Mental Health Social Work Practice in Canada

Mental Health Social Work Practice in Canada is a concise yet comprehensive introduction to the nature of mental health issues and the legal and policy framework within which treatment is provided. Written by leading experts in the field, this highly readable text teaches students about the evidence-based social work practices that will best help individuals and families living with mental health challenges. This third edition has been fully updated to reflect recent research and legislation, and includes new coverage of the impacts of social media, the legalization of cannabis, medical assistance in dying, and the effects of the COVID-19 pandemic on the health care system.

Cheryl Regehr, Vice-President and Provost, University of Toronto,Graham Glancy, Director and Associate Professor, Division of Forensic Psychiatry, University of Toronto

Cheryl Regehr is the vice-president and provost of the University of Toronto. She is a professor in the Factor-Inwentash Faculty of Social Work with cross-appointments to the Faculty of Law and the Institute for Medical Sciences at the University of Toronto. Previously she was dean of Social Work
and director of the Research Institute for Evidence-Based Social Work and the Centre of Excellence for Child Welfare. In addition, she has been a member of several editorial boards for international scholarly journals and of committees adjudicating grants for national granting councils. Her practice
background includes 20 years of direct service in forensic social work and emergency mental health and in the administration of mental health programs. As a forensic social worker, she specialized in workplace trauma interventions and civil litigation and criminal court assessments of trauma victims
and violent offenders. Her current research uses experimental design methods to examine factors influencing

social work assessments of suicide risk, and qualitative studies addressing the impact of video evidence of violent crime and archival work on professionals.

Graham Glancy is a Founder of Forensic Psychiatry in Canada and is past-president of the American Academy of Psychiatry and the Law. He is an associate professor of Psychiatry, director of Forensic Psychiatry, and an adjunct professor in the Faculty of Law at the University of Toronto, and an
assistant clinical professor at McMaster University. His clinical work involves consultation with the legal and medical community, correctional facilities, and private companies. In his previous role as chief of the Forensic Service at the Clarke Institute of Psychiatry (now the Centre for Addiction
and Mental Health), he was instrumental in developing and running the Sex Offender Treatment Program and the Relapse Prevention Group. He was also director of the post-graduate Psychiatry program at the Clarke Institute. He is a past-president of the

Canadian Academy of Psychiatry and the Law and was on a team to develop the first Canadian examination for certification in Forensic Psychiatry. In 2000, he was awarded the Bruno Cormier Award for outstanding contribution to Forensic Psychiatry.

