See inside.

PRSRT STDUS POSTAGE

PAIDPewaukee, WI

Permit No. 3183

CPI10850 W. Park PlaceSuite 600Milwaukee, WI 53224 USAt • 800.558.8976 f • 414.979.7098

We believe that every person living with dementia has many remaining abilities that, when capitalized upon, can lead to a life of quality at each stage of the disease.

We believe our society and health care professionals must prioritize the facilitation of quality of life and the optimum levels of function for each of these individuals in order to provide hope in the midst of fear and despair.

Join us in this mission and prepare for a paradigm shift in how you deliver dementia care.

Dementia Capable Care training empowers the entire team with a positive, person-centered approach like no other. Staff attitudes shift, confidence soars, and quality of life improves for your clients. Additional benefits include:

Client/Family Benefits• Greater independence. • Increased participation in

meaningful life activities. • Reduced emergency room

visits and hospitalizations. • Ability to thrive rather than

just survive.

Staff Benefits• Less time spent on

behavioral issues. • Reduced job stress. • Greater job satisfaction. • Improved job security.

See if our perspective of Alzheimer’s care matches yours. Watch this video at crisisprevention.com/alz

On-Site Training: On-site training is also available. Call 877.816.4524 for more information.

Overnight Accommodations: Please contact the hotel directly for room reservations. A limited number of discounted rooms will be held under “Dementia Care Specialists.” Make your reservations early to ensure you receive the discounted rate.

Special Needs: Please contact CPI at 877.816.4524 if you have any special needs or disabilities that require assistance.

Four Ways to Register

Upcoming Dementia Capable Care Training ProgramsRegister early! Program size is limited! See Registration Form inside.

1. Online at crisisprevention.com

2. Fax Registration Form with payment information to: 414.979.7098 any hour of the day.

3. Toll-Free 877.816.4524 / 888.758.6048 TTY (Deaf, hard of hearing, or speech impaired) (US or Canada) M–F 7:30 a.m. to 6:00 p.m. (CT)

4. Mail Registration Form with payment information to: CPI 10850 W. Park Place, Suite 600 Milwaukee, WI 53224

Cancellation Policy: We understand that circumstances may arise that require you to cancel. Registrations cancelled 15 or more days prior to the program start date are fully refundable, transferable to another individual, or transferable to a program at a later date. Registrations that are cancelled within 14 days of the program start date are nonrefundable; however, a substitute can be sent to that program or the registration can be transferred to another CPI program conducted within four months of the original program date for a $35 administrative fee. If you do not attend, you are responsible for the full program fee.

CPI reserves the right to cancel a program. In the event of program cancellation, CPI’s responsibility will be limited to a refund of the program fees.

Guarantee

CPI guarantees your satisfaction

with this training. If you are

not 100% satisfied, we’ll send

you a full refund.

Learn the language of Alzheimer’s/dementia

and gain the skills and confidence

to understand your clients.

Organization/Facility Benefits• Maximized reimbursements. • Increased census and revenue. • Decrease in staff turnover. • Improved outcomes.

Customer Code:

Priority Code:

Columbus, OH July 17–19The Westin Columbus Hotel 310 S. High St. Columbus, OH 43215 614.228.3800

Denver, CO July 24–26 Crowne Plaza Denver International Airport 15500 E 40th Ave. Denver, CO 80239 303.371.9494

Springfield, IL July 31–August 2 Hilton Garden Inn Springfield 3100 S. Dirksen Pkwy. Springfield, IL 62703 217.529.7171

Indianapolis, IN August 7–9 Crowne Plaza at Historic Union Station 123 W. Louisiana St. Indianapolis, IN 46225 317.631.2221

Minneapolis (Bloomington), MN August 14–16 Crowne Plaza Bloomington 5401 Green Valley Dr. Bloomington, MN 55437 952.831.8000

Seattle, WA August 21–23 SpringHill Suites Seattle Downtown 1800 Yale Ave. Seattle, WA 98101 206.254.0500

Chicago (Oak Brook), IL August 28–30 Doubletree Oak Brook Chicago 1909 Spring Rd. Oak Brook, IL 60523 630.472.6000

Behavior is communication.Dementia Capable Care Training

Columbus, OH July 17–19

Denver, CO July 24–26

Springfield, IL July 31–August 2

Indianapolis, IN August 7–9

Minneapolis (Bloomington), MN August 14–16

Seattle, WA August 21–23

Chicago (Oak Brook), IL August 28–30

About UsCPI is the standard-setting provider of behavior management training that equips employees to have an immediate, tangible, and lasting positive impact on the people and organizations they serve. Within CPI, Dementia Care Specialists is a team dedicated to advancing person-centered care for those living with Alzheimer’s and related dementias.

Visit crisisprevention.com/dcs to: • Review up-to-date CEU information

prior to registration.

• Read customer testimonials and case studies.

• Watch a video about Dementia Capable Care training.

• Learn about DCS recognition programs for individuals and facilities.

• Find out more about CPI’s resources and specialized offerings.

