Dustin K MacDonald

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Tag: psychosocial

Level of Care Utilization System (LOCUS)

Posted on January 23, 2017November 25, 2018 by Dustin

Introduction The Level of Care Utilization System or LOCUS tool has been designed by the American Association of Community Psychiatrists (2009) to allow staff who work on inpatient hospital environments with patients with psychiatric problems (such as emergency departments, psychiatric sections of general hospitals or in psychiatric hospitals) to determine the level of care that…

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Manage Stress Like a Marine

Posted on January 9, 2017November 23, 2019 by Dustin

Introduction Nobody knows stress management like the US military. Stress management has been recognized as an important part of ensuring an effective fighting force since the First World War. The US Marine Coprs manual MCRP 6-11C, “Combat and Operational Stress Control” (2010) is one part of this program. Bite-sized takeaway: Know yourself and your team…

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Preventing Burnout on Crisis Lines

Posted on January 2, 2017November 25, 2018 by Dustin

Introduction Burnout is defined as a state of ineffectiveness comprising “emotional exhaustion, depersonalization, and reduced personal accomplishment.” (Maslach, 1982) It is a pervasive and frustrating state, accounting for a large portion of the turnover experienced in mental health services, including volunteer and paraprofessional organizations like crisis lines. There are a number of models of burnout,…

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Bereavement Risk Assessment Tool (BRAT)

Posted on November 7, 2016November 25, 2018 by Dustin

Introduction From September 2012 to April 2013, I had the pleasure of completing an 400 hour field placement with Durham Hospice (now VON Durham Hospice). During the first 200 hours (my first semester), I completed the Fundamentals of Hospice Palliative Care Course, learned how to perform psychosocial assessments and assisted in the facilitation of a…

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Biopsychosocial Model of Violence Risk Assessment

Posted on October 31, 2016November 25, 2018 by Dustin

Introduction Violence risk assessment is an important element of counselling and crisis intervention. Although in high-risk situations it can (and should be) performed by clinicians with specific training in violence risk, there may be situations where clinicians or others (corrections officers, private practice therapists, crisis line supervisors, etc.) need to have a understanding of the principles…

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