication Abuse Universal/Education TBD All hands 22 Drug Brief: Prescription Medication Abuse Universal/Education TBD All hands MCX Universal/Information dissemination N/A All hands
8 SEPTEMBER 2017 Focus Recovery awareness 1. National suicide prevention week 2 nd week a. Collaborate with the station chaplain and unit suicide prevention program coordinators. b. Promote on social media 2. National recovery month a. Collaborate with SAP staff to create an activity for the clients on recovery Date Time Title Strategy C- room Target audience NDSL TRIP Selective/Information dissemination N/A SACO/UPC/OBSERVERS Drug Testing Coordinator/Observer Training Selective/Information dissemination TBD Appointed in writing by the CO Drug brief: Suicide and Drug Abuse Universal All hands SPEAKER (Chaplain) MCX Universal/Information dissemination N/A All hands Drug brief: Chalk Talk on Drugs: Father Martin Series Universal All hands
Section 3: Prevention
Section 3: p. 3-1 Objectives 1. To understand the intended audience for prevention efforts at different levels. 2. To be familiar with the CSAP substance abuse prevention strategies, and to be able to
More informationGoals and Objectives
Goals and Objectives 2015-2017 Submitted By Thomas C. Hall, Ph.D. Chair: Post Traumatic Stress Disorder/ Substance Abuse Committee Vietnam Veterans of America To Officers and Board of Directors Vietnam
More informationThrough the use of the stress management programs offered, the department projects the following benefits:
Kent PD Title #8.90 Peer Support Policy There is a need for employees to have support for both personal and professional crisis situations and general work stressors. Employees may be under personal stressors,
More informationOpportunities for Engaging Partners to Prevent Opioid Overdose-related Deaths
PREVENTION COLLABORATION IN ACTION Engaging the Right Partners Opportunities for Engaging Partners to Prevent Opioid Overdoserelated Deaths Preventing opioid overdose requires collaboration with a diverse
More informationWelcome to the Community: Outreach to Those Transitioning From the Military to the Civilian Community
Welcome to the Community: Outreach to Those Transitioning From the Military to the Civilian Community Overview Welcome programs are instrumental in helping those who have recently separated from the military
More informationInnovative Coalition Strategies to Evite, Engage & Empower the Community. Behavioral Health Services/NCADD Torrance, California
Innovative Coalition Strategies to Evite, Engage & Empower the Community Behavioral Health Services/NCADD Torrance, California Meet our Prevention Team Raunda Frank, JD, CATC V, CCPS, Prevention Coordinator
More informationGARRETT LEE SMITH: SCHOOL RESPONSE TO SUICIDE
GARRETT LEE SMITH: SCHOOL RESPONSE TO SUICIDE MARY ANN PANARELLI, ED.D. DIRECTOR, INTERVENTION AND PREVENTION SERVICES FAIRFAX COUNTY PUBLIC SCHOOLS MMPANARELLI@FCPS.EDU NOTICE The views, opinions, and
More informationCalifornia State Polytechnic University, Pomona CSU Biennial Alcohol Policy Report Submission
California State Polytechnic University, Pomona CSU Biennial Alcohol Policy Report 2013-15 Submission The California State University (CSU) Board of Trustees approved a resolution regarding CSU Alcohol
More information2018 Mental Health Observances
January National Drug & Alcohol Facts Week SM (Jan. 22-28) Fun at Work Day (Jan. 27) A Healthy New Year Make a fact vs. myth sheet. Use the hashtag #drugfacts on social media. Hold a small event to celebrate
More informationBehavioral Health Boulder County Public Health, Strategic Initiatives Branch/Health Planning and Epidemiology Program Assignment Description
Behavioral Health Boulder County Public Health, Strategic Initiatives Branch/Health Planning and Epidemiology Program Boulder, CO Assignment Description The fellow will be part of the Health Planning and
More informationJCAD NEWS September/October 2013 New Coalition Meeting Schedule
Jersey County Against Drugs For Jersey County to be a healthy community that encourages and promotes drug free youth. JCAD NEWS September/October 2013 New Coalition Meeting Schedule The new schedule for
