This chapter discusses comprehensive school crisis interventions, identifies the characteristics that define a crisis, finds ways to assess for the level of traumatic impact, and determines what interventions can be provided to help with response and recovery. It highlights the PREPaRE Model of crisis prevention and intervention. There are six general categories of crises: acts of war and/or terrorism; violent and/or unexpected deaths; threatened death and/or injury; human-caused disasters; natural disasters; and severe illness or injury. Children are a vulnerable population and in the absence of quality crisis interventions, there can be negative short- and long-term implications on learning, cognitive development, and mental health. Evidence-based interventions focusing on physical and psychological safety may be implemented to prevent a crisis from occurring or mitigate the traumatic impact of a crisis event by building resiliency in students. Crisis risk factors are variables that predict whether a person becomes a psychological trauma victim.
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Creativity must represent something different, new, or innovative. It has to be different and also be appropriate to the task at hand. The first chapter of the book deals with the Four-Criterion Construct of Creativity, which attempts to integrate both Western and Eastern conceptions of creativity. This is followed by a chapter which addresses how creativity operates on individual and social/environmental levels, and the effects and outcomes of the creative mind. Chapter 3 discusses the structure of creativity. A key work on creative domains is that of Carson, Peterson, and Higgins, who devised the creativity achievement questionnaire (CAQ) to assess 10 domains. The fourth chapter discusses measures of creativity and divergent thinking tests, Torrance Tests, Evaluation of Potential Creativity (EPOC) and Finke Creative Invention Task. Some popular personality measures use different theories, such as Eysenck’s Personality Questionnaire, which looks at extraversion, neuroticism and psychoticism. Chapter 6 focuses on a key issue, intrinsic versus extrinsic motivation and their relationship to creativity. While the seventh chapter deals with the relationship between creativity and intelligence, the eighth chapter describes three ’classic’ studies of creativity and mental illness which focus on the connection between bipolar disorder and creativity, usage of structured interviews and utilization of historiometric technique. One school admissions area that already uses creativity is gifted admissions—which students are chosen to enter gifted classes, programs, or after-school activities. The book also talks about creative perceptions and dwells upon the question whether creativity is good or bad.
This chapter explores three ’classic’ studies of creativity and mental illness. The first is Jamison whose focus is on the connection between bipolar disorder and creativity. The second is Andreasen, who used structured interviews to analyze 30 creative writers, 30 matched controls, and first-degree relatives of each group. The writers had a higher rate of mental illness, with a particular tendency toward bipolar and other affective disorders. The third major work is Ludwig, who utilized the historiometric technique. All three studies have come under serious criticism. Many of the studies of Big-C creators are historiometric, akin to Ludwig’s work. Some such studies claim that eminent creators show higher rates of mental illness. A much more common approach is to look at everyday people and give them measures of creativity and mental health. Typically, researchers look at what are called subclinical disorders—in other words, they’re not clinically significant.Source:
This chapter presents the best measures for resilience and community protection for some of the social determinants of digital diseases in the future for further discussion with families, school workers, and allied health professionals. It suggests that high levels of resilience may prevent development of mental health problems, like depression, stress, anxiety and obsessive-compulsive symptoms, supporting the suggestion that fostering resilience may prevent development of mental health problems in adolescents. The chapter presents a case report of a 14-year-old, brought to consultation by his mother, who has been worried about his weight. This case report points out how important it is to build up resilience skills through the development of caring and supportive relationships within and outside the family. The chapter suggests a four-pronged approach to prevent the excessive use and the problems associated with the Internet. It includes regulatory, parental, educational, and technological approaches.
This chapter discusses current thinking in the field of social support and social relationships, and physical and mental health among older racial and ethnic minorities. Social relationships are an important predictor of health and psychological well-being across the life course. Many minority older adults will face the continued challenges of declining functional status due to physical and mental health conditions over the course of their lives. Most empirical studies on social support among older racial and ethnic minority adults explore the association between social support and both physical and mental health. The wealth of studies on social support among minority older adults has much to offer with respect to understanding the correlates of emotional support and patterns of assistance. The biological mechanisms explaining the link between social support and physical health outcomes have been largely unexplored among older racial and ethnic minority groups.
In the therapeutic community (TC), recovery is viewed as a change in lifestyle and identity. It is a view that can be contrasted with the conventional concept of recovery in medicine, mental health, and other substance abuse treatment approaches. In the public health experience of treating opioid addiction and alcoholism, drug abuse is viewed as a chronic disease, which focuses treatment strategies and goals on improvement rather than recovery or cure. The TC view of recovery extends much beyond achieving or maintaining abstinence to encompass lifestyle and identity change. This chapter outlines this expanded view of recovery and details the goals and assumptions of the recovery process. It presents the TC view of right living, which summarizes the community teachings guiding recovery during and after treatment. The terms “habilitation” and “rehabilitation” distinguish between building or rebuilding lifestyles for different groups of substance abusers in TCs.
