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Integration of Primary and Behavioral Healthcare
You will learn about the costs, benefits, and goals of integrated care systems. As there are numerous challenges to integrating care, you will become aware of some of these key challenges, and familiar with particular characteristics of well-functioning integrated care systems. Finally, you will learn a variety of ways that behavioral healthcare professionals, including you, can function effectively in an integrated care environment.
Recall the different levels of integrated care and types of integrated care settings.
Indicate at least three tools or interventions you can use to facilitate an integrated approach to care delivery.
The Grief Process for Health Professionals
Grief is a normal and natural response to loss. It is not a problem to be solved, but rather a way of coping. This course discusses the basics of the grief process, the different types of grief, and ways of expressing grief. It also discusses tools to help you stay present and resilient as a healthcare professional supporting individuals and families.
Apply at least two grief models to individual circumstances.
Define three types of grief and their contexts.
Recognize two gifts of grief that apply to the general population.
Boundaries in the Treatment Relationship
This course explains the concept of a professional therapeutic boundary and how it differs from a personal relationship. You will learn about the ethical role of the clinical practitioner in establishing appropriate roles and boundaries, the difference between boundary crossings and boundary violations, how to appropriately use social media and other technology, and how to recognize situations with high potential for harmful boundary violations. As you master these skills, you will become more effective in maintaining an appropriate relationship between you and your clients.
Recall the meaning of a therapeutic boundary and the difference between boundary crossings and boundary violations.
Indicate how to avoid the red flags of boundary violations.
Discuss current standards for use of social media and other technology pertaining to maintaining therapeutic boundaries.
Ethical and Legal Considerations for Telehealth
This course will offer a blend of ethical and legal information, clinical vignettes, and strategies that can later be applied in therapeutic settings. The content of this course includes information about informed consent, confidentiality, privacy, boundaries, mandatory reporting, and rules for sharing information. The course assumes the learner has a basic understanding of telehealth technologies and formats. To learn more, you can search the Relias library for additional courses related to telehealth.
The goal of this course is to provide addictions professionals, behavioral health counselors, marriage and family therapists, psychologists, social workers, and nurses in health and human services settings with strategies and information for competent and ethical telehealth practice.
Name the key sources of information that inform ethical and legal telehealth service delivery.
Identify at least two competencies required for delivering telehealth services.
List specific steps for ensuring confidentiality, informed consent, appropriate boundaries, mandated reporting, and sharing of information within telehealth service delivery.
Describe common ethical missteps and legal problems that arise with telehealth service delivery and how providers can avoid these issues.
Managing Pain Amid the Opioid Crisis
Pain management in the emergency department relies heavily on the use of opioid analgesics, which generates risk for patients to develop long term opioid use or an opioid use disorder. Multimodal analgesia can improve the patient experience and reduce the risks of opioid use if emergency providers approach pain with a more critical mindset.This activity is designed to help emergency providers improve management of pain while decreasing patient exposure to opioids. It is also designed to help providers navigate how to manage patients with opioid use disorder.
Identify different types of pain (acute pain, chronic pain, chronic cancer pain, and social pain) and the neurobiological origins of this pain.
Describe the risks associated with opioid analgesia.
Demonstrate knowledge of multimodal analgesia regimens to manage pain in the emergency department.
Describe the characteristics of opioid use disorder and the effectiveness of medication assisted therapy.
Stroke Care: From Onset to Rehab
This course provides a comprehensive understanding of stroke care from onset to rehab. Details of stroke care in the acute care setting and rehabilitation for stroke are reviewed. Stroke prevention strategies are explained.
Apply knowledge of assessment, diagnosis, and treatment for stroke in the hyperacute and acute phase.
Identify secondary prevention strategies, including lifestyle changes and drug therapies.
Recall interventions for rehabilitation from stroke in the acute and post-acute setting.
Understanding Domestic and Intimate Partner Violence
This course provides information about the dynamics of intimate partner violence, or IPV, risk factors, safety concerns, screening measures, and how staff can be the most helpful in these situations.
The goal of this course is to help administrative staff, general staff, and direct care staff in all healthcare settings gain a basic understanding of the dynamics of intimate partner violence.
