DMH UCLA Public Mental Health Partnership: Recent Episodes

PMHP

Our mission: In partnership with the Los Angeles County Department of Mental Health, the Public Mental Health Partnership at UCLA aims to realize a vision for excellence in care for vulnerable populations that incorporates typically marginalized perspectives and builds capacity to foster health equity. Visit our website for more information: pmhp.ucla.edu

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Presented by Danielle Cameron, LCSW.

The majority of behavioral health professionals can expect to face client resistance behaviors at some point in their careers. As commonly referred to in peer-reviewed literature, the term “resistance behaviors” can best be understood as the expression of apprehension and reluctance to engage in services and ambivalence around change, most often seen in cases with clients mandated to treatment. There are several factors that contribute to client resistance behavior and providers will receive a review on understanding, responding to, and processing distressing interactions with clients, especially around client motivation. Concepts from evidence-based frameworks such as motivational interviewing, solution-focused therapy, and trauma informed approaches will be examined to enhance providers’ skill base in working with clients exhibiting resistance behaviors. Additionally, this training will support behavioral health providers in understanding the importance of and how to collaboratively set person-centered goals with clients, especially as it relates to increasing engagement with clients who display resistance behaviors. Lastly, this training will educate attendees on concepts such as burnout, compassion fatigue, transference, and counter-transference to help them normalize and understand common experiences they may encounter when handling challenging dynamics with clients. This training is intended for field-based mental health and outreach workers in Los Angeles County.

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Presented by Jennifer Wisdom, PhD, MPH, ABPP.

Workplace Politics defines politics as processes and behaviors between people to get things done and get needs met. Dr. Wisdom will solicit examples from the attendees about examples of "politics" that they have encountered and then will address four aspects to help address workplace politics: self-awareness, understanding power and influence, negotiating, and giving/receiving feedback. The workshop is focused on practical ways for people to think differently about politics and to navigate political workplaces. This training is intended for field-based mental health and outreach workers in Los Angeles County.

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Presented by Jennifer Wisdom, PhD, MPH, ABPP

Intergenerational Communication Challenges introduces generations (from boomers to Gen Z) and identifies how each generation has its own experiences, worldviews, and perspectives. Dr. Wisdom will solicit ideas from attendees on how intergenerational challenges show up in their workplace and describe how these challenges in the workplace can be associated with generational perspectives, such as different views on what it means to show respect or display loyalty. Dr. Wisdom will provide strategies for communicating across the generations, both for older generations (boomers and Gen X) to communicate with younger generations (millennials and Gen Z), and vice versa. This training is intended for field-based mental health and outreach workers in Los Angeles County.

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Presented by Danielle Farmer, MSEd, LCSW. Studies show that 83% of U.S. workers suffer from work-related stress, with 25% naming their job as the number one stressor in their lives (The American Institute of Stress, 2022). These rates are even higher for individuals in social service settings due to factors such as emotional labor and the traumatic realities that clients may face. These factors place outreach workers at higher risk for work-related traumatic stress. Therefore, it is vital that field-based outreach workers are equipped with the knowledge and tools needed to understand how work-related stress develops and self-care practices to combat it. This training will define and explore concepts related to work-related stress such as burnout, vicarious trauma, and the physiological impacts of chronic and/or traumatic stress. Participants will discuss the history of self-care, its roots in radical community movements, and how it relates to field-based outreach workers. Participants will learn a plethora of self-care practices using a holistic approach and will have work time to create an individualized wellness plan for themselves using learned self-care practices. This training is intended for field-based mental health and outreach workers in Los Angeles County.

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Presented by Elizabeth Mackey, LMSW and Chelsea Simms, LCSW, MSW. This training will focus on models of integrated care, including integrated, coordinated, and co-located care models, and related skills for practicing care coordination across systems. The importance of coordinated care will be explained through the social determinants of health (SDOH) framework, highlighting integrated care/care coordination as an intervention that mitigates the impacts of SDOH. This training will teach providers how to identify key care partners within systems, as well as advocacy and collaboration best practices. Attendees will be given an overview of chronic health conditions common within populations experiencing serious mental illness (SMI) and being unhoused, and how non-medically trained providers can support access to and continued engagement in primary and specialty medical care. This training is intended for field-based mental health and outreach workers in Los Angeles County.

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Presented by Chelsea Simms, LCSW, MSW, Danielle Cameron, ACSW, MSW and Larry Fernandez, LCSW, MSW. Group therapy can be an effective and impactful therapeutic intervention for consumers of community mental health services, providing a space for processing, peer support, and social skills practice. This training will explore both the practicalities of starting and maintaining a group within a community mental health setting, as well as specific evidence-based interventions and modalities that can be used to ensure a group remains helpful and supportive to participants. This training is tailored for community mental health providers working in field-based settings in Los Angeles County.

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Presented by Danielle Cameron, ACSW, MSW and Chelsea Simms, LCSW, MSW. Group therapy can be an effective and impactful therapeutic intervention for consumers of community mental health services, providing a space for processing, peer support, and social skills practice. This training will explore both the practicalities of starting and maintaining a group within a community mental health setting, as well as specific evidence-based interventions and modalities that can be used to ensure a group remains helpful and supportive to participants. This training is tailored for community mental health providers working in field-based settings in Los Angeles County.

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Presented by Julie Cohen, LMFT and Danielle Farmer MSEd, LCSW. This training will provide Full Service Partnership (FSP) team members with a foundational understanding of assertive engagement principles and strategies when working with parents and caregivers. Participants will learn the core concepts of assertive engagement, including active listening, empathy, and effective communication techniques. The training will focus on building rapport, establishing trust, and collaborating with parents and caregivers to support their child's progress and wellbeing within the FSP program. By the end of the training, participants will have gained essential knowledge and skills to begin implementing assertive engagement strategies in their interactions with parents and caregivers.

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Presented by Stacy D. Goldsholl, MA. This training will give field-based mental health service providers an overview of the prevalence of smoking among persons living with serious mental illness (SMI), and review its implications on health. Stacy D. Goldsholl will review the effectiveness of evidence-based practices for smoking cessation for persons with SMI. Goldsholl will also discuss how providers can assess an individual’s smoking status and their willingness to quit. She will do this by providing information on behavioral counseling for individuals who are interested in quitting through a motivational interviewing approach, and offering guidance on how to choose an approach to help someone quit smoking. She will then recommend adaptations for individuals who have cognitive deficits. Additionally, Goldsholl will review smoking cessation pharmacotherapy options, their safety and efficacy for individuals with SMI, and recommendations on treatment duration. She will also discuss treatment recommendations for individuals who are not interested in quitting smoking, and provide treatment options for active smokers.

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Presented by Emily C. Dossett, MD, MTS. Pregnancy and postpartum can be joyful, but they can also be full of stress, physical changes, and worsened psychiatric symptoms for people with serious mental illness (SMI). At the same time, reproductive needs in the SMI population have historically been overlooked or ignored. This training will discuss how the perinatal period affects psychiatric symptoms and how providers can address these changes. We will also use a reproductive justice lens to think about pre-pregnancy psychiatric consultation as well as family planning for people with SMI. The target audience for this training is field-based intensive mental health services providers who work with individuals impacted by severe mental health disorders.

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Presented by Chelsea Simms, LCSW, MSW. Outreach and Engagement (O&E) is a key phase of treatment across Full Service Partnership (FSP) and Homeless Outreach Mobile Engagement (HOME) teams within Los Angeles County. During this time, it is crucial to begin building a solid therapeutic relationship with clients. We will discuss techniques to reinforce this relationship, including shared decision making and other collaborative strategies. This training will also facilitate a space for reflection on engagement practices from both a clinical and practical lens. Utilizing evidence-based practices from trauma informed care to motivational interviewing, this brief training aims to strengthen providers' skillsets overall. Time will be taken to engage in dialogue and role play for the unique challenges that O&E can present providers and the teams they work within across multiple systems of care.

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Presented by Chelsea Simms, LCSW, MSW and Larry Fernandez, LCSW, MSW. Mental illness and co-occurring disorders can influence the length of time in establishing a trusting therapeutic relationship. Assertive engagement involves the use of interpersonal skills and inventiveness to engage clients and interest them in subsequent care. It entails taking multidisciplinary services directly to the people in encampments, streets, sidewalks, alleyways, schools, and other public spaces, followed by the provision of ongoing support. This training will cover assertive engagement strategies that are most helpful with adult clients with mental illnesses that may include co-occurring substance use disorders. Strategies will include evidence-informed modalities (motivational interviewing, harm reduction, strengths-based), informal/creative approaches, as well as opportunities for learners to apply these strategies using case vignettes. The intended audience for this training is field-based community mental health providers and outreach workers.

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Presented by Sam Tsemberis, PhD and Ana Stefancic, PhD. This training will describe the concept of program fidelity, how the principles and practices of Full Service Partnership (FSP) programs are operationalized to measure FSP model fidelity, and how to use fidelity assessments as part of quality improvement. We use narratives and vignettes to illustrate how to apply FSP fidelity principles and practices in real-world programs to enhance service delivery for individuals experiencing mental illness as well as homelessness, substance use, and/or physical health challenges.

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This training serves as a follow-up to the previous training, Working with Justice-Involved Clients: Part 1, which took place on May 17, 2023. This training will more closely examine how the justice system interacts with individuals with serious mental illness (SMI). Participants will review statistics regarding individuals with SMI in the justice system and the best practices for discussing mental health in the courtroom setting. This training will highlight important practice points for clinicians, such as strategies for coordinating and advocating on behalf of clients in the justice system, as well as ethical considerations. Recorded on June 7, 2023.

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This is an overview of the criminal justice system, including alternatives to incarceration for clients with serious mental illness (SMI), and a discussion of the roles and responsibilities of the clinician while working with clients. The training will include information related to the Los Angeles County jail and court systems, practice points related to working with clients with SMI, navigating the case and the courtroom, and discussion of some of the related ethical considerations and the impact on the clinician's work. This training is tailored for community mental health providers working in field-based settings in Los Angeles County. Recorded on May 17, 2023.

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This presentation will outline key principles in field-based psychiatric services through a model developed by the HOME Team. Psychiatrists will learn how to adapt traditional psychiatric services for service delivery in the field and gain a better understanding of the DMH innovations available to support field-based psychiatry. The presentation will outline how to utilize a team-based approach in supporting community reintegration and the role of a psychiatrist in critical psychosocial interventions, including housing support. Internal and external DMH clinical resources will also be shared to enhance collaboration and care-coordination efforts. This training is tailored for community mental health providers working in field-based settings in Los Angeles County.

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Effective care coordination is essential for supporting positive outcomes in clients with complex medical and mental health needs. This is especially true for child and adolescent clients involved with multiple agencies or systems. This training will examine the best practices for engaging in professional collaboration on behalf of youth clients. Participants will explore theoretical approaches to care coordination and case management activities, review the various systems with which youth clients may be involved (e.g., schools, the juvenile justice system, DCFS, etc.), discuss care coordination techniques to use within these systems, and finally, troubleshoot barriers to successful collaboration. Staff of all roles on mental health or outreach teams that engage in any case management or therapeutic activities with youth clients are encouraged to listen.

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Numerous studies have highlighted a concerning surge in the mental health challenges facing youth in recent years. As part of this growing concern, rates of suicide risk and completed suicides in children and adolescents have also increased. As of 2020, suicide was the second leading cause of death for youth ages 10-14 and the third leading cause of death for youth ages 15-24 (CDC, 2020). It is vital that providers working with children and adolescents are equipped with tools for assessing and preventing suicide. In this 2-hour training, participants will learn the current scope of youth suicide in the United States through statistical analysis. Participants will learn tools for identifying warning signs and risk factors for suicidal ideation. Participants will be introduced to multiple age-appropriate tools for assessing suicide risk and ways to leverage protective factors and preventative interventions. Finally, participants will learn de-escalation strategies to minimize traumatic stress while conducting risk assessments. This training is open to all providers and clinicians who work with youth of all age groups.

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Dialectical Behavioral Therapy (DBT) has often been utilized to help those who struggle with intense experiences of emotion dysregulation. Yet, when one thinks of psychosis, an experience that can greatly disrupt a person’s ability to engage in emotional regulation, DBT is not commonly thought of as a therapeutic intervention. By examining the four modules of DBT (distress tolerance, emotional regulation, mindfulness, and interpersonal effectiveness), we will learn why DBT-informed concepts and principles can benefit clients with Psychotic Spectrum Disorders and how to apply these concepts and principles in practice. There will be an emphasis on skill-building interventions derived from DBT, rather than a strict adherence to DBT treatment protocol that is customary for DBT programs. This interactive two-part presentation will introduce participants to DBT skills adapted for psychotic experiences through discussion, case examples, and practical tools. Recorded on October 28, 2022.

