Clinical Social Work Practice in Behavioral Mental Health Toward Evidence-Based Practice

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  • Edition: 3rd
  • Format: Paperback
  • Copyright: 2010-12-27
  • Publisher: Pearson

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The third edition ofClinical Social Work Practice in Behavioral Mental Health:Toward Evidence-Based Practicemoves into todayrs"s paradigm, evidence-based practice. The book is consistent with current policy (e.g., recommendations of the Presidentrs"s New Freedom Commission and the Institute of Medicine) and encompasses todayrs"s recovery approach, interdisciplinary scientific knowledge, and cultural competence. It gives attention to practice methods with adults, including older adults, with depression and anxiety as well as adults with serious mental illness, including those with co-occurring disorders (serious mental illness and substance use disorders). Postmodernism, which was featured in the second edition, is used in this edition as a critical framework. Important features include evidence-based practice, rich case examples, measurement of progress and outcomes, and suggested Websites and SAMHSA toolkits. These are woven throughout the text and featured in Chapters 1, 4, 5, 8, 9, 10, 11, 12, and 13. "Evidence-Based Practice" boxes in Chapters 8, 9, and 11 provide exemplary approaches to intervention with clients with specific mental health problems. Cultural disparities are addressed in Chapter 6 and violence against women, including trafficking, is presented in Chapter 7. Medications are discussed in Chapters 8, 9, and 12.

Author Biography

Roberta G. Sands is a professor at the University of Pennsylvania School of Social Policy & Practice, Philadelphia, Pennsylvania, where she teaches MSW and doctoral level students.  Her primary teaching areas are clinical social work practice, qualitative research, and practice theory.  She began her career as a clinical social worker and practiced in community mental health, health, and child welfare settings.  Her research has been on mental health and the family, with special attention given to intergenerational family relations, gender, culture, and religious change.


She is the author of Clinical Social Work Practice in Community Mental Health (1991) and Clinical Social Work Practice in Behavioral Mental Health: A Postmodern Approach to Practice (2nd edition, 2001; Chinese edition, 2003), and co-author of Interprofessional and Family Discourses: Voices, Knowledge, and Practice (co-authored with Marleen McClelland, 2002).  She has published widely in social work and related social science journals, and has also written book reviews, encyclopedia articles, and book chapters. 




Zvi  D. Gellis is an associate professor and Hartford Geriatrics Social Work Faculty Scholar at the University of Pennsylvania, School of Social Policy & Practice, Philadelphia, Pennsylvania, where he directs the Center for Mental Health and Aging.  Dr. Gellis is a certified trainer in evidence-based Problem Solving Therapy, a cognitive behavioral intervention and he has trained numerous services providers (MSWs, nurses, case managers, community services workers, first responders) over the years in delivery of PST to medically-disabled older adults. Dr. Gellis is a mental health services researcher with key expertise in psychotherapy trials for mental health disorders in older adults. Dr. Gellis’ NIMH-funded research has tested the efficacy of PST for late life depression in home healthcare patients with various chronic medical conditions including cardiovascular disease. Dr. Gellis and co-author Dr. McCracken published a series of state-of-the art mental health curriculum modules that are used in schools of social work across the nation.

Table of Contents

Most chapters conclude with “Summary and Deconstruction.”

1. Getting Oriented:  Themes and Contexts

Community Mental Health

Behavioral Health under Managed Care

Scientific Knowledge and Evidence-Based Practice

Definitional Issues

Postmodernism as a Critical Framework


I. A Framework for Practice


2. Historical Context: Changes in Mental Health Policies and Social Work Practice


The Beginnings of Psychiatry in the United States

Nineteenth Century

The Early Years of the Twentieth Century

World War I and its Aftermath

World War II and its Aftermath

Changing Approaches to Mental Health Treatment: 1950—1980

Changes in Mental Health Policies: 1981-2010

Summary and Deconstruction


3. Biopsychosocial Conceptual Framework


Biological Knowledge

Psychological and Psychosocial Knowledge: Theories, Frameworks, and Therapies

Integrating Biological, Psychological, and Social Factors

Summary and Deconstruction


4. The Biopsychosocial Assessment


Components of a Comprehensive Interdisciplinary Assessment

Assessing the Client’s Psychiatric Symptoms

Components of a Written Biopsychosocial Assessment

The Written Biopsychosocial Assessment

Case Review with an Interdisciplinary Planning Team

Summary and Deconstruction


5. Legal and Ethical Issues


Ethical Theories

Involuntary Civil Commitment

Least Restrictive Alternative

Clients’ Rights and Protections

Confidentiality and the Duty to Protect

Documentation and Record Keeping

Summary and Deconstruction


6. Culturally Competent Mental Health Practice



Context-Related Concepts 

Cultural Disparities in Mental Health

Cultural Dimensions of Diagnosis, Assessment, and Treatment

Culturally Competent Practice with Specific Cultural Groups

Evidence-Based Practice with Persons of Diverse Cultural Backgrounds

Summary and Deconstruction


7.  Feminist Social Work Practice


Feminist Theoretical Perspectives

Feminist Critique of Psychological Theories

Epidemiological Findings on Gender and Mental Illness

Violence Perpetrated against Women

Summary and Deconstruction


II. Intervention


8. Evidence-Based Practice with Depressed Clients


Major Depressive Disorder

Dysthymic Disorder

Depression in Older Adults

Multiple Risks and Associated Factors

Evidence-Based Practice: Cognitive or Cognitive Behavioral Therapy

Evidence-Based Practice: Interpersonal Therapy

Evidence-Based Practice: Problem Solving Therapy


Instruments Used to Assess and Monitor Depression

Complementary and Alternative Therapies

Summary and Deconstruction


9. Evidence-Based Practice for Clients with Anxiety Disorders


Anxiety Disorders and Older Adults

Types of Anxiety Disorders

Explanatory Theories

Cognitive-Behavioral Treatment of Anxiety Disorders

Evidence-Based Practice: Cognitive-Behavioral Treatment for Panic Disorder

Case Example: Integrated Methods

Reliable Instruments Used to Assess and Monitor Anxiety

Other Ways of Healing

Medications Used to Treat Anxiety Disorders

Summary and Deconstruction


10. A Framework For Intervention with Persons with Serious Mental Illness


Defining Severe Mental Illness

Relevant Perspectives, Concepts, and Models

Evidence-Based and Empirically Supported Practices

Instruments Used to Assess and Monitor Severe Mental Illness

Summary and Deconstruction


11. Evidence-Based and Best Practices With Adults with Severe Mental Illness in a Community Context


Case Scenario

Recovery Orientation

Case Management and Community-Based Care

Community Support Services and Resources

Summary and Deconstruction


12. Evidence-Based Interventions for Individuals with Severe Mental Illness and Their Families


Evidence-Based Practice: Illness Management and Recovery

Evidence-Based Practice with Family Caregivers

Cognitive Rehabilitation

Summary and Deconstruction


13. Clinical Practice with Persons with Co-Occurring Substance Use and Serious Mental Illness




Conceptualization, Assessment and Treatment of Co-Occurring Disorders

Evidence-Based Practices with Clients with Dual Disorders


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