CALIFORNIA STATE UNIVERSITY, SACRAMENTO DIVISION OF SOCIAL WORK Social Work 224: Clinical Social Work Practice in Mental Health – Fall, 2010 SYLLABUS Janice R. Gagerman, PhD, LCSW, BCD, Professor of Social Work Office: Mariposa 5035 Phone: 916- 278-7173 (CSUS) or 530- 898-1952 (private practice office) Office Hours: Thursday 10:30 – 11:45 am; 5:15 – 6:00 pm. E-mail: gagerman@csus.edu Course Description: This course is designed to 1) help prepare advanced students for clinical practice and 2) facilitate the student’s learning / integration of theory and practice in clinical social work in mental health settings and/or mental health – related settings. The course complements the field practicum. The course encompasses a biopsychosocial perspective, under the umbrella of the values and ethics of social work. The focus is on developing the ability to take concepts from different theories and utilize them in a treatment plan which fits the assessment of the client; integrating theory, practice and theoretical approaches. The course builds on the knowledge gained in the professional foundation courses and advanced practice courses. It is expected that students bring to this class knowledge of a range of theories of human behavior in the social environment; social policy, mental health, social research and beginning practice skills. Current concepts of attachment, trauma, and neurobiology will be introduced, applied, and emphasized to course material. Medication management and the role medications play in treatment will be a main component of discussion. The Recovery & Rehabilitation Model of assessment/ intervention, and treatment will be included. Ethical issues relating to direct practice and use of self will be explored at an advanced practice level. The four main treatment modalities include 1) Cognitive – Behavioral Therapy, 2) Casework Management, 3) Motivational Interviewing, and 4) Rehabilitative/ Recovery Model focus. It is assumed that your advanced MSW II practice classes, SW204CD, will provide more in-depth and breadth of material related to this course. Thus, this course will compliment / expand on the knowledge and education being provided in SW 204CD. Emphasis is placed on multi-dimensional models of emotional challenges, including the criteria for differential diagnosis, labeling clients, pros and cons of DSM, developmental disabilities, and current approaches to social work practice. Use of different practice modalities including individual, couple, family, group, medication, and milieu are considered. Understanding of cultural and women’s issues, sexism, racism, homophobia, ageism, and social justice issues are a basic foundation in interventions with oppressed populations. The key role of the therapeutic relationship and alliance will continue to be the center of focus with special attention to issues of counter transference, cultural differences, life cycle development, trauma, class, religion, gender, life-style, values and beliefs, oppression and limited resources. In addition to the therapeutic role, other social work roles such as case management, 1 advocacy, social brokering, ethical/ legal issues, and inter-disciplinary collaboration will be discussed as appropriate. Although the focus will be on direct services to clients, the impact of public policy decisions such as managed care and diminishing resources on the lives of clients, as well as on the ability to provide services to them, will be identified. The need for students to constantly evaluate the quality of services they provide will also be discussed, as well as the need for research to validate practice. This course will present an introduction to current advancements in psychodynamic theory, specifically Self-Psychology, Inter-subjectivity, Affect Attunement, and Interpersonal processes in treatment. Discussion and application of Self-in-Relation/Mutuality theory will be addressed, discussed, and applied to the therapeutic alliance, along with the construction of meaning for the professional relationship. Class Objectives 1. Demonstrate the ability to integrate the knowledge and skills previously mastered that support differential diagnosis, including a DSM IV-TR diagnosis, assessment, and appropriate intervention and treatment strategies. 