Community Mental Health

PP 7322 COMMUNITY MENTAL HEALTH Spring 2008

INSTRUCTOR: Rebecca Bergen, Ph.D.

PHONE: 773-512-4656

EMAIL: [email protected] REQUIRED TEXTS:

Title Principles of Community Psychology Author(s) Levine M. & Perkins, D.V. Copyright (2005) Publisher New York: Oxford University Press ISBN 0-19-514417-1 Edition 3rd

This Course Requires the Purchase of a Course Packet: YES NO Argosy University PP7322 COMMUNITY MENTAL HEALTH COURSE SYLLABUS Spring 2008

Instructor: Rebecca Bergen, Ph.D. Phone: 773-512-4656 Email: [email protected] Office Hours: By Appointment (via phone or before or after class)

Course description: “This course will provide an overview of community mental health systems, with perspective on the administrative, organizational, socio-cultural, and clinical aspects of policy formation, managed care, and trends in mental health services delivery.”

Required Textbook:

Levine M. & Perkins, D.V. (2005). Principles of Community Psychology. 3rd Ed. New York: Oxford University Press. ISBN: 0-19-514417-1

Other Readings:

Journal articles (see class schedule)

Meeting Times: Fridays from 9:15 am – 12:00 pm

Credit Value: 3.0

PP7322 COMMUNITY MENTAL HEALTH Page 2 Program Outcomes: The Doctoral program in Clinical Psychology at Argosy University, Chicago Campus is an APA accredited program (APA, 750 First St. NE, Washington, DC 20002, 202-336-5500). This program is designed to educate and train students so that they may eventually be able to function effectively as clinical psychologists. To ensure that students are prepared adequately, the curriculum provides for the meaningful integration of theory, training and practice. The Clinical Psychology program at Argosy University Chicago Campus emphasizes the development of attitudes, knowledge, and skills essential in the formation of professional psychologists who are committed to the ethical provision of quality services. Specific objectives of the program include the following:  Goal 1: Prepare professional psychologists to accurately, effectively, and ethically select, administer, score, interpret, and communicate findings of appropriate assessment methods informed by accepted psychometric standards and sensitive to the diverse characteristics and needs of clients. o Objective 1a: Accurately and ethically administer and score various psychodiagnostic instruments. o Objective 1b: Accurately interpret and synthesize assessment data in the context of diversity factors, referral questions, and specific objectives of the assessment, and organize and communicate results in writing and orally. o Objective 1c: Examine psychometric properties of psychological assessment instruments, and use that knowledge to evaluate, select, administer, and interpret psychological tests and measures appropriate for the client, the referral question, and the objectives of the assessment.  Goal 2: Prepare professional psychologists to select, implement, and evaluate psychological interventions consistent with current ethical, evidence-based, and professional standards, within a theoretical framework, and with sensitivity to the interpersonal processes of the therapeutic relationship and the diverse characteristics and needs of clients. o Objective 2a: Synthesize the foundations of clinical psychology, including psychopathology, human development, diagnosis, diversity, ethics, and various therapeutic models in clinical applications. o Objective 2b: Select, plan, and implement ethical and evidence-based interventions with sensitivity to the diverse characteristics and needs of clients. o Objective 2c: Demonstrate knowledge, skills, and attitudes to effectively implement and participate in psychological consultation and supervision. Objective 2d: Demonstrate personal development and self-reflective capacity, including growth of interpersonal skills, and therapeutic relationships.  Goal 3: Prepare professional psychologists to analyze the complexity and multidimensionality of human diversity, and demonstrate the knowledge, skills, and attitudes necessary to understand diverse worldviews and the potential meaning of social, cultural, and individual differences for professional psychological services.  Goal 4: Prepare professional psychologists to examine the historical context and the current body of knowledge of biological, cognitive, affective, developmental, and social bases of human functioning.

PP7322 COMMUNITY MENTAL HEALTH Page 3  Goal 5: Prepare professional psychologists to critically evaluate the current and evolving body of scholarly literature in psychology to inform professional practice.

In addition, the Program offers excellent preparation for those considering application to the Doctoral Program in Clinical Psychology.

Course Objectives: The student will:

1. Achieve an historical, ideological and legislative overview of community mental health and mental health systems.

2. Obtain an understanding of the administrative and clinical principles required to effectively organize and deliver mental health services in the community.

3. Examine the provincial and ethno-centric approaches to psychological treatment and develop an understanding of the advantages and disadvantages of these approaches.

