Registration Name* First Last OrganizationAddress* Street Address Address Line 2 City Province Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country TelephoneFaxEmail* RegistrationEarly Bird pricing is in effect until September 15th. Registration cost includes one banquet ticket.Early Bird Registration*[please select]Early Bird Registration $180.00Student Early Bird Registration $80.00Registration Type*[Please select]Full Registration $200.00Student Full Registration $125.00Do you plan to attend the banquet?YesNoAdditional Thursday Banquet TicketGST included. Price: $ 35.00 CAD Quantity: GST Price: $ 0.00 CAD Total $ 0.00 CAD Travel Subsidy RequestConference organizers anticipate a limited number of registration subsidies will be available to facilitate participation in the conference. If you would like to be considered for a registration subsidy please check the box below. Subsidies will be awarded no later than September 15, 2016. If you have any questions regarding travel subsidies, please email firstname.lastname@example.org. I would like to be considered for a registration subsidy to attend the conference and include subsidy form Dietary RequirementsIf you have any dietary requirements, please specify below. Should the conference be unable to meet the specified dietary requirements, conference organizers will notify you by email. Vegetarian Other (please specify) Other Dietary RequirementAdditional CommentsIf you have additional comments regarding conference registration, please indicate below.Sessions AttendingPlease indicate which sessions you plan to attend each day.Thursday, Oct. 1310:40-12 NoonSelect one sessionSession 1 Division Court - Community Transition of Indigenous Offenders Forensic Psychiatrist & Director of Forensics Services - HSC Director of Crisis & Forensic Services (Dr. Jeffery Waldman, Mr. Ken MacKenzie) Community Transition of Indigenous Offenders - WRHA (Dr. Jeffery Waldman, Mr. Ken MacKenzie & Ms. Kristy Randall)Session 2 Human Rights or Human Wrongs? Conceptualizing Mental and Emotional Distress as a Social Justice Issue – University of Winnipeg (Heidi Remki) Mental Health and exploitation in rural, remote and isolated areas - Brandon University (Katherine Pachkowski) Madness and Miscommunication in Harry Somer's Louis Riel - Brandon University (Colette Simonot)Session 3 Emerging Nurse Leaders – Learning About, With and From Emerging Psychiatric Nurses – Winnipeg Health Region (Tracy Thiele & Bonita Fanzega) Creating safety: Client centered care or unit centered care - Winnipeg Health Authority (Annette McDougall/Bonita Fanzega/Isabelle Jarrin) Relationship and Collaborative: Game Changers for the WRHA Adult Mental Health program – Winnipeg RHA and HSC (Debbie Frechette/Greg Reid)Session 4 Creating Dementia Friendly Community and Compassion Fatigue May Family Caregivers be at Risk? – Alzheimer Society of Manitoba (Norma Kirkby)1:00-2:00Select one sessionSession 5 The Lived Experience of Spousal Transition within Dementia and Relocation to Long Term Care – Foster Common Unity Counselling Services (Terrie Miller) Sustaining Couplehood While Living with Dementia: Recommendations for Public Education, Health Care Provision, and Policy Development – Brandon University (Fran Racher)Session 6 Ambiguous loss theory: An avenue for family centered practice – Dept of Psychiatric Nursing -Wpg (Jane Karpa)Session 7 Engagement and Recovery – Early Psychosis Prevention and Intervention Service ( Val Mondor/Terry Klassen)Session 8 Model Change in a rural community Mental Health program – University of Manitoba (Dr. Jolene Kinley/Dr. Sandra Thompson) Rural Working CARERS Program by videoconferencing: the Group Leader experience – Prairie Mountain Health (Tanis Horkey)2:45-3:45Select one sessionSession 9 Drawing the Curtain on Student Problem Behaviour: Addressing Underlying Mental Health Issue – Brandon University (Patrick Morrisette/Karen Doty-Sweetnam)Session 10 Four Unique Gifts Trained Peers Bring When Partnered with Mental Health Teams – Prairies to Peaks Consulting Inc. (AB) (Beth Henry)Session 11 Wanted: A Place to Call Home- Brandon’s Plan to End Youth Homelessness – Brandon University (Naomi Leadbeater/Jan Marie Graham) Navigating Lesbian, Gay, Bisexual, Trans, Gender-Non-Conforming, Two-Spirit, Queer, Questioning, and Asexual (LGBTTQ*) mental Health on the Prairies – LGBTSession 12 ECT for BPSD Electroconvulsive Therapy in people with Dementia and behavioural disorders – College of Medicine, University of Manitoba (Dr. Barry Campbell)4:00-5:00Select one sessionSession 13 Fostering Mental Health Wellness for Students at Brandon University – Brandon University (Dr. Chris Brown/Ms Michelle Magnusson) On-line Mental Health support: Opportunities, Risks and Challenges - Farm, Rural and Northern for Klinic Community Health (Janice Smith)Session 14 Mental Health Supported Transition Evaluating and Planning (MH STEP) – An Innovative Strategy in Prairie Mountain (PMH) aimed at Preventing Suicide – Westman Crisis Services (Kimberley Toews/Jodine Szabo) Caring for Families Who Have Experience a Suicide Loss - Suicide Bereavement Support, Klinic Community Health (Kim Hyndman-Moffat)Session 15 Mental Health and Recovery in the Brandon area – Expressions Prairie Mountain HealthSession 16 Spirituality in Mental Health: The Importance of Addressing this Key Dimension for Enhancing Resilience and Mental health Recovery – Mental Health, Province of MB – Judith BirchFriday, Oct. 1410:40-12:00Select one sessionSession 17: The Blanket Exercise (Karios Brandon) Debbi DandySession 18 How Does it Feel? Experience Dementia– Alzheimer Society of MB (Program Staff)Session 19 Masculinity and Issues of depression and suicide - University of Manitoba (Kerstin Roger) Post Partem Health – Brandon University (Penny Tryphonopoulos)Session 20 The Lived Experiences of Psychiatric Nurses Working as Mental Health Clinicians in Rural Manitoba - Master in Psychiatric Nursing Student of Brandon University (Kim Toews) Keeping Your Head Above Water: Clinicians and Caregivers Managing Self-Care in Rural Settings of Vicarious Trauma – Brandon University (Marsha Harris and Sherry Sawatzky-DyckSession 21 Living with and Recovering from a Brain Injury – Brandon and Area Acquired Brain Injury (Lori Kemp) Photovoice – Promoting Recovery While Living with a Brain Injury - Prairie Mountain Health – Sharon Elliott & Lori Kemp Total $ 0.00 CAD Payment Method*Credit CardChequeInvoiceNameThis field is for validation purposes and should be left unchanged.