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Diagnosis talk and recovery in people with a mental illness: a qualitative study and perspectives for clinical social work
- Authors:
- PETER Olivia, JUNGBAUER Johannes
- Journal article citation:
- Clinical Social Work Journal, 47(2), 2019, pp.222-232.
- Publisher:
- Springer
- Place of publication:
- New York
In recent years, much research has focused on the lived experience of people diagnosed with a mental illness, resulting in a better understanding of what helps or hinders their recovery. This study aimed to investigate a rather neglected aspect of recovery: how people with a mental illness talk about their diagnosis and how concealing or revealing such a diagnosis affects different live domains. People (n = 16) diagnosed with a mental illness participated in an in-depth qualitative interview study, allowing insight into how they experience and evaluate living with a mental health diagnosis. The results are particularly interesting for clinical social work. Based on the findings of this study, the concept of ‘diagnosis talk’ has been derived. This concept is understood to thematize the different aspects related to whether and how a person with a mental illness talks about their diagnosis, such as motivation for disclosure and its timing, or which terms they use when referring to their diagnosis. The results indicate that receiving a mental health diagnosis requires consideration of how to cope with this “label”, which has to be distinguished from coping with the illness and the symptoms in itself. This needs to be taken into account by clinical social workers providing comprehensive recovery-oriented support for people with a mental illness. Using the findings, concrete recommendations for psycho-social practice are presented in this article. (Publisher abstract)
HIV-related cognitive dysfunction: implications for aging and social work
- Authors:
- VANCE David E., et al
- Journal article citation:
- Social Work in Mental Health, 13(6), 2015, pp.553-570.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Half of adults with HIV experience HIV-Associated Neurocognitive Disorder (HAND). HIV infects microglial and macrophages in the brain, resulting in a neurotoxic environment that inhibits the function of neurons, thus impairing cognition. Social workers require an understanding of how HIV-related cognitive dysfunction develops within the larger context of mental illness, substance use, and socioeconomic status. This article briefly reviews the clinical diagnosis of HAND and some interrelated neurobiological and psychosocial factors. Research implications for improving cognition are important as one considers: (1) The impact of the ageing process on cognition and (2) the growing number of older adults with HIV. (Edited publisher abstract)
The early detection and proper treatment of bipolar disorder: implications for social work practice with substance-abusing clients
- Authors:
- LADSON Darnell, KORNEGAY Bradley, LESANE Shakara
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 24(5), 2014, pp.547-556.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The article describes the history of bipolar disorder diagnostics and the emerging trends of earlier detection and treatment. It explores the link between bipolar disorder and frequent co-occurring disorders, including substance abuse. There are discussions regarding the need for early detection of mood disorders in these individuals and the impact that treatment of mental health issues have on substance abuse prevention in this population. The practice implications for medical, substance abuse, and mental health professionals are examined. (Publisher abstract)
Evaluating treatment outcomes for African American and white clients receiving treatment at a community mental health agency in the rural South
- Authors:
- LARRISON Christopher R., et al
- Journal article citation:
- Research on Social Work Practice, 14(3), May 2004, pp.137-146.
- Publisher:
- Sage
The present study examines the relationship between race and treatment outcomes among clients receiving services at a community mental health agency in the rural southeastern United States. A nonprobabilistic sample of clients completed the BASIS-32, a self-report summated rating scale, at an initial assessment and a series of three follow-up assessments conducted at 3-month intervals. The data were analyzed using a hierarchical linear model (HLM) consisting of an individual growth model and a between-client model examining possible differences in growth trajectories attributable to race, diagnosis, socioeconomic status, and gender. Clients’ symptomatology remained stable or decreased during the study period. Of the demographic variables examined, only diagnosis was significantly related to variation in treatment outcomes. No racial differences in treatment outcomes emerged. Although the findings must be considered preliminary, they do suggest that community mental health agencies can effectively respond to various ethnic, cultural, and racial groups by providing appropriate and individualized services.
Parenting assessment in a psychiatric other and baby unit
- Authors:
- SENEVRANTE Gertrude, CONROY Sue, MARKS Maureen
- Journal article citation:
- British Journal of Social Work, 33(4), June 2003, pp.535-555.
- Publisher:
- Oxford University Press
Courts and social services often seek the advice of mental health professionals in deciding whether a mentally ill mother should remain the primary carer of her infant. This paper describes the referral pathways, outcomes at discharge and subsequently, of a sample of mothers referred for parenting assessments to a psychiatric Mother and Baby Unit. A further aim was to examine factors predicting outcome. A casenote study of sixty-one consecutive referrals for in-patient parenting assessment over a six-year period is described. Social Services were contacted to establish developments at least nine months after discharge. Fewer than half of the mothers were discharged together with their babies at the end of the assessment period, and at follow-up, less than a third were still caring for their children. Diagnosis of the mother's illness was the main factor determining whether she continued to care for her child both at discharge and at follow-up; mothers with depression were more likely to remain primary carers. Variations in the timing and process of referrals related to a lack of antenatal planning were associated with increased rates of separation of mother and infant before the assessment. The findings illustrate the need for more integrated co-ordination between professionals in mental health and children's services to ensure early planning for mothers and infants at risk.
Social work practice in mental health: contemporary roles, tasks, and techniques
- Editor:
- BENTLEY Kia
- Publisher:
- Brooks/Cole
- Publication year:
- 2001
- Pagination:
- 403p.,bibliogs.
- Place of publication:
- Pacific Grove, CA
This book presents a "partnership" model which addresses the need immediately useful discipline specific content on the most important social work practice roles in mental health. The book articulates how roles often associated with working with a specific population (e.g. those who abuse substances, persons with severe mental illness, distressed marital couples) are quite relevant and useful in a much wider range of populations. Experts address social workers' many roles: crisis counselor, diagnostician, therapist, mediator, educator, skills trainer, case manager, mediation facilitator, consumer and family consultant, team collaborator, advocate, programme evaluator/ researcher, and administrator and policy analyst.