The University of North Carolina at Chapel Hill School of Social Work Fall Semester, 2007 Tuesdays, 2-4:50 Course Number: SOWO 841 (Section 002) Course Title: Health and Mental Health Practice with Children and Adolescents Room: 300 Tate Turner Kuralt Instructor: Mimi V. Chapman, MSW, Ph.D. LCSW Associate Professor, UNC School of Social Work email: mimi@email.unc.edu Office phone: 843-8282 Home Phone: 942-8280 (use with discretion and before 6pm and after 8 pm.) Office Hours: Mondays and Tuesdays from 12 - 2 or by appointment. Course Description: This course is a seminar on health and mental health clinical social work practice with children and adolescents. It covers assessment, practice theories, and evidenced-based interventions. Course Objectives: Upon completion of the course the student will be able to: 1. Use research knowledge on the etiology, developmental trajectory, and risk and protective mechanisms specific to selected health and mental health disorders; 2. Describe in detail selected theoretical models for working with children and adolescents and be able to match therapeutic strategies to appropriate health and mental health problem areas; 3. Demonstrate, through the use of class role playing, the ability to engage, assess progress with simulated child an adolescent clients; 4. Complete bio-psychosocial assessments that are sensitive to, and address, diversity issues including: ethnicity, age, gender, sexual orientation, class, and differences in spiritual beliefs; 5. Discuss, with the use of specific cases, the differences in the social worker’s roles and ethical responsibilities to promote prevention and social intervention in patient and outpatient health and mental health settings and be able to design services for persons in these cases; 6. Identify and assume an informed position regarding selected ethical dilemmas and legal issues that challenge clients and providers. Skills to be acquired in this Class: 1. The ability to go beyond information gathering to create a nuanced assessment and treatment plan for a child and their family; 2. The ability to consider and identify cultural understandings of illness that may impact treatment; 3. The ability to identify evidence-based treatments for particular disorders; 4. The beginning ability to employ various evidenced-based treatments that will be helpful to the child or family system. Required Texts -- The following texts are available at the Health Affairs Bookstore: Kazdin, A.E. and Weisz, J.R. (Eds.). (2003). Evidenced-Based Psychotherapies for Children and Adolescents. New York: Guilford Press. ISBN: 1-57230-683-1 Ryan, C. & Futterman, D. (1998). Lesbian and Gay Youth: Care and Counseling. New York: Columbia University Press. ISBN: 0-231-11191-6 1 Webb, N.B. (2003). Social Work Practice with Children (2nd Ed.). New York: Guilford Press. ISBN: 157230-886-9 Suggested Texts: James, B. (1989). Treating Traumatized Children: New Insights and Creative Interventions. New York: Free Press. ISBN: 0-669-20994-5 (all REQUIRED readings from this text are available on the UNC library ereserves). Mufson, L. Dorta, K.P., Moreau, D., & Weissman, M. (2004). Interpersonal Psychotherapy for Depressed Adolescents (2nd ed.). New York: Guilford Press. ISBN: 1-59385-042-5 5 (all REQUIRED readings from this text are available on the UNC library e-reserves). Rolland, J.S. (1994). Families, Illness, & Disability: An Integrative Treatment Model. New York: Basic Books. ISBN: 0-465-02915-9. 5 (all REQUIRED readings from this text are available on the UNC library ereserves). Webb, N.B. (Ed.). (2002). Helping Bereaved Children. New York: Guilford Press. ISBN: 1-59385-164-2 5 (all REQUIRED readings from this text are available on the UNC library e-reserves). Course Assignments: Grading criteria will be described during the first class session. 