Image of High Risk Clients: Effectively Handle Five of the Most Critical Scenar
Online Learning

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


Credit Available - See CEUs tab below.

Category:
Suicide and Self-Harm
Faculty:
Paul Brasler
Duration:
6 Hours 14 Minutes
Original Program Date :
18 Apr, 2018
SKU:
POS049335
Media Type:
Online Learning


Description

CD/DVD

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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!

CEUs


General Credits

This course is available for 6.25 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 {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.


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


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 (Self-Study)

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 the activity and contact your state board or organization to determine specific filing requirements.


New York Counselors

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors. #MHC-0033. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance


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.


New York Marriage & Family Therapists

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Marriage and Family Therapists. #MFT-0024. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance


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 6.3 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/Clinical Nurse Specialists - ANCC (Self-Study)

PESI, Inc. is accredited as a  provider of continuing nursing education by the American Nurses Credentialing Center’s  Commission on Accreditation.

Nurses completing these self-study materials will earn 6.3 contact hours. Expires: 18/04/2021.


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.


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. 


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.


Colorado Social Workers

PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This self-study course has been approved for 6.3 continuing education hours. 

 

COLORADO PARTICIPANTS ONLY: To be reported to the Colorado Chapter of the NASW, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com and provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the email.


Psychologists

This self-study 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, 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. Full attendance is required; no partial credits will be offered for partial attendance. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education. PESI, Inc. designates this self-study activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 04/18/2018. It was last reviewed on 07/27/2018 and is valid until 27/07/2021.

Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.


Ohio Psychologists

PESI, Inc. is approved by the Ohio Psychological Association, Provider #263896894, to sponsor continuing education for psychologists. PESI, Inc. maintains responsibility for this program and its content. PESI is offering this self-study activity for 6.25  hours of continuing education credit.


Pennsylvania Psychologists

PESI, Inc. is approved by the Pennsylvania State Board of Psychology to offer continuing education for psychologists. PESI maintains responsibility for the program(s). This self-study program qualifies for 6.25 continuing education hours.


California Counselors

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This {CustomProductData[LEVEL]} level self-study activity consists of 6.0 clock hours of continuing education instruction.


Florida Counselors

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.


Ohio Counselors

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


Pennsylvania Counselors

The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/. This {CustomProductData[LEVEL]} self-study activity consists of 6.25 clock hours of continuing education instruction.


South Carolina Counselors

This self-study 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. Provider #4540.


California Marriage & Family Therapists

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This {CustomProductData[LEVEL]} level self-study activity consists of 6.0 clock hours of continuing education instruction.


Pennsylvania Marriage & Family Therapists

The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/. This {CustomProductData[LEVEL]} self-study activity consists of 6.25 clock hours of continuing education instruction.


South Carolina Marriage & Family Therapists

This self-study 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. Provider #4540.


South Carolina Psycho-Educational Specialists

This self-study 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. Provider #4540.


Illinois Psychologists

PESI, Inc is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 268.000102. Full attendance at this self-study course qualifies for 6.0 contact hours.


Kentucky Psychologists

PESI, Inc. is approved by the Kentucky Psychological Association and/or Kentucky Board of Examiners of Psychology to offer continuing education for psychologists. PESI maintains responsibility for this program and its content. This self-study activity will qualify for 6.25 contact hours.


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 this course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 {CustomCreditField1} continuing education credits. Course Level: {CustomCreditField2}. Format: Asynchronous distance learning. 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.

 

Canadian Social Workers: Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


California Social Workers

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This {CustomProductData[LEVEL]} level self-study activity consists of 6.0 clock hours of continuing education instruction.


Florida Social Workers

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. 


Ohio Social Workers

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


Pennsylvania Social Workers

The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/. This {CustomProductData[LEVEL]} self-study activity consists of 6.25 clock hours of continuing education instruction.



Handouts

Faculty

Paul Brasler Related seminars and products: 1

MA, MSW, LCSW


Paul Brasler, MA, MSW, LCSW, has worked in the social work field for the past 22 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 five 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 meanstested theories to support practice, he ultimately values the live experience of putting strategies into practical use. Seminar attendees consistently note that they like how he uses “real life” examples in his presentation.

Speaker Disclosures:

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

Non-financial: Paul Brasler has no relevant non-financial relationship to disclose. 


Additional Info

Program Information

Additional Resources

To order the book, Co-Occurring Disorders, please visit our product store.

To order the book, Borderline Personality Disorder Toolbox, please visit our product store.


Access for Self-Study (Non-Interactive)

Access never expires for this product.


Target Audience

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

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? —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: 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

    • Limited controlled studies
    • Seek supervision when necessary
    • Weigh out risk of intervening versus not intervening

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.

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