Non-suicidal self-injurious behaviors are a common maladaptive coping strategy used by many individuals but mostly youth. As such, clinicians commonly encounter such behaviors while treating young people with mental health disorders. Unfortunately, many clinicians lack adequate training to effectively address non-suicidal self-injury (NSSI) and resort to ineffective approaches. The lack of confidence to intervene effectively coupled with limited understanding about the functions of self-harm often translate to negative attitudes among healthcare providers toward individuals who engage in NSSI. Such individuals may be viewed with hostility, assumed to be manipulative or attention-seeking, or avoided as clients.
Providers have also assumed that individuals who present with NSSI behaviors are “time wasters” and will continue to engage in the behaviors even if concerted efforts to intervene are made (Shaw & Sandy, 2016). Such attitudes have tremendous potential to negatively impact the therapeutic relationship and ultimately treatment outcomes for individuals who engage in NSSI.
In this course, you will learn to recognize the “red flags” of NSSI and methods to thoroughly assess the functions and consequences that maintain NSSI behaviors in your clients. You will understand the best methods to help young people overcome urges to deliberately harm themselves.
The goal of this course is to provide psychologists, alcohol and drug counselors, marriage and family therapists, professional counselors, social workers, and nurses in health and human services settings with knowledge and tools to identify and address NSSI behaviors in youth.
DSM™ and DSM-5™ are registered trademarks of the American Psychiatric Association. The American Psychiatric Association is not affiliated with nor endorses this course.
Non-suicidal self-injurious behaviors are a common maladaptive coping strategy used by many individuals but mostly youth. As such, clinicians commonly encounter such behaviors while treating young people with mental health disorders. Unfortunately, many clinicians lack adequate training to effectively address non-suicidal self-injury (NSSI) and resort to ineffective approaches. The lack of confidence to intervene effectively coupled with limited understanding about the functions of self-harm often translate to negative attitudes among healthcare providers toward individuals who engage in NSSI. Such individuals may be viewed with hostility, assumed to be manipulative or attention-seeking, or avoided as clients. Providers have also assumed that individuals who present with NSSI behaviors are “time wasters” and will continue to engage in the behaviors even if concerted efforts to intervene are made (Shaw & Sandy, 2016). Such attitudes have tremendous potential to negatively impact the therapeutic relationship and ultimately treatment outcomes for individuals who engage in NSSI. In this course, you will learn to recognize the “red flags” of NSSI and methods to thoroughly assess the functions and consequences that maintain NSSI behaviors in your clients. You will understand the best methods to help young people overcome urges to deliberately harm themselves. The goal of this course is to provide psychologists, alcohol and drug counselors, marriage and family therapists, professional counselors, social workers, and nurses in health and human services settings with knowledge and tools to identify and address NSSI behaviors in youth. DSM™ and DSM-5™ are registered trademarks of the American Psychiatric Association. The American Psychiatric Association is not affiliated with nor endorses this course.
As a Jointly Accredited organization, Relias LLC is approved to offer co-sponsored psychology continuing education by the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA is an associate member of Joint Accreditation for Interprofessional Continuing Education.
Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (CEBroker Provider #50-290)
This activity is approved for 1.25 contact hours.
Relias, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No.6110. Programs that do not qualify for NBCC credit are clearly identified. Relias , LLC is solely responsible for all aspects of the programs. This activity is approved for 1.25 contact hours.
Ohio Counselor, Social Worker and Marriage and Family Therapist Board
Provider # RTX050401 (CEBroker Provider 50-290)
Ohio Counselor, Social Worker and Marriage and Family Therapist Board
Provider # RCX100502 (CEBroker Provider: 50-290)
Ohio Counselor, Social Worker and Marriage and Family Therapist Board Provider #RSX091903 (CEBroker Provider # 50-290)
This activity is approved for 1.25 contact hours.
This activity is approved for 1.25 contact hours.
As a Jointly Accredited Organization, Relias LLC is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Relias LLC maintains responsibility for this course. Social workers completing this course receive 1.25 Clinical continuing education credits.
Relias, LLC 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 #SW-0009.
Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of licensed master social work and licensed clinical social work in New York. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice for an LMSW and LCSW. A licensee who practices beyond the authorized scope of practice could be charged with unprofessional conduct under the Education Law and Regents Rules.
As a provider of online, asynchronous education, some courses offered by Relias Learning are considered “self-study” under section 74.10(c)(2)(ii)(b)(4) of the Commissioner’s Regulations. The regulations limit self-study activities taken from a provider approved by the Education Department to no more than 12 hours in the 36-month registration period or one-third of the hours in a registration period other than 36 months.
Social workers will receive 1.25 continuing education hours for participating in this course. This activity is approved for 1.25 contact hours.
Florida Board Of Psychology (CEBroker Provider #50-290)
This activity is approved for 1.25 contact hours.
