National Pediatric Hypnosis Training

Institute 2016 Pediatric Skill Development

Introductory Workshop

National Pediatric Hypnosis Training Institute 2016 Pediatric Skill Development Introductory Workshop

June 16-18, 2016Nationwide Children’s Hospital | Columbus, OH

Workshop OverviewThis workshop teaches basic skill-building in hypnosis as a therapeutic communication and intervention for children/teens experiencing a variety of clinical conditions. Particular focus is on management of pain, anxiety and sleep. Instructional videos and case vignettes are integral components of the presentations. Experiential learning is strongly emphasized (this workshop provides double the amount offered in most introductory hypnosis workshops).

Activities include: group exercises and supervised small group practice (typically a 6:1 trainee: faculty ratio) focused on the structure and elements of clinical hypnosis with children/teens explaining hypnosis to parents and children, and the use of self-hypnosis.

Intended AudienceLicensed Pediatricians, Pediatric Sub-Specialists, Pediatric Psychologists (PhD, MA, MS), Pediatric Nurse Practitioners/Advance Practice Nurses, Pediatric Social Workers, Pediatric OT, PT, Speech Pathologists, Child Life Professionals, Students, Residents and Fellows in programs leading to these professions.

Faculty Disclosure of Commercial RelationshipsConsistent with ACCME guidelines, planning committee members and faculty for this conference are expected to disclose all relevant financial relationships with any commercial interests in the last 12 months that create, or may be perceived as creating, a conflict related to the material discussed. Any relationships identified will have been resolved prior to the delivery of the educational activity. Full disclosure of relationship(s) and steps taken to resolve (when relevant) will be made prior to the presentations.

FacultyDaniel P. Kohen, MD, FAAP, ABMH

“Dr. Dan” is a Developmental-Behavioral Pediatrician currently in part-time private practice of DBP, Medical Hypnosis, and Self-Regulation with Partners-in-Healing of Minneapolis. A former Professor in the Departments of Pediatrics and Family Medicine and Community Health, University of Minnesota;

and Director of Fellowship Training in Developmental-Behavioral Pediatrics in the Division of General Academic Pediatrics, Department of Pediatrics, Dr. Kohen retired in 2013 after 35 years with the Medical School. He now devotes his time to advancing the field of Pediatric Hypnosis, through patient care, writing, and continued development of the National Pediatric Hypnosis Training Institute (NPHTI) which he co-founded and co-Directs with Dr. Pamela Kaiser.

Pamela Kaiser, PhD, CPNP, CNS,

Dr. Kaiser, former Associate Clinical Professor, Pediatrics, University of California Medical School (San Francisco), is a globally recognized expert in combining clinical hypnosis with other self-regulation and psychotherapeutic strategies for treatment of children and teens with anxiety, stress,

somatization, medical and mind-body conditions. Her research, publications and presentations emphasize an individualized approach to these clinical issues. Over her 45-year career, Dr. Kaiser, a clinical child and adolescent psychologist, pediatric nurse practitioner, clinical nurse specialist and developmental specialist, has worked extensively with children & teens in various health settings, including tertiary care, primary care, subspecialty clinics and private practice. A leader in the field of pediatric hypnosis and self-regulation, Dr. Kaiser is the co-founder and co-director of the National Pediatric Hypnosis Training Institute (NPHTI), whose faculty teach hypnosis skills development training workshops for pediatric clinicians from around the globe. For almost 30 years, she has utilized an integrative practice within a developmental and family systems framework, combining clinical hypnosis with biofeedback, cognitive behavioral therapy, mindfulness, breath retraining, and stress management techniques. An Approved Consultant, faculty and former member of the Executive Committee member of the American Society of Clinical Hypnosis, she has also served as faculty for the International Society of Hypnosis and the European Society of Hypnosis.

Howard Hall, PhD, PsyD

Dr. Howard Hall, Professor of Pediatrics, Psychiatry and Psychological Sciences at Case and an attending doctor at Rainbow Hospital, holds two doctorate degrees, a PhD in experimental psychology (Princeton); a PsyD (Rutgers) in clinical psychology. His BS (Delaware State University) in

Psychology, minors in Music and Philosophy. Dr. Hall is recognized worldwide as a pioneer in integrative health care for his early research and its impact on hypnosis and immune function. Dr. Hall’s latest global work is on Sufi rapid wound healing research and was featured on the National Geographic channel. His clinical integrative practice employs hypnosis, biofeedback, and mind/body/holistic approaches for patients with complex medical symptoms. He also enjoys teaching residents, interns, and fellows his unique clinical approaches. Dr. Hall is also a sports psychologist previously with the Penn State football team, currently a member of Rainbow Sports Medicine program, and has worked with Case’s men soccer team utilizing hypnosis, biofeedback and lifestyle analyses.

Adam Keating, MD

Adam Keating MD, FAAP, is a General Pediatrician and Section Head of Community Pediatrics, Cleveland Clinic Children’s in Wooster, OH. He is also Medical Director of the Longbrake Student Wellness Center at The College of Wooster. He is Clinical Assistant Professor of Pediatrics at the

Cleveland Clinic Lerner College of Medicine and Clinical Associate Professor of Pediatrics at Ohio University Heritage College of Osteopathic Medicine. Dr. Keating has been using hypnosis as part of his general pediatric practice for over 12 years and is an American Society of Clinical Hypnosis (ASCH) Approved Consultant. He has been a member of the NPHTI faculty for the last two years.

