Behavioral escalation can be an ongoing, challenging issue with clients with mental health and substance use disorders. Developing skills and competence to help de-escalate verbal and behavioral outbursts is essential. It's also important to recognize how providers can contribute to an environment that triggers past trauma responses as well as safe spaces where clients thrive. This workshop will explore crisis intervention as well as post-crisis . Participants will examine themes of countertransference, the impact of trauma, and the use of modalities including motivational interviewing, harm reducation and mindfulness to address client escalation. The importance of self care and the ongoing impact of clients' emotion dysregulation will also be discussed as part of the need for ongoing self-care and support.
https://frumtherapist.com/workshops/TheHardest/viewThe Hardest Client:
Working with Motivational Interviewing for De-escalation and Beyond
Friday, March 07, 2025, 1:45 PM EST - 4:45 PM EST
Presenter: Juan Olmedo, LCSW
Course Length: 3 Hours
This workshop Offers 3 Live Interactive Continuing Education Credits
Behavioral escalation can be an ongoing, challenging issue with clients with mental health and substance use disorders. Developing skills and competence to help de-escalate verbal and behavioral outbursts is essential. It's also important to recognize how providers can contribute to an environment that triggers past trauma responses as well as safe spaces where clients thrive. This workshop will explore crisis intervention as well as post-crisis . Participants will examine themes of countertransference, the impact of trauma, and the use of modalities including motivational interviewing, harm reducation and mindfulness to address client escalation. The importance of self care and the ongoing impact of clients' emotion dysregulation will also be discussed as part of the need for ongoing self-care and support.
Brainstorm: characteristics of a "difficult" client ( ) 1. What makes a client “difficult” o Brainstorm characteristics o Reframing dysfunctional qualities through a trauma lens o Substance use as a coping strategy o Mood and personality disorders (15 minutes) 2. Provider triggers/countertransference o What is trauma o Processing post-trauma responses o Support and self-care (15 minutes) 3. Stages of the assault cycle o Triggering Phase o Escalation/acceleration Phase o Crisis/Peak Phase o Recovery/De-escalation Phase o Post crisis depression/recovery Phase (30 minutes) 4. Strategies for Provider Responses/Safety Considerations o Triggering Phase o Crisis Phase o Recovery Phase o Post-Crisis Phase (30 minutes) 5. Motivational Interviewing o Four principles o OARS / four essential skills o Active listening (20 minutes) 6. Self-care / Follow up o Mindfulness and meditation o Relaxation strategies o Support network/Supervision (10 minutes) Close