Clinical Case Management with Persons Having Mental Illness A Relationship-Based Perspective

by Walsh, Joseph

• ISBN13: 9780534348526
• ISBN10: 0534348521
• Format: Paperback
• Copyright: 1999-08-06
• Publisher: Cengage Learning

Summary

This text equips future mental health practitioners with a model and theory for case management with those with mental illness. The author helps readers feel more competent working with the these clients, giving readers skills that establish and sustain clinical relationships over months or years. The author provides intervention techniques for clients with a variety of mental illnesses (including schizophrenia, bipolar disorder, major depression, schizotypal personality, paranoid ideation). This text differs from other texts by applying the theory of symbolic interactionism, emphasizing the need for establishing a productive relationship with clients as a prerequisite to any other intervention.

Table of Contents

Preface	x
PART I INTRODUCTION	1	(36)
An Introduction to Clinical Case Management	3	(19)
Thinking About Case Management	4	(3)
Defining Case Management	7	(1)
Case Management and Mental Illness	8	(5)
Clinical Case Management	13	(4)
Case Illustration	17	(3)
Summary	20	(2)
The Policy Context of Case Management	22	(15)
Mental Illness as a Social Problem	23	(2)
America's Response to the Problem of Mental Illness	25	(1)
The Emergence of Case Management as a Policy Response	26	(2)
Managed Care and Case Management	28	(3)
Research on Case Management Related to Policy Objectives	31	(4)
Summary	35	(2)
PART II A THEORETICAL BASE FOR CLINICAL CASE MANAGEMENT	37	(32)
Symbolic Interactionism and Relationship Development	39	(15)
An Overview of Symbolic Interactionism	40	(1)
Symbolic Interactionism and Mental Illness	41	(1)
Symbolic Interactionism in Clinical Practice	42	(2)
A Framework for Direct Practice	44	(6)
Objective Measures of the Worker-Client Relationship	50	(1)
Theories for Practice	50	(3)
Summary	53	(1)
Social Support Theory and the Community Context of Practice	54	(15)
Social Support Theory	55	(4)
The Concept of Community	59	(5)
Assessing Social Supports	64	(3)
Summary	67	(1)
Appendix: A Social Support Assessment Form	68	(1)
PART III WORKING WITH INDIVIDUALS	69	(122)
The Case Manager and Psychotropic Medications	71	(18)
Case Manager Roles in Medication Management	73	(3)
The Psychotropic Medications	76	(6)
Managing Psychological and Social Adverse Effects	82	(2)
Clinical Relationships and Medication Management	84	(3)
Summary	87	(2)
Persons with Schizophrenia	89	(23)
Schizophrenia: A Description	91	(1)
The Experience of Schizophrenia	92	(1)
Diagnosis and Classification	93	(1)
Instruments for Monitoring Symptoms	94	(1)
Causal Theories	94	(2)
The Clinical Relationship	96	(2)
Case Illustration: Robyn	98	(3)
The Clinical Case Manager's Interventions	101	(3)
Case Illustration: Brian	104	(2)
Incorporating Units of Intervention into the Service Plan	106	(2)
Summary	108	(1)
Appendix: A Service Plan Form	109	(3)
Persons with Bipolar Disorder	112	(18)
The Nature of Bipolar Disorder	113	(1)
Instruments for Monitoring Symptoms	114	(1)
Causative Factors in Bipolar Disorder	115	(2)
Common Psychosocial Problems	117	(2)
Intervention Strategies	119	(5)
Case Illustrations	124	(4)
Summary	128	(2)
Persons with Major Depression	130	(14)
Understanding Depression	131	(1)
Causes of Depression	132	(2)
Stress and Coping	134	(1)
Social Support	135	(1)
Intervention Techniques	135	(8)
Summary	143	(1)
Persons with Schizotypal Personality Traits	144	(15)
The Concept of Personality ``Disorder''	145	(1)
Persons with Schizotypal Personality Traits:	146	(4)
Schizotypal Personality Development	150	(1)
Instruments for Monitoring Symptoms	151	(1)
Clinical Intervention	152	(5)
Summary	157	(2)
Persons with Paranoid Ideation	159	(16)
Evolution of the Concept	160	(1)
Sources of Paranoid Ideation	161	(3)
An Instrument for Monitoring Symptoms	164	(1)
Intervention	164	(10)
Summary	174	(1)
Incorporating Existential Themes Into Clinical Case Management	175	(16)
Significance for Work with and Clients and Families	176	(1)
An Overview of Existentialism	177	(2)
Existentialism and Mental Illness	179	(1)
The Ego Psychology Perspective	180	(1)
The Cognitive Theory Perspective	181	(1)
Case Illustrations	182	(5)
Applying Existential Themes to Family Intervention	187	(2)
Summary	189	(2)
PART IV WORKING WITH FAMILIES	191	(70)
Engaging the Family of the Person With Mental Illness	193	(17)
Relationships Between Professionals and Families	194	(2)
The Impact of Mental Illness on the Family	196	(2)
Desired Characteristics of Mental Health Professionals	198	(1)
Whether and When to Engage the Family	199	(2)
Strengths and Limitations of the Case Manager	201	(2)
Approaching the Client	203	(2)
Approaching the Family	205	(4)
Summary	209	(1)
Case Managers as Family Educators about Mental Illness	210	(15)
What Families Want from Mental Health Professionals	211	(1)
Family Educational Interventions	212	(12)
Summary	224	(1)
The Family Education and Support Group	225	(28)
Psychoeducational Programs	226	(3)
The Family Education and Support Group	229	(12)
Group Evaluation	241	(1)
Summary	242	(1)
Appendix A: Group Planning and Organizing Tasks	243	(1)
Appendix B: Sample Course Outline	244	(1)
Appendix C: Phone Survey for New Group Members	245	(2)
Appendix D: Evaluation Form	247	(6)
The Role of the Facilitator in Support Group Development	253	(8)
Family Member Reluctance to Join Support Groups	254	(1)
The Siblings and Adult Children Group	255	(1)
The Role of the Facilitator	256	(3)
Summary	259	(2)
PART V WORKING WITH PERSONS HAVING MENTAL ILLNESS IN GROUPS	261	(31)
Effective Leadership in Treatment Groups	263	(14)
Research on Treatment Groups	265	(3)
Leader Skills and Activities	268	(2)
The Myth of Homogeneity	270	(1)
Relationships Between Core and New Members	271	(2)
Confrontation	273	(1)
Safety and Risk-Taking	274	(1)
Task Versus Longer-Term Issues	275	(1)
Summary	276	(1)
Facilitating Self-Help Groups	277	(15)
Factors Contributing to the Success of Self-Help Groups	278	(2)
Schizophrenics Anonymous: An Introduction	280	(1)
Group Organization	281	(1)
Format of Meetings	282	(1)
Attendance	283	(1)
Member-Sharing Practices	284	(5)
Member Reactions to Schizophrenics Anonymous	289	(2)
Summary	291	(1)
Epilogue	292	(5)
Glossary	297	(4)
References	301	(14)
Author Index	315	(4)
Subject Index	319