2017 Fall Convention - Ethics & The Law: Complications in Communications with Clinical and Forensic Clients

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* 3. Please expedite my CE Certificate by the date below. You will be emailed an invoice of $5 per certificate which must be paid before your certificate is issued.

Yes

Date

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* 4. A. Program (1 strongly disagree - 5 Strongly Agree)

	1	2	3	4	5
I gained new knowledge as a result of this CE program	I gained new knowledge as a result of this CE program 1	I gained new knowledge as a result of this CE program 2	I gained new knowledge as a result of this CE program 3	I gained new knowledge as a result of this CE program 4	I gained new knowledge as a result of this CE program 5
The program description was accurate	The program description was accurate 1	The program description was accurate 2	The program description was accurate 3	The program description was accurate 4	The program description was accurate 5
The concepts well-explained	The concepts well-explained 1	The concepts well-explained 2	The concepts well-explained 3	The concepts well-explained 4	The concepts well-explained 5

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* 5. A. Content (1 Not Useful - 5 Very Useful)

	1	2	3	4	5
How Useful was the content of this CE program for your practice or other professional development?	How Useful was the content of this CE program for your practice or other professional development? 1	How Useful was the content of this CE program for your practice or other professional development? 2	How Useful was the content of this CE program for your practice or other professional development? 3	How Useful was the content of this CE program for your practice or other professional development? 4	How Useful was the content of this CE program for your practice or other professional development? 5

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* 6. A. Content (1 Very Little - 5 A Great Deal)

	1	2	3	4	5
How much did you learn as a result of this CE Program?	How much did you learn as a result of this CE Program? 1	How much did you learn as a result of this CE Program? 2	How much did you learn as a result of this CE Program? 3	How much did you learn as a result of this CE Program? 4	How much did you learn as a result of this CE Program? 5

	1	2	3	4	5
1) I can summarize the areas of high risk for professional psychology practice.	1) I can summarize the areas of high risk for professional psychology practice. 1	1) I can summarize the areas of high risk for professional psychology practice. 2	1) I can summarize the areas of high risk for professional psychology practice. 3	1) I can summarize the areas of high risk for professional psychology practice. 4	1) I can summarize the areas of high risk for professional psychology practice. 5
2) I can describe how to implement risk management strategies from a conceptual perspective.	2) I can describe how to implement risk management strategies from a conceptual perspective. 1	2) I can describe how to implement risk management strategies from a conceptual perspective. 2	2) I can describe how to implement risk management strategies from a conceptual perspective. 3	2) I can describe how to implement risk management strategies from a conceptual perspective. 4	2) I can describe how to implement risk management strategies from a conceptual perspective. 5
3) I can recognize how state mandates impact professional conduct in order to maintain a client oriented approach when dealing with ethical dilemmas.	3) I can recognize how state mandates impact professional conduct in order to maintain a client oriented approach when dealing with ethical dilemmas. 1	3) I can recognize how state mandates impact professional conduct in order to maintain a client oriented approach when dealing with ethical dilemmas. 2	3) I can recognize how state mandates impact professional conduct in order to maintain a client oriented approach when dealing with ethical dilemmas. 3	3) I can recognize how state mandates impact professional conduct in order to maintain a client oriented approach when dealing with ethical dilemmas. 4	3) I can recognize how state mandates impact professional conduct in order to maintain a client oriented approach when dealing with ethical dilemmas. 5
4)I can explain how to place limits on your role when called upon to be part of a legal proceeding.	4)I can explain how to place limits on your role when called upon to be part of a legal proceeding. 1	4)I can explain how to place limits on your role when called upon to be part of a legal proceeding. 2	4)I can explain how to place limits on your role when called upon to be part of a legal proceeding. 3	4)I can explain how to place limits on your role when called upon to be part of a legal proceeding. 4	4)I can explain how to place limits on your role when called upon to be part of a legal proceeding. 5
5) I can discuss how to deal with health care record audits.	5) I can discuss how to deal with health care record audits. 1	5) I can discuss how to deal with health care record audits. 2	5) I can discuss how to deal with health care record audits. 3	5) I can discuss how to deal with health care record audits. 4	5) I can discuss how to deal with health care record audits. 5

1) I can summarize the areas of high risk for professional psychology practice.

1) I can summarize the areas of high risk for professional psychology practice. 1

1) I can summarize the areas of high risk for professional psychology practice. 2

1) I can summarize the areas of high risk for professional psychology practice. 3

1) I can summarize the areas of high risk for professional psychology practice. 4

1) I can summarize the areas of high risk for professional psychology practice. 5

2) I can describe how to implement risk management strategies from a conceptual perspective.