1. Journaling on Readings (5 assignments x 10 pts each = 50 points) You will be required to journal on five articles or topic areas. Specific questions are listed in this syllabus. Unless otherwise specified, these journal entries should be turned in at the beginning of class on the day they are listed. The journal writing is to be limited to no more than four doublespaced pages on each reading or topic. Remember to look carefully at the questions I’ve posed and allow yourself time to reflect fully on each. 2. Mini-ethnography (15 points) Please choose a child/adolescent or a parent of a child/adolescent with a chronic illness or condition. This person may be someone you know in your personal life, a client, or even a family member. Interview them about their illness from an ethnographic point of view. Kleinman (1988) 1 writes that by using the mini-ethnography the clinician is allowed to “place himself in the lived experience of the patient’s illness… By putting himself in the position of the family members and important people in the wider social circle, one can also empathically witness the illness as they do. This experiential phenomenology is the entrée into the world of the sick person.” In order to deepen our understanding and empathy for our clients experiencing a physical or mental illness, this paper will ask you to construct a mini-ethnography of a child or family member of a child with a physical or mental illness. 1 Klienman, A. (1988). The Illness Narratives: Suffering Healing, and the Human Condition. New York: Basic Books. 2 An ethnography differs from a “case formulation” in that your purpose is to understand your client through their own eyes: not to look with a clinical lens with the purpose of creating a treatment plan, looking for diagnostic clues etc. Your goal is simply to understand the world as they see it and their illnesses’ place in that world. Here are some areas to explore: First, explore the story of the illness. What did the person notice first about their illness? How did they manage the symptoms before professionals became involved? What did they think their symptoms meant? What was the experience of involving others in understanding their symptoms? How did the different systems involved treat them? Who did they perceive to be helpful or not and why? Next, explore how the illness has changed their relationships with others including family, friends, and strangers. What messages does the person receive from the larger society about their illness? Then, what impact does the illness have on their daily life? What is their perceived quality of life? What are their hopes for the future? What role does the illness play in their expectations? As a final piece, reflect on the process of doing this interview and compare it to how you usually interact with clients. Did this process teach you anything new? Was it harder or easier than clinical interviews that you have experienced? Why? Will you change your clinical interviewing in any way as a result of this experience? Some Tips: Adapted from Anne-Linda Furstenberg, 1996 & Denise Gammonley, 2000. The goal of the mini-ethnography is to capture this child or family member’s perception of their world and the illnesses’ role in that world. Your goal is to engage the interviewee in a focused discussion of what it means to be a child or the parent of a child with a particular illness. The interview process is open-ended and emphasizes asking questions that elicit rich detail. Toward this end, Develop an interview guide to focus the discussion. Feedback will be given on your interview guide if you choose to turn it in for review one week prior to your interview. If you choose to have your guide reviewed, please provide a few sentences about the person you are interviewing and the condition or experience about which you will be interviewing them. The guide should contain a list of broad topic areas you want to cover. Some useful strategies for formulating questions and conducting an in-depth interview include: 1) Explain the purpose of the interview and assure confidentiality. 2) Use descriptive questions and encourage vivid detail – probe by asking follow-up questions about the sequence of events, the locations, who else was there and what were they doing. 3) Avoid evaluative questions: What kinds of things does your family do together versus how do you get along with your family. 4) Begin broad and focus more narrowly. 