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Dialectical Behavioral Therapy (DBT) has often been utilized to help those who struggle with intense experiences of emotion dysregulation. Yet, when one thinks of psychosis, an experience that can greatly disrupt a person’s ability to engage in emotional regulation, DBT is not commonly thought of as a therapeutic intervention. By examining the four modules of DBT (distress tolerance, emotional regulation, mindfulness, and interpersonal effectiveness), we will learn why DBT-informed concepts and principles can benefit clients with Psychotic Spectrum Disorders and how to apply these concepts and principles in practice. There will be an emphasis on skill-building interventions derived from DBT, rather than a strict adherence to DBT treatment protocol that is customary for DBT programs. This interactive two-part presentation will introduce participants to DBT skills adapted for psychotic experiences through discussion, case examples, and practical tools. Recorded on October 27, 2022.

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“Too Close or Too Far: Setting Best Boundaries with Clients” will be provided over four days in 2-hour segments via distance learning due to the COVID-19 context. This training focuses on expanding the practice, knowledge, and skill of outreach workers, social workers, case managers, peers, and psychologists who work in Homeless Outreach services in Los Angeles County. The format of each day will include 1 hour of didactic training on concepts, theory, and research related to interpersonal boundaries in client-outreach worker relationships followed by 1 hour of vignette-based activities and facilitated discussion.

The didactic portion will begin with an overview of key terms related to interpersonal closeness in therapeutic work including boundaries, boundary clarification, boundary-setting, transference, counter-transference, empathy, and autonomy, with an emphasis on building self-reflection skills around these concepts. The trainers will explore with participants how to recognize when boundary clarification is needed, as well as consider implications of client-provider power dynamics, culture, and professional background/training on their experience and management of boundaries with clients.

Additionally, this training will employ a trauma informed lens, to help providers best understand how past experiences may shape their clients’ approach to boundaries, as well as their own (Levenson. 2017). Participants will be taught to reflect on internal and interpersonal client experiences utilizing concepts such as the neglect-overprotect continuum and moral distress (Mänttäri-van der Kuip, 2019; Marsh & Kelley, 2018). Trainers will also guide participants in identifying personal values and characteristics that impact their experiences of setting boundaries with clients. Finally, provider wellbeing will be discussed, with a review of strategies to prevent burnout including radical acceptance and eliciting or providing quality supervision (Begic et al., 2019; Linehan, 2015).

The vignette-based activities and discussion will focus on four types of common boundary situations that can come up in work with unsheltered individuals: avoidance, over-identification, sexualized transference, and countertransference. Participants will be encouraged to apply concepts from didactic portion of each day’s training to the vignettes, including identifying boundary-setting skills for each scenario. Recorded on October 27, 2022.

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“Too Close or Too Far: Setting Best Boundaries with Clients” will be provided over four days in 2-hour segments via distance learning due to the COVID-19 context. This training focuses on expanding the practice, knowledge, and skill of outreach workers, social workers, case managers, peers, and psychologists who work in Homeless Outreach services in Los Angeles County. The format of each day will include 1 hour of didactic training on concepts, theory, and research related to interpersonal boundaries in client-outreach worker relationships followed by 1 hour of vignette-based activities and facilitated discussion.

The didactic portion will begin with an overview of key terms related to interpersonal closeness in therapeutic work including boundaries, boundary clarification, boundary-setting, transference, counter-transference, empathy, and autonomy, with an emphasis on building self-reflection skills around these concepts. The trainers will explore with participants how to recognize when boundary clarification is needed, as well as consider implications of client-provider power dynamics, culture, and professional background/training on their experience and management of boundaries with clients.

Additionally, this training will employ a trauma informed lens, to help providers best understand how past experiences may shape their clients’ approach to boundaries, as well as their own (Levenson. 2017). Participants will be taught to reflect on internal and interpersonal client experiences utilizing concepts such as the neglect-overprotect continuum and moral distress (Mänttäri-van der Kuip, 2019; Marsh & Kelley, 2018). Trainers will also guide participants in identifying personal values and characteristics that impact their experiences of setting boundaries with clients. Finally, provider wellbeing will be discussed, with a review of strategies to prevent burnout including radical acceptance and eliciting or providing quality supervision (Begic et al., 2019; Linehan, 2015).

The vignette-based activities and discussion will focus on four types of common boundary situations that can come up in work with unsheltered individuals: avoidance, over-identification, sexualized transference, and countertransference. Participants will be encouraged to apply concepts from didactic portion of each day’s training to the vignettes, including identifying boundary-setting skills for each scenario. Recorded on October 13, 2022.

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“Too Close or Too Far: Setting Best Boundaries with Clients” will be provided over four days in 2-hour segments via distance learning due to the COVID-19 context. This training focuses on expanding the practice, knowledge, and skill of outreach workers, social workers, case managers, peers, and psychologists who work in Homeless Outreach services in Los Angeles County. The format of each day will include 1 hour of didactic training on concepts, theory, and research related to interpersonal boundaries in client-outreach worker relationships followed by 1 hour of vignette-based activities and facilitated discussion.

The didactic portion will begin with an overview of key terms related to interpersonal closeness in therapeutic work including boundaries, boundary clarification, boundary-setting, transference, counter-transference, empathy, and autonomy, with an emphasis on building self-reflection skills around these concepts. The trainers will explore with participants how to recognize when boundary clarification is needed, as well as consider implications of client-provider power dynamics, culture, and professional background/training on their experience and management of boundaries with clients.

Additionally, this training will employ a trauma informed lens, to help providers best understand how past experiences may shape their clients’ approach to boundaries, as well as their own (Levenson. 2017). Participants will be taught to reflect on internal and interpersonal client experiences utilizing concepts such as the neglect-overprotect continuum and moral distress (Mänttäri-van der Kuip, 2019; Marsh & Kelley, 2018). Trainers will also guide participants in identifying personal values and characteristics that impact their experiences of setting boundaries with clients. Finally, provider wellbeing will be discussed, with a review of strategies to prevent burnout including radical acceptance and eliciting or providing quality supervision (Begic et al., 2019; Linehan, 2015).

The vignette-based activities and discussion will focus on four types of common boundary situations that can come up in work with unsheltered individuals: avoidance, over-identification, sexualized transference, and countertransference. Participants will be encouraged to apply concepts from didactic portion of each day’s training to the vignettes, including identifying boundary-setting skills for each scenario. Recorded on September 29, 2022.

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“Too Close or Too Far: Setting Best Boundaries with Clients” will be provided over four days in 2-hour segments via distance learning due to the COVID-19 context. This training focuses on expanding the practice, knowledge, and skill of outreach workers, social workers, case managers, peers, and psychologists who work in Homeless Outreach services in Los Angeles County. The format of each day will include 1 hour of didactic training on concepts, theory, and research related to interpersonal boundaries in client-outreach worker relationships followed by 1 hour of vignette-based activities and facilitated discussion.

The didactic portion will begin with an overview of key terms related to interpersonal closeness in therapeutic work including boundaries, boundary clarification, boundary-setting, transference, counter-transference, empathy, and autonomy, with an emphasis on building self-reflection skills around these concepts. The trainers will explore with participants how to recognize when boundary clarification is needed, as well as consider implications of client-provider power dynamics, culture, and professional background/training on their experience and management of boundaries with clients.

Additionally, this training will employ a trauma informed lens, to help providers best understand how past experiences may shape their clients’ approach to boundaries, as well as their own (Levenson. 2017). Participants will be taught to reflect on internal and interpersonal client experiences utilizing concepts such as the neglect-overprotect continuum and moral distress (Mänttäri-van der Kuip, 2019; Marsh & Kelley, 2018). Trainers will also guide participants in identifying personal values and characteristics that impact their experiences of setting boundaries with clients. Finally, provider wellbeing will be discussed, with a review of strategies to prevent burnout including radical acceptance and eliciting or providing quality supervision (Begic et al., 2019; Linehan, 2015).

The vignette-based activities and discussion will focus on four types of common boundary situations that can come up in work with unsheltered individuals: avoidance, over-identification, sexualized transference, and countertransference. Participants will be encouraged to apply concepts from didactic portion of each day’s training to the vignettes, including identifying boundary-setting skills for each scenario. Recorded on September 15, 2022.

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In this training attendees will learn about the ways in which they strengthen and ways in which they hinder productive communication. Attendees will learn about how their feelings and their identity influence how they communicate. Lastly, we will review communication strategies that will help attendees communicate clearly and effectively while also learning how to be a good listener.

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As a follow up to Recovery Oriented Transitions from FSP, this training will utilize principles rooted in Critical Time Intervention (CTI), an evidence-based practice that supports vulnerable populations through challenging times of transition. Participants can expect to learn about the CTI model and develop skills to help clients transition out of intensive clinical programs like FSP. Through case scenarios and discussion, participants will be led in engagement opportunities and activities rooted in CTI to proactively evaluate and plan for client success after FSP.

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This training includes a panel that will enhance providers’ understanding of South Asian clients in order to better serve their unique needs. Topics of discussion will include an overview of the South Asian population, family structure, and cultural perspectives that impact mental health treatment. Barriers and stigma regarding mental health care will also be discussed. Participants will be able to understand cultural sensitivity in relation to South Asian clients’ mental health needs. This panel will also focus on South Asian immigration to the United States and its impact on immigrant’s mental health and wellbeing. In addition, this panel will detail how acculturation and its barriers, causes, and levels impacts clients mental health overall.

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This training will provide an overview of the common experiences felt during grief and loss. What is often referred to as the “stages” of grief will be discussed, as well as research on the “stages” of grief. Various grief trajectories will be presented, including those more likely to be associated with a healthier progression versus those associated with complications in the grieving process. Discussion will emphasize grief and loss during the COVID pandemic, as well as among persons experiencing homelessness. The presentation will highlight “common” reactions to loss, reactions which are more consistent with complicated or unresolved grief, and grieving rituals specific to various ethnic and religious cultures. Approaches to grief therapy will be presented, including those from J. William Worden and Robert Neimeyer, amongst others. Techniques on working with clients’ emotional reactions such as “numbing,” intractable grief, and feeling intensely overwhelmed by loss will also be examined. Helping professionals through vicarious grief will also be addressed.

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This training will provide an overview of the common experiences felt during grief and loss. What is often referred to as the “stages” of grief will be discussed, as well as research on the “stages” of grief. Various grief trajectories will be presented, including those more likely to be associated with a healthier progression versus those associated with complications in the grieving process. Discussion will emphasize grief and loss during the COVID pandemic, as well as among persons experiencing homelessness. The presentation will highlight “common” reactions to loss, reactions which are more consistent with complicated or unresolved grief, and grieving rituals specific to various ethnic and religious cultures. Approaches to grief therapy will be presented, including those from J. William Worden and Robert Neimeyer, amongst others. Techniques on working with clients’ emotional reactions such as “numbing,” intractable grief, and feeling intensely overwhelmed by loss will also be examined. Helping professionals through vicarious grief will also be addressed.

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This training will provide an overview of the common experiences felt during grief and loss. What is often referred to as the “stages” of grief will be discussed, as well as research on the “stages” of grief. Various grief trajectories will be presented, including those more likely to be associated with a healthier progression versus those associated with complications in the grieving process. Discussion will emphasize grief and loss during the COVID pandemic, as well as among persons experiencing homelessness. The presentation will highlight “common” reactions to loss, reactions which are more consistent with complicated or unresolved grief, and grieving rituals specific to various ethnic and religious cultures. Approaches to grief therapy will be presented, including those from J. William Worden and Robert Neimeyer, amongst others. Techniques on working with clients’ emotional reactions such as “numbing,” intractable grief, and feeling intensely overwhelmed by loss will also be examined. Helping professionals through vicarious grief will also be addressed.

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Acceptance Commitment Therapy (ACT) is a psychotherapy modality that can be used to both support meaningful growth in clients as well as to enhance provider wellbeing and reduce symptoms of burnout.

ACT, like its predecessor Cognitive Behavioral Therapy (CBT), takes into account the relationship between thoughts (cognition) and behaviors. ACT differs from traditional CBT in its approach to coping with challenging thoughts and activating preferred behaviors by its focus on values, mindfulness, and acceptance.

The goal of ACT is to increase “psychological flexibility” using six specific core processes: contact with the present moment, values, committed action, self-as-context, defusion, and acceptance. This training will include an introductory overview of the ACT model (including core processes), opportunities for experiential learning, and resources for additional education.

The target audience for this training are field-based intensive mental health services providers who work with individuals impacted by severe mental health disorders.

