Full Course Description
The Brief Cognitive Behavioral Therapy (BCBT) Model
- Analyze the Suicidal Mode and explore the ways in which it provides a map for treatment.
- Apply at least two means of interventions and evaluate their effectiveness in helping clients respond more successfully to stressful situations.
Foundation for BCBT
- How can this session have an impact?
- Baseline Risk
- Acute Risk
- 4 Targeted Domains
Emotion Dis-regulation and Cognitive Rigidity
- Slowing things down
- Maintaining plan if there is an attempt
Lethal Means Counseling
- Safety guidance as opposed to restriction
- Allow client to have control, restrict themselves
- Staying calm as therapist
- Focus on listening, relating
Measures of Success:
- Establishing meaning in life
- Improved ability to manage stressful situations
The CAMS Care Model
- Analyzes the CAMS model as an evidence-based, research-supported treatment for suicidal ideation and describes its effective use and flexibility with regards to integrating CAMS into various treatment modalities.
- Differentiates between indirect and direct drivers and explains how failure to investigate indirect drivers can lead to the activation of direct drivers and possible suicide.
Introduction to David Jobes, Ph.D.
Working with Suicidal Clients
- US Army Fort Steward Randomized Study
- CAMS Rating Scale vs. Treatments as Usual
What the Framework Means
The Four Pillars
- Suicide Focused
The First Session
- Initial Assessment
- Stabilization Treatment Plan
- Targeting the Drivers
Hospitalizing Clients with Suicidal Ideation
Shortened Hospital Stays
Medical Treatment for Suicide Risk Not Helpful
Outpatient Treatment is Effective
Connecting with Clients
Conclusion Copyright :
The Person of the Therapist: Dialing into Therapist’s Humanity
How CAMS Stabilizes Clients
Types of Suicidal Clients
Direct & Indirect Drivers
How to Engage Clients
An Eclectic Practice Model for Suicidality
- Develop an understanding of “meeting a client where they at” while gathering information needed in a therapeutic manner, when treating a client who is experiencing suicidal ideation.
- Appraise knowledge on effective therapeutic techniques used when meeting with a client who is experiencing suicidal ideation (ex. Hope Kits, suicide note to self).
Importance of meeting the client where they are at
- Empathetic listening skills
- Therapist self-awareness
Assessment in a therapeutic manner
- Therapeutic questioning versus integration
- Basic counselling skills
Being a burden
- How to approach a client feeling this way
- Validate versus change
Friends and family
- Adult versus child
- Limits of confidentiality
Technology of Change
- Grounding versus mindfulness
Suicide letter to self
Session 04: Clinical Interviewing Skills for Suicidal Clients
Clinical Interviewing Skills for Suicidal Clients
- Appraise and elaborate on the six dimensions for suicide treatment planning for the purpose of differentiating the various dimensions as it relates to possible triggers and mitigating factors of suicidal ideation for clients.
- Evaluate and support the benefits of positive psychology interventions for the purpose of improving treatment outcomes and decreasing suicidal ideation.
Introduction to John Sommers-Flanagan, Ph.D.
Treatment in Collaboration
Shift from Pathology to Pain
Not Always About Death
Dealing with Therapist Panic/Defensiveness
Anxiety Around the Topic of Suicide
The World “Suicide” as a Trigger
Discussing Suicide Directly with Trainees/Students
Embracing Clients' Vulnerability
Assessment Tied to Treatment
Therapist Normalizes Suicidal Ideation & Asks Clients Directly
Mood Scaling Assessment & Demonstration
Safety Plan Intervention
7-Part Map: Suicide Dimensions for Treatment Planning
Positive Psychology Interventions
3 Good Things Intervention
Conclusion Copyright :
Having an Attitude of Continual Learning
Legal, Ethical, and Documentation Issues
- Debate the ethical concerns of treating a suicidal client to improve the efficacy of treatment in reducing suicidal risk.
- Evaluate the legal implications of confidentiality, privilege, and privacy as they relate to suicidal clients and evaluate strategies for maintaining legal protection in the event of suicide.
Addressing the Emotional Impact of Suicide
Where to Begin If a Client Commits Suicide
- Taking a step back
- Reaching out to colleagues
Code of Ethics
- Confidentiality, Privilege, and Privacy
- Death of a client does not change the ethical or legal responsibilities of the therapist
- Prioritizing the treatment of the client
- Client authorization of records
- Deliberative process that details all considerations and actions taken by the therapist
- Ethical duty
- Collaborative process with client
- Breaching confidentiality
When a Client Confesses That They Are Suicidal
- Reassessing the client’s treatment needs and the therapist’s ability to provide them
- Expanded Care
When a Client Makes a Suicide Attempt
- Reassessing the treatment plan
- Transitioning client to better treatment, avoiding abandonment
When a Client Does Commits Suicide
- Clinical considerations with loved ones
- Legal considerations and protection from lawsuits
- Confidentiality and Privilege do not end with death
- Preserving accurate, unaltered records
- Relationship with client is the most important factor in both the treatment and in legal protection
- Welcoming a client’s trust to confide
- Staying up to date
Chronic Suicidality and Self-Destructive Behavior
Chronically suicidal clients present a special kind of stress for therapists: there’s not only the emotional stress of working with their pain, but the additional burden of risk, responsibility, and anxiety.
