NEFESH: The International Network of Orthodox Mental Health Professionals
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Duty to Warn:
Ethical and Clinical Considerations

Consider this scenario: A client tells their therapist that they wish someone was dead. How does a therapist ethically and legally handle this situation? Therapists have legal and ethical responsibilities to both their clients and greater society. Many mental health professionals face challenges determining the best course of action when clients make threats towards others. This workshop will present a history of duty to warn laws and an examination of Tarasoff Rule. Case vignettes will illustrate various situations that therapists may encounter when clients are expressing threats, violence, or harm to others. Learners will be provided with concrete and ethically sound practices to increase their confidence in managing duty to warn dilemmas.

https://nefesh.org/workshops/dutytowarn2/view

Duty to Warn:
Ethical and Clinical Considerations

Wednesday, December 20, 2023, 10:00 AM EST - 1:00 PM EST
$59.99 Diane Bigler, LCSW, LSCSW

Consider this scenario: A client tells their therapist that they wish someone was dead. How does a therapist ethically and legally handle this situation? Therapists have legal and ethical responsibilities to both their clients and greater society. Many mental health professionals face challenges determining the best course of action when clients make threats towards others. This workshop will present a history of duty to warn laws and an examination of Tarasoff Rule. Case vignettes will illustrate various situations that therapists may encounter when clients are expressing threats, violence, or harm to others. Learners will be provided with concrete and ethically sound practices to increase their confidence in managing duty to warn dilemmas.

About the Presenter

Diane Bigler has over 25 years of experience in the mental health field as a clinician, Professor, and educator. Her clinical background includes outpatient and in-home therapy and early intervention. Diane has expertise in content development, continuing education training, and corporate wellness and leadership coaching. Diane is passionate about providing quality professional development to clinicians, employees, and leaders.

Duty to Warn:
Ethical and Clinical Considerations

Wednesday, December 20, 2023, 10:00 AM EST - 1:00 PM EST

Presenter: Diane Bigler, LCSW, LSCSW

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Course Length: 3 Hours

Learning Objectives:

  1. Participants will be able to identify relevant state law and professional ethics regarding duty to warn responsibilities.
  2. Participants will be able to discover methods of assessing and intervening with potential duty to warn concerns and client potential for violence.
  3. Participants will be able to demonstrate increased confidence in mitigating client violence and following ethical and legal mandates regarding duty to warn.
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Consider this scenario: A client tells their therapist that they wish someone was dead. How does a therapist ethically and legally handle this situation? Therapists have legal and ethical responsibilities to both their clients and greater society. Many mental health professionals face challenges determining the best course of action when clients make threats towards others. This workshop will present a history of duty to warn laws and an examination of Tarasoff Rule. Case vignettes will illustrate various situations that therapists may encounter when clients are expressing threats, violence, or harm to others. Learners will be provided with concrete and ethically sound practices to increase their confidence in managing duty to warn dilemmas.

Learning Objectives:

  1. Participants will be able to identify relevant state law and professional ethics regarding duty to warn responsibilities.
  2. Participants will be able to discover methods of assessing and intervening with potential duty to warn concerns and client potential for violence.
  3. Participants will be able to demonstrate increased confidence in mitigating client violence and following ethical and legal mandates regarding duty to warn.

Agenda:

1. Competent clinical practice indicators for homicidality (45 mins)


Opening scenario


The Tarasoff Case, rulings


Warn vs. protect


subsequent legal rulings


State Law: variations, tour of state map and regulations



2. Summary of ethical models - NASW and APA (45 mins)


Practice questions


Key Considerations (NASW)



3. Assessing Duty to Warn/Homicidality (45 min)


Assessing threat level


Guidelines: behavior, affect, cognitive expression, interpersonal relationships


Case studies: differentiating factors


 

4. Clinical Considerations (45 min)


Threats made with the intended victim present


HIV status and duty to warn


Domestic violence


Reamer's considerations


Recommendations


Return to the opening case scenario



This presentation is open to:
  • Social Workers
  • Professional Counselors
  • Therapists
  • Psychologists
  • Licensed Mental Health Practitioners
  • Other professionals interacting with populations engaged in mental health based services
Course Level: introductory
Level of Clinician: beginner
  • New practitioners who wish to gain enhanced insight surrounding the topic
  • Experienced practitioners who seek to increase and expand fundamental knowledge surrounding the subject matter
  • Advanced practitioners seeking to review concepts and reinforce practice skills and/or access additional consultation
  • Managers seeking to broaden micro and/or macro perspectives

Refund Policy: Full Refund until 48 hours before scheduled date.
48 hours before: full refund less $5.00 processing fee. After event no refund will be given.
*exclusions apply for reasonable need and cause.