Dementia Capable Care Registration Form

12-DCC-CYC-005 04/12

Step 1: Registrant Information

Please copy this form as needed for each attendee.Number of attendees for this registration ____________________

Name ______________________________________________

Title _______________________________________________

Phone (work) ________________________________________

Email ______________________________________________

Organization Name ____________________________________

Organization Type q Therapy Agency q Nursing Home

q Assisted Living Facility

q Continuing Care Retirement Community

q Other (please specify) ___________________

Organization Address __________________________________

City, State, Zip ________________________________________

Step 2: Course Selection

Please select a course.q One-Day Foundation Course ..............................................................................

q Two-Day Foundation and Care Partner Applications Course ..................................................................................... $299

q Three-Day Instructor Program...............................................................$1,499

Step 3: Date/Location Selection

Please select 2012 date(s) and location.

q Columbus, OH • July 17–19

q Denver, CO • July 24–26

q Springfield, IL • July 31–August 2

q Indianapolis, IN • August 7–9

q Minneapolis (Bloomington), MN • August 14–16

q Seattle, WA • August 21–23

q Chicago (Oak Brook), IL • August 28–30

Step 4: Method of Payment

q Price__________ x Quantity__________ = Total __________

q Purchase Order Enclosed PO# _________________________

q Check Enclosed Check# ______________________________

q Bill My Organization (I am authorized to purchase.)

q Credit Card q Personal q Corporate

q q q q

Credit Card Number ___________________________________

Exp. Date (MM/YY) _____________________________________

Signature____________________________________________

Billing Address (if different) ______________________________

Please note: Full registration fee is due and payable prior to the start of the program.

Step 5: Customer Code

Please fill in your Customer Code as shown above the address area on the back of this brochure.

Priority Code: DCS0712CP

© 2012 CPI. All rights reserved. CPI® is a registered trademark of CPI.

MasterCard AMERICANEXPRESS Card

CEU InformationIt is the responsibility of the registrant to ensure this course meets your CEU requirements prior to registration.

Occupational Therapists, Occupational Therapy Assistants: Dementia Care Specialists is an AOTA Approved Provider of Continuing Education. Dementia Capable Care: Foundation is offered for .7 AOTA CEUs. AOTA Education Level: Introductory, AOTA Classification Codes: Occupational Therapy Process, Domain of OT. Dementia Capable Care: Care Partner Applications is offered for .6 AOTA CEUs. AOTA Educational level: Introductory. AOTA Classification Codes: Occupational Therapy Process, Domain of OT. The assignment of AOTA CEUs does not simply endorsement of specific course content, products, or clinical procedures by AOTA.

Speech Language Pathologists: Dementia Capable Care: Foundation is offered for .7 ASHA CEUs (Introductory Level, Professional Area). Dementia Capable Care: Care Partner Applications is offered for .6 ASHA CEUs (Introductory Level, Professional Area).

Please visit our website to view ASHA CEU eligibility criteria.

Administrators: This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB). Dementia Capable Care: Foundation is approved for 7.00 clock hours and 7.00 participant hours. Dementia Capable Care: Care Partner Applications is approved for 6.00 clock hours and 6.00 participant hours.

Social Workers: CPI (Dementia Care Specialists is a CPI specialized offering) is an approved provider of continuing education by the National Association of Social Workers. Dementia Capable Care: Foundation is approved for 7 continuing education contact hours. Dementia Capable Care: Care Partner Applications is approved for 6 continuing education contact hours.

Activity Professionals: National Certificate Council for Activity Professionals (NCCAP) has approved Dementia Capable Care: Foundation for 7 contact hours. Dementia Capable Care Care Partner Applications is approved for 6 continuing education contact hours.

Nurses: CPI (Dementia Care Specialists is a CPI specialized offering) is a provider approved by the California Board of Registered Nursing, Provider Number CEP11542. Dementia Capable Care: Foundation is approved for 7 contact hours. Dementia Capable Care: Care Partner Applications is approved for 6 contact hours. Nurses attending this course should be aware that no partial credit can be granted. Nurses from other states should check with their state’s board of nursing requirements, as sometimes reciprocal agreements are available to allow for continuing education approved by one state to be allowable for another.

Physical Therapists and Physical Therapy Assistants: PT CEUs awarded for many states. Not all states require pre-approval.

Dementia Capable Care Interdisciplinary Training Options

Option One

Option Three

Option Two

One-Day Foundation CourseThe Foundation Course provides all who work in dementia care a common framework for promoting best abilities.

Three-Day Instructor ProgramThe Instructor Program, our train-the-trainer option, begins on the third day. This course allows an organization to create a positive, congruent approach among all staff. Upon completion, participants gain authorization to purchase and use CPI’s training materials to teach the One-Day Foundation Course within their organizations.

Two-Day Foundation and Care Partner Applications CourseThe first day of this training is the Foundation Course. This second day emphasizes application of new skills for the various aspects of dementia care.

Course times: 8:30 a.m. – 5:00 p.m. with a one-hour lunch break (on your own).Registration: 7:30 a.m. – 8:30 a.m.

7 total contact hours.

Course times: 8:30 a.m. – 5:00 p.m. with a one-hour lunch break (on your own).Participants who are not going on to the Instructor Program will be excused at 4:00 p.m.

6 total contact hours.

What you’ll learn:• Identify empowering paradigm shifts to create successful

outcomes for those with dementia. • Demonstrate an understanding of Alzheimer’s disease and

related dementias and their impact on cognitive function.• Identify cognitive assessments and screening tools to identify

best ability to function.• Describe the best ability to function and key remaining abilities

for each dementia stage, as defined by Allen Cognitive Levels. • Identify key care approaches for each dementia stage to

promote the highest possible level of function in ADL, mobility, and leisure activity.