2. Demonstrate the ability to integrate knowledge from different theoretical approaches on behalf of the needs of a particular client and to be able to move from individual to couples to family to group as needed. 3. Demonstrate a greater degree of comfort with the range of therapeutic techniques which flow from the theoretical approaches, especially with the careful, thoughtful use of techniques from cultural sensitivity. 4. Demonstrate an understanding of the importance of time and timing in setting appropriate goals, monitoring, and evaluating the interventions. 5. Demonstrate that there has been an internalization of the social work role, its ethics, responsibilities, and privileges. 6. Demonstrate an understanding of the contributions of culture, class, religion, age, gender, ethnicity, and sexual orientation to both client and practitioner. 7. Demonstrate an understanding of the role of public social policy in framing the way we practice. 8. Demonstrate an understanding of the role of evaluation in improving our individual practice, and on research in improving the body of practice knowledge. 9. Demonstrate an understanding of one’s professional self, what theoretical approaches fit the best, and to be clear on how to manage counter-transference and/or the "therapeutic impasse." 10. Demonstrate an ability to work with different treatment modalities. 2 11. Demonstrate increased understanding of and sophistication about the use and abuse of medication in the treatment process and in particular, the collaborative model with both individuals and their families, in medication management. 12. Demonstrate a capacity to develop, in collaboration with the client, and when appropriate with the client’s family, a realistic treatment plan, utilizing the strengths’ perspective. 13. Demonstrate an increased understanding of the role of biology/ neurobiology, attachment, and trauma in the etiology of mental illness, as well as an understanding of the role of environmental, historical, and family factors in the functioning of clients. 14. Demonstrate an appreciation of the struggles of families and clients who have been diagnosed with a developmental disability and/or mental disorder, and an ability to provide services and support which include utilizing community resources and appropriate referrals to those resources. 15. Demonstrate an understanding of the Recovery and Rehabilitation Model of Treatment with those clients whose challenges require mutually-negotiated long-term management. Prerequisites: If MSWI: SW 204A, SW 295A, and SW 235A If MSW II: SW 204AB, SW 295AB and SW 235AB If MSW I, must be enrolled concurrently in SW 295B, SW 204B, & SW 235B If MSW II, must be enrolled concurrently in SW 295C/D and SW 204C/D Course Format The class will be conducted as a seminar with a combination of lecture, discussion, videos, exercises, group work with each other, and the possibility of guest speakers. Student preparation and participation are integral parts of this learning experience. The analytical case method approach will be the primary technique used for translating and applying theory into practice. The detailed case studies, as well as the cases brought in by faculty and students, will provide means for students to develop critical thinking and practice skills in a classroom setting. The case material presented in class may be used for class discussions, in-class experiential exercises, and for written and oral assignments. The cases will not only provide a bridge between the classroom and the student's field experience, but will allow the student to explore a wider variety of client systems and practice settings than may be encountered through field placements alone. Course Expectations Field Work: Students are required to share the course outline and assignments with their field instructors in order to provide guidance and integration with the field experience. If you believe your needs are not being met regarding your field placement, you are required to inform your field liaison. Attendance: Missing two (2) scheduled class sessions or the equivalent loses a minimum of one (1) letter grade on the final course grade. Missing (3) three scheduled class sessions or the equivalent will result in a failure from the course and will require you to make an appointment with me. 3 Tardiness: