15 t h A N N UA L I N t E R N At I O N A L I C D L CO N F E R E N C E

The DIR / Floortime Approach

Bridging Developmental Disabilities, Learning Differences and Mental Health

November, 11, 12 and 13, 2011

Hilton Washington DC/Rockville Hotel and Executive Meeting Center Rockville, Maryland (Washington, DC Metro Area)
Featuring Panels on
Cutting Edge Research in Autism Spectrum Disorders
With presentations by Ami Klin, Ph.D., Stuart Shanker, D. Phil., Jim Stieben, Ph.D., Gregory Abowd, D. Phil., Ivan Riobo, MBA and Joshua Feder, M.D.
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Promoting Social-Emotional Capacities in the Community

With presentations by Rick Solomon, M.D., M.P.H., Jos Cordero, M.D., M.P.H., Molly Romer Witten, Ph.D., Devin Casenhiser, Ph.D., and Ari Neeman
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Lessons Learned from Children Exposed to Trauma: Implications for Learning Differences and Developmental Disabilities
With presentations by Joy Osofsky, Ph.D., Gerard Costa, Ph.D., Barbara Kalmanson, Ph.D., Rebecca Shahmoon Shanok, Ph.D., Connie Lillas, Ph.D., and Charles Cartwright, M.D.
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Parent Panel: Growing With Our Children

A discussion by and for parents of children with autism and related challenges.

DIR/Floortime Discussions
(see complete list of topics inside)
Applying the DIR/Floortime Model to Mental Health and Developmental Challenges Faced by Children and Adolescents

Pre- and Post-Conference Workshops

(see complete list of workshops inside)
Pre-Conference Workshops, 10:00 am12 Noon, Friday morning, November 11 Post-Conference Workshops, 1:303:30 pm, Sunday afternoon, November 13
REGISTER ONLINE AT WWW.ICDL.COM

Preliminary Conference Program Bridging Developmental Disabilities, Learning Differences and Mental Health
Conference at a Glance
nnn Friday, November 11
8:00 am 8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:00 Noon 12:30 pm 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 6:00 6:30 7:00 7:30 8:00 8:30 9:00

Saturday, November 12

Sunday, November 13

Registration Opens Plenary Panel Pre-Conference Workshops 10 am12 noon (additional fee) See page 5 Lunch Break Welcome Promoting Social-Emotional Capacities in the Community See page 3

Plenary Panel Lessons Learned from Children Exposed to Trauma: Implications for Learning Differences and Developmental Disabilities See page 4

Lunch Break DIR/Floortime Discussions:

Lunch Break Post-Conference Workshops 1:30 3:30 pm (additional fee) See page 6

Plenary Panel Cutting Edge Research in Autism Spectrum Disorders See page 3

Applying the DIR/Floortime Model to Mental Health & Developmental Challenges Faced by Children and Adolescents See page 4

Parent Panel Growing With Our Children

Intended Audience
This conference is appropriate for professionals, including psychologists, researchers, educators, speech and language pathologists, occupational and physical therapists, and other mental health and medical professionals, who work with children, adolescents, and young adults with autism and other disorders of development and learning as well as family members of these children, adolescents, and young adults.

