Tim Webb – PESI – Mental Health Emergencies Breakthrough Strategies for Crisis Intervention

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Tim Webb – PESI – Mental Health Emergencies Breakthrough Strategies for Crisis Intervention

In November, 2014 a 68-year old male was hospitalized near Minneapolis because he was suffering from paranoia and episodes of confusion. Hours later, the man assaulted multiple nurses when he chased them out of their station, furiously swinging a metal pole. One nurse suffered a collapsed lung and another fractured her wrist, along with bruises and cuts. The man then fled the hospital and ran for blocks until police could finally take him down.

As a clinician, you will inevitably be faced with moments of crisis.

Preparing for the worst is vital to the safety of your client, yourself and others in the community. What would you have done in that scenario? In hindsight, were there warning signs hospital workers missed during intake?

As an in-take director for an inpatient psychiatric treatment center and over 20 years’ experience, Tim Webb, MAEd, LPC, will teach you the skills you need to quickly assess, triage, manage and treat clients in crisis.

Leave this seminar with new confidence that you can:

• Protect your liability through proper documentation
• Develop a state-of-the art safety plan
• Identify the latest street drugs your client may be using and the dangerous side effects
• Rapidly assess for violent, suicidal or homicidal clients
• Teach your staff and colleagues how to respond

Speaker
Tim Webb, M.A.Ed., LPC is the founder and CEO of The FOCUS Group, PLLC, a Clemmons, North Carolina based clinical training and consultation agency specializing in developing comprehensive programs for mental health crisis management. FOCUS Group helps systems ensure clinician safety; improve treatment of trauma and sexual aggression, performance enhancement and manage facility growth. His professional experiences include intake director and managing crisis services in the community, clinics and emergency rooms. As a clinical director, he has been responsible for program development, hiring/supervising clinicians and direct care staff, and all clinical operations for residential facilities. His unique combination of clinical and management experiences allow him to understand both the needs of administrative and front-line staff as he speaks to professionals in various settings.

In addition to holding Masters in Counseling from Wake Forest, Mr. Webb is a 2nd degree black belt in Mu Duk Kwan and an instructor in that martial art. He has provided clinical services in a number of jail settings and also has a background in firefighting. Mr. Webb’s unique combination of martial arts, teaching, emergency services and clinical experience have allowed him to develop the Stay Safe system of managing physically aggressive clients in a non-violent but safe and effective system.

Speaker Disclosures:
Financial:  Tim Webb is the Founder/CEO and author for The FOCUS Group, PLLC. He has an employment relationship with Daymark Recovery Services.  He receives a speaking honorarium from PESI, Inc. Tim has no relevant financial relationships with ineligible organizations.

Non-financial:  Tim Webb has no relevant non-financial relationship to disclose.

Target Audience
Counselors, Social Workers, Psychologists, Nurses, Marriage and Family Therapists, Case Managers, Addiction Counselors, Nurse Practitioners, Clinical Directors, Other Mental Health Professionals
Objectives

1. Examine legal and ethical implications in emergency situations.
2. Complete a mental status exam to better assess for psychotic symptoms.
3. Demonstrate strategies to assess for suicidal, threatening, or dangerous clients.
4. Describe proper documentation to avoid legal actions and insurance disputes.
5. Develop effective safety plans and crisis interventions for suicidal and psychotic patients.
6. List current street drugs and their effects on client’s mind and body.
7. Recognize which psychotropic medications a client is using for their diagnosis.

Outline

Ethical Responsibilities and Legal Obligations in Emergency Situations

• Tarasoff court case- duty to protect
• Emergency Medical Treatment and Labor Act (EMTLA)
• Reporting abuse and neglect
• Documentation
  Justify appropriate level of care to insurance companies
  Covering yourself and avoiding the courtroom
  Mental Status Exams

Evaluative tools and exams

• Differentiate signs, symptoms and behaviors
• Learn which psychotic symptoms correlate to psychiatric vs. organic issues
• Substance influence on mental status
• Spot signs of delirium
• Role of trauma and substances in diagnosis

Suicide Risk Assessment

• High risk populations: Elderly, teens, veterans
• Contract of Safety
• Evaluation: 2 vital questions to ask
• Interview strategies and techniques
• When to hospitalize
• Case examples

Violent or Homicidal: Assessment & Intervention

• Identify clients most at risk
  PTSD vs. Conduct Disorder/Anti-social Personality Disorder
  Important time frames
  Significant stressors
• Interview Strategies
  Triggers for violence
  The power of choice
  Physiological states
• Handling threats to their workplace, school and home
• Next steps to help protect others
• Case examples

Danger in the Chemically Dependent: Alcohol, Street Drugs & Prescriptions

• Warning signs to look for when client has used:
  Alcohol
  Prescription drugs
  Synthetics
  Heroin, Cocaine, Meth Amphetamines
• Bizarre behaviors, lowered inhibitions and loss of body control
• Need for detoxification
• Keeping yourself safe- who to contact now
  Case examples

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