Being tardy is unacceptable. Please note the following consequences of tardiness: a. 15 minutes late = ½ absence b. more than 1 hr. late = 1 absence Class break: We will take a 10 – 15 minute break around 8:00 p.m. Tardiness after break is not acceptable for any reason. Plagiarism: Any form of cheating or plagiarism will result in a failing grade for the course. E-mail: You are required to check your e-mail every week by the Tuesday before class. I may adjust reading/ written assignments and/or make announcements. Cellular phone or pager: Please turn off your cellular phone or pager during class. If your job/ field placement /family require you to be on-call during class time, do not take this elective. Laptop: STUDENTS USING LAPTOPS FOR WEBSURFING OR CHECKING EMAILS DURING CLASS WILL BE PENALIZED BY GRADE REDUCTION. I reserve the right to examine the screen on your laptop at any time during class and ask you to close the screen. Ethical Practice: It is expected that students are knowledgeable of our NASW Code of Ethics. This code guides your behaviors in class and in field. Ethical violations (e.g., disrespect for colleagues/ clients) may result in failure of this course or in field, particularly if the professor or field instructor has previously advised a student of the violation(s). Students with Special Needs: ADA Provisions Students who have a learning disability or experience other reasons that might interfere with their ability to complete the class requirements, need to make an appointment and discuss this with the instructor. Students with documented learning difficulties can obtain special accommodations for course materials, testing facilities, and equipment by contacting the Office of Disability Services in Lassen Hall 10008, (916) 278-6955. The instructor should be advised of these accommodations so as to better assist the student with his/her learning needs, and requires proper documentation from the Disability Services Office. Required Texts for Social Work 224: 1. Bentley, K. and Walsh, J. (2006) The Social Worker and Psychotropic Medication: Toward Effective Collaboration with Mental Health Clients, Families, and Providers. (3rd Ed.) Belmont: Thomson -Brooks/Cole 2. Johnson, Sharon L. (2004) Therapist’s Guide to Clinical Intervention: The 1-2-3’s of Treatment Planning. (2nd Ed.) San Diego: Academic Press 3. American Psychiatric Association. (2000) Quick Reference to the Diagnostic Criteria from DSM-IV-TR. Washington, DC.: American Psychiatric Association OR: DSM-IV-TR 4. Pomeroy, E. and Wambach, K. (2003). The Clinical Assessment Workbook: Balancing Strengths and Differential Diagonsis. Belmont: Thomson -Brooks/Cole 4 5. Preston, John and Johnson, James. (2009) Clinical Psychopharmacology Made Ridiculously Simple. 6th Edition. 6. Web Sites for Medications: 1. surveyorhealth.com 2. epocrates.com 3. www.RxFiles.ca Highly Recommended & integrated in course material: 1. Austrian, Sonia (2005) Mental Disorders, Medication, and Clinical Social Work. (3rd Ed.) New York: Columbia University Press. Recommended for your career: 1. Banks, Amy. (2001) Post-Traumatic Stress Disorder: Relationships and Brain Chemistry. Wellesley: Stone Center. 2. Bernard, Janine and Goodyear, Rodney. (1998) Fundamentals of Clinical Supervision (2nd Ed.) Needham Heights: Allyn and Bacon 3. Brody, Ralph. (2005) Effectively Managing Human Service Organizations. 3nd ed. Thousand Oaks: Sage Publications 4. Butler, Robert; Lewis, Myrna; and Sunderland, Trey. (1998) Aging and Mental Health: Positive Psychosocial and Biomedical Approaches. 5th ed. Boston: Allyn and Bacon 5. Danielli, Yael. (1998) International Handbook of Multigenerational Legacies of Trauma. New York: Plenum Press 6. Cole, Carol. (1998) Practical Guide to DSM-IV Diagnosis and Treatment, 2nd Ed. 20042 Beach Blvd. #130 Huntington Beach, CA. 92648 (714) 536-03057: Carol Cole Publications. 7. Fletcher, Joyce. (1999) Disappearing Acts: Gender, Power, and Relational Practice at Work. Cambridge: MIT Press 8. Gagerman, Janice (1997). Integrating dream analysis with intersubjectivity in group psychotherapy. Clinical Social Work Journal. 25 (2) pp. 163-178. 