Providing Recovery Support Services for Pregnant and Parenting Families (PPF) Training – May 20-22, 2024

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Pregnant and Parenting Families (PPF) Training
Date: May 20-22, 2024 ( 9:00 a.m. - 5 p.m.) Lunch Provided,
Location: Missouri Credentialing Board, 428 E. Capitol - Lower Level, Jefferson City, MO 65101
Trainer: Sharon Hesseltine
Total Number of Continuing Education Hours: 21 Hours
Cost: $150

Description: With the expanded focus upon the treatment of substance use disorders, driven by the opioid epidemic, there is an expanded focus on and investment in recovery support services. To support this growing demand, the Mid-America Addiction Technology Transfer Center (ATTC) & the Missouri Credentialing Board (MCB) has collaborated on a three-day training: Providing Recovery Support Services for Pregnant and Parenting Families.

Providing Recovery Support Services for Pregnant and Parenting Families three-day training

The overall goal of this training is to better prepare Behavioral Health professionals to meet the diverse needs of pregnant and parenting families in early recovery. Recovery and parenting both occur in the context of relationships and this training is designed to help participants build skills to support/strengthen families as they grow and develop in their roles as nurturing parents.

Training Topics Include:
- Working with individuals and families through pregnancy, delivery, and parenting babies with NAS/NOWs
- Fostering and strengthening nurturing parent/child relationships within the context of recovery support services
- Being a catalyst for growth in recovery through person-centered Recovery Planning
- Coordinating with others in your community that support families with young children
Please select which training you would like to attend.
- Training is $150: Providing Recovery Support Services for Pregnant and Parenting Families (PPF) Training - May 20-22, 2023
Name*
First Middle Last
Maiden and Other Names Used.
Birth Date:*
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Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Your Email Address:*
Your Phone Number:*
Please list a number where we may contact you.
Are you currently or have you been credentialed or licensed as a Substance Use Disorder Professional by any state or organization?*
- No
- Yes
If yes, which state/organization and when?*
What is the type of credential/license held with the state/organization?*
Demographic Information
Gender:*
- Female
- Male
- Other
- Decline to State
If "Other", please state here:*
Ethnicity:*
- American Indian/Native Alaskan/Native American
- Asian
- Black/African American
- Hispanic/Latino
- Multi-Racial/Ethnic
- Native Hawaiian/Pacific Islander
- White
- Other
- Decline to State
If "Other", please state here:*
Salary:*
- $0-$14,999
- $15,000-$24,999
- $25,000-$34,999
- $35,000-$44,999
- $45,000-$54,999
- $55,000-Over
- Decline to State
Military Service:*
- Never served in the military
- Active duty for training in the Reserves or National Guard
- On Active duty in the past, but not now for the Reserves or National Guard
- Now on active duty
- On active duty in the past, but not now
- Veteran
- Decline to State
Primary Language:*
- English
- Spanish
- Chinese
- Tagalog
- Vietnamese
- Arabic
- French
- Korean
- Russian
- German
- Decline to State
Secondary Language:*
- Not Applicable
- English
- Spanish
- Chinese
- Tagalog
- Vietnamese
- Arabic
- French
- Korean
- Russian
- German
- Decline to State
Highest Level of Education Completed:*
- Associates Arts/Science Degree
- Bachelor Arts/Science Degree
- Doctorate
- High School Diploma or HiSET
- Some College Credit
- No High School Diploma or HiSET
- Vocational Certificate
- Other
Education/Degree Information
Please mark your highest level of education completed*
- No High School Diploma/GED
- High School Diploma//GED
- Addiction Certificate Program
- Associate Degree
- Bachelor Degree
- Master Degree/Higher
Degree Program(s):*
Please list here.
Employment Information
Where Does the Applicant Currently Work?
Name of Employer:*
Mailing Address of Employer:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Business Phone Number:*
Extension:
Please list the business phone extension if applicable.
Your Business FAX Number:
Sharing of Personal Data for Purposes of Credentialing
The applicant authorizes, agrees and unambiguously consents to the transmission by the Missouri Credentialing Board (MCB) of any personal data information related to legitimate credentialing purposes with the Missouri Credentialing Board (MCB)) affiliate boards. This authorization and consent are freely given by the applicant.
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Consent
The applicant authorizes, agrees and unambiguously consents to the transmission by the InternatioThe applicant authorizes, agrees and unambiguously consents to the transmission by the Missouri Credentialing Board (MCB) of any personal data information related to legitimate credentialing purposes with the Missouri Credentialing Board (MCB)) affiliate boards. This authorization and consent are freely given by the applicant.al Certification and Reciprocity Consortium (IC&RC) of any personal data information related to legitimate credentialing purposes with the International Certification & Reciprocity Consortium (ICRC) affiliate boards. This authorization and consent are freely given by the applicant.
