Crises is Archive: are never scheduled, convenient or easy..
Archive: Crises are never scheduled, convenient or easy.
they is But do happen and you will face them..
But they do happen and you will face them.
Clients is at risk for crisis often present with so many symptoms and issues, it’s hard to know where to start..
Clients at risk for crisis often present with so many symptoms and issues, it’s hard to know where to start.
Many clinicians, is anxious about how to proceed, often miss or avoid asking the right questions to effectively intervene and keep clients (and themselves) safe.As a clinician, have you ever felt:Worried about the safety of your clients, even feared for their lives, but felt unprepared to handle the situation?Unsafe in the clinical environment, or unsure of how to handle situations where someone connected to your client might be in danger?Caught off guard when you’re wrapping up a session and a client discloses suicidal thoughts?Unsure if a client was using drugs, and ill equipped to identify the signs and symptoms of drug abuse?Concerned that you’re doing more harm than good for traumatized clients, despite your best intentions?In this recording, Paul Brasler, LCSW, navigates you through five of the most difficult scenarios in mental health today..
Many clinicians, anxious about how to proceed, often miss or avoid asking the right questions to effectively intervene and keep clients (and themselves) safe.As a clinician, have you ever felt:Worried about the safety of your clients, even feared for their lives, but felt unprepared to handle the situation?Unsafe in the clinical environment, or unsure of how to handle situations where someone connected to your client might be in danger?Caught off guard when you’re wrapping up a session and a client discloses suicidal thoughts?Unsure if a client was using drugs, and ill equipped to identify the signs and symptoms of drug abuse?Concerned that you’re doing more harm than good for traumatized clients, despite your best intentions?In this recording, Paul Brasler, LCSW, navigates you through five of the most difficult scenarios in mental health today.
real-life examples is Through and live role plays, Paul will share the concrete strategies that he’s used over the last two decades to safely and effectively intervene in the challenging, urgent, and sometimes alarming situations that mental health professionals face..
Through real-life examples and live role plays, Paul will share the concrete strategies that he’s used over the last two decades to safely and effectively intervene in the challenging, urgent, and sometimes alarming situations that mental health professionals face.
practical tools and tips, is Full of this recording will teach you to how to make crises situations more manageable, overcome your worries, and improve your readiness to handle mental health emergencies related to suicide, violence, substance abuse, trauma, and medical issues.Better still, instruction on professional liability management techniques, tips for documentation, and detailed reproducible assessment forms will have you feeling confident that you can focus on doing what’s best for your clients without fear of litigation..
Full of practical tools and tips, this recording will teach you to how to make crises situations more manageable, overcome your worries, and improve your readiness to handle mental health emergencies related to suicide, violence, substance abuse, trauma, and medical issues.Better still, instruction on professional liability management techniques, tips for documentation, and detailed reproducible assessment forms will have you feeling confident that you can focus on doing what’s best for your clients without fear of litigation.
Paul’s guidance is And, is applicable to your work regardless of your setting or clinical background.You'll be left feeling equipped to help your most vulnerable clients with the real-life skills and knowledge they don’t teach in graduate school!Complete a comprehensive mental health assessment that encompasses a multitude of clinical concerns including mental status, lethality, substance abuse and trauma.Identify signs of and risk factors for suicidal ideation in clients and effectively respond in order to ensure the safety of the client.Recognize indicators of substance intoxication, withdrawal and overdose in clients and establish protocol for responding appropriately.Assess for risk of violence in a clinical setting and develop skills to effectively and safely intervene during an acute crisis.Examine ways in which client responses to trauma are often misdiagnosed as mental health disorders and consider the clinical implications of this.Create accurate and comprehensive documentation of clinical crises to protect all.Client Assessment: Ask the Right QuestionsConduct comprehensive assessmentsMini mental status examLethality assessment: Suicide and homicideSubstance use assessmentTrauma assessmentTips and strategies for eliciting the right informationThe Suicidal Client: More than 13 Reasons WhyHigh-risk populations—who is most at risk?Implicit and explicit expressions of suicidal ideation and intentSelf-injurious behavior and suicidal ideationSuicide assessment and interviews: Ideation, plans, means, intentWhat do I do now?.
And, Paul’s guidance is applicable to your work regardless of your setting or clinical background.You'll be left feeling equipped to help your most vulnerable clients with the real-life skills and knowledge they don’t teach in graduate school!Complete a comprehensive mental health assessment that encompasses a multitude of clinical concerns including mental status, lethality, substance abuse and trauma.Identify signs of and risk factors for suicidal ideation in clients and effectively respond in order to ensure the safety of the client.Recognize indicators of substance intoxication, withdrawal and overdose in clients and establish protocol for responding appropriately.Assess for risk of violence in a clinical setting and develop skills to effectively and safely intervene during an acute crisis.Examine ways in which client responses to trauma are often misdiagnosed as mental health disorders and consider the clinical implications of this.Create accurate and comprehensive documentation of clinical crises to protect all.Client Assessment: Ask the Right QuestionsConduct comprehensive assessmentsMini mental status examLethality assessment: Suicide and homicideSubstance use assessmentTrauma assessmentTips and strategies for eliciting the right informationThe Suicidal Client: More than 13 Reasons WhyHigh-risk populations—who is most at risk?Implicit and explicit expressions of suicidal ideation and intentSelf-injurious behavior and suicidal ideationSuicide assessment and interviews: Ideation, plans, means, intentWhat do I do now?
