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California State University, Sacramento

California State University, Sacramento
California State University, Sacramento

California State University, Sacramento

Division of Social Work

Social Work 204D

Multi-Level Practice with Persons Experiencing

Vulnerable Life Conditions

Case Management with People with Psychiatric Disabilities & Gerontology

Spring 2010

Dr. David Demetral, Ph.D., LCSW

Phone: 278-7168

E-mail: d.demetral@https://www.doczj.com/doc/7212769070.html, & demetral@https://www.doczj.com/doc/7212769070.html,

General Description:

SW 204D represents the fourth semester practice course in the Social Work curriculum. It builds upon and expands the SW 204A/B in substantial ways. Where the SW204A/B provided an opportunity for the student/consumer to achieve competence in the provision of direct and indirect services within an agency setting, it is recognized that the Multi-Level Practice will generally move toward more autonomous practice, supervisory levels of practice, and even administrative roles within organizations. Conceptually SW 204 A/B provided increased awareness and knowledge about generalist practice, which was then primarily shaped by the field setting in which the student/consumer was placed. SW204A/B also was constructed on a ―linear‖ format in which individuals, families, groups, organizations and communities were covered one after another. SW 204D pulls from this linear base and demands that the student begins to conceptualize vertically by considering each of these levels of intervention concurrently. SW204D extends this learning conceptually by demanding integration of the foundation content into the skillful independent application of social work intervention strategies within at least two levels of intervention simultaneously. To support this expected change in sophistication and function, SW 204D provides advanced knowledge or skills in at least five areas:

1)Concepts, and models needed to understand the recovery and strengths based models

with people with psychiatric disabilities;

2)Exposure to and expectation of mastery of advanced practice skills to address complex

contemporary practice situations in Mental Health and Gerontology;

3)Ability to conduct disciplined and systematic practice based on clearly articulated

theoretical principles through exploration, synthesis, and refinement of generic and

generalists competencies; and

4)Ability to engage in theoretical and practice evaluation activities necessary to display

accountability and evidence of effective practice.

Specific Knowledge, Skills, and Values Competencies

At the conclusion of this practice course the student/consumer should be able to demonstrate mastery via written probed response, behavioral display in laboratory role-play, and behavioral display in the field practicum site of the following:

1. Knowledge of the Multi-Level relationship between social conditions, ethnic/sexual identity, economic resource availability, biological predisposition/current state and impact, psychological patterns of coping and adapting to stress and challenge, as they simultaneously

impact the presentation of the client system story (Assessed in response sets);

2. Knowledge of multiple theoretical perspectives (postmodern ecological, cognitive &

cognitive behavioral individuals, families, and skills training group(s) (Assessed in the response

sets in which the model must be identified) ;

3. Knowledg e of the specific characteristics that differentiate ―functional/adaptive‖ behavior(s)

from ―non-functional/maladaptive‖ behavior(s) in individuals, families, and groups. (Assessed in

the response sets);

4. Knowledge of multiple methods, techniques, strategies of intervention, and how to

determine which methods are related to which theoretical models and the timing for those

strategies in the support/change process (Assessed in the response sets);

5. Knowledge of the interrelationship between social condition ecologically, human behavior presentation, social policy, and accountable research methodology and how to integrate your

knowledge from these areas into your practice framework (Assessed in the response sets,

particularly those focused on gender and ethnicity and mental health conditions);

Skills Objectives:

Demonstrated behavioral competence (skills) in the classroom laboratory, the field practicum,

and in written probes:

?Initiating and completing accurate, in depth bio-psycho-social assessment. These assessments will address at least two levels of concurrent areas of intervention. Assessed in the response

sets, and Bio-Psych-Social Field Assignment.

?Skill in gathering, utilizing, and evaluating data on client systems and problems as a basis for understanding their complex characteristics (i.e. assessing the individual, family, or

small group within the context of the neighborhood/organization and specifically

identifying supports and barriers in those messo/macro contexts) (Assessed in the response

sets)

?Skills in developing in collaboration with the client’s system(s) realistic goals, objectives, and techniques designed to prevent problems, promote change, and improve the quality of

the transaction within/betwee n the client’s system and the ecology in which it exists (i.e.

developing collaborative linkages to address and support micro level client systems

change efforts) (Assessed in the field dialogue sessions)

?Skills at developing realistic contractual agreements and relationships with client systems

that permits the coordination of interventions while encouraging and protecting the rights of the client’s system to determine its own destiny (i.e. using advocacy, brokerage, mediation skills with messo and macro systems to address and facilitate supportive

commitments on behalf of the micro client system)(Assessed in the Field dialogue sessions)

?Demonstrated skillful application of intervention(s) in client systems and complex problem situations in consistent and deliberate ways that will improve, modify, or prevent

dysfunction/maladaptive coping Assessed in the response sets; in class vignettes &

discussions;

?Demonstrated skills in the areas of advocacy, brokering, and networking at the messo/macro level as well as coach, a mediator, a counselor, a teacher at the micro/mezzo

levels. (As reflected in the professional journal)

?Skills at determining and using the most appropriate strategies and tools for evaluating the effectiveness of intervention in relation to those problems identified across two of the micro/messo/macro levels concurrently (assessed in the response sets).

