Component Section Manual 2011‐2012
Transcription
Component Section Manual 2011‐2012
Component Section Manual 2011‐2012 Component Section Manual 2011-2012 1. Introduction 2. People Resources 3. Executive Committee Contact Information 4. ASCH Standing Committees 5. History of ASCH 6. ASCH Organization and Governing Structure 7. Component Section Bylaws 8. Executive Committee Policy 9. Code of Conduct 10. Starting a Component Section 11. Component Section Representation on Board of Governors 12. Board of Governors Meeting & Component Section Representatives 13. ASCH Resources • Certification • Component Section Award/Newsletter • Membership Assistance • ASCH Video Lending Library • Component Section Annual Report 14. Component Section Directory Attachments • Certification Application • Membership Application • Video Lending Library Form • Component Section Annual Report • Component Section Application Introduction Introduction The American Society of Clinical Hypnosis (ASCH) and its Component Societies have grown and developed greatly since the beginning of the Society in 1957. There are now more than 25 separate Component Societies formally recognized by ASCH. In the past, there have been as many as 44 components at one time. These Societies are spread across the U.S. and Canada and are an integral part to the success of ongoing activities within ASCH. When ASCH was established, it followed the structure of a democratic government with several equal but separate structures for a balance of power. Components Sections were seen as the backbone of the Society. Members of original Component Sections were also active members of ASCH and the interaction between ASCH and its Component Sections was designed to provide a strong alliance during a time when momentum to include hypnosis as a vital tool in the healthcare community was taking place. Now that hypnosis has achieved its rightful place of acceptance and prominence in the healthcare community, professionals interested in utilizing hypnosis have a wide choice of groups and organizations devoted to furthering the knowledge, understanding and application of hypnosis to choose from. ASCH remains, and will continue, to stand as the largest, most active, and most highly accredited organization devoted solely to the promotion of hypnosis in the United States and Canada. The relationship between ASCH and its Components remains vital and mutually beneficial. This Resource Manual is presented to help preserve that history and tradition of ASCH with its Component Sections. It is also intended to serve as a tool Component Sections can utilize to learn about the opportunities, rights and responsibilities of Component Sections within ASCH. It will also serve as a useful function for groups wishing to consider applying for component status in ASCH. Contributing to continued growth and maturity of ASCH and its Component Sections is the desire that leadership will continually recycle itself. Many leaders within ASCH come from leadership positions in their local component sections. A large percentage of the membership of Component Sections is now comprised of individuals who are not members of ASCH. Beyond the initial 8 ASCH members required to begin a component section, a component may have as many non-asch members as it wants. This shift from the days when ASCH members made up Component Societies and vice versa has resulted in some components reducing their connection with the parent organization. The Resource Manual is organized into several sections. The first contains a list of ASCH “People Resources” available to Component Sections. This list includes contact information for elected officers, appointed committee chairs, Journal Editor, Newsletter Editor and ASCH Central staff. Any of these individuals may be contacted directly by Component Societies to discuss issues, ideas, concerns, and recommendations regarding ASCH and/or its components. A revision of this list, reflecting changes in positions, will be available to you each year. We hope that this manual will serve as a useful resource for your society and that you use it to further acquaint your members with the important relationship between ASCH and Component Sections. Please make sure that the manual is passed to the appropriate subsequent officers and representatives so that they have access to the resources and opportunities of Component Section status within ASCH. Thank You, Reinhild Draeger-Muenke, PsyD Chair, Component Section Committee People Resources People Resources Executive and Administrative Staff Solutions for Associations, Inc. 140 N. Bloomingdale Road Bloomingdale, IL 60108-1017 (630) 980-4740 - Phone (630) 351-8490 - Fax John Kasper, PhD, CAE Executive Vice President asch-evp@asch.net Catherine Kasper Director of Finance ckasper@solutions-forassoc.com Michael White Director of Executive Policy & Governance mwhite@asch.net Elizabeth Goins Membership/Certification Manager membership@asch.net Emma Leighton Director of Education eleighton@asch.net Patrick Nutter Customer Services Manager info@asch.net Journal Editor Stephen R. Lankton, LCSW, DAHB P.O. Box 9489 Phoenix, Arizona 85068 (602) 532-0800 - Phone (602) 532-0801 – Fax steve@lankton.com - Email Newsletter Editor Paul G. Taylor, FRCPC PO Box 7102 Nelson 7042 NEW ZEALAND 64 3 545 1976 - Phone paulgtaylor@mac.com – Email Executive Committee 2011-12 EXECUTIVE COMMITTEE MEMBERS President Ran D. Anbar, MD University Hospital 750 East Adams Street Syracuse, NY 13210 office: (315) 464-6323 AnbarR@upstate.edu President-Elect Joseph F. Zastrow, MD 266 Shoreline Loop Mooresville, North Carolina 28117 Telephone: 704-664-6698 zastrow_joe@roadrunner.com Vice President Daniel P. Kohen, MD, ABMH 717 Delaware St S.E.- #371 Minneapolis, Minnesota 55414 Telephone: (612) 626-3014 dpkohen@umn.edu Treasurer David S. Alter, ABPP, ABPH Partners in Healing of Minneapolis 10201 Wayzata Blvd., Suite 350 Minnetonka, Minnesota 55305 Telephone: (763) 546-5797 dalterphd@pih-mpls.com Secretary Cheryl Beighle, MD 4410 106th Street Southwest Mukilteo, Washington 98275 telephone: (425) 493-6002 c.beighle@verizon.net Member at Large, Dentistry Paul D. Biederman, DDS, ABHD 5060 Dorsey Hall Drive, Suite 104 Ellicott City, Maryland 21042-7711 Telephone: (410) 740-0606 kidsdentalcenter@verizon.net Member at Large, Medicine Eva M. Szigethy, MD Childrens Hospital of Pittsburgh Department of Gastroenterology 4401 Penn Ave. Pittsburgh, Pennsylvania 15224 Telephone: (412) 692-8147 szigethye@upmc.edu Member at Large, Psychology Robert W. Deutsch, PhD 10 N. Main St. West Hartford, Connecticut 06107-1901 Telephone: (860) 521-7732 drbobdeutsch@gmail.com Masters Level Representative Jane Parsons-Fein, BCD, DAHB 275 Central Park West, #4B New York, New York 10024 Telephone: (212) 873-4557 janeparsons@pfti.org Immediate Past President Elgan L. Baker, PhD, ABPH Meridian Psychological Association 4401 North Central Avenue Indianapolis, IN 46205 office: (317) 923-2333 eblxa@aol.com ERF Chair George P. Glaser, MSW, DAHB 1600 West 38th Street, Suite 306 Austin, TX 78731 office: (512) 371-9418 george@georgeglaser.com Executive Vice President John E. Kasper, PhD, CAE 140 N. Bloomingdale Road Bloomingdale, IL 60108-1017 office: 630-980-4740 fax: 630-351-8490 asch-evp@asch.net Moderator Reinhild Draeger-Muenke, PsyD, LMFT 329 Bryn Mawr Avenue Bala Cynwyd, PA 19004 office: (610) 660-0162 rmuenke@aol.com Standing Committees Accreditation Committee The Accreditation Committee consists of five Fellows of the Society, four committee members and a committee Chairperson. The committee considers and acts upon all nominations and recommendations and/or applications for: elevation to Fellow status; change of Member or Fellow status to Life Member or Life Fellow status, and; appointment to Special Member status. Stephen P. Kahn, PhD -Chair (2013) 5406 S. Kimbark Avenue Chicago, Illinois 60615 Phone: (773) 324-1155 spkahn@ameritech.net Staffed By: Elizabeth Goins 140 N. Bloomingdale Road Bloomingdale, IL 60108 Phone: (630) 980-4740 membership@asch.net Donald F. Lynch, MD, ABMH (2014) Urology of Virginia 6333 Center Drive; Building 16 Norfolk, Virginia 23502 Phone: (757) 457-5160 w4zyt.don@gmail.com Jane A. Parsons-Fein, BCD, DAHB (2012) 275 Central Park West, #4B New York, New York 10024 Phone: (212) 873-4557 janeparsons@pfti.org Carolyn L. Daitch, PhD (2012) 28592 Orchard Lake Rd. Suite 301 Farmington Hills, Michigan 48334 Phone: (248) 626-8151 carolyn.daitch@mac.com Edward J. Frischholz, PhD, ABPH (2013) 6311 N. Sheridan Rd. Chicago, Illinois 60660 Phone: (773) 761-6625 amjch@sbcglobal.net Bylaws Article XI, Section D, 1 Awards Committee The Awards Committee shall consist of four members and the Chair. They shall: originate, receive, and consider all Nominees for Honorary Fellow, certificates of Appreciation, Presidential Merit Award, and such other awards as may be established by or for the Society; provide for preparation and presentation of above awards; design and provide for preparation and presentation of Service Plaques to Past Presidents; be provided with a budget sufficient to accomplish its duties; maintain a record of all awards at the Society Headquarters; report of Awards Committee shall be approved by the President before presentation at the Annual Banquet. Phil Accaria - Chair (2012) 203 Bellevue Ave. Upper Montclair, NJ 07403 Phone: (973) 744-3664 PLAccaria@aol.com Marc Oster, PsyD (2013) 1954 First Street, PMB 103 Highland Park, IL 60035-3104 Phone: (847) 604-1593 marcoster@yahoo.com Sheryll A. Daniel, PhD (2012) 4301 Lake Boone Trail, Ste. 208 Raleigh, NC 27607 Phone: (919) 783-8847 sheryll@pobox.com Thomas W. Wall, PhD (2013) 1320 University Street Seattle, WA 98101 Phone: (206) 325-5700 Fax:: (206) 328-5005 twall@u.washington.edu Daniel L. Handel, MD (2014) National Institutes of Health 10 Center Drive, Room 2-1733; MSC 1517 Bethesda, Maryland 20892 Phone: (301) 451-3796 dhandel@cc.nih.gov Staffed By: John E. Kasper, PhD, CAE Executive Vice President 140 N. Bloomingdale Road Bloomingdale, IL 60108-1017 Phone: (630) 980-4740, ext. 15 asch-evp@asch.net Bylaws Article XI, Section D, 2 Budget and Finance Committee The Chair Person of this Committee shall be the Treasurer of the Society. The committee shall develop an annual budget for the Society; approve expenditures within the budget and, when necessary, consider and act upon the proposed or requested expenditures beyond the budget; recommend to the Board of Governors sources of revenue for the Society; and study and recommend to the Executive Committee, uses for the reserve funds of the Society. ASCH Executive Committee Policy states that the President-Elect shall be an ex-officio member of the Budget & Finance Committee. In addition, Individuals accepting appointments to serve on the ASCH Budget and Finance Committee do so with the understanding that they must be willing to serve as Treasurer if asked by the ASCH in the future to do so. The time spent on the Budget and Finance Committee should be used to familiarize the individual with the financial operations of the association. David S. Alter, ABPP, ABPH - Chair 10201 Wayzata Blvd., Suite 350 Minnetonka, Minnesota 55305 Phone: (763) 546-5797 dalterphd@pih-mpls.com Joseph F. Zastrow, MD - President-Elect ex officio 266 Shoreline Loop. Mooresville, NC 28117 Phone: (336) 284-2331 Zastrow_joe@roadrunner.com Robert Baker, III, PsyD (2014) Adler School of Professional Psychology 65 E. Wacker Drive; Suite 2100 Chicago, IL 60601 Phone: (312) 201-5900 ext. 256 rtb@andersonvillecounseling.com Terrence C. Wade, PhD (2012) Century Square 1188 Bishop Street, Suite 3205 Honolulu, HI 96813-3313 Phone: (808) 545-7706 tcwade@juno.com Darlene A. Osowiec, PhD (2014) P.O. Box 593 St. Charles, Illinois 60174 Phone: (630) 845-8740 d.osowiec@comcast.net Edward J. Frischholz, PhD, ABPH (2014) 6311 N. Sheridan Rd. Chicago, Illinois 60660 Phone: (773) 761-6625 amjch@sbcglobal.net Staffed By: Catherine Kasper Director of Finance 140 N. Bloomingdale Road Bloomingdale, IL 60108-1017 Phone: (630) 980-4740 ckasper@solutions-for-assoc.com Bylaws Article XI, Section D, 3 Bylaws Committee This committee shall consider and recommend amendments and changes in the Bylaws of the Society as deemed necessary and shall report to the Board of Governors. It shall prepare any amendments and changes in the Bylaws approved by the Board of Governors, and then forward these to the attorney representing ASCH for review. George Glaser, MSW, DAHB- Chair (2014) 1600 West 38th Street, Suite 306 Austin, TX 78731 Phone: (512) 371-9418 george@georgeglaser.com Judy A. Thomas, DDS (2013) 14245- F Centreville Square Centreville, Virginia 20120 (703) 815-0775 puppetdds1@yahoo.com Carol B. Low, PsyD (2012) 1813 N. Mill Street, Suite E Naperville, IL 60563 Phone: (630) 249-1983 drlow@pobox.com Daniel P. Kohen, MD, ABMH (2012) 200 Oak Street SE, Suite 160 Minneapolis, Minnesota 55455 (612) 626-3014 dpkohen@umn.edu Holly W. Schwartztol, PhD (2013) 9485 Sunset Dr., Suite A-222 Miami, Florida 33173 (305) 279-0007 Ext. 3 Angelhol@aol.com David Alter, PhD (2013) 10201 Wayzata Blvd., Suite 350 Minnetonka, Minnesota 55305 Phone: (763) 546-5797 dalterphd@pih-mpls.com Staffed By: John E. Kasper, PhD, CAE 140 N. Bloomingdale Road Bloomingdale, IL 60108-1017 Phone: (630) 980-4740, ext. 15 asch-evp@asch.net Bylaws Article XI, Section D, 4 Certification Committee This committee shall recommend to the Executive Committee requirements for Certification in Clinical Hypnosis by the Society and for certification of the Society’s Approved Consultants in Clinical Hypnosis. The committee shall create application forms, review all certification applications for acceptance or rejection, maintain and revise all standards for Certification and for Approved Consultant status, including for the renewal of such status, develop guidelines for workshops leading to certification, conduct certification workshops, provided that fiscal considerations allow for this to be done. Max P. Shapiro, PhD - Chair (2014) 39 Harrison Street Newton, Massachusetts 02461 Phone: (617) 969-7674 maxshapiro@maxshapiro.net Ran Anbar, MD (2013) University Hospital 750 East Adams Street Syracuse, NY 13210 Phone: (315) 464-6323 anbarR@upstate.edu Julie Linden, PhD - (2014) 227 East Gowen Avenue Philadelphia, PA 19119 Phone: (215) 248-9651 Jhlinden@comcast.net Mark B. Weisberg, PhD (2012) Ste 407, 430 Oak Grove Street Minneapolis, MN 55403 Phone: (612) 520-9159 mbw@drmarkweisberg.com Staffed By: Elizabeth Goins 140 N. Bloomingdale Road Bloomingdale, IL 60108 Phone: (630) 980-4740 membership@asch.net Bylaws Article XI, Section D, 5 Component Sections Committee This Committee shall function as the Liaison between the Executive Committee and the Component Sections. This committee represents the interests of the Component Sections to the Executive Committee. The committee shall maintain regular contact with the Component Sections in order to determine ways in which the Society might best interface with and respond to the Components, respond to queries from, or issues raised by, the Components, make recommendations regarding actions or issues for consideration by the Executive Committee on matters pertaining to the Component Sections and their relationship with the Society. Reinhild Draeger-Muenke, PsyD - Chair (2013) 329 Bryn Mawr Avenue Bala Cynwyd, Pennsylvania 19004 Phone: (610) 660-0162 rmuenke@aol.com Maureen F. Turner, MEd (2012) Motivation Hypnosis, 83 N Willard Street Burlington, Vermont 05401-3312 Phone: (802) 658-2140 Mturner@motivationhypnosis.com Julie Linden, PhD (2013) 227 East Gowen Avenue Philadelphia, PA 19119 Phone: (215) 248-9651 Jhlinden@comcast.net Linda Thomson, MSN, CPNP (2012) 131 Thomson Drive Ludlow, VT 05149 Phone: (802) 228-6275 Linda.Thomson@Hitchcock.org Eric B. Spiegel, PhD (2014) 132 South 17th Street Philadelphia, Pennsylvania 19103 Phone: (215) 222-4825 espiegelphd@gmail.com Staffed by: Michael White 140 N. Bloomingdale Road Bloomingdale, IL 60108 (630) 980-4740, ext. 14 mwhite@asch.net Bylaws Article XI, Section D, 6 Education Committee This Education Committee functions to review all educational programs of ASCH and to ensure that these programs meet Continuing Education requirements through the various accrediting bodies. This committee shall be responsible for the presentation and administration of a series of training workshops each year. The chair of this committee shall be the operating chair of the workshop series, which will be called the Regional Workshops. This committee shall be responsible for maintaining standards of training at its offerings consistent with the guidelines of the major professional accrediting bodies relevant to the membership of the Society. Julie Linden, PhD - Co-Chair JESC Psychology Representative (2013) 227 East Gowen Avenue Philadelphia, PA 19119 Phone: (215) 248-9651 Jhlinden@comcast.net Susan H. Dowell, CSW (2012) JESC Social Work Representative 350 Central Park West, Suite 6B New York, NY 10025 Phone: (212) 864-4171 hyptec@aol.com Laurence Sugarman, MD - Co-Chair JESC Medical Representative (2013) 28 Hearthstone Road Pittsford, NY 14534 Phone: (585) 267-7665 laurence@laurencesugarman.com David N. Grayson, DDS (2014) JESC Dental Representative 1020 Littleton Road Parsippany, New Jersey 07054 Phone: (973) 984-8020 dr@graysondds.com Reinhild Draeger-Muenke, PsyD - Co- Chair (2013) 329 Bryn Mawr Avenue Bala Cynwyd, Pennsylvania 19004 Phone: (610) 660-0162 rmuenke@aol.com Linda Thomson, MSN, CPNP (2012) JESC Nursing Representative 131 Thomson Drive Ludlow, VT 05149 Phone: (802) 228-6275 Linda.Thomson@Hitchcock.org Joel Marcus, PsyD JESC ERF Representative (annually appointed by ASCH-ERF) Nevada Cancer Institute One Breakthrough Way Las Vegas, NV 89135 Phone: (702) 822-5485 Joel.d.marcus@gmail.com Max Shapiro, PhD (2012) Certification Committee Chair (non-voting member) 39 Harrison Street Newton, MA 02461 Phone: (617) 969-7674 maxshapiro@maxshapiro.net Joseph F. Zastrow, MD Annual Meeting Representative (non-voting member) 266 Shoreline Loop. Mooresville, NC 28117 Phone: (336) 284-2331 Zastrow_joe@roadrunner.com Ran D. Anbar, MD ASCH President (non-voting member) University Hospital 750 East Adams Street Syracuse, NY 13210 Phone: (315) 464-6323 anbarr@upstate.edu Hedy A. Howard, MD (2013) Wisconsin Circle, Suite 210 Chevy Chase, Maryland 20815 Phone: (301) 654-3851 hhoward@erols.com JESC Counseling Representative VACANT Staffed by: Emma Leighton Director of Meetings 140 N. Bloomingdale Road Bloomingdale, IL 60108-1017 Phone: (630) 980-4740, ext. 13 Email: eleighton@asch.net Ethics Committee The Ethics Committee shall receive reports, study cases of alleged professional misconduct or breach of ethics by members of the Society, and report its recommendations to the Executive Committee, formulate, develop, review and, when necessary, recommend alterations in the Code of Ethics of the Society for action by the Board of Governors. Thomas F. Nagy, PhD - Chair (2014) Ste. 212B, 555 Middlefield Rd. Palo Alto, CA 94301 Phone: (650) 324-1854 tnagy10@comcast.net Sharon Spiegel, PhD (2012) 8717 Hempstead Avenue Bethesda, MD 20817 Phone: (301) 897-5115 shaspi@att.net Steve Kahn, PhD (2014) 5406 S. Kimbark Avenue Chicago, IL 60615 Phone: (773) 324-1155 spkahn@ameritech.net Laurence Sugarman, MD (2012) 28 Hearthstone Road Pittsford, NY 14534 Phone: (585) 267-7665 laurence@laurencesugarman.com Eric Willmarth, PhD (2013) 4660 Bonnie SE Grand Rapids, Michigan 49508 Phone: (616) 285-1377 ewillmarth@aol.com Thomas W. Wall, PhD (2012) 1320 Professional Center 1320 University Street Seattle, WA 98101 Phone: (206) 325-5700 twall@u.washington.edu Jean A. Olson, MSN, RN, CS, LPCC (2013) PO Box 1865 Tijeras, NM 87059 Phone: (505) 266-7115 JeanOlsonmsn@yahoo.com Pamela J. Kaiser, PhD, CPNP (2014) 1220 University Dr., Suite 104 Menlo Park, California 94025 Phone: (650) 323-2222 drpkaiser@earthlink.net Daniel Skenderian, PhD (2013) 350 W. Fourth Street Claremont, California 91711 Phone: (909) 625-1123 danielskenderian@aol.com Staffed by: John E. Kasper, PhD, CAE Executive Vice President 140 N. Bloomingdale Road Bloomingdale, IL 60108-1017 Phone: (630) 980-4740, ext. 15 asch-evp@asch.net Bylaws Article XI, Section D, 8 Membership Committee This committee shall receive, evaluate, act upon and report actions taken on all applications for membership and change of status membership recommend the appropriate status of membership for all applicants, notify the applicant of the final decision, resolve all questions of the quality of institutions, instructions or (where relevant) the focus of psychology in the major field of study, report its actions to the Executive Committee Philip D. Shenefelt, MD, ABMH - Chair (2014) 15919 Notting Hill Drive Lutz, Florida 33548-6147 Phone: (813) 974-4270 pshenefe@health.usf.edu Delle M. Jacobs, MSW (2013) 91 Snelling Ave North, Suite 230 St. Paul, Minnesota 55104 Phone: (651) 642-9883 dellejacobs@comcast.net Dennis S. Pilon, MSW (2013) 415 S. West Street, Suite 150 Royal Oak, Michigan 48067 Phone: (248) 546-3550 Ext. 2 dspilontrc@aol.com Wendy Lemke, MS, LPC - (2014) P.O. Box 434 Clearwater, MN 55320 Phone: (320) 558-6037 WKLemke@aol.com Mark Geer, EdD (2012) Colony Care Behavioral Health 11 River Street Wellesley, Massachusetts 02481 Phone: (781) 431-1177 Ext. 211 mgeercolonycare@aol.com Robert W. Deutsch, PhD (2014) 10 N. Main St. West Hartford, Connecticut 06107-1901 Phone: (860) 521-7732 drbobdeutsch@gmail.com Susan K. Becker, PhD (2014) 2506 Ponce de Leon Blvd. Coral Gables, Florida 33134 Phone: (305) 667-7890 skbecker@bellsouth.net Staffed By: Elizabeth Goins 140 N. Bloomingdale Road Bloomingdale, IL 60108 Phone: (630) 980-4740 membership@asch.net Bylaws Article XI, Section D, 9 Nominations and Elections The incoming Immediate Past President shall be the Chair of this Committee. The committee shall be a committee of the Board of Governors and shall report to the BG, select a slate of candidates and present it to the Board of Governors for approval at its next regular meeting, upon approval, this slate shall be presented to the membership as prescribed in Article VI of these Bylaws, the PresidentElect is ineligible for election to this committee, members elected for a given year by the Board of Governors are ineligible for nomination to any Executive Committee position for that year, even following resignation from this committee. The Immediate Past President, if unable to carry out the duties of the Chairperson of this Committee, shall be replaced by the Immediate Past Vice-President. Elgan L. Baker, ABPH - Chair Meridian Psychological Assn 4401 North Central Avenue Indianapolis, Indiana 46205 Phone: (317) 923-2333 eblxa@aol.com David M. Wark, PhD, ABPH 1313 5th Street SE Minneapolis, Minnesota 55414 Phone: (612) 379-3854 wark@umn.edu Laurence Sugarman, MD 28 Hearthstone Road Pittsford, NY 14534 Phone: (585) 267-7665 laurence@laurencesugarman.com Max P. Shapiro, PhD 39 Harrison Street Newton, Massachusetts 02461 Phone: (617) 969-7674 maxshapiro@maxshapiro.net Sheryll A. Daniel, PhD Family Psychiatry and Psychology Associates 104-A Fountainbrook Circle Cary, North Carolina 27511 Phone: (919) 233-4131 sheryll@pobox.com D. Corydon Hammond, PhD, ABPH, Alternate University of Utah School of Medicine PM& R; 30 North 1900 East Salt Lake City, Utah 84132-2119 Phone: (801) 581-5741 D.C.Hammond@utah.edu Harriet E. Hollander, PhD, Alternate 859 Lawrenceville Road Princeton, New Jersey 08546 Phone: (609) 924-2525 harriethollander@msn.com Staffed by: Michael White 140 N. Bloomingdale Road Bloomingdale, IL 60108 (630) 980-4740, ext. 14 mwhite@asch.net Bylaws Article XI, Section D, 10 2012 Annual Meeting Program This committee shall be responsible for the presentation of a Workshop and a Scientific Program at the Annual Meeting. Each program may have a separate chair or chairs as appointed by the President. The President-Elect is the overall Chair of this Committee. Joseph F. Zastrow, MD - Chair 266 Shoreline Loop. Mooresville, NC 28117 Phone: (336) 284-2331 Zastrow_joe@roadrunner.com Staffed by: Emma Leighton 140 N. Bloomingdale Road Bloomingdale, IL 60108-1017 Phone: (630) 980-4740, ext. 13 eleighton@asch.net Pamela J. Kaiser, PhD, CPNP Basic Workshop co-chair 1220 University Dr., Suite 104 Menlo Park, California 94025 Phone: (650) 323-2222 drpkaiser@earthlink.net Laurence Sugarman, MD Basic Workshop co-chair 28 Hearthstone Road Pittsford, NY 14534 Phone: (585) 267-7665 laurence@laurencesugarman.com Sheryll A. Daniel, PhD Intermediate Workshop co-chair Family Psychiatry and Psychology Associates 104-A Fountainbrook Circle Cary, North Carolina 27511 Phone: (919) 233-4131 sheryll@pobox.com Edward F. Mackey, PhD, MSN Intermediate Workshop co-chair 120 Davenport Road Kennett Square, Pennsylvania 19348 Phone: (610) 444-9406 hypnosisox@comcast.net Daniel L. Handel, MD Advanced co-chair National Institutes of Health 10 Center Drive, Room 2-1733; MSC 1517 Bethesda, Maryland 