Available on-demand!
Acute Stress Syndrome Stabilization (ASSYST) Procedures
Dr. Ignacio "Nacho" Jarero

AIP-Informed Procedure for Online Care with Individuals and Groups.

The Acute Stress Syndrome Stabilization (ASSYST) Procedures in a group, individual, and Web-based formats, are AIP-informed, carefully field-tested, refined, and user-friendly psychophysiological, algorithmic, symptom-focused approaches whose references are the EMDR Integrative Group Treatment Protocol for Ongoing Traumatic Stress (EMDR-IGTP-OTS)© and the EMDR Protocol for Recent Critical Incidents and Ongoing Traumatic Stress (EMDR-PRECI)©.

In a world experiencing an increased number of mental disorders, mental health conditions, or prolonged adverse experiences (e.g, ongoing or prolonged traumatic stress), the one-to-one in-office traditional mental care is not enough to meet the actual mental health needs of the worldwide population. Therefore, mental health professionals need to be able to respond to those quickly and confidently in their community and abroad. This on-demand training will give licensed mental health professionals a powerful tool to provide a rapid response to those in need.

Training Overview:

These treatment procedures are specifically designed to provide in-person or online support to clients who present Acute Stress Disorder (ASD) or Posttraumatic Stress Disorder (PTSD) intense psychological distress and/or physiological/somatic reactivity caused by the disorder’s intrusion symptoms associated with the traumatic event(s) or adverse experience(s) memories.

For example, recurrent memories of the adverse experience(s) that includes one or more of the following components:

  • Sensory (e.g., images, smells, sounds, touch or be touched, taste).
  • Emotional (physical sensations associated with affective states).
  • Physiological (visceral sensations: vomit sensation, sense of heat for a burn victim, shortness of breath for a near-drowning experience survivor).

The ASSYST© procedures are Low-Intensity-Interventions (LII) that give us the possibility of direct, non-intrusive, physiological engagement with the client’s distressing/ pathogenic memories and their original components causing the nervous system hyperactivation (e.g., sensory, emotional, and physiological encoded information).

​Low-Intensity- Interventions (LII) are treatments with low usage of a specialized therapist’s time or brief versions of evidence-based approaches (max 6 sessions). LII are less resource-intensive, less expensive, less complex, shorter, effective, efficient, and more accessible than high-intensity treatments (face-to-face psychotherapy provided by a mental health specialist over extended periods of time).

The ASSYST© procedures can be administered within the first hours (Critical Care), days (Rapid Response) or first three months (Early Intervention), after an adverse experience, or as an early intervention to approach ongoing traumatic stress situations, when the person shows severe symptoms of psychological distress, physiological reactivity, and/or deterioration in current functioning, using a Health Insurance Portability and Accountability Act (HIPAA) compliant video program.

During the standard EMDR protocol preparation phase, the ASSYST Individual could increase the prevention of dissociative reactions (e.g., numb/disconnected, shutdown, collapse, fainting) while reprocessing pathogenic memories by reducing the nervous system sympathetic branch hyperactivation, produced by a specific memory component (e.g., freeze response when remembering the worst image, the screams of the people, or the smell of the aggressor), keeping the patients inside their window of tolerance.

The objective of these procedures is focused on the client’s nervous system sympathetic branch hyperactivation regulation through the reduction or removal of the activation produced by the sensory, emotional, or physiological components of the distressing/ pathogenic memories of the adverse experience(s) to achieve optimal levels of nervous system activation; thus, facilitating the AIP system the subsequent adaptive processing of the information

The ASSYST© procedures fill the gap between Psychological First Aid (PFA) and High-Intensity Intervention psychotherapy (e.g., EMDR) after a critical incident or adverse experience when the person shows severe symptoms of psychological distress, physiological reactivity, and/or deterioration in current functioning.

These procedures must be administered within a Stepped Care Context to help the person achieve a state of adaptive functioning or, via screening, to facilitate access to High-Intensity Intervention psychotherapy when necessary.

​The ASSYST procedures have been successfully used:

  • Three days after the September 19, 2017 earthquake in Mexico;
  • 13 days after the August 3, 2019, mass shooting in El Paso, Texas;
  • Shortly after the September 1st, 2019 hurricane Dorian in the Bahamas;
  • Immediately after the October 2019 riots in Chile to provide support to hospitalized civilians that were injured during the protests;
  • Immediately after the November, 2019 riots and wave of terror in Bolivia to provide support to civilians that were injured during the protests;
  • With immigrants in the United States three days after they escaped from 21 days of organized crime captivity;
  • With first responders (firefighters and medical personnel) and civilians who survived the January 23, 2019 gas explosion in Villa El Salvador, Peru; and
  • One day after the February 21, 2020 landslide in Cochabamba, Bolivia that affected 188 families.
  • During the COVID-19 pandemic.​

Join trauma expert, Dr. Ignacio (Nacho) Jarero, a world pioneer in EMDR Therapy Humanitarian Trauma Recovery and Research Programs, for an insightful 8-hour on-demand training that will expand your clinical knowledge base and powerful tool that can be used right after completing the training.

