MISSOURI ADDICTION COUNSELORS ASSOCIATION 2014 SPRING CONFERENCE REGISTRATION FORM March 28, 29 & 30, 2014

Name (please type or print) Phone #

Address City/State/Zip

Signature Credentials

Agency Employed By Phone#: E-mail: Conference Registration Fee $ ______Individual Guest Meal Packet $ ______Payment Method: Check______Credit Card Payment______Purchase Order______MasterCard _____Visa _____Discover Credit Card Number______Exp. Date______Verification Code______Billing Address______Name on Card______Cardholder’s Signature______Total Amount Enclosed $ ______

**NO REFUNDS AFTER March 15, 2014 DETACH & RETURN TOP PORTION WITH REGISTRATION FEE

FRIDAY, March 28 8:00 am Registration Opens 9:30am - 11:30pm Track A Statistics & needs re: substance abuse and the children’s division of Social Services Nikki Holdmeier, BSW, Children’s Service Supervisor * Track B PTSD (2 Contact Hours) Donna Lay, LPC, NCC, Certified Mental Track C Neuroscience, psychoactive substance use & dependence Clay Hyde, CRADC, CCJP 11:30pm – 1:30pm LUNCH (on own) / FREE TIME (Open Board meeting at 11:30pm in The Terrace Room) 1:30pm – 3:30pm Track A Keeping New Counselors David Evans, LPC, CRAADC, Linda Christian-Dinwiddie, LPC, CRAADC (2 Contact Hours) Track B Motivation for Counselors Shawn Bell, RASAC II, MARS/Joshua Palmer, RASAC II Track C Why Change is Hard . Patricia A. Erwin, MSW, LCSW 3:30pm - 3:45pm BREAK 3:45pm -5:45pm Track A Adolescent Treatment Amy Weiland, CRADC, ICADC (2 Contact Hours) Track B Relapse Prevention: Plus A’ndrea Hyde, CRADC, CCJP Track C Medical Assisted Treatment Cheryl Gardine, CRAADC, LCSW

SATURDAY, March 29 9:00am - 12:00pm Track A Social Media Ethics Mark McDonald, MS, CRADC, CCGC, BHRS, OCADC (3 Contact Hours) Track B Mo. Drug Courts/Federal Drug Courts Stacey Langendoerfer, MS, CCJP, MARS/Roxanne Jolly, LPC * Track C Family Systems of Resiliency & Recovery Al Sarno, PhD, LPC, LCPC, BCPC

12:00pm – 1:30pm LUNCH (on own)/FREE TIME 1:30pm - 4:30pm Track A Ethics Mark Shields, M.Ed., LPC, CRAADC (3 Contact Hours) Track B Virtual World Brenda Bryan, BA, CRADC, CCDP * Track C Understanding Addiction, Stress, Mind/Body Connection & Mindfulness Michael Herr, LMSW, CRAADC, ICAADC

6:00pm - 9:00pm BANQUET Membership meeting/White Elephant Auction/Raffle Drawing

SUNDAY, March 30 9:00am - 12:00pm (3 Contact Hours) “Just Clowning Around” Understanding substance abuse as Seen through the eyes of a clown Wilma Harpole, MSW, CRAADC, ICAADC

NOTE: Topics and / or Speakers Subject to change: Check web site for updates; www.missouriaddiction counselors.org  * Approved for Co-Occurring Credentials contact hours  An acceptable source for LPC continuing education requirements Approved by MSAPCB for 15 Contact Hours Missouri Addiction Counselors Association P.O. Box 8037 St Joseph, Mo. 64508-8037 Attn: MACA 2014 Spring Schedule

CONFERENCE REGISTRATION for March 28 – 30, 2014 Make Conference Registration Checks Payable to MACA and return to P.O. Box 8037, St Joseph, Mo. 64508-8037 Conference Pre-Registration Deadline: March 10, 2014 REGISTRATION FEE * Pre-Registration Members $125 On-Site Registration Members $145 Pre-Registration Non-Members $160 On-Site Registration Non-Members $180 * Fee includes Contact Hours and Banquet Meal Additional Banquet Meal available @ $30 each One Day Only Fee: Friday- $65______* Saturday- $65______Sunday- $30.00______CONFERENCE SPONSORSHIPS Any Individual or Agency can become a MACA Conference Sponsor: Gold ($600 donation), Silver ($400 donation), Educational ($150 donation), and Friends of MACA ($50 donation). Benefits vary from free Hotel lodging to name recognition, to waiver of Conference Registration, etc. Even if you or your employees cannot attend the Conference, you can still play a valuable role, like these Sponsors of the MACA 2013 Fall Conference: Gold Sponsors – Missouri Substance Abuse Professional Credentialing Board (MSAPCB), M.A.D.A.C., Inc.(Elaine Campbell) ; National Conference on Addiction Disorders Silver Sponsors – Preferred Family Healthcare, Inc. - Educational Sponsors – Lakeland Behavioral Health; Chestnut Health Systems; Boonville Valley Hope, Missouri; Friends of MACA: Ronnie Beaver, Dawn & David Dinwiddie INFORMATION BOOTHS / DISPLAY TABLES If you or your Agency would like to have an Information Booth / Display Table at the MACA 2014 Spring Conference, contact Ronnie Beaver MACA Executive Secretary at 816-232-3411 E-Mail: [email protected] or visit our web page: www.missouriaddictioncounselors.org Remember, Agency members receive a FREE vendor booth at each conference with their membership.

WHITE ELEPHANT AUCTION In addition to the Door Prize Raffle, MACA will have a “White Elephant Auction” at the Banquet. Everyone is encouraged to bring items for the Auction. Always Lots of Fun! ROOM RESERVATIONS: INN at GRAND GLAIZE Osage Beach, MO (BE SURE TO ASK FOR MACA ROOMS) 1-800-348-4731 Special MACA Room Rate: $79 + tax/night NOTE: Check-In Time 4:00pm Room Rate/Availability Guarantee September 16, 2014 NEW MEMBER RAFFLE Any person or Agency joining MACA at the Conference will be eligible for the drawing for one “Waiver of registration fee” for the MACA 2014 Fall Conference. 2014 FALL CONFERENCE MACA 2014 Fall Conference will be October 17-19 at INN at GRAND GLAIZE, Osage Beach, MO MACA’s WEB PAGE For more information about MACA, Conference Sponsorships, & Membership, visit our Web Page at www.missouriaddictioncounselors.org