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Advanced Strategies in Motivational Interviewing
This one day advanced course in Motivational Interviewing is designed for counsellors and front line staff in mental health or
corrections who have previously completed CTI's two day introductory program on motivational interviewing or its equivalent.
This practical, interactive and dynamic workshop is for individuals who already possess advanced knowledge and experience in
motivational interviewing.
Motivational counselling techniques have been described as "simple but not easy". Even after being trained in the use of its
techniques, many counsellors find it a challenge to integrate the strategies into everyday work with clients. This one day
advanced offering is designed to help anchor these key strategies in ways that fit with one's own unique counselling style. It
will focus on effective strategies for building motivation and dealing with resistance as well as working with clients to
develop a personalized "change plan".
This course is designed for counsellors and front line staff working with clients in a counselling relationship who have
completed CTI's introductory two day program on Motivational Interviewing and Stages of Change or its equivalent.
Contact us: 1-877-889-6158
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Community Mental Health:
Cognitive-behaviour theory and applications
This workshop was developed in response to the rapid increase in treatment alternatives for those diagnosed with chronic and/or
severe mental health illness (i.e. community treatment of SMI via case management, ACT teams, etc.) and focuses on the
introduction of cognitive-behaviour theory and the application of selective cognitive behavioural techniques in the community
treatment of chronic mental illness. Can the chronically mentally ill individual who has schizophrenia learn to successfully cope with their symptoms? "Coping",
in the context of the current workshop, refers to cognitive-behavioural efforts to control or master their symptoms or minimize
the distress caused by them. A number of cognitive-behavioural strategies have shown considerable promise in this area. "Coping
Strategy Enhancement" (CSE) is one such strategy and involves a detailed analysis of symptoms of the antecedent conditions and
consequences, the selection of adequate coping strategies from the existent coping resources of individual clients to manage
the various symptoms and the exercising of those coping techniques in simulated situations.
Participants will also be introduced to social skills training, cognitive restructuring and the role of cognitive
deficits in behaviour, coping with maladaptive emotions and implications of the phasic structure of mental illness
for cognitive-behavioural interventions. Kavanagh's model of risk determination that incorporates stress-vulnerability,
biological vulnerability and reciprocal social influences and their implications for relapse and relapse prevention
will be introduced as well.
This two day workshop is designed for front line and supervisory staff working with the mentally ill in a community context.
Contact us: 1-877-889-6158
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Community Worker Safety Strategies
This program will introduce participants to practical safety strategies designed to maximize personal safety and minimize risk
when working in unfamiliar or potentially dangerous community environments.
This workshop provides learners with an experiential involvement with the following topics:
Steven Hughes, M.Ed.
Michael Wong, M.S.W.
Graham Vardy, B.E.S.
Kathy Wong, M.Sc.N.
Greg Samuelson; Rosemary Hardwick
Contact us: 1-877-889-6158
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Competency Based Approaches for Understanding and Working with High Risk Youth
This Competency Based Training Program is a resiliency-based approach involving exploration, identification and integration
of personal competencies as main features in the implementation of the case management process.
This training program will be of interest to anyone working with at-risk youth, whether in a school setting, a
young offender facility, or a children’s mental health centre. It will be of value to social workers, youth
workers, special education, open and closed custody staff, youth serving agency staff and others interested
in facilitating competency development for youth at risk.
William Morrison, Ph.D., C.Psych
Contact us: 1-877-889-6158
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Conflict Resolution / Management
In this 2-day experiential workshop, participants will come to understand the basic concepts involved in conflict management and resolution. Individuals will explore
their own attitudes and learned patterns in responding to conflictual situations. Using case studies from the group's experiences, participants will practice the
necessary and fundamental communication skills that help promote effective conflict resolution and management. This will include de-escalating anger and identifying
those triggers that escalate conflict and anger. Participants will also practice both a formal and an informal protocol that will help them to facilitate different
types of third-party conflict resolution sessions.
This introductory workshop will be of value to anyone interested in the basic principles involved in promoting more effective
personal and/or professional relationships. In particular, it will be of interest to line and supervisory staff who are interested
in raising their awareness of interpersonal conflict in their agencies and are looking to improve their own ability to manage
conflicts effectively.
The participants in this 2-day workshop, will experience and enhance skills in the following areas:
John Sawdon, M.Sc..
Graham Vardy, B.E.S.
