Trans* Behavioral Health Care Training
REGISTRATION SOLD OUT as of 4/18/13
June 13 & 14 2013 from 8:15am-3:30pm
at the Pennsylvania Convention Center in Center City Philadelphia
***This training is for behavioral health/mental health professionals and students of behavioral health/mental health professions.***
Summary of TBHC:
The aim of the Trans Behavioral Health Care training within the Philadelphia Trans-Health Conference is to provide instruction and training opportunities to therapists, psychologists and social workers who offer services to trans-identified clients or have interest in learning more about how to provide trans affirming care. This series of workshops will outline evidence based research, clinical methodology and best practices for clinicians and will be presented by leaders in the field of mental health and transgender services.
Lecturers will present on current topics and modalities relevant to the intersection of behavioral health and gender, while including a contextual backdrop drawn from pertinent policy and legal considerations. Workshops will also highlight existing community-based resources and link participants to additional client supports and examine gaps in services for trans identified patients.
This course will offer continuing education credits, information is pending.
REGISTRATION SOLD OUT as of 4/18/13
Written cancellation must be received on or before June 10 2013 and the full amount will be refunded less a $5 administrative fee. No refunds will be made after June 10 2013.
The cost of the course is based on continuing education credit pricing for the 12 credits that will be offered for the entire 2 day training. The type of credits needed will be dependent on the level of education (PhD/MD, MS, BA/BS, or other) required by your certification body. Please check with your certifying organization about if they will accept Continuing Education Units from the National Association of Social Work in which case you can register for the Master/Bachelors/Other Level Certification/Licensure Credits. If they do not accept those credits and require credits from a higher level certifying body please register for the Doctoral Level Credits as we will be offering credits appropriate for that level (more details coming soon). If you are an NASW member your credits are discounted.
|Education Level/Licensure Level||Cost|
|Doctoral Level Certification/Licensure (MD, DO, PhD, PsyD, NP, PA, RN)||$75|
|Masters/Bachelors/Other Level Certification/Licensure (Non- NASW Member)||$60|
|Behavioral/Mental Health Student|
REGISTRATION SOLD OUT as of 4/18/13
|Thur June 13||8:15-8:30am||Welcome/Introduction|
|8:30-10:00am||Life Stages: Panel #1 Child/Adolescent/Family|
|10:00-11:30am||Life Stages: Panel #2 Adult/Other Adults|
|Friday June 14||8:30-10:00am||Mental Illness in Transgender Populations|
|10:00-11:30||Acute or Complex Mental Health Clinical Situations|
|12:30-2:00pm||Advanced Case Presentations: Treatment in Outpatient Clinic Setting|
|2:00-3:30pm||Advanced Case Presentations: Treatment in a Private Practice Setting|
Thursday June 13th 2013
The Stage of Life panels set within the Trans-Health Conference Behavior Health track (TBHC) will focus on describing current trends of treatment for trans identified clients using evidence-based research and practice models. Panelist will discuss dominant community needs and treatment modalities for children, adolescents, adults and aging populations. Additionally, presenters will draw on experience and research to highlight best practices for individuals, couples and families as these relate to trans-identified clients. Attention will also be given to age appropriate treatment modalities and panelist will draw from experience with several modalities including play therapy, structural family systems, strengths-based, cognitive behavior therapy, humanistic, client-centered and gestalt.
These workshops will examine the therapeutic relationship over the course of the life span and will highlight age appropriate clinical techniques. Panelists will explore early childhood gender non-conformity, issues surrounding peer concordant puberty, gender in relation to work and relationships, and finally care for elder trans-identified clients. Each panelist has demonstrated extensive experience and knowledge in at least one age category presented by this workshop: childhood, adolescence, adulthood and senior populations.
A panel discussion outlining the historical context and evolution of Gender Identity Disorder as a mental health diagnosis, its current status within the DSM, and the possible future of Gender Identity or Gender Dysphoria diagnoses. The panel will also discuss the implications of their inclusion within the DSM, as well as how diagnoses of Gender Identity Disorder or Gender Dysphoria impact on treatment and service delivery for providers, the different treatment philosophies, and the rights to self determination for clients with both traditional and nonbinary/nonconforming expressions of gender.
