UNIVERSITY OF TENNESSEE—COLLEGE OF SOCIAL WORK NASHVILLE CAMPUS SW 537 Introduction of Psychopathology and Social Work Practice Section 4 (3 credit hours) Summer 2013 Instructor: April Mallory, LCSW Office Hours: T/R 11:30-12:30 or by appointment Prerequisite(s): 510, 512, 513, 517, 519, 522, 538 Contact: 615-482-8668 please use cell phone between 9am-7pm Email: amallor3@utk.edu Code of Conduct It is the student's responsibility to have read the College of Social Work Ethical Academic & Professional Conduct Code that is in the College of Social Work MSSW Handbook (www.csw.utk.edu) Honor Statement An essential feature of The University of Tennessee is a commitment to maintaining an atmosphere of intellectual integrity and academic honesty. As a student of the University, I pledge that I will neither knowingly give nor receive any inappropriate assistance in academic work, thus affirming my own personal commitment to honor and integrity. (Hilltopics). Disability If you need course adaptations or accommodations because of a documented disability or if you have emergency information to share, please contact The University of Tennessee Office of Disability Services at 2227 Dunford Hall (865-974-6087). This will ensure that you are properly registered for services. Course Description This is a required concentration course. The course examines psychopathology and mental disorders from an ecological perspective. Emphasis is placed on understanding biopsychosocial influences on the incidence, course and treatment of the most commonly presented mental disorders and the differential effect of these factors on diverse populations. The course emphasizes the acquisition of diagnostic skills as they relate to comprehensive social work assessment and the development of social work interventions. Ethical issues, collaboration with families, knowledge of psychopharmacology and the varied roles social workers play in mental health settings will be stressed. The Diagnostic Statistical Manual (DSM 5) is used as an organizing framework for reviewing major mental disorders. Discussion of the strengths and weaknesses of this system, the role of social workers in psychiatric diagnosis, the relationship of diagnosis to social work assessment and practice, and issues of ethical practice, and an emphasis on diagnosis, assessment, ethical issues in practice with diverse/multicultural clients/client systems are a critical part of the course. The course emphasizes the acquisition of diagnostic skills as they relate to comprehensive social work assessment of adults, adolescents, and children. Knowledge of psychopharmacology and the roles social workers play regarding medication with clients as part of an interdisciplinary treatment team will be covered. Course Rationale The course examines psychopathology and mental disorders from a systems and ecological perspective. Emphasis is placed on understanding biopsychosocial and cultural influences on the incidence, course and treatment of the most commonly presented mental disorders and the differential effect of these factors on diverse populations at risk. Current research from biological psychiatry and sociological work regarding the impact of poverty, race, class, social causation and labeling theories and the stress, coping, social support model are highlighted. Special attention is also placed on understanding the human experience of mental illness through the study of subjective experience of clients and the experience of burden on families. Course Competencies By the completion of this course, the students are expected to be able to demonstrate: 1. Describe different theoretical approaches for the study of psychopathology. 4.3, 4.5 2. Identify the components of comprehensive assessment with individual clients including differential diagnosis and psychosocial evaluation. 3.5 3. Identify, describe, and distinguish the major types of psychopathology including symptom logy, etiology, and coping mechanisms. 4.3 4. Identify and critically analyze theories of human growth and development that contribute to understanding psychopathology. 2.1 5. Describe the interaction of biological, sociological, psychological, risk and resiliency factors in the development of psychopathology. 2.1, 2.4 6. Identify the effects of ethnicity, race, culture, economic status, sexual orientation, age, gender, physical and mental ability, and vulnerability on maladaptive behavior. 3.3, 3.1, 4.1 7. Apply knowledge of psychopathology to formulate differential diagnosis and identify the implication of diagnosis for evidence-based social work interventions. 4.3, 2.1 8. Explicate an understanding of the ethical issues encountered in assessment and intervention with clients with psychopathology and demonstrate the ability to analyze ethical dilemmas. 1.3, 3.5 Required Texts Dziegielewski, Sophia F. (2010). DSM-IV-TR In Action (2nd Ed.). Hoboken, New Jersey: John Wiley and Sons. Supplemental Text—NOTE: This text will be referenced in quizzes and the exam. While weekly readings are not assigned you are expected to use this text as a reference both during the class and in your practice. APA (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). American Psychiatric Association: Washington DC. APA (2013). Desk Reference to the Diagnostic Criteria from the DSM-5. American Psychiatric Association: Washington DC. Additional readings available on BlackBoard COURSE REQUIREMENTS/GRADING The course grade will be based on 6 online quizzes, a group presentation on a selected mental disorder and participation. Students are expected to read the assigned articles/chapters thoughtfully and to come to class prepared to ask questions, make comments and add to the overall discussion. The course grade will be computed as follows: Six Quizzes Diagnostic Presentation Participation 120 points 60 points 20 points Late assignments/quizzes will not be accepted. A = 190+ points B+ = 180-190 points B = 170-179 points C+ = 160-169 points C = 140-159 points F = <140 points QUIZZES (60%) Quiz 1 (20 pts): This quiz will cover the symptoms, psychopharmacology, course and treatment of the disorders presented by student groups and the differential effect of these factors on diverse populations. Quiz 2 (20 pts): This quiz will cover the symptoms, psychopharmacology, course and treatment