1 THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF SOCIAL WORK Course Number: SOWO 715 Course Title: Integrative Bridge Course: HBSE Module, 2009 Instructor: Joelle D. Powers, Ph.D., MSW The School of Social Work, 325 Pittsboro St., CB#3550 Chapel Hill, NC 27599-3550 Office: 563C Phone: 843-8686 Email: jdpowers@email.unc.edu Office hours: 12-1pm each afternoon after class, or by appointment Course Schedule: May 26 - June 5, 2009 Time: 9:00am-11:45am Course Description: Goal: The possession of a knowledge framework on family and individual development (including definitions, structural variations, theories, strengths, stressors, and changes that affect functioning) needed to carry out agency-based practice with clients. Module Objectives: This course has two overarching objectives. Course content is designed to foster the students' ability to: 1. Understand families as a primary context for growth and change and the environmental forces that affect the potential for both. 2. Evaluate and discuss the functioning of individuals, families, and groups at an entry level as indicated by the: use of systemic, bio-psycho-social, developmental, and cultural perspectives and selected theories to understand the behavior of individuals and systems and their interactions; ability to describe the impact of issues of diversity including race/ethnicity, gender, age, sexual orientation, disability, religion and socioeconomic status on individual and familial developmental processes; ability to describe the impact of the social, economic, and political environment on client systems; identification of the strengths and limitations of theoretical frameworks; and ability to articulate the importance of social and economic justice. Course Evaluation: 2 The School of Social Work operates on an evaluation system of Honors (H), Pass (P), Low Pass (L), and Fail (F). For this class, the numerical value of an H ranges from 94 – 100; a P is 80 – 93; an L ranges from 70 – 79. A grade of P is “entirely satisfactory.” On a traditional grading scale, a P would range from B- to A-. The grade of Honors signifies that the work is clearly excellent in all respects. Only a small percentage of students attain Honors. A student receiving an F or nine or more Low Passing credits is ineligible to continue in graduate school. The Honor Code: The Student Honor Code is always in effect in this course. The Instrument of Student Judicial Governance requires that you vouch for your compliance on all your written work. We expect you to write the following pledge in full on each document. Sign and date your statement. I have neither given nor received any unauthorized assistance on this assignment. The crucial thing to remember is that you must credit ideas that are not your own, whether or not those ideas have appeared in print. If you use an example from someone else in an application paper, then you must cite that person in your references. Late Papers: Late papers are strongly discouraged. In case of a dire, life-threatening emergency, a late paper may be accepted at the discretion of the instructor. To obtain permission to submit a paper after the deadline, the student must seek approval from the instructor before the beginning of class on the day the assignment is due. If permission for late submission is not granted before breaking a deadline, the grade will automatically be reduced 10%, and another 10% reduction will occur each day, including weekends. Accommodations for Students with Disabilities Students with disabilities, which affect their participation in the course, should notify the instructor if they wish to have special accommodations in instructional format, examination format, etc., considered. Course Assignments: Assignment Formatting: The School of Social Work faculty has adopted APA style as the preferred format for papers and publications. The best reference is the most recent edition of the Publication Manual of the American Psychological Association. For each class session, students are expected to: 1. Complete all assigned readings as scheduled 2. Attend class regularly and on time 3. Complete all quizzes and assignments as scheduled 4. Participate in class discussions and presentations Assigned Readings All articles are available to be downloaded from the internet through the UNC Library’s e-journals collection. There are also four book chapters required for this course. The Lukas (1993) book is required for your Practice Bridge module (reference information is below), and three chapters from that text are 3 also included in this HBSE module. Additionally, one chapter from the DSM will be emailed to the