A moderated panel of experienced mental health professionals on the historical context of medical and mental health providers as ‘gatekeepers’ restricting access to services and policing social norms, focusing on current practices of enabling greater access to treatment. The discussion will cover strategies to honor the current professional obligations of providers as well as clients’ rights to self determination, and techniques to facilitate a constructive therapeutic relationship for clients with both traditional and nonbinary/nonconforming expressions of gender.
Friday June 14th 2013
In this section of the provider course, participants will be introduced to mental illnesses in transgender populations. Due to discrimination and violence towards gender non-conforming people, serious mental illness may present in higher proportions in our communities than in the general population. Transgender individuals sometimes suffer from mental health problems such as depression, anxiety, personality disorders, and substance abuse, and may become suicidal. This session provides evidence-based information on prevalence, manifestations, and treatment of mental illness in transgender populations.
This panel presentation will address situations in which a higher degree of clinical complexity is present or acute intervention is needed. The first portion will address suicide risk and suicide prevention in a case based format. Suicide prevention and care following suicide attempts will be considered in light of the existing information about suicide in the trans community. The second portion will address complex clinical situations in which the transgender individual presents with serious psychiatric illness, such as a psychotic disorder or severe personality disorder. Comprehensive evaluation, diagnostic confounders, and clinical management of transition concerns will be considered in a case based format.
In this section 2 cases will be presented followed by a discussant. The first case will address the treatment of depression and anxiety in a 28-year-old transman within a community mental health organization. One case will involve long term therapy with an adult trans-man with Asperger's disorder in a community mental health setting. Case discussion will include the therapists's process of learning about Asperger's disorder as well as clinical issues including trauma issues, sexuality, body image concerns, and impact of Asperger's disorder on client's process. This case also involved coordinating care across multiple systems and educating other care providers about trans issues. The discussant will facilitate discussion about these cases with the participants.
These case presentation will explore two private practice cases with in depth discussion on interventions specific to working with individuals in the trans* community. The first will explore the case of a transwoman in her forties. We will discuss clinical issues related to navigating emotional and logistical aspects of transition using a public/private body schema, body image & trauma, phantom sensations, and affect regulation. The second case will take up the treatment of a 5-year-old gender variant child focusing on her struggle with her natal, male body. Drawing on material from this case, the presenter will discuss the developmental significance of helping an atypically gendered child process their feelings about their somatic experience. With examples from the clinical work, the presenter will suggest specific ways for therapists to address young gender variant children's unease around their bodies so that their distress can be respected, held in mind and helped to mentalize. Possible ways for families to help contain trans children's painful feelings will also be discussed.
Alison Wortman is a licensed clinical social worker, therapist and educator, who currently sees clients at her private practice in center city Philadelphia, while also teaching part-time at the University of Pennsylvania. She specializes in working with individuals, couples and families who are seeking support around gender and sexuality exploration and relationship concerns. She currently works with youth (ages 7 and up) and adults around the myriad of issues surrounding gender, sexuality and transition. She also creates a safe space where trans* and/or gender variant folks can come and talk about the many issues facing their lives that do not have to involve their gender identity. She loves helping individuals, couples, partners and especially families in the process of discovery and feels honored to be part of the panel.
Avgi Saketopoulou is a clinical psychologist with many years of experience in treating transgender children as well as transgender adults. She is an advanced psychoanalytic candidate at the NYU PostDoctoral Program in Psychotherapy and Psychoanalysis and serves on the editorial boards of the journals Studies in Gender and Sexuality, and Psychoanalytic Dialogues. Numerous of her articles on gender and its intersections with class, race and sexuality appear in professional journals and edited books. Dr. Saketopoulou is the recipient of a Ruth Stein Prize, a Rosetta Harris and a Wolstein Fellowship from NYU. She teaches and supervises nationally and is in private practice in NYC.
Dr. Cynthia Closs is the Manager of Addiction services at Mazzoni Center. She is a practicing clinical social worker and has been working in the HIV and queer community for fifteen years. Dr. Closs has a particular interest in working with young persons of trans* experience and has focused her studies on the effects of oppression on queer, intimate, adolescent, attachment styles. She is interminably inspired by and honored to work with such amazing and distinctively resilient young folks of trans* experience.
Damon Constantinides, PhD, LCSW is an activist, radical social worker, sexuality educator and psychotherapist. He provides individual and couples counseling to adults and teens in the Philadelphia area. Damon also provides trainings that focus on helping social workers provide the best possible services to clients who are trans or gender-variant. You can find out more about him and read some of his writing at www.therapistdamon.com.
