Draft Diagnostic Criteria for Dsm-5
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Vol 34 - No 4 March 2010 DRAFT DIAGNOSTIC CRITERIA FOR NNOUNCE D Legislative Update ............. 3 DSM-5 A Public Comment Period Ends April 20, 2010 Community Television: A Resource for all Social Workers ............4 he American Psychiatric Association has released the proposed draft The Ethics Corner .............. 6 diagnostic criteria for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The draft criteria represent content Private Practitioners: A Few T changes under consideration for DSM. The proposed diagnostic criteria will Notes About Documentation ....8 be available for public comment until April 20, and will be reviewed and Opinion-Editorial .............. 9 refined over the next two years. During this time, the APA will conduct three Clinical Social Work phases of field trials to test some of the proposed diagnostic criteria in real- Practice Update ................10 world clinical settings. Members in the News ..........11 Proposed revisions include the following: • The recommendation of new categories for learning disorders and a single NASW-NYS 2010 Chapter diagnostic category, “autism spectrum disorders” that will incorporate Election Candidates .........12-16 the current diagnoses of autistic disorder, Asperger’s disorder, childhood CHAPTER ELE C TION BALLOT .. .. 17 disintegrative disorder and pervasive developmental disorder (not otherwise specified). HIPAA Amendments for a New Decade ...................18 • Eliminating the current categories substance abuse and dependence, replacing them with the new category “addiction and related disorders.” Welcome New Members ...... 20 • Creating a new category of “behavioral addictions,” in which gambling Continuing Education ........ .21 will be the sole disorder. • New suicide scales for adults and adolescents. • Consideration of a new “risk syndromes” category. • A proposed new diagnostic category, temper dysregulation with dysphoria (TDD), within the Mood Disorders section of the manual. • New recognition of binge eating disorder and improved criteria for anorexia nervosa and bulimia nervosa. Public Review of Proposed Revisions The complete recommendations for revisions to the current DSM are posted on the APA’s website for the manual for public review and written comment. www.DSM5.org Deadline for Comments is April 20, 2010 VOTE! CHAP te R EL ect I O N BALL ot : See PAG E 17 NASW-NYS Chapter Staff Reinaldo Cardona, MSSW, LCSW Executive Director [email protected] • Ext. 18 Jacqueline Melecio, LMSW, Assistant Executive Director [email protected] • Ext. 14 Karin Moran, MSW Director of Policy [email protected] • Ext 16 Larissa Langton, Director of Finance [email protected] • Ext 31 Celisia Street, LMSW Communications & Professional Development Associate, Managing Newsletter Editor [email protected] • Ext. 22 AnnMarie Graybash, Executive Assistant [email protected] • Ext. 20 James Koonce, Administrative Assistant Mailing List Rental/Continuing Education [email protected] • Ext. 17 General Inquiries Ext. 10 (800) 724-6279 [email protected] www.naswnys.org Members Only New Login Use your existing username and password for the NASW National site. Copyright © 2010 by NASW-NYS Legislative Update - March 2010 ASW-NYS has continued to focus the majority to social work licensure this was not an issue and Nof our legislative efforts and resources on hundreds of community based service providers remedying licensure implementation issues. Primary routinely hired social workers to provide clinical among those issues is the 2010 Exemption for “O” services. Upon enactment of social work licensure state agencies. As you already know, the social work (and thus the beginning of “scope protection”), such licensing statute, as enacted in 2004, contained an agencies were never informed of the rule change exemption from licensure for individuals employed and have therefore continued to provide scope- in programs under the auspices of the Office of protected services without express legal authority. Mental Health, Office of Alcoholism and Substance The continuing legal prohibition of the provision Abuse Services, Office of Mental Retardation and of scope-protected services in such settings has and Developmental Disabilities, Office of Children will continue to spawn huge workforce and service and Family Services, and local social service and delivery disruptions. In an effort to stem such a mental hygiene districts, to expire on January 1, disruption, we, along with the Licensure Alliance 2010. As this date neared, it was clear that neither have been working closely with the State Education the workforce nor the agencies could come into full Department (SED), the legislature and the Governor’s compliance and needed an additional extension to staff to look at potential tweaks to our previously prevent a huge workforce disruption. introduced bill language granting statutory authority to SED to create and maintain a registry for currently In an effort to secure such an extension, NASW- unauthorized settings providing licensed social work NYS began working with other stakeholders across services (S. 5921 and A.8897). SED’s amended the state (establishing The Social Work Licensure version of the bill is awaiting introduction as of the Alliance). During last year’s budget process the publishing of this article. exemption was extended a mere five months, pushing the sunset to June 1, 2010. In the context Lastly, but of equal importance to the aforementioned of this year’s budget process, we, the Alliance, have issues is that of licensure qualifying clinical continued to engage key members of the legislature, experience. As per Education Law (7704)(2)(c), the governor’s staff, the Division of Budget, OMH, requirements for obtaining the LCSW (Licensed and OASAS, as well as other stakeholders and as a Clinical Social Work) call for completion of 3 years, result of our work, we have secured language in the (full time) or 6 years (part-time) of supervised post Governor’s budget proposal extending the exemption graduate experience in the provision of diagnosis, for an additional four years. However, we are also psychotherapy and assessment based treatment asking that a comprehensive workforce analysis be planning, in a facility or non-facility setting completed by each of the affected agencies and a acceptable to the State Education Department. follow up taskforce be appointed by the Governor’s Regulations define full time experience as no less office to examine the potential effects of compliance than 20 client contact hours per week and part time with the social work licensure law in state agencies. as no less than 10 client contact hours per week. It has been brought to our attention by members Another vital workforce issue is that of the from various areas of the mental health provider Corporate Practice of Social Work. As we have arena that such experience requirements have been previously reported, this issue relates to the fact crafted too narrowly and exclude an enormous that applicants who have met the experiential and amount of other clinical activities from being viable educational requirements are routinely being denied experiences in relation to licensure. Therefore the licensure at the clinical level (LCSW) on the sole Alliance, SED and other stakeholders, have been grounds that their experience was not acquired in in discussions regarding potential alterations to a setting expressly authorized (through licensure present requirements with a focus on maintaining by a State agency) to provide licensed professional high standards of competency while concurrently services such as non-for-profit agencies. Prior continued on page 22... / March 2010 3 Community Television: A Resource for all Social Workers Jacob Berelowitz, LMSW hroughout the history of the social work profession, where that help can be found. Finally, in addition to Tsocial workers have successfully advocated for and original material, many government organizations and implemented changes in the social environment. In pharmaceutical corporations have excellent educational fact, some would say the distinct focus on person in the videos that are available at no charge and can be broadcast environment is one of the defining characteristics of to a large audience through community television. social workers. In many interdisciplinary settings, social Some social workers teach classes about how to make a workers are viewed as the experts on available resources budget, deal with anger, or develop other life skills. What and their applications. One powerful resource for the we would normally view as workshop material, can be dissemination of social work related information to the broadcast to a greater audience, on community television, public is community television. providing a foundation of understanding which would then For Whom Is This a Valuable Resource? support subsequent treatment. Community television can be utilized to present many Another advantage of using community television is self different kinds of material and therefore can educate portrayal of social workers. There is often discussion in audiences about a variety of issues. Although social the social work community of how to improve the ways workers practice in many different kinds of settings, this that the public and the media perceive social workers. resource can be effectively adapted to the cause of most Public television provides such an opportunity.