Fundamentals for Practice with High Risk Populations

ISBN-10: 0534558666

ISBN-13: 9780534558666

Edition: 2003

Authors: Nancy Summers

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Description:

Summers' new text examines all the particular issues and specific concerns that should be understood and addressed for each high-risk population. The text indicates what warning signs to look for, what questions to ask, and what potential problems may arise. While it primarily functions as a companion text to Summers' FUNDAMENTALS OF CASE MANAGEMENT PRACTICE, which covers the basics of case management, this new text presents the basic steps in practice, dealing with specific "high-risk" populations. It also offers a greater focus on intake and monitoring. Although Summers' two books are related, this book can also be used on its own or as a supplement to other, more theoretical texts. The text is also an ideal reference for students working with specific populations.
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Book details

List price: $147.95
Copyright year: 2003
Publisher: Wadsworth
Publication date: 9/27/2002
Binding: Paperback
Pages: 400
Size: 8.25" wide x 10.75" long x 1.00" tall
Weight: 2.134
Language: English

Nancy Summers is Department Chair of the Human Service Program at Harrisburg Area Community College and works as a consultant training mental health professionals. Summers has been a director of public education for mental health systems throughout her years in the profession. She remains in active contact with actual case managers and staff at organizations, such as the SAMHSA, to ensure the information she presents is as current as possible. Summers has also published a book with Brooks/Cole about case management for high-risk populations.

