Clinical, Ethical, and Legal Considerations in Assessing and Treating Suicidal Behavior 11/08

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* 1. What is your licensure?

Psychiatrist(MD)

Psychiatric Nurse (RN)

Master's level Social Worker

Bachelor's Level MHC or SAC

Psychologist (Ph.D./Psy.D.)

Psychiatric Nurse Practitioner

Masters Level MHC or SAC

QMHP

QMHA

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* 2. Previous Training in DBT (check all that apply)

Read Dr. Linehan's articles/book chapters

Read Dr. Linehan's treatment manual

Read Dr. Linehan's skills training manual

Attended a DBT study group

Attended a DBT workshop

Attended DBT Consultations

Received DBT supervision

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* 3. COURSE OBJECTIVES: As a result of today's presentation, I am able to:

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	N/A
Describe a rationale for why it is important to discuss a safety plan and manage lethal means with people who are suicidal.	Describe a rationale for why it is important to discuss a safety plan and manage lethal means with people who are suicidal. Strongly Disagree	Describe a rationale for why it is important to discuss a safety plan and manage lethal means with people who are suicidal. Disagree	Describe a rationale for why it is important to discuss a safety plan and manage lethal means with people who are suicidal. Neutral	Describe a rationale for why it is important to discuss a safety plan and manage lethal means with people who are suicidal. Agree	Describe a rationale for why it is important to discuss a safety plan and manage lethal means with people who are suicidal. Strongly Agree	Describe a rationale for why it is important to discuss a safety plan and manage lethal means with people who are suicidal. N/A
Identify three components of a suicide safety plan.	Identify three components of a suicide safety plan. Strongly Disagree	Identify three components of a suicide safety plan. Disagree	Identify three components of a suicide safety plan. Neutral	Identify three components of a suicide safety plan. Agree	Identify three components of a suicide safety plan. Strongly Agree	Identify three components of a suicide safety plan. N/A
Name two key principles that are important to discuss and apply when implementing safety planning with a person who is suicidal.	Name two key principles that are important to discuss and apply when implementing safety planning with a person who is suicidal. Strongly Disagree	Name two key principles that are important to discuss and apply when implementing safety planning with a person who is suicidal. Disagree	Name two key principles that are important to discuss and apply when implementing safety planning with a person who is suicidal. Neutral	Name two key principles that are important to discuss and apply when implementing safety planning with a person who is suicidal. Agree	Name two key principles that are important to discuss and apply when implementing safety planning with a person who is suicidal. Strongly Agree	Name two key principles that are important to discuss and apply when implementing safety planning with a person who is suicidal. N/A
Describe the interval between thinking about making a suicide attempt and making a suicide attempt.	Describe the interval between thinking about making a suicide attempt and making a suicide attempt. Strongly Disagree	Describe the interval between thinking about making a suicide attempt and making a suicide attempt. Disagree	Describe the interval between thinking about making a suicide attempt and making a suicide attempt. Neutral	Describe the interval between thinking about making a suicide attempt and making a suicide attempt. Agree	Describe the interval between thinking about making a suicide attempt and making a suicide attempt. Strongly Agree	Describe the interval between thinking about making a suicide attempt and making a suicide attempt. N/A
List two key principles when discussing lethal means with patients who are suicidal and have access to firearms.	List two key principles when discussing lethal means with patients who are suicidal and have access to firearms. Strongly Disagree	List two key principles when discussing lethal means with patients who are suicidal and have access to firearms. Disagree	List two key principles when discussing lethal means with patients who are suicidal and have access to firearms. Neutral	List two key principles when discussing lethal means with patients who are suicidal and have access to firearms. Agree	List two key principles when discussing lethal means with patients who are suicidal and have access to firearms. Strongly Agree	List two key principles when discussing lethal means with patients who are suicidal and have access to firearms. N/A
Name two recovery-based principles important when working with people who are suicidal.	Name two recovery-based principles important when working with people who are suicidal. Strongly Disagree	Name two recovery-based principles important when working with people who are suicidal. Disagree	Name two recovery-based principles important when working with people who are suicidal. Neutral	Name two recovery-based principles important when working with people who are suicidal. Agree	Name two recovery-based principles important when working with people who are suicidal. Strongly Agree	Name two recovery-based principles important when working with people who are suicidal. N/A
Self-identify at least one area for focused practice in ongoing work with suicidal patients.	Self-identify at least one area for focused practice in ongoing work with suicidal patients. Strongly Disagree	Self-identify at least one area for focused practice in ongoing work with suicidal patients. Disagree	Self-identify at least one area for focused practice in ongoing work with suicidal patients. Neutral	Self-identify at least one area for focused practice in ongoing work with suicidal patients. Agree	Self-identify at least one area for focused practice in ongoing work with suicidal patients. Strongly Agree	Self-identify at least one area for focused practice in ongoing work with suicidal patients. N/A