• Understand strategies to enhance communication, minimize negative behaviors, and support families.

What you’ll learn:• Key teaching points for each unit of the

Foundation Course.

• Strategies for staff training in a person-centered, abilities-based model.

• Adult learning methods to promote retention and training transfer.

• Course customization techniques to build relevance for different staff groups.

• DCS quality standards that support ongoing staff training.

• Assigned practicum training for each participant.

Benefits of Instructor CertificationOnce certified, Instructors become an extension of our family of educators. Benefits include:

• Authorization to purchase CPI training materials to train within your organization.

• Free ongoing support and consultation from DCS to deliver exceptional training.

• Free refresher courses and online learning events.

• Documentation of all training activities.

• Link with CPI’s global community of Instructors.

• Approval to submit the Foundation Course to gain CEU approval for internal trainings using your approved provider status.

Instructor Kit Included ($489 Value)!Every participant in the Three-Day Instructor Program receives a comprehensive Instructor Manual and materials necessary for staff training. The materials include an Electronic Presentation to help deliver the program with ease and a starter supply of Foundation Course Participant Workbooks.

What you’ll learn:• Link information about ADRD, cognition, and stages of

dementia to work realities.• Identify care approaches that will facilitate best ability to

function for an individual at each stage of dementia.• Practice person-centered communication strategies and care

approaches specific to each stage of dementia.• Develop customized care strategies. • Create a comprehensive care plan, given communication

strategies, care approaches, and behavior responses.• Explain how various team members’ efforts contribute to

achieving positive outcomes for persons with dementia.

Course times: 8:30 a.m. – 4:00 p.m. with a one-hour lunch break (on your own). Contact hours are not offered for this

third day of training.

Registrants Fee1 to 2 $149 ea.3 to 9* $134 ea.10 or more* $99 ea.

* Price per person when registering at the same time.

For more information call 877.816.4524 or visit crisisprevention.com/dcs

Save 10% when three or more register from the same facility

See inside.

PRSRT STDUS POSTAGE

PAIDPewaukee, WI

Permit No. 3183

CPI10850 W. Park PlaceSuite 600Milwaukee, WI 53224 USAt • 800.558.8976 f • 414.979.7098

We believe that every person living with dementia has many remaining abilities that, when capitalized upon, can lead to a life of quality at each stage of the disease.

We believe our society and health care professionals must prioritize the facilitation of quality of life and the optimum levels of function for each of these individuals in order to provide hope in the midst of fear and despair.

Join us in this mission and prepare for a paradigm shift in how you deliver dementia care.

Dementia Capable Care training empowers the entire team with a positive, person-centered approach like no other. Staff attitudes shift, confidence soars, and quality of life improves for your clients. Additional benefits include:

Client/Family Benefits• Greater independence. • Increased participation in

meaningful life activities. • Reduced emergency room

visits and hospitalizations. • Ability to thrive rather than

just survive.

Staff Benefits• Less time spent on

behavioral issues. • Reduced job stress. • Greater job satisfaction. • Improved job security.

See if our perspective of Alzheimer’s care matches yours. Watch this video at crisisprevention.com/alz

On-Site Training: On-site training is also available. Call 877.816.4524 for more information.

Overnight Accommodations: Please contact the hotel directly for room reservations. A limited number of discounted rooms will be held under “Dementia Care Specialists.” Make your reservations early to ensure you receive the discounted rate.

Special Needs: Please contact CPI at 877.816.4524 if you have any special needs or disabilities that require assistance.

Four Ways to Register

Upcoming Dementia Capable Care Training ProgramsRegister early! Program size is limited! See Registration Form inside.

1. Online at crisisprevention.com

2. Fax Registration Form with payment information to: 414.979.7098 any hour of the day.

3. Toll-Free 877.816.4524 / 888.758.6048 TTY (Deaf, hard of hearing, or speech impaired) (US or Canada) M–F 7:30 a.m. to 6:00 p.m. (CT)

4. Mail Registration Form with payment information to: CPI 10850 W. Park Place, Suite 600 Milwaukee, WI 53224

Cancellation Policy: We understand that circumstances may arise that require you to cancel. Registrations cancelled 15 or more days prior to the program start date are fully refundable, transferable to another individual, or transferable to a program at a later date. Registrations that are cancelled within 14 days of the program start date are nonrefundable; however, a substitute can be sent to that program or the registration can be transferred to another CPI program conducted within four months of the original program date for a $35 administrative fee. If you do not attend, you are responsible for the full program fee.

CPI reserves the right to cancel a program. In the event of program cancellation, CPI’s responsibility will be limited to a refund of the program fees.

Guarantee

CPI guarantees your satisfaction

with this training. If you are

not 100% satisfied, we’ll send

you a full refund.

Learn the language of Alzheimer’s/dementia

and gain the skills and confidence

to understand your clients.

Organization/Facility Benefits• Maximized reimbursements. • Increased census and revenue. • Decrease in staff turnover. • Improved outcomes.

