1. CONTINUING EDUCATION CREDITS
PROGRAM INFORMATION REQUEST FOR APPROVAL
Name of Sponsor / Location of Activity
Jewish Family and Children’s Service of Minneapolis
13100 Wayzata Boulevard, Suite 400
Minnetonka, MN 55305
Required Documentation
1. Statement of objectives and goals, including a description of the knowledge and skill you will obtain:
o Learn to recognize conflict escalation and how to prevent/avoid it.
o Practice verbal techniques to faciliate resolution.
o Learn and practice simple physical techniques to de-escalate and safely exit the situation.
2. Description / outline of the program content, including a detailed agenda:
o Topic for presentation: “Personal Awareness and Conflict De-Escalation”.
o Discuss the importance and practice of self-awareness.
o Focus on exclating conflict situations. Work on avoiding and resolving.
o Demonstrate & practice simple physical techniques to allow safe exit.
3. Description of teaching methods used:
o Discussion of general self-awareness principles.
o Verbal self-defense techniques to de-escalate the situation.
o Physical techniques.
4. List of qualifications of each instructor:
o Senior Mental Health Case Manager
o Diverse cultural & language
background
o 30+ years of martial arts training and teaching
o Working on 2n
d degree black belt in karate
MN BOARD OF PSYCHOLOGY – Additional Required Documentation
1. Number of hours of actual instruction:
. 1.5 hours
2. Mechanism for monitoring and certifying attendance:
. Attendees will be required to sign an attendance roster and will be issued a certificate of attendance upon
completion of the presentation.
3. Date of the activity:
. June 28, 2006
4. Statement of the education objectives, expected outcomes, and targeted participants:
. Educational Objectives – See Statement #1 in the first section.
. Expected Outcomes – Exposure to and understanding of verbal & physical techniques
. of de-escalation
. Targeted Participants: Targeted audience is the complete staff of Jewish Family and Children’s Service of
Minneapolis and JVS. Some of each of these job titles includes those requiring C.E.s for licensure. Field
professionals stressed but useful to all walks of life.
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