Our findings show 92% (N=173) of the publications we appraised explicitly use the word diagnosis. Competent use of the DSM is beneficial to social workers, clients, and communities across a variety of settings (Kourgiantakis et al., 2020). Scoping studies: Towards a methodological framework. The Work System. (Eds.). Values such as service to humanity, integrity, and competence in professional practice (CASW, 2005) guide social workers to ensure that diagnoses serve patient and client needs and provides a frame for selecting and delivering effective interventions. Throughout the process, consultations with key stakeholders of the Ontario Association of Social Workers, including the President, Board of Directors, staff and a membership based advisory group assisted in providing additional social work perspectives and expertise on the data collected. Screening and Assessment of Co-Occurring Disorders (2018). The profession is well suited to facilitate DSM diagnosis with a comprehensive biopsychosocial assessment by enabling a suitable intervention plan. Furthermore, social workers recognize that diagnosis helps with implementing evidence-based interventions and guides referrals for service (Barsky, 2015). We followed Arksey and OMalley (2005)s five-stage scoping review process: (i) identifying the research question, (ii) identifying relevant studies, (iii) study selection, (iv) charting the data and (v) collating, summarising, and reporting the results (p.22). This unique contribution is particularly important in an era where funders for mental health services are placing more emphasis on changing behavior, not people, in environments with complex psychosocial histories, and there has been little attention to the impact of the social environment or to biology on individuals (Berzoff & Drisko, 2015). Language of diagnosis. https://doi.org/10.1007/s10615-013-0444-3, Ponniah, K., Weissman, M. M., Bledsoe, S. E., Verdeli, H., Gameroff, M. J., Mufson, L. Wickramaratne, P. (2011). https://doi.org/10.1016/j.childyouth.2010.09.009, de Zerden, S., Lombardi, L., B. M., & Jones, A. Find out how you can intelligently organize your Flashcards. Assessment, diagnosis and treatment planning: A map for the journey The people behind DSM-5. Differential diagnosis: Definition, examples, and more - Medical News Today ), Dementia and social work practice: Research and interventions (pp. https://nlcsw.ca/sites/default/files/inline-files/Standards_of_Practice_for_Social_Workers_in_NL.pdf, Newman, B. S., Dannenfelser, P. L., & Clemmons, V. (2007). Thank you to the two research assistants for data collection - Mishal Dar and Kandarp Patel, and Simon Lam for his support and review of the manuscript. The US has clearly embedded diagnosis in the social work role and as such the profession scope is widely recognized to include this. The authors found that while didactic training and clinical supervision in structured diagnostic assessment were offered by the majority of programs, MSW programs were amongst those more likely to provide didactic training without a clinical supervision requirement, therefore diverging from the gold standard of training (Ponniah et al., 2011). (2011) reported the results of a national survey examining the inclusion of structured diagnostic assessment training in accredited social work, clinical psychology, and psychiatry residency programs in the US. In a study of social work educators and the use of the DSM classification system, Lyter & Lyter (2016) noted over 90% of respondents reported DSM content being included in the curriculum. Although the DSM along with International Classification of Diseases (ICD-11) is the dominant diagnosis tool, it is only one tool. For example, social workers believe that as an assessment tool, the DSM provides a common language and encourages smooth interdisciplinary communication. Nursing care is implemented according to the care plan, so continuity of care for the patient during hospitalization and in preparation for discharge needs . The database searches yielded 8,081 publications. process occurring between a social worker and client, in which info is gathered, analyzed, and synthesized to provide a concise picture of the client and his or her needs and strengths. https://doi.org/10.1007/s10560-017-0500-x, McGowan, J., Sampson, M., Salzwedel, D. M., Cogo, E., Foerster, V., & Lefebvre, C. (2016). Legislation is a key component to enable social works ability to do diagnosing. Social work holds the ability to evolve rapidly in the context of the future of health services including trauma approaches and integrated models. Building on this idea, Corcoran & Walsh (2016) observe that social workers awareness of the limitations of the DSM uniquely positions them to highlight all aspects of a clients circumstances that could inform a diagnosis (i.e., strengths and resources). Using thematic analysis in psychology. Across the US and Canada, a code of ethics unifies the profession of social work (Canadian Association of Social Workers [CASW] 2005; National Association of Social Workers [NASW], 2021). https://doi.org/10.1093/sw/30.2.166, Forrest, C. B., Nutting, P. A., Starfield, B., & von Schrader, S. (2002). https://doi.org/10.1111/nhs.12048, Washburn, M. (2013). Google Scholar, Linton, K. F. (2014). The psychodynamic diagnostic manual 2nd edition. ), Social work practice in the addictions (pp. After all, thats all most people are looking for. (PDF) ASSESSMENT