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SYLLABUS REHS 6375.01 PSYCHIATRIC REHABILITATION Spring 2016 INSTRUCTOR: Eva Miller, Ph.D., C.R.C. CLASSROOM: HSHS-West Room 1.140 (Section 01) SBS - Room 117 (Section 02) OFFICE OF INSTRUCTOR: HEALTH SCIENCES AND HUMAN SERVICES BULIDING WEST- 1.132 TELEPHONE: (956) 665-5270 E-MAIL ADDRESS: [email protected] OFFICE HOURS: Tuesdays: 3:00 p.m. - 4:30 p.m. And by Appointment REQUIRED TEXTBOOKS: American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders-5 (5th ed.). Washington, DC: Author. ISBN-10: 0890425558 ISBN-13: 978-0890425558 American Psychological Association (2010). Publication Manual of the American Psychological Association (6th Ed. Washington, DC: Author. [ISBN: 978-1-4338-0561-5] COURSE DESCRIPTION: The purpose of this course is to introduce the basic concepts of abnormal psychology and to facilitate understanding of the principles of psychiatric rehabilitation as it relates to working with individuals with mental disorders. The course is also designed to teach students specific concepts, skills, and competencies required to differentiate between normal human growth and development and abnormal human behavior and symptoms using the DSM-5. Topics to be covered include DSM-5 disorders; components of abnormal psychology, including models of psychological abnormality and symptoms and etiology of mental illness; assessment of persons with mental disorders, psychopharmacology; principles of psychiatric rehabilitation; and application of psychiatric rehabilitation principles and methodologies. REHS 6375 PSYCHIATRIC REHABILITATION Spring 2016 COURSE OBJECTIVES 1. 2. 3. 4. To develop an understanding of the concept of abnormal psychology. To become familiar with methods of assessment of persons with mental disorders. To develop knowledge regarding diagnostic approaches using the DSM-5. To acquire the knowledge and skills required to understand and diagnosis mental disorders using the DSM-5. 5. To develop an understanding of psychiatric rehabilitation principles, methodologies, and approaches and how they apply to the rehabilitation process. 6. To recognize clients who demonstrate psychological problems (e.g., depression and suicidal ideation) and making referrals when appropriate. 7. To acquire knowledge about psychotropic medications. 8. To demonstrate understanding of ethical and legal issues in working with persons with mental disorders. 9. To increase understanding of multicultural, spiritual, age, and gender issues as they apply to the psychiatric rehabilitation process. 10. To increase awareness of attitudinal and environmental barriers that can affect persons with psychiatric disabilities and their impact on the rehabilitation counseling process. 11. To demonstrate the skills required to develop individualized rehabilitation counseling treatment plans. Commission on Rehabilitation Education Standards: C.5.2 Mental Health Counseling: C.5.2.a. Recognize individuals with a disability who demonstrate psychological or mental health-related problems and make appropriate referrals; C.5.2.b. Analyze diagnostic and assessment information (e.g., vocational and educational tests, records and psychological and medical data) and communicate this information to the consumer; and C.5.2.c. Explain and utilize standard diagnostic classification systems for mental health conditions within the limits of the role and responsibilities of the rehabilitation counselor. C.10.8 Psychiatric Rehabilitation: C.10.8.a. Identify and recommend treatment options that facilitate recovery and successful rehabilitation outcomes. 2 REHS 6375 PSYCHIATRIC REHABILITATION Spring 2016 COURSE REQUIRMENTS: 1. 