20892 Phone: (301) 451-3796 dhandel@cc.nih.gov Max P. Shapiro, PhD Advanced co-chair 39 Harrison Street Newton, Massachusetts 02461 Phone: (617) 969-7674 maxshapiro@maxshapiro.net Edward J. Frischholz, PhD, ABPH Scientific co-chair 6311 N. Sheridan Rd. Chicago, Illinois 60660 Phone: (773) 761-6625 amjch@sbcglobal.net Eva M. Szigethy, MD Scientific co-chair Childrens Hospital of Pittsburgh Department of Gastroenterology 4401 Penn Ave. Pittsburgh, Pennsylvania 15224 Phone: (412) 692-8147 szigethye@upmc.edu Barbara B. Birge, PhD, LPC Social co-chair 1406 Redcoat Dr. Charlotte, North Carolina 28211 Phone: (704) 364-1415 bbirge@aol.com Terry Robertson, LCSW Social co-chair 3002 Bridges St. Morehead City, North Carolina 28557 Phone: (252) 247-7090 drobertson1@ec.rr.com Standards of Training Committee This committee shall recommend to the Executive Committee guidelines for the teaching of hypnosis that are acceptable toward membership and/or certification in/by the Society. They shall make available guidelines for teaching to members of the society, Component Sections of the Society, other appropriate professional organizations. Review and approve all educational programs applicable to ASCH Membership and/or Certification. Joel Marcus, PsyD (2014) Nevada Cancer Institute Director Psychosocial Oncology One Breakthrough Way Las Vegas, NV 89135 Phone: (210) 602-4746 Joel.d.marcus@gmail.com Akira Otani, EdD, ABPH (2013) 3852 Wildlife Lane Burtonsville, Maryland 20866 Phone: (301) 314-7662 akiraotani@hotmail.com George Glaser, MSW, DAHB(2013) 1600 West 38th Street, Suite 306 Austin, TX 78731 Phone: (512) 371-9418 george@georgeglaser.com Eva M. Szigethy, MD (2014) Childrens Hospital of Pittsburgh Department of Gastroenterology 4401 Penn Ave. Pittsburgh, Pennsylvania 15224 Phone: (412) 692-8147 szigethye@upmc.edu Hedy A. Howard, MD (2012) 2 Wisconsin Circle, Suite 210 Chevy Chase, Maryland 20815 Phone: (301) 654-3851 hhoward@erols.com Staffed By: Emma Leighton Director of Meetings 140 N. Bloomingdale Road Bloomingdale, IL 60108-1017 Phone: (630) 980-4740, ext. 13 eleighton@asch.net Bylaws Article XI, Section D, 13 S:\ASCH\Committees\2011-12\Rosters\committee listing 11-12.wpd History of ASCH History of ASCH The first recorded minutes of the American Society of Clinical Hypnosis tell us that the Society was brought to life on July 16, 1957. The name was adopted, along with a Constitution and Bylaws, and the first officers were elected. They were Milton H. Erickson, President; Aaron A. Moss, Vice-President; Seymour Hershman, Secretary; William T. Heron, Treasurer. Seven Component Sections were accepted to set the precedent. These were the Arkansas Society of Clinical Hypnosis, San Diego Seminar of Clinical Hypnosis, Ark-La-Tex Society for Clinical Hypnosis, Maryland Society for Clinical Hypnosis, Boston Academy of Psychosomatics, Chicago Society of Clinical Hypnosis, and Portland Academy of Hypnosis. Milton H. Erickson accepted the Editorship of the American Journal of Clinical Hypnosis. In October 1957, the Executive Committee, which included representatives from each component, met and selected the site and dates for the First Annual Meeting, and created the first committees of the Society: Editorial, Program, Membership, Public Relations, and Certificate and Charter. On August 27, 1958, the State of Illinois recognized the ASCH as a chartered not-forprofit corporation. This charter was signed by Seymour Hershman, M.D., Irving I. Secter, D.D.S. and Bernard K. Galston, M.D. The original Articles of Incorporation state the purpose of the Society as: "To bring together professional people in the medical, dental and psychological fields using Hypnosis; to set up standards for training; to cooperate with all scientific disciplines in professional and public relationships in regard to the use of Hypnosis; to stimulate research and publication in the field. The American Society of Clinical Hypnosis-Education and Research Foundation was founded in December 1959 as the Seminars on Hypnosis Foundation, Inc. by Seymour Hershman, M.D., Irving I. Secter, D.D.S., Edward E. Aston, D.D.S. and Milton H. Erickson, M.D. The name change occurred in June 1963 when the Foundation became part of the ASCH family. Among the purposes included when the Articles of Incorporation were filed for the Foundation were: "To offer courses of instruction in elementary and advanced techniques in scientific Hypnosis" "To promote and sponsor research and teaching in clinical and experimental hypnosis" The ASCH Newsletter started as a 8-1/2 x 11 four page letter in November 1957, reporting on the first official meeting of the Executive Committee held in Chicago during the previous October. Among other items, it reported the first full Executive Committee as: President: Milton H. Erickson, M.D. Vice President: Aaron A. Moss, D.D.S. Secretary: Seymour Hershman, M.D. Treasurer: William T. Heron, Ph.D. Editor, AJCH: Milton H. Erickson, M.D. Component Representatives: A. Duel Brown, M.D. Allan D. Gale, D.D.S. William S. Kroger, M.D. Theodore Mandy, M.D. Lawrence M. Staples, D.M.D. Dan Steffanoff, M.D. Allen J. Tomlin, D.D.S. To date, the Presidents of the ASCH are: 1957-59 1959-61 1961-63 1963-64 1964-65 1965-66 1966-67 1967-68 1968-69 1969-70 1970-71 1971-72 1972-73 1973-74 1974-75 1975-76 1976-77 1976-77 1977-78 1978-79 1979-80 1980-81 Milton H. Erickson, M.D. Frank A. Pattie, Ph.D. Herbert Mann, M.D. Irving I. Secter, D.D.S., M.A. M. Erik Wright, M.D., Ph.D. David B. Cheek, M.D. William T. Heron, Ph.D. Lawrence M. Staples, D.M.D. Seymour Hershman, M.D. Robert E. Pearson, M.D. Donald Coulton, M.D. Calvert Stein, M.D., LL.B. Kay F. Thompson, D.D.S. William E. Edmonston, Jr., Ph.D. Franz Baumann, M.D. Bertha P. Rodger, M.D. Vladimir B. Bensen, M.D. Bernice C. Sachs, M.D. Esther E. Bartlett, M.D. Melvin A. Gravitz, Ph.D. Joan Murray-Jobsis, Ph.D. Simon W. Chiasson, M.D. 1981-82 1982-83 1983-84 1984-86 1986-87 1987-88 1988-89 1989-90 1990-91 1991-92 1992-93 1993-94 1994-95 1995-96 1996-97 1997-98 1998-99 1999-2000 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 Harold P. Golan, D.M.D. Shirley Sanders, Ph.D. Harold J. Wain, Ph.D. Karen N. Olness, M.D. Harold B. Crasilneck, Ph.D. Charles B. Mutter, M.D. Louis L. Dubin, D.D.S., Ph.D. Alexander A. Levitan, M.D. Thomas W. Wall, Ph.D. Marlene E. Hunter, M.D. D. Corydon Hammond, Ph.D. Dabney M. Ewin, M.D. William C. Wester, II, Ed.D. Richard P. Kluft, M.D., Ph.D. Gary R. Elkins, Ph.D. Dov Glazer, D.D.S. Catherine G. Fine, Ph.D. Valerie J. Wall, Ph.D. Daniel L. Handel, M.D. Philip R. Appel, Ph.D. Jordan I. Zarren, M.S.W. Marc I. Oster, Psy.D. Philip L. Accaria, Ph.D. Sheryll A. Daniel, Ph.D. Julie Linden, Ph.D. Molly Delaney, PsyD David Wark, Ph.D. George Glaser, M.S.W. Elgan Baker, Ph.D. Ran Anbar, M.D. There have been sixteen (16) Newsletter Editors who have served the Society: Bernard E. Gorton, M.D. Herbert Mann, M.D. Leo Wollman, M.D. Milton Abramson, M.D., Ph.D. Donald D. Metz, M.D. Milton M. Perloff, M.D. Melvin A. Gravitz, Ph.D. Kay F. Thompson, D.D.S. Bernice C. Sachs, M.D. Joan Murray-Jobsis, Ph.D. D. Corydon Hammond, Ph.D. William C. Wester, II, Ed.D. J. Michael Marcum, M.D., Ph.D. Michael Flynn, Ph.D. (Co-Editor) Philip L. Accaria, Ph.D. (Co-Editor) Philip R. Appel, Ph.D. (Co-Editor) Charles Burbridge, Ph.D. Susan Kelly Becker, Ph.D. Paul Taylor, FRCPC This publication has given the members the opportunity to exchange information and kept them abreast of various workshops, new members, and other activities within the Society and Component societies. Volume I Number 1 of the American Journal of Clinical Hypnosis, a quarterly publication, was published in July 1968 with Milton H. Erickson, M.D. as the first Editor. Over the life of the Journal, which has now published 54 volumes, there have been only seven Editors: Milton H. Erickson, M.D. William E. Edmonston, Jr., Ph.D. Sheldon B. Cohen, M.D. Melvin Gravitz, Ph.D. Thurman Mott, Jr., M.D. (Served again in 2000-01 & 2003-2005) Edward J. Frischholz, Ph.D. Claire C. Frederick, M.D. (Co-Editor) Steven Lankton, L.C.S.W The Journal has become an internationally respected Scientific Journal in the field of Clinical/Medical Hypnosis, with requests for articles coming from around the world. The first Annual Scientific Meeting was held in Chicago at the Conrad Hilton Hotel, October 3-4, 1958. This was a Scientific Meeting only. The first Workshops on Hypnosis were added at the St. Louis Annual Meeting in October 1961. These were offered by the Seminars on Hypnosis Foundation for the two days immediately preceding the Scientific Program. At the October 11-16, 1971 Annual Scientific Program and Workshops, Continuing Education Credits were announced through the American Academy of General Practice, the Academy of General Dentistry, and the California Medical Association Certification Program. In 1975, American Medical Association Category I accreditation was achieved. American Psychological Association approval was achieved in 1979. The Society has maintained itself as a professional society since it was founded, with membership limited to physicians, dentists and psychologists. In 1991 membership was opened to include osteopaths, podiatrists, and masters in nursing, psychology, social work and marital/family therapy. In 2009, a Bylaws amendment was passed to expand the eligibility for ASCH membership by deleting the references to specific disciplines in the Bylaws (psychology, medicine, dentistry, social work, etc.) and adding a generic reference for licensed healthcare practitioners at the masters level or above. The previous language restricted membership to only those individuals who have obtained specific degrees in the disciplines established by the old bylaws, i.e., MD, DO, PhD, PsyD, and Masters in Nursing or Social Work or speech language pathology. The amendment allowed the society to expand membership to a greater number of appropriate healthcare disciplines while maintaining the minimum requirements for licensure and a masters degree. The changes allows the society to attract a greater number of healthcare professionals who can appropriately use hypnosis in their practices. Originally, all applicants entered as Associate Members and were raised to Full Membership status after two years. Later, an Associate Member was defined as one who had no training in hypnosis, but met all other qualifications. Fellowship has always been awarded as a mark of special achievement and service to ASCH. There has been a steady growth in membership. In 1959 members totaled 1,284 and presently number approximately 2,000. In more recent years, graduate students have been granted special status as Student Affiliates until they have been granted their doctoral degrees. The membership categories of International Member or Fellow have made it possible to maintain a relationship with professionals all over the world. In late 1991, the ASCH Certification in Clinical Hypnosis program was started. Certification provides recognition of the advanced clinician who has met educational qualifications and required training in clinical hypnosis. Certification as an Approved Consultant in Clinical Hypnosis is also available. The Society's first office was in Chicago, Illinois and its office was maintained in Chicago until November 1962, when it was moved to Minneapolis, Minnesota. The office was moved back to the Chicago area, in Des Plaines, Illinois, in January 1975. In October of 1998, the office was moved to downtown Chicago. The office moved to Roselle, Illinois effective July 2000 when the firm Solutions for Associations, Inc. began the day to day operations of the society. In June of 2002, they moved to Bloomingdale, Illinois, where the office is today. During the early years the Executive Secretary was a volunteer, Seymour Hershman, M.D., until the first full-time Executive Secretary, Thomas H. Sanberg, joined the Society in October 1961. A year later Mr. Sanberg retired and another member, William T. Heron, Ph.D., took over full-time supervision of the office. Dr. Heron moved the office to Minneapolis where, in April 1964, F. D. Nowlin, CPA became the Executive Secretary. In August 1974, Ernest T. Guy became the Executive Director, moving the office back to Illinois. In October 1975, William F. Hoffman, Jr. became Executive Director and later assumed the title of Executive Vice President. Upon the retirement of Mr. Hoffman in 1996, Arlene Stern became the EVP. Due to an illness in May of 1997 Ms. Stern had to be replaced by Nancy Erickson, MBA. With the development of unforeseen family issues, Ms. Erickson resigned and was replaced by M. Therese Sheehy in 1998. In February 1999 Ms. Sheehy resigned and the leadership of the Society chose to hire on a limited basis George R. Rounds, CAE to manage the day-to-day operations of the National Office while a search for a full-time EVP was commencing. After an exhaustive search of both firms and individuals that could lead the society, the firm of Solutions for Associations, Inc. (SFA) was chosen in June of 2000 to provide full management services to the Society. The President of SFA, John E. Kasper, PhD, CAE, serves as the Executive Vice President currently and his staff functions various roles of service for the Society and Foundation. Organization and Governing Structure ASCH Organization and Governing Structure General Organization ASCH consists of a national membership, some of whom also belong to Component Sections, some of whom do not. There are also members of Component Sections who are not members of ASCH. Executive and Administrative functions are carried out by the Executive Committee (EC) and the Executive Vice President (EVP). Actions and recommendations of the Executive Committee must be approved by the Board of Governors. The Board of Governors (BG) consists of the Executive Committee, Representatives of Component Sections and Past Presidents of the Society. Training functions of ASCH are co-sponsored by the Education & Research Foundation (ASCHERF), a separate, not-for-profit corporation “formed for the purpose of promoting and assisting in the further use of scientific hypnosis.” Elected Officers President President-Elect (must have completed 1 term as member of the EC) Vice President Secretary Treasurer Elected Members Dentistry Member-at-Large Medical Member-at-Large Psychological Member-at-Large Master’s Level Member-at-Large Nomination - candidates are identified by the Nominations & Elections Committee, or by written petition of 5% of ASCH membership eligible to vote. Executive Vice President - Appointed by the Executive Committee. Board of Governors - (Moderator Presides) Current Executive Committee All attending Past-Presidents One Representative per 50 ASCH members from each Component Section Executive Committee - (President Presides) Elected officers Elected members-at-large Chair, Education & Research Foundation Immediate Past President of ASCH Moderator of the Board of Governors Standing Committees (all report to the Executive Committee, unless otherwise noted) Accreditation Awards Budget & Finance Bylaws (reports to the Board of Governors) Certification Component Sections Education Ethics Membership Nomination & Elections (reports to the Board of Governors) Program Past Presidents’ Council Standards of Training Nominations & Election Committee - Seven (7) total members Chair - Incoming Immediate Past President of the Society (i.e. the chair for any given year is that year’s Immediate Past President.) Four (4) seated and two (2) alternates All are elected by the Board of Governors from membership of the BG, excluding the current president. Members of the committee are ineligible to accept candidacy for any other elected position in that year, even following resignation from the N&E Committee. Education and Research Foundation Board of Trustees Chair (Immediate Past Vice Chair of the ERF) Vice Chair (Immediate Past President of the Society) Secretary - elected to position by Board, elected to Board by membership Treasurer - elected to position by Board, elected to Board by membership President of the Society Chair of the Education Committee One additional Trustee, elected by membership Component Section Bylaws Component Section Bylaws The Bylaws of Component Sections provide a legal and constitutional framework within which to operate. Generally, a Component Section is incorporated under the laws of the state or province in which they operate. Different states and provinces have different requirements and guidelines regarding the establishment of professional societies. It is important for new local groups to obtain appropriate legal guidance in the early stages of their development. Legal counsel can describe the relative merits and responsibilities associated with Not For Profit (or Non-Profit) status versus For Profit status. Since Component Sections are governed in accordance with their bylaws, these documents are very important. ASCH does not mandate specific wording of bylaws of its components. However, it is expected that Component Sections will have bylaws that are similar to those of ASCH. This section of the manual is provided in an attempt to assist Component Sections in the difficult process of establishing bylaws. Contained here is a current copy of the ASCH Bylaws and a prototype to follow for creating bylaws for the Component Section. BYLAWS Prototype ARTICLE I. Name and Corporation Section A. (Here place the name of the Component Society, in which state or province the Society is incorporated and whether the Society is incorporated as For Profit or Not For Profit.) ARTICLE II. Offices Section A. (State if there is a registered office for the Society and, if not, what constitutes a legal address for the Society - such as the legal address of the current President of the Society.) ARTICLE III. Purposes and Objectives Section A. (The wording from the ASCH Bylaws is recommended towards clinical disciplines accepted.) Section B. (The wording from the ASCH Bylaws is recommend.) Section C. (Most components here state they will function as a Component Section of the ASCH and that they will comply with guidelines to maintain such status.) ARTICLE IV. Membership Section A. (Here list the various categories of membership within the Component Society and the requirements for each category. It is left to the discretion of the individual Component Societies to determine whether or not they wish to include in their membership members from non-ASCH accepted disciplines. It is understood that licensing of these disciplines varies from state to state , Canadian province to province. These licensing differences are often used to determine whether or not non-doctoral level individuals are appropriate for inclusion in membership in a particular Component Society.) Section B. Application: (Here state the method whereby application to the component is made.) Section C. Determination and Declaration: (Here state the method whereby applications are reviewed and approved or denied.) Section D. Privileges of Membership: (Here state the privileges of membership.) Section E. Termination of Membership : (Here state the terms under which membership may be terminated.) ARTICLE V. Revenue Section A. Dues and Assessments: (Here state the fiscal year of the component preferably to coincide with that of ASCH , July 1 to June 30. State also how the dues and other assessments will be determined - generally, to be set up by the Executive Committee or to be voted upon by the membership at Annual Meetings.) ARTICLE VI. Officers and Representatives Section A. Officers and Representatives: (Here list the various officers of the Component Society - usually President, Vice President, Secretary, Treasurer, and Representative to the ASCH Board of Governors. At present there is no requirement that officers of Component Societies be active ASCH members. However, it is certainly recommended that officers be members of ASCH so that they may appropriately coordinate their function as component sections of ASCH. It is required that the Representative to the Board of Governors be a member in good standing in ASCH”.) Section B. Term of Office: (Here state the term of office for each of the offices. Some Components Societies have one-year terms for each office. Others stagger the terms to provide for continuity. Most do not elect their Representative to the ASCH Board of Governors, but rather that this position is appointed by the President or the Executive Committee. It is recommended that the term for the ASCH Representative be greater than one year since it generally takes more than one Annual Board Meeting for Representatives to become familiar with, and therefore able to effectively participate in, Board deliberations and actions.) Section C. Nominations: (Here state how nominations for officers are made. Some Component Societies have a separate Nominations & Elections Committee. Other Societies leave this function to the Executive Committee. Still others rely on nominations from the floor at its Annual Meeting.) Section D. Elections: (Here state the method whereby election of officers is conducted. Some Components conduct elections by mailed ballot. Others conduct elections by voice vote or hand vote of the membership in attendance at Annual Meeting.) Section E. Duties of Officers and Representatives: (Here state the duties and responsibilities of each of the elected officers and representatives.) ARTICLE VII. Amendments Section A. Here state the amount of affirmative votes needed to pass an amendment. Also, define in what settings a vote can be cast (in -person, mail, etc.) * be aware that individual states may prohibit or have specific regulations on certain types of voting (i.e. - e-mail, fax ballots). Please consult a local association attorney for specifics in your area. Section B. Here state how an amendment becomes proposed and to what governing body Section C. Here state how the ballots of proposed amendments are sent out for a vote. Executive Committee Policy EC POLICY The Policy of the ASCH Executive Committee are included here for both informational purposes and as a possible model to follow in specifying various aspects of Society business and function. Policies of the ASCH Executive Committee POLICIES OF THE EXECUTIVE COMMITTEE OF THE AMERICAN SOCIETY OF CLINICAL HYPNOSIS The following policies have been approved by the Executive Committee ADVERTISING & SPONSORSHIPS The Society may solicit and may accept paid advertising and sponsorships that are consistent with the mission and code of ethics of the Society to support its publications and programs. Advertising Policies Advertising shall be limited to those products and services that have direct relationship to the professional growth and practices of the members. The Executive Vice President will have the authority to reject any advertising deemed unsuitable for any publication or display. Advertising in the newsletter shall not exceed 40 percent of the space of the publication. Advertising in the Journal shall be limited to full page advertisements and shall be placed only on the pages directly preceding the inside back cover. The Executive Vice President shall determine rates. No advertising shall be accepted for any of the Society’s publications that promotes an educational program deemed by the President to be in competition with functions important to the Scientific mission of the Society. Sale of Mailing Labels The society may make its membership list available for sale to individuals and companies using the following the criteria. First, ASCH must see a copy of the material to be mailed prior to the distribution of labels to the individual/company. Second, the individual/company and the mailing materials must have a direct relationship to the professional growth and practice of the membership. Examples of mailings which may be deemed appropriate include brochures or information on relevant equipment, professional education, books, pharmaceuticals, or services of an appropriate nature. The Executive Vice President will have the authority to reject any mailing label request which is deemed unsuitable under these criteria. In cases in which the Executive Vice President is unsure of the applicability or appropriateness of the mailing, he or she may forward the materials to the President of the society for final disposition of the matter. No labels will be provided for the purpose of marketing an educational program within six weeks before or after the Annual Meeting of the society. The charge for the labels will be determined by the Executive Vice President in keeping with industry rates for such labels. At the time of this policy, that rate shall be $0.20/label, with an additional set-up charge of $15 for each special selection criteria which the company chooses, e.g., members by state, by specialty, etc. The use of these labels shall be one-time only, and they shall only be made available in