More informationPICO QUESTIONS DRAFT
PICO QUESTIONS DRAFT Background This work is primarily intended to inform the VA/DoD working group creating the clinical practice guideline for suicide prevention. The reports will also be disseminated
More informationChapter Chartering Steps. Chapter Reactivation Steps. Points
Chapter Promotion Public awareness of FBLA should be a major focus of a chapter s plan of action. Recognizing public relations as a systematic approach to achieving goals will enable the chapter to establish
More informationHONORING VETERANS: A Special Project to Recognize the Needs of Vets
HONORING VETERANS: A Special Project to Recognize the Needs of Vets Wendy Sontag, MSW, LISW, ACHP-SW Clinical Social Worker, Mercy Palliative Care Mercy Medical Center, Des Moines, IA Disclaimer This project
More informationBLACKS IN GOVERNMENT. New Kemet Harambe Chapter, Region V Strategic Performance Evaluation Report
BLACKS IN GOVERNMENT New Kemet Harambe Chapter, Region V 2017-2018 Strategic Performance Evaluation Report Focus Area -- Advocacy FOCUS AREA Advocacy PERFORMANCE MEASURES (How We Will Know We are making
More informationRainier Community Cares Action Plan
Rainier Community Cares Action Plan Goal 1: Increase Community Connectedness, Collaboration and Cooperation Objective 1A: Increase number of coalition members by 10 new members (14% increase) by September
More informationApproved Funding Summary
Improving Health Care and Outcomes for Residents of Lincoln Parish Approved Funding Summary Initiative: Healthier Outcomes & Access to Health Care Project Name: Mental Health Services Initiative Year 5
More informationEXAMPLES OF MEDIA RELATIONS TOOLS
EXAMPLES OF MEDIA RELATIONS TOOLS Think of all the tools that you can use to reach out to the media. You can use these in any combination. Below, we ve identified the typical uses and value of each. Each
More informationE-BOARD APPOINTED POSITIONS APPLICATION IN MARCH OTHER LEADERSHIP OPPORTUNITIES APRIL
E-BOARD APPOINTED POSITIONS APPLICATION IN MARCH Professional Project Chair-Elect [*must be a P1, 2-year commitment] Career Development Chair [P1 or P2] Fundraising Chair [P1 or P2] P1 Representative [will
More informationNCADD-SFV Vesper Ave Van Nuys Ca Phone: (818) Fax: (818) ;
6166 Vesper Ave Van Nuys Ca. 91411 Phone: (818) 997-0414 Fax: (818) 785-3457 Email; ncadd@ncadd-sfv.org www.ncadd-sfv.org NCADD-SFV NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF THE SAN FERNANDO
More informationOPIOID INITIATIVE SMART GOALS AND OBJECTIVES Four Pillar Approach
OPIOID INITIATIVE SMART GOALS AND OBJECTIVES 2016-2019 Four Pillar Approach SMART OBJECTIVES Prevention focuses on practical strategies that prevent drug abuse before it even begins on a community level
More informationSubstance Use Disorder: What Line Leaders Need to Know
Substance Use Disorder: What Line Leaders Need to Know Department of Veterans Affairs and Department of Defense (DoD) employees who use this information are responsible for considering all applicable regulations
More informationFamily Advocacy Program
Family Advocacy Program Family Advocacy Program Mission The Family Advocacy Program (FAP) is a multi-faceted, multidisciplinary program designed to address child abuse and domestic abuse within the Marine
More informationOCCUPATIONAL THERAPISTS BOARD. MANUAL for Accreditation of Continuing Professional Development (CPD) Program Provider. for
OCCUPATIONAL THERAPISTS BOARD MANUAL for Accreditation of Continuing Professional Development (CPD) Program Provider for Registered Occupational Therapists January 2013 Education Committee Occupational
More informationPERMA 2016 ANNUAL CONFERENCE Drug and Alcohol Testing in the Workplace
PERMA 2016 ANNUAL CONFERENCE Drug and Alcohol Testing in the Workplace Presented By: Ronni M. Travers, SPHR President rtravers@publicsectorhr.org (518) 399-4512 How Big is the Problem? According to a Johns
More informationYouth Grant Application: Grants North Country Health Consortium Community Substance Abuse Prevention Program Youth Leadership Project
