Social Work Practice and Psychopharmacology

by Dziegielewski, Sophia F.

• ISBN13: 9780826102171
• ISBN10: 0826102174
• Edition: 2nd
• Format: Hardcover
• Copyright: 2009-12-07
• Publisher: Springer Pub Co

Summary

Why do social workers need to know about mental health medications?

Table of Contents

Preface	p. xiii
Acknowledgments	p. xx
Mental Health Medications: What Every Social Worker Needs To Know	p. 1
Medication Use as Part of Health and Mental Health Practice	p. 3
Building Alliances: The Interdisciplinary Team	p. 4
The Rise of Psychopharmacology as a Treatment Modality	p. 4
Medication as a Primary Treatment Modality	p. 6
Consumer Expectations and the Pressure to Prescribe	p. 7
Medication and Psychotherapeutic Approaches	p. 8
Case Example: John	p. 10
Medication Myths: Expectations Versus Reality	p. 12
Ethical Issues in Psychopharmacology	p. 13
Issues in Prescribing Medication	p. 14
The Role of the Social Worker: Person-in-Situation	p. 17
Summary and Future Considerations	p. 18
Understanding How Medications Work: The Human Brain	p. 21
The Brain: Understanding Structure and Function	p. 21
The Importance of Imaging in Brain Science	p. 23
Neurons, Neurotransmitters, and Brain Activity	p. 25
Neurochemicals and Mental Health	p. 26
Pharmacodynamics: Synaptic Activity and Medications	p. 30
Medications and the Body's Response	p. 34
Routes of Administration	p. 36
Side Effects	p. 37
Removal of Drugs From the System	p. 39
Dependence and Overdose	p. 39
Revitalization of the Brain	p. 42
Summary and Conclusions	p. 43
Practice Tips and Helping the Client	p. 45
How Medications Are Named	p. 46
Approval of New Medications	p. 47
Creating Generic Drags	p. 49
Medication Availability and Pricing	p. 52
The Cost of Generic Versus Brand Names	p. 53
Expiration Dates	p. 54
Common Medication Terminology	p. 54
Medication Monitoring: Common Dosing Mistakes	p. 58
Medical Terminology, and the Official "Do Not Use" List	p. 59
Identifying Reactions and Adverse Effects	p. 62
The MedWatch Program	p. 63
Tapering Medications	p. 66
Case Example: Joan	p. 66
Medication Information and the Internet	p. 67
Buying Medications on the Internet	p. 71
Summary and Conclusions	p. 72
Taking a Medication History, Documentation, and Treatment Planning	p. 75
Incorporating a Macrolevel Approach	p. 76
A Person-in-Environment Approach to Assessment	p. 77
Special Considerations for a Culturally Diverse Population	p. 79
Assessment and Medications with Minority Populations	p. 82
Taking a Medication History	p. 85
Implementing a Successful Compliance Strategy	p. 88
Problem-Oriented Recording	p. 90
Documentation Skills	p. 96
Summary and Conclusions	p. 97
Prescription and Nonprescription Medications, Herbal Preparations, And Special Populations	p. 99
Prescription and Nonprescription Medications: What Every Social Worker Should Know	p. 101
Drugs, Pharmaceuticals, and Medications: Legal and Illegal	p. 102
Drug Classification Schedules	p. 102
Prescription Medications	p. 107
Avoiding Prescription Errors	p. 109
Black Box Warnings	p. 110
Handling the Suicidal Client	p. 111
Honoring Confidentiality and When to Take Protective Action	p. 115
Prescription Drugs Used Illegally	p. 117
Treatment of Substance Abuse or-Dependence	p. 122
Nonprescription or Over-the-Counter Medications	p. 124
Addiction to Over-the-Counter Medications	p. 126
Lessons From the Past	p. 129
Summary and Conclusions	p. 130
Complementary and Alternative Medicine: An Introduction for Social Workers	p. 133
The Increased Popularity of Natural Medicine	p. 134
Case Example: Using a Natural Remedy	p. 135
Choosing Medical Treatments	p. 137
Western or Traditional Medicine	p. 138
Alternative Medicine	p. 140
Vitamins, Mineral Supplements, and Herbal Remedies	p. 143
Issues with Herbal Preparations	p. 143
Case Study: SAM-e	p. 162
CAM and Mental Illness	p. 163
Social Work and CAM	p. 164
Summary and Conclusions	p. 166
Medications for Children and Older Adults: Specific Concerns	p. 169
Providing Comprehensive Care to Children and Adolescents	p. 170
Assessing Children and Adolescents	p. 172
Using the DSM-TV-TR	p. 175
Children, Adolescents, and Medication	p. 177
Attention Deficit Hyperactivity Disorder and Medications	p. 180
