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 have anything 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 easily understand. 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 to stay current and germane to current practice standards… The case studies are a nice way to transform and integrate clinical principles with social work practice. Students have enjoyed the book as a foundational text.”
-Dr. Robert Mindrup, Psy D,
University of Tennessee, Knoxville, College of Social Work
This comprehensive text—noted for its facility in integrating principles into practice–prepares social work students to play a key role within an interdisciplinary health care team: that of counseling clients who are taking medications used to treat common mental health conditions. 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, a new section on medical marijuana, pregnant women, and new content related to suicide warnings and 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 role of the social worker taking into account treatment planning is stressed. The text also addresses the particular needs of children, older adults, and pregnant women and the treatment of specific mental health conditions.
New to the Third Edition:
• Reflects changes related to the DSM-5, the Affordable Care Act, and a multitude of new medications
• Includes a restructured chapter on special populations highlighting the needs of children and adolescents, older adults and pregnant women
• Presents new sections on electronic health records, telemedicine, suicide warnings, and medical marijuana
• Offers enhanced coverage of psychopharmacological considerations related to gender and culture
• Updates case examples, treatment plans, and extensive medication glossary
• Provides a comprehensive Instructor’s Manual with Power Point slides, a sample syllabus, and sample tests
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
• Emphasizes the role of the social worker in the use and misuse of medication
• Identifies potentially dangerous drug interactions and adverse side effects
• Explains how psychopharmacology works in conjunction with psychosocial interventions
Inhaltsverzeichnis
Preface
Acknowledgments
Dedication
PART I: MENTAL HEALTH MEDICATIONS: WHAT EVERY SOCIAL WORKER NEEDS TO KNOW
1 Medication Use 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 Future Considerations
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
Dependence and Overdose
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 Med Watch 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
Western or Traditional Medicine
Alternative Medicine
Vitamins, Mineral Supplements, and Herbal Remedies
Issues with Herbal Preparations
Marijuana for Medical Use
Case Study: SAM-e
CAM and Mental Illness
Social Work and CAM
Summary and Conclusions
7 Special Populations: Medication Use in Children and Adolescents, Older Adults and Women and Pregnancy
By: Sophia F. Dziegielewski, George Jacinto, Paul Clements & 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
Attention Deficit Hyperactivity Disorder and Medications
Disruptive Behaviors and Medication
Combining Psychosocial With Pharmacological Interventions
Older Adults: Services and Special Needs
The Aging Process
Health Disparities of Older People
Assessment and Medications for Older People
Avoiding Adverse Reactions in Older Adults
Access to Care and Response among Vulnerable Older Adults
Special Topics
Depression in Older People
Major Neurocognitive Disorders (Dementia)
Pregnancy or Women who Become Pregnant
Stages of Pregnancy
Special Concerns
Depression and Breast Feeding
Postpartum Depression
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
The Manic Episode
The Hypomanic Episode
The Depressive Episode
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
Psychopharmacologic 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 the 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
References
Appendix A : Resources and Web Sites
Appendix B : Sample Assessment for Medication Use
Appendix C : Glossary of Terms
Appendix D : Medication and Herbal Preparation Glossary
Appendix E : Sample Treatment Planners
Index
Über den Autor
George A. Jacinto, Ph D, LCSW, CPC, is Associate Professor, School of Social Work, University of Central Florida, Orlando, FL.
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