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Competency-Based Assessments in Mental Health Practice: Cases and Practical Applications

ISBN: 978-0-470-50528-1
480 pages
January 2011
Competency-Based Assessments in Mental Health Practice: Cases and Practical Applications (0470505281) cover image
"Competency-Based Assessments in Mental Health Practice should be required reading for all clinical practitioners and students. Author Susan W. Gray provides a competency-based assessment model that moves away from looking at mental illness as a 'disease' to capturing people's strengths and the uniqueness of their experience with mental illness."
—Alex Gitterma
Zachs Professor and Director of PhD Program

"Competency-Based Assessment in Mental Health Practice not only describes the rather cumbersome DSM-IV-TR® in a manner that graduate students and clinicians can easily understand and apply, but it also presents a competency-based type of clinical assessment that most effectively integrates the social work practice orientation that acknowledges, appreciates, and nurtures client strengths, resilience, and client ability for empowerment."
—Agathi Glezakos, PhD, LCSW
School of Social Work
California State University, Long Beach

A competency-based assessment model integrating
DSM classifications for a complete, strengths-based diagnosis

Competency-Based Assessments in Mental Health Practice introduces a unique, competency-based assessment that presents a brief overview of the major mental disorders that practitioners will likely encounter in their work with clients, followed by a series of case studies and practical applications.

This book provides valuable guidance for clinicians to make assessments grounded in client strengths and possibilities for a more therapeutically complete picture of every client's "story."

Organized around selected diagnostic categories from the DSM-IV-TR, this hands-on guide offers a multidimensional look at the many factors that play a role in a client's life. Its holistic approach to the assessment process considers each client's unique experience with mental illness, through a concurrent evaluation of strengths and pathology, in order to set the stage for realistic optimism about the potential for change.

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Preface.

Acknowledgments.

About the Author.

1 An Introduction to the Competency-Based Assessment.

Perspectives on the Assessment.

Overview of the Diagnostic and Statistical Manual of Mental Disorders.

Setting the Stage for Competency-Based Assessments.

The Competency-Based Assessment.

The Partnership with Strengths, Empowerment and Resilience.

Summary.

2 Formulating the Competency-Based Assessment Process: Some Basics.

Introduction.

Understanding the Case Studies.

Formulating the Competency-Based Assessment.

The Competency-based Assessment.

Formulating the Competency-Based Assessment.

The Competency-Based Assessment for Agnes Absinthe.

Assessment Guidelines.

Summary.

3 Disorders in Infancy, Childhood, or Adolescence.

Introduction.

Overview of the Major Characteristics of the Diagnostic Classifications.

Incidence and Prevalence.

The Pervasive Developmental Disorders.

Beginning With Autistic Disorder.

Autistic Disorder.

Beginning With Asperger’s Disorder.

Asperger's Disorder.

The Attention Deficit and Disruptive Behavior Disorders.

Attention-Deficit/Hyperactivity Disorder.

Tic Disorders.

The Elimination Disorders.

Other Disorders.

Beginning With Selective  Mutism.

Separation Anxiety.

Final Thoughts.

Practicing the Competency-Based Assessment.

Practical Applications.

Appendix: Competency-Based Assessments for Chapter 3 Case Examples: Listing of Case Diagnoses.

Case Review for Anthony Moretti.

Case Review for Paulie Merkel.

4 The Cognitive Disorders: Delirium and Dementia.

Introduction.

Incidence and Prevalence.

Overview of the Major Characteristics of the Diagnostic Classifications.

Delirium.

Beginning With Dementia.

Dementia.

Beginning With Amnestic Disorder (Amnesia).

Amnestic Disorder.

Final Thoughts.

Practicing the Competency-Based Assessment.

Practical Applications.

Appendix: Competency-Based Assessments for Chapter 4 Case Examples: Listing of Case Diagnoses.

Case Review for Myrna Joy Bilbus.

Case Review for Mary James.

5 The Substance-Related Disorders.

Introduction.

Incidence and Prevalence.

Overview of the Major Characteristics of the Diagnostic Classifications.

Adding Diagnostic Specificity.

Looking at the Specific Substances.

Final Thoughts.

Practicing the Competency-Based Assessment.

Practical Applications.

Appendix: Competency-Based Assessments for Chapter 5 Case Examples: Listing of Case Diagnoses.

Case Rewiew for Georgette Turnbull.

Case Review for Frankie Singer.

6 Schizophrenia and Other Psychotic Disorders.

Introduction.

Incidence and Prevalence.

Overview of Major Symptoms.

The Path of Schizophrenia.

Paranoid-Type Schizophrenia.

Disorganized-Type Schizophrenia.

Catatonic-Type Schizophrenia.

Undifferentiated-Type Schizophrenia.

Residual-Type Schizophrenia.

The Other Psychotic Disorders.

Final Thoughts.

Practicing the Competency-Based Assessment.

Practical Applications.

Appendix: Competency-Based Assessments for Chapter 6 Case Examples: Listing of Case Diagnoses.

Case Review for John Potter.

Case Review for Hubert Estevez.