Define domestic and intimate partner violence.
Describe risk factors for intimate partner homicide, including guns and strangulation.
Identify at least two screening measures used to identify persons who have experienced IPV.
Assessing and Treating Opioid Use Disorder
In Session: Practicing Clinical Skills to Prevent Suicide in Adults
The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals in health and human services settings with an opportunity to apply your existing knowledge to assess and intervene with an at-risk adult.
Identify risk factors and warning signs for suicidality in adults.
Indicate the appropriate steps to assess an individual’s level of suicide risk.
State the essential interventions to implement based on the level of identified risk.
Medical Approaches to Identifying and Treating Alcohol Use Disorder
Alcohol use disorder is a primary health condition that interacts with and complicates many other health problems and psychiatric disorders. Unfortunately, only a small number of people with alcohol use disorder receive appropriate treatment for substance use issues. The incorporation of screening for alcohol use disorders in a general medical setting can significantly increase the number of individuals with alcohol use disorders who are identified and treated. The U.S. Food and Drug Administration (FDA) has approved 4 medications to treat alcohol use disorder, making treatment in primary care and other general medical settings a viable alternative to specialty care. This course will give you valuable information about these medications as well as several medications used off-label.
Identify strategies you can use to more effectively identify alcohol use disorder in a medical setting.
Recall factors that indicate someone may be a good candidate for medication-assisted treatment of alcohol use disorder as well as factors that suggest this approach is contraindicated.
Discuss the common medications used to treat alcohol use disorder, their benefits, and potential side effects.
Self-Care Strategies for Frontline Professionals
Healthcare and behavioral health professionals providing services on the front lines of a sustained health crisis are exposed to traumatic events on a regular basis. Staff deemed essential have little escape from the grueling demands of their daily work. Professional self-care routines are often insufficient or seemingly impossible during times of heavy demand. Without healthy work-life balance, effective self-care practices, and social connection, maladaptive coping mechanisms may surface or return. Many professionals experience feelings of helplessness when, despite their best efforts, they are unable to provide clinical solutions for their clients or patients. Based on what is known about trauma, it is imperative for professionals to effectively address self-care needs in a timely manner, for themselves and for those they serve.
Define the psychological and biological effects associated with trauma and stress reactions.
Identify signs and symptoms of moral injury, vicarious trauma, secondary traumatic stress or compassion fatigue, and burnout.
Recall methods to enhance psychological resilience via self-care practices that can be applied to work and/or home.
Overview of Medications for Opioid Use Disorder
The current opioid use epidemic has had devastating consequences for those impacted by it. Medication for opioid use disorder (MOUD) is an effective, yet underused, approach to the treatment of opioid use disorder. By taking this course, you will have information that you can share with your clients and their family members about what MOUD is, its risks and benefits, and the types of medications used in MOUD. The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals in health and human services settings with an overview of what MOUD is, how it can help individuals with opioid use disorder (OUD), and the medications used by providers that treat OUD.
Describe how opioids affect the brain and can become habit-forming.
Discuss the role of medications to treat opioid use disorder.
List the medications typically prescribed to treat opioid use disorder and the side effects and risks associated.
Addressing Trauma and Stressor Related Disorders
About 70% of adults in the U.S. have experienced at least one traumatic event (Sidran Institute, 2018). Most overcome their trauma responses without formal intervention. Others, however, experience persistent symptoms that need formal intervention. The goal of this course is to provide addiction, behavioral health counseling, marriage and family therapists, nursing, psychology, and social work professionals in health and human services settings with information on how to assess and treat trauma- and stressor-related disorders.
Recognize common symptoms that individuals may have in response to experiencing trauma.
Identify at least three tools that can help screen and assess for trauma-related disorders.
Determine which interventions would be most relevant for someone with a trauma-related disorder.
Best Practices for Interviewing Patients
The patient interview is the most important part of your exam. Gaining the patient’s perspective and learning more about issues important to them can guide you in developing patient-specific care plans. This course will discuss how to conduct patient-centered interviews. You will learn interviewing methods to effectively elicit the important details about a patient's reason for presenting to the clinic. Information will also be presented on how to approach challenging situations that arise during patient encounters.