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* 4. Today's content and presentation

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	N/A
Today's content met my learning needs	Today's content met my learning needs Strongly Disagree	Today's content met my learning needs Disagree	Today's content met my learning needs Neutral	Today's content met my learning needs Agree	Today's content met my learning needs Strongly Agree	Today's content met my learning needs N/A
Today's content was relevant to the objectives	Today's content was relevant to the objectives Strongly Disagree	Today's content was relevant to the objectives Disagree	Today's content was relevant to the objectives Neutral	Today's content was relevant to the objectives Agree	Today's content was relevant to the objectives Strongly Agree	Today's content was relevant to the objectives N/A
Today's audio/visual materials enhanced my learning	Today's audio/visual materials enhanced my learning Strongly Disagree	Today's audio/visual materials enhanced my learning Disagree	Today's audio/visual materials enhanced my learning Neutral	Today's audio/visual materials enhanced my learning Agree	Today's audio/visual materials enhanced my learning Strongly Agree	Today's audio/visual materials enhanced my learning N/A

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* 5. Evaluation of the Presenter

	Poor	Fair	Good	Very Good	Excellent
Was the speaker prepared for the meeting?	Was the speaker prepared for the meeting? Poor	Was the speaker prepared for the meeting? Fair	Was the speaker prepared for the meeting? Good	Was the speaker prepared for the meeting? Very Good	Was the speaker prepared for the meeting? Excellent
Was the presentation geared toward the group?	Was the presentation geared toward the group? Poor	Was the presentation geared toward the group? Fair	Was the presentation geared toward the group? Good	Was the presentation geared toward the group? Very Good	Was the presentation geared toward the group? Excellent
Was the speaker responsive to the group?	Was the speaker responsive to the group? Poor	Was the speaker responsive to the group? Fair	Was the speaker responsive to the group? Good	Was the speaker responsive to the group? Very Good	Was the speaker responsive to the group? Excellent
Did the speaker hold the interest of the group?	Did the speaker hold the interest of the group? Poor	Did the speaker hold the interest of the group? Fair	Did the speaker hold the interest of the group? Good	Did the speaker hold the interest of the group? Very Good	Did the speaker hold the interest of the group? Excellent
Did the speaker show enthusiasm for the subject?	Did the speaker show enthusiasm for the subject? Poor	Did the speaker show enthusiasm for the subject? Fair	Did the speaker show enthusiasm for the subject? Good	Did the speaker show enthusiasm for the subject? Very Good	Did the speaker show enthusiasm for the subject? Excellent
Was the speaker clear and understandable?	Was the speaker clear and understandable? Poor	Was the speaker clear and understandable? Fair	Was the speaker clear and understandable? Good	Was the speaker clear and understandable? Very Good	Was the speaker clear and understandable? Excellent
Did the speaker involve the group through discussion and other means?	Did the speaker involve the group through discussion and other means? Poor	Did the speaker involve the group through discussion and other means? Fair	Did the speaker involve the group through discussion and other means? Good	Did the speaker involve the group through discussion and other means? Very Good	Did the speaker involve the group through discussion and other means? Excellent
Did the speakers teaching style and methods model DBT?	Did the speakers teaching style and methods model DBT? Poor	Did the speakers teaching style and methods model DBT? Fair	Did the speakers teaching style and methods model DBT? Good	Did the speakers teaching style and methods model DBT? Very Good	Did the speakers teaching style and methods model DBT? Excellent
How effective was this instructor at enhancing your learning?	How effective was this instructor at enhancing your learning? Poor	How effective was this instructor at enhancing your learning? Fair	How effective was this instructor at enhancing your learning? Good	How effective was this instructor at enhancing your learning? Very Good	How effective was this instructor at enhancing your learning? Excellent

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* 6. What did you LEARN from today?

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* 7. What did you find most helpful?

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* 8. How could we IMPROVE today's training?

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* 9. Additional comments for the presenter and/or Portland DBT Institute that will help enhance your overall experience and learning?

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* 10. We may wish to use your comments about the workshop and/or the trainer in our promotional materials. Your comments will remain anonymous. Is this acceptable to you?

Yes