Overview
What are the words no longer used in the DSM to describe Alcohol or Substance Problems
Addiction and Abuse - they have been replaced with USE
The process whereby the social worker creates an environment of warmth, empathy ,and genuineness that enables a client to enter into the helping relationship and actively working toward change” (Altman,2008)
What is Engagement
What is the difference between substance dependence and substance abuse.
Substance Dependence: Maladaptive pattern of drug us with increased tolerance, withdrawal symptoms, compulsive use, or behavior problems.
Substance Abuse: Social role, legal, or medical problems due to drug use.
True or False
Clients should not be informed of potential issues involved with being diagnosed with a mental disorder.
False. They should know that a mental health diagnosis is necessary for reimbursement from 3rd parties, may be stigmatizing and be used in future against them.
What are some mental disorders due to general medical condition?
delirium, dementia, or amnestic disorder, psychosis, mood disorder, sexual dysfunction; sleep disorder; or personality change due to medical conditions (e.g., epilepsy, tumors, head trauma.)
Your 35 year old Client recently broke up with her partner, and calls you to say "goodbye." She thanks you for being an amazing therapist but states that she "simply can't go on" and plans to end her life within the week. She hangs up the phone before you can properly assess her for safety. What should you do next?
A.) Call law enforcement and request a welfare check and crisis evaluation on behalf of the Client
B.) Maintain Client confidentiality
C.) Call a crisis team and meet them at the Client's home
D.) Keep calling the Client until she answers the phone
True or False
Cultural considerations for both the client and the practitioner should be addressed and discussed openly.
True
What are the treatment options for substance abuse?
Outpatient or inpatient; residential or day care, group, individual, and/or family counseling; methadone maintenance (for opiates); detoxification; self-help groups or a combination of therapies and medication.
Name one treatment of mood disorders:
1. Psychopharmacology
2. Interpersonal/Psychodynamic Therapy
3. Behavioral Therapy
4. Cognitive Therapy
5. Group Psychotherapy
6. Self-Help Groups
True or False
The Social Worker Interview is similar to a personal conversation with a friend
False
What are the limits of confidentiality?
Danger to Self
Danger to Others
Gravely Disabled
True or False
Biopsychosocial Assessment and Diagnosis are the first things you should do on a first date.
False
How can substance related disorders be caused?
Substance related disorders may be caused by abusing a drug, by side effects of a medication, or by toxin exposure.
The limitation due to the patient's illness is called
Functional Impairment
The scope and prevalence of social problems (population needs) are determined by:
a. Case conferences
b. Team meetings
c. Worker-client sessions
d. Student-instructor supervisory sessions
e. All of the above
There are 4 characteristics of the DSM-5 Manual. Share 2 of those characteristics.
1. Classification system with periodic revisions.
2. Comprehensive description of the symptoms and manifestations of mental disorders and associated information.
3. Cultural Assessment: Evaluation of the impact of cultural context, cultural belief systems, and cultural differences between client and interviewer in assessing illness behavior.
4. Defensive Functioning Scale: An assessment of the client's defenses or coping patterns at the time of the evaluation and the period just preceding it.
Underdiagnosing clients _________ the ethical code and can be considered fraud.
violates
As a result of substance abuse the client may also have what?
Delirium, dementia, psychosis, mood disorders, anxiety disorder, or sexual or sleep dysfunction. Treatment must first focus on the substance.
White males age >85 have a higher rate of this Psychiatric Emergency than any other age or ethnic group
Suicide
One night while on a dating site, you receive a DM from a former Client who you haven't treated in over 2 years. He tells you that he is interested in getting to know you better, is recently divorced, and ready to come back to therapy. What should you do?
A.) Respond with a generic "I'm not interested message"
B.) Go on one harmless date with your former Client since you no longer treat him
C.) Ignore the DM and Block his account
D.) Respond to the DM and provide him with mental health resources
E.) Reply with a message explaining why you cannot date former clients
Where was your instructor's full name?
Breea Y. Charles, LCSW
At what age can an individual be given a severe mental health diagnosis?
When the Client is over the age of 18.
Define substance intoxication or withdrawal.
Behavioral, psychological, or physiological symptoms due to effects of the substance; will vary depending on type of substance ( i.e., hallucinations, insomnia, stupor, agitation, etc).
Your 27 year old Client tells you that after his therapy session with you, he plans to "seriously hurt" his partner. As a mandated reporter, what are you required to do by law?
A.) Clarify what the Client means by "seriously hurt"
B.) Contact law enforcement to do a Tarasoff Report
C.) Inform the victim
D.) Call a crisis evaluation team
E.) B, C, and D
Which of the following is not a good way to deal with combative patient?
Speak in soft and soothing tones
Remove them from loud noises, people and distractions
Put them in Time Out
Have a plan to involve other staff
donot put them in Time Out -as in DON'T