Customer Code:

Priority Code:

Columbus, OH July 17–19The Westin Columbus Hotel 310 S. High St. Columbus, OH 43215 614.228.3800

Denver, CO July 24–26 Crowne Plaza Denver International Airport 15500 E 40th Ave. Denver, CO 80239 303.371.9494

Springfield, IL July 31–August 2 Hilton Garden Inn Springfield 3100 S. Dirksen Pkwy. Springfield, IL 62703 217.529.7171

Indianapolis, IN August 7–9 Crowne Plaza at Historic Union Station 123 W. Louisiana St. Indianapolis, IN 46225 317.631.2221

Minneapolis (Bloomington), MN August 14–16 Crowne Plaza Bloomington 5401 Green Valley Dr. Bloomington, MN 55437 952.831.8000

Seattle, WA August 21–23 SpringHill Suites Seattle Downtown 1800 Yale Ave. Seattle, WA 98101 206.254.0500

Chicago (Oak Brook), IL August 28–30 Doubletree Oak Brook Chicago 1909 Spring Rd. Oak Brook, IL 60523 630.472.6000

Behavior is communication.Dementia Capable Care Training

Columbus, OH July 17–19

Denver, CO July 24–26

Springfield, IL July 31–August 2

Indianapolis, IN August 7–9

Minneapolis (Bloomington), MN August 14–16

Seattle, WA August 21–23

Chicago (Oak Brook), IL August 28–30

See inside.

PRSRT STDUS POSTAGE

PAIDPewaukee, WI

Permit No. 3183

CPI10850 W. Park PlaceSuite 600Milwaukee, WI 53224 USAt • 800.558.8976 f • 414.979.7098

We believe that every person living with dementia has many remaining abilities that, when capitalized upon, can lead to a life of quality at each stage of the disease.

We believe our society and health care professionals must prioritize the facilitation of quality of life and the optimum levels of function for each of these individuals in order to provide hope in the midst of fear and despair.

Join us in this mission and prepare for a paradigm shift in how you deliver dementia care.

Dementia Capable Care training empowers the entire team with a positive, person-centered approach like no other. Staff attitudes shift, confidence soars, and quality of life improves for your clients. Additional benefits include:

Client/Family Benefits• Greater independence. • Increased participation in

meaningful life activities. • Reduced emergency room

visits and hospitalizations. • Ability to thrive rather than

just survive.

Staff Benefits• Less time spent on

behavioral issues. • Reduced job stress. • Greater job satisfaction. • Improved job security.

See if our perspective of Alzheimer’s care matches yours. Watch this video at crisisprevention.com/alz

On-Site Training: On-site training is also available. Call 877.816.4524 for more information.

Overnight Accommodations: Please contact the hotel directly for room reservations. A limited number of discounted rooms will be held under “Dementia Care Specialists.” Make your reservations early to ensure you receive the discounted rate.

Special Needs: Please contact CPI at 877.816.4524 if you have any special needs or disabilities that require assistance.

Four Ways to Register

Upcoming Dementia Capable Care Training ProgramsRegister early! Program size is limited! See Registration Form inside.

1. Online at crisisprevention.com

2. Fax Registration Form with payment information to: 414.979.7098 any hour of the day.

3. Toll-Free 877.816.4524 / 888.758.6048 TTY (Deaf, hard of hearing, or speech impaired) (US or Canada) M–F 7:30 a.m. to 6:00 p.m. (CT)

4. Mail Registration Form with payment information to: CPI 10850 W. Park Place, Suite 600 Milwaukee, WI 53224

Cancellation Policy: We understand that circumstances may arise that require you to cancel. Registrations cancelled 15 or more days prior to the program start date are fully refundable, transferable to another individual, or transferable to a program at a later date. Registrations that are cancelled within 14 days of the program start date are nonrefundable; however, a substitute can be sent to that program or the registration can be transferred to another CPI program conducted within four months of the original program date for a $35 administrative fee. If you do not attend, you are responsible for the full program fee.

CPI reserves the right to cancel a program. In the event of program cancellation, CPI’s responsibility will be limited to a refund of the program fees.

Guarantee

CPI guarantees your satisfaction

with this training. If you are

not 100% satisfied, we’ll send

you a full refund.

Learn the language of Alzheimer’s/dementia

and gain the skills and confidence

to understand your clients.

Organization/Facility Benefits• Maximized reimbursements. • Increased census and revenue. • Decrease in staff turnover. • Improved outcomes.

Customer Code:

Priority Code:

Columbus, OH July 17–19The Westin Columbus Hotel 310 S. High St. Columbus, OH 43215 614.228.3800

Denver, CO July 24–26 Crowne Plaza Denver International Airport 15500 E 40th Ave. Denver, CO 80239 303.371.9494

Springfield, IL July 31–August 2 Hilton Garden Inn Springfield 3100 S. Dirksen Pkwy. Springfield, IL 62703 217.529.7171

Indianapolis, IN August 7–9 Crowne Plaza at Historic Union Station 123 W. Louisiana St. Indianapolis, IN 46225 317.631.2221

Minneapolis (Bloomington), MN August 14–16 Crowne Plaza Bloomington 5401 Green Valley Dr. Bloomington, MN 55437 952.831.8000

Seattle, WA August 21–23 SpringHill Suites Seattle Downtown 1800 Yale Ave. Seattle, WA 98101 206.254.0500

Chicago (Oak Brook), IL August 28–30 Doubletree Oak Brook Chicago 1909 Spring Rd. Oak Brook, IL 60523 630.472.6000

Behavior is communication.Dementia Capable Care Training

Columbus, OH July 17–19

Denver, CO July 24–26

Springfield, IL July 31–August 2

Indianapolis, IN August 7–9

Minneapolis (Bloomington), MN August 14–16

Seattle, WA August 21–23

Chicago (Oak Brook), IL August 28–30

About UsCPI is the standard-setting provider of behavior management training that equips employees to have an immediate, tangible, and lasting positive impact on the people and organizations they serve. Within CPI, Dementia Care Specialists is a team dedicated to advancing person-centered care for those living with Alzheimer’s and related dementias.

