[Episode 40] Today’s podcast is the get-go of 3 interviews with Kia J. Bentley on psychopharmacotherapy. Kia J. Bentley is Professor of social piece of work at Virginia Commonwealth University inwards Richmond Virginia as well as has published extensively inwards the surface area of psychopharmacotherapy (see references below). Psychopharmacotherapy refers to the handling of psychiatric disorders with the exercise of medication. But, equally Kia pointed out inwards our interview, psychopharmacotherapy is non just close giving people medication as well as calling it a day. It is an approach to handling that acknowledges the strengths as well as limitations of medications.In today's podcast, nosotros talked close why social workers should endure familiar with psychopharmacotherapy, legal as well as ethical limitations of social workers discussing medications with clients, some challenges social workers powerfulness have got with agency policy around medications, as well as the piece of work of social workers on a handling team. The minute interview focuses on best practices for referring clients for psychiatric medications, resources for social workers interested inwards learning to a greater extent than close psychopharmacotherapy as well as how social workers tin think critically close psychopharmacotherapy for both adults as well as children. In the 3rd interview, Kia talks close a recent qualitative enquiry written report she did to explore the pregnant that medication had for residents inwards a psychiatric facility.
Download MP3 [23:21]Today's interview was recorded using Skype. This is because Kia was inwards Richmond, VA as well as I was inwards Pittsburgh, PA. There are some pops as well as hisses, but non plenty to detract from the lineament of the interview. If you lot have got questions or comments for Kia or me, delight leave of absence your comments below as well as we'll acquire dorsum to you.
About Kia J. Bentley, Ph.D.
Dr. Bentley is a tenured Professor as well as Director of the Ph.D. Program at the School of Social Work at Virginia Commonwealth University where she has taught since 1989. She publishes, presents as well as teaches social piece of work practise inwards mental health, especially serving people with severe mental affliction as well as is involved inwards several community-based enquiry projects. One enquiry projection concerns the pregnant of as well as impact of taking psychiatric medication, inwards partnership with Gateway Homes, a residential handling facility for adults with serious mental illness. You tin hear to a greater extent than close that projection inwards our 3rd interview. Another inwards collaboration with colleague Sarah Kye Price, is a written report of decision-making close psychiatric medication with pregnant as well as postpartum women.
She is the erstwhile chair of Central State Hospital’s Human Rights Committee, a nation psychiatric facility inwards Petersburg, Virginia, the erstwhile Chair of the Virginia Mental Health Planning Council, as well as served 6 years on the Board of Virginia’s chapter of the advocacy arrangement the National Alliance on Mental Illness (NAMI). She has been active with the Council on Social Work Education for many years, currently serving equally consulting editor of the Journal of Social Work Education as well as was i of final year’s winners of the “Reviewer of the Year Award.” She is an active as well as enthusiastic site see chair as well as accreditation consultant. In the past times she has served on their Commission on the Role & Status of Women for 6 years as well as their Commission on Accreditation for three.
Transcript
[2:23]
Jonathan Singer: Kia, thank you lot so much for existence hither as well as the get-go query that I desire to inquire is existent basically, what is psychopharmacotherapy?
[2:33]
Kia Bentley: That’s basically a term referring to the exercise of what they telephone telephone psychoactive medication inwards the management of whatever form of emotional, or behavioral, or psychiatric concern or issue, as well as the term psychoactive is meant to truly refer to medications that target cognition, thinking, as well as emotion inwards the encephalon basically. So, psychopharmacotherapy refers to sort of the therapeutic exercise of those drugs inwards helping people address those kinds of concerns.
[3:09]
Jonathan Singer: Social workers aren’t trained inwards truly the anatomy as well as physiology similar doctors are as well as nurse practitioners, as well as so I approximate i of the questions powerfulness endure why should social workers endure educated close medications?