Conference SponsorsNational Pediatric Hypnosis Training InstituteNationwide Children’s Hospital Comprehensive Pain ServicesNationwide Children’s Hospital Department of Education

Conference Planning CommitteeDaniel P. Kohen, MD, ABMHPamela Kaiser, PhD, CPNPTarun Bhalla, MDHoward Hall, PhD, PsyD, BCBAdam Keating, MD

Molly LebelElizabeth PottsKim StultzSharon Wrona, DNP, PNP, PMHS

AgendaThursday, June 16, 20167:00 – 7:55 a.m. Registration and Breakfast Buffet

8:00 – 8:15 a.m.Introduction – Course Overview Pamela Kaiser, PhD, CPNP; Daniel Kohen, MD

8:15 – 9:05 a.m.Hypnosis Definitions, Theories, Myths Daniel Kohen, MD

9:05 – 9:55 a.m.Hypnosis Structure and Stages Pamela Kaiser, PhD, CPNP

9:55 – 10:15 a.m. Refreshment Break

10:15 – 11:10 a.m.Hypnosis: The Many Right Ways Daniel Kohen, MD

11:10 – 11:25 a.m.Overview: Format for Small Group Practice Daniel Kohen, MD

11:25 – 11:45 p.m.#1 Demo: Induction: Special Place (Dissociation); Intensification: Multisensory Imagery Daniel Kohen, MD

11:45 – 1:00 p.m. Lunch with Faculty

1:00 – 2:20 p.m.

#1 Small Group Practice: Induction: Special Place (Dissociation) – Intensification: Multisensory Imagery – Alert – Debrief Small Group Facilitators: Kohen, Kaiser, Hall, Keating

2:20 – 2:40 p.m. Refreshment Break

2:40 – 3:00 p.m.#2 Demo: Induction: The Breath; Intensification: Progressive Muscle RelaxationPamela Kaiser, PhD, CPNP

3:05 – 4:25 p.m.#2 Small Group Practice: Induction: The Breath; Intensification: PMR – Alert – Debrief Small Group Facilitators: Kohen, Kaiser, Hall, Keating

4:30 – 5:30 p.m.Developmental Considerations in Hypnosis Pamela Kaiser, PhD, CPNP

5:30 p.m. Adjourn for the Day

Friday, June 17, 20167:00 – 7:55 a.m. Breakfast Buffet

8:00 – 9:00 a.m.Clinical Application: Self-Regulation for Worry, Fears & AnxietyPamela Kaiser, PhD, CPNP

9:00 – 10:10 a.m.

Formulating Suggestions: Language and Utilization/Communication Techniques & Direct/Indirect SuggestionsDaniel Kohen, MD

10:10 – 10:30 a.m.#3 Demo: Ideomotor (Magnet Fingers); Intensifica-tion: UtilizationHoward Hall, PhD, PsyD

10:30 – 10:50 a.m. Refreshment Break

10:50 a.m. – 12:05 p.m.

#3 Small Group Practice: Induction: Magnet Fingers; Intensification: Utilization: Language & Suggestions – Direct/Indirect SuggestionsSmall Group Facilitators: Kaiser, Kohen, Keating, Hall

12:05 – 1:20 p.m. Lunch on Your Own

1:20 – 1:55 p.m.Contextualization: Post-Hypnotic Suggestions (PHS) Pamela Kaiser, PhD, CPNP

1:55 – 2:15 p.m.#4 Demo: Induction: Eye Fixation; Intensification: Noticing Internal Differences; Suggestion; PHSPamela Kaiser, PhD, CPNP

2:15 – 3:35 p.m.

#4 Small Group Practice: Induction: Eye Fixation; Intensification: Noticing Internal Differences – Suggestions – PHSSmall Group Facilitators: Hall, Keating, Kohen, Kaiser

3:55 – 4:15 p.m.Explaining Hypnosis to Child & Parents: with Demo Video Adam Keating, MD

4:15 – 4:30 p.m.#5 Demo: Explain Hypnosis to Child & Parents (15 min)Adam Keating, MD

4:30 –5:30 p.m.#5 Small Group Practice: Explain Hypnosis to Child & Parents Small Group Facilitators: Keating, Hall, Kaiser, Kohen

5:30 p.m. Adjourn for the Day

Saturday, June 18, 20167:00 – 7:55 a.m. Breakfast Buffet

8:00 – 8:50 a.m.Clinical Applications: Sleep Disturbances Howard Hall, PhD, PsyD

8:50 – 9:50 a.m.Clinical Applications: Acute & Chronic Pain Howard Hall, PhD, PsyD

9:50 – 10:10 a.m.#6 Demo: Magic Glove Technique Howard Hall, PhD, PsyD

10:15 – 10:30 a.m. Refreshment Break

10:30 – 11:45 a.m.#6 Small Group Practice: Magic Glove Technique Small Group Facilitators: Kaiser, Kohen, Keating, Hall

11:50 a.m. – 1:00 p.m. Lunch on Your Own

1:05 – 1:25 p.m.Self-Hypnosis (SH): Learning, Teaching, and Questions Adam Keating, MD

1:25 – 1:40 p.m.Self-Hypnosis: Large Group Experience/Debrief (10 min.) #7 Demo: Teach SH + Do SH (10 min.)Adam Keating, MD

1:45 – 2:35 p.m.#7 Small Group Practice: Teach Self-Hypnosis – Do Self – HypnosisSmall Group Facilitators: Keating, Hall, Kohen, Kaiser

2:35 – 2:50 p.m. Refreshment Break

2:50 – 3:50 p.m.

