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:   DAYTON, OH

When:  Wednesday, August 14, 2019 at 8:00 AM - 4:00 PM

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Details

$229.99
Single Registration
$199.99
2+ Group Rate: per person
*** All prices are shown in US Dollars ***
 
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Location

CROWNE PLAZA DAYTON HOTEL
33 E 5TH ST
DAYTON, OH 45402
Phone:  (937) 224-0800
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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 David G. Kamen, Ph.D., as he navigates you through five of the most difficult scenarios in mental health today. Through real-life examples and live role plays, David 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 crisis 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, David’s guidance is applicable to your work regardless of your setting or clinical background.

Leave this seminar equipped to help your most vulnerable client 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 implication of this.
  6. Create accurate and comprehensive documentation of clinical crisis to protect all parties involved and minimize liability risks.
OUTLINE

Client Assessment: Ask the Right Questions
  • Conduct 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? – Dispositions & 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 – Teenager experiencing suicidal ideation
    • William – The intersection of substance use, mental illness and suicidality
The Violent Client: Manage 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 – Handle a violent client
    • Dale – Practice 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: Help Without Hurting
  • Recognize 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
  • Understand 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
Target Audience

  • Counselors
  • Social Workers
  • Psychologists
  • Case Managers
  • Addiction Counselors
  • Marriage & Family Therapists
  • Nurses
  • Nurse Practitioners
  • Other Mental Health Providers

DAVID G. KAMEN, PH.D.

David G. Kamen, Ph.D., is a clinical psychologist licensed in New Hampshire and Massachusetts. In practice since 2001, Dr. Kamen draws from a wide range of experience with high risk populations: community mental health and emergency room services; residential milieu; guardian ad litem family court work; and evaluation of disability claimants for Medicaid, Social Security, and Veterans affairs. For the past 18 years, Dr. Kamen has worked in both solo and group private practice to help clients of all ages who engage in deliberate self-harm/non-suicidal self-injury. Dr. Kamen’s experience over the past decade has been furthered with peer-review publication; national speaking engagements; and with adjunct teaching for Argosy, University of the Rockies and Southern New Hampshire University. Forensic investigations for the Ethics Conduct Committee of the New Hampshire Board of Mental Health Practice have furthered Dr. Kamen’s concerns for high risk clientele.

Fellowships with The Boston Psychoanalytic Society and Institute and Psychoanalytic Institute of New England have enhanced Dr. Kamen’s insights into the narcissistic violence of codependency and gaslighting – perhaps the most dangerous forms of relationship abuse that high-risk clients face. For further information, please visit Dr. Kamen’s website, TheGaslightingDr.com., Facebook & Twitter pages; and related mobile app and podcasts, entitled, “Gaslighting Fix;” and look for his latest project, the graphic novel Gaslighting.



Speaker Disclosures:

Financial: David Kamen has an employment relationship with The Counseling Center of Nashua. He receives a speaking honorarium from PESI, Inc.

Non-financial: David Kamen is a member of the American Psychological Association.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.




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.

Ohio Chemical Dependency Professionals: This course has been approved by the Ohio Chemical Dependency Professionals Board for 6.25 CEUs.


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.

Kentucky Counselors: The Kentucky Board of Licensed Professional Counselors granted approval for this program on 8/7/2019 for 7.5 hours of general continuing education credit for LPCAs and LPCCs per 201 KAR36:030 section 2(1).


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.

Kentucky Marriage & Family Therapists: This course has been submitted to the Kentucky Board of Licensure of Marriage & Family Therapists for review.

Ohio Marriage & Family Therapists: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance at this course meets the qualifications for 6.25 clock hours of continuing education credit.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This 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.


Psychologists
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This activity consists of 6.0 clock hours of continuing education instruction. The following state psychologist boards recognize activities sponsored by PESI, Inc. as an approved ACCME provider: Alaska, Arkansas, California, Colorado, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, Oklahoma, Pennsylvania, South Carolina and Wisconsin. Certificates of attendance will be issued for you to submit to your state licensing board to recognize for continuing education credit.

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Kentucky Psychologists: PESI, Inc. is approved by the Kentucky Board of Examiners of Psychology to offer continuing education for psychologists. PESI maintains responsibility for this program and its content. This activity will qualify for 6.25 contact hours.


Social Workers
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PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 Clinical Practice continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

Ohio Social Workers, Counselors, and Marriage & Family Therapists: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance at this course meets the qualifications for 6.25 clock hours of continuing education credit.

OHIO PARTICIPANTS ONLY: To be reported to CE Broker, while completing the online post-test/evaluation, please answer YES to the question: “Are you an Ohio Counselor, Social Worker or MFT?” and include your complete license number when you are prompted (i.e. C.123234, P.6543, I.159, etc.). After completing and passing the online post-test/evaluation, your information will automatically be sent to cepesi@pesi.com to be reported. If you forget to answer yes, please send an email to cepesi@pesi.com with the following information: full title of the activity, speaker name, date of live broadcast, date you completed the post-test, and your name and your license number. Please allow 3-4 weeks for processing.


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.

Credit Card Required for online registration | Contact us to redeem Gift Certificates