Clinician in a telehealth session beside a written safety plan, an SOS phone alert, and a police car

Building Cultures of Safety in Mental Health Practice: Workplace Violence Prevention & Response

A self-paced, on-demand course for mental health practices

Presented by Dr. Jennifer Sampson, PhD, LMFT, CST-S, and Tim Repass

On-demand course: 1.25 NBCC CE hours · Live cohort: 2 NBCC and AASECT CE hours

Content is relevant for clinicians nationwide. Seventeen states now require health care employers to train staff on workplace violence prevention, and California requires it of nearly every employer.

Available now on demand · $45 · Start today and finish on your own schedule

Next live cohort date to be announced

Start the on-demand course

Building Cultures of Safety in Mental Health Practice: Workplace Violence Prevention & Response

A self-paced, on-demand course for mental health practices

Presented by Dr. Jennifer Sampson, PhD, LMFT, CST-S, and Tim Repass

On-demand course: 1.25 NBCC CE hours · Live cohort: 2 NBCC and AASECT CE hours

Content is relevant for clinicians nationwide. Seventeen states now require health care employers to train staff on workplace violence prevention, and California requires it of nearly every employer.

Available now on demand · $45 · Start today and finish on your own schedule

Next live cohort date to be announced

Start the on-demand course

About This Training

Creating a safer workplace is not about practicing from fear.

Recent national news — including the tragic killing of a therapist in their Florida office — has been a sobering reminder that outpatient mental health settings are not immune from violence. Many clinicians felt shaken by that story. Most of us quietly wondered: Would I know what to do if this were me?

Clinician holding a written safety procedure binder in an outpatient mental health office

Creating a safer workplace is not about practicing from fear. It is about building clarity before something happens.

This live, interactive training supports mental health clinicians, supervisors, and practice leaders in strengthening safety with steadiness and discernment. Grounded in systemic and relational principles, the training integrates real-world case examples with legally grounded guidance so participants leave knowing what to do under pressure — without abandoning therapeutic integrity.

Content applies to both in-person and telehealth settings and is relevant for group practices, community clinics, and solo private practitioners alike. While this training is aligned with Washington State law, the core content — escalation recognition, de-escalation, emergency response, documentation, and safety culture — reflects best practices applicable to outpatient mental health settings in any state.

This training is particularly relevant for sex therapists and clinicians working with clients navigating intimate partner violence, sexual trauma, coercive control, and high-conflict relational dynamics — clinical contexts that carry elevated safety considerations for both clients and clinicians.

register now!
Clinician holding a written safety procedure binder in an outpatient mental health office

About the Trainers

Dr. Jennifer Sampson, PhD, LMFT, CST-S, co-trainer for Building Cultures of Safety
Tim Repass, Safety Officer and co-trainer for Building Cultures of Safety
MEET

Dr. Jennifer Sampson, PhD, LMFT, CST-S


Dr. Sampson
is a licensed marriage and family therapist, AASECT certified sex therapist, and organizational leader whose work integrates systemic therapy, relational ethics, and clinician sustainability.

With over two decades of clinical and academic experience, she supports mental health professionals in navigating complexity with clarity and accountability.

Tim Repass, Safety Officer and co-trainer for Building Cultures of Safety
MEET

Tim Repass, Strategy and Operations Director (Northwest Relationships)


Tim Repass
serves as Safety Officer and Director of Strategy & Operations at Northwest Relationships. His work bridges operational systems, risk mitigation, and psychological insight.

He leads workplace safety planning and training grounded in relational awareness and practical preparedness.

What You Will Learn

Presenter leading a live workplace violence prevention training for a group of clinicians

In the on-demand course, participants will be able to:

  • Identify the federal guidance, state requirements and accreditation standards that may apply to a given practice setting, and name the professional obligations that apply regardless of statutory coverage.
  • Identify behavioral, verbal, and environmental warning signs of escalation in outpatient mental health settings.
  • Apply trauma-informed de-escalation strategies that begin with clinician self-regulation.
  • Identify the elevated safety considerations present in clinical work involving intimate partner violence, sexual coercion, and high-conflict relational dynamics.
  • Differentiate situations requiring continued clinical containment from those requiring evacuation, lockdown, crisis services, emergency services activation, or duty-to-warn action.
  • Apply telehealth-specific safety planning, including location verification and jurisdictional preparation.
  • Distinguish workplace safety incident records from clinical documentation, and apply post-incident debrief and safety-audit practices.