Youth Grant Application: 2011-2012 Grants North Country Health Consortium Community Substance Abuse Prevention Program Youth Leadership Project Youth Grant Application Packet for Environmental Strategies
More informationTreatment of PTSD in VA Facilities and Programs
Treatment of PTSD in VA Facilities and Programs Alfonso R. Batres, Ph.D., M.S.S.W. Chief Officer Readjustment Counseling Service (15) Tuesday, January 16, 2007 The National Academy of Sciences Building
More informationKirtland AFB Community Suicide Prevention Outreach Plan Dec 2013
KEY FACTS (Adapted from the 2012 NATIONAL STRATEGY FOR SUICIDE PREVENTION) Suicide was one of the top 10 causes of death in the United States in 2009. (Centers for Disease Control and Prevention) For every
More information4. The School is committed to the prevention of substance misuse through education and support. PROCEDURE
BISHOP WORDSWORTH S SCHOOL SUBSTANCE USE AND MISUSE POLICY Note: Parent(s) includes guardian(s) or any person who has parental responsibility for the boy or who has care of him. 1. General. This document
More informationNARCOTICS ANONYMOUS SCHOOLS PROJECTS PRESENTATIONS & NAYC. step-by-step presentation of our experience, strength, and hope
NARCOTICS ANONYMOUS SCHOOLS PROJECTS PRESENTATIONS & NAYC step-by-step presentation of our experience, strength, and hope Overview Purpose of having a schools project workgroup on your local PR committee
More informationPrevention & Treatment of Substance Abuse in Native American Communities
Prevention & Treatment of Substance Abuse in Native American Communities Susan Gerard, Director June 16, 2005 Impact of Substance Abuse for Native American People Substance abuse is a major cause of death
More informationDrug Education at the Elementary Level. Laura Bruce Prevention Specialist
Drug Education at the Elementary Level Laura Bruce Prevention Specialist Starting Upstream Never Too Early to Start If we wait, we may be too late! Kids are listening!! Parents are more engaged Kids must
More informationAbstinence - The practice of refraining from the consumption or use of alcohol and other intoxicating substances.
Terms Abstinence - The practice of refraining from the consumption or use of alcohol and other intoxicating substances. Air Force Personnel - Active duty, Air National Guard, Air Force Reserve personnel,
More informationOne Team Helping all students realize their dreams and aspirations We are ESD 123!
1) Created community education and awareness 2) Developed youth leaders to create healthier communities and prevent marijuana use by peers 3) Engaged community leaders and stakeholders 4) Promoted health
More informationBehavioral Health Barometer. North Dakota, 2013
Behavioral Health Barometer North Dakota, 2013 Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International under contract No.
More informationHomes of Hope Application
Homes of Hope Application Name: DOB: date: Address: City: State: Zip code: SS# Phone number: email: Primary language: Secondary language: Ethnicity: Religion preference: Single: Married: Divorced: Do you
More informationMARY NORD COOK, MD. Naval Medical Center, San Diego, California General Psychiatry Residency, July 1994-July 1997
EDUCATION AND TRAINING: MARY NORD COOK, MD University of California, San Diego, California Child and Adolescent Psychiatry Fellowship, July 1998- June 2000 Chief Resident, July 1999-June 2000 Naval Medical
More informationMarcia Baker
Marcia Baker marbak1@comcast.net Current Work Experience March 2010- present University of Texas Medical Branch Galveston School District after School Coordinator Community Resource Coordinating Group
More informationTraining needs assessment summary: One-on-one interviews
Training needs assessment summary: One-on-one interviews Background July 2014 To collect information about ATOD training needs across Minnesota, Wilder Research, ADAD, and the SPF SIG Advisory Council
More informationBecause Knowledge is a Powerful Tool. Focused on Patients