[3:24]
Kia Bentley: Well, I think that their teaching around psychopharmacology shouldn’t just endure close medications. But the underlying premise of your query is why should social workers know to a greater extent than close medications, their use, as well as the respond is inwards monastic enjoin to endure improve social workers. And what I hateful past times improve is to a greater extent than responsive to the real-life concerns of existent life clients as well as essentially to endure to a greater extent than compassionate, to empathize the experience of their clients to a greater extent than fully so they tin sort of to a greater extent than fully participate inwards the problem-solving procedure with clients, as well as non just clients past times the way, but with families as well as providers. So, inwards monastic enjoin to endure a improve partner, you lot know sort of embracing that partnership model of practise where you lot think of practitioners equally sharing knowledge, sharing expertise, that’s all close existence to a greater extent than responsive as well as to a greater extent than compassionate. And similar nosotros know that the exercise of medications is, you lot know, a huge piece of work of specially mental wellness handling but sure inwards people all, inwards all fields of practice, social workers come upward into contact as well as piece of work with people that are taking psychiatric medications or may demand to be, portion the alternative of taking medications, so nosotros improve know close that if we’re truly going to endure groovy social workers.
[4:49]
Jonathan Singer: So what you’re maxim is that social workers piece of work with clients who are taking medications equally piece of work of their therapeutic regimen as well as if nosotros don’t know close them as well as so we’re non truly doing our job. Did I acquire that?
[4:58]
Kia Bentley: That’s right, that’s totally right. And not, they may non just endure taking them they may be, I mean, taking them may endure an alternative they demand to endure exposed to. So social workers are going to come upward into play, come upward into contact with people who aren’t taking medications, but may demand equally piece of work of the sort of the problem-solving procedure equally you’re looking at services options, or handling options, some settings nosotros would exercise that term, as well as social workers should endure inwards the piece of work of letting people know that this alternative exists.
[5:29]
Jonathan Singer: So, it’s non just close a social worker agreement what form of medication their customer is on. You’re maxim that it goes beyond that, it’s truly agreement that medication is a possibility for some clients as well as to endure able to beak with them close that inwards an informed way is just equally an of import piece of work equally knowing what those medications powerfulness do.
[5:55]
Kia Bentley: That’s precisely right, you lot know, I think I brand the declaration inwards lots of places that yes they demand to know the dissimilar classes of medications, as well as their names, as well as their basic affects, their basic side effects, as well as just so they tin participate to a greater extent than fully with clients, families, as well as providers. But also, they demand to know sort of social work-related things, similar what I, psychoeducation, they demand to know close teaching people close medication, they demand to know close how to assist people deal their medications on all of these dissimilar levels, psychological levels or physical levels, they demand to endure able to develop maybe behavioral interventions to assist with adherence if in that location are some issues around adherence inwards some cases. So, it’s non just knowing close medications, it’s sort of applying your basic social piece of work skills that you lot would exercise for other kinds of issues to the medication related dilemmas of clients, so the social worker is non maxim “oh, excuse me, you lot just mentioned medications, halt I can’t beak to you lot close medications because, you lot know, I don’t”, when the kinds of skills that are called for inwards damage of occupation solving as well as reflective listening, as well as empathetic listening, that those sort of skills that social workers have got need, can, should, ought to endure applied to people, clients that are taking medication as well as have got dilemmas, as well as nosotros know they do.
[7:16]
Jonathan Singer: I think that’s a truly interesting province of affairs that you lot just brought up, a scenario where a social worker powerfulness say, “oh, you lot just mentioned Zyprexa, I’m non a doctor, I can’t beak with you lot close that”. There’s a query inwards in that location which is, are in that location limits that are placed on social workers when discussing medications with clients? So, for example, are in that location legal or ethical issues that social workers should endure aware of when discussing medications or psychopharmacotherapy with clients?
