1 UNIVERSITY OF NORTH CAROLINA AT WILMINGTON SCHOOL OF SOCIAL WORK SWK 521 –PSYCHOPATHOLOG SPRING 2016 PART-TIME PROGRAM Arthur J. Frankel, MSW, Ph.D., LCSW 910-352-5685 3089 McNeill Hall Email-aprofessor@msn.com or frankela@uncw.edu Office Hours: Tuesdays In McNeill Hall Room 2056 8:15-9:00 PM by appointment, either in person or by phone. By phone at any time by appointment. Prerequisites: C ourse C atalog D escription This course is required for all Part-Time MSW students. There are no other prerequisites. SWK 521 Mental Health and Psychopathology: Assessment and Differential Diagnostics(3) Utilization of the DSM V in making differential diagnosis and mental status assessments .Basic psychotropic medications introduced. Course Description: Course Description: This course prepares students to use the APA’s Diagnostic and Statistical Manual (DSM 5) to make differential diagnosis and mental status assessments. Basic psychotropic medications are introduced among the treatments for specific mental disorders. This course also stresses gender and cultural variations in clinical symptomatology, as well as factors associated with the etiology, assessment, prognosis and management of mental disorders from a social work perspective. Special attention will be given to drug and alcohol diagnoses, and the related mental health issues that are associated with the use of drugs and alcohol. 2 Objectives: C ourse O bjectives: At the end of this course, students will be able to: 1. Critically analyze the utility of the DSM V topology, its history, and the current descriptions of mental disorders. (2.l.7, 2.1.8, 2.1.9, 1.1.10,2.2.10c, 2.1.10d, as evidenced by weekly homework and final paper) 2. Understand the multiple components of the clinical diagnostic process, and perform a multiaxial diagnosis on a client seen in the field placement. (2.1.2, 2.1.3, 2.1.4, 2.2.6, 2.1.7, 2.1.9, 2.1.10b, as evidenced by weekly homework and final paper) 3. Identify the impact of culture, race, and gender on the presentation and incidence of mental disorders, both in the USA and internationally. (2.1.2, 2.1.4, 2.1.5, 2.1.7, as evidenced by weekly homework and final paper) 4. Describe the symptoms, prognosis, and methods of treatment for the major mental disorders of the adult population, with special emphases on these issues as related to addictions. (2.1.3, 2.1.6, 2.1.7, 2.1.9, 1.1.10b, 2.1.10c, as evidenced by weekly homework and final paper.) 5. Identify the disorders of childhood and adolescence, including their symptoms, prognosis and treatment methods, in addition to describing their similarities and differences to disorders of adulthood (2.1.3, 2.1.6, 2.1.7, 2.1.9, 1.1.10b, 2.1.10c, as evidenced by weekly homework and final paper.) 6. Become familiar with the importance of empowerment strategies and principles of psychosocial rehabilitation in working with clients with serious mental illness. (2,1,1, 2.1.2, 2.1.3, 2.1.5, 2.1.6, 2.1.7, 2.2.9, 2.1.10b, 2.2.10b, 2.1.10c, 2.1.10d, as evidenced by weekly homework and final paper.) 7. Discuss both sides of critical controversies in the area of mental health, including managed care coverage, use of psychotropic medication with children and adolescents, and the influence of gender on proper diagnosis. (2.1.1, 2.1.2, 2.1.3, 2.1.4, 2.1.6, 2.1.7, 2.1.7, as evidenced by weekly homework and final paper.) 8. Discuss the role of social workers in mental health settings, and discuss the integration of social work values and ethics into this field of practice. 2.1.1, 2.1.2, 2.1.3, 2.1.4, 2.1.5, 2.1.8, as evidenced by weekly homework and final paper) METHODS TO ATTAIN OBJECTIVES The primary learning format will be lectures and classroom activities, which involve all students as active learners. Class lectures and exercises are based on the understanding that all readings assigned for that topic have been completed prior to class. It also is anticipated that each student has experiences and points of view that will enrich class 3 discussions. The instructor will be responsible for organizing and presenting primary course material, assisting any student with course-related material and assignments, and for assessing student progress. The student will be responsible for attending all classes, facilitating his/her own learning and that of others in class, sharing ideas, making observations, and asking questions. Assignments will either be turned in via Blackboard or hard copies to be announced prior to the due date of a particular assignment. It is expected that all assignments will be turned