Dr. Ehrensaft is the Director of Mental Health and founding member of the Child and Adolescent Gender Center and a clinical psychologist in the San Francisco Bay Area. Her research and writing focus on the areas of child development, gender, parenting, parent-child relationships, and psychological issues for families using assisted reproductive technology. She has published several books and articles in these areas and lectures and makes media appearances nationally and internationally on these topics. She has a clinical practice in Oakland, California. Dr. Ehrensaft sees adults, children, and adolescents in individual psychotherapy, both long and short-term. She also does parenting consultation, custody mediation, co-parenting counseling, and couples therapy. Her areas of specialization include: families using assisted reproductive technology; gender nonconforming and transgender children; divorce and custody issues; children with developmental problems; parenting. Dr. Ehrensaft is also a founding member of the developing Child and Adolescent Gender Center, a partnership between the University of California San Francisco and community agencies to provide comprehensive interdisciplinary services and advocacy to gender nonconforming/ transgender children and youth and their families. More information can be obtained by contacting Dr.Ehrensaft at firstname.lastname@example.org. She also serves on the Board of Gender Spectrum, a national organization offering educational, training and advocacy services to promote gender acceptance for youth of all diverse genders. Information can be obtained at www.genderspectrum.org.
Elaine Dutton, LSW is the Trans* Care Specialist at Mazzoni Center's health clinic. Elaine primarily works with transgender identified individuals as they consider and engage in personal, social, and medical transition; offering advocacy, counseling, education, and ongoing support. Elaine moved to Philadelphia and began working at Mazzoni Center in September 2011 after receiving an MSW from Smith College School for Social Work in Northampton, MA. While in graduate school, Elaine completed a Masters Thesis titled “Juvenile Justice through a Gender Variant Lens: An Exploratory Study of the Experience of Providers working with Gender Variant Youth in California Juvenile Justice Facilities”. Elaine has experience working with children, adolescents, adults, couples, and families. Prior to graduate school, Elaine worked in the field of sexual violence prevention as a crisis intervention counselor, educator, and community organizer. Outside of work, Elaine enjoys dancing, baking, digging in the dirt, and long walks with a small dog named Cecil.
A. Evan Eyler, M.D., M.P.H., is an associate professor of family medicine and psychiatry at the University of Vermont College of Medicine, and a consultation psychiatrist at Fletcher Allen Health Care, Burlington, Vermont. Dr. Eyler is co-editor of the books, Principles of Transgender Medicine and Surgery (Haworth Press, 2007) and Gay, Lesbian, Bisexual and Transgender Aging: Challenges in Research, Practice and Policy (Johns Hopkins University Press, 2012) and is an associate editor of the upcoming journal LGBT Health. Dr. Eyler has been active in transgender medical care for many years, and served as Director of Primary Care Services of the University of Michigan Comprehensive Gender Services Program from 1995-2000. Areas of particular interest include psychiatric consultation in transgender medicine, particularly in the context of concurrent medical illness; transgender aging and end of life care.
Dr. Jack Pula, MD is a psychiatrist and therapist in private practice in NYC, on faculty at the Columbia University NY Presbyterian Hospital in the psychiatric emergency room, and on the steering committee of the Division of Gender and Sexuality. Dr. Pula obtained his BA in History from the University of Maryland, College Park, is a member of Phi Beta Kappa, obtained his medical degree from SUNY Downstate Medical Center, and completed psychiatric residency training at St. Luke's-Roosevet Hospital in NYC. He completed a fellowship in Emergency Psychiatry at Columbia university, NY Presbyterian Hospital. Dr. Pula is a candidate in psychoanalytic training at Columbia and a member of the American Psychoanalytic Association's Committee on Gender and Sexuality. He is Chair of the Transgender Committee of the Association of Gay and Lesbian Psychiatrists, and a member of the Group for the Advancement of Psychiatry's Committee on LGBT Issues. Dr. Pula is an advocate for improving education on transgender mental health issues in American psychiatric residency training programs and has presented at numerous conferences and training programs. He is a transgender male.