2) I can describe how to implement risk management strategies from a conceptual perspective. 1

2) I can describe how to implement risk management strategies from a conceptual perspective. 2

2) I can describe how to implement risk management strategies from a conceptual perspective. 3

2) I can describe how to implement risk management strategies from a conceptual perspective. 4

2) I can describe how to implement risk management strategies from a conceptual perspective. 5

3) I can recognize how state mandates impact professional conduct in order to maintain a client oriented approach when dealing with ethical dilemmas.

3) I can recognize how state mandates impact professional conduct in order to maintain a client oriented approach when dealing with ethical dilemmas. 1

3) I can recognize how state mandates impact professional conduct in order to maintain a client oriented approach when dealing with ethical dilemmas. 2

3) I can recognize how state mandates impact professional conduct in order to maintain a client oriented approach when dealing with ethical dilemmas. 3

3) I can recognize how state mandates impact professional conduct in order to maintain a client oriented approach when dealing with ethical dilemmas. 4

3) I can recognize how state mandates impact professional conduct in order to maintain a client oriented approach when dealing with ethical dilemmas. 5

4)I can explain how to place limits on your role when called upon to be part of a legal proceeding.

4)I can explain how to place limits on your role when called upon to be part of a legal proceeding. 1

4)I can explain how to place limits on your role when called upon to be part of a legal proceeding. 2

4)I can explain how to place limits on your role when called upon to be part of a legal proceeding. 3

4)I can explain how to place limits on your role when called upon to be part of a legal proceeding. 4

4)I can explain how to place limits on your role when called upon to be part of a legal proceeding. 5

5) I can discuss how to deal with health care record audits.

5) I can discuss how to deal with health care record audits. 1

5) I can discuss how to deal with health care record audits. 2

5) I can discuss how to deal with health care record audits. 3

5) I can discuss how to deal with health care record audits. 4

5) I can discuss how to deal with health care record audits. 5

	1	2	3	4	5
The enrollment was smooth and efficient	The enrollment was smooth and efficient 1	The enrollment was smooth and efficient 2	The enrollment was smooth and efficient 3	The enrollment was smooth and efficient 4	The enrollment was smooth and efficient 5
Staff was responsive and helpful	Staff was responsive and helpful 1	Staff was responsive and helpful 2	Staff was responsive and helpful 3	Staff was responsive and helpful 4	Staff was responsive and helpful 5
The quality of the facilities was adequate	The quality of the facilities was adequate 1	The quality of the facilities was adequate 2	The quality of the facilities was adequate 3	The quality of the facilities was adequate 4	The quality of the facilities was adequate 5

The enrollment was smooth and efficient

The enrollment was smooth and efficient 1

The enrollment was smooth and efficient 2

The enrollment was smooth and efficient 3

The enrollment was smooth and efficient 4

The enrollment was smooth and efficient 5

Staff was responsive and helpful

Staff was responsive and helpful 1

Staff was responsive and helpful 2

Staff was responsive and helpful 3

Staff was responsive and helpful 4

Staff was responsive and helpful 5

The quality of the facilities was adequate

The quality of the facilities was adequate 1

The quality of the facilities was adequate 2

The quality of the facilities was adequate 3

The quality of the facilities was adequate 4

The quality of the facilities was adequate 5

2017 Fall Convention - Ethics & The Law: Complications in Communications with Clinical and Forensic Clients - Jeffrey N. Younggren, Ph.D., ABPP

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* 1. First & Last Name

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* 2. Email Address? Your CE Certificate will be sent here

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* 3. Please expedite my CE Certificate by the date below. You will be emailed an invoice of $5 per certificate which must be paid before your certificate is issued.

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* 4. A. Program (1 strongly disagree - 5 Strongly Agree)

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* 5. A. Content (1 Not Useful - 5 Very Useful)

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* 6. A. Content (1 Very Little - 5 A Great Deal)

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* 7. B. Course Objectives (please indicate how well objectives were met, 1 strongly disagree - 5 Strongly Agree)

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* 8. Logistics/Staff (1 strongly disagree - 5 Strongly Agree)

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* 9. Do you have any suggestions of future topics for Trust workshops?

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* 10. Suggestions for future WSPA program topics or other general comments? (please print legibly)

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* 11. I am interested in serving on the Board of Trustees: