SOCW 6090 Week 2

  Week 2: Influence of the DSM-5: Group, Improvement, Strengths, and Limitations Social work advocates for the biopsychosocial mannequin of psychological well being and sickness. Subsequently, when making a prognosis a social employee ought to all the time think about organic elements equivalent to genetics, psychological elements equivalent to persona and strengths, and social elements equivalent to tradition and setting. Regardless of dialectics between numerous psychological well being professions concerning the function of prognosis, there may be widespread acceptance of the sensible have to have a typical comparability level for various syndromes—a typical language and a shared information of what's recognized concerning the course of sicknesses. That shared information is held within the DSM-5. This week, you discover how the DSM-5 is organized and why. This exploration begins offering the instruments for its efficient use. Studying Targets College students will: Analyze use and communication of a prognosis in a case examine Analyze strengths and limitations of the DSM-5 diagnostic system Differentiate between regular conduct and diagnosable signs utilizing the ideas of dimensionality and spectrum Studying Sources Required Readings American Psychiatric Affiliation. (2013j). Introduction. In Diagnostic and statistical guide of psychological issues (fifth ed.). Arlington, VA: Writer. doi:10.1176/appi.books.9780890425596.Introduction Barsky, A. (2015). DSM-5 and the ethics of prognosis. The New Social Employee. Retrieved from https://www.socialworker.com/feature-articles/ethics-articles/dsm-5-and-ethics-of-diagnosis/ Neukrug, E. S., & Fawcett, R. C. (2015). Analysis within the evaluation course of. In E. S. Neukrug & R. C. Fawcett, Necessities of testing and evaluation: A sensible information for counselors, social staff, and psychologists (third ed., pp. 43–58). Stamford, CT: Cengage Studying. Neukrug, E. S., & Fawcett, R. C. (2015). Analysis within the evaluation course of. In E. S. Neukrug & R. C. Fawcett, Necessities of testing and evaluation: A sensible information for counselors, social staff, and psychologists (third ed., pp. 43–58). Stamford, CT: Cengage Studying.   Paris, J. (2015). The clever clinician's information to the DSM-5 (2nd ed.). New York, NY: Oxford College Press Chapter 6, “Dimensionality” (pp 84–101) Doc: Learn how to Write a Analysis Based on the DSM-5 (PDF) Required Media Accessible participant --Downloads--Obtain Video w/CCDownload AudioDownload TranscriptLaureate Training (Producer). (2018d). Influence of the DSM-5: Group, Develpment, Strengths and Limitations [Audio podcast]. Baltimore, MD: Writer. College at Buffalo Faculty of Social Work (Producer). (2014). Episode 139—Dr. Robert Keefe and Dr. Barbara Rittner: The Fifth Version of the Diagnostic and Statistical Handbook of Psychological Problems: A dialog [Audio podcast]. Retrieved from http://www.insocialwork.org/episode.asp?ep=139 Singer, J. B. (Producer). (2016, January 25). Critiques of the DSM-5: Interview with Jeffery Lacasse, Ph.D. [Audio podcast]. Retrieved from http://www.socialworkpodcast.com/2016/01/DSM5critique.html/p>  Non-compulsory Sources American Psychiatric Affiliation. (2013o). Preface. In Diagnostic and statistical guide of psychological issues (fifth ed.). Arlington, VA: Writer. doi:10.1176/appi.books.9780890425596.x00preface American Psychiatric Affiliation. (2013t). Use of the guide. In Diagnostic and statistical guide of psychological issues (fifth ed.). Arlington, VA: Writer. doi:10.1176/appi.books.9780890425596.UseofDSM5 Lasalvia, A. (2015). DSM-5 two years later: Information, myths and a few key open points. Epidemiology and Psychiatric Sciences, 24(Three), 185–187. doi:10.1017/S2045796015000256 Paris, J. (2015). The clever clinician's information to the DSM-5 (2nd ed.). New York, NY: Oxford College Press Chapter Three, “How Diagnostic Manuals Are Made” (pp. 33–55) Wakefield, J. C. (2013b). DSM-5: An outline of adjustments and controversies. Medical Social Work Journal, 41(2), 139–154. doi:10.1007/s10615-013-0445-2 Doc: Steered Additional Studying for SOCW 6090 (PDF) Be aware: This is similar doc launched in Week 1. Dialogue: Diagnostic Labels as Highly effective Communications A prognosis is highly effective within the impact it might probably have on an individual’s life and remedy protocol. When working with a shopper, a social employee should make vital selections—not solely concerning the diagnostic label itself however about whom to inform and when. On this Dialogue, you consider the use and communication of a prognosis in a case examine. To arrange: Deal with the complicated however exact definition of a psychological dysfunction within the DSM-5 and the idea of dimensionality each there and within the Paris (2015) and Lasalvia (2015) readings. Additionally word that the definition of a psychological dysfunction features a set of caveats and suggestions to assist discover the boundary between regular misery and a psychological dysfunction. Then think about the next case: Ms. Evans, age 27, was awaiting honorable discharge from her service in Iraq with the U.S. Navy when her colleagues seen that she seemed more and more fearful and was speaking about listening to voices telling her that the world was going to be destroyed in 2020. With Ms. Evans’s permission, the evaluating [social worker] interviewed certainly one of her closest colleagues, who indicated that Ms. Evans has not been taking excellent care of herself for a number of months. Ms. Evans stated she was depressed. The [social worker] additionally discovered that Ms. Evans’s efficiency of her navy job duties had declined throughout this time and that her commanding officer had beneficial to Ms. Evans that she be evaluated by a psychiatrist roughly 2 weeks earlier, for potential despair. On interview, Ms. Evans endorsed believing the world was going to finish quickly and indicated that a number of occasions she has heard an audible voice that repeats this info. She has a maternal uncle with schizophrenia, and her mom has a prognosis of bipolar I dysfunction. Ms. Evans’s toxicology display screen is constructive for tetrahydrocannabinol (THC). The evaluating [social worker] informs Ms. Evans that she is making a tentative prognosis of schizophrenia. Supply: Roberts, L. W., & Trockel, M. (2015). Case instance: Significance of refining a diagnostic speculation. In L. W. Roberts & A. Ok. Louie (Eds.), Research information to DSM-5 (pp. 6–7). Arlington, VA: American Psychiatric Publishing. Research Information to DSM-5(r), by Roberts, M.; Louie, A.; Weiss, L. Copyright 2015 by American Psychiatric Affiliation. Reprinted by permission of American Psychiatric Affiliation by way of the Copyright Clearance Heart. By Day Three Submit a 300- to 500-word response during which you focus on how a social employee ought to strategy the prognosis. In your evaluation, think about the next questions: Establish the signs or “crimson flags” within the case examine that could be evaluated for a potential psychological well being dysfunction. Ought to the social employee have shared this suspected prognosis primarily based on the restricted evaluation with Ms. Evans right now? Clarify the potential influence of this prognosis instantly and over time if the “tentative” prognosis is a misdiagnosis. When could it's applicable to make use of a provisional prognosis?  When would you prognosis as different specified and unspecified issues? By Day 6 Reply to a minimum of two colleagues who had a distinct place than your individual within the following means: Clarify why you agree or disagree with whether or not the shopper meets diagnostic standards and needs to be informed a few “tentative” prognosis, strategy to prognosis, or influence of prognosis. Clarify how the social employee might have labored with a supervisor to make an preliminary prognosis. Be aware: You're required to create a thread in your preliminary Dialogue put up earlier than it is possible for you to to view different colleagues’ postings on this discussion board. When you have not but visited the weekly sources and assignments, it's best to go to that space now to entry the whole set of instructions and tips for this dialogue. Response 1  Meishalette Allen Week 2 DiscussionCOLLAPSE Based on the DSM-5, a "psychological dysfunction is a syndrome characterised by clinically vital disturbance in a person's cognition, emotion regulation, or conduct that displays a dysfunction disturbance within the psychological, organic, or improvement processes" (American Psychiatric Affiliation, 2013, p. 20). When contemplating a psychological well being prognosis, all clinicians ought to strategy with warning taking into issues all elements: physiological, organic, cultural, social and setting. Ms. Evans exhibited "crimson flags" that will contribute to a potential psychological well being dysfunction prognosis. Among the crimson flags are as adopted: self-diagnosed with despair; fearful look noticed by friends; audible voices stating the world might be destroyed; decreased job efficiency; household historical past of psychological well being issues; and a constructive toxicology display screen for the THC (Roberts & Trockley, 2015). Based mostly on the social staff evaluation of Ms. Evans together with info offered by her friends out of