electronic format. The list shall be seeded by the Executive Vice President to determine any violations of this policy. The list will contain members only, and member wishes expressed in terms of inclusion on that list will be respected in the sale of any list under this policy. In other words, if a member indicates they do not wish to be included in such lists, their name will not be included. Policies of the ASCH Executive Committee Under this policy, component societies shall not be charged for labels. Adopted 3/23/01 Sponsorship Policies Sponsorships shall be limited to those organizations that provide products and services that have direct relationship to the professional growth and practices of the members and shall be within the guidelines and limits set by the those agencies which currently accredit ASCH/ASCH-ERF. Sponsorship opportunities can include, but not be limited to the following: • • • • • Specific social functions at meetings and workshops of the Society. Awards to members for outstanding contributions to clinical hypnosis. Special research programs of the Society. Special publications where the sponsor is the sole “advertiser” supporting the publication. Training materials such as videos, audio programs, and books. The Executive Vice President shall develop and market sponsorship programs to appropriate prospects. The Executive Vice President shall be responsible for soliciting sponsorships and shall have responsibility for accepting or rejecting offers for sponsorships. Approved 3/1/00; Amended 3/14/02 CERTIFICATION & ACCREDITATION POLICIES LISTINGS OF ACCREDITED COURSES & TRAININGS The Society will maintain a list of non-ASCH courses in clinical hypnosis that have met the requirements of the Standards of Training. This list will be maintained in current condition and will include all approved courses conducted in previous years with dates of active accreditation and current programs with expiration dates. The list will be made available to the Certification Committee and Membership Committee chairs. There shall be a fee as determined by the Executive Committee charged to entrepreneurial enterprises. Approved 3/1/00 BESTOWING OF FELLOW DESIGNATIONS Designation as a Fellow shall be acknowledged in a formal letter and the Fellowship medallion shall be awarded at the Annual Meeting following his/her notification of approval for Fellowship status. For the purpose of approving fellowship applications, any member of the Executive Committee who is being considered for fellowship shall recuse themselves from any vote for members of the entire group of which the Executive Committee member is a part, to avoid any sense of impropriety in regard to the approval process. Approved 3/1/00; Amended 4/3/03 Policies of the ASCH Executive Committee RETIRED APPROVED CONSULTANTS Approved Consultants who have retired from practice and surrendered their license to practice in good standing may be designated an Approved Consultant Emeritus. Approved 3/23/01 MEMBERSHIP POLICIES DEFINING “MEMBER IN GOOD STANDING” An individual shall be considered a member in good standing when he/she is current in the professional licensure, has fully paid their appropriate dues, has no outstanding financial obligation to the Society and is, to the best of the Society’s knowledge, conducting his/her practice in keeping with the published Code of Ethics of the Society. Approved 3/1/00 PROOF OF LICENSURE ON RENEWAL OF MEMBERSHIP Members must provide proof of licensure or a credential to practice recognized by the state in which they practice when renewing membership in the society. Adopted on 3/23/01 SUSPENDING OF SERVICES FOR NON-PAYMENT OF DUES Membership benefits and services will be terminated for any individual whose dues for the current fiscal year remain unpaid as of July 31 of that year. Member benefits and services will be reinstated upon receipt by the society of full annual dues. Adopted on 3/23/01 REACTIVATION OF MEMBER BENEFITS If a person pays their dues for renewal of membership in the last quarter of the society’s fiscal year, they may elect to receive member benefits for the current year or have their membership activated on the first day of the next fiscal year. In either case, their benefits will become effective on the date their dues are received once the effective year has been determined. Adopted 3/23/01 REGARDING PUBLICLY AVAILABLE REFERRAL LISTS As a service to the membership and the public, the Society provides a referral listing of its members to persons who inquire of the Society about service providers. In order to protect their privacy, the Society annually will provide each member the opportunity to decline inclusion in such referral listings, and such request shall be honored. This does not include the listing of the member in the Society’s membership directory. Approved on 10/13/00 PRE-MEMBERSHIP TRAINING ACCEPTABILITY An individual applying for membership in the Society who has completed recognized training requirements prior to application shall be deemed eligible for consideration as a regular member. Approved 3/1/00 Policies of the ASCH Executive Committee STUDENT AFFILIATE REPRESENTATION ON COMMITTEES Student Affiliates may be invited to participate in Society committees. Approved 3/1/00 REQUESTS FOR HARDSHIP CONSIDERATION Requests for hardship consideration are handled according to the ASCH Bylaws, Article IV, Section A, 11. Hardship Requests will continue to be granted on the honor system and be restricted to two consecutive years. Members receiving hardship status will pay what they can afford, but no less than $15 a year. Approved 2/23/98; Amended 3/14/02; Amended 11/09/09 COSTS OF MAILINGS TO INTERNATIONAL MEMBERS AND LIFE MEMBERS International Members/Fellows and Life Members/Fellows wishing to receive member publications will cover the costs of those mailings at a price consistent with the cost of producing and mailing the Journal and other member publications, which price shall be recommended by the Executive Vice President and ratified by the Executive Committee. Adopted 3/27/01 MEMBERSHIP APPROVAL PROCESS Completed membership applications shall be sent to the Chair of the Membership Committee for immediate approval. Adopted 11/08/09 ACCLIMATION OF NEW DISCIPLINES When the ASCH bylaws are amended to identify new disciplines which are eligible for ASCH membership, the President shall appoint a special Ad Hoc Task Force to recommend ways to the Executive Committee to properly incorporate/acclimate potential members in the new discipline to ASCH. That Task Group should report back to the Executive Committee at the earliest appropriate time its recommendations. After the report is delivered to the Executive Committee, the Task Force will dissolve. Depending upon the recommendations, members of the Task Force may be called upon again to help implement the subsequent policies adopted by the Executive Committee. The Task Force should have no more than 5 members. To the greatest extent possible, members of the Task Force should be familiar with the new discipline. Adopted 10/27/02 MAILING LABELS FOR CAMPAIGN PURPOSES The society may make its authorized membership list and/or e-mail addresses of its members available within current policy for use by individuals who are currently running for ASCH elective office using the following criteria. First, the President and Executive Vice President must see a copy of the material to be mailed prior to the distribution of the list to the individual. Second, the individual must be included on the current ASCH ballot to utilize this list. Third, the materials to be distributed must directly relate to the individual’s candidacy for the position on the ballot. The President will have the authority to reject any mailing label request whose materials are deemed unsuitable under these criteria. In cases in which the President is unsure of the applicability or Policies of the ASCH Executive Committee appropriateness of the mailing, he or she may forward the materials to the Executive Committee of the society for final disposition of the matter. The use of the labels shall be one-time only, and shall only be made available in electronic format. If the candidate wishes to conduct multiple mailings with the same list, each mailing must be reviewed by the President in accordance with the procedures established above. Adopted 9/15/06 COMPONENT SECTION MEMBERSHIP In the counting of the eight required ASCH members to qualify for Component Section status, no more than half can be ASCH Student or Associate members. Adopted 11/5/10 MANAGEMENT POLICIES MANAGEMENT REPORTS The Executive Vice President shall provide Management Reports to the Executive Committee quarterly that will review the activities of the Society during that period and provide a progress report against the Strategic Plan of the Society, a current membership status report, current financial condition of the Society, and any other information he/she deems important to the management of the Society. Approved 3/1/00 EXECUTIVE VICE PRESIDENT CORRESPONDENCE The Executive Vice President shall provide the President with copies of all correspondence between the EXECUTIVE VICE PRESIDENT and the members unless such correspondence is received on a confidential basis. Approved 3/1/00 GOVERNANCE POLICIES STRATEGIC PLANNING The Executive Committee shall prepare a Strategic Plan for the Society at the scheduled fall meeting of the Executive Committee for submission to the Board of Governors at its annual meeting. The Executive Committee shall continually assess the components of the Society’s Strategic Plan to assure that the actions proposed are consistent with the mission of the Society and appropriate to meet the changing needs of the membership. Approved 3/1/00 NEW EXECUTIVE COMMITTEE MEMBER TRAINING New members of the Executive Committee shall be provided with information and training covering the role of a member of the Executive Committee member including a copy of the Society’s Bylaws, Policies and Procedures Manual, and two-years’ prior minutes of the Executive Committee and the Board of Governors. Approved 3/1/00 Policies of the ASCH Executive Committee COMMITTEE MINUTES All committees except the Executive Committee will report their activities to the Executive Committee in a manner approved by the Executive Committee. Approved 3/1/00; Amended 10/24/03 COMMITTEE APPOINTMENTS The President Elect shall complete the appointment of all Standing Committees not later than the first of the calendar year in which he/she takes office. No individual may be the Chair of the same standing committee of the society for more than five (5) consecutive years. The incoming President of the society shall appoint committee members, but a majority of the Executive Committee must vote to remove a committee member from an ASCH committee. The President Elect and the Executive Committee should continue to be sensitive to the diverse composition of the ASCH membership when making appointments to committees. Approved 3/1/00; Amended 10/25/02; Amended 4/3/03; Amended 10/24/03; Amended 10/21/05 ROLE OF THE PRESIDENT-ELECT The President-Elect shall serve as the Overall Chair for the Annual Workshops and Scientific Meeting and shall appoint the specific program chairs in concert with the President and shall attend the meetings of the Joint Committee on Education. In fulfilling the President-Elect responsibilities of appointing committee members for the society, the President-Elect should only appoint individuals to the Budget and Finance Committee who are willing to serve as Treasurer in the future. Their service on the Budget and Finance Committee should serve as training in preparation of fulfilling that future role. Approved 3/1/00; Amended 3/23/01 PRESIDENT-ELECT EX-OFFICIO MEMBER OF BUDGET & FINANCE The President-Elect shall be an ex-officio member of the Budget & Finance Committee. Approved 2/23/98 SERVICE ON BUDGET AND FINANCE COMMITTEE Individuals accepting appointments to serve on the ASCH Budget and Finance Committee do so with the understanding that they must be willing to serve as Treasurer if asked by the ASCH in the future to do so. The time spent on the Budget and Finance Committee should be used to familiarize the individual with the financial operations of the association. Adopted on 3/23/01 JOURNAL EDITOR ON THE EXECUTIVE COMMITTEE To avoid all potential conflicts of interest and to help ensure the objectivity of the American Journal of Clinical Hypnosis, individuals serving in the capacity of Editor may not serve as an elected member of the Executive Committee concurrent with their service as Editor. Should a sitting Executive Committee member be appointed to such position, that individual should resign their position on the Executive Committee no later than one month after the ratification of their contract by the Board of Governors. Adopted on 3/14/02 Policies of the ASCH Executive Committee PUBLICATION OF MINUTES A synopsis of the proceedings of the Annual Meetings of the Executive Committee and the General Membership will be summarized and published in the next newsletter after the meeting, and extra copies will be available at the next Annual Meeting. The minutes of the Executive Committee will also be published on the Board of Governors (BG) listserv within 30 days of the minutes’ approval by the Executive Committee. Approved 3/1/00; Amended 10/25/02; Amended 10/24/03 ESTABLISHING AN AD HOC CONTRACT SUBCOMMITTEE The President shall appoint an Ad Hoc Contract Subcommittee each year consisting of the Vice President, President Elect, Immediate Past President, Treasurer, the Moderator of the Board of Governors and the Regional Workshop Chair. The President will serve as the non-voting chair. Approved 3/1/00; Amended 3/14/02; Amended 10/24/03 ESTABLISHING AN AD HOC POLICY SUBCOMMITTEE The President shall appoint a policy committee each year consisting of the Immediate Past President, Secretary and Treasurer which shall review Executive Committee actions and recommend appropriate changes to policy where needed. Approved on 10/13/00; Amended 3/14/02 ASCH BUSINESS CODE OF CONDUCT/CONFLICT OF INTEREST STATEMENT The ASCH Business Code of Conduct is applicable to all volunteer leaders, staff, and members of the society. This code is contained in an appendix to these policies. In addition, annually each Society Officer, Executive Committee member, and Staff Person shall sign the ASCH Conflict of Interest and Confidentiality Statement, and those signed representations will be maintained on file in the Executive Offices. Business Code of Conduct adopted in March, 2004; Conflict of Interest Statement adopted in March, 2005. ESTABLISHING AN AD HOC ARCHIVES AND HISTORY SUBCOMMITTEE The President shall annually appoint a Chair of an Ad Hoc Archives and History Subcommittee and the President and Executive Committee shall annually appoint no more than 3 members to work with the Chair. This subcommittee will work with the appropriate ASCH committees and, when appropriate, ASCH-ERF and the American Journal of Clinical Hypnosis, to ensure that a historical record of the society is maintained through a variety of electronic, print, and photographic media. This subcommittee will report its activities to the Executive Committee on a periodic basis. Drafted from 4/3/03 meeting ON PRESIDENT – MODERATOR LIAISON The President of the Society and the Moderator of the Board of Governors shall confer and cooperate on Society business within their respective responsibilities so that the business and governance of the Society may move forward as efficiently and equitably as possible. Approved on 10/13/00 Policies of the ASCH Executive Committee ADHERENCE TO POLICIES The Executive Committee and the Board of Governors will act in accordance with the Policies and Procedures and Bylaws of the Society at all times. When an action deviates from any established policy or procedures the decision must be (1) voted upon by the Executive Committee or Board of Governors, (2) documented and explained in the minutes of the meeting. Approved 3/1/00 RECORDING OF PROCEEDINGS The Executive Committee and Committees of the Society may, by unanimous consent of all present and eligible to vote, elect to audio record the proceedings of that specific meeting for the purpose of providing the recording secretary an accurate record of the proceedings, such recording to be retained at the National Office until such time as the official minutes of the meeting have been approved by the body that held the meeting. All such recordings shall be destroyed following approval of the minutes. Approved 3/1/00 SUGGESTIONS TO THE AWARDS COMMITTEE At each mid-year and annual meeting of the Executive Committee, the committee shall consider and recommend to the Awards Committee any members that the Executive Committee notes as providing exceptional contributions to the society. Approved 10/21/05 CONSIDERATION OF AWARDS FOR AWARDS COMMITTEE MEMBERS Awards Committee members will not be considered for awards while they are serving on the committee. Approved 10/21/05 REPRESENTATION OF THE SOCIETY From time-to-time, members in ASCH may be invited to represent the society through such things as interviews in magazines, periodicals, or books; participation in educational programs; etc. If such a person is representing the society in this capacity, then he or she should faithfully represent the society in compliance with the society’s Charter, Bylaws, policies, and other decisions made by the society and positions taken in the society’s governing documents. If the individuals are representing the society in such an event(s), they should inform the society through the society’s offices. If the individuals have questions in regard to positions taken by/policies of the society, they should seek clarification on those positions from the society through its President or his or her designee(s). Care should be exercised to accurately portray the individual’s reasons for participating in the meeting, to ensure that an accurate connotation regarding the society’s approval or participation in the meeting is provided. Approved 10/21/05 REPRESENTATION OF THE SOCIETY IN CO-SPONSORED EVENTS The President shall appoint an ASCH member to represent the Society in ASCH approved, co-sponsored events. Policies of the ASCH Executive Committee The representative, in consultation with the President, will provide oversight, development and/or review of educational content, marketing initiatives, and financial matters in a manner consistent with the interests, policies and mission of the Society. At the conclusion of the co-sponsored event, or at the President’s discretion, the appointment will be vacated. Adopted 11/07/09 LEGAL POLICIES AMICUS BRIEF The Society will not submit or become signatory to an amicus brief in any matter without approval of the Society’s legal counsel and the Executive Committee. Approved 3/1/00 EDUCATION POLICIES LIMITS ON CO-SPONSORSHIPS The Society will not co-sponsor education programs with any other organization, including Component Societies, unless that organization has independently obtained approval from an organization which currently accredits ASCH/ASCH-ERF. Approved 3/1/00; Amended 3/14/02 WORKSHOP SUBJECT APPROVAL & COMPLIANCE All workshop schedules and content must comply with the Standards of Training in place at the time the workshop program is prepared. All topics to be presented at any workshop level must be approved by the Education Committee prior to announcement or marketing of the workshop. Where there is disagreement over a controversial issue, the final decision will rest with the President in consultation with the Education Committee. The Education Committee may seek the advice of legal counsel. Approved 3/1/00 ELIGIBILITY FOR AMA PRA CATEGORY 1 CREDIT Scientific and clinical sessions at educational programs that ASCH and ASCH-ERF offer should meet the minimal requirements necessary to be eligible for AMA PRA Category 1 credit, if possible. If a clinical submission does not meet those criteria, then it can be offered at an ASCH or ASCH-ERF sponsored event if it is clearly designated as a non-CME Category I eligible presentation. Amended 11/7/10 INCIDENT REPORTING REQUIREMENT It shall be the policy of ASCH that the Section Chair (Education Committee Chair, Annual Workshop Chair, or Annual Scientific Meeting Chair) shall be responsible for filing an Incident Report when such matters are brought to his/her attention. Policies of the ASCH Executive Committee In effect; Confirmed 3/1/00 ANNUAL WORKSHOP AND SCIENTIFIC CHAIR The President-Elect shall serve as the Overall Chair for the Annual Workshops and Scientific Meeting and shall appoint the specific program chairs in concert with the President and shall attend the meetings of the Education Committee. Approved 3/1/00 ACCREDITATION REIMBURSEMENT TO COMPONENT SECTIONS The Society will reimburse a Component Section which obtains accreditation by any other organization not currently accrediting ASCH/ASCH-ERF on behalf of the Society for a workshop conducted in that state for the direct cost of such accreditation process. Approved 3/1/00; Amended 3/14/02 ACCME WORKSHOP ATTENDANCE A member of the Joint Committee on Education Steering Committee and an appropriate staff member shall attend an ACCME workshop covering all aspects and requirements for accreditation at least bi-annually Approved 3/1/00 ANNUAL WORKSHOP SITE SELECTION The sites for the Society’s annual meeting will be selected by the Education Committee no more than four years in advance and presented annually to the Executive Committee for approval. Approved 3/1/00; Amended 3/14/02 REGIONAL WORKSHOP SITE SELECTION Regional workshops will be held in four geographic regions each year in one of three cities in each region. A fifth workshop will be located in keeping with the demands of the market and the needs of the members. Approved 3/1/00; Amended 3/14/02 SITE FACILITY CONTRACTING The Executive Vice President will ensure that any facility to be used for a Society event is contracted for not less than one year in advance of the event. Approved 3/1/00 NON-MEMBER REGISTRATION FEE DIFFERENTIAL Non-members will be charged an additional fee for attending Regional Workshops and the Annual Meeting. Approved 3/1/00 WAIVER OF FEES FOR SPECIAL GUESTS AT THE ANNUAL MEETING Policies of the ASCH Executive Committee Invited participants to the Annual Meeting who are not members of ASCH may be permitted to attend the Annual Meeting and Workshop without charge subject to authorization by the Annual Meeting Chair and the Executive Vice President. Approved 3/1/00 EXPENSE REIMBURSEMENT FOR ANNUAL MEETING ATTENDANCE No ASCH member will be reimbursed for expenses to attend the Annual Meeting with the exception of Executive Committee members who attend the Executive Committee meeting at the Annual Meeting. This policy intends to reimburse Executive Committee members for stipulated expenses directly related to Executive Committee meetings held at the Annual Meeting. For outgoing Executive Committee members, reimbursement would include: (1) for a one and a half day meeting: (a) one round trip supersaver coach airfare or ground transportation (whichever is less); (b) up to two night’s hotel accommodations at the single room rate; and (c) up to two day’s meal expenses; (2) for a one-day meeting, (a) one round trip supersaver coach airfare or ground transportation (whichever is less), (b) up to one night’s hotel accommodations at the single room rate, and (c) up to one day’s meal expenses. Invited guests are not routinely reimbursed. Special circumstances should be considered upon request, before the meeting, on an individual basis. The decision on reimbursement should be decided by the President in consultation with the Treasurer. If consensus cannot be reached between these two officers, the President shall make a decision, and report same to the Executive Committee before or at the time of the meeting, for consideration, ratification, or rejection. For incoming Executive Committee members, reimbursement would include, for a one-day meeting: (a) one round trip supersaver coach airfare or ground transportation (whichever is less), (b) up to one night’s hotel accommodations at the single room rate, and (c) up to one day’s meal expenses. Special circumstances should be considered upon request, before the meeting, on an individual basis. The decision on reimbursement should be decided by the President in consultation with the Treasurer. If consensus cannot be reached between these two officers, the President shall make a decision, and report same to the Executive Committee before or at the time of the meeting, for consideration, ratification, or rejection. Approved 3/1/00; Amended 10/26/01 FACULTY MEALS AND LUNCHEON TICKETS AT ANNUAL WORKSHOP The faculty of the Annual Workshop will be given luncheon tickets only on days