Contact us: 1-877-889-6158
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Crisis Intervention with the Hostile/Aggressive Individual
This accredited 3 Day Program has been approved by the Ministry of Community, Family and Children's Services for children, youth
and adult serving agencies receiving funding from this ministry. This workshop has been redesigned to address the recommendations arising from recent inquests into the deaths
of children/youth in care as a result of restraints. The inquest juries recommended that individuals working in the field of human services understand the dangers of inappropriate
restraints. Equally, recommendations indicated a need to implement practices that support an understanding of the needs and issues of each client in care, and, that case conferences
be convened for those who continue to act out behaviours that are dangerous to themselves and others.
CTI's approach to crisis training has always been focused on prevention. Our skills training program reinforces the need to build relationships with clients, to understand the
intra and interpersonal dynamics, and, to enhance the staff's role as facilitator of learning. In achieving this we have designed a program which includes the following components:
Individuals in crisis may respond to a sense of helplessness and loss of control through withdrawal, depression, suicide attempts
or overtly through angry outbursts and/or violent attacks. The intent is to help workers to respond to individuals in their care
through enhanced personal awareness, appropriate verbal and non verbal interventions and active disengaging skills.
Emphasized are the principles of empowerment, clarity and coalition building. By utilizing those principles, we will explore how
we might defuse the level of arousal, assist clients to regain control and work co-operatively in a problem-solving format.
This intensive 3-day program is highly experiential or "hands on", as are all of CTI's workshops. The workshop involves a certain amount of "self-disclosure" in a safe,
comfortable and enriched learning dynamic.
The first day of the programme has a number of goals which guide the type of learning activities that we initiate. In creating a
dynamic which supports participation, ownership and learning, we attempt to facilitate an atmosphere that provides for the safety
and inclusion needs of the participants. Within this framework, we focus much of our day's activities on what each individual
participant brings to the crisis situation. This self awareness enhancing goal is achieved through explorations of crisis
generally, learnings and personal histories in managing anger, and exploration of factors which influence crisis and anger.
Through actual simulations which are based on the participants work history, we heighten awareness of the dynamics which
contribute to the escalation of anger and aggression. The experiential context provides the data in exploring strategies
either to reduce the level of arousal in defusing the situation or in disengaging from the encounter. The final session of
the day is designed to heighten participants awareness of the non-verbal cues clients may exhibit. This is a fun exercise
which stresses the need to initiate early contact with the client in fostering principles of empowerment, clarity and
coalition building.
The actual schematic layout of the day is listed as follows:
The second day of the program moves the participant to a process of engaging the client. This is achieved through an exploration
of a number of behavioural and physiological models of crisis escalation.
Within this context, strategies and skills for reducing the level of arousal and engaging in a problem solving focus are
practiced. Day 2 is a very intense day for participants. It involves them in a number of simulations from which to both
practice intervention and to learn the skills involved in defusings. The simulations are designed from the participants
greatest challenges which were articulated in Day 1.
The actual schematic layout is as follows:
Day 3 continues to foster a cohesive safe and inclusive dynamic for the group. Through the use of a strength bombardment
exercise, we attempt to heighten participants awareness of the need to let go of their self critic. Equally, this exercise
underscores the need to communicate the positive attributes and behaviours we see in others. This process provides a foundation
from which to continue with the previous days' simulations. From here we explore attribution theory and anger, team
interventions, debriefing and defusing of critical incidents and prevention planning for the agency as a whole.
The schematic layout for the day follows:
Contact us: 1-877-889-6158
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Crisis Intervention with the Hostile & Aggressive Individual
This program is designed to provide participants the opportunity to develop and practice their skills in effectively defusing angry, hostile and aggressive individuals. The
emphasis of the program is on learning and practising the skills of self-awareness, empathic and active listening, assertive communication in conflict, limit setting and
win-win problem solving. In addition, we will examine the impact of acute and chronic stress in the lives of crisis intervention staff, and effective approaches to staying
healthy and energized in the field.
This is a highly experiential workshop with intensive simulation training, feedback and supervision.
Steven Hughes, M.Ed.
Graham Vardy, B.E.S.
Michael Wong, M.S.W.
Carloes Francis, B.A., M.Ed.
Melanie Oda, R.N., M.H.Sc.
Nancy Mulroney, M.Sc..
Karyn Robertson, M.Ed.
Steven Hall, B.A.
