Zeiven Ben Beitchman application packageCITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
beitchmanzeivenb
NAME:
First Name
Last Name
Middle Initial
FL33140
HOME ADDRESS
:
3328 garden aveMiami Beach
Home No./StreetState
Apt No.City
Zip Code
zbeitchman@hotmail.com
78630344227863034422
PHONE
:
WorkEmail Address
HomeFax
psychologist
Business Name:
camillus house
Position:
1603 nw 7th ave
Miami BeachFL33136
Address:
State
CityZip Code
Street
Pursuant to City Code section 2-22(4) a and b:
Members of agencies, boards, and committees shall be affiliated
requirement shall be fulfilled in the following ways: a) an indi
months; or b) an individual shall demonstrate ownership/interest
Yes
No
Yes
Middle Beach
circle one): I am now a resident of:
Psychologist/Drug Counselor,Experience with Homeless.Also worked
No
123Please note that only three (3)
Please list your preferences in order of ranking [] first choice [] second choice, and [] third choice.
choices will be observed by the City Clerks Office.
(Regular Boards of City)
Choice 1:Police Citizens Relations Committee
Choice 2:Community Relations Board
Choice 3:
Committee on the Homeless
Note
: If applying for Youth Advisory Board, please indicate your aff
1. Past service on the Youth Center Advisory Board:
No
Years of Service:
if yes, please list the names of your children, their
No
2. Present participation in Youth Center activities by your chil
ages, and which programs. List below:
No
Have you ever been convicted of a felony:If yes, please explain in detail:
No
Do you currently have a violation(s) of City of Miami Beach codeIf yes, please explain in detail:
No
Do you currently owe the City of Miami Beach any money:If yes, please explain in detail:
No
Are you currently serving on any City Boards or Committees:If yes, which board?
What organizations in the City of Miami Beach do you currently h
List all properties owned or have an interest in, which are loca
No
I am now employed by the city of Miami Beach:Which department?
The following information is voluntary and is neither part of yo
being asked to comply with federal equal opportunity reporting r
Gender:Male
Race/Ethnic Categories
What is your race?White
Mark one or more races to indicate what you consider yourself t
Other Description:
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spani No
No
Physically Challenged:
NOTEIf appointed, you will be required to follow certain laws which
:
These laws include, but are not limited to, the following:
Prohibition from directly or indirectly lobbying city personnel
o
Prohibition from contracting with the city (Miami-Dade County Co
o
Prohibition from lobbying before board/committee you have served
o
Beach Code section 2-26).
Requirement to disclose certain financial interests and gifts (M
o
(re: CMB Community Development Advisory Committee): prohibiti
from having any interest in or receiving any benefit from Co
or those with whom you have business or immediate family ties
Upon request, copies of these laws may be obtained from the
I hereby attest to the accuracy and truthfulness of the applica
VII of the City Code Standards of Conduct for City Officers,
I zeiven beitchman agreed to the following terms on 2/12/2014 2:
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No.Date
Zeiven Ben Beitchman
3328 Garden Avenue
Miami Beach, FL 33140
786-303-4422
EXPERIENCE
Camillus House Inc., Miami, Florida October 2008 - Present
ACT Team Clinician
Providing ongoing assessment, treatment and concrete services to clients who suffer from
mental illnesses and who were chronically homeless.
Noting and following up on any significant changes related to client’s functioning,
including medical and psychiatric status.
Providing individual, group and family counseling in client’s apartments, community or
nontraditional settings.
Coordination of services and advocacy for clients in the community as needed.
Maintenance of clients records compliant with fiscal, legal and professional standards of
care.
Broward Community College, Fort Lauderdale, FL January 2005 – Present
Adjunct Faculty
Provide classroom instruction in various disciplines and topics of psychology in
accordance with the college’s requirements.
Lecture and communicate effectively with students of diverse backgrounds.
Inform students about course requirements according to the course syllabus.
Nova University, Miami, FL January 2005 – Present
Adjunct Faculty
Provide classroom instruction in various disciplines and topics of psychology in
accordance with the college’s requirements.
Lecture and communicate effectively with students of diverse backgrounds.
Inform students about course requirements according to the course syllabus.
