Kelley/PazzagliniAwardDelawareDivisionofSubstanceAbuseandMentalHealth
KELLEY/PAZZAGLINIAWARD


NOMINATIONGUIDELINES 

The Kelley/PazzagliniAward is a very special and meaningful honor in Delaware and recognizes an 
individual who has demonstrated a significant commitment to the field of behavioral healthcare and whose 
involvement,service,andcontributionstotheimprovementofthefieldisnoteworthyandexceptional. The 
nominee’s contribution should be recognized as making an important andongoing impact on the system, which is 
above and beyond the expectations of their day-to-day work. This award is intended to recognize someone who 
considers personal and professional development as critical to the effective provision of services andwho has clearly 
demonstrated this in their practice. 

Patrick Kelley and Mario Pazzaglini, PhD were teachers, psychotherapists, and associates to many people within the 
DivisionofSubstanceAbuseandMentalHealthandwithinotherhumanserviceagenciesinDelaware. PatKelley 
taughtattheInstitutefrom1975to1982anddiedofAIDSin1984. Pat'sworkchallengedustoexploreandexamine 
ourselves as the prerequisite for effectiveness as change agents with institutions or with individuals. 

Mario Pazzaglini, PhD taught at the Institute from 1978 through the27th Institute in 1998. He died on December 5, 
1998. Mario was a master teacher and psychologist. His interests in ancient civilizations, mathematics, and art 
brought a depth to his work that presented to all who worked with him an understanding of the human psyche not 
tethered by anycurrent fad or limitation of previous learning. Mario viewed learning and growth as containing within 
it all the emotions, thoughts, and imaginations of a person. He consulted with or worked in just about every addiction 
and mental health program in the state during thirty years as a psychologist. 

Tobeeligible,nomineesmustbeemployeesofDSAMHorstaffofDSAMH-contractedprograms. Nominationsare 
invitedfromstateoperatedandcontractedDSAMHprogramsandtheCentralOfficeofDSAMH. ExecutiveStaffof 
the Delaware Division of SubstanceAbuse and Mental Health will make the final selection. 

The individual selected for this award will receive a full scholarship to the Summer Institute, documentation as to the 
receipt of the award, and recognition of receipt during the InstituteAwards Ceremony on Monday, July 27, 2009. 

Questions should be directed to the Training Office at (302-255-9480) 

www.dhss.delaware.gov/si09 302-255-9480 


elley/PazzagliniKelley/PazzagliniAwardNominationForm
38th SummerInstitute,2009



See the reverse side of this form for a description of characteristics to be considered in nominating for thisAward.
Use one form per nominee.
Please Print orType:


NAME: _____________________________________________________________________ 

Individual being nominated for award. 

NOMINEE JOBTITLE:_______________________________________________________ 

NOMINEEAGENCY/PROGRAM:______________________________________________ 

HOWDOESTHENOMINEEEXEMPLIFYTHECRITERIAANDHIGHSTANDARDSOFTHISAWARD: 

Basedonthecriterialistedonthereversesideofthisform,whyisthispersonbeingnominated? (Useattachmentifadditionalspaceisneeded) 

THREE OR MORE EXAMPLESof how the individual exemplifies personal/professional excellence and their commitment to professional 

development and practice: (Useattachment if additionalspace isneeded) 

Attach/includedocumentationtosupportthisapplication. Resume/CurriculumVitaewouldbehelpful. 

NAMEOFNOMINATOR:_______________________________________________________________________ 

NOMINATORTELEPHONE:__________________ NOMINATORTITLE (S):__________________________ 

NOMINATORAGENCY:________________________________________________________________________ 

NOMINATORADDRESS:_______________________________________________________________________ 
THANKYOU for taking the time to acknowledge the importance of recognizing our colleague's work. 

Tobeconsidered,nominationsmustbesubmittedonthisform,byFriday,June19,2009to:
Kelley/PazzagliniAwardCommittee•DivisionofSubstanceAbuseandMentalHealthTrainingOfficeSpringerBuilding•1901N.DupontHighway•NewCastle,DE19720•302/255-4450(fax)
www.dhss.delaware.gov/si09 302-255-9480