13 Quizzes: (260 points or 20 Points Each). Quiz formats will consist of multiple-choice, and case scenarios. For the case scenarios portion of the quizzes, students will be provided with case scenarios in which they will be required to provide DSM- 5 diagnostic impressions for each case. See sample (below) for an example of how to document diagnostic impressions. Students will be allowed to use the DSM-5 for all quizzes. Students will have 30 minutes at the beginning of each class to complete each quiz. The following is an example of the required documentation for all quizzes: Sample Format for Diagnostic Impressions: Diagnosis I: F60.3 Borderline Personality Disorder Diagnosis II: F34.1 Persistent Depressive Disorder, With Melancholic Features, Late Onset, With Intermittent Major Depressive Episodes, With Current Episode Severe Other Conditions That May Be a Focus of Clinical Attention: Z60.0: Phase of Life Problem (daughter left for college) Z63.0: Relationship Distress With Spouse or Intimate Partner Medical Conditions: Diabetes, HTN 2. PowerPoint Presentation (80 Points): Students are required to select a mental disorder from the DSM-5. Presentations must include a definition of the disorder, suggested etiologies and potential courses of the disorder, types of assessments to diagnose the disorder, suggested treatment modalities, and rehabilitation and counseling implications of the disorder (e.g., psychosocial, medical, economic, vocational, and independent living implications). Presentations must be approximately 60 slides in length. Font sizes should be no smaller than a 22 point font . All DSM-5 presentation topics must be pre-approved by the instructor (in writing) no later than April 7. A minimum of 25 peer reviewed references will be required. References must be included within the PP slides and in a separate “Reference” section at the end of the presentation. References must be cited using the American Psychological Association Manual format. Reputable Internet (e.g., National Institute of Mental Health) references may be used but will not count toward the 25 required references. 3. Treatment Plan (25 Points): Students will select a client case of their choice that entails at least one (1) mental disorder. NOTE: There are many cases that can be found on the Internet. Cases must include a thoroughly documented clinical presentation of the client (e.g., current and prior psychiatric symptoms, developmental history, medical history, psychosocial information, family history, legal history, educational and vocational information, and substance abuse history). 3 REHS 6375 PSYCHIATRIC REHABILITATION Spring 2016 3. Treatment Plan (continued): Students will develop a basic rehabilitation counseling treatment plan that includes the following: 1. Three (3) treatment/counseling goals (one of which must be educational, vocational, or independent living in nature) designed to address the mental disorder/psychiatric disability. 2. Nine (9) evidence-based objectives (3 objectives for each goal) to accompany each goal, which include specific counseling approaches that will be utilized to meet treatment goals (e.g., CBT, reality therapy, and supportive/person-centered therapy to reduce symptoms of depression). 3. One (1) typed, double-spaced page to justify the chosen goals and objectives to include a description of the anticipated counseling outcomes. GRADING SCALE: The total number of possible points for this course is 365. A- 329 - 365 Points B- 292 – 328 Points C- 256 - 291 Points F- Below 256 Points LATE ASSIGNMENTS: Late assignments will not be accepted without prior consent of the instructor (i.e., prior to the beginning of the class in which the assignment is due). Points will be deducted for all late assignments and students may lose up to one letter grade per day for each late assignment. Students are expected to attend and arrive on time for all classes, to return on time from breaks, and to stay for the entire class period. Make-up work is not allowed in this class. 