Syllabus

Master of Social Work

SSWO 627 Psychopharmacology – Fall 2019

Credits - 3

Description

This course reviews the historical, political, and ethical context of psychotropic medications in social work practice and provides a basic overview of psychopharmacology. Contemporary social work roles in medication management are debated, and necessary skills for effective collaboration with clients, families and other mental health providers on medication-related issues are provided.

Materials

TEXTBOOK, MATERIALS, & BIBLIOGRAPHY

Required readings:

  • Bentley, K. J., & Walsh, J. (2014). The social worker & psychotropic medication: Toward effective collaboration with mental health clients, families and providers (4th ed.). Pacific Grove, CA: Brooks/Cole.
  • Preston, J. & Johnson, J. (2016). Clinical psychopharmacology made ridiculously simple (8th ed.). Miami, FL: MedMaster.

Optional readings:

  • Stahl, S. & Grady, M. (2017). Stahl’s essential psychopharmacology: prescriber’s guide. Cambridge, United Kingdom New York, NY: Cambridge University Press. ISBN: 9781107686465
  • Stahl, S. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical application. Cambridge New York: Cambridge University Press. ISBN: 9781316618134
  • Stanford, M. (2009). Foundations in behavioral pharmacology: an introduction to the neuroscience of drug addiction and mental disorders. Santa Cruz, CA: Lightway Centre. ISBN: 9781440472923

Learning Objectives and Outcomes

School of Social Work Program Outcomes:

Graduates of the UNE SSWO will demonstrate knowledge, skills, and leadership in the following:

  1. Practice social inclusion to enable people, populations, and communities to fully participate in society, enhance human bonds in the context of cultural diversity and ensure improved quality of life and equitable resource distribution. EPAS Competencies 2 & 3
  2. Engage in culturally-informed relationship building, being respectful of the complexity and diversity of contexts and circumstances. EPAS Competencies 3 & 6
  3. Utilize theories of human behavior, social systems and social inclusion when offering interventions with people and their environments. EPAS Competency 8
  4. Promote ethical reflection, critical consciousness and shared decision-making based in social work values and with consideration of the broader contexts of the world in which we live. EPAS Competency 1
  5. Balance the roles of helpers, activists, and advocates through collaboration with communities to build healthy and sustainable resources. EPAS Competencies 2, 5, & 6
  6. Engage as critical consumers and producers of research as it relates to assessment, intervention and evaluation of clinical and community practices. EPAS Competencies 4, 7, 8 & 9
  7. Practice person-centered and collaborative community partnerships across diverse settings. EPAS Competency 6

COURSE OBJECTIVES

Upon successful completion of this course, students will be able to:

  1. Identify and describe the historical and current ambiguities surrounding social work roles in medication management and effective collaboration with clients, families, nurses, and psychiatrists as it relates to medication management. Program Outcomes 1 & 2 (As measured by Discussions, Journal Entries, Medication Compendium Wiki, Interview Reaction Paper and Self-Reflection Paper).
  2. Describe their conception of basic principles of neurotransmission, drug action, psychopharmacokinetics and the specific medication used with definitive psychiatric symptoms and diagnoses. Program Outcomes 4 & 6 (As measured by Discussion, Journal Entries, Medication Compendium Wiki).
  3. Understand special issues in psychopharmacology with women, children, the elderly, minorities of color and develop sensitivity to the family and consumer perspective regarding the use of medications in mental health care. Program Outcomes 2, 4 & 6 (As measured by Discussion and Medication Compendium Wiki).
  4. Demonstrate knowledge of medication education programs, techniques of medication monitoring, ethical/legal dimensions of medication compliance/refusal and the usefulness of applying problem-solving and social skills training to medication-related issues. Program Outcomes 4 & 5 (As measured by Discussion, Journal Entries, Medication Compendium Wiki and Interview Reaction Paper).
  5. Denote research findings and outcome evaluations of current controversies and future directions as well as research needs and gaps in knowledge in the field of psychopharmacology. Program Outcome 6 (As measured by Discussion and Medication Compendium Wiki).

Assignments

LEARNING ACTIVITIES

A variety of learning activities are designed to support the course objectives, facilitate different learning styles, and build a community of learners. Learning activities for each module include the following:

Readings and Multimedia:

Description: This course will use an array of readings and videos to present the important concepts in the various modules. The readings and multimedia provide the foundation and background for student discussion threads and written assignments.

Discussions:

Description: An important learning method in this course is student participation and interaction in the discussion threads within each module. Students are expected to participate actively and in a respectful manner.

