Registration Form Integrations Treatment Center Presents...
Name:________________________________ Address:______________________________ City:_____________________ State:______ Zip Code:_________________ Home Phone:_______________________ Cell Phone:_________________________ Email Address:________________________
Autism Boot Camp
Role: Check all that apply
□ Parent □ SLP □ Teacher □ Administrator □ Aide □ PT/PTA □ Employee Candidate □ OT/COTA □ Psychologist □ Other______________________
Interested in Lunch Plan for $7/day? □ Yes □ No If interested, please include $35 with payment.
The ABC’s of
Registration Fee: $495* Groups of 3 or more receive a discounted rate of $450 per person. Registration and payment must be received together for group discount.
The S.U.C.C.E.S.S. Approach
*Financial Assistance may apply. Inquire at ITC.
Method of Payment: ___ Check (make payable to “ITC” ) ___ Credit Card: Visa MasterCard Card Number:___________________ Expiration date:_________________ Security Code: __________________ Signature:_______________________ Mail to: Integrations Treatment Center 28700 Euclid Avenue Mailbox #120 Wickliffe, OH 44092 Cancellation/Refund Policy: If a participant cancels prior to August 5th, a full refund will be issued. Cancellations received on or after August 5th will be refunded less a $30.00 administration fee. Transfer of registration to another person is acceptable. In the event the course is cancelled by Integrations Treatment Center, a full refund of the course fee will be issued. Integrations Treatment Center is not responsible for any other expenses incurred by registrant (airfare, lunch plan, hotel etc.).
COURSE LOCATION: Integrations Treatment Center 28700 Euclid Ave Wickliffe, OH 44092 Phone: 440-943-7607 Email: firstname.lastname@example.org
August 8 - 12, 2011
Monday - Friday 9:00am to 4:00pm A week long intensive training course for parents & professionals, on one of the most effective models to treat autism...
The S.U.C.C.E.S.S. Approach SM
Autism Boot Camp: The ABC’s of The S.U.C.C.E.S.S. Approach
How can I learn more about Autism and The S.U.C.C.E.S.S. Approach ? SM
...by enrolling in our summer
A utism B oot C amp! Through lecture, video analysis and daily hands-on experience, participants in this engaging course will gain a comprehensive understanding of the theories
What is The S.U.C.C.E.S.S. Approach ? SM
The S.U.C.C.E.S.S. ApproachSM is a specialized transdisciplinary intervention model used to assess, treat, and teach individuals with Autism Spectrum Disorders (ASD). Unique to this model is its syncletic use of 7 different theories that stem from one or more of the following fields:
Clinical experience and research suggests that use of these 7 theories can lead to significant and long term positive effects for students with ASD. The S.U.C.C.E.S.S. Approach is not a singleminded, cookie-cutter program. It's dynamic, and individualized which is why parents and professionals alike know it works!
Course Overview Day 1 I. Autism: Overview of Diagnosis II. What is The S.U.C.C.E.S.S. ApproachSM? III. Understanding Transdisciplinary Care IV. Assessing Behavior V. Homeostasis VI. Understanding Readiness Day 2 I. Day 1 Recap II. Analysis of Adult-Child Interaction III. Sense-making: Theory & Practice Application Day 3 I. Attention II. Sensory Processing and the Sensory Systems III. Developmental Model: Theory & Practice Application Day 4 I. Learning and Schema Development II. Reciprocity/Social Skill Development
and methods unique to The S.U.C.C.E.S.S. ApproachSM . Course instructors will present theoretical information on all 7 theories of The S.U.C.C.E.S.S. ApproachSM and then apply the content to both recorded and live treatment sessions. Invigorating group discussion and supportive hands-on lab experience is a unique feature of this program!
Integrations Treatment Center Integrations Treatment Center (ITC) is the home of The S.U.C.C.E.S.S. Approach and the clinical SM
headquarters for ITC’s sister company, AWEtism Productions. ITC offers both intensive day treatment services and traditional outpatient therapy, as well as consultation, training and mentorship services to schools and agencies.
Day 5 I. Understanding Behavior: Theory & Practice Application II. Fulfilling Life Roles III. Engineering the Environment for SUCCESS A continental breakfast will be provided daily at 8:45a.m. Participants will have an hour lunch on their own. Restaurants and lodging nearby. A daily Lunch Meal Plan is also available for an additional $7 per lunch/day. A complimentary cookout is planned following class Thursday August 11th! Please wear comfortable clothing for the hands-on portion of the course.