Visit crisisprevention.com/dcs to: • Review up-to-date CEU information

prior to registration.

• Read customer testimonials and case studies.

• Watch a video about Dementia Capable Care training.

• Learn about DCS recognition programs for individuals and facilities.

• Find out more about CPI’s resources and specialized offerings.

Dementia Capable Care Registration Form

12-DCC-CYC-005 04/12

Step 1: Registrant Information

Please copy this form as needed for each attendee.Number of attendees for this registration ____________________

Name ______________________________________________

Title _______________________________________________

Phone (work) ________________________________________

Email ______________________________________________

Organization Name ____________________________________

Organization Type q Therapy Agency q Nursing Home

q Assisted Living Facility

q Continuing Care Retirement Community

q Other (please specify) ___________________

Organization Address __________________________________

City, State, Zip ________________________________________

Step 2: Course Selection

Please select a course.q One-Day Foundation Course ..............................................................................

q Two-Day Foundation and Care Partner Applications Course ..................................................................................... $299

q Three-Day Instructor Program...............................................................$1,499

Step 3: Date/Location Selection

Please select 2012 date(s) and location.

q Columbus, OH • July 17–19

q Denver, CO • July 24–26

q Springfield, IL • July 31–August 2

q Indianapolis, IN • August 7–9

q Minneapolis (Bloomington), MN • August 14–16

q Seattle, WA • August 21–23

q Chicago (Oak Brook), IL • August 28–30

Step 4: Method of Payment

q Price__________ x Quantity__________ = Total __________

q Purchase Order Enclosed PO# _________________________

q Check Enclosed Check# ______________________________

q Bill My Organization (I am authorized to purchase.)

q Credit Card q Personal q Corporate

q q q q

Credit Card Number ___________________________________

Exp. Date (MM/YY) _____________________________________

Signature____________________________________________

Billing Address (if different) ______________________________

Please note: Full registration fee is due and payable prior to the start of the program.

Step 5: Customer Code

Please fill in your Customer Code as shown above the address area on the back of this brochure.

Priority Code: DCS0712CP

© 2012 CPI. All rights reserved. CPI® is a registered trademark of CPI.

MasterCard AMERICANEXPRESS Card

CEU InformationIt is the responsibility of the registrant to ensure this course meets your CEU requirements prior to registration.

Occupational Therapists, Occupational Therapy Assistants: Dementia Care Specialists is an AOTA Approved Provider of Continuing Education. Dementia Capable Care: Foundation is offered for .7 AOTA CEUs. AOTA Education Level: Introductory, AOTA Classification Codes: Occupational Therapy Process, Domain of OT. Dementia Capable Care: Care Partner Applications is offered for .6 AOTA CEUs. AOTA Educational level: Introductory. AOTA Classification Codes: Occupational Therapy Process, Domain of OT. The assignment of AOTA CEUs does not simply endorsement of specific course content, products, or clinical procedures by AOTA.

Speech Language Pathologists: Dementia Capable Care: Foundation is offered for .7 ASHA CEUs (Introductory Level, Professional Area). Dementia Capable Care: Care Partner Applications is offered for .6 ASHA CEUs (Introductory Level, Professional Area).

Please visit our website to view ASHA CEU eligibility criteria.

Administrators: This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB). Dementia Capable Care: Foundation is approved for 7.00 clock hours and 7.00 participant hours. Dementia Capable Care: Care Partner Applications is approved for 6.00 clock hours and 6.00 participant hours.

Social Workers: CPI (Dementia Care Specialists is a CPI specialized offering) is an approved provider of continuing education by the National Association of Social Workers. Dementia Capable Care: Foundation is approved for 7 continuing education contact hours. Dementia Capable Care: Care Partner Applications is approved for 6 continuing education contact hours.

Activity Professionals: National Certificate Council for Activity Professionals (NCCAP) has approved Dementia Capable Care: Foundation for 7 contact hours. Dementia Capable Care Care Partner Applications is approved for 6 continuing education contact hours.

Nurses: CPI (Dementia Care Specialists is a CPI specialized offering) is a provider approved by the California Board of Registered Nursing, Provider Number CEP11542. Dementia Capable Care: Foundation is approved for 7 contact hours. Dementia Capable Care: Care Partner Applications is approved for 6 contact hours. Nurses attending this course should be aware that no partial credit can be granted. Nurses from other states should check with their state’s board of nursing requirements, as sometimes reciprocal agreements are available to allow for continuing education approved by one state to be allowable for another.

Physical Therapists and Physical Therapy Assistants: PT CEUs awarded for many states. Not all states require pre-approval.

Dementia Capable Care Interdisciplinary Training Options

Option One

Option Three

Option Two

One-Day Foundation CourseThe Foundation Course provides all who work in dementia care a common framework for promoting best abilities.

