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

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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!

Speaker
Paul Brasler, MA, MSW, LCSW, became a Licensed Clinical Social Worker in 2002. He is the owner of Providence Consulting and Education, LLC, through which he provides clinical supervision and professional education services. Paul has extensive experience working with adults and adolescents living with substance use disorder and co-occurring disorders. He maintains a private practice and has worked in community mental health clinics, hospital emergency departments, a juvenile drug treatment court, ketamine-assisted psychotherapy, and adolescent residential treatment.

Paul has been a PESI presenter since 2016, and he has presented classes on Mental Health Emergencies, High-Risk Clients, and substance use disorder treatment across the country. His first book, High Risk Clients: Evidence-Based Assessment & Clinical Tools to Recognize and Effectively Respond to Mental Health Crises (PESI Publishing), was published in August 2019. His second book, The Clinician’s Guide to Substance Use Disorders: A Practical Guide to Assessment, Treatment & Recovery, was published in 2022 (PESI Publishing & Media).

Speaker Disclosures:
Financial: Paul Brasler is the owner of Providence Consulting & Education, LLC and has an employment relationship with the Department of Medical Assistance Services. He receives royalties from PESI Publishing & Media. Paul Brasler receives a speaking honorarium, recording, and book royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Paul Brasler has no relevant non-financial relationships.

Objective

1. Complete a comprehensive mental health assessment that encompasses a multitude of clinical concerns including mental status, lethality, substance abuse and trauma.
2. Determine when to hospitalize clients struggling with suicidal ideation, substance abuse, medical concerns or violent urges and develop protocols for doing so.
3. Provide coping strategies and support to clients presenting with suicidal ideation by helping to create a safety plan in session.
4. 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.
5. Determine signs and symptoms of intoxication, withdrawal, or overdose in clients and develop plans for effective intervention.
6. Differentiate between medical and psychological presenting concerns as they relate to case conceptualization.

Outline

• 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

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

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