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Human Trafficking can be described as the unlawful act of transporting or coercing people in order to benefit from their work or service, typically in the form of forced labor or sexual exploitation. This panel will be emphasizing the experiences of human trafficking within the AAPI community. The impact of these unconscionable acts of servitude on one’s mental health will be a key framework for this panel, especially in regards to the long-term effects of trauma. Ways to be culturally responsive and informed when working with AAPI clients that have experienced human trafficking will be highlighted as well. As such, there will be discussion of sensitive subjects and experiences related to human trafficking, which may resonate on a personal level to some attendees. Please take note and take care of yourself accordingly.

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Behavioral tailoring is a cognitive-behavioral, recovery-oriented set of strategies that helps individuals with mental illnesses, substance use disorders, and co-occurring disorders meet personal goals. While it’s widely used to enhance recovery for medication management, behavioral tailoring can be used for so much more! Join us as we explore the wide array of uses for behavioral tailoring and develop skills to use this strategy effectively. With behavioral tailoring's focus on developing a routing and modifying of one’s environment to promote and support change, it is a particularly helpful in supporting recovery progress and maintenance.

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We all need skills to effectively navigate and manage life’s challenges. When we don’t have effective coping skills, however, we can feel overwhelmed, anxious, dysregulated, and stressed. Behavioral rehearsal strategies are incredibly effective in supporting a person as they develop new coping skills to help manage stress and stressful situations. When we go beyond simply discussing new skills to practicing them, we are setting clients up for success by teaching them how to use the tools in their lives. During this workshop, we highlight the importance of skills training, explore how to engage clients in skills rehearsal, review the steps of effective skills practice and develop strategies to individualize rehearsal practice to suit the unique needs of each client.

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This presentation will outline the basics of Dialectical Behavior Therapy (DBT), an evidence-based psychotherapy for emotion dysregulation that helps people become more mindful as they simultaneously work on improving interpersonal relationships, tolerating distress, and regulating intense emotions. This presentation will introduce you to practical applications of DBT through discussion, vignettes, video clips, and opportunities to practice. The intended audience is clinicians working with individuals with severe mental illness including those on FSP or other multidisciplinary teams in Los Angeles County.

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This presentation will outline the basics of Dialectical Behavior Therapy (DBT), an evidence-based psychotherapy for emotion dysregulation that helps people become more mindful as they simultaneously work on improving interpersonal relationships, tolerating distress, and regulating intense emotions. This presentation will introduce you to practical applications of DBT through discussion, vignettes, video clips, and opportunities to practice. The intended audience is clinicians working with individuals with severe mental illness including those on FSP or other multidisciplinary teams in Los Angeles County.

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Stigma and cultural practices in Asian American and Pacific Islander (AAPI) communities play a significant role in help seeking behavior in the face of mental health crises. This training will help mental health providers better recognize the various factors that may give rise to the challenges in crisis intervention work, with consideration to some of the complexities between age, inter-generational differences, and ethnic groups. Providers will be able to identify and share resources and practices that may better serve the needs of AAPI clients and families, while reflecting on the impact of crises on both the client and the provider.

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This training draws from anthropological theory and methods to inform a recovery-oriented approach for clients experiencing homelessness. We define important aspects of moral agency (e.g., autobiographical power, peopled opportunities, social bases of self-respect) that matter for both homeless outreach specialists and for the clients they serve. Using ethnographic data, this training discusses how moral agency is built and practiced in different contexts. Focusing on 4 different contexts of homeless engagement across North America (i.e., Los Angeles, Bay Area, Montreal, Houston), this presentation shows how different homeless service providers set different expectations for clients to prove themselves “worthy” of care. For each context, we show how people become moral agents and how important moral agency can be for building recovery and transformation. By recognizing how moral agency is defined and practiced in various settings, this training will help homeless outreach specialists and other service providers reflect on the moral aspects of their work, the importance of building agency and community, and how outreach practices can enact a person-centered model of care.

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This panel is designed especially for LA County providers working with individuals experiencing (or at risk for) homelessness and experiencing mental illness. Care coordination requires a level of understanding of community partners, navigation amongst multiple systems, and persistence for client care needs. Our experts, Dr. Trang Hoang, Dr. Glenn Masuda, and Yvonne Sun, LCSW, will be taking Q&A and facilitating discussion regarding the nuances for care coordination across diverse populations and the varying considerations and community resources to incorporate for AAPI clients.

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This two-part training will help generate an understanding of why the housing landscape in Los Angeles looks the way it does while offering up strategies that providers can use to navigate it. Day 1 will examine the histories and policies that have shaped LA’s housing supply and will outline where we are going in the future. It will also help providers identify what housing is currently available, including tips on how to locate appropriate options for clients who are unhoused or have unstable housing. Day 2 will dive deeper into clinical tactics relevant to keeping clients housed and safe by focusing on specific types of housing (e.g., motels, sober living, board and cares, supportive housing, and in independent or family situations) and the relevant considerations and strategies that can be used in each. The training will end with a brief primer on tenant protections and will supply legal resources you or your clients can use, if ever necessary.

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This two-part training will help generate an understanding of why the housing landscape in Los Angeles looks the way it does while offering up strategies that providers can use to navigate it. Day 1 will examine the histories and policies that have shaped LA’s housing supply and will outline where we are going in the future. It will also help providers identify what housing is currently available, including tips on how to locate appropriate options for clients who are unhoused or have unstable housing. Day 2 will dive deeper into clinical tactics relevant to keeping clients housed and safe by focusing on specific types of housing (e.g., motels, sober living, board and cares, supportive housing, and in independent or family situations) and the relevant considerations and strategies that can be used in each. The training will end with a brief primer on tenant protections and will supply legal resources you or your clients can use, if ever necessary.

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This session is meant to orient clinicians to basic foundational knowledge about the American Indian and Alaska Native (AIAN) population, including but not limited to demographics, diversity within AIAN people, and how AIAN identity may affect access to health care. Participants will additionally understand how structural determinants of health (e.g. Federal Indian policymaking) has contributed to current health outcomes, socioeconomic indicators, and intergenerational trauma. Lastly, participants will gain an appreciation of how culturally based practices and evidenced based practices can be synergistic, rather than mutually exclusive.

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Older adults exhibit psychotic symptoms for many different reasons. Treatment may require medical and psychiatric intervention, family support, linkages to community services, and more. The role of psychotherapy with older adults that experience psychosis has received little attention. This training will describe a psychotherapeutic approach to treating older adults with psychotic symptoms based on the literature and the presenter’s clinical experience. The approach includes outreach to identify individuals in need of help; clinical engagement to develop a working relationship; linkage with needed services; and helping individuals reduce the link between triggers and psychotic symptoms. Differences between treating a person with delusional disorder versus schizophrenia will also be discussed.

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This training outlines different types of cognitive impairment often found among older adults. Given a common understanding that mental health services for persons with “dementia” or cognitive impairment cannot be billed for, the presenter will describe Medi-Cal regulations regarding insurance billing for mental health services for persons with cognitive impairment who also have a co-occurring mental illness. This presentation will describe common emotional and other internal experiences of persons with cognitive impairment. There will be a discussion of psychotherapeutic and other mental health interventions that have demonstrated effectiveness in helping older adults, including adjustments that can be made to interventions during a global pandemic.

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Later life can often be a time of many different losses, such as loss of friends or loved one, loss of physical functioning and/or health, loss of cognitive acuity, and loss of status. When clients have experienced several of these, it can present challenges to mental health professionals as to how to encourage improved mood and mental health, when interpersonal, physical, social, and financial resources are narrowed. This training will present several approaches within mental health interventions that can help older adults with mental illness who are facing challenges of aging and loss. Dr. Victor Frankl wrote about the importance of developing meaning in life, particularly when faced with seemingly overwhelming difficulties.

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This training will provide an overview of clinical presentations and characteristics of addictive disorders among Asian American Pacific Islander (AAPI) clients, families, and communities. Best practices for the screening, assessment, and treatment of commonly presenting addictive disorders such as tobacco, alcohol, cannabis, opioid, and stimulant use disorder will be covered. Specific attention to gambling disorders will be presented given the elevated rate of this disorder among Asian American Pacific Islander communities. An overview of the cultural contributions that increase risk and vulnerabilities for addictive disorders will be presented. Emphasis on how clinicians can deliver culturally-impactful treatment will be discussed, including reviewing treatment resources that are currently available.

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Culturally sensitive care leads to positive health outcomes and client satisfaction, yet there remain gaps in the availability of culturally sensitive providers and training on AAPI-focused mental health. This training focuses on the integration of culturally informed practices and cultural adaptions needed to work effectively with AAPI communities. Link to watch the trailer for "The Healer and the Psychiatrist" at the 36 minute marker: https://vimeo.com/430128372?embedded=true&source=video_title&owner=1565782

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In this refresher training, we will review the concepts that inform decision-making about whether an individual meets criteria for grave disability. The training briefly addresses the history and intent of the Lanterman-Petris-Short Act. We will discuss the kinds of clinical scenarios that can lead to a determination of grave disability. We will review strategies for assessing grave disability and for confirming or disconfirming whether grave disability is an appropriate determination. We will leave time for questions and discussion of clinical situations. The training is intended for clinicians and non-clinicians who work with individuals with severe mental illness.

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Culturally informed care refers to the capacity to provide quality informed interventions that acknowledges, honors, and integrates clients’ historical experiences, cultural values, beliefs and practices. This training will provide information on how reactions to trauma and mental health presentations vary across Asian American and Pacific Islander (AAPI) cultures. We will delve deeper into culturally sensitive care and the importance of tailoring assessment questions to better understand how culture creates meaning and can be used as a roadmap to setting positive expectations with regard to treatment. 

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This presentation will explore the basics of Hoarding Disorder, such as its symptoms, criteria for diagnosis, and neurological and genetic components. We will then look at ways of assessing its severity and determining the level of insight and readiness for treatment of the client. From there participants will be introduced to intervention techniques for both resistant and non-resistant clients with the goal of improving the client’s health and safety in the home. Please note that CEs are only available by attending the live virtual training, not the anytime session.

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Outreach and psychoeducation are crucial first steps in providing quality mental health treatment. Often, there is a disconnect and lack of resources when reaching out to the AAPI communities. Despite the need for mental health services, a substantial number of AAPI individuals do not seek help. This training will focus on some of the AAPI communities’ barriers and stigmas in seeking mental health services. We will also explore other factors that contribute to underutilization of services. We will address different therapeutic approaches in outreach and engagement to increase motivation and decrease barriers for AAPI consumers. 

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The evolution and continuation of anti-AAPI (Asian American Pacific Islander) hate throughout U.S. history was based on the belief that AAPIs were inferior and a threat to mainstream Americans. Supported and fostered by legislation, media, and hate crimes, the AAPI population became marginalized individuals. Building an understanding of AAPI history provides a context to counterbalance racism with truth and insight. From the 1850’s to the present, anti-AAPI hate has impacted the psyche of our communities creating fear and ongoing trauma.

Mental health professionals’ development of greater historical empathy will further benefit the mental health treatment of the overall AAPI population. This training will include discussion on how the COVID pandemic exacerbated AAPI hate and will encourage participants to share how legislation has impacted their family, friends, and clients.

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The Brief Overview of Psychiatric Disorders training, presented by David Haynik, is a two-hour overview of symptoms and presentations that are consistent with major psychiatric disorders. It is a refresher for experienced mental health clinicians and ideal for those new to mental health. While specific diagnoses will be discussed, the emphasis is on the symptoms and how those symptoms may be experienced by individuals. The training is person-centered and recovery-focused. Use of vignettes and examples help to demonstrate the challenges that people with psychiatric disorders face in their daily lives.

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This training discusses the practice of radical acceptance, a distress tolerance and emotional regulation skill, and component of reality acceptance from Dialectical Behavior Therapy (Linehan, 2005). In particular, this training will focus around the application of radical acceptance in coping with uncertainty, especially as it relates to experiences that many are faced with during the COVID-19 pandemic on professional and personal levels. The overall aim of the training is to provide attendees with a perspective and coping strategy to support their own wellbeing as providers, as well as a skill that can be used and taught to clients.

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This training series focuses on the services and supports that promote recovery in individuals with serious mental health conditions. This training centers on key factors that influence positive physical and mental health outcomes among people in recovery, including poverty, stigma, and other social determinants. Specifically, the training will dive into the role that supported employment plays as it enhances independence and is a social determinant of health. Many people with serious mental health conditions return to work and maintain employment. Critical to the vocational success of people in recovery are the views and perspectives of employers on hiring and accommodating these workers, as well as the kinds of supports employers need to facilitate reintegration into the workforce. Collaboration in the community with stakeholders, as well as development of partnerships are essential for this. Throughout this series, we highlight the steps to ensure these are possible in your community with other providers and entities. This training is developed through a diversity, equity, and inclusion lens. This training will utilize case examples, discussion prompts, and other tools to build knowledge on recovery and employment. Part 5. 

