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Praise for the Second Edition:

This is a very well-written book, My students appreciated the down-to-earth style of writing, Many of my students are deathly afraid of topics that haveanything to do with biology. [They] were assured by the lack of jargon and the fact that the chapters were written in a way that they could easilyunderstand. I look forward to the third edition!

-Nathan Thomas, LCSW

San Jose State University, School of Social Work

New findings emerge daily, and new medications hit the market every year. The nature of this topic lends itself to revision at least every 2-3 years tostay current and germane to current practice standards. The case studies are a nice way to transform and integrate clinical principles with social workpractice. Students have enjoyed the book as a foundational text,

-Dr. Robert Mindrup, PsyD,

University of Tennessee, Knoxville, College of Social Work

This comprehensive text prepares social workers to play a key role within an interdisciplinary health care team, emphasizing the importance of counseling for clients that take mental health medications as part of their treatment. The third edition has been fully revised to include new medications and reflect changes resulting from the publication of the DSM-5 . Sample treatment plans, case examples, and a full glossary of medications have been updated, and the addition of a comprehensive Instructors Manual further enhances the text's value. Also included is information on prescription drug abuse, expanded discussions of psychopharmacological considerations related to gender and culture, and new content on medical marijuana, pregnant women, suicide warnings, Internet availability, and electronic records. The third edition also features a discussion of potential interactions with medications used to treat chronic conditions and emphasizes professional collaboration.

The text is replete with guidance on common medicine-related issues social workers encounter in practice, including identifying potentially dangerous drug interactions and adverse side effects, improving medication compliance, recognizing the warning signs of drug dependence, and understanding how psychopharmacology can work in conjunction with psychosocial interventions. The text also addresses the particular needs of children, older adults, and pregnant women, and the treatment of specific mental health conditions.

Key Features:

Addresses the role of medication from the perspective of social work treatment Delivers guidance on common challenges social workers encounter in practice Encourages and empowers clients to be active in their own treatment Identifies potentially dangerous drug interactions and adverse side effects Explains how psychopharmacology works in conjunction with psychosocial interventions