When should we hospitalize a suicidal client?
How can we best assess when the level of suicidality is an immediate threat to life and safety?
What role should suicide contracts play in our work?
This workshop recording offers practical strategies for developing collaborative approaches with suicidal clients despite their resistance to help and transforming their relationships to self-destructive thoughts and impulses.
- Determine the somatic effects of suicidal ideation and impulses for the purposes of psychoeducation.
- Evaluate the role of suicidality in a client’s survival or adaptation to trauma.
- Determine the three basic steps of the Fisher risk assessment tool.
- Distinguish body-centered interventions that can increase the client’s sense of control over unbearable emotions.
- Develop collaborative solutions to high-risk situations.
The Challenges of Working with Suicidality and Self-Destructive Behavior
- Association between suicidality/self-harm and a history of trauma
- Suicidality as a survival strategy
- The neurobiology of suicidality and self-harm
Evaluating Risk: Safe, Less Safe, and Not Safe
- Ideation versus impulse
- Relief versus punishment
- Simple tools for risk assessment
Suicidality and Self-Destructive Behavior as Dissociative Symptoms
- Using the Structural Dissociation model
- Borderline personality and dissociative symptom
- Increasing safety by working with suicidality as a part of the personality
A Collaborative Approach to Managing Suicidal Risk
With 71 percent of therapists reporting at least one client whose attempted suicide, helping people teetering on the precarious edge of suicidal ideation is one of the most important and scariest aspects of our work. This recording will give you a comprehensive road map for navigating assessment, treatment, and management for those at risk for suicide, as well as how to nurture a survivor’s potential for healing and resilience.
- Assess current statistics on suicide and identify signs and symptoms that indicate suicidal ideation.
- Analyze the CAMS Model for suicidality as it relates to clinical practice.
- Apply DBT, CBT, and other interventions to help clients emotionally regulate.
- Determine the clinical implications of specific strategies that foster adaptation and resiliency, including somatic resourcing, remembered resources, art, writing, and mindfulness.
- Differentiate common emotional and spiritual issues that survivors of complex trauma face, and discuss evidence-based strategies to help them rediscover personal strengths and the resiliency to move forward.
Piercing the Darkness: Assessment, Treatment, and Management of Suicide Risk
Explore current statistics on suicide and identify signs and symptoms that indicate suicidal ideation
Explore the 3 Areas of Impact Vulnerability for Suicide
- Drawing from news and media clips, see how suicide is on the rise for not only the elderly but for the nation’s youth
- Become aware of the current statistics on suicide
- Identify warning signs
- Identify environmental factors as well as genetic predispositions
- Understand how stigma affects clients
- The neurobiology of the traumatized brain
- How to Calm the Overactive Brain of your Client
- Affect Regulation skills
- Mindfulness techniques and the Art of Noticing
- Grounding techniques
Existential Shattering: Crisis of belief
Explore the concept of Alongside
- Meaning making—Can they make sense of their story?
- Can they find bigger plan or purpose?
- How does shame affect the way the client lives?
- In what story is the client living? What conclusions has client drawn about the self?
Explore DBT, CBT and other interventions to help clients emotionally regulate
- Cultivate social engagement and connection
- Using Story and Metaphor (Narrative Therapy)
- Learn how to use Presence, Patience and Planting Seeds
Explore the CAMS Model for suicidality
- Mindfulness: being self -aware and learning to exhibit impulse control
- Distress Tolerance: Learning to handle stressful emotions
- Emotional Regulation
- CBT—use Dysfunctional Thought Record/Beck Depression Inventory/Assess Client self-talk
- Identify irrational beliefs
- 5 R’s
Learn tools to help clients become more resilient
- Explore the 5 stages of the CAMS model for treating suicidality
- Be able to identify primary and secondary suicide drivers
- Help clients enlarge their world with the PIE of life
Explore a list of specific strategies that foster adaptation and resiliency, including somatic resourcing, remembered resources, art, writing and mindfulness
- Explore the concept of resiliency
- Learn 3 keys to Self-Compassion
- Art therapy
- Somatic Resourcing
- Remembered Resource
- Alternate Nostril Breathing
- Jar of Grief