class as a PDF. Additional reading may be assigned at the discretion of the instructor. Lukas, S. (1993). Where to start and what to ask: An assessment handbook. New York: W.W. Norton & Company. Daily Quiz Each class will begin with a quiz on the assigned readings for that class session and previous material covered in class. This is also how attendance and participation are graded for this module. The quizzes will total 30% of your overall grade in this module. These quizzes cannot be made up at a later time. Assignment I: Critical Review Papers This assignment requires you to critically review two of the assigned readings for this module and write a 3-4 page reflection/application paper for each. The first Critical Review is due at the beginning of class on Friday, May 29, and the second is due at the beginning of class on Tuesday, June 2. The Critical Reviews are worth 40% (20% each) of your overall grade in this module. An additional page of details and the grading rubric for this assignment will be handed out and reviewed on the first day of class. Assignment II: Group Case Presentation In a 5-6 page paper and 15 minute class presentation briefly describe the presenting problem for the client your group was assigned from the video(s) we watched in class. Identify salient issues of typical and/or atypical developmental impacting the clients’ current situation and life stage. Describe and apply one of the theories reviewed in class that can assist you in better understanding the client and their presenting problem. Explain how this theory might guide your practice and intervention with the client. Assignment II will be completed in groups of three to four students and is due at the beginning of class on Friday, June 5. Assignment II is worth 30% of your overall grade in this module. An additional page of details and the grading rubric for this assignment will be handed out and reviewed on the first day of class. Schedule and Course Outline Session 1: Tuesday, May 26 Introductions Review of Module & syllabus Infancy & Toddlerhood (Birth – 2 years) o Typical development o Atypical development: Low birth weight, FASD, feeding disorders, Down’s syndrome Diversity issue: Race/Ethnicity Theory: Ecological Readings: Misra, D.P. & Guyer, B. (2003). Integrated perinatal health framework: A multiple determinants model with a life span approach. American Journal of Preventive Medicine, 25 (1), 65-75. Lu, M.C., & Halfon, N. (2003). Racial and ethnic disparities in birth outcomes: A life-course perspective. Maternal and Child Health Journal, 7 (1), 13-30. Sokol, R.J., Delaney-Black, V., & Nordstrom, B. (2003). Fetal alcohol spectrum disorder. Journal of the American Medical Association, 290, 22, 2996-2999. 4 Suarez-Orozco, A., Todorova, I., & Louie, J. (2002). Making up for lost time: The experience of separation and reunification among immigrant families. Family Process, 41(4), 625-643. Assignments: Quiz Session 2: Wednesday, May 27 Early Childhood (2 – 6 years) o Typical development o Atypical development: Reactive Attachment Disorder, Autistic Disorders Assessment: Intro to DSM & Multiaxial forms Diversity issue: Disability Theory: Erickson’s Psychosocial Theory Video: Inventing Mental Disorders o http://video.google.com/videoplay?docid=2242763683568731188&ei=lN5kSeWDO4rkq QKLhfHBAQ&q=DSM+and+mental+illness&hl=en Readings: American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington: author. (pp. 1-10, 27-37). (PDF to be emailed) Maccoby, E.E., & Lewis, C.C. (2003). Less day care or different day care? Child Development 74 (4), 1069-1075. DeMarle, D.J., & Le Roux, P. (2001). The life cycle and disability: Experiences of discontinuity in child and family development. Journal of Loss and Trauma, 6(1), 29-43. Pervasive developmental disorders: http://www.brightfutures.org/mentalhealth/pdf/bridges/pdd.pdf Assignments: Quiz Session 3: Thursday, May 28 Middle Childhood (6-11 years) o Typical development o Atypical development: ADHD, Child maltreatment, Obesity Diversity issue: SES Theory: Social Learning Theory Video: The Medicated Child http://www.pbs.org/wgbh/pages/frontline/medicatedchild/ Readings: Pinderhughes, E.E., Dodge, K.A., Bates, J.E., Pettit, G.S., & Zelli, A. (2000). Discipline responses: Influences of parents’ socioeconomic status, ethnicity, beliefs about parenting, stress, and cognitiveemotional processes. Journal of Family Psychology, 14,380–400. Burton, L. (2007). Childhood adultification in economically disadvantaged families: A conceptual model. Family Relations, 56, 329-345. Schwartz, M. B., & Puhl, R. (2003). Childhood obesity: A societal problem to solve. Obesity Reviews, 4(1), 