DARe 2 Creating Healthy Adult Relationships Evaluation

Commitment to Change

Learning Objectives

Content

Faculty

Credibility

Name*

First Last

Name as it should appear on certificate*

Email*

Please indicate the certificate that is most appropriate for you needs:*

Psychologists (APA)
Social Workers (ASWB)
General Attendance

How long did it take you to complete this activity?

Hours*

HH:MM

As a result of my participation in this activity, I will commit to:

Please rate your level of agreement with the course meeting the stated learning objectives:

1. Professionals will be able to identify 3 Attachment Styles and how these manifest specifically in their client’s adult relationships now.*

2. Explain two of the needs and autonomy issues for each Attachment Style; do clients reject, deny, exaggerate or avoid needs, and why?*

3. Demonstrate 3 contact exercises for interactive regulation*

4. Apply one specific method for working with the encapsulated child: a) contact other ages and ego states; b)learn how to move the painful experiences through time so that the frozen-in-time past memories no longer intrude into the present, usurping energy and attention from the here and now; c) give space for integration into the adult self.*

5. Discuss two corrective antidotes and ways to enhance regulation for disruptive relationship patterns, and incorporate specific transformative processes of healing.*

6. Identify three types of differentiation: a) from the family field; b) in the maturing relationship (Ellyn Bader); c) and linkage (Dan Siegel)*

7. List three characteristics of securely attached adults.*

9. Identify two relationship needs that relate to various attachment styles.*

10.Describe two exercises to facilitate self-orientation for avoidant styles.*

11. List three possible issues in adult relationships for avoidant attachment.*

12. List three possible issues in adult relationships for disorganized attachment.*

13. List three possible issues in adult relationships for ambivalent attachment.*

Please rate your level of agreement with the following statements. This activity…

Helped me to have a better understanding of the topic(s).*

Assisted me to consider using the information in a different way to improve my practice.*

Provided me with resources I can use in my daily practice or with my patients.*

Will support my routine clinical practice to deliver evidence-based, best practice that improves patient health outcomes.*

Rate the quality of the speakers listed below, from 5 (Excellent) to 1 (Poor).

Alicen Louanne Halquist, MA, LPC, SEP*

Clinical Relevance

Teaching Strategies

Level of Expertise

Will you change the way you practice based on this activity?*

Yes
No

Do you feel the activity was balanced and objective?*

Yes
No

Do you feel the activity was free of commercial bias?*

Yes
No

Approximately what percent of this content was NEW to you?*

As compared to other CME activities you have participated in the past six months, do you believe this activity:*

Increased your knowledge
Will improve patient outcomes in your practice

What I liked about this activity…? (Select all that apply)*

It increased my knowledge
It will improve my communication with the healthcare team
It provided information in ways that I can review again later
It gave me the opportunity to apply information to realistic scenarios that I confront in my practice
It facilitated applying values/ethics to interprofessional practice

In the past six months, how many CME programs have you participated in?*

What was the most useful information you gained from this activity?