Tabla de contenidos provista por Syndetics

• Contributors(p. xiii)
• Preface(p. xv)
• Acknowledgments(p. xxi)
• Part I Mental Health Medications: What Every Social Worker Needs to Know
• 1 Use of Medications as Part of Health and Mental Health Practice(p. 3)
• Scope of Practice(p. 3)
• Building Alliances: The Interdisciplinary Team(p. 4)
• The Rise of Psychopharmacology as a Treatment Modality(p. 5)
• Medication as a Primary Treatment Modality(p. 6)
• Consumer Expectations and the Pressure to Prescribe(p. 7)
• Medication and Psychotherapeutic Approaches(p. 8)
• Case Example: John(p. 10)
• Medication Myths: Expectations Versus Reality(p. 11)
• Ethical Issues in Psychopharmacology(p. 12)
• Issues in Prescribing Medication(p. 13)
• The Role of the Social Worker: Person-in-Situation(p. 16)
• Summary and Conclusions(p. 16)
• 2 Understanding How Medications Work: The Human Brain(p. 19)
• The Brain: Understanding Structure and Function(p. 19)
• The Importance of Imaging in Brain Science(p. 21)
• Neurons, Neurotransmitters, and Brain Activity(p. 22)
• Neurochemicals and Mental Health(p. 23)
• Pharmacodynamics: Synaptic Activity and Medications(p. 26)
• Medications and the Body's Response(p. 29)
• Routes of Administration(p. 30)
• Side Effects(p. 34)
• Removal of Drugs From the System(p. 35)
• Revitalization of the Brain(p. 37)
• Summary and Conclusions(p. 38)
• 3 Practice Tips and Helping the Client(p. 39)
• How Medications Are Named(p. 39)
• Approval of New Medications(p. 41)
• Creating Generic Drugs(p. 43)
• Medication Availability and Pricing(p. 46)
• The Cost of Generic Versus Brand Names(p. 46)
• Expiration Dates(p. 47)
• Common Medication Terminology(p. 47)
• Medication Monitoring: Common Dosing Mistakes(p. 50)
• Medical Terminology and the Official "Do Not Use" List(p. 52)
• Identifying Reactions and Adverse Effects(p. 54)
• The MedWatch Program(p. 54)
• Tapering Medications(p. 56)
• Case Example: Joan(p. 57)
• Medication Information and the Internet(p. 58)
• Buying Medications on the Internet(p. 61)
• Summary and Conclusions(p. 62)
• 4 Taking a Medication History, Documentation, and Treatment Planning(p. 65)
• Incorporating a Macrolevel Approach(p. 66)
• A Person-in-Environment Approach to Assessment(p. 67)
• Special Considerations for a Culturally Sensitive Approach(p. 69)
• Assessment and Medications With Minority Populations(p. 71)
• Taking a Medication History(p. 74)
• Implementing a Successful Continuance(p. 76)
• Problem-Oriented Recording(p. 77)
• Documentation Skills(p. 81)
• Summary and Conclusions(p. 83)
• Part II Prescription and Nonprescription Medications, Herbal Preparations, and Special Populations
• 5 Prescription and Nonprescription Medications: What Every Social Worker Should Know(p. 87)
• Drugs, Pharmaceuticals, and Medications: Legal and Illegal(p. 87)
• Drug Classification Schedules(p. 88)
• Prescription Medications(p. 91)
• Avoiding Prescription Errors(p. 94)
• Black Box Warnings(p. 95)
• Handling the Suicidal Client(p. 96)
• Honoring Confidentiality and When to Take Protective Action(p. 98)
• Prescription Drugs Used Illegally(p. 100)
• Treatment of Substance Abuse or Dependence(p. 104)
• Nonprescription or Over-the-Counter Medications(p. 105)
• Addiction to Over-the-Counter Medications(p. 107)
• Lessons From the Past(p. 109)
• Summary and Conclusions(p. 110)
• 6 Complementary and Alternative Medicine: An Introduction for Social Workers(p. 111)
• The Increased Popularity of Natural Medicine(p. 112)
• Case Example: Using a Natural Remedy(p. 113)
• Choosing Medical Treatments(p. 115)
• Vitamins, Mineral Supplements, and Herbal Remedies(p. 117)
• Issues With Herbal Preparations(p. 119)
• Marijuana for Medical Use(p. 131)
• Case Example: SAM-e(p. 131)
• CAM and Mental illness(p. 132)
• Social Work and CAM(p. 133)
• Summary and Conclusions(p. 134)
• Additional Resources for Complementary and Alternative Medicine(p. 135)
• 7 Special Populations: Medication Use in Children and Adolescents, Older Adults, and Women and Pregnancy(p. 137)
• Children, Adolescents, and Mental Illness(p. 138)
• What Makes Children and Adolescents Unique(p. 138)
• Providing Comprehensive Care to Children and Adolescents(p. 139)
• Assessing Children and Adolescents(p. 141)