This training emphasizes discernment, relational containment, and systemic responsibility — not hypervigilance.

Learning Objectives

By the end of this training, participants will be able to:

Identify relational, behavioral, and environmental warning signs of potential escalation in outpatient mental health settings.

Apply trauma-informed, relational de-escalation strategies while maintaining therapist self-regulation and professional boundaries.

Differentiate between situations requiring continued clinical containment and those requiring evacuation, lockdown, consultation, or emergency services activation.

Implement ethical documentation, reporting, and post-incident debrief practices aligned with Washington State standards and broadly applicable to healthcare settings nationwide.

Apply telehealth-specific safety planning and response strategies that protect clients, clinicians, and organizations.

Identify safety considerations specific to clinical work with clients navigating intimate partner violence, sexual coercion, and high-conflict relational dynamics.

Example Agenda (2 Hours | Live Remote)

PART 1

Mental Health Practice as a Relational Risk Environment


  • Why outpatient mental health settings carry unique safety considerations
  • National context and professional responsibility
  • Four patterns of workplace violence in health care settings
  • Early, mid, and late indicators of escalation
  • Distinguishing dysregulation from imminent threat

PART 2

De-Escalation & Emergency Decision-Making


  • Therapist self-regulation as the foundation of safety
  • Power, proximity, pacing, and boundary clarity
  • When containment is appropriate — and when it has limits
  • Clear criteria for calling 911
  • Evacuation vs. lockdown decision-making
  • Responding when law enforcement or government agencies arrive

PART 3

Telehealth, Documentation & Organizational Culture


  • Safety planning during intake (location verification, emergency contacts)
  • Escalation in remote settings
  • Reporting and documentation practices (aligned with RCW 49.19 and national best practices)
  • Post-incident debriefing and collective learning
  • Building policies that sustain a culture of safety

Interactive case examples and guided reflection are integrated throughout.

Who This Training Is For

Therapist and client meeting in a private outpatient therapy office

This training is relevant for all mental health clinicians — including solo private practitioners.

Whether you:

  • Share an office suite
  • Provide telehealth from home
  • Lead a group practice
  • Supervise associates or interns
  • You carry responsibility for safety planning and legally sound response in high-pressure situations.

Especially valuable for:

  • Supervisors
  • Practice owners
  • Clinical directors
  • Anyone shaping policy, training, and team culture
  • AASECT-certified sex therapists and clinicians working with IPV, trauma, and high-conflict relational dynamics
Therapist and client meeting in a private outpatient therapy office
Two clinicians reviewing an emergency response checklist and deciding when to call 911

Why This Training / Why Now

In light of recent national tragedies in outpatient settings, many clinicians are asking important safety questions:

  • Would I recognize early warning signs in time?
  • Would I feel confident calling 911?
  • What happens if ICE or law enforcement shows up?
  • Are our documentation and reporting systems legally sound?
  • Does our practice culture support learning after incidents?

This training provides clarity without alarmism and preparation without rigidity. It strengthens both individual readiness and organizational integrity.

Two clinicians talking through a de-escalation and safety planning conversation

What You’ll Walk Away With

Participants will leave this training with:

  • A structured framework for recognizing and responding to escalating behavior
  • Clear criteria for emergency decision-making
  • Greater confidence navigating telehealth safety concerns
  • Practical documentation and reporting guidance
  • Tools for strengthening safety culture within their organizations
  • A steadier internal orientation rooted in preparation rather than fear
Two clinicians talking through a de-escalation and safety planning conversation

Compliance & National Context

Illustration representing a written workplace violence prevention program

Workplace violence prevention requirements are spreading across the United States, and most of what is written about them is aimed at hospitals. Seventeen states now require health care employers to train staff on workplace violence prevention, and several more require written plans, reporting, or both. Nearly all of those laws attach to hospital or facility licensure rather than to outpatient practice.

California is the large exception. Labor Code 6401.9 applies to all employers, not only health care employers, and has since July 1, 2024. Covered employers need a written plan, a violent incident log, and training every year, delivered with an opportunity for interactive questions and answers. A recording does not satisfy that on its own.

Louisiana may reach private practices too. Its workplace violence act names offices of healthcare providers that are not otherwise licensed by the state, and whether a counseling practice is covered is genuinely unsettled.

Separately, California, Washington, Oregon, Minnesota, Montana, Hawaii and Nevada require employers generally, whatever the industry, to maintain a written safety program. Violence prevention belongs inside it.