they teach. Approved 3/1/00 EXHIBITOR POLICIES Organizations exhibiting at the Annual Meeting shall be limited to vendors of books, tapes, and any other professional materials deemed suitable to the members’ practices and shall be within the guidelines and limits set by those organizations currently accrediting ACSH/ASCH-ERF. The Executive Vice President will have the authority to accept or reject any organization or materials being considered for exhibition. Approved 3/1/00; Amended 3/14/02 WORKSHOP/MEETING CANCELLATION POLICY Upon receipt of written notification of cancellation in the ASCH Central Office, refunds of paid fees will be issued according to the following timeline: postmarked/fax date-stamped 31 + days prior to start of meeting - full refund; Policies of the ASCH Executive Committee postmarked/fax date-stamped 30 - 8 days prior to start of meeting - refund of amount paid LESS a $50.00 administrative fee; and 7 days or less prior to start of meeting - no refund. As a matter of policy, registration fees are not transferable to future workshops. With written notification and appropriate documentation, exceptions will be granted in the following cases: death of the participant or an immediate family member; severe illness/injury of the participant or an immediate family member; or inability of the participant to travel due to legal or governmental restrictions/obligations. Exceptions to this policy will be considered by the Treasurer in consultation with the President. Approved 4/3/03; Amended 10/24/03 USE OF AUDIOTAPES FROM ANNUAL MEETING Only ASCH may record an educational presentation at the Annual Scientific Meeting and Workshops. Exceptions may be granted only by ASCH. In order for such presentations to be recorded, a copyright release must be obtained from the presenter(s). Media or the dissemination of the content of such media should be made available only to individuals who are recognized by ASCH as having appropriate education and training to receive and use such media. ASCH shall retain the exclusive right to distribute these media. ASCH should make efforts to inform the presenter(s) of the society’s expectations in regard to the release of this information. Approved 10/21/05 SCHOLARSHIPS TO ANNUAL SCIENTIFIC MEETING AND WORKSHOPS For each Annual Scientific Meeting and Workshops that ASCH offers, the society should offer up to two scholarships to professors in appropriate local universities or colleges to attend the meeting and become familiar with the use of hypnosis as a clinical tool. The purpose of the program is to market hypnosis through a positive interaction with the scholarship recipients. The scholarships should be rotated between psychological, medical, dental, and social work programs from year- toyear. The scholarship will be for the registration fees only. The Executive Committee shall be responsible for administering the program. At each Annual Meeting, the Executive Committee Members At Large shall be requested to identify relevant schools in the area in which the next Annual Scientific Meeting and Workshops is to be held and forward that contact information to the office by June 1 of the then current year. When that information is received, letters should be developed on behalf of the Members At Large for their signature to the identified schools seeking nominations for the Faculty scholarships. These letters will include a nomination form for the Dean to use to nominate an appropriate faculty member for the scholarship. The letter will contain a deadline which shall be no less than three months in advance of the meeting for submission of nominees. The scholarships will be announced to the Dean/faculty member by letter no less than two months in advance of the program. In the event that more than two individuals are nominated, the Program Committee will select the recipients based on the type of program the individuals teach at and who in the committee’s judgment will best serve the purpose of the program as stated above. Policies of the ASCH Executive Committee Approved 4/4/03; Amended 3/04 ETHICS POLICIES THE RESPONSIBILITIES AND ACTIVITIES OF THE ETHICS COMMITTEE 1. The Ethics Committee will review annually the Society’s Code of Ethics and Conduct and make recommendations to the Executive Committee for revisions and amendments as they may deem necessary. 2. The Ethics Committee will maintain definitive procedures that are in compliance with current state and/or federal law for the handling and disposition of ethical questions and allegations involving members of the Society. 3. The Ethics Committee shall conduct its business in such a manner and in compliance with all appropriate guidelines and procedures so as to safeguard the highest standards of professional conduct by Society members, and so as to protect the Society from potential legal action. Approved 3/1/00 ETHICS COMMITTEE ACTIONS DEFINED 1. When the Society receives a notice of unethical practice or behavior on the part of a member occurring during a training program involving the use of hypnosis or an ASCH sponsored, accredited, or approved event or program, o/r in the publishing of statements concerning the practice and/or application of clinical hypnosis deemed by the Ethics Committee to be inaccurate or unethical the ASCH Ethics Committee will conduct a confidential inquiry into the incident and report its findings to the Executive Committee. Such report may include any recommended actions to be taken by the Society. 2. The ASCH Ethics Committee shall not inquire into or investigate any allegations against a member where such allegations are a matter appropriately brought before the applicable state licensing body. Should the ASCH receive any such complaint, it shall direct the complainant to submit the complaint to the appropriate state licensing body. 3. Reported violations of the ASCH Code of Ethics and Conduct may be investigated in a confidential and proscribed manner by the Ethics Committee which shall file a confidential report with the Executive Committee that may include recommendations for action. 4. The proceedings of the Ethics Committee are confidential. No member or staff person shall release confidential information regarding ethics complaints, adjudication, or outcome to those not qualified to sit on the committee either as a formal member or ex-officio member. Breaches in this confidentiality rule constitute an ethics violation with possible sanctions. Exceptions are made for a finding of Expulsion, where a public notice will be made of this outcome. Approved 3/1/200l; Amended 9/15/06 FINANCIAL POLICIES FINANCIAL PLANNING Financial planning for any fiscal year or the remaining part of any fiscal year shall not deviate materially from the Executive Committee’s priorities, risk fiscal jeopardy, or fail to be derived from a multi-year plan. Approved 3/1/00 Policies of the ASCH Executive Committee BUDGETING The Executive Committee, working through the professional staff and consistent with the Bylaws of the Society, shall develop and implement a balanced budget each year while maintaining high quality of service for all members, component sections, and persons requesting services normally provided under the mandate of ASCH. Approved 3/1/00 FINANCIAL CONDITION AND ACTIVITIES With respect to the actual, ongoing financial conditions and activities, no individual nor entity of the Society nor allied organization shall cause or allow the development of a material deviation of actual expenditures from the Executive Committee’s priorities and established budgets or place the Society in fiscal jeopardy. Approved 3/1/00 ASSET PROTECTION No individual nor entity of the Society nor allied organization shall allow the corporate assets to be unprotected, inadequately maintained or unnecessarily risked. Approved 3/1/00 COMPENSATION AND BENEFITS The Executive Vice President shall have sole authority to determine the compensation levels and terms of employment of all support staff within agreed upon overall personnel budget limitations set by the Executive Committee, as long as the society employs and Executive Vice President. Approved 3/1/00; Amended 10/13/00 RESERVE FUNDS Consistent with the Bylaws of the Society, the Society will budget not less than one and one-half percent of total revenues to be paid into a reserve fund each fiscal year with the objective of maintaining reserves equal to one year’s administrative expenses. Approved 3/1/00 INVESTMENT The Budget and Finance Committee will provide guidance to the Society for the purpose of making decisions regarding investing of the funds of the Society for the purpose of maintaining a reserve fund. Approved 3/1/00 INVESTMENT STRATEGY The Society supports a conservative investment strategy in order to protect the Society’s assets from inordinate risktaking investment. Approved 3/1/00 CONTRACTS WITH OTHER SOCIETIES OR ORGANIZATIONS Policies of the ASCH Executive Committee No individual or body of the Society may make any fiduciary agreement or contract of any kind with any other professional society without authorization of the Executive Committee. Approved 3/1/00 CONTRACTED SERVICES Whenever the services of an outside contractor or organization other than the management company which is providing contracted management services are required for the execution of a Society program or project, the Executive Vice President will seek not less than three competitive proposals for such services. The proposals received will be reviewed by the Treasurer prior to the consummation of any contract. Approved 10/13/00 RISK MANAGEMENT In addition to business insurance required by state and Federal regulations, the Society will obtain and maintain adequate directors and officers liability insurance protection for the officers and governors, property loss insurance for its physical assets, personal liability insurance for its premises and educational activities, and publication liability protection. Approved 3/1/00 PENSION PLAN The Society will provide a defined pension plan for its employees, subject to review and acceptance by the Executive Committee. Approved 3/1/00 PENSION PLAN TRUSTEES The trustees of the Pension Plan maintained by the Society for its employees shall be the Executive Vice President, the Treasurer and one member appointed by the President. Approved 3/1/00 GIFTS & CONTRIBUTIONS TO THE SOCIETY & ASCH-ERF Special monetary gifts to the Society must be accompanied by a letter of agreement defining the intended purpose of the funds and the administration stipulations, which are binding on both parties. Any variance from the designated application of those funds must be agreed upon in writing by the donor or the donor’s designee. Approved 3/1/00; Amended 3/14/02 SEGREGATED FUNDS The Society may, from time to time, establish segregated funds for the receipt of gifts and donations, the solicitation and application of such funds to be specified by resolution of the Executive Committee. Approved 3/1/00 GREATER CENTURY FUND The principal of The Greater Century Fund shall be invested in income producing or other assets as determined from time to time by the Executive Committee to be held in the name of the Greater Century Fund of ASCH until at least Policies of the ASCH Executive Committee 2015, after which time the Executive Committee of ASCH (or its successor, if no Executive Committee is then existent) shall determine the best use of the principal of the fund. The earnings on the assets in the Fund shall reinvested in the Fund to enhance the growth of the Fund. Adopted by the Executive Committee; amended March 98. DISTRIBUTION OF FUNDS ON DISSOLUTION In the event of dissolution of the Society, all monies not otherwise restricted shall revert to the general operating funds of the Society for the purpose of meeting the Society’s outstanding obligations to its creditors. Approved 3/1/00 ERF SUPPORT The Executive Committee may request, from time to time, financial support in the form of a grant or grants from the ASCH-ERF to advance the educational mission of the Society. Such funds may be used to fund Regional Workshop programs, educational research relative to the education and training objectives of the Society, or to provide honoraria to outstanding speakers and presenters at the Annual Scientific meeting. The President of ASCH shall make all such requests in person to the ASCH-ERF Board of Trustees at the annual meeting of the Board of Trustees. Approved 3/1/00 ACTIONS OF THE TREASURER The Treasurer will perform his duties and responsibilities as contained in the Bylaws of the Society and in accordance with the Treasurer’s Operations Manual (revised 2000) Approved 3/1/00 REPORTING REQUIREMENTS The Treasurer shall provide to the Executive Committee financial reports that will include a Balance Sheet, Statement of Activities, and a Budget versus Actual to date comparison within 15 days of the close of each quarter during the fiscal year. Approved 3/1/00 EXPENSE REIMBURSEMENT All requests for reimbursement must be accompanied by appropriate original receipts before payment will be issued. Requests for reimbursement must be submitted to the Central Office within 60 days of the date the expense was incurred. Requests received subsequent to this deadline will be reimbursed at the discretion of the Treasurer. Approved 3/1/00; Amended 10/27/02 and Approved 4/3/03 REIMBURSEMENT OF VOLUNTEERS The following functions or roles as a volunteer may be reimbursed for travel expenses: Executive Committee, Regional Workshop Faculty, Individualized Consultation Faculty, Specified Committees. The following expenses are reimbursable: Air/ground transportation, includes parking, Supersaver airfare or mileage @ 29-cents per mile, whichever is lower; airport transfers. Policies of the ASCH Executive Committee Hotel sleeping room charges at the Society’s rate plus taxes and exclusive of all incidentals such as laundry, food, beverages, entertainment. Meals (Executive Committee and authorized committees only) up to the following levels: Breakfast - $10; Lunch $15; Dinner - $30. Alcohol is not reimbursable. Volunteers should make every effort to minimize the amount of cost for their travel by making their airline reservations in a timely way, allowing for the procurement of the most favorable rate for the society. All volunteers are expected to judge the amount of time available to meet the purpose of ASCH business against the cost of the travel for which they will request reimbursement. However, approval for costs which the volunteer believes will be excessive must be obtained in writing by the volunteer from the Treasurer prior to the expense. Volunteers are encouraged to contact the President if they have any questions in regard to this expense reimbursement policy. Approved 3/1/00; Amended 9/15/06 EXPENSE REIMBURSEMENT FOR TRAVEL CHANGES BEYOND THE TRAVELER’S CONTROL ASCH may reimburse volunteer travelers for changes in travel beyond the control of the volunteer according to the judgment of the President and the EVP based on the existing policies of the society for the type of travel that is being undertaken by the volunteer. For example, if a faculty person’s return home from a Regional Workshop is delayed one night at an airport, ASCH may reimburse the individual for the reasonable cost of one hotel room night, and, if applicable, any additional reasonable transportation costs to and from a hotel for the evening, and any additional reasonable parking charges the faculty person might have incurred at their home airport. Approved 10/19/07 FACULTY EXPENSE All faculty are responsible for all meal expenses incurred in conjunction with their teaching at Regional Workshops. Faculty choosing to reproduce their own handouts will be reimbursed at a rate not to exceed the per page cost of reproduction by the ASCH Central Office (currently $.06 per impression). The original receipt should accompany any request for reimbursement. If the copying is done in-house, then a signed personal memorandum on the faculty’s letterhead indicating the number of copies and the purpose of the copies is acceptable. Approved 3/1/00; Amended 10/27/02 and Approved 4/3/03 HONORARIA Honorariums will be provided for faculty and workshops chairs at Regional Workshops and Individualized Consultation Workshops at levels to be determined by the Regional Workshop Chair and the Budget & Finance Committee based on the overall financial condition of the Society. In lieu of honoraria, faculty at the Annual Scientific Meeting and Workshops will be charged a discount registration fee designed to cover ancillary costs for the meeting, such as food. In recognition of the amount of time that Executive Committee members contribute to the society through the course of the Annual Scientific Meeting and Workshops, Executive Committee members will be afforded the same discount offered to faculty at the Annual Scientific Meetings and Workshops. Approved 3/1/00; Amended 4/3/03 Policies of the ASCH Executive Committee PRESIDENT & PRESIDENT-ELECT REIMBURSEMENT The President of the ASCH may be reimbursed for expenses and phone charges for a total not to exceed $5,000. The ASCH President and President-Elect are authorized to spend up to 5% of their respective funds at any one time without pre-approval of the Treasurer. The President-Elect of the ASCH may be reimbursed for expenses and phone charges for a total not to exceed $1,500 subject to the same criteria as stated above. Approved 3/1/00; Amended 10/27/02 and Approved 4/3/03; Amended 10/24/03 APPRECIATION TO THE ASCH PRESIDENT At the end of each President’s tenure in office, a proclamation of thanks will be prepared by ASCH (through the President-Elect), and this proclamation will be published in the ASCH Newsletter following the end of the President’s tenure in office. As part of this process, a special plaque should be prepared with a picture and a small review of the President’s achievements throughout the course of the Presidential year. Drafted from 4/3/03 meeting; Approved 10/24/03 PHONE CARD POLICY The Society will issue prepaid telephone calling cards to the following individuals yearly and will recall those cards when the individual no longer is serving in that office. Recipients of these cards should complete a log prepared by the ASCH Treasurer which identifies the calls that have been made on the card. In order to receive additional time on these cards, the user must submit those logs to the Treasurer for review and approval prior to adding time on the pre-paid cards. If the time has not been completely used by the end of the user’s tenure, those cards should be returned to the Society. President Immediate Past President President Elect Treasurer Regional Workshop Chair Moderator of the Board of Governors Executive Vice President Program Committee Other individuals involved in the business of the society, such as committee chairs, as deemed appropriate by the Executive Committee Approved 3/1/00; Amended on 3/23/01; Amended 10/25/02 EXPENSE REIMBURSEMENT RELATIVE TO ANNUAL MEETING No ASCH member will be reimbursed for expenses to attend the Annual Meeting with the exception of Executive Committee members who attend the Executive Committee meeting at the Annual Meeting, or, in limited circumstances, for others as deemed appropriate by the Executive Committee. Such reimbursement will be consistent with current ASCH policies regarding reimbursement. Approved 3/1/00; Amended 3/14/02 RECEIVABLES POLICY No goods/services will be rendered to customers with outstanding balances due to ASCH. Policies of the ASCH Executive Committee Only established entities (companies, schools, etc., hereinafter referred to “customers”) will be granted credit. Payment from individuals is required prior to shipment of materials. The ASCH Treasurer, may refuse to grant credit to any entity that has shown a propensity towards late payment. All customers are initially given 30 days to furnish payment for goods/services rendered by ASCH. Customers with outstanding balances 60 days subsequent to the billing date will be assessed interest on the outstanding balance at the monthly rate of 3% until payment is made. Unless prior arrangements are made, any account more than 180 days from the billing date with an outstanding balance greater than $250.00 will be forwarded to a collection agency. Billing statements will be sent to customers with outstanding balances on the following schedule: ! ! ! ! ! ! Enclosed with merchandise. 30 days from original billing date; 60 days from original billing date; 90 days from original billing date; 120 days from original billing date; and 180 days from original billing date. Approved 3/10-11/05 RECORD RETENTION POLICY ASCH BUSINESS RECORD RETENTION SCHEDULE ACCOUNTING AND FISCAL CORPORATE Accounts Payable Records Accounts Receivables Records Audit Reports Audit Reports (Internal) Bank Statements & Reconciliations Canceled Checks Check Registers Deposit Slip Duplicates Expense Analysis & Distribution Schedules Financial Statements Fixed Assets Records General Ledgers Invoices Journals/Cash Books Payroll Records 5 5 P 3 3 7 P 2 7 P P P 7 7 7 PERSONNEL Contracts (After Termination) Earnings Records Employee Personnel Files Employment Applications Insurance Records 5 6 P 5 P Annual Reports Bonds Budgets Contracts (After Expiration) Copyrights Correspondence (General) Correspondence (Legal) Insurance Policies (After Expiration) Inventories Leases (After Expiration) Legal Briefs Licenses Merger Acquisition Records Minutes Office Equipment Records Patents Profit & Loss Statements Property Records Trademark Records P P 3 7 P 3 P 5 7 6 P P P P 6 P P P P TAXATION Annuity or Deferred Payment Plan P Policies of the ASCH Executive Committee Retirement & Pension Plans Time Cards Training Manuals Travel Records P 2 P 1 Depreciation Schedules Employee Withholding Statements Tax Bills & Statements Tax Returns & Work Papers P 7 P P Legal requirements may vary, so your accountant or lawyer should be consulted for specific needs. (Numerals indicate number of years records should be stored, P = Permanently) Adopted 11/09 MATERIAL RETURN POLICY Materials purchased from ASCH may be returned within 90 days of the purchase date providing the following conditions are met: o o Authorization for the return is received from the Executive Office prior to the return; and Materials are received in the Executive Office in a condition conducive to their resale. Refunds for returned materials will be made via check and will be processed as part of the first payables batch following their return. The original cost of shipping will be deducted from the refund as will any discounts given at the time of purchase if they are no longer applicable. A copy of this policy would be enclosed with each order shipped. Approved 9/06 WHISTLEBLOWER POLICY The purpose of this policy is to provide all Board members, committee members and staff with guidelines for the reporting of unethical or illegal behavior by ASCH Board members, committee members, staff, vendors, professional service providers, or affiliated organizations. The American Society of Clinical Hypnosis (ASCH) is committed to lawful and ethical behavior in all of its activities and requires its Board members, committee members and staff to conduct themselves in a manner that complies with all applicable laws and regulations. At any time an ASCH person has a concern regarding the propriety or legality of any action contemplated to be taken or that has been taken by ASCH or any other ASCH person, or believes that an action needs to be taken for ASCH to be in compliance with law or appropriate ethical standards, the ASCH person should promptly advise the President and/or the Executive Vice President. The President and/or the Executive Vice President will share any finance-related reports with the ASCH Treasurer. If management is unresponsive, if the complainant believes management will be unresponsive, or if management is itself the subject of the concern, the ASCH person should contact the Vice President to report his or her concerns. Every effort will be made to investigate a report by an ASCH person as discreetly as possible. Because of the need to investigate the report, correct a problem, or prevent future problems, ASCH cannot, however, promise complete confidentiality. No ASCH person will be discharged, threatened, or discriminated against in any manner for reporting in good faith what he or she perceives to be wrongdoing, violations of law, or unethical conduct. Approved 11/09 MISCELLANEOUS CERTIFICATE SIGNATORIES Policies of the ASCH Executive Committee Certificates and awards issued by the Society will be signed by the following designated office holders: CERTIFICATE Continuing Education Credits Regional Workshop Completion Certified Consultant Special Awards Presidential Recognition Plaque Membership Certificates Fellow Certificate SIGNATORY President Workshop Chair Chair of the Certification Committee Chair - Awards Committee & the President Executive Vice President Membership Chair & President Chair - Accreditation Committee & President Approved 3/1/00 EDITORIAL POLICY The American Journal of Clinical Hypnosis will serve as the voice of the society and foster communication to and from the membership. In this capacity, it will reflect and support the ASCH mission. It will serve as a scholarly forum for the scientific and intellectual curiosity about all aspects of hypnosis and related disciplines. It will embrace diverse points of view and formats and will express the diversity of the society’s professional membership. Adopted 10/26/01; Amended 3/04 COPYRIGHT PERMISSION ASCH will charge a nominal fee when granting permission to reproduce, either in print, on the Internet, or in audiovisual format copyrighted material such as journal articles and excerpts from books. This fee will be charged to journals wishing to reprint entire articles, individuals producing tapes/CDs in quantity with the intent to sell them to the general public, individuals who are republishing copyrighted material in self-publishing ventures or on the Internet, and publishing houses wishing to reprint such material in books and text books. This fee can be waived for members as a member benefit, for AJCH authors wishing to post their articles on their personal website, or at the discretion of the President for other appropriate reasons. This policy should be implemented with in the spirit of thoughtfulness of our fellow hypnosis societies around the world. Fees will be determined by the EVP in consultation with the President, and will be in keeping with industry rates for permissions Adopted 3/04 as provisional, to be reviewed in March of 2005 AD HOC CONTRACT SUBCOMMITTEE POLICIES AND PROCEDURES 1. The Ad Hoc Contract Subcommittee of the Executive Committee consists of six voting members and a nonvoting chair. These individuals serve by virtue of their ASCH elected position. The nonvoting chair is the President of ASCH. The six voting members are: Vice President, President Elect, Immediate Past president, Treasurer, Moderator of the Board of Governors, and Regional Workshop Chair. 