Archives

Supervising Well During a Workforce Crisis

Friday, May 20, 2022
8:30am to 12:00pm
Location: All FBMHS Training Sites via Zoom

Community based behavioral health services, such as FBMHS,
successfully survived COVID only to find a different more serious
threat in their midst – not enough staff to do the job. Some FBMHS
programs report more than a third of staff positions currently
open and few qualified applicants. It is truly a crisis, affecting not
only families’ access to services but also the morale of those
remaining in their jobs. 

Learning Objectives:

The primary objectives of this bi-annual meeting of FBMHS supervisors and training faculty is to

    1. Create a collaborative eco-systemic understanding of the depth and breath of the problem,
    2. Determine possible ways to preserve therapists who remain
    3. Ensure they are growing and developing as family therapists so they can provide high quality care to children

This is an supervisor level workshop. The target audience is behavioral health supervisors working within an Ecosystemic Family Therapy Model. This is a live synchronous distance learning activity conducted in real time, allowing for simultaneous participation of participants and instructors from different locations.

This clinical series counts toward required annual training hours in Family Based Mental Health Services Supervision, but is not currently available for CE credit.

Frequently Asked Questions
Visit our FBMHS Policies & FAQs for additional information regarding the CFBT online learning center, accommodations for disabilities, reporting problems with the course, instructions for viewing webinars, etc. 

Effective Supervision of Family Based Teams Working with Youth At-Risk of Self-Harm

Thursday, 4/7/22, Wellspan-Philhaven via Zoom
Thursday, 4/14/22, Norristown via Zoom
8:25am-12:35pm

Intensive in-home services, such as Family Based Mental Health (FBMH), serve youth who are at high risk for self-harm.  This training, grounded in APA best practices related to the clinical supervision of therapists working with suicidal clients, highlights applications to the unique context of community-based work.  In this treatment context, therapists are connected to the youth’s family and tend to know other important players in the youth’s life.  This, plus having an integrated crisis service built into the program adds an extra layer of support for stabilizing high-risk youth in their own homes.  This interactive training explores the challenges of interrupting the impulse of families and other systems to prematurely send youth with suicidal ideation to an inpatient hospital.  Strategies are discussed for assessing the family’s capacity for keeping a child safe and for supporting families in the process.  Discussion is also devoted to the often competing demands faced by supervisors when there is a crisis or an incident, which can involve a seeming tug-of-war between a focus on client safety, documentation, and supporting the therapists.

Objectives 

As a result of attending this training, participants will be able to:

  1. Describe the three supervisory themes of best practice when working with suicidality.

  2. Identify a minimum of two responsibilities that are unique to FBMHS supervision with suicidality.

  3. List three areas of supervisory need when clients are experiencing a suicide crisis

This is an intermediate level course. The target audience is behavioral health supervisors working within an Ecosystemic Family Therapy Model. This is a live synchronous distance learning activity conducted in real time, allowing for simultaneous participation of participants and instructors from different locations.

Agenda

8:25am-10:30am: Focus on Objectives 1 & 2
10:30am-10:45am: Break
10:45am-12:35pm: Focus on Objective 3

Frequently Asked Questions
Visit our FBMHS Policies & FAQs for additional information regarding the CFBT online learning center, accommodations for disabilities, reporting problems with the course, instructions for viewing webinars, etc.

Helping Clients Ovecome FONO (Fear of Normal)

Wednesday, June 25, 2022, Catholic Charities via Zoom
8:25am-12:35pm

An emerging body of research shows that most Americans reported negative mental health effects related to the primary and secondary effects of the COVID-19 pandemic. Rates of anxiety, depression, addiction, fatal overdoses and suicide skyrocketed during the pandemic, leading to a mental health epidemic of global proportions. Unsurprisingly, those most affected were the most vulnerable in our society, including kids, teens, young adults, people with pre-existing mental illnesses or other social, cultural, and economic disadvantages. 

The demand for counseling has never been greater, with some research showing that more Americans sought counseling for the first time during the pandemic. While the rise in telehealth has expanded access to care for many in need of treatment, counselors are struggling to meet the increased demand for their services. Higher rates of burnout, vicarious trauma, and personal hardships and impacts related to the direct and indirect effects of the pandemic have further strained our field.

