Child Sexual Abuse Forum
for Mental Health Professionals

Believe with us...that we can and must heal

September 10, 2011
1:00 - 3:00 p.m.

Registration and networking begins at 12:30 p.m.

Location
Crossline Church
Eduction Building - Room 102-104
23331 Moulton Parkway
Laguna Hills, CA  92653

Forum objectives include:
  • Discuss mental health professionals role in resolving the child sexual abuse epidemic
  • Identify mental health best practices in child sexual abuse services
  • Document existing services available in Orange County
  • Determine the gap as compared to best practices
  • Identify training and mentoring programs needed to close the gap
TAALK is hosting similar forums with other community segments in an effort to raise awareness and gain active participation in the resolution of this epidemic. The forums will be video taped and included as a segment on The TAALK Show, our weekly internet TV show dedicated to the topic of child sexual abuse internationally. By bringing community leaders together to highlight best practices and address the current status within their community, the conversations related to one local community can provide context, ideas, and solutions, to benefit communities around the world.

Register by completing the form below. If you have questions, contact Diane Cranley at 949-495-5406 or dcranley@taalk.org.



Please complete the form below to register for the forum. Your information will be used to assess the current services available in Orange County as well as to provide referrals for services.


First Name *
Last Name *
E-mail Address *
Street Address *
City *
State *
Zip Code *
Phone # *
Attendance RSVP *



Check one or more credentials that apply:

Counselor
Drug and Alcohol Counselor
Licensed Clinical Social Worker
Licensed Psychoanalyst
Marriage and Family Therapist
Marriage and Family Therapist Intern
Psychiatric Nurse
Psychiatrist
Psychologist
Other Credentials
If Other, please elaborate



Check one or more areas of specialty that apply:

Child Sexual Abuse Therapy - Adults
Child Sexual Abuse Therapy - Children
Child Sexual Abuse - Play Therapy
Child Sexual Abuse - Art Therapy
Offender Treatment - Adult
Offender Treatment - Juvenile
Minor Attracted People Treatment
Suspected Sexual Abuse - Children
730 Evaluations
Non-Offending Parent Therapy
Reunification Therapy
Suicide Therapy - Family of Diceased
Suicide Therapy - Attempted Survivor
Sexual Abuse Support Groups - Adult
Sexual Abuse Support Groups - Adolescents
Drug and Alcohol Addiction Therapy
Sexual Addiction Therapy
EMDR
Hypnosis
Faith Based Therapy
Other Area of Specialty
If Other or Faith Based, please elaborate



Check one or more types of payment that apply:

Aetna
Blue Cross
Blue Shield
Cigna
Health Net
Kaiser Permanente
Out of Network Provider for PPOs
Sliding Scale
Victims of Crime



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