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The social worker & psychotropic medication : toward effective collaboration with mental health clients, families, and providers / Kia J. Bentley, Joseph Walsh.

LIBRA HV689 .B46 2001
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Format:
Book
Author/Creator:
Bentley, Kia J.
Contributor:
Walsh, Joseph (Joseph F.)
Language:
English
Subjects (All):
Psychiatric social work--United States.
Psychiatric social work.
Psychopharmacology.
Mental illness--Chemotherapy.
United States.
Mental illness--Chemotherapy--United States.
Mental illness.
Psychopharmacology--United States.
Physical Description:
xxii, 305 pages : illustrations ; 24 cm
Edition:
Second edition.
Other Title:
Social worker and psychotropic medication
Place of Publication:
Belmont, CA : Wadsworth/Thomson Learning, [2000]
Contents:
Part I Social Work Roles in Medication Management 1
1 History and Overview of Social Work Roles in Medication Management 3
The Changing Roles of Social Workers 7
A Historical Context of Intervention for People with Mental Illness 10
The Treatment of People with Mental Illness Prior to 1950 10
The Rise of Psychiatric Social Work 11
The Introduction of Psychotropic Medications 12
Social Work Role Categories 14
Physician's Assistant 14
Consultant 14
Counselor 15
Monitor 16
Advocate 17
Educator 19
Researcher 20
Social Worker Roles and Professional Values 20
2 Defining Effective Collaboration 24
Principles of a Partnership Model of Practice 24
Appreciate Participants' Strengths and Limits 25
Embrace Client-Centered Practice 26
Reconceptualize the Client-Clinician Relationship 27
Conceptualize the Role of the Social Worker as a Resource 28
Appreciate the Family Member's Perspective 29
Maintaining a Balanced Perspective 30
Rights of Individual, Family, and Society 31
Costs Versus Benefits of Medications 32
Expanded Roles with Regard to Related Professions 33
Integrating Psychosocial Interventions and Psychopharmacology 35
Competing Ideologies 35
Managing Parallel Treatment 36
Part II A Primer on Psychopharmacology 41
3 Basic Principles: Neurotransmission, Pharmacokinetics, and Pharmacodynamics 43
The Central Nervous System 44
The Brain and Nervous System 44
Properties of Nerve Cells 49
Neuron Structure 49
Neuron Function 51
Neurotransmitters 52
Acetylcholine 53
Norepinephrine 53
Dopamine 53
Serotonin 54
Gamma Aminobutyric Acid (GABA) 54
Glutamate (Glutamic Acid) 54
How a Drug Moves Through the Body 55
Absorption 55
Distribution 55
Metabolism 56
Excretion 57
The Effects of a Drug on the Body 58
Five Classes of Psychotropic Medication 60
Antipsychotic Medications 60
Antidepressant Medications 61
Mood-Stabilizing Drugs 63
Anti-Anxiety Medications 64
Psychostimulants 65
Adverse Effects of Psychotropic Medication 66
Adverse Physical Effects: Definition 67
Adverse Physical Effects: Factors in Their Production 68
Adverse Psychological Effects 69
Adverse Social Effects 69
4 Specific Medications for Specific Disorders 71
Antipsychotic Medications 72
Symptoms of Psychotic Disorders 72
Conventional Antipsychotics 79
Adjunctive and Side-Effect Medications 81
The Newer Antipsychotics 82
Antidepressant Medications 87
Symtoms of Mood Disorders 88
Antidepressant Medications and Relapse Prevention 91
The MAO Inhibitors 92
Cyclic Antidepressants 94
The Serotonin Reuptake Inhibitors and Other New Drugs 97
Recent Advances in the Drug Treatment of Depression 98
Case Examples 99
Mood-Stabilizing Medications 101
Symptoms of Mania 102
Lithium for Relapse Prevention 108
The Anticonvulsant Medications 109
Anticonvulsants for Relapse Prevention 112
Medications Under Investigation 112
Anti-Anxiety Medications 116
Symptoms of Anxiety Disorders 116
The Benzodiazepines 120
Buspirone 123
Other Anti-Anxiety Medications 124
Special Concerns with Children and Adolescents 125
Case Examples 126
Psychostimulants 128
Attention Deficit Hyperactivity Disorder 129
Ethical Issues in the Drug Treatment of Children 129
Other Drugs Used to Treat ADHD 134
Case Examples 135
5 Intervention Concerns with Special Populations 140
Gender Differences 140
Neurotransmitters 141
Absorption 142
Distribution 142
Metabolism 142
Classes of Medication 143
Pregnancy 144
Other Gender-Related Concerns 146
Older Adults 146
Children and Adolescents 150
Racial and Ethnic Differences 154
African Americans 155
Persons of Hispanic Culture 157
Asian Americans 157
Persons with Dual Diagnosis of Mental Illness and Substance Abuse 158
Mental Illness and Alcohol Abuse 160
Part III Knowledge and Skills for Psychosocial Interventions 163
6 Medication Education for Clients and Families 165
Rationale for Medication Education Issues in Implementing and Evaluating 165
Medication Education 170
Content of Medication Education Programs 175
7 Medication Adherence and Refusal 181
Models for Understanding Adherence 183
Characteristics of the Client 184
Aspects of Treatment 186
Aspects of the Social Environment 189
Aspects of the Illness or Symptoms 190
Legal and Ethical Issues in Adherence and Refusal 191
Interventions to Assist in Medication Adherence 196
8 Medication Monitoring and Management 200
Client Self-Monitoring of Medication 202
Using Existing Measures to Guide Monitoring 205
Concrete Steps for Coping with Side Effects 208
Decision Making and Problem Solving in Medication Management 212
Negotiating Medication Issues with Health Care Providers 216
Advocacy in Medication Management 220
9 Future Directions in Psychopharmacology: Implications for Social Workers 227
New Pharmaceutical Treatments 227
The Emergence of Herbal and Vitamin Treatments 230
Expanding Prescription-Writing Privileges 234
Increased Public Scrutiny of Psychotropic Medications 236
Final Words 240.
Notes:
Includes bibliographical references (pages 241-265) and indexes.
ISBN:
0534365426
OCLC:
187489117

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