Seminar Detail

Disarming the Suicidal Mind: Evidence-Based Assessment and Intervention
Disarming the Suicidal Mind: Evidence-Based Assessment and Intervention

Where:   BEACHWOOD, OH

When:  Monday, December 16, 2019 at 8:00 AM - 4:00 PM

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Details

$249.99
Single Registration
$219.99
Single Registration: Advance Price (ends 11/26/2019)
$219.99
2+ Group Rate: per person
*** All prices are shown in US Dollars ***
 
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Location

DOUBLETREE CLEVELAND EAST/BEACHWOOD
3663 PARK EAST DR
BEACHWOOD, OH 44122
Phone:  (216) 464-5950
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Course Description:

From Triage to Tomorrow
Suicide deaths have increased dramatically in recent years to 40,000 Americans annually, a leap that has been attributed variously to the Great Recession, wars in Iraq and Afghanistan, and access to guns and prescription pain killers – but what about medical error? Thirty-nine percent of suicide completers have been seen in an ER within the past year (many for mental health complaints and self-harm), while 59% of ER patients with injuries from deliberate self-harm do not receive a psychiatric assessment. Despite these trends, graduate training in assessment of imminent self-harm is often limited, offering little practical experience in counseling labs due to intake policies designed to avoid liability.

This course offers a revealing look inside the complex and rapidly expanding knowledge-base concerning the epidemiology of suicide and self-harm, while exploring the most effective measures you can take to save your patients’ lives. Learn to recognize risk factors associated with suicide attempts, as well as long-term and imminent warning signs, and accurately assess self-harm and suicide risk. Discover evidence-based interventions and explore the challenges of treatment across populations, including patients with addictive behaviors. Finally, we will deconstruct the emergency mental health protocols of today and identify common thinking errors leading to diagnostic and intervention mistakes that actually worsen crisis situations.
Objectives:
  1. Analyze the rapidly expanding knowledge-base concerning the epidemiology of suicide and self-harm as it relates to clinical practice.
  2. Recognize risk factors associated with suicide attempts, as well as long-term and imminent warning signs to improve client level of functioning.
  3. Articulate common assessment and clinical intervention errors that can be lethal.
  4. Identify ethical issues related to suicidal assessment and involuntary psychiatric commitment.
  5. Implement comprehensive assessment/intervention strategies to put to practical use in session.
  6. Overcome clinical challenges with suicidal clients to improve treatment outcomes.
OUTLINE

INTRODUCTION TO THE GROWING PROBLEM OF SUICIDE IN AMERICA
  • Need for concern: statistics revealing the increasing trend in suicidal ideation, attempts, deaths
    • National data
    • State-specific data
    • Career risks for the professional counselor
  • Factors contributing to the failure of adequate assessment and triage
    • Inadequate training of physicians and professional counselors
    • Inadequate funding for mental health (despite numerous parity laws)
    • Shifting of the burden of assessment to emergency rooms
    • Poorly trained law enforcement officers initiating involuntary admissions
EPIDEMIOLOGY — CONTRIBUTING FACTORS
  • Risk factors
    • Demographic risk factors (age, gender, ethnicity, etc.)
    • Environmental risk factors (adverse childhood experiences)
    • Addictions
    • Mental illness
    • Economic risk factors (employment)
  • Warning signs
    • Feeling alone—isolated from family/friends
    • Feeling like a “burden” to others
    • Little or no fear of death
  • Red herrings
    • Suicide notes
    • Contingent suicide threats
    • Cutting
    • Pending divorce
  • Limitations of the research and potential risks
ASSESSMENTS/MEASURES TO AID IN DETERMINING RISK LEVEL — A COMPREHENSIVE STRATEGY
  • Mental status exam
  • Collateral information
  • Adults
    • Relative lethality of plans/attempt (Risk/Rescue Scale)
    • Hopelessness (Beck Hopelessness Inventory)
    • Reasons for living (Brief Reasons for Living Scale)
    • Adverse childhood experiences (A.C.E. Questionnaire)
  • Teens and children
    • Predictive/protective factors identified in the research
  • Special populations
    • Veterans
    • LGBT
  • Promising, novel methods for assessing risk
    • Implicit cognitions—measuring implicit associations with death and suicide
COMMON INTERVENTIONS, MISTAKES, THINKING ERRORS & ETHICAL ISSUES
  • Our natural tendencies to err
    • Feelings of “rightness” are not reliable indicators
  • External factors contributing to errors
  • Internal factors contributing to errors
    • Self-care is critical
    • Two types of thinking (fast and slow)
    • Dangers of lazy, “fast” associative thinking
    • Substitution of easy-to-answer question for more difficult and complex question
  • Type 1 vs. Type 2 errors (legal liability and ethical issues)
    • Patient autonomy and self-determination
    • Confidentiality limits
INTERVENTIONS AND TREATMENT PLANNING
  • Non-judgmental, empathic listening
  • Acknowledging reason for concern
  • Taking advantage of ambivalence
  • Evidence-based interventions to reduce subsequent suicide attempts
  • DSM-5® new definitions and terminology
    • Assess suicidal ideation at the start of every visit
    • DSM-5 level one screening questionnaire
    • Suicidal Behavior Disorder
    • Non-Suicidal Self-injury
CHALLENGES TO ACHIEVING SUCCESSFUL TREATMENT OUTCOMES
  • Means restriction
  • Social support — supervision
  • Follow-up counseling
  • Exploring alternative responses should suicidal thoughts increase in frequency/intensity
WHEN LOSING A PATIENT TO SUICIDE — REMAINING RESILIENT AND MOVING FORWARD
Target Audience