2. All recommendations of the Ad Hoc Contract Subcommittee of the Executive Committee are to be approved by a two-thirds majority or greater. Policies of the ASCH Executive Committee 3. The Ad Hoc Contract Subcommittee of the Executive Committee reviews performance under certain contracts of the Society. At this time, the Ad Hoc Contract Subcommittee of the Executive Committee is called upon to assess and evaluate as necessary or periodically but at least once per year the contracts of the Society’s management firm and the Editor of the American Journal of Clinical Hypnosis. Such reviews will include the following procedures: a) The Subcommittee, meeting in executive session without the contractor, will assess and evaluate the performance of the individual contractor. b) The Subcommittee then shall meet with the contractor to discuss the evaluation and, where appropriate, recommend to the contractor any remedial actions necessary to conform to the terms of the contract. c) The Subcommittee, following the agreed upon period during which remedial actions are to be completed by the contractor, makes recommendations for action to the Executive Committee. It is the responsibility of the Executive Committee to authorize action based on the recommendation of the Ad Hoc Contract Subcommittee of the Executive Committee. 4. In the case of a standard review, the Ad Hoc Contract Subcommittee of the Executive Committee seeks data from the Executive Committee, Committee Chairs, and other individuals who work regularly with the individual being evaluated. The Subcommittee also seeks participation of the individual being evaluated. 5. In the case of a grievance or complaint, the Ad Hoc Contract Subcommittee of the Executive Committee reviews the complaint, collects pertinent data, and reviews the defense or response of the individual against whom the grievance or complaint has been made. 6. In all instances, the Ad Hoc Contract Subcommittee of the Executive Committee files a report, including recommendations as appropriate, with the Executive Committee. Adopted: 3.1.00; Amended 3.24.00; Amended 3/14/02; Amended 10/24/03; Amended 3/04 AD HOC SEARCH SUBCOMMITTEE POLICIES & PROCEDURES The Ad Hoc Search Subcommittee is activated in response to the Society’s need to search for and hire an Executive Vice President. At the time of Search Committee activation, the President shall appoint a committee of seven persons that shall include the following: Two officers with signatory powers: the President and Vice President. The President-Elect. The Regional Workshop Chair. The Moderator of the Board of Governors. Members at large. Members-at-large shall be selected by the five assigned Subcommittee members from the general membership of the Society based on their experience both in leadership in this Society or other organizations, as well as their knowledge base and skills, such that a full range of knowledge and experience is represented on the Committee with which to be able to judge the competence of any candidate for EXECUTIVE VICE PRESIDENT. Immediately upon completion of Ad Hoc Search Subcommittee member selection, Subcommittee members will be provided with a copy of the current EXECUTIVE VICE PRESIDENT contract, Bylaws of the ASCH, ASCH-ERF, and ASCH Press. Policies of the ASCH, ASCH-ERF, and ASCH Press and other education materials pertinent to conducting an Executive Vice President search for a non-profit organization. Policies of the ASCH Executive Committee Further, the Search Subcommittee shall seek the opinions of ASCH members or outside consultants who shall include but not be limited to the Treasurer, the Trustee of the Pension Fund, the Chair of the ASCH-ERF, Legal Counsel, and the Society’s auditors. This information and the materials provided will be used to define the needs of the Society in contract formation, to include “Duties and Responsibilities of the Executive Vice President.” Legal Counsel will review any proposed and final contracts to ensure that accepted standards of performance, description of duties and responsibilities, and provisions for periodic review are included and that the interests and assets of the Society are protected. The Subcommittee will consider options for filling the position of EXECUTIVE VICE PRESIDENT such as interim management or contract management services or the use of professional executive placement services. Final candidates for the position will be interviewed by the full Committee, by the Society’s Auditors, and Legal Counsel. Approved: 3.1.00; Amended 3/14/02 IMPLEMENTATION OF THE FINANCIAL POLICIES OF THE ASCH POLICIES OF EXECUTIVE LIMITATION Draft: 7.9.99 Revised 8.8.99 Edited 2.4.00 FINANCIAL BUDGETING/PLANNING The Executive Vice President shall not allow budgeting which: 1. Fails to include credible projections of revenues and expenses, separation of capital and operational items, cash flow, and disclosure of planning assumptions. 2. Plans the expenditures in any fiscal year of more funds than are conservatively projected to be received in that period. Information & Monitoring Requirements: The Executive Vice President shall present an Annual Balanced Budget to the Executive Committee for its consideration prior to the Annual General Meeting FINANCIAL BUDGETING The Executive Vice President shall: 1. Spend money only on services and programs that support the mandate and goals of the Society. 2. Conduct the financial business of the Society only with recognized American chartered banks. 3. Not make any purchase or commit the organization to any expenditures of greater than $3,000 that deviates from the approved budget until such expenditure is approved by the Executive Committee. Information and Monitoring Requirements: The Executive Vice President shall: Policies of the ASCH Executive Committee 1. Provide monthly reports that include current and year-to-date total revenues, expenses, and cumulative surplus or deficit. 2. Provide quarterly reports based upon the scope and limitations of the Executive Vice President. 3. Present an annual business plan for discussion and concurrence by the Executive Committee. 4. Present an annual audited financial statement for review by the Executive Committee. FINANCIAL CONDITION AND ACTIVITIES The Executive Vice President shall not: 1. Cause or allow the development of fiscal jeopardy or a material deviation of actual expenditures from the Executive Committee’s priorities and established Ends policies. 2. Expend more funds than have been received in the fiscal year to date unless approval is received from the Executive Committee. 3. Indebt the organization in an amount greater than can be repaid by certain, otherwise unencumbered revenues within 60 days. 4. Use any long-term reserves. 5. Fail to settle payroll and debts in a timely manner. 6. Allow tax payments or other government ordered payments or filings to be overdue or inaccurately filed. 7. Acquire, encumber or dispose of real property without written direction of the Executive Committee. 8. Fail to aggressively pursue receivables after a reasonable grace period. ASSET PROTECTION The Executive Vice President shall not: 1. Allow the corporate assets of the Society to be unprotected, inadequately maintained or unnecessarily risked. Fail to insure against theft and casualty losses to at least 80% (percent) replacement value and against liability losses to board members, staff and the organization itself in an amount greater than the average for comparable organizations. 2. Allow unbonded personnel access to material amounts of funds. 3. Subject plant and equipment to improper wear and tear or insufficient maintenance. 4. Unnecessarily expose the organization, its board or staff to claims of liability. 5. Make any purchase; (a) wherein normally prudent protection has not been given against conflict of interest; (b) of over $1000 without having obtained comparative prices and quality; (c) of over $1,000 without a stringent method of assuring the balance of long term quality and cost. 6. Fail to protect intellectual property, information, and files from loss or significant damage. Policies of the ASCH Executive Committee 7. Receive, process and disburse funds under controls that are insufficient to meet the Executive Committee’s appointed auditor’s standards. 8. Invest or hold operating capital in insecure instruments, including uninsured checking accounts and bonds of less than AA rating at any time, or in non-interest-bearing accounts except where necessary to facilitate ease in operational transactions. 9. Endanger the organization’s public image or credibility, particularly in ways that would inhibit its accomplishment of mission. COMPENSATION AND BENEFITS The Executive Vice President may not: 1. Change his or her own compensation or benefits. 2. Promise or imply permanent or guaranteed employment. 3. Establish current compensation and benefits, which deviate materially from the geographic or professional market for the skills, employed. 4. Create obligations over a longer term than revenues can be safely projected, in no event longer than one year and in all events subject to losses in revenue. 5. Establish or change pension benefits so as to cause unpredictable or inequitable situations including those that: A. Incur unfounded liabilities. B. Provide less than some basic level of benefits to all full time employees though differential benefits to encourage longevity are not prohibited. C. Allow any employee to lose benefits already accrued from any foregoing plan. D. Treat the Executive Vice President differently from other key employees. RESERVE FUNDS AND INVESTMENTS 1. The Executive Vice President shall invest the funds of the Society only in financial instruments that meet the investment policies of the Society. 2. The Society empowers the Budget and Finance Committee to approve the recommendations of the Executive Vice President after consultation with the ASCH Treasurer with regard to investment amounts, length of investments, and selected investment instruments. 3. The Society supports a conservative investment strategy in order to protect the Society’s assets from inordinate risk-taking investment. 4. The Executive Vice President shall provide quarterly reports on all investments of the Society to the Executive Committee. Policies of the ASCH Executive Committee SUPPLEMENT Treasurer’s Role (Bylaws): 1. The Treasurer shall be responsible for the collection, safekeeping, and expenditure of the funds of the society. 2. The Treasurer shall keep a true and accurate account of the monies of the Society. 3. The Treasurer shall present a yearly report of the financial affairs of the Society to the membership at the Annual Meeting and report to the Executive Committee and the Board of Governors, from time to time, as requested. 4. The Treasurer shall serve as Chair of the Budget and Finance Committee. 5. The Treasurer shall be responsible for other duties assigned by established parliamentary rules. Procedures: It is important to note that the procedures regarding the Treasurer’s Role are authorized by the Executive Committee as a way of assisting the Treasurer in fulfilling his or her role. While the Treasurer cannot expand or contract the responsibilities required of him or her through the Bylaws of the society, the approach as to how those responsibilities are discharged can be changed from time to time within the overall guidelines established in this description. Requests for substantive changes in the provisions contained herein should be reviewed by the President and then submitted to the Executive Committee for its approval prior to implementation. Audit Role: A. Bi-weekly, the Treasurer will receive by FAX a statement of invoices to be paid from the Executive Vice President, who will already have checked to ensure that they correctly match invoice amounts, in keeping with approved budgeted expenditures and will have initialed all expenditures needing payment during that period. The Treasurer will review the request, checking it against the approved budget line and the full Accounts Payable listing, with the purpose in mind to ensure that it is not something outside of the approved budget and that the invoices are paid in a timely manner. The Treasurer will indicate approval by initialing each expenditure and then signing the statement before faxing the statement back to the Executive Vice President. In the case of a request for a check to any staff member with signatory power, it will be necessary for the Treasurer to review the appropriate invoice and/or receipts, noting the appropriateness of the budget line item to which the disbursement is allocated before approving the expenditure. In the case of any question about any item, a telephone consultation shall take place between the Treasurer and the Executive Vice President before approval is granted. B. At the Treasurer’s discretion and based on his or her approach to fulfilling the responsibilities of the office, the Treasurer may visit the Central Office up to once per quarter, where, with the Executive Vice President, the Treasurer will randomly check selected, approved checks against existing invoices. The Treasurer may also periodically review all outstanding checks, deposits in transit, and bank reconciliations. i. Under the overall discretion of the Treasurer, and as a benchmark for the Treasurer to use should he or she choose to audit the Executive Offices up to on a quarterly basis, the Treasurer may randomly select from the list of outstanding checks a minimum of three, and check them against the auditor’s copies, which are kept in numerical, sequential order. The Treasurer may also periodically check that sequence to ensure that there are no missing auditor’s copies. Each monthly bank reconciliation “bank balance” may be checked against the general ledger. (See Appendix 1.) In order to accomplish the audit, the Treasurer may bring to the office all checking account statements, check approval requests, monthly and quarterly reports and bank Policies of the ASCH Executive Committee reconciliations for comparison with the office records. In this procedure, the Treasurer would be looking for expenditures where the amount has been changed from the amount requested or that was not approved. The Treasurer would be paying particular attention to checks written for refunds, cancellations, and overpayments. ii. The Treasurer shall receive monthly account statements, and, at any time should inquire for clarification about any inconsistencies noted between any activity listed, as compared with the approvals given during that time frame. In the case of cash transactions, which are normally very infrequent, but sometimes occur after regional and annual meetings, the Treasurer may review the receipt process, whereby the individual staff member who receives the cash transfers it to the bookkeeper who similarly provides a receipt and subsequently includes it in the deposit book. The Treasurer by reviewing these documents would be able to ensure that cash received by any staff member is appropriately transferred from them into the ASCH accounts. Where there are any discrepancies noted, resolution shall be effected between the Executive Vice President, Bookkeeper, and Treasurer. If resolution cannot be arrived at, then independent opinion from current outside accounting firm shall be requested. If it is evident that there has been misappropriation of funds and/or tampering with the financial files by an employee, then the Treasurer shall: a. Contact the ASCH attorneys to obtain procedural advice before speaking with the employee. b. Advise the President of the finding to date and actions taken. c. Arrange for independent, outside accounting firm to conduct the appropriate investigation. d. The Treasurer shall immediately take into their possession all relative financial records. C. Per the ASCH management contract, the association management firm shall undertake reasonable administrative management activities to conduct the activities of ASCH. It is the association management company’s responsibility to report anything out of the ordinary to the Treasurer. The reasonable activities include but are not limited to consultation with an outside accounting firm for the preparation of accounting statements, using an outside accounting firm to prepare tax returns, and utilizing an outside auditor to conduct an annual audit for ASCH. D. Cash advanced to account management staff working with ASCH for on-site usage must be fully accounted for in the deposits. The Treasurer shall review staff expense reports to make sure that monies are being repaid promptly (within one month.) E. The Treasurer will travel to the Central Office after the fiscal year has been completed, where, with the Executive Vice President the Treasurer will compare revenue and expenditures with the appropriate budget line items and in conjunction with the Executive Vice President prepare the Treasurer’s financial report, which will be finalized after the auditor’s report has been received, so as to make sure that any questions which are raised by the auditors may be appropriately answered. F. On a monthly basis, the Treasurer shall receive from the management firm the ASCH Balance Sheet, the Monthly Profit & Loss Statement, and the Monthly Cash Flow Statement which will be compared against budgeted amounts for each cost center. The Treasurer will consult with the Executive Vice President and the appropriate Committee Chair or Executive Committee member, if necessary, when the 80% expenditure Policies of the ASCH Executive Committee level has been reached, so as to help make sure the overall budget is not exceeded. Once the monthly statements have been reviewed by the Treasurer and Executive Vice President they will be forwarded as directed by the Executive Committee. G. The Treasurer, while meeting with the Executive Vice President for audit purposes shall check to make sure that the appropriate computer backup tapes are intact in a fireproof container. The Treasurer may semi-annually, in conjunction with the Executive Vice President check that the hard copy financial files are stored correctly. Budget and Finance Committee Procedures: A. Prior to the preparation of the budget, to the extent feasible the Treasurer and the Executive Vice President will contact the Chairs of all ASCH committees to receive their budget requests for the year. All budget proposals received shall be reviewed by the President prior to submission to the Budget and Finance Committee for final costing. All correspondence initiated by the Treasurer concerning financial matters shall be copied to the Executive Vice President, President and Budget and Finance Committee members. B. The Treasurer in conjunction with the Executive Vice President shall prepare a budget, taking into consideration those proposals recommended by the President (as above), previous year’s expenditures, revenue, Committee Chair submissions, etc. This proposed budget will then be provided to the Budget and Finance Committee for their review and recommendations. Upon receipt thereof, the Executive Vice President and Treasurer will finalize the proposed budget for submission to the President for review. The document will then be submitted to the Executive Committee for review and final approval at their spring meeting. C. The Treasurer shall provide input to the incoming President (who serves on the Committee per the Bylaws) in each fiscal year on the qualifications of individuals serving on the Budget and Finance Committee for the possibility of any of those committee members serving as Treasurer in a subsequent fiscal year. This is consistent with the Executive Committee policy regarding the utilization of an individual’s tenure on the Budget and Finance Committee in preparation of that individual serving as Treasurer. Policies of the ASCH Executive Committee Appendix I Bank Reconciliation Procedures Recommendations A. Bank Balance- check against General Ledger for same closing date; balances should match. B. Deposits In Transit - look for identical numbers repeating themselves from month to month. If discovered, request clarification from Executive Vice President and Bookkeeper. C. Batch 720000ccb9 describes batch deposits in QuickBooks. D. Missing Sequence of Checks - Review sequencing in auditor’s copies of checks; all checks must be accounted for. Seek clarification from Executive Vice President and Bookkeeper. E., F., and G. Random Selection of Three Outstanding Checks, especially any that have been outstanding for a long period of time. Review their status in the auditor’s copy binder. Seek clarification from Executive Vice President and Bookkeeper. H. Where a check has been voided, review its status in the auditor’s copy binder to ensure that it has actually been voided. C:\myfiles\wp\client\asch\aschecpolices\aschecpolicies.doc Policies of the ASCH Executive Committee Appendix 2 Conflict of Interest and Confidentiality Statement for Executive Committee Officers, Members, and Staff Members CONFLICT OF INTEREST A conflict of interest exists in any situation where a person having official responsibilities for the society has been empowered to make decisions on behalf of the organization and who, as a result of that power, can potentially benefit personally, directly or indirectly, from an entity or person conducting business with the society. Examples of possible conflicts of interest include, but are not limited to: 1. The society representative’s personal business provides goods or services to the society for consideration (that is, for some kind of payment). 2. A friend or relative of the society representative provides goods or services to the society for consideration. 3. A vendor or business acquaintance with whom the society representative has an outside business relationship provides goods or services to the society for consideration. 4. The society representative receives a referral fee or preferential discount, gift, or other valuable consideration from a vendor, a promoter, fundraising event sponsor, or any other outside party, for referring society business to such party. 