Name (as it should appear on your CE certificate)
Credentials
License Number
Organization
Please select your organization from the drop down list of Division of Mental Health and Addiction Services (DMHAS) contracted agencies and self-help centers that CultureConnections serves. These agencies are eligible for free attendance.
If your organization does not appear on this list, please select "public registrant" and fill in your organization's name in the field below. All public registrants are required to pay a $75 fee for conference attendance.
Select One Public Registrant A Way to Freedom Self-Help Center Advance Housing, Inc. Alternatives, Inc. Ancora Psychiatric Hospital Ann Klein Forensic Center Archway Program Asbury Park, City of Aspen Hills Healthcare Association for the Advancement of Mental Health AtlantiCare Behavioral Health (Atlantic Mental Health Center) AtlantiCare Regional Medical Center Barnabas Health Behavioral Health Center Bayonne Community Mental Health Center Behavioral Health at Morristown Memorial Hospital Bergen Regional Medical Center Better Future Self Help Center Bridgeway Rehabilitation, Inc. Buttonwood Hospital Camden County Health Services Center Cape Counseling Services Capital Health System – Helene Fuld Care Link Care Plus, N.J., Inc. Career Opportunity Development, Inc. CarePoint Health Foundation/Christ Hosp. Catholic Charities Diocese of Metuchen Catholic Charities Diocese of Trenton Catholic Charities of the Archdiocese of Newark Catholic Community Services/Arch. of Newark Central Jersey Legal Services CentraState Medical Center Chilton Memorial Hospital Christ Hospital Clara Maass Medical Center Collaborative Support Programs of NJ (CSPNJ) Community Access Unlimited Community Centers for Mental Health (Vantage) Community Health Law Project Community Hope Comprehensive Behavioral Healthcare, Inc. (CompCare) County of Bergen County of Monmouth County of Passaic County of Somerset CPC Behavioral Healthcare, Inc. Cumberland County Guidance Center Declarations, Inc. Delaware House Drenk Mental Health Center East Orange General Hospital Easter Seals New Jersey Essex County Hospital Center Family Connections Family Guidance Center Corporation Family Guidance Center of Warren County Family Intervention Services Family Service Association of Atlantic County Family Service Association of Southern Jersey Family Service Bureau (New Community Corp) Family Service Bureau of Newark Family Service of Burlington County For Us By Us Self Help Center Freedom Trail Self Help Center Friendship House Garden State Episcopal Community Development Corp. George J. Otlowski Sr. MHC (Raritan Bay Mental Health Center) Getting Together Self Help Center Greater Trenton Behavioral Healthcare Greystone Park Psychiatric Hospital Guidance Center of Camden County Hampton Behavioral Health Healthcare Commons, Inc. - Family Health Services Hispanic Family Center of Southern N.J. Hoboken University Hosp. (St. Mary’s CMHC) Holcomb Behavioral Health System Hope House Hudson County Self Help Center Hunterdon Medical Center CMHC Irvington Counseling Center Jersey Cape Diagnostic, Training, and Opportunity Center Jersey City Medical Center (Liberty Health) Jersey Shore Medical Center CMHC Jewish Family & Children’s Service Jewish Family Service of Atlantic County Kimball Med. Center – Psychiatric Screening Kimball Medical Center Lakewood Community Services Corporation Legal Services of Northwest Jersey, Inc. Maryville Alcoholism Rehabilitation Center Meadowview Psychiatric Hospital Mental Health Association in New Jersey Mental Health Association in Passaic County Mental Health Association in Southwestern New Jersey Mental Health Association of Essex County Mental Health Association of Monmouth County Mental Health Association of Morris County Mental Health Clinic of Passaic Mental Health Resource Center Meridian (Riverview Medical Center) Monarch Housing Association, Inc. Monmouth County Division of Social Services Monmouth Medical Center Morris County Self Help Center Morristown Memorial Hospital Mount Carmel Guild Behavioral Healthcare Muhlenberg Regional Medical Center Multicultural Family Institute NAMI New Jersey NAMI of Bergen County New Bridge Services, Inc. New Jersey Community Dev. Corp. New Jersey Department of Human Services New Jersey Mental Health Institute New Views Treatment Program Newark Beth Israel Medical Center NewBridge Services, Inc. New Point Behavioral Health Center Newton Medical Center for Mental Health/AHS Hospital Corp. NJ Association of Mental Health & Addiction Agencies NJ Association of Mental Health Agencies NJ Community Development Corporation Northwest Essex Community Healthcare Network Ocean Mental Health Services, Inc. On Our Own Self Help Center Our House Self Help Center Overlook Hospital Palisades Medical Center Resources & Counseling Palisades Medical Center Pleasant Moments Self Help Center Preakness Healthcare Center Preferred Behavioral Health of NJ Prevention Links Prime Care, Inc. Project Live, Inc. Project Transition Puerto Rican Family Institute Quality Support Rahway Hospital Raritan Bay Medical Center Raritan Bay Mental Health Center Resources for Human Development, Inc. Richard Hall CMHC of Somerset County Riverview Medical Center (Meridian) Riverview Medical Center/Behavioral Health Runnells Specialized Hospital of Union County SERV Centers of New Jersey Shoreline Behavioral Health Center (St. Barnabas) Social Connections Self Help Center South Jersey Behavioral Health Resources (CAMcare) South Jersey Healthcare St. Barnabas Behavioral Health St. Clare’s Behavioral Health at Cedar Knolls St. Clare’s Hospital Self Help Clearinghouse St. Clare’s Hospital St. Joseph’s Hospital & Medical Center - Project ACCESS St. Joseph’s Hospital & Medical Center St. Mary’s Hospital – Passaic St. Mary’s Hospital CMHC The ARC of Bergen & Passaic Counties, Inc. The ARC of Salem County The Lester A. Drenk Behavioral Health Center Trenton Psychiatric Hospital Trinitas Hospital (Elizabeth General/SCCAT) Triple C Housing, Inc. (CCCPA) Turning Point Twin Oaks Community Services (Steininger Center) UCPC Behavioral HealthCare UMDNJ – Prevention & Treatment UMDNJ – Robert Wood Johnson Medical School UMDNJ – School of Health Related Professions UMDNJ – Stratford UMDNJ – Technical Assist. Center – New Brunswick UMDNJ - University Behavioral Healthcare Union County Educational Services Commission United Family & Children's Society Vantage Health System, Inc. Visiting Nurse Association Volunteers of America Delaware Valley Volunteers of America Rahway Warren County Legal Services West Bergen Mental Health Center Where Peaceful Waters Flow Self Help Center
Public Registrant Organization
Job Title / Position at Agency
Phone
Email (You MUST provide an email address. Confirmation is sent via email ONLY.)