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This training series focuses on the services and supports that promote recovery in individuals with serious mental health conditions. This training centers on key factors that influence positive physical and mental health outcomes among people in recovery, including poverty, stigma, and other social determinants. Specifically, the training will dive into the role that supported employment plays as it enhances independence and is a social determinant of health. Many people with serious mental health conditions return to work and maintain employment. Critical to the vocational success of people in recovery are the views and perspectives of employers on hiring and accommodating these workers, as well as the kinds of supports employers need to facilitate reintegration into the workforce. Collaboration in the community with stakeholders, as well as development of partnerships are essential for this. Throughout this series, we highlight the steps to ensure these are possible in your community with other providers and entities. This training is developed through a diversity, equity, and inclusion lens. This training will utilize case examples, discussion prompts, and other tools to build knowledge on recovery and employment. Part 4. 

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This training series focuses on the services and supports that promote recovery in individuals with serious mental health conditions. This training centers on key factors that influence positive physical and mental health outcomes among people in recovery, including poverty, stigma, and other social determinants. Specifically, the training will dive into the role that supported employment plays as it enhances independence and is a social determinant of health. Many people with serious mental health conditions return to work and maintain employment. Critical to the vocational success of people in recovery are the views and perspectives of employers on hiring and accommodating these workers, as well as the kinds of supports employers need to facilitate reintegration into the workforce. Collaboration in the community with stakeholders, as well as development of partnerships are essential for this. Throughout this series, we highlight the steps to ensure these are possible in your community with other providers and entities. This training is developed through a diversity, equity, and inclusion lens. This training will utilize case examples, discussion prompts, and other tools to build knowledge on recovery and employment. Part 3. 

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This training series focuses on the services and supports that promote recovery in individuals with serious mental health conditions. This training centers on key factors that influence positive physical and mental health outcomes among people in recovery, including poverty, stigma, and other social determinants. Specifically, the training will dive into the role that supported employment plays as it enhances independence and is a social determinant of health. Many people with serious mental health conditions return to work and maintain employment. Critical to the vocational success of people in recovery are the views and perspectives of employers on hiring and accommodating these workers, as well as the kinds of supports employers need to facilitate reintegration into the workforce. Collaboration in the community with stakeholders, as well as development of partnerships are essential for this. Throughout this series, we highlight the steps to ensure these are possible in your community with other providers and entities. This training is developed through a diversity, equity, and inclusion lens. This training will utilize case examples, discussion prompts, and other tools to build knowledge on recovery and employment. Part 2. 

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This training series focuses on the services and supports that promote recovery in individuals with serious mental health conditions. This training centers on key factors that influence positive physical and mental health outcomes among people in recovery, including poverty, stigma, and other social determinants. Specifically, the training will dive into the role that supported employment plays as it enhances independence and is a social determinant of health. Many people with serious mental health conditions return to work and maintain employment. Critical to the vocational success of people in recovery are the views and perspectives of employers on hiring and accommodating these workers, as well as the kinds of supports employers need to facilitate reintegration into the workforce. Collaboration in the community with stakeholders, as well as development of partnerships are essential for this. Throughout this series, we highlight the steps to ensure these are possible in your community with other providers and entities. This training is developed through a diversity, equity, and inclusion lens. This training will utilize case examples, discussion prompts, and other tools to build knowledge on recovery and employment. Part 1. 

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Understanding Grave Disability, presented by Elizabeth Bromley, MD, PhD, reviews the concepts that inform decision-making about whether an individual meets criteria for grave disability. The course briefly addresses the history and intent of the Lanterman-Petris-Short Act and the development of community-based mental health treatment. The course reviews the kinds of scenarios in homeless outreach that can lead a team or outreach specialist to consider whether an individual is gravely disabled. It discusses strategies to assess for grave disability and to confirm or disconfirm whether grave disability is an appropriate determination. The course is intended for any homeless outreach worker (i.e., clinicians and non-clinicians) and intends to provide all outreach team members with the foundational concepts necessary to participate in team deliberation about options for vulnerable clients experiencing homelessness.

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This series of trainings begin by outlining the AOT statute, criteria, referral process, and components for outreach and engagement for FSP providers. During Part 2, there will be an emphasis on processes for enrolled clients, from AOT specific measures to navigation of levels of care. The final training will detail how to draft declarations, progress reports, and testimony for court proceedings that interact with AOT clientele. This three part training will utilize skill building activities, comprehensive quizzes, and dynamic discussion to ensure that these key learning objectives are met. Part 3. 

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This series of trainings begin by outlining the AOT statute, criteria, referral process, and components for outreach and engagement for FSP providers. During Part 2, there will be an emphasis on processes for enrolled clients, from AOT specific measures to navigation of levels of care. The final training will detail how to draft declarations, progress reports, and testimony for court proceedings that interact with AOT clientele. This three part training will utilize skill building activities, comprehensive quizzes, and dynamic discussion to ensure that these key learning objectives are met.

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This series of trainings begin by outlining the AOT statute, criteria, referral process, and components for outreach and engagement for FSP providers. During Part 2, there will be an emphasis on processes for enrolled clients, from AOT specific measures to navigation of levels of care. The final training will detail how to draft declarations, progress reports, and testimony for court proceedings that interact with AOT clientele. This three part training will utilize skill building activities, comprehensive quizzes, and dynamic discussion to ensure that these key learning objectives are met. Part 1

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In this training you will identify your own values and how you can use your values to help identify professional development opportunities that will help you reach your professional goals. These may be formal professional development opportunities (attending a training) or informal (asking to lead a meeting about a project you're working on). We will also discuss where you can find professional development opportunities outside of your workplace. Lastly, you'll learn how to ask for, and receive, feedback in a way that can further your professional development.

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Please join us for an informative conversation with the Office of Public Guardian (OPG). As Full Service Partnership continues to expand, collaboration with OPG is becoming an essential part of coordination of care. This training will enhance providers understanding of working with the Office of Public Guardian, conservatees, and mental health court as it pertains to their client care.

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This 2-part course will cover the basics of Motivational Interviewing (MI) and its underlying spirit. MI’s core skills will be covered including open-ended questions, reflective listening, summarizing, affirmations, and giving advice with permission. Participants will also be able to apply the skills learned based on interactive practice scenarios. Part 1. 

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This 2-part course will cover the basics of Motivational Interviewing (MI) and its underlying spirit. MI’s core skills will be covered including open-ended questions, reflective listening, summarizing, affirmations, and giving advice with permission. Participants will also be able to apply the skills learned based on interactive practice scenarios. Part 2. 

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Cognitive decline poses challenges for safe and independent living for older adults. Although gradual cognitive wear is a normal part of aging, steep declines that result in severe memory problems and executive dysfunction are often signs of underlying disease. Participants will (1) learn about cognition in normal and abnormal aging; (2) distinguish warning signs of cognitive impairment; (3)become familiar with how neuropsychological testing can identify cognitive impairment; (4) recognize major types of memory disorders; (5) learn supportive strategies for working with this population.

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This course will cover components of successful discharge planning and early aftercare in the engagement of recently hospitalized individuals. Participants will better understand the role of hospitalization and continuity of care post-discharge. 

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This course will provide an overview of what culturally competent care is and how to promote it in practice. Participants will understand the need for and aspects of culturally competent care. The presenter will review the assessment and application of culturally competent care as well as working with language interpreters.

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This course will define and describe what is meant by the term social skills. Participants will learn about why social skills are important and understand the approach and steps used to teach social skills with clients.

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Many if not most LGBTQI+ youth and adults risk (or have experienced) rejection from their families, churches and spiritual communities, and even some institutions that they may choose for their secondary education. In addition, adults often can face continued discrimination in both housing and employment, health care, and blatant societal rejection, which are compounded in communities of color. This multi-level risk for rejection increases the mental health risk for suicide, substance abuse, and high risk sexual behaviors significantly, and also increases avoidance of accessing mental health resources sooner. Participants will obtain an overview of some of these disparities, explain the important differences between working with LGB clients and people who are Intersex and Transgender, understand the “Do’s and Don’ts,” and identify the protective factors to weave into your work providing services to clients in the LGBTQI+ community.

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Problem-Solving Therapy (PST) is a flexible and adaptable approach to assist individuals in coping with a wide-range of problems. There is increasing evidence to demonstrate its effectiveness for a variety of populations and settings. This course will provide participants with an overview of the evidence and then focus on how it is delivered to service recipients in the Full Service Partnership (FSP) programs across LA County. The training will walk through the treatment strategy to include assessment, application of PST, psycho-education, use of PST Toolkits, and tips for adaptation. The training will provide participants with opportunities to apply PST through the use of clinical vignettes and problem-solving scenarios. The focus is on practical tools that practitioners can use in the field with those who struggle to solve simple and complex problems. The tools discussed and provided can be used as part of a larger PST structured treatment plan or on an as-needed basis. Participants can expect to understand the core tenets of PST and be able to apply PST skills upon completion of the training. Part 2. 

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Problem-Solving Therapy (PST) is a flexible and adaptable approach to assist individuals in coping with a wide-range of problems. There is increasing evidence to demonstrate its effectiveness for a variety of populations and settings. This course will provide participants with an overview of the evidence and then focus on how it is delivered to service recipients in the Full Service Partnership (FSP) programs across LA County. The training will walk through the treatment strategy to include assessment, application of PST, psycho-education, use of PST Toolkits, and tips for adaptation. The training will provide participants with opportunities to apply PST through the use of clinical vignettes and problem-solving scenarios. The focus is on practical tools that practitioners can use in the field with those who struggle to solve simple and complex problems. The tools discussed and provided can be used as part of a larger PST structured treatment plan or on an as-needed basis. Participants can expect to understand the core tenets of PST and be able to apply PST skills upon completion of the training. Part 1. 

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This course will cover the background, theory, concepts, and principles of Cognitive Behavioral Therapy (CBT). Participants will learn about tools including functional analysis and interventions such as cognitive restructuring and behavioral activation. 

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Outreach and Engagement (O&E) is a key phase of treatment across Full Service Partnership (FSP) and Homeless Outreach Mobile Engagement (HOME) teams within Los Angeles County. During this time, it is crucial to begin building a solid therapeutic relationship with clients. We will discuss techniques to reinforce this relationship including shared decision making and other collaborative strategies. This training will also facilitate a space for reflection on engagement practices from both a clinical and practical lens. Utilizing evidence-based practices from trauma informed care to motivational interviewing, this brief training aims to strengthen providers skillsets overall. Time will be taken to engage in dialogue and role play for the unique challenges that O&E can present providers and the teams they work within across multiple systems of care.

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This course builds on the prior Full Service Partnership Training Collaborative series topics to introduce, explore, and unpack the factors across the socio-ecological system (i.e., factors at micro-, meso-, exo-, and macro- levels) impactful to FSP in Los Angeles County, and most relevant to the individual wellbeing outcomes for FSP clients. Part 3.

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This course builds on the prior Full Service Partnership Training Collaborative series topics to introduce, explore, and unpack the factors across the socio-ecological system (i.e., factors at micro-, meso-, exo-, and macro- levels) impactful to FSP in Los Angeles County, and most relevant to the individual wellbeing outcomes for FSP clients. Part 2. 

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This course builds on the prior Full Service Partnership Training Collaborative series topics to introduce, explore, and unpack the factors across the socio-ecological system (i.e., factors at micro-, meso-, exo-, and macro- levels) impactful to FSP in Los Angeles County, and most relevant to the individual wellbeing outcomes for FSP clients. Part 1. 

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This training will provide an overview of the common experiences felt during grief and loss. What is often referred to as the “stages” of grief will be discussed, as well as research on the “stages” of grief. Various grief trajectories will be presented, including those more likely to be associated with a healthier progression versus those associated with complications in the grieving process. Discussion will emphasize grief and loss during the COVID pandemic, as well as among persons experiencing homelessness. The presentation will highlight “common” reactions to loss, reactions which are more consistent with complicated or unresolved grief, and grieving rituals specific to various ethnic and religious cultures. Approaches to grief therapy will be presented, including those from J. William Worden and Robert Neimeyer, amongst others. Techniques on working with clients’ emotional reactions such as “numbing,” intractable grief, and feeling intensely overwhelmed by loss will also be examined. Helping professionals through vicarious grief will also be addressed. Part 3. 

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Emerging research suggests that the integration of religion/spirituality (R/S) into mental health treatment has the potential to improve client outcomes. This 90-minute training surveys principles and strategies of spiritual competency and explores spiritually-integrated treatment models and assessment tools. We will reflect upon our own attitudes, beliefs, and practices to discuss how these world views may impact therapeutic encounters. Finally, we will examine ethical boundaries and concerns to ensure that effective, empathetic, and evidence-based R/S tailored treatments are being delivered to support clients self-identified R/S practices.

