9TH ANNUAL

MAY 9 – 12, 2016

LAKE TERRACE CONVENTION CENTERHATTIESBURG, MS

DEADLINE: APRIL 8, 2016*TO BE INCLUDED IN PUBLICATIONS AND PRINTED MATERIALS,

CONTRACT MUST BE RECEIVED BY MARCH 7, 2016*

HOTEL INFORMATIONHoliday Inn

10 Gateway DriveHattiesburg, MS 39402

(601) 296.0302Rate: $89/night | Group Code: MSS

CUT-OFF DATE: April 29

Candlewood Suites9 Gateway Drive

Hattiesburg, MS 39402(601) 264.9666

Rate: $89/night | Group Code: MSDCUT-OFF DATE: April 25

1DEPARTMENT OF MENTAL HEALTHState of Mississippi

1101 Robert E. Lee Building (601) 359-1288239 North Lamar Street FAX (601) 359-6295Jackson, Mississippi 39201 TDD (601) 359-6230

Diana Mikula- Executive Director

February 15, 2016

Potential Exhibitors and Hosts,

We are excited to bring you The 9th Annual Mississippi School for Addiction Professionals on Monday, May 9th through Thursday, May 12th at the Lake Terrace Convention Center in Hattiesburg, MS. We expect this year’s conference to be even better, and we would like for you to take a moment to consider becoming a part of our event by being a host or exhibitor.

We could not continue the School without the support of our hosts and exhibitors each year. We encourage you to utilize this great event as an avenue to market your organization while also networking with other professionals in the field of substance use prevention, intervention, and treatment.

Enclosed with this letter, you will find this year’s host and exhibitor information, as well as a map of the convention center. To register, please go online to https://www.regonline.com/MSschoolexhibitorhost2016 to reserve your spot. More information about the MS School can be found on our website, www.theMSschool.ms.gov.

If you have any questions about hosting or exhibiting, please contact us at the Bureau of Alcohol and Drug Services at 601-359-6220, or email theMSschool@dmh.state.ms.us.

Sincerely yours,

Dee Anna Lechtenberg & Karen McGeeCo-Directors, Mississippi School for Addiction Professionals

DEADLINE:APRIL 8,

2016

PLEASE INCLUDE

CODEJA-MS16-9ON PAYMENT

HOST/EXHIBITORCONTACT INFORMATION

NAME AND INFORMATION AS YOU DESIRE TO HAVE IT APPEAR ACKNOWLEDGING YOUR ORGANIZATION:

ORGANIZATION NAME

ADDRESS

CITY/STATE/ZIP

DESIGNATED CONTACT

PHONE

EMAIL

EXHIBITOR LEVELS: (PLEASE SEE ATTACHED DESCRIPTIONS AND SELECT ONE)

5 STAR HOST (INCLUDES 8 TOTAL ATTENDEE REGISTRATIONS)..................................$5500

3 STAR HOST (INCLUDES 6 TOTAL ATTENDEE REGISTRATIONS)..................................$3500

GOLD EXHIBITOR (INCLUDES 4 TOTAL ATTENDEE REGISTRATIONS)............................$2500

SILVER EXHIBITOR (INCLUDES 2 TOTAL ATTENDEE REGISTRATIONS)..........................$1500

BRONZE EXHIBITOR (INCLUDES 1 TOTAL ATTENDEE REGISTRATION)..........................$750Please complete and submit a registration form for each attendee to be included in your host/exhibitor

package. Total attendee registrations include your exhibitor table representative.

EMAIL YOUR ORGANIZATION’S LOGO TO: theMSschool@dmh.state.ms.us

MAKE CHECK OR MONEY ORDER PAYABLE TO:THE MISSISSIPPI DEPARTMENT OF MENTAL HEALTH

REMIT TO: MISSISSIPPI DEPARTMENT OF MENTAL HEALTH

ATTN: BELEN WHITE239 NORTH LAMAR STREET

1101 ROBERT E. LEE BUILDINGJACKSON, MS 39201

1-877-210-8513

EMAIL: THEMSSCHOOL@DMH.STATE.MS.USWEBSITE: www.theMSschool.ms.gov

Partnering with The MS School as a Host or Exhibitor is an excellent opportunity to receive maximum marketing exposure in addition to networking with other agencies and professional peers.