REGISTER ONLINE AT WWW.ICDL.COM

Preliminary Conference Program

Bridging Developmental Disabilities, Learning Differences and Mental Health

Ivan Riobo, MBA, Controller, Turner Broadcasting System International, INC Entertainment Networks Latin America Joshua Feder, M.D., Clinical Assistant Professor at UCSD School of Medicine and Director, Department of Research, ICDL Graduate School SATuRDAy, NoveMBeR 12, 2011 8:00 am12:30 pm PLENARY PANEL Promoting Social-Emotional Capacities in the Community The panel will focus on Training Models for Community-Wide Dissemination of DIR/Floortime Services. Each presenter has developed and continues to refine, through on-going outcomes research, a model for training personnel in the DIR/ Floortime paradigm that is individualized to different and specific large organizations and communities. Four different training and consultation models will be presented. These models cover diverse communities both here and in Puerto Rico, oriented for underserved populations, educational systems, as well as smaller organizations. Common principles of dissemination will be discussed. Rick Solomon, M.D., MPH, Medical Director, Ann Arbor Center for Developmental and Behavioral Pediatrics, Michigan; and Director and Founder of The PLAY PROJECT (Play and Language for Autistic Youngsters). Jos Cordero, M.D., MPH, Dean, Graduate School of Public Health, University of Puerto Rico Devin Casenhiser, Ph.D. Head of Research, The Milton & Ethel Harris Research initiative (MEHRI), York University Ari Neeman, President, The Autistic Self-Advocacy Network Molly Romer Witten, Ph.D., Clinical Psychologist, Chicago, IL 12:302:00 pm Lunch Break

FRIDAy, NoveMBeR 11, 2011 8:00 am Registration Opens 10:00 am12 Noon Pre-Conference Workshops (see complete list on page 5) 1:001:15 pm Welcome and Opening Remarks Cecilia Breinbauer, M.D., MPH Managing Director, ICDL 1:156:00 pm PLENARY PANEL Cutting Edge Research in Autism Spectrum Disorders Research is fundamental to our understanding of Autism Spectrum Disorders and informs the development of improved interventions. This panel will review research findings on the impact of socialemotional interventions in early identification, eye tracking, broader intervention, and positive brain changes. Presentations will include a discussion of how advanced computing technologies can support better understanding of relationship-based interactions. Ami Klin, Ph.D., Director, Marcus Autism Center, Childrens Healthcare of Atlanta; and Georgia Research Alliance Eminent Scholar and Professor & Chief, Division of Autism and Related Disorders, Department of Pediatrics, Emory University School of Medicine Stuart Shanker, D.Phil., Distinguished Research Professor of Philosophy and Psychology and Director, The Milton and Ethel Harris Research Initiative (MEHRI), York University Jim Stieben, Ph.D., Senior Research Scientist and Director, Clinical and Social Neuroscience Lab, The Milton and Ethel Harris Research Initiative (MEHRI), York University Gregory Abowd, D. Phil., Distinguished Professor, School of Interactive Computing, Georgia Institute of Technology

Washington, DC DIR/Floortime Regional Training

November 9-11, Hilton Washington DC/Rockville Hotel and Executive Meeting Center, Rockville, Maryland Immediately preceding ICDL Annual Conference. The DIR/Floortime Training Program features a nationally and internationally renowned multidisciplinary faculty, offering an intimate, intensive learning experience leading to the DIR Certificate. We invite applications from individuals of all disciplines that work with children, adolescents and young adults with communication, relationship, emotional and developmental challenges. For more information on the DIR/Floortime Training Program in general and the Washington, DC Regional program, visit www.icdl.com

All conference and workshop handouts will be posted on the ICDL website. Your registration confirmation will contain a link to view and print the handouts.

