Social Work Practice and Psychopharmacology: A Person-in-Environment Approach / Edition 3

by Sophia F. Dziegielewski PhD, LCSW, George A. Jacinto PhD, LCSW

Overview

Praise for the Second Edition:

This is a very well-written book, My students appreciated the down-to-earth style of writing‚ Many of my students are deathly afraid of topics that haveanything to do with biology. [They] were assured by the lack of jargon and the fact that the chapters were written in a way that they could easilyunderstand. I look forward to the third edition!

-Nathan Thomas, LCSW
San Jose State University, School of Social Work

New findings emerge daily, and new medications hit the market every year. The nature of this topic lends itself to revision at least every 2-3 years tostay current and germane to current practice standards. The case studies are a nice way to transform and integrate clinical principles with social workpractice. Students have enjoyed the book as a foundational text,

-Dr. Robert Mindrup, PsyD,
University of Tennessee, Knoxville, College of Social Work

This comprehensive text prepares social workers to play a key role within an interdisciplinary health care team, emphasizing the importance of counseling for clients that take mental health medications as part of their treatment. The third edition has been fully revised to include new medications and reflect changes resulting from the publication of the DSM-5. Sample treatment plans, case examples, and a full glossary of medications have been updated, and the addition of a comprehensive Instructor's Manual further enhances the text's value. Also included is information on prescription drug abuse, expanded discussions of psychopharmacological considerations related to gender and culture, and new content on medical marijuana, pregnant women, suicide warnings, Internet availability, and electronic records. The third edition also features a discussion of potential interactions with medications used to treat chronic conditions and emphasizes professional collaboration.

The text is replete with guidance on common medicine-related issues social workers encounter in practice, including identifying potentially dangerous drug interactions and adverse side effects, improving medication compliance, recognizing the warning signs of drug dependence, and understanding how psychopharmacology can work in conjunction with psychosocial interventions. The text also addresses the particular needs of children, older adults, and pregnant women, and the treatment of specific mental health conditions.

Key Features:

• Addresses the role of medication from the perspective of social work treatment
• Delivers guidance on common challenges social workers encounter in practice
• Encourages and empowers clients to be active in their own treatment
• Identifies potentially dangerous drug interactions and adverse side effects
• Explains how psychopharmacology works in conjunction with psychosocial interventions

Product Details

ISBN-13:	9780826130396
Publisher:	Springer Publishing Company
Publication date:	04/18/2016
Edition description:	New Edition
Pages:	452
Product dimensions:	7.00(w) x 9.90(h) x 1.10(d)

About the Author

Sophia F. Dziegielewski, Ph.D., LCSW, is a Professor in the School of Social Work at the University of Central Florida.

George A. Jacinto, PhD, LCSW, CPC, is Associate Professor, School of Social Work, University of Central Florida, Orlando, FL.