9. Gagerman, Janice (2004). The search for fuller mutuality and self experiences in a women’s psychotherapy group. Clinical Social Work Journal, 32 (3) pp. 285-306 10. Goldstein, Eda and Noonan, Maryellen. Short-Term Treatment and Social Work Practice(1999) New York: The Free Press 11. Grief, G., and Ephross, P.; Eds. (2005) Group Work with Populations at Risk. (2nd Ed.) New York: Oxford University Press 5 12. Greenspan, S. and Thorndike Greenspan, N. (1985) First Feelings: Milestones in the Emotional Development of your Baby and Child. New York: Penguin Books 13. Herman., Judith. Trauma and Recovery. (1997) New York: Basic Books 14. Corey, G.; Corey, M.; Callanan, P. (2007) Issues and Ethics in the Helping Professions. (7th Ed.) Belmont: Thomson Higher Education. 15. Johnson, Harriette. (1999) Psyche, Synapse, and Substance: The Role of Neurobiology in Emotions, Behavior, Thinking, and Addiction for Non-Scientists. Greenfield, MA. 01302-4000: Deerfield Valley Publishing 16. Jongsma, Arthur and Peterson, Mark (2005) The Complete Adult Psychotherapy Treatment Planner. New York: John Wiley and Sons 17. Jongsma, A; Peterson, L; and McInnis, W. (2005) The Child Psychotherapy Treatment Planner. New York: John Wiley and Sons 18. Jordan, Cathleen and Franklin, Cynthia. (2003) Clinical assessment for social workers: Quantiative and qualitative methods. Chicago: Lyceum Books, Inc. 19. Jordan, Judith (1997) Women’s Growth in Diversity: More Writings from the Stone Center. New York: Guilford Press 20. Jordan, J.; Kaplan, A; Miller, J.B.; Stiver, I.; Surrey, J. (1991) Women’s Growth and Connection: Writings from the Stone Center. New York: Guilford Press. 21. Levy, Terry; Ed. (2000) Handbook of Attachment Interventions. San Diego: Academic Press. 22. Levy, Terry and Orlans, Michael. ) Attachment, Trauma, and Healing: Understanding and Treating Attachment Disorder in Children and Families. (1998)Washington, DC: CSLA Press 23. Linehan, Marsha. (1993). Skills Training Manual for Treating Borderline Personality Disorder. New York: Guilford Press. 24. Luepker, Ellen. (2003) Record Keeping in Psychotherapy and Counseling: Protecting Confidentiality and the Professional Relationship. New York: Brunner-Routledge 25. McKay, Matthew and Paleg, Kim. (1992) Focal Group Psychotherapy. Oakland: New Harbinger Publications 26. McManus R, and Jennings, G; Eds.(1996) Structured Exercises for Promoting Family and Group Strengths: A Handbook for Group Leaders, Trainers, Educators, Counselors, and Therapists. New York: Haworth Press 27. Meichenbaum, Donald (1994) A Clinical Handbook/ Practical Therapist Manual for Assessing and Treating Adults with PTSD. Ontario, Canada: Institute Press 6 28. Miller, Jean Baker and Stiver, Irene. (1997) The Healing Connection: How Women Form Relationships in Therapy and in Life. Boston: Beacon Press 29. Morganett, R.S. (1994) Skills for Living: Group Counseling Activities for Elementary Students. Champaign: Research Press 30.______________(1994) Skills for Living: Group Counseling Activities for Young Adolescents. 31. Roberts A.R. and Greene, G.J., eds. (2010) Social Worker’s Desk Reference. (2nd Ed.) New York: Oxford University Press 32. Schore, Allan. (1994) Affect Regulation and the Origin of the Self: The Neurobiology of Emotional Development. Hillsdale, New Jersey: Lawrence Erlbaum Associates 33.____________ (2003) Affect Dysregulation and Disorders of the Self. 34.____________ (2003) Affect Regulation and the Repair of the Self. 35. Siegel, Daniel (1999) The Developing Mind. New York: Guilford Press 36. Sjostrom, L. and Stein, N. (1996) Bullyproof: A Teacher’s Guide on Teasing and Bulling for Use with 4th and 5th. Wellesley: Stone Center Publications 37. Stein, N. and Sjostrom, L. (1994) Flirting or Hurting: A Teacher’s Guide on Student-toStudent Sexual Harassment in Schools- Grades 6 Through 12. Wellesley: Stone Center Publications 38. Stern, Daniel (1985) The Interpersonal World of the Infant. New York: Basic Books 39. Sattler, Jerome (1998) Clinical and Forensic Interviewing of Children and Families. San Diego: Jerome Sattler Publishers, Inc. – focused in CPS or those working with children and families 40. Teyber, Edward (2000) Interpersonal Process in Psychotherapy: A Relational Approach. 4th ed. Belmont: Wadsworth/Thomson Learning. 41. Toseland, R. and Rivas, R. (2008) An Introduction to Group Work Practice. Needham Heights: Allyn and Bacon 42. Webb, Nancy Boyd. Social Work Practice with Children (2003). 