A growing body of research documents racial and ethnic disparities in physical and mental health among older Americans. This chapter discusses larger stress process literature and reviews research on discrimination as a source of stress that is an influential determinant of racial and ethnic differences in the health status of older Americans. It provides a brief overview of disparities in health among older Americans. The chapter discusses the biology of stress, elaborates on key elements of the general stress process framework, and highlights findings pertinent to the health of older minorities. It reviews the research on personally mediated discrimination and health that includes findings from both age-diverse samples and those specific to older adults. The chapter also reviews the literature on coping with discrimination and the contribution of institutionalized discrimination to health inequalities. Lacking are investigations on the joint impact of perceived discrimination and residential segregation.
This chapter helps readers to understand the main characteristics of the three major types of eating disorders: anorexia nervosa, bulimia nervosa, and binge eating. It also examines each disorder from a neurobiological perspective, including genetic factors when known, neuroimaging results, the understanding of neurotransmitter dysregulation, cognitive performance, and various types of treatment. The chapter then presents the consideration of the unique challenges associated with comorbidity, societal pressure, and medical implications. Eating disorders are increasingly common, debilitating, and potentially life-threatening disorders that are clearly linked in their neurobiological basis. Mental health professionals should be aware of the signs and symptoms of eating disorders, as individuals might not disclose their eating habits as readily as their mood, anxiety level, or other symptoms. Treatment is complex, as no medication has been shown to be consistently effective, and each eating disorder will bring with it specific goals.Source:
This chapter describes the toxic stress often experienced by young homeless children and the effect that this type of stress can have on brain development, behavior, and lifelong health. Mental health and cognitive challenges are abundant among homeless families. Stress can affect maternal cardiovascular function and restrict blood supply to the placenta, potentially reducing fetal nutritional intake or oxygen supply, and lead to reduced fetal growth, increased risk of placental insufficiency, preeclampsia, and preterm delivery. Trauma in early childhood has clear neurological and developmental consequences, especially with regard to brain development and executive functioning. The chronic release of two stress hormones glucocorticoids and cortisol can have damaging effects on neurological functioning and lifelong health. Similarly, exposure to high levels of cortisol inhibit neurogenesis in the hippocampus, further impacting executive functioning and the ability to distinguish safety from danger, a symptom of posttraumatic stress disorder (PTSD).
In the therapeutic community (TC) perspective, the substance abuse disorder is not distinct from the substance abuser. A picture of dysfunction and disturbance of individuals entering treatment reflects a more fundamental disorder of the whole person. This chapter presents the TC view of the disorder in the context of current biomedical, social, and psychological understanding of chemical dependency. Overall, the picture that individuals present when entering the TC is one of health risk and social crises. In the TC perspective, drug abuse is a disorder of the whole person, affecting some or all areas of functioning. In the TC view, social and psychological factors are recognized as the primary sources of the addiction disorder. Substance abusers themselves cite a variety of reasons and circumstances as causes of their drug use. TC policy on the use of pharmacotherapy is currently undergoing modifications.
This chapter provides selective review of research on religion and spirituality across three groups of racial and ethnic minority older adults African American, Asian American, and Hispanic/Latino. It discusses major denomination and faith traditions, as well as information about types and patterns of participation and their sociodemographic correlates. The chapter examines informal social support provisions within faith communities and the types of assistance exchanged. It also examines associations between religion, spirituality and physical/mental health, and psychological well-being. Religion and spirituality, through a variety of psychosocial mechanisms and pathways are thought to have largely beneficial impacts on physical and mental hea.
Community-based epidemiological studies find that when grouped together, anxiety disorders are the most common mental health conditions in the United States apart from substance use disorders. Anxiety disorders are also associated with substantial impairments in overall health and well-being, family functioning, social functioning, and vocational outcomes. This chapter includes a brief description of the anxiety disorders followed by a more detailed review of the cognitive behavior interventions indicated for these conditions. Social phobia is the most common anxiety disorder in the United States. Panic attacks are sudden surges of intense anxiety that reach their peak with 10 minutes and involve at least 4 of a list of 13 symptoms. Another somewhat less common anxiety disorder is obsessive compulsive disorder. The chapter discusses the posttraumatic stress disorder (PTSD). Two anxiety management procedures, breathing retraining and deep muscle relaxation, have been subject to some level of empirical investigation for certain anxiety disorder.
This introduction presents an overview of key concepts discussed in the subsequent chapters of this book. The book serves as a practice resource for social workers by making accessible the vast territory covered by the social, cognitive, and affective neurosciences over the past 20 years, helping the reader actively apply scientific findings to practice settings, populations, and cases. It helps readers gain a deeper understanding of how neuroscience should and can help the design, development, and expansion of therapeutic interventions, social programs, and policies for working with our most vulnerable populations. The book considers the neuroscientific implications for social work practice in child welfare and educational settings across system levels. It highlights the neuroscientific literature that can inform social work practice in health and mental health. The book concludes by discussing the neuroscientific implication of social work practice in the criminal justice system.
