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Office Hours:

Tuesday, 2-4 pm
or by appointment

330 Haviland Hall
(510) 642-0929
E-mail The Instructor

Direct Practice In
Public Mental Health Settings
S.W. 244, Spring 2008
(2 Units)


Peter Manoleas, LCSW

General Description : Learning Objectives : Course Format :
Course Requirements : Grading Procedures :
Required Text : Assignments : Topic Areas :
General Description

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For a printable copy of the syllabus in Word [click here] to download.


 


This course is required in the second semester for first year direct practice students in the community mental health concentration. The course aims to equip students with knowledge, skills, and attitudes needed for culturally competent, recovery sensitive practice consistent with California's Mental Health Services Act. Students will learn theoretical concepts underpinning a range of interventions and will learn the appropriate selection and application of given interventions. Emphasis will be on the acquisition of skills and knowledge relevant to treating individuals encountered public mental health systems, and their application to social work practice.

 
Learning Objectives
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As a result of participation in this course, the student should be able to:

  • Think critically about the major psychodiagnostic categories and be able to augment such characterizations with more holistic notions of human functioning.


  • Recognize the major conceptual models: psychiatric, rehabilitation, recovery, and ecological; the strengths of each, and how to draw from each.


  • Demonstrate knowledge of a variety of clinical modalities for treating major mental illness and how to select the appropriate one.


  • Demonstrate basic clinical writing ability.


  • Show general familiarity with cross-cultural issues in diagnostic assessment and treatment.
 
Course Format
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A lecture/discussion format will be utilized with some skills building time included. The use of case material will be infused throughout, and some video material will be used. Students will be expected to select a case, from their field work, or past work experience. This case will be serially utilized throughout the course, to practice and illustrate techniques and paradigms. It is important to read the assignments before class so as to facilitate discussion. The course is posted in the University's "bSpace" software format. This means that students will have ongoing access to readings and lecture material.

 
Required Text
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There is no required text. All readings, both required and recommended are posted as PDF files on the bSpace site. These may be read, downloaded, or printed. For students who prefer low tech methods, one copy of the required readings will be on reserve in the social welfare library. Individual articles may be checked out, one at a time. A recommended text, for those who wish to purchase it, is, Zuckerman, E. L., Clinician's thesaurus. New York: Guilford Press.

 
Course
Requirements
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See "Grading" Below.

 
Grading
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The course will focus on the acquisition of knowledge and skills. Because part of the latter is taught experientially, class attendance is essential. Course grades will be determined by three equal components. Class participation will count one-third, a mid-term written assignment of 5-8 pages due April 1 will count one-third, and an in-class cumulative examination given on May 6 will determine the final third of the course grade.

 
Assignments
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See "Grading" above".

 
Topic Areas
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DATE
CLASS DISCUSSION
ASSIGNMENTS
Week 1
1/22/08

Introduction, Course Organization, Conceptual Model for Practice

Required Reading

Miller, J. (2002). Social workers as diagnosticians (Chapter 3). In K. J. Bentley (Ed.), Social work practice in mental health (pp. 43-72). Brooks/Cole.

Skill Building - Observation and Inference

Week 2
1/29/08
Serious Mental Illness: Etiology and Concepts, the Strengths Perspective

Required Reading

Intervention with persons with severe mental illness: Theories, concepts, and philosophies (Chapter 10). In R. G. Sands (2001), Clinical social work practice in behavioral health (pp. 231-254). Needham Heights, MA: Allyn & Bacon.

Sullivan, W. P. (1997). On strengths, niches, and recovery from serious mental illness (Chapter 12). In D. Saleeby, The strengths perspective in social work practice (pp. 183-197). Longman Publishers.

Skill Building - Descriptive language, the strength -pathology continuum

Week 3
2/5/08

Clinical Case Management, Overcoming Stigma

Required Reading

Jackson, R. L. (2001). Roles, self-efficacy and the work-empowering applications of theory to generalist practice (pp. 56-72). Brooks/Cole.

Drake, R. E., Becker, D. R., & Bond, G. R. (2003). Recent Research on Vocational Rehabilitation for Persons with Severe Mental Illness. Curr. Opin. Psychiatry, 16(4), 451-455. Lippincott Williams & Wilkins.