2nd Ed. New York: Guilford Press 43. Yalom, I. (1995) 4th Edition. The Theory and Practice of Group Psychotherapy. New York: Basic Books 44. Cole, Carol (1998) Practical Guide to DSM IV Diagnosis and Treatment. Carol Cole Publisher: Huntington Beach. (2nd ed.) 7 45. American Psychiatric Association (2003) Diagnostic and Statistical Manual of Mental Disorders IV-TR, 4th Ed. Washington,DC: American Psychiatric Association 46. Farmer, Rosemary L. (2009) Neuroscience and Social Work Practice: the Missing Link. Sage: Los Angeles Course Assignments and Grading In addition to the assignment’s specific instructions, the following criteria are applied: Effective use of knowledge: the integration of concepts, theories, and information from readings, lectures, class discussions, as well as personal points of view that are presented in professional, rational, and logical manners. Organization: An introduction, smooth relationship between ideas and between paragraphs, overall structure, and integrative conclusion. APA format required. Clarity: understandability, good style and form. Syntax, grammar and spelling required. Serious deficiencies will result in a lower grade. The assignments should be typed, using a 12 point font, have 1 inch margins, outlined, doublespaced, unless otherwise stated. Please retain a duplicate copy of all your written assignments prior to submitting them for grading in the event of accidental loss or destruction. Assignments will be due in class on the date indicated. Papers will be reduced two full letter grades for each week the paper is late. More than 2 weeks late constitutes a failure for the assignment. The final BPSA assignment can only be 1 week late. If at any time you do not provide an indication that you are not doing the readings or working collaboratively with your colleagues, I reserve the right to add an additional exam, assignment or paper. 1. Choice of 2 Weekly Sets (20% each) 2. Final Paper (BPSA and TX plan) 3. Oral Participation (SIGNFICANT) Due by 10/14 & 11/11 Due 12/13 @ 1:00 pm ongoing 40% 50% 10% 1. Two Weekly sets a. These questions are SPECIFICALLY related to your readings. The questions for each week are in the syllabus for each set of readings. You have a choice of doing 2 sets. Minimum one set is due by October 14, 2010. The second set is due by November 11, 2010. b. Your answer(s) will focus on the essential “critical points” for each question. If you do not have your response set, you will get a zero. No late sets will be accepted. These sets are being graded on the depth and breadth of your thoughts/ clinical considerations, and integration of concepts. The entire page needs to be covered with your responses, with ½ inch side margins. c. Length: 4 pages, double- spaced, each. 8 Due Dates & Topics for Weekly Sets: 9/23: 9/30: 10/14: 10/28: 11/4: 11/11: Attachment Disorders Collaboration with Clients; Principles of Psychopharmacology Anxiety Disorders PTSD/ Trauma Mood Disorders & Medication Education with Clients Mood Disorders & Motivational Interviewing 2. Final BPSA and Treatment Plan A. Using a client from your field placement: 1. Follow the assessment outline in Pomeroy and Wambach, pp. 6 – 8. 2. Provide a 5 axial DSM diagnosis for your client. 3. Write a treatment plan, integrating material from Johnson and a New York Times Science article: B. New York Times, Tuesday Science Section, dated 8/31/10 – 12/7/10. Integrate the main concepts from the article to your final paper. I will email you a variety of past articles for examples. - Go to: www. NYT.com on any Tuesday and click the link to the SCIENCE section on the left hand side of the home page. Print out and staple the article to your final paper. C. If you are a student in my 204C class, you cannot use the same client for this paper as you do for your final paper in 204C. GRADING CRITERIA 1. Clarity and conciseness, double- spaced 2. Integration of course texts, NYT Science article, reading material and /or theory with your client in field. 3. Spelling, grammar, sentence structure – you will lose one full grade with errors in this area 4. Length: 10 - 12 pages 5. Assessment following Pomeroy and Wambach material pp. 6-8, 4 – 8 pages in length 6. Treatment Plan following any chosen material in Johnson text, 3 – 7 pages in length 7. Due Date: December 13 @ 1pm in my office. 