in on time. If you should have a problem meeting the deadline for any assignment, you must contact the professor PRIOR to the due date, or the assignment will be marked as failing. Assignments must be presented in a professional fashion (typed, double-spaced, 12 point type, grammar-and-spell-checked, properly formatted, one inch margins, and written in the accepted American Psychological Association style). Weekly homework assignments must be taken on the date specified. ACADEMIC INTEGRITY All members of UNCW’s community are expected to follow the academic Honor Code. Please read the UNCW Honor Code carefully (as covered in the UNCW Student Handbook). Academic dishonesty in any form will not be tolerated in the class. Please be especially familiar with UCNW’s position on plagiarism as outlined in the UNCW 2 Student Handbook. Plagiarism is a form of academic dishonesty in which you take someone else’s ideas and represent them as your own. Here are some examples of plagiarism: a. You write about someone else’s work in your paper and do not give them credit for it by referencing them. b. You give a presentation and use someone else’s ideas and do not state that the ideas are the other person’s. c. You get facts from your textbook or some other reference material and do not reference that material. ACCOMMODATIONS FOR STUDENTS WITH DISABILITIES I want to make appropriate accommodations for students with disabilities. Students with diagnosed disabilities should contact the Office of Disability Services (962-7555). Please give me a copy of the letter you receive from Office of Disability Services detailing class accommodations you may need. If you require accommodation for test- taking please make sure I have the referral letter no less than three days before the test. VIOLENCE AND HARASSMENT UNCW practices a zero tolerance policy for any kind of violent or harassing behavior. If you are experiencing an emergency of this type contact the police at 911 or UNCW CARE at 962-2273. Resources for individuals concerned with violent or harassing situation can be located at http://www.uncw.edu/wsrc/crisis.html . CAMPUS RESPECT COMPACT 4 UNCW is committed to a civil community, characterized by mutual respect. Individuals wanting more information about the Respect Compact can contact the Office of Institutional Diversity and Inclusion. USE OF PERSONAL ELECTRONICS The use of cell phones or computers during class is not acceptable unless it clearly relates to classroom learning tasks, such as taking notes, or looking up relevant material on related websites as part of a classroom assignment or class discussion. I assume that you are all adult learners who are respectful concerning use of electronic equipment. If use of electronics becomes disrespectful, distracting or disruptive to me and/or your classmates, I will ask you to cease use of electronics. ATTENDENCE Regular class attendance is required, and full participation is expected. Missing more than two classes for any reason will automatically drop your grade one level for each absence after two absences. Missing more than four classes for any reason will result in failing the class. CAMPUS ASSISTANCE FOR THIS COURSE Much assistance is available on campus to help you succeed in this course. A Randall librarian is assigned to the School of Social Work. The Writing Place is available to you for paper-writing assistance. INSTRUCTOR’S TEACHING PHILOSOPHY I believe strongly in a collaborative learning process. My classroom style, while generally lecture-oriented, encourages honest dialogue and exchange of ideas. I believe we learn best when we are honored for our thoughts and feelings, and when we honor others’ thoughts and feelings. Open discourse regarding course materials and relevant information gleaned from various sources enhance the learning experience for us all. There will be many opportunities for you to practice skills and concepts learned in class participating as part of demonstrations, with fellow students, or in role plays. Should you find this difficult for any reason, please consult with me before or after class, during class breaks, or during my office hours. Social Work Ethics At all times in class, I expect you to follow and practice social work ethical principles concerning your verbal and overt behavior with fellow students and with the professor. This includes showing respect for each other, respect for ideas that may be different from your own, and the principle of confidentiality. There may be times when students reveal information that they would wish stay within the confines of this class. Should such situations occur, I expect you to follow social work ethical principles as pertaining to confidentiality. 