Image of Crisis Counseling: Strategies and Interventions to Safely Manage Clien
Online Learning

Crisis Counseling: Strategies and Interventions to Safely Manage Clients


Credit Available - See CEUs tab below.

Category:
Clinical Psychology and Psychiatric
Faculty:
Harry Keener
Duration:
5 Hours 50 Minutes
Format:
Audio and Video
Original Program Date :
08 Dec, 2016
SKU:
POS051215
Media Type:
Online Learning


Description

  • Assessing for suicide, homicide and violence
  • Risk management of high risk clients
  • Ethical and legal issues in crisis intervention
  • What every clinician needs to know about psychiatric medications
  • Clinicians in crisis: Burnout, compassion fatigue and vicarious trauma

Clinicians must deal with mental health emergencies at an alarming rate and it is not a question of if a crisis will occur, but when.

Emergencies in mental health happen every day in all types of settings. Sadly, crisis intervention remains a neglected component of education, training and supervision in clinical preparation programs.

Now more than ever it is critical for all helping professionals to correctly assess and “triage” various types of mental health emergencies and the attendant ethical and legal ramifications of crisis intervention. Knowing practical strategies for crisis management ensures the safety of both clients and therapists. This seminar will give you these strategies.

As a seasoned clinician with years in the mental health field, Harry Keener, PhD, LPC, LMFT, will provide you with invaluable tools for assessing, triaging and managing clients in crisis. This seminar will provide the skills you need to effectively assess and safely manage crises of lethality and will improve your knowledge regarding crises due to illicit and licit medication usage.

Dr. Keener will explore the legal and ethical issues related to crisis intervention in such clinical issues as mandated reporting, psychotic decompensation in clients, and the duty to warn.

You will come away with new confidence and a reputation with your colleagues that you can:

  • Assess, triage and manage suicidal, homicidal and violent clients
  • Develop safety plans that work
  • Minimize crises due to psychotropic medication misuse
  • Protect your liability through appropriate documentation
  • Know the legal and ethical issues associated with crisis intervention

OUTLINE

Legal and Ethical Obligations in Crises Situations

  • The similarities & differences between ethical and legal responsibilities
  • When to use safety contracts and “no-harm” contracts
  • Court cases and mental health law that impact crisis management
  • Mandated reporting
  • Documentation strategies that protect you legally and ethically

Clinical Assessment of Psychiatric Disorders

  • Understanding and identifying psychotic symptoms
  • Psychiatric disorders that heighten risk of crises
  • Interplay of substance abuse, trauma and mental health emergencies
  • Assessing and diagnosing common psychiatric disorders

Psychotropic Medication and Mental Health Crises

  • Improve knowledge of psychotropic medications and their intended effect
  • Psychotic medications and dangerous interactional affects
  • Metabolic issues with typical and atypical anti-psychotics
  • Medications with narrow therapeutic rangers
  • How to assertively collaborate with prescribers
  • How to work with clients to safely manage medication side effects

Risk Assessment in Suicidal Clients

  • Risk versus protective factors in suicide
  • Identifying clients at high risk for suicide
  • Develop clinical safety plans
  • Strategies and techniques to assess suicide risk
  • Difference between self-injurious behavior and suicide
  • When to hospitalize and how
  • Managing suicidal clients in an outpatient setting
  • Psychometric suicide risk assessments

Homicidal and Violence Risk Assessment

  • How to safely assess the homicidal client
  • Maintaining safety for yourself, co-workers and clients
  • Identifying the types of aggression
  • Preparing for and managing client violence with the PAR model
  • Risk factors for violence
  • Handling threats of violence in the office, school and workplace
  • When and how to hospitalize

Emergencies from Substance Abuse

  • Assessing the chemically dependent client
  • Interview strategies and techniques
  • When to refer for medically-supervised detoxification
  • The multiple levels of care addiction
  • Strategies for assessing and working with dually diagnosed clients

Burnout, Compassion Fatigue and Vicarious Trauma: Therapists in Crisis

  • Burnout, vicarious trauma, secondary trauma, and compassion fatigue
  • Interplay between burnout and compassion fatigue
  • Strategies for counseling the burned out therapist
  • Techniques to address vicarious trauma
  • Use of the PRoQOL5 instrument to better inform treatment

OBJECTIVES

  1. Increase knowledge of ethical and legal implications of mental health emergencies.
  2. Demonstrate how to complete a thorough mental status interview to better assess for psychosis, suicide, homicide, and violence.
  3. Acquire knowledge of crises of lethality including crisis intervention strategies.
  4. Describe appropriate clinical documentation to minimize legal liability.
  5. Develop effective safety plans for mental health emergencies to promote client safety.
  6. Increase knowledge of psychotropic medications and their interactions to minimize medication emergencies.
  7. Improve knowledge of burnout, vicarious trauma and compassion fatigue and strategies to promote healthy self-care.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

 

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

CEUs


General Credits

This course is available for 6.0 total CPDs. 