?Skills in gathering, recording, understanding, and utilizing primary and secondary data and research findings as a basis for change in practice techniques and strategies and as a means of evaluating movement (or lack thereof) in the client’s system (assessed in the journal write-up)

?Skills in the effective termination of service, as well as the practice strategies necessary to increase the probability of maintenance and generalization of intervention gains post intervention. This is the essence of EMPOWERMENT...teaching the client to apply strategies of micro and messo intervention when faced with a life challenge in the future. Format of the Course

Student/consumers are in multiple placements, with varying degrees of autonomous concurrent (micro/messo/macro) practice opportunities, and each section of this course is made

up of a mixture of student/consumers at different levels of competence in the expected areas. Many of the students in the course have already had exposure to mental health conditions, even the DSM IV, yet intervention within a postmodern and recovery framework has not been addressed. This course will allow the student to synthesize and reinforce their practice-based experiences with a context focused on the ―best practice‖ model of intervention with persons experiencing mental health and disability issues.

Realizing this reality, this course is structured within a process/experiential ―laboratory‖ type framework. Every week is devoted to a ―hands on‖ practice discussion/ demonstration/ simulation using specific reading and case material relevant to that section of the course (i.e. if

the class is covering depressive disorders- specific clinical (individual & family) readings and vignettes will be used to role play and discuss assessment and intervention ideas using the postmodern theoretical models as the framework for the discussion.

Methods of Evaluation:

1. Weekly Response Set Write-ups:

You are responsible for developing answers to the questions for consideration directly related

to your readings. You may develop your answer(s) using either the narrative or a bulleted outline of the essential ―critical points‖ for each question. You are to use these questions to facilitate discussion in your small ―clinical dialogue

Groups‖, and the large class discussion during the cl ass. If you do not have your response set, you will get a zero, and no late sets will be accepted. These sets are being graded on the depth and breadth of your thoughts/clinical considerations, and the completeness of your outlined answer. Your responses must be typed up.

50 points each (250)

There are (5) response sets & one web-based training due throughout the semester.

January 28th & February 11th, 2010.

March 11th & April 8th & April 15th, 2010.

*** Gerontology Web-Based Training due by 5/6/2010

(Required ONLY IF you want the Gerontology Certificate).

2. SW 204D & SWRK 295D CASE ANALYSIS (100 points). This Bio-Psycho-Social Analysis is the common analysis for all of the sections of SW204C/D & SWRK 295C/D. It is designed to assess your advanced competence in the following ―objectives‖ for all M SW II students.

Apply and provide a rationale for the use of theoretical models and intervention skills to individuals, families and/or a small group;

Fully develop, articulate and apply an integrated practice approach that is informed by empirical support;

Apply skills for culturally competent practice with and on behalf of individuals, families and small groups.

Demonstrate an increased sense of self: awareness of strengths and limitations, development of professional boundaries, and awareness of transference and counter transference,

Apply ethical decision-making models to legal and ethical dilemmas in practice.

Select evaluation strategies that are appropriate to the needs of the situation and are grounded in social work theory and research (both qualitative and quantitative methods);

Develop differential assessment, diagnosis and intervention plans based upon relevant theoretical models and the social work perspective.

Develop the conscious use of relationship as a principle skill in social work practice with and behalf individuals, families and small groups.

Apply the core aspects of advanced practice to specific practice situations (e.g., field placement, client populations, agencies, programs, and services).

Due: February 25th, 2010

3. Participation in class assignments, discussions, and exercises. This includes the completion of the readings and the questions sets. If you miss two (2) classes your grade will automatically be lowered one full letter grade. If you miss three (3) classes you will be dropped from the course. The class meets at 6:30, and a break for getting a small drink or small item for eating will be provided between 7:30 & 7:45. Please remain in the classroom during class, as frequent disruptions resulting from students getting up and leaving are not considerate to the professor, group and process. Attendance Grade is determined as follows: 10= Present, verbal and non-verbal language represent that you are psychologically supportive of classmates (avoid hostile, demeaning, invalidating verbal behaviors), the professor and their opinions, respectful of the process, prepared an sharing in the class;

8=Present, verbal and non-verbal language represent that you are psychologically supportive of classmates, the professor and their opinions, respectful of the process, do not actively participate in the process/discussion;

6= Present with hostile, un-supportive, demeaning, and generally invalidating/insensitive verbalizations.