5) Check to make sure you understand the meaning behind what is being said. Ask them to explain language you don’t understand. Restate what they have said to make sure you are clear on what they mean. 6) Give permission to discuss difficult areas or NOT if preferred. Due at the beginning of class on October 2nd Length: 10-12 pages, double-spaced (Please attach your interview guide as an appendix) 3 3. Class Participation (10 points): Attending and participating in class are important. A standard score of 10 points will be awarded for consistent attendance, contributions to large and small group activities, and your participation in class discussions. Points will be deducted if you are late or come unprepared to participate in class. Also, please note five points will be deducted for each unapproved absence (except in the event of an unforeseen emergency). 4. Final Exam (25 points): This exam provides the opportunity to “put the pieces of the puzzle together.” It is an applied exam in that you will be presented with case material and asked what to do with that material. This may mean choosing an evidenced-based treatment that would apply to the situation in question, it may mean writing what you would say to a client at a particular juncture, or writing assessment/case formulations based on the information given. The exam will be available via blackboard by 5 p.m. on the last day of class. Completed exams must be returned by Tuesday, December 11th at noon and may be submitted via email or hard copy. You may use your books and notes but YOU MAY NOT CONSULT WITH ANYONE ACCEPT ME ABOUT THIS EXAM. In order to be as objective as possible in the grading of course assignments, students must use their PID number on the mini-ethnography and the exam. PLEASE DO NOT USE YOUR NAME. Three points will be deducted if your name is included. This does NOT apply to the journal entries. They are used to help me get to know you and your thinking better and often provide fodder for class discussion. If I wish to bring something up from a journal reflection, I like to be able to discuss that with the writer first. Grading Distribution: 1. Journaling assignments (5 assignments x 10 pts each) 2. Mini-ethnography 3. Final exam 4. Class attendance and participation 50 15 25 10 100 points Grading System: The total points for each assignment will be added to determine the final grade: 94 and above 80 – 93 70 – 79 69 and below H P L F Policy on Incomplete Grades and Late Assignments: It is expected that assignments will be completed at times noted in the syllabus. If you have a situation arise that prohibits you from completing the assignment on time, your request for delay of an assignment/exam must be done in advance of the due date. Approved delays will not affect the grade. Any unapproved 4 delays, or assignments completed after an approved delay date, will begin to accrue a five (5) point reduction every 24 hours that the assignment is late. No make-up exams will be given unless the student has an emergency. If the student is allowed to take a make-up exam, the exam may be in a different format or have different questions than the regular exam. If the student faces unavoidable obstacles to meeting the time frame, he or she should discuss the circumstances with the instructor to determine if an initial grade of incomplete would be appropriate. Incomplete grades will be given only in compliance with University policy. Policy on Academic Dishonesty: Please refer to the APA Style Guide and The SSW Manual for information on attribution of quotes, plagiarism and appropriate use of assistance in preparing assignments. A link to these sites is provided on Blackboard under Course Documents. In keeping with the UNC Honor Code, if reason exists to believe that academic dishonesty has occurred, a referral will be made to the Office of the Student Attorney General for investigation. Policy on Accommodations for Students with Disabilities: Students with disabilities that affect their participation in the course should notify the instructor if they need particular accommodations in instructional format or examination format considered. Whenever possible, and in accordance with federal guidelines, the University will attempt to provide reasonable academic accommodations to students who request and require them. For more information and/or assistance, please contact the Department of Disability Services at 962-8300. Classroom Environment: The level of comfort and cohesion in this class are dependent upon the development of a supportive learning environment, reflecting the values of