- Go to chapter: Targeting Transdiagnostic Processes in Clinical Practice Through Mindfulness: Cognitive, Affective, and Neurobiological Perspectives
Targeting Transdiagnostic Processes in Clinical Practice Through Mindfulness: Cognitive, Affective, and Neurobiological Perspectives
This chapter focuses on six maladaptive processes that underlie a wide range of emotional and behavioral problems commonly addressed by social work practitioners in the mental health field. First, it explicates how a focus on transdiagnostic processes differs from traditional views of psychopathology and accords more closely with neuroscientific evidence. Next, the chapter reviews current research in the fields of experimental psychopathology and neuroscience to detail the cognitive, emotional, and neurobiological features of these six core transdiagnostic processes: automaticity, attentional bias, memory bias, interpretation bias, suppression, and stress reactivity. Then it discusses how these processes may be assessed by clinical social workers in the field, and offer six case vignettes that depict how they manifest in human suffering and impaired psychosocial functioning. Finally, the chapter discusses mindfulness-based interventions as a means of targeting transdiagnostic processes in clinical practice.
Cognitive behavioral therapy (CBT) with children addresses four main aims: to decrease behavior, to increase behavior, to remove anxiety, and to facilitate development. Each of these aims targets one of the four main groups of children referred to treatment. This chapter suggests a route for applying effective interventions in the day-to-day work of social workers who are involved in direct interventions with children and their families. An effective intervention is one that links developmental components with evidence-based practice to help enable clients to live with, accept, cope with, resolve, and overcome their distress and to improve their subjective well-being. CBT offers a promising approach to address such needs for treatment efficacy, on the condition that social workers adapt basic CBT to the specific needs of children and design the intervention holistically to foster change in children. Adolescent therapy covers rehabilitative activities and reduces the disability arising from an established disorder.
The therapeutic community (TC) for addictions descends from historical prototypes found in all forms of communal healing. A hybrid, spawned from the union of self-help and public support, the TC is an experiment in progress, reconfiguring the vital healing and teaching ingredients of self-help communities into a systematic methodology for transforming lives. Part I of this book outlines the current issues in the evolution of the TC that compel the need for a comprehensive formulation of its perspective and approach. It traces the essential elements of the TC and organizes these into the social and psychological framework, detailed throughout the volume as theory, model, and method. Part II discusses the TC treatment approach, which is grounded in an explicit perspective that consists of four interrelated views: the drug use disorder, the person, recovery, and right living. The view of right living emphasizes explicit beliefs and values essential to recovery. Part III details how the physical, social organizational, and work components foster a culture of therapeutic change. It also outlines how the program stages convey the process of change in terms of individual movement within the organizational structure and planned activities of the model. Part IV talks about community enhancement activities, therapeutic-educational activities, privileges and sanctions, and surveillance. The groups that are TC-oriented, such as encounters, probes, and marathons, retain distinctive self-help elements of the TC approach. Part V depicts how individuals change through their interaction with the community, provides an integrative social and psychological framework of the TC treatment process, and outlines how the basic theory, method, and model can be adapted to retain the unique identity of contemporary TCs.
This book provides a multidisciplinary compendium of research pertaining to aging among diverse racial and ethnic populations in the United States. It focuses on paramount public health, social, behavioral, and biological concerns as they relate to the needs of older minorities. The book is divided into four parts covering psychology, public health/biology, social work, and sociology of minority gang. The book focuses on the needs of four major race and ethnic groups: Asian/Pacific Islander, Hispanic/Latino, black/African American, and Native American. It also includes both inter- and intra-race and ethnic group research for insights regarding minority aging. The chapters focus on an array of subject areas that are recognized as being critical to understanding the well-being of minority elders. These include psychology (cognition, stress, mental health, personality, sexuality, religion, neuroscience, discrimination); medicine/nursing/public health (mortality and morbidity, disability, health disparities, long-term care, genetics, nutritional status, health interventions, physical functioning); social work (aging, caregiving, housing, social services, end-of-life care); and sociology (Medicare, socioeconomic status (SES), work and retirement, social networks, context/neighborhood, ethnography, gender, demographics).
A theoretical framework of the therapeutic community (TC) grounded in clinical and research experience can maintain the unique identity of the TC and the fidelity of its wider applications. This chapter illustrates several broad initiatives: generic TC model, general guidelines for adapting and modifying the TC for special settings, special populations, and funding limits; the codification of principles and practices of the TC into explicit standards to maintain the integrity of the program model and method, training and technical assistance, and research agenda. Staffing compositions have changed to reflect a mix of traditional professionals; correctional, mental health, medical, educational, family, and child care specialists; social workers; and case managers to serve along with the experientially trained TC professionals. The evolution of the contemporary TC for addictions over the past 30 years may be characterized as a movement from the marginal to the mainstream of substance abuse treatment and human services.
