Paul Brasler – High Risk Clients, Effectively Handle Five of the Most Critical Scenarios You’ll Face as a Clinician

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?

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!

Objectives

• Complete a comprehensive mental health assessment that encompasses a multitude of clinical concerns including mental status, lethality, substance abuse and trauma.
• Determine when to hospitalize clients struggling with suicidal ideation, substance abuse, medical concerns or violent urges and develop protocols for doing so.
• Provide coping strategies and support to clients presenting with suicidal ideation by helping to create a safety plan in session.
• Assess for risk of client violence towards others and develop strategies to safely intervene as well as effectively carry out the clinician’s duty to protect.
• Determine signs and symptoms of intoxication, withdrawal, or overdose in clients and develop plans for effective intervention.
• Differentiate between medical and psychological presenting concerns as they relate to case conceptualization.

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Client Assessment: Ask the Right Questions

• Conduct comprehensive assessments
• Strategies for eliciting the right information
• What to ask yourself as you watch the client
• Can the client provide informed content?
• Limitations of the research & potential risks

The Suicidal Client: Recognize Suicide Risk & Effectively Intervene

• Who is most at risk?
• Implicit & explicit expressions of suicidal ideation & intent
• Lethality assessment to protect client & clinician
• Self-injurious behavior & suicidal ideation
• How to conduct a suicide assessment
• Safety planning for clients with suicidal ideation
• When to hospitalize
• Voluntary vs. involuntary hospitalization
• When clients are not admitted to the hospital

The Violent Client: Confidently Manage Dangerous Situations

• Dealing with our fears: Clinicians’ safety
• When the clinician is the target
• When others are the target
• De-escalation techniques
• Preventative planning
• When to call 911
• The hospitalization process
• Duty to Protect (formerly Duty to Warn)

The Addicted Client: What ALL Clinicians Need to Know

• Signs of intoxication
• Imminent risk: Signs & symptoms of overdose
• Identify withdrawal syndromes
• Treatment planning
• Drug basics that clinicians should know
• Need-to-know street names of common drugs
• When and how to refer to a higher level of care

Medical vs. Psychiatric Problems: Recognize the Difference

• What could kill the client first?
• Medical emergencies that present with psychological symptoms
• Signs & symptoms of a medical emergency

The Traumatized Client: When Trauma Becomes High Risk

• Recognize trauma in clients
• Dangers of misdiagnosis & improper treatment
• Strategies for trauma-informed care

High Risk Clinicians: After the Crisis

• Protect your license with documentation
• Debriefing & supervision
• Address vicarious trauma
• Mitigate compassion fatigue

More courses from the same author: Paul Brasler

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