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Chapter 9 Emotional and Behavioral Problems and Social Work Treatment…
Chapter 9
Emotional and Behavioral Problems and Social Work Treatment
Mental Illness
Medical Model
physical disorder of the brain due to organic cause
therefore treatable and removes the blame from the patient
psychotropic medicine
affecting mood, behavior and or mental process by altering brain chemestry
Diagnostic and Statistical Manual of Mental Disorders 5
DSM5
published by the APA
not social work focused
problem oriented
is changeable with norms (ie homosexuality)
Developmental Models
See HBSE for in depth description of biopsychosocial
perspective
psychodynamic
cognitive-behavioral
Sociological Theories
Labeling theory
mental disorders originate in the concept and perception of disorder and labeling someone as having a disorder leads them to be more likely to present with that issue
mental health is subjective
Mental Disorders
Infancy, Childhood and Adolescence
mental development delays, attention deficits, autism spectrum disorders, ADHD,
Delirium, Dementia, Amnesic and cognitive disorders
memory and cognition. memory loss,
Schizophrenia and psychotic disorders
psychotic symptoms: disconnection from reality, additions to reality or removal from reality (ie lack of appropriate empathy or delusions)
Mood disorders
major Depressive disorder, Bipolar disorder
Anxiety disorders
PTSD, Generalized anxiety, OCD,
sexual and gender identity disorders
gender identity disorder (why is this still in here?), erectile dysfunction
eating disorders
anorexia, bulemia,
personality disorders
cluster A
Paranoid
Schizoid
Schizotypal
Cluster B
antisocial
borderline
histrionic
narcissisic
cluster C
Avoidant
dependent
obsessive-compulsive
culture bound syndromes
Amok
(asia, pacific rim, navajo) disassociation followed by brooding followed by rage and aggression (violent/homicidal) males and can include delusions, amnesia, and exhaustion followed by recovery
Ghost sickness
(native american) preoccupation with death and dying, bad dreams, physical weekness, danger fainting dizziness and anxiety. sometimes witchcraft.
mal de ojo
Mediterranean countries "evil eye" vomiting fever crying no sleep. children are susceptible
nervios
latino/as: general malaise nervousness, lack of sleep headaches, confusion, tearfulness, somatic disturbances
zar
middle east and northern africa: spirit possession disassociation , shouting laughing weeping
Mental Health Services
Micro practice
psychotherapy
: Clinical Social Work: psychosocial case management
mental health case management
stages
assessment
relationship building
intervention
evaluation
Termination
Mezzo Practice
Support groups
Family therapy
Macro Practice
mental health policy
administration
Challenges and Trends
racial disparities
fear and mistrust
racism and discrimination
language barriers
lack of health insurance
accessibility
lack of cultural competence
managed care
medical necessity standards
network providers
prohibitive copays/coins/deductible
evidence based treatment - show effective growth and movement towards "well"
Inter-professional : Collaboration in Assertive Community Treatment
interdisciplinary team
Social worker
psychiatrist
nurses
Collaborate into around the clock care
case management
assessment
psychiatric services
employment and housing assistance
family support
education
substance abuse
psychologist
rehabilitation