9780205730650

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Provides a biopsychosocial treatment guide to those suffering from mental illness.

Interventions for Severe Mental Disorders: Working with Individuals and their Families prepares the beginning social work practitioner to work with some of the most challenging clients seen at public community mental/behavioral health care services. This title includes how to develop and maintain a therapeutic alliance with individuals with serious mental illness; how to manage and overcome the impact of stigma; how to manage a client’s lack of insight and facilitate illness awareness; and how to work with and engage involuntary and resistant clients. Readers will learn how to overcome potential barriers to effective treatment engagement with individuals suffering from severe mental illness (SMI). Mental illnesses addressed include schizophrenia, bipolar disorder, paranoid disorder, severe personality disorders and substance abuse problems.

Advancing Core Competencies Series - As part of the Advancing Core Competencies Series, this title is designed to help students apply CSWE’s competencies and practice behaviors examples to specialized fields of practice. Readers will gain experience answering licensing-type higher-level thinking questions tied to the competencies.

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Christina E. Newhill, Ph.D., LCSW is currently a Professor of Social Work at the University of Pittsburgh, with a secondary appointment in the Clinical and Translational Science Institute. She holds a B.A. in sociology from the State University of New York at Binghamton, a Master in Social Work from Syracuse University and a doctorate in social welfare from the University of California at Berkeley. Her doctoral dissertation focused on developing a scale to assess danger to others in psychiatric emergency room settings.

Newhill chairs the Direct Practice Concentration in the MSW program, and teaches in the MSW and Ph.D. programs. In 2008, she received the Chancellor’s Distinguished Teaching Award, the University of Pittsburgh’s highest teaching honor. Professor Newhill’s primary research and scholarship interests include examining violence risk markers and psychopathology, the risk assessment of violent clients and social worker safety, evidence-based treatments for individuals with serious mental illness, emotion regulation problems and borderline personality disorder, psychiatric emergency services, racial disparities in mental health services, and social science theory. She is the principal investigator on several research studies focusing on violent behavior and risk assessment and is currently examining the relationship of borderline personality disorder, emotion-regulation problems, and violent behavior. She is also co-investigator on an NIMH-funded five-year project addressing brain imaging, cognitive enhancement and early treatment of schizophrenia.

Dr. Newhill has more than 10 years of community mental health practice experience, primarily in psychiatric emergency and inpatient settings. She has conducted training workshops on client violence and social worker safety at the local, state, and national levels for many years and authored “Client Violence in Social Work Practice: Prevention, Intervention and Research”, published in 2003 by Guilford Press and recently translated into Chinese and Korean. Professor Newhill is a licensed clinical social worker in California and Pennsylvania.

In This Section:

I) Brief Table of Contents

II) Detailed Table of Contents

I) Brief Table of Contents

PART I:UNDERSTANDING THE HISTORICAL AND CURRENT CONTEXT OF SOCIAL WORK PRACTICE WITH INDIVIDUALS WITH SEVERE MENTAL ILLNESS (SMI) AND THEIR FAMILIES

Chapter 1: Understanding How Societies Have Cared for and Treated Individuals with Severe Mental Illness: Ancient Times to the Rise of the Asylum to Community-Based Mental Health Care

Chapter 2: 1950s to the Present: The Community Mental Health Services Act, Deinstitutionalization, Evidence-Based Practice, and Current Status of Public Mental Health Services: The Rise and Evolution of the Family Movement, Consumer Movement, and the Recovery Model

Chapter 3: Legal and Ethical Issues Relevant to Practice with Individuals with Serious Mental Illness and Their Families

PART II:FOUNDATION PRACTICE KNOWLEDGE AND SKILLS FOR WORKING WITH INDIVIDUALS WITH SMI AND THEIR FAMILIES

Chapter 4: Overcoming Barriers to Treating Clients with Serious Mental Illness and Developing and Maintaining a Therapeutic Alliance

Chapter 5: Working with Legally and Socially Involuntary Clients

Chapter 6: Social Work Practice with Clients with Severe Mental Illness from Diverse Client Groups

Chapter 7: Understanding and Working with the Families of Individuals with Serious Mental Illness

Chapter 8: Social Work Practice and Psychopharmacology for Individuals with Severe Mental Illness

Chapter 9: Case Management

PART III:INTERVENTION PRINCIPLES AND STRATEGIES WITH SPECIFIC TYPES OF SEVERE MENTAL ILLNESS AND RELATED ISSUES

Chapter 10: Practice with Individuals with Schizophrenia and Their Families

Chapter 11: Practice with Individuals with Paranoid Symptoms and Paranoid Disorders

Chapter 12: Social Work Practice with Individuals with Major Mood Disorders and Their Families, and Suicide Assessment

Chapter 13: Social Work Practice with Individuals with Personality Disorders

Chapter 14: Practice with Individuals with Serious Mental Illness and Substance Use Problems and Their Families

II) Detailed Table of Contents

PART I:UNDERSTANDING THE HISTORICAL AND CURRENT CONTEXT OF SOCIAL WORK PRACTICE WITH INDIVIDUALS WITH SEVERE MENTAL ILLNESS (SMI) AND THEIR FAMILIES

Chapter 1: Understanding How Societies Have Cared for and Treated Individuals with Severe Mental Illness: Ancient Times to the Rise of the Asylum to Community-Based Mental Health Care

Introduction

The Early History of the Care and Treatment of Individuals with Mental Illness/Abnormal Behavior

Moving into the Twentieth Century and Contemporary Views about Mental Illness/Abnormal Behavior

