Registration Form Community College of Allegheny County

Please print General Directions to the Hotel:
Birth date Sheraton Station Square Hotel
Month Day Year 300 West Station Square Drive
Pittsburgh, PA 15219
Last name (skip space), first name (skip space) & middle initial 412.261.2000
Street address
From Pittsburgh International Airport: Take 60
South (Pittsburgh) to Interstate 279 North to Exit
Apartment no.
5C. Bear right and continue for approximately
one mile. At the second light, turn right onto
Town/city
Carson Street (837). The hotel is approximately
1.5 miles on the left.
State Zip
From East: Take Interstate 376 West to the Grant
Street Exit (1C). Turn left at the first light onto
Home phone
Fort Pitt Boulevard. Stay in the left lane and
go one block to Smithfield Street. Turn left at
Alternative phone
the light onto the Smithfield Street Bridge, and
the Station Square entrance is at the end of the
Email address _______________________________________ bridge.
Residency Status (check one) From North: Take Interstate 79 South to I-279
Allegheny County South to Fort Pitt Bridge. Stay in the far right
Out-of-county with community college (specify _______________ ) lane and exit 5C (just before the tunnel). This will
Out-of-county without community college (specify ____________ ) put you on Carson Street (Route 837). Turn right
at the first light and follow the access road to the
School District of Residence ________________________________
hotel.
Agency Affiliation ________________________________________
From South: Take Route 79 North to I-279
COURSE NUMBER COURSE TITLE COURSE LOCATION Date
North (Pittsburgh). Take Exit 5C (West End)
XGM-695-58301 Ontrack Recovery Conference Sheraton Square Hotel March 5, 2010 and bear to the right. Continue for approximately
one mile and at the second light, turn right onto
Signature _______________________________________________ Carson Street (837). The hotel is approximately
Date ___________________________________________________ 1.5 miles on the left.
Mail to: Helen Snead Parking: There are several convenient parking
Community Training & Development facilities in the vacinity.
CCAC Allegheny Campus
Byers Hall, Room 202 PAT Bus Service to Station Square: 42S, 46B,
808 Ridge Avenue 46D, 46F, 46G, 46H, 46K & 47L
Pittsburgh, PA 15212-6097
(No faxed registrations will be accepted)
The Allegheny ONTRACK Initiative: Allegheny ONTRACK Initiative presents a
conference on building best practices through
The Allegheny ONTRACK Initiative (AOI) is a
integration, collaboration and other evidenced-
five-year Treatment for Homeless grant funded based practices for persons that are homeless.
by the Substance and Mental Health Service
Administration and awarded to Primary Care
Health Services/Health Care for the Homeless. Health Care for the
ONTRACK intends to initiate, expand and
Homeless is ONTRACK
strengthen integrated mental health and alcohol
and other drug (AOD) treatment services
for homeless persons in Allegheny County, with Recovery
Pennsylvania.
The purpose of ONTRACK is to improve patient
and process of care outcomes for homeless persons
experiencing AOD disorders, mental disorders
or co-occurring disorders in Allegheny County.
Through ONTRACK, Health Care for the
Homeless has partnered with experts in homeless
service delivery and evaluation including Western
Psychiatric Institute and Clinic, Operation Safety
Net, Community Human Services Corporation,
the VA Pittsburgh Healthcare System and other
community organizations.
ONTRACK will achieve its purpose by attaining
two broad goals: 1) to establish model integrated
clinics of co-located medical, AOD, and mental
health AOD treatment for homeless persons in
Friday, March 5, 2010
Allegheny County; and 2) to initiate, promote
and utilize evidence-based Screening, Brief 8:00AM– 4:00PM
Interventions and Referral to Treatment (SBIRT) Sheraton Station Square Hotel
for AOD disorders within a new integrated clinic 300 West Station Square Drive
system for homeless persons of Allegheny County. Pittsburgh, PA 15219
Primary Care Health Services, Inc.
Health Care for the Homeless
Allegheny County
Department of Human Services

Online registration available at www.ccac.edu

search keywords “ontrack conference”. Created by the CCAC Marketing and Communications department. Substance and Mental Health
Health Cafe for the Homeless-BRP1-TC-JM-JAN10 Services Administration (SAMHSA)
CCAC 45818
Health Care for the Homeless is ONTRACK with Recovery