Kim Dreaddy, M.Ed.
Cathy Payette, B.A., C.Y.W.
Contact us: 1-877-889-6158
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Crisis Management: Borderline Personality Disorder
Among the personality disorders, Borderline Personality Disorder is the most common in clinical settings and is prominent in
cultures world wide. Individuals manifesting the common features of the Borderline Personality Disorder experience marked
distress and impairment in social, occupational and role functioning and are associated with high rates of self destructive
behaviour (eg. suicide attempts, parasuicide behaviour, self injuries/self mutilation) and completed suicide. The pervasive
pattern of instability in interpersonal relationships, affect, self-image as well as marked impulsivity is closely tied to
their state of unrelenting crisis. This state of unrelenting crisis results in frequent and repeated contact with all types
of crisis service providers.
As opposed to individuals in crisis subsequent to any one stressful event, individuals with borderline personality features
are debilitated because of high reactivity and the chronic nature of stressful events. In other words, repetitive stressful
events in these individuals often translates to an inability to return to an emotional baseline before the next crisis occurs.
This state of ongoing emotional arousal interferes with cognitive processing, thereby limiting the individual's ability to
focus on anything other than the presenting crisis. The frequent and repeated utilization of crisis services (and the
resulting sense of frustration experienced by service providers) in addition to the features described above, makes it
imperative that crisis service providers employ an evidence-based crisis approach that reinforces consistency, gentle but
firm limit setting, and focuses on the here and now problem(s) despite their tendency to avoid reality oriented problem solving.
Crisis management of the "immediate" problem is the key component to the effective treatment of this type of individual
presenting in crisis. Recognizing that brief crisis intervention can dramatically decrease one's suicide/parasuicide
attempts and need for hospitalization, CTI's approach to crisis management in such circumstances emphasizes:
Grounded in M. Linehan's Dialectical Behaviour Therapy, CTI's approach to crisis management of the Borderline Personality
Disorder will also explore:
This 2 Day workshop is designed for all staff who, in the course of their work, provide crisis services for individuals
presenting with Borderline Personality Disorder features and for individuals who utilize crisis services frequently and
engage or threaten to engage in self injurious behaviour.
Contact us: 1-877-889-6158
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Defusing Anger, Resistance & Hostility
This program offers participants training in how to manage yourself and respond effectively to individuals who are acutely angry and/or are escalating their
anger, resistance or hostility to potentially, act out violently.
CTI’s training is based on Adult Learning Theory, and utilizes a combination of educational approaches including experiential training, interactive information
sharing, and reading and journaling.
Professionals and volunteers working in community mental health, criminal justice, street-based agencies, community centres, schools, nursing, addictions, emergency
services, group homes, transition shelters, and any services encountering people in crisis.
Steven Hall, B.A.
Kim Dreaddy, M.Ed.
Cathy Payette, B.A., C.Y.W.
Graham Vardy, B.E.S.
John Sawdon, M.Sc..
Melanie Oda, R.N., M.H.Sc.
Contact us: 1-877-889-6158
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Effective Supervision in Response to a Traumatic Incident:
Skills, approaches and resources
This introductory program, designed to enhance effective supervision in response to both work related and community-based
traumatic incidents, emerged as a result of the dramatic rise in recent tragic and/or traumatic incidents in both the
community and workplace. Reactions to the death of an employee, assaults and threats directed to employees, as well as
employee reactions to community-based trauma can potentially include emotional, cognitive, behavioural and physiological
impairment if not properly identified and addressed by a knowledgeable and supportive environment - especially in the workplace.
While an increasing number of work environments have Employee Assistance Programs (EAP) in place for employees and their family
members (providing brief counselling, telephonic crisis support and critical incident stress debriefing) there remains a
critical role for supervisors and managers - "what can supervisors and managers do that might mitigate the effects/impacts
of exposure to tragic, traumatic, critical incidents?" This introductory program focuses on the understanding of trauma,
its impact and the role managers and supervisors can assume in response to emerging employee needs in the course of their
day to day work. Participants will be provided with the opportunity to enhance their knowledge and understanding of critical
incident stress (i.e. traumatic stress) and its potential impacts, approaches that can potentially mitigate impacts and the
opportunity to practice interventions in capacity of supervisor/manager.
