Challenging clinical cases are present in all correctional facilities.  Whether patient needs are related to significant psychiatric symptoms, behavior dysregulation, frequent and intractable self-injury or suicide prevention, I can offer support.  I review each case through a lens of down-to-earth experience and evidence-based practices, to support patient improvement, staff education and provide a foundation for generalizability over time.  I work with clinicians across disciplines to understand scopes of practice, areas of expertise and the need for development.  I will provide guidance and support in the development of viable and achievable treatment plans, foster interdisciplinary collaboration, and ensure that the mental health team appreciates the need for collaborative and effective patient care.  When needed, I can offer formal and informal training to support staff in their efforts to improve individual patient outcomes and improved quality of life for our most challenging patients.