Résumé

This workshop will center attention on the longstanding and forever-intertwined relationship between (clinical) social work and psychiatry. Amongst helping / healthcare professionals, social workers and psychiatrists have a distinct and symbiotic relationship; in large part fomented by clinical training, scopes of practice, licensure, and independence (at least in U.S. settings). Given contemporary best practice standards in both professions, mandates by healthcare organizations, and the complexities of clinical cases and clients, more alliance needs to be promoted in education and training settings. With that, social work has an even greater mandate to foreground social justice in psychiatric prevention, treatment, and recovery. An interprofessional as well as transdisciplinary framework will provided as a platform to discuss progressive best practices and clinical standards. Diverse cases will be offered from contemporary practice in the largest psychiatric and forensic system in the world, parallel to cases from community-based settings, in California, USA.Objectives:Consider critical assumptions, ethics, and roles in interprofessional practice Identify main tenets of each professionals' roles, responsibilities, and accountabilityDefine transdisciplinary healthcare practiceReview assessment and case formulation within an interprofessional frameworkConstruct intersectionally diverse and affirmative action / treatment plans

Mots clés (séparés par des virgules)

Interprofessional practice, psychiatry, team medicine, clinical social work

Résumé

The development of intimate relationships contributes to promoting mental health and are also a crucial aspect of a person's identity. However, within psychiatric wards, intimate relationships, and interpersonal interactions of individuals with mental disorders are often disregarded, posing multiple barriers to their support systems, reintegration into social life, and the path towards recovery. Such oversight may also contravene CRPD.The personal interactions, intimate relationships, and even sexual autonomy of individuals with mental disorders within the ward remain largely unexplored. There are no explicit regulations in Mental Health Act or hospital evaluations in Taiwan that address these aspects. The management approach towards intimate relationships relies solely on the regulations of individual institutions. Therefore, this study employs an in-depth qualitative approach to interview individuals with experience of staying in psychiatric wards and apply the framework of relational autonomy theory for analysis. This study also provides insights of the influences caused by the patients’ family, medical staffs and other close relations.\ This study reveals that individuals with mental disorders still have a need to develop intimate relationships. However, the illness itself and the attitudes of family members may hinder the development of such relationships. Moreover, various constraints within the ward impede the development of both inpatient and outpatient intimate relationships. These constraints include restrictions on communication, visitation, privacy, and the attitudes of staff members. It is necessary to establish clinical guidelines for psychological and physical intimacy in psychiatric wards.

Mots clés (séparés par des virgules)

mental disorder, psychiatric wards, relational autonomy, CRPD, Mental Health Act

Résumé

The burden of mental illness in China is substantial, with a significant impact on individuals and society, both economically and socially. However, access to professional mental health care remains limited, particularly due to low mental health literacy, stigma, and a preference for informal treatment sources. While the Chinese government has sought to improve mental health services, there is a need to understand barriers and and attitudes towards seeking help to address the treatment gap and improve mental healthcare in China. This presentation shares findings from a community-based research study conducted in Shanghai, China that examined public attitudes and preferences for formal versus informal care and how these varied based on mental health diagnosis. A structural model showed that 69% of the respondents endorsed professional help. Male respondents had a lower endorsement rate for individuals diagnosed with substance use, compared to PTSD, suicide, or schizophrenia. Female respondents showed a higher endorsement rate on formal care for schizophrenia compared to PTSD or depression. A third (34%) of respondents endorsed engaging health care, whereas 46% of the respondents endorsed mental health care, with helping-seeking attitudes and age being significant covariates. These findings have important implications for mental health care in China. The study highlights the influence of gender and the type of diagnosis on attitudes toward formal care, with lower approval for substance use among males and higher endorsement for schizophrenia among females. Attitudes toward help-seeking are influenced by various factors, including age, education, and mental health literacy. It is crucial to address the barriers and stigma that hinder access to mental health care in China, particularly among certain demographic groups, and to promote positive attitudes toward seeking professional help.\ 

Mots clés (séparés par des virgules)

mental health, stigma, pathways to care, service utilization, gender, China\ 

Résumé

Solution-focused brief therapy (SFBT) is a strengths-based, intervention that was developed by social workers in the early 1980s and is now practiced globally within school social work, mental health, child and family services, and other communities-based settings. This paper reports findings from a systematic review and meta-analyses that examined how effective the number and types of SFBT techniques are for outcomes, such as depression, anxiety, behavioral health, health, family functioning, and psychosocial outcomes.\ MethodOnly SFBT studies that contain participants of adolescents, adults, or families, conducted in community services, using an RCT design, focusing on any behavioral health, health, family functioning, or psychosocial outcomes were included. This study followed the Cochrane recommendations. Data analysis included 28 studies from 33 publications, where 340 effect sizes were calculated and included for meta-regression.Results:All studies were conducted in community services and included racialized and diverse clientele. Subgroup analysis for specific outcome domains revealed that SFBT was statistically significant with medium treatment effects for depression outcomes, g = 0.652, 95% CI: 0.146 – 1.116, p = 0.017, behavioral health function, g = 0.573, 95% CI: 0.216 – 0.930, p \< 0.01, family function,\ g = 0.615, 95% CI: 0.097 – 1.130, p = 0.026, and psychosocial adjustment, g = 0.410, 95% CI: 0.001 – 0.820, p = 0.049. Results show how to use of SFBT in practice by demonstrating that three or more techniques were needed to achieve results, and that it is more effective to use change techniques across different categories ( i.e.,collaborative relationships, strengths and resources, and future-orientation).ConclusionSFBT is an effective intervention in outpatient, community-based mental health for diverse adolescent and adult populations who have depression, behavioral health, and family functioning challenges, and in psychosocial adjustment. This study has practice implications for how to \ efficaciously practice SFBT in community services.\ \ \ 

Mots clés (séparés par des virgules)

Social work practice, mental health, solution focused brief therapy\