Breakout Groups: (select 1) Hypnosis & Therapeutic Language for Children/Teens experiencing: 1. Palliative Care - Howard Hall, PhD, PsyD 2. Needle-Procedural Phobias - Pamela Kaiser, PhD, CPNP 3. Chronic Pain - Adam Keating, MD 4. Chronic Conditions - Daniel Kohen, MD

3:50 – 4:10 p.m.Continued Learning & Resources beyond Monday: NPHTI, Ongoing Education & Organizations Daniel Kohen, MD

4:10 – 4:20 p.m.Beyond Today: What’s Left To Learn?Pamela Kaiser, PhD, CPNP; Daniel Kohen, MD

4:20 – 4:30 p.m. Important Closure: All Faculty - Group Hypnosis4:30 p.m. Adjourn

Continuing EducationPhysician - The Nationwide Children’s Hospital is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Nationwide Children’s Hospital designates the live activity for a maximum of 21.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Psychology - Nationwide Children’s Hospital is approved by the American Psychological Association and by the OPA-MCE (Approved Provider #314379441) to offer continuing education for psychologists and maintains responsibility for the program. This program is approved for 21.5 CE credit for psychologists.

Lunch on Your OwnDay One of the workshop includes lunch with the faculty. During the remainder of the workshop, lunch will be “on your own.” There are several options for lunch in and around the hospital. Additional information on locations for lunch will be provided during the workshop.

Cancellation PolicyRefunds minus 30 percent for administrative costs will be given for cancellations received in writing before June 1, 2016. After this date, no refunds will be available. Nationwide Children’s Hospital reserves the right to cancel any program listed based upon enrollment or other contributing factors. Individuals who have enrolled will be notified at least one week in advance of a cancelation. In the unlikely event the conference is cancelled, full tuition will be refunded.

ConfirmationA confirmation email will be sent upon paid registration. Further details regarding parking, directions, etc. will be sent via email closer to the workshop.

Hotel Accommodations Crowne Plaza Columbus Downtown & The Lofts Hotel33 E. Nationwide BlvdColumbus, OH 43215

Contact Nationwide Children’s Hospital 700 Children’s DriveColumbus, OH 43205(614) 355-0676NationwideChildrens.org/Courses-Conferences

National Pediatric Hypnosis Training Institute 2016 Pediatric Skill Development Introductory Workshop

June 16-18, 2016Nationwide Children’s Hospital | Columbus, OH

For your convenience, please register online with a credit card at NationwideChildrens.org/Courses-Conferences.

Please note: Participants in NPHTI Workshop training must be licensed health care professionals with at least a Master’s Degree. We welcome participation by physicians (MD, DO), psychologists (MA, MS, PhD/PsyD), Nurse Clinicians (PNP, APRN, MA/MSN), Marital/Family Therapists (MMFT), Pediatric Social Workers (MSW, PhD), Occupational therapists, Physical therapists, Speech Pathologists and Child Life Specialists.

Registration Deadline is June 1, 2016Amount Enclosed:

____ $1,000 Early Bird Non-NCH (until May 14)____ $900 Early Bird NCH (until May 14)____ $1,100 Non-NCH (beginning May 15)____ $1,000 NCH (beginning May 15)

Please printTitle (select one): q Dr. q Mr. q Mrs. q Ms. Name (First, Last) ____________________________________________________________Credentials (MD, DO, RN, etc.) ________________________________________________Organization ________________________________________________________________Home Address ______________________________________________________________City __________________________________ State _______________ Zip ____________ Work County (if Ohio resident) _________________________________________________Telephone - Work ________________ Home _______________ Fax __________________ Email Address ________________________________________________________________

Special Services Required: ADA – We encourage participation by all individuals. If you have a disability, advanced notification of your needs will help us serve you better. Please notify us of your needs at least two weeks in advance.q Interpreter for the Hearing Impaired q Wheelchair seating q Other (please explain) _______________________________________________________

Dietary Restrictions:q Vegetarian Option q Vegan q Gluten Free

Payment: q Cash q Check q VISA q Master Card Amount Enclosed: $_______Card #____________________________________________________ Exp. Date ________Name on Card _______________________________________________________________

Please make checks payable to Nationwide Children’s Hospital and mail with registration form to:

Elizabeth Potts, Education Coordinator, CMENationwide Children’s Hospital

700 Children’s DriveColumbus, Ohio 43205

12146