Because Knowledge is a Powerful Tool. Focused on Patients As the availability of genetic testing increases, a person may face many questions and choices. A Genetic Counselor provides assistance in understanding
More informationFatal Drug Overdoses in the Kentucky Military and Veteran Population,
Fatal Drug Overdoses in the Kentucky Military and Veteran Population, 2010-2015 Prepared by Patrick J. Ward, MPH Released by Kentucky Injury Prevention and Research Center (KIPRC) 333 Waller Avenue, Suite
More informationA completed application includes the following:! After a successful application review by our staff If you are selected for placement
Dear Prospective Client, N e w L i f e K 9 s Thank you for your interest in being matched with one of our incredible service dogs This packet includes the Assistance Dog Application, Medical History Form
More informationHEALTH OF WOMEN WHO HAVE SERVED REPORT
HEALTH OF WOMEN WHO HAVE REPORT EXECUTIVE SUMMARY NOVEMBER 2017 The full report is available at www.americashealthrankings.org EXECUTIVE SUMMARY OVERVIEW Our nation is grateful for the service of all the
More informationPart IV Narrative Description of Your Activities
Part IV Narrative Description of Your Activities Military with PTSD was organized to educate service members, veterans, caretakers, and civilians about the effects of post-traumatic stress disorder (PTSD)
More information3/13/2012. Blast out pressurization wave travels at high velocity and is affected by surrounding environment
Sarah Wagers, MD, Poly Clinic Medical Director Vickie Zaborowski, Polytrauma Coordinator Robley Rex VA Medical Center, Louisville, Kentucky 6 th Annual Northern Kentucky TBI Conference March 23, 2012 www.bridgesnky.org
More informationJESSAMINE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) Jessamine County CHIP Progress Reports 11/17/2016
JESSAMINE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) 2016 CHIP Progress Reports 11/17/2016 2016 CHIP Progress Reports of Strategic Initiatives established by Community Partners as a result of the
More informationSAINT LOUIS UNIVERSITY PREVENTION & AWARENESS CAMPAIGNS
SAINT LOUIS UNIVERSITY PREVENTION & AWARENESS CAMPAIGNS 2016-2017 ACADEMIC YEAR Saint Louis University provides training and programing throughout the year to foster awareness around issues of sexual misconduct
More informationParticipating Schools
Participating Schools Amanda -Clearcreek Local School District Berne Union Local School District Bloom - Carroll Local School District Fairfield Union Local School District Fisher Catholic High School
More informationTogether we ll find the missing pieces. Inside is all the information you need to form and build your team.
Team Captain Instruction Booklet Together we ll find the missing pieces. Inside is all the information you need to form and build your team. 2009 Autism Speaks Inc. Autism Speaks and Autism Speaks It s
More informationSRSLY Strategic Plan I. Introduction Community Needs Assessment & Strategic Planning
SRSLY Strategic Plan 2017-2020 Comprehensive community coalitions respond to community conditions by developing and implementing multi-faceted plans to lead to measurable, population-level reductions in
More informationDepartment of Defense Family Advocacy Program Child Abuse/Neglect and Domestic Abuse Data Trends from FY01 to FY13
Department of Defense Family Advocacy Program Child Abuse/Neglect and Domestic Abuse Data Trends from FY01 to FY13 Spouse Abuse Reported to the Family Advocacy Program (FAP): Couples Total Met Criteria
More informationA list of Activity Ideas for Branches of the SASW
A list of Activity Ideas for Branches of the SASW Below is a list of ideas for different events and activities that Branches might wish to use to either promote Social Work Week or for ongoing activities
More informationBrunswick School Department Grade 8 Substance Abuse Prevention
Understandings Questions Remaining substance free has a positive effect on health. What are the benefits of remaining substance free? What is substance use and abuse? How does substance use affect health?