This three day program is designed for individuals employed in capacity of a manager/supervisor, team leader or anyone working
as part of a "team" and wishes to enhance their understanding of "trauma" so they can properly recognize need for and offer
appropriate support for team members.
Contact us: 1-877-889-6158
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Innovative Case Management Practices & Community Mental Health
The rapid increase in treatment alternatives, resulting from current mental health reform, requires clarification of clinical issues and service components essential to
the emerging types of care. A "Continuum of Community Mental Health Care" model facilitates the development and use of clinically appropriate levels of treatment across
an entire episode of the illness. Participants will be introduced to a model of care that describes distinct levels of care differing in service structure and intensity
and identifies meaningful definitional boundaries among these levels of care. Each level is differentiated by critical client and service variables delineated across the
continuum. As the appropriate level of care for a client must be based on clinical needs and client characteristics matched to service attributes, these variables are
central to an understanding of the continuum case management model.
Following a model initially set forth by the Association for Ambulatory Behavioural Health Care, this 3-day course will introduce participants to a coherent continuum
of care model designed for individuals working with the mentally ill in any community mental health capacity. The course will be of direct benefit to program directors,
managers and staff working with the mentally ill in ACTT programs, community mental health centres community psychiatric nursing and outreach programs.
Morry Ulrich, M.Ed. Counselling Psychology
Birgitta Jansen, Ph.D., C. Psych.
Contact us: 1-877-889-6158
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Introduction to Cognitive Behaviour Theory and Practice
CTI Canadian Training Institute offers a wide array of training opportunities in integrated behavioural health in both mental health and criminal justice. Several
course offerings are designed to enhance performance in your front-line work with clients. CTI is therefore offering this specific course on cognitive-behaviour theory
and practice - designed for individuals working in a front-line counselling capacity with an aim to provide structure and a cohesive conceptual framework to your
counselling practices. This 3-day program will introduce participants to a theoretical overview of cognitive-behaviourism which provides the contextual background
for many interventions currently employed in both mental health and criminal justice. In addition to a theoretical overview, participants will also be introduced to
principles and practices of assessment and intervention techniques commonly utilized by practitioners in a variety of fields.
Individuals in Human Services fields working in a case management and/or counselling capacity.
Morry Ulrich, M.Ed. Counselling Psychology
Marilyn Herie, M.S.W. Doctoral (Candidate)
Additional instructors to be named.
Contact us: 1-877-889-6158
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Introduction to Dynamic Case Management
The central theme of effective intervention in community corrections involves both the linking and matching of program services and agency approaches to the needs of
the individual. Therefore, the identification and assessment of individual needs become critical components of all effective community correction interventions. Simply
stated, the criminal justice worker wants to know of the individual they are working with "why are you here and what are the issues we need to work on to ensure that
you do not re-offend."
Two different versions of this program are available, this includes a young offender and an adult version.
Individuals who have probation, parole, case management and/or supervisory responsibilities in programs/agencies for individuals in conflict with the law.
NOTE: This course, which includes Part I and Part II, is generally delivered as a Five Day Program.
Introduction to Dynamic Case Management - Part I
In criminal justice and corrections the first step in the process is typically the completion of a risk/needs assessment. Participants will be introduced to
Andrews’ Level of Service Inventory (LSI-R) and other modes of assessment that help the criminal justice worker/case manager determine "risk" level and "needs"
to be addressed in case management practices that then become the focus of intervention strategies.
Research over the years has helped to refine assessment instruments/strategies in terms of identifying those individuals who present the greatest risk for
re-offending along with the dynamic or criminogenic needs that, if addressed, should reduce the risk. Principles and processes will be presented within the
context of the "correctional strategy" and the emerging principles of risk, need and responsivity.
Morry Ulrich, M.Ed. Counselling Psychology
John Sawdon, M.Sc..
Additional instructors to be named.
Contact us: 1-877-889-6158
NOTE: This course, which includes Part I and Part II, is generally delivered as a Five Day Program.
Introduction to Dynamic Case Management - Part II
Upon introduction to the correctional strategy, risk/needs assessment and an overview of the principles of risk, need
and responsivity, participants will be introduced to case management intervention strategies designed to reduce the
risk of re-offending.
Morry Ulrich, M.Ed. Counselling Psychology
John Sawdon, M.Sc..
Additional instructors to be named.
Contact us: 1-877-889-6158
NOTE: This course, which includes Part I and Part II, is generally delivered as a Five Day Program.
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