AND EVALUATION IN EDUCATION - ResearchGate Researchers have also demonstrated interest in how mental health professions with different theoretical orientations approach and understand the biopsychosocial component of diagnosis (McFarland et al., 2018). Clinical Social Work Journal, 19(3), 309325. While educators have expressed concern about social work values conflicting with the traditional biomedical understanding of disorders, they also appreciate the role of the DSM in diagnosis and treatment planning and believe that the profession needs a stronger voice in further DSM revisions (Newman et al., 2007). The profession has not developed an exact alternative to the DSM (Frazer et al., 2009). PDF Content Outlines and Ksas - Aswb In addition to education and training, our review demonstrated concerns around professional competency. When a client tells me that her foot pain is excruciating, burning, stabbing, when she first gets out of bed in the morning, I dont have to say, Yep, sounds like you have plantar fasciitis. Instead, I can reassure her that I have heard that from many others and that I can help. Social Work in Mental Health, 9(4), 272286. Family physicians referral decisions: Results from the ASPN referral study. Sur, D., Ashcroft, R., Adamson, K. et al. Providing social workers the environment and context to use the DSM appropriately in clinical work would help to significantly address barriers to access. In one notable example, Ponniah et al. Our review demonstrated that barriers to diagnosis are also influenced by the organizational context social workers are practicing in. Clinical Social Work Journal, 41(2), 205211. https://www.casw-acts.ca/files/documents/casw_code_of_ethics.pdf, Canadian Mental Health Association Ontario (2021). Several publications emphasized that social works psychosocial and sociocultural lens during assessment adds value to the diagnostic process. The guidelines apply broadly to professional competencies of psycholo-gists conducting assessments and evaluations, including selection and evaluation of tests used, test administration, scoring, interpre-tation, report writing and feedback, and work within the limits of https://doi.org/10.1016/j.jclinepi.2014.03.013, Corcoran, J., & Walsh, J. Social Work, 58(4), 373376. Social workers are also encouraged to remain on top of new developments and literature which may enhance their understanding of strengths and limitations of the dominant diagnostic system, and also provide supplemental skills in assessment techniques and theories (Ahmedani & Perron, 2012). Advancing the mental health strategy for canada: A framework for action (20172022). (1988). https://doi.org/10.1007/s10615-015-0544-3, Bransford, C. L., & Blizard, R. A. Social workers demonstrate effectively assigning diagnoses and using their clinical judgement to rely on environmental and cultural clinical judgement where appropriate, which is supported by the DSM-IV as it notes that the nuances of individuals cultural frame are important (Barrera & Jordan, 2011). Social Work in Mental Health, 14(3), 195214. A $10.00 late fee will be assessed on all overdue accounts. The reviewed and revised search string was translated into six databases, selected for their thorough coverage across health and social sciences content: Social Services Abstracts (ProQuest), MedLine (OVID), CINAHL (EBSCO), Social Work Abstracts (OVID), and Applied Social Sciences Index and Abstracts (ProQuest). Journal of Social Work Education, 43(2), 297308. Not labeling my clients condition in no way demeans my knowledge or abilities. Social work education and training in mental health, addictions, and suicide: A scoping review. If youd like to learn how to help people with chronic foot pain, including plantar fasciitis, then please join one of the upcoming How to Relieve Chronic Foot Pain workshops. The diagnostic process proceeds as follows: First, a patient experiences a health problem. This scoping review examined the nature of the literature on the practice of diagnosing mental health disorders in Canada and the US and excluded other international literature. Social Work in Mental Health, 12(4), 303329. The diagnosis of mental disorders in clinical social work: A review of standards of care. c. 23 (2019). PRESS peer review of electronic search strategies: 2015 guideline statement. Assessing Addiction: Concepts and Instruments - PMC Sex bias in the diagnosis of borderline personality disorder and posttraumatic stress disorder. They are not interchangeable. We suggest that expanding the scope of practice for social work to include diagnosis can help increase the capacity of the healthcare system to identify and address mental health concerns. The many faces of cocaine: The importance of psychosocial assessment in diagnosing and treating cocaine abuse. The Diagnostic Process. Risk for ineffective childbearing process. Steps Examples Results Summary Differential diagnosis is a process wherein a doctor differentiates between two or more conditions that could be behind a person's symptoms. In fact one definition of Social Systems Theory is the interconnectedness of the person and environment on the micro, mezzo and macro levels. A study of ADHD assessment and intervention. For this study, we continuously built on existing scoping review frameworks with a focus on the proposed research questions as a foundational guide for this work.
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