1. Lesson 8

2. Quiz 1. According to Eysenck, who is more likely to commit violent crime? 2. What did Anderson & Dill (2000) find? 3. What did Charlton et al (2000) find? 4. What were the 5 verbs used by Loftus and Palmer? 5. T/F Alcohol is a stimulamt

3. 6. In Ennett et al’s study what percentage of cliques were made up of all smokers? 7. What did Blattler et al find? 8. What does axis 3 of DSM measure? 9. Give 2 cultural differences in the symptoms of schizophrenia 10. What method did Rosenhan use?

4. Learning Intention Compare the biological and social explanations of schizophrenia Develop knowledge of social treatment of schizophrenia Mini test

5. Recap of Social Explanation In 4s share your Home Learning: Take turns State what tasks you chose and share your work Provide one star and one wish on a post-it for each member of the 4

6. Exam Question June 11 There are many explanations for schizophrenia including biological ones. Describe one explanation for schizophrenia and compare this with one other explanation. Comparisons include considering similarities and/or differences. (12)

7. Similarities and differences BioSocial

8. Similarities and Differences Evidence from treatment with anti-psychotic drugs supports the view that excessive availability of dopamine is implicated in the positive symptoms of schizophrenia, however as dopamine levels in the brains of schizophrenia prior to onset are unknown other factors such as stress could trigger the disorder with dopamine merely being a symptom Whereas genetics arguments suggest that schizophrenia is inherited evidence from the social approach suggests that people are more vulnerable if they experience tougher environments Both the genetic explanation for schizophrenia and social causation would argue that increased vulnerability will be shared across family members Both explanations see the schizophrenic as a victim of circumstances, one because inherited factors are the underlying cause, the other because the circumstances of birth cause the vulnerability that leads to its development. So in neither explanations is the schizophrenic responsible for their illness

10. Social treatments of Schizophrenia Care in the community 1970s ACT developed in Madison, Wisconsin (Madison Project) by Leonard Stein & Mary Ann Test Now used in UK, Australia, Canada & many other countries

11. ACT Used to help schizophrenic patients who have frequent lapses and bouts of hospitalisation. Used by community mental health services with clients who have difficulties meeting personal goals, getting on with people, making and keeping friends and living independently. Care in the community uses drop-in centres that provide a 24/7 service “ACT is often viewed as a way of organizing services to provide concrete help essential for the community integration of clients with severe mental illness (SMI). One way in which ACT differs from many traditional services is by the emphasis on a team approach. An ACT program consists of a multidisciplinary group of mental health professionals who work as a team. Another distinctive feature is that most ACT contacts occur in community settings. ACT teams have a holistic approach to services, providing help with medications, housing, finances, and anything else critical to an individual’s success in living”. Bond (2002)

12. 5 Characteristics of ACT 1. Focus on those who need most help from the community health service 2. Support independence, rehabilitation & recovery, to avoid homelessness and re-hospitalisation *HOSPITALISATION IS A LAST RESORT 3. Treatment in a real life setting - patients are visited and helped rather than offered therapies 4. Whole team focus on individual – psychiatrists, nurses, social workers & people for whom the treatment has worked 5. TIME – a commitment to spend as much time as necessary to rehabilitate and support, offering a HOLISTIC treatment that looks at all the individual’s needs in a MULTIDISSCIPLINARY approach

13. Task Write a job description for an ACT worker What would we include?

14. Job Description You will need to work within a professional team to support clients so good personal skills are essential. You will need to learn what the specific needs of a client are including the signs and symptoms of disorders. You will need to build up trust so that the client is willing to turn to you for support. It is important to work to the best interests of the client such as realising when and when not to keep confidentiality. You must be willing to work flexible hours as sometimes a crisis develops and you will be on call. You may be required to deliver other support such as counselling or checking a client is taking their medication.

15. Evaluation Effectiveness Practicality Ethics Symptoms/Cause

16. Compare treatments BioSocial

17. Tracker Test 2 You have learned about either family therapy or care in the community (Social Approach) as ways of treating mental disorders. Describe one of these treatments/therapies. (4) Evaluate the treatment/therapy you have described in (a). (4)

18. Home Learning Complete exam question 5 from June 2011 Read and complete p33-34 in booklets STRETCH – read in more detail about Goldstein in the brain book and add detail to the APRC in your booklet