Three-Day Instructor ProgramThe Instructor Program, our train-the-trainer option, begins on the third day. This course allows an organization to create a positive, congruent approach among all staff. Upon completion, participants gain authorization to purchase and use CPI’s training materials to teach the One-Day Foundation Course within their organizations.

Two-Day Foundation and Care Partner Applications CourseThe first day of this training is the Foundation Course. This second day emphasizes application of new skills for the various aspects of dementia care.

Course times: 8:30 a.m. – 5:00 p.m. with a one-hour lunch break (on your own).Registration: 7:30 a.m. – 8:30 a.m.

7 total contact hours.

Course times: 8:30 a.m. – 5:00 p.m. with a one-hour lunch break (on your own).Participants who are not going on to the Instructor Program will be excused at 4:00 p.m.

6 total contact hours.

What you’ll learn:• Identify empowering paradigm shifts to create successful

outcomes for those with dementia. • Demonstrate an understanding of Alzheimer’s disease and

related dementias and their impact on cognitive function.• Identify cognitive assessments and screening tools to identify

best ability to function.• Describe the best ability to function and key remaining abilities

for each dementia stage, as defined by Allen Cognitive Levels. • Identify key care approaches for each dementia stage to

promote the highest possible level of function in ADL, mobility, and leisure activity.

• Understand strategies to enhance communication, minimize negative behaviors, and support families.

What you’ll learn:• Key teaching points for each unit of the

Foundation Course.

• Strategies for staff training in a person-centered, abilities-based model.

• Adult learning methods to promote retention and training transfer.

• Course customization techniques to build relevance for different staff groups.

• DCS quality standards that support ongoing staff training.

• Assigned practicum training for each participant.

Benefits of Instructor CertificationOnce certified, Instructors become an extension of our family of educators. Benefits include:

• Authorization to purchase CPI training materials to train within your organization.

• Free ongoing support and consultation from DCS to deliver exceptional training.

• Free refresher courses and online learning events.

• Documentation of all training activities.

• Link with CPI’s global community of Instructors.

• Approval to submit the Foundation Course to gain CEU approval for internal trainings using your approved provider status.

Instructor Kit Included ($489 Value)!Every participant in the Three-Day Instructor Program receives a comprehensive Instructor Manual and materials necessary for staff training. The materials include an Electronic Presentation to help deliver the program with ease and a starter supply of Foundation Course Participant Workbooks.

What you’ll learn:• Link information about ADRD, cognition, and stages of

dementia to work realities.• Identify care approaches that will facilitate best ability to

function for an individual at each stage of dementia.• Practice person-centered communication strategies and care

approaches specific to each stage of dementia.• Develop customized care strategies. • Create a comprehensive care plan, given communication

strategies, care approaches, and behavior responses.• Explain how various team members’ efforts contribute to

achieving positive outcomes for persons with dementia.

Course times: 8:30 a.m. – 4:00 p.m. with a one-hour lunch break (on your own). Contact hours are not offered for this

third day of training.

Registrants Fee1 to 2 $149 ea.3 to 9* $134 ea.10 or more* $99 ea.

* Price per person when registering at the same time.

For more information call 877.816.4524 or visit crisisprevention.com/dcs

Save 10% when three or more register from the same facility

About UsCPI is the standard-setting provider of behavior management training that equips employees to have an immediate, tangible, and lasting positive impact on the people and organizations they serve. Within CPI, Dementia Care Specialists is a team dedicated to advancing person-centered care for those living with Alzheimer’s and related dementias.

Visit crisisprevention.com/dcs to: • Review up-to-date CEU information

prior to registration.

• Read customer testimonials and case studies.

• Watch a video about Dementia Capable Care training.

• Learn about DCS recognition programs for individuals and facilities.

• Find out more about CPI’s resources and specialized offerings.

Dementia Capable Care Registration Form

12-DCC-WEB-004 04/12

Step 1: Registrant Information

Please copy this form as needed for each attendee.Number of attendees for this registration ____________________

Name ______________________________________________

Title _______________________________________________

Phone (work) ________________________________________

Email ______________________________________________

Organization Name ____________________________________

Organization Type q Therapy Agency q Nursing Home

q Assisted Living Facility

q Continuing Care Retirement Community

q Other (please specify) ___________________

Organization Address __________________________________

City, State, Zip ________________________________________

Step 2: Course Selection

Please select a course.q One-Day Foundation Course ..............................................................................

q Two-Day Foundation and Care Partner Applications Course ..................................................................................... $299

q Three-Day Instructor Program...............................................................$1,499

Step 3: Date/Location Selection

Please select 2012 date(s) and location.

q Columbus, OH • July 17–19

q Denver, CO • July 24–26

q Springfield, IL • July 31–August 2

q Indianapolis, IN • August 7–9

q Minneapolis (Bloomington), MN • August 14–16

q Seattle, WA • August 21–23

q Chicago (Oak Brook), IL • August 28–30

Step 4: Method of Payment

q Price__________ x Quantity__________ = Total __________

q Purchase Order Enclosed PO# _________________________

q Check Enclosed Check# ______________________________

q Bill My Organization (I am authorized to purchase.)

q Credit Card q Personal q Corporate

q q q q

Credit Card Number ___________________________________

Exp. Date (MM/YY) _____________________________________

Signature____________________________________________

Billing Address (if different) ______________________________

Please note: Full registration fee is due and payable prior to the start of the program.