5 Star Host - $5,500Five Star Hosts for a Luncheon or the Evening Event will provide your organization with maximum marketing exposure in addition to networking opportunities with other organizations, agencies, and professionals. This Host Level includes:

Signage with organization logo prominently displayed at the host event Reserved table for your organization at the hosted event Special acknowledgement during opening remarks and recognition throughout the conference One (1) Premium Exhibit Space including one (1) draped 6' table with electrical included Eight (8) School Attendee Registrations for all four (4) conference days, meals, and events Top logo placement in School booklet and hyperlink placement on MS School website Distribution of organization's brochure materials in registration packets Logo display on convention center electronic marquee and plenary room projection screens

3 Star Host - $3,500Three Star Hosts for a Snack Break or Breakfast will provide your organization with priority marketing exposure in addition to networking opportunities with other organizations, agencies, and professionals. This Host Level includes:

Signage with organization logo prominently displayed at the host event Reserved table for your organization at the hosted event Special acknowledgement during opening remarks and recognition throughout the conference One (1) Premium Exhibit Space including one (1) draped 6' table with electrical included Six (6) School Attendee Registrations for all four (4) conference days, meals, and events Priority Logo placement in School booklet and hyperlink placement on MS School website Distribution of organization's brochure materials in registration packets Logo display on convention center electronic marquee and plenary room projection screens

Gold Exhibitor - $2,500Gold Level Exhibitor will provide your organization with excellent marketing exposure in addition to networking opportunities with other organizations, agencies, and professionals. This Exhibitor Level includes:

Special acknowledgement during opening remarks and recognition throughout the conference One (1) Exhibit Space including one (1) draped 6' table Four (4) School Attendee Registrations for all four (4) conference days, meals, and events Logo placement in School booklet and hyperlink placement on MS School website Logo display on convention center electronic marquee and plenary room projection screens

Silver Exhibitor - $1,500Silver Level Exhibitor will provide your organization with great marketing exposure in addition to networking opportunities with other organizations, agencies, and professionals. This Exhibitor Level includes:

Special acknowledgement during opening remarks and recognition throughout the conference One (1) Exhibit Space including one (1) draped 6' table Two (2) School Attendee Registrations for all four (4) conference days, meals, and events Logo placement in School booklet and hyperlink placement on MS School website Logo display on convention center electronic marquee and plenary room projection screens

Bronze Exhibitor - $750Bronze Level Exhibitor will provide your organization with marketing exposure in addition to networking opportunities with other organizations, agencies, and professionals. This Exhibitor Level includes:

One (1) Exhibit Space including one (1) draped 6' table One (1) School Attendee Registrations for all four (4) conference days, meals, and events

COMMERCIAL SUPPORT POLICY

As an approved provider for Mississippi State Medical Association, Mississippi Nurses Foundation, American Psychological Association, Mississippi State Board of Examiners for Social Workers and Marriage & Family Therapists, National Board for Certified Counselors, National Association of Alcohol and Drug Abuse Counselors, National Commission for Health Education Credentialing, the Division of Professional Development Department of Mental Health agrees to maintain control of the educational content and disclose to learners all financial relationships or lack of, between the commercial supporters and the provider or presenters, and adhere to the following guidelines.

1. Funds will be made in the form of an educational grant and will be acknowledged in printed material and brochures.

2. Arrangements for commercial exhibits will not influence the planning of or interfere with the presentation of the education activities.

3. Learners will be informed of any off-label use of a commercial product that is presented in education activities.

4. Education activities are distinguished as separate from the endorsement of commercial products. When commercial products are displayed, participants will be advised that approval status as a provider refers only to its continuing education activities and does not imply Mississippi State Medical Association, Mississippi Nurses Foundation, American Psychological Association, National Board for Certified Counselors, National Association of Alcohol and Drug Abuse Counselors, and the Mississippi Board of Examiners for Social Workers and Marriage and Family Therapists’ National Commission for Health Education Credentialing endorsement of any commercial products.

