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 

10:00 – 10:15am: review readings and questions

10:15 – 10:30am: brief review of risk factors of NSSI/SI in SIY

10:30 – 11:00am: review safety planning

- Orienting SIY and caregivers to safety plans and confidentiality

- Key strategies to use when building safety plan

11:00 – 11:30am: breaking confidentiality while maintaining the therapeutic relationship.

- What and how much to share

- Who to include

- Communication strategies to maintain the relationship

11:30am – 12:00pm:

- Role play

- Q&A

Meet Our Trainer

Ashley Maliken is a licensed clinical psychologist with an expertise in providing evidence-based treatments to adolescents, young adults and their families. She specializes in Cognitive Behavioral Therapy and Dialectical Behavior Therapy, and is DBT-LBC certified. Dr. Maliken earned her doctorate from the University of Washington, where she also completed an adolescent health fellowship in leadership and education through an interdisciplinary program sponsored by the Maternal and Child Health Bureau. Her postdoctoral research centered on helping SIY utilize DBT skills to navigate interpersonal challenges as related to sexual health. Before becoming Acting Director of Training and Quality Assurance at the Portland DBT Institute in Portland, Oregon, Dr. Maliken was an Associate Professor at UCSF and Associate Director of Training for the Child and Adolescent Psychiatry Fellowship.

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.