• Mental Disorders and Ensuring Cultural Sensitivity(p. 143)
• Children, Adolescents, and Medication(p. 145)
• Special Topics(p. 147)
• Older Adults: Services and Special Needs(p. 155)
• Pregnancy or Women Who Become Pregnant(p. 166)
• Summary and Conclusions(p. 172)
• Part III Mental Health Conditions and Social Work Practice
• 8 Mental Health Disorders and the Treatment of Depression(p. 175)
• Prevalence of Depression(p. 176)
• Case Example: Jean(p. 180)
• Depression: Completing a Comprehensive Assessment(p. 181)
• Medication Intervention for Depression(p. 184)
• Tricyclic Antidepressants and Similar Medications(p. 187)
• Monoamine Oxidase Inhibitors(p. 189)
• Selective Serotonin Reuptake Inhibitors(p. 192)
• Serotonin-Norepinephrine Reuptake Inhibitors(p. 193)
• Drug Interactions(p. 195)
• Antidepressants and the Risk of Suicide(p. 195)
• Alternative and Supportive Interventions: Electroconvulsive Therapy(p. 197)
• Self-Initiated Treatments for Depression(p. 198)
• Special Issue: Depression and the Older Adult(p. 199)
• Direct Social Work Intervention(p. 200)
• Documentation and Treatment Planning(p. 202)
• Summary and Conclusions(p. 205)
• 9 Treatment of Bipolar Disorders(p. 207)
• Bipolar Disorder in Adults, Adolescents, and Children(p. 208)
• The Role of the Social Worker(p. 210)
• Case Example: Michael(p. 212)
• Understanding and Anticipating Mood Episodes(p. 214)
• Bipolar I, Bipolar II, Cyclothymia, and Specified or Unspecified Bipolar Disorder(p. 218)
• Assessment of Bipolar Disorder(p. 222)
• Interventions With Clients Who Have Bipolar Disorders(p. 223)
• Medication Intervention(p. 225)
• Mood Stabilizers: Lithium(p. 226)
• Anticonvulsant Medications(p. 229)
• Antidepressants(p. 232)
• Atypical Antipsychotic Medications(p. 233)
• Psychopharmacotherapy and Social Work Treatment(p. 234)
• Psychosocial Interventions(p. 235)
• Documentation and Treatment Planning(p. 236)
• Supportive Interventions With Bipolar Disorders(p. 237)
• Summary and Conclusions(p. 239)
• 10 Mental Health Disorders and the Treatment of Anxiety and Stress(p. 241)
• Prevalence of Anxiety(p. 241)
• Case Example: Obsessive-Compulsive Disorder(p. 242)
• Controlling Anxiety and Stress: Forming the
• Diagnostic Impression(p. 245)
• The Presentation of Anxious Clients(p. 246)
• Prevalence of Anxiety Disorders(p. 247)
• Panic Disorder(p. 249)
• Phobic Disorders(p. 250)
• Posttraumatic and Acute Stress Disorders(p. 251)
• Generalized Anxiety Disorder(p. 253)
• Interventions for Clients Who Have Anxiety(p. 254)
• Psychopharmacological Assessment Strategy(p. 254)
• Typical Antianxiety Medications(p. 256)
• Atypical Medications(p. 257)
• Antidepressants in the Treatment of Anxiety(p. 258)
• Treating Anxiety: Medications Alone May Not Be Enough(p. 259)
• Psychological Interventions(p. 260)
• Exposure Interventions and Systematic Desensitization(p. 262)
• Intervention and Treatment Planning(p. 263)
• Establishing the Treatment Plan(p. 263)
• Summary and Conclusions(p. 264)
• 11 Schizophrenia and Psychotic Disorders(p. 267)
• Overview and Prevalence of Schizophrenia and Psychotic Disorders(p. 267)
• Case Example: Eva(p. 269)
• Schizophrenia: Forming the Diagnostic Impression(p. 272)
• Intervention With Clients Who Suffer From Psychosis(p. 276)
• Client Systems and Building Support(p. 277)
• History and Development of Antipsychotic Medications(p. 277)
• Traditional or Typical Antipsychotic Medications(p. 279)
• Newer or Nontraditional Antipsychotic Medications(p. 282)
• Antipsychotic Medications Used for Disruptive or Psychotic
• Behaviors(p. 286)
• Documentation and Treatment Planning(p. 286)
• Supportive Interventions With Schizophrenia(p. 289)
• Summary and Conclusions(p. 290)
• Z2. Conclusion: Social Workers as Proactive Professionals(p. 293)
• The Importance of Lifestyle Factors in Mental Health(p. 293)
• The Importance of Psychosocial Interventions(p. 294)
• Respecting Cultural Mores(p. 295)
• Social Work in Behavioral Health(p. 298)
• Summary and Conclusions(p. 300)
• Appendix A Resources and Websites(p. 303)
• Appendix B Sample Assessment for Medication Use(p. 315)
• Appendix C Glossary of Terms(p. 317)
• Appendix D Medication and Herbal Preparation Glossary(p. 331)
• Appendix E Sample Treatment Planners(p. 357)
• References(p. 383)
• Index(p. 417)