REGISTER ONLINE AT WWW.ICDL.COM

Preliminary Conference Program

Bridging Developmental Disabilities, Learning Differences and Mental Health

Replays, A Play-Based Model for Treating Specific Phobias in Children with ASD and/or Other Developmental Disabilities, Karen Levine, Ph.D. The Rebecca SchoolDIR All the Time, Gil Tippy, Psy.D. Sensory Processing, Perceptions and Anxiety, Rosemary White, OTR and Kathy Platzman, Ph.D. Social-Emotional Growth Chart (SEGC): A Simple, Quick and Effective Autism Screening Instrument for Pediatricians and Day Care Providers, Cecilia Breinbauer, M.D., MPH Uncovering the Neurodevelopmental Manifestations of Lyme and Other Tick-Borne Diseases in Children, Christina Lyons, M.S., OTR/L, Nancy Wiseman and Robert C. Bransfield, M.D., DFAPA Using the DIR/Floortime Model to Guide Social Skills Groups, Diane Cullinane, M.D. Welcoming Parents in the Room, Barbara Kalmanson, Ph.D. and Rebecca Shahmoon-Shanok, L.C.S.W., Ph.D. SuNDAy, NoveMBeR 13, 2011 8:0012:00 Noon PLENARY PANEL Lessons Learned from Children Exposed to Trauma: Implications for Learning Differences and Developmental Disabilities Infants and children diagnosed on the autism spectrum as well as those with learning and other developmental disorders have unique neurosensory profiles that often lead to problems in self-regulation perhaps rendering them less available for engagement and communication. The panel will review the research and clinical practice surrounding the impact of trauma on children, and use this review as a lens through which the experiences of children with autism and their families can be understood and supported. Joy Osofsky, Ph.D., Barbara Lemann Professor, Departments of Pediatrics and Psychiatry, LSU Health Sciences Center Gerry Costa, Ph.D., Director, Center for Autism and Early Childhood Mental Health, College of Education and Human Services, Montclair State University, and Clinical Assistant Professor, Psychiatry, UMDNJ- New Jersey Medical School Connie Lillas, Ph.D., M.F.T., R.N., National Graduate Zero to Three Leadership Fellow Charles Cartwright, M.D., Director, YAI Autism Center, YAI Network, and Chief, Premier HealthCare Autism Research and Treatment Institute Barbara Kalmanson, Ph.D., Clinical Psychologist and Special Educator, San Francisco, CA and Dean, ICDL Graduate School Rebecca Shahmoon-Shanok, L.C.S.W., Ph.D., Director, Institute for Infants, Children & Families; Jewish Board of Family and Childrens Services 12:00 pm Conference ConcludesLunch Break 1:303:30 pm Post-Conference Workshops
See page 6 for a complete list.

2:005:30 pm DIR/FLOORTIME DISCUSSIONS Applying the DIR/Floortime Model to Mental Health and Developmental Challenges Faced by Children and Adolescents. Join DIR/Floortime professionals for discussions about selected topics. Each discussion will be 1 hours long, with a half hour break from 3:30 to 4:00. Some sessions will be given twice. Choose the sessions that best match your interests. ADHD and Autism: Crossover Conditions and Companion Interventions in the DIR/Floortime Model, Josh Feder, M.D. Auditory Training and the DIR/Floortime Model, Maude LeRoux, OTR/L and Milagros Cordero, Ed.D., OTR/L DIR and Adapted Floortime: A Respectful, Person-Centered Approach to Supporting Adults with Severe and Profound Developmental Differences, Gene Christian, M.S. DIR/Floortime in Assessing and Treating Selective Mutism, Joleen Fernald, M.S., CCC-SLP Getting Ready for Adolescence: Emerging Sexuality and Autism, Lori Jeanne Peloquin, Ph.D. Hello, My Name IsCreating a Childs Individual Profile from a Childs Perspective, Corinne Catalano, M.A. and Gerard Costa, Ph.D. Leaving No Child BehindThe DIR/ Floortime Model for Children with Multiple and Severe Cognitive and Developmental Challenges, Liz Tsakiris, Ph.D. MEHRI-York University Study: The Clinical Practice Behind the Research, Amanda Binns, M.A., SLP, Eunice Lee, MSW, RSW, MsEd., Fay McGill, M.A., SLP and Chris Robinson, OT The Neurodevelopmental Framework (NDF) and the DIR/Floortime Model: In Search of New Approaches to Complex Problems, Connie Lillas, Ph.D. and Josh Feder, M.D.

7:00 9:00 PM PARENT PANEL Growing With Our Children As our children with autism and related challenges grow and change, so do we parents. This panel will discuss our journeys and what we have learned that works not only for our children with special needs, but also for us, our spouses and our other children. Based on experiences with our children/young adults of various levels of challenge and ages (preteen through college age), we will discuss issues that we have encountered, for both ourselves and our children. Lori Jeanne Peloquin, Ph.D., Patricia Stacey, Jo Raphael, MSW, Liz Tsakiris, Ph.D., Nancy D. Wiseman, Cecilia Breinbauer, M.D., MPH, Ivan Riobo, MBA

All conference and workshop handouts will be posted on the ICDL website. Your registration confirmation will contain a link to view and print the handouts.

