SOCIAL WORK Exam 3 Flashcards
Main crusader for the mentally ill, implored legislature to build better facilities for mentally ill in TN
Dorothea Dix
T/F The first social workers in mental health worked in hospitals
T
How did WWII change the face of the mentally ill?
Veterans came back with PTSD; Harry Truman signed National Mental Health Act
Models of Mental Illness
Medical, Developmental (Cognitive-Behavioral), Sociological
Says that mental illness is a disease with biological causes that can be diagnosed and treated; have organic cause
Medical Model
Says that normal and abnormal are on a continuum and emphasize the past and problems with labeling (in mental health)
Developmental Model
Says that mental disorders are what society constructs them to be; form of social control
Social Constructionist Theories
Critic of biological beliefs of mental illness; social constructionist; believed mental illness is a “myth”
Thomas Szasz
Says that mental disorders originate from the way society views certain behaviors
Labeling Theory
Perspective on mental disorder that says the idea that humans are shaped by past and current events and interactions with their environments and belief that humans are innately motivated by inner forces
Cognitive-Behavioral perspective
Disorders first diagnosed in infancy
ASD/ADD/ADHD
Autism
Cognitive Disorders
Dementia, Alzheimer’s
Psychotic Disorders
Schizophrenia
Mood Disorders
Depression
Bipolar Disorder
Anxiety Disorders
Generalized Anxiety Disorder
OCD
PTSD
Sexual/Gender Disorders
Sexual Dysfunction Disorders (erectile dysfunction)
Gender Identity Disorder
Eating Disorders
Anorexia
Bulimia
Binge-Eating
Personality Disorders
Clusters A,B,C
Must be persistent, long-term
Many types
Culture Bound Syndromes
Amok (southeast asia) Ghost sickness (native americans) mal de ojo (mediterranean) nervios (Latino) Zar (Middle East)
How do Social Workers help the mentally ill?
Psychotherapy
Case management
Discharge Planning
Follow-up
Use Micro, Mezzo, and Macro
How many categories of mental illness does the DSM include?
16
Components of Psychotherapy
Assessment Establishing relationship Intervention Evaluation Termination
Criteria for mentally ill to be hospitalized
Threat to themselves
Threat to others
Gravely disabled
Percentage of homeless with mental illness
25-50%
Mental Health Centers
Inpatient, Outpatient, Residential, private practice
T/F Racial/Ethnic minorities receive the same treatment and care that whites do
F, they have less access to mental health services and are less likely to receive needed mental health care
Traits of the Colonial Family
Patriarchy Extended Family Arranged Marriages Men did outdoor work/farming Women supervised, kept gardens, kept children interdependent single women stigmatized
How are families changing?
No children, single parent, interracial, step family, blended family, cohabitation, gay/lesbian. multigenerational
T/F The divorce rate in America is rising
F, it is stabilizing
What is the traditional nuclear family?
Mom, Dad, Kids
Dad works outside the home
Mom works in the home
4 functions of the family
- Reproduction
- Socialization
- Economic support
- Emotional support/interaction
*Chart
*p. 218
5 types of consequences of divorce
- Legal
- Financial
- Psychological/emotional
- parent relationship
- interparent relationship
Says that the children of young mothers are more likely to become pregnant during adolescence than the children of mothers who wait until their twenties to have children
Intergenerational Effect
Risks of teenage parenthood
Lack of prenatal care Feelings of depression, loneliness Economic problems Poverty Stress
All types of violent crime committed by an offender related to the victim biologically or legally through marriage or adoption
Family Violence
4 categories of family violence
- Physical
- Psychological
- Financial
- neglect
4 types of Child abuse
- Physical
- Neglect
- Emotional
- Sexual
T/F Adults victimized as children are more likely to be victimized as adults and more likely to abuse substances
T
Alternative residential accommodations for a child outside his or her own home; primary goal is reunification
Foster Care
T/F If Reunification cannot happen in Foster Care, permanency planning begins
T; leads to adoption
Problem for unadopted children in US system
Not all adoptive parents seek to adopt children through the public child welfare system
T/F For-profit adoption is illegal in all states
T
National program for preschoolers that promotes school readiness by providing educational, health, nutritional, and social services
Head Start
Challenges facing the family
Divorce (top life stressor) Single-Parenting Blended Fams Teen Pregnancy/Parenting Workplace Probs Abuse
4 Disability Perspectives and what they say
- Medical- most prevalent, issue stems from bio problem
- Social- social arrangements restrict activities of people with impairments
- Materialist-economic factors lead to oppression
- Postmodernist-no theory can explain them
A physical or mental impairment that substantially limits one or more major life activities
Disability
Defines disability as a product of interactions between a person’s characteristics and environmental characteristics
Disability Paradigm
Types of Developmental Disabilities
Epilepsy Autism Cerebral Palsy Mental Retardation Some Dyslexia
T/F Physical disabilities equals intellectual disabilities
F, Just because someone is physically disabled does not mean they are intellectually disabled
Types of Cognitive Disabilities
Mental retardation
TBI
Learning Disabilities
Disabling illness (stroke, ALS)
Onset before age 18
Have very low IQ
Deficits in adaptive functioning
Mental Retardation (Intellectual Disability)
Causes of Mental Retardation
Familial Gestational Toxemia/FAS Infections during gestation Postnatal Chromosome abnormalities Metabolic Disorders Brain Trauma
Established civil right for people with disabilities; requires reasonable accommodation in employment, public accommodations and others
Americans with Disabilities Act
Ongoing social problems
Difficulty Communicating
Repetitive Behavior
Symptoms recognized before age 2
Autism
What are causes of cognitive disabilities?