This chapter presents a case for examining aging in the United States through an inter-sectionality lens. It begins by presenting age, gender, and race/ethnicity as social constructions, followed by a conceptual overview of intersectionality to highlight strengths as well as challenges in this approach, particularly as it relates to health. The chapter reviews the most current thinking on gender and minority health, with special attention to social roles and contextual factors, and methodological approaches. The social construction of gender has been widely addressed in the sociological literature, with identified insights for better understanding health and the aging process. Research on gender and physical health outcomes draws much greater scholarly attention than mental health in later life. The intersectionality paradigm has provided new directions for identifying the importance of gender as a key element for predicting health across the life course.
Alzheimer’s disease (AD) and related cortical dementias are a major health problem. Patients with AD and related dementia have more hospital stays, have more skilled nursing home stays, and utilize more home health care visits compared to older adults without dementia. This chapter discusses the role of family caregivers and how they interact with in-home assistance, day care, assisted living, and nursing homes in the care of an individual with dementia. It also discuss important transitions in the trajectory of dementia care, including diagnosis, treatment decision making, home and day care issues, long-term care placement, and death. It highlights the importance of caregiver assessment, education, and intervention as part of the care process. Dementia caregivers are at risk of a variety of negative mental health consequences. Another important moderating variable for dementia caregiver distress is self-efficacy.
This chapter describes the various roles and functions of the treatment program or clinical management staff in the residential facility. It characterizes the roles of support staff and agency personnel. Teachers, physicians, nurses, psychologists, social workers, lawyers, and accountants in the TC ply their professions in the usual way. The relationship between staff and peer roles is rooted in the evolution of the Therapeutic Community (TC). In the TC approach, the role of staff is complex and can be contrasted with that of mental health and human service providers in other settings. An array of staff activities underscores the distinctively humanistic focus of the TC. The chapter describes how primary clinical staff in the treatment program supervise the daily activities of the peer community through their interrelated roles of facilitator, counselor, community manager, and rational authority. Other staff provide educational, vocational, legal, medical, and facility support services.
This chapter helps reader to effectively delineate the core components of comprehensive case reports and identify school-based report-writing strategies that facilitate problem-solving decisions. It discusses different types of comprehensive case reports to illustrate the key components essential to producing effective psychoeducational summaries that help inform schools, parents, and mental health professionals of an individual’s needs. Report writing is a core skill competency area for the practice of school psychology and multiple writing exercises are often intertwined into the practica requirements. The overarching goal of psychological and psychoeducational report writing is to succinctly, accurately, and respectfully communicate the needs of an individual. Astute parents and teachers generally know the referral concerns and low areas of performance prior to reading psychoeducational reports. Any school psychologist who can consistently deliver insight on academic and behavioral needs with solutions will be highly respected and sought out.
- Go to chapter: Intersectoral Collaboration: Mental Health, Substance Abuse, and Homelessness Among Vulnerable Populations
Intersectoral Collaboration: Mental Health, Substance Abuse, and Homelessness Among Vulnerable Populations
Substance abuse is a significant problem among persons who are homeless. This chapter explores the application of addiction recovery management (ARM) principles for developing practice skills in the recovery process among vulnerable populations. It examines demographic and social action factors that may impede or foster successful completion of this long-term recovery for persons who are experiencing home insecurity. The chapter offers insight for forensic social workers about how to engage diversity and differences in practice, as well as advance human rights and social, economic, and environmental justice. Analytic concepts in forensic social work can enhance the capacity of educators to prepare practitioners to be effective in closing the gap that exists for racial disparities in treatment approaches and programs. Critical race theory can be used to develop guiding principles for competency-based education and outcomes that address the gaps in existing systems of care.
This chapter illustrates how factors outside of families affect lives of people within families. It examines the potential impact that two major issues—work-family conflict and mass incarceration—can have on the lives of family members. The chapter describes ways in which laws governing systems external to families, particularly work and criminal justice, can disrupt families in ways that may lead them to use social workers. It aims at providing necessary understanding of how social workers can help support such families, keeping in mind that family needs often develop from the social and economic context in which each family is situated. The chapter discusses the relevant ethical, legal, and policy issues facing work-family conflict and mass incarceration. It encourages social workers to look beyond the individual—to the systems in which individuals are situated, to better understand the behaviors, decisions, and mental health of individual clients.
A particularly distressing side effect of shame, self-blame, and guilt is that it is emotionally draining and exhausting, undermining our sense of self-worth and competency. This chapter explores how and why we may experience these emotions and learn ways of challenging them. Healthy self-blame is a way of taking appropriate responsibility for one’s actions. Self-blame is common among adult sexual trauma survivors and it is very common among children who grew up in situations where abuse occurred. Guilt is a sign that the person has not completed his or her grief. Sexual trauma occurs in many different forms and each one is a violation inflicted upon a victim by a perpetrator. Shame, like many feelings, can be either productive or potentially destructive. It may be helpful to write about the feelings or seek the assistance from a mental health provider.