Training Objectives

  •  Describe the AIP-model based Acute Trauma and Ongoing Traumatic Stress Theoretical Conceptualization (Jarero & Artigas, 2018).
  • Define Early Psychological Interventions and Recent Trauma Clinical Presentations.
  • Describe the working memory theory in the desensitization and stabilization process.
  • Assess how to prepare and work in worst case scenarios.
  • With the previous knowledge participants will be able to apply in their professional practice the conceptualization of the working memory theory in stabilizing clients.
  • Apply creative ways to work with children in an online format.
  • Identify pathogenic memories from the Adaptive Information Processing (AIP) theoretic model.
  • Explain the relationship between the Polyvagal theory and the co-regulation.
  • Describe nervous system activation and regulation processes.
  • Explain initial steps for rapid response to a crisis.

Video of the ASSYST Training – 3:00:06
Video of Role Play Demonstration – 49:14
Video of How to Treatment Children With the ASSYST – 1:16:23
Question & Answer Session #1 – 59:58
Question & Answer Session #2 – 1:00:03
Question & Answer Session #3 – 52:44
Question & Answer Session #4 – 1:00:22

The cost for the Acute Stress Syndrome Stabilization (ASSYST) Procedures Training for Individuals is $90. (Total value = $200)

Included in the cost of the ASSYST-Remote training is a total of 8-hours of teachings:

  • A 3-hour teaching by Dr. Jarero
  • An online demonstration of the ASSYST-Remote
  • 3 recorded Q&As to answer all the common questions
  • A 1-hour recorded webinar for online strategies of using the ASSYST-Remote for treating children

For participants who may need financial assistance, Scaling Up has created an Accessibility Plan to try to help mitigate financial stress. To learn more about the Accessibility Plan, click here.​

The bundle price for both the Acute Stress Syndrome Stabilization (ASSYST) Procedures Training for Individuals AND for Groups is $130. Note: You must purchase the ASSYST-R Individual to purchase the ASSYST-R Group!

Included in the cost of the Acute Stress Syndrome Stabilization (ASSYST) Procedures Training for Groups training is a total of 2-hours of teachings:

  • An explanation of the ASSYST-RG
  • An online demonstration of the ASSYST-RG
  • A recorded Q&A session

A portion of the Acute Stress Syndrome Stabilization (ASSYST) Procedures Training will go to the AMAMECRISIS Foundation (Non-profit Mexican Organization Founded in 1998) for its Humanitarian and Research Projects.

Everyone who registers will receive access to the training recording to watch at their convenience for 90-days following their purchase.

Testimonials from Attendees

100% recommend! All of their trainings are awesome! I also recently did the one on ongoing traumatic stress, which teaches you the PRECI and other protocols Definitely changed the way I do EMDR

Molly Roth

Colleagues – we just finished a remote group ASSYST offering – participants were surprised at the impact…

one person had an aha moment, other talked about the surprising thing that came up and how quickly things dropped in terms of distress levels…

Rebecca Rosenblum

“Dr. Jarero’s training really helped me with my work at our emergency shelter. The ASSYST procedure has helped me to stabilize some of the teens I see right after they enter the shelter. The ASSYST allows for stabilization before they begin their trauma work and it helps build rapport with the clients in a way where they know that you as a clinician can assist them through this difficult time. I really enjoyed Dr. Jarero’s training not just because of the protocols but also his delivery. He was so engaging that it did not even feel like a training.”

Lizet Lizardo, M.A., LPC-Intern

Tis the season to use the ASSYST! 3 times today. And all with success

Charissa Fry

The ASSYST is really helpful protocol!! Especially done remotely

Rebecca DuLac Hogg

Clinicians in our agency are using ASSYST with recent traumaS (witnessing fatal accidents, domestic violence assaults, etc) to reduce reactivity to recent event with clients with complex trauma history as well.

Michelle Spurgeon Torres

Hey everyone! some of you may have heard that Nacho and I were able to join a team of therapists in El Paso to conduct a Rapid response Team using the ASSYST group and individual producers related to those affected by the recent Walmart shooting. We were able to respond within 13 days of the event!

