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Digital Seminar

Completing the Mental Status Exam: Practical, Hands-On Lessons from the Field


Faculty:
Tim Webb, MAEd, LPC,
Duration:
5 Hours 21 Minutes
Format:
Audio and Video
Copyright:
Feb 06, 2015
Product Code:
WDS020182
Brochure Code:
WDBHEXAM3-V3
Media Type:
Digital Seminar
Access:
Never expires.

  • Program no longer active
 Purchase Additional Participant CE »

Description

Perform and Document the MSE Correctly to Improve Treatment and Liability Protection

Completing the mental status exam is the most important task assumed by any behavioral health clinician. Accurate evaluation can be difficult because psychiatric symptoms often mask life-threatening substance withdrawal and/or serious medical conditions including brain tumors, delirium, head injury, diabetes, thyroid disease, etc. However, many graduate programs do not teach clinicians enough about recognizing and differentiating such symptoms. An accurate and efficient MSE is essential to discerning the patient's true condition, developing an effective treatment plan, and, in extreme cases, saving his or her life.

This practical seminar will help attendees improve their ability to perform the MSE by teaching them critical information generally not covered in graduate school as well as the American Psychiatric Association (APA) guidelines on the necessary elements for a full examination. Instruction on proper evaluation and keys to differential diagnosis will be a central theme of the course. Included will be information on the assessment of various psychotic symptoms and how to understand their etiology, the use of drug and alcohol screens, clients' medication lists, and more. Attendees will also discover ways of quickly assessing clients at risk for suicide, homicide, and medical compromise. Additional discussion will focus on the role of various information sources for accurate assessment of patients in each age group, including lab values, family members, and medical records. Ultimately, this essential course will teach participants to perform and document the MSE correctly and efficiently to improve both clinical care and liability protection.

 

Credits


Alcoholism and Drug Abuse Counselors

This course has been approved by , as a NAADAC Approved Education Provider, for 6 continuing education hour(s). NAADAC Provider #77600, is responsible for all aspects of their programming. Content includes elements of one of the NAADAC 8 Counselor Skills Group. Full attendance is required to receive credit, variable credit for partial attendance may not be awarded based on the NAADAC guidelines.


Counselors - Florida

is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This program is approved for 6 continuing education credit(s).


Counselors - Ohio

is approved through the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board (provider #RCT091001). This program is offered for six (6) clock hour(s) of continuing education for counselors only. Licensed counselors in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.


Counselors - South Carolina

is an approved sponsor with the South Carolina Board of Examiners for LPC, AC and MFTs (Provider #104). This program is offered for 6 continuing education hour(s).


Ethics

This educational offering is offered for 6 hour(s) of continuing education of which 1 hour(s) includes discussion of ethics issues.


Marriage and Family Therapists - Florida

is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This program is approved for 6 continuing education credit(s).


Marriage and Family Therapists - Ohio

is approved through the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board (provider #RCT091001). This program is offered for six (6) clock hour(s) of continuing education for counselors and marriage family therapists. Licensed counselors and marriage and family therapists in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.


Marriage and Family Therapists - South Carolina

is an approved sponsor with the South Carolina Board of Examiners for LPC, AC and MFTs (Provider #104).  This program is offered for 6 continuing education hour(s).


Marriage and Family Therapists - Texas

is an approved sponsor of continuing education for licensed marriage and family therapists through the Texas State Board of Examiners of Marriage and Family Therapists (Provider number 195). This course is offered for 6 clock hour(s).


Other Professions

This educational offering qualifies for 6 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. 


Social Workers

is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), through the Approved Continuing Education (ACE) program (an approved provider since 1999, approved period 1/27/2018-1/27/2021). maintains responsibility for the program. Social workers will receive 6 Clinical Social Work continuing education clock hour(s) for participating in this course. Licensed social workers should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal. Visit ASWB's website at www.aswb.org for more information. This educational offering is at the Intermediate level for social workers.


Social Workers - Florida

is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This program is approved for 6 continuing education credit(s).


Social Workers - New York

, SW CPE is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed Social Workers #0043. This educational offering is acceptable for 6 continuing education hour(s). Full attendance is required to receive credit for Social Workers; variable credit for partial attendance may not be awarded based on the State Board guidelines.



Handouts

Faculty

Tim Webb, MAEd, LPC, Related seminars and products


TIM WEBB, MAEd, LPC, is the founder and CEO of The FOCUS Group, PLLC, a training and consultation agency located in Clemmons, North Carolina. He has over 27 years of experience providing emergency assessment and intervention services in emergency rooms, psychiatric hospitals, mental health centers, jails, detention centers, outpatient settings, and clients' homes. Both as the author of FOCUS on Safety and as the former Intake Director for an inpatient psychiatric treatment facility, Mr. Webb developed state–of–the–art assessment tools, interventions, and safety plans for working with suicidal, violent, and psychotic patients.