This course will review key findings about the widespread mental health effects of the pandemic, as well as providing insight into how to best support the changing needs of clients in a post-pandemic world. As societies around the world open back up, a growing number of people (including counselors) are struggling with FONO (a fear of returning to normal). A comprehensive overview of FONO will be provided, along with skills to help clinicians recognize and overcome this fear as they return to pre-pandemic routines.

Course learning objectives:

  1. Participants will learn about the most commonly reported mental health effects of the COVID-19 pandemic, associated risk factors, and populations most likely to be affected
  2. Participants will identify signs and symptoms of FONO, which often manifests as symptoms of generalized or social anxiety, phobias, OCD, PTSD or mood disorders and how to differentiate these in clients, families, and themselves
  3. Participants will learn about specific changes in the demand, delivery, and structure of therapy and ways to adapt their practice and approach to continue to improve access and quality of treatment
  4. Participants will learn about individualized methods to support clients and families struggling with post-pandemic transitions, including research-backed and evidence-informed interventions

Agenda:

8:25am-8:45am: Introductions & overview of agenda & course format

8:45am-9:30am: Review of direct and indirect effects of the pandemic on mental illness, risk and protective factors, and populations most likely to be affected

  • Major findings that demonstrate 3x rises in anxiety and depression, 2x rise in SI, 20-30% rise in fatal overdoses, and other concerning findings in recent studies
  • Examples and case studies to illustrate the primary and secondary stressors and risk factors associated with poorer outcomes and declines in mental wellbeing during the pandemic
  • Review of vulnerable populations most likely to experience negative psychological effects related to the pandemic, including kids, teens, young adults, abusive families, or those with other risk factors or disadvantages
  • Review of resilience and protective factors proven to provide a buffer against negative psychological effects related to the pandemic

9:30am-10:30am: Introduction to the term “FONO”, research and studies that illustrate this phenomena, case examples, and differential diagnosis 

  • Defining FONO as “fear of normal” and describing how, when, and why it is an emerging trend in mental health
  • Description of different clinical manifestations of FONO with case examples and researched trends
  • Examining key differences between FONO as an adjustment disorder vs chronic mental health conditions including anxiety and mood disorders, OCD, PTSD, and SUD
  • What to look and listen for when assessing FONO, setting individualized goals for treatment, and making a comprehensive treatment plan to address relevant issues and needs of clients and families

10:30am-10:40am: Break

10:40am-12:00pm: Implications of post-pandemic societal changes affecting the field of mental health and the role, setting, and structure of individual and family treatment, introduction to a variety of evidence-informed interventions to help clients and families with FONO successfully transition to pre-pandemic routines

  • Review of specific impacts on counselors and mental health professionals related to mental wellbeing, burnout and barriers in the delivery of services
  • Burnout prevention, compassion fatigue, and vicarious trauma and ways mental health professionals can monitor, prevent, and manage these issues to minimize interference in clinical work
  • Discussion of telehealth, continued coverage of telehealth, benefits and challenges for individual and family therapists & ways to optimize engagement and progress online
  • Open dialogue about safety protocols for those returning to in-person work in office or home settings and assessment of pros & cons of virtual vs in-person treatment
  • Evidence-informed interventions for clients experiencing different clinical presentations of FONO:
    *Exposure therapy for anxious, avoidant or phobic clients struggling with avoidance
    *Stress management, burnout prevention, and ways to help working individuals self-advocate in work settings
    *Case management services to support clients struggling to transition including ADA and
    IEP accommodations, ESA letters, and other methods of advocacy,
    * Behavioral activation for individuals struggling with depressive symptoms, social withdrawal, and avoidance
    * Trauma-informed interventions for individuals and families who experienced trauma, loss, or hardship during the pandemic
    *Lifestyle medicine for kids, teens, parents, and families including reduction of screentime, emphasis on quality time and family activities, and open communication and support
    *Social skills, conflict resolution and communication training to improve confidence, reduce social anxiety, and prepare kids, teens, and adults for a return to in-person social and vocational activities
    *Collaborative work with caregivers and school personnel to support kids and teens struggling socially or academically in schools
    *Stress management techniques including relaxation training, mindfulness, healthy lifestyles, CBT reframing, acceptance, self-compassion, and other proven remedies to aid regulation

12:20-12:35pm: Wrap up, summary, and Q & A

About The Trainer
Hailey Shafir is a licensed clinical mental health counselor, a licensed addiction specialist, and a board-approved clinical supervisor for newly licensed mental health and addiction counselors. She has more than a decade of experience providing counseling, developing programs for at-risk youth, people struggling with addictions, and providing training and supervision for clinicians. She is the owner of several businesses including Keep Counsel, Plan-it Therapy, IndyWind, and Therapy Cred. Hailey is also a content writer and medical peer reviewer for Addictions.com, the National Drug Helpline, Choosing Therapy, Rehab Adviser, Searchlight, Social Pro Now, and other sites, and has worked to develop online recovery apps and programs for people struggling with addictions and impulse control disorders.