Loss or lowered brain/neurological functioning due to developmental problems or incidental problems (Ex. TBI)
How do people respond to those with disabilities?
People treat them as if they have no value, however there have been moves to help prevent this. There are now many services offered to those with disabilities such as SSDI/SSI, Worker’s Comp, Education, and other Home services
Role of a Social Worker with Disabled
Counseling Assessments/Treatment Plans Liaison between client/family/agency Broker Discharge Planning
Cash assistance for people with disabilities who are low income, may have never been able to work
SSI (Social Sec. Income)
Cash benefits for disabled workers-must have had work history and been completely disabled
SSDI (Social Sec. Disability Insurance)
Disability Rights Movement
Began in the 1970s.
Fueled after Pres. Kennedy’s family member disabled and disabled Vietnam vets
Outlined right for free and appropriate public education for those with disabilities; ensured they are not discluded from pubic schools
Individuals with Disabilities Education Act (IDEA)
State of being under the influence of alcohol or other drugs such that thinking, feeling, and behavior are affected
Intoxicated
Maladaptive pattern of using certain drugs, alcohol, meds, and toxins despite their adverse consequences
Substance Abuse
Compulsion to use chemical substances that results in a physiological dependence in which the body tissues require the substance to function
Drug Addiction
T/F Addiction is considered abuse, but abuse is not considered addiction
T
Difference in Abuse and Addiction
Abuse is physical, addiction is mental
Habit forming substance with harmful effects
Drug
Most commonly abused drugs
- Alcohol
- Tobacco
- Marijuana
Most commonly used drug
Tobacco..Alcohol (?)
Types of Drugs (5)
Depressants Stimulants Cannabinoids Opioids Hallucinogens
Suppress or relax the functioning of CNS; ex. alcohol, barbiturates, sleeping pills/sedatives
Depressants
Psychoactive substance that boosts functioning of CNS
Stimulant
Ex. Caffeine, Nicotine, Amphetamines, Cocaine/Crack
Crystal Meth
Produce euphoria, slowed thinking, impaired coordination, confusion
Cannabinoids
ex. Hashish, Marijuana
Medications that relieve pain by reducing intensity of pain signals
Opioids
ex. Heroin, Opium, Hydrocodone, Morphine
Result in unpredictable, altered mental states, distortion, hallucinations, flashbacks
Hallucinogens
ex. LSD, Peyote, Shrooms
What is the US War on Drugs?
Focus on cutting off supply of drugs to the US from Latin America; moved to a focus on arrest, detention, and incarceration
T/F Imprisonment is more expensive than treatment
T
Models of Addiction
Sociocultural
Psychological
Disease
Biopsychosocial
Model of Addiction that says addiction is caused by social/cultural factors
Sociocultural
Model of addiction that says it is a way of coping with psychological pain/addictive personalities
Psychological
Model of addiction that says its an illness or disease, not a symptom of a personal problem
Disease
Model of addiction that says drug addiction is the result of biological, sociological, and psychological environmental factors
Biopsychosocial
Problem-solving courts that help nonviolent offenders find restoration in recovery and become productive citizens
Drug Courts
Treatment Programs for Substance Abuse
Twelve Step (AA/NA) Outpatient Treatment (support while continuing life) Inpatient Treatment (hospitalized) Needle Exchange Treatment Using Other Drugs Drug Courts
Harm reduction strategy to help reduce HIV and hepatitis, not necessarily drug use
Needle Exchange
Identification of coexisting disorders
Dual Diagnosis
T/F Helping clients with drug addiction is made more difficult when they have both drug addiction and other mental health problems –> overlapping symptoms
T
Society provides little moral guidance to individuals; breakdown of social bonds between individual and community
Anomie
Through interaction with others, people learn the values, attitudes, techniques, and motives for behavior
Differential Association Theory
T/F Prevalence of mental illness is similar and rural and urban communities
T, but services are not as readily available in rural areas
T/F Everyone, no matter what class they are in, receives the best health treatment
F; those in the lower class do not receive as much mental health treatment that they need. Therefore, they are more likely to suffer more issues
Condition that affects a person’s thinking, feeling, or mood
Mental Illness
Anything deviant from the norm
Most recent DSM
5