NPHTI Individualized Consultation Workshop

Capacity is limited for this workshop - Register now!

Highlights:

• Provides extensive, individualized mentor consultation to clinicians ready to enhance their knowledge and expertise in the use of pediatric hypnosis
• Fulfills partial requirements for attaining ASCH Certification in Clinical Hypnosis and/or an ASCH Approved Consultant
• Unique format: Clinicians consult in a small group (max = 6) with rotating faculty facilitators (ASCH Approved Consultants)

Individualized Consultation Virtual Workshop:

In addition to thoughtfully-matched faculty consultation, this model expects participants to learn from one another and to have their own expertise affirmed and expanded. During the consultation sessions, the focus is on issues unique to each practitioner’s practice as reflected in their video submissions. Participants must present a video recording of hypnotic work with a pediatric patient and a corresponding typed case vignette of the video. A firm deadline for video submission is July 15, 2022. A “how to” guide to help learners develop effective video recordings will be provided. An EARLY AS POSSIBLE completed application and learning/needs assessment is requested and advised to facilitate planning before registering for the workshop. See instructions below.

REGISTRATION 

Workshop Registration Deadlines and Fees

TO REGISTER FOR THE INDIVIDUALIZED CONSULTATION WORKSHOP
Go to: https://iplanit.swoogo.com/nphti2023/ to complete the Prior Learning/Needs Assessment. Early registration is encouraged to reserve your place and facilitate faculty planning. Register online with Visa, MasterCard, or American Express

NOTE: Participants are not considered registered until registrant information is complete and payment is received. Please note that payment must be sent no later than 2 weeks after registration/acceptance.

QUESTIONS
For any questions relating to registration, please contact [email protected] or call 1-800-781-1193, ext. 601 between 8 am-5 pm Mountain Time.

ELIGIBILITY AND TARGET AUDIENCE
Participants are required to have an active clinical license AND one of the following:

• Doctoral Degree in Medicine, Psychology, Nursing or Dentistry
• Masters Degree in Social Work, Marriage and Family Therapy, Clinical or Counseling Psychology
• Masters Degree in Nursing or Advanced Practice Registered Nurses (i.e. CPNP, CNS)
• Other Advanced degree clinicians (e.g. Occupational & Physical Therapists, Speech & Language Pathologists)
• Child Life Specialists holding a Doctoral, Masters, or Bachelors degree
• Prior Fundamentals/Introductory 3-day Workshop training in Pediatric Hypnosis AND prior Utilization & Clinical Applications (or "Intermediate") Level pediatric hypnosis training from NPHTI, SDBP or comparable training provided by any NPHTI faculty.
• A current license to practice one's specialty in their home state, province or territory.
• Active clinical practice of hypnosis with children (preferably "regular" such as weekly or more often)
• Application to register requires submission of a video-recording of hypnosis work with a patient between 30" to 45" in length submitted before July 15, 2023, accompanied by goals and objectives for the hypnosis sessions with your patient, learning objectives for this workshop, and narrative summary of the case along with time-stamp indications in the video where discussion and recommendations are specifically requested. Each approved applicant will have a half-day (3.5 hours) devoted to review and discussion of the video of their patient/client by peer participants (up to 5 colleagues) and the faculty specifically selected to be paired with them. There will be a maximum of 6 participants admitted to this 3-day workshop.

CANCELLATION POLICY
In the event you need to cancel your registration, the registration fee, less a $50 administrative fee per registration, will be refunded if you notify Registration Services in writing at [email protected] by 4:30 p.m. Central Time on September 1, 2023. No refunds will be made after this date. Cancellations due to COVID-19 will be considered on a case-by-case basis.

ACCREDITATION

TBD

Individualized Consultation Workshop

Co-coordinators: Daniel P. Kohen, MD, FAAP, ABMH and Leora Kuttner, PhD

Educational Objectives
At the completion of the Individualized Consultation Workshop, learners will be better able to:

• Reflectively evaluate one’s own clinical skills/language through video review, critique, and discussion with colleague advanced learners and carefully matched faculty mentors.
• Problem-solve challenging clinical situations regarding application of hypnotic strategies with colleagues advanced learners and carefully matched faculty mentors.
• Review, evaluate and offer guidance regarding (others’) clinical hypnosis encounters with (their) patients/clients with colleague advanced learners and carefully matched faculty mentors.

