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The Individual, Health and Society: SWK 4420 Associate Professor Rosemary Sheehan & Dr Ralph Hampson Subject enquiries: firstname.lastname@example.org email@example.com. Workshop timetable. SWK 4420 The Individual, Health and Society - Texts. Grbich, Carol (Ed) (2004)
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Associate Professor Rosemary Sheehan & Dr Ralph Hampson
Grbich, Carol (Ed) (2004)
Health in Australia : sociological concepts and issues(3rd ed.),
Pritchard, Colin (2005)
Mental Health Social Work [electronic resource] London : Routledge.
Available via World Wide Web - access via Monash library (internet resource).
Unit guide refers to:
Meadows, Graham and Singh, Bruce (Eds) (2006)
Mental health in Australia : collaborative community practice (2nd ed.)
Oxford University Press, Melbourne.
Bloch, S and Singh, B (2006)
Foundations of Clinical Psychiatry(2nd ed)
Melbourne University Press, Melbourne
Alston, M and McKinnon, J (Eds) (2005)
Social Work: Fields of Practice - Second Edition.
Oxford University Press, Melbourne
- It provides a detailed analysis of social work practice.
(Adapted from Owen and Lennie, 1992)
General Practice (usually in Private Practice) and Primary Health – Allied Health and Community Health
General Hospital Care - Private and Public
Specialist Services e.g. nursing homes, transplant services, mental healthLevels of Service Delivery
Health is shaped by:
Sociological lens –
Taken from Austin Health promotion – The Well Wisher
Olivia Newton John Cancer Center Appeal Spring 2007
[Ref: Johnson, L J; Grant, G (2005) Medical Social Work Pearson, New York]
(Ref: AIHW: Singh & de Looper 2002)
Believed to result from two main factors:
New perspectives on migrant and refugee health (Gbrich, 2004:119)
– mediated by age and responsibilities – dual responsibilities of women and increased burden
Blinkers – what are some you can think of?
DVD – Bringing Them Home
Trauma refers to situations where a person is confronted with situations that exceed and overwhelm their coping capacity. These situations threaten the physical and psychological integrity of the person and cause an intense reaction of horror. Typically there is a significant impact on at least immediate functioning, if not long term, involving distress and disturbance and, for some, disorder.
Harms,L (2005) Understanding Human Development: A Multidisciplinary Approach, OUP, 146
[Tedischi & Calhoun (1995)]
[Meadows & Singh, 2001:124]
Assessment – here and now focus – avoid dealing with long term issues – safety and security
Planning – concentrate on the immediate – “This turns the crisis from an unstructured, frightening and bewildering situation into something manageable”(p40).
Intervention – calmness, listening, in touch with self – use of resources and systems – advocacy – awareness of culture, hope and confidence
Termination – clarify what will happen next – write it down
[Truswell, S et al (1988) In the Eye of the Storm: Crisis Intervention in Hospital Aust Social Work, March, V41,No1:38-43]
What is ageism?
(AIHW, 2000, 2003)
Walker, C (1999) Health Issues, V59, pp 10-13
When I was diagnosed with breast cancer, I got my affairs in order and left money in my will to care for the cat. Well the cat’s dead; I’ve stopped cleaning out of my cupboards and I wish I hadn’t given away my Zeppelin collection.
Walker, C (1999:10-13)
State Disability Plan - Vision
Social Work Practice
Influences on changing attitudes
“I believe that the best drug prevention program in the world is a responsible parent sitting down with their children and talking with them about drugs.” PM John Howard
What makes an evidence based practitioner?
(Macquarie Dictionary, 1991)
Ethics and Social Work
A mother brings her 9 year old child to the child and adolescent clinic because of behavioural problems. The child’s parents are divorced but retain joint custody of the child. The child needs help. The mother says the father would object if he knew the child was coming to the clinic. Should you tell the father about your contact with the child?
Kim (42 years) and Mary (39 years) live with their two children, Henry (15 years) and Crystal (10 years) in a Housing Trust apartment. Kim’s mother Mrs Lim (68 years) lives there with them. Kim is devastated as he has been diagnosed with cancer. Mary has been referred to the hospital social worker because she wants to understand how to help her husband and children and she would like to know what the options are.
Sanjay has recurring bouts of depression which need treatment with anti-depressants. He has in the past said he “wants to end it all”.
As his social worker you see him and he tells you he has stoped his medication to use herbal mixtures which is more usual in his culture.
He asks you what you think and asks you not repeat this conversation. Should you respect his wishes?
Write down what your responses would be and what the issues are.
Mental health is the embodiment of social, emotional and spiritual wellbeing. Mental health provides individuals with the vitality necessary for active living, to achieve goals and to interact with one another in ways that are respectful and just. (VicHealth 1999)
A psychiatric disorder is a psychological “syndrome” (or pattern) that is associated with distress (unpleasant symptoms) or dysfunction (impairment in one or more important areas of functioning) or with an increased risk of death, pain or disability. (Bloch and Singh 2004)
What is mental illness?
(Baker: The Social Work Dictionary, NASW, 1995)
Mental Health Act (Victoria) 1986
1. Affective Disorders
2. Anxiety and Somatoform Disorders
3. Schizophrenic Disorders including Psychotic
4. Personality Disorders
5. Organic Disorder (for example, Alzheimer’s Disease)
Psychoses most encountered by social work:
Margaret and her husband Michael, both aged 34 years, suffered from folie à deux as they both shared similar persecutory delusions.
They believed certain persons were entering their house, spreading dust and fluff and "wearing down their shoes".
Both had, in addition, other symptoms supporting a diagnosis of paranoid psychosis which could be made independently in either case.
Recognised trigger factors:
(a) the person appears to be mentally ill;
(b) the person requires immediate in-patient psychiatric treatment;
(c) the person’s health or safety is at risk, or members of the public require protection from this person;
(d) the person cannot receive adequate treatment in a less restrictive way.