3. Oral Participation This is a very active course and participation is an ongoing requirement. Students should contribute in each class. Some ways include: asking questions; bringing in relevant newspaper articles to increase class awareness; leading a discussion in your small group; volunteering to be in a role-play; answering questions that students or instructor asks; knowing readings well enough to be able to talk about them, etc. A student’s grade will/ can be decreased if, over the course of the semester, the student is not participating and/or responding to classroom discussion. COURSE OUTLINE You are expected to bring the assigned reading materials to the class session for which they are noted. Handouts will be provided and emailed throughout the course of the semester as needed. 9 The text material below will be referred to as follows: 1. Bentley and Walsh = B & W 2. Austrian = Austrian 3. Johnson = Johnson 4. Preston = Preston 5. Pomeroy and Wambach = P&W 6. Course reader/ material/ websites will be emailed - noted with an asterisk ***** below. SESSION 1: September 2 TOPICS: Course Overview and Introduction; Assignments and Expectations, Attachment Disorders Overhead: Kenneth Miller (2001) Reactive Attachment Disorder *******emailed Handouts: All text outlines and other relevant material will be emailed SESSION 2: September 9 Movie: “Sophie’s Choice” (clips) In Recognition of the Jewish Holiday of Rosh Hashanah TOPICS: Attachment Disorders in Children; Violence and Antisocial Patterns in Children; Treating ADHD / Hyperactivity as Attachment Deficits; Parenting Children with Attachment Disorders; Macro Trauma; Child Abuse and Neglect; Domestic Violence; Child Custody Evaluations Readings: 1. 2. 3. 4. Levy: Chapters 1 – 2 ***** Johnson: pp. 177-178; 195-212 B&W: pp. 146-148 171-175 Miller: Attachment Disorders ***** SESSION 3: September 16 TOPICS: Biopsychosocial Assessment/ Diagnosis in Clinical Social Work; Use and Abuse of DSM terminology; PIE; Case Monitoring 1. P & W: Case 2.6 Michael Barron: Axis I 312.82 CD / 314.01ADHD, Comb. Case 2.2 Bobby Jones: Axis I 313.81 ODD 2. P&W: Chapter 1 3. Austrian: Chapter 1 4. Medication website - review: - surveyorhealth.com - epocrates.com - www.RxFiles.ca 10 Weekly Set: Due: 9/23 1. Levy: What are the differences between secure attachment and insecure / disordered attachment? 2. What are the main symptoms of ADHD? How might these be related to insecure attachment? 3. What are the ethical dilemmas regarding medication with children/ adolescents? 4. Which interventions would you use with Bobby Jones OR Michael Barron ? SESSION 4: September 23 TOPICS: Social Work Roles in Medication Management; Defining Effective Collaboration in Medication Management with Clients; Medication Differences with Genders, Elderly, Ethnicity; Sexual Side Effects; Biology v. Psychology; Medication websites Basic Principles of Psychopharmacology and CNS Neurotransmitters; Readings: 1. B& W, Chapters 1, 2, & 5, pp. 159 – 171; 176-186 2. Preston, Chapter 1 3. Medication website: - surveyorhealth.com - epocrates.com - www.RxFiles.ca Weekly Set: Due 9/30 1. B&W p. 3 # 2 2. B&W p. 27 # 1 3. B&W p. 27 # 3 4. B&W p. 159 #2 (except children and adolescents) SESSION 5: September 30 TOPICS: Basic Principles of Psychopharmacology and CNS Neurobiology of PTSD: Relationship and Brain Chemistry Readings: 1. B&W: Chapter 3 2. Banks, Amy. ******* 3. Preston: pp. 52-53 MOVIE: Children on MEDS Neurotransmitters; SESSION 6: October 7 TOPICS: Anxiety Conditions/ Diagnoses/ Disorders/ Medications; CBT; DSM-IV-TR Multi-axial Assessment and Diagnosis/ Pros and Cons/ Ethical considerations. 11 Readings: 1. 2. 3. 4. 5. Austrian: Chapter 2 B&W: Chapter 4: pp. 133-146 (cases of Lynne, Don, and Vanessa) Johnson: 65-71; 109-111; 124- 139-140; 167-173; 238-246. CBT – power point to be emailed ******* P&W: Chapter 7 Weekly Set: Due: 10/14 1. P&W Case 7.4 of Celia Fernandez 2. Answer the questions for this case, along with integrations of relevant material from Johnson, p. 135 SESSION 7: October 14 TOPICS: PTSD/ Trauma & Dissociation; Medication for Anxiety Disorders Readings: 1. Austrian: Chapters 2 and 5 (trauma/ PTSD material in Chapter 2) 2. Johnson: pp. 78-79; 135-137; 187-195; 269-270 3. Allen, Kate: “How A Violent Environment Can Cause Permanent Physiological And Anatomical Changes in the Brain” ******** 4. Preston, chapter 4; pp. 55-56 Weekly Set: Due: 10/28 1. Which interventions would you use for Angela***********? (one page for this) 2. How are PTSD and insecure/ disordered attachment related? 