—Disposition & safety planningWhy “No-Harm Contracts” is are harmfulBreaking client confidentialityWhen in doubt, do what?Hospitalization processAfter the ER: When clients are not admittedCase studies:Michelle—Teenagers experiencing suicidal ideationWilliam—The intersection of substance use, mental illness and suicidalityThe Violent Client: Manage Dangerous SituationsDealing with our fears: Clinicians’ safety concernsWhen the clinician is the targetWhen others are the targetDe-escalation techniquesPreventative planningOffice layoutKeeping good boundariesPolice involvement before a crisisSafety planningWhen to call 911Hospitalization processDuty to warnCase studies:George—Handle a violent clientDale—Practice Duty to WarnThe Addicted Client: What ALL Clinicians Need to KnowHow misdiagnosis harms clientsSigns of intoxicationImminent risk: Signs and symptoms of overdoseIdentify withdrawal syndromesAccurate diagnosis and treatment matchingDrug basics that clinicians should know:Opioids and the opioid crisis (heroin, fentanyl and emerging drugs)Stimulants (cocaine, “bath salts,” methamphetamine)Cannabinoids (“shatter,” spice)Other chemicals (DXM, “Special K,” Ayahuasca)When and how to refer to a higher level of careCase studies:Percy—Opioid crisis in the waiting roomCathy—Bipolar Disorder?.
—Disposition & safety planningWhy “No-Harm Contracts” are harmfulBreaking client confidentialityWhen in doubt, do what?Hospitalization processAfter the ER: When clients are not admittedCase studies:Michelle—Teenagers experiencing suicidal ideationWilliam—The intersection of substance use, mental illness and suicidalityThe Violent Client: Manage Dangerous SituationsDealing with our fears: Clinicians’ safety concernsWhen the clinician is the targetWhen others are the targetDe-escalation techniquesPreventative planningOffice layoutKeeping good boundariesPolice involvement before a crisisSafety planningWhen to call 911Hospitalization processDuty to warnCase studies:George—Handle a violent clientDale—Practice Duty to WarnThe Addicted Client: What ALL Clinicians Need to KnowHow misdiagnosis harms clientsSigns of intoxicationImminent risk: Signs and symptoms of overdoseIdentify withdrawal syndromesAccurate diagnosis and treatment matchingDrug basics that clinicians should know:Opioids and the opioid crisis (heroin, fentanyl and emerging drugs)Stimulants (cocaine, “bath salts,” methamphetamine)Cannabinoids (“shatter,” spice)Other chemicals (DXM, “Special K,” Ayahuasca)When and how to refer to a higher level of careCase studies:Percy—Opioid crisis in the waiting roomCathy—Bipolar Disorder?
againThe Traumatized Client: is Think Help Without HurtingRecognize trauma in clientsThe risk of misdiagnosisDangers of improper treatmentStrategies for trauma-informed careFirst and foremost: Safety inside and outside the clinicThe role of mindfulnessGo slow…but goUnderstand Levels of SafetyTriune Brain Model and traumaBereavement: Not always traumaThe intersection of trauma, mental health, substance abuse and medical problemsCase studies:Brian—Trauma missedMick—“How deep can I bury this?”Medical vs..
Think againThe Traumatized Client: Help Without HurtingRecognize trauma in clientsThe risk of misdiagnosisDangers of improper treatmentStrategies for trauma-informed careFirst and foremost: Safety inside and outside the clinicThe role of mindfulnessGo slow…but goUnderstand Levels of SafetyTriune Brain Model and traumaBereavement: Not always traumaThe intersection of trauma, mental health, substance abuse and medical problemsCase studies:Brian—Trauma missedMick—“How deep can I bury this?”Medical vs.
Psychiatric Problems: is Limiting Harm“What Could Kill the Patient First?”Collaborative care with primary physicianMedical emergencies that present with psychological symptomsSigns and symptoms: Limit client harm by recognizing a medical emergencyMedication-Related DisordersTraumatic Brain Injury (TBI)Neurocognitive DisordersOther Neurological IllnessesCase studies:Steven and the Zombies—Organic disorders“Granny has schizophrenia!”High Risk Clinicians: After the CrisisProtect your license and manage liabilityDocumentation: What you need to knowDebriefing and supervisionVicarious traumaAddressing compassion fatigueCase study:Dave and meLimitations and Potential RisksLimited controlled studiesSeek supervision when necessaryWeigh out risk of intervening versus not intervening.
Psychiatric Problems: Limiting Harm“What Could Kill the Patient First?”Collaborative care with primary physicianMedical emergencies that present with psychological symptomsSigns and symptoms: Limit client harm by recognizing a medical emergencyMedication-Related DisordersTraumatic Brain Injury (TBI)Neurocognitive DisordersOther Neurological IllnessesCase studies:Steven and the Zombies—Organic disorders“Granny has schizophrenia!”High Risk Clinicians: After the CrisisProtect your license and manage liabilityDocumentation: What you need to knowDebriefing and supervisionVicarious traumaAddressing compassion fatigueCase study:Dave and meLimitations and Potential RisksLimited controlled studiesSeek supervision when necessaryWeigh out risk of intervening versus not intervening