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Caseworkers’ Roles in Mental Health Assessments

  1. { Caseworkers’ Roles in Mental Health Assessments Christine Tirado, MSHS May 27, 2015
  2. Who Do We Serve?
  3. Statistics  Depression  About 31 percent of Americans in poverty say they have at some point been diagnosed with _________ compared with 15.8 percent of those not in poverty.  PTSD  ________ affects 3.5% of the U.S. adult population— about 7.7 million Americans and about 37% of those cases are classified as severe.  Domestic Violence:  1 in 3 Women & 1 in 10 Men will experience _________in their lifetime, 63% of homeless women have been victims of ___________.  Anxiety  An estimated 40 million adults in the U.S., or 18%, have ___________.  Bipolar Disorder  Every year, 2.9% of the U.S. population is diagnosed with ________, with nearly 83% of cases being classified as severe.  Suicide:  _______ is the 10th leading cause of death in the US for all ages.  There is one ______ for every estimated 25 _____attempts.
  4. The Importance of Assessments
  5. What Do Case Managers Do?  Assess the initial problem  Explore clients’ backgrounds in areas such as education, relationships, work history & legal history  Co-Construct plans with clients to address their current needs  Help clients identify strengths and utilize their natural supports.  Utilize observations to collaborate with other service providers & natural supports CASE MANAGERS ARE FRONTLINE STAFF!
  6. Mental Status Exam An exam that describes observations of the way a client thinks, acts, talks, and looks. Informal MSE’s can be done to assess: Thinking process Feeling state Behavior Understand the way the person functions emotionally and cognitively Enable case worker to communicate effectively with mental health providers
  7. DSM -5  Non-axial System  Axis I, II, III: Mental Health, Personality D/O, Medical  Axis IV: psychosocial & environmental problems  Axis V: Disability (GAF)  Get familiar with symptoms of common mental health diagnoses
  8. Recommendations  To Increase Communication/Interviewing Skills Try:  Motivational Interviewing  Cognitive Behavioral Therapy (CBT) Techniques  To Improve with Goal Setting try:  Stages of Change  To increase Suicide Prevention Skills try:  Question, Persuade, Refer (Q.P.R) Contact: DHMAS Connecticut Clearing House Connecticut Women’s Consortium REGIONAL (RECOVERY) NETWORK OF PROGRAMS
  9. References American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA, American Psychiatric Association, 2013. Combs, H. Mental Status Exam. Retrieved May 6, 2015 from Cox, J.L., Holden, J.M. and Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782-786. National Alliance on Mental Illness (2015). Mental Health Conditions. Retrieved on March 24, 2015 from Conditions SAMHSA-HRSA Center For Integrated Health Solutions. Retrieved May 6, 2015 from Summers, N. (2012). Fundamentals of Case Management Practice: Skills for the Human Services. (5th Ed), (pp.43-65) Belmont, CA: Brooks/Cole Wood, J. (2012). Survey Finds Depression Twice as Common Among the Poor. Psych Central. Retrieved on March 24, 2015, from depression-twice-as-common-among-the-poor/46942.html