Joe Ippolito is a Clinical Psychologist, who works as a organizer, researcher, educator and mental health specialist. Joe is Chair of Gender Reel, has been an organizer for the Philadelphia Trans-Health Conference for 9 years, is co-authoring a chapter on aging issues in the book "Trans Bodies, Trans Selves," and is filming "Growing Old Gracefully: The Transgender Experience," a documentary on transgender aging issues. Joe has operated his own private practice in Philadelphia and taught in the Masters of Counseling program at Chestnut Hill College. Joe received his Doctorate in Psychology from Chestnut Hill College, Masters of Social Work from Fordham University and BA in Communication from The University of Florida.
Judy Morrissey, LCSW
Judy is a licensed clinical social worker and has been Director of Behavioral Health Services at Mazzoni Center since 2003. She oversees the administrative and clinical operations of the mental health and substance abuse program otherwise known as “Open Door”. Judy and her team of dedicated, skilled clinicians provide affirming therapeutic care to approximately 500 Lesbian, Gay, Bisexual, Queer folks and people of Trans* experience annually. This program is the largest of its kind in the Philadelphia region. Judy has worked on developing programing that is reflective of the myriad needs of our divergent communities through individual therapy, relational work with couples and families and group dynamics. In addition, she developed and implemented a 5-year SAMSHA funded grant addressing sexual health risks and substance abuse among racially diverse at-risk populations. Prior to her work at Mazzoni Center, Judy gained experience at Whitman-Walker Clinic in Washington, DC where she worked exclusively with medically and economically underserved communities living with HIV. Her clinical areas of interest include gender, sexuality and issues of identity (broadly defined). She is a Philadelphia native, who received her MSW at Gallaudet University in Washington, DC, and is extremely proud and honored to kick off the Behavioral Health track at this year’s conference.
Julia Gottlieb is a licensed clinical social worker who received her Masters in Social Service from Bryn Mawr College and works as a therapist at the Open Door Program at the Mazzoni Center. Julia has the privilege of co-facilitating the trans* support group “Evolutions” and facilitating the recovery group “New Beginnings”. Julia is dedicated to creating a safe and non-judgmental space to build and nurture a therapeutic relationship conducive to personal growth.
Katie Douglass, LCSW-R is the Director of Mental Health & Social Services at the Callen-Lorde Community Health Center, one the largest providers of mental health services to lesbian, gay, bisexual, transgender individuals in New York State Katie has been providing LGBT affirmative psychotherapy at Callen-Lorde since 2001 and was appointed Director of Mental Health and Social Services in 2006. In recent years Katie has presented on topics such as alternatives to Gender Identity Disorder diagnosis in health and mental healthcare settings, lesbian health issues, and mainstreaming trans-affirmative care in public health settings. Katie is also a co-author of Callen-Lorde’s informed consent protocol for hormone care.
Dr. Katherine Rachlin (Kit) is a Clinical Psychologist in private practice in New York City where she spends her days deep in conversation with people of all genders, sexualities, and lifestyles, their parents, siblings, partners, and chosen families. She is one of the authors of WPATH’s Version 7 of the Standards of Care for the Health of Transgender, Transsexual, and Gender Nonconforming People. She has served on the Board of Directors of The World Professional Association for Transgender Health and the Board of Directors of FTM International, and is a former member of the American Psychological Association’s taskforce on Gender Identity, Gender Variance, and Intersex Conditions. Her published papers address topics such as: Flexible Use of the Standards of Care; Access to Health Care; Transgender Individuals' Experiences of Psychotherapy; An Intake Template for Genderqueer College Students, and Factors which Influence FTM Individuals’ Surgical Decisions. For a fuller listing of papers, or other info, go to http://katherinerachlin.com.
Kelley Winters, Ph.D. is the author of Gender Madness in American Psychiatry: Essays from the Struggle for Dignity and a community advocate on issues of transgender medical policy. She is the founder of GID Reform Advocates and an Advisory Board Member for the Matthew Shepard Foundation and TransYouth Family Advocates. She has presented papers on the psychiatric classification of gender diversity at the annual conventions of the American Psychiatric Association, the American Counseling Association and the Association of Women in Psychology. Her articles have appeared in Psychiatry On-Line, the Journal of Psychology and Human Sexuality, and the books, Taking Sides: Clashing Views on Controversial Issues in Sex and Gender, edited by Elizabeth Paul (2001) and Sexual and Gender Diagnoses of the Diagnostic and Statistical Manual (DSM), A Reevaluation , edited by Dan Karasic and Jack Drescher (2005).