Preface
Chapter 1
Learning Objectives
The Role of Social Work in Mental Health
An Ethical Framework for Social Work in Mental Health
A Recovery Model for Mental Health and Social Work Values
Psychiatric Medications and Social Work Practice
Evidence-Based Social Work: An Ethical Responsibility?
Multiple Levels of Influence: A Social Work Perspective in Mental Health Practice
Impacts of Mental Health Practice on Social Workers: Rewards, Challenges, and Mitigation
Summary
Discussion Questions
Suggested Readings and Websites
Chapter 2
Learning Objectives
Background
Health Policy in Canada
Mental Health Policy in Canada: History and Reform
Summary
Discussion Questions
Suggested Readings and Websites
Chapter 3
Learning Objectives
Case Example
Mental Health Law
Consent to Psychiatric Treatment
Elements of Consent to Treatment
Advanced Directives
Substitute Decision-Makers
Community Treatment Orders
Protection of Financial Security
The Duty to Warn and Protect
Mental Health Records
Possible Social Work Interventions in the Case Example
Summary
Discussion Questions
Suggested Readings and Websites
Legislation
Chapter 4
Learning Objectives
Assessment within a Cultural Context
Sex and Gender in Assessment
Mental Health Across the Life Span
Social Work Assessment
Mental Status Examinations
The Diagnostic and Statistical Manual
Summary
Discussion Questions
Suggested Readings and Websites
Chapter 5
Learning Objectives
Case Example 1
Case Example 2
Case Example 3
Case Example 4
Suicide
Incidence and Prevalence
Suicide Among Indigenous People in Canada
Factors Contributing to Suicide
Self-Harm Behaviour
Assessment of Suicide Risk
Ethical and Legal Duties in Working with Suicidal Clients
The Impact of Suicide on Family and Friends
Interventions
Crisis Intervention with Acute Suicide Risk
Possible Social Work Interventions in the Case Examples
Summary
Discussion Questions
Suggested Readings and Websites
Chapter 6
Learning Objectives
Case Example 1
Case Example 2
The Nature and Prevalence of Trauma Reactions
Types of Trauma Response
Intersections between Grief and Trauma
Interventions to Support Resilience and Recovery
Possible Social Work Interventions in the Case Examples
Summary
Discussion Questions
Suggested Readings and Websites
Chapter 7
Learning Objectives
Case Example
The Nature of Schizophrenia
Incidence and Prevalence of Schizophrenia
Factors Contributing to the Development of Schizophrenia
Course of Illness
Symptoms and Challenges
Other Related Psychotic Disorders
The Recovery Model and Schizophrenia
Psychosocial Interventions That Promote Recovery
Pharmacological Interventions as Part of Recovery
Possible Social Work Interventions in the Case Example
Summary
Discussion Questions
Suggested Readings and Websites
Chapter 8
Learning Objectives
Case Example 1
Case Example 2
Case Example 3
The Nature of Depression and Mania
Incidence and Prevalence
Factors Contributing to Disturbances in Mood
Course and Symptoms of Depression and Mania
The Recovery Model and Mood Disturbances
Psychosocial Interventions That Promote Recovery
Pharmacological and Medical Interventions as Part of Recovery in Depression
Psychopharmacological Treatment of Mania and Bipolar Disorder
Possible Social Work Interventions in the Case Examples
Summary
Discussion Questions
Suggested Readings and Websites
Chapter 9
Learning Objectives
Case Example 1
Case Example 2
The Nature of Anxiety
Incidence and Prevalence
Causes of Anxiety
Symptoms and Types of Anxiety Disorders
The Recovery Model and Anxiety
Psychosocial Interventions That Promote Recovery from Anxiety
Pharmacological Interventions That Promote Recovery from Anxiety
Possible Social Work Interventions in the Case Examples
Summary
Discussion Questions
Suggested Readings and Websites
Chapter 10
Learning Objectives
Case Example 1
Case Example 2
Case Example 3
The Nature of Neurocognitive Disorders
Incidence and Prevalence
Factors Contributing to Delirium
Factors Contributing to Traumatic Brain Injury
Factors Contributing to Progressive Neurocognitive Disorders
The Course of Progressive Neurocognitive Disorders
Special Issues for Family Members Caring for Relatives with Neurocognitive Disorders
Special Issues Regarding Older People with Neurocognitive Disorders
Recovery-Oriented Approaches to the Treatment of Delirium
Recovery-Oriented Psychosocial Interventions for Traumatic Brain Injury
Recovery-Oriented Interventions for Progressive Neurocognitive Disorders
Possible Social Work Interventions in the Case Examples
Summary
Discussion Questions
Suggested Readings and Websites
Chapter 11
Learning Objectives
Case Example 1
Case Example 2
Case Example 3
The Nature of Substance-Related Disorders
Incidence and Prevalence
The Association between Substance Use Disorders and Other Mental Health Problems
Factors Contributing to Substance Use Disorders
Drugs of Abuse
Screening for Substance Use
Canada's Anti-Drug Strategy
Harm-Reduction Interventions to Assist with Recovery
Other Recovery-Oriented Psychosocial Interventions
Pharmacological and Medical Approaches to Support Recovery from Substance Use Disorders
Possible Social Work Interventions in the Case Examples
Summary
Discussion Questions
Suggested Readings and Websites
Chapter 12
Learning Objectives
Case Example 1
Case Example 2
The Nature of Personality Disturbance
Incidence and Prevalence
Factors Contributing to Personality Disturbance
Types of Personality Disturbance
Recovery-Oriented Psychosocial Approaches to Intervention
Pharmacological Interventions
Possible Social Work Interventions in the Case Examples
Summary
Discussion Questions
Suggested Readings and Websites
Glossary
References
Index