Disruptive Behaviors and Medication	p. 185
Combining Psychosocial with Pharmacological Interventions	p. 186
Special Considerations and Services for Older People	p. 190
Health Disparities of Older People	p. 191
Depression in Older People	p. 192
Dementia in Older People	p. 196
Assessment and Medications for Older People	p. 198
Summary and Conclusions	p. 203
Mental Health Conditions and Social Work Practice	p. 205
Treatment of Major Depression: Social Work Interventions	p. 207
Prevalence of Depression	p. 208
Case Example: Jean	p. 210
Depression: Forming the Diagnostic Impression	p. 212
Medication Intervention for Depression	p. 217
Tricyclic Antidepressants and Similar Medications	p. 220
Monoamine Oxidase Inhibitors	p. 222
Selective Serotonin Reuptake Inhibitors	p. 225
Serotonin-Norepinephrine Reuptake Inhibitors	p. 227
Drug Interactions	p. 230
Special Issues in the Treatment of Depression	p. 231
Antidepressants and the Risk of Suicide	p. 233
Alternative and Supportive Interventions: Electroconvulsive Therapy	p. 236
Self-Initiated Treatments for Depression	p. 237
Direct Social Work Intervention	p. 239
Documentation and Treatment Planning	p. 244
Summary and Conclusions	p. 247
Treatment of Bipolar Disorders in Adults, Adolescents, and Children	p. 251
Bipolar Disorder in Adults, Adolescents, and Children: Forming the Diagnostic Impression	p. 252
The Role of the Social Worker	p. 255
Case Example: Michael	p. 257
Understanding and Anticipating Mood Episodes	p. 260
Bipolar I, Bipolar II, Cyclothymia, and Bipolar Disorder Not Otherwise Specified	p. 266
Assessment of Bipolar Disorder	p. 268
Interventions with Clients Who Have Bipolar Disorders	p. 270
Medication Intervention	p. 273
Mood Stabilizers: Lithium	p. 274
Anticonvulsant Medications	p. 277
Antidepressants	p. 282
Atypical Antipsychotic Medications	p. 283
Psychopharmacotherapy and Social Work Treatment	p. 284
Psychosocial Interventions	p. 285
Documentation and Treatment Planning	p. 286
Supportive Interventions With Bipolar Disorders	p. 288
Summary and Conclusions	p. 290
Treatment of Anxiety Disorders	p. 293
Case Example: Obsessive-Compulsive Disorder	p. 294
Anxiety Disorders: Forming the Diagnostic Impression	p. 297
The Presentation of Anxious Clients	p. 300
Prevalence of Anxiety Disorders	p. 302
Panic Disorder	p. 303
Phobic Disorders	p. 305
Posttraumatic and Acute Stress Disorders	p. 306
Generalized Anxiety Disorder	p. 308
Interventions for Clients Who Have Anxiety	p. 309
Psychopharmacologic Assessment Strategy	p. 310
Typical Antianxiety Medications	p. 312
Atypical Medications	p. 314
Catapres (Clonidine Hydrochloride USP) and Tenex (Guanfacine Hydrochloride)	p. 315
Antidepressants in the Treatment of Anxiety	p. 316
Treating Anxiety: Medications Alone May Not Be Enough	p. 318
Psychological Interventions	p. 318
Exposure Interventions and Systematic Desensitization	p. 321
Intervention and Treatment Planning	p. 322
Establishing the Treatment Plan	p. 323
Summary and Conclusions	p. 324
Schizophrenia and psychotic disorders	p. 329
Case Example: Eva	p. 331
Schizophrenia: forming the Diagnostic Impression	p. 334
Intervention with Clients Who Suffer from Psychosis	p. 342
Client Systems and Building Support	p. 342
History and Development of Antipsychotic Medications	p. 343
Traditional or Typical Antipsychotic Medications	p. 345
Newer or Nontraditional Antipsychotic Medications	p. 348
Antipsychotic Medications Used for Disruptive or Psychotic Behaviors	p. 353
Documentation and Treatment Planning	p. 353
Supportive Interventions with Schizophrenia	p. 358
Summary and Conclusions	p. 358
Conclusion: Social Workers as Proactive Professionals	p. 361
The Importance of Lifestyle Factors in Mental Health	p. 362
The Importance of Psychosocial Interventions	p. 362
Respecting Cultural Mores	p. 364
Social Work in the Era of Managed Care	p. 367
Summary and Conclusions	p. 370
References	p. 373
Resources and Web Sites	p. 413
Sample Assessment for Medication Use	p. 421
Glossary of Terms	p. 425
Medication and Herbal Preparation Glossary	p. 441
Sample Treatment Planners	p. 479
Index	p. 513
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