Street Address
Please use the following drop-down menus to rate your Morning AND Afternoon workshop preferences from 1 to 4, with 1 being your first choice. Please be sure to rank ALL workshops.
We will make every effort to accommodate your preferences. Due to space limitations, guarantees cannot be made.
Morning Workshop
1st Select One Workshop 1: Cultural Differences and Socioeconomic Justice in Mental Health Services Workshop 2: Faith and Religion: Working with LGBT Clients Workshop 3: Understanding and Working with Arab/Muslim Americans: Cultural Competence in Mental Health Services Workshop 4: Understanding Dual Diagnosis: Mental Health Needs & Treatment Strategies for Individuals with Intellectual &/or Developmental Disability
2nd Select One Workshop 1: Cultural Differences and Socioeconomic Justice in Mental Health Services Workshop 2: Faith and Religion: Working with LGBT Clients Workshop 3: Understanding and Working with Arab/Muslim Americans: Cultural Competence in Mental Health Services Workshop 4: Understanding Dual Diagnosis: Mental Health Needs & Treatment Strategies for Individuals with Intellectual &/or Developmental Disability
3rd Select One Workshop 1: Cultural Differences and Socioeconomic Justice in Mental Health Services Workshop 2: Faith and Religion: Working with LGBT Clients Workshop 3: Understanding and Working with Arab/Muslim Americans: Cultural Competence in Mental Health Services Workshop 4: Understanding Dual Diagnosis: Mental Health Needs & Treatment Strategies for Individuals with Intellectual &/or Developmental Disability
4th Select One Workshop 1: Cultural Differences and Socioeconomic Justice in Mental Health Services Workshop 2: Faith and Religion: Working with LGBT Clients Workshop 3: Understanding and Working with Arab/Muslim Americans: Cultural Competence in Mental Health Services Workshop 4: Understanding Dual Diagnosis: Mental Health Needs & Treatment Strategies for Individuals with Intellectual &/or Developmental Disability
Afternoon Workshop
1st Select One Workshop 1: Are You an American? Identity Conflicts for 2nd Generation South Asian American Youth & the Consequent Struggle in Immigrant Families Workshop 2: Mindfulness: Decreasing Anxiety for Individuals with Autism, Asperger's, and All Unique Ways of Being Workshop 3: What We Have Learned About Adolescent-Mother Conflicts and Suicide Among Latinas: Tips and Implications for Clinical Services Workshop 4: Understanding the Needs of Transgender Clients
2nd Select One Workshop 1: Are You an American? Identity Conflicts for 2nd Generation South Asian American Youth & the Consequent Struggle in Immigrant Families Workshop 2: Mindfulness: Decreasing Anxiety for Individuals with Autism, Asperger's, and All Unique Ways of Being Workshop 3: What We Have Learned About Adolescent-Mother Conflicts and Suicide Among Latinas: Tips and Implications for Clinical Services Workshop 4: Understanding the Needs of Transgender Clients
3rd Select One Workshop 1: Are You an American? Identity Conflicts for 2nd Generation South Asian American Youth & the Consequent Struggle in Immigrant Families Workshop 2: Mindfulness: Decreasing Anxiety for Individuals with Autism, Asperger's, and All Unique Ways of Being Workshop 3: What We Have Learned About Adolescent-Mother Conflicts and Suicide Among Latinas: Tips and Implications for Clinical Services Workshop 4: Understanding the Needs of Transgender Clients
4th Select One Workshop 1: Are You an American? Identity Conflicts for 2nd Generation South Asian American Youth & the Consequent Struggle in Immigrant Families Workshop 2: Mindfulness: Decreasing Anxiety for Individuals with Autism, Asperger's, and All Unique Ways of Being Workshop 3: What We Have Learned About Adolescent-Mother Conflicts and Suicide Among Latinas: Tips and Implications for Clinical Services Workshop 4: Understanding the Needs of Transgender Clients
Fees: Please Check One.DMHAS-contracted agency or self-help center = Free Public =$75. Payment must be received before a confirmation letter will be issued.
Please mail check payable to FAMILYConnections to:
FAMILYConnections
**Please note that registration is not complete until you have received an email acknowledging receipt of your registration. If you have not received an email within one week of submitting your registration form, please contact us at 973-323-3454. A confirmation letter with your assigned workshops will be sent via email approximately 1 week prior to the conference. You must bring this confirmation letter to the conference as proof of registration.
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