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This training will provide an overview of the common experiences felt during grief and loss. What is often referred to as the “stages” of grief will be discussed, as well as research on the “stages” of grief. Various grief trajectories will be presented, including those more likely to be associated with a healthier progression versus those associated with complications in the grieving process. Discussion will emphasize grief and loss during the COVID pandemic, as well as among persons experiencing homelessness. The presentation will highlight “common” reactions to loss, reactions which are more consistent with complicated or unresolved grief, and grieving rituals specific to various ethnic and religious cultures. Approaches to grief therapy will be presented, including those from J. William Worden and Robert Neimeyer, amongst others. Techniques on working with clients’ emotional reactions such as “numbing,” intractable grief, and feeling intensely overwhelmed by loss will also be examined. Helping professionals through vicarious grief will also be addressed. Part 2. 

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This training will provide an overview of the common experiences felt during grief and loss. What is often referred to as the “stages” of grief will be discussed, as well as research on the “stages” of grief. Various grief trajectories will be presented, including those more likely to be associated with a healthier progression versus those associated with complications in the grieving process. Discussion will emphasize grief and loss during the COVID pandemic, as well as among persons experiencing homelessness. The presentation will highlight “common” reactions to loss, reactions which are more consistent with complicated or unresolved grief, and grieving rituals specific to various ethnic and religious cultures. Approaches to grief therapy will be presented, including those from J. William Worden and Robert Neimeyer, amongst others. Techniques on working with clients’ emotional reactions such as “numbing,” intractable grief, and feeling intensely overwhelmed by loss will also be examined. Helping professionals through vicarious grief will also be addressed. Part 1. 

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Join us for an informal, inclusive discussion about cultural humility, and how it fosters culturally-sensitive trauma-informed care. Research suggests that in a multicultural world where power imbalances exist, cultural humility is a process of openness, self-awareness, and incorporating self-reflection when interacting with diverse individuals. The results of [practicing] cultural humility are mutual empowerment, respect, optimal care, and lifelong learning. Cultural humility helps us better understand (and disrupt) barriers to more effective, humane, equitable, and collaborative person-centered care. This training will review what we know about culturally-sensitive care, and explore the humble wisdom of identifying and cultivating what we don’t know.

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There are currently over 52 million individuals over the age of 65 in the United States. Older adults are at increased risk for developing major neurocognitive disorders including Alzheimer’s Disease, Vascular Dementia, Dementia with Lewy Bodies and Frontotemporal Dementia. The Alzheimer’s Association estimates that approximately 5.2 million Americans suffer from late onset Alzheimer’s Disease, which is the most common type of major neurocognitive disorder. While these diseases are characterized by cognitive decline and loss of functioning including activities of daily living, perhaps less known is that these illnesses also have a high prevalence of behavioral and psychiatric symptoms. Symptoms including depression, anxiety, apathy, agitation, delusions and hallucinations are all rather common in these illnesses. Such symptoms result in reduced quality of life and increase the risk for institutionalization. Primary care physicians and mental health professionals are often faced with having to manage these symptoms.

In this 90 minute didactic, we will review the common clinical features, assessment and management of the 4 most common major neurocognitive disorders. We will review a few common tools available to assist with cognitive evaluation and we will briefly review Probate Conservatorship and some of the differences between Probate and LPS conservatorships.

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This presentation highlights key Medi-Cal, Specialty Mental Health Services (SMHS) requirements, documentation tips, and issues commonly encountered by practitioners providing SMHS in Los Angeles County. This presentation also, provides a brief overview of the resources available to Los Angeles County Department of Mental Health Directly Operated and Contracted providers, that support adherence to the documentation and claiming requirements associated with the provision of Medi-Cal, (SMHS).

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Working with those that are Justice Involved and requiring mental health treatment requires a knowledge base on historical impacts that have led many to incarceration from structural racism within state and federal policies to the philosophical framework of prisons from Foucault. Bringing this to the present day, Telecare implements Recovery Centered Clinical Systems  (RCCS)  as  a  guide  for  the  treatment  of  individuals  with  serious  mental  illness  and substance  use  disorders  who  are  returning  to  their  communities  after  many  years  in  prison environments. Within this framework, we focus on the program culture as a primary intervention to  help  facilitate  recovery.  By  shifting  the  program  culture  to  address  criminogenic  needs, powerful relationships and environments for change can occur, which in turn result in significant reductions in recidivism. There will be opportunities throughout the training for reflection and discussion as to how to make these changes within yourself and your program community.

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Palliative Care is an approach to providing care that aims at alleviating symptoms and other issues resulting from a life-threatening or life-altering illness in a holistic and patient-centered fashion. Historically, palliative care has not been utilized in the community mental healthcare setting. However, research supports the value of applying palliative care principles when caring for patients with co-morbid serious mental and medical illnesses with the aim of improving quality of life for these patients and their caregivers. Dr. Dax Volle, of UCLA Geriatric Psychiatry, will provide an overview of palliative care principles with the aim of applying these principles in a FSP setting. 

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This dynamic, resourceful 2-part workshop will empower providers to bring art into their practice. Facilitators will share music-based techniques from their work at Urban Voices Project, Colburn School, and Creative Arts Therapies. We will explore musical ways to address Social Emotional Awareness (SEL), Adverse Childhood Experiences (ACEs), nervous system resets, wellness practices for mind & body, and overall self-care. Music eases interpersonal connections because it reminds us who we are and shows us how to be present in this moment. Take time to explore your innate creativity and learn how to engage with clients to activate deeper connections to health and recovery with music.

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This dynamic, resourceful 2-part workshop will empower providers to bring art into their practice. Facilitators will share music-based techniques from their work at Urban Voices Project, Colburn School, and Creative Arts Therapies. We will explore musical ways to address Social Emotional Awareness (SEL), Adverse Childhood Experiences (ACEs), nervous system resets, wellness practices for mind & body, and overall self-care. Music eases interpersonal connections because it reminds us who we are and shows us how to be present in this moment. Take time to explore your innate creativity and learn how to engage with clients to activate deeper connections to health and recovery with music.

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The purpose of this training is to introduce treatment providers to the Justice Involved Mental Health (JIMH) population, specifically parolees, and how to provide effective treatment. It is our responsibility to keep the community safe with two primary goals in mind: reduce psychiatric hospitalizations and combat recidivism. There are several aspects regarding treatment provision for parolees to successfully accomplish these goals. The experience of incarceration is traumatic, as such our initial focus will center upon engaging and establishing rapport with parolees through a trauma-informed lens. Adjusting to the community is another barrier that will need to be addressed when providing outpatient services. This training will demonstrate several factors to consider when reintegrating parolees into the community to ensure safety and a solid foundation for treatment facilitation. Mental health assessments, treatment modalities, and community resources will be also be discussed. Part 1. 

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The purpose of this training is to introduce treatment providers to the Justice Involved Mental Health (JIMH) population, specifically parolees, and how to provide effective treatment. It is our responsibility to keep the community safe with two primary goals in mind: reduce psychiatric hospitalizations and combat recidivism. There are several aspects regarding treatment provision for parolees to successfully accomplish these goals. The experience of incarceration is traumatic, as such our initial focus will center upon engaging and establishing rapport with parolees through a trauma-informed lens. Adjusting to the community is another barrier that will need to be addressed when providing outpatient services. This training will demonstrate several factors to consider when reintegrating parolees into the community to ensure safety and a solid foundation for treatment facilitation. Mental health assessments, treatment modalities, and community resources will be also be discussed. Part 2. 

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Critical Time Intervention is an evidence-based practice that supports vulnerable populations through challenging times of transition. This model relies upon community integration, resource mobilization, and prioritizes transition-related activities. Transitions can include community reintegration after incarceration, moving from the streets to housing, and other changes that often impact those served by homeless outreach teams and Full Service Partnership programs. Participants can expect to learn about the CTI model and structure. They will learn and develop skills that support critical transitions in life, service coordination, resource mobilization, team functioning, and self-care.

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Critical Time Intervention is an evidence-based practice that supports vulnerable populations through challenging times of transition. This model relies upon community integration, resource mobilization, and prioritizes transition-related activities. Transitions can include community reintegration after incarceration, moving from the streets to housing, and other changes that often impact those served by homeless outreach teams and Full Service Partnership programs. Participants can expect to learn about the CTI model and structure. They will learn and develop skills that support critical transitions in life, service coordination, resource mobilization, team functioning, and self-care.

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Critical Time Intervention is an evidence-based practice that supports vulnerable populations through challenging times of transition. This model relies upon community integration, resource mobilization, and prioritizes transition-related activities. Transitions can include community reintegration after incarceration, moving from the streets to housing, and other changes that often impact those served by homeless outreach teams and Full Service Partnership programs. Participants can expect to learn about the CTI model and structure. They will learn and develop skills that support critical transitions in life, service coordination, resource mobilization, team functioning, and self-care.

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Critical Time Intervention is an evidence-based practice that supports vulnerable populations through challenging times of transition. This model relies upon community integration, resource mobilization, and prioritizes transition-related activities. Transitions can include community reintegration after incarceration, moving from the streets to housing, and other changes that often impact those served by homeless outreach teams and Full Service Partnership programs. Participants can expect to learn about the CTI model and structure. They will learn and develop skills that support critical transitions in life, service coordination, resource mobilization, team functioning, and self-care.

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Psychopharmacology for those that experience severe and persistent mental illness is a complex issue. In this training, we will begin by discussing the barriers to medication adherence. Specifically, the side effects of medications themselves, the historical impact of unethical medical practices and research, and the difficulties in building trust with our clients as a result. Acknowledging the common misbeliefs that are held about medications, which are often exacerbated by symptoms of mental illness will be a focal point of this training. Finally, by developing an understanding of the positive outcomes that derive from medication adherence, we can introduce potential solutions for clients that are struggling with medication non-adherence.

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Learn how to utilize DBT skills and principles to benefit clients with Psychotic Spectrum Disorders. This interactive two-part presentation will introduce you to DBT skills adapted for psychotic experiences through discussion, case examples, and practical tools. Part 2: Emotion Regulation, Interpersonal Effectiveness, Behavior Chain Analysis Practice. 

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Learn how to utilize DBT skills and principles to benefit clients with Psychotic Spectrum Disorders. This interactive two-part presentation will introduce you to DBT skills adapted for psychotic experiences through discussion, case examples, and practical tools. Part 1: Research Overview, Adapting for Psychosis, Strategies and Skills.

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This 90-minute training focuses on how clients transition out of intensive clinical programs like FSP. It examines the layered issues underlying transitions out of intensive programs, from a graduation when a client’s goals have been achieved to a disengagement in which a client may have an ambivalent separation from the program. It will review the scientific literature on transitions from Assertive Community Treatment and Intensive Case Management programs, discuss strategies for decision-making about transitions, and identify what is known and unknown about transitions. Then the training will review a best practice approach – a so-called Mock Discharge -- for exploring transition as a team and for an individual client. The aim of the training is to prepare clinicians to use a high-quality strategy for transitioning clients to a lower level of care when this is clinically appropriate.

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The purpose of this three hour live interactive training is to provide participants with a detailed overview of medications that have been shown to be effective as a component of the treatment of alcohol and opioid use disorders. Topics will include: the context for medication assisted treatment (positive and negative perceptions), the epidemiology of alcohol and opioid use and dependence (user demographics), a review of the various classes of opioids, an overview of each medication, its indication, to whom it is administered, and how it works, and treatment settings for medication-assisted treatment. Medications will include: acamprosate, disulfiram, naltrexone, methadone, and buprenorphine. The training will conclude with a session on talking to clients about their use of medications, and strategies to address health disparities through increased access to medication-assisted treatment. Time will be provided throughout the training for discussion and questions.

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This 3-hour live virtual training will provide participants with introductory level instruction on stimulant use disorders. The training is intended for any clinicians and administrators who provide care to people who use central nervous system stimulants. The training will be divided into three sections. Part 1 will focus on Stimulants – What are they and who uses them?; Part 2 will focus on the Impact of Stimulant Use on the Brain and Body; and Part 3 will focus on Effective Treatment Approaches and Recovery Supports. Specific topics will include: (1) the scope of stimulant use in the United States and beyond; (2) stimulants and the brain and their impact on cognition; (3) acute and chronic physical and psychological effects of cocaine and methamphetamine; and (4) effective evidence-based behavioral treatments and recovery approaches for people with a stimulant use disorder.

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Motivational interviewing, a treatment approach developed by William Miller, has been well established as an effective way to promote behavior change in individuals across a range of health settings, including improving engagement and retention. This face-to-face training course requires previous training and experience using motivational interviewing techniques in clinical practice. This experiential MI Skill Development training will focus on ways to help clients engage in change talk in order to make commitments for behavioral changes based on collaborative goal identification. It will provide in-depth instruction, practice, and feedback on fostering and utilizing change talk to increase client motivation, and movement toward change across all health, mental health and substance use conditions. Ample time will be devoted to case examples and applications as well as group practice sessions to enable training participants to gain the skills necessary to engage their clients/patients and work to enhance their motivation for change.