The applicant authorizes, agrees and unambiguously consents to the transmission by the Missouri Credentialing Board (MCB) of any personal data information related to legitimate credentialing purposes with the Missouri Credentialing Board (MCB)) affiliate boards. This authorization and consent are freely given by the applicant.
Signature*
I have read the Current PPF Ethics Code as listed on the Missouri Credentialing Board (MCB) web site missouricb.com, and agree to abide by this code. In the event of an investigation all findings will be shared with the appropriate affiliate Missouri Credentialing Board (MCB) Boards.
Sharing of Personal Data for Purposes of Credentialing
Applicant’s Agreement to the Code of Ethical Practice and Professional Conduct I have read the Current PPF Ethics Code as listed on the MCB web site, MCB Ethics Code Link and agree to abide by this code:
Signature
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Ethics
AUTHORIZATION AND RELEASE I hereby certify all of the information given herein is true and complete to the best of my knowledge and belief. I also authorize any relevant investigations, or the release of personal information to the Missouri Credentialing Board, its agents, or contractors pursuant to this application/renewal procedure. I understand falsification of any portion of this application/renewal will result in my being denied credentialing, or revocation of same upon discovery. I further agree to hold the Missouri Credentialing Board and its Board Members, officers, agents, staff, peer evaluators and examiners, free from any civil liability for damages or complaints by reason of any action that is within the scope and arise out of the performance of their duties which they, or any of them, may take in connection with this application/renewal, any examination, the grades with respect to any examination, and/or the failure of the MCB to issue me said credential or renewal. This Authorization and Release shall also apply to personal information requested by the Board at any time following credentialing in connection with any investigation concerning allegations that could lead to disciplinary action against me.
AUTHORIZATION AND RELEASE AUTHORIZATION AND RELEASE I hereby certify all of the information given herein is true and complete to the best of my knowledge and belief. I also authorize any relevant investigations, or the release of personal information to the Missouri Credentialing Board, its agents, or contractors pursuant to this application/renewal procedure. I understand falsification of any portion of this application/renewal will result in my being denied credentialing, or revocation of same upon discovery. I further agree to hold the Missouri Credentialing Board and its Board Members, officers, agents, staff, peer evaluators and examiners, free from any civil liability for damages or complaints by reason of any action that is within the scope and arise out of the performance of their duties which they, or any of them, may take in connection with this application/renewal, any examination, the grades with respect to any examination, and/or the failure of the MCB to issue me said credential or renewal. This Authorization and Release shall also apply to personal information requested by the Board at any time following credentialing in connection with any investigation concerning allegations that could lead to disciplinary action against me.
Signature*
Your signature authorizes, agrees and unambiguously consents to the transmission by the Missouri Credentialing Board (MCB) of any personal data information related to legitimate credentialing purposes with the Missouri Credentialing Board (MCB)affiliate boards. This authorization and consent are freely given by the applicant.
Authorization and Release
Your signature authorizes, agrees and unambiguously consents to the transmission by the Missouri Credentialing Board (MCB) of any personal data information related to legitimate credentialing purposes with the Missouri Credentialing Board (MCB)affiliate boards. This authorization and consent are freely given by the applicant.
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Authorize