Kelly Smyth Dent

“I am deeply grateful and trust the ASSYST procedures as a powerful tool for a rapid and effective response to traumatic events. The ASSYST procedures  allows us to feel confident that with our intervention, sustained in a very clear and fluid procedures, we will achieve the reduction of intense patient disturbance, without the need to know precisely the details of the event, facilitating to  our patients the natural processing of the traumatic event, which in our case were severe situations of human rights violations.”

Dra María Eugenia Hurtado

“Unfortunately it happens often at the agency level that families or individuals need support to heal from trauma, but there are often many life stressors and instability that make it difficult to provide therapy. Your resources have helped me more confidently treatment plan for them and the children have been very interested in the skills.  They offer their own SUDs without prompting and are comfortable with using the butterfly hug for themselves.  They appear comfortable engaging and have been able to share good memories about their (deceased) father as well.”

Licensed Mental Health Counselor
  • Training Overview:

    These treatment procedures are specifically designed to provide in-person or online support to clients who present Acute Stress Disorder (ASD) or Posttraumatic Stress Disorder (PTSD) intense psychological distress and/or physiological/somatic reactivity caused by the disorder’s intrusion symptoms associated with the traumatic event(s) or adverse experience(s) memories.

    For example, recurrent memories of the adverse experience(s) that includes one or more of the following components:

    • Sensory (e.g., images, smells, sounds, touch or be touched, taste).
    • Emotional (physical sensations associated with affective states).
    • Physiological (visceral sensations: vomit sensation, sense of heat for a burn victim, shortness of breath for a near-drowning experience survivor).

    The ASSYST© procedures are Low-Intensity-Interventions (LII) that give us the possibility of direct, non-intrusive, physiological engagement with the client’s distressing/ pathogenic memories and their original components causing the nervous system hyperactivation (e.g., sensory, emotional, and physiological encoded information).

    ​Low-Intensity- Interventions (LII) are treatments with low usage of a specialized therapist’s time or brief versions of evidence-based approaches (max 6 sessions). LII are less resource-intensive, less expensive, less complex, shorter, effective, efficient, and more accessible than high-intensity treatments (face-to-face psychotherapy provided by a mental health specialist over extended periods of time).

    The ASSYST© procedures can be administered within the first hours (Critical Care), days (Rapid Response) or first three months (Early Intervention), after an adverse experience, or as an early intervention to approach ongoing traumatic stress situations, when the person shows severe symptoms of psychological distress, physiological reactivity, and/or deterioration in current functioning, using a Health Insurance Portability and Accountability Act (HIPAA) compliant video program.

    During the standard EMDR protocol preparation phase, the ASSYST Individual could increase the prevention of dissociative reactions (e.g., numb/disconnected, shutdown, collapse, fainting) while reprocessing pathogenic memories by reducing the nervous system sympathetic branch hyperactivation, produced by a specific memory component (e.g., freeze response when remembering the worst image, the screams of the people, or the smell of the aggressor), keeping the patients inside their window of tolerance.

    The objective of these procedures is focused on the client’s nervous system sympathetic branch hyperactivation regulation through the reduction or removal of the activation produced by the sensory, emotional, or physiological components of the distressing/ pathogenic memories of the adverse experience(s) to achieve optimal levels of nervous system activation; thus, facilitating the AIP system the subsequent adaptive processing of the information

    The ASSYST© procedures fill the gap between Psychological First Aid (PFA) and High-Intensity Intervention psychotherapy (e.g., EMDR) after a critical incident or adverse experience when the person shows severe symptoms of psychological distress, physiological reactivity, and/or deterioration in current functioning.

    These procedures must be administered within a Stepped Care Context to help the person achieve a state of adaptive functioning or, via screening, to facilitate access to High-Intensity Intervention psychotherapy when necessary.

    ​The ASSYST procedures have been successfully used:

    • Three days after the September 19, 2017 earthquake in Mexico;
    • 13 days after the August 3, 2019, mass shooting in El Paso, Texas;
    • Shortly after the September 1st, 2019 hurricane Dorian in the Bahamas;
    • Immediately after the October 2019 riots in Chile to provide support to hospitalized civilians that were injured during the protests;
    • Immediately after the November, 2019 riots and wave of terror in Bolivia to provide support to civilians that were injured during the protests;
    • With immigrants in the United States three days after they escaped from 21 days of organized crime captivity;
    • With first responders (firefighters and medical personnel) and civilians who survived the January 23, 2019 gas explosion in Villa El Salvador, Peru; and
    • One day after the February 21, 2020 landslide in Cochabamba, Bolivia that affected 188 families.
    • During the COVID-19 pandemic.​

    Join trauma expert, Dr. Ignacio (Nacho) Jarero, a world pioneer in EMDR Therapy Humanitarian Trauma Recovery and Research Programs, for an insightful 8-hour on-demand training that will expand your clinical knowledge base and powerful tool that can be used right after completing the training.