[7:46]
Kia Bentley: Well, in that location is i author, Jill Littrell, who argued inwards a groovy article i fourth dimension close psychologists, should psychologists essentially shut-up close medications. She came to the conclusion that; no, the exact contrary powerfulness endure true. We powerfulness nether an ethical or legal obligation to truly beak close these issues with clients because of sort of the informed consent, you lot know, the value of informed consent maxim that nosotros have got an obligation to beak to clients about, sort of what nosotros know close inwards damage of, you lot know, what sorts of choices they’re making. So, no. Basically no. Obviously nosotros don’t practise medicine, so we’re non recommending medications; inwards fact, the ethical number would be, how create you lot beak to people close medication without coercing people into that, which would endure antithetical to social work. So, I have got the seat that nosotros cannot endure cheerleaders as well as advocates for medication nor should nosotros endure sort of nay-sayers as well as ignore sort of the story of peoples, many people’s lives who have got had a groovy experience as well as a life changing experience with medication, just inwards the same way nosotros can’t ignore the negative experience specially around side effects that many people have got had. So, our obligation equally social workers is to exercise what nosotros know inwards existence sort of a, i time again an advocate for what the customer wants as well as an advocate for occupation solving as well as determination making that takes the big moving painting into account, or all aspects of dissimilar situations.
[9:24]
Jonathan Singer: Let’s say I was working with a woman raise as well as her boy as well as the mom said, “well, you lot know, my kids bouncing off the walls, things are getting worse”, as well as I say, you lot know, this sounds similar something you lot powerfulness desire to beak to a psychiatrist close or your main attention provider to have got an assessment for possibilities for medications because I empathize that in that location are medications out in that location that powerfulness endure useful, but I’m non a provider, I’m non a medical provider so I can’t beak to you lot close them, but I create know that some kids have got been helped past times medications. Is..
[9:58]
Kia Bentley: Well the get-go affair is, correct when you lot were telling that story Jonathan, you lot said this woman raise came to you lot or something as well as said I have got this identify unit of measurement fellow member that’s on this drug as well as you lot right away said good I can’t beak to you lot close that, good of class you lot could beak to them close that, you lot could be, correct then, you lot could’ve used your reflective listening skills as well as had pity for her as well as drawn her out close what are her concerns as well as what are her feelings, as well as how are they mixed, as well as in that location was a groovy chance correct in that location to encompass that number equally i that’s amenable to social piece of work practice. And a groovy a groovy social worker would know a footling flake close that medication as well as would inwards fact endure able to portion or whip out some books that he or she powerfulness have got on the tabular array that discusses that medication or plough to her or his bookshelf as well as force out a majority that powerfulness endure a personal occupation organization human relationship of someone who’s struggled or used that medication. So, yeah, I think that that form of affair would game as well as and so of class as well as so talking to the someone close the prescriber, the human relationship with the prescriber, how comfortable they experience calling the prescriber, is in that location whatever piece of work that they encounter the social worker playing inwards connecting to that prescriber.
[11:14]
Jonathan Singer: Ok, so that’s truly interesting because I know that inwards my preparation i of the things that I was told was to rattling chop-chop allow people know I’m non a doctor, I’m non a nurse practitioner, I don’t know anything about, you lot know, I have got no preparation inwards medications, so hither is my express reach of what I tin beak to you lot about. And it sounds similar what you’re maxim is starting out the conversation similar that tin truly endure limiting the vast amount of assist that I could render to a customer past times using my social piece of work skills as well as drawing them out, as well as having them tell stories, and…
[11:52]
Kia Bentley: Exactly
[11:53]
Jonathan Singer: Ok, at nowadays let’s say in that location was a social worker that was working inwards an agency similar I was, where they said that’s non your job, your task is say instance management or therapy, as well as nosotros have got psychiatrists to create that other thing. What form of advice would you lot give to a social worker inwards that setting who has agency constraints around what the agency is telling them with regards to medication?
