Chapter 10
Largest number of mental health service providers in the US.
Social Workers
Diagnostic and Statistical Manual for Mental Health disorders, 5th edition
DSM-5
81.1 and 76.2
Life expectancy of women and men.
Depression
Most common mental health disorder in older adults
2,000 women per year
Name 3 areas of Mental Health Social Workers commonly work in.
Community Mental Health
Substance Abuse facilities
Schools
Hospitals
Jails
What happened when the mental health facilities closed/were shut down?
Mentally ill were forced into the street and struggled to survive. Most ended up in jails/prison.
70% of women 75 and older
70% are women
Live alone
Living in nursing homes
20 per 100,000
Suicide by older adults.
45% of homicides by DV
Duty to warn.
Multiple mental health diagnosis.
Dual Diagnosis
•1. the implementation of the Economic Security Act
•2. the development of scientific basis for the study of the aged
•3. the dramatic population trends involving older people
Events that sparked working with the elderly
Leading cause of serious injury to women in the US
Domestic violence
•low self-esteem, low assertiveness, low sense of self-efficacy, and possible exposure to childhood family violence limit their coping skills.
•Educational level, occupational status, and income are customarily low, and unemployment or underemployment increases the likelihood of battering.
Characteristics of the abuser
•Determining eligibility for services
•Conducting timely biopsychosocial assessments and social histories
•Assessing clients for substance use, support systems, physical and emotional functioning, financial stability, safety, suicidal and homicidal ideation, etc.
•Developing and implementing treatment and discharge plans that adhere to client self-determination
•Providing direct therapeutic services to clients such as individuals, families, and groups, related to specific mental health issues.
•Performing crisis management and other types of administrative, supportive, and management functions all designed to aid in providing ethical client care.
Aspects of psychosocial psychiatric services.
Missing outpatient appointments
Failure to renew medication prescriptions
Failure to take medications
Non-compliant client.
Integrity vs. Despair
Erikson's 8th (and final) stage of change.
When was DV recognized as a problem that needed intervention?
1970s
•1. What do you want?
•2. What are you doing to get what you want?
•3. How will you keep yourself and your loved ones safe while planning to achieve what you want?
•4. How will you know if what you are doing is working?
•5. What will you do once you get what you want?
Reality based therapy questions used with survivors
Biomedical, psychological, social
Biopsychosocial factors.
•Poorly compliant clients are more likely to deteriorate. Their psychiatric condition can worsen. They may relapse, return to the hospital.
•Missing outpatient appointments, leads to failure to renew medication prescriptions, which can exacerbate the psychiatric issues and substance use problems.
•Poor treatment compliance causes the loss of supportive relationships and contributes to frustration among professionals and family members
•Due to increased risk of hospitalization, poor outpatient compliance leads to increased costs of care as a result of more days spent in expensive inpatient treatment facilities.
Results of a non-compliant client.
An aging person would initiate withdrawal from usual life events and acknowledge his or her impending death, reduced physical energy, or poor health.
Disengagement Theory
The idea that older adults have the same social and psychological needs as a middle aged adult.
Activity Theory
Why is crucial that SW's do not blame the victim and call out others who are?
Strengths based. Victims often already blame themselves. Stops the likelihood of victims coming forward.