5. An Executive Committee member reviews or votes on the purchase for sale by ASCH of their own published materials or other materials in whose development they participated. All potential conflicts of interest, no matter how small or seemingly insignificant, and whether only in appearance are to be reported to the society's Executive Committee prior to engaging any possible conflict of interest situation. The Executive Committee will then make a decision as to whether the relationship is an appropriate one for the society or if the individual with a potential conflict should refrain from participation in any decision on such matter. Members of the society’s Executive Committee and staff shall refrain from obtaining any lists of the society for personal or private solicitation purposes at any time during the term of their affiliation with the society, including, but not limited to, names of donors, resources, recipients, Executive Committee members, officers, staff, or volunteers. CONFIDENTIAL INFORMATION For three years following execution of this Agreement, the Executive Committee Officer, Member, or Staff Members signing this Agreement shall exercise reasonable care to prevent the unauthorized disclosure or use of Confidential Information. “Confidential Information” means all information disclosed by the society, as well as information materially developed as a result of the society's disclosure, except any portion of such information that: 1. is known to the recipient before receipt of such information under this Agreement, or is independently generated by or for the recipient, as evidenced by the recipients written records; 2. is disclosed to the recipient, without restriction, after acceptance of this Agreement by an independent third-party having a legal right to make such disclosure; or Policies of the ASCH Executive Committee 3. is or becomes part of the public domain through no breach of this Agreement. The representation set forth below is to be signed annually by each Officer, Member, or Staff Member of the society. I, ______________________________ (name -- please print) understand the concept of a conflict of interest and confidentiality of the society's Confidential Information. I represent that I have not been party to a possible conflict of interest situation that has not been previously disclosed to the society's Executive Committee. I agree to report any potential future conflicts of interest to the Executive Committee prior to engaging in any possible conflict of interest situation. I also agree to report to the Executive Committee any breach of which I have become aware of the duty not to disclose or use the society’s Confidential Information. At this time, I disclose to the society the following information which may be perceived to be a potential conflict of interest: ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ ______________________________ Signature ______________________________ Date Code of Conduct CODE OF CONDUCT Most Component Sections have a specific code of conduct to guide the ethical conduct of their membership and to provide for actions to be taken to enforce proper conduct regarding the use and presentation of hypnosis by their members. Many Component Sections have adopted the ASCH Code of Conduct. Others have made minor changes reflecting particular state or provincial guidelines. The ASCH Code of Conduct is presented here for your review and assistance as you seek to develop your own Code. AMERICAN SOCIETY OF CLINICAL HYPNOSIS (ASCH) CODE OF CONDUCT Introduction The ASCH Code of Conduct is comprised of two sections, Ethical Principles and Ethical Standards. The Ethical Principles serve as philosophical guidelines that help to structure a members' practice of hypnosis. The Ethical Standards serve as practical or applied guidelines for the members' practice. Acceptance of membership in, or Certification by, ASCH commits the member or certified clinician to the Code of Conduct. For the purposes of this document, both ASCH members and those non-members certified by ASCH will be referred to as "members." In subscribing to this Code, members are required to cooperate in its implementation and abide by any disciplinary rulings based upon this Code. Members should take adequate measures to discourage, prevent, expose, and correct unethical conduct of colleagues. Additionally, members should be equally available to defend and assist colleagues unjustly charged with unethical conduct. The Code should not be used as an instrument to deprive any member of the opportunity or freedom to practice with complete professional integrity; nor should any disciplinary action be taken on the basis of this Code without maximum provision for safeguarding the rights of the member(s) affected. Ethical Principles I. Competence: Members strive to attain the highest levels of professional competence. A. members use hypnosis in the treatment of patients only within the bounds of their training and expertise; within their primary discipline; and within the context of a professional relationship; 1. B. A "professional relationship" is defined by the member’s primary discipline and includes consultation or supervision of colleagues. member’s expertise is determined, in part, by their professional education, training, licensure, and experience; C. members recognize, and are respectful of, any limitations to their expertise; D. members strive to maintain current knowledge of research, issues, and methods in hypnosis; 1. II. members participate in continuing education activities. Professional Responsibility: Members serve the best interests of their clients or patients. A. B. members accept responsibility for the care of their clients or patients consistent with their discipline and licensure; members seek out consultation and/or supervision when in doubt regarding their clinical practices or when questioned by others about their clinical practice; C. members participate and cooperate with inquiries regarding their practices; D. members accept responsibility for, and when necessary the consequences of, their behavior; E. members accept responsibility to monitor and make appropriate changes in their practice to comply with the Ethical Principles or Ethical Standards of this Code; F. members seek to educate the public about the proper and scientific use of hypnosis. Ethical Standards I. ASCH members uphold the professional standards, ethics, and codes of conduct of their primary discipline. II. ASCH members remain in good standing in the association or society that oversees the member's primary discipline. III. ASCH members maintain a license to practice at the independent, unrestricted, or unsupervised level. IV. ASCH members do not support the practice of hypnosis by laypersons. A. The "practice of hypnosis" means the provision of services, or the offer to provide services, utilizing hypnosis to individuals or groups regardless if a fee or honorarium is charged, offered or paid. B. A "layperson" is: 1. or an individual lacking professional education and clinical training in a health care discipline, including but not limited to those recognized by ASCH for membership and/or certification, 2. C. V. Except as authorized by Sections V. B and C below, members do not provide hypnosis training to laypersons. Public and Media Presentation: A. ASCH members do not use or endorse or assist in the use of hypnosis for entertainment purposes. B. Electronic recordings may be prepared by members for private patient treatment. Electronic recordings may also be prepared for purchase by health care professionals and/or the general public, but only for the purpose of educating individuals about the proper and scientific use of hypnosis, or to teach individuals who are not the member's patient/client the use of self-hypnosis for his or her own private use. When providing electronic recordings for the general public, members must follow the guidelines attached in Appendix A to this Code of Conduct, and they must supply the suggested disclaimers with each recording, displayed in a prominent manner and/or presented in the body of the electronic recording. C. When members do appear in public forums, such as on television or some other electronic format, they take care to ensure that any demonstration of hypnosis is done in such a way as to prevent or minimize risk to unknown audience participants. 1. VI. an individual not pursuing a degree, from a regionally accredited institution, in a health care discipline including but limited to those recognized by ASCH for membership and/or certification. For example, when a videotape demonstration is shown on television, the member takes steps to ensure that the complete audio portion of the induction and deepening phases are muted. D. ASCH members ensure when they present hypnosis, in any format, to the public the member does so within the spirit of this Code and within the guidelines of their primary discipline. E. Members honestly and fairly represent their professional competency, qualifications and capabilities to the public and media, and refrain from making false, misleading, deceptive or unsubstantiated statements in resumes, advertising and other means of soliciting clients or patients. Nothing in this Code shall prohibit members from: A. teaching hypnosis to individuals or groups who, upon completion of such training, would be eligible for ASCH membership, B. teaching students of health care disciplines, including but not limited to those recognized by ASCH for membership and/or certification, C. teaching patients or clients the use of self-hypnosis for that individual's own therapeutic use, or D. teaching about hypnosis in any forum that serves to properly educate and inform the consumer or professional public about hypnosis. VII. When ASCH members engage in human subjects research, they do so within the accepted standards of their primary discipline, taking precautions not to cause emotional or physical harm to their subjects. VIII. When this Code is unclear on an issue, question, or complaint and when deemed appropriate by the ASCH Executive Committee, guidance is sought from the ethical standards of the member's primary discipline professional association and/or the member's licensing board. Enforcement I. Any person, whether or not a member of ASCH, may initiate a charge of ethical violation against a member of ASCH. II. Any charge must be submitted in writing to the Ethics Committee, must specify the time and place of the violation, and must be signed by the complainant. III. The Ethics Committee shall inform the member in writing of the charges against the member and solicit the member’s response to the charges. IV. If, upon receiving the response of the member, the Ethics Committee determines that cause for further inquiry exists, the Ethics Committee shall set a time and place for a hearing and shall notify the member and the complainant, by certified mail, of the time and place. V. The purpose of the Ethics Committee hearing is to gather all the facts related to the alleged violation. The charged member shall have the privilege of appearing in person, or may submit a written defense to the Ethics Committee at least twenty-four hours prior to the time of the hearing. At the hearing, the charged member shall have the right to cross examine the complainant and any witnesses who may appear against the member. The charged member shall also have the right to present witnesses. The complainant shall be able to direct questions to the charged member only through a committee member. The hearing may be recorded and a transcript of the proceedings, if any, shall be available at cost. VI. No later than thirty days following the hearing, the Ethics Committee shall submit a report of its findings to the Executive Committee and recommend either: A. B. C. D. dismissal of the charges, censure or warning, suspension, or expulsion. The Ethics Committee shall send by certified mail a copy of its report and recommendation to the charged member. VII. If the Ethics Committee finds for a recommendation of guilt of any of the charges or recommends censure, warning, suspension or expulsion, the member shall have thirty days from the receipt of the Ethics Committee report to submit to the Executive Committee written objections to the findings or recommendations of the Ethics Committee. VIII. The Executive Committee shall review the findings and recommendation of the Ethics Committee and any written objections submitted by the member and shall reach a final decision. In accordance with the By-Laws, the Executive Committee shall not expel a member without holding a hearing at which the accused may appear and be represented by counsel. The Executive Committee shall also have the right to be represented by counsel at such a hearing. IX. In accordance with the By-Laws, a decision of censure or warning will be a matter of Executive Committee record only. A decision of suspension or expulsion will be reported to the Board of Governors and to the membership of ASCH through the “Corrections to the Directory” section of the Newsletter. Approved by Board of Governors - 3/8/09 Changes adopted at 11/08 Executive Committee Meeting APPENDIX A (adopted at 9/06 Executive Committee Meeting) STATEMENT ON MAKING AND SELLING HYPNOSIS ELECTRONIC RECORDINGS FOR GENERAL CONSUMPTION Hypnosis Electronic Recordings: Guidelines for Disclaimers The following points are to be addressed in a printed statement or as part of the recording itself that accompanies any recording of hypnosis audio tapes or CDs to be made for the general public by ASCH members. (1) Introduction of health care professional and qualifications Provide some information about the following, as appropriate: • Your licensure; Academic credentials; Honors • Membership in professional associations • (Optional)) Brief statement on experience with hypnosis • (Mandatory) The recording is NOT to be considered a substitute for medical or psychological consultations with a health care professional. • Any other introductory comments (2) Purpose of the recording and limits of usefulness Answer the following questions for the listener: • Under what conditions or with what kinds of problems should this recording be used? • What can you expect from it? • What should you not expect to achieve with it? etc. (3) Is there any research about how hypnosis addresses your needs? Advise the listener if research supports the use of a recording such as this. Supply the actual citations—books, articles, if warranted. (4) What will happen when you listen to this recording? Advise the listener that, among other things, the recording can: • Help access their potential to achieve, manage symptoms, increase relaxation, etc. • Help develop skills or coping strategies • Help with developing self-hypnosis skills in the future. But, remind the listener to avoid unreasonable expectations about the utility of this recording. (e.g.- this could be spelled out, depending upon the situation - for example, the recording will not allow the listener to cure cancer, facilitate astroprojection or psychic phenomena, enter “past lives”, etc.) (5) How is the recording to be used? • State the frequency of use, time of day (if preferred), location, etc. • Discuss caveats - such as avoiding using the recording while driving, or other situations where alertness to one’s surroundings is important (e.g., avoiding using in a parked car in an unsafe neighborhood, etc.) • Discuss how to deal with distractions, interruptions, etc. • Provide any other guidance as warranted. (6) What is hypnosis? • Provide some description about the phenomenon of hypnosis that reflects your theoretical orientation. This might include such topics as (a) what it consists of, (b) how it is a frequently occurring state for some (like watching a movie, or a football game, etc.), (c) how it could be a natural coping mechanism for some, such as in dealing with emergency situations, or (d) that it can also happen spontaneously for some (highway hypnosis). • Hypnosis could also be described as facilitating the development of new skills, behaviors, and thought patterns to be used in place of maladaptive ones, and that further practice strengthens the new learning. (7) What hypnosis is NOT Discuss the common fears - losing control, losing consciousness, risking being “trapped” in hypnosis, etc. Also, it could be emphasized that that the individual can leave hypnosis at any point (like turning off a television set). (8) What if the recording is not helping, or in some way causing difficulties? Advise the listener to stop using the recording if he or she encounters problems or it is not working after a reasonable period of time. (9) What to do if you need more help with your symptom or problem? Advise the listener to seek out a licensed health care professional or to contact you, the maker of the recording, with questions, if warranted. (10) Should a person currently in treatment advise their therapist that they plan to use a hypnosis recording do? For those patients who are currently in treatment, it is advised that they inform their therapist that they plan to use a hypnosis recording. Draft Disclaimers (adopted at 11/08 Executive Committee meeting) 1. This electronic recording is intended only to (insert either “educate the public about the proper and scientific use of hypnosis” or “teach non-patients the use of self-hypnosis for the individual’s own therapeutic use”). The use of this recording for any other purpose is strictly prohibited. X disclaims any liability for the use of this recording for any other purpose, and/or for the use of this recording without following the accompanying instructions, and/or for any damages resulting from hypnosis or caused by an individual attempting to practice hypnosis based upon this recording. 2. The American Society of Clinical Hypnosis Code of Conduct permits the sale by ASCH members of electronic recordings relating to hypnosis under certain limited circumstances, but does not specifically review, approve, endorse or monitor the contents of such recordings. Responsibility for the contents and use of such recordings rests solely with the author. Start a Component Section How to Start a Component Society Benefits Forming a component section has many advantages. Component sections usually begin as a way to foster local access for colleagues to share their hypnosis expertise with one another. Study groups have often been the original basis to the start of a component section. One key advantage for a component is the representation on the Board of governors of ASCH. Each Component Society earns one representative for every 8-50 of its ASCH members and an additional representative for every additional group of 50 ASCH members. Other benefits include: • • • • • • • • Reduced rates of ASCH meetings and educational training Access to information about hypnosis nationally National alliance with people of similar interests Input into ASCH annual and regional trainings Information on attendees at national and regional meetings in your area Access to ASCH Faculty Information in the ASCH Newsletter on training and activities Participation in the ASCH Component Section listserv Membership To begin a component section you will need 8 ASCH members. Membership for a component section is geographical. Some densely populated areas have more than one Component Society, while other geographical regions draw their members from great distances. If you are not so fortunate to have a Component Society within driving distance, you may want to establish one locally. First you will need to assess how many professionals in your area are interested in getting together on a regular basis. The ASCH office can provide you with labels/listing of ASCH members and ASCH workshop attendees in your region. Next, contact those people and others you might know asking them to contact you if they would be interested in meeting. Some Components start as study/discussion groups to practice their nascent hypnosis skills, and consult with one another about hypnosis use and research. Other Components gather together to get more education in hypnosis, and later becoming training centers in their own right. When you have heard from a group of people set up a convenient day and time and start meeting regularly. Most groups meet bimonthly to start, sometimes alternating the other months with videos from ASCH. Meetings Meeting facilities are often rent free such as a local library, a meeting room in a local hospital or someone’s office space. To gain additional public attention, place a meeting notice in your hospital newsletter, local news, local newspaper. Additionally, send a notice to the ASCH Publications Manager and we will feature it under the Component Sections News heading in the Newsletter. Meeting times are usually one or two hours in length, and mostly in the evening, or on weekends. Some Components have lunch or dinner meetings providing a way for busy professionals to gather without detracting from their scheduled work hours. Criteria for Component Section Status The basic criteria for forming a Component Society of ASCH are: You must have, and maintain, a membership of at least eight (8) members who are ASCH members in good standing. You will need a set of bylaws which are compatible with those of ASCH. These bylaws should: • Establish a name for the society; • Establish officers for the Society, terms and duties of each office • Establish election procedures; • State the purpose(s) and objective(s) of the Society (Mission Statement); • Define the types of membership and privileges of membership for the Society; • Establish the fiscal year, and define the revenue (dues), if any; • Establish the process for choosing a representative to the ASCH Board of Governors; • Establish a minimum standard for number of meeting; • Establish standing committees. Samples of bylaws in current use by other Component Societies may be obtained from the ASCH office. It will be the local Society’s responsibility to conduct you activities and business in a manner that would not conflict with the policies and purposes of the National Society. Once formed, a component is required to send an annual report to ASCH in order to maintain its voting status. This report, provided by ASCH, is designed to obtain information on the numbers of ASCH members, any changes in bylaws, officers, addresses, etc. and a written notice of who the BG representative(s) will be. Application Application for Component status may be made by completing the attached form and submitting it to the Component Sections Committee. The committee will then review and make recommendation to the ASCH Executive Committee. Any request made for Component status should be accompanied by a full roster of all your members, denoting the ASCH members, and a set of bylaws. The Executive Committee considers requests at its Spring and Fall meetings. For any further information or any questions you may have about forming a Component in your area, please contact the ASCH office at phone: (630) 980-4740, fax: (630) 3518490 or email: info@asch.net Component Section Representative Role of the Component Section Representative in the ASCH Board of Governors As a Component Section Representative to the ASCH Board of Governors (BG), it is important to understand the composition and governing structure of ASCH, and something of the history of their development. It may also be useful to look over the Summary outline of the ASCH Organizational and Governing Structure (Page 27), and the chart showing the ASCH Governing structure (attachment 1). Following this overview, administrative and logistical details of the Component Sections Representatives role and position in ASCH will be provided. ASCH currently consists of a mostly national membership, some of whom belong to Component Sections, some of whom do not. Annual reports in 2009 show that 612 members of ASCH that are members of a Component Section while there are approximately 1,512 Component Section members that are not members of ASCH. According to the ASCH Bylaws, the BG “is the governing body of the Society.” This governing body consists of the Executive Committee, all attending Past Presidents (of the Society), and elected Component Representatives of each of the Society’s Component Sections. Thus, Component Section Representatives (Reps.) to the BG are the membership’s most direct access to the decision making process which governs ASCH. Each month the CS representative is sent a report from ASCH on the activities and financial status of the organization. Non-component section members of ASCH are represented by the EC and its membersat-large. They may vote their opinion individually at the annual meetings of the general membership. At the BG, Reps participate in the development, discussion and initial decision making process about questions which are only then brought to the general membership for a vote. This is particularly true with respect to nomination of future ASCH officers, since members of the Nominations and Elections Committee are selected by and nominated from members of the Board of Governors. Structurally, the BG serves as the ratifying body for recommendations and actions by the Executive Committee. At one time, the BG, which consists primarily of Component Section Representatives, served mostly as a rubber stamp to the Executive Committee’s decisions. This did not occur out of malicious intent or design, but because