More informationPREVENTIONPRESS. Howell s Most Recent Overdose & Narcan Statistics Provided by the Howell Township Police Department
PREVENTIONPRESS Printed by the Howell Municipal Alliance 2017 Volume 9 Issue 5 Volunteers of the Howell Alliance strive to build a stronger community for a better tomorrow through substance abuse prevention,
More informationHUNGARIAN BUS ACCIDENT in ITALY
EFPA Symposium Bern 2017. 05. 19. HUNGARIAN BUS ACCIDENT in ITALY LESSONS LEARNED Annamária V. KOMLÓSI, PhD Júlia RICHTER, PhD Candidate Hungarian Psychological Association Disaster Psychology Section
More informationHeron Ridge Associates, PLC PARTNER RELATIONAL PERSONAL HISTORY INFORMATION. Client s Last Name First Name M.I. Street Address Date of Birth Age
Case #: Readmit? Yes No Heron Ridge Associates, PLC PARTNER RELATIONAL PERSONAL HISTORY INFORMATION PLEASE PRINT CLEARLY Today s Date: Client s Last Name First Name M.I. Street Address Date of Birth Age
More informationDelaware Prevention Infrastructure Map
U.S. Office of Secondary and Elementary Office of Safe and Healthy Students Center for Mental Health Service U.S. Health and Human U.S. Centers for Disease Control and Prevention Center for Abuse Treatment
More informationMidSOUTH Center for Prevention and Training. Spring 2019 Prevention Training Schedule
MidSOUTH Center for Prevention and Training Spring 2019 Prevention Training Schedule February Grant Writing IV: Pulling It All Together Code: D19CE019 Date: February 25, 2019 Time: 9:00 a.m.-12:00 p.m.
More informationAPPLICATION FOR A SPECIAL ALCOHOL LICENCE Checklist of Information
Tick APPLICATION FOR A SPECIAL ALCOHOL LICENCE Checklist of Information Completed application form Application fee Special Application fees will be calculated according to the size and frequency of the
More informationSANDSTONE PSYCHOLOGICAL PRACTICE
SANDSTONE PSYCHOLOGICAL PRACTICE Christina L. Aranda, Ph.D. & Janell M. Mihelic, Ph.D. CONTACT INFORMATION New Client Questionnaire Name: Date: Date of Birth: Age: _ Address: Preferred Phone Number: Type:
More informationBehavioral Health Barometer. Oregon, 2015
Behavioral Health Barometer Oregon, 2015 Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International under contract No. 283
More informationSample Congressperson Letter for AMP members to cut and paste and tweak:
Sample Congressperson Letter for AMP members to cut and paste and tweak: [Date x, xxxx] Dear [Veterans Administration or Congressperson] I write to you as a licensed psychologist and, as a member of the
More informationTHE BLOCKWATCH HANDBOOK
THE BLOCKWATCH HANDBOOK Introduction The Blockwatch Handbook was created to provide a written guide for citizens and officers to refer to for the operation of a blockwatch. This handbook cannot provide
More informationDrug Abuse Word Search
Word Search Free PDF ebook Download: Word Search Download or Read Online ebook drug abuse word search in PDF Format From The Best User Guide Database INTRODUCING The Teen Files Flipped: Drug Use and Addiction.
More informationADD/ADHD Patient Intake Form. Patients age 18 years or older
Lisa Sachdev, D.O. ADD/ADHD Patient Intake Form Patients age 18 years or older Please fill out the following questionnaire prior to your first appointment. You must be completely honest and detailed in
More informationPATIENT IDENTIFICATION: Name: First Appointment Date: Birth Date: Address: City State Zip Home Phone #: Work #: Cell #: REFERRAL SOURCE: Referred By:
Andrew E. Leifer, M.D., P.C. 1202 Bergen Parkway, Suite 211 Evergreen, Colorado 80439 General Adult Psychiatry Outpatient and Hospital Care Medical Consultation-Liaison Service Telephone (303) 674-6074
More informationToastmaster Leadership Institute. Vice President of Public Relations January 6, 2018
Toastmaster Leadership Institute Vice President of Public Relations January 6, 2018 Presenters Duey Saxton CC, CL Vice President of Public Relations- Penn Hills Club Stevie Watson CC, CL President- Culturally
More information4-H YOUTH DEVELOPMENT PROGRAM OUTREACH GOALS PLANNER
4-H YOUTH DEVELOPMENT PROGRAM OUTREACH GOALS PLANNER During the Program Year the community 4-H club will (4-H year) (club name) take the following efforts intended to improve its diversity as it relates
More informationMercy Defiance Hospital Community Health Needs Assessment Implementation Plan. Introduction