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This training is designed to assist both clinical and administrative staff in making the transition to the DSM-5. The DSM-5 revises the classifications and diagnostic criteria of substance use and psychiatric disorders with, in some cases, substantial reconceptualization from DSM-IV-TR; for example, the elimination of the multiaxial diagnostic system and Global Assessment of Functioning (GAF) scores. This training will focus on a detailed overview of these changes, including a crosswalk from DSM-IV-TR diagnostic codes and categories to those of DSM-5.

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Cognitive-Behavioral Therapy (CBT) has become a mainstay of evidence-based SUD treatment. The purpose of this three hour virtual live training is to provide participants with a detailed overview of cognitive behavioral therapy (CBT) and relapse prevention (RP) strategies, the available resources and encourage use of these strategies in daily clinical practice. This training will be presented in three parts, covering (1) the underlying principles of CBT and RP, as behavioral interventions used in the treatment of substance use disorders; (2) the specific elements of CBT in including practice with specific interventions (e.g., trigger-thought-craving-use sequence; drug refusal skills; abstinence violation syndrome, etc.); and (3) methods for implementing CBT strategies, including treatment provider role/style in facilitating CBT sessions; using CBT in group and individual sessions; principles of using CBT (e.g., repetition, practice, rationale, scripts, etc.); creating a daily recovery plan; and how to handle relapse.

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This training will provide information on the acute and chronic effects and consequences of psychoactive substances commonly used by clients, patients, and consumers. The training will introduce participants to the epidemiology, neurobiology, and behavioral indicators of substance misuse. This training will conceptualize Substance Use Disorder (SUD) diagnostic and assessment considerations in identifying functional impairments. The training will detail intoxication and withdrawal symptoms for a range of commonly-misused substances and provide information on medical consequences of use.

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This training will provide background information on the consequences of substances commonly used by consumers and will introduce participants to the epidemiology and prevalence, and neurobiology of co-occurring disorders. Participants will also learn about screening, assessment and diagnosis of co- occurring disorders, and how to develop behavioral intervention strategies for those with co-occurring substance use and mental health disorders and chronic medical conditions that frequently co-occur with SU and MH issues. The training will also cover treatment considerations, planning, and an overview of EBP interventions, including DDMI, DDCBT, Medication Assisted Treatments, and integrated behavioral health interventions.

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This training is designed to help mental health and homeless service providers guide discussion with clients and supervisees about receiving the COVID-19 vaccine. It will increase participants’ understanding of potential factors related to vaccine hesitancy and highlight motivational interviewing skills to promote collaborative communication between providers and their clients and supervisees. The training will include an opportunity to apply motivational interviewing tools to vaccine-related conversations through interactive exercises.

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This 2-hour course will address strategies to stabilize vicious cycles that lead to imminent suicide risk.  An organizing model will be presented to illustrate how perceptions of thwarted belongingness and burdensomeness can increase the desire to die.  The model will also illustrate how an acquired capability to commit suicide can lead to more lethal attempts.  Points within the model that present a risk for escalation will be discussed, with attention to risks within the LGBT+ community. Strategies, that can either prevent hospitalization or can provide stabilization while waiting for an ambulance, will be offered for facilitating the client’s de-escalation of their thoughts, emotions, and behavioral agitation.  We will also address the need, especially relevant for younger clients, of facilitating de-escalation of family members, friends, or community members.  Finally, we will acknowledge and provide strategies to maintain the poise and self-regulation that are required by mental health staff during these high-risk and emotionally intense episodes.

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Anger, escalation, and conflict put the safety of our clients and others around them at risk and can lead to long-term interpersonal, legal, and health consequences. This 2-hour course will address strategies for preventing escalation, intervening with escalated clients, treating anger issues, and managing conflict. The training will introduce participants to validated measures for recognizing and measuring anger to assess both client risk and improvement throughout treatment. We will consider anger management aspects of three different evidence-based practices that are designed for aggression, depression, and traumatic stress. Finally, this training will attend to the increased risk that client intensity, manifested by anger and escalation, may present toward staff burnout and compassion fatigue.

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By the end of this training, attendees will be able to: Use different tools to manage projects and people; Know how to effectively direct employees from development to deliverable; Gracefully transition from clinician to supervisor.

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By the end of this training, attendees will be able to: Identify kinds of dynamics in play in difficult work conversations; Identify our areas of sensitivity around difficult conversations; Prepare for and practice a difficult conversation. 

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Part 2 is focused on De-Escalation. This training is geared toward community/public mental health staff who provide services to individuals in field-based/outpatient mental health settings. This training reviews components pertinent to safety practices and crisis intervention/prevention practices. Common issues associated with providing mental health services in street-based outreach to homeless, home visits and urban crime-ridden communities are to be covered. Also included are best practices for personal space awareness, situational awareness, and exploring the different stages of a crisis, warning signs, assessment, decision making, communication, and the appropriate interventions to use during each crisis stage. Additional topics include self-care and self-monitoring strategies for management of feelings during a crisis.

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This training is geared toward community/public mental health staff who provide services to individuals in field-based/outpatient mental health settings. This training reviews components pertinent to safety practices and crisis intervention/prevention practices. Common issues associated with providing mental health services in street-based outreach to homeless, home visits and urban crime-ridden communities are to be covered. Also included are best practices for personal space awareness, situational awareness, and exploring the different stages of a crisis, warning signs, assessment, decision making, communication, and the appropriate interventions to use during each crisis stage. Additional topics include self-care and self-monitoring strategies for management of feelings during a crisis.

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By the end of this training, attendees will be able to: Apply communication strategies to the comprehensive planning and implementation of meetings; Employ facilitation practices to conduct effective, time-bound, and task-focused meetings; Reiterate meeting outcomes, action items, and staff assignments to enforce ongoing communication and collaboration outside the meeting setting.

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Cognitive Behavioral Therapy’s utilization for treatment of psychosis is an evidence-based treatment that is becoming an integral part of mental health care. This training will focus on symptom specific treatments in correlation to CBT for Psychosis, specifically hallucinations, delusions, and negative symptoms. We will discuss addressing maladaptive thoughts and belief systems by identifying core beliefs and schemas that impact cognitive distortions and in turn worsen negative self-talk. There will also be an emphasis on third-wave CBT techniques, including Compassion Focused Therapy, Acceptance and Commitment Therapy, and mindfulness approaches. Practical application, case consultation, and vignettes will all be interspersed throughout this presentation.

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Understanding the Stress Response is a training geared towards developing a better comprehension of how and why we respond to stress in certain ways. The course starts with a description of the varying types of stress that most people experience. Two key components of the brain's stress response system (amygdala and hypothalamus) are introduced and explained in a manner that is easy to understand. In addition to the two parts of the brain, epinephrine and cortisol are discussed, along with their negative side effects when individuals are stressed for too long. The training concludes by offering participants a worksheet to help them recognize the stress that they are currently dealing with and strategies to reduce those stressors. The overall intent is to develop increased empathy for self and others dealing with stress, how stress has a physiological impact on the body and mind, and the importance of reducing stress to better support those with serious mental illness.

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Day 3 will focus on harm reduction’s practical application. Topics will include safer substance use strategies and resources, overdose prevention, medication-assisted treatment (MAT), and COVID-19 considerations. To integrate this learning, participants will engage in vignette-based exercises utilizing a Drug-Set-Setting tool to identify harm reduction intervention targets. This training day will also review the application of harm reduction beyond substance use (sexual safety, Housing First, sex work, self-injury, medication use, and chronic condition management).

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By the end of this training, attendees will be able to: Describe the relationship between goal setting, prioritization and decision making; Identify strategies for goal setting and prioritization; Understand the environment that facilitates good decision making and steps of making good decisions.

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This training was designed to take a closer look at the target population HOME serves and to discuss which individuals would be a good fit for the Outpatient Conservatorship Pilot.

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Part 2 will begin with a review of the stages of change model and Motivational Interviewing, as critical for continued engagement and goal-setting with clients around substance use. These are contextualized as two components of a Harm Reduction Psychotherapy approach, which the training will proceed to expand on by teaching harm reduction and CBT-based skills via a clinical scenario. Participants will learn about concepts such as “dignity of risk” and Abstinence Violation Effect, and their implications for goal-setting and referral to treatment. This training acknowledges the challenges of working with individuals who are subject to significant risk, and will explore techniques providers can utilize to manage expectations and fears.

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This ninety-minute training will use a videotaped vignette and a series of dialogic sessions to explore a complicated clinical dilemma encountered by one homeless outreach team. Learners will be encouraged to identify the core ethical and legal dilemmas raised by the scenario including the tension between beneficence and autonomy and the mandate to offer treatment to individuals in the least restrictive environment. Additional issues raised by the scenario include the ethical implications of using lies, manipulation, and police power in order to achieve therapeutic aims. Learners will also gain an understanding of processes of medicalization and demedicalization and their impact on care for those with severe mental illness. The moral tensions and moral distress that characteristically arise in a system like LAC that confronts scarcity and inequity will also be addressed.

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On Day 1, this course begins by defining harm reduction and describing its historical, cultural, and political context in the HIV/AIDS crisis and the evolution of criminalization of drugs in the United States, with a particular emphasis on the War on Drugs’ role in furthering systemic racism and stigma. Various theoretical understandings of and treatment approaches to substance use will be reviewed in comparison to harm reduction’s principles and aims. From this background, the subjectivity and socially constructed nature of commonly stigmatized or “risky/high risk” behaviors are examined. Considerations for field-based work with systems-involved, rights-restricted, and unhoused clients will be woven throughout this day and the other two sessions.

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This 90-minute training focuses on how clients transition out of intensive clinical programs like FSP. It examines the layered issues underlying transitions out of intensive programs, from a graduation when a client’s goals have been achieved to a disengagement in which a client may have an ambivalent separation from the program. It will review the scientific literature on transitions from Assertive Community Treatment and Intensive Case Management programs, discuss strategies for decision-making about transitions, and identify what is known and unknown about transitions. Then the training will review a best practice approach – a so-called Mock Discharge -- for exploring transition as a team and for an individual client. The aim of the training is to prepare clinicians to use a high-quality strategy for transitioning clients to a lower level of care when this is clinically appropriate.

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Crisis Intervention is a clinical skillset that is even more pertinent during the current COVID-19 climate. This training will detail the utilization of the Roberts 7 Stage Model for Crisis Intervention in the context of telehealth. We will also focus on evidence based practice interventions to supplement the model. Finally, we will take time to discuss application of the model within your practice, cultivating a space of shared learning.

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While many mental health clinicians and social service workers would like to think they are able to work with the transgender and non-binary (TGNB) community, there is often a lack of knowledge around what is considered "best practice. Affirmative care goes beyond being "knowledge" about a client’s TGNB status. This training will give an overview of terminology used within the community, mental health disparities affecting the population and key affirmative treatment practices. You will also leave with action items to help ­identify areas in your workplace in which you can implement change that positively enhances affirmative care for your TGNB clients.

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While many mental health clinicians and social service workers would like to think they are able to work with the transgender and non-binary (TGNB) community, there is often a lack of knowledge around what is considered "best practice. Affirmative care goes beyond being "knowledge" about a client’s TGNB status. This training will give an overview of terminology used within the community, mental health disparities affecting the population and key affirmative treatment practices. You will also leave with action items to help ­identify areas in your workplace in which you can implement change that positively enhances affirmative care for your TGNB clients.

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While many mental health clinicians and social service workers would like to think they are able to work with the transgender and non-binary (TGNB) community, there is often a lack of knowledge around what is considered "best practice. Affirmative care goes beyond being "knowledge" about a client’s TGNB status. This training will give an overview of terminology used within the community, mental health disparities affecting the population and key affirmative treatment practices. You will also leave with action items to help ­identify areas in your workplace in which you can implement change that positively enhances affirmative care for your TGNB clients.

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Are you interested in writing surgical letters of support for your client's but unsure if you're qualified? Or maybe you're uncertain about what needs to be included in letters, or perhaps you feel conflicted about the role of informed consent and your professional liability. If so, this workshop is for you. To better understand the current requirements for letters, we will begin by looking at the past and how letters of recommendation from mental health providers began. We will define what it means to be a "qualified mental health provider" in this context, what needs to be included in letters of recommendation, and what does not. We will discuss how to advocate for our most vulnerable clients who have mental health concerns or are experiencing housing insecurity. And finally, we will discuss the most common surgical procedures clients are seeking recommendation letters for.