 

Frequently Asked Questions
Visit our FBMHS Policies & FAQs for additional information regarding the CFBT online learning center, accommodations for disabilities, reporting problems with the course, instructions for viewing webinars, etc.

Right Use of Power

Friday, March 25, 2022, All Sites via Zoom
8:25am-12:35pm

Power is a highly misunderstood and loaded word, but one highly relevant to the therapeutic relationship. A power differential is always present in the therapeutic relationship, and can be used effectively, ineffectively, or even abused. The ‘right’ use of power in the therapeutic relationship involves developing an awareness of the power differential, the implications for clients and families served, and a thoughtful application of our ethical codes.

This training will challenge clinicians to rethink the definition of power and dispel myths and biases around the word that can hinder the ethical, right use of power in therapy. Clinicians will learn about relevant research about power imbalances between counselors and clients and common misuses and abuses of power. Clinicians will be provided with interactive case studies, discussions, and breakout groups to further explore the ‘right’ uses of power in a variety of clinical situations.

As a result of participating in this training, attendees will be able to:

  1. Participants will learn about common myths and biases about power that can undermine the effectiveness of individual and family therapy and develop a more adaptive definition of power 
  2. Participants will learn about the research on power differentials in the therapeutic relationship and common ways counselors underuse, overuse, misuse and abuse power with clients and families
  3. Participants will learn about the link between the ‘right’ use of power in relation to strong rapport and therapeutic alliances, engagement in treatment, and positive outcomes in individual and family therapy
  4. Participants will apply the APA and ACA code of ethics to demonstrate the right uses of power in realistic case studies, ethical dilemmas, and clinical situations relevant to family and individual counseling

Agenda

  • 8:25am-8:45am: Introductions & overview of agenda & course format
  • 8:45-10:30am:
    – Clarifying what power is, dispelling common biases, myths and misconceptions about power that can undermine treatment, and reviewing research on effective and ineffective uses of power in the therapeutic process
    – A review of common myths and biases about power that can undermine outcomes in therapy with individuals and families
    – A working definition of power as the ability to influence and direct change and literature on the power differentials present in the therapeutic relationship
    – A self-assessment of power aimed at helping attendees identify the power they have in their personal and professional lives
    – A review of 9 different types of power and those most relevant and useful to the therapeutic process, with examples and emphasis of effective/ineffective uses of power
  • 10:30-10:40am: Break
  • 10:40-12:00pm:
    – Examining power differentials in therapy, common uses, misuses, and abuses of power in the therapeutic relationship, and effective uses of power that are guided by ethical codes and guidelines
    – A discussion about the actions and approaches of effective therapists including when, why and how they use their power according to research
    – A review of the impact of right uses of power on therapeutic rapport and alliance, engagement in treatment, and outcomes in individual and family therapy
    – A review of common misuses and abuses of power in the therapeutic relationship including ethical and boundary violations
    – An examination of key components of the APA and ACA code of ethics with interactive discussions on how these apply to the ‘right use of power’ in realistic case studies, ethical dilemmas, and clinical situations
  • 12:20-12:35pm: Wrap up, summary, and Q & A

This is an intermediate level course. The target audience is behavioral health professionals working within an Ecosystemic Family Therapy Model. This is a live synchronous distance learning activity conducted in real time, allowing for simultaneous participation of participants and instructors from different locations.

About The Trainer
Hailey Shafir is a licensed clinical mental health counselor, a licensed addiction specialist, and a board-approved clinical supervisor for newly licensed mental health and addiction counselors. She has more than a decade of experience providing counseling, developing programs for at-risk youth, people struggling with addictions, and providing training and supervision for clinicians. She is the owner of several businesses including Keep Counsel, Plan-it Therapy, IndyWind, and Therapy Cred. Hailey is also a content writer and medical peer reviewer for Addictions.com, the National Drug Helpline, Choosing Therapy, Rehab Adviser, Searchlight, Social Pro Now, and other sites, and has worked to develop online recovery apps and programs for people struggling with addictions and impulse control disorders.