Total: 140 Points

Total possible points: 490

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Texts: Required

1.Corcoran, Jacqueline, Cognitive-Behavioral Methods for Social Workers, Pearson

(Allyn & Bacon), ISBN 0-205-42379-5, 2006 (Required).

2.Kathleen-Dittrich, Kathleen, Social Work with Older Adults, 3rd Edition, 2009, Allyn &

Bacon (Pearson Education, Inc.) (Required), ISBN-10: 020*******) Recommended:

3.Preston & Johnson, Clinical Psychopharmacology Made Ridiculously Simple, ISBN # 0-

940780-44-5

4.Duncan, Barry and Sparks, Jacqueline, Heroic Clients, Heroic Agencies: Partners for

Change, A Manual for Client-Directed, Outcome-Informed Clinical Services Talking https://www.doczj.com/doc/7212769070.html,, Revised 2007 https://www.doczj.com/doc/7212769070.html,/bookstore.asp (cost $39.95. Click on web-site & then look for the ―Client-Directed, Outcome-Informed Treatment &

Training Manual; click on that and download your book. Phone: 773-404-5130, FAX 773-404-1840, e-mail: info@https://www.doczj.com/doc/7212769070.html,

Course Outline

Clinical Social Work Practice in Mental Health: The Recovery Model Session One: January 28th, 2010

The Recovery Model & Postmodernism

Heroic Clients Heroic Agencies: Alternative Visions of Therapist Identity ?What is your identity as a Therapist?

?What Works in Therapy

?What is the client’s theory of change?

?How do you learn about the client’s theory of change?

?How to honor the client’s theory of change.

Response Set #1: Clinical Application Paper is due: 50 Points

Dr. Demetral will e-mail Recovery Model Response Set

Readings:

Recovery Readings and Resource articles:

?Go to https://www.doczj.com/doc/7212769070.html,/cpr for Recovery Model Readings

?Click on Repository of Recovery Resources

?Click on Articles

?Click on “Definition of Recovery”; “Process of Recovery”; Facilitators of Recovery”; and Outcomes of Recovery” to get a passionate and moving

perspective and overview of the Recovery Model.

Many of the articles are available for free download by clicking on the article title. These documents are offered in Adobe Portable Document Format (PDF), viewable with Adobe Acrobat Reader software available for free download from the Adobe web site.

-6- Recovery Documents & Reports (click ctrl & left click your mouse)

Recovery Fact Sheet2005 a free download, the fact sheet features the topical headings such as: What is recovery? Is recovery possible? What is recovery like for someone living with a serious Psychiatric disability? And a list of resources that provides an opportunity for a reader to further

explores additional information on their own and at their own pace.

* Implementing Recovery-based Care: Tangible Guidance for SMHAs 2004 The National Association of State Mental Health Program Directors (NASMHPD) and the National Technical Assistance Center for State Mental Health Planning (NTAC). Description: This report features a collection of essays and information from a variety of national experts on psychiatric rehabilitation. The report includes a panel discussion on workforce issues, a preview of measurement tools now in development, case studies of successful systems and ideas at the state and local levels, and print and online resources for more information.

* Shifting to a Recovery-Based Continuum of Community Care 2003This report discusses the need for the culture of mental health care to shift to a culture based on self-determination, empowering relationships, and full participation of mental health consumers in the work and community life of society. The President's New Freedom Commission on Mental Health. Report of the Subcommittee on Consumer Issues. Rockville, MD

* Emerging New Practices in Organized Peer Support 2003This report provides and overview of peer support services in the United States in order to guide and promote understanding and integration of peer-run support within the continuum of community mental healthcare. Alexandria, VA: National Technical Assistance Center for State Mental Health Planning, National Association of State Mental Health Program Directors

Session Two: February 4th, 2010

Organizational “Visioning”: Implementation of the Recovery Model at the Macro/Messo/Micro Level in the Changing Socio-Economic Climate in California

Mr. Al Rowlett, LCSW, MBA (CSUS Graduate)

Chief Operating Officer

Turning Point Community Programs

Turning Point Community Programs has offered a path to mental health since 1976. Turning Point provides psychiatric services, support and advocacy for people working to overcome the effects of mental illness in Sacramento, Stanislaus, Merced, Yolo, Placer and Nevada County. Session Three: February 11th, 2010 Motivational Interviewing

Guest Presentation: Ms. Karen Brockopp, LCSW (CSUS Graduate)

Program Coordinator

Transitional Living and Community Support (TLCS) Readings:

1.Cocoran, Cognitive-Behavioral Methods for Social Workers, (Text) Chap. 9.