5. Education activities that present research conducted by commercial companies will be designed and presented with scientific objectivity.

6. Learners are made aware of the nature of all commercial support on printed material or brochures.

________________________________________________________________(Company/Exhibitor Name)

As an exhibitor will you display products? Yes No If yes, list products being displayed:_____________________________________________________________________________________

Have you, as an exhibitor, offered anything of value to any speaker which may be perceived as direct of indirect interest in the subject(s) that they are addressing? Yes No If yes, list the speaker, the exhibitor, and the relationship between the two (such as speaker’s bureau, grant/research support, consultant, major stockholder, or gift):______________________________________________________

Do you know of any speaker who will include a discussion of your product during the session? Yes No If yes, list speaker(s): _________________________________________________

Will the above identified speaker(s) include a discussion of an unlabeled or investigational use of the product, device, or drug you promote that has not been approved by the FDA for the use being presented?

Yes No If yes, list speaker(s): ___________________________________________________

Have you tried to influence the planning of or interfere with the presentation of the educational portion of this conference? Yes No

______________________________________________ ________________________________Exhibitor Representative Date

______________________________________________ ________________________________Director of Div. Professional Development DateCE Chair

EXHIBIT HALL

REGISTRATION FORM (complete one per attendee)

PERSONAL INFORMATION

FULL NAME NAME FOR BADGEORGANIZATIONADDRESSCITY STATE ZIPPHONE ALT. PHONE FAXEMAIL

SESSION INFORMATION

Please review the agenda and check TWO class selections per day.Monday and Thursday are ½ day GENERAL SESSIONS.

(SELECTIONS ARE SUBJECT TO SPACE AVAILABILITY.)AM PM Tuesday - Day 2 (2 ½ hr courses) AM PM Wednesday - Day 3 (2 ½ hr courses)

6:30a – 7:30a Beginner Yoga/Mindfulness@ The Holiday Inn & Suites, Magnolia Room(CEU requests submitted)

6:30a – 7:30a Beginner Yoga/Mindfulness@ The Holiday Inn & Suites, Magnolia Room(CEU requests submitted)

B1-

Substructures of Chemical and Process Addictions: Trauma, Shame, Intimacy, Voids, and Family Language of Relationships

C1-SASSI-3 (Special Session – must attend both morning and afternoon sessions, limited to maximum of 30 attendees)

B2- Clinical Documentation: The Importance of Effective and Individualized Service Plans C2-

Prevention From a New Perspective: A Systemic Approach for Understanding & Impacting Today’s Teenager

B3- Do the Right Thing: Ethics C3- TREM: Trauma Recovery and Empowerment Model

B4- Integrated Behavioral Health: Primary & Behavioral Health C4-

Treating Addictive Disorders in Teens Utilizing Evidenced-Based Tools in Community Settings

B5- Medication Assisted Treatment (MAT) C5- CLAS: Cultural and Linguistically Appropriate Services

B6- Getting Started: The Basics of Prevention C6- Substance Use and Older Adults: Sex, Drugs, & Temper Tantrums

B7- LGBT and Substance Abuse: Realizing What You Are Facing C7- Legalization of Marijuana in Washington

StateHOTEL INFORMATION

ADA ACCESSIBILITY: THE LAKE TERRACE CONVENTION CENTER IS ADA ACCESSIBLE. IF SPECIAL ACCOMMODATIONS ARE REQUESTED, PLEASE EMAIL THEMSSCHOOL@DMH.STATE.MS.US OR CALL 1-877-210-8513.

SPECIAL DIETARY CONSIDERATIONS?

INDIVIDUALS ARE RESPONSIBLE FOR SECURING HOTEL RESERVATIONS ON OR BEFORE THE CUT-OFF DATE(S) AND MAKING PAYMENT TO THE HOTEL(S).

Note: Please provide hotel codes when making reservations to receive group rate.

SUBMIT THIS FORM TO BELEN.WHITE@DMH.STATE.MS.US OR FAX TO 601-359-6672 OR MAIL TO 239 NORTH LAMAR STREET, 1101 ROBERT E. LEE BUILDING, JACKSON, MS 39201