of childhood disorders and the differential effect of these factors on diverse populations. Quiz 3 (20 pts): This quiz will cover the symptoms, psychopharmacology, course and treatment of mood & anxiety disorders and the differential effect of these factors on diverse populations. Quiz 4 (20 pts): This quiz will cover the symptoms, psychopharmacology, course and treatment of substance use disorders and the differential effect of these factors on diverse populations. Quiz 5 (20 pts): This quiz will cover the symptoms, psychopharmacology, course and treatment of psychotic disorders and the differential effect of these factors on diverse populations. Quiz 6 (20 pts): This quiz will cover the symptoms, psychopharmacology, course and treatment of personality and cognitive disorders and the differential effect of these factors on diverse populations. DIAGNOSTIC PRESENTATION (30%) The goal of this assignment is to creatively explore a disorder or category of disorders in-depth and to demonstrate your understanding of psychopathology. The presentation will include text and audio to be posted online to be viewed by the entire class. It is the group’s responsibility to cover the topic in enough detail that the class participants are able to answer questions on the quizzes and gain a working knowledge of the disorder category. The entire presentation should be between 10-15 minutes. The group should be prepared to answer questions from the class during the discussion. The text/slide show portion of the presentation must include the five elements listed below: 1) Define the disorder or disorders within the class (2.5 pts): Note all the pertinent symptoms, risk factors, and how said symptoms may present clinically. 2) Etiology/Neurobiology (5 pts): Critically assess any theories as to the cause of the disorder. This can include social, genetic, or psychological explanations. Be sure to discuss any neurobiological explanations of the disorder. 3) Prevalence (5 pts): Use research statistics to describe the general prevalence of the disorder as well as the prevalence among pertinent subgroups as defined by age, sex, race, ethnicity, sexual orientation etc. 4) Evidence base for practice (5 pts): Review the research literature to determine the most empirically supported assessment measures and interventions (including psychopharmacological interventions if there are any). Be sure to cite the studies supporting your assertion and defend why you have chosen these studies as the most rigorous. 5) Diversity (2.5 pts): Critically analyze any issues that you have discovered in the literature to guide clinicians on appropriate diagnosis and treatment of this disorder in pertinent subgroups. These subgroups can be defined by race, ethnicity, sex, sexual orientation, age or any other pertinent grouping. In addition to the descriptive overview of the diagnosis, the group will develop and present an interview of a client with the disorder. This interview will be presented in class and should be between 8-10 minutes, no longer. This interview should depict the client’s presenting signs, symptoms and a history consistent with the diagnostic criteria (10 points). The interviewer should demonstrate professional interviewing skills and techniques to elicit a history adequate for preliminary diagnosis (10 points). A brief case summary document will be prepared as a companion to the interview (10 points). Additional information about the format will be provided in class and on Blackboard. The group members will receive a joint grade for the presentation (50 points=20 for interview, 10 for case summary and 20 for text and description in slideshow). Individuals will be graded for completing anonymous surveys of each presentation (10 points total). Additional instructions will be posted on Blackboard. PARTICIPATION (10%) Participation will count as 10% of the final grade. This includes attendance, active engagement in discussions and a weekly journal. The journal will be provided in the first class session. Two points will be subtracted for each absence after the first. Excuses are not necessary. EVALUATION PROCEDURES AND GRADES A (190-200) Outstanding/Superior: Exceptional performance. Consistently exceeds expectations. B+ (180-189) Very Good: Student consistently meets, and occasionally exceeds, normal expectations for the course. B (170-179) Good: Student consistently meets normal expectations for the course. C+ (160-169) Average: There is unevenness in grasping course content. Student is inconsistent in meeting normal expectations for the course. C (140-159) Poor: There is lack of understanding of content. Student does not meet expectations. F (139-Below) Very Poor: There is a lack of attendance or incomplete assignments. Course expectations are not met. ANTICIPATED COURSE OUTLINE—Additional readings will be included in session folders on Blackboard SESSION #1 Introduction to the Course, Review syllabus, Discuss the course objectives Tuesday 7/9 Form groups for Diagnostic Presentations Critically thinking about mental health diagnosis Brief overview/review of neurobiology and pharmacokinetics Readings: DSM-IV-TR In Action Chapter 1-4 SESSION #2 Thursday 7/11 No class meeting. View 6 presentations online. Posted in Blackboard under Session #2 folder. Be prepared for discussion on 7/16 Quiz #1—over 6 presentations. SESSION #3 Childhood Disorders Tuesday 7/16 Readings: DSM-IV-TR in Action Chapter 5 Quiz #2—Childhood disorders SESSION #4 Mood Disorders Thursday 7/18 Readings: DSM-IV-TR in Action SESSION #5 Anxiety Disorders Tuesday 7/23 Readings: DSM-IV-TR in Action Quiz #3: Mood and Anxiety Disorders Chapter 9 Chapter 10 SESSION #6 Substance Use Disorders Thursday 7/25 Readings: DSM-IV-TR in Action QUIZ #4: Substance Use Disorders SESSION #7 Psychotic Disorders Tuesday 7/30 Readings: DSM-IV-TR in Action QUIZ #5: Psychotic Disorders Chapter 7 Chapter 8 SESSION #8 Presentation Interviews and discussion Thursday 8/1 Group Presentations due at midnight on Blackboard on Individual surveys due at midnight on Blackboard on SESSION #9 Personality Disorders Tuesday 8/6 Readings: DSM-IV-TR in Action Chapter 13 SESSION #10 Cognitive Disorders Thursday 8/8 Readings: DSM-IV-TR in Action QUIZ #6: Personality and Cognitive Disorders Extra Credit Assignments Due by 8/9 at midnight Chapter 11