Frequently Asked Questions
Visit our FBMHS Policies & FAQs for additional information regarding the CFBT online learning center, accommodations for disabilities, reporting problems with the course, instructions for viewing webinars, etc.

What Didn’t Get to Happen: Understanding the Lasting Effects of Childhood Trauma & Helping Clients Heal

Wednesday, March 16, 2022, Catholic Charities via Zoom
8:30am-12:30pm

Extensive research has shown that childhood trauma has many adverse physical, social, and emotional effects that can persist across the lifespan. This course will provide an advanced understanding of these effects with specific examples of ways they can present later in life. Clinicians will also learn about specific relationship patterns, mental illnesses, and physical health problems that are commonly reported by people who experience different types of early trauma.

Clinicians will be provided with case studies, breakout activities, and interactive discussions aimed at helping to identify old trauma wounds and to facilitate the healing process. A wide range of theories, interventions, and exercises will be shared and practiced to help equip clinicians with applicable skills they can use in sessions. Clinicians will leave the training with a more advanced understanding of childhood trauma, how it can show up later in life, and specific ways to help clients build resilience and begin the process of healing.

As a result of participating in this training, attendees will be able to:

  1. Participants will learn about major findings of the Adverse Childhood Events study including specific adult risk health and mental health factors linked to childhood trauma
  2. Participants will become familiar with the ACES, PCES, and Adult Resilience surveys and know how to use these responsibly in therapy sessions with clients and families
  3. Participants will be able to identify the 3 categories of coping styles, examples of maladaptive styles of coping, ways they can manifest in adulthood
  4. Participants will learn at least 3 different trauma interventions drawn from Evidence Based Practices they can use with survivors of childhood trauma to help build resilience

Agenda:

8:30am-8:45am: Introductions & overview of agenda & course format

8:45-10:30am: Introduction & review of ACES, PCES and Adult Resilience surveys:

  • Major findings of the foundational Keisler ACEs study & specific risk factors correlated with high ACE scores
  • Overview of attachment wounds and trauma responses and what to look and listen for in sessions
  • Introduction to ACES & PCES surveys, how to use them, ethical and therapeutic benefits & risks associated with their use, as well how to identify and prevent retraumatization and ‘flooding’ in sessions
  • How to provide psychoeducation to clients about ACE scores and childhood trauma
  • Strengths-based approaches that can be used to incorporate PCES and Adult Resilience surveys with clients who experienced childhood trauma

10:30-10:40am: Break

10:40-12:200pm: Identifying coping styles & helping clients who experienced childhood trauma heal using Evidence-based treatment interventions:

  • Introduction to the 3 major styles of coping and examples and case studies of each
  • Breakout activities with case studies to identify coping styles and evaluate adaptive and maladaptive consequences of different coping skills
  • Examples of interpersonal patterns and conflict and communication styles typical in those who experienced early childhood adversity and trauma
  • Review of corrective emotional experiences in counseling, their effects, and how to facilitate the use of them to accelerate healing in clients who experiences early trauma and attachment wounds
  • Review, role-play, and practice of interventions for trauma drawn from: Cognitive Behavioral Therapy (including TF-CBT), Somatic theories (EMDR, SE and EFT), & 3rd wave behavior therapies (including DBT, MBCT, and ACT)

12:20-12:30pm: Wrap up, summary, and Q & A

This is an intermediate level course. The target audience is behavioral health professionals. This is a live synchronous distance learning activity conducted in real time, allowing for simultaneous participation of participants and instructors from different locations.

About The Trainer
Hailey Shafir is a licensed clinical mental health counselor, a licensed addiction specialist, and a board-approved clinical supervisor for newly licensed mental health and addiction counselors. She has more than a decade of experience providing counseling, developing programs for at-risk youth, people struggling with addictions, and providing training and supervision for clinicians. She is the owner of several businesses including Keep Counsel, Plan-it Therapy, IndyWind, and Therapy Cred. Hailey is also a content writer and medical peer reviewer for Addictions.com, the National Drug Helpline, Choosing Therapy, Rehab Adviser, Searchlight, Social Pro Now, and other sites, and has worked to develop online recovery apps and programs for people struggling with addictions and impulse control disorders.

 

Frequently Asked Questions
Visit our FBMHS Policies & FAQs for additional information regarding the CFBT online learning center, accommodations for disabilities, reporting problems with the course, instructions for viewing webinars, etc.