At Risk
Introduction
Defining At Risk
Who Decides
Making the Decision
Determining the Intervention
Primary Prevention
Secondary and Tertiary Prevention
Case Management with High-Risk Populations
It Is Not Always Easy
Conclusion
Exercises
Writing a Social History
Introduction
What Is a Social History
Layout of the Social History
How to Ask What You Need to Know
A History of the Problem
Background Information About the Person
Impressions and Recommendations
Capturing the Details
Sample Social History
Social Histories in Other Settings
Limited Time for Intake
Who Took the Social History
Exercises
Case Management with Children and Their Families
Introduction
Special Considerations
The Ecological Model
The Child's Point of View
Respect
Prevention
Vulnerability
Child and Adolescent Service System Program or Systems of Care
Cross-Systems Collaboration
For Communities
CASSP Is Becoming the Norm
CASSP Core Values
Cultural Competence
Different Cultural Expectations
Assisting Families to Negotiate the Dominant Culture
Finding Strengths in the Culture
Stereotyping and Racism
Child Development
Social Development
Cognitive and Language Development
Emotional Development
Physical Development
Mandated Reporter
Other Legal and Ethical Considerations
Involving the Family
Barriers to Good Planning for Children
What Case Managers Can Do
Children's Mental Health
Attention Deficit/Hyperactivity Disorder (ADHD)
Oppositional Defiant Disorder (ODD)
Conduct Disorder
Separation Anxiety Disorder
Depression
Bipolar Disorder
Generalized Anxiety Disorder
Social Phobia
Posttraumatic Stress Disorder
Divorce Reactions
Eating Disorders
Assessment
Strengths-Based Assessments
Communication
Recognition of Problems
The Mental Status Examination
Summary
Medications and Treatments
Medications
ADHD
Depression
Other Disorders
Support Groups
Services
Case Management
Wrap-Around Services
Planning and Case Management
Case Management and Advocacy
Case Management with Older Children
Outpatient Treatment
Community-Based Interventions
Partial Hospitalization/Day Treatment
Residential Treatment Centers (RTCs)
Inpatient Treatment
Crisis Services
Other Services Using Children's Case Managers
Child Welfare
Juvenile Justice Systems
Doing Your Assessment and Following Your Client
Exercises
Form: Intake Form for Children and Adolescents
Case Management for Survivors of Rape and Domestic Violence
Introduction
Special Considerations for Working with Victims of Rape and Domestic Violence
If You Are Male
Interchangeable Terms
Other Forms of Domestic Violence
The Victim as "She"
Organizations That Serve Women
Background
Working in Women's Programs
Your Role
Confidentiality
Statistics and Prevalence
Rape
Domestic Violence
Batterers and Rapists
Victims
Reluctance to Seek Help
What Is Domestic Violence?
Types of Abuse
Other Aspects of Domestic Violence
Leaving an Abusive Relationship
The Leaving Process
Barriers to Leaving
Stalking
Safety Planning
Documentation
Reasons Not to Require a Safety Plan
Individualize the Safety Plan
Safety at the Hospital
Assessing Lethality
Batterer Programs
Planning to Leave
Children and Domestic Violence
Leaving, Visitation, and Support
Protection from Abuse Orders (PFAs)
Housing
Addressing the Needs of Diverse Populations
Rural Communities
Gay and Lesbian Communities
Domestic Violence in Later Life
Violence Against Latinas
Teen Dating and Violence
What Is Rape?
Child Sexual Abuse
Risk Factors
Signs of Child Sexual Abuse
Characteristics of Child Sexual Assault
What Children Need to Be Told
Trauma of Child Sexual Abuse
Child Sexual Abuse Accommodation Syndrome
Working with Nonoffending Parents
Sexual Assault: The Issues
Rebalancing Power
Clarifying Blame, Guilt, and Responsibility
Establishing Self-Identity and Bodily Integrity
Defining One's Own Sexuality
Tolerating Diverse Feelings
General Information About Crisis Intervention
Make Accurate Observations
Remove the Client If Useful
The Client Interview
Hot Line Skills
Crank Calls
Responding to a Rape or Domestic Violence Crisis
At the Scene
At the Hospital
Female Victims
Male Victims
Elderly Rape Victims
Victims Who Use Drugs and Alcohol
Victims with Mental Disabilities
Common Concerns
Embarrassment
Who Will Have to Know?
How to Pay for Medical Care
Whether to Prosecute
Shock and Bitter Hatred
Issues Regarding HIV for Victims of Rape
Ongoing Criminal Investigations
DSM-IV-TR Stress Disorders
Differences in Domestic Violence
Common Effects of Rape and Abuse
Disorganization Phase
Reorganization Phase
Doing Your Assessment and Following Your Client
Exercises
Form: Intake Form--Domestic Violence and Rape Crisis
Form: Personal Safety Plan
Case Management in the Field of Drug and Alcohol Dependence
Introduction
Special Considerations
Focus on Alcoholism
Focus on Psychological Dynamics
Psychological Treatment of Alcoholism and Addiction
Addiction as a Disturbance of Self
Producing the High
Graded Depression of Synaptic Transmission--An Important Definition
Pharmacology
Initial Response
Continued Drinking
Addiction
Metabolism of Alcohol
Metabolism in the Liver
Heavy Alcohol Use
Tolerance
Elimination
Tolerance, Dependence, and Withdrawal
Tolerance
Psychological Dependence
Physiological Dependence
Withdrawal
Withdrawal: A Closer Look
Withdrawal Stage One
Withdrawal Stage Two
Withdrawal Stage Three
Detoxification
Detoxification Dangers
Medical Complications of Alcohol
Blood
Liver
Digestive System
Skeletal Muscles
Skin and Hair
Heart
Sleep
Reproductive System
The Fetus
Brain and Nervous System
Assessment and Intake
Promoting a Trusting Relationship
Medical Problems or Instability
Client Education
Toxicology Screening