7 The Mood Disorders.

Introduction.

Incidence and Prevalence.

Building Blocks for the Mood Disorders.

The Depressive Disorders.

The Bipolar Disorders.

The Other Mood Disorders.

Final Thoughts.

Practicing the Competency-Based Assessment.

Practical Applications.

Appendix: Competency-Based Assessments for Chapter 7 Case Examples: Listing of Case Diagnoses.

Case Review for L.C. Jones.

Case Review for Marilyn Greene.

8 Anxiety Disorders.

Introduction.

Incidence and Prevalence.

Overview of the Major Characteristics of the Diagnostic Classifications.

Generalized Anxiety Disorder.

Panic Disorder.

The Phobias.

Obsessive-Compulsive Disorder.

Posttraumatic Stress Disorder.

Final Thoughts.

Practicing the Competency-Based Assessment.

Practical Applications.

Appendix: Competency-Based Assessments for Chapter 8 Case Examples: Listing of Case Diagnoses.

Case Review for Marybeth Mc Kenna.

Case Review Tom Donohue.

9 Somatoform, Factitious and Malingering Disorders.

Introduction.

Incidence and Prevalence.

Overview of the Major Characteristics of the Diagnostic Classifications.

Somatization Disorder.

Conversion Disorder.

Pain Disorder.

Hypochondriasis.

Body Dysmorphic Disorder.

Somatoform Disorder Not Otherwise Specified (NOS).

Related Disorders Causing Somatic Complaints: Malingering and Factitious Disorder.

Final Thoughts.

Practicing the Competency-based Assessment.

Practical Applications.

Appendix: Competency-Based Assessments for Chapter 9 Case Examples: Listing of Case Diagnoses.

Case Review for James LaDuke.

Case Review for June Dwyer.

10 The Dissociative Disorders.

Introduction.

Incidence and Prevalence.

Overview of the Major Characteristics of the Dissociative Disorders.

The Dissociative Disorders.

Final Thoughts.

Practicing the Competency-Based Assessment.

Practical Applications.

Appendix: Competency-Based Assessments for Chapter 10 Case Examples: Listing of Case Diagnoses.

Case Review for Christopher Columbo.

Case Review for Illeana Rodriquez.

11 Eating Disorders.

Introduction.

Incidence and Prevalence.

Overview of Major Symptoms.

Anorexia Nervosa.

Bulimia Nervosa.

Binge-Eating Disorder.

Final Thoughts.

Practicing the Competency-based Assessment.

Practical Applications.

Appendix: Competency-Based Assessments for Chapter 11 Case Examples: Listing of Case Diagnoses.

Case Review for Nell Jordan.

Case Review for Caroline Walker.

12 The Personality Disorders.

Introduction.

Incidence and Prevalence.

Overview of the Major Characteristics of the Personality Disorders.

The Cluster A Disorders—Odd and Eccentric.

The Cluster B Disorders—Emotional, Dramatic or Erratic.

The Cluster C Disorders—Anxious, Fearful.

Final Thoughts.

Practicing the Competency-Based Assessment.

Practical Applications.

Appendix: Competency-Based Assessments for Chapter 12 Case Examples: Listing of Case Diagnoses.

Case Review for Melvin Myers.

Case Review for Denise McMinville.

References.

Author Index.

Subject Index.

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Susan W. Gray, PhD, EdD, LCSW, is a Professor in the School of Social Work at Barry University and was a member of the task force responsible for creating the Advanced Practice in Clinical Social Work Standards for the Council on Social Work Education (CSWE).
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"Competency-Based Assessments in Mental Health Practice should be required reading for all clinical practitioners and students. Author Susan Gray provides a competency-based assessment model that moves away from looking at mental illness as a "disease" to capturing people's strengths and the uniqueness of their experience with mental illness."
Alex Gitterman, Zachs Professor and Director of Ph.D. Program University of Connecticut School of Social Work

"Competency-Based Assessment in Mental Health Practice not only describes the rather cumbersome DSM-IV in a manner that graduate students and clinicians can easily understand and apply, but it also presents a competency-based type of clinical assessment that most effectively integrates the social work practice orientation that acknowledges, appreciates, and nurtures client strengths, resilience, and client ability for empowerment."
Agathi Glezakos, PhD, LCSW, School of Social Work, California State University, Long Beach

See More
Competency-Based Assessments in Mental Health Practice should be required reading for all clinical practitioners and students. Author Susan Gray provides a competency-based assessment model that moves away from looking at mental illness as a “disease” to capturing people’s strengths and the uniqueness of their experience with mental illness. 

Alex Gitterman

Zachs Professor and Director of Ph.D. Program

University of Connecticut School of Social Work

 

Competency-Based Assessment in Mental Health Practice not only describes the rather cumbersome DSM-IV in a manner that graduate students and clinicians can easily understand and apply, but it also presents a competency-based type of clinical assessment that most effectively integrates the social work practice orientation that acknowledges, appreciates, and nurtures client strengths, resilience, and client ability for empowerment. 

Agathi Glezakos, PhD, LCSW

School of Social Work

California State University, Long Beach

 

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