- Go to chapter: Substance Use and Co-Occurring Psychiatric Disorders Treatment: Systems and Issues for Those in Jail, Prison, and on Parole
Substance Use and Co-Occurring Psychiatric Disorders Treatment: Systems and Issues for Those in Jail, Prison, and on Parole
This chapter describes how mental health and substance use interact with criminal justice involvement. It examines the common assessment and intervention strategies for co morbid mental health and substance abuse in forensic population and settings. The chapter gives a brief review of how substance use disorders co-occur with psychiatric disorders. The chapter describes prevalence of co-occurring disorders such as anxiety/depression, bipolar disorders, psychotic disorders, personality disorders, and posttraumatic stress disorder in general. It then discusses prevalence of psychiatric disorders in the prison/jail systems. The chapter also describes medication-assisted therapies for opioid use disorders and, treatment and aftercare services. It explores two of the most common types of treatments for those in the CJS, cognitive behavioral therapy (CBT) and 12-Step groups. The chapter further reviews two CBT programs, aggression replacement training and strategies for self-improvement and change.
This chapter aims to enhance understanding of the justice-involved veteran population including the extent of involvement, risk, and protective factors associated with offending, and the impact of criminal justice involvement on the veteran and the veteran’s family system. It discusses the targeted programs and services for justice-involved veterans, how social workers assist this population, and the specific skill set required for effective intervention. The chapter also deals with health and mental health of incarcerated veterans, causes and consequences of arrest among veterans, and the use of trauma-informed care models and other interventions designed to address trauma that are critical for addressing the complex needs of justice-involved veterans. It further discusses jail-diversion programs, and jail and prison-based programs and services.
This chapter describes the importance of research-based practice, the research method, evaluating the science and ethics of research and careers in adolescent development. The theories that guide research and practice in adolescent development now were generated through a rigorous and ongoing process of scientific investigation. Issues relating to health, school, delinquency, parenting, family, relationships, and dating are just a few of the many areas that use the ideas generated by the study of adolescent development to benefit adolescents in practice. Questions in adolescent development must be approached using the scientific method. Maybe playing violent video games is linked with aggression in adolescence, but as adolescents enter young adulthood playing violent video games impacts people in different ways. A college degree or knowledge in adolescent development can be applied to many fields of work.
One of the most important areas of practice that field instructors discuss with their students is teaching and reinforcing the ethics and values of the social work profession. Students are introduced to the Code of Ethics of the National Association of Social Workers (NASW) early in their social work education, but it is up to academic faculty and also field instructors to ensure that social work students can make connections between the content of the ethical code and real-life practice situations. There are a number of topics that frequently arise as ethical challenges in the practicum. These include mandated reporter responsibilities, mental health treatment and involuntary commitment, worker-client boundaries, specific boundary concerns related to self-disclosure, and disclosure of student status. There are a number of other approaches to resolving ethical dilemmas. These include the use of principle-based ethics and virtue ethics.
This chapter illustrates three important elements such as individual and institutional betrayal trauma, and reparative individual and institutional experiences. Military sexual trauma (
MST) survivors receive psychological care from a wide swath of mental health professionals, within the context of both veteran and civilian institutions. The therapeutic orientations draws a combination of cognitive, dialectical behavioral, and relational-cultural theories, will influence the way we conceive of MST. A caregiver having cognitive, emotional, and physiological reactions of love, protectiveness, affiliation, and nurturing toward an infant buffers against the huge responsibility and effort it takes to provide sufficient care. Therapists may be able to gain clinical traction with MST survivors by understanding that MST almost always includes experiences of both individual and institutional betrayal. A therapeutic environment where mutual empathy and empowerment are present can provide an antidote to the patient’s previous environments, lacking in empathy and rife with disempowerment.Source:
This chapter examines the theory of Cognitive Behavioral Therapy (CBT) and use of the theory as a model of supervision. It reviews the theory of CBT by examining a philosophical foundation, techniques and interventions, the role of the therapist, the process of change, and cultural issues. The chapter discusses the significance of utilizing a CBT approach to therapy within the supervisor-supervisee relationship. It also reviews the supervisor-supervisee relationship, looking specifically at goals and challenges, and follows with a case example. CBT can be used with adults, children, and older populations throughout an extensive continuum of mental and behavioral health diagnoses with couples, families, or individual concerns. CBT theory works to promote change in daily living. Relaxation and mindfulness techniques are used within the CBT approach to increase internal experiences and awareness and to decrease stress and tension that impact the client mentally, emotionally, and physically.
Supervision in family therapy is an inherently complex enterprise. In any supervision of psychotherapy work, the supervisor must navigate the hierarchy of supervisor, therapist, and client; in family therapy, the client unit may include its own complex hierarchy as well. There are very different approaches to the supervision relationship. Ethical decision making in such a complex environment is understandably challenging for therapist and supervisor alike. Some evidence from other mental health professions suggests that supervisors may be hesitant to discuss issues of supervisees’ sexual attraction to clients in supervision, for fear of being accused of harassment or otherwise breaching ethical boundaries. Some supervisors are surprised to learn that confidentiality in supervision is very similar to confidentiality in therapy. There are a number of ways that ethical problems can arise in supervision, each requiring careful attention to be resolved in the best interests of all involved: client, therapist, supervisor, and setting.