[12:22]
Kia Bentley: Well that sure goes beyond this detail topic, I hateful nosotros e'er acquire students hither at the schoolhouse specially who say my agency won’t allow us create this as well as my agency won’t allow us create that, as well as sort of the indictment on our professional person judgment as well as clinical autonomy is non good. But I approximate inwards damage of concrete what would I recommend is, I would recommend a frank give-and-take with the staff of close what are the roles that non-medical providers tin play inwards their agency because it’s sure non just social workers that tin play roles, as well as what are the roles that the quote “medical providers” play. And I think you’ll encounter that the roles that social workers tin play inwards damage of helping clients as well as families communicate with prescribers, helping them to address some concrete issues around managing side effects inwards uncomplicated ways, sure non complex, for example, interactions or recommending sure types of medication, sure dosage as well as all of that, that’s beyond what a social worker, that’s blurring roles if you lot start getting into stuff, that’s non clarifying roles, but blurring roles. So, I think a goodness give-and-take as well as you lot know maxim these are the roles that social workers tin play. Here are the roles that social workers as well as nurses, for example, tin play inwards damage of education. Here’s some roles that social workers as well as others tin play inwards damage of building, maybe if adherence is an issue, edifice adherence. Here’s groups that social workers tin facilitate around the pregnant of medication, as well as here’s some other groups that social workers tin facilitate around, you lot know, maybe sort of an educational grouping around novel developments inwards medication. I’m working with an agency correct at nowadays to develop sort of a majority social club at this residential facility that where clients as well as staff are going to read a majority together close medication as well as beak close it. Just to give a yoke of quick examples of things that social workers tin do, but as well as so articulating what is the piece of work nosotros tin play given our expertise as well as our experience as well as what the roles clearly are non ours to play, as well as that’s where nosotros should endure improve collaborating with physicians as well as other prescribers.
[14:54]
Jonathan Singer: I truly similar that thought of a majority social club that’s a wonderful idea; did you lot come upward up with that?
[15:01]
Kia Bentley: Yes, I, we, in that location was, I think I did truly come upward up with that one, but I was working with an agency, you lot know, I did this qualitative written report with the residents there, 21 folks, as well as what nosotros did basically was create a typology of meaning, vii dissimilar dimensions of meaning, as well as impact that taking psychiatric medications had. And as well as so later nosotros created these vii sort of dimensions of meaning, nosotros looked at the results as well as and so generated I think 12 dissimilar initiatives that nosotros could follow-up at this agency to sort of give greater phonation to the experience of people with medications, as well as i of the ideas was to have got a majority club, as well as I’m trying to think here, I’ll have got it inwards a second, the scream of the majority that we’re, it’s a groovy majority past times a human being who’s struggled with depression as well as he’s written several books, his scream is David Carp. And the scream of the majority is, Is it me or my medication? And so, the innovation is for, you lot know how a lot of people, universities as well as others are doing majority clubs. But why non have got a majority social club where the staff of a mental wellness agency, as well as the residents or the clients, are reading a majority together, as well as it’s close medication as well as sharing that.
[16:22]
Jonathan Singer: Talk close a groovy way to bring down the gap [Yeah] betwixt the quote-on-quote “provider” as well as the quote-on-quote “consumer”, I think that’s fabulous.
[16:32]
Kia Bentley: Well hopefully that’s what contemporary social piece of work is all about, is striving to create that. As you lot know, contemporary approaches to social work, the strengths perspective, the empowerment practice, the partnership model, all dissimilar sort of ways of phrasing different, of maxim that’s precisely what nosotros demand to create is to endure to a greater extent than authentic, as well as genuine, as well as sharing our knowledge as well as skills, piece clients as well as families portion their knowledge as well as skills as well as experience with us.
[16:59]
Jonathan Singer: One of the damage that you’ve used a yoke of times is adherence, as well as I’m wondering if you lot could define it for folks who powerfulness non endure familiar with that term?
[17:08]
Kia Bentley: Well, the term adherence is a health, you lot know, I approximate a wellness term referring to how closely someone who has been given wellness instructions or at to the lowest degree adherence inwards healthcare sticks to what they’re, sticks to what’s suggested. For example, as well as so the other, the term that was rejected inwards recent years was sort of compliance, because it implied sort of passivity, as well as so the term adherence was sort of chosen to, at to the lowest degree it’s the i I chose, as well as other people exercise adherence too.
[17:45]
Jonathan Singer: It sounds similar it reflects the thought that the someone who’s taking the medication or who at to the lowest degree has been recommended to have got the medication is an active player inwards this procedure rather than an inert someone who.
