4 hour verbal crisis de-escalation

Views:
 
Category: Others/ Misc
     
 

Presentation Description

No description available.

Comments

Presentation Transcript

Treatment Planning 2 Hours: 

Treatment Planning 2 Hours Instructor Dawn-Elise Snipes, Ph.D., LMHC, CRC, NCC Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Treatment Plans Purpose: 

Treatment Plans Purpose Serve as road maps Help clients learn to set goals Provide an objective reference for progress Are necessary for ethical and reimbursable practice Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Process and Format: 

Process and Format Assess bio-psycho-social needs Identify areas in which the client is motivated to work Write the Goal Statement Answers the question “How will I know when I have accomplished this?” States what new behaviors, feelings will be present Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Process and Format cont…: 

Process and Format cont… Knowledge Identify areas in which client needs increased knowledge (i.e. causes of depression, treatments, personal triggers etc.) Skills Based on the client’s SNAP (Strengths, Needs, Abilities and Preferences), identify skills or behaviors that will help him achieve his goal Abilities Abilities are merely skills that have been successfully used in the natural environment Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Process and Format cont…: 

Process and Format cont… KSAs Constitute the “objectives” or subgoals Example Before you read, you need to Know your letters and their sounds Learn how to sound out words Demonstrate the ability by reading Are accompanied by “interventions” Assigned to therapist or client That help the person achieve the objective Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Learning: 

Learning What did you learn in grad school? Where problems come from Symptoms of problems Impacts of problems Methods to relieve/eliminate problems How to tailor methods to the individual Teach clients the same thing Helps them learn to solve problems Demystifies the counseling process Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Characteristics of Good Goals: 

Characteristics of Good Goals Observable Measurable Time Limited Achievable Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Maintaining Motivation

Maintaining Motivation Characteristics Emotional Cognitive Physical Social Environmental Method Small goals  success and reward Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Decisional Balance: 

Decisional Balance List the positives and negatives of change and staying the same Same Change Positives Feels good/stops the pain Something to do with friends Make family happier Do better at work I’ll be healthier Will have more money Negatives Slowly killing me Risky Behaviors Makes family mad Always out of money Don’t know who I can trust Will have to face my demons Will lose friends Miss the highs Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Replace Chocolate with…: 

Replace Chocolate with… The old behavior served a purpose The new behavior must accomplish the same goal in a healthier way Assess how the old behavior impacted the person emotionally, mentally, physically, socially, spiritually and environmentally. Add three new behaviors for every one you are trying to eliminate Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

A note about discriminative stimuli: 

A note about discriminative stimuli Sights, sounds, smells, times of day, activities associated with the old behavior Will trigger cravings/urges Need to be Eliminated Counter conditioned Changed to elicit a different behavior Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Fundamental Goals: 

Fundamental Goals Develop and Enhance Coping Skills Objectives Knowledge: Identify 5 to 10 ways you deal with stress Learn about 3 different coping methods including Radical Acceptance, REBT and Reality Therapy/Choice Theory by reading handouts, participating in coping skills group and discussing with primary therapist Evaluate the effectiveness of your existing coping skills and eliminate those that do not work Skills Add at least 1 new coping skill to your list Practice using those skills in group and session with scenarios and as you discuss your current issues Abilities Keep a log each week of stressors, how you coped, how effective it was, anything you might need to do differently and discuss in group Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Fundamental Goals Cont…: 

Fundamental Goals Cont… Self-Esteem Knowledge Learn what self esteem is and how self esteem is created in children and maintained in adults by attending educational group List the traits you envision in your ideal self, and list the traits in your real self. Discuss in group the differences and your goals for change Skills Use Cognitive Behavioral approaches to identify those “ideal traits” that help you achieve your goals Use behavior modification and goal setting to develop 3 goals Abilities Report back to the group/therapist each week your progress in achieving your goals and the impact on your self esteem. Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Fundamental Goals Cont…: 

Fundamental Goals Cont… Social Support Knowledge Learn about the characteristics of healthy relationships Learn effective communication skills Identify the traits in a friend that you find important Identify places/ways you might meet such people Skills Practice effective communication skills in group Create a plan to nurture current healthy relationships and create at least one new relationship Abilities Implement your plan and discuss its effectiveness Discuss how your relationships and communication skills have improved Modify your plan as needed Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Fundamental Goals Cont…: 

Fundamental Goals Cont… Basic Needs Knowledge Learn about safety by doing a safety assessment Learn about wellness by attending the wellness group and completing weekly worksheets Learn about the mind-body connection Skills Develop a realistic plan for improving your health and wellness Improve any areas of your environment that are unsafe Abilities Implement your plan and discuss the positive improvements Modify your plan as needed to maintain motivation and ensure success Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Fundamental Goals Cont…: 

Fundamental Goals Cont… Depression Knowledge Learn about the mental and physical causes of depression List your triggers for depression Of those triggers, identify which ones you can control and which ones you cannot. Identify those things that make you feel less depressed Identify exceptions. “What is different when you are not depressed Skills Develop a plan for increasing the exceptions and things that make you feel less depressed Use behavioral and cognitive behavioral strategies to address those things you cannot control Abilities Discuss how effective your plan is, things that need to be altered in your plan Discuss the different strategies you use to address those things you cannot control and how effective they are. Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Fundamental Goals Cont…: 

Fundamental Goals Cont… Anxiety Knowledge Learn about the 6 basic fears Learn about the fight or flight reaction and how anxiety is not necessarily bad Learn about eustress and distress Identify those things that make you anxious and why Identify things that make your anxiety better or worse Skills Develop a list of positive self-statements to use when you are anxious Identify ways to eliminate unnecessary stressors Discuss ways to use the anxiety to your advantage Abilities Practice, Discuss and Modify and needed Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Further Reading: 

Further Reading Please skim chapters 2-5 of the following text: Case Conceptualization and Treatment Planning: Exercises for Integrating Theory with Clinical Practice Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com

Summary: 

Summary Treatment planning serves to Help clients learn to problem solve Develop a roadmap for treatment Communicate with team members Protect from liability Treatment planning needs to focus on KSAs—Teach, practice, rehearse/apply Treatment is most effective when the client only focuses on a couple goals at once receives frequent rewards Copyright CDS Ventures, LLC 2010-2016. Unlimited CEUs for 12 months $74.99 http://allceus.com