  • Training Objectives

    •  Describe the AIP-model based Acute Trauma and Ongoing Traumatic Stress Theoretical Conceptualization (Jarero & Artigas, 2018).
    • Define Early Psychological Interventions and Recent Trauma Clinical Presentations.
    • Describe the working memory theory in the desensitization and stabilization process.
    • Assess how to prepare and work in worst case scenarios.
    • With the previous knowledge participants will be able to apply in their professional practice the conceptualization of the working memory theory in stabilizing clients.
    • Apply creative ways to work with children in an online format.
    • Identify pathogenic memories from the Adaptive Information Processing (AIP) theoretic model.
    • Explain the relationship between the Polyvagal theory and the co-regulation.
    • Describe nervous system activation and regulation processes.
    • Explain initial steps for rapid response to a crisis.
  • Video of the ASSYST Training – 3:00:06
    Video of Role Play Demonstration – 49:14
    Video of How to Treatment Children With the ASSYST – 1:16:23
    Question & Answer Session #1 – 59:58
    Question & Answer Session #2 – 1:00:03
    Question & Answer Session #3 – 52:44
    Question & Answer Session #4 – 1:00:22

  • The cost for the ASSYST-Remote Individual training is $90. (Total value = $200)

    Included in the cost of the ASSYST-Remote training is a total of 8-hours of teachings:

    • A 3-hour teaching by Dr. Jarero
    • An online demonstration of the ASSYST-Remote
    • 3 recorded Q&As to answer all the common questions
    • A 1-hour recorded webinar for online strategies of using the ASSYST-Remote for treating children

    For participants who may need financial assistance, Scaling Up has created an Accessibility Plan to try to help mitigate financial stress. To learn more about the Accessibility Plan, click here.​

    The bundle price for both the ASSYST-Remote Individual AND the ASSYST-Remote Group is $130.
    Note: You must purchase the ASSYST-R Individual to purchase the ASSYST-R Group!

    Included in the cost of the ASSYST-Remote Group training is a total of 2-hours of teachings:

    • An explanation of the ASSYST-RG
    • An online demonstration of the ASSYST-RG
    • A recorded Q&A session

    A portion of the ASSYST-Remote Online Training will go to the AMAMECRISIS Foundation (Non-profit Mexican Organization Founded in 1998) for its Humanitarian and Research Projects.

    Everyone who registers will receive access to the training recording to watch at their convenience for 90-days following their purchase.

  • Testimonials from Attendees

    100% recommend! All of their trainings are awesome! I also recently did the one on ongoing traumatic stress, which teaches you the PRECI and other protocols Definitely changed the way I do EMDR

    Molly Roth

    Colleagues – we just finished a remote group ASSYST offering – participants were surprised at the impact…

    one person had an aha moment, other talked about the surprising thing that came up and how quickly things dropped in terms of distress levels…

    Rebecca Rosenblum

    “Dr. Jarero’s training really helped me with my work at our emergency shelter. The ASSYST procedure has helped me to stabilize some of the teens I see right after they enter the shelter. The ASSYST allows for stabilization before they begin their trauma work and it helps build rapport with the clients in a way where they know that you as a clinician can assist them through this difficult time. I really enjoyed Dr. Jarero’s training not just because of the protocols but also his delivery. He was so engaging that it did not even feel like a training.”

    Lizet Lizardo, M.A., LPC-Intern

    Tis the season to use the ASSYST! 3 times today. And all with success

    Charissa Fry

    The ASSYST is really helpful protocol!! Especially done remotely

    Rebecca DuLac Hogg

    Clinicians in our agency are using ASSYST with recent traumaS (witnessing fatal accidents, domestic violence assaults, etc) to reduce reactivity to recent event with clients with complex trauma history as well.

    Michelle Spurgeon Torres

    Hey everyone! some of you may have heard that Nacho and I were able to join a team of therapists in El Paso to conduct a Rapid response Team using the ASSYST group and individual producers related to those affected by the recent Walmart shooting. We were able to respond within 13 days of the event!