[18:01]
Kia Bentley: Exactly, exactly, as well as I’m sensitive to this number around adherence because a lot of the literature when I get-go tried to acquire a grant to written report the pregnant as well as impact of taking medication some 10 or 12 years ago, they pregnant NIH, I hateful truly was pushing me to say, “well, why create you lot demand to empathize the pregnant of medication?” And, you lot know, if you lot tin necktie it to increased compliance, as well as so you’re to a greater extent than probable to acquire your funding as well as I rejected the notion. I just didn’t desire to purchase inwards that the ground that social workers or anyone should empathize pregnant so those clients would comply better, I hateful the sort of underlying lack of self-determination as well as lack of customer impairment nether that was non right, as well as so I just declined to create it, or create it inwards a way that was you lot know it was softer. And that yes, in that location are people out in that location who desire to adhere improve to their medications, as well as equally social workers I think nosotros have got some knowledge as well as skills that tin assist people who desire to adhere improve to their medications. But I am non close teaching social workers anything close medications inwards monastic enjoin to acquire them to acquire their clients to human activity correct as well as so that’s, so I’m sensitive to, close that number of adherence. Yes, I think that social workers tin play a piece of work inwards increasing adherence, but no I think I needs to endure inwards partnership with clients as well as families, as well as that’s a footling flake of a dissimilar seat I think than some.
[19:32]
Jonathan Singer: And it sounds similar it truly fits inwards with what you lot were maxim before close partnership as well as empowerment [Right] to say, you lot know, if this is something you lot desire as well as it’s available [Yes], as well as so I volition sure assist you lot as well as advocate for this, as well as if it’s something you lot don’t desire as well as so I volition endure hither as well as assist you lot navigate for you lot inwards that, you lot know.
[19:54]
Kia Bentley: Alright, allow me continue talking because that’s a groovy example. I create think a partnership model is equally folks at the University of Kansas have got talked about, you lot know, is non just a customer says jump as well as you lot jump. You know, it’s non similar the customer says I don’t desire to have got my medication, you lot know, I experience bad with it as well as you lot become ok give thank you lot you rattling much. I hateful a truthful partnership is close the social worker sharing, you lot know, “Well listen, my knowledge of you lot Jonathan is here’s what happens inside 2 days of your going off your medication, or if you’re flushing your medication downwards the toilet.” You know, so these things powerfulness occur. And also, these things have got occurred inwards other clients. However, on the other hand, you lot know, maybe if whatever, I’m just maxim that you lot can, a partnership way that you lot create portion data as well as that there’s sort of your regard for a client, I beak a lot close this when I’m teaching, your regard, as well as your caring, as well as your pity for customer shouldn’t endure contingent on whether or non they’re quote acting correct or they’re electrical charge or adherent to their medication. You are with the customer inwards whatever they create upward one's hear as well as with them pregnant helping them to figure out sort of the consequences. So, similar your customer is hospitalized, you lot don’t become to the customer as well as become encounter I told you, “I told you lot Jonathan if you lot didn’t have got your Risperdal you lot were going to endure hospitalized, if you’d alone listened to me”. I hateful to me that form of social worker should leave of absence of the business.
[21:24]
Jonathan Singer: Right.
[21:25]
Kia Bentley: You know I should become to you lot as well as endure able to endure with you lot piece you’re inwards the infirmary as well as endure compassionate as well as empathize why you lot didn’t have got your medication, because of the terrible side effects that you’ve been addressing, or because of the pregnant as well as the reminder of existence a someone with a mental illness, that taking it has meant, as well as and so assist you lot as well as so bargain with what’s next, as well as innovation for what’s next, as well as endure your partner as well as advocate inwards that.
[21:51]
Jonathan Singer: And it sounds similar that’s i of the reasons why it’s so of import for social workers to endure educated close psychopharmacotherapy, because they can’t engage inwards an intelligent conversation, they tin only say yes or no, okay I’ll assist you, okay I’ll assist you lot non have got your meds, or whatever.