Written Assignments

Description: Writing assignments for this course include 2 papers, reflection journal entries, and several weekly submissions to the medication compendium wiki. The Self-Examination paper provides an opportunity for considering and commenting on the impact that pharmacology has had on the life of the student in order to foster an awareness of the role that pharmacology plays not only on the lives of our clients but on our lives as well. The Interview Reaction Paper involves dialoguing with health professionals, both social workers and non-social work professionals, about their experiences with medication and compliance. For this paper, please take notes during the interviews to be appended to your final paper. For the notes and the paper, please remove all personal identifying information to maintain your interviewees’ confidentiality.

Grading and Feedback Method: Grading and feedback methods are listed with each specific assignment. Please refer to the Learning Modules for more information.

Weekly Grading and Feedback: The course facilitator will return assignments and other grading items (discussion boards, participation, etc.) to students within three days of the assignment due date. The course facilitator will provide weekly feedback about participation and performance no later than four days after the learning module closes. 

Due Dates: Due dates for all learning activities are provided in the “Course Schedule.”

Grading Policy

The School of Social Work uses the following grading system for all courses with the exception of field education courses. Students are expected to maintain a “B” (3.0) average over the course of their study. Students with less than a GPA of 3.0 will be placed on academic probation. Students must have an overall GPA of 3.0 in order to receive their Master’s Degree.

Your grade in this course will be determined by the following criteria:

Grade Breakdown

AssignmentPoint ValuePercentage of Final Grade
Weekly Discussions280 points (35 points * 8 discussions)28%
Journal Entries120 points (24 points * 5 entries)12%
Medication Compendium Wiki100 points (20 points * 5 pages)10%
Self-Examination Paper200 points20%
Interview Reaction Paper with Interview Notes300 points30%
Total:1,000 points100%

Grade Scale

Grade Points Grade Point Average (GPA)
A 94 – 100% 4.00
A- 90 – 93% 3.75
B+ 87 – 89% 3.50
B 84 – 86% 3.00
B- 80 – 83% 2.75
C+ 77 – 79% 2.50
C 74 – 76% 2.00
C- 70 – 73% 1.75
D 64 – 69% 1.00
F 00 – 63% 0.00

Schedule

Course Dates: October 23, 2019 – December 15, 2019

All assignments are to be submitted by 11:59 PM ET on the dates listed below. 

All initial discussion posts are to be submitted by Saturday 11:59 PM ET for all except last week (in Week 8, your initial post is due by Friday 11:59 PM ET); all responses are due by the end of the course week. Active participation is encouraged.

MODULE 1

Orientation to the Course and History and Overview of Social Work Roles in Psychopharmacology
Dates: Wednesday, Oct 23 – Tuesday, Oct 29

  • Readings:
    • Bradley, S. (2003). The psychology of the psychopharmacology triangle: The client, the clinicians, and the medication. Social Work in Mental Health, 1(4).
    • Cohen, D. (2003). The psychiatric medication history. Context, purpose, and method. Social Work in Mental Health, 1(4).
    • Davis-Berman, J. Pestello, H.F. (2002). Psychiatric medication: Use, attitudes, and effect in social work students and clinicians. Social Work in Mental Health, 1(2), 31-42.
    • Farmer, R.L. (2003). Gender and psychotropics: Toward a third wave framework. British Journal of Social Work, 33, 611-623.
  • Multimedia: Toward a New Understanding of Mental Illness
  • Discussions: Psychopharmacology Discussion
  • Assignments: Reflective Journal introduced – no entry is due this week; Self-Examination Paper introduced; Interview Reaction Paper introduced

MODULE 2

Basic Psychopharmacology – Neurotransmission, Drug Action, and Psychopharmacokinetics
Dates: Wednesday, Oct 30 – Tuesday, Nov 5

  • Readings:
    • Preston & Johnson, Chapter 1.
    • Bentley & Walsh, Chapters 1-3.
    • Farmer, R. L. & Pandurangi, A. (1997). Diversity in schizophrenia: Toward a richer biopsychosocial understanding for social work practice. Health & Social Work, 22, 109-116.
    • Optional: Stahl, Chapters 1-4
  • Multimedia:
    • Brain Anatomy and Functions
    • Dopamine Jackpot! Sapolsky on the Science of Pleasure 
    • Advanced Neurology and Endocrinology
  • Discussions: Psychopharmacokinetics Discussion
  • Assignments: Self-Examination Paper – Submission; Interview Reaction Paper – Continue Working