Treatment Goals for Clients
Level of Care
Outpatient Treatment
Core Components of Intensive Outpatient Services
Optimal Elements of Intensive Outpatient Services
Enhancing Intensive Outpatient Services
Education Plays an Important Role
Retention and Problems of Relapse
The Challenge
Factors Contributing to Dropout from the Treatment Program
Clinical Response to Problems of Retention and Relapse
Schizophrenia and Substance Abuse
Alcohol-Induced Depression and Anxiety
Depression
Anxiety
Other Clinical Challenges
Doing Your Assessment and Following Your Client
Exercises
Form: Evaluation for Drug and Alcohol Services
Case Management with Individuals with Mental Illness
Introduction
Special Considerations
Addressing Brain Disorders, Not Emotional Problems
What You Are Likely to See
Taking Things Personally
National Alliance for the Mentally Ill (NAMI)
DSM-IV-TR
Stigma
Mental Health and the Media
Background
Myths
Ways of Viewing Mental Illness
Mood Disorders
Major Depressive Episode
Older People and Depression
Causes
Course and Symptoms
Depression and Other People
Bipolar Disorders
What Is Mania?
Suicide
If Your Client Has Considered Suicide
Look at the Social History
What Did You Observe?
An Ironic Fact About Suicide
Grief
Anxiety
Adjustment Disorder
Schizophrenia
Causes
Course and Symptoms
Case Management and Prevention of Relapse
Lifestyle
Environment
Diagnosis of Schizophrenia Using the DSM-IV-TR
Other Psychotic Disorders
The Mental Status Examination (MSE)
Families
Family Embarrassment
How Case Managers Hurt Families
How Case Managers Help Families
The Older Client
Medications and Treatments
Depression
Bipolar Disorder
Anxiety
Schizophrenia
Tardive Dyskinesia
Services
Involuntary Commitment
Voluntary Commitment
Hospitalization
Step-Down Units
Personal Care Homes
Partial Hospitalization
Recreational Programs
Drop-in Centers
Outpatient Treatment
Case Management Services
Crisis Services
Doing Your Assessment and Following Your Client
Exercises
Form: Evaluation for Mental Health Services
Case Management and Mental Retardation
Introduction
Special Considerations
Terms and Expressions
Things to Think About
The Need to Control
What Is Intelligence?
What Is Mental Retardation?
Characteristics of Mental Retardation
Brain Injury
Who Are Those with Mental Retardation?
Diagnosing Mental Retardation
Awareness of a Problem
Testing to Confirm
Assessment of Adaptive Skills
Documenting a Full Assessment
Intellectual Functioning and Adaptive Skills
Psychological and Motivational Considerations
Etiology Considerations
Environmental Considerations
Developing the Plan for Services and Supports
Person-Centered Planning
Problems with Person-Centered Planning
Mental Age
Mental Retardation and Cognition
Visual Learning
Suggestibility
Passivity Rather Than Strategizing
Difficulty with Foresight and Planning
Concreteness and Rigidity
Speed of Thinking
Limited Creativity and Imagination
Mental Retardation and Adaptive Functioning
The Need for Services
What to Expect
Preschool Adaptive Functioning
Motor Development
Language Development
Self-Help
Cognition
Social Skills
School-Age Adaptive Functioning
Loosening Ties to Family
Preparing to Work
Adulthood Adaptive Functioning
Unsupervised Living
Reproduction
Employment
Social Roles
Community Adjustment
Growing Older
Living Arrangements
Financial Arrangements
Mental Retardation and the Family
Initial Impact
Early Intervention Programs
Continuing Impact
Family Ability to Cope
Planning for Growing Older
Case Managers and Judgment
Causes of Mental Retardation
Biological Origins: Genes and Chromosomes
Nongenetic Biological Contributors
Psychological Contributors
Conditions Commonly Seen with Mental Retardation
Prevention
Services for Individuals with Developmental Disabilities
Diagnostic Services
Employment Support
Educational Services--Preschool
Educational Services--School-Age Children
Recreational Services
Family Support Services
Residential Options
Behavioral Services
Doing Your Assessment and Following Your Client
Exercises
Form: Intake and Assessment Form for Consumers with Mental Retardation
Form: Service Planning
Case Management with Older People
Introduction
Special Considerations
Myths
Senility
Tranquility
Productivity
Resistance
Gender and Growing Older
A Common Mistake About Chronological Age
Emotional Well-Being and Growing Older
A Healthy Old Age
Sense of Purpose
Good Planning
Support
Experimenting
Faith
Cheerfulness
Importance of the History and Assessment
The Social History
Medical History and Current Medical Status
Cognitive History and Current Cognitive Status
Assessment for Cognitive Disorders
Important Points to Cover
When the Family Gives the History
Documentation
Delirium
Dementia
Depression and Growing Older
Assessment and Support for the Caregiver
Elder Abuse
Why Does It Happen?
Defining Elder Abuse
Reporting Elder Abuse
Clues
Case Managers' Helpful Interventions
Helping Families Cope with Dementia
Helping Clients Cope with Grief
Helping Clients Cope with Guilt
Life Review
Leaving a Legacy
Providing Opportunities for the Elder to Function
Pets
Common Services Available for Older Persons
In-Home Care
Visiting Nurse Association
Homemaker Services
Meals-on-Wheels
Senior Centers
Transportation
Low-Income Plans and Senior Discounts
Adult Day Care
Lifeline
Personal Care Home
Assisted Living
Domiciliary Care
Nursing Home
Palliative Care
Protective Services
Doing Your Assessment and Following Your Client
Exercises
Form: Assessment for Senior Citizens
Form: Placement Assessment Tool
Abbreviations and Definitions
References
Index
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