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11th Erik Cogswell Memorial Bipolar Disorder Conference:

Registration Form NONPROFIT ORG. U.S. POSTAGE PAID PERMIT NO. 226 PORTSMOUTH, NH 03801

Name: Address:

State:

Zip:

Telephone: Email:

$25 for consumers and family members $75 for professionals with 5 CEU’s

I am applying for a $10 reduced fee scholarship (call for info)

In addition, I am enclosing $ to continue the work of the conference

Enclosed is a check payable to SMHC for $ Total charge to my Visa or MasterCard $

Exp date: 3 # code on back: Signature Required for Credit Card

DETACH REGISTRATION FORM AND MAIL TO: Seacoast Mental Health Center 1145 Sagamore Avenue Portsmouth, NH 03801 Attn: Diane Cyr, Bipolar Conference *A $10 processing fee will be charged to pre-registrants who cancel prior to November 6th. No refunds will be made for cancellations made after November 6. For more information, contact: Diane Cyr, SMHC Family Advocate at (603) 957-5767 or dcyr@smhc-nh.org.

To register online, please visit www.erikcogswellconference.eventbrite.com

Diane Cyr, Conference Organizer SEACOAST MENTAL HEALTH CENTER, INC. 1145 Sagamore Avenue Portsmouth, NH 03801 www.smhc-nh.org

CC#:

“Promoting Recovery since 1963”

City:

Circles of Support

November 12th, 2010 Community Campus Portsmouth, NH

Hosted by Seacoast Mental Health Center


11th Erik Cogswell Memorial Bipolar Disorder Conference About the Conference 11 years ago, Erik Cogswell, a young man from New Castle and Barrington, NH, took his life after suffering from the potentially crippling illness of bipolar disorder. In his memory, his family helped establish the Erik Cogswell Memorial Bipolar Disorder Conference “to educate, support and provide hope” to those living with bipolar disorder as well as their families, friends, and the general community.

“Promoting Recovery since 1963”

“Promoting Recovery since 1963”

About the Keynote SMHC welcomes Carol Bailey Floyd, director of Programs for Mental Health Recovery and WRAP® (Wellness Recovery Action Plan) at the Copeland Center forWellness and Recovery, who was recently honored by the Ohio Department of Mental Health for her efforts as project coordinator for the University of Illinois at Chicago’s WRAP research study. At this year ’s conference, Carol will talk about how to strengthen your circles of support. Whether you identify them them clearly or not, our friends, family members, and mental health professionals all support us in various ways-even mental health professionals themselves have circles of support. In her keynote address, Carol will discuss how to become clear about whom we support, who supports us, and how everyone fits into the rhythm of our lives as well as how to better coordinate ourselves and our relationships.

SMHC’s mission is to provide a broad and comprehensive array of high quality, effective and accessible mental health services to residents of the eastern half of Rockingham County.

8:15 – 9:00 9:00 – 9:30 ` 9:30 – 10:30

Registration

10:30 – 10:45

Break

Next Year’s Conference

Welcome & Erik Cogswell Memorial Award Keynote: Carol Bailey Floyd: “Strengthen Your Circles of Support”

SMHC has already lined up next year’s keynote speaker, Dr. Jane Mountain, MD, from Denver, Colorado.

A nationally renowned speaker, Dr. Mountain is the author (1) “Person Centered Planning” with David Lynde, Co-Director, Dartmouth Evidence Based Practices of several books, including Center and Dartmouth Psychiatric Research Center: “Beyond Bipolar—7 Steps (2) “The Power of Support” with Annette Carbonneau, Community and Volunteer Developer, NAMI to Wellness” and “Bipolar Disorder—Insights for NH Recovery.”

10:45 – 12:00

Morning Session

(3) “Building Social Supports in IMR” Marisa McCutchen & Whitney Kling, Trainers & Consultants, Evidence-Based Practices, Dartmouth Psychiatric Research Center To learn more about Dr. M o u nt a i n , v i s i t w w w. 12:00 – 1:00 Lunch 1:00 – 2:15

beyondbipolar.com or www. smhc-nh.org.

Afternoon Session

(1) “Building Relationships” with Carol Bailey Floyd (2) “Getting Into the Driver’s Seat: Taking Charge of Your Recovery Plan” with Marty Fuller, Director Office of Consumer & Family Affairs Bureau of Behavioral Health (3) “Taking Care of You: Support for the Caregiver” with Claudia Ferber, Director, Child and Programs, NAMI NH 2:15 – 2:30

Break

2:30 – 4:00

Panel: “Building Supports One System at a Time” moderated by David Smith

Conference Accommodations A block of rooms has been reserved at the Comfort Inn, located at 1190 Lafayette Rd. in Portsmouth at a rate of $84.96/night (plus 9% tax). Includes a continental breakfast. To reserve at this rate, conference attendees should call the Comfort Inn at 603-424-6423 by October 31. Refer to the SMHC Bipolar Conference when booking your room.

The 11th Erik Cogswell Conference is proudly sponsored by:


Erik Cogswell 2010 Brochure