Week 4
2/12/08

Syndromes and Techniques I

Required Reading

Pratt, et al. (1999). Course outcome and treatment of severe and persistent mental illnesses (Chapter 3). In Psychiatric rehabilitation (pp. 59-86). Academic Press.

Recommended Reading

Chadwick, et al. (1996). A cognitive view of delusions and voices (Chapter 1). In Cognitive therapy for delusions, voices, and paranoia (pp. 1-24). New York: Wiley.

Schizophrenia: Schizophrenia.htm (37081 Bytes)

Week 5
2/19/08
Syndromes and Techniques II

Required Reading:

Organista, K. C., & Valdes Dwyer, E. (1996). Clinical case management and cognitive-behavioral therapy: Integrated psychosocial services for depressed Latino primary care patients (Chapter 5). In P. Manoleas (Ed.), The cross-cultural practice of clinical case management. New York: Haworth.

Websites for Further Optional Reading by Diagnoses

Depression
http://www.symptoms-of-depression.com/
http://www.learn-about-depression.com/
http://www.treatments-for-depression.com/
http://www.psycom.net/depression.central.html
http://www.focusondepression.com/Script/Main/hp.asp
http://www.healingwell.com/depression/
http://www.hypericum.com/ http://www.hypericum.com/
http://www.suite101.com/welcome.cfm/depression

Bipolar Disorders
http://www.bpso.org/
/ http://www.harbor-of-refuge.org/
http://www.courtcastle.com/bpd3m/
http://www.thewindsofchange.org/

Anxiety Disorders
http://www.charitablechoices.org/adaa/
http://www.nimh.nih.gov/anxiety/
http://www.childhoodanxietynetwork.org/htm/td1.htm

Schizophrenia and Schizoaffective Disorders
http://www.schizophrenia.org/
http://www.mhsource.com/narsad/
http://www.schizophrenia.com/
http://www.world-schizophrenia.org/

Week 6
2/26/08


Severely Mentally Ill Women

Video: Dialogues with Mad Women

Required Reading

Wile, J. R., & Spielvogel, A. M. (1996). Gender as culture: Competent case management for women with major psychiatric disorders (Chapter 12). In P. Manoleas (Ed.), The cross-cultural practice of clinical case management. New York: Haworth.

Recommended Reading

Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services, Meeting the challenge: Ending treatment disparities for women of color, a background paper.

Week 7
3/4/08

The Recovery Model: Consumer Empowerment Through Self-Efficacy

Video: The National Empowerment Center

Required Reading

Mezzina, R., et al (2006). The social nature of recovery: Discussion and implications for practice. American Journal of Psychiatric Rehabilitation, 9(1), 63-80.

Recommended Reading

Donohue, A. B. (2000). Riding the mental health pendulum: Mixed messages in the era of neurobiology and self-help movements. Social Work, 45(5), 427-438.

Deegan, P. R. (2003). Discovering Recovery. Psychiatric Rehabilitation Journal, 26(4), 368-376.

Priscilla Ridgeway, "Principles of Emerging Recovery..."

Recommended Websites

www.patdeegan.com
www.casra.org
www.ucpsychrehab.org
http://shrp.umdnj.edu/smi/
www.bu.edu/cpr

Week 8
3/11/08

Clinical Writing

Required Reading

Johnson, D., & Johnson, S. (2003). Problems (Chapter 7) and Long & short term goals (Chapter 8). In Real world treatment planning (pp. 47-64). Brooks/Cole.

Manoleas, P. A syntactical approach to clinical charting.

Skill and Empathy Building - Experiencing non-ordinary cognitions

Week 9
3/18/08

A Cross-Cultural View of Service Delivery

Video: The Culture of Emotions

Required Reading:

Edwards, V. R. (1996). Clinical case management with severely mentally ill African-Americans (Chapter 7). In P. Manoleas (Ed.), The cross-cultural practice of clinical case management. New York: Haworth.

Snowden, L. R. (2003). Bias in mental health assessment and intervention: Theory and evidence. American Journal of Public Health, 93(2), 239-243.

Williams, B. (2003). The worldview dimensions of individualism and collectivism: Implications for counseling. Journal of Counseling and Development, 81, 370-374.