Relias, LLC, is recognized by New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0011
As a provider of online, asynchronous education, some courses offered by Relias, LLC are considered "self-study". The regulations limit self-study activities taken from a provider approved by the Education Department to no more than 12 hours in the 36-month registration period or one-third of the hours in a registration period other than 36 months.
This activity is approved for 1.25 contact hours.
Relias, LLC, is recognized by New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Marriage and Family Therapists. #MFT-0009
As a provider of online, asynchronous education, some courses offered by Relias are considered "self-study". The regulations limit self-study activities taken from a provider approved by the Education Department to no more than 12 hours in the 36-month registration period or one-third of the hours in a registration period other than 36 months.
This activity is approved for 1.25 contact hours.
South Carolina Board of Social Work Examiners (CEBroker Provider 50-290)
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Florida Board of Nursing (CEBroker Provider #50-290)
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Georgia Board of Nursing (CEBroker Provider #50-290)
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
South Carolina Board of Nursing (CEBroker Provider #50-290)
Florida Board of Medicine (CEBroker Provider #50-290)
Physicians will receive 1.25 AMA PRA category 1 Credits™.
Florida Physician Assistants (CEBroker Provider #50-290)
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
New Mexico Board of Nursing (CEBroker Provider #50-290)
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
State Medical Board of Ohio (CEBroker Provider #: 50-290)
Louisiana State Board of Medical Examiners (CEBroker Provider #: 50-290)
Mississippi State Board of Medical Licensure (CEBroker Provider #: 50-290)
This course has been approved by Relias LLC, as a NAADAC Approved Education Provider, for 1.25 CE. NAADAC Provider #86124, Relias, LLC is responsible for all
aspects of their programming.
This activity is approved for 1.25 contact hours.
Provider approved by CCAPP, Provider number 1S-06-729-0220 for 1.25 CEH's
This activity is approved for 1.25 contact hours.
Education hours MCBAP-R
This activity is approved for 1.25 contact hours.
This activity is approved for 1.25 contact hours.
Ohio Chemical Dependency Professionals Board (CEBroker Provider #50-290)
This activity is approved for 1.25 contact hours.
Categories Counselor I or II, Preventionist I or II, CARS I or II, CODP I or II, PCGC II, CCJP II, CAAP I or II, CRSS I or II, CPRS I or II, MAATP I or II, NCRS II, CFPP II, ATE, CVSS II
This activity is approved for 1.25 contact hours.
This activity is approved for 1.25 contact hours.
Relias Learning is an approved provider of Continuing Education. Provider number: CP40 910 H 0318 for 1.25 CEHs.
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Mississippi Board of Nursing (CEBroker Provider #50-290)
North Dakota Board of Nursing (CEBroker Provider #50-290)
This activity is approved for 1.25 contact hours.
This activity is approved for 1.25 contact hours.
This activity is approved for 1.25 contact hours.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview of Non-Suicidal Self-Injurious Behaviors
Meet Samantha
Non-Suicidal Self-Injury Defined
NSSI and Suicide
Prevalence
NSSI and the DSM-5
Difficulties Associated with NSSI
Dispelling Common Misconceptions
Review
Summary
Section 3: Etiology and Risk Factors
Demographic Factors
Adverse Childhood Events (ACEs)
NSSI in Primary School-Age Children
Bullying and Cyberbullying
Digital Self-Harm
NSSI and Social Contagion
Psychiatric Disorders and Symptoms
Neurobiological Factors
Functions of NSSI
Review
Summary
Section 4: Identifying NSSI Behavior in Youth
“Red Flags”
The STOPS FIRE Mnemonic
Screening Measures
Structured Interviews
Functional Behavioral Analysis
Review
Summary
Section 5: Interventions and Resources to Reduce Non-Suicidal Self-Injurious Behaviors
Initial Treatment Considerations
Therapeutic Alliance
Therapeutic Setting
Confidentiality and NSSI
Replacement Activities
Specific Psychotherapeutic Interventions
Key Components to Treatment
Medication and NSSI
Review
Summary
Section 6: Conclusion
Summary
Course Contributors
Resources
References
Congratulations!
Stephanie holds a Bachelor of Arts in Journalism and Professional Writing from The College of New Jersey and a Master of Social Work degree from Rutgers University. She is also a Certified Clinical Trauma Professional (CCTP) and has particular interest in resilience and secondary traumatic stress among behavioral health providers. The majority of Stephanie’s work has included behavioral health counseling and medical case management. Stephanie served as part of the National Health Service Corps from 2016-2018, providing outpatient counseling to underserved populations including military service members and their families. Stephanie has designed and delivered training on many topics such as LGBTQIA+ sensitivity, youth suicide prevention, and how to provide in-community services to adults with intellectual and developmental disabilities. Disclosure: Stephanie L. Furness-Kraft, LCSW, CCTP has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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