This book enables the reader to learn information about psychosis and related illnesses, and develop an understanding of the benefits of early intervention in psychosis and skills for a successful interaction with a person with psychosis. It also helps the reader to learn strategies to support a young adult with psychosis in accessing treatment. The first chapter talks about schizophrenia spectrum disorders and its treatment options. Group therapy has shown to be highly effective in addressing symptoms and stressors associated with psychotic disorders. Chapter 2 introduces the different symptoms characteristic of a psychotic episode: positive symptoms, negative symptoms, disorganized symptoms, affective symptoms, and cognitive symptoms. Two associated symptom categories associated are abnormal motor behavior and level of insight. The third chapter provides knowledge that will be helpful in identifying if psychiatric symptoms are present and assisting when there may be concern about psychiatric stability. Chapter 4 builds on the knowledge and the skills that one has acquired and speaks specifically about assessment of safety and intervention strategies. There are a number of potential outcomes that can occur from helping a young adult with psychosis. The individual may require hospitalization in order to ensure safety and allow for the opportunity to reduce symptoms. The final chapter of the book provides a list of resources offering information on variety of mental health conditions and psychology.
This chapter provides an overview of many optional approaches to consider after the initial intervention has occurred. There are a number of potential outcomes that can occur from helping a young adult with psychosis. Young adults experiencing psychosis will be agreeable to professional intervention and seeking treatment and go on to achieve success in recovery. The individual may require hospitalization in order to ensure safety and allow for the opportunity to reduce symptoms. A team of medical and mental health professionals complete a variety of assessments, both physical and psychological, in order to determine the specific nature of the problem. Outpatient services can differ in their intensity and time requirements. Outpatient treatment programs vary greatly in their structure and intensity, as they are designed to meet the needs of individuals in different stages of recovery. The chapter explains the valuable emotional support and assistance in accessing services.
Active Minds offers many resources for individuals with mental illnesses and allies. Suicide prevention website provides information about wealth and how to support someone who may be experiencing suicidal thoughts. American Psychological Association (APA) is a national organization for psychologists that are also dedicated to improving public access to information and services related to psychology. The government website for mental health provides a directory of government mental health programs as well as general information related to mental health. A national addiction recovery program aimed at building skills that help to combat addictive behaviors offering meetings in many communities as well as online. OK2TALK is an online support community for young adults living with mental illness. Community members are supported in sharing and learning from the stories of others in a stigma-free environment.
This chapter provides a theoretical background for Medical Family Therapy (MedFT) as the systemic approach to integrated care as well as unique considerations for supervision in the integrated care settings where MedFTs typically practice. It consists case example to offers a frame and illustration for the application of this important approach. MedFTs master the elements of a traditional mental health intake to assess any psychopathology, history of past treatments, use of medications, family and social history, and relational dynamics that influence the exacerbation or maintenance of individual, relational, and/or health problems. In integrated care settings, a course of treatment typically unfolds episodically because the patients and their family members will have onsite access to return to psychotherapy when the need arises again. For most MedFTs, clinical care and supervision occur in an integrated health care setting.
This book helps social workers ensure they maintain the highest professional standards by raising awareness of both the strengths and challenges of the immigrant community. The book first explores the changing demographics of immigrant newcomers and legal classifications of immigrants. It seeks to help social workers better understand the legal meaning of terms such as nonimmigrant, immigrant, Green Card holder, and citizen. Then, the book explores theories of cultural competency and social work practice and describes the intersection of immigration and health, mental health, criminal justice issues, and employment. Issues of particular interest to immigrant communities, such as the exploitation of immigrant workers (and appropriate legal remedies), immigrant access to health services and public benefits, the triple mental health trauma many refugees and asylees face, and the issue of newcomers as victims of crime as well as the immigration consequences of criminal conviction are discussed. The book also deals with family groups, which, although inherently strong, are made vulnerable because of their immigrant status in the United States. It concludes by urging practitioners to expand their strategies and advocate not only for individual clients (at the micro level), but to advocate as well for change at the organizational/agency level (mezzo level), and at the federal, state, and local levels (macro level).
This chapter provides basic and fundamental knowledge that will be helpful in identifying if psychiatric symptoms are present and assisting when there may be concern about psychiatric stability. It discusses what one can expect from individuals who are being approached with concern about their current mental health status. The chapter facilitates connection to a treatment provider who can evaluate the signs and symptoms of distress. Paranoia can elicit denial if auditory hallucinations are present that threaten safety if any information is revealed. Negative symptoms and disorganization can also impair reality-based thinking through difficulty engaging with the environment. The chapter provides the idea of some important considerations and expectations after one have made the decision to approach someone about concern for psychotic symptoms. Empathy is critical to the practice of psychology and psychological intervention, but it is also very helpful to use in everyday life and conversation.