Recall at least four ways you can facilitate rapport, engage patients in effective interviews, and facilitate discussions that guide quality treatment for your patients.
Indicate at least three strategies you can use to overcome common challenges that arise when interviewing patients.
Implementing a Quality Improvement System
While most health centers have some quality improvement (QI) functions established, many have not implemented a comprehensive, organization-wide QI program. Improving patient care and outcomes is the primary goal of QI programs. There are also financial benefits to providing quality care, especially as our healthcare system, including the Centers for Medicare and Medicaid Services (CMS), moves towards a “pay for performance” model (NEJM Catalyst, 2018b). This course will explain a comprehensive approach to implementing QI systems. You will learn about the essential elements of a QI program, including principles, program infrastructure, and process components. You will also learn how you can put the Model for Improvement QI methodology into action. Finally, you will learn how to identify quality-related problems using proactive and reactive strategies.
Recall the key components of a successful quality improvement program. Describe models and national initiatives for quality improvement and how they can benefit individuals receiving care from your organization. Indicate at least three specific actions you can implement in your setting to improve the quality of care provided.
Pediatric Pain Management: Pathophysiology and Assessment
The experience of pain affects people of all ages, including children. Many factors contribute to the undertreatment of pain in this age group. Children’s health outcomes and quality of life are adversely affected without proper recognition and pain management. The course examines the pathophysiology of pain and pain assessment strategies appropriate for different ages and developmental levels. The course will also review pediatric pain assessment tools.
Define pain, clarify commonly misused terms, and develop an understanding of how pain works.
Recognize the signs and symptoms of pain in children.
Identify pain assessment tools in children of different ages and developmental levels.
Diversity, Equity, and Inclusion for the Healthcare Employee
Ensuring that a healthcare system is culturally competent can reduce health disparities. Healthcare employees who have effective interpersonal and working relationships are essential to successful healthcare outcomes. Healthcare staff provide care to individuals from many backgrounds, so it is essential that they get proper Diversity, Equity, and Inclusion (DEI) training. DEI training should be integrated into the standard hiring and onboarding process for the entire healthcare workforce. The goal of this course is to provide healthcare employees with training about Diversity, Equity, and Inclusion (DEI).
Define cultural competence, implicit bias, and indirect discrimination.
Describe at least two assumptions and myths related to stereotypes.
Explain best practices when working with people from different races, cultures, values, and sexual orientations.
List at least three barriers to providing quality healthcare.
Identify at least two ways to make the healthcare environment welcoming for all people.
Improving Clinical Competency Through an Understanding of Military Culture
Military cultural competence is essential to effectively engage, understand, and support active duty service members, reservists, and veterans in behavioral health treatment. Those in the military represent a specific cultural group. This course will provide you with an introduction to military culture. You will learn about the overall structure of the military, the core values of the primary branches, and the unique experiences of specific sub-populations within the military. This information will help you more effectively engage with, understand, respect, and support the military service members who seek your services.
The goal of this course is to provide addiction, behavioral health counseling, case management/care management, marriage and family therapy, nursing, psychologist, and social worker professionals in health and human services settings with information about military culture in general, the effects of military culture on sub-populations, and how behavioral health concerns affect military service members and veterans.
Describe key aspects of military culture, the sub-populations within military culture, and the unique needs and experiences of those groups.
Describe the overall structure of the military and its primary branches.
Recall two perceived consequences by service members and veterans of receiving a behavioral health disorder diagnosis.
Reducing Suicide Risk in Adolescents and Transition-Age Youth
In 2020, suicide was the third leading cause of death for young people ages 15 to 24 (Centers for Disease Control and Prevention [CDC], National Center for Injury Prevention and Control [NCIPC], 2020). Rates of suicide among youth continue to increase, making it essential for behavioral health clinicians and other professionals working with adolescents and transition-age youth to understand the dynamics of suicide among young people.
After providing a foundation on how widespread the problem is and the prevailing theories about the drivers of suicidal behaviors, this course will teach you about how to effectively screen potentially suicidal youth and ways you can intervene to lower their risk.