the social work profession. In this class, we will have much discussion and interaction using case examples and role-plays. You are encouraged to “speak your truth” and clearly articulate your point of view. At the same time, please keep in mind that supportive learning conditions are created and fostered by listening to the ideas and beliefs of others and reflecting upon those which may be different from your own. Your contributions to making this a safe and respectful classroom environment will be appreciated and will provide each of us the opportunity to put into practice the core values of social work. Cell phones, pagers, and PDAs: Students are asked to silence cellular phones and pagers during class time. Your PDA’s should remain in your purse, backpack, coat pocket, etc. It is not appropriate to update your calendar, surf the web, text other people, do Sudoku, or otherwise disengage during class. If you have an extenuating situation that means you will likely be receiving a phone call that you must take during class, please let me know in advance. Course Outline Foundations for Thinking about Children, Families, Illness, & Disability Tuesday, August 21st Introductions, Review of Syllabus, Course Description, & SmallGroup Skills Assessment Exercise No Readings Tuesday, August 28th The Experience of Illness in Childhood and Adolescence: Perspectives Influencing Assessment Literary Perspective: The Autobiography of a Face by Lucy Grealy Readings: Rolland, J.S. (1994). Families, Illness, & Disability: An Integrative Treatment Model. New York: Basic Books. Chapters: 2, 3, 4 & 5. (Available on E-Reserves) 5 Boyd-Webb, N. (2003). Social Work Practice with Children (2nd ed.). New York: Guilford. Chapters 1 and 2. Tuesday, September 4th Developing Empathy for Children and Parents Coping with Illness and Disability Literary Perspectives: The Elephant in the Playroom by Denise Brody Family Pictures by Sue Miller Readings: Riebschleger, J. (2001). What do mental health professionals really think of family members of mental health patients? American Journal of Orthopsychiatry, 71 (4),466-472. Pottick, K.J. & Davis, D.M. (2001). Attributions of responsibility for children’s mental health problems: Parents and professionals at odds. American Journal of Orthopsychiatry, 71 (4),426-435. Kazdin, A.E., & Weisz, J.R. (Eds.). (2003). Evidenced-Based Psychotherapies for Children and Adolescents. New York: Guilford. Chapters 18 and 19. Guest Speaker: Sherry Mergner: Parent of a child with Autism JOURNAL QUESTION 1: Describe the range of feelings you experience as you approach the parents of your clients. How do other professionals in your current or past field/work experiences talk about parents? Having read the Riebschelger article, describe the impact you think negative attributions may have on your relationship with clients. How does this reading relate to your own professional development? Tuesday, September 11th Special Issues in Assessment / Preparing for Intervention Readings: Boyd-Webb, N. (2003). Social Work Practice with Children (2nd ed.). New York: Guilford. Chapter 10. Kazdin, A.E., & Weisz, J.R. (Eds.). (2003). Evidenced-Based Psychotherapies for Children and Adolescents. New York: Guilford. Chapters 1, 2, 3, & 4. Suggested Readings: Angold, A., Costello, E.J., Farmer, E.M.Z., Burns, B.J., Erkanli, A. (1999). Impaired but undiagnosed. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 29-137. Guterman, N.B. & Cameron, M. (1999). Young client’s exposure to community violence: How much do their therapists know? American Journal of Orthopsychiatry,69, 382-391. Jellinek, M.D. & McDermott, J.F. (2004). Formulation: Putting the diagnosis into a therapeutic context and treatment plan. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 913-921. Guest Speaker: Nancy Berson, MSW, Assistant Director Program on Childhood Trauma and Maltreatment, UNC Department of Psychiatry. Nancy will speak from 9:00 to 10:30. JOURNAL QUESTION 2: Nancy Berson discussed a variety of additional assessment domains to consider. How do you feel about working with court-involved children or families? What have your experiences with these families been like thus far? How do Nancy’s recommendations compliment and/or challenge what you’ve learned thus far in your work or field settings? Due at the beginning of class next week, September 18th . 