SSE – 110 Introduction to Social Welfare and Social Work

1. SSE – 110Introduction to Social Welfare and Social Work Chapter 5 Emotional/Behavioral Problems and Counseling

2. Emotional/Behavioral Problems and Counseling I. A Perspective on Emotional and Behavioral Problems • Read the case scenario on page 140-141. • Everyone, at times, has emotional problems and/or behavioral difficulties. II. Nature and Extent of Emotional and Behavioral Problems • One of every four will experience some mental/emotional problems. • These problems range from depression and anxiety to an eating disorder to suicide ideation.

3. Emotional/Behavioral Problems and Counseling III. What is Mental Illness? • There are lots of terms to describe unusual behavior (weird, crazy, insane, uptight, mad, sick, sicko, etc.). • Models 1. Medical 2. Interactional Model • Medical Model • This model views mental and emotional problems to physical illness. • This model came about to dispel that emotional people are possessed/demons. • Evidence for this model come from studies – genetics influence mental/behavioral disorders.

4. Emotional/Behavioral Problems and Counseling • See pages 144 – 145 APA Categories of Mental/Emotional Problems – DSM 1V – TR. • Interactional Model • 1950’s – Thomas Szasz felt mental illness was a myth – that is does not exist. • Focus on process of everyday social interaction and the effects of labeling. • See page 146 (See Case Example 5.1). • See pages 147 – 150 – How to be Labeled Mentally Ill. • See pages 148 –149 Questioning the Usefulness of the Mental-Illness Concept.

5. Emotional/Behavioral Problems and Counseling IV. Labeling as the Cause of Chronic “Mental Illness” • Once labeled does a label stay with a person life long? • Some people believe we need to over haul how we diagnose people currently. V. Other Issues • *The homeless – 13% of the homeless may suffer with a mental illness. • Deinstitutionalization – 1960’s and 70’s. • Homeless veterans • * Civil Rights

6. Emotional/Behavioral Problems and Counseling • Involuntary confinement of people (T-36). • *Plea of innocent by reasons of insanity. • Hinckley – tried to assassinate Reagan (1981). • *Use of psychotropic drugs. • Valium – Celexa – Zyprexa. • *Manage health care (HMO). • Reduction of benefits and care to clients with mental and emotional problems. • See page 162– 172.

7. Emotional/Behavioral Problems and Counseling VI. Social Structure and Mental Illness • Social Class – poor more likely to be labeled mentally ill. • Urbanization – inner has a higher rate of mental illness. • Age – older adults have more mental illness. • Marital status – single have more mental illness. • Also, people divorced and widowed have more mental illness. • Sex – men and women are equally likely to be treated. • Race – African Americans are more likely to be diagnosed as mentally ill compared to whites. • Combatants in Wars

8. Emotional/Behavioral Problems and Counseling VII. Treatment • Historic treatment of the mentally ill. • First psychiatric hospital was in Williamsburg, VA. • Asylums and total institutions. • Current trends. • Medication • Treatment in community mental health centers. • Therapy / counseling.

9. Emotional/Behavioral Problems and Counseling VIII. Treatment Facilities: Community Mental Health Centers • Community Mental Health Center Act of 1963. • Emphasis on diagnosis and treatment. • Outpatient services. • Partial hospitalization. • Professionals • Today there are only about 100,000 patients in state hospitals compared to 550,000 in 1955.

10. Emotional/Behavioral Problems and Counseling IX. Social Work and Mental Health • Social worker first worked with the mentally ill in 1906. • Now the emphasis is on treating the family and the patient. • More social workers treating the mentally ill than psychiatrists and psychologists. • NASW’s role – see page 180.

11. Emotional/Behavioral Problems and Counseling X. Counseling • How to counsel. • Building a relationship. • Exploring a problem in-depth. • Exploring alternative solutions. • Comprehensive and specialized counseling approaches. • *Rational therapy – Albert Ellis. • Read case example 5.3 on pages 170 – 171.