the survival and functioning of volunteer organizations typically ends up depending on the hard work of a few devoted members. In 1990 a new position, moderator of the Board of Governors, was created, to create some balance of power between the EC and the BG. Formerly the President had run the BG meetings. This Moderator is elected from the Representatives serving at the BG. This change was initiated by the Component Sections that were growing larger with the resurgence of interest in hypnosis in the 1980's. It is a healthy change within the organization decision making process, since this indicates an increased level of broader membership participation. In addition, the Moderator, by sitting on the EC, supports a dialogue that has begun between the Component Societies and ASCH regarding their mutual and differing needs and views. The representative of the BG play a crucial role in the content and outcome of this dialogue. Obviously, representatives are to be the advocates for the specific needs and goals of their own and other Component Sections. However, they can also provide a clearing house for accurate and fair information about issues of importance for members of their Component Section, and they can take responsibility for shepherding proposed changes through to completion both within the national society and their own section. Ideally, their primary goal is to foster unity and mutual understanding via dialogue between component sections and the national society. It is important for the representative to know about the Component Sections Committee. The CS Committee of ASCH functions to foster communication among the various Component Sections, and between ASCH and Components. The CS Rep is usually the person who receives information from that Committee. Many items which are presented to the BG originate from the work of this committee. Prior to the annual BG meeting, this committee usually holds a meeting to inform Representatives of the BG and various officers of Component Sections about agenda items that need their particular attention, to answer questions about agenda items, and to welcome new representatives and teach them about how the BG functions. Board of Governors Meeting Board of Governors Meeting The Board of Governors meets at least once per year. Additional meetings can be called by the ASCH President or by written request of twenty-five percent (25%) of the membership of the Board of Governors. Quorum is constituted by a majority of the Board. The duties assigned to the BG by the ASCH Bylaws are: a) Approve assessments for additional revenues for the Society. b) Establish additional privileges for members. c) Act upon the appointment of the Editor of the American Journal of Clinical Hypnosis. d) Request interval Treasurer’s reports when indicated; e) Elect four (4) members of the Nominations and Election Committee with a first and second alternate. f) Approve or reject the actions taken by the Executive Committee, except for those outlined in Article VIII, Section B, 3, A& B of the Bylaws. g) Propose amendments to the Bylaws for action of the membership. h) Approve the Code of Conduct of the Society, and when necessary, amend this document in consultation with the Ethics Committee. i) Initiate new business for presentation to the membership at the Annual Meeting. Component Section Representatives In accordance with the current Bylaws of ASCH, Component Sections have the right to send duly elected/appointed representatives for each fifty (50) members or less: (i.e., one (1) representative for eight (8) to fifty (50), two (2) representatives for fifty-one (51) to one hundred (100), increasing by one (1) representative per additional fifty (50) or less members of ASCH. A Component Section representative must be a member in good standing in ASCH and have been elected or appointed annually by their respective society. The name of the officially selected representative must be submitted in writing with the society’s annual report to the ASCH office forty (40) days prior to a given annual meeting of the BG. Absence of appropriate qualifications and written notice of appointment will disqualify the representative from membership at the Board of Governors meeting. Substitute representatives can be sent to the annual Board meetings, but the substitute assumes rights and responsibilities only after acceptance by the Board of Governors of the written credentials issued and signed by an officer of the local society sending the representative. ASCH Resources ASCH Resources The relationship between ASCH and Component Section is designed to be supportive, practical, informative and mutually beneficial. In order to fulfill this role of “parent” organization, ASCH has developed a variety of resources that it makes available to the Component Sections. The list of resources presently available is provided in this section. ASCH is open to comments and recommendations about additional resources that could benefit Component Sections and further aid in the effort to promote the study of, training in, and appropriate utilization of hypnosis. Please communicate your ideas and needs to any of individuals listed earlier in this Manual. • • • • • Certification Component Section Award/Newsletter Membership Assistance ASCH Video Lending Library Component Section Annual Report ASCH Certification The Certification Program was started late fall of 1991. The program is designed to provide a non-statutory credentialing program for licensed and qualified physicians, psychologists, osteopathic physicians, podiatrists, dentists and masters degree level social workers, psychologists, nurses, marriage/family therapists and mental health counselors who use hypnosis in their clinical practice. ASCH certification verifies that the successful applicant has completed fundamental training requirements. It is not a certification of competency. As a successful applicant, you have obtained certification in clinical hypnosis, the first step in our levels of certification. A certification application is attached. ASCH Component Section Award Purpose: • • • • • To promote active participation of Component Sections within ASCH. To promote meaningful contributions to ASCH and Hypnosis by Component Sections. To better the communications between ASCH and its Components and between other Component Sections - particularly regarding their activities on behalf of the hypnosis and/or ASCH. To further acquaint the entire membership of ASCH to the important role of Component Sections within ASCH. To recognize and reward individual Component Sections for their particular contributions to ASCH and hypnosis. Nature of Award: A formal (framed or laminated) award specifying the particular Component Section who is the recipient of the award, with date and wording to reflect recognition of a particular contribution to ASCH and/or to the promotion of clinical hypnosis. Choice of Recipient: The recipient of the award will be chosen by the Executive Committee upon the recommendation of the Component Sections Committee. Nominations for the award will be requested by the Component Sections Committee by letter, listserv and/or ASCH Newsletter. Nominations will be solicited from all Components Sections, the Board of Governors, the Executive Committee and the general ASCH membership. Criteria for Award: The recipient Component Sections will have demonstrated a meaningful contribution to ASCH and/or to the promotion of clinical hypnosis. In a year where no “meaningful” contribution by a Component Section has been demonstrated, there will be no award. In a year where more than one Component has demonstrated such contribution, there will be only one formal award presented to the Society whose contribution is deemed to be in some manner greater that other contributions. However, those Sections making similar, although lesser, contributions will be given a “letter of recognition and appreciation” from the Executive Committee. Presentation of Award: The ASCH Component Sections Award will be presented to an officer or representative of the recipient section during the awards presentation at the banquet at the ASCH Annual Meeting. Further, the award will be described in the ASCH Newsletter. Component Section News in ASCH Newsletter The ASCH Newsletter provides a format for Component Sections to share what is happening in their societies with other members of ASCH. For example, lectures, workshops and other activities reported in the “Society Scene” portion of the Newsletter. This can be submitted to the ASCH office. There are specific deadlines for submission of material for a current edition. These dates may be obtained from the Publications Manager. Some Component Sections appoint or elect a liaison to the ASCH Newsletter. This is often the individual who is also responsible for publishing the newsletter for the individual society. With permission, portions of the ASCH Newsletter may be reprinted in local society newsletters. Membership Assistance ASCH will assist Component Sections in their efforts to attain members in one of the following ways: • ASCH will provide a list of current ASCH members in the local society’s region so that these may be invited to become members of the component. • ASCH will provide a list of registrants at ASCH Regional Workshop within the region of the component. • Local societies will be recognized at ASCH Regional Workshop so that workshop participants may learn more about local resources for continuing study and application of hypnosis. To obtain this information, contact the ASCH office. Component Section members who wish to join ASCH can fill out the attached form. ASCH Video Library ASCH maintains a comprehensive library of video tapes covering a wide range of topics concerning hypnosis. ASCH will furnish, at no charge, up to four (4) videos per year to any Component Section. For other groups or individuals there a nominal rental charge. A list of current tapes in the Video Library can be found online in the ASCH Members Only section.. The Library is constantly being expanded as additional tapes are submitted by members. Component Sections are asked to encourage members to submit tapes to be reviewed for inclusion in the Video Library. To borrow tapes from the Video Library, complete the enclosed form and return to the ASCH office. Component Sections Annual Report The Annual Report is the main official communication link between ASCH and its Component Sections. As such it serves an important function. ASCH’s bylaws require the filling of an report as a condition of maintaining Voting Status (Component Sections with voting status would be afforded the right to provide a voting representation on the ASCH Board of Governors {BG}). The information provided in the Annual Report is essential for the central office to be able to communicate useful information back to the Component Sections. This information will also be used from time to time to assist the formulation of policies and procedures to fit the needs of individual local societies. Further, the information provided in this report may be made available to other Component Sections so that there may be better collaboration and learning between local groups. An Annual Report form will be sent to each Component Sections once a year, approximately 3-4 months prior to the ASCH Annual Meeting. Officer are asked to return the form at least 30 days prior to the annual BG meeting. This request is designed to meet the requirement stated in the ASCH Bylaws (Article VIII, Section C, 3 b, c, d) regarding submission of the name of the official component section representative(s) 40 days prior to the meeting. A copy of the form is attached. Component Section Directory 2011-2012 Component Section Directory CFCH-Alberta Society Suite 302, 3939 50A Avenue Red Deer, AB T4N 4E5 Contact: Assen Alladin, PhD Email: alberta.office@clincalhypnosis.ca CFCH-British Columbia 2036 West 15th Ave Vancouver, BC V6J 2L5 Contact: Lee Pulos, PhD Email: admin@hypnosis.bc.ca CFCH- Ontario 1209 Cassells Street North Bay, ONT P1B 4B8 Contact: Heather Aubry, EdD Email: heatheraubry@sympatico.ca Central Texas Society of Clinical Hypnosis 1600 W. 38th Street, Suite 306 Austin, TX 78731 Contact: George Glaser, MSW Email: george@georgeglaser.com Chicago Society of Clinical Hypnosis 6301 N. Sheridan Road, Apartment 23G Chicago , IL 60660 Contact: Edward Frischholz, PhD Email:amjch@sbcglobal.net Cleveland Society of Clinical Hypnosis 28925 Fall River Drive Westlake, OH 44145 Contact: Bill P. Mulhausen, PhD Email: kieranann@aol.com Clinical Hypnosis Society of New Jersey 203 Bellevue Ave Montclair, NJ 7043 Contact: Phillip L. Accaria, PhD Email: placcaria@aol.com Florida Society of Clinical Hypnosis 8227 SW 82 Place Miami , FL 33143 Contact: Diane Lindner, LCSW Email: dianefsch@aol.com Georgia Hypnosis Society 4651 Chamblee-Dunwoody Road, Suite D Atlanta, GA 30338 Contact: Marvin S. Goldstein, PhD Email: msgoldstein@juno.com Greater Philadelphia Society of Clinical Hypnosis 1130 Robin Road Gladwyne, PA 19035 Contact: Subha C. Robinson Email: gpsch@verizon.net Manhattan Society of Clinical Hypnosis 275 Central Park West, #4B New York , NY 10024 Contact: Jane Parsons-Fein Email: janeparson@pfti.org Michigan Society of Clinical Hypnosis 28592 Orchard Lane Road, #301 Farmington, MI 48334 Contact: Carolyn Daitch Email: carolyn.daitch@mac.com Milton H. Erickson Institute of Dallas 4144 N Central Expwy Suite 520 Dallas, Texas 75204 Contact: Deborah Beckman, MS Email: ericksondallas@sbcglobal.net Minnesota Society of Clinical Hypnosis 821 Raymond Ave, Suite 440 St. Paul, MN Contact: Peggy Trezona Email: pltrezona@gmail.com New England Society of Clinical Hypnosis 41 Woodbury Rd Southborough, MA 01772 Contact: Max Shapiro Email: maxshapiro@maxshapiro.net New Orleans Society of Clinical Hypnosis 3525 Prytania Street, Suite 312 New Orleans, Louisiana Contact: Dov Glazer, DDS, ABHD Email: dov@nosch.org New York Society of Clinical Hypnosis Port Washington New York 11050 Contact: Marlene L. Levy, PhD Email: DrMarleneLevy@optonline.net North Carolina Society of Clinical Hypnosis 1406 Redcoat Dr Charlotte, NC 28211 Contact: Barbara Birge, PhD, LPC Email: bbirge@aol.com North Texas Society of Clinical Hypnosis 6750 Hillcrest Plaza Dr. #221 Dallas, TX 75230 Contact: Carl Ward, PhD Email: drward@swbell.net Northeastern Mountain Society of Clinical Hypnosis 131 Thomson Drive Ludlow, VT 05149 Contact: Linda Thomson, APRN, ABMH Email: Linda.M.R.Thomson@Hitchcock.ORG Orange County/Los Angeles Academy of Clinical Hypnosis 22 Acacia Tree Lane Irvine, CA 92612 Contact: Murray S. Kaufman Email: murraykaufman430@yahoo.com Oregon Society of Clinical Hypnosis 4500 NW 411th Circle Woodland , WA 98674 Contact: Deb Nesbitt Email: debnesbitt@gmail.com San Diego Society of Clinical Hypnosis 3252 Holiday Court, #225 La Jolla, CA 92037 Contact: Suzanne Marcus, PhD Email: Sumarcus43@gmail.com Southern California Society of Clinical Hypnosis PO Box 485 Culver City, CA 90232-0485 Contact: Paula Van Berkom Email: Administrator@scsch.org West Virginia University Hypnosis Study Group West Virginia University, Box 6422 Morgantown , WV 26506 Contact: Marion P. Kostka Email: marion.kostka@mail.wvu.edu Western Hypnosis Association 415 N. Camden Drive, Suite 217 Beverly Hills, CA 90210 Contact: Cynthia Costas Cohen, MFT Email: cynlar@aol.com Wisconsin Society of Clinical Hypnosis 636 Park Ave Beloit, WI 53511 Contact: Betty Magnus Email: bettymagnus@charter.net Attachments The American Society of Clinical Hypnosis Requirements for Certification in Clinical Hypnosis I. Qualifications. The applicant must meet the following qualifications: An MD, DDS, DMD, DO, DPM, DC, PhD, PsyD, or an equivalent doctoral degree with psychology or speechlanguage pathology as the major field of study, or a masters degree in nursing, social work, psychology, marriage and family therapy, mental health counseling or in speechlanguage pathology from an accredited college or university; and membership in a professional society other than ASCH or SCEH consistent with his/her degree II. Licensure A. The Applicant shall hold a current valid state/provincial regulatory license for independent practice in one of the following disciplines: Medicine, Psychology, Dentistry, Podiatry, Nursing, Social Work, Mental Health Counseling or Marriage and Family Therapy. B. If such a regulatory system is not in effect in the state/province where the applicant practices, one of the following criteria shall be met: 1. Listing in the National Register of Health Service Providers in Psychology. 2. Certification by the Academy of Certified Social Workers or the National Board of Examiners in Clinical Social Work. 3. Certification by the American Nurses Association or other equivalent national certifying body. 4. Full Membership in the American Association for Marriage and Family Therapy. 5. Certification by the National Board of Certified Counselors. III. Clinical Hypnosis Workshop Training: The applicant shall have completed a minimum of: A. Forty hours of post-degree, ASCH approved education. This training shall consist of 20 hours of beginning training and 20 hours of intermediate training. Up to 20 hours of “Ericksonian Hypnosis” may be be accepted towards the 40 hour requirement as long as the training adheres to the standards of training referred to below. B. The applicant shall also have completed 20 hours of individualized training with an ASCH Approved Consultant. This individualized training may occur in one-to-one training or in a small group of one Approved Consultant to not more than six trainees. Twenty cumulative hours of individualized consultation can be credited one hour to one hour of one to one consultation. Individualized objectives should be specified for each person including individualized learning experience. All training must fit the guidelines published in the manual Standards of Training (ASCH Press, 1994). It is the responsibility of the applicant to provide with his or her application sufficient documentation to demonstrate that his or her training is compatible with these standards. Any applicant submitting non- ASCH training must document their attendance and number of contact hours. All workshop training must be approved by the Certification Committee for acceptance as comparable training. IV. Clinical Practice The applicant must document two years of independent practice using hypnosis in their clinical practice, and describe that use of clinical hypnosis in their practice. V. Documentation The following documentation shall be for review by the ASCH Certification Committee and will become the property of ASCH. A. Completed application for ASCH Certification in Clinical Hypnosis along with the proper, nonrefundable application fee ($150 members; $350 non-members). B. Official transcript of program in which the highest degree was earned (not required for ASCH or SCEH members). C. A copy of current valid license or certification in one of the approved disciplines as outlined in Section II A. D. Official transcripts, attendance certificates, curriculum or program transcripts as requested by the Certification Committee. Documentation of attendance and actual contact/CEU hours is required for all non-ASCH training. E. At least 20 hours of individualized training with an ASCH Approved Consultant as follows: ASCH Consultation and Learning Contract Verification Form signed by the applicant and ASCH Approved Consultant. If the required individualized training was conducted with more than one Approved Consultant, a separate Verification Form is required for each Approved Consultant. (Learning Contract should be obtained from Approved Consultant). VI. Letters of Recommendation Two letters of endorsement from professional colleagues who can comment on the applicant’s professional ethics, use of hypnosis, and character. These letters are intended to comment on overall clinical demeanor, not competence. (Not required for applicants who have been members of ASCH for 5 or more years). VII. Miscellaneous A. All applicants for Certification shall be required to comply with and sign a statement of agreement to comply with the ethical standards established by the American Society of Clinical Hypnosis as expressed in the ASCH Code of Conduct. B. Upon approval by the Certification Committee, the successful applicant shall receive a certificate in recognition of having met the ASCH requirements for Certification in the area of clinical hypnosis. This certificate shall be subject to renewal every three years. C. If you are applying for Approved Consultant status (which requires completion of a different application), Certification is automatic and you do not need to complete this application. D. ASCH Certification shall be noted in the ASCH Membership Directory for ASCH members. E. Violation of ethical standards or loss of qualifications may result in revocation of ASCH Certification. F. All protests and appeals are subject to review by the ASCH Executive Committee. VIII. Case Consultation Learning Contract The requirements for ASCH Certification in Clinical Hypnosis includes 20 hours of individualized training and case consultation with an ASCH Approved Consultant in Clinical Hypnosis. A list of ASCH Approved Consultants may be obtained from the ASCH Central Office. Prior to beginning the 20 hours of individualized instruction, it is recommended that a “learning contract” be completed by the consultant and the student. The learning contract should be individualized and tailored to the unique learning needs of the student. The training with a consultant must be individualized to qualify as ASCH approved training. The individualized training is not and should not be represented as clinical supervision. It should also be noted that dual relationships are unethical and individualized training may not be provided to individuals in the context of psychotherapy or other professional relationships that provide clinical services. The learning contract should be used to specify the learning needs, learning objectives, learning resources and strategies, and methods for evaluating achievement of learning goals. Completion of the individualized training must be documented on a form titled “ASCH Consultation and Learning Contract Verification” form. (The learning contract can be obtained from the Approved Consultant.) For more information, contact the ASCH Central Office, 140 N. Bloomingdale Road, Bloomingdale, IL 60108, USA. Phone: 630-980-4740 Fax: 630-351-8490 The American Society of Clinical Hypnosis Application for Certification in Clinical Hypnosis INSTRUCTIONS 1. 2. 3. 4. Fill out all pages. Applicant’s signature must appear as designated on the final page of the application. Applicant must arrange for submission of endorsement forms, transcripts and other supporting material. Enclose an application fee of: ASCH members $150 non-members $350 Indicate payment method: check # payable to American Society of Clinical Hypnosis (US funds only) VISA MasterCard Exp. Date: Card number: 3-4 digit Security Code (CV2 on back side of card)_________ Signature: 5. Mail completed application packet to: The American Society of Clinical Hypnosis Certification Processing 140 N. Bloomingdale Road Bloomingdale, IL 60108-1017 1. Contact Information Highest Degree: Name: Address: City: State/Prov: Telephone (work): ZIP/PC E-mail address: Date of application: LIST ME IN THE REFERRAL DATABASE WITH THIS CONTACT INFORMATION Yes No Check here if this is a new address to where all ASCH communications should be sent. 2. Member of ASCH SCEH Not a member of either ASCH/SCEH Member since: (month/year) Please indicate membership type: Student member Associate member Full member 3. Do you hold Fellowship Status in ASCH? Yes No If yes, month and year elected to Fellowship status: 4. Do you hold Diplomate status in: Yes No American Board of Psychological Hypnosis? Yes No American Board of Medical Hypnosis? Yes No American Board of Hypnosis in Dentistry? Yes No American Hypnosis Board of Clinical Social Work? 5. Professional Membership Please list the professional organizations of which you are a member. Proof of current membership in a professional organization consistent with your degree (i.e., MD--AMA; MSW--NASW, etc.) must be enclosed. 6. Academic Training Institution Name Location Major Field of Study Degree Date Undergraduate Graduate Post Graduate 7. Primary Area of Practice (check one): Psychology Medicine Podiatry Chiropractic Medicine Marriage and Family Therapy Mental Health Counseling Psychiatry Dentistry Social Work Other area (specify:) If Medicine is primary area, please specify specialty: 8. Clinical Licensure: A. License Type License Number Issuing State/Prov/Agency Renewal Date B. Alternate Credentials: If no state/provincial licensing is available in your state/province, and you are applying under the alternate criteria as specified in Section II-B, complete the following: Credential membership/certification # issuing organization renewal date A copy of this current valid license or alternate credential must be included under either option. 