4. Develop an understanding of the impact of societal, cultural, and environmental influences on the community's psychological well-being.

5 Achieve an understanding of policy formation, managed care, and current trends in mental health service delivery.

6. Obtain knowledge of the emerging role of psychologists in a variety of mental health settings.

7. Obtain experience in working as a team member with other professionals in resolving a group problem and developing a common product.

8 Develop an appreciation of social responsibility within a community mental health context

COURSE REQUIREMENTS:

1. Midterm - The Midterm will be given March 7, 2008 and will cover the readings of the first eight weeks of the course and the material presented and/or discussed in class. (A maximum of 40 points)

2. Group Project Paper - Participation within a project group and completion of a group project paper. Each project proposal is approximately 35 pages long (Font: Times New Roman, 12 pt., 1 inch margins, APA Style formatting). Each person in the group will receive the same grade. Due Date: April 11, 2008 (A maximum of 40 points)

PP7322 COMMUNITY MENTAL HEALTH Page 4 The proposal must carefully address the reasons why the problem exists and should incorporate the rationale that underlies the remedies. Principles of community psychology and the community mental health paradigm should be the basis which gives structure and direction to the program and proposal. "Canned" proposals which are primarily theoretical in nature and which do not integrate the theoretical concepts of the course or the values and needs of the community in which the Center is located, are not satisfactory. (A maximum of 45 points) Further description of this project is detailed below.

3. Class Participation/Group Project Presentation - Includes class and group project participation and involvement. You will be evaluating your own participation in the group project and your group members will also be evaluating your participation at the end of the semester. In addition, this section includes professionalism and persuasiveness of the Final Project presentation in class. (A maximum of 10 points)

4. Journal Logs – You will be required to select 5 journal articles related to Community Mental Health and Community Psychology. You will read the articles and write a journal log (2-3 pages). You will submit the journal log, a copy of the article, and a copy of the journal log for each class member. Due dates for these logs and specific instructions regarding how to complete them will be discussed in class. (2 points each; A maximum of 10 points)

Absences

Missing more than 2 classes will result in an automatic grade of "F."

Readings

The readings for each class are noted below. Students are expected to read the required assignments before coming to class and be prepared to fully participate in discussions.

Schedule Week Date Topics Readings 1 1/11 Introduction and Orientation to Levine & Perkins Introduction Community Psychology Proposal: Discussion of Group Project 2 1/18 History of CMH movement; Socio- Levine & Perkins Chapter 1 & 2 Environmental Context; Structure, Design, & Organization Proposal: Clarify the Problem Statement, Describe the Target Population 3 1/25 Dohrenwend's Model & the Ecological Levine & Perkins Chapter 3 & 4

PP7322 COMMUNITY MENTAL HEALTH Page 5 Paradigm Proposal: Elaborate the Community Description and its History; Describe Center and Mission Statement 4 2/1 Alternatives to the Illness Model; Ethnic Levine & Perkins Chapter 6 Minority & Culturally Relevant Mental Health Services; Article Discussion Cowen, E.L. (1991) In pursuit of Proposal: Create a Needs Assessment wellness. American Psychologist, 46 (4), 404-408 5 2/8 Prevention, Treatment, & Maintenance; Levine & Perkins Chapters 5 & 8 Article Discussion Proposal: Develop Goals and Urban Neighborhoods & Mental Preliminary Objectives and Methodology Health. Psychological Contributions to Understanding Toxicity, Resilience, and Interventions. American Psychologist, 53 (6), 647- 654 6 2/15 No Class: President’s Day 7 2/22 Alternative to Traditional MH Services: Levine & Perkins Chapter 7 Crisis Intervention; Article Discussion Proposal: Review and Elaborate Drolen, C.S. (1990). Current Objectives community mental health center operations: Entrepreneurship or business as usual? Community Mental Health Journal, 26(6), 547- 558.

8 2/29 Alternative to Traditional MH Services: Kiesler, C., (1992) U.S. Mental Consultation; Article Discussion Health Policy: Doomed to Fail. Proposal: Finalize a Program Goal and American Psychologist, 47 (9), 1077- Objectives 1082. 9 3/7 Mid-Term Examination Proposal: Develop Program Activities 10 3/14 Self-Help Groups; Community Levine & Perkins Chapter 9 & 12 Involvement & Empowerment Video: An Ounce of Prevention Proposal: Finalize Methodology and Activities 11 3/21 No Class: Good Friday 12 3/28 Program Evaluation & Budget Review Kiritz, 1980 Proposal: Develop Program Evaluation Procedures and Budget 13 4/4 Successful & Unsuccessful Mental Levine & Perkins Chapter 10 Health Programs & Services Proposal: Review Proposal & Finalize

PP7322 COMMUNITY MENTAL HEALTH Page 6 Budget 14 4/11 Presentation of Group Projects (Final) 15 4/18 No Class; Finals Week

This schedule is subject to change.

Grading A 100 – 93 Midterm Exam 40% A- 92 – 90 B+ 89 – 88 B 87 – 83 Proposal Project 40% B- 82 – 80 C+ 79 – 78 Participation 10% C 77 - 73 C- 72 – 70 D+ 69 – 68 Journal Logs 10% D 67 – 63 D- 62 – 60 Total 100% F 59 and below

Guidelines for Group Project

GROUP PROJECT:

PP7322 COMMUNITY MENTAL HEALTH Page 7 Develop a Community Mental Health Program based on a defined problem and needs assessment, which employs the theoretical concepts, principles and strategies of the Community Mental Health Paradigm. A program proposal (paper) will be developed containing the essential components for planning and running this Community Mental Health Program.

Project groups will be assigned on the first day of class. The group will work on the problem definition, investigation, planning and design of a program proposal.

Format for the Sections of the Written Group Project Proposal

1. Abstract of the Project Proposal & Condition Addressed 2. History and Description of the Community 3. Description of the Community Mental Health Center 4. Mission and Philosophy of the Community Mental Health Center 5. Problem Statement, Needs Assessment, & Target Population 6. Goal, Objectives, Activities 7. Program Evaluation 8. Budget 9. Community Involvement & Empowerment 10. Bibliography

Font: Times New Roman, 12 pt, 1 inch margins, APA Style Formatting

Community Condition The initial community condition (problem) is an issue within the community which comes to the attention of the community mental health center and requires exploration (i.e., analysis, investigation, confirmation, clarification) before it can be clearly understood and presented as a Problem Statement.

The geographic community area for which the Community Mental Health Centers is responsible for providing services is called the Catchment area. Each Catchment area is comprised of approximately 200,000 people.

Population refers to subgroups within the community such as teenagers, people with depression, women, etc.

Assumptions:

1. Class members will assume that they are staff members of an existing Community Mental Health Center (CMHC) working on a proposal to address the problem identified

2. A proposed program budget of $200,000.00 should be used as a guide

PP7322 COMMUNITY MENTAL HEALTH Page 8 3. The professor is an adjunct member of the project group and will function as the mental health consultant. Your project group will need to schedule at least two meetings with the consultant.

Expectations:

1. The work groups should feel free to generate reasonable assumptions about the community and the target population based on the identified condition; however when possible actual research should be gathered and reported.

2. The group project should be an experience in which members express and elaborate the concepts, paradigms, and theories of Community Mental Health derived from the class and reading materials.

3. Use your imagination. Be creative and have fun with the task.

4. Encourage and facilitate positive group process so that an optimal degree of participation and idea generation can take place. This is essential!

5. The concepts of primary, secondary and tertiary prevention should be an integral part of the program proposals.

6. Program Proposals should be considerate of issues of diversity in all its manifestations of life style, gender, culture, ethnicity, religion, etc.

Sample Project Timeline

Form Project Working Groups during class. Use your knowledge of group dynamics to structure a working group and a decision making structure. Organize how the group will carry out the task and what roles the “staff" will assume in writing the project proposal and decision making.

Clarify the Problem Statement and Describe the Target Population. What resources are available in the community and how are services being used? Develop a mission and Philosophical statement for the CMHC that is guiding the program.

Elaborate the Community Description and its History Brainstorm a description of the community including such concepts as socioeconomic characteristics, religions, crime, history, etc.

Implement a Needs Assessment to identify the nature and extent of the problem and the resources available in the community to address the problem.

PP7322 COMMUNITY MENTAL HEALTH Page 9 Develop a Goal and Preliminary Objectives. Identify strategies to meet these objectives and establish a time frame. Consider what problems does the proposed program wish to eliminate or reduce. What resources or skills must the community develop in order to reduce or eliminate the specific problem targeted? Developing goals and objectives will require additional research into the problem you are seeking to reduce or eliminate.

Review and Elaborate Objectives - Review what problems the proposed program wishes to eliminate or reduce. Are there any ethical or political implications that should be considered in planning or implementing such a plan for this community population?

Finalize a Program Goal and Objectives - Determine if the goal and objectives as written follow from the problem statement and are comprehensive.