3. How does a violent environment impact the brain? MOVIE: PBS – The Secret Life of the Brain: The Adult Brain: To Think by Feeling SESSION 8: October 21 Work on Cases in Class with your groups from P&W: Chapter 7 Assessment, Diagnosis, Treatment, Interventions: 1. 7.1 Gloria Kuhlenschmidt 2. 7.2 Maya Pena 3. 7.3 Caroline Collins 4. 7.5 Mark Abbott 5. 7.6 Nicole Gibson SESSION 9: October 28 TOPICS: Mood Disorders/ Bipolar Conditions; Depression/ Dysthymia; Suicide/ Acute Conditions; Medication for Depression, Medication Education for Clients and Families Readings: 1. Austrian: Chapter 3 2. B & W: Chapter 4: pp. 100-113; pp. 116-132 3. Johnson: pp. 51-64; 109-132; 141-163; 301-329; 375-376 12 4. Preston, Chapter 2 5. B&W – Chapter 6 Weekly Set: Due: 11/4 1. How would you differentiate a client with depression from a client with a bipolar condition? 2. B&W, Chapter 6: Under what circumstances would you not support a client’s “right” to self-determination when refusing to take his/her medications? 3. B&W, Chapter 6: Which 6 common topics would you choose for your agency’s medication education program? SESSION 10: November 4 TOPICS: Mood Disorders/ Bipolar Conditions; Depression/ Dysthymia; Suicide/ Acute Conditions; Motivational Interviewing; Interpersonal Therapy; Medication for Bipolar Disorders Readings: 1. Motivational Interviewing (M.I.) – 2 below Web Sites http//:www.tcada.state.tx.us-training-presentation-pptMotivationalInterviewing.ppt.url http//:ahec.allconet.org-newrihp-powerpoint-module3motivationalinterview.ppt.url 2. Preston, Case B pp. 63-65 and/or Case C pp. 64-65 3. Preston, Chapter 3 and Appendix B Weekly Set: Due 11/11 – email this assignment 1. Examine Preston, Case B OR Case C. Which symptoms/ behaviors exemplified Bipolar Disorder instead of Depression only and Anxiety only? 2. Discuss 5 points of Motivational Interviewing (MI) which are important for your work with clients. 3. At what stage of MI do you believe a client of yours would likely become “stuck”? Why? 4. Which interventions would you use with your client/ client system? SESSION 11: November 18 TOPICS: Schizophrenia/ Neurodevelopmental Conditions/ Continuum of Behaviors; Medication Education for Clients and Families; Medication Adherence and Refusal; Medication for Psychotic Disorders; United States Psychiatric Rehabilitation Association (USPRA), – material will be emailed****** Readings: 1. 2. 3. 4. 5. 6. 7. MOVIE: B & W: Chapter 7; Chapter 4: pp. 83-100 Austrian: Chapter 6; Chapter 12 pp. 263-266 Johnson: pp. 45-49; 130-131 Preston, Chapter 5 USPRA material********* Connie Massie, LCSW, BPSA in Reader***** Susan and Michael’s story – will be emailed***** Susan and Michael. 13 SESSION 12: December 2 TOPICS: Substance Abuse; Medication Monitoring and Management Readings: 1. Austrian: Chapter 7 2. B & W: Chapter 8; Chapter 5 pp. 181-185 3. Johnson, pp. 179-195; 381-393 4. Preston, Appendices A and C SESSION 13: December 9 Topics: Personality Disorders; A New Diagnosis re: PTSD; Intervention Concerns of Medication: Racial & Ethnic Differences; Dialectic Behavioral Therapy; Future Directions in Psychopharmacology; Vitamin, Herbal, Homeopathic Sensory Treatments; Alternative Movement/ Body Therapies Readings: 1. Austrian: Chapter 9 2. B & W: Chapter 5, pp. 176-181 3. Allen, Kate “Personality Disorders” and “Borderline Personality Disorder” ****** 4. Judith Herman – Chapter 6 “A New Diagnosis” ********* 5. Marsha Linehan – Dialectic Behavioral Therapy (DBT) see http below******** 6. Johnson: pp. 88-103; 266-269 7. B&W: Chapter 9 8. http://psychcentral.com/lib/2007/an-overview-of-dialectical-behavior-therapy/ Points for Thought and Discussion: 1. Why can people with personality disorders/ character styles be so challenging to work with? 2. Consider Allen’s and Herman’s material which you find helpful in your thinking about personality disorders. PUTTING IT ALL TOGETHER CLOSURE WITH CLASS HAVE A GOOD HOLIDAY SEASON FINAL PAPER DUE: MONDAY, December 13 @ 1:00 P.M. in my office 14