Mr. Webb has taught classes on emergency mental health, completing the Mental Status Exam, managing aggression in clinical settings, and assessing and intervening with suicidal patients. A martial arts instructor, he developed the Stay Safe system of protection for human services professionals. Mr. Webb has been a featured speaker for the National Adolescent Perpetrators Network (NAPN, 2014), North Carolina LPC Conference, and has served on the North Carolina Department of Health and Human Services Task Force on Reducing Behavioral Health ED Wait Times. Formerly the Vice-Chairman of the North Carolina Association for the Management and Treatment of Sex Offenders, he served on the North Carolina Governor's Task Force on Juvenile Sex Offenders. Mr. Webb earned his Bachelor of Arts degree from the University of North Carolina and his Master of Education (Counseling) degree from Wake Forest University. He receives enthusiastic reviews from seminar participants for his practical, interactive presentation style. To order FOCUS on Safety or other educational offerings by Mr. Webb, visit www.CrossCountryEducation.com

Disclosure:
Financial-Receives a speaking honorarium from Vyne, LLC.
Nonfinancial-No relevant nonfinancial relationships exist.


Additional Info

Program Information

Access for Self-Study (Non-Interactive) Access never expires for this product.

Target Audience

Psychologists, Psychiatrists, Emergency Medicine MDs, PAs, NPs, and Nurses, Intake Coordinators, Nurses, Mobile Crisis Teams, Social Workers, Counselors, Marriage and Family Therapists, Psychiatric Nurse Practitioners, Case Managers, Emergency Medical Technicians , School Counselors, Corrections Officers, Law Enforcement, Pastoral Counselors/Clergy, Alcoholism and Drug Abuse Counselors

Outline

COMPONENTS OF A MORE COMPREHENSIVE MENTAL HEALTH SCREENING

Sources of information

  • Client medication list
  • Family members and friends
  • Alcohol and drug screens
  • Other providers
  • Medical records

Documentation

Special populations

 

ASSESS AND UNDERSTAND PSYCHOTIC SYMPTOMS

  • Importance of distinguishing auditory hallucination type
  • Relationship of visual hallucinations and medical conditions
  • Hallucinations and substance abuse
  • Importance of type of delusions on differential diagnosis
  • Recognizing the over-medicated patient
  • Determining legal competency to make decisions
  • Case studies and scenarios

 

KNOWING WHICH TOOLS TO EMPLOY

Using and scoring common evaluative tools

  • St. Louis University Mental Status Examination (SLUMS)
  • Folstein Test/Mini-Mental Status Exam (MMSE)
  • Clinical Institute Withdrawal Assessment (CIWA)
  • Suicide/Self-Harm Scale

The utility of ACUTE©

Tools developed by speaker

 

APA GUIDELINES ON NECESSARY ELEMENTS

  • Differences in mood and affect
  • When to ask open-ended vs. closed-ended questions
  • When to become more directive, structured and observational
  • Speech abnormalities and differential diagnosis
  • Role of sleep and mood
  • Role of appetite and mood

 

SUICIDE AND VIOLENCE

  • Which clients are at greatest risk
  • Questions to ask
  • Most salient risk factors
  • Assess the role of planning
  • Lethality assessments
  • Legal and ethical obligations
  • Case studies and scenarios

 

SUBSTANCE ABUSE VS. MENTAL HEALTH PRESENTATIONS

  • Mania or stimulant abuse?
  • Acute substance withdrawal vs. psychosis
  • Recognizing Post-Acute Withdrawal Syndrome
  • Which substances mimic common psychiatric presentations?
    • Mania
    • Depression
    • Schizophrenia
  • Case studies and scenarios

 

MEDICAL VS. MENTAL HEALTH PRESENTATIONS

  • Basic laboratory studies
  • Symptoms and etiology of delirium
  • Visual hallucinations and medical illness
  • Illusions and medical illness
  • Conditions manifesting psychiatric symptoms
    • Urinary tract infections
    • Thyroid abnormalities
    • Glucose conditions
    • Tumors
  • Case studies and scenarios

 

ETHICS AND APPLICATION

  • Ethical considerations
  • Defensible Documentation
    • Ethical concerns
    • Protecting against liability

Reviews

5
4
3
2
1

Overall:      4.2

Total Reviews: 23

Comments

Chelsea V - LEANDER, Texas

"Loved Mr. Webb's engaging style! He is clearly very knowledgeable. I learned a great deal!"

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