Mental Health

New SAMHSA Guidelines and Toolkit for Crisis Care

Crisis Cover: Meeting Needs, Saving Lives. Image of a floatation device with rope in water.

The Substance Abuse and Mental Health Services Administration (SAMHSA) has published “Crisis Services: Meeting Needs, Saving Lives,” a compendium detailing crisis intervention services, best practices and related components of crisis services, for use by a wide array of community leaders and health care providers to work toward better outcomes for Americans in crisis.

The book is composed of SAMHSA’s “National Guidelines for Behavioral Health Crisis Care: Best Practice Toolkit” and related papers on crisis services. The toolkit reflects relevant clinical and health services research, review of top national program practices and replicable approaches that support best practice implementation. The related papers address key issues relevant to crisis services, homelessness, technology advances, substance use, legal issues impacting crisis services, financing crisis care, diverse populations, children and adolescents, rural and frontier areas, and the role of law enforcement.

Read more and download Crisis Services: Meeting Needs, Saving Lives.

Telemedicine in Mental Health

The National Capacity Building (NCB) Project at the Center for Victims of Torture is pleased to announce a two-part on-demand learning experience on using telehealth to provide mental health services for survivor of torture clients. This is an opportunity to learn about implementing telemental health from one of the foremost experts in the US on providing telemental health services and then connect with your colleagues to delve more deeply into the nuanced questions and dilemmas specific to delivery of services torture survivors via telemental health.  

  • Part One: Presentation and Interview by Eugene Augusterfer 
  • Part Two: Online Forum

Description

We start with a presentation by Eugene Augusterfer on the basics of providing mental health services through tele-health followed by an in-depth interview where Mr. Augusterfer answers questions on implementing telemental health in SOT programs. This presentation will help you understand what telemental health is; what technology is needed; what providers need to know to deliver telemental health effectively;  and includes protocols for both providers and clients that will help assure success.

Tele-Therapy Regulations

(Updated 7/1/2020)

There have been changes to teletherapy regulations due to the Covid-19 pandemic. Stay up to date with the links below. Please check your state and local regulations and verify any information before moving forward with any tele-health platform.

Tele-Therapy Software

(Updated 6/25/2020)

Below are some tele-health software and tips shared with us by a variety of different organizations through various channels including NCB's Advisory Group and our listserv. Please check your state and local regulations and verify any information before moving forward with any platform. If you would like to share information with us to post, please email Ann Lundberg, NCB Logistics and Communications Coordinator, at alundberg@cvt.org.

Intensive psychotherapy and case management for Karen refugees with Major Depression in primary care: a pragmatic randomized control trial

The article can be found here: Intensive psychotherapy and case management for Karen refugees with Major Depression in primary care: a pragmatic randomized control trial, in the journal BMC Family Practice. The authors of the study are Andrea K. Northwood, Maria M. Vukovich, Alison Beckman, Jeffrey P. Walter, Novia Josiah, Leora Hudak, Kathleen O’Donnell Burrows, James P. Letts and Christine C. Danner.

The Science of Empathy, Empathic Reflection, and Empathic Regulation in Clinical Care

Scientific studies of the clinical impact of empathy have mushroomed over the past decade. The neurosciences have been linking the brain to social behaviors. For many, empathic listening to the trauma stories of torture survivors is seen as being at the heart of therapy. This webinar presents a brief overview of the history and science of empathy. The discovery of the biological basis of empathy "the mirror neurons” will be discussed.

Narrative Exposure Therapy for Torture Survivors in Exile: Overview and Adaptations

This session presents a brief theoretical and practical overview of Narrative Exposure Therapy (NET), which has emerged in recent years as a promising evidence-based treatment for PTSD in torture survivors. The presentation will assume familiarity and skill with exposure treatments and is designed for psychotherapists.  The overview covers the theoretical background for NET, basic components of the method, and references for some of the current research supporting NET.

The Self-Trauma Model

PRESENTER: John Briere, Ph.D. - Associate Professor of Psychiatry and Psychology at the Keck School of Medicine, University of Southern California, and Director of the Psychological Trauma Program at LAC-USC Medical Center.

TOPIC: The self-trauma model – an integrated approach to trauma treatment, including trauma theory, cognitive, behavioral, and self-psychology. Special attention will be given to incorporation of mindfulness practice.

We suggest you read the following before watching this presentation:

  • A Summary of Self-Trauma Model Applications for Severe Trauma: Treating the Torture

Caring for Refugees and Survivors of Torture: Integrative Medicine, The Mind-Body Connection, and Internal Energy Arts

PRESENTER: Michael Grodin, MD – Professor of Psychiatry, Family Medicine, Bioethics, and Human Rights; Co-Founder, Boston Center for Refugee Health and Human Rights; Medical Ethicist Boston Medical Center; Medical Acupuncturist

TOPIC: Integrating Complementary and Alternative Medicine (Qigong, Tai Chi, Acupuncture and more) into mental health treatment of torture survivors. This webinar is 90 minutes long, and contains both a presentation, and a discussion period.

This is the first in the Advanced Clinicians webinar series.

 

Suggested discussion questions

Do you anticipate applying CAM

Non-Manualized Relational Trauma-informed Cognitive Behavioral Therapy

PRESENTER: Mary Fabri, Psy.D. - Senior Director of Torture Treatment Services and International Training at the Heartland Alliance Marjorie Kovler Center; Mary has conducted training recently in Rwanda, Ethiopia and Iraqi Kurdistan

TOPIC: Implementation of a relational, non-manualized approach to Trauma-Informed Cognitive Behavioral Therapy. Mary has developed and trained with this model in Rwanda.

We suggest that before watching the presentation, you read the article: Learning the Connection Between Thoughts‐Feelings‐Behaviors (attached)

 

Suggested discussion questions

How do you

Therapy for Refugees and Torture Survivors: New H.E.A.R.T. Model Part 2

In this second session of this two-part series, Richard Mollica will facilitate a conversation with Dr. Sebastian Ssempijja, Ph.D. CEO/Clinic Director, Sebastian Family Psychology Practice, LLC, and Laura Morrissette MA, LMHC, a therapist with the Harvard Program in Refugee Trauma (HPRT) who will use case studies to share their insights on using the H.E.A.R.T. model in a clinical setting and how it might compare with using a trauma sensitive meditation instruction approach.

Now available with closed captioning.


Therapy for Refugees and Torture Survivors: New H.E.A.R.T. Model Part 1

In this first session of our  Measured Impact Webinar (MIW) mini-course, "Therapy for Refugees and Torture Survivors: New H.E.A.R.T. (Healing Environment and Restorative Therapy)" Dr. Richard Mollica of the Harvard Program in Refugee Trauma  introduces the H.E.A.R.T. model of care in working with survivors of torture. Dr. Mollica  describes the H.E.A.R.T. model and how the concepts contained in it may provide a different way of thinking about therapy with survivors of torture.

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