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Most of us enter the healthcare field to help people and save lives…

But how many of us are properly prepared to care for the patients—or loved ones—that reject our life-saving support?

We’ve all been there—burned out by a patient who refuses to cooperate with your treatment plan…

Berated by their family members over your quality of care… feeling like no matter how hard you try, you’re not doing enough to help.

It can be frustrating, exhausting, and sometimes even dangerous to treat a combative patient…

But our new De-escalation Certificate Course: Managing Challenging Behaviors & Substance Abuse Among Patients will give you all the confidence you need to achieve optimal outcomes, no matter the situation!

This one-of-a-kind, self-paced online training includes practical strategies to help you:

  • Cope with difficult situations like aggression, dementia, and attention-seeking behaviors while maintaining patient and staff safety

  • Expertly spot high-risk behavior

  • Improve your communication skills to de-escalate aggressive behavior

  • Confidently assess and screen for substance use disorders

  • Develop treatment plans for patients with a history of substance abuse, including managing pain effectively

  • Understand the conditions benefited by medical marijuana use and the ramifications of legalization

  • Learn appropriate patient teaching based on what we know—and don’t know yet—regarding vaping

  • … And so much more!

Learn valuable clinical insights from Valerie R. Vestal, MSN, PMHNP-BC., JeanAnne Johnson Talbert, DHA, APRN-BC, FNP, PMHNP, AOCN, CARN-AP, and Maria Broadstreet, RN, MSN, APN with their decades of nursing experience, as well as real-life situations you may encounter at work.

Confront your own biases when working with patients who have substance use disorders and truly help people recover and lead the meaningful, happy lives they desire!

Plus, earn up to 18.5 CE hours on your own schedule, from the comfort of home. Get started today!

De-escalation Certificate Course:
Managing Challenging Behaviors & Substance Abuse Among Patients


A $659.97 Value — Just $349.99 Today for a limited time!
Plus, earn up to 18.5 CE Hours at no additional cost!
Click here for CE credit details

You are not alone when it comes to caring for a challenging patient. Join the hundreds of healthcare professionals already learning crucial ways to de-escalate a situation before it turns into a crisis.

Here’s what your colleagues have to say about this care-changing, online training:



Here’s what you’ll learn:

Managing Challenging Patient Behaviors:
101 De-escalation Strategies for Healthcare Professionals
with Valerie Vestal, MSN, PMHNP-BC


Lowering Risk for Dangerousness in Patient Encounters
  • Priority is Safety
    • Understanding Risk for Dangerousness
    • Mechanisms for Coping
    • Strategies to Deal with the Angry Patient

Healthcare Goals
  • Treatment Focused
  • Do No Harm
  • Clear Boundaries

Evaluating the Patient
  • Ask the Right Questions
  • Understand Patient’s Motivation
  • Motivational Interviewing: Asking, Listen, Inform
  • Engage Patients in Focused Communication
  • Listen with Empathy
  • Empower the Patient

Interpersonal Effectiveness Skills
  • Self-Awareness
  • What Type of Communicator Are You?
  • Reciprocal Communication Strategies
  • Clinician Self-Care

Engage Patients in Focused Communication
  • Understand Patient’s Level of Communication
  • Support the Patient’s Goal
  • Multi-Disciplinary Intervention
Treatment Team Concept
  • Navigating Difficult Dynamics
  • Mediation & Leadership Roles
  • Engage Families Constructively

Understanding Challenging Symptoms
  • The Mentally Ill Patient
  • Know Your Limits
  • Understand Chronic & Severe Mental Illness

Severe Mental Illness
  • Schizophrenia/Schizoaffective Disorders
  • Substance-Induced Psychosis
  • Bipolar Disorder
  • Major Depression
  • Anxiety Disorder
  • Obsessive-Compulsive Disorder
  • Antisocial Personality Disorder
  • Borderline Personality Disorder

Disorders with Unique Risk
  • Developmental Disabilities
  • Delirium
  • Dementia
  • Substance Abuse
  • Special Considerations for Violent Patients

Acute Crisis
  • Sexual Assault
  • Domestic Violence
  • Suicidal Ideation & Risk

Substance Abuse Among Medical Patients: A Hidden Truth
with JeanAnne Johnson Talbert, DHA, APRN-BC, FNP, PMHNP, AOCN, CARN-AP


Case Studies of Hidden Substance Use Disorders in Medical Patients: What Does it Look Like?
  • In pregnant patients
  • In general medical patients
  • In surgical patients

Why is This Topic so Important? And so Challenging?
  • Biostatistics
  • Actual relevance in practice
  • Morbidity and mortality - complications of substance use disorders

What Do These Substances Actually Do Within the Body?
  • Pharmacokinetics and pharmacodynamics principles
  • Reinforcement
  • Tolerance and cross-tolerance
  • Physical dependence
  • Conditioning
  • Sensitization
  • Pregnancy-related complications

What Substances Are We Talking About?
  • Alcohol
  • Sedative/Hypnotics
  • Opioids
  • Stimulants
  • Dissociatives
  • Inhalants
  • Cannabinoids
  • Anabolic steroids
  • Club drugs
  • Nicotine
Street Drugs and Terminology
  • Interpreting patient language
  • What drugs are they talking about?

