Full Course Description
High Risk Clients: Effectively Handle Five of the Most Critical Scenarios You’ll Face as a Clinician
Program Information
Target Audience
Counselors, Social Workers, Psychologists, Case Managers, Addiction Counselors, Marriage & Family Therapists, Nurses, Nurse Practitioners, and other Mental Health Providers
Outline
Client Assessment: Ask the Right Questions
- Conduct comprehensive assessments
- Strategies for eliciting the right information
- What to ask yourself as you watch the client
- Can the client provide informed content?
- Limitations of the research & potential risks
The Suicidal Client: Recognize Suicide Risk & Effectively Intervene
- Who is most at risk?
- Implicit & explicit expressions of suicidal ideation & intent
- Lethality assessment to protect client & clinician
- Self-injurious behavior & suicidal ideation
- How to conduct a suicide assessment
- Safety planning for clients with suicidal ideation
- When to hospitalize
- Voluntary vs. involuntary hospitalization
- When clients are not admitted to the hospital
The Violent Client: Confidently Manage Dangerous Situations
- Dealing with our fears: Clinicians’ safety
- When the clinician is the target
- When others are the target
- De-escalation techniques
- Preventative planning
- When to call 911
- The hospitalization process
- Duty to Protect (formerly Duty to Warn)
The Addicted Client: What ALL Clinicians Need to Know
- Signs of intoxication
- Imminent risk: Signs & symptoms of overdose
- Identify withdrawal syndromes
- Treatment planning
- Drug basics that clinicians should know
- Need-to-know street names of common drugs
- When and how to refer to a higher level of care
Medical vs. Psychiatric Problems: Recognize the Difference
- What could kill the client first?
- Medical emergencies that present with psychological symptoms
- Signs & symptoms of a medical emergency
The Traumatized Client: When Trauma Becomes High Risk
- Recognize trauma in clients
- Dangers of misdiagnosis & improper treatment
- Strategies for trauma-informed care
High Risk Clinicians: After the Crisis
- Protect your license with documentation
- Debriefing & supervision
- Address vicarious trauma
- Mitigate compassion fatigue
Objectives
- Complete a comprehensive mental health assessment that encompasses a multitude of clinical concerns including mental status, lethality, substance abuse and trauma.
- Determine when to hospitalize clients struggling with suicidal ideation, substance abuse, medical concerns or violent urges and develop protocols for doing so.
- Provide coping strategies and support to clients presenting with suicidal ideation by helping to create a safety plan in session.
- Assess for risk of client violence towards others and develop strategies to safely intervene as well as effectively carry out the clinician’s duty to protect.
- Determine signs and symptoms of intoxication, withdrawal, or overdose in clients and develop plans for effective intervention.
- Differentiate between medical and psychological presenting concerns as they relate to case conceptualization.
Copyright :
04/18/2018
Suicide Assessment and Intervention: Assess Suicidal Ideation and Effectively Intervene in Crisis Situations with Confidence, Composure and Sensitivity
Program Information
Objectives
- Assess individuals at risk of suicide with a clinical approach that identifies both explicit and implicit expressions of suicidal thought.
- Ascertain key indicators of imminent suicide and develop a strategy for determining when and how to hospitalize clients.
- Formulate a CBT and DBT oriented case conceptualization that addresses how to effectively work with specific populations including veterans and the elderly.
- Employ a collaborative safety approach to help clients survive a suicidal crisis while avoiding the pitfalls of suicide contracting and the false sense of security and decreased clinical vigilance that can accompany their use.
- Develop communication strategies that convey your compassion and support and strengthen the therapeutic alliance.
- Design a multi-systemic approach that reduces access to lethal means and incorporates the suicidal person’s social connections into their safety plan.
Outline
Suicide: Who, When, How and Where
- Addiction recovery
- Trauma-informed care
- Populations with multiple risk factors
- Suicide attempt survivors – learning from their experience
- Upstream clinical practices: reaching people before the point of crisis
Elicit Key Information from Suicidal Clients: Assessment and Level of Risk
- Implicit and explicit expressions of suicidal thoughts
- Communicating caring: Language to impart compassion and avoid stigma
- Suicide risk assessment
- SAFE-T
- PATH WARM
- Ideation, plan, means, intent
- Level of risk
Formulate Treatment Plans that Help Clients Regulate Emotions and Make Them Feel Valued and Connected
- Collaborative safety planning (or “Why Suicide Contracting is Dead”)
- Proactive approaches to decrease the likelihood of suicidal despair
- Multi-system approaches – support systems
- Evidence-based treatments:
- Cognitive Behavioral Therapy
- Cognitive restructuring strategies
- Emotional regulation exercises
- Behavioral Activation
- Dialectical Behavior Therapy
- How to organize a skills training group
- Tips for phone coaching
- Relapse prevention plans
- Reduce access to lethal means
- Working with specific populations: veterans, the elderly
Confidently Handle Crisis Situations
- Conduct a behavioral chain analysis
- Validating reasons for suicide
- Identify reasons for living
- Use distress tolerance and CBT skills to manage a crisis
- When and how to hospitalize
Suicide Grief Support and Innovative Suicide-Specific Care
- Implement Suicide Grief Support
- Understand the unique nature of suicide grief
- Peer-based support: Connect clients to other survivors of loss
- Access and Reclaim compassion
- Somatic resourcing
- Remembered resources
- Assess clients self-talk
ReInvest in a Life Worth Living: Rekindle the Desires of the Heart
- The PIE of life – brainstorm possibilities of growth
- Cultivate social connection and re-engagement
- Support and grief groups
- Toxic people
- Working with families impacted by loss
- Choice and perspective
- Foster gratitude and a spirit of contentment after loss
- Measurements of Post-Traumatic Growth
Please Note: PESI is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organizations.
Target Audience
Social Workers, Psychologists, Counselors, Marriage and Family Therapists, Case Managers, Addiction Counselors, Therapists, Nurses, Other Mental Health Professionals, School-Based Counselors, School-Based Psychologists, School-Based Social Workers, School Administrators
Copyright :
06/08/2018