concern, I imagine the social employee ought to have shared the suspected prognosis. We've dedication to our purchasers to advertise their well-being (NASW, 2017). We're additionally required to respect and promote self dedication of our purchasers. Informing Ms. Evans of the prognosis will present the chance to make knowledgeable selections/selections concerning her prognosis and future remedy from Ms. Evans. It will likely be unethical to request Ms. Evans to consent to remedy if she is unaware of what she is being handled for. We should abide by the Nationwide Affiliation of Social Work Code of Ethics always. Potential fast influence of Ms. Evans tentative prognosis is the appropriateness of fast interventions. A prognosis is used to information and help the clinician in conceptualizing the shopper's recognized downside(s), perceive the shopper from holistic strategy, and aide within the shopper and clinician collaboratively growing applicable steps to intervention/remedy (Neukrug & Fawcett, 2015). One other influence will be the impact of insurance coverage protection for a particular prognosis. Based on Neukrug & Fawcett (2015), relying on the prognosis some insurances will solely be monetary answerable for a certain amount of remedy which may alter the result for the shopper. Provisional prognosis could also be applicable to make use of when the clinician is definite the total standards of prognosis might be met as soon as sufficient info is obtained (American Psychiatry Affiliation, 2013). Provisional prognosis is usually utilized in instances when the shopper is unable to supply a historical past or timeline of when the signs started, the period, and severity. The present DSM-5 guide offers provisions for clinicians to diagnose utilizing different specified or unspecified. Clinicians can use different specified with a prognosis if a shopper doesn't meet the total standards and documenting the factors(s) not met. Clinicians could use unspecified in the identical method with a prognosis; nonetheless, they don't seem to be required to doc the factors not met. Based on American Psychiatry Affiliation (2013), there isn't a requirement positioned on the clinician on which of the 2 they're allowed to make use of. References: American Psychiatric Affiliation. (2013). Use of the Handbook. In DIagnostic and statistical guide of psychological issues (fifth ed.). Arlington, VA: Writer NASW. (2017). Code of Ethics. Retrieved from https://www.socialworkers.org/about/ethics/code-of-ethics/code-of-ethics-english Neukrug, E. S., & Fawcett, R. C. (2015). Analysis within the evaluation course of. In E. S. Neukrug & R. C. Fawcett, Necessities of testing and evaluation: A sensible information for counselors, social staff, and psychologist (third ed., pp 43-58). Stamford, CT: Cengage Studying. Roberts, L. W., & Trockel, M. (2015). Case instance: Significance of refining a diagnostic speculation. In L. W. Roberts & A. Ok. Louie (Eds.), Research information to DSM-5 (pp. 6-7). Arlington, VA: American Psychiatric Publishing Response 2  Nicole Martin WK2 Dialogue Diagnostic LabelsCOLLAPSE Purple Flags within the case examine that could be evaluated for a potential psychological well being dysfunction: Ms. Evans work had declined. Her co-workers and mates are involved about her and her statements that the world is coming to an finish. Her mates and associates imagine she is depressed. She has a household historical past of psychological sickness. She is utilizing marijuana. Her self-care has been missing.  Ought to the social employee have shared the suspected prognosis primarily based on the restricted evaluation with Ms. Evans right now?  I imagine the social employee ought to have achieved a full psychosocial evaluation previous to giving a tentative prognosis. The suspected prognosis might do extra hurt than good to Ms. Evans right now. It seems that she is already paranoid and to label her schizophrenic would solely improve the delusions and poor psychological well being standing.  The potential influence of the prognosis instantly and over time if the "tentative" prognosis is a misdiagnosis: Ms. Evans could change into much more paranoid. She could have preconceived notions of what it's to be schizophrenic from seeing a member of the family with the illness. It might result in her going additional into despair or worsening her psychological well being general. If it's a misdiagnoses and he or she believed she has schizophrenia it'll be very exhausting to persuade her that you just made a mistake and it's fallacious. She is going to lose belief within the psychological well being system and will cease looking for assist. The belief relationship with a shopper is essential and shouldn't be taken calmly.  