Unusual Beliefs Registration

Unusual Beliefs Registration Request Form

This workshop will take place on April 2nd and April 3rd from 9:30am to 4:30pm at the West Springfield Public Library Community Room, 200 Park Street.

PLEASE NOTE: This form is intended to request registration. Your attendance should not be considered confirmed until you receive an e-mail saying that it has been received and that space is available. Registration will take place on a first come, first serve basis.

Workshop Summary: Participants will look at how to support someone who has unusual beliefs or what often gets called 'paranoia.' It will focus on exploring a person's belief system to understand it from their perspective, and how to reduce any negative impact on quality of life without trying to take away what's meaningful or useful. Participants will also learn how the three stages of voice hearing apply differently with experiences of this nature, and will explore how to decode beliefs to build understanding.

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* 1. Please include your contact information below.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Please put your initials next to each of the following statements to indicate that you have read and understood it.

This training is particularly geared toward people in clinical roles, though is open to and may be helpful to other supporters, as well (people working in ‘peer’ roles, family members, etc.).

This training involves in depth sharing about difficult issues and traumas that some may find upsetting.

Although this workshop will cover some overlapping themes and approaches as the Maastricht Training or the Hearing Voices Facilitator training, it is a substantively different training focused on building understanding and supporting people with unusual beliefs or what so often gets called ‘paranoia’.

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* 3. I understand that there is a $50.00 fee to attend this training, and that I am also responsible for any travel and food expenses I may incur as a part of attending this training. I agree to pay this fee upon confirmation of my registration unless otherwise noted below.

I agree and am able to pay the $50 fee for this workshop.

I am unable to pay this fee, and am requesting a full scholarship.

I am unable to pay the full fee, but can pay a reduced amount. The reduced amount that I am able to pay is (please note amount below):

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* 4. We have limited space in this workshop. If you are requesting a reduced rate or scholarship, please tell us a bit about how it will be useful to you in your work or life?

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* 5. It is helpful for the trainers to have some sense of the make up of the workshop. Please tell us a bit more about yourself (check all that apply):

I am working in a provider role.

I am working in a peer role.

I am or have received services in the mental health system.

I am a family member of someone who has experienced unusual beliefs/received services in the mental health system.

I am a friend of someone who has experience unusual beliefs/received services in the mental health system.

Other (please specify)

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* 6. Will you be looking for Continuing Education Credits?

Yes, I will need Continuing Education Credits for Social Workers.

Yes, I will need Continuing Education Credits for Licensed Mental Health Counselors.

Yes, I will need Continuing Education Credits for another discipline (legal, CADAC, etc.). I understand that the RLC will not provide these directly, and I have made arrangements with my own certifying body to provide these.

No, but I would like a certificate of attendance.

No, I do not need any documentation.

Other (please specify)