The Bill Bailey Preventionist of the Year Award Nomination

The Bill Bailey Preventionist of the Year Award

In honor of the integrity and growth Bill Bailey brought to Indiana Prevention, the Division of Mental Health & Addiction is seeking nominations for the Indiana Preventionist of the Year Award.

Bill Bailey was a leader in Substance Misuse Primary Prevention in Indiana. He served for over two decades as the Director of the Indiana Prevention Resource Center (now Prevention Insights). He was instrumental in moving Indiana’s prevention system towards an evidence-based system. He had this vision early and Indiana was one of the first states in the US to move toward substance misuse primary prevention efforts based on data of what works.

This legacy continues today with the many communities using the Strategic Prevention Framework to assess and identify the substance misuse primary prevention needs of their communities.

Nomination Criteria:

Nominee must live and/or work in Indiana.
A minimum of 51% of the nominee/candidate’s current work must be in the substance misuse primary prevention field.
Nominee must have been in the prevention field a minimum of three years.

Question Title

* 1. Nominator Contact Information

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Nominee Contact Information

Name *

Company *

Address

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 3. Nominee Work Experience.
Please share insights on Nominee's work in prevention. What work experience/contributions/accomplishments have been made, in substance misuse primary prevention, by the nominee?

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* 4. Nominee Educational/Training Background.
Please include Certifications, Licenses, and/or educational degrees held.

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* 5. Does the nominee have an active IC&RC recognized Certified Prevention Specialist (CPS) certification?

Yes

Unsure

If yes, please identify number of years with a CPS

The Bill Bailey Preventionist of the Year Award Nomination