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2. Motivational Interviewing Page

Resources on motivational interviewing, including general information, links,

discussion board, training resources, and information on reprints and the ...

https://www.doczj.com/doc/7212769070.html,/ Cached

3.What is MI?

The concept of motivational interviewing evolved from experience in the treatment of ...

Our best current definition is this: Motivational interviewing is a ...

https://www.doczj.com/doc/7212769070.html,/clinical/whatismi.html - 33k - Cached

4. Motivational Interviewing

Explain the spirit of motivational interviewing. ? Identify and expand on the importance

of. change talk. ? Demonstrate the use of a tool t o measure ...

https://www.doczj.com/doc/7212769070.html,/preconference/Pre-Conf_Motivational_Interviewing.pdf - -

Cached

(Response Set #2: Type up your answers to the exercises in chapter 9 of Corcoran TEXT) Pages 221-239 (50 Points)

Session Four: February 18th, 2010 Mental Status Examinations

?What is the Mental Status Examination

?General Appearance & Behavior

?Mood

?Flow of Thought

?Insight & Judgment Outcome Informed

In Class Clinical Exercise on Mental Status Examination

?The Mental Status Exam

The Mental Status Exam is the basis for understanding the client's presentation and beginning to conceptualize their functioning into a diagnosis. ...

https://www.doczj.com/doc/7212769070.html,/learning/library/assess/mse.htm - Cached - Similar -

? [PDF]

Mental Status Examination

File Format: PDF/Adobe Acrobat - Quick View

Mental Status Examination. 1. Appearance, attitude and motor activity – dress, grooming, signs

of illness and behavior. 2. Mood and affect - range, ...

https://www.doczj.com/doc/7212769070.html,/psych_cards.pdf - Similar -

[PDF]

Mini-Mental Status Examination

File Format: PDF/Adobe Acrobat - Quick View

Mini-Mental Status Examination. The Mini-Mental Status Examination offers a quick and simple

way to quantify cognitive function and screen for cognitive ...

https://www.doczj.com/doc/7212769070.html,/pdf_files/Mini_Mental_Status_Exam.pdf - Similar -

Key DSM-IV Mental Status Exam Phrases

Key DSM-IV Mental Status Exam Phrases. This material draws strongly on David ..... For

example, in response to the statement ―That will probably remain a ...

https://www.doczj.com/doc/7212769070.html,/.../key_dsmiv_mental_status_exam_ph.htm - Cached - Similar

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[FLASH]

Mental Status Exam

File Format: Shockwave Flash

Clang Associations. Thought Process is the manner in which thoughts are connected or

associated. Examples of Thought Process. Mental Status Exam...

https://www.doczj.com/doc/7212769070.html,/aitl/MSE/MSEkm.swf - Similar

[PDF]

Mental Status Exam Ideas:

File Format: PDF/Adobe Acrobat - Quick View

mini-mental status exam, which she missed one point for recall of one of the three objects, one point for sentence writing, and one point for repetition of ...

https://www.doczj.com/doc/7212769070.html,/icm/MentalStatusExam.pdf -

Session Five: February 25th, 2010 Co-Morbid Conditions (Dual Diagnosis)

Women & Residential Treatment

SWRK 295D: Bio-Psych-Social Assignment due

Readings for February 25th, 2010:

1. Substance Abuse and Mental Health Services Administration (SAMHSA ...

SAMHSA works to improve the quality and availability of substance abuse prevention, alcohol and drug addiction treatment, and mental health services.

https://www.doczj.com/doc/7212769070.html,/ - 37k - Cached - Similar pages

Click on and read

Definitions, Terminology, Classification

Screening and Assessment

Treatment Planning and Approaches

Evidence and Consensus Based Practices

Session Six: March 4th, 2010 Culture and Mental Illness

“Trans Cultural Wellness Center”

Readings:

(1)Culture and Mental Illness

Washington Post staff writer Shankar Vedantam discusses his series about how culture influences the diagnosis, treatment and outcome of mental illness.

https://www.doczj.com/doc/7212769070.html,/wp-

dyn/content/discussion/2005/06/27/DI2005062701082.html

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(2)Unit 9, Online Readings in Psychology and Culture, Center for ...

