More and more, specialists in the mental health field are called upon to manage mental health crises in the community. These moments of emotional intensity can often be frightening and dangerous and how we respond is critical. This webinar provides skills on how to best manage these stressful situations. The first webinar will provide concepts to the triggers and dynamics of a crisis situation; including an understanding of the bio-emotional components of crisis situations and impact of past trauma.  Skills of self-awareness under stress will be presented in order to recognize how we feel and think affects our crisis response. Relatedly, we will exemplify how to use our relationship with the person in crisis as an essential tool in de-escalation. From there, we will discuss how to choose your intervention strategy to match the level of escalation, and offer tips on how to manage the environment, co-regulate, and reduce the risk of sparking further aggressions during periods of crisis. 

This webinar is part one of two webinars on crisis de-escalation. Part two will be presented on February 17, 2022 at 3:00-4:00 PM ET.  

Format

Recorded webinar, non-interactive, self-paced distance learning activity with post-test.

This presentation was recorded on February 3, 2022.

Learning Objectives

• Evaluate the causes, traits, dynamics, and stages of a crisis situation.  
• Develop skills of self-awareness as an essential tool to use for crisis de-escalation and co-regulation.  
• Utilize new skills of nonverbal communication, active listening, and other techniques in order to avoid power struggles with individuals in crisis and promote an intervention that engages rather than enrages. 

Outline

• Defining and recognizing crisis  
• Developing the skills of self-awareness  
• Understanding the internal behavior of a person in crisis 
• Utilizing nonverbal communication, active listening, and other techniques 
• Presenter Q&A 

Target Audience

Counselor, Nurse/Nurse Practitioner, Peer Specialist/Peer Support, Physician Assistant, Psychiatrist, Psychologist, Social Worker 

Instructional Level

Introductory 

Estimate Time to Complete

Estimated Duration: 1.0 hour
Program Start Date: February 4, 2022 
Program End Date: February 4, 2025

Ongoing Interdisciplinary Discussion Board

After completing the course, engage with colleagues in the mental health field through SMI Adviser's Webinar Roundtable Topics discussion board. This is an easy way to network and share ideas with other clinicians who participate in this webinar. Access through the discussion tab.

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit™, nursing continuing professional development contact hours (NCPD, formerly CNE), CE credit for psychologists, CE credit for social workers, or a certificate of participation may do so by viewing the live presentation and completing the evaluation. Participants claiming CE credit for psychologists and those claiming CE credit for Social workers, must have full attendance to claim credit. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians), NCPD (nurses), CE certificate (psychologists), CE certificate (social workers) or certificate of participation (other disciplines) showing the event date and hours earned.  

Continuing Education Credit

Physicians

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The APA designates this enduring event for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Psychologists

The American Psychiatric Association is approved by the American Psychological Association to sponsor continuing education for psychologists. American Psychiatric Association maintains responsibility for this program and its content. 

Nurses/Nurse Practitioners

The American Psychiatric Nurses Association is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. 

Social Workers 

American Psychiatric Association, provider #1743, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. American Psychiatric Association maintains responsibility for this course.  ACE provider approval period: 05/18/2021 - 05/18/2024. Social workers completing this course receive 1.0 (clinical) continuing education credits. 

Faculty and Planner Disclosures

The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Instructor

• Marc Fagan, PsyD is Vice President of Clinical Operations and Youth and Young Adult Services at Thresholds. He provides oversight of approximately 140 employees and a $10M budget supporting residential and transitional living programs for youth and young adults with serious mental health needs and homeless families. Marc Faga, PsyD has no financial relationships to disclose.  
• Brian Bean is the training coordinator for Youth and Young Adult Services at Thresholds. He has over a decade of experience working in direct care for children and young adults with mental health needs and trauma histories. He has been a certified Therapeutic Crisis Intervention practitioner and trainer for almost 20 years. Brian Bean has no financial relationships to disclose.  

Planners

• Teri Brister, PhD, LPC, National Alliance on Mental Illness. Dr. Brister has no financial relationships to disclose.  
• Amy Cohen, PhD, American Psychiatric Association. Dr. Cohen has no financial relationships to disclose. 
• John Torous, MD, Beth Israel Deaconess Medical Center. Dr. Torous has no financial relationships to disclose. 
• Sherin Khan, LCSW, Thresholds. Ms. Khan has no financial relationships to disclose.  
• Donna Rolin, PhD, APRN, University of Texas at Austin. Dr. Rolin has no financial relationships to disclose. 

Reviewers

• Donna Rolin, PhD, APRN, University of Texas at Austin. Dr. Rolin has no relevant financial relationships to disclose. (Reviewed on 2/24/23)

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

• The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
• Internet Explorer 11+

This website requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be:  Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

• Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
• Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
• Internet Connection: 1 Mbps or higher

Minimum Requirements:

• Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
• Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

For assistance: Contact educme@psych.org for questions about this activity | Contact SMIadviserhelp@psych.org for technical assistance