Kylie Aquino is a 25-year-old social worker currently employed at Callen Lorde Community Health Center. Kylie obtained her BA and MSW from New York University. She has practiced social work in New York and the Dominican Republic. She is a native of Chicago, and is fluent in French, English, Haitian Creole and Spanish.
Laura A. Jacobs, LCSW is a psychotherapist at the Institute for Personal Growth in Jersey City, NJ, as well as an author, presenter, and activist in the New York City area focusing on gender, sexuality, and sexual minorities. In addition, she serves on the Board of Directors, the Clinical Care Committee, and the Trans and Gender Nonconforming Community Advisory Board for the Callen-Lorde Community Health Center in Manhattan. She holds a Bachelor of Arts degree from Sarah Lawrence College along with a Masters of Social Work from New York University. She is registered as a Kink Aware Practitioner of Psychotherapy through the National Coalition for Sexual Freedom. She is pursuing publication for her completed manuscript, Many Paths: The Choice of Gender, and is a contributor to the upcoming Trans Bodies, Trans Selves. As Lawrence Jacobs, she worked in the arts as a musician, composer, and photographer, as well as in less glamorous positions such as corporate middle management.
Laura Erickson-Schroth is a psychiatry resident at New York University. She is the editor of the forthcoming book Trans Bodies, Trans Selves, a resource guide by and for transgender communities, covering health, legal issues, history, theory and more (Oxford University Press, 2014). She has presented on LGBT issues for numerous audiences at conferences and universities. Laura is a board member of the Gay and Lesbian Medical Association and the Association of Gay and Lesbian Psychiatrists, as well as an Associate Editor for the Journal of Gay and Lesbian Mental Health. She has been involved in the creation of provider education courses on transgender health and mental health through the Philadelphia Trans Health Conference. She is also involved in a qualitative study of transgender youth and suicidality through the Steinhardt School of Culture, Education, and Human Development at NYU. Laura and others helped to establish GenFamNYC, a network of service providers that serve transgender youth in New York City.
Dr. Hawkins is an adolescent psychotherapist at the Children’s Hospital of Philadelphia and an Adjunct Assistant Professor at Widener University. She has extensive experience working with children, adolescents and family systems. Dr. Hawkins work has focused on supporting Transgender and Gender Variant youth for the last 15 years and has published Gender Identity Development Among Transgender Youth: A qualitative analysis of contributing factors. She has served as the Director of Clinical and Counseling Services at The Attic Youth Center and her specializations include working with gay and lesbian youth and families, HIV and transgender issues. Dr. Hawkins received her Ph.D. from Widener University, M.S.Ed. from the University of Pennsylvania and her B.S. for the University of Washington.
Liza Linder, MSW, LCSW received her MSW from The University of Pennsylvania in 1997, and has been working in the field of social work/social justice since then. For the past seven years, Liza has been a full time therapist at Mazzoni Center’s Open Door counseling & therapy department. For four years Liza was the facilitator of Mazzoni Center’s Transgender & gender variant support group, “Evolutions”. Liza also currently facilitates Mazzoni’s HIV/AIDS support group. Liza’s interests and specialties include: gender identity, HIV/AIDS, OCD, Axis II disorders, & spiritual issues/conflicts amongst the LGBT population. Liza is also available for weddings and Bar Mitzvahs.
Michael P. Marshal, Ph.D. is a Licensed Clinical Psychologist, and an Associate Professor of Psychiatry and Pediatrics at the University of Pittsburgh. He has an NIH-funded program of research to investigate LGB youth substance use and mental health disparities. He also runs a psychotherapy clinic within the Adolescent Medicine Clinic at Children’s Hospital of Pittsburgh. This clinic focuses on helping LGB, transgender, and gender-questioning youth and their families gain information and understanding of “LGBT 101” issues among youth including: identity development, family and friends’ acceptance and understanding of one’s identity, coping with LGBT-related stressors, and preventing the onset or escalation of mental health problems due to minority stress.
