Preface | p. xiii |
Social Work Roles in Medication Management | p. 1 |
History and Overview of Social Work Roles in Medication Management | p. 3 |
Introduction | p. 3 |
Five Case Scenarios | p. 3 |
The Changing Roles of Social Workers | p. 7 |
A Historical Context of Intervention for People with Mental Illness | p. 10 |
The Treatment of People with Mental Illness Prior to 1950 | p. 10 |
The Rise of Psychiatric Social Work | p. 11 |
The Introduction of Psychotropic Medications | p. 12 |
Social Work Role Categories | p. 14 |
Physician's Assistant | p. 14 |
Consultant | p. 14 |
Counselor | p. 15 |
Monitor | p. 16 |
Advocate | p. 17 |
Educator | p. 19 |
Researcher | p. 20 |
Social Worker Roles and Professional Values | p. 20 |
Summary | p. 21 |
Defining Effective Collaboration | p. 24 |
Principles of a Partnership Model of Practice | p. 24 |
Appreciate Participants' Strengths and Limits | p. 25 |
Embrace Client-Centered Practice | p. 26 |
Reconceptualize the Client-Clinician Relationship | p. 27 |
Conceptualize the Role of the Social Worker as a Resource | p. 28 |
Appreciate the Family Member's Perspective | p. 29 |
Maintaining a Balanced Perspective | p. 30 |
Rights of Individual, Family, and Society | p. 31 |
Costs Versus Benefits of Medications | p. 32 |
Expanded Roles with Regard to Related Professions | p. 33 |
Integrating Psychosocial Interventions and Psychopharmacology | p. 35 |
Competing Ideologies | p. 35 |
Managing Parallel Treatment | p. 36 |
Summary | p. 39 |
A Primer on Psychopharmacology | p. 41 |
Basic Principles: Neurotransmission, Pharmacokinetics, and Pharmacodynamics | p. 43 |
The Central Nervous System | p. 44 |
The Brain and Nervous System | p. 44 |
Properties of Nerve Cells | p. 49 |
Neuron Structure | p. 49 |
Neuron Function | p. 51 |
Neurotransmitters | p. 52 |
Acetylcholine | p. 53 |
Norepinephrine | p. 53 |
Dopamine | p. 53 |
Serotonin | p. 54 |
Gamma Aminobutyric Acid (GABA) | p. 54 |
Glutamate (Glutamic Acid) | p. 54 |
How a Drug Moves Through the Body | p. 55 |
Absorption | p. 55 |
Distribution | p. 55 |
Metabolism | p. 56 |
Excretion | p. 57 |
The Effects of a Drug on the Body | p. 58 |
Five Classes of Psychotropic Medication | p. 60 |
Antipsychotic Medications | p. 60 |
Antidepressant Medications | p. 61 |
Mood-Stabilizing Drugs | p. 63 |
Anti-Anxiety Medications | p. 64 |
Psychostimulants | p. 65 |
Adverse Effects of Psychotropic Medication | p. 66 |
Adverse Physical Effects: Definition | p. 67 |
Adverse Physical Effects: Factors in Their Production | p. 68 |
Adverse Psychological Effects | p. 69 |
Adverse Social Effects | p. 69 |
Summary | p. 70 |
Specific Medications for Specific Disorders | p. 71 |
Antipsychotic Medications | p. 72 |
Symptoms of Psychotic Disorders | p. 72 |
Specific Medications | p. 75 |
Origins | p. 75 |
Current Medications | p. 76 |
Conventional Antipsychotics | p. 79 |
Adjunctive and Side-Effect Medications | p. 81 |
The Newer Antipsychotics | p. 82 |
Case Examples | p. 84 |
Antidepressant Medications | p. 87 |
Symtoms of Mood Disorders | p. 88 |
Specific Medications | p. 89 |
Origins | p. 89 |
Current Medications | p. 90 |
Antidepressant Medications and Relapse Prevention | p. 91 |
The MAO Inhibitors | p. 92 |
Cyclic Antidepressants | p. 94 |
The Serotonin Reuptake Inhibitors and Other New Drugs | p. 97 |
Recent Advances in the Drug Treatment of Depression | p. 98 |
Case Examples | p. 99 |
Mood-Stabilizing Medications | p. 101 |
Symptoms of Mania | p. 102 |