Neurobiology of Substance Abuse: You Mean it’s Not a Choice?
  • Neurobiology and anatomy of the normal brain
  • Substance abuse as a brain disease
  • Genetic and environmental influences

Mental Illness and Substance Abuse “Dual Diagnosis”
  • Co-occurring illnesses
  • Traits and theories surrounding the two

Screening and Assessment Techniques
  • Effective questionnaires to screen for substance use
  • Techniques to promote open and honest communication from the patient
  • Working with the pregnant patient who uses substances
  • Assessing your own biases – and how to not let them interfere with your work

The Patient with an Underlying Substance Use Disorder: Withdrawal Symptoms & Emergency Treatments
  • Anticipation/prevention of withdrawal symptoms
  • Withdrawal protocols
  • Medications to treat withdrawal symptoms
  • Emergency treatments
  • Treatment of the newborn following exposure to substances
  • Safety for patients/family/staff
  • Effective pain management
  • Motivational interviewing - Assessing how to refer the patient following discharge from the hospital
Plus, if you sign-up today you get immediate, lifetime access to this FREE bonus seminar
Patients in Crisis: Life Threatening Risks of Opioids, Medical Marijuana, Vaping
with Maria Broadstreet, RN, MSN, APN

Learn your way through emotional case studies regarding post-surgical pain management, the phenomenon of vaping, and what we are beginning to learn from legalized marijuana.

With valuable clinical insights, you truly can help people recover and lead the meaningful, happy lives they desire!

A $219.99 Value—YOURS FREE when you register now!


De-escalation Certificate Course:
Managing Challenging Behaviors & Substance Abuse Among Patients

$659.97 Value
Just $349.99 Today — Unbelievable Savings!
Advance Your Practice in 4 Easy Steps!
Watch your email for your order confirmation, and get instant access to all course materials, including the bonus materials. Click here for course objectives and outline.
Review the course materials at your own pace and at your convenience! You'll have unlimited access to all course videos and materials online forever. Plus, use the CE21 Mobile™ app to access the course content on-the-go, wherever and whenever you want on your mobile devices.
Instantly collaborate with other professionals on the course materials through interactive message boards. You'll be part of a community of hundreds of practitioners, providing valuable opportunities to share insight and experiences and to build your professional network.
Complete your online CE tests and earn up to 18.5 CE hours! Click here for CE credit details and credit details specific to your profession.
Meet the Course Experts:

Valerie R. Vestal, MSN, PMHNP-BC., is a Board-Certified Psychiatric Nurse Practitioner. She has worked both in a Partial Hospitalization Program (PHP) and in an outpatient private practice. In the PHP program, she has been responsible to identify patients at high risk for aggression and those who have histories of repeated violent behavior. Valerie is skilled at managing crisis intervention, minimizing physical, and psychological harm for staff and patients.
Click here for information about Valerie Vestal

JeanAnne Johnson Talbert, DHA, APRN-BC, FNP, PMHNP, AOCN, CARN-AP, has over 25 years of experience in the medical field as both a family practice and psychiatric nurse practitioner. She is board certified in family practice, oncology, substance abuse/addiction treatment, and psychiatric/mental health. JeanAnne currently owns her own clinical practice and is the medical director for three substance use disorder rehab centers comprised of residential, outpatient, and sober living programs.
Click here for information about JeanAnne Johnson Talbert

Maria Broadstreet, RN, MSN, APN, has over 26 years of nursing experience and has held a certification as an advanced practice nurse for the past 19 years. As a nurse practitioner at Modern Med Recovery, Maria evaluates patients with opioid addiction, manages inductions into treatment and maintenance visits. Maria believes in both a medical and holistic approach to treating different aspects of the substance abuse cycle. She is one of only about 5% of medical providers that has undergone certification to prescribe buprenorphine to treat opioid addiction.
Click here for information about Maria Broadstreet

De-escalation Certificate Course:
Managing Challenging Behaviors & Substance Abuse Among Patients

A $659.97 Value — Just $349.99 for a limited time!
Plus, earn up to 18.5 CE Hours at no additional cost!
Click here for CE credit details

100% Satisfaction Guarantee
Register for this intensive training course without risk. If you're not completely satisfied, give us a call at 800-844-8260. We’re that confident you'll find this learning experience to be all that's promised and more than you expected.

NOTE: No additional discounts or coupons may be applied to this course.
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