MODULE 3

Psychotic Disorders & Antipsychotics
Dates: Wednesday, Nov 6 – Tuesday, Nov 12

  • Readings:
    • Preston & Johnson, Chapter 5
    • Bentley & Walsh, in Chapter 4 read “Medication that treat symptoms of psychosis” and Chapter 5
    • Optional: Stahl, Chapters 9, 10
  • Multimedia: Schizophrenia
  • Discussions: Psychosis and Pharmacology Discussion; Wiki Topic Sign-Up – Anti-Psychotic Medication
  • Assignments: Reflective Journal; Medication Compendium Wiki – Anti-Psychotic Medication; Interview Reaction Paper – Continue Working

MODULE 4

Depressive Disorders & Antidepressants; Bipolar Disorders & Mood Stabilizers
Dates: Wednesday, Nov 13 – Tuesday, Nov 19

  • Readings:
    • Preston & Johnson, Chapters 2-3, Appendix B
    • Bentley & Walsh, in Chapter 4, read “Antidepressant Medications” and “Mood Stabilizers”, and Chapter 5
    • Dean, J., & Keshavan, M. (2017). The neurobiology of depression: An integrated view. Asian Journal of Psychiatry, 27, 101-111. doi://doi.org/10.1016/j.ajp.2017.01.025
    • Optional: Stahl, Chapter 11, 12, and 13
  • Multimedia:
    • Stanford’s Sapolsky on Depression in US (CC available) – 52 mins
    • The Science of Depression (3:45 mins) (CC available)
  • Discussions: Depression and Pharmacology Discussion; Wiki Topic Sign-Up – Anti-Depressant / Mood Stabilization Medication
  • Assignments: Reflective Journal; Medication Compendium Wiki – Anti-Depressant / Mood Stabilization Medication; Interview Reaction Paper – Continue Working

MODULE 5

Anxiety Disorders & Anti-Anxiety Medications
Dates: Wednesday, Nov 20 – Tuesday, Nov 26

  • Readings:
    • Preston & Johnson, Chapter 4
    • Bentley & Walsh, in Chapter 4, read “Anti-anxiety Medications” and Chapter 5
    • Optional: Stahl, Chapters 8 and 14
  • Multimedia: Stress: Portrait of a Killer
  • Discussions: Anxiety and Pharmacology Discussion; Wiki Topic Sign-Up – Anti-Anxiety Medication
  • Assignments: Reflective Journal; Medication Compendium Wiki – Anti-Anxiety Medication; Interview Reaction Paper – Continue Working

MODULE 6

Stimulants & Child/Adolescent Psychopharmacology
Dates: Wednesday, Nov 27 – Tuesday, Dec 3

  • Readings:
    • Preston & Johnson, Chapter 6.
    • Bentley & Walsh, finish Chapter 4 – read “Psychostimulants” and review Chapter 5
    • Floersch, J. (2003). The subjective experience of youth psychotropic drug treatment. Social Work in Mental Health, 1(4).
    • Jensen, P. Attention Deficit/Hyperactivity Disorder. The Dana Review.
    • Optional: Stahl, Chapter 17
  • Multimedia:
    • Treating ADHD with Amphetamine
    • Ritalin, Adderall, Strattera – ADHD medications
    • A Common Mechanism for Treating ADHD
  • Discussions: ADHD and Pharmacology Discussion; Wiki Topic Sign-Up – Stimulants
  • Assignments: Reflective Journal; Medication Compendium Wiki – Stimulants; Interview Reaction Paper – Continue Working

MODULE 7

Unconventional Treatments and Complementary Alternatives
Dates: Wednesday, Dec 4 – Tuesday, Dec 10

  • Readings:
    • Feduccia, A. A., & Mithoefer, M. C. (2018). MDMA-assisted psychotherapy for PTSD: Are memory reconsolidation and fear extinction underlying mechanisms? Progress in Neuropsychopharmacology & Biological Psychiatry, 84(Pt A), 221-228. doi:10.1016/j.pnpbp.2018.03.003
    • Philipps, D. (2018, -06-09T00:28:37.134Z). Ecstasy as a remedy for PTSD? You probably have some questions. The New York Times.
    • Tambaro, S., & Bortolato, M. (2012). Cannabinoid-related agents in the treatment of anxiety disorders: current knowledge and future perspectives. Recent Patents on CNS Drug Discovery, 7(1), 25–40.
    • Villines, Z. (2018, July 27,). CBD oil: Definition, effects on anxiety, and considerations. Medical News Today.
    • Dziegielewski, S. F. (2004;2003;). Complementary practices and herbal healing: A new frontier in counseling practice. Social Work in Mental Health, 1(4), 123-139.
  • Extended Learning: Dietary Supplements Labels Database
  • Discussions: Unconventional Treatments and Complementary Alternatives
  • Assignments: Interview Reaction Paper with Interview Notes – Submission; Medication Compendium Wiki – Complementary Alternatives.

MODULE 8

Course Wrap-up and Reflection
Dates: Wednesday, Dec 11 – Sunday, Dec 15 (short week)

  • Readings:
    • Chen, A. (2016). For centuries, a small town has embraced strangers with mental illness.
    • Textbook: Bentley, Chapter 9
  • Multimedia
    • The Myth of the Chemical Cure: The Politics of Psychiatric Drug Treatment
  • Discussions: Another Perspective
  • Assignments: Reflective Journal

Student Resources

Online Student Support

Your Student Support Specialist is a resource for you. Please don't hesitate to contact them for assistance, including, but not limited to course planning, current problems or issues in a course, technology concerns, or personal emergencies.

Questions? Visit the Student Support Social Work page

UNE Libraries:

Information Technology Services (ITS)

ITS Contact: Toll Free Help Desk 24 hours/7 days per week at 1-877-518-4673

Accommodations

Any student who would like to request, or ask any questions regarding, academic adjustments or accommodations must contact the Student Access Center at (207) 221-4438 or pcstudentaccess@une.edu. Student Access Center staff will evaluate the student's documentation and determine eligibility of accommodation(s) through the Student Access Center registration procedure.

Policies

Essential Academic and Technical Standards

Please review the essential academic and technical standards of the University of New England School Social Work (SSW): https://online.une.edu/social-work/academic-and-technical-standards-une-online-ssw/

Technology Requirements

Please review the technical requirements for UNE Online Graduate Programs: Technical Requirements

Confidentiality Statement

Student and faculty participation in this course will be governed by standards in the NASW Code of Ethics relating to confidentiality in sharing information from their placement sites and practice experiences. Students should be aware that personal information they choose to share in class, class assignments or conversations with faculty does not have the status of privileged information.

Attendance Policy

Online students are required to submit a graded assignment/discussion prior to Sunday evening at 11:59 pm ET of the first week of the term. If a student does not submit a posting to the graded assignment/discussion prior to Sunday evening at 11:59 pm ET, the student will be automatically dropped from the course for non-participation. Review the full attendance policy.

Late Policy

Assignments: Late assignments will be accepted up to 3 days late; however, there is a 10% grade reduction (from the total points) for the late submission. After three days the assignment will not be accepted.

Discussion posts: If the initial post is submitted late, but still within the discussion board week, there will be a 10% grade reduction from the total discussion grade (e.g., a 3 point discussion will be reduced by 0.3 points). Any posts submitted after the end of the Discussion Board week will not be graded.

Please make every effort ahead of time to contact your instructor and your student support specialist if you are not able to meet an assignment deadline. Arrangements for extenuating circumstances may be considered by faculty.

Student Handbook Online - Policies and Procedures

The policies contained within this document apply to all students in the College of Graduate and Professional Studies. It is each student's responsibility to know the contents of this handbook.

UNE Online Student Handbook

UNE Course Withdrawal

Please contact your student support specialist if you are considering dropping or withdrawing from a course. The last day to drop for 100% tuition refund is the 2nd day of the course. Financial Aid charges may still apply. Students using Financial Aid should contact the Financial Aid Office prior to withdrawing from a course.

Academic Integrity

The University of New England values academic integrity in all aspects of the educational experience. Academic dishonesty in any form undermines this standard and devalues the original contributions of others. It is the responsibility of all members of the University community to actively uphold the integrity of the academy; failure to act, for any reason, is not acceptable. For information about plagiarism and academic misconduct, please visit UNE Plagiarism Policies.

Academic dishonesty includes, but is not limited to the following:

  1. Cheating, copying, or the offering or receiving of unauthorized assistance or information.
  2. Fabrication or falsification of data, results, or sources for papers or reports.
  3. Action which destroys or alters the work of another student.
  4. Multiple submissions of the same paper or report for assignments in more than one course without permission of each instructor.
  5. Plagiarism, the appropriation of records, research, materials, ideas, or the language of other persons or writers and the submission of them as one's own.

Charges of academic dishonesty will be reviewed by the Program Director. Penalties for students found responsible for violations may depend upon the seriousness and circumstances of the violation, the degree of premeditation involved, and/or the student’s previous record of violations.  Appeal of a decision may be made to the Dean whose decision will be final.  Student appeals will take place through the grievance process outlined in the student handbook.