While various cultures have unique treatments for mental illness, no culture claims to have all the answers. The chapters in this unit address some of the ...

https://www.doczj.com/doc/7212769070.html,/~culture/unit9.htm - 10k

(3)Online Readings in Psychology and Culture, Unit 9, Chapter 1

The mutual embeddedness of culture and mental illness. ....Culture does not just

influence mental health and illness, but rather it is a constituent of ...

https://www.doczj.com/doc/7212769070.html,/~culture/Sam_Moreira.htm - 42k

(4)Medical Anthropology: Culture Specific Diseases

Dec 14, 2007 ... What is defined as a mild form of mental illness in one culture may be

defined as normal behavior in another. ...

https://www.doczj.com/doc/7212769070.html,/medical/med_4.htm - 27k

(5)Mental Health: Culture, Race, Ethnicity

MENTAL HEALTH: CULTURE, RACE, AND ETHNICITY A Supplement to.

Mental Health: A Report of the ...Mental health and mental illness are points on a

continuum. ...

https://www.doczj.com/doc/7212769070.html,/library/mentalhealth/cre/execsummary-1.html - 11k -

(6)In other countries, symptoms of mental illness vary, with ...

Mar 24, 2008 ... The American Psychiatric Association's diagnostic manual includes a

glossary of "culture-bound syndromes" - forms of mental illness reported ...

https://www.doczj.com/doc/7212769070.html,/news/health/articles/2008/03/24/culture_gap/ - - Cached - Similar

pages

Session Seven March 11 & March 18, 2010

Cognitive Behavioral Therapy & Skills Workshop

?Cognitive Restructuring

?Use of Cognitive Restructuring with Special Populations and Problems

?Cognitive Coping Skills

Readings:

1.Cocoran, Jacqueline, Cognitive-Behavioral Methods for Social

Workers, Chapter One, Four, Five & Six, (TEXT)

March 11th: Response Set #3: Small Group Clinical Roundtable

Type up your answers to the exercises in Chapter Four of Corcoran: 50 Points March 18th is devoted to watching and dialogue about Meichenbaum’s Cognitive- Behavioral Training Tape. This is the application of Contructionist Cognitive-

Behavior Therapy; your reading the Corcoran materials will facilitate a much more complete discussion of practice application(s).

Session Nine: March 25th, 2010

Clinical Social Work with Persons with Chronic and Persistent Mental Illness *Medication

*Social Skills Training

*Intervening with Family

*Other Ways of Healing

-10-

Patricia Deegan, Ph.D. DVD

― Understanding the Person Who Hears Voices: A In Class Course for First Responders‖

Readings:

Case management and quality of life: assessing treatment and ...

Case management and quality of life: assessing treatment and outcomes for clients with chronic and persistent mental illness. K Jinnett, J A Alexander, ...

https://www.doczj.com/doc/7212769070.html, ? ... ? v.36(1 Pt 1); Apr 2001 - Similar -

by K Jinnett - 2001 - Cited by 20 - Related articles - All 3 versions

[PDF]

Family Involvement in the Treatment of Hospitalized Individuals ...

File Format: PDF/Adobe Acrobat - View as HTML

through schizophrenia leads to a pattern of ―chronic grief‖. The uncertainty associated with persistent mental illness creates a situation that has no ...

https://www.doczj.com/doc/7212769070.html,/journal_file/0902_V19N2-p78-192_5.pdf - Similar -

by 持續性精神病的住院病人家屬參與之治療計劃 -

DEFINITION OF SERIOUS MENTAL ILL

As a result, the definition was broadened to include more individuals and the title was changed to "severe and persistent mental illness." ...

https://www.doczj.com/doc/7212769070.html,/eda/advancedquery/smi.htm

[PPT]

Successful Vocational Approaches to Working with Individuals with ...

File Format: Microsoft Powerpoint - View as HTML

From the beginning we have served a higher percentage of individuals with chronic and persistent mental illness vs. Developmental Disabilities. ...

https://www.doczj.com/doc/7212769070.html,/ill inoisrcep/.../Successful%20Vocational%20Approaches%20to%20Working% 20with%20... -

Note: April 1st is Spring break

Module Four: Health Gerontology Social Work Practice

WEB SITE on the course outline (go to https://www.doczj.com/doc/7212769070.html, and click onto “Understanding Aging: The Social Worker’s Role” & complete the web-based training. The certificate must be produced ONLY if you desire to get the Gerontology certificate. This training must be done by May 6th, 2010.

