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

You’ll feel empowered to help your most vulnerable clients the Real-life skills and knowledge they don’t teach in graduate school!

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

Crises do not come with a schedule, aren’t always easy to plan for or are convenient. These crises do happen, and you will have to face them. Clients at risk for crisis often present with so many symptoms and issues, it’s hard to know where to start. Anxious clinicians often avoid or ignore asking questions because they are unsure how to proceed. the Right questions to help clients and themselves stay safe.

As a Do you feel like a clinician?

• Are you worried about the Safety of Your clients felt helpless and afraid, even though they feared for their safety. the situation?
• Unsafe in the Or in a clinical setting of How to handle situations when someone is in danger.
• Caught off guard when you’re wrapping up a Session a Client confides in suicidal thoughts
• Uncertain if a Client was taking drugs and was unable to identify the source. 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 BraslerLCSW – Guides you through five of the most difficult scenarios in mental health today. Real-Life examples and role plays Paul Share the concrete strategies that he’s used over the Last two decades to safely, effectively intervene the Mental health professionals often face difficult, urgent, or even alarming situations. Full of This recording contains practical tips and tools that will help you make difficult situations easier, overcome your worries, improve your ability to deal with mental health emergencies such as suicide, violence, substance abuse and trauma, as well as 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 will feel equipped to assist your most vulnerable clients the Real-life skills and knowledge they don’t teach in graduate school!

1. Complete a Comprehensive mental health assessment that includes a multitude of Clinical concerns include mental state, lethality and substance abuse.
2. Identify signs of Client Suicidal Ideation Risk Factors and Effective Responses to Help the Safety of the client.
3. Recognize indicators of Clients may be intoxicated, withdrawn or overdosed. A protocol is established to respond appropriately.
4. Assess for risks of Violence in a In a clinical setting, you will learn skills that can safely and effectively intervene in an acute crisis.
5. Consider the many ways clients’ responses to trauma can be misdiagnosed as Mental health disorders and Consider the Clinical implications of this.
6. Complete and accurate documentation of To protect everyone in clinical emergencies

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• Request a Client Assessment the Ask the right questions
  • Conduct comprehensive assessments
    • Mini mental status exam
    • Assessment of Lethality: Suicide and Homicide
    • Assessment of Substance Use
    • Trauma assessment
  • Here are some tips and strategies to get the right response. the Right information
• The Suicidal Client: More Reasons Than 13
  • High-risk populations—who is most at risk?
  • Implicit and explicit expressions of suicidal thoughts and intentions
  • Self-Injurious behavior and suicidal ideastion
  • Interviews and suicide assessment: Ideation. Plans. Means. Intent.
  • What should I do? —Disposition & safety planning
    • Why? “No-Harm Contracts” They can be dangerous
    • Client confidentiality breached
    • Do what?
  • Hospitalization process
  • After the ER: Clients are not admitted
  • Case studies:
    • Michelle—Teenagers experiencing suicidal ideation
    • William—The intersection of Suicide, mental illness, substance abuse
• The Violent Client: Manage Dangerous Conditions
  • Dealing with our fears: Clinicians’ safety concerns
  • When the Clinician is the Target
  • Where others are the Target
  • De-escalation techniques
  • Preventative Planning
    • Office layout
    • Keeping good boundaries
    • Before the involvement of police a Crisis
  • Plan for safety
  • When should you dial 911
  • Hospitalization process
  • Warnings are mandatory
  • Case studies:
    • George—Handle a Violent client
    • Dale—Practice Duty to Warn
• What all Clinicians Need To Know About The Addicted Patient
  • Clients are at risk from misdiagnosis
  • Signs of Intoxication
  • Signs and symptoms that indicate imminent danger of overdose
  • Identify withdrawal symptoms
  • Accurate diagnosis, treatment matching
  • The following are some drug basics that clinicians need to know:
    • Opioids and the Opioid crisis (heroin and fentanyl, as well as emerging drugs)
    • Stimulants, such as cocaine “bath salts,” methamphetamine)
    • Cannabinoids (“shatter,” spice)
    • Other chemicals (DXM), “Special K,” Ayahuasca)
  • How and when should you refer to a higher level of care
  • Case studies:
    • Percy—Opioid crisis in the Waiting room
    • Cathy—Bipolar Disorder? Rethink!
• The Traumatized Client: Help with No Hurting
  • Recognize trauma in clients
  • The risk of Missdiagnosis
  • Dangers of improper treatment
  • Strategies to combat trauma-Care with information
    • First and foremost: Safety both inside and outside the Clinic
    • The role of mindfulness
    • Go slow…but go
  • Learn the Levels of Safety
  • Triune brain model and trauma
  • Bereavement: Not always trauma
  • The intersection of Trauma, mental illness, substance abuse, and other medical problems
  • Case studies:
    • Brian—Trauma missed
    • Mick—“How deep can I bury this?”
• Medical vs. Mental Problems: Limiting Harm
  • “What Could Kill the Patient First?”
  • Collaborative medicine with primary doctor
  • Psychological symptoms are a sign that you have a medical emergency
  • Know the signs and symptoms of client harm. a Medical emergency
    • Medication-Related Disorders
    • Traumatic brain injury (TBI).
    • Neurocognitive Disorders
    • Other neurological illnesses
  • Case studies:
    • Steven the Zombies—Organic disorders
    • “Granny has schizophrenia!”
• High Risk Clinicians: After the Crisis
  • Protect your license and manage your liability
  • Documentation: What do you need to know?
  • Supervision and debriefing
  • Vicarious trauma
  • Compassion fatigue:
  • Study of a case:
    • Dave and me

• Limitations and potential risks

  • Studies that were not controlled in a controlled setting
  • When necessary, seek supervision
  • Balance risk of Intervening or not

Here’s what you’ll get in Paul Brasler – High Risk Clients, Effectively Handle Five of the Most Critical Scenarios You’ll Face as a Clinician