The HPCSA has declared that any on-line courses CPD/CEU credited by a certified US board, is automatically CPD/CEU credited in South Africa.

As there are different boards for different disciplines, we at Acacia suggest that you use the Counselling CPD/CEU credits. These correspond to South African credits of one CPD/CEU per 60 minutes. If you choose to use your discipline's credits, please do so at your discretion.


**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. 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, 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


Addiction Counselors

NAADAC

This self-study course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 6.0 CE in the Counseling Services{CustomCreditField1} 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.


Connecticut Addiction Counselors

Provider #120924. This course has been approved as a CCB approved training and has been awarded 6.25 hours by the Connecticut Certification Board.


California Alcoholism & Drug Abuse Counselors

PESI, Inc. is an approved provider by the CCAPP-EI, Provider #: OS-03-036-1019. This activity meets the qualifications for 6.0 CEH's (continuing education hours).


Counselors

This intermediate self-study 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.


South Carolina Counselors, Marriage & Family Therapists and Psycho-Educational Specialists

This program has been approved for 6.0 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Approval #4540.


Texas Counselors

PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Professional Counselors. Provider #: 2477. This self-study course qualifies for 6.0 continuing education credits.


Marriage & Family Therapists

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


Illinois Marriage & Family Therapists

PESI, Inc. has been approved as a provider of continuing education by the State of Illinois, Department of Professional Regulation. Provider #:168-000156. Full attendance at this self-study activity qualifies for 6.0 credits.


Texas Marriage & Family Therapists

PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Marriage and Family Therapists. Provider # 503. This self-study package qualifies for 6.0 continuing education credits.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

CE Broker

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.6 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This intermediate activity is approved for 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.


Canadian Psychologists

PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 6.0 self-study continuing education hours. Full credit statement at: www.pesi.com/cpa-statement


Florida Psychologists

PESI, Inc., is an approved provider with the Florida Board of Psychology.Provider Number #50-399.This product qualifies for 6.3 self-study continuing education credits.


Social Workers

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 the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 (Clinical{CustomCreditField1}) continuing education credits for completing this intermediate level course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance. 


Canadian Social Workers

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 the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 (Clinical{CustomCreditField1}) continuing education credits for completing this intermediate level self-study course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


Illinois Social Workers

PESI, Inc. is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 6.0 contact hours.


Kansas Social Workers

PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 6.0 continuing education hours.


Minnesota Social Workers

PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study package has been approved for 6.0 continuing education hours. This certificate has been issued upon successful completion of a post-test.


New York Social Workers

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


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. Successful completion of this self-study course meets the qualifications for 6.25 clock hours of continuing education credit.


Pennsylvania Social Workers, Counselors, and Marriage & Family Therapists

This intermediate activity is approved for 6.0 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.


California Social Workers, Counselors, Marriage & Family Therapists, and Licensed Educational Psychologists

The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the APA and the ASWB. Full participation in this self-study course will qualify for 6.0 hours of continuing education credit.


Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number #50-399. This self-study course qualifies for 6.25 continuing education credits.


Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.


Psychologists

This self-study 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 self-study activity and contact your state board or organization to determine specific filing requirements.



Handouts

Faculty

Harry Keener Related seminars and products: 1

PhD, LPC, LMFT


Harry Keener, PhD, LPC, LMFT, is currently the clinical supervisor at the Richmond Southside Treatment Centers and the Richmond Private Methadone Clinic which are medication assisted treatment center working with opioid addicted clients. He maintains a small private practice focused on counseling couples and families. Since 2008, he has provided clinical supervision for residents seeking licensure as licensed professional counselors and marriage and family therapists in the state of Virginia. Dr. Keener has been an adjunct instructor at Virginia Commonwealth University in the graduate program in Rehabilitation Counseling since 2007 and teaches courses on Crisis Counseling, Counseling Theories and Marriage and Family Therapy.