Mercy Defiance Hospital 2014-2016 Community Health Needs Assessment Implementation Plan IDENTIFYING INFORMATION Hospital Name: Mercy Defiance Hospital (MDH) Primary Address: 1404 E. Second Street, Defiance,
More informationMeeting with Your Congressional Delegation at Home
Meeting with Your Congressional Delegation at Home 2018 Guide INTRODUCTION Policy making and advocacy are an imperative component of advancing injury and violence prevention. Safe States works to build
More informationMedications. New Patient Registration. Billing and Insurance. Phone Calls. Prescription Refills. Lab Results and Test Results
Dear New Patient: We would like to welcome you to our practice. Our goal is to make your experience with us as pleasant as possible. In order to help us meet this goal we have listed some helpful hints
More informationSubstance Prevention
First Name Last Name Period Substance Prevention POINTS ASSIGNMENT /75 pts Worksheet Total /10 pts Book Activity Page /10 pts Group Discussion on Substance Use in Teenagers /10 pts Teenage Drinking Brain
More informationTennessee Health Education Standards 6-8
Tennessee Health Education Standards 6-8 The State Health Education Standards can be used to support effective implementation of comprehensive health education as one of the eight components of Coordinated
More informationDeepening Democracy: Changing the World by Building a Youth Base for Replacing
28. Documents from Student Leader (aka Campus Coordinator ) Training: Deepening Democracy, Creating the Tools of Political Citizenship, and Evaluation Sheet Deepening Democracy: Changing the World by Building
More informationNew Patient Questionnaire
New Patient Questionnaire Date of appointment (MM/DD/YYY): Name (Last, First, MI): Previous Names: DOB (MM/DD/YYY): Phone: Cell: Email: May we email you with sensitive information, such as test results?
More information2016 NYC Hep B Coalition Work Plan
The NYC Hepatitis B Coalition mission is to coordinate efforts to prevent, manage and reduce hepatitis B among all residents of New York City. The coalition seeks to foster an inclusive collaboration among
More informationSubstance Abuse in Our Schools Presentation to the Assembly Education Committee
Substance Abuse in Our Schools Presentation to the Assembly Education Committee KEVIN QUINT, JOIN TOGETHER NORTHERN NEVADA KATHERINE LOUDON, COORDINATOR COUNSELING & SAFE AND DRUG FREE WASHOE SCHOOLS MARCH
More informationCore Element #1: HIB Programs, Approaches or Other Initiatives (N.J.S.A. 18A:37-17a) Does Not Meet the Requirements. Partially Meets the Requirements
Appendix A New Jersey Department of Education School Self-Assessment for Determining Grades under the Anti-Bullying Bill of Rights Act July 1, 2016 - June 30, 2017 Core Element #1: HIB Programs, Approaches
More informationNew Client Questionnaire: (rev. 08/2016)
New Client Questionnaire: (rev. 08/2016) Client Name: Date of Birth: / / Date of First Session: / / What events or concerns brought you to my office? What goals would you like to accomplish? Are there
More informationEvidence-Based Prevention Strategies in Wisconsin 101. Outline for This Session. Continuum of Care 6/8/2015
Evidence-Based Prevention Strategies in Wisconsin 101 Christine Niemuth, Prevention Coordinator Paul Krupski, Prevention Coordinator Division of Mental Health and Substance Abuse Services Bureau of Prevention
More informationAssignment Description
Behavioral Health, Non-Infectious Diseases (Cross-Cutting) Boulder County Pubilc Health, Strategic Initiatives Branch/ Health Planning and Evaluation Team Boulder, Colorado Assignment Description The fellow
More information1. What is the coalition s 12 Month Coalition Action Plan for addressing youth substance use in the community? (30 points) 12-Month Action Plan
12-MONTH COALITION ACTION PLAN 1. What is the coalition s 12 Month Coalition Action Plan for addressing youth substance use in the community? (30 points) 12-Month Action Plan DFC Goal One: Increase Community
More informationMONITORING SUICIDAL THOUGHTS AND ACTIONS IN ALLEGAN COUNTY
ABSTRACT A presentation of data gathered and analyzed by the County Suicide Prevention Coalition related to suicidal thoughts and actions in County during 215. This report was prepared by: MONITORING SUICIDAL