Step 5: Customer Code

Please fill in your Customer Code as shown above the address area on the back of this brochure.

Priority Code: DCS0712CP

© 2012 CPI. All rights reserved. CPI® is a registered trademark of CPI.

MasterCard AMERICANEXPRESS Card

CEU InformationIt is the responsibility of the registrant to ensure this course meets your CEU requirements prior to registration.

Occupational Therapists, Occupational Therapy Assistants: Dementia Care Specialists is an AOTA Approved Provider of Continuing Education. Dementia Capable Care: Foundation is offered for .7 AOTA CEUs. AOTA Education Level: Introductory, AOTA Classification Codes: Occupational Therapy Process, Domain of OT. Dementia Capable Care: Care Partner Applications is offered for .6 AOTA CEUs. AOTA Educational level: Introductory. AOTA Classification Codes: Occupational Therapy Process, Domain of OT. The assignment of AOTA CEUs does not simply endorsement of specific course content, products, or clinical procedures by AOTA.

Speech Language Pathologists: Dementia Capable Care: Foundation is offered for .7 ASHA CEUs (Introductory Level, Professional Area). Dementia Capable Care: Care Partner Applications is offered for .6 ASHA CEUs (Introductory Level, Professional Area).

Please visit our website to view ASHA CEU eligibility criteria.

Administrators: This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB). Dementia Capable Care: Foundation is approved for 7.00 clock hours and 7.00 participant hours. Dementia Capable Care: Care Partner Applications is approved for 6.00 clock hours and 6.00 participant hours.

Social Workers: CPI (Dementia Care Specialists is a CPI specialized offering) is an approved provider of continuing education by the National Association of Social Workers. Dementia Capable Care: Foundation is approved for 7 continuing education contact hours. Dementia Capable Care: Care Partner Applications is approved for 6 continuing education contact hours.

Activity Professionals: National Certificate Council for Activity Professionals (NCCAP) has approved Dementia Capable Care: Foundation for 7 contact hours. Dementia Capable Care Care Partner Applications is approved for 6 continuing education contact hours.

Nurses: CPI (Dementia Care Specialists is a CPI specialized offering) is a provider approved by the California Board of Registered Nursing, Provider Number CEP11542. Dementia Capable Care: Foundation is approved for 7 contact hours. Dementia Capable Care: Care Partner Applications is approved for 6 contact hours. Nurses attending this course should be aware that no partial credit can be granted. Nurses from other states should check with their state’s board of nursing requirements, as sometimes reciprocal agreements are available to allow for continuing education approved by one state to be allowable for another.

Physical Therapists and Physical Therapy Assistants: PT CEUs awarded for many states. Not all states require pre-approval.

Dementia Capable Care Interdisciplinary Training Options

Option One

Option Three

Option Two

One-Day Foundation CourseThe Foundation Course provides all who work in dementia care a common framework for promoting best abilities.

Three-Day Instructor ProgramThe Instructor Program, our train-the-trainer option, begins on the third day. This course allows an organization to create a positive, congruent approach among all staff. Upon completion, participants gain authorization to purchase and use CPI’s training materials to teach the One-Day Foundation Course within their organizations.

Two-Day Foundation and Care Partner Applications CourseThe first day of this training is the Foundation Course. This second day emphasizes application of new skills for the various aspects of dementia care.

Course times: 8:30 a.m. – 5:00 p.m. with a one-hour lunch break (on your own).Registration: 7:30 a.m. – 8:30 a.m.

7 total contact hours.

Course times: 8:30 a.m. – 5:00 p.m. with a one-hour lunch break (on your own).Participants who are not going on to the Instructor Program will be excused at 4:00 p.m.

6 total contact hours.

What you’ll learn:• Identify empowering paradigm shifts to create successful

outcomes for those with dementia. • Demonstrate an understanding of Alzheimer’s disease and

related dementias and their impact on cognitive function.• Identify cognitive assessments and screening tools to identify

best ability to function.• Describe the best ability to function and key remaining abilities

for each dementia stage, as defined by Allen Cognitive Levels. • Identify key care approaches for each dementia stage to

promote the highest possible level of function in ADL, mobility, and leisure activity.

• Understand strategies to enhance communication, minimize negative behaviors, and support families.

What you’ll learn:• Key teaching points for each unit of the

Foundation Course.

• Strategies for staff training in a person-centered, abilities-based model.

• Adult learning methods to promote retention and training transfer.

• Course customization techniques to build relevance for different staff groups.

• DCS quality standards that support ongoing staff training.

• Assigned practicum training for each participant.

Benefits of Instructor CertificationOnce certified, Instructors become an extension of our family of educators. Benefits include:

• Authorization to purchase CPI training materials to train within your organization.

• Free ongoing support and consultation from DCS to deliver exceptional training.

• Free refresher courses and online learning events.

• Documentation of all training activities.

• Link with CPI’s global community of Instructors.

• Approval to submit the Foundation Course to gain CEU approval for internal trainings using your approved provider status.

Instructor Kit Included ($489 Value)!Every participant in the Three-Day Instructor Program receives a comprehensive Instructor Manual and materials necessary for staff training. The materials include an Electronic Presentation to help deliver the program with ease and a starter supply of Foundation Course Participant Workbooks.

