11th Annual Pennsylvania Early Psychosis Conference Presentation Proposal

11th Annual Pennsylvania Early Psychosis Conference Presentation Proposal

Submissions due no later than 11:59pm on Friday, 05/01/2026. Partial submissions will not be reviewed or considered for presentation.
Presentation Criteria
1. Presentation may be focused on any of the below
  1. early psychosis treatment (including integration of clinical evidence-based treatment models, etc.)
  2. coordinated specialty care (CSC)
  3. one of the roles on the CSC team
  4. additional CSC services proposal (example: OT, FPS, etc.)
2. Presentation must be evidence based with at least 3 current resources (within the last 5 years of practice)
3. Presentation length 1 or 2 hours (50/110 minute presentation, 10/20 minute Q&A)
4. Ability to present during the week of Nov 16-20, 2026 with assigned time slot
5. All proposals due by 11:59pm on Friday, 05/01/2026
Full Name*

First NameLast Name
Name (with applicable credentials) to appear at the conference and on marketing materials*
Professional title to appear at the conference and on marketing materials*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Presenter Bio (max 500 words)*
FEP CSC Program Name (type "none" if not applicable) *
FEP CSC Parent Organization Name (type "none" if not applicable) *
Main role on your FEP CSC Team*

Team Leader/ Director/ AdminCounselor/ Therapist/ Social WorkerSEESCase ManagerData Coordinator/ Program Evaluation StaffOther Support StaffNot Employed on an FEP CSC Team
List any Relevant Financial Relationships you may have, if none, type "none"*
Upload Current CV/ Resume*

Cancelof
Upload Current Headshot (blank background required)*

Cancelof
Would you like to add additional presenters (max 2 more additional presenters)?*

Yes (if yes, please choose "next" and provide additional presenter details on next page)No (if no, scroll to bottom and choose "next" on this and the following 2 pages)

- Full Name (presenter 2 if applicable)
  
  First NameLast Name
- Name (with applicable credentials) to appear at the conference and on marketing materials (presenter 2 if applicable)
- Professional title to appear at the conference and on marketing materials (presenter 2 if applicable)
- Email (presenter 2 if applicable)
  example@example.com
- Phone Number (presenter 2 if applicable)
  Please enter a valid phone number.Format: (000) 000-0000.
- Presenter Bio (max 500 words) (presenter 2 if applicable)
- List any Relevant Financial Relationships you may have, if none, type "none" (presenter 2 if applicable)
- Upload Current CV/ Resume for Presenter 2
  
  Cancelof
- Upload Current Headshot for Presenter 2 (blank background required)
  
  Cancelof
- Would you like to add additional presenters (max 1 more additional presenters)?
  
  Yes (if yes, please choose "next" and provide additional presenter details on next page)No (if no, scroll to bottom and choose "next" on this and the following page)

- Full Name (presenter 3 if applicable)
  
  First NameLast Name
- Name (with applicable credentials) to appear at the conference and on marketing materials (presenter 3 if applicable)
- Professional title to appear at the conference and on marketing materials (presenter 3 if applicable)
- Email (presenter 3 if applicable)
  example@example.com
- Phone Number (presenter 3 if applicable)
  Please enter a valid phone number.Format: (000) 000-0000.
- Presenter Bio (max 500 words) (presenter 3 if applicable)
- List any Relevant Financial Relationships you may have, if none, type "none" (presenter 3 if applicable)
- Upload Current CV/ Resume for Presenter 3
  
  Cancelof
- Upload Current Headshot for Presenter 3 (blank background required)
  
  Cancelof

What duration session are you proposing?*

1-hour (50 min session with 10 min Q&A)2-hour (two 1-hour time slots with 10-20 min Q&A at end, note 15 min break after 1st hour)
What style session are you proposing?*

Didactic (lecture)Interactive (without breakout rooms)Interactive (with breakout rooms)Other
Who is your intended audience (all CSC team members, list specific CSC role if applicable, etc.)*
Session Title (max 20 words)*
Session Description (max 500 words)*
Marketing Session Description (max 200 words)*
List 3 measurable objectives per session hour (By the end of this session, participants will be able to...) *
List 3-5 current evidenced based resources for your presentation (resources must be within the last 5 years of practice)*
Upload 3-5 current evidenced based resources for your presentation (resources must be within the last 5 years of practice)*

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Each presenter must complete the HeadsUp Media Release form here prior to submitting your proposal.

Acceptance decision notifications will be provided no later than Summer 2026 via the email address provided.

If the proposed session is accepted, additional information and timeline expectations will be provided with the notification.

For questions, contact Crystal Vatza, HeadsUp Educaiton and Telehealth Manager, at crystal.vatza@pennmedicine.upenn.edu.
Have all required HeadsUp Media Release forms been completed?*

Yes (must be completed prior to submission, see information and link noted above)
Should be Empty: