[Episode 41] Today’s podcast is the instant of 3 interviews with Kia J. Bentley on psychopharmacotherapy. Kia J. Bentley is Professor of social move at Virginia Commonwealth University inwards Richmond Virginia too has published extensively inwards the expanse of psychopharmacotherapy (see references below). Psychopharmacotherapy refers to the handling of psychiatric disorders with the occupation of medication. But, equally Kia pointed out inwards our interview, psychopharmacotherapy is non merely virtually giving people medication too calling it a day. It is an approach to handling that acknowledges the strengths too limitations of medications.In today’s podcast, Kia talks virtually best practices for referring clients for psychiatric medications, resources for social workers interested inwards learning to a greater extent than virtually psychopharmacotherapy too how social workers tin think critically virtually psychopharmacotherapy for both adults too children. In the commencement interview, Kia too I talked virtually primal concepts too the purpose that social workers tin play inwards psychopharmacotherapy. In the tertiary interview, Kia talks virtually a recent qualitative enquiry report she did to explore the pregnant that medication had for residents inwards a psychiatric facility.
Download MP3 [21:08]
Six Best Practices for Referring Clients for Psychiatric Medication (Bentley, Walsh, & Farmer, 2005):
- Establishing too maintaining collaborative relationships with prescribers;
- Sharing up-to-date data virtually psychiatric medications with clientsand families;
- Helping clients too families empathise too manage the pregnant of medication;
- Preparing clients too families for the actual medication evaluation too anticipating issues that powerfulness emerge;
- Following upward on the results of the referral;
- Managing legal too ethical concerns.
About Kia J. Bentley, Ph.D.
Dr. Bentley is a tenured Professor too Director of the Ph.D. Program at the Social Work at Virginia Commonwealth University where she has taught since 1989. She publishes, presents too teaches social move practise inwards mental health, especially serving people with severe mental disease too is involved inwards several community-based enquiry projects. One enquiry projection concerns the pregnant of too behave upon 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 virtually that projection inwards our tertiary interview. Another inwards collaboration with colleague Sarah Kye Price, is a report of decision-making virtually psychiatric medication alongside pregnant too postpartum women.
She is the onetime chair of Central State Hospital’s Human Rights Committee, a Earth psychiatric facility inwards Petersburg, Virginia, the onetime Chair of the Virginia Mental Health Planning Council, too served vi years on the Board of Virginia’s chapter of the advocacy scheme 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 too was 1 of in conclusion year’s winners of the “Reviewer of the Year Award.” She is an active too enthusiastic site see chair too accreditation consultant. In the past times she has served on their Commission on the Role & Status of Women for 6 years too their Commission on Accreditation for three.
Transcript
Introduction
[0:00]
Jonathan Singer: Hello too welcome! You’ve found the social move podcast. My hollo is Jonathan Singer too I’ll live your host equally nosotros explore all things social work.
[0:13]
Today’s podcast is the commencement of 3 interviews with Kia Bentley on Psychopharmacotherapy. Kia Bentley is Professor of social move at Virginia Commonwealth University inwards Richmond, Virginia too has published extensively inwards the expanse of psychopharmacotherapy. Now Psychopharmacotherapy is a big, long discussion that refers to the handling of psychiatric disorders with the occupation of medication. But, equally Kia pointed out inwards our interview, psychopharmacotherapy is non merely virtually giving people medication too calling it a day. It is an approach to handling that acknowledges the strengths too limitations of medications.
[0:53]
In our interview, nosotros talked virtually why social workers should live familiar with psychopharmacotherapy, legal too ethical limitations of social workers discussing medications with clients, some challenges social workers powerfulness remove hold with agency policy around medications, too the purpose of social workers on a handling team. Now equally I mentioned this is the commencement of 3 interviews. The side past times side interview focuses on best practices for referring clients for psychiatric medications, resources for social workers interested inwards learning to a greater extent than virtually psychopharmacotherapy too how social workers tin think critically virtually psychopharmacotherapy for adults too children. In the tertiary interview, Kia talks virtually a recent, unpublished, qualitative enquiry report she did to explore the pregnant that medication had for residents inwards a psychiatric facility.
[1:43]
All 3 interviews were recorded using Skype. This is because Kia was inwards Richmond, VA too I was inwards Pittsburgh, PA. During the interviews I noticed some pops too hisses, presumably because the network was congested or in that location were bottlenecks with the bandwidth, I’m non genuinely sure what that means. But regardless, the problems were non plenty to detract from the interviews. If you lot remove hold questions or comments for Kia or me virtually this topic, or whatsoever theme on the podcast, delight expire to the social move podcast website at www.socialworkpodcast.com. And now, onto the interview with Kia Bentley too psychopharmacotherapy.
Interview
[1:58]
Jonathan Singer: You identified vi dimensions that constitute best practices for referring clients for psychiatric medications, too this was inwards an article that you lot wrote a dyad of years ago. [Yes] I was wondering if you lot could speak virtually what those best practices are?
[2:17]
Kia Bentley: Well commencement of all I genuinely did similar that article that came out inwards best practices inwards mental wellness because I think that, good a dyad of things, the ground why the article got written was because inwards our national survey of social workers, of practicing social workers, nosotros had merely nether a 1,000. The instant most frequent thing that social workers did was laid upward referrals to physicians around medication, to do a medication assessment. The commencement most frequent thing past times the way was discussing feelings virtually medication. So, but anyway, so because social workers inwards the existent globe out in that location are making referrals, too I looked to the literature maxim “okay, well, what’s a proficient referral”. You know, what constitutes keen social move practise with abide by to referring, too you lot know basically there’s really footling out in that location too so nosotros did. We created, generated vi ideas, sort of based on the literature, non much empirical research, but nosotros felt similar nosotros could pose out these vi ideas. And the commencement 1 talks virtually establishing too maintaining collaborative relationships with prescribers, so hard this hateful solar daytime too historic stream with that notion of, you lot know, inwards the article talks virtually referral highways for instance is, that you lot laid upward a network of prescribers that you lot tin move with no affair if you lot are inwards a world setting or a individual setting, or whatever, you lot develop sort of a network of people that you lot trust too also you’re also letting them know virtually the services that either you lot render or your agency provides inwards damage of working with people. So that was 1 of the things, how hard it is to keep those lasting collaborations. Also to live a keen prescriber, I hateful referrer, you lot demand to live able to part data virtually psychiatric medications, too that I talk, inwards that purpose of the article, virtually the pump of social move practise is job solving, too so sharing information, helping people facial expression at the pros too cons of medications, I hateful that merely ought to live practically instant nature. And too so I do speak virtually helping clients manage the pregnant of medication, I hateful too this is what my to a greater extent than recent enquiry has been about, is, you lot know, taking psychiatric medications is non a benign thing, I think someone said that inwards the midpoint of my sort of pregnant of, pregnant results, was that taking medication… well, I remove hold to uncovering this because it’s so proficient Jonathan, so I may remove hold to merely facial expression for a instant where my footling thing is. Okay, taking medication insights meaning, influences identity, too impacts life, too so if that’s true, too so social workers preparation puts us inwards a perfect seat to aid people manage that. What does it hateful when someone tells you lot that maybe you lot should consider having a medication evaluation, what does that hateful to you, what sort of an behave upon does that remove hold on you? And too so if you lot genuinely acquire to a prescriber too they create upward one's hear that inwards conjunction with you lot that maybe you lot should have a prescription too essay it, what does that hateful to you, what sort of behave upon does that remove hold on you? Do you lot experience relief, do you lot experience fear, what do you lot feel? And social workers should live helping people manage those things.
[5:50]
In addition, social workers should live preparing, literally emotionally preparing, too informationally, practically preparing clients for referrals, you lot know, what tin they facial expression when they expire to come across their prescriber, whether it’s their OBGYN, a full general practitioner, a nurse practitioner, a psychiatrist, whoever it powerfulness be. What tin you lot expect, too 1 time to a greater extent than how are you lot going to bargain with that? And too so I do laid upward the argument, nosotros laid upward the argument, that a keen referral should live non steering, the term steering, which way sort of writing a hollo on a slice of a newspaper too throwing a telephone number at somebody, but a keen referral genuinely is next upward too finding out the results of that attempted connection. And if nosotros tin discuss, I think the literature calls that cementing the connection.
[6:45]
And too so again, if in that location are legal or ethical concerns around determination making too coercion, or you lot know sometimes genuinely social workers remove hold inwards our survey showed that they were specially concerned around social jurist issues for example, similar they had clients that needed medication too nosotros know that in that location are some ones that are effective inwards populations, 70-75% effective, that nosotros can’t acquire access to, the world mental wellness scheme has waiting lists. And so, what do you lot do when you lot remove hold to sort of tolerate waiting lists? Or some other less frequent 1 is - what do you lot do when you’re non completely sure virtually the lineament of psychopharmacological intervention beingness given out? That you lot remove hold doubts virtually it. Those would live some other sort of ethical concerns that powerfulness come upward up. So, but the declaration basically was, let’s define splendid social move practice. Let’s expire ahead too expand that Definition to hateful beingness an splendid referrer.
[7:46]
Jonathan Singer: I think everything that you lot merely talked virtually it makes so much sense too listening to you lot speak virtually it, it’s sort of surprising that nobody has talked virtually it before, or [Yeah] nobody has published it inwards sort of 1 house before. And I’ll expire ahead too pose upward the link, to the, I’ll pose the reference on the Social Work Podcast website, [Okay] too a link to the article because it definitely sounds similar something that social workers should remove hold access to. I was wondering what other resources are available for social workers who are interested inwards improving their noesis virtually psychopharmacotherapy or medications inwards general?
[8:28]
Kia Bentley: Oh that’s a proficient question. Well, a dyad of dissimilar sort of categories, I’ll say 1 is I’ll merely say books targeted to us, too so that would live psychopharmacology texts that are written for non-medical providers. So obviously, you lot know, my ain mass with Joe Walsh is 1 of those books, that you lot know basically one-half of the mass is a primer of psychopharmacology too the other one-half talks virtually social move roles. But Brooks, Cole, too Thompson also pose out other books similar Psychotherapist resources on psychiatric medication past times Buewlo, Herbert, too Buewlo, too there’s some other 1 past times Ingersoll too Rak called Psychopharmacology for the helping professions, too so in that location are some books written for us, inwards our ain plain equally well, in that location is June Goleski has written 1 that comes virtually pretty regular. So that’s 1 way of going. I genuinely like, too when I learn courses on social move too psychopharmacology, psychiatric medication reference guides that are written for nurses because they’re commonly written inwards an approachable linguistic communication too non overly sort of sophisticated inwards their terminology, so I similar those. Then the other thing to facial expression for is mainly review articles, so you lot know the American Psychiatric Association puts out review guidelines too those kinds of large articles that are summarizing the literature are good, too I subscribe to a listerserv, Medscape Psychiatry, too so 1 time a calendar week I think I acquire updates too opportunities to read upward to appointment articles on what’s going on. But clearly those are all, you lot know, going to remove hold a sure sort of I’ll say bias towards beingness pro-medication too suggesting that, you lot know, this is what people should live doing, so you lot remove hold to sort of recognize that. Another, 2 other places, I mentioned the personal job organisation human relationship books, so books written past times people who remove hold struggled with emotional problems or mental illnesses that remove hold written virtually their experiences, I think that’s a genuinely proficient house for people who desire to know to a greater extent than virtually medications too also live to a greater extent than compassionate, live to a greater extent than compassionate social workers. And so I think to rest immersed inwards the experience of clients who remove hold medications, 1 of the ways you lot tin do that is to read personal job organisation human relationship books. And too so the terminal house would live to, you lot know in that location are some good known I’ll telephone phone them merchandise books, so they’re written for the world but, but if, you lot know, I’m looking at 1 correct straightaway called Straight Talk virtually Psychiatric Medication for Kids past times Timothy Wilens, W-I, I promise I am pronouncing that right, W-I-L-E-N-S too it’s inwards it’s similar kazillionth edition too it’s merely a very, really approachable guide written past times a, he’s a MD, but it’s for, you lot know, parents too kids, too so it’s sort of, I would pull it equally trustworthy too approachable.
[11:44]
Jonathan Singer: So, you’re genuinely recommending a broad diversity of academic too non-academic resources. Clearly the academic resources laid upward sense for folks inwards a professional person program, but could you lot say a footling to a greater extent than virtually why social workers should read these personal accounts?
[12:02]
Kia Bentley: Well, I, the personal accounts is genuinely to expire along the social worker immersed inwards that life lived experience of clients, too so it’s non that you’re reading a personal job organisation human relationship mass to uncovering out sort of the effectiveness rates of Clozaril, or Celexa, you lot know, patently you’re non trying to garner that sort of data from a personal job organisation human relationship book, but you lot are trying to gain insight too empathy into their experience of people who remove hold struggled with the kinds of disorders treated past times these medications so that you lot tin live a meliorate social worker, so that you lot tin live to a greater extent than humble, too to a greater extent than appreciative. In add-on to beingness that sort of social worker, what I’m implying to you lot virtually the consumer of data is my declaration that nosotros need, which I think that everyone who writes virtually this inwards our plain would agree, is that social workers, equally I said, demand to expire along a critical perspective virtually medications. We demand to empathise the sociopolitical context inwards which medications are prescribed, the ability of drug companies to define what handling looks like, the fact that prescribing medications you lot know has perpetuated sort of a medical dominance, too sometimes to the detriment of psychosocial interventions, so too nosotros demand to not, equally I said before, you lot know, I’m non suggesting that nosotros expire cheerleaders for the occupation of medications, a great, a critical perspective way agreement that if the effectiveness rates published is 70%, that way that 30% of folks aren’t beingness helped inwards a way that’s beingness considered clinically important too so let’s non forget virtually those kinds of folks. And nosotros can’t forget virtually the men too women of proficient volition who, inwards our plain similar David Cohen, who has called attending to some of the biases inwards research, nosotros can’t plough our heads to that. But my declaration is that nosotros can’t plough our heads to the tens of thousands of people who remove hold been helped too inwards fact my ain report at, that I merely talked about, that I completed, you lot know many, many, many of the clients basically described medications equally a life changing, godsend, too that they were deeply grateful for having medications that were useful, inwards spite of these incredible histories of struggling to sort of acquire to a house where they were helpful, with long histories of hospitalizations, too terrible side effects, too things similar that. So, nosotros remove hold to empathise that people are on a journeying too medications tin sometimes aid them along that journeying too sometimes, you lot know, it’s non such a pretty story, too I think that if nosotros go, social workers expire inwards with that perspective, that critical perspective, that typical, agreement the sociopolitical context, staying immersed inwards the experience of clients, too so we’ll live meliorate social workers.
[15:09]
Jonathan Singer: You’ve convinced me. [Laughing] No, but seriously, I genuinely similar how you’re advocating a critical perspective on mediation because I think social move sometimes aligns itself with a perspective that the medical model too hence medications are merely bad too that inwards gild to live truthful social workers nosotros can’t admit the proficient inwards medications. But you’re maxim you lot know what, in that location are a lot of dissimilar people out in that location too they remove hold a lot of dissimilar experiences too it’s non upward to us to say what is best for clients sight on-scene too so to expire along an opened upward hear to medications equally a possibility.
[15:56]
Kia Bentley: Jon, I don’t know if you’ll occupation this or not, but I sure recall when I was a laid upward novel MSW pupil dorsum inwards 1978 too I recall distinctly having an anti-medication sort of view, too I genuinely do straightaway believe that it was genuinely tied upward with my frustration virtually the lack of acknowledgement of the ability of psychosocial interventions. And so, somehow I sort of took it out on this other handling option, which was quote “more medical”, sure to a greater extent than biological, too I straightaway think I’ve grown upward too said you lot know what I demand to practise some professional person humility, other professions too other kinds of interventions offering something to our clients too I should know virtually it, too non merely to whatsoever customer but to many clients. So, I think that giving upward that sort of anti-medication thought involves professional person humility. Now having said that, I do collaborate too I’m really familiar with people inwards our ain plain who genuinely remove hold stressed the, too remove hold argued that recurrent clinical enquiry around drugs is reaped or racked with bias too that likewise ofttimes clients are given medication with other options. And you lot know you lot remove hold to facial expression at the grain of truth inwards that, for instance with kids, I merely did this article with Katherine Collins at Maryland, our mass chapter genuinely on kids, too the conclusion around kids is are kids over medicated? Yes. Are kids under-medicated? Yes. They both are true. Some kids are out in that location taking, beingness prescribed medications equally a shortcut too without adequate assessment, without adequate exposure to all the options, specially the psychosocial too behavioral interventions, so yes that’s true. Is it truthful that in that location are kids out in that location that remove hold existent behavioral too emotional needs that medication tin aid with, too all the same they don’t remove hold access to it or that, you lot know, yes that is truthful equally good too so that’s quite the dilemma.
[18:20]
Jonathan Singer: It is a dilemma; it’s interesting that you lot answered both of those questions “yes”. What publication is that coming out inwards or what mass is that coming out in?
[18:27]
Kia Bentley: That came out inwards Cynthia Franklin, too Harris, too Paula Allen-Meares’s mass the School Services Sourcebook inwards 2006. So, it’s merely a mass chapter on psychopharmacology handling with kids too adolescents, too basically nosotros argued inwards that, that wow, social workers that move with kids too medication think of what they demand to empathise Jonathan, I hateful they demand to empathise the controversies virtually occupation with kids because parents too kids are going to come upward to them with questions virtually rumors they’ve heard, too worries virtually physical too psychological development, worries virtually what this volition hateful for, the meaning, an identity of their adolescent kid or their other kid, which Jerry Flourish inwards our ain plain has written about. What virtually backlash against medication inwards schools, volition this mean, is in that location sort of an anti-medication bias that’s going on straightaway that volition preclude kids that demand help? What virtually off label use, what virtually the occupation of enquiry with kids? And so, nosotros tried to, inwards that article merely laid upward the declaration again, that social workers noesis isn’t merely virtually the hollo of the drug, it’s genuinely virtually the sort of social context that medication prescribing is happening correct now.
[19:55]
Jonathan Singer: It sounds similar there’s sure room for a podcast on psychopharm too kids.
[20:02]
Kia Bentley: [Laughing] There powerfulness be.
[20:04]
Jonathan Singer: Among other things, okay.
[20:06]
Kia Bentley: Yes.
[20:07]
Jonathan Singer: Well, this is has been fascinating. I genuinely bask this too appreciated you lot providing all of your insight too wisdom on this theme too I suspect that our listeners volition live similarly appreciative.
[20:25]
Kia Bentley: Well thanks.
End interview
[20:27]
Please bring together us for purpose 3 of this podcast when Kia talks virtually a recent qualitative enquiry report she did to explore the pregnant that medication had for residents inwards a psychiatric facility.
[20:38]
[Outro music] I’m Jonathan Singer too thank you lot for beingness with me today for some other episode of the social move podcast. If you lot missed too episode or remove hold suggestions for hereafter episodes delight see socialworkpodcasts.com. If you lot would similar to back upward the podcast delight see our online shop at cafepress.com/swpodcasts. To all the social workers out there, expire along upward the proficient work. We’ll come across you lot side past times side fourth dimension at the social move podcast.
References too Resources
- Bentley, K.J. & Collins, K.S. (2006). Psychopharmacological handling for kid too 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 too providers (3rd Ed.). Belmont: CA: Wadsworth.
- Bentley, K.J., Walsh, J. & Farmer, R. (2005a). Roles too 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 too 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 too 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 too 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 too 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 ground too 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 speak virtually psychiatric medications for kids, Revised edition. NY: The Guilford Press.
APA (6th ed) citation for this podcast:
Singer, J. B. (Host). (2008, June 17). Best practices too resources for psychopharmacotherapy: Interview with Kia J. Bentley, Ph.D. [Episode 41]. Social Work Podcast. Podcast retrieved Month Day, Year, from /search?q=psychopharmacotherapy-and-social-work
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