6 Student Feedback: I will distribute an open-ended student feedback form to gather your comments and suggestions about course content, structure, process, and teaching methods. Tuesday, September 18th Readings: Assessment of Young Children’s Conduct Problems Grietens, H. , Onghena, P., Prinzie, P. Gadeyne, E., Van Assche, V., Ghesquiere, P. & and Hellinckx, W. (2004). Comparison of mothers’, fathers’, and teachers’ reports of problem behavior in 5 and 6 year old children. Journal of Psychopathology and Behavioral Assessment, 26 (2), 137-146. Groopman, Jerome. "What's Normal?." The New Yorker 83.7 (April 9, 2007): 28. Academic OneFile. Thomson Gale. Univ of North Carolina - Chapel Hill. 1 Aug. 2007 Kazdin, A.E., & Weisz, J.R. (Eds.). (2003). Evidenced-Based Psychotherapies for Children and Adolescents. New York: Guilford. Chapters 11, 12, 18, and 19. Tuesday, September 25th Methods of Delivering Interventions – Play, Talk, Family –Using the Evidence Base Readings: Boyd-Webb, N. (2003). Social Work Practice with Children (2nd ed.). New York: Guilford Press. Chapter 7. Mufson, L. Dorta, K.P., Moreau, D., & Weissman, M. (2004). Interpersonal Psychotherapy for Depressed Adolescents (2nd ed.). New York: Guilford Press. Chapters 3, 4, & 5 (Available on E-Reserves) James, B. (1989). Treating Traumatized Children: New Insights and Creative Interventions. New York: Free Press. Chapter 6 (Available on E-Reserves) Intervening in Difficult Life Circumstances Tuesday, October 2nd Grief and Loss Literary and/or Cinematic Perspective: Ordinary People by Judith Guest ***MINI-ETHNOGRAPHY DUE*** Readings: Boyd-Webb, N. (Ed.). (2002). Helping Bereaved Children. New York: Guilford Press. Chapters 11 and 12. (Available on E-Reserves) Dunning, S. (2006). As a young child’s parent dies: Conceptualizing and constructing preventive interventions. Clinical Social Work Journal, 34, 4 499-514. JOURNAL QUESTION 3: Bearing witness to grief challenges us to tolerate strong emotions. Describe your experiences with grief thus far in your professional work. How do you think your personal experiences impact the way you have or will handle grief with your clients? Do you think it will make a difference if your client is a child who is grieving versus and adult who is grieving the loss of a child? Tuesday, October 9th Trauma Evaluation & Treatment Literary and/or Cinematic Perspective: The Prince of Tides by Pat Conroy Readings: 7 Boyd-Webb, N. (2003). Social Work Practice with Children (2nd ed.). New York: Guilford Press. Chapter 14. James, B. (1989). Treating Traumatized Children: New Insights and Creative Interventions. New York: Free Press. Chapters 1, 2, & 4 (Available on E-Reserves) Fairbank, J. Booth, S.R., & Curry, J.F. (2002). Integrated cognitive-behavior therapy for traumatic stress symptoms and substance abuse. In B.J. Burns & K. Hoagwood (Eds.). Community Treatment for Youth (pp. 198-211). New York: Oxford University Press. (Available on E-Reserves) Tuesday, October 16th Ethnic Identity and Acculturation Stress Literary Perspective: How the Garcia Girls Lost their Accents by Julia Alvarez Readings: Kazdin, A.E., & Weisz, J.R. (Eds.). (2003). Evidenced-Based Psychotherapies for Children and Adolescents. New York: Guilford. Chapters 23 and 24. Dyche, L. & Zayas, L. (2001). Cross-cultural empathy and training the contemporary psychotherapist. Clinical Social Work Journal, 29, 245-258. Foster, R. P. (2001). When immigration is trauma: Guidelines for the individual and family clinician. American Journal of Orthopsychiatry, 71, 153-170. Zayas, L. (2001). Incorporating struggles with racism and ethnic identity in therapy with adolescents. Clinical Social Work Journal, 29, 361-373. Zayas, L. Kaplan, C. Turner, S., Romano, K. & Gonzales-Ramos, G. (2000) Understanding suicide attempts by adolescent Hispanic females. Social Work, 45, 53-63. Tuesday, October 23rd Sexual Orientation Literary Perspective: Becoming a Man by Paul Monnette Cinematic Perspective: Six Feet Under Readings: Rosenberg, M. (2003). Recognizing gay, lesbian, and transgender teens in a child and adolescent psychiatry practice. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1517-1521. Ryan, C. & Futterman, D. (1998). Lesbian and Gay Youth: Care and Counseling. New York: Columbia University Press. Chapters 1 thru 3, 5 thru 10, & 11. JOURNAL QUESTION 4: Working with populations that are oppressed, ignored, or persecuted by the majority culture often brings up our own biases, values, and personal experiences. What associations did you make between the personal and the professional as you read the chapters on gay and lesbian youth? What about the readings on ethnic identity? Tuesday, October 30th Pregnancy and Adolescent Child-Bearing Literary/ Cinematic Perspective: The Cider House Rules Readings: Letourneau, N.L., Stewart, M.J., Barnfather, A.K. (2004). Adolescent mothers: Support needs, resources, and support-education interventions. Journal of Adolescent Health 35, 509-525. 8 Marcell, A.V. & Halpern-Felsher, B.L. (2007). Adolescents’ beliefs about preferred resources for help vary depending on the health issue. Journal of Adolescent Health, 41, 61-18. Lyren, A., Kodish, E. Lazebnik, R., & O’Riodan, M.A. (2006). Understanding confidentiality: Perspectives of African-American adolescents and their parents. Journal of Adolescent Health 39, 261-265. Pope, L., Adler, N. E., Tschann, J.M. (2001). Post-abortion psychological adjustment: Are minors at increased risk. The Journal of Adolescent Health, 29, 2-11. Wiemann, C.M., Vaughn, I.R., Berenson, A.B., Volk, R.J. (2005). Are pregnant adolescents stigmatized by pregnancy? Journal of Adolescent Health 36, 352.e1-352.e7. JOURNAL QUESTION 5: Most of us believe, and the literature supports, child bearing threatens healthy development in adolescents. How would an adolescent pregnancy have been viewed in your family and the community in which you lived when you were fifteen years old? What do you think most people would have advised for a young girl who was pregnant in your community? Given your own knowledge, experience, and our readings, how would you respond to an adolescent pregnancy in a teen you were working with? When Symptoms Become Disorders Tuesday, November 6th Internalizing Problems: Depression, Self-Injurious Behaviors, Eating Disorders Readings: Kazdin, A.E., & Weisz, J.R. (Eds.). (2003). Evidenced-Based Psychotherapies for Children and Adolescents. New York: Guilford. Chapters 8, 9,10, and 20. Rathus, J.H. & Miller, A.L. (2002). Dialectical-behavior therapy adapted for suicidal adolescents. Suicide and Life Threatening Behavior, 32(2), 146-157. Guest Speaker: Katie Flanagan, MSW, from UNC Hospital’s Psychiatry Dept., will be speaking on the assessment, diagnosis, and treatment of eating disorders in youth . Tuesday, November 13th Readings: Substance Abuse Treatment Diamond, G., & Josephson, M.D. (2005). Family-based treatment research: A 10-year update. Journal of the American Academy of Child and Adolescent Psychiatry, 44(9), pp. 872-886. Liddle, H.A. (2004). Family-based therapies for adolescent alcohol and drug use: Research contributions and future research needs. Addiction, 99(Suppl. 2), 76-92. Tevyaw, T. O. & Monti, P.M. (2004). Motivational enhancement and other brief interventions for adolescent substance abuse. Addiction, 99(Suppl. 2), 63-75. Vaughn, M.G. & Howard, M. O. (2004). Adolescent substance abuse treatment: A synthesis of controlled evaluations. Research on Social Work Practice, 14 (5), 325-335. Guest Speaker: Worth Bolton, MSW 9 Tuesday, November 20TH DAY OFF! THANKSGIVING HOLIDAY Tuesday, November 27th Tentative Group Presentation Day Tuesday, December 3rd Course Wrap Up Readings and Websites of Interest Children and Adolescents Children’s Services Practice Notes: A newsletter for child welfare social workers. From the N.C. Division of Social Services and Family and Children’s Resource Program. Available online at: http://ssw.unc.edu/fcrp/Cspn/cspn.htm Ford, C. A., Thomsen, S.L., & Compton, B. (2001). Adolescents’ interpretations of conditional confidentiality assurances. Journal of Adolescent Health, 29, 156-159. Kaduson, J.G. & Schaefer, C.E. (2000). Short-term Play Therapy for Children. New York: Guilford Press. Malone, D.M., McKinsey, P.D., Thyer, B. & Straka, E. (2000). Social work early intervention for young children with developmental disabilities. Health & Social Work, 25 (3), 169-179. Pollack, W. (1998). Real Boys. New York: Henry Holt. Shaffer, D. & Greenberg, T. (2002). Suicide and suicidal behavior in children and adolescents. In D. Shaffer & B.D. Waslick (Eds.) The Many Faces of Depression in Children and Adolescents. Washington, D.C.: American Psychiatric Publishing. 