REGISTER ONLINE AT WWW.ICDL.COM

Pre- and PostConference Program

Pre- and Post-Conference Workshops

Workshop space is limited, so we encourage you to register early.

FRIDAy, NoveMBeR 11, 2011 10:0012 noon PRE-CONFERENCE WORkSHOPS

Molly Romer Witten, Ph.D., Clinical Psychologist, Chicago, IL and Lois Gold, OTR, Director, Occupational Therapy Center for Pediatric Therapy, Miami, FL

Coaching Floortime Players: Lessons Learned from a Summer Camp

For the past 12 years Pediatric PT and OT Services have had a Summer Camp in Seattle under the direction of Rosemary White, OTR, DIR Faculty. Initially the camps were small with 4 children. Over the years they have grown both in numbers of campers and in the quality of the support that is provided by our Floortime Players. This presentation will explore how the players are trained prior to camp and then in reflective tutoring each day of camp as video clips of interactions from the previous day are reviewed and discussed. Outline of the training will be presented with video of training sessions and reflective tutoring as well as video of camp and coaching of the player in the moment. This model can be helpful for parents and professionals who embrace the DIR/Floortime model in their training of Foortime Players to work with children with challenges in relating and communicating. To learn more about the Pediatric PT and OT Services DIR Floortime Summer Camp go to www.pedptot.com Rosemary White, OTR/L, Director, Pediatric Physical and Occupational Therapy Services, Seattle, WA

Developmental Approach to Behavioral Problems

This workshop will present practical strategies for helping a child during times of distress and will create plans so that a child develops the skills needed to avoid those moments of dysregulation. A structured approach for managing the moment will be described under the general headings of 1) attune, calm, and organize, 2) help, and 3) recover, review, repair, and rehearse. This progression uses the functional emotional developmental milestones, compacted into a short time frame for moments of intense distress. Individual differences and the unique dynamics of interactions are integrated into the DIR/Floortime approach. The second part of the presentation focuses on creating a longrange plan for helping children practice and master the needed underlying capacities to manage their emotions and behaviors as demanded by their environment. Goals for behaviors will be described in terms of developmental skills and in the context of relationships. Diane Cullinane, M.D., Developmental Pediatrician, Executive Director of Pasadena Child Development Associates, Pasadena, CA; Faculty, ICDL Southern California DIR Institute and Head, DIR/ Floortime Coalition of California

Cecilia Breinbauer, M.D., MPH, Director of the ICDL Graduate School and Managing Director of the Interdisciplinary Council on Developmental & Learning Disorders, ICDL

Learning to Play and Playing to Learn

Floortime is fun for the whole family and a great way to create meaningful learning experiences. This workshop will focus on how to bring the systematic developmental interventions of Floortime into family life and school life. Through video illustrations we will explain Floortime techniques with children at each developmental level. Special attention will be given to coaching parents to rediscover the pleasure of playfulness and the value of learning through experience. Participants will learn how to mobilize affect to harness attention and concentration, support initiation, and move children from sensory-motor play to symbolic play and abstract thinking. Barbara Kalmanson, Ph.D., Clinical Psychologist and Special Educator, San Francisco, CA and Dean, ICDL Graduate School and Lorraine Ehlers-Flint, Ph.D., Clinical Psychologist, Mamaroneck, New York

Talking or Communicating: A View From The Floor

This workshop invites participants from all disciplines to explore the developmental processes of the DIR Functional Developmental Capacities so as to understand communication development. Emphasis will be on developing an intervention plan based on our knowledge of the childs communication profile while being mindful of communicative intent, comprehension, and emotional thinking. Video examples will be used to support concepts and encourage audience discussion. Sherri Cawn, M.A., CCC/SLP., SpeechLanguage Pathologist, Northbrook, IL, DIR Faculty

Coaching Parents and Professionals who engage in Floortime.

Using the multidisciplinary perspective of occupational therapy and mental health, this pre-conference workshop will emphasize the development of Floortime capacities through the shared activity of coaching. We will share our experiences with coaching that happens in many contexts: while learning to play with our own children, while learning to do Floortime as a professional, while learning how to tutor other professionals to engage in Floortime play.