What you’ll learn:• Link information about ADRD, cognition, and stages of

dementia to work realities.• Identify care approaches that will facilitate best ability to

function for an individual at each stage of dementia.• Practice person-centered communication strategies and care

approaches specific to each stage of dementia.• Develop customized care strategies. • Create a comprehensive care plan, given communication

strategies, care approaches, and behavior responses.• Explain how various team members’ efforts contribute to

achieving positive outcomes for persons with dementia.

Course times: 8:30 a.m. – 4:00 p.m. with a one-hour lunch break (on your own). Contact hours are not offered for this

third day of training.

Registrants Fee1 to 2 $149 ea.3 to 9* $134 ea.10 or more* $99 ea.

* Price per person when registering at the same time.

For more information call 877.816.4524 or visit crisisprevention.com/dcs

Save 10% when three or more register from the same facility

See inside.

PRSRT STDUS POSTAGE

PAIDPewaukee, WI

Permit No. 3183

CPI10850 W. Park PlaceSuite 600Milwaukee, WI 53224 USAt • 800.558.8976 f • 414.979.7098

We believe that every person living with dementia has many remaining abilities that, when capitalized upon, can lead to a life of quality at each stage of the disease.

We believe our society and health care professionals must prioritize the facilitation of quality of life and the optimum levels of function for each of these individuals in order to provide hope in the midst of fear and despair.

Join us in this mission and prepare for a paradigm shift in how you deliver dementia care.

Dementia Capable Care training empowers the entire team with a positive, person-centered approach like no other. Staff attitudes shift, confidence soars, and quality of life improves for your clients. Additional benefits include:

Client/Family Benefits• Greater independence. • Increased participation in

meaningful life activities. • Reduced emergency room

visits and hospitalizations. • Ability to thrive rather than

just survive.

Staff Benefits• Less time spent on

behavioral issues. • Reduced job stress. • Greater job satisfaction. • Improved job security.

See if our perspective of Alzheimer’s care matches yours. Watch this video at crisisprevention.com/alz

On-Site Training: On-site training is also available. Call 877.816.4524 for more information.

Overnight Accommodations: Please contact the hotel directly for room reservations. A limited number of discounted rooms will be held under “Dementia Care Specialists.” Make your reservations early to ensure you receive the discounted rate.

Special Needs: Please contact CPI at 877.816.4524 if you have any special needs or disabilities that require assistance.

Four Ways to Register

Upcoming Dementia Capable Care Training ProgramsRegister early! Program size is limited! See Registration Form inside.

1. Online at crisisprevention.com

2. Fax Registration Form with payment information to: 414.979.7098 any hour of the day.

3. Toll-Free 877.816.4524 / 888.758.6048 TTY (Deaf, hard of hearing, or speech impaired) (US or Canada) M–F 7:30 a.m. to 6:00 p.m. (CT)

4. Mail Registration Form with payment information to: CPI 10850 W. Park Place, Suite 600 Milwaukee, WI 53224

Cancellation Policy: We understand that circumstances may arise that require you to cancel. Registrations cancelled 15 or more days prior to the program start date are fully refundable, transferable to another individual, or transferable to a program at a later date. Registrations that are cancelled within 14 days of the program start date are nonrefundable; however, a substitute can be sent to that program or the registration can be transferred to another CPI program conducted within four months of the original program date for a $35 administrative fee. If you do not attend, you are responsible for the full program fee.

CPI reserves the right to cancel a program. In the event of program cancellation, CPI’s responsibility will be limited to a refund of the program fees.

Guarantee

CPI guarantees your satisfaction

with this training. If you are

not 100% satisfied, we’ll send

you a full refund.

Learn the language of Alzheimer’s/dementia

and gain the skills and confidence

to understand your clients.

Organization/Facility Benefits• Maximized reimbursements. • Increased census and revenue. • Decrease in staff turnover. • Improved outcomes.

Customer Code:

Priority Code:

Columbus, OH July 17–19The Westin Columbus Hotel 310 S. High St. Columbus, OH 43215 614.228.3800

Denver, CO July 24–26 Crowne Plaza Denver International Airport 15500 E 40th Ave. Denver, CO 80239 303.371.9494

Springfield, IL July 31–August 2 Hilton Garden Inn Springfield 3100 S. Dirksen Pkwy. Springfield, IL 62703 217.529.7171

Indianapolis, IN August 7–9 Crowne Plaza at Historic Union Station 123 W. Louisiana St. Indianapolis, IN 46225 317.631.2221

Minneapolis (Bloomington), MN August 14–16 Crowne Plaza Bloomington 5401 Green Valley Dr. Bloomington, MN 55437 952.831.8000

Seattle, WA August 21–23 SpringHill Suites Seattle Downtown 1800 Yale Ave. Seattle, WA 98101 206.254.0500

Chicago (Oak Brook), IL August 28–30 Doubletree Oak Brook Chicago 1909 Spring Rd. Oak Brook, IL 60523 630.472.6000

Behavior is communication.Dementia Capable Care Training

Columbus, OH July 17–19

Denver, CO July 24–26

Springfield, IL July 31–August 2

Indianapolis, IN August 7–9

Minneapolis (Bloomington), MN August 14–16

Seattle, WA August 21–23

Chicago (Oak Brook), IL August 28–30