April 8th, 2010 Social Work with Elders

*The Context of Social Work Practice with Elders

*Biological Changes and the Physical Well Being of Elders

* Psychosocial Adjustments to aging

*Conducting the Bio-Psycho-Social

-11- Readings:

? Articles - The Future of Social Work With Older Adults

The author provides an excellent review of social work with older adults and promotes methods

that give greater emphasis to the person-in-situation ...

https://https://www.doczj.com/doc/7212769070.html,/.../OlderAdults /.../Articles.htm - Cached

? Geriatric Social Work Initiative

The Geriatric Social Work Initiative (GSWI) is collaborating with social work ... social workers

and improve the care and well-being of older adults and ...

https://www.doczj.com/doc/7212769070.html,/ - Cached - Similar -

? CSWE National Center for Gerontological Social Work Education

SW with Older Adults Cover Since social work with older adults is one of the fastest growing

career fields, this brochure was designed to introduce social ...

https://www.doczj.com/doc/7212769070.html,/.../sub4_4_3SWAgingCareerBroch.html - Cached

? Families In Society

As part of Families in Society's Hot Topic teleconference and Web meeting series, the session

"Social Work With Older Adults —Changing Practice Paradigms" ...

https://www.doczj.com/doc/7212769070.html,/new/.../060201Old Adult /info.asp - Cached

April 15th , 2010 Differential Assessment and Diagnosis of Cognitive and

Emotional Problems of Elders

*Depression, Delirium, and Depression

*Anxiety Disorders

*Socio-emotional and Cognitive Problems of Elders

*Alternative Interventions in Socio-Emotional Problems of Elders

Readings:

2.

Video results for delerium depression and dementia

Geriatrics: Dementia Delirium and Depression 49 min - Aug 15, 2008

https://www.doczj.com/doc/7212769070.html,

Depression , Delirium and Dementia : What

48 min - Mar 4, 2009 https://www.doczj.com/doc/7212769070.html,

[PDF]

RECOGNIZING DELIRIUM , DEPRESSION AND DEMENTIA (3D's)

File Format: PDF/Adobe Acrobat - Quick View

Screening for Delirium , Dementia and Depression in Older Adults. Toronto, Canada: Registered

Nurses' Association of Ontario. ...

www.opadd.on.ca/.../LocalProjects-Educ.Training-3Dscomparisonchart.pdf -

-12-

April 22, 2010 Social Work Practice with Elder Abuse and Neglect

*What Constitutes Elder Abuse and Neglect

*Risk Factors Associated with Elder Abuse and Neglect

*Assessment of Elder Abuse, Neglect, and Self-Neglect

*Adult Protective Services

Readings:

1. McInnis-Dittrich, TEXT, Social Work with Older Adults, Chapter 11.

1.National Center on Elder Abuse (NCEA)

May 13, 2009 ... Offers fact sheets, reporting numbers, news, a list of NCEA publications, bibliographies, statistics and resources.Statistics at a Glance - Types of Abuse - State

Resources https://www.doczj.com/doc/7212769070.html,/ - Cached

2.Elder Abuse and Neglect: Warning Signs, Risk Factors, Prevention, Help

Learn to recognize the types, signs and symptoms of elder abuse; how to help victims of elder abuse, and how to prevent abuse from occurring.

https://www.doczj.com/doc/7212769070.html,/.../elder_abuse_physical_emotional_sexual_neglect.htm - Cached

3.Elder Abuse: MedlinePlus

Aug 24, 2009 ...Elder abuse is doing something or failing to do something that results in harm to an elderly person or puts a helpless older person at risk ...Journal Articles -

Directories - Organizations https://www.doczj.com/doc/7212769070.html,/medlineplus/elderabuse.html - Cached - -

4.Elder abuse - Wikipedia, the free encyclopedia

Elder abuse is a general term used to describe certain types of harm to older adults. Other terms commonly used include: "elder mistreatment", ...

https://www.doczj.com/doc/7212769070.html,/wiki/Elder_abuse - Cached -

5.National Committee to Prevent Elder Abuse (NCPEA)

National Committee for the Prevention of Elder Abuse.

www.prevent https://www.doczj.com/doc/7212769070.html,/ - Cached -

6.Elder Abuse and Neglect: In Search of Solutions

This 20 page brochure was produced by APAs Office on Aging. Written for consumers, but useful to anyone who wants to know more about elder abuse.

https://www.doczj.com/doc/7212769070.html,/pi/aging/eld abuse.html - Cached

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April 29th, 2010 Working with Elders’ Suppo rt Systems: Spouses, Partners,

Families and Caregivers

*The Goals of Supportive Interventions with Older Persons

*Gay and Lesbian Couples

*Caregivers as Support Systems for Elders

*The Stressors of Readings:

Video: ―Diary of a Dutiful Daughter‖

Readings:

1. McInnis-Dittrich, TEXT, Social Work with Older Adults, Chapter 1

2.