He has worked in the mental health field for over 19 years, providing individual, group and family counseling in a variety of settings to adolescents and adults. These setting include outpatient counseling centers, adolescent residential treatment, schools, a crisis stabilization unit, and in community mental health centers. He has presented on the local, regional, state, and national levels on topics such as male depression, clinical supervision, family counseling, and crisis counseling. Dr. Keener received his doctorate in Counselor Education (cognate family counseling) from The College of William and Mary and a Master’s of Community Counseling from Loyola University of New Orleans. Dr. Keener has been a Licensed Professional Counselor and Licensed Marriage and Family Therapist in the state of Virginia since 2006.

Speaker Disclosure

Financial: Harry Keener is in private practice. He has an employment relationship with Richmond Southside Treatment Center and Richmond Private Methadone Clinic. Dr. Keener receives a speaking honorarium from PESI, Inc.

Nonfinancial: Harry Keener is a member of the American Counseling Association; and the International Association of Marriage and Family Therapists.


Additional Info

Program Information

Additional Resources

To order the book, Co-Occurring Disorders: Integrated Assessment and Treatment of Substance Use and Mental Disorders, please visit our product store.

To order the book, Borderline Personality Disorder Toolbox: A Practical Evidence-Based Guide to Regulating Intense Emotions, please visit our product store.

To order the book, 101 Trauma-Informed Interventions: Activities, Exercises and Assignments to Move the Client and Therapy Forward, please visit our product store.


Target Audience

Addiction Counselors, Case Managers, Counselors, Marriage & Family Therapists, Nurses, Psychologists, Social Workers and other Mental Health Professionals

Objectives

  1. Maximize knowledge of ethical and legal implications of mental health emergencies.
  2. Demonstrate how to complete a thorough mental status interview to better assess for psychosis, suicide, homicide, and violence.
  3. Display knowledge of crises of lethality including crisis intervention strategies.
  4. Describe appropriate clinical documentation to minimize legal liability.
  5. Develop effective safety plans for mental health emergencies to promote client safety.
  6. Maximize knowledge of psychotropic medications and their interactions to minimize medication emergencies.
  7. Create awareness of burnout, vicarious trauma and compassion fatigue and strategies to promote healthy self-care.

Outline

Legal and Ethical Obligations in Crises Situations

  • The similarities & differences between ethical and legal responsibilities
  • When to use safety contracts and “no-harm” contracts
  • Court cases and mental health law that impact crisis management
  • Mandated reporting
  • Documentation strategies that protect you legally and ethically

Clinical Assessment of Psychiatric Disorders

  • Understanding and identifying psychotic symptoms
  • Psychiatric disorders that heighten risk of crises
  • Interplay of substance abuse, trauma and mental health emergencies
  • Assessing and diagnosing common psychiatric disorders

Psychotropic Medication and Mental Health Crises

  • Improve knowledge of psychotropic medications and their intended effect
  • Psychotic medications and dangerous interactional affects
  • Metabolic issues with typical and atypical anti-psychotics
  • Medications with narrow therapeutic rangers
  • How to assertively collaborate with prescribers
  • How to work with clients to safely manage medication side effects

Risk Assessment in Suicidal Clients

  • Risk versus protective factors in suicide
  • Identifying clients at high risk for suicide
  • Develop clinical safety plans
  • Strategies and techniques to assess suicide risk
  • Difference between self-injurious behavior and suicide
  • When to hospitalize and how
  • Managing suicidal clients in an outpatient setting
  • Psychometric suicide risk assessments

Homicidal and Violence Risk Assessment

  • How to safely assess the homicidal client
  • Maintaining safety for yourself, co-workers and clients
  • Identifying the types of aggression
  • Preparing for and managing client violence with the PAR model
  • Risk factors for violence
  • Handling threats of violence in the office, school and workplace
  • When and how to hospitalize

Emergencies from Substance Abuse

  • Assessing the chemically dependent client
  • Interview strategies and techniques
  • When to refer for medically-supervised detoxification
  • The multiple levels of care addiction
  • Strategies for assessing and working with dually diagnosed clients

Burnout, Compassion Fatigue and Vicarious Trauma: Therapists in Crisis

  • Burnout, vicarious trauma, secondary trauma, and compassion fatigue
  • Interplay between burnout and compassion fatigue
  • Strategies for counseling the burned out therapist
  • Techniques to address vicarious trauma
  • Use of the PRoQOL5 instrument to better inform treatment

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