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Out-Of-Office Experiences: Ethical and Clinical Considerations For Home Visits, Celebrations, Adventure Therapy, Incidental Encounters, and Other Encounters Outside the Office Walls

3 CE Credits/Hours - Online Course - $39.00

Developed by Ofer Zur, Ph.D.

Course fulfills, fully or in part, the Ethics & Law requirements for psychologists in CA and for psychologists, social workers, counselors, and addiction counselors in other states. Verify requirements with your state board. Course may qualify for insurance discount. Check with your insurer.

This course includes materials consisting of:

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General Course Description

This course discusses numerous interventions that are carried out outside the office walls. They include:

Home visits for the purpose of assessment and treatment. This includes home visits with home-bound or bed-ridden clients or those who cannot get to the office for lack of organization or means of transportation or due to depression, phobia or other reasons. It has also been used by family therapists for assessment, case management and interventions in cases of child abuse and child neglect.

In-vivo exposure for treatment of phobias, which may include walking with an agoraphobic client to an open space or flying with a client who suffers from a fear of flying.

Joining clients in celebrations and rituals, such as weddings, graduations, funerals, confirmations, school plays, gallery openings.

Going outside the office on an aerobic walk with a non-compliant, depressed client, walking around the block with a restless adolescent, accompanying a client to an important medical procedure, for which she would go on her own, or making a hospital visit to an ill or dying client.

Adventure, nature or outdoor therapies, which also include vision quests, rope courses and therapeutic trapeze flying activities.

Incidental, unplanned or accidental encounters between clients and therapists in public places outside the office.

Working with clients from different ethnic cultures, may require joining American Indian clients in special rituals, attending a Hispanic or Jewish client's wedding, or making a home visit to an African American family who wants to host the therapist for a special family event.

This beginning, introductory course covers the theory behind NLP and includes specific techniques for treating, not just disorders, but broader conditions as well, such as helping clients accept and utilize criticism, enhance their learning, improve their effectiveness in businesses and organizations, and quickly reach a state of forgiveness. Therapists will learn how to bypass clients' consciousness and elicit unconscious motivation for change. Verbatim transcripts of sessions take you into the therapist's office to witness NLP in action. NLP is not without its critics, and this course also provides a critique of NLP.

Educational Objectives

This course will teach psychotherapists to:

1.    Identify what is included and involved in out-of-office experiences.

2.    Describe when out-of-office intervention can increase clinical effectiveness.

3.    Relate ethical and standard of care considerations in out-of-office experiences.

4.    Identify risk management considerations in out-of-office experiences.

5.    Define the complexity with boundaries that is involved with interventions that take place outside the office.

6.    Review the relationships between theoretical orientation and out-of-office experiences.

Course Syllabus

  • Scope of out-of-office experiences
  • Home visits
  • Clinical interventions as part of treatment plan, which are not possible in the office
  • Attending clients' celebrations, rituals and life transitions
  • Incidental encounters
  • Outdoor or adventure therapy
  • Dual relationships in the community
  • Theoretical orientations
  • Boundary crossing, boundary violations and dual relationships
  • Confidentiality, time, participation, location and safety considerations
  • Standard of care
  • Procedure codes (CPT)
  • Risk management and slippery slope argument
  • Out-of-office experiences as part of healthy dual relationships in the community
  • How out-of-office experiences can enhance therapeutic effectiveness
  • References
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