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Fundamentals of Escalation and De-Escalation

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This training will focus on clinicians and non-clinician staff working directly with a high-risk clientele with mental health and substance abuse issues in an outpatient setting. Participants will learn how to recognize the progression of escalating behavior and implement effective responses and interventions for each stage with the goal of preventing crisis from occurring. Lecture and discussion, role playing and applying real-life client situations to the training material being discussed.

Participants will learn about the identification and corresponding intervention for the following topics with the intention of strengthening their skills in each area.

1. Stages of crisis development and appropriate responses and interventions
2. The three levels of communication:

A. Non-verbal communication
Proxemics and kinesics
B. Paraverbal communication
Tone, volume, cadence
C. Verbal communication

3. Keys to setting limits
4. Verbal intervention tips and techniques
5. Empathic listening

5 Stages of Verbal Escalation:
1. Questioning
2. Refusal
3. Release
4. Intimidation
5. Tension Reduction


Lauren Szyper, PsyD is a clinical psychologist with a background working with high-risk children, adolescents, adults, and seniors in community mental health settings and specializes in the areas of complex and intergenerational trauma, gender identity, and sexual orientation.  Dr. Szyper is currently providing trauma-informed therapy to high-risk youth and is an independent contractor providing training on a variety of clinical topics throughout the Bay Area.

Continuing Education

This course meets the qualifications for two (2) CEUs for LPCCs, LCSWs and MFTs as required by the California Board of Behavioral Sciences and is provided by Lincoln under CAMFT's Continuing Education Provider Program (CEPA), #133478.

Training Registration Policy

Registration closes a week prior to the training and we cannot accept late registrations. Thank you for your understanding.

Training Cancellation Policy

If we cancel training or special event as a result of low registration, for example, registrants will be notified by email or phone one week prior to the training date and receive a full refund. Where courses are cancelled for reasons beyond our control, then registrants will be given shorter notice and will receive a full refund. If a registrant cannot attend training and contacts the Training Institute within 72 hours of the training or special event to cancel, a full refund will be issued. If a registrant contacts the Training Institute outside of the 72 hour period, a refund will not be issued.


In accordance with California Civil Code Section 54.1 any disabled person who may require accommodations to participate in our trainings or special events, please contact the Training Institute at 510-273-4700, x4132 at least 3 days in advance.


When a grievance arises pertaining to a Lincoln training, the complainant is expected to notify Minjon LeNoir, Director of Training, either by phone 510-273-4700, x4331, in writing, or in email, as soon as possible so that the nature of the concern may be addressed in a timely fashion in order to be resolved.


If you have questions or need additional information please contact Minjon LeNoir, Training Director, at