When could it's applicable to make use of a provisional prognosis? There could also be some over diagnosing and loosely utilizing diagnosing when behaviors could also be inside regular limits (Lasalvia, 2015). Utilizing a provisional prognosis may very well be used after extra info is gathered however nonetheless extra time is required. So maybe the psychosocial evaluation is finished however the social employee remains to be not 100% positive and want to spend some extra time gathering info on the shopper in additional classes. It is a means of constructing a strong educated guess however saying I need to collect extra info to make sure.  When would you diagnose as different specified and unspecified issues? I might be sincere and say that I have to study extra about this. I imagine that is when you don't discover one thing that matches the shopper within the DSM-5. Then it might be unspecified till you'll be able to put extra time into it and label it.  Laslavia, A. (2015). DSM-5 two yr later: details, myths and a few key open points. Epidimieology and Psychiatric Sciences, 185-187. Submission and Grading Info Grading Standards To entry your rubric: Week 2 Dialogue Rubric Submit by Day Three and Reply by Day 6 To take part on this Dialogue: Week 2 Dialogue Project: Video Function-Play: Strengths and Weaknesses of the DSM-5 Although the DSM-5 is the usual guide for psychological sickness diagnoses, it isn't with out weak point. On this Project, you analyze the strengths and limitations of the DSM-5 diagnostic system, and also you differentiate between regular conduct and diagnosable signs utilizing the ideas of dimensionality and spectrum. To arrange: Assessment the idea of the dimensional strategy with the DSM-5 and overview the strategies that the DSM-5 recommends to individualize the place an individual suits on a continuum of their sickness by way of subtypes, severity, and purposeful impairments. One can find these classifications in several elements of the guide and start to be comfy trying by means of it. Subsequent, think about the next state of affairs: You're a faculty social employee who has been requested to deal with a parent-teacher affiliation assembly. Many dad and mom within the viewers have youngsters who've been recognized for particular training companies. They're confused about find out how to perceive the diagnoses they're seeing. Others have worries about overdiagnosis. You have got been suggested that whereas these dad and mom are typically well-informed, many don’t perceive the dimensional or spectrum features. All are anxious. You'll begin your video along with your introductory discuss to the dad and mom on these elements. After you present your clarification, think about that you just open the assembly to questions. You'll tackle the query famous under that's posed by a guardian within the viewers. Contemplate your viewers, and follow explaining in phrases a non-professional may perceive. Do NOT learn from the ebook. Assessment the questions (within the Project directions under) forward of time and plan your reply earlier than recording, as you will want to lookup and combine supplies to reply the chosen query. By Day 7 Submit a Three- to 5-minute video, contemplating the dad and mom as your viewers, during which you do the next: Briefly describe what the DSM-5 is and the way it's organized. In your description, outline the ideas of spectrum and dimensionality as defined by Paris and within the DSM-5 introduction. Clarify why social staff and psychological well being professionals use diagnoses and what receiving a prognosis means (and doesn't imply). Clarify common considerations concerning the dangers of overdiagnosis and misdiagnosis versus not diagnosing. Additionally clarify how prognosis is linked to companies. Clarify different particulars that may assist your viewers perceive the strengths and weaknesses of the diagnostic system. Present a response to the next parental questions: My teenager’s finest good friend died by suicide this yr. It’s been months, and he or she doesn’t appear over it. Her lecturers inform me she ought to get assist for despair, however I feel it’s simply grief. She talks about her good friend on a regular basis and will get very upset. I'm anxious about her. Is it regular for her to nonetheless be feeling this manner? I don’t need to put her on medicine for regular emotions. What's the distinction between grief and despair? Embrace a transcript and/or edit closed captioning in your video to make sure your presentation is accessible to viewers of differing skills.
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