5 UNCW Student Gender-Based/Sexual Misconduct Policy UNCW takes all forms of interpersonal violence very seriously. When students disclose, first or third-hand, to faculty or staff about sexual misconduct, domestic violence, dating violence and/or stalking, this information must be reported to the administration in order to ensure that student’s rights are protected, appropriate resources are offered, and the need for further investigation is explored to maintain campus safety. There are three confidential resources who do not need to report interpersonal violence: UNCW CARE, the Student Health Center, and the Counseling Center. If you want to speak to someone in confidence, these resources are available, including CARE’s 24-hour crisis line (910-512-4821). For more information, please visit www.uncw.edu/sexualmisconduct or www.uncw.edu/care. Texts: Required: 1. American Psychiatric Association. DSM 5 2. Rohrer, Glenn: Mental Health in Literature-Literary Lunacy and Lucidity, Lyceum Books 3. Allen Frances, MD: Saving Normal, William Murrow 2013 Assigned journal articles will be available on-line through the UNCW Library electronic reserve system. Course Requirements and Grading Procedures: 1. Rohrer text: chapter reports (15%) 2. Final Research Paper - (65%) - Due last day of class. However, papers turned in 3 weeks before the last day of class will be reviewed and returned to you with comments to improve your chances of receiving an "A" in the class. In any case, all final papers must be turned in by the last day of class. Papers may be turned in using Microsoft Word format (no PDF files) via BlackBoard. Papers should be between 12-15 pages in length not including the cover page or references; use APA standards for citations and references (only refereed journal or governmental internet citations allowed), one inch margins, 12 point Times Roman type. Use 10 references, the DSM V counting as one. BE CAREFUL NOT TO OVERUSE THE DSM V AS A REFERENCE! You may turn in a rough draft by Tuesday March 29, 11:59 PM onto Blackboard, which will be reviewed and turned back to you with comments. 3. Class Participation—10% 4. Chat Board participation and quality—10% 6 4. Assignment Summary Weekly Rohrer Text Reports During the week after the date that each required chapter in this book is due to be read, write a one to two page (not counting DSM V diagnosis), double-spaced, 1 inch margins, 12 point type, discussing your thoughts about one story, and what from the lecture stood out to you in relation to this story. At the beginning of every chapter report, type out the entire DSM 5 diagnostic criteria that is relevant to the story in SINGLE SPACE form, using the same outline form as in the DSM V. Paper Requirements: Students will write a research paper on one of the mental disorders identified in the DSM. You will need to examine the overall parameters of the disorder, but you may also choose to focus your discussion on its incidence in a particular ethnic/cultural, gender or age group. For example, you may wish to examine borderline personality disorder in women with a history of sexual abuse, or the presentation of bipolar disorder in males vs. females. Papers should include the following seven (7) Headers (which MUST be used to head each of the required sections— papers will not be read without these required headers). Papers will be 12-15 pages, at least 10 references, double-spaced, 12 point type, one inch margin. All references and citations must be APA standards. You my use the DSM-5 as one of your references, but do not overuse it in your paper. All papers will be submitted into blackboard using Microsoft word. Start your paper with an abstract of your paper, no more than ½ to 2/3 page, double space. Put the abstract on a separate page along with your name and title of your paper. This page will not count in your page numbers. 1) Incidence (including diversity and cultural issues), 2) Etiology 3) Types of treatment and their effectiveness (this includes a discussion of relevant empirical studies and best practices), 4) Prognosis 5) Discussion of medications, those that are available and used for this diagnosis with effects, side effects, and counter-indications. 