57-71. ADHD http://www.brightfutures.org/mentalhealth/pdf/bridges/adhd.pdf Childhood obesity http://www.brightfutures.org/mentalhealth/pdf/bridges/obesity.pdf 5 Child Maltreatment http://www.brightfutures.org/mentalhealth/pdf/bridges/maltreatment.pdf Assignments: Quiz Session 4: Friday, May 29 Adolescence (11-20 years) o Typical development o Atypical development: Eating Disorders, Behavior Disorders Diversity Issue: Gender Theory: Risk and Resilience Video Readings: Aufseeser, D., Jekielek, S., & Brown, B. (2006). The family environment and adolescent well- being: Exposure to positive and negative family influences. Washington, DC: Child Trends; and San Francisco: National Adolescent Health Information Center, University of California, San Francisco. Available at: http://www.childtrends.org/Files/FamilyEnvironmentRB.pdf Ungar, M. (2004). The importance of parents and other caregivers to the resilience of high-risk adolescents. Family Process, 43(1), 23-41. Harris, M., & Cumella, E.G. (2006). Eating disorders across the lifespan. Journal of Psychosocial Nursing & Mental Health Services, 44(4), 21-26. Burdge, B.J. (2007). Bending gender, ending gender: Theoretical foundations for social work practice with the transgender community. Social Work, 52, 243-250. Conduct disorders and ODD http://www.brightfutures.org/mentalhealth/pdf/bridges/oppositional.pdf Eating disorders http://www.brightfutures.org/mentalhealth/pdf/bridges/eat_disorder.pdf Assignments: Quiz Assignment 1: Critical Review Paper (1) Session 5: Monday, June 1 Early Adulthood (20-40 years) o Typical development o Atypical development: Substance Abuse, Schizophrenia Diversity Issue: Sexual Orientation Assessment: Developmental History Video Readings: Arnett, J.J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55, 469-480. Rosario, M., Schrimshaw, E.W., Hunter, J. & Braun, L. (2006). Sexual Identity Development Among Lesbian, Gay, and Bisexual Youths: Consistency and Change Over Time. The Journal of Sex Research 43 (1), pp. 46-58. 6 Padgett, D. K., Hawkins, R. L., Abrams, C., & Davis, A. (2006). In their own words: Trauma and substance abuse in the lives of formerly homeless women with serious mental illness. Psychological Assessment, 76(4), 461-476. Substance abuse http://www.brightfutures.org/mentalhealth/pdf/bridges/substance_abuse.pdf Lukas: Chapter 6. How to take a developmental History. Assignments: Quiz Session 6, Tuesday June 2 Case Videos Readings: Rolland, J. (2006). Genetics, Family Systems, and Multicultural Influences. Families, Systems & Health, 24, 425-441. Hutchison, E.D. (2005). The life course perspective: A promising approach for bridging the micro and macro worlds for social workers. Families in Society, 86, 1, 143-152. Assignments: Quiz Assignment 1: Critical Review Paper (2) Session 7, Wednesday June 3 Middle Adulthood (40-60 years) o Typical development o Atypical development: Divorce, Cancer, Heart Disease Diversity Issue: Religion Assessment: Medical History Video Readings: Davis, C. (2004). Psychosocial needs of women with breast cancer: How can social workers make a difference? Health and Social Work, 29(4), 330-334. Jones, A. C. (2003). Reconstructing the stepfamily: Old myths, new stories. Social Work, 48(2), 228-236. Walsh, F. (2003). Family resilience: A framework for clinical practice. Family Process, 42(1), 1-18. Marks, L. (2004). Sacred practices in highly religious families: Christian, Jewish, Mormon, and Muslim perspectives. Family Process, 43(2), 217-232. Lukas: Chapter 3: How to think about your client’s health: The medical history. Assignments: Quiz Session 8, Thursday June 4 Late Adulthood (60-death) & Bereavement 7 o Typical development o Atypical development: Depression, Anxiety, Dementia Diversity issue: Age Assessment: Mental Status Exam Video: Depression: Out of the Shadow http://www.pbs.org/wgbh/takeonestep/depression/ Readings: Cummings, S., Neff, J., & Husaini, B. (2003). Functional impairment as a predictor of depressive symptomotology: The role of race, religiosity, and social support. Health and Social Work, 28(1), 2332. Bengtson, V. L. (2001). Beyond the nuclear family: The increasing importance of multigenerational bonds. Journal of Marriage and Family 63(1), 1-16. Herbert, R., Schulz, R., Copeland, V&, Arnold, R. (2009). Preparing family caregivers for death and bereavement: Insights from caregivers of terminally ill patients. Journal of Pain & Symptom Management, 37, 3-12. Lukas: Chapter 2: Looking, listening, and feeling: The mental status exam. Assignments: Quiz Session 9, Friday June 5 Student Group Presentations Closing Module Evaluations Assignments: Quiz Assignment 2