Full Course Description
Module 1 – Crisis Assessment: Knowing the Right Questions to Assess Risk
Crises are never scheduled, convenient or easy. But they do happen and you will face them. Clients at risk for crisis often present with so many symptoms and issues, it’s hard to know where to start. 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. 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. 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. 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.
Module 2 – Suicidal Clients: What to Watch for and How to Respond Effectively
Module 3 – Violent Clients: Protecting Yourself and Others When Sessions Get Heated
Module 4 – Substance Use: Warning Signs, Risk Factors, and How Much You Really Need to Know
Module 5 – Is It Mental Health or a Medical Emergency?
Module 6 – Trauma Treatment: How to Avoid Common Mistakes and Reduce Distress
Module 7 – Overcoming Fear and Hot Topics in Suicidology
Losing a client to suicide is your worst nightmare. And there inevitably comes a time when the suicidal client is more than just an intangible dread. When an actual person, suffering and sitting in your office reveals they are having suicidal thoughts, many clinicians are left feeling unprepared, frightened, and unsure what to do next. The weight of keeping someone alive can steer you in the direction of avoidance. Desperate and alone, suicidal clients can find themselves passed from one therapist to the next. And that’s not care.
Don’t let fear push you away.
This seminar will transform how you view and work with suicidal clients and give you the clinical tools you need to save lives.
Full of thought provoking lecture, engaging case studies, and guided instruction on a host of powerful clinical applications, this seminar will provide you with the tools you need to:
- Assess for suicidal risk and identify implicit and explicit expressions of suicidal thought.
- Formulate a game-plan for crisis when suicide is imminent.
- Intervene in suicidal despair with proactive approaches derived from the evidence-based efficacy of CBT and DBT.
- Effectively use targeted language with suicidal clients that will help you avoid stigma and successfully communicate your compassion.
- Provide innovative grief support resources that connect clients and clinicians with other survivors of suicide and suicide loss
Leave this seminar feeling confident and capable to work with suicidal clients and guide them out of the darkness and back into the light!
- 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.
- Connect suicidal clients with communication strategies that convey your compassion and support and effectively strengthen the therapeutic alliance.
- Reduce access to lethal means with tips and tactics for implementing a multi-systemic approach that incorporates the suicidal person’s social connections into their safety plan.
Suicide: Who, When, How and Where
Elicit Key Information from Suicidal Clients: Assessment and Level of Risk
- 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
Formulate Treatment Plans that Help Clients Regulate Emotions and Make Them Feel Valued and Connected
- Implicit and explicit expressions of suicidal thoughts
- Communicating caring: Language to impart compassion and avoid stigma
- Suicide risk assessment
- PATH WARM
- Ideation, plan, means, intent
- Level of risk
Confidently Handle Crisis Situations
- 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
Suicide Grief Support and Innovative Suicide-Specific Care
- 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
ReInvest in a Life Worth Living: Rekindle the Desires of the Heart
- 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
- 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. Copyright :
Module 8 – Comprehensive Approaches: From Prevention to Crisis Management
Module 9 – Risk Formulation: Identifying Red Flags and High-Risk Factors
Module 10 – How to Have Honest, Productive Conversations with Your Clients About Suicide
Module 11 – Collaborative Safety and Wellness Planning: How to Keep Your Clients Safe with Compassion, Respect, and Dignity