May 6th, 2010 Dying, Bereavement, and Advanced Directives

*The Process of Dying

*The Role of the Social Worker in the Dying Process

*Bereavement and Grief & Hospice Care

Reading(s):

1. McInnis-Dittrich, TEXT, Social Work with Elders: A Biopsychosocial Approach to

Assessment and Intervention, Chapter 13.

May 13th, 2010

Last Class Celebration

Congratulations and wishing all of you the very best!!!!

-14- Appendix A: Bio-Psycho-Social Assessment & Case Analysis

You will complete a written case study from your current field placement. In order to cover the requested information, the paper should be at least 10 pages in length and can

include citations from SW 204 C/D and/or relevant professional literature. Use APA

format for your citations, have margins 1‖ on all sides, and use 12-point font. Include at least 5 references on the final reference page.

? A good paper will demonstrate the application of clinical social work values and the integration of theory and practice using clinical case material from your current field

internship. Use the following Outline Format (with the following headings) and use

Single Space.

?Give a Title to your Case Analysis. Examples:

―Beneath Anger: A Case Study of a Defiant Youth‖

―The Doctor Says I’ll Live Forever: Denial and Grief Work in a Hospice Setting‖

1.The criteria for grading this assignment:

Quality/Detail of Case Information (Sections I to V ): 5 points

Quality of Human Diversity (Section VI) 5 points

Quality of Case Formulation (Section VII) 25 points

Quality of Literature & Theory Review (Section VIII): 20 points

Quality of Intervention Plan (Section IX): 20 points

Quality of Ethical Analysis (Section X) 15 points

Quality of Self-Assessment (Section XI) 10 points

Total Points: 100

I. IDENTIFYING INFORMATION

1.Demographic Information: Provide enough general demographic data of your

client system so that the instructor can understand the client system: Pseudonym,

age, gender, marital status, number and ages of children, ethnicity, occupation,

school grade.

2.Referral Information: The client could be self-referred or mandated to be there by

a parent, spouse or an institution such as CPS, or probation.

3.Your Contact with Client: Discuss the number of interviews/contacts that you

have had with this client system and a brief summary of information gathered

during these contacts.

4.Collateral Contact: Note any collateral contacts (i.e., contacts with CPS, a

psychiatrist, family member, community leaders, etc.) you have had on behalf of

this client system and the information obtained from these and other sources.

II. PRESENTING PROBLEM

1.Detailed description of the Problem: Describe the problem using the client's own

words (if possible). What precipitated the current difficulty? Does the client even

think that he or she has a problem? Include in this section why the client is coming for help now. This may be obvious in some case studies (i.e., because of a crisis) or it may be less obvious (e.g., a couple who has had marital issues for years and just now they are seeking help).

-15- III. CURRENT SITUATION

?Description of family or household: Who is in the household (names, ages) and relationship (natural child, stepparent, friend, partner). What is the quality

of these relationships?

?Social Network: Who are the relevant extended family members, friends, peer groups, community or club affiliations.

?Guardianship Information: Is the client in Protective Custody, or is the client's child in Protective Custody. What child welfare department is currently

working with the client/family?

?Economic situation: How is the client system financially supported? Who is working; nature of employment; receiving public assistance, social security?

?Physical environment/Housing: nature of living circumstances (apartment,

group home, crowded conditions, homeless; neighborhood

IV. PREVIOUS MENTAL HEALTH HISTORY

?History: Discuss the nature of the difficulties and the treatment. What level of care (outpatient, inpatient) did he or she receive? What was the outcome of

treatment?

?Current Attitudes: Based on this histo ry what is the client’s attitude towards mental health providers, medication, psychotherapy or whatever intervention

may be suggested?

V. BACKGROUND INFORMATION (Genogram & or Eco-Map is welcome addition) ?Family Background: Provide a description of family of origin and family of procreation (if applicable).

?Marital/intimate relationship history.

?Education and/or Vocational Training.

?Military History.

?Use and Abuse of alcohol or drugs: Discuss this in terms of the client and the client’s family.

Biological/Medical/Health Issues:

?Significant Medical History: Describe significant diseases, hospitalizations, accidents, or other significant medical history.

?Current Medical Condition or Possible Risk Factors: Describe significant

medical or health situations such as insomnia, asthma, allergies, heart troubles,

headaches, and stomachaches.

?Medical Attention: Does the client have a physician or clinic? Has the client had regular medical attention? Does the client have medical insurance making

medical visits possible?

VI. Human Diversity Issues

?Discussion of issues: Discuss any relevant variations that impact this case: ethnicity, sexual orientation, social class, ability level, gender, developmental

stage (Erickson’s stages, for example), religious affili ation, club member, group affiliation, relationship status, age, disabilities, immigration status,

-16-

military status, gang status, etc.