More informationJoan B. Jablow, APMHNP 45 Byram Lake Road Mt. Kisco, New York (914)
Joan B. Jablow, APMHNP 45 Byram Lake Road Mt. Kisco, New York 10549 jablownp@optimum.net (914) 241-1246 Personal Adult (18+) Client s name: Date: Gender: F M Date of birth: Age: Address: City: State: Zip:
More informationAnnual Action Plan for June 15, June 15, 2015 Bremerton Substance Abuse Prevention Coalition
Annual Action Plan for June 15, 2014 - June 15, Goal 1: Increase the capacity for substance abuse prevention activities. Objective 1.1: Increase hip of the by 1% between June 15, 2014 and June 15,. Strategy
More informationRural Prevention and Treatment of Substance Abuse Toolkit
Rural Prevention and Treatment of Substance Abuse Toolkit September 18, 2017 Tricia Stauffer, MPH NORC Walsh Center for Rural Health Analysis Rural Health Outreach Tracking and Evaluation Program Funded
More informationMichelle L. Louisville, LCSW, CAP, ICADC Substance Abuse Treatment Program Coordinator Fayetteville Veterans Affairs Medical Center April 5, 2018
Michelle L. Louisville, LCSW, CAP, ICADC Substance Abuse Treatment Program Coordinator Fayetteville Veterans Affairs Medical Center April 5, 2018 Objectives of today s presentation I. Understanding the
More informationPOSITION DESCRIPTION Oregon Area Al-Anon Family Groups. TERM LENGTH: Three Years (Beginning January 1, after election)
POSITION NAME: Forum Coordinator DESCRIPTION: An Al-Anon member, not necessarily a GR, who is elected by the Area Assembly. The Forum Coordinator has voice and vote at the Area World Service Committee
More informationSPW Instructional Training
Smart Policy Works SPW Instructional Training How to Better Serve Veterans Veterans a fast-growing population that you should be tapping into and they are in your agency, whether you know it or not. Our
More informationNJPN s WISE Program Questionnaire Rev 10/13 Page 1
Thank you for participating in the WISE program over the last six weeks. Please complete the following questionnaire. Keep in mind there are no wrong answers. We are simply looking for your thoughts and
More informationCOMMUNITY SERVICE OPPORTUNITY Cabrillo PEERS Team Peer Educator People Empowering Each other to Realize Success
COMMUNITY SERVICE OPPORTUNITY Cabrillo PEERS Team Peer Educator People Empowering Each other to Realize Success About the program: The Cabrillo College PEERS Team (People Empowering Each other to Realize
More informationTaking Opioids Responsibly for Your Safety and the Safety of Others: Patient Information Guide on Long-term Opioid Therapy for Chronic Pain
Taking Opioids Responsibly for Your Safety and the Safety of Others: Patient Information Guide on Long-term Opioid Therapy for Chronic Pain Department of Veterans Affairs (VA) and Department of Defense
More informationSubstance Use Trends in the Military, Veteran and Family Population
Substance Use Trends in the Military, Veteran and Family Population Prepared by: Shana Malone Arizona Criminal Justice Commission Statistical Analysis Center National Illicit Drug Use 1 in 10 individuals
More informationTwinsburg City Schools Standards-Based Health Course of Study. Health
Course Name: () Rationale: The acquisition of basic health concepts and functional health knowledge provides a foundation for promoting health-enhancing behaviors among youth. This standard includes essential
More informationWe seek to impact individuals with Autism Spectrum Disorders in future by serving families and professionals in Central Kentucky.
Advocates for Autism Awareness Sample Advocates for Autism Awareness is a group of families providing hope and support to one another; striving to build partnerships between families & professionals; and
More informationHealth & Wellness Student Ambassadors
Health & Wellness Student Ambassadors Cole Forstedt, MS Student Ambassador Program Manager Heather McClenahen, MA Manager of Equity Programs November 7, 2017 Agenda Student Ambassador Outcomes Health &
More informationPUTNAM COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN ANNUAL PROGRESS REPORT
2014-2107 PUTNAM COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN ANNUAL PROGRESS REPORT Updated: March 2018 Introduction This document provides an overview of health-related data for Putnam County and progress
More information