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[Social work and health care = clinical social work competence and profile in an area that is hard to survey].

From the very beginning professional social work has been involved in health care. However, in our post modern society this area of competence has to be improved, and in order to compete with new health professions, a clear distinction has to be made. This is shown in important points of modern social work: Society perspective (health behaviour and public health circumstances), WHO perspective (health promotion) and psycho-social perspective (health care in social services). Health care under most difficult conditions asks for specialised competence that is to be developed in Germany as "Klinische Sozialarbeit" referring to international clinical social work standards.

Germany↗

Differential work assignments of social work practitioners in hospitals.

This article reports the results of a survey concerning the differential assignment of tasks to social workers with bachelor of social work (BSW) and master of social work (MSW) degrees by social work directors in Canadian hospitals. It also provides data relative to the variation in amount of supervision provided to workers in those settings where both BSW-level and MSW-level workers perform the same tasks. It is intended that this study will yield useful information to assist the profession in defining the appropriate assignment of tasks to hospital social workers.

Adult↗

The beginning development of a model for joint research between a hospital social work department and a school of social work.

Efforts of agencies and schools of social work to encourage goals of research and professional writing among their staff and faculty have brought uneven results. A medical center and a graduate school of social work are in the process of implementing a joint research model which encourages practice based research and publication. This paper describes the beginning structures of the model and the questions addressed in the formative process.

Humans↗

Effect of a changing health care environment on social work leaders: obstacles and opportunities in hospital social work.

The health care system is undergoing dramatic change in auspice, structure, and services delivery in response to an emphasis on market-driven, cost-containment strategies. Consequently, many hospital social work directors either have lost some of their administrative responsibilities or have expanded their span of control beyond social work services. This article examines the responses of social work administrators to the breadth of changes occurring throughout their hospitals; the major accomplishments of social work services within their facilities; and the failures, frustrations, and obstacles in the delivery of social work services. As a result of examining the relationship between their actual and anticipated behavior and changes in the hospital and external environment, the authors found that social work leaders in hospitals understand the complexities and challenges of the world around them. Overall, they have exhibited commitment, competence, and confidence in shaping organizational change.

Hospital Administrators↗

Attitudes toward and knowledge of AIDS among African American social work students.

Social work students can be trained to assume critical roles in response to the acquired immune deficiency syndrome (AIDS) epidemic in the African American community. To effectively prepare social work students for these roles, educators must ascertain the knowledge and attitudes of students toward the epidemic. Although several researchers have studied the AIDS knowledge and attitudes of social work students in general, none have reported on the knowledge and attitudes of African American social work students as a group. In the present study, 48 graduate-level African American social work students responded to a questionnaire to measure these characteristics. Many students had incomplete knowledge about AIDS, felt unprepared to handle AIDS practice situations, and felt apprehensive about contact with people with AIDS. Social work educators need to take steps to ensure that African American social work students are prepared to intervene effectively in the AIDS epidemic.

Acquired Immunodeficiency Syndrome↗

Perceptions of social work intervention with bereaved clients: some implications for hospital social work practice.

The study focussed on social work bereavement intervention in a large Australian teaching hospital comparing client and social work perceptions of the service provided. The study involved the completion of a series of questionnaires and client interviews over a three month period. A combination of content and statistical analysis was used to interpret the findings. Eighty-eight percent of clients contacted indicated satisfaction with the social work service received. The results indicated a positive match between clients' and social workers' perceptions of the intervention, and affirmed the role of social work in bereavement care. Seventy percent of clients made recommendations regarding potential improvements to social work services. These recommendations contained four specific suggestions: that social workers be present when the doctor breaks bad news; that additional support be provided in how to talk to doctors; that social workers be involved from the point of admission of the patient; and that a primary social worker remain with the family throughout the hospital stay.

Australia↗

Community care and the origins of psychiatric social work.

Psychiatric social work began in the early twentieth century as a result of a movement for community care of the mentally ill. Formerly preoccupied with institutional care of the mentally ill, psychiatrists now became interested in the control and prevention of mental illness in the community. This paper reviews the contemporary literature on early psychiatric social work. The paper then discusses the mental hygiene movement and early psychiatric social work practice. It concludes with a consideration of the changes in psychiatric social work which accompanied World War I.

Community Mental Health Services↗

Embodied practice: claiming the body's experience, agency, and knowledge for social work.

Although social work practice typically is concerned with physical conditions and experiences such as poverty, addiction, and violence, relatively little attention has been given to the body in professional literature. Emphasizing both physical and sociocultural dimensions of the body, this article argues for an invigorated, more complex understanding of the body in social work theory, practice, and research. Drawing from scholarship in the humanities, social sciences, and social work, a framework involving three dimensions of the body is proposed for integration with accepted ecological practice models. The nature and implications of three primary dimensions of the body for multiple domains of social work practice are explored, citing examples from narratives of mothers living with HIV disease: (1) the experiencing body, focused on the physicality of daily life; (2) the body of power, focused on the physicality of oppression and marginality, typically based on race or ethnicity, socioeconomic status, gender, sexual orientation, age, disability, physical appearance, and illness; and (3) the client body, reflecting the bodily experiences of those identified as clients who participate in relationships with social workers.

Humans↗

Issues in the development of social work information systems: the case of hospital social work departments.

Information systems have been proposed as a valuable resource for promoting the efficient and effective operation of hospital social service departments. However, the development and implementation process must overcome the tensions inherent to collection and utilization of structured information by social work practitioners. These include the need for quantified data about qualitative phenomena, compatibility with existing work routines, compatibility with norms and perceptions of information needs at different levels, and potential versus actual utilization of the data. The authors examine these issues and present strategies for dealing with them, in the context of a project to develop a country-wide information system for social work departments in general hospitals in Israel.

Communication Barriers↗