9. Clinical Hypnosis Training: Have you completed at least 20 hours of beginning level and 20 hours of intermediate level ASCH approved workshop training? Yes No A. ASCH Beginning Workshops Attended: This section should include only workshops sponsored by ASCH. Certificates of attendance should be included when possible. Date Location Workshop Chairperson CEUs Earned B. ASCH Intermediate Workshops Attended: This section should include only workshops sponsored by ASCH. Certificates of attendance should be included when possible. Date C. Workshop Chairperson CEUs Earned Non-ASCH Beginning Workshops attended: This section should include only workshops sponsored by organizations other than ASCH, e.g.: Component Sections, academic courses, SCEH, ISH, APA Division 30, etc. Certificates of attendance, or other relevant documentation which verifies attendance and the number of actual contact hours/CEUs awarded must be included. Date D. Sponsoring Organization Location Workshop ASCH Approved? CEUs Earned Non-ASCH Intermediate Workshops Attended: This section should include only workshops sponsored by organizations other than ASCH, e.g.: Component Sections, academic courses, SCEH, ISH, APA Division 30, etc. workshops attended. Certificates of attendance or other relevant documentation, which verifies attendance and, the number of actual contact hours/CEUs awarded must be included. Date E. Location Sponsoring Organization Location Workshop ASCH Approved? CEUs Earned Have you completed at least 20 hours of consultation and individualized training with an ASCH approved consultant? Yes No Please attach the ASCH Consultation and Learning Contract Verification Form(s) to application. F. Additional Training (optional): You may list any additional training you would like the Certification Committee to consider in this section. Certificates of attendance or other relevant documentation, which verifies attendance and, the number of actual contact/CEU hours awarded must be included. Date Sponsoring Organization Location Workshop ASCH Approved? CEUs Earned 10. Clinical Experience in Hypnosis: Please document that you have used hypnosis in your clinical practice for at least two years. Position 1: Setting: Dates: List the kinds of disorders you treated with clinical hypnosis in this setting: Briefly describe your use of hypnosis in this setting: Position 2: Setting: Dates: List the kinds of disorders you treated with clinical hypnosis in this setting: Briefly describe your use of hypnosis in this setting: (Use extra sheets as needed to report clinical experiences with hypnosis in additional employment settings) 11. Letters of Recommendation: Please attach two letters of endorsement from professional colleagues attesting to your professionalism, ethical conduct, and qualifications (not required for applicants who have been members of ASCH for 5 or more years). 12. Additional Information: In the space below, please provide any additional information you believe may be relevant to the committee in examining your application. 13. Validation of Review: Acceptance of Certification by ASCH connotes the acceptance by the applicant of the ASCH Code of Conduct, a copy of which has been reviewed by the applicant, as it may be amended in accordance with the ASCH By-Laws. I agree to accept the ASCH Code of Conduct. I agree to have my name listed in relevant publications. Signature Date Title The foregoing information has been voluntarily supplied by the undersigned, with the understanding that it will be reviewed by the Certification Committee of ASCH and that, in the process of verification of the facts stated in the application, such facts may become known to third parties, and the undersigned expressly waives any claim to confidentiality of the material stated herein. Signature Date I hereby agree that I am submitting this application voluntarily and that, if my application is not acted upon favorably, I will in no way seek to hold ASCH, or any of its officers, members, or agents responsible for action. Signature Revised 11/10/05 S:\ASCH\Certification\5-08 app.doc Date American Society of Clinical Hypnosis Letter of Endorsement Candidate for Certification in Clinical Hypnosis I, , endorse the following candidate for ASCH Certification in Clinical Hypnosis. Candidate’s name: City and State/Province: To the best of my knowledge, the Candidate meets the qualifications for Certification by the American Society of Clinical Hypnosis. I have known the Candidate in a professional capacity for Please comment on the candidate’s qualifications, activities, and ethical behavior. Name (please print): Title: Signature: Date: Street Address: City/State/Prov/Zip: years. COMPONENT SOCIETY APPLICATION Proposed Name of Component Society: Name of Applicant Contact Person: Address & Telephone for Contact Person: Mailing Address for Component Society (if different from above): Is this a new society?: Yes No If no, explain past status, past name, reason for reorganization or other pertinent information.: G Please attach the member names and addresses for all members of the proposed component, denoting all, but at least 8, who are members of ASCH. G Please attach a list of officers, their addresses and telephone numbers. G Please attach your proposed bylaws. G Please list Board of Governors representative: Date of Application: Return completed application to: Component Section Committee 140 N. Bloomingdale Road Bloomingdale, IL 60108-1017 S:\ASCH\Component Section\2008\Applicants\application.wpd COMPONENT SECTION ANNUAL REPORT Component Section: Membership: Please list the number of members in the following categories: M.D./ D.O. D.D.S./ D.M.D. Ph.D./Psy.D. Masters Degree-Psychology M.S.W. Masters Degree-Marriage & Family Therapy Masters Degree-Nursing Students Other TOTAL MEMBERSHIP Does your component section collect dues? TOTAL ASCH MEMBERS Yes; Amount / yr A current list of your members, including full contact information, must be submitted with your Annual Report. The list must indicate which members of your Component Section are ASCH members. Summary of Current Year Activities: COMPONENT SECTION CONTACT INFORMATION Primary Contact: Mailing Address: Suite Mail/Code: City/State/Zip: Phone: E-mail: Current Officers President: Mailing Address: Suite Mail/Code: City/State/Zip: Phone: E-mail: Vice President: Mailing Address: Suite Mail/Code: City/State/Zip: Phone: E-mail: Secretary: Mailing Address: Suite Mail/Code: City/State/Zip: Phone: E-mail: Treasurer: Mailing Address: Suite Mail/Code: City/State/Zip: Phone: E-mail: Representative(s) to ASCH Board of Governors (MUST BE AN ASCH MEMBER IN GOOD STANDING) Name: Mailing Address: Suite Mail/Code: City/State/Zip: Phone: Fax: E-mail: Will your Representative(s) be present for this year's meeting of the ASCH Board of Governors? Yes __ ___ No __ Submitted by: Date: ___ SEND COMPLETED FORM AND ATTACHMENTS TO: American Society of Clinical Hypnosis C/O: Michael White 140 N. Bloomingdale Road Bloomingdale, Illinois 60108-1017 - or FAX: 630-351-8490 - or mwhite@asch.net APPLICATION FOR MEMBERSHIP Return completed application to: ASCH Membership Processing 140 N. Bloomingdale Road Bloomingdale, IL 60108-1017 1. Full Name Last First Middle Street Address City, State/Province Zip Country Telephone number Fax number E-mail address □ I do not want to receive ASCH announcements via e-mail. □ I do not want to be listed in the referral database □ I do not want to be listed in Membership Directory □ I do not want my contact information sold to external organizations 2. Which membership category are you applying for? □ Full □ Associate □ Research □ Resident/Intern □ Student 3. Education: Institution Name Location Major Field of Study Degree Date Undergraduate Graduate Postgraduate • If applying for Resident/Intern or Student membership, a letter from your advisor/ department head/ registrar certifying that you 1) have completed at least 1 graduate term, and 2) are currently enrolled in a graduate degree program (specify program name) must accompany your completed application. 4. Licensed/Certified for Practice as: □ Physician □ Psychologist □ Counselor □ Marriage/Family Therapist □ Dentist □ Chiropractor □ Social Worker □ Nurse □ Speech-Language Pathologist □ Other State/Province in which licensed/certified • License/Certification # A copy of your current license or certification to practice, with expiration date, must accompany your completed application. 5. Specialty Board Certification: 6. □ Full-Time Practice □ Resident/Intern □ Part-Time Practice □ Teaching □ Researcher □ Other 7. Teaching position held: 8. If elected to membership, how would you want to be listed in the ASCH Directory? □ Without indicating a specialty □ Specialist Indicate specialty 9. List your membership in professional organizations: • Proof of current membership, or eligibility for membership, in a professional organization relevant to your degree must accompany your completed application, for example AMA, APA, NASW, etc. 10. On a separate piece of paper, list the following a. Your major publications, stating when and where they were published. b. Verification of your training in hypnosis, within the last 3 years, including what courses you have taken in hypnosis, where the course was held, including dates, names of faculty, number of hours (one 20 consecutive 20 hour ASCHapproved course required for Full membership). Please furnish proof of attendance. c. List use of and experience in hypnosis. If you currently do not have any experience, then please write a statement of your interest in hypnosis. 11. If you belong to a Component Section of ASCH, please name the Component Section: If no, are you interested in joining one? □ Yes □ No 12. Were you referred by a current ASCH member? ? □ Yes □ No If yes, please tell us who referred you: • Submit payment of the annual membership dues along with completed application: (US Funds only) o If for some reason you are not eligible for membership, the money will be refunded to you. o Memberships run from July 1 through June 30 of any given year. Dues are not prorated. Member/Associate/Researcher: $210 Rates for Canadian members: $185 Payment method: □ Check # Resident/Intern: $90 $77.50 Student: $70 $57.50 Make checks payable to American Society of Clinical Hypnosis □ MasterCard □ Visa Credit Card Number: Exp. Date_______________ 3-4 digit Security Code (CV2 on back side of card)__________________ The facts set forth in my application are true and complete. I understand that false statements on this application shall be considered sufficient cause for rescinding membership. YOU MUST SIGN YOUR APPLICATION: Signature: S:\ASCH\Membership\5-08 application.doc Date: AGE REGRESSION G ENERAL I NTEREST M EDICAL APPLICATIONS AR-2: AGE REGRESSION - FETAL STAGE Review of pre-birth experiences that can interfere with present behaviors and examples of suggestions to update information. (Raul Llanos, MD). Color, 23 Minutes. G-4: CONTROL OF BLEEDING UNDER HYPNOSIS Teaches one technique that can be utilized to help the patient understand the control over his bodily functions and to strengthen his ego. (Raul Llanos, MD). Color, 17 Minutes. M-2: CONTROL OF CHEMOTHERAPY SYMPTOMS Hypnotherapy of patient with Anticipatory Emesis, associated with combination chemotherapy for Ovarian Carcinoma. (Alexander A. Levitan, MD). Color 20 Minutes. CD Format available. AR-4: HYPNOSIS AND BIRTH IMPRINTING G-7: HYPNOSIS IN THE CONTROL OF PSEUDO AND POSSIBLE Hypnotic Age Regression of multiple patients to the birth experience for ORGANIC SEIZURES removal of psychic trauma. (David B. Cheek, MD). Color, 35 Minutes. Demonstratestraining and use of symptom displacement through “clenched fist” technique. (“Let your fist have the pseudo seizure activity”). AR-5: HYPNOSIS FOR A CASE OF PARTIAL HEMIPLEGIA (Joseph R. Dane, PhD). Color, 49 Minutes. (WITH ADDENDUM) Demo use of ideomotor signaling, Age Regression, and additional hypno- G-8: HYPNOTIC PHENOMENA PARTS I & II therapeutic strategies, to assist the patient with partial paralysis of his arm A demonstration of a variety of hypnotic phenomena intended to accompany and leg. (Dabney M. Ewin, MD). Color, 70 Minutes. text on the hypnotherapeutic and hypnoanalytic techniques. (John G. Watkins,PhD). Color, 95 Minutes. AR-7: HYPNOTHERAPY WITH A PATIENT WHO HAS PSYCHOSOMATIC PAIN AND ARM DYSFUNCTION G-9: IMPROVED PATIENT TOLERANCE USING MEDICAL Age Regression with resolution of childhood emotional trauma. (Joan HYPNOSIS Murray-Jobsis, PhD). 1982, Color, 40 Minutes. Medical hypnosis to improve patient tolerance for claustrophobic and panic symptoms. Especially useful for MRI(Magnetic Resonance Imaging) with AR-8: REGRESSION TO BIRTH CEREBRAL PALSY associated total body enclosure in extremely confined spaces for extended Patient with speech impediment and muscle spasms of the neck and mouth, time periods. (Paul J. Friday, PhD). Color, 30, Minutes. CD Format available. further compromising vocal clarity. Age Regression to a traumatic birth experience and seizure with a 14 year follow-up. (Dabney M. Ewin, G-10: INTERVIEW WITH DR. MILTON ERICKSON MD). Color/B&W, 30 Minutes. Interview with Dr. Milton Erickson, relative to his conception of the nature of hypnosis, memory, behavior and communication. Demonstration by Dr. AR-9: THE TRAUMA OF BIRTH ABREACTIVE THERAPY Erickson of many of his techniques and verbalizations. (Harold J. Wain, PhD). Age Regression to define source of academic blocking with abreactive Color, 30 Minutes. CD Format available. therapy of birth trauma. (Helen Watkins, MA). 1986. Color, 30 Minutes. CD Format available. G-13: TRANCE STATES IN SINGAPORE AND MALAYSIA AND THEIR ROLE IN THE COMMUNITY OF HEALING Demonstration of oriental religious practices and associated trance states, which D ENTAL include piercing through the cheek with unsterilized pins and needles, fire walking, and group trance phenomenon. (Chong Tong Mun, MB, BS, MD). D-1: HYPNOSIS AND TREATMENT OF GAGGING Resolution of extreme gagging through hypnotherapy by dentists, with Color, 20 minutes. M-3: HYPNOSIS IN CONTROL OF PAROXYSMAL VENTRICULAR CONTRACTIONS Hypnosis contracted to cause and remove Parosysmal Ventricular Contractions. (Alexander A. Levitan, MD). Color, 20 Minutes. emphasis on acceptance of dentures and associated intra-oral therapy. G-15: ENTRANCED: HYPNOSIS, HEALTH & HEALING (Harold P. Golan, DMD). Color, 30 Minutes. An excellent resource that presents some scientific perspectives on the nature of hypnotic phenomena, and their applications in integrative D-4: HYPNOSIS IN ORAL SURGERY Hypnoanesthesia as the sole anaesthetic for oral surgery- coronoidectomy medicine. (Australian Society of Hypnosis). CD Format only. with subsequent discussion with the subject. (Richard B. Garver, EdD). Color, G-16: CIBA Hypnoshow (Milton Erickson) 50 Minutes. D-5: TREATMENT OF AGORAPHOBIC/CLAUSTROPHOBIA DENTAL PATIENT Strategies for dealing with a patient with severe dental phobias, superimposed on Agoraphobia. D-6: CLINICAL HYPNOSIS FOR BRUXISM (J. Henry Clarke, DMD) FORENSIC F-3: INVESTIGATIVE HYPNOSIS “On Guard”, law enforcement training film, relative to the proper techniques for the use of investigative forensic hypnosis. (Richard P. Garver, EdD). 1983, Color, 15 Minutes. M-4: MEDICAL HYPNOSIS Presentation of basic concepts of hypnosis and applications to the practice of medicine and psychology, including chronic pain. (Harold B. Crasilneck, PhD). 1977, Color, 60 Minutes. CD Format available. M-6: OSTEOPATHIC MANIPULATIVE TREATMENT OF LUMBAR AREA, USING HYPNOSIS The use of hypnosis to relieve acute muscle spasm and permit osterpathic manipulation. (Robert A. Leopold, DO). Color, 11 minutes. M-7: PYSCHOPHYSIOLOGY The us of biofeedback and hypnosis to relieve Skeletal Muscle tension. Combined hypnotherapy and biofeedback therapy of a patient with temporomandibular joint (TMJ) syndrome. (Richard S. Lewis, DMD). Color, 20 minutes. M-8: HYPNOTHERAPY IN THE TREATMENT OF IRRITABLE BOWEL SYNDROME Hypnotherapy of a patient with an essential tremor with specific attention to the psychological factors contributing to the problem. (Raul Llanos, MD). Color, 31 minutes. M10: NON-PHARMACOLOGIC ANAGESIA (Elviria Lang) OB/GYN P-6: THE CASE OF VICKI: PART I & II The session is a two hour, one session intervention with a terminal cancer OG-3: HYPNOSIS FOR LABOR AND DELIVERY Demon-strates two sessions, #3 & #4o f a 5 session set using hypnosis patient requesting hypnosis for the relief of pain. Part I is the interview; Part II is the hypnosis session. The tape features multiple processes of to prepare for labor and delivery. (Marc I. Oster, PsyD). Color, 69 Minutes. Dissociation, Analgesia, Catalepsy, Age Progression, Time Distortion, and OG-5: PRACTICAL APPLICATION OF HYPNOSIS IN PREGNANCY illustrates the use of therapeutic metaphors embedded commands, AND LABOR confusional sugges-tions, and many other communication patterns. Group and individual hypnotherapy for labor and delivery in a South (Michael D. Yapko, PhD). Color, 2 Hours. African obstetrical practice. (Jules Leeb, MD, BHC). Color, 120 Minutes. P-7: USE OF HYPNOSIS IN ACUTE AND CHRONIC PAIN OG-6: ROBIN: LABOR & DELIVERY Hypnosis for the dealing with severe , acute and chronic pain in a patient Delivery in a hypnotically prepared patient. Demonstrates the ability of with an industrial back injury. (Harold B. Crasilneck, PhD)Color, 35 Minutes. the patient to control the labor and delivery process resulting in an enjoyable experience for all involved. (Larry J. Goldman, MD). Color, 15 Minutes. PEDIATRICS CD Format available. 0G-7: SHIRLEY: C-SECTION Hypnosis is an adjunct to Epidural Anesthesia and a patient undergoing Cesarean Section , suggestions given for intra-operative and post-operative management as well. (Larry J. Goldman, MD). Color, 15 Minutes. CD Format available. PS-2: HYPNOTHERAPY: A PATIENT WITH ANXIETY AND SPEECH DISTURBANCE Brief demonstration of therapy with a 20-year-old male college student working on a speech disturbance (stuttering). Joan Murray-Jobsis, PhD). Color, 30 minutes. PS-4: THE MULTIPLE FACES OF ANOREXIA NERVOSA Psychotherapy of a patient with Anorexia Nervosa and a covert Multiple Personality Disorder (MPD). (Moshe S. Torem, MD). Color, 42 Minutes. PS-7 : USE OF HYPNOSIS IN PSYCHOTHERAPY Comprehensive review of diverse applications of hypnosis to psychotherapy, including multiple manifestations, associated with various depths of trance. (James R. Hodge, MD). Color, 45 Minutes. PS-11: RECOVERY FROM HARD TO BREAK RELATIONS (S. David Kaplan, PhD) PD-1: HYPNOSIS WITH HEMOPHILIAC CHILDREN Hypnotherapeutic strategies for teaching hemophiliac children how to control pain, bleeding, and how to reduce spontaneous hemorrhages. (Shirley Sanders, PhD). B/W, 24 Minutes. PS-12: HYPNOTHERAPY IN PATIENT WITH CHRONIC PAIN AND TRAUMA-BASED OBESITY Demonstration\of a variety of hypnotic phenomenon and hypnotherapeutic strategies (including ego-strengthening, time distortion, role rehearsal, pain and compulsive overeating related to childhood trauma. An introduction and PD-3: RELAXATION & VISUAL IMAGERY IN PEDIAT-RICS Multiple hypnotherapeutic application to the practice of pediatrics. Each follow-up patient interview are included. (David Herl, EdD). Color, 45 Minutes. vignette also demonstrates a different pediatric induction technique. 1) PS-13: HYPNOSIS IN THE TREATMENT OF SEXUAL TRAUMA Asthma - pain and face induction; 2) Leukemia - fearfulness, mental (William H. Smith, PhD, ABPH). Color, 40 Minutes. CD Format available. imagery induction; 3) Recurrent abdominal pain, Raggedy Ann Kinesthetic induction; 4) School and athletic performance, television imagery induction. (Judson B. Reaney, MD). Color, 49 Minutes. SURGERY OG-8: SUGGESTIONS FOR EGO STRENGTHENING TO IMPROVE QUALITY OF PREGNANCY, INCIDENTAL CURE FROM A NEEDLE PHOBIA Ego Strengthening and Acceptance of Pregnancy contribute significantly to a satisfactory outcome. Hypnotherapeutic Instruction in Glove Anesthesia and Bleeding Control as well as Ego Support are demon-strated to improve the quality of the pregnancy and delivery. (Raul Llanos, MD). PD-4: HYPNOTIC TREATMENT OF CHILDHOOD SEPARATION Color, 21 Minutes. ANXIETY 0G-9: HYPNOTIC LAPAROSCOPIC TUBAL LIGATION This tape shows the hypnotic induction (via a TV imagery technique of a Includes part of the rehearsal, the actual tubal ligation with active soccer game) and treatment of an early adolescent boy who experiences interaction with the patient, comments about the preparation for any surgical “butterflies” in his stomach when asked to spend the night at a friend’s procedure under hypnosis, and an interview with the patient after surgery. house. This is the third session and he is now able to stay overnight but (Raul Llanos, MD). Color, 26 Minutes. with some apprehension. The third session is designed to fine tune strategies he has learned. This is an excellent example of using clinical hypnosis with children. (William C. Wester II, PhD). Color, 22 Minutes. CD Format PAIN available. P-1: HYPNOSIS AND PAIN CONTROL Hypnotherapy of chronic low back pain with associated depression. (Michael B. LaCrosse, PhD). Color, 40 Minutes. P-3: HYPNOSIS FOR PAIN, ANXIETY AND HEALING WITH A PSYCHOTHERAPY BURN PATIENT Demonstrates use of ideomotor review of precipitating trauma and complicating incidents to identify and treat potential affective responses PS-1: FUNCTIONAL AMNESIA interfering with treatment and healing process. (Joseph R. Dane, PhD). Color, Treatment of a patient with Psychotenic Amnesia to person and place, triggered by a seemingly minor traumatic event. (Harold Crasilneck, PhD). 30 Minutes. CD Format available. Color, 20 minutes. P-4: HYPNOTHERAPY IN THE TREATMENT OF THERMAL INJURY Hypnotherapy of a burn patient with special attention to pain control as well as suggestions to increase healing , appetite and range of motion and to resolve patients associated depression. (Harold P. Crasilneck, PhD). Color, 60 Minutes. S-2: HYPNOANESTHESIA FOR CATARACT SURGERY Hypnoanesthesia as an adjunctive to local anesthesia cataract extraction and intraocular lens implantation. (Alexander A. Levitan, MD). Color, 15 Minutes. S-3: HYPNOSIS AS THE SOLE ANESTHESIA FOR RECTOCELE REPAIR Hypnoanesthesia in a patient with large rectocele, who had previously experienced a Cardiac Arrest in association with prior surgery. (Alexander A. Levitan, MD). Color, 20 Minutes. S-4: HYPNOSIS SURGERY (OOPHORECTOMY) Hypnoanesthesia for abdominal Laparotomy and Oophorectomy. Intra-operative nausea encountered and resolved. (Alexander A. Levitan, MD). Color, 20 Minutes. S-5: MINOR SURGICAL PROCEDURES Hypnosis for use in minor surgical procedures, principally laser abalation of a Condylomata Accuminata in a preeclamptic patient and for Dilation & Curettage in another patient. (Raul Llanos, MD). Color, 23 Minutes. S-7: SELF-HYPNOSIS FOR LIPOSUCTION SURGERY (Samuel Botta, MD) S-8: HYPNOSIS AS THE SOLE ANESTHETIC FO R ORTHOPEDIC SURGERY (Donald R. Hogue, PhD). CD Format available. VIDEO NUMBER VIDEO TITLE FEE Format r Video r CD 1st Video - $20 r Video r CD Subsequent Video - $10 r Video r CD Subsequent Video - $10 TOTAL FEES: VIDEO AVAILABILITY If the videos you have selected are not currently available because they are out on loan, your order will be held until they are in. If videos you have selected are not available for other reasons, you will be issued a refund for the portion of your order that cannot be filled. Due to the prohibitive cost of shipping, we are unable to send videos outside of the US and Canada. Return completed order form to ASCH Central Office: VIDEOS MUST BE RETURNED WITHIN THREE WEEKS OF SHIPPING DATE. Program Borrowers Agreement: In borrowing the above-titled program(s), I agree that I will use the program(s) for professional educational purposes only and that I will not show the program to any individuals who are not considered health care professionals under the American Society of Clinical Hypnosis Code of Ethics. I acknowledge that this is a copyrighted program and that I have no right to copy the program or to make use of the program other than described above. I further agree to indemnify and hold harmless the library and the ASCH against any claim, damage, or loss resulting from or arising out of my use of this program. Plus, I agree to return the tapes borrowed to ASCH within three weeks of the date shipped. PAYMENT METHOD r r Check: # Visa SHIPPING INFORMATION r Mastercard Credit card No: Exp. Date: ASCH 140 N.Bloom ingale Road Bloom ingdale, IL 60108-1017 Fax: 630/351-8490 (credit card orders only) Address: City/State: CSV Code: (Credit Card Security Value - located on back of card) Signature: Tel: 630/980-4740 Email: info@ asch.net W eb: www.asch.net Name : Professional Degree: Date: Zip/PC: