Delaware Division of Substance Abuse and Mental Health


KELLEY/PAZZAGLINI AWARD

NOMINATION GUIDELINES

       	The Kelley/Pazzaglini Award 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, and contributions to the improvement of the field is noteworthy and exceptional.  The nominee’s contribution should be recognized as making an important and ongoing 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 and who has clearly demonstrated this in their practice.

	Patrick Kelley and Mario Pazzaglini, Ph.D. were teachers, psychotherapists, and associates to many people within the Division of Substance Abuse and Mental Health and within other human service agencies in Delaware.  Pat Kelley taught at the Institute from 1975 to 1982 and died of AIDS in 1984.  Pat's work challenged us to explore and examine ourselves as the prerequisite for effectiveness as change agents with institutions or with individuals.

      Mario Pazzaglini, Ph.D. taught at the Institute from 1978 through the 27th 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 any current 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.

	To be eligible nominees must be employees of DSAMH or staff of DSAMH contracted programs.  Nominations are invited from state operated and contracted DSAMH programs and the Central Office of DSAMH.   Executive Staff of the Delaware Division of Substance Abuse 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 Institute Awards Ceremony on Monday, July 23, 2007.

	Questions should be directed to the Training Office, (302/255-9480).

 Nomination For Kelley/Pazzaglini Award
36th Summer Institute, 2007

Please see the reverse side of this form for a description of characteristics to be considered in nominating for this Award.  Use one form per nominee.

Please Print or Type:

NAME: Individual being nominated for award.								______________________
NOMINEE JOB TITLE:	 
NOMINEE AGENCY/PROGRAM:  	

HOW DOES THE NOMINEE EXEMPLIFY THE CRITERIA AND HIGH STANDARDS OF THIS AWARD: Based on the criteria listed on the reverse side of this form, why is this person being nominated?   (Use attachment if additional space is needed)

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
THREE (3) or more examples of how the individual exemplifies personal/professional excellence and their commitment to professional development and practice:      (Use attachment if additional space is needed.)
	
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Attach/include documentation to support this application.  Resume/Curricula Vita would be helpful.

NOMINATOR(S) NAME: Who has provided above information?						______________________
NOMINATOR TELEPHONE:		NOMINATOR TITLE (S): ___________________________________________
NOMINATOR AGENCY:______________________________________________________________________________________________________ 
NOMINATOR ADDRESS:_____________________________________________________________________________________________________  

THANK YOU for taking the time to acknowledge the importance of recognizing our colleague's work.

To be considered, nominations must be submitted on this form, by Friday, June 29, 2007 to:

Pazzaglini Award Committee, Division of Substance Abuse and Mental Health Training  Office, Springer Building,  1901 N. Dupont Highway, New Castle, DE  19720
302/255-4450 (fax)