I hereby certify all of the information given herein is true and complete to the best of my knowledge and belief. I also authorize any relevant investigations, or the release of personal information to the Missouri Credentialing Board (MCB), its agents, or contractors pursuant to this application/renewal procedure. I understand falsification of any portion of this application/renewal will result in my being denied credentialing, or revocation of same upon discovery. I further agree to hold the Missouri Credentialing Board (MCB)and its Board Members, officers, agents, staff, peer evaluators and examiners, free from any civil liability for damages or complaints by reason of any action that is within the scope and arise out of the performance of their duties which they, or any of them, may take in connection with this application/renewal, any examination, the grades with respect to any examination, and/or the failure of the Missouri Credentialing Board (MCB) to issue me said credential or renewal. This Authorization and Release shall also apply to personal information requested by the Board at any time following credentialing in connection with any investigation concerning allegations that could lead to disciplinary action against me.
I hereby certify all of the information given herein is true and complete to the best of my knowledge and belief. I also authorize any relevant investigations, or the release of personal information to the Missouri Credentialing Board (MCB), its agents, or contractors pursuant to this application/renewal procedure. I understand falsification of any portion of this application/renewal will result in my being denied credentialing, or revocation of same upon discovery. I further agree to hold the Missouri Credentialing Board (MCB)and its Board Members, officers, agents, staff, peer evaluators and examiners, free from any civil liability for damages or complaints by reason of any action that is within the scope and arise out of the performance of their duties which they, or any of them, may take in connection with this application/renewal, any examination, the grades with respect to any examination, and/or the failure of the Missouri Credentialing Board (MCB) to issue me said credential or renewal. This Authorization and Release shall also apply to personal information requested by the Board at any time following credentialing in connection with any investigation concerning allegations that could lead to disciplinary action against me.
Signature*
I hereby certify all of the information given herein is true and complete to the best of my knowledge and belief. I also authorize any relevant investigations, or the release of personal information to the Missouri Credentialing Board (MCB), its agents, or contractors pursuant to this application/renewal procedure. I understand falsification of any portion of this application/renewal will result in my being denied credentialing, or revocation of same upon discovery. I further agree to hold the Missouri Credentialing Board (MCB)and its Board Members, officers, agents, staff, peer evaluators and examiners, free from any civil liability for damages or complaints by reason of any action that is within the scope and arise out of the performance of their duties which they, or any of them, may take in connection with this application/renewal, any examination, the grades with respect to any examination, and/or the failure of the Missouri Credentialing Board (MCB) to issue me said credential or renewal. This Authorization and Release shall also apply to personal information requested by the Board at any time following credentialing in connection with any investigation concerning allegations that could lead to disciplinary action against me.
Registration
Providing Recovery Support Services for Pregnant and Parenting Families (PPF) Training - May 20-22, 2023*
Only 30 spots left for this training!
8:00 a.m.-5 p.m. with Lunch Provided
Price:
Total
$0.00
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Cancellation Policy
Cancellation Policy: A participant may cancel a registration at any time, however, cancellations MUST be done at least 1 week prior to the training date to receive a refund of the registration fee or an exchange. Refunds due to a participant cancellation are subject to a $10 processing fee. If a cancellation is made within a week of the training date, no refund will be issued.

If you have any questions, please call 573-616-2300 or e-mail help@missouricb.com as soon as possible.

Cancellation Policy: A participant may cancel a registration at any time, however, cancellations MUST be done at least 1 week prior to the training date to receive a refund of the registration fee or an exchange. Refunds due to a participant cancellation are subject to a $10 processing fee. If a cancellation is made within a week of the training date, no refund will be issued. If you have any questions, please call 573-616-2300 or e-mail help@missouricb.com as soon as possible.
A participant may cancel a registration at any time, however, cancellations MUST be done at least 1 week prior to the training date to receive a refund of the registration fee or an exchange. Refunds due to a participant cancellation are subject to a $10 processing fee. If a cancellation is made within a week of the training date, no refund will be issued.
Credit Card
Card Details
Cardholder Name

Pregnant and Parenting Families (PPF) Training

Demographic Information

Education/Degree Information

Employment Information

Sharing of Personal Data for Purposes of Credentialing

Sharing of Personal Data for Purposes of Credentialing

Authorization and Release

Registration