Recommended Reading:

Manoleas, P., & Garcia, B. (2003) Clinical algorithms as tools for psychotherapy with Latino Clients. American Journal of Orthopsychiatry, 73(2), 154-166.

Lu, F. G., Lim, R. F., & Mezzich, J. E. (1995) Issues in the assessment and diagnosis of culturally diverse individuals. Review of Psychiatry, 14, 1-23.

Skill Building - Using the DSM-III R cultural formulation

Week 10
3/25/08

Spring Break - No Class

Week 11
4/1/08

Psychotropic Medications

Mid-Term Assignment Due

Required Reading:

Bentley, K. J., Walsh, J. F. (2001). Medication adherence and refusal (Chapter 7), and Medication monitoring and management (Chapter 8). In The social worker and psychotropic medication (pp. 181-224). Brooks/Cole.

Psychotherapeutic Medications 2003. What every counselor should know. http://www.mattc.org/ Published in 2000 by the Mid-America Addiction Technology Transfer Center (MATTC) University of Missouri-Kansas City. pp. 1-22.

Recommended Reading:

Glossary of Medication Terminology.

Week 12
4/8/08

Groups

 

Required Reading:

Theoretical issues (Chapter 3). In N. Kanas (1996), Group therapy for schizophrenic patients (pp. 33-48). APA Press.

Malekoff, A. (2004). Good beginnings in group work: Socializing adolescents into the group culture (Chapter 5). In: Andrew Malekoff, Group work with adolescents: Principles and practice (pp. 90-112) (2nd Ed.) New York: Guilford Press.

Skill Building - Group planning for various SMI populations

Week 13
4/15/08

SED Children & Adolescents I

Required Reading:

Garbarino, J., & Stott, F. M. (1989). Communicating with children: Introduction to the issues (Chapter 1). In Garbarino & Stott, What children can tell us: Eliciting, interpreting, and evaluating information from children (pp. 1-17). San Francisco: Jossey-Bass.

Friedberg, R. D. (2002). How to do cognitive behavioral therapy with young children. Brown University Child and Adolescent Behavioral Letter, 18(4): 1, 6. Manisses Communications Group, Inc.

Recommended Reading:

Stroul & Friedman, The system of care concept and philosophy (Chapter 1). In B. A. Stroul, Children's mental health: Creating systems of care in a changing society (pp. 3-21). Baltimore: Paul Brooks Publishing Co.

Hanna, F. J., Hanna, C. A., & Keys, S. G. (1999). Fifty strategies for counseling defiant, ggressive adolescents: Reaching, accepting, and relating. Journal of Counseling & Development, Vol. 77, No.4, 395-405.

Scott, S. (2002). Classification of psychiatric disorders in childhood and adolescence: Building castles in the sand? Advances in Psychiatric Treatment, Vol. 8, pp. 205-213.

For a general discussion of the non-medical use/abuse of Ritalin see:
http://www.drugs.indiana.edu/publications/iprc/factline/ritalin.html

Week 15
4/22/08
Comorbid Populations: Mental Illness & Substance Abuse

Required Reading:

Drake, R. E., Wallach, M. A., & McGovern, M. P. (2005). Relapse prevention: Future directions in preventing relapse to substance abuse among clients with severe mental illness. Psychiatric Services, 56(10), P1297.

Skill Building - Comprehensive Co-Morbid Assessment and Intervention Planning

Week 16
4/29/08
Families & Support Networks, Course Wrap-Up

Required Reading:

Engaging the family of the person with mental illness (Chapter 12). In J. Walsh (2000). Clinical case management with persons having mental illness: A relationship-based perspective (pp. 194-209). Belmont, CA: Wadsworth.

Telles, C., et al. (1995). Immigrant families coping with schizophrenia: Behavioral family intervention v. case management with a low-income Spanish-speaking population. British Journal of Psychiatry, 167, 473-479.

For Further Reading:

Urdaneta, M., Winkler, A., & Saldana (1995). Severe mental illness as perceived by Mexican American patients' families in South Texas. The Hispanic Research Center the University of Texas at San Antonio San Antonio, Texas 78249-0603.

Further Web Resources:

National Alliance of the Mentally Ill -- http://www.nami.org/

Week 17
5/6/08
In-Class Final Examination

[posted 2/5/08]
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