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FAMILY Partnership Training Institute Application
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1.
In what setting(s) do you engage and partner with families of loved ones with mental health and/or substance use challenges?
(Required.)
In an out-patient clinical setting, such as a therapist's office, hospital, etc.
In an in-patient clinical setting, such as a residential treatment facility, psychiatric ward, etc.
As a part of a wrapround team
At a community-based organization
At a family-run organization
Other (please specify)
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2.
In what professional capacity do you interact with families?
(Required.)
Mental Health Provider (includes therapists, social workers, counselors, etc.)
Substance Use Support Provider
Wraparound Facilitator
Family Peer Specialist
Other (please specify)
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3.
How do you interact with families as a part of your profession?
(Required.)
I partner with family members as a part of the treatment team of the individuals I directly support.
I offer training and resources about behavioral health to family members of the individuals I directly support.
I directly support family members as they navigate the behavioral health system with their loved ones, including accompanying them to meetings to support advocacy efforts.
I offer family-based services such as family therapy.
Other (please specify)
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4.
Give some specific examples of how you have partnered with families in the past year. (300 word limit)
(Required.)
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5.
Why are you interested in learning more about partnering with families? (300 word limit)
(Required.)
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6.
At the end of the FAMILY Partnership Training Institute, I expect to be able to... (100 word limit)
(Required.)
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7.
Please confirm that you understand that the time commitment for the FAMILY Partnership Training Institute includes ~1 hour reviewing an online course lesson, a 90-minute meeting on Zoom with other participants, and ~1 hour of reflection activities/readings (homework) per month?
(Required.)
Yes, I can commit to this level of work.
No, I cannot commit to this level of work.
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8.
Contact Information
(Required.)
Name
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Company
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Address
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Address 2
City
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State
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ZIP
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E-mail Address
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Phone Number
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