Dr. Michele Angello works with gender variant youth and adults. She offers individual, group and family therapy, as well as corporate education and training on a variety of issues of sexuality and has presented internationally on her work with trans-youth and working with children of transitioning parents. She facilitates several monthly support groups for transgender adults, youth and parents. She also developed the first graduate course in the U.S. that focused on clinical issues in transgender communities. Dr. Angello received her Master’s degree from the University of Pennsylvania and her Doctoral degree from the Institute for the Advanced Study of Human Sexuality. She is an adjunct faculty member at both institutions.
Randall D. Ehrbar, Psy.D.
Randall D. Ehrbar, Psy.D. is a trans psychologist with clinical experience addressing a wide range of issues with trans* people. He works at Whitman-Walker Health Center in DC and has a small private practice in Bethesda MD. He has been professionally involved in work with the trans community for over 10 years. Currently, he is a member of an American Psychological Association (APA) task force to develop guidelines for work with transgender and gender variant people. He can be reached at RDEhrbar@gmail.com
SJ Langer is a writer and psychotherapist in private practice in New York City. He also conducts trainings on Trans* Health and LGBT issues in clinical practice for medical and mental health professionals as well as graduate programs. Recent presentations have been at the 2012 Philadelphia Trans Health Conference, 2011 WPATH, among other conferences. His academic articles are about clinical work with the trans*/genderqueer communities. www.sjlanger.com
Tamar Carmel, MD
Tamar "Dr. T" Carmel, MD is a Family Physician and Psychiatrist entering his final year of residency at UPMC in Pittsburgh, PA. He has engaged in community and medical provider education on trans health locally and nationally, including contributions to the Philly Trans Health Conference's inaugural medical and behavioral health curricula. He wrote a medical blog for Original Plumbing magazine, answering trans-mens' questions about health and transitioning. Dr. Carmel also created a dual diagnosis outpatient program specifically geared towards the LGBTQ community, and has served on various LGBTQ task forces and councils. He has a passion for under-served medicine, community mental health, and consumer empowerment. Dr. Carmel received his medical degree from Northwestern University in 2009, where he founded Q&A, the medical school's only LGBTQ student group. He has been an advocate and educator on LGBTQ health disparities throughout his time in the medical field. Dr. Carmel previously served on the Board of Directors of the Gay & Lesbian Medical Association (GLMA), and remains a member of GLMA, as well as the Association of Gay and Lesbian Psychiatrists.
Walter Bockting, PhD is a Clinical Psychologist who directed the University of Minnesota Transgender Health Services 1991-2012. He has 25 years of direct clinical experience in working with transgender individuals, gender nonconforming children and adolescents, and their families. He recently joined the faculty of Columbia University Medical Center as Co-Director of the LGBT Health Initiative in the Division of Gender, Sexuality, & Health at the New York State Psychiatric Institute / Columbia Psychiatry with the Columbia University School of Nursing. He has published numerous articles and book chapters in the area of transgender health, and edited six volumes, most recently a special issue of Sexual and Relationship Therapy, 24(2), 2009, on Gender Variance and Transgender Identity. With funding from the National Institutes of Health, he conducted anational survey and developed an Internet-based health promotion program for the U.S. transgender population. Dr. Bockting is Past President and a member of the Board of Directors of the World Professional Association for Transgender Health.
William Byne, M.D., Ph.D. is an associate professor of psychiatry at the Icahn School of Medicine and a staff psychiatrist at the JJ Peters VA Medical Center in New York City. His research focuses on sexual differentiation of the brain, and structural and functional correlates of major mental illness. His clinical work focuses on serious mental illness in veterans and psychiatric care of sexual and gender minority individuals. He was a medical advisor to the Intersex Society of North America throughout its existence and recently chaired the American Psychiatric Association’s Task Force on Treatment of Gender Identity Disorder. He is currently a member of the Veterans Health Administration’s Transgender Workgroup charged with training VA providers in provision of care in accordance with VHA Directive 2011-024: Providing Health Care for Transgender and Intersex Veterans. He is the editor-in-chief of LGBT Health, a journal to be launched this fall dedicated to identifying and removing barriers to health care, identifying best practices and improving healthcare delivery to sexual and gender minorities.
REGISTRATION SOLD OUT as of 4/18/13
For questions about TBHC please contact the planning group at TBHI@trans-health.org or by calling Jacsen at 215-563-0652 x264.
For registration cancellation email Jacsen at email@example.com or call 215-563-0652 x264 by June 1 2013.