South Beach Psychology, Inc., Miami Beach, FL January 2001 – Present
Clinical Psychologist
Establish rapport and effective working relationships with client(s) during the first
session.
Conduct a psychosocial history that includes client background information, behavioral
observations, and current functioning, quality of relationships, and resources and
challenges.
Develop client case conceptualizations that lead to accurate diagnosis using the DSM-IV-
TR.
Develop treatment plans that will motivate clients through the use of evidence-based
strategies for clients’ identified problem(s).
Maintain an effective counseling process and relationship until the client(s)’ problem(s)
have been resolved.
South Florida Workforce Training and Employment Council, Dec. 1999 to Dec. 2004
Testing Specialist
Career Advisor
Case Management
Assessment
Referrals
Training
Program Development
Motorola, Plantation, FL September 1997 to November 1999
Senior EAP Consultant
Comprehensive Assessments
Referral and Follow-up
Developing actions plans
Training
Consulting with management
Benefits and managed care groups
United Behavioral Health, Miami, FL September 1996 to September 1997
Clinical Case Manager
Management of Health Care Plans
Information and referrals
Crisis intervention
Treatment plan reviews
Coordination of Mental Health Treatments
Inpatient and outpatient
South Florida Treatment and Evaluation Center, Miami, FL Sept 1995 to Sept 1996
Student Internship
Establish rapport and effective working relationships with client(s) during the first
session.
Conduct a psychosocial history that includes client background information, behavioral
observations, and current functioning, quality of relationships, and resources and
challenges.
Develop client case conceptualizations that lead to accurate diagnosis using the DSM-IV-
TR.
Develop treatment plans that will motivate clients through the use of evidence-based
strategies for clients’ identified problem(s).
Present case studies in scheduled supervision sessions.
Maintain an effective counseling process and relationship until the client(s)’ problem(s)
have been resolved.
Utilize feedback, direction, and constructive criticism from supervision and consultation
in order to enhance professionalism in counseling.
Institute for Family Therapy, Miami, FL December 1994 to August 1995
Psychotherapist
Individual Psychotherapy
Assessments
Employee Assistance
Douglas Gardens Mental Health Center, Miami, FL January 1987 to December 1994
Licensed Mental Health Counselor
Elderly Service assessments of client’s psychosocial needs
Planning and implementation of treatment
Individual and group psychotherapy
Staff training, information and referral
Member of Quality Assurance Committee and Elder Care Committee
ACADEMICS
Miami Institute of Psychology, Miami, FL September 1997
Psy.D. in Clinical Psychology
Miami Institute of Psychology, Miami, FL May 1993
Master of Science in Psychology
Nova University, Fort Lauderdale, FL December 1987
Master of Science in Human Services
Florida International University, Miami, FL June 1981
Bachelor of Science in Criminal Justice
Temple University, Philadelphia, PAMay 1976
Bachelor of Science in Liberal Arts
CERTIFICATIONS AND LICENSES
2002
Licensed Psychologist State of Florida
1999
Dade County Adult Basic Education Certificate
1997
Certified Addiction Professional
1992
Licensed Mental Health Counselor State of Florida
1989
Graduate Certificate in Gerontology, Florida International University
1988
Elder Care Certificate, Florida International University
1987
Geriatric Studies Certificate, University of Miami Beach, FL
ACTIVITIES
2008-2014- APPOINTED BY MAYOR OF MAMI BEACH TO THE SISTER CITIES
COMMITTEE
2000-2005 -
Member of School Board, Temple Beth Shalom, Miami Beach, FL
1999 -
Member of City of Miami Beach Mayor’s Task Force on Alcohol and Drugs
March 1999 - December 2006
Appointed by Mayor of Miami Beach to
Committee on Homeless
December 1992 - December 1993
Appointed by Governor of State of Florida to Human Rights
Advocacy Committee for Mental health
1992 -
The National Honor Society in Psychology
1992 -
Florida International University Alumni Mentor Program
1987-1989 -
Appointed by Governor State of Florida to Long Term Care Ombudsman Council
1986-1987 -
Listed in National Deans List
Member of Disaster Mental Health Services, American Red Cross American Psychological
Association