Functional Emotional Assessment Scale: Introduction to Reliability Training

This workshop will provide an overview of how to use the Functional Emotional Assessment Scale (FEAS) to collect data for research purposes or to demonstrate evidence of intervention efficacy. Participants will have an opportunity to practice scoring different items on the child behavior scale. Participation in this workshop will count towards the training needed to become a reliable scorer of the instrument.

REGISTER ONLINE AT WWW.ICDL.COM

Pre- and PostConference Program

ICDL Annual Conference: Nov. 1113, 2011

Networking Opportunities and Information Sessions
The conference provides frequent opportunities to meet with fellow participants who share similar interests. Join colleagues who speak Spanish or work with Spanish speaking families to discuss how to continue to bring Floortime to Spanish speakers. Or meet up with other ICDL Graduate School students and faculty and, if you are a potential student, learn more about the Ph.D. in Infant and Early Childhood Mental Health and Developmental Disorders. Interested in studying the DIR/Floortime Model in depth? Join the discussion about the DIR/Floortime Training Institute.

SuNDAy, NoveMBeR 13, 2011 1:303:30 pm POST-CONFERENCE WORkSHOPS

Bipolar Disorder, ADHD, and Aspergers Disorder: Differential Diagnosis and Developmental Intervention Based on the DIR/ Floortime Model.
This workshop will discuss the core similarities and differences in Bipolar Disorder, Attention Deficit Hyperactive Disorder and Aspergers Disorder. The core components of the development of each disorder will be reviewed and the application of DIR/Floortime to their treatment will be discussed. Ira Glovinsky, Ph.D., Clinical Psychologist, Ann Arbor, MI, and Associate Academic Dean, ICDL Graduate School

Hotel & Travel

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All Conference and Workshop Sessions will be held at the

Hilton Washington DC/Rockville Hotel and Executive Meeting Center 1750 Rockville Pike Rockville, Maryland 20852 301-468-1100 www.washingtondcrockville.hilton.com Reservations A limited block of rooms is available at the conference rate of $109 single/double for registrants until October 20. To make a reservation, call 1-800-HILTONS and mention ICDL Conference to receive our special group rate. Reservations will be made on a space-available basis, so call early. Public Transportation and Parking The Hilton Washington DC/Rockville is located one block from the Twinbrook Metro stop on the Red Line. For more information on Washingtons Metro system, including fares and hours of operation, visit www.wmata.com. Parking at the Hilton is available for conference participants for $7.00 per day. Directions and Transportation from Airports The Hilton Washington DC/Rockville is located on Rockville Pike and can be easily reached from I-495 Capital Beltway and I-270, and several transportation hubs including Ronald Reagan Washington International Airport (DCA), Washington Dulles International Airport (IAD), Baltimore-Washington International Airport (BWI) and Union Station (Amtrak).

By Car From Directly North of Maryland (Traveling through Pennsylvania): Take Route appropriate from your location toward I-270 South toward Washington. Take Exit 4 Montrose Road East. Continue for 1.7 miles to Route 355/Rockville Pike, turn left on route 355. Proceed approximately 1 mile on Rockville Pike and the Hilton will be on your right after the Rollins Avenue/Twinbrook Parkway Intersection. From North and East of Maryland: Take Route appropriate from your location toward I-95 South to the Washington Capitol Beltway I-495 West toward Silver Spring. Take Exit 34 Route 355 North (Wisconsin Avenue/Rockville Pike). Proceed approximately 3.4 miles on Rockville Pike and the Hilton will be on your right after the Rollins Avenue/ Twinbrook Parkway Intersection. From Points South: Take Route appropriate from your location toward I-95 North to the Washington Capitol Beltway I-495 North/East toward Tysons Corner/Rockville. Follow to Exit at I-270 Spur for I-270 North towards Rockville/Frederick (left lanes). Take Exit 4A for Montrose Road East. Turn left onto E Jefferson Street. Turn right onto Rollins Avenue. Turn left onto Rockville Pike. The Hilton will be on your right after the Rollins Avenue/Twinbrook Parkway Intersection. Shuttle Service from area airports provided by Super Shuttle, Phone: 1-800-Blue-Van, www.supershuttle.com The Airport Shuttle, Phone: 1-800-7760323, www.theairportshuttle.com

