Present with MACMH - Minnesota Association for Children's Mental Health

Present with MACMH

Presenter Submission Agreement

If I/we submit a proposal, I understand that I will be agreeing to the following on behalf of all individuals participating in my presentation:

+ I/we agree to use language that respects people of every culture, race, ethnicity, gender identity, sexual orientation, religion, class, ability and background in my presentation and presentation materials, as well as while engaging with event attendees, partners and MACMH staff.

+ I/we warrant that the materials/information provided do not infringe upon the intellectual property rights of another.

+ My/our presentation may not exceed three (3) presenters.

+ I/we will provide slides/handouts for my/our session electronically to MACMH within 2 weeks of our presentation. MACMH will post these handouts on our website and provide access to all registered conference participants.

+ I/we will not sell products or promote a specific product for personal gain during my/our presentation.

+ Presentation accommodation requests must be specified in my/our proposal in the “Additional Comments” box of the online form. If not included, MACMH may not be able to fulfill my/our request.

+ I/we will be notified within 60 days of my application.

+ If selected to present, I/we understand that we are giving MACMH permission to use my/our likeness, image, voice and/or appearance as may be embodied in any pictures or audio/video recordings taken during the conference. Such pictures and/or audio/video clips will solely serve to support MACMH’s publicity efforts and will not be used for educational purposes.

Clinical Content Criteria
First Name *
Last Name *
Email Address *
2–3 Sentence Biography *
Upload Presenter CV/Resume: please include published works and previous presentations
Upload a headshot - plain backgrounds work best.
Have you presented before? *	Yes No
Do you have a link(s) to a recording of a previous presentation you have done? Paste it here.
PRESENTATION TITLE *
BRIEF DESCRIPTION - This description will be used for web, email, and brochure materials. *Important Make sure this is a comprehensive and accurate representation of what attendees should expect during your webinar. Maximum of 60 words.
Does your presentation include: *	Ethics content Supervision content Cultural Competency content Diversity content Suicide Prevention content Key Warning Signs for Early-Onset Mental Illness Clinical content None of the Above
Content described in the following six "clinical knowledge areas" qualifies for the LICSW CE requirement: • differential diagnosis and biopsychosocial assessment, including normative development and psychopathology across the life span; • assessment-‐based clinical treatment planning with measurable goals; • clinical intervention methods informed by research and current standards of practice; • evaluation methodologies; • social work values and ethics, including cultural context, diversity, and social policy; or • culturally specific clinical assessment and intervention
AREAS of INTEREST/TOPICS *Please choose what topic(s) your workshop most reflects.	Children & Adolescents Cultural Responsiveness Disorders & Diagnostic Process Family & Caregiver Support Infant & Early Childhood Mental Health in the Education System Professional Support Research to Practice Services and Policies Transition Trauma, Abuse, Crisis & Prevention Treatments & Strategies Advocacy by People with Lived Experience
AGE GROUP(S) *What ages will be addressed in this presentation? Check all that apply.	Infant and Early Childhood: Prenatal-preschool School-Aged Children: 6 - 12 Teens/Adolescents: 13-18 Young Adults: 18-early 20s
AUDIENCE *Who would receive the MOST benefit from this presentation? Choose all that apply	Psychologists, Marriage and Family Therapists, Clinical Social Workers County child protection workers, case managers, and social workers Health Care Professionals Educators and others working in schools including school social worker Corrections Personnel Parents and caregivers All of the above
If you checked All Audiences - explainPlease briefly describe how this presentation can be applicable to all professions and caregivers?
Preferred WORKSHOP LENGTH *Indicate your preference below. MACMH will assign workshop lengths. If approved, your acceptance email will indicate your workshop length.	1¼ - 1½ hr workshop 1½ - 2 hrs workshop 2-3 hrs workshop 4-6 hrs workshop My workshop can be adapted to any length
TECHNICAL LEVEL *Please carefully select your level. MACMH will be selecting a balanced array of workshops. We are eager for more advanced applications.	Level 1 (BASIC): Broad background information and introductory material is covered. Level 2 (INTERMEDIATE): Material builds on existing knowledge and goes well beyond basics. Level 3 (ADVANCED): Complex, in-depth concepts or features highlighted.
PARTICIPATION LEVELPlease select the level of audience participation that best reflects your workshop format.	Lecture (no attendee interaction) Lecture plus Q & A Interactive (includes experiential activities) Panel Discussion (moderated questions to panel members throughout)
Upload an AbstractAbstracts should be a maximum of 2 pages. Word (.doc/.docx) and PDF (.pdf) documents are preferred. Abstracts MUST include the following: a. Learning objectives (3 minimum) b. Description of key points that will be covered or a detailed outline c. Sources/references of content (e.g. research studies, articles, books, data, and/or personal experience)
Additional CommentsAdditional presentation information or final notes?

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Founded in 1989, MACMH is a 501(c)(3) nonprofit whose mission is to promote positive mental health for all infants, children, adolescents and their families.

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