Table of Contents

CONTENTS

Contributors

Preface

Acknowledgments

PART I: MENTAL HEALTH MEDICATIONS: WHAT EVERY SOCIAL WORKER NEEDS TO KNOW

1. Use of Medications as Part of Health and Mental Health Practice

Scope of Practice

Building Alliances: The Interdisciplinary Team

The Rise of Psychopharmacology as a Treatment Modality

Medication as a Primary Treatment Modality

Consumer Expectations and the Pressure to Prescribe

Medication and Psychotherapeutic Approaches

Case Example: John

Medication Myths: Expectations Versus Reality

Ethical Issues in Psychopharmacology

Issues in Prescribing Medication

The Role of the Social Worker: Person-in-Situation

Summary and Conclusions

2. Understanding How Medications Work: The Human Brain

The Brain: Understanding Structure and Function

The Importance of Imaging in Brain Science

Neurons, Neurotransmitters, and Brain Activity

Neurochemicals and Mental Health

Pharmacodynamics: Synaptic Activity and Medications

Medications and the Body's Response

Routes of Administration

Side Effects

Removal of Drugs From the System

Revitalization of the Brain

Summary and Conclusions

3. Practice Tips and Helping the Client

How Medications Are Named

Approval of New Medications

Creating Generic Drugs

Medication Availability and Pricing

The Cost of Generic Versus Brand Names

Expiration Dates

Common Medication Terminology

Medication Monitoring: Common Dosing Mistakes

Medical Terminology and the Official Do Not Use List

Identifying Reactions and Adverse Effects

The MedWatch Program

Tapering Medications

Case Example: Joan

Medication Information and the Internet

Buying Medications on the Internet

Summary and Conclusions

4. Taking a Medication History, Documentation, and Treatment Planning

Incorporating a Macrolevel Approach

A Person-in-Environment Approach to Assessment

Special Considerations for a Culturally Sensitive Approach

Assessment and Medications With Minority Populations

Taking a Medication History

Implementing a Successful Continuance

Problem-Oriented Recording

Documentation Skills

Summary and Conclusions

PART II: PRESCRIPTION AND NONPRESCRIPTION MEDICATIONS, HERBAL PREPARATIONS, AND SPECIAL POPULATIONS

5. Prescription and Nonprescription Medications: What Every Social Worker Should Know

Drugs, Pharmaceuticals, and Medications: Legal and Illegal

Drug Classification Schedules

Prescription Medications

Avoiding Prescription Errors

Black Box Warnings

Handling the Suicidal Client

Honoring Confidentiality and When to Take Protective Action

Prescription Drugs Used Illegally

Treatment of Substance Abuse or Dependence

Nonprescription or Over-the-Counter Medications

Addiction to Over-the-Counter Medications

Lessons From the Past

Summary and Conclusions

6. Complementary and Alternative Medicine: An Introduction for Social Workers

The Increased Popularity of Natural Medicine

Case Example: Using a Natural Remedy

Choosing Medical Treatments

Vitamins, Mineral Supplements, and Herbal Remedies

Issues With Herbal Preparations

Marijuana for Medical Use

Case Example: SAM-e

CAM and Mental Illness

Social Work and CAM

Summary and Conclusions

Additional Resources for Complementary and Alternative Medicine

7. Special Populations: Medication Use in Children and Adolescents, Older Adults, and Women and PregnancySophia F. Dziegielewski, George A. Jacinto, Paul R. Clements, and Bethany Waricka

Children, Adolescents, and Mental Illness

What Makes Children and Adolescents Unique

Providing Comprehensive Care to Children and Adolescents

Assessing Children and Adolescents

Mental Disorders and Ensuring Cultural Sensitivity

Children, Adolescents, and Medication

Special Topics

Older Adults: Services and Special Needs

Pregnancy or Women Who Become Pregnant

Summary and Conclusions

PART III: MENTAL HEALTH CONDITIONS AND SOCIAL WORK PRACTICE

8. Mental Health Disorders and the Treatment of Depression

Prevalence of Depression

Case Example: Jean

Depression: Completing a Comprehensive Assessment

Medication Intervention for Depression

Tricyclic Antidepressants and Similar Medications

Monoamine Oxidase Inhibitors

Selective Serotonin Reuptake Inhibitors

Serotonin–Norepinephrine Reuptake Inhibitors

Drug Interactions

Antidepressants and the Risk of Suicide

Alternative and Supportive Interventions: Electroconvulsive Therapy

Self-Initiated Treatments for Depression

Special Issue: Depression and the Older Adult

Direct Social Work Intervention

Documentation and Treatment Planning

Summary and Conclusions

9. Treatment of Bipolar Disorders

Bipolar Disorder in Adults, Adolescents, and Children

The Role of the Social Worker

Case Example: Michael

Understanding and Anticipating Mood Episodes

Bipolar I, Bipolar II, Cyclothymia, and Specified or Unspecified Bipolar Disorder

Assessment of Bipolar Disorder

Interventions With Clients Who Have Bipolar Disorders

Medication Intervention

Mood Stabilizers: Lithium

Anticonvulsant Medications

Antidepressants

Atypical Antipsychotic Medications

Psychopharmacotherapy and Social Work Treatment

Psychosocial Interventions

Documentation and Treatment Planning

Supportive Interventions With Bipolar Disorders

Summary and Conclusions

10. Mental Health Disorders and the Treatment of Anxiety and Stress

Prevalence of Anxiety

Case Example: Obsessive-Compulsive Disorder

Controlling Anxiety and Stress: Forming the Diagnostic Impression

The Presentation of Anxious Clients

Prevalence of Anxiety Disorders

Panic Disorder

Phobic Disorders

Posttraumatic and Acute Stress Disorders

Generalized Anxiety Disorder

Interventions for Clients Who Have Anxiety

Psychopharmacological Assessment Strategy

Typical Antianxiety Medications

Atypical Medications

Antidepressants in the Treatment of Anxiety

Treating Anxiety: Medications Alone May Not Be Enough

Psychological Interventions

Exposure Interventions and Systematic Desensitization

Intervention and Treatment Planning

Establishing the Treatment Plan

Summary and Conclusions

11. Schizophrenia and Psychotic Disorders

Overview and Prevalence of Schizophrenia and Psychotic Disorders

Case Example: Eva

Schizophrenia: Forming the Diagnostic Impression

Intervention With Clients Who Suffer From Psychosis

Client Systems and Building Support

History and Development of Antipsychotic Medications

Traditional or Typical Antipsychotic Medications

Newer or Nontraditional Antipsychotic Medications

Antipsychotic Medications Used for Disruptive or Psychotic Behaviors

Documentation and Treatment Planning

Supportive Interventions With Schizophrenia

Summary and Conclusions

12. Conclusion: Social Workers as Proactive Professionals

The Importance of Lifestyle Factors in Mental Health

The Importance of Psychosocial Interventions

Respecting Cultural Mores

Social Work in Behavioral Health

Summary and Conclusions

Appendix A: Resources and Websites

Appendix B: Sample Assessment for Medication Use

Appendix C: Glossary of Terms

Appendix D: Medication and Herbal Preparation Glossary

Appendix E: Sample Treatment Planners

References

Index