Workshop Agenda
**Times below are listed in Central Standard Time**

2023 HOST WORKSHOP FACULTY AND GROUP FACILITATORS

ANDREW J. BARNES, MD, MPH, FAAP*
Associate Professor of Pediatrics, Fellowship Director for Developmental-Behavioral Pediatrics, and Clinical Director for Leadership Education in Neurodevelopmental Disabilities at University of Minnesota, Minneapolis, MN; Former physician member-at-large, MSCH; Approved Consultant, ASCH

DAVID BECKER, MD, MA, LFMT
Clinical Professor, UCSF Department of Pediatrics; Co-Director IP3 Pain Management Clinic; Integrative Medicine and Behavioral Health Clinics at the UCSF Osher Center for Integrative Medicine. MA in Clinical Psychology, Licensed Marriage and Family Therapist; ASCH member

F. RALPH BERBERICH, MD, FAAP
Private group practice (Retired). Staff Physician, UCSF Benioff Children’s Hospital Oakland (Retired). Pediatric Suggestions, Approved Consultant, ASCH.

CHERYL S. BEMEL, PhD, LP
Adjunct Faculty, University of Minnesota School of Dentistry; Health Psychologist in private practice, St. Paul MN; Pre-surgical Psychological Diagnostician: Allina Health; MN Behavioral Health Unit Medical Reserve Corps (MN BHMRC); Minneapolis Police Department's Child Development Policing Project Crisis Responder to 911 calls; Former Crisis Psychologist, United Hospital Emergency Room, St. Paul, MN; Former Child Psychologist, University of Minnesota Hospitals and Clinics Inpatient Units; Past President & Faculty, MSCH; Board Member and Faculty ASCH; MN Certified Tobacco Treatment Specialist (C-TTS), Nationally Certified Tobacco Treatment Practitioner (NCTTP); Approved Consultant, ASCH; Certified School Psychologist, MN Dept of Education; Licensed Early Childhood Teacher, MN Dept. of Education.

FREDERICK BOGIN, MD, FAAP
Assistant Professor of Pediatrics (retired), University of Connecticut School of Medicine; Private Practice, Pediatric Hypnotherapy; Certified, ASCH

CAMILLA G. CEPPI COZZIO, MD, FMH
General Pediatrics and Adolescent Medicine Physician, Private Practice, Dübendorf, Switzerland; Member of Swiss Society of Pediatrics; Certified Physician, Swiss Academy of Psychosomatic and Psychosocial Medicine (SAPPM); Certificate of Competence of SMSH (Swiss Medical Society in Hypnosis), Member Swiss Medical Society of Hypnosis; ASCH, International Member

CANDACE J. ERICKSON, MD, FAAP, MPH
Associate Professor of Clinical Pediatrics, Columbia University College of Physicians and Surgeons, New York, NY; Developmental and Behavioral Pediatrician, Morgan Stanley Children’s Hospital of New York Presbyterian Hospital, New York, NY: Director, Developmental and Behavioral Pediatrics, The Brooklyn Hospital Center, Brooklyn, NY; Course Director SDBP Pediatric Clinical Hypnosis Workshops (1987-2009)

HOWARD HALL, PhD, PSYD, BCB
Professor of Pediatrics, Psychiatry, and Psychological Sciences, UH Cleveland Medical Center, Rainbow Babies & Children’s Hospital, Division of Developmental/ Behavioral Pediatrics & Psychology Cleveland, OH; Board Certified in Biofeedback (BCB); Approved Consultant, ASCH

