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Featured Event

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Featured Event 💜

A 4.5 HOUR NETWORKING AND ETHICS CE EVENT

When Outpatient Isn’t Enough: Ethical Decision-Making Across the Continuum of Care

In partnership with Skyway Behavioral Health, join Livia Budrys and Sarah Buino in person for a 3-hour ethics training (with ethics CEs!) designed for therapists navigating one of outpatient work's most ethically complex moments: recognizing when a client needs a higher level of care.

This training offers a grounded clinical framework, practical tools for confident level-of-care decision-making, and a facilitated case consultation luncheon where you can process real-world challenges alongside peers and higher-level-of-care professionals. Whether you're carrying the weight of a difficult case or simply want to strengthen your clinical network, this is a space to feel less alone at the edge of hard decisions. Education, connection, and thoughtful companionship all in one event.

Together we will…

  • Identify clinical and behavioral indicators that ethically obligate consideration of a higher level of care, including risks related to safety, stabilization, and the limits of outpatient treatment.

  • Differentiate among levels of care (IOP, PHP, residential, inpatient) and describe the core clinical functions, treatment goals, and ethical fit of each level.

  • Describe at least three common ethical and emotional barriers (e.g., fear of abandonment, countertransference, rescue fantasies, financial or systemic pressures) that interfere with timely step-up decisions, and apply strategies to navigate them responsibly.

  • Apply an ethical decision-making framework to assess acuity, determine when outpatient care is no longer sufficient, and support sound clinical judgment through consultation and documentation.

  • Demonstrate ethically sound, compassionate referral language that engages clients collaboratively while maintaining therapeutic boundaries, informed consent, and professional responsibility.

When: Thursday, July 30th - Skyway Downers Grove
Thursday, July 31st - Skyway Skokie

Cost: $25, lunch included

2026 Speaking Events

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Relational Resilience: Leading Group Therapy Practices Through Industry Disruption

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Anchored in Acuity: Outpatient Skills for Complexity and Clinical Judgment

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Unveiling Shame: Nurturing Resilience and Agency

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Modern Therapist’s Survival Toolkit

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March 3

Psychotherapy for a Changing World: A Practice of Unlearning for Uncertain Times

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April 17

Anchored in Acuity: Outpatient Skills for Complexity and Clinical Judgment

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The Meadows, Atlanta
Details coming soon

April 4

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April 28

The Wounded Healer's Toolkit: From Self-Care to Systemic Change

ADEPT Educational Institute of Maine
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June 2

Psychotherapy for a Changing World: A Practice of Unlearning for Uncertain Times

OACBHA Mental Health and Addiction Conference

July 31

When Outpatient Isn’t Enough: Ethical Decision-Making Across the Continuum of Care

with Livia Budrys

Skyway - Skokie
Join us in person!

September 15

When Outpatient Isn’t Enough: Ethical Decision-Making Across the Continuum of Care

with Livia Budrys

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Join us

May 19

Psychotherapy for a Changing World: A Practice of Unlearning for Uncertain Times

ADEPT Educational Institute of Maine
Details coming soon

June 30

Bridging Heart & Practice: Enhancing Clinical Supervision Skills

with Sarah Suzuki

ADEPT Educational Institute of Maine
Join us

July 30

When Outpatient Isn’t Enough: Ethical Decision-Making Across the Continuum of Care

with Livia Budrys

Skyway - Downers Grove
Join us in person!

September 25

Embracing Ethical Power in Therapy
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Courses and Workbooks Galore!

Authentic Leaders Group
Cohort 4 in 2027

Authentic Leaders Group is for therapists and mental health leaders who sense that what’s needed now isn’t just more tools, but also more clarity about what they and their teams are experiencing internally, relationally, and systemically.

Authentic Leaders helps you gain perspective and greater awareness so you are able to enact your leadership from a place of grounded wisdom.

Not sure what you need? Reach out!
Sarah would love to chat with you to help you!