6) Critical evaluation of the literature and diagnosis should also be included - with cultural and gender issues examined as well. 7) Applicability to Social Work practice, both the diagnosis and the treatment approaches that deal with it. 5. Guidelines for Written Assignments All written assignments must be typed and double-spaced, 12 point Times Roman type. Writing quality (grammar, punctuation, spelling, organization) is part of your grade. Please consider using an editor or the UNCW Writing Center if you have difficulty. APA citation and reference methods must be used (only refereed and governmental internet 7 citations allowed), and your grade will reflect if they are used incorrectly. Please do not use more than a few quotes; rather put in your own words with appropriate citations. Professional references should be cited in any research paper - this includes social work journals or those of other appropriate mental health disciplines, books, and monographs. Popular literature (magazines, newspapers), most internet sources, and personal communications are generally not appropriate for research papers. On-line journal articles and government (GPO) publications are acceptable; however, proprietary homepages are not. If any situation occurs that will affect your completion of the assignments, you must discuss this with the instructor as soon as possible. No special arrangements will be made after the assignments are due. 6. Grading Policies 1. All tests and assignments will be graded according to the following criteria: 1.C lari ty and flow of discussion, presentation of material, and demonstrated mastery of course content. 2. Inclusion of content in a complete and thoughtful manner using course concepts and appropriate terminology. 3. Obvious effort and attention to the material required in the assignment. 4. Writing skills (e.g., grammar, punctuation, spelling, content). 5. Use of APA format, including typed, double-spaced papers with 1-inch margins and 12-point font. VI. Course Outline: PLEASE NOTE 1) READINGS ARE ASSOCIATED WITH EACH WEEKLY TOPIC. Rohrer chapter papers cannot be submitted in advance of the associated class—only in the week after the associated lecture. 2) All reading assignments are to be done by the associated class. 3) Cultural and Gender issues will be infused in every class session. Reading Assignment For First Class: READING ASSIGNMENT FOR FIRST CLASS READ BEFORE FIRST CLASS!: 1. 2. 3. Saving Normal (by this class or the next) DSM-5 - Introduction, 5-17 D –SMUse of the Manuel, 19-5 25 H ighl -IV to DSM ights of 5, 809-816 C hanges F rom D SM Rohrer: Chap. 1 8 Jan. 12 Wilmington in class; Jacksonville on-line Class 1 – Course Overview; Overview of Psychopathology and Mental Health Treatment; Clinical Assessment & Diagnosis Jan. 19 All on-line Class 2 Depressive Disorders, 155-188 B ipolar and R elated D isor -154 Rohrer: Chap 5 Roher Chapter 1 paper due Jan 26 Wilmington in class; Jacksonville online Class 3— N eurodevelopm ental D isorders,31 -86 Elimination Disorders, 355-360 Disrupruptive, Impulse Control and Conduct Disorders Rohrer: Chap 8 from 223 to 251 Rohrer Chap. 5 paper due Feb 2 All online Class 4 – A nxiety D isorders,189 -233 Obsessive-Compulsive and Related Disorders, 235-264 Rohrer: Chap 6, all but not the story related to trama on pp. 167-170 Rohrer: Chapter 8 paper due Feb 9 Wilmington in class; Jacksonville online Class 5– T raum a and Stressor R elated disorders,265 Rohrer: Chap 6 story on trama, 167-170 Rohrer: Chap 6 paper due (all but story on trama) Feb 16 All online Class 6 – Substance R elated and A ddictive D isorders,481 -589 9 Rohrer: Chap 3 Rohrer: Chap 6 story on trama due Feb 23 Wilmington in class; Jacksonville online Class 7 - Schizophrenia and O ther P sychotic Disorders , 87-122 Rohrer: Chap 4 Rohrer: Chapter 3 paper due March 1 All online Class 8 – Personality Disorders, 645-684 Rohrer: Chap 7 Rohrer: Chapter 4 paper due March 8 NO CLASS (Spring break) March 15 Wilmington in class; Jacksonville online Class 9 – Feeding and E ating D isorders,329 -354 Rohrer: in Chap 8, pp 253-266 Rohrer Chap 7 paper due March 22 No Class PLEASE NOTE: Tuesday MARCH 29 LAST DATE TO HAND IN ROUGH DRAFT PAPERS, BY 11:59 March 29 Wilmington in class; Jacksonville online Class 10 – Sexual and G ender Identity D isorders,423 -459 Rorher Chap 8 due (253-266) April 5 All online Class 11--Other Disorders- Dissociative Disorders, 291-308 Sleep-Wake Disorders, 361-422 Neurocognitive Disorders, 591-643 10 April 12 Wilmington in class; Jacksonville online Class 12- V-CODES, 715-732 Rohrer: Chap 2 April 19 All online Class 13 Paper abstract presentations April 26 No class. TERM PAPERS DUE ON Tuesday, APRIL 25! (by 11:59 PM)