Specific Medications | p. 103 |
Origins | p. 103 |
Current Medications | p. 104 |
Lithium for Relapse Prevention | p. 108 |
The Anticonvulsant Medications | p. 109 |
Anticonvulsants for Relapse Prevention | p. 112 |
Medications Under Investigation | p. 112 |
Case Examples | p. 113 |
Anti-Anxiety Medications | p. 116 |
Symptoms of Anxiety Disorders | p. 116 |
Specific Medications | p. 119 |
Origins | p. 119 |
Current Medications | p. 120 |
The Benzodiazepines | p. 120 |
Buspirone | p. 123 |
Other Anti-Anxiety Medications | p. 124 |
Special Concerns with Children and Adolescents | p. 125 |
Case Examples | p. 126 |
Psychostimulants | p. 128 |
Attention Deficit Hyperactivity Disorder | p. 129 |
Ethical Issues in the Drug Treatment of Children | p. 129 |
Specific Medications | p. 131 |
Origins | p. 131 |
Current Medications | p. 132 |
Other Drugs Used to Treat ADHD | p. 134 |
Case Examples | p. 135 |
Summary | p. 139 |
Intervention Concerns with Special Populations | p. 140 |
Gender Differences | p. 140 |
General Considerations | p. 140 |
Neurotransmitters | p. 141 |
Absorption | p. 142 |
Distribution | p. 142 |
Metabolism | p. 142 |
Classes of Medication | p. 143 |
Pregnancy | p. 144 |
Classes of Medication | p. 145 |
Other Gender-Related Concerns | p. 146 |
Older Adults | p. 146 |
General Considerations | p. 146 |
Classes of Medication | p. 148 |
Children and Adolescents | p. 150 |
General Considerations | p. 150 |
Classes of Medication | p. 152 |
Racial and Ethnic Differences | p. 154 |
African Americans | p. 155 |
Persons of Hispanic Culture | p. 157 |
Asian Americans | p. 157 |
Persons with Dual Diagnosis of Mental Illness and Substance Abuse | p. 158 |
Mental Illness and Alcohol Abuse | p. 160 |
Summary | p. 161 |
Knowledge and Skills for Psychosocial Interventions | p. 163 |
Medication Education for Clients and Families | p. 165 |
Rationale for Medication Education Issues in Implementing and Evaluating | p. 165 |
Medication Education | p. 170 |
Content of Medication Education Programs | p. 175 |
Summary | p. 180 |
Medication Adherence and Refusal | p. 181 |
Models for Understanding Adherence | p. 183 |
Characteristics of the Client | p. 184 |
Aspects of Treatment | p. 186 |
Aspects of the Social Environment | p. 189 |
Aspects of the Illness or Symptoms | p. 190 |
Legal and Ethical Issues in Adherence and Refusal | p. 191 |
Interventions to Assist in Medication Adherence | p. 196 |
Summary | p. 199 |
Medication Monitoring and Management | p. 200 |
Client Self-Monitoring of Medication | p. 202 |
Using Existing Measures to Guide Monitoring | p. 205 |
Concrete Steps for Coping with Side Effects | p. 208 |
Decision Making and Problem Solving in Medication Management | p. 212 |
Negotiating Medication Issues with Health Care Providers | p. 216 |
Advocacy in Medication Management | p. 220 |
Summary | p. 223 |
Future Directions | p. 225 |
Future Directions in Psychopharmacology: Implications for Social Workers | p. 227 |
New Pharmaceutical Treatments | p. 227 |
The Emergence of Herbal and Vitamin Treatments | p. 230 |
Herbs | p. 231 |
Vitamins | p. 232 |
Expanding Prescription-Writing Privileges | p. 234 |
Increased Public Scrutiny of Psychotropic Medications | p. 236 |
Final Words | p. 240 |
References | p. 241 |
Alphabetical Listing of Currently Available Prescriptions Described in This Book | p. 267 |
Glossary | p. 271 |
Name Index | p. 289 |
Subject Index | p. 295 |
Table of Contents provided by Syndetics. All Rights Reserved. |