Chapter 2: 1950s to the Present: The Community Mental Health Services Act, Deinstitutionalization, Evidence-Based Practice, and Current Status of Public Mental Health Services: The Rise and Evolution of the Family Movement, Consumer Movement, and the Recovery Model

The Effects of Institutionalization

Moving from the Asylum to the Community

The Results of Deinstitutionalization: A Failed Policy Based on Good Intentions

The Concept of Recovery and the Emphasis on Evidence-Based Practice

The Status of Public Mental Health Services Today

The Status of Psychiatric Social Work from the 1950s to the Present Time

Chapter 3: Legal and Ethical Issues Relevant to Practice with Individuals with Serious Mental Illness and Their Families

Basic Principles of Community Mental/Behavioral Health Practice

The Importance of Prevention in Community/Behavioral Health Social Work

Values and Ethics

Legal Issues and Social Work Practice: Involuntary Civil Commitment

Other Legal Issues and Social Work Practice

Resolution of the Case of Jack and Bob

PART II:FOUNDATION PRACTICE KNOWLEDGE AND SKILLS FOR WORKING WITH INDIVIDUALS WITH SMI AND THEIR FAMILIES

Chapter 4: Overcoming Barriers to Treating Clients with Serious Mental Illness and Developing and Maintaining a Therapeutic Alliance

Stigma

A Values Clarification Exercise Addressing Stigma and Bias

Resistance of Mental Health Professionals to Working with Individuals with Serious Mental Illness

Affective Obstacles That Challenge Mental Health Professionals in Their Work with Clients with Serious Mental Illness

I Am Not Mentally Ill and I Don’t Need Help from You or Anybody Else

Rank Order Values Clarification Exercise

Chapter 5: Working with Legally and Socially Involuntary Clients

The Transtheoretical Model of How People Change

Application of Reactance Theory for Understanding the Behavior of Involuntary Clients

Strategies to Reduce Reactance

The Two Phases of Engagement with Involuntary Clients

Motivational Interviewing

Working with Involuntary Clients Role-Play Exercise

Chapter 6: Social Work Practice with Clients with Severe Mental Illness from Diverse Client Groups

Working with Asian-Americans and Pacific Islanders with Serious Mental Illness

Working with African-Americans with Serious Mental Illness

American Indians and Alaska Natives with Severe Mental Illness

Hispanic/Latino Americans with Severe Mental Illness

Women with Severe Mental Illness

Chapter 7: Understanding and Working with the Families of Individuals with Serious Mental Illness

Mental Illness Brings Families to Crisis

Parallels between Mental Illness and Alcoholism and Other Addictions for Families

The Five Phases Families Go through When Mental Illness Emerges in a Family Member

A Social Worker’s Personal Account of Living with a Loved One with Mental Illness

Family Psychoeducation

Self-Help and Advocacy Resources for Families

Skill Development Exercises for Working with Consumers and Families

Chapter 8: Social Work Practice and Psychopharmacology for Individuals with Severe Mental Illness

Psychopharmacology Principles in a Nutshell

How a Drug Moves through the Body

Antidepressant Medications

Antipsychotic Medications

Mood-Stabilizing Medications

Psychopharmacology and Special Populations

How Social Workers Can Promote Successful Medication Adherence

Psychopharmacology Case Analysis Role-Play Exercise

Chapter 9: Case Management

The Community Support System Network

Case Management in Community Mental/Behavioral Health Practice

Program for Assertive Community Treatment (PACT)

Supported Employment

Permanent Supportive Housing

PART III:INTERVENTION PRINCIPLES AND STRATEGIES WITH SPECIFIC TYPES OF SEVERE MENTAL ILLNESS AND RELATED ISSUES

Chapter 10: Practice with Individuals with Schizophrenia and Their Families

What Is Schizophrenia?

Psychosocial Treatment of Schizophrenia

Chapter 11: Practice with Individuals with Paranoid Symptoms and Paranoid Disorders

What Is Paranoia?

The Experience of Being Paranoid

Paranoia in Our Society

The Paranoid Style

Types of Clinical Paranoid Disorders

Causes of Paranoia: Survival, the Human Brain, and Paranoia

Paranoid Personality Disorder

Impact of Race, Culture, and Ethnicity on the Development of Paranoid Symptoms

Paranoid Symptomatology in Older Adults

Treatment of Paranoid Symptoms and Conditions

Chapter 12: Social Work Practice with Individuals with Major Mood Disorders and Their Families, and Suicide Assessment

Introduction: The Types and Symptoms of the Various Disorders of Mood

Depression

What Depression Is and How It Is Treated

Bipolar Disorder

Suicide and Suicide Risk Assessment

Chapter 13: Social Work Practice with Individuals with Personality Disorders

Introduction

Overview of Cross-Cutting Characteristics of Personality Disorders

What Brings the Person with a Personality Disorder into Treatment

Key Defense Mechanisms, Associated Behaviors, and Clinical Responses

Diagnosing Personality Disorders: The DSM approach

Specific Culture, Age, and Gender Features to Be Considered with Personality Disorders

Subtypes of Personality Disorder

Antisocial Personality Disorder and Psychopathy in Depth

Borderline Personality Disorder in Depth

Chapter 14: Practice with Individuals with Serious Mental Illness and Substance Use Problems and Their Families

Introduction

Substances of Abuse

Etiological Theories of Substance Abuse

The Faces of Comorbidity

Treating Clients with Comorbid Conditions

What Families Need to Know about Co-occurring Disorders

Personality Disorders and Substance Abuse

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Interventions for Serious Mental Disorders Working with Individuals and Their Families

Interventions for Serious Mental Disorders Working with Individuals and Their Families

0205730655

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