Clinical case management for people with mental illness : a biopsychosocial vulnerability-stress model

271 Pages·2013·4.826 MB·English

by  Wong, Daniel Fu Keung

F,
Clinical Case
Mental Illness
3«L
A Biopsychosocial
Vulnerability-Stress Model
Daniel Fu Keung Wong
Daniel Fu Kenn g Wong, PhD
Clinical Case
Management for People
with Mental Illness
A Biopsychosocial
Vulnerability-Stress Model
%
Pre-publication
REVIEWS,
COMMENTARIES,
EVALUATIONS . . .
//HPhis text defines case management //T^Vr. Wong provides readers with
A comprehensively and clearly iden­ mJ practical and useful information
tifies the functions of the case manager, regarding the treatment and manage­
including assessment, service planning, ment of people with serious mental ill­
linkage, advocacy, therapy, monitoring nesses. He incorporates compassion
of services, and evaluation. A biopsy­
and offers concrete examples for how
chosocial vulnerability-stress perspec­
to effectively help these patients. He
tive of clinical case management and
carefully explains the biospychosocial
the case examples throughout the text
model, making it useful to the reader as
help the reader gain knowledge on in­
tegrating the case management theory a means of conceptualizing treatment
in clinical practice. The book also in­ interventions for these often difficult-
cludes important chapters on the assess­ to-treat patients. This book is a valuable
ment of and interventions with families, resource for clinicians."
and on crisis intervention with suicidal
clients." Jean S. Gearon, PhD
Clinical Associate Professor of Psychiatry,
Teresa W. Steele, PhD Division of Community Psychiatry,
Dean, School of Health, Husson College University of Maryland School of Medicine
&JL L i-
More pre-publication
REVIEWS, COMMENTARIES, EVALUATIONS . . .
y/Tt is refreshing to read Dr. Wong's
1 book on clinical case manage­
ment. His is not a single-minded ap­
proach. Instead, he surveys the best of
the past thirty years of practice and sci­
entific research in community support
services and reduces this massive liter­
ature to a biopsychosocial vulnerabil-
ity-strcss model. His concepts and the­
ories are concisely delivered. Thus, in
any instructional environment his
ideas can be used as points of depar­
ture for further in-depth discussion.
Wong is particularly good at de­
scribing and illustrating a cognitive-be-
havioral, clinical perspective. More­
over, he slides a strengths approach, a
biological/medication perspective, and
a social and family model neatly along­
side cognitive-behavioral theory. His style
of writing will prove helpful to beginning
case managers and social workers who
need introductory clinical theory and skills
to complement routine coordination and
linking tasks."
Jerry Floersch, PhD, LISW
Associate Professor,
Mattdel School of Applied Social Sciences,
Case Western Reserve University
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Clinical Case
Management for People
with Mental Illness
A Biopsychosocial
Vulnerability-Stress Model
HAWORTH Social Work in Health Care
Gary Rosenberg and Andrew Wiessman
Editors
A Guide to Creative Group Programming in the Psychiatric Day Hospital
by Lois E. Passi
Social Work in Geriatric Home Health Care: The Blending of Traditional
Practice with Cooperative Strategies by Lucillc Roscngartcn
Health Care and Empowerment Practice in the Black Community:
Knowledge, Skills, and Collectivism by Sadye L. Logan and Edilh
M. Freeman
Clinical Case Management for People with Mental Illness:
A Vulnerahility-Stress Model by Daniel Fu Keung Wong
The Social Work—Medicine Relationship: 100 Years at Mount Sinai
by Helen Rehr and Gary Rosenberg
Clinical Case
Management for People
with Mental Illness
A Biopsychosocial
Vulnerability-Stress Model
Daniel Fu Keung Wong, PhD
lì Routledge
Taylor & Francis Group
LONDON AND NEW YORK
First published 2006 by The Haworth Press, Inc
Published 2013 by Routledge
2 Park Square, Milton Park, Abingdon, Oxon 0X14 4RN
711 Third Avenue, New York, NY 10017, USA
Routledge is an imprint of the Taylor & Francis Group, an informa business
© 2006 by The Haworth Press. Inc. All rights reserved. No part of this work may be reproduced or
utilized in any form or by any means, electronic or mcchanical, including photocopying, microfilm,
and recording, or by any information storage and retrieval system, without permission in writing
from the publisher.
Identities and circumstances of individuals discussed in this book have been changed to protect
confidentiality.
Cover design by Kerry E. Mack.
Library of Congress Cataloging-in-Publication Data
Wong, Daniel Fu Keung.
Clinical case management for people with mental illness : a biopsychosocial vulnerability-
stress model / Daniel Fu Keung Wong,
p. cm.
Includes bibliographical references and index.
ISBN-13: 978-0-7890-2854-9 (he. : alk. paper)
ISBN-10: 0-7890-2854-9 (he. : alk. paper)
ISBN-13: 978-0-7890-2855-6 (pbk. : alk. paper)
ISBN-10: 0-7890-2855-7 (pbk. : alk. paper)
1. Psychiatric social work. 2. Mental health services. 3. Mentally ill—Services for. I. Title.
[DNLM: 1. Social Work, Psychiatric—methods—Case Reports. 2. Case Management—Case
Reports. 3. Community Mental Health Services— Case Reports. 4. Mental Disorders—
diagnosis—Case Reports. 5. Mental Disorders—therapy—Case Reports.
WM 30.5 W872c 2006]
H V689.W65 2006
362.2'0425—dc22
2005012481
CONTENTS
Foreword ix
Preface xi
Chapter 1. Clinical Case Management: An Overview 1
Introduction 1
Mental Health Services in Hong Kong: A Critical Review 1
Roles and Functions of Mental Health Workers:
A Clinical Case Management Perspective 11
Chapter 2. Theoretical Framework of Clinical Case
Management: A Biopsychosocial Vulnerability-Stress
Perspective 25
Introduction 25
Biopsychosocial Perspective 27
Biopsychosocial Theories and Approaches for Treating
Mental Illness 30
Conclusion 44
Chapter 3. Psychiatric Assessment 47
Introduction 47
Models of Assessment 47
Biopsychosocial Vulnerability-Stress Model
of Psychiatric Assessment 56
Microskills in Assessment 67
Case Illustration 69
Chapter 4. Depression 73
Introduction 73
Assessing a Person with Depression 74
Case Illustration 91
Chapter 5. Anxiety Disorders 95
Introduction 95
Nature of Anxiety 95
Assessing a Person with Anxiety Problems 96
Case Illustration 116
Chapter 6. Schizophrenia 121
Introduction 121
Assessment 122
Areas of Assessment and Intervention 124
Guidelines for Working with Persons with Schizophrenia 145
Relapse Prevention 147
Case Illustration 148
Chapter 7. Personality Disorders 153
Introduction 153
Assessment 155
Interventions 164
Guidelines for Working with Persons
with Personality Disorders 168
Case Illustration 169
Chapter 8. Working with Families 173
Introduction 173
Understanding the Roles and Reactions of Family Members 174
Major Perspectives on Working with Families of Persons
Suffering from Serious Mental Illness 180
Guidelines for Working with Families
of Mentally 111 Persons 191
Case Illustration 193
Chapter 9. Handling Psychiatric Emergencies 197
Introduction 197
Issues and Services Regarding Psychiatric Emergencies 198
Therapeutic Functions of Psychiatric Crisis 201
Critical Decisions in Psychiatric Emergencies 202