Clinical Social Work Practice in Behavioral Mental Health Toward Evidence-Based Practice

She is the author of Clinical Social Work Practice in Community Mental Health (1991) and Clinical Social Work Practice in Behavioral Mental Health: A Postmodern Approach to Practice (2^nd edition, 2001; Chinese edition, 2003), and co-author of Interprofessional and Family Discourses: Voices, Knowledge, and Practice (co-authored with Marleen McClelland, 2002).  She has published widely in social work and related social science journals, and has also written book reviews, encyclopedia articles, and book chapters. 

Zvi  D. Gellis is an associate professor and Hartford Geriatrics Social Work Faculty Scholar at the University of Pennsylvania, School of Social Policy & Practice, Philadelphia, Pennsylvania, where he directs the Center for Mental Health and Aging.  Dr. Gellis is a certified trainer in evidence-based Problem Solving Therapy, a cognitive behavioral intervention and he has trained numerous services providers (MSWs, nurses, case managers, community services workers, first responders) over the years in delivery of PST to medically-disabled older adults. Dr. Gellis is a mental health services researcher with key expertise in psychotherapy trials for mental health disorders in older adults. Dr. Gellis’ NIMH-funded research has tested the efficacy of PST for late life depression in home healthcare patients with various chronic medical conditions including cardiovascular disease. Dr. Gellis and co-author Dr. McCracken published a series of state-of-the art mental health curriculum modules that are used in schools of social work across the nation.

Most chapters conclude with “Summary and Deconstruction.”

1. Getting Oriented:  Themes and Contexts

Community Mental Health

Behavioral Health under Managed Care

Scientific Knowledge and Evidence-Based Practice

Definitional Issues

Postmodernism as a Critical Framework

I. A Framework for Practice

2. Historical Context: Changes in Mental Health Policies and Social Work Practice

The Beginnings of Psychiatry in the United States

Nineteenth Century

The Early Years of the Twentieth Century

World War I and its Aftermath

World War II and its Aftermath

Changing Approaches to Mental Health Treatment: 1950—1980

Changes in Mental Health Policies: 1981-2010

Summary and Deconstruction

3. Biopsychosocial Conceptual Framework

Biological Knowledge

Psychological and Psychosocial Knowledge: Theories, Frameworks, and Therapies

Integrating Biological, Psychological, and Social Factors

Summary and Deconstruction

4. The Biopsychosocial Assessment

Components of a Comprehensive Interdisciplinary Assessment

Assessing the Client’s Psychiatric Symptoms

Components of a Written Biopsychosocial Assessment

The Written Biopsychosocial Assessment

Case Review with an Interdisciplinary Planning Team

Summary and Deconstruction

5. Legal and Ethical Issues

Ethical Theories

Involuntary Civil Commitment

Least Restrictive Alternative

Clients’ Rights and Protections

Confidentiality and the Duty to Protect

Documentation and Record Keeping

Summary and Deconstruction

6. Culturally Competent Mental Health Practice

Definitions

Context-Related Concepts 

Cultural Disparities in Mental Health

Cultural Dimensions of Diagnosis, Assessment, and Treatment

Culturally Competent Practice with Specific Cultural Groups

Evidence-Based Practice with Persons of Diverse Cultural Backgrounds

Summary and Deconstruction

7.  Feminist Social Work Practice

Feminist Theoretical Perspectives

Feminist Critique of Psychological Theories

Epidemiological Findings on Gender and Mental Illness

Violence Perpetrated against Women

Summary and Deconstruction

II. Intervention

8. Evidence-Based Practice with Depressed Clients

Major Depressive Disorder

Dysthymic Disorder

Depression in Older Adults

Multiple Risks and Associated Factors

Evidence-Based Practice: Cognitive or Cognitive Behavioral Therapy

Evidence-Based Practice: Interpersonal Therapy

Evidence-Based Practice: Problem Solving Therapy

Medication

Instruments Used to Assess and Monitor Depression

Complementary and Alternative Therapies

Summary and Deconstruction

9. Evidence-Based Practice for Clients with Anxiety Disorders

Anxiety Disorders and Older Adults

Types of Anxiety Disorders

Explanatory Theories

Cognitive-Behavioral Treatment of Anxiety Disorders

Evidence-Based Practice: Cognitive-Behavioral Treatment for Panic Disorder

Case Example: Integrated Methods

Reliable Instruments Used to Assess and Monitor Anxiety

Other Ways of Healing

Medications Used to Treat Anxiety Disorders

Summary and Deconstruction

10. A Framework For Intervention with Persons with Serious Mental Illness

Defining Severe Mental Illness

Relevant Perspectives, Concepts, and Models

Evidence-Based and Empirically Supported Practices

Instruments Used to Assess and Monitor Severe Mental Illness

Summary and Deconstruction

11. Evidence-Based and Best Practices With Adults with Severe Mental Illness in a Community Context

Case Scenario

Recovery Orientation

Case Management and Community-Based Care

Community Support Services and Resources

Summary and Deconstruction

12. Evidence-Based Interventions for Individuals with Severe Mental Illness and Their Families

Evidence-Based Practice: Illness Management and Recovery

Evidence-Based Practice with Family Caregivers

Cognitive Rehabilitation

Summary and Deconstruction

13. Clinical Practice with Persons with Co-Occurring Substance Use and Serious Mental Illness

Terminology

Prevalence

Conceptualization, Assessment and Treatment of Co-Occurring Disorders

Evidence-Based Practices with Clients with Dual Disorders

Conclusion

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