    Kelly Smyth Dent

    “I am deeply grateful and trust the ASSYST procedures as a powerful tool for a rapid and effective response to traumatic events. The ASSYST procedures  allows us to feel confident that with our intervention, sustained in a very clear and fluid procedures, we will achieve the reduction of intense patient disturbance, without the need to know precisely the details of the event, facilitating to  our patients the natural processing of the traumatic event, which in our case were severe situations of human rights violations.”

    Dra María Eugenia Hurtado

    “Unfortunately it happens often at the agency level that families or individuals need support to heal from trauma, but there are often many life stressors and instability that make it difficult to provide therapy. Your resources have helped me more confidently treatment plan for them and the children have been very interested in the skills.  They offer their own SUDs without prompting and are comfortable with using the butterfly hug for themselves.  They appear comfortable engaging and have been able to share good memories about their (deceased) father as well.”

    Licensed Mental Health Counselor

Available On-Demand

ASSYST-Remote for Individuals Only

Included in the cost of the ASSYST-Remote training is a total of 8-hours of teachings:

  • A 3-hour teaching by Dr. Jarero
  • An online demonstration of the ASSYST-Remote
  • 3 recorded Q&As to answer all the common questions
  • A 1-hour recorded webinar for online strategies of using the ASSYST-Remote for treating children
ASSYST-Remote Bundle for Individuals & Groups

Included in the cost of the ASSYST-Remote Individual and Group training is everything in the Individual package PLUS 2-hours of teachings for administering the ASSYST with Groups:

  • An explanation of the ASSYST-RG
  • An online demonstration of the ASSYST-RG
  • A live Q&A session

Continuing Education (CE) Credits

EMDR MEXICO CEU’S

The ASSYST-Remote Individual is eligible for 7 CEUs from EMDR México. The ASSYST-Remote for Groups is eligible for 1 CEU from EMDR México.

CE’s FOR LICENSE RENEWAL 

Licensure renewal CEs are available for a $30 fee. Scaling Up offers 8.5 CEs for NBCC clock hours. It is the responsibility of the therapist to check with their licensure board for CE eligibility.

National Board for Certified Counselors (NBCC): Scaling Up, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7065. Programs that do not qualify for NBCC credit are clearly identified. Scaling Up, LLC is solely responsible for all aspects of the programs. (8.5 CEs for the On Demand ASSYST-R Individual).

Cancellation Policies

ON-DEMAND TRAINING

Because the online course is emailed to the recipient immediately after purchase, no refunds are available.

Participation Requirements

Skill Level: Advanced

Our intended audience are: 1) Licensed Therapists or 2) Pre-licensed therapists who have graduated with their master’s degree, who are working toward their clinical licensure and are under supervision, and 3) Master’s Level Graduate Students pursuing a career in mental health counseling.

Online, On-Demand Course Access

You will receive a login and password (by email) for our online training portal (Scaling Up Hub) on the day you purchase your course.

You will have access to all course materials 90 days after purchase for the on-demand only training. After 90 days, you will be given the option to continue to receive access to the course materials for $40 per month.

  • Continuing Education (CE) Credits

    EMDR MEXICO CEU’S

    The ASSYST-Remote Individual is eligible for 7 CEUs from EMDR México. The ASSYST-Remote for Groups is eligible for 1 CEU from EMDR México.

    CE’s FOR LICENSE RENEWAL 

    Licensure renewal CEs are available for a $30 fee. Scaling Up offers 8.5 CEs for NBCC clock hours. It is the responsibility of the therapist to check with their licensure board for CE eligibility.

    National Board for Certified Counselors (NBCC): Scaling Up, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7065. Programs that do not qualify for NBCC credit are clearly identified. Scaling Up, LLC is solely responsible for all aspects of the programs. (8.5 CEs for the On Demand ASSYST-R Individual).

  • Cancellation Policies

    ON-DEMAND TRAINING

    Because the online course is emailed to the recipient immediately after purchase, no refunds are available.

  • Participation Requirements

    Skill Level: Advanced

    Our intended audience are: 1) Licensed Therapists or 2) Pre-licensed therapists who have graduated with their master’s degree, who are working toward their clinical licensure and are under supervision, and 3) Master’s Level Graduate Students pursuing a career in mental health counseling.

  • Online, On-Demand Course Access

    You will receive a login and password (by email) for our online training portal (Scaling Up Hub) on the day you purchase your course.

    You will have access to all course materials 90 days after purchase for the on-demand only training. After 90 days, you will be given the option to continue to receive access to the course materials for $40 per month.

Have questions about this training? We’re here to help!

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