?Exposure to Discrimination: Discuss the extent to which this client system has been exposed to prejudice, discrimination, stereotyping, ageism, sexism,

heterosexism, ableism, etc.

?―Cultural‖ Beliefs Impacting Work Together: This section is about how the

client responds or might respond to you in light of human diversity issues.

Think beyond ethnic cultural issues. A 15-year old teenage boy may not trust

you because you are from different generation and you don’t know the music

that he likes. An 82-year-old white male may be hesitant to work with a 25-

year-old Asian-American worker because of his history in WWII (in combat

with the Japanese) and because he thinks she can never truly understand his

problems with impotency.

VII. YOUR ANALYSIS OR CASE FORMULATION

?Key Issue or Problem: What is the key issue or problem from your perspective?

How does your perspective compare with the client’s? How serious is the

problem?

?Contributing Factors: What internal factors (thoughts, behaviors, personality issues, circumstances) seem to be contributing to the problems? What external

factors are contributing to the problem (poverty, alcoholic father, national

tragedy)?

?Strengths, Resources and Protective Factors: List the internal and external strengths and resources of the client system. How have these strengths and

resources impacted the client system’s current situation?

?Client Motivation: What is the client’s motivation to change? Does he or she have ambivalence about the change? Does he or she want someone else to

change? Related to this, what is the client’s potential to benefit from

intervention.

VIII. LITERATURE REVIEW

?Problem: Discuss what your 204C/D or any relevant literature has to say about your client’s main issues. What does the literature say is the best way to

assess and to treat the client’s main issue(s)? What are the ―best practices‖ for

this problem? This may or may not be what you are going to do with the client.

More so, I want you to get an idea of what is recommended whether you are

embarking on that or not.

?Integrated-theoretical Foundation: Identify the theories that have assisted you in your assessment and intervention (i.e., conflict theory, cognitive theory,

behavioral theory, existential theory, constructivist theory, narrative, feminist

theory, Erickson’s developmental theory, family systems theory, objects relations theory, etc.). Please cite your sources for this information.

-17- IX. INTERVENTION PLAN

?Long and short Term Goals: What are the long and short-term goals for this client? What strategies will you use or have you used to help your client reach

these goals?

X. ETHICAL ANALYSIS: Discuss any ethical conflicts or issues that have come up in this

case or situation and how you handled them.

XI. SELF-ANALYSIS:

?Counter transference Issues: Counter transference, in the broad sense, is any projection by a social worker that can potentially get in the way of helping a

client. What issue or issues come up for you in working with this client system?

Identify the feelings that you have that may hinder or help the intervention

process.

?Your Need for Supervision and Training: Discuss what you need in order to better work with this client system. Be as specific as possible with what kind

of supervision you need (I would like my Field Instructor to role-play this case

with me, where I act as the client at times.) As well, what kind of training

would be helpful? Any ethical issues/dilemmas?

-18-

Appendix B:

204CD Case Analysis Rubric

Course-Embedded Assessment

-19-

-20-

-21-

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wincc系统日期时间获取

wincc系统日期时间获取 系统时间的获得,有两种办法,一是建立TAG,二是使用函数获取系统时间 方法一: 在[Tag Management]添加新的驱动"System Info.chn",然后在新添加的[SYSTEM INFO]新建连接,这样就可以创建实际TAG了; 下面新建几个TAG: 名字:date, 数据类型:text tag 8-bit character set,地址设定为Function:date,format:"MM-DD-YYYY" 名字:time, 数据类型:text tag 8-bit character set,地址设定为Function:Time,format:"HH:MM:SS" 根据上面的方法依次建立year,mon,day,week等TAG,请分别设置对应的format内容 TAG建立完成了,就可以读到系统时间了。新建一个图形文件,分别放置几个静态文本框[static text],把TEXT属性连接到上面新建的TAG,就可以显示系统日期时间,利用WEEK还能显示今天是星期几了. 方法二: 使用 C脚本获得系统时间 #include "apdefap.h" char* _main(char* lpszPictureName, char* lpszObjectName, char* lpszPropertyName) { time_t timer;

struct tm *ptm; char *p; time(&timer); ptm=localtime(&timer); p=SysMalloc(9); sprintf(p,"%04d:%02d:%02d",ptm->tm_year+1900,ptm->tm_mon+1,p tm->tm_mday); return(p); } 其中 //系统时间已经获得 //年: ptm -> tm_year+1900 //月: ptm-> tm_mon+1 //日: ptm -> tm_mday //星期: ptm -> tm_wday *注意这个,tm_wday返回的是整数,必须经过转换才能用来表示星期几

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C#获取当前系统时间

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c++ 简单获取系统时间

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PHP获取系统当前时间date函数

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