  • Social Workers
  • Psychologists
  • Psychiatrists
  • Counselors
  • Teachers
  • School Administrators
  • Marriage and Family Therapists
  • Case Managers
  • Addiction Counselors
  • Therapists
  • Nurses
  • Other Mental Health Professionals

TIMOTHY SPRUILL, MA, EDD

Timothy Spruill, MA, EdD, has conducted more than 3,500 emergency psychiatric assessments in one of Orlando’s busiest emergency departments as a consultant at Advent Health, where he is a founding faculty member of the emergency medicine residency program. Through his work with high-risk patients and his research in the area of suicidology, Dr. Spruill has developed an evidence-based approach to emergency mental health that urges progress far beyond the fragile gains of traditional (and contemporary) psychological triage.

His extensive experience conducting assessments and evaluations reaches back to his work in private psychiatric hospitals in the early 1980s. Dr. Spruill earned his Master’s degree in counseling psychology from George Mason University in 1977. After four years of teaching, he left for the applied world of a community psychiatric setting and pursued his Doctorate in counseling psychology at Western Michigan University. In addition to his ongoing consulting work, he returned to academia in 1991 to share his experience and extend his research capabilities. During his time with Andrews University and, subsequently, Advent Health, he has continued to collect data on suicide and conduct research in his chosen field of behavioral medicine. Since 2010, he has taught continuing education courses on the topics of suicide assessment, preventing medical errors, and violence. He has also presented his findings at numerous conferences, traveling as far as Cape Town, South Africa, to speak on suicide.



Speaker Disclosures:

Financial: Timothy Spruill is assistant director of Behavioral Medicine, Family Medicine and Emergency Medicine at Florida Hospital. He receives a speaking honorarium from PESI, Inc.

Non-financial: Timothy Spruill has no relevant non-financial relationship to disclose.
Ethics
This seminar includes 2.0 hours of general ethics instruction. If ethics is not specified within your licensing board’s approval statement below, please contact your board to determine the applicability and amount of ethics allowed.


Addiction Counselors
This course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 6.0 CE in the Legal, Ethical, & Professional Development 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 Chemical Dependency Professionals: This course has been submitted to the Ohio Chemical Dependency Professionals Board for review. Please contact PESI, Inc. for the most current information.

Pennsylvania Addiction Counselors: This course has been reviewed and approved for by the Pennsylvania Certification Board. This course will award 6.25 PCB Approved Hours of Education. (Valid for PA locations only)


Counselors
This intermediate 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.

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 at this 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 Intermediate activity consists of 6.25 clock hours of continuing education instruction.

Pennsylvania Counselors Suicide ACT 74: 6.25 clock hour(s) of this activity consists of continuing education instruction in the assessment, treatment and management of suicide risks.


Educators/Teachers
This course is designed to qualify toward your professional development requirement. The program is 6.25 clock hours in length.

Pennsylvania Educators & School Personnel: 6.5 ACT 48 Hours will be made available through Capital Area Intermediate Unit (CAIU)Beachwood, Pittsburgh. Those requesting ACT 48 Hours will be required to sign in and provide their Pennsylvania Certification Number and will receive instructions at the seminar on how to create a free online account with CAIU; only those individuals who have a CAIU online account are eligible to receive ACT 48 Hours.


Marriage & Family Therapists
This activity consists of 380 minutes of continuing education instruction. Credit requirements and approvals vary per state board regulations. You should save this course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

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 at this course meets the qualifications for 6.25 clock hours of continuing education credit.

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 Intermediate activity consists of 6.25 clock hours of continuing education instruction.

Pennsylvania MFTs Suicide ACT 74: 6.25 clock hour(s) of this activity consists of continuing education instruction in the assessment, treatment and management of suicide risks.


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

Nurses in full attendance will earn 6.3 contact hours. Partial contact hours will be awarded for partial attendance.


Psychologists & Psychiatrists
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Psychiatrists
PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity.

Psychologists
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, Nevada, New Hampshire, New Jersey, New Mexico, Oklahoma, Pennsylvania, South Carolina and Wisconsin. This activity consists of 6.0 clock hours of continuing education instruction. Certificates of attendance will be issued for you to submit to your state licensing board to recognize for continuing education credit.

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 activity for 6.25 standard hours of continuing education credit. Full attendance is required; no partial credits will be offered for partial attendance.

Pennsylvania Psychologists: PESI, Inc. is approved by the Pennsylvania State Board of Psychology to offer continuing education for psychologists. Provider #PSY000211. PESI maintains responsibility for the program(s). This program qualifies for 6.25 continuing education hours.

Pennsylvania Psychologists Suicide ACT 74: 6.25 clock hour(s) of this activity consists of continuing education instruction in the assessment, treatment and management of suicide risks.


Social Workers
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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 4.25 Clinical Practice and 2.0 Ethics continuing education credits. No more than 6.25 total CE hours may be awarded for this activity. Course Level: Intermediate. 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.

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 at this 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 Intermediate activity consists of 6.25 clock hours of continuing education instruction.

Pennsylvania Social Workers Suicide ACT 74: 6.25 clock hour(s) of this activity consists of continuing education instruction in the assessment, treatment and management of suicide risks.


Other Professions
This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

Credit Card Required for online registration | Contact us to redeem Gift Certificates