Severe Apraxia and its Impact in Play and Communication. The Magic of Affect, Love and Empathy when helping Children with Severe Challenges.
This workshop will illustrate how occupational and speech-language therapists collaborate to facilitate the development of play and communication skills for the child with ASD. The presenters will share successful strategies for dealing with the severe praxis that blocks the childs access to the ideation, motor-planning and initiation that are necessary for play and communication. If these base skills are addressed, then the child will look less self-absorbed, rigid, repetitive and severely developmentally delayed. By acknowledging the role of affect and its connection to motor-planning, the presenters will show how these children are more available to learn, play, communicate and enjoy their lives. Diane Lewis, CCC-SLP and Milagros Cordero, Ph.D., OTR/L

REGISTER ONLINE AT WWW.ICDL.COM

Preliminary Conference Program Bridging Developmental Disabilities, Learning Differences and Mental Health
Continuing education (Ceus)
nnn All participants will receive a Certificate of Attendance documenting up to 14.5 hours of participation for the conference and 2 hours for each workshop attended. For detailed information on Continuing Education credits for your profession, visit www.icdl.com or call 301-656-2667. The Annual International Conference of the Interdisciplinary Council on Developmental and Learning Disorders is co-sponsored by ICDL and The Institute for Continuing Education. The Conference offers 18.50 contact hours. Continuing education credit is awarded on a session-by-session basis, with full attendance required for the events you attend. The processing fee is $45.00 per person and will be collected on site. Applications and other required forms will be available on site. Verification of contact hours will be mailed following the Conference event and after receipt of completed CE forms. If you have questions regarding continuing education credit, please contact The Institute for Continuing Education at: instconted@aol.com
Social Work The Institute for Continuing Education is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), through the Approved Continuing Education (ACE) program. The Institute for Continuing Education maintains responsibility for the program. ASWB Provider No. 1007. Licensed social workers should contact their individual state jurisdiction to review current continuing education requirements for license renewal. California Board of Behavioral Sciences Provider No. PCE 636. Illinois Dept. Professional Regulation Provider No. 159-000606. Ohio Counselor and Social Work Provider No. RCS 030001. Florida Dept. Health, Div. SW, MFT, Counseling Provider BAP 255, expiration 03/13. Marriage-Family Therapy California Board of Sciences Provider PCE 636. Drug-Alcohol The Institute for Continuing Education is approved by the National Association of Alcohol and Drug Abuse Counselors (NAADAC) to provide continuing education for alcohol and drug abuse counselors. NAADAC Provider No. 00243. Nursing The Institute for Continuing Education is an approved provider of continuing education in nursing by the California Board of Nursing, Provider CEP 12646. Nurses should check with their state board to determine if continuing education credit from an approved provider of the CA Board of Nursing is accepted by their state board.

Skills Level
This Conference is appropriate for licensed mental health professionals of all skill levels. Occupational Therapists The Interdisciplinary Council on Developmental and Learning Disorders is an AOTA Approved Provider of continuing education. The ICDL AOTA Provider number is 6778. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Speech and Language Pathologists ICDL has applied to be a sponsor of ASHA CEs. Please visit www.icdl.com for complete information on ASHA CE status.

Conference Learning objectives

At the conclusion of the conference, participants will be able to 1. Describe new research findings and their impact on social-emotional interventions 2. Explain how advanced computing technologies can support a better understanding of relationship-based interactions 3. Describe 3 models for training personnel in the DIR/Floortime paradigm 4. Identify one application of the DIR/ Floortime Model to developmental challenges faced by children or adolescents 5. Explain how exposure to trauma can impact self-regulation in children 6. Formulate recommendations for supporting children and family exposed to trauma For individual workshop learning objectives, visit www.icdl.com.