29-178. Rousseau, C., Singh, A., Lacroix, L., Deogratias Bagilishya, P.S., & Measham, T. (2004). Creative expression workshops for immigrant and refugee children. Journal of the American Academy of Child and Adolescent Psychiatry, 43 (2), 235-238. Suarez-Orozco, C. & Suarez-Orozco, M. (2001). Children of Immigration. Chapter 4. Pages 87-123. Tatum, B.D. (1997). Why are all the Black kids sitting together in the cafeteria? New York: Basic Books. 5274 Terr, L.C. (2003). Wild child: How three principles of healing organized 12 years of psychotherapy. Journal of the American Academy of Child and Adolescent Psychiatry, 42 (12), 1401-1409. Health and Mental Health Myer, Rick A. & Hann, Fred J. (1992). Working in hospital emergency departments: guidelines for crisis intervention workers, 37-59. Newhill, C. E. (1989). Psychiatric emergencies: Overview of clinical principles and clinical practice. Clinical Social Work Journal, 17(3), 245-258. Poindexter, C.C. (1997). In the aftermath: Serial crisis intervention for people with HIV. Health and Social Work, 22, 125-132. Roberts, A. R. (1996). Epidemiology and definitions of acute crisis in American society. In A. R. Roberts (Ed.), Crisis management & brief treatment (pp. 16-33). Chicago: Nelson-Hall. Substance Abuse Andrews, A. B., & Patterson, E. G. (1995). Searching for solutions to alcohol and other drug abuse during pregnancy: Ethics, values, and constitutional principles. Social Work, 40, 55-64. Yassen, J. (1995). Preventing secondary traumatic stress disorder. In C. Figley (Ed.), Compassion fatigue. NY: Brunner. 10 Roles, Interdisciplinary Collaboration & Ethics Abramson, J. S., & Mizrahi, T. (1996). When social workers and physicians collaborate: Positive and negative interdisciplinary experiences. Social Work, 41, 270-281. Browner, C. H. , Preloran, H. M. , & Cox, S. J. (1999). Ethnicity, bioethics, and prenatal diagnosis: The amniocentesis decisions of Mexican-origin women and their partners. American Journal of Public Health, 89, 1658-1666. Christ, W. R. , Clarkin, J. F. & Hull, J. W. (1994). A high-risk screen for psychiatric discharge planning. Health & Social Work, 19(4), 261-270. Dane, B. O., & Simon, B. L. (1991). Resident guests: Social workers in host settings. Social Work, 36, 208213. Fleck, L. & Angell, M. (1997). Case study: Please don’t tell. In Henderson, G.E., King, N.M.P., Strauss, R.P., Estroff, S.E., & Churchill, L. (Eds.). The Social Medicine Reader. Durham: Duke University Press pp.349 – 352. Hilfiker, D. (1997). Facing our mistakes. In Henderson, G.E., King, N.M.P., Strauss, R.P., Estroff, S.E., & Churchill, L. The Social Medicine Reader. Durham: Duke University Press. Pp.287-292. Netting, F. E., & Williams, F. G. (1996). Case-manager-physician collaboration. Implications for professional identity, roles, and relationships. Health and Social Work, 21, 216-224. WEB SITES: American Heart Association: http://www.amhrt.org Centers for Disease Control and Prevention: http://www.cdc.gov/ The Dougy Center for Grieving Children http://www.dougy.org HHS and SAMHSA’s National Clearinghouse for Alcohol and Drug Information: http://ncadi.samhsa.gov/ HIV Insite: http://hivinsite.ucsf.edu March of Dimes Birth Defects Foundation: http://www.modimes.org Maternal and Child Health Bureau: http://mchb.hrsa.gov/ Maternal and Infant Health: http://www.cdc.gov/reproductivehealth/MaternalInfantHealth/index.htm National Cancer Institute: http://www.cancer.gov/ National Center for Injury Prevention and Control: http://www.cdc.gov/ncipc/default.htm National Dissemination Center for Children with Disabilities: www.nichcy.org/ National Center for Traumatic Stress: www.nctsnet.org North Carolina Child Advocacy Institute: http://www.ncchild.org North Carolina State Center for Health Statistics: http://www.schs.state.nc.us/SCHS/data/ Children’s Environmental Health Network: http://www.cehn.org/cehn/resourceguide/ncdehnr.html Office of Minority Health Resource Center: http://www.omhrc.gov National Institute for Trauma and Loss in Children: http://www.tlcinstitute.org/ Zero to Three: www.zerotothree.org 11