[22:07]
Kia Bentley: Yes, yes. And certainly, to endure a piece of work of the handling squad or whatever form of team, because it’s sure non just inwards mental wellness that social workers are dealing with medications. So just yeah to endure able to communicate. I sure don’t learn students, you lot know, that they should know the names of medications as well as their pronunciations, as well as the names of complicated side effects inwards monastic enjoin to impress physicians, or nurses, or anything else, but rather to endure a improve communicator as well as to endure a to a greater extent than total player inwards the handling or service team.
End interview
[22:41]
Please bring together us for piece of work 2 of this podcast, when Kia talks to a greater extent than close best practices for referring patients for psychiatric medications, resources for social workers interested inwards learning to a greater extent than close psychopharmacotherapy, as well as how social workers tin think critically close psychopharmacotherapy for both adults as well as children.
[23:00]
[Outro music] I’m Jonathan Singer as well as thank you lot for existence with me today for some other episode of the social piece of work podcast. If you lot missed an episode, or have got suggestions for futurity episodes, delight see www.socialworkpodcast.com.
-- End --
References as well as Resources
- Bentley, K.J. & Collins, K.S. (2006). Psychopharmacological handling for kid as well as adolescent mental disorders. In C. Franklin, M. B. Harris, & P.A. Meares (Eds.) The schoolhouse services sourcebook: H5N1 guide for school-based professionals (pp. 15-30). NY: Oxford University Press.
- Bentley, K. J. & Walsh, J. (2006). The social worker & psychotropic medication: Toward Effective collaboration with mental wellness clients, families as well as providers (3rd Ed.). Belmont: CA: Wadsworth.
- Bentley, K.J., Walsh, J. & Farmer, R. (2005a). Roles as well as activities of clinical social workers inwards psychopharmacotherapy: Results of a national survey. Social Work, 50(4), 295-303.
- Bentley, K.J., Walsh, J. & Farmer, R. (2005b). Referring clients for psychiatric medication: Best practices for social workers. Best Practices inwards Mental Health, 1(1), 59-71.
- Bradley, S. (2003). The psychology of the psychopharmacology triangle: The client, the clinicians as well as the medication. Social Work inwards Mental Health, 1(4), 29-50.
- Buelow, G., Hebert, S. & Buelow, S. (1999). Psychotherapist's resources on psychiatric medications: Issues of handling as well as referral. Belmont, CA: Brooks/Cole.
- Floersch, J., Townsend, L., Munson, M., Winbush, V., Kranke, D., Faber, R., Thomas, J., Findling, R. & Jenkins, J. (2007, Jan 13) Adolescent experience of psychotropic treatment. Paper presentation at the Society for Social Work as well as Research, San Francisco, CA.
- Ingersoll, R.E. & Rak, C. F. (2006). Psychopharmacology for the helping professions: An integral exploration. Belmont, CA: Thomson.
- Jenkins, J., Strauss, M.E., Carpenter, E.A., Miller, D., Floersch, J. & Sajatovic, M. (2005). Subjective experience of recovery from schizophrenia-related disorders as well as atypical antipsychotics. International Journal of Social Psychiatry, 51(3), 211-227.
- Karp, D. A. (2006). Is it me or my meds?: Living with antidepressants. Cambridge, Massachusetts: Harvard University Press.
- Stahl, S.M. (2000). Essential psychopharmacology: Neuroscientific footing as well as practical applications. (2nd Ed). Cambridge: Cambridge University Press. (advanced knowledge)
- Walsh, J., Farmer, R., Taylor, M.F., & Bentley, K.J. (2003). Ethical dilemmas of practicing social workers around psychiatric medication: Results of a national study. Social Work inwards Mental Health, 1(4), 91-105.
- Psychiatric Medications (n.d.). Wikipedia. Retrieved May 22, 208 from http://en.wikipedia.org/wiki/Psychiatric_medication
- Wilens, T.E. (2004). Straight beak close psychiatric medications for kids, Revised edition. NY: The Guilford Press.
APA (6th ed) citation for this podcast:
Singer, J. B. (Host). (2008, June 1). #40 - Psychopharmacotherapy as well as social work: Interview with Kia J. Bentley, Ph.D. [Audio podcast]. Social Work Podcast. Podcast retrieved from /search?q=best-practices-and-resources-for
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