REBECCA KAJANDER, CPNP, MPH
Teaches mind/ body skills to patients hospitalized in psychiatric units in 2 Twin City hospitals, Minneapolis, MN. Former PNP with Noran Neurological Clinic, Minneapolis, MN; Former Department Chair and Clinical Practice Director, Alexander Center for Child Development and Behavior, Park Nicollet Clinic,St. Louis Park, MN; Former Adjunct Faculty Developmental Behavior Pediatrics, Department of Pediatrics, University of Minnesota Medical School; Instructor, School of Nursing, University of Minnesota, Minneapolis, MN

ADAM KEATING, MD, FAAP
General Pediatrician, Section Head, Community Pediatrics, Cleveland Clinic Children’s, Wooster, OH; Medical Director, Longbrake Student WellnessCen-ter, College of Wooster; Clinical Assistant Professor of Pediatrics, Cleveland Clinic Lerner College of Medicine; Clinical Associate Professor of Pediatrics Ohio University Heritage College of Osteopathic Medicine

DANIEL P. KOHEN, MD, FAAP, ABMH*
Co-Founder & Coordinator of Education and Training, National Pediatric Hypnosis Training Institute; Developmental- Behavioral Pediatrics, Medical Hypnosis & Self-Regulation, Kohen Therapy Associates, Golden Valley, MN (retired); Former Director: Developmental-Behavioral Pediatrics and Professor, Departments of Pediatrics and Family Medicine and Community Health, University of Minnesota (retired); Former Director of Education and Training, Minnesota Society of Clinical Hypnosis (MSCH); Past President, MSCH; Past President, American Board of Medical Hypnosis; Past Vice-President, Fellow, and Approved Consultant, ASCH; Fellow, SCEH

Harriet Kohen, MA, MSW, CPT
Therapist, Kohen Therapy Associates; Past-President and Fellow, MN Society for Clinical Social Work; Credential Chair, International Federation of Biblio/Poetry Therapy; Faculty, NPHTI, MSCH

LEORA KUTTNER, PhD*
Co-Director of Education, NPHTI; Clinical Professor of Pediatrics, University of British Columbia, and British Columbia Children’s Hospital, Vancouver, Canada; Clinical Pediatric Pain Practice (retired). Canadian Society of Clinical Hypnosis (BC Division); International Society of Hypnosis (ISH); Scientific Planning Committee for ISH World Congress of Hypnosis, Montreal, 2018; Approved Consultant, ASCH

LISA LOMBARD, PhD*
President, Board of Directors NPHTI; Clinical Psychologist - Private Practice Chicago IL; Former Research Assistant Professor at Northwestern Feinberg School of Medicine; Former Associate Professor of Clinical Psychology (Child and Adolescent Track) at the Chicago School of Professional Psychology, Past-President of the Chicago Society of Clinical Hypnosis; Former Clinical Section Head, Illinois Psychological Association; Approved Consultant, ASCH; Founder, Comfort Kits for Children (nonprofit)

ROBERT PENDERGRAST, MD, MPH, FAAP
Professor of Pediatrics, Medical College of Georgia, at Augusta University; Director, Adolescent Medicine, Children’s Hospital of Georgia, Augusta, GA; Aiken- Augusta Holistic Health, North Augusta, SC; Approved Consultant, ASCH

TERESA QUINN, MD, ABMH
Assistant Professor, University of Minnesota; Methodist Hospital Family Medicine Residency, CAQ Geriatrics

LAURENCE I. SUGARMAN, MD, FAAP, ABMH
Research Professor and Director, Center for Applied Psychophysiology and Self-regulation, Institute and College of Health Sciences and Technology, Rochester Institute of Technology; Clinical Professor in Pediatrics, University of Rochester; Behavioral Pediatrician, Easter Seals Diagnostic and Treatment Center, Rochester, NY; Past President, American Board of Medical Hypnosis; Past Vice-President, Fellow, Approved Consultant, ASCH

Jody Thomas, PhD*
Clinical Psychologist, Private Practice in Denver, Colorado; Former Associate Professor, Department of Anesthesia, Stanford University School of Medicine; Former founding Clinical Director, Pediatric Pain Rehabilitation Program at Stanford Children’s Health; Member, ASCH

*denotes planning committee