Identify warning signs as well as risk and protective factors that affect vulnerability to suicide in youth.
State three assessment strategies to identify suicide risk in adolescents and transition-age youth.
Describe interventions that reduce the risk of suicide in adolescents and transition-age youth.
Nursing Ethics: Fundamentals
Although medical care can be often concrete, healthcare professionals, including nurses, are faced with ethical dilemmas that are not as clear-cut. In healthcare, sometimes situations arise where there is an “area of gray.” In those moments, thoughtful analysis using reason and ethical principles is needed. Many healthcare institutions have developed ethics committees to navigate patient care in difficult situations.
The goal of this course is to equip nurses in the acute care setting with knowledge of key terms, theories, and principles of bioethics, as well as the procedures, functions, roles, and responsibilities associated with an ethics committee in the acute care setting.
Name five major ethical theories.
Recognize the four major bioethical principles.
Define paternalism, veracity, fidelity, confidentiality, futile treatment, living will, durable power of attorney for healthcare, and “medical assistance in dying.”
List the roles and responsibilities of an ethics committee and its ethicist in the acute care setting.
Managing Pediatric Trauma: Assessment
This course is intended to provide nurses with knowledge of pediatric stages of development, mechanisms of injury, and assessment best practices including the pediatric assessment triangle as they relate to trauma.
Describe pediatric trauma care and stages of development as they relate to trauma.
Identify common mechanisms of injury in the pediatric population.
Recall assessment techniques and emergency interventions for pediatric patients who experience trauma.
Managing Pediatric Trauma: Interventions
This course is intended to provide nurses with knowledge on interventions for pediatric trauma, including injuries to the head, chest, abdominal cavity, and extremities. Interventions for asphyxiation, drowning, burns, and electrical shock will also be presented. This course is the second part of the Managing Pediatric Trauma series. The first course in this series is Managing Pediatric Trauma: Assessment.
Recall prehospital care and field triage of pediatric trauma patients.
Describe interventions for pediatric patients who have experienced asphyxiation, drowning, burns, and electrical injuries.
Describe interventions for pediatric patients who have experienced trauma to the head, thorax, abdomen, and extremities.
Identifying and Responding to Child Abuse and Neglect
This course will teach you about the various types of child abuse and neglect that are currently the most common, and the physical and behavioral warning signs that may accompany different kinds of child maltreatment. You will learn some general guidelines for mandatory reporting and how you can find out the specific reporting requirements of your particular state.
Identify the behavioral and physical signs of abuse and neglect.
Describe the role of the mandated reporter and where to access state-specific rules related to mandated reporting in your state.
Weight Loss Medications: A Comprehensive Review
When lifestyle modifications such as improving nutrition and increasing physical activity do not achieve adequate weight loss, pharmacotherapies may be needed. Pharmacotherapy is used as a supplement to lifestyle modifications and should only be implemented in patients who meet certain criteria and have a need to reduce their risk of obesity-related comorbidities. This course will review candidate criteria for weight management drugs, which drugs have been approved by the Food and Drug Administration (FDA), and their safety or effectiveness. It will also review dietary supplements used for weight loss and the lifestyle behaviors needed to increase the efficacy of pharmacotherapies. The goal of this course is to educate the healthcare team in the acute care setting on weight loss medications.
Indicate the criteria for weight loss drug therapy in patients affected by obesity.
Recognize the safety and effectiveness of prescription drugs and devices, and dietary supplements used for weight loss.
Recall lifestyle behaviors that are needed in conjunction with weight loss drugs, devices, and supplements.
Substance Use Treatment for Women
In this course, you will learn about how substance use impacts women differently. You will learn ways that you can provide gender-responsive treatment to women struggling with substance use or at risk of developing a substance use disorder.
The goal of this course is to provide addiction, behavioral health counseling, marriage and family counseling, nursing, psychology, and social work professionals in health and human services settings with information about substance use treatment for women at various stages of development.
Discuss the unique aspects of substance use and substance use disorders among women.
Explain how the use of specific substances, as well as the impact of those substances, changes across the lifespan.
Describe ways to address the biological/psychological, social, and developmental needs of women with substance use disorders.