- Go to chapter: Evidence-Based Interventions for Children and Adolescents With Emotional and Behavioral Disorders
Treating emotional and behavioral disorders in children and adolescents is a complex issue; that is, practitioners must understand children’s typical patterns of social, emotional, and cognitive development and determine what is responsible for having taken the referred child off that “normal” path. Most children identified as socially maladjusted benefit from treatment and schooling provided in alternative education classes. Social maladjustment has historically also been synonymous with the Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnoses of conduct disorder, antisocial personality disorder, and oppositional-defiant disorder. The diathesis-stress model is the balance between stressors and coping that accounts for the onset and continuation of mental health and other medical disorders. Three psychosocial intervention approaches are effective for all youth with conduct problems: parent training, contingency management, and cognitive behavioral skill training. As skills develop and stabilize, interpersonal intelligence and intrapersonal intelligence form emotional intelligence.
Conduct disorder in childhood and adolescence is considered to be a significant mental health concern because of its connection to numerous other social, emotional, and academic outcomes, both in terms of concurrent and future functioning. This chapter focuses on the examination and explanation of the treatment strategies for the conduct disorder. There are four main groupings of behavior for conduct disorder: aggressive conduct, nonaggressive conduct, deceitfulness or theft, and serious rule violations. The chapter examines the role of genetic, neurological, and environmental factors implicated in the development of conduct disorder. Psychosocial treatment programs such as multisystemic therapy (MST), functional family therapy (FFT), and multidimensional treatment foster care that combine parental management training (PMT), structural family therapies, and skill-building appear to have a moderate to large-effect size in reducing aggression and symptoms of conduct disorder.
Supervision activities in the early stages are likely to be highly structured and prescriptive and require close monitoring of skill development, as supervisees are more likely to be anxious and more dependent on their supervisors. Supervisors can help trainees to explore new school psychological roles, focus on professional behaviors that will help them gain independence, and develop a repertoire of self-care strategies. Supervisors may also support trainee role expansion by assigning new activities and responsibilities, particularly in National Association of School Psychologists (NASP) domain areas that are underrepresented in current practice. Supervisors can also assist supervisees in becoming more independent by encouraging them to take risks and maintain a healthy perspective about their work in the field. Practicum supervisors can support trainee self-care with two key activities: monitoring and modeling their own professional self-care, and encouraging supervisees to develop their own set of self-care strategies.
Creativity and intelligence, like bacon and eggs, certainly seem like they should go together. But exactly how they do, or whether intelligence is part of creativity or creativity is part of intelligence, is still debated. At one point in time, a ‘threshold’ theory was popular, which argued that creativity and intelligence are positively related up until an IQ of approximately 120. Some studies have found that although creativity does predict GPA, other variables do it better or more directly, such as cognitive style, mental speed and short-term memory, or reasoning ability. An additional way of considering how creativity relates to intellectual abilities is to consider how creativity is connected to learning disabilities (LD). Another learning disability with a relationship to creativity is Williams syndrome. Healey and Rucklidge found that although 40” of a creative group showed symptoms of attention deficit hyperactivity disorder (ADHD), none met the level for actual diagnosis.Source:
This book provides useful empirical information about male juvenile delinquents and serves as a model training manual for new programs and people working in existing rehabilitation programs. It also provides guidelines for developing policy on the rehabilitation of juvenile delinquents. The book can be used as a resource for academicians and others who teach courses on juvenile delinquency and assigned as a supplementary textbook for students learning about juvenile delinquency, juvenile justice, and mental health. The authors of the book take a multidisciplinary approach that will appeal to everyone who thinks about juvenile delinquency: politicians, judges, police, teachers, clinicians, social workers, educators, and students of criminology, criminal justice, juvenile delinquency, family violence, sociology, psychology, and counseling. This approach appeals to undergraduate students in liberal arts programs that require them to take courses in multiple disciplines, and to graduate students in the mental health fields whose undergraduate training varies. The book also consists of six case histories of boys who resided at Ocean Tides. The information was culled from their files, the clinical consultant’s interviews with the boys when they were in residence, and aftercare information. These cases were selected to provide a sampling of the Ocean Tides boys; their backgrounds, personal, and psychological hurdles; and the outcome of their experience at Ocean Tides.
This chapter explores supervision activities to help the school psychology practicum candidate develop skills in case conceptualization across three main roles of school psychology: assessment, consultation, and counseling. Supervisors should expect to temper this enthusiasm by teaching their supervisees to follow a structured approach to client casework. Supervisors should assist their trainees in understanding the link between assessment and intervention. Supervisors can help trainees improve their clinical judgment by providing an explicit framework for evaluating their hypotheses with the data they have collected through case study evaluation. First and foremost, supervisors should carefully select counseling cases for practicum candidates by identifying students who have relatively mild social, behavioral, or emotional difficulties. That is, supervisors should assign the easiest cases to trainees and refer students who have more significant and persistent mental health concerns to seasoned school-based mental health practitioners or outside service providers.