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This series of trainings begin by outlining the AOT statute, criteria, referral process, and components for outreach and engagement for FSP providers. During Part 2, there will be an emphasis on processes for enrolled clients, from AOT specific measures to navigation of levels of care. The final training will detail how to draft declarations, progress reports, and testimony for court proceedings that interact with AOT clientele. This three part training will utilize skill building activities, comprehensive quizzes, and dynamic discussion to ensure that these key learning objectives are met.

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This series of trainings begin by outlining the AOT statute, criteria, referral process, and components for outreach and engagement for FSP providers. During Part 2, there will be an emphasis on processes for enrolled clients, from AOT specific measures to navigation of levels of care. The final training will detail how to draft declarations, progress reports, and testimony for court proceedings that interact with AOT clientele. This three part training will utilize skill building activities, comprehensive quizzes, and dynamic discussion to ensure that these key learning objectives are met.

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This series of trainings begin by outlining the AOT statute, criteria, referral process, and components for outreach and engagement for FSP providers. During Part 2, there will be an emphasis on processes for enrolled clients, from AOT specific measures to navigation of levels of care. The final training will detail how to draft declarations, progress reports, and testimony for court proceedings that interact with AOT clientele. This three part training will utilize skill building activities, comprehensive quizzes, and dynamic discussion to ensure that these key learning objectives are met.

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Working with trauma in our clinical practice can often feel overwhelming. Many clinicians are taught to cope with the intense feelings that arise within trauma work through self-care activities at home. CE-CERT, the Components for Enhancing Clinician Engagement and Reducing Trauma, is a model comprised of five elements built on evidence based actions and skills to fully engage in the therapeutic process and dynamically address painful feelings that naturally arise when working with those that have experienced trauma. In this training, we will employ these five elements through skill-building activities and active discussion.

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Please note that our trainings on Grave Disability are a 4 part series. This is Part 4 in the series.

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Learn the basics of Dialectical Behavior Therapy (DBT), an evidence-based treatment that teaches clients how to become more mindful while simultaneously working on improving interpersonal relationships, tolerating distress, and regulating intense emotions. We'll explore the evidence-base for DBT, treatment principles and assumptions, and the four skills modules. You'll be introduced to practical applications of DBT through didactic presentation, discussion, video clips, and opportunities to practice using case examples.

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Learn the basics of Dialectical Behavior Therapy (DBT), an evidence-based treatment that teaches clients how to become more mindful while simultaneously working on improving interpersonal relationships, tolerating distress, and regulating intense emotions. We'll explore the evidence-base for DBT, treatment principles and assumptions, and the four skills modules. You'll be introduced to practical applications of DBT through didactic presentation, discussion, video clips, and opportunities to practice using case examples.

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This presentation will explore how multi-disciplinary, community-based teams, such as Full Service Partnerships (FSP), can adopt recovery-oriented practices and support client choice and self-determination among persons with mental illness while maintaining provider responsibility. Examples from research conducted with FSPs and other behavioral health agencies will be used to describe program practice and the multi-level factors that influence program approach and services.

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In this session, participants will learn the basics of Cognitive Behavioral Therapy for Psychosis (CBTp), a collaborative, evidence-based therapy that reduces the distress associated with the symptoms of psychosis and improves overall functioning. This presentation will introduce you to practical applications of CBTp through discussion, video clips, and opportunities to practice.

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This training will provide an overview of best practices for assessment and intervention targeting activities of daily living for people served by intensive community mental health services. The training will review the importance of targeting living skills and participation to promote recovery and will introduce an occupational therapy framework for understanding function and participation. Trainees will also be introduced to an occupational therapy perspective for modifying environments and tasks to enhance the performance of daily living skills.

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This training will provide an overview of best practices for assessment and intervention targeting activities of daily living for people served by intensive community mental health services. The training will review the importance of targeting living skills and participation to promote recovery and will introduce an occupational therapy framework for understanding function and participation. Trainees will also be introduced to an occupational therapy perspective for modifying environments and tasks to enhance the performance of daily living skills.

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This training provides an overview of suicide prevention tailored for youth and families. Participants learn about the nature of suicide, suicide-related statistics, risk factors, and warning signs of suicide. The overview also covers risk assessment, how to help a youth thinking about suicide, and information on available resources for intervention and postvention are covered.

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In this era of COVID-19 we are often providing services remotely, which can present challenges as we seek to build and maintain rapport with new and ongoing clients. This training focuses on the practical application of fundamental engagement approaches, strategies, and skills while using telehealth modalities. We will review some advantages of using the phone or video for sessions, and also explore ways that barriers can be an opportunity for building a deeper connection with those we serve. Since FSP practitioners use a collaborative team approach, we will also look at engagement skills as they apply to the different helper roles and services each provide (e.g., therapist, case manager, peer partner, nursing staff, psychiatrist/nurse practitioner).

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This special musical event will focus on empowering individuals to “find their voice” battling many cultural, ingrained stigmas of “I can’t sing”. With mindful practices and song, we will also address the theme of empowering providers to bring music and art into their practice both for self-care as well as for their clients, even if they are feeling that they lack the tools to do so. Finally, we will explore how this theme doubles as a means to unleash the voice of the oppressed.

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This training is geared toward community/public mental health staff who provide services to individuals in field-based/outpatient mental health settings. This training reviews components pertinent to safety practices and crisis intervention/prevention practices. Common issues associated with providing mental health services in street-based outreach to homeless, home visits and urban crime-ridden communities are to be covered. Also included are best practices for personal space awareness, situational awareness, and exploring the different stages of a crisis, warning signs, assessment, decision making, communication, and the appropriate interventions to use during each crisis stage. Additional topics include self-care and self-monitoring strategies for management of feelings during a crisis.

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Dr. Hunter is a board-certified psychiatrist in Santa Monica. His private practice offers a variety of services including individual psychotherapy, cognitive behavioral therapy, family therapy, and medication management. Dr. Hunter's expertise is based on rigorous training, extensive knowledge, and a commitment to the highest ethical standards. He has a reputation for compassionate, thoughtful and insightful care, serving children, adolescents, and adults with mood disorders, anxiety disorders, attention-deficit hyperactivity disorder, post-traumatic stress disorder, substance use disorders, and host of other clinical concerns including stress and sleep problems.

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Brian Hurley, MD, MBS, DFASAM is a psychiatrist in Los Angeles, California and is affiliated with multiple hospitals in the area, including Cedars-Sinai Medical Center and Los Angeles County Central Jail Hospital. He received his medical degree from Keck School of Medicine of USC and has been in practice between 6-10 years.

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This training will explore considerations for supporting previously unhoused or unstably housed individuals in transitioning into and staying in housing. Housing retention needs, barriers, and strategies will be reviewed, informed by core clinical approaches of recovery-oriented care, trauma-informed care, and harm reduction, as well as the Housing First model.

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Identifying and claiming our own and our clients’ core values is a process that can help set the stage for engaging in a meaningful and impactful helping relationship.  This training will focus on two levels of values clarification, identifying and connecting with our own values as practitioners along with uncovering and joining with clients’ core values as a means of developing a therapeutic alliance and leverage for change.  We will explore ways in which behaviors that often seem problematic among clients may represent the expression of underlying values that can be claimed and reframed as the basis for an effective working relationship.  Additionally, connecting with our values related to our role as providers can further promote client engagement as well as building our own wellbeing and resilience.

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FSP Training Collaboratives: Trauma-Informed Care (TIC) is a full day training focused on expanding the practice, knowledge, and skill of social workers, case managers, peer specialists, psychologists, and psychiatrists who work in Full Service Partnership (FSP) programs in Los Angeles County. The course introduces the neurochemical stress response system (NSRS) to participants in a manner that is easy to understand and relate to. This system is then expanded to demonstrate how human responses to stress, fear, and trauma can be life-saving as well as problematic. The course looks at a continuum of responses from motivating to debilitating. To counter the negative impact of stress, trauma, and fear, the course reviews resiliency factors and how these factors can vary from person to person. Each participant is given an opportunity to identify their own resiliency factors and discuss how to further strengthen their resilience. In working with people facing serious struggles with mental illness, the course demonstrates how a relationship, safety, trust, and control facilitate a path to recovery. Finally, a brief overview is provided of specific treatment options and diagnoses related to stress, fear, and trauma.

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In this training we will focus on the core components of self-compassion (self-kindness, common humanity, and mindfulness), what gets in the way of practicing self-compassion, and taking the time together to implement a variety of exercises to enhance our own practice.

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In this presentation, participants will learn about The Office of Diversion and Re-Entry (ODR) diversion programs, and about collaborating with ODR to provide mental health treatment care for our homeless, seriously mentally ill, justice involved individuals.

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FSP Training Collaboratives: Trauma-Informed Care (TIC) is a full day training focused on expanding the practice, knowledge, and skill of social workers, case managers, peer specialists, psychologists, and psychiatrists who work in Full Service Partnership (FSP) programs in Los Angeles County. The course introduces the neurochemical stress response system (NSRS) to participants in a manner that is easy to understand and relate to. This system is then expanded to demonstrate how human responses to stress, fear, and trauma can be life-saving as well as problematic. The course looks at a continuum of responses from motivating to debilitating. To counter the negative impact of stress, trauma, and fear, the course reviews resiliency factors and how these factors can vary from person to person. Each participant is given an opportunity to identify their own resiliency factors and discuss how to further strengthen their resilience. In working with people facing serious struggles with mental illness, the course demonstrates how a relationship, safety, trust, and control facilitate a path to recovery. Finally, a brief overview is provided of specific treatment options and diagnoses related to stress, fear, and trauma.

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In this course, we will review the appropriate pronouns and language to use when addressing transgender individuals and discuss the role of the social determinants of health (social, economic, physical, environments, etc.) in leading to poorer mental and physical health outcomes for transgender individuals. Next, we will define systematic and structural violence and identify how those affect health outcomes of transgender individuals. Lastly, as a group, we will evaluation areas of need in the transgender population and the role of FSP teams.

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Many if not most LGBTQI+ youth and adults risk (or have experienced) rejection from their families, churches and spiritual communities, and even some institutions that they may choose for their secondary education. In addition, adults often can face continued discrimination in both housing and employment, health care, and blatant societal rejection, which are compounded in communities of color. This multi-level risk for rejection increases the mental health risk for suicide, substance abuse, and high risk sexual behaviors significantly, and also increases avoidance of accessing mental health resources sooner. Participants will obtain an overview of some of these disparities, explain the important differences between working with LGB clients and people who are Intersex and Transgender, understand the “Do’s and Don’ts,” and identify the protective factors to weave into your work providing services to clients in the LGBTQI+

community.

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Crisis Intervention is a clinical skillset that is even more pertinent during the current COVID-19 climate. This training will detail the utilization of the Roberts 7 Stage Model for Crisis Intervention in the context of telehealth. We will also focus on evidence based practice interventions to supplement the model. Finally, we will take time to discuss application of the model within your practice, cultivating a space of shared learning.

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Drawing from the latest research and intervention, this course will address compassion fatigue and vicarious trauma in the COVID-19 era by introducing elements of Positive Psychology to help “rewire” the brain for happiness.  The curriculum will utilize research regarding burnout and concepts from the study of neuroplasticity presenting a rationale for rewiring the brain for happiness in addition to evidence based curriculum from Martin Seligman’s PERMA model, Christine Neff - self-compassion, and other concepts of gratitude, Angela Duckworth- Grit, Resilience and Well-Being.

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The Full Service Partnership (FSP) approach is evolving over time with a focus on interprofessional team collaborations. This presentation highlights the vision for interprofessional team collaboration within the context of FSP going forward. By focusing on developing a shared vision for the FSP team guiding principles, services provided, roles of team members, and daily team functioning learners will see how this approach will come to life. We will also discuss a learning collaborative for FSP team supervisors that will be developed and begin later this year.

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Collaborators: Shoshanna Scholar, La Tina Jackson, Erica Shehane, David Haynik

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About Urban Voices: Urban Voices Project creates supportive community spaces with music to bridge vulnerable individuals to a sense of purpose and improved health. UVP engages men, women and families across the greater Los Angeles area with music workshops in partnership with social, civic and healthcare organizations. Our outreach ensemble performances shift the narrative and perception of homelessness in today’s society. About Leeav Sofer: Leeav is currently on faculty at the Colburn School in Los Angeles where he teaches classes, directs choirs, and community engagement programs. He earned a performance degree in clarinet and voice from California State University of Long Beach and has performed at venues such as the Walt Disney Concert Hall, the Ford Amphitheatre, and the Staples Center. In addition to co-founding Los Angeles’ only current Jewish Youth Orchestra, he also leads the band Mostly Kosher, dedicated to preserving and progressing cultural folk music of the Judaic heritage for future generations.