Please join the organizations listed below as we work Health Care for the Homeless is ONTRACK Core Faculty Registration Instructions:
together to enhance recovery in the lives of persons who with Recovery Conference Mindy Fullilove, MD, Keynote Speaker Registrations must be received by February 26, 2010.
are homeless. Professor of Clinical Psychiatry and Professor of Clinical Sociomedical Seating is limited, so register early. Registrations are
March 5, 2010 Sciences. Co-Director, Community Research Group, New York State accepted on a first-received, first-registered basis.
At the conclusion of the Health Care for the Homeless is Psychiatric Institute and Mailman, SPH, Columbia University.
ONTRACK with Recovery conference, participants will be Station Square Hotel Upon submission of a registration form, participants
Listed as one of the “Best Doctors in New York” in the category
able to: 300 West Station Square Drive of addiction psychiatry, Dr. Fullilove’s current work focuses on the
are registered unless otherwise notified by the college.
Pittsburgh, PA 15219 There is no registration fee for participants.
• identify the health disparities and the unique challenges connection between urban function and mental health. She is the
and barriers that homeless persons encounter on their 8:00AM–9:00AM author of Root Shock: How Tearing Up City Neighborhoods Hurts Please copy this form if you need additional registration
America and What We Can Do About It. forms. A separate form must be completed for each
road to recovery; Registration/Continental Breakfast (provided)
Adam Gordon, MD, MPH, FACP, FASM person attending. Please contact Helen Snead at
• explain the concept of recovery and the importance Assistant Professor of Medicine and Advisory Dean at the University of 412.237.6576 or hsnead@ccac.edu if you have any
of promoting recovery-oriented practices for persons 9:00AM–9:30AM
Welcome/ONTRACK overview Pittsburgh School of Medicine. questions about registration.
experiencing homelessness; Dr. Gordon’s specialty is in addiction medicine. He is also an
• describe the evidenced-based and promising practices 9:30AM–10:40AM evaluator for the Allegheny ONTRACK Initiative and an expert in Continuing Education Credit:
of Screening, Brief Interventions and Referral to SBIRT.
Keynote Speaker, Mindy Fullilove Healthcare professionals will be awarded .60
Treatment (SBIRT), integration and how to David Hall, MD continuing education units (CEUs) which are equal to
apply concepts into their own service areas and 10:50AM–12:00PM Medical Director for East Liberty Family Healthcare Center and Medical six contact hours.
recovery; and Presentation: What is Recovery? Advisor for Health Care for the Homeless.
Dr. Hall has extensive knowledge and is an advocate for the delivery
• assist individuals in using their unique skills and • Wesley Sowers, Presenter of health care services to under-served populations. The Community College of Allegheny County
strengths in their recovery journey. • Randall Kolb, Presenter Randall Kolb, MD encourages participation by all individuals. If you
• David Hall, Presenter Director, Family Medicine Residency Program at UPMC Shadyside. have a disability, advance notification of any special
Who Should Attend: Dr. Kolb has been a medical provider/volunteer in the Health Care needs will help us better serve you. Please notify us of your
This conference is designed for family members and 12:00PM–1:15PM for the Homeless Clinics for over 18 years and is a recipient of the needs at 412.237.6587 at least two weeks in advance of the
persons that have experienced homelessness and Lunch (provided) Jefferson Award. program.
community-based service providers such as physicians, Ken Thompson, Presenter Wesley Sowers, MD CCAC Nondiscrimination Policy
psychiatrists, social workers, nurses, case managers, service Medical Director for the Office of Behavioral Health Department The college does not discriminate based upon race, color,
coordinators, administrators and others interested in the 1:30PM–2:40PM (Workshops A, B, C) of Human Services of Allegheny County; Director, Center for Public religion, national origin, ancestry or place of birth, sex, gender
health needs of persons experiencing homelessness. A. SBIRT Service Psychiatry of WPIC. Dr. Sowers has extensive experience in the
identity or expression, sexual orientation, disability, marital
Adam Gordon, Presenter provision of treatment to homeless individuals and substance users.
status, familial status, veteran status, age or use of a guide
Participating Sponsors: Kenneth S. Thompson, MD
B. Recovery Tool Kit or support animal because of blindness, deafness or physical
Primary Care Health Services, Inc. Paul Wittman, Presenter Medical Director, Center for Mental Health Services at SAMHSA and disability of any individual. Questions may be addressed to
Associate Professor of Psychiatry and Public Health at the University of
Health Care for the Homeless C. Photovoice diversity@ccac.edu.
Pittsburgh and WPIC.
Allegheny County Department of Michael Yonas, Presenter Dr. Thompson has worked for primary care and HIV clinics, Statement of Accessibility
state hospitals, disaster response teams, homeless outreach teams Individuals with disabilities who are requesting
Human Services 2:50PM–4:00PM (Workshops D, E, F) and community mental health centers. He advocates for the accommodations should contact the Supportive Services
Substance and Mental Health Services D. Integration/Collaboration transformation of the mental health system to support recovery. for Students with Disabilities office at 412.469.6215. This
Administration (SAMHSA) E. Common Medical and Mental Health Disorders Paul Wittman, MSW, LSW, MPA publication is available in alternative formats. Call the
Affecting Homeless Persons Manager of Training, Community Care. Supportive Services for Students with Disabilities office at
Mr. Wittman is an experienced trainer in the areas of recovery- 412.469.6215.
F. Motivational Interviewing oriented services. Participating Sponsors Nondiscrimination Policy
Michael Yonas, DrPH The participating sponsors do not discriminate based upon
In conjunction with: Course Directors: Assistant Professor, Department of Family Medicine University race, color, religion, national origin, ancestry or place of
Community College of Allegheny County Jennifer Williams, RN MSN of Pittsburgh School of Medicine; Co-director of the Clinical and birth, sex, gender identity or expression, sexual orientation,
Director, Health Care for the Homeless Translational Science Institute (CTSI) Community Engagement Core disability, marital status, familial status, veteran status, age or
Diane Johnson, RN BSN Dr. Yonas partnered with Community Human Services Corp. to use of a guide or support animal because of blindness, deafness
Allegheny ONTRACK Initiative Coordinator, explore the social and environmental factors associated with living in a
or physical disability of any individual.
housing crisis using a community-based participatory research method
Health Care for the Homeless
called Photovoice.