- Go to chapter: Evidence-Based Interventions for Separation Anxiety Disorder in Children and Adolescents
Anxiety disorders are the most common mental health conditions to impact school-aged children. A particular diagnostic subtype termed “separation anxiety disorder” accounts for the majority of referrals seen within child and adolescent psychological service delivery systems including schools. The developmental connection between childhood separation anxiety disorder and adolescent/ adult panic disorder has also been well documented in the literature. Associated features of separation anxiety include parent-child dysfunction, school attendance difficulties, and challenges to social functioning. Biological and environmental factors play a role in the development of separation anxiety disorder. Evidence-based interventions for children and adolescents with separation anxiety disorder include cognitive behavioral therapy (CBT), family therapy, pharmacological treatments, or a combination of these biopsychosocial therapies. Parental behaviors and parenting style are associated with increased risk for childhood anxiety, including separation anxiety disorder.
Substance users have substantially reduced rates of use of preventive health care services, and reduced rates of compliance with prescribed medical treatment. Primary care providers are frequently overwhelmed and may be reluctant to address substance-related problems given few resources. Direct collaboration with a behavioral health specialist (BHS) co-located within the primary care clinic results in increased efficiency and better treatment outcomes. There are excellent resources available for the BHS who will provide tobacco abuse interventions in the primary care setting. A number of behavioral factors should be considered in effectively addressing substance use and abuse in the primary care setting. Primary care providers should also be alert to unexplained vague symptoms, somatic complaints, difficulty with sleep, anxiousness, frequent life disruptions or chaotic lifestyle, and a family history of mental health problems or substance abuse.
- Go to chapter: Evidence-Based Interventions for Promoting Subjective Well-Being in Children and Adolescents
Perceived quality of life is shaped by internal beliefs and social interactions. There is empirical support for the dual nature of emotions in mental health, both among adults and youth. Although many well-being studies have focused on adults, research over the past two decades has examined subjective well-being (SWB) in school-aged youth. There are empirically validated SWB promotion strategies that warrant attention. This chapter provides an overview of a number of these programs and strategies that have been used to foster youths’ positive SWB, with a particular focus on school-based practices. It describes the benefits of SWB among youth, describes specific domains that have been addressed vis-à-vis SWB promotion strategies and summarizes multicomponent programs and narrowband strategies that have been shown to promote SWB levels. The chapter concludes with a description of the factors to consider when implementing efforts to foster SWB and provides key resources to support these efforts.
- Go to chapter: Intersectionality: Understanding Power, Privilege, and the Intersecting Identities of Women
Gender identity has a significant impact on how an individual navigates and experiences the world. This chapter provides an overview of the intersections of social identities, offers an introduction to intersectionality, explores the impact of systems of oppression on mental health and well-being, and suggests strategies for incorporating principles of intersectionality and identity construction into counseling practice. Locating individual identity within sociopolitical contexts and recognizing the mutually constitutive interplay of social identities cause a significant shift in how identities are experienced, studied, and treated within counseling relationships and educational contexts. Many practitioners ground their work in social justice principles, recognizing that power, privilege, oppression, and discrimination impact sense of self as well as life experiences and expectations. Intersectionality has been deepened and broadened by scholars in education, counseling, sociology, psychology, cultural studies, history, queer theory, feminist studies, ethnic studies, and many other fields.
This book can be used by social work professionals both as a textbook and as a clinical resource. Considering that most social workers receive limited training in medication during their social work program, it provides an excellent practice resource for clinicians in the field. The book provides general information that will prepare social workers to address the needs of clients taking medication. The use of medication is viewed as part of social work practice, and strategies for understanding its use are highlighted. Each chapter focuses on the basic information a social worker should know, from understanding the human brain, to tips for helping the client to terminate use, to how to support the medical team with tips for taking a medication history. The book explains the difference between generic and brand names, presented along with medical terminology used in prescribing medications. It provides the basic rules for monitoring medication and compliance, along with tips for treatment planning and documentation. The book also outlines prescription and nonprescription medications, including herbal preparations, and includes a section on special populations. It addresses specific mental health conditions such as schizophrenia, mood disorders, depression, bipolar disorders, and specific anxiety disorders.
- Go to chapter: Special Populations: Medication Use in Children and Adolescents, Older Adults, and Women and Pregnancy
Special Populations: Medication Use in Children and Adolescents, Older Adults, and Women and Pregnancy
This chapter focuses on the unique characteristics presented by three special populations that frequently receive psychotropic medications–children and adolescents, older adults, and women who are pregnant or plan to become pregnant. It is intended to sensitize social work practitioners to the unique considerations frequently encountered with these populations and to highlight the importance of combining medication therapy with counseling when addressing the mental health needs of these special populations. The chapter also provides a sampling of some Diagnostic and Statistical Manual for Mental Disorders (5th ed.; DSM-5) diagnoses frequently identified in children and highlights the medications commonly used to treat the mental disorders. Assessing and determining the medications to use to assist children and adolescents suffering from a mental disorder is never easy. Two conditions that present a particular challenge for prescribers and other members of the collaborative team are attention deficit hyperactivity disorder (ADHD) and conduct-related disorders.