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Recognizing and Challenging Implicit Bias is an evidence-based, educational training that includes interactive group discussions, videos, and activities. Participants will learn to define implicit bias, start to identify their own biases, mitigate the unintended effects of such biases, and distinguish its connection to racism and micro aggressions in today's society. Participants will also discern the impact of biases on cultural minority and majority groups and gain practical tools to raise their awareness of their biases.

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The course provides a theoretical framework of Recovery Oriented Care that is specifically targeted to the unique needs of Full Service Partnership programs. Using current literature, various models of recovery oriented care are reviewed and synthesized to provide a cohesive understanding of how recovery  oriented care is applied in real-world clinical scenarios. The trainers will explain how concepts such as hope,  purpose, autonomy, and connection have specific applications to serving those with serious mental illness, substance use challenges, and lacking basic needs (e.g., housing, employment). The trainers will provide research, case vignettes, anecdotes from experience, and specific practice guidelines to  ensure that the content can be translatable to working in the field. Finally, information around implicit and explicit bias will be presented to highlight how the providers' increased awareness of bias can facilitate care that is truly recovery oriented. The trainers will provide support to elicit empathy and facilitate positive change in how each participant works with those in need.

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The course provides a theoretical framework of Recovery Oriented Care that is specifically targeted to the unique needs of Full Service Partnership programs. Using current literature, various models of recovery oriented care are reviewed and synthesized to provide a cohesive understanding of how recovery  oriented care is applied in real-world clinical scenarios. The trainers will explain how concepts such as hope,  purpose, autonomy, and connection have specific applications to serving those with serious mental illness, substance use challenges, and lacking basic needs (e.g., housing, employment). The trainers will provide research, case vignettes, anecdotes from experience, and specific practice guidelines to  ensure that the content can be translatable to working in the field. Finally, information around implicit and explicit bias will be presented to highlight how the providers' increased awareness of bias can facilitate care that is truly recovery oriented. The trainers will provide support to elicit empathy and facilitate positive change in how each participant works with those in need.

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This presentation will provide background about and motivation for performing continuous quality improvement. A brief introduction about the Plan-Do-Study-Act (PDSA) approach will be given along with case examples. An opportunity to design a PDSA cycle for use in FSP settings will be given.

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This presentation discusses the practice of radical acceptance, a distress tolerance and emotional regulation skill, and component of reality acceptance from Dialectical Behavior Therapy. Discussion will include the application of radical acceptance in coping with uncertainty, especially as it relates to experiences that many are faced with during the COVID-19 pandemic. The overall aim of the training is to provide an approach that supports provider well-being as well as a skill that can be used and taught to clients.

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This presentation discusses the possible uses of imaginative states of mind (reverie, daydreaming, night dreaming, fantasy, imagery, etc.) in weathering crises and recovering from trauma. In particular, it discusses the role of imagination as a tool for orienting positively toward the future in ways that build vitality, courage, and community in the present.

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Cognitive Behavioral Therapy’s utilization for treatment of psychosis is becoming more integrated into mental health care. This training will focus on symptomatology associated with the experience of psychosis, interventions that emphasize the core practices of CBT, and also third wave CBT techniques for those with severe and persistent mental illness.

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Understanding the Stress Response is a 1.5 hour course providing participants with a deeper understanding of stress and how our bodies respond. We’ll take a detailed look at a couple of those responses to explore their intent. Finally, we’ll discuss how we consciously react to stress responses and identify opportunities to lessen the negative impact.

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This course gives a detailed overview of psychosis and guidance on how to interact with people experiencing psychosis.

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Client escalation can put the safety of our clients and others around them at risk of harm and can lead to both short and long-term consequences. This course is designed for mental health staff and supervisors to learn about the phenomenon of escalation and to learn strategies for prevention, intervention, and resolving conflict. We will address the cognitions, emotions, and actions of clients in escalation as well as the cognitions of intervening professionals, particularly around the determination of dangerousness. Prevention will cover discrete skill-building within the context of case conceptualization. Intervention will address strategies with clients as well as others who may be escalated, including other professionals. Finally, we will practice an intervention to address the risk of ongoing resentment within the client’s support system.

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This training is geared toward community/public mental health staff who provide services to individuals in field-based/outpatient mental health settings. This training reviews components pertinent to safety practices and crisis intervention/prevention practices. Common issues associated with providing mental health services in street-based outreach to homeless, home visits and urban crime-ridden communities are to be covered. Also included are best practices for personal space awareness, situational awareness, and exploring the different stages of a crisis, warning signs, assessment, decision making, communication, and the appropriate interventions to use during each crisis stage. Additional topics include self-care and self-monitoring strategies for management of feelings during a crisis.

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This course discusses key concepts including emotional self-regulation, behavioral regulation, and mindfulness skills; learn about mindfulness practices that support self- regulation and wellbeing; review the importance of developing a self-care action plan.

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Gain a deeper understanding of radical acceptance to better manage uncertainty and other challenging experiences related to the circumstances of the Coronavirus outbreak, and apply these skills to ourselves personally and to our work serving clients. Training updated: September 2021

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This course discusses key concepts including uncertainty, rumination, and self-care; learn about subjective units of distress for measuring your own emotions as well as service recipients’ emotions; review the importance of self-care; develop a Comprehensive Self-Care Plan.

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Devin Flaherty and Elizabeth Bromley discuss disregard in the context of different populations and how it comes to be.

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The presentation will cover basic psychotherapy techniques with a focus on motivational interviewing. We will primarily use role-plays to practice skills (e.g., validating individual without colluding with delusion). We will also cover how to balance a non-judgmental stance of patients' current situations with the simultaneous desire to help them change in the future.

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Cognitive Behavioral Therapy (CBT) has become a mainstay of evidence-based substance use disorder (SUD) treatment in addition to broad applications in mental health treatment. This interactive presentation will provide participants with a detailed overview of how to use CBT with their clients who have co-occurring substance use and mental health disorders. In addition to reviewing the fundamentals of CBT for SUD, providers currently using CBT for mental health disorders will learn how to apply these skills with clients who are also using substances. Participants will learn from trainer demonstrations, role plays to practice CBT skills, and group discussions to help integrate these interventions in their clinical practice.

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This workshop will consist of 3 parts providing participants with an overview of the relevant issues in meeting the unique cultural and linguistic assessment needs of Latina/o patients. First, common cultural competence models will be revisited through the lens of cultural humility and the emerging structural competence framework. Participants will then be introduced to various assessment strategies that incorporate both bilingual and monolingual assessment frameworks. Finally, case examples that illustrate differential outcomes from adopting this framework will be discussed.

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This presentation will explore the basics of Hoarding Disorder, such as its symptoms, criteria for diagnosis, and its neurological and genetic components. We will then look at ways of assessing its severity and determining the level of insight and readiness for treatment of the client. From there we will be introduced to intervention techniques for both resistant and non-resistant clients with the goal of improving the client’s health and safety in the home.

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Many if not most LGBTQI+ youth and adults risk (or have experienced) rejection from their families, churches and spiritual communities, and even some institutions that they may choose for their secondary education. In addition, adults can often face continued discrimination in both housing and employment, health care, and blatant societal rejection, which are compounded in communities of color. This multi-level risk for rejection increases the mental health risk for suicide, substance abuse, and high risk sexual behaviors significantly. It also increases avoidance of accessing mental health resources sooner. Participants will obtain an overview of some of these disparities, explain the important differences between working with LGBTQI+ clients and people who are Intersex and Transgender, understand the “Do’s and Don’ts,” and identify the protective factors to weave into your work providing services to clients in the LGBTQI+ community. Participants will:

  1. Get a brief overview of disparities in mental health for LGBTQI+ clients

  2. Understand the similarities and the significant differences in working with LGBTQI+ clients as compared to working with Inter- sex and Transgender clients

  3. Do’s and Don’ts for working with families of LGBTQI+ children and youth

  4. Identify protective factors for working with LGBTQI+ children and youth

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Dr. Strouse will review the current status of cannabis legalization around the country and address the current science regarding the risks to individuals known to be associated with cannabis use/abuse, with an emphasis of impacts on the developing brain, intellectual and school functioning, and psychosis risk. Participants will also learn about the scientific evidence on therapeutic effects of cannabinoids and what the public health data shows in terms of motor vehicle safety, non-behavioral health effects, the impacts of cannabis legalization on opioid overdose deaths, and impacts on prescription patterns in states with cannabis legalization.

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This presentation will provide an overview of the evidence supporting pharmacological and psychosocial treatments for schizophrenia and related psychotic illnesses. This will include a review of the medication options and their side effects. It will address the challenges in engaging people with these illnesses during the first years of illness including the problem of poor treatment adherence. It will focus on strategies for shaping relationships in which clinicians and patients collaborate in managing the person’s illness.

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This session will review the principles of trauma-informed care when working with under-resourced populations, and will practice applying these techniques together.

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In this presentation participants will learn about the background on disability and its determinants in severe mental illness, the benefits of computerized cognitive training (CCT), the benefits of combined skills training and CCT, and technology-based skills training in order to reduce access limitations across healthcare systems.

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In this session, participants will review the recurring ethical issues faced by case managers who work with people with severe mental illness, learn the definitions of "ethical dilemma" and "moral distress," and how to distinguish between them in practice, and lastly, through interactive case studies, gain experience in recognizing and resolving ethical concerns about boundaries, equity, and the gap between personal ideals and workplace realities.

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The RCCS strives to support people in recovery from serious mental illness in two distinct but complementary ways. The Culture is focused on the recovery environment including individuals served, staff and the interpersonal relationships that create a supportive program setting. It is made up of five “awarenesses” which help cultivate an environment where recovery can grow and thrive. The Conversations are focused on the individual. It encompasses five components which focus on awakening and enlivening recovery within the individual. This presentation will focus on The Culture, but will briefly address The Conversations.

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This session will cover the basics of CBT for anxiety disorders which includes behavioral activation, as well as cognitive strategies for controlling anxiety. Finally, we will consider exposure for anxiety disorders. In addition, we will consider the impact of CBT on suicidality.

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In this session, participants will learn about the 3 levels of verbal de-escalation.

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Building teams that thrive is essential for both job satisfaction and achieving recovery-related treatment goals in community mental health. This presentation outlines five key ingredients that play a vital role in ensuring optimal team functioning. Through interactive exercises, we will demonstrate some of the common pitfalls in team processes as well as ways of promoting the five factors to build teams with shared purpose, connection and positive results.

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This session will provide an overview of how multidisciplinary case conferencing can provide an opportunity for strategic discussions to ensure an organized approach to provision of care. Tools for implementing, enhancing and sustaining effective team-based conferences will be provided. In depth case conceptualization will be demonstrated along with innovative strength-based treatment planning.

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This session will briefly outline different types of cognitive impairment often found among older adults. Since mental health services for persons with “dementia” or cognitive impairment cannot be billed for, the presenter will describe Medi Cal regulations regarding billing for mental health services for persons with cognitive impairment who also have a co-occurring mental illness. Mental health interventions for these persons will also be discussed.

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The purpose of this presentation is to provide an overview of conservatorship, including differences in the referral process for each type of conservatorship, general effects conservatorship has on individuals, and advantages/disadvantages of conservatorship.

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This session will help participants to better understand burnout among mental health professionals with a heavy emphasis on assisting each person to identify their own personal triggers and warning signs of burnout and—most importantly—to develop a personal plan to prevent or reduce burnout and improve wellness. Participants will be exposed through both didactic presentation and especially through participatory exercises to a range of possible strategies (drawing heavily from third-generation cognitive behavioral and positive psychology methods) to prevent and reduce burnout. By the end of the session, participants will have the opportunity to draft a personal plan for burnout prevention and wellness.

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During this session, attendees will navigate the dramatic adolescence of an inner city teen that was molded around substance abuse, physical trauma, and how he learned how to cope with stressors using violence. You will hear about his life pre-diagnosis, post-diagnosis, and about his road to recovery along with the ways he learned to cope with stressors in a world that fails to validate the struggles of the marginalized.  Fable the Poet's session is followed by his lunch time performance.

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The fundamental approach of Street Medicine is to engage people experiencing homelessness exactly where they are and on their own terms to maximally reduce or eliminate barriers to care access and follow-through. This lecture will describe the fundamental principles of street medicine and its role as an instrument of peace to an excluded population. How to maximize provider scope of practice and patient outcomes will be discussed, as well as practical approaches to care in specific disease processes.

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This session will give an overview of the history, development, clinical principles, and research on IPS Supported Employment. It will also cover worldwide dissemination and adaptations for new populations.

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In this session, participants will learn what does and doesn't work in high need, densely populated areas like Skid Row. Participants will also learn strategies on how to safely and successfully engage clients who are severely mentally ill and who have avoided services in the past.