Educational Policy (EP), 2015 Educational Policy and Accreditation Standards discussed in Psychopathology: A Competency-Based Assessment Model for Social Workers, 4th Edition Competency 1 Demonstrate Ethical and Professional Behavior a. Social workers make ethical decisions by applying the See chapter(s): standards of the NASW Code of Ethics and other relevant 3, 5, 6, 7, 8, 10, 14, and 16 laws, regulations, and models for ethical decision-making, as appropriate to context b. Social workers use reflection and self-regulation to manage 1, 2, 3, 4, 5, 13, 15, and 16 personal values and maintain professionalism c. Socialworkersdemonstrateprofessionaldemeanorinbehav- 2, 3, 10, 12, 13, and 16 ior,appearance,andoral/written/electroniccommunication Competency 2 Engage Diversity and Difference in Practice a. Socialworkersapplyandcommunicateunderstandingof See chapter(s): theimplicationsofdiversityanddifferenceinshapinglife 2, 3, 9, 10, 11, 13, and 14 experiencesinpracticeatthemicro,mezzoandmacrolevels b.Socialworkerspresentthemselvesaslearnersandengageclients 7, 12, 15, and 16 (andconstituencies)asexpertsoftheirownexperiences c. Social workers apply self-awareness and self-regulation to 14 manage the influence of personal biases and values in working with diverse clients (and constituencies) Competency 4 Engage in Practice-Informed Research and Research-Informed Practice a.Socialworkersusepracticeexperienceandtheorytoinform See chapter(s): scientific inquiry and research 5, 6, 7, 8, and 14 c.Socialworkersuseandtranslateresearchevidencetoinform 8 and 14 and improve practice and service delivery Competency 5 Engage in Policy Practice a.Socialworkersidentify socialwelfareandeconomicpolicies See chapter(s): at the local, state, and federal levels impact well-being, 2, 7, 13, 14, 15, and 16 service delivery, and access to social services b. Social workers assess how social welfare and economic 8 and 9 policies impact delivery of and access to social services c.Socialworkers apply criticalthinking to analyze,formulate, 2, 8, and 14 and advocate for policies that advance human rights, and social, economic, and environmental justice (Continuedoninsidebackcover) Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. 4 th A Competency-Based Assessment Model for Social Workers Barry University Ellen Whiteside McDonnell School of Social Work Australia (cid:129) Brazil (cid:129) Mexico (cid:129) Singapore (cid:129) United Kingdom (cid:129) United States Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. This is an electronic version of the print textbook. Due to electronic rights restrictions, some third party content may be suppressed. 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TolearnmoreaboutCengageLearningSolutions,visitwww.cengage.com. Purchaseanyofourproductsatyourlocalcollegestoreoratour preferredonlinestorewww.cengagebrain.com. Printed in the United States of America Print Number: 01 Print Year: 2015 Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. Tomybelovedhusband, KennethE.Gray,JD youaremyinspiration. Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). 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C ONTENTS PREFACE xvii ABOUT THE AUTHOR xxv CHAPTER 1 An Introduction to the Competency-Based Assessment Model 1 Introduction 1 The DSM-5: Approaches to the Assessment 4 TheDSM-5DefinitionofMentalIllness 6 HowtheDSM-5IsOrganized 7 ACloserLookatSection II 8 UsingtheDSM-5 9 Refining theDiagnosis 10 The Competency-Based Assessment Model 12 TheBiopsychosocialFramework 12 TheEcologicalPerspective 19 TheStrengthsPerspective 20 SystemsTheory 21 Understanding the Client 24 Summary 28 Competency Notes 30 CHAPTER 2 Neurodevelopmental Disorders 33 Introduction 33 Intellectual Disability (Intellectual Developmental Disorder) 34 PrevailingPattern 35 DifferentialAssessment 35 OtherRelatedDisorders 39 Autism Spectrum Disorder 40 PrevailingPattern 40 DifferentialAssessment 41 Attention-Deficit/Hyperactivity Disorder 48 PrevailingPattern 49 DifferentialAssessment 49 Other Neurodevelopmental Disorders 54 Communication Disorders 55 v Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it. vi CONTENTS Motor Disorders 60 Summary 61 PractitionersReflections 62 Activities 62 Competency Notes 63 CHAPTER 3 Schizophrenia Spectrum and Other Psychotic Disorders 66 Introduction 66 Schizophrenia 70 TheRoleofDopamine 73 KeyFeaturesDefiningtheSchizophrenia Spectrum 74 CulturalConsiderations 78 PrevailingPattern 80 DifferentialAssessment 80 Catatonia as a Specifier and as a Disorder 89 The Impact of Schizophrenia: Suicide, Depression, and Substance Use 91 Delusional Disorder 92 PrevailingPattern 93 DifferentialAssessment 93 Brief Psychotic Disorder 96 PrevailingPattern 96 DifferentialAssessment 96 Schizophreniform Disorder 97 PrevailingPattern 98 DifferentialAssessment 98 Schizoaffective Disorder 100 PrevailingPattern 100 DifferentialAssessment 100 Other Disorders of Diagnostic Importance 104 Substance/Medication-InducedPsychoticDisorder 104 PsychoticDisorderDuetoAnotherMedicalCondition 104 OtherSpecifiedSchizophrenia SpectrumandOtherPsychoticDisorder 104 UnspecifiedSchizophrenia SpectrumandOtherPsychoticDisorder 105 Summary 105 PractitionersReflections 106 Activities 106 Competency Notes 107 CHAPTER 4 Bipolar and Related Disorders 111 Introduction 111 Bipolar Disorders 112 PrevailingPattern 114 VariationsofBipolarDisorder 114 BipolarDisorderSpecifiers 115 Copyright 2016 Cengage Learning. 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CONTENTS vii Cyclothymic Disorder 121 PrevailingPattern 121 DifferentialAssessment 122 Other Bipolar and Related Disorders 123 Substance/Medication-InducedBipolarandRelatedDisorder 123 BipolarandRelatedDisorderDuetoAnotherMedicalCondition 124 OtherSpecifiedBipolarandRelatedDisorder 124 UnspecifiedBipolarandRelatedDisorder 124 Summary 124 PractitionersReflections 126 Activities 126 Competency Notes 127 CHAPTER 5 Depressive Disorders 129 Introduction 129 Disruptive Mood Dysregulation Disorder 129 PrevailingPattern 130 DifferentialAssessment 130 Major Depressive Disorder 133 PrevailingPattern 134 DifferentialAssessment 134 Persistent Depressive Disorder (Dysthymia) 144 PrevailingPattern 144 DifferentialAssessment 144 The Minor Depressive Disorders 148 PremenstrualDysphoricDisorder 148 Substance/Medication-InducedDepressiveDisorder 149 DepressiveDisorderDuetoAnotherMedicalCondition 149 OtherSpecifiedandUnspecifiedDepressiveDisorders 150 Complications Associated with Major Depressive Disorders 150 Medications Commonly Associated with the Depressive Disorders 154 Summary 156 PractitionersReflections 157 Activities 157 Competency Notes 158 CHAPTER 6 Anxiety Disorders 161 Introduction 161 Separation Anxiety Disorder 162 PrevailingPattern 163 DifferentialAssessment 163 Selective Mutism 166 PrevailingPattern 166 DifferentialAssessment 166 Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s). Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.