Seminar Detail

High Risk Clients: Effectively Handle Five of the Most Critical Scenarios You’ll Face as a Clinician
High Risk Clients: Effectively Handle Five of the Most Critical Scenarios You’ll Face as a Clinician

Where:   FAIRFAX, VA

When:  Wednesday, April 18, 2018 at 8:00 AM - 4:00 PM

This event is not currently available for purchase.

For more information: Call (800) 844-8260
Course Description:

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?
Join Paul Brasler, LCSW, as he 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 seminar 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.

Leave this seminar equipped to help your most vulnerable clients with the real-life skills and knowledge they don’t teach in graduate school!
Objectives:

  1. Complete a comprehensive mental health assessment that encompasses a multitude of clinical concerns including mental status, lethality, substance abuse and trauma.
  2. Identify signs of and risk factors for suicidal ideation in clients and effectively respond in order to ensure the safety of the client.
  3. Recognize indicators of substance intoxication, withdrawal and overdose in clients and establish protocol for responding appropriately.
  4. Assess for risk of violence in a clinical setting and develop skills to effectively and safely intervene during an acute crisis.
  5. Examine ways in which client responses to trauma are often misdiagnosed as mental health disorders and consider the clinical implications of this.
  6. Create accurate and comprehensive documentation of clinical crises to protect all parties involved and minimize liability risks.
OUTLINE

Client Assessment: Ask the Right Questions
  • Conducting comprehensive assessments
  • Mini mental status exam
  • Lethality assessment: Suicide and homicide
  • Substance use assessment
  • Trauma assessment
  • Tips and strategies for eliciting the right information
The Suicidal Client: More than 13 Reasons Why
  • High-risk populations—who is most at risk?
  • Implicit and explicit expressions of suicidal ideation and intent
  • Self-injurious behavior and suicidal ideation
  • Suicide assessment and interviews: Ideation, Plans, Means, Intent
  • What do I do now? —Disposition & Safety Planning
  • Why “No-Harm Contracts” are harmful
  • Breaking client confidentiality
  • When in doubt, do what?
  • Hospitalization process
  • After the ER: When clients are not admitted
  • Case studies: Michelle—Teenagers experiencing suicidal ideation
  • William—The intersection of substance use, mental illness and suicidality
The Violent Client: Managing Dangerous Situations
  • Dealing with our fears: Clinicians’ safety concerns
  • When the clinician is the target
  • When others are the target
  • De-escalation techniques
  • Preventative planning
  • Office layout
  • Keeping good boundaries
  • Police involvement before a crisis
  • Safety planning
  • When to call 911
  • Hospitalization process
  • Duty to warn
  • Case studies: George—Handling a violent client
  • Dale—Practicing Duty to Warn
The Addicted Client: What ALL Clinicians Need to Know
  • How misdiagnosis harms clients
  • Signs of intoxication
  • Imminent risk: Signs and symptoms of overdose
  • Identify withdrawal syndromes
  • Accurate diagnosis and treatment matching
  • Drug 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 care
  • Case studies: Percy—Opioid crisis in the waiting room
  • Cathy—Bipolar Disorder? Think again
The Traumatized Client: Helping Without Hurting
  • Recognizing trauma in clients
  • The risk of misdiagnosis
  • Dangers of improper treatment
  • Strategies for trauma-informed care
  • First and foremost: Safety inside and outside the clinic
  • The role of mindfulness
  • Go slow…but go
  • Understanding Levels of Safety
  • Triune Brain Model and trauma
  • Bereavement: Not always trauma
  • The intersection of trauma, mental health, substance abuse and medical problems
  • Case studies: Brian—Trauma missed
  • Mick—“How deep can I bury this?”
Medical vs. Psychiatric Problems: Limiting Harm
  • “What Could Kill the Patient First?”
  • Collaborative care with primary physician
  • Medical emergencies that present with psychological symptoms
  • Signs and Symptoms: Limit client harm by recognizing a medical emergency
  • Medication-Related Disorders
  • Traumatic Brain Injury (TBI)
  • Neurocognitive Disorders
  • Other Neurological Illnesses
  • Case studies: Steven and the Zombies—Organic disorders
  • “Granny has schizophrenia!”
High Risk Clinicians: After the Crisis
  • Protect your license and manage liability
  • Documentation: What you need to know
  • Debriefing and supervision
  • Vicarious trauma
  • Addressing compassion fatigue
  • Case study: Dave and me
Limitations and Potential Risks
  • Limited controlled studies
  • Seek supervision when necessary
  • Weigh out risk of interventing versus not intervening

PAUL BRASLER, MA, MSW, LCSW

Paul Brasler, M.A., M.S.W., L.C.S.W., has worked in the social work field for the past 20 years. His work experience includes: adolescent residential treatment, inpatient and outpatient substance abuse treatment, experiential group process, being a mental health provider on a hostage negotiation team, drug court senior clinician, private practice with individuals and families, and crisis interventions. For the past seven years, Paul has worked in three emergency departments in the greater Richmond, Virginia area, conducting psychiatric assessments of patients in crisis. Paul helps the most vulnerable population in his community, and he enjoys the intersection of mental health, substance abuse and medicine.

A graduate of Virginia Commonwealth University’s Graduate School of Social Work, Paul returned to his alma mater to teach in 2012. While he readily acknowledges the need for coherent and means-tested theories to support practice, he ultimately values the lived experience of putting strategies into practical use. Seminar attendees consistently note that they like how he uses “real life” examples in his presentations.



Speaker Disclosures:

Financial: Paul Brasler is in private practice. He receives a speaking honorarium from PESI, Inc.

Nonfinancial: Paul Brasler has no relevant nonfinancial relationship to disclose.
ADDICTION COUNSELORS
This course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 6.0 CE in the counseling services skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming. Full attendance is required; no partial credit will be awarded for partial attendance.


COUNSELORS
This intermediate activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

DISTRICT OF COLUMBIA COUNSELORS: This intermediate activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.

MARYLAND COUNSELORS: This intermediate activity is approved for 6.25 clock hours of continuing education instruction. The Maryland Board of Professional Counselors recognizes courses and providers that are approved by the NAADAC. A certificate of attendance will be awarded at the end of the program to counselors who complete the program evaluation, to submit to their state board.

VIRGINIA COUNSELORS: This intermediate activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


MARRIAGE & FAMILY THERAPISTS
This activity consists of 380 minutes of continuing education instruction. Credit requirements and approvals vary per state board regulations. You should save this course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.


NURSE/NURSE PRACTITIONERS/CLINICAL NURSE SPECIALISTS
This intermediate activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


PSYCHOLOGISTS
This live activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this activity and contact your state board or organization to determine specific filing requirements.


SOCIAL WORKERS
ASWB Logo
PESI, Inc. Provider #:1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), www.aswb.org through the Approved Continuing Education (ACE) Program. PESI, Inc. maintains responsibility for the program. ASWB Approval Period: January 27, 2017 - January 27, 2020. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 6.25 (Clinical) continuing education clock hours for this Intermediate course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.


OTHER PROFESSIONS
This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

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