Develop Program Activities- What are the activities that must be undertaken to achieve the stated goals and objectives? What does the program need to accomplish in order to achieve the stated program goals and objectives? Make sure your activities are based on the Community Mental Health Paradigm.

Finalize Methodology and Activities - Assure that the program methodology is consistent with the goals and objectives of the program and are tailored to the specific community’s needs and characteristics.

Develop Program Evaluation Procedures – Research program evaluation procedures to identify a valuable method.

Finalize Evaluation Structure – Assure that the evaluation is written in such a manner as to allow others to evaluate the effectiveness of your program

Develop Budget – Based on the program demands and requirements of the program develop a budget that is consistent and reasonable within those parameters.

Review Proposal & Finalize Budget - Review proposal for continuity, consistency and adherence to community mental health practices and concepts and complete budget section.

Program Presentation – Each group will be allowed approximately 30 - 45 minutes to present their program proposal and to answer questions from the class. Please include some type of media (e.g., handout or PowerPoint).

Library Resources

Argosy University’s core online collection features more than 21,000 full-text journals, 23,000 electronic books and other content covering all academic subject areas including Business & Economics, Career & General Education, Computers, Engineering & Applied Science,

PP7322 COMMUNITY MENTAL HEALTH Page 10 Humanities, Science, Medicine & Allied Health, and Social & Behavior Sciences. All electronic resources can be accessed through the library’s website at www.auchicagolib.org. User IDs and passwords are distributed during orientation, but can also be obtained at the circulation desk, calling 312-777-7653, or by e-mail at [email protected].

In addition to online resources, Argosy University’s onsite collections contain a wealth of subject-specific research materials searchable in the Library Online Catalog. Catalog searching is easily limited to individual campus collections. Alternatively, students can search combined collections of all Argosy University Libraries. Students are encouraged to seek research and reference assistance from campus librarians.

Information Literacy: Argosy University’s Information Literacy Tutorial was developed to teach fundamental and transferable research skills, including selecting sources appropriate for academic-level research, searching periodical indexes and search engines, and evaluating and citing information. In the tutorial, students study concepts and practice them through interactions. At the conclusion of each module, they can test their comprehension and receive immediate feedback. Each module takes less than 20 minutes to complete. Please view the tutorial at http://library.argosyu.edu/infolit/

Academic Policies

Academic Dishonesty/Plagiarism: In an effort to foster a spirit of honesty and integrity during the learning process, Argosy University requires that the submission of all course assignments represent the original work produced by that student. All sources must be documented through normal scholarly references/citations and all work must be submitted using the Publication Manual of the American Psychological Association, 5th Edition (2001). Washington DC: American Psychological Association (APA) format. Please refer to Appendix A in the Publication Manual of the American Psychological Association, 5th Edition for thesis and paper format. Students are encouraged to purchase this manual (required in some courses) and become familiar with its content as well as consult the Argosy University catalog for further information regarding academic dishonesty and plagiarism.

Scholarly writing: The faculty at Argosy University is dedicated to providing a learning environment that supports scholarly and ethical writing, free from academic dishonesty and plagiarism. This includes the proper and appropriate referencing of all sources. You may be asked to submit your course assignments through “Turnitin,” (www.turnitin.com), an online resource established to help educators develop writing/research skills and detect potential cases of academic dishonesty. Turnitin compares submitted papers to billions of pages of content and provides a comparison report to your instructor. This comparison detects papers that share common information and duplicative language.

Americans with Disabilities Act Policy

It is the policy of Argosy University to make reasonable accommodations for qualified students with disabilities, in accordance with the Americans with Disabilities Act (ADA). If a student

PP7322 COMMUNITY MENTAL HEALTH Page 11 with disabilities needs accommodations, the student must notify the Director of Student Services. Procedures for documenting student disability and the development of reasonable accommodations will be provided to the student upon request.

Students will be notified by the Director of Student Services when each request for accommodation is approved or denied in writing via a designated form. To receive accommodation in class, it is the student’s responsibility to present the form (at his or her discretion) to the instructor. In an effort to protect student privacy, the Department of Student Services will not discuss the accommodation needs of any student with instructors. Faculty may not make accommodations for individuals who have not been approved in this manner.

The Argosy University Statement Regarding Diversity

Argosy University prepares students to serve populations with diverse social, ethnic, economic, and educational experiences. Both the academic and training curricula are designed to provide an environment in which students can develop the skills and attitudes essential to working with people from a wide range of backgrounds.

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