Continuing education credit is offered as follows:

Psychology The Institute for Continuing Education is an organization approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. The Institute for Continuing Education maintains responsibility for this program and its content. Counseling The Institute for Continuing Education is an NBCC approved continuing education provider and a co-sponsor of this event. The Institute for Continuing Education may award NBCC approved clock hours for programs that meet NBCC requirements. The Institute for Continuing Education maintains responsibility for the content of this program. NBCC Provider No. 5643.

Non-Credit events
Continuing education credit is not offered for breakfast, luncheon, dinner functions; board and committee meetings, networking events.

REGISTER ONLINE AT WWW.ICDL.COM

ICDL Annual Conference: Nov. 1113, 2011

Registration Form
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To register online, visit www.icdl.com.

Last Name ________________________________________________________________ First Name ________________________________________________________________ Daytime Telephone ( ) __________________________________________________

I am registering for (check all that apply)

Conference (includes Saturday afternoon) Saturday Afternoon Only

$ $

Pre-Conference Workshop on Friday, Nov. 11 1. Coaching Floortime Players 2. Coaching Parents and Professionals 3. Developmental Approach to Behavioral Problems 4. Functional Emotional Assessment Scale 5. Learning to Play & Playing to Learn 6. Talking or Communicating $ $ $ $ $ $

Email address _____________________________________________________________

Your registration confirmation will be sent to your email address.

Organization: ______________________________________________________________ Address: __________________________________________________________________ City ______________________________________ State _______ Zip ____________ Country ___________________________________________________________________ How did you hear about this conference? an email an ad in a magazine or journal the ICDL website other ___________________________________________________________________ I am attending this conference in my role as a (Check both, if applicable.) Professional Parent

Post-Conference Workshop on Sunday, Nov. 13 7. Bipolar Disorder, ADHD & Asperger Disorder 8. Severe Apraxia & its Impact in Play & Communication $ $

Additional Tax Deductible Donation to Support: ICDL Initiatives Stanley I. Greenspan, M.D. Memorial Scholarship Fund SUBTOTALS Conference Registration Saturday Afternoon Only Workshop(s) Tax Deductible Donation Pediatrics Psychiatry Psychology Speech/Language Pathology Social Work TOTAL ENCLOSED: $ $ $ $ $ $

Profession
Education Music and/or Dance Therapy Occupational/Physical Therapy Nursing Neurology

Method of Payment
Visa MasterCard Check (payable to ICDL)

Other __________________________________________________________________ I speak Spanish and/or work with Spanish Speaking Families Purchase order number: __________________________________________________ Cardholder Name __________________________________________________________

Registration Fees
Registration fee includes access to conference website with handouts, breaks and certificate of attendance.

Cardholder Signature _______________________________________________________ Early Bird Postmark by 10/3/2011 $325 $95 $95 $150 Regular Postmark after 10/3/2011 $375 $125 $125 $210 Card Number__________________________________________ Exp _______________ On Site Cardholder Address if different from address above: $425 $155 $155 $270 ___________________________________________________________________________ ___________________________________________________________________________

Conference Saturday Afternoon Only One Workshop Two Workshops

For information on group registration discounts, write groupdiscount@icdl.com or call 301-656-2667

Make all checks payable to the Interdisciplinary Council on Developmental and Learning Disorders (ICDL) and Mail to: 4938 Hampden Lane, Suite 800, Bethesda, MD 20814

We are not able to accept registrations by fax or phone, although messages and inquiries are welcome at 301-656-2667. Confirmation: Your confirmation will be emailed to the address above. Cancellation Policy: Cancellations must be in writing and received on or before November 4, 2011 to receive a full refund. Cancellations after that date are subject to a $75 administrative charge. NO CANCELLATIONS AFTER NOVEMBER 10, 2011. Email cancellations to registration@icdl.com or mail to ICDL, 4938 Hampden Lane, Suite 800, Bethesda, MD 20814. ADA: If you have special needs, please contact the ICDL Registrar at 301-656-2667 or registration@icdl.com.

REGISTER ONLINE AT WWW.ICDL.COM