This training:

Was built to meet the RCW 49.19 training content standard, covering early warning signs, de-escalation, documentation, and safe response practices in health care settings.

If you practice outside Washington, it addresses the same core competencies named in most state workplace violence laws and reflects OSHA's published guidance for healthcare and social service settings. Confirm your own state's requirements, since coverage often turns on facts specific to your practice. This is not legal advice.

Illustration representing a written workplace violence prevention program

What participants say

Building Cultures of Safety

“

I've attended several Lovewell trainings, and each time I come away feeling like your CE team knew what I needed to learn even before I did. Bravo!

Jordan Klekamp, LMHC, WA

“

Excellent training. You stayed on the topic throughout and brought in several issues our practice now needs to consider for improved safety and well-being of staff and clients.

Tina Mansfield, LMHC, WA

“

You all did great, it was very approachable, a little scary but that's what this topic is and I never felt overwhelmed or over-activated through it all.

Kelly Lynn Hlifaziel, LMHC, WA

“

I feel the training provided information I didn't have prior and left me feeling equipped to navigate both virtual and in-person situations.

Heather Reid, LICSW, WA

Registration & Pricing

STANDARD REGISTRATION

$85

Next live cohort date to be announced

Live registration includes:

  • 2 NBCC + AASECT-approved CE hours
  • Access to live Q&A and case discussion
  • Training materials and resources

The next live cohort has not been scheduled yet. The on-demand version is available now below, and we will announce the next live date to our list first.

WAGPON Partnership Cohort Rate

This special partnership rate is available to WAGPON-affiliated practices for this training. This special registration tier is only available to group owners registering their group’s clinicians. 

Please contact us directly regarding registration for WAGPON-affiliated practice members. 

On-Demand Version (Available Now)

Prefer flexible viewing? Start the self-paced course today and finish on your own schedule.

On-Demand Price: $45

On-demand access includes:

  • Eight modules of short, captioned video lessons, with a written transcript of every video
  • The Practice Safety Blueprint Workbook, a safety audit checklist, a de-escalation quick reference, a sample incident report form and two worksheets
  • 1.25 NBCC CE hours on completion of all course requirements
  • 12 months of course access from the date you enroll
Enroll now, $45

Group & Practice Consultation

Interested in hosting a training for your entire team or exploring customized implementation support?

Contact us at [email protected] to discuss:

  • Practice-level training options
  • Safety implementation consultation packages
contact us

Frequently Asked Questions

Does my therapy practice have to do workplace violence prevention training?

It depends on your state. California employers, including private therapy practices, have been covered by Labor Code 6401.9 since July 1, 2024 and need annual training delivered with interactive question and answer. Seventeen states require health care employers to train staff, and nearly all of those laws are written for hospitals and licensed facilities rather than outpatient practices. Separately, California, Washington, Oregon, Minnesota, Montana, Hawaii and Nevada require employers generally to maintain a written safety program, and workplace violence belongs inside it.

Does this training count as continuing education?

Yes. The on-demand course awards 1.25 NBCC-approved CE hours. Live cohorts carry two NBCC-approved CE hours and two AASECT-approved CE hours. Lovewell Initiatives is an NBCC Approved Continuing Education Provider, ACEP No. 7776, and an AASECT Approved CE Provider, No. 25-0609-LI. Learners confirm acceptance with their own licensing board.

Is a recorded workplace violence course enough for California?

Probably not on its own. California Labor Code 6401.9 requires training that includes an opportunity for interactive question and answer with a person knowledgeable about the employer's plan, and a self-paced recording does not provide that. Louisiana's statute uses almost the same language.

How is this different from de-escalation or CPI training?

De-escalation training teaches you to manage an escalating person. This training covers that and adds what a practice owner is left holding: recognising warning signs earlier, deciding when a situation stops being clinical, documenting it defensibly, planning for intimate partner violence and high-conflict dynamics, and building protocols a team will follow. It is not a physical intervention program and does not teach restraint.

Is the training appropriate for solo and telehealth practitioners?

Yes. One of the course's learning objectives covers telehealth-specific safety planning, including location verification and jurisdictional preparation, and the risk profile of working alone is one of the reasons solo practitioners take it.

Start the on-demand course
Continuing Education Compliance
Lovewell Initiatives is an AASECT Approved Continuing Education Provider (#25-0609-LI · Expires 06/30/2027) and an NBCC Approved Continuing Education Provider (ACEP No. 7776).
Programs that do not qualify for CE credit are clearly identified.
Lovewell Initiatives is solely responsible for the content of all programs.