4 REHS 6375 PSYCHIATRIC REHABILITATION Spring 2016 ACCOMMODATIONS: If you have a documented disability (physical, psychological, learning, or other disability which affects your academic performance) and would like to receive academic accommodations, please inform your instructor and contact Student Accessibility Services to schedule an appointment to initiate services. It is recommended that you schedule an appointment with Student Accessibility Services before classes start. However, accommodations can be provided at any time. Brownsville Campus: Student Accessibility Services is located in Cortez Hall Room 129 and can be contacted by phone at (956) 882-7374 (Voice) or via email at [email protected]. Edinburg Campus: Student Accessibility Services is located in 108 University Center and can be contacted by phone at (956) 665-7005 (Voice), (956) 665-3840 (Fax), or via email at [email protected]. MANDATORY COURSE EVALUATION PERIOD: Students are required to complete an ONLINE evaluation of this course, accessed through your UTRGV account (http://my.utrgv.edu); you will be contacted through email with further instructions. Online evaluations will be available April 13 through May 4. Students who complete their evaluations will have priority access to their grades. 5 REHS 6375 PSYCHIATRIC REHABILITATION Spring 2016 CLASS SCHEDULE: REHS 6375 This schedule is tentative. Additional assignments and schedule changes will be announced in class. All class handouts are located on Bb Learn. DATE TOPIC READINGS January 19 Overview of Syllabus & Course Requirements DSM Clinical Case Studies Manual Syllabus Case Manual January 26 DSM-5 Classification Introduction to DSM-5 Conditions that may be a Focus of Clinical Attention Neurodevelopmental Disorders Case Study 1: Daddy’s Little Space Cadet DSM xiii-xliv DSM 5-29 DSM 715-727 DSM. 31-86 Case Manual 2 February 2 Quiz 1 Schizophrenia Spectrum & Other Psychotic Disorders Case Study 2: A Young Woman With a Confusing Presentation Case Study 3: Victim of Love February 9 February 16 February 23 March 1 DSM 87-122 Case Manual 3-4 Case Manual 5 Quiz 2 Bipolar and Related Disorders Case Study 4: A Young Woman on an Emotional Roller Coaster DSM 123-154 Case Manual 6 Quiz 3 Depressive Disorders Case Study 5: A Woman Whose Dead Parents Keep Telling Her to Kill Herself DSM 155-188 Case manual 8-9 Quiz 4 Anxiety Disorders Obsessive-Compulsive and Related Disorders Case Study 6: A Young Man Who is Scared to Leave the House DSM 189-233 DSM 235-264 Case Manual 10 Quiz 5 Trauma-and Stressor-Related Disorders Dissociative Disorders Case Study 7: The Wreck of a Pretty Strong Man Case Study 8: A Small Boy With a Long and Complicated History Case Study 9: Would-Be Multiple Personality Disorder 6 DSM 265-290 DSM 291-307 Case Manual 11 Case Manual 12-13 Case Manual 14 REHS 6375 PSYCHIATRIC REHABILITATION Spring 2016 DATE TOPIC READINGS March 8 Quiz 6 Somatic Symptom and Related Disorders Feeding and Eating Disorders Case Study 10: A Woman With Spells Case Study 11: A Young Woman Who Can’t Stop Eating DSM309-327 DSM 329-354 Case Manual 15 Case Manual 16-17 March 15 Spring Break (no class) March 22 Quiz 7 Elimination Disorders Sleep-Wake Disorders DSM 355-360 DSM 361-422 Quiz 8 Sexual Dysfunctions Gender Dysphoria Case Study12 : We Live Like Brother and Sister DSM 423-450 DSM 451-459 Case Manual 18 March 29 April 5 April 12 April 19 April 26 Quiz 9 Disruptive, Impulse-Control, and Conduct Disorders Substance-Related and Addictive Disorders Case Study 13: A Young Boy With Serious Behavioral Problems Case Study 14: A College Student Who Denies he has a Drug Problem Pre-Approval for PP Presentations Due DSM 461-480 DSM 481-589 Case Manual 19-20 Case Manual 21-22 Quiz 10 Neurocognitive Disorders Case Study 15: An Elderly Man Whose Wife Can No Longer Care for Him DSM 591-643 Case Manual 23 Quiz 11 Personality Disorders Case Study 16: A Man Who Prefers to Be Alone Case Study 17: A Woman With an Unstable Life Treatment Plans Due DSM 645-684 Case Manual 24 Case Manual 25-26 Quiz 12 Paraphilic Disorders Medication-Induced Movement Disorders Overview of Psychotropic Medications PP Presentations Due DSM 685-705 DSM 709-714 PowerPoint Handout 7 REHS 6375 PSYCHIATRIC REHABILITATION Spring 2016 DATE TOPIC READINGS May 3 Quiz 13 None May 10 Course Overview None 8