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 and 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.)
Existing criteria have been updated in the DSM-5 to provide more precise descriptions and reflect the scientific advances and clinical experience of the last two decades.
What select disorders changed?
1. Autism spectrum Disorder (ASD)
2. Attention Deficit/Hyperactivity Disorder (ADHD)
3. Posttraumatic Stress Disorder (PTSD)
4. Specific Learning Disorder
5. Eating disorders
Tue 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
In revising DSM-5, several factors motivated the Work Groups including:
1. Working with parents
2. Defining a diagnostic home
3. Developing more precise criteria
True or False
Biopsychosocial Assessment and Diagnosis is the first thing 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
Words have the same meaning for everyone-Webster's Dictionary
What is your instructor's name
Professor Sonya Keith
a. Needs assessment
b. The interview
c. Goal setting
d. The determination of eligibility
The Interview
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).
Describe the difference between major depressive disorder and persistent depressive disorder (formerly Dysthymic disorder).
Major depressive disorder: vegetative or classic symptoms: significant weight loss or gain, insomnia or sleeping too much motor agitation or low energy. Feeling sad, empty, or worthless; difficulty concentrating or making decisions; and/or general loss of pleasure and interest. Recurrent thoughts of death or suicide. At least two weeks durations.
Persistent Depressive Disorder (formerly Dysthymic disorder): similar symptoms to major depressive disorder but less severe and more chronic, at least two years.
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