Breaking Confidentiality Following Suicide Risk Assessments with System Involved Youth

Ashley Maliken, PhD

Training Description

Given the rates of suicidality and self-injurious behavior, effectively assessing risk is a key part of working with System Involved Youth (SIY). Similarly, knowing when and how to break confidentiality in the presence of novel or increased risk is an important skill. Today’s workshop will briefly review risk factors of Non Suicidal Self Injury (NSSI)/suicidality in SIY before discussing how to thoroughly orient caregivers and youth to the limits of confidentiality. We will then review strategies to effectively break confidentiality while minimizing the negative impact to the relationship and conclude with a role play demonstrating the skills taught.

Learning Objectives

· Participants will be able to identify 2 reasons to avoid hospitalization for suicidality/NSSI in System Involved Youth.

· Participants will be able to identify 3 strategies that may hinder effective communication when breaking confidentiality with system involved youth.

· Participants will able to identify 4 core principles when safety planning with SIY and their caregivers.

Agenda

9:00 – 9:15am: review readings and questions

9:15 – 9:30am: brief review of risk factors of NSSI/SI in SIY

9:30 – 10:00am: review safety planning

- Orienting SIY and caregivers to safety plans and confidentiality

- Key strategies to use when building safety plan

10:00 – 10:30am: breaking confidentiality while maintaining the therapeutic relationship.

- What and how much to share

- Who to include

- Communication strategies to maintain the relationship

10:30am – 11:00am:

- Role play

- Q&A

Meet Our Trainer

Ashley Maliken, PhD is an Assistant Professor at the University of California Berkeley and the Acting Director of Training and Quality Assurance and the Portland DBT Institute. She received her PhD in Child Clinical Psychology from the University of Washington and completed her clinical internship at the University of Washington/Seattle Children’s Hospital. Dr. Maliken also received adolescent-focused training during her postdoctoral fellowship through the Leadership Education in Adolescent Health (LEAH) Fellowship. A clinician-educator, Dr. Maliken specializes in the delivery of evidence-based treatments for teens and young adults with depression, anxiety and chronic emotion dysregulation. She also provides teaching and supervision to psychology and psychiatry trainees and clinicians around the PNW and Bay Areas.

This course meets the qualifications for (2.0) BBS CE hours for LCSWs, LMFTs, LPCCs, and LEPs as required by the California Board of Behavioral Sciences & is provided by Fred Finch Youth Center, CAMFT Provider #045295.