Recent posts

Lisa Fahey 26 June 2024
Your view, their view, our view… to best understand

To develop an effective screening model, it is crucial to replicate best clinical practices through the triangulation of perspectives and data. For example, when a child is referred for behavioral health services, the clinician considers the concerns expressed by parents, teachers, or other referral sources, as well as the child's own views.

Lisa Fahey 26 June 2024
Looking for the big and the small… see the whole picture

When an organization or school screens every young personyouth, they can flag the needs and strengths of individual and collective young people youth.

Lisa Fahey 26 June 2024
Be in the know and respond when its needed

Screening and triage are critical processes to maintain the standard of care. Rapid access to organized, actionable clinical information equips staff with the insights they need to intervene effectively. Moreover, leaders gain an understanding of aggregated

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Lisa Fahey 26 June 2024
Share the plan, do the plan… feel safe within the plan

Proactive safety planning acts as a guardrail to prevent and mitigate crises, which could otherwise overwhelm a young person's coping abilities, akin to how disaster planning, fire drills, or pre-flight safety briefings prepare individuals to manage emergencies with composure. Leaders must ensure that there are systems in place so that staff prioritize the immediate, safety issues that prevail with high-risk clinical conditions like depression

Lisa Fahey 26 June 2024
What are we writing down?... Why are we writing it?

Clinical documentation generates a strong emotional response from many clinicians in behavioral health organizations because the requirements are often excessive. Note writing was established to provide a historical record, a means of tracking progress, and a method to coordinate care between current and future providers. Over time, regulators and funders imposed additional requirements, so that clinical documentation now demands significant operational and workforce resources that divert from service delivery. Providers are often compelled to adhere to new requirements and document to excess, leading to wasted time and resources. Poorly designed or outdated

Lisa Fahey 26 June 2024
Can't keep in step… how trauma impacts the brain

A confounding factor in recovery from trauma is the phenomenon of “hypofrontality,” the process where the frontal lobe, the seat of problem solving and cognitive controls, is impaired. Hormones are not released at the same levels to facilitate working memory,

Lisa Fahey 26 June 2024
Understanding your brain garden… weeds and all

The brain is not fully developed until a person is about 25 years old. The executive office in the front part of the brain, known as the prefrontal cortex or the frontal lobe, controls problem solving, emotion regulation, impulse control, planning, and decision making.

Lisa Fahey 26 June 2024
Practice for the mind…to heal the brain

Mindfulness practices are increasingly recognized as highly effective with post- treatment. The moment-to-moment awareness of bodily activities, feelings, emotions, and sensations helps young people regulate emotions and heals brain functions.44F

Lisa Fahey 26 June 2024
Be in the know and respond when its needed

Screening and triage are critical processes to maintain the standard of care. Rapid access to organized, actionable clinical information equips staff with the insights they need to intervene effectively. Moreover, leaders gain an understanding of aggregated making.

Lisa Fahey 26 June 2024
Understanding Depression and anxiety... How are they different?

When we think about the relationship between anxiety and depression, I think it can be useful to imagine them as each being on the banks of a river. Anxiety on one side and Depression on the other. Of course, it is best to try to swim in the middle. We all sometimes deviate between becoming overwhelmed by either a low mood or triggered to

Lisa Fahey 26 June 2024
Tips to Understanding and Managing Stress

When we think about stress it is usual for there to be a focus on the negative feelings and Impact of Distress, rather what we actually thrive on for growth and resilience which is Eustress or positive stress.

Lisa Fahey 26 June 2024
Working as a Clinician Practitioner in 2024 is Not for the Faint Hearted!

I call myself a ‘modern behaviouralist’. In the context of NDIS in Australia, and perhaps more broadly the human service sector inclusive of welfare, health and those involved in the care of vulnerable people internationally.

Lisa Fahey 26 June 2024
The Path to Confidence and Growth

A wise educator counselled one of my children years ago as they made the tentative step from primary to secondary school. The teacher suggested that each child should be encouraged to select a subject or school activity that they most enjoy and did well at; and then aim to be in the top 10% of the class just for that course making.

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