Full Description
To help address the suicide public health crisis, this book presents deliberate practice exercises to reduce clinicians' fears of talking about suicide and self-injury with clients and assessing for risk with skill and empathy.
These exercises present role-playing scenarios in which two trainees act as a client and a therapist, switching back and forth under the guidance of a supervisor. The therapist improvises appropriate and authentic responses to client statements organized into three difficulty levels—beginner, intermediate, and advanced.
The first 10 exercises review skills that can be incorporated into any approach to assess self-directed violence (SDV), such as exploring the deeper meaning behind statements that indicate a desire to engage in SDV, asking scaling questions to assess the likelihood of acting on these desires, collaborative safety planning, and communicating with clients about the therapist's ethical and legal responsibilities. Two comprehensive exercises follow in which trainees integrate these skills into a transcribed session and mock therapy sessions.
Step-by-step instructions guide participants through the exercises, identify criteria for mastering the skills, and explain how to monitor and adjust difficulty. Guidelines to help trainers and trainees get the most out of training are also provided.
Contents
Series Preface
Tony Rousmaniere and Alexandre Vaz
Acknowledgments
Part I. Overview and Instructions
Chapter 1. Introduction and Overview of Deliberate Practice in Assessing Self-Directed Violence
Chapter 2. Instructions for the Self-Directed Violence Assessment Deliberate Practice Exercises
Part II. Deliberate Practice Exercises for Self-Directed Violence Assessment Skills
Exercises for Beginner Self-Directed Violence Assessment Skills
Exercise 1. Exploring the Meaning of Client Statements
Exercise 2. Assessing Precipitating Factors
Exercise 3. Asking Scaling Questions
Exercise 4. Exploring and Encouraging Social Support
Exercises for Intermediate Self-Directed Violence Assessment Skills
Exercise 5. Safety Planning
Exercise 6. Working With Ambivalence
Exercise 7. Using Self-Directed Violence Assessment Measures
Exercises for Advanced Self-Directed Violence Assessment Skills
Exercise 8. Providing Rationales for Focusing on Self-Directed Violence
Exercise 9. Responding to Ruptures in the Therapeutic Alliance
Exercise 10. Communicating Therapist Boundaries and Responsibilities
Comprehensive Exercises
Exercise 11. Annotated Transcript of Self-Directed Violence Assessment in a Psychotherapy Session
Exercise 12. Mock Sessions for Self-Directed Violence Assessment in Psychotherapy
Part III. Strategies for Enhancing the Deliberate Practice Exercises
Chapter 3. How to Get the Most Out of Deliberate Practice: Additional Guidance for Trainers and Trainees
Appendix A. Difficulty Assessments and Adjustments
Appendix B. Deliberate Practice Diary Form
Appendix C. Sample Self-Directed Violence Assessment and Psychotherapy Skills Syllabus With Embedded Deliberate Practice Exercises
References
Index
About the Authors
