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PubMed1996

The advocacy role in hospital social work.

Hospital social workers were asked to describe their roles and functions, with particular emphasis on the amount of time spent doing traditional advocacy on behalf of patients. The results indicated that workers spent the least amount of time on advocacy as compared with other traditional social work roles. A case is made for emphasizing the advocacy role as a strategy to counteract the potentially negative effects on social work of organizational changes in Canadian hospitals. The implications of the findings for schools of social work, professional associations and employers of social workers are discussed.

Adult↗
PubMed2001

Nature of work and future of the social work profession.

Social work practice and education long have been influenced by trends in the U.S. economy, particularly as these trends affected patterns of employment and unemployment. This article assesses the implications of recent changes in patterns of economic production and the nature of work for the social work profession. The authors conclude with recommendations on how schools of social work can address these implications in their curricula and their relationships with the communities in which they are located.

Community-Institutional Relations↗
PubMed2002

Does social work oppress evangelical christians? A "new class" analysis of society and social work.

This article argues that social work, informed by "new class" ideology, oppresses Evangelical Christians. The article discusses the rise of the "new class," along with its attendant ideology, which sanctions and legitimizes discrimination against Evangelicals and other people of faith. The role of social work, a "new class" profession, in the oppression of Evangelicals is profiled, and its inability to extend tolerance to this population is traced to its "new class" ideology, which inhibits it from functioning in accordance with its professed values and ethics. Consequently, the article suggests that social work is losing touch with numerous ethnic and religious minority groups, and unless the profession deconstructs the ideology that informs it, it will be unable to provide services to or facilitate dialogue among the increasingly diverse populations of North America.

Christianity↗
PubMed1996

The changing scene of social work in hospitals: a report of a national study by the Society for Social Work Administrators in Health Care and NASW.

The Society for Social Work Administrators in Health Care and NASW collaborated on a national study of the changes affecting social work services in a sample of 340 hospitals drawn from the member list of the American Hospital Association. The findings suggest that the changes affecting social work need to be viewed within the context of the dramatic changes occurring in the hospital and health care field. Although social work departments are experiencing decreases, these decreases often are not occurring at the same rate as those within the hospital overall. Growth is occurring in the types and scope of services. Social work is not being singled out for change, but it is critical that these trends continue to be monitored and proactive strategies used to enhance social work viability within a changing hospital environment.

Administrative Personnel↗
PubMed1992

Implementing the Public Health Social Work Forward Plan: a research-based prevention curriculum for schools of social work.

In 1985, the Division of Maternal and Child Health of the U.S. Public Health Service funded a major working conference entitled "Public Health Social Work in Maternal and Child Health: A Forward Plan." Curriculum recommendations for schools of social work were made, including a recommendation for the integration of health and mental health content in the education of social workers within a public health conceptual framework. In 1986, the National Institute of Mental Health funded a three-year program to develop and evaluate a research-based prevention training curriculum for dissemination to schools of social work and other primary care professional schools. This article examines the Michigan Prevention Training and Curriculum Development Project from the perspective of the recommendations of the Public Health Social Work Forward Plan.

Curriculum↗
PubMed2003

The impact of organizational change on social work staffing in a hospital setting: a national, longitudinal study of social work in hospitals.

Market forces continue to shape the health care environment, producing radical changes within the hospital. These changes are affecting social work structure, staffing, and processes within the hospital setting, particularly in the area of social work staffing. This paper examines the changes impacting hospital settings over three fiscal years. A primary question is whether or not social work staffing is being negatively impacted by these hospital changes, and what factors predict the downsizing of social work staff.

Health Services Research↗
PubMed2005

Social Work Admission Assessment Tool for identifying patients in need of comprehensive social work evaluation.

Early identification of patients who need a social work evaluation is integral to effective discharge planning. This article describes the development and application of the Social Work Admission Assessment Tool (SWAAT), a six-item scale that identifies patients with complicated discharge needs who require a social work evaluation. It addresses ambulation, mental status, living situation, current social services, self-perceived need for additional services, and need for assistance in going home. Based on their scores, patients are categorized as having low, intermediate, or high need. A greater proportion of high-need patients were discharged with services and had prolonged hospitalizations (p = .0001). The SWAAT is a comprehensive needs assessment tool that may facilitate discharge planning and improve quality of care.

Aged↗
PubMed2002

Social work practice in the donation of human tissue for transplantation: utilising social work values and competencies to achieve effective outcomes for transplant patients and donor families.

In Queensland, Australia, senior social workers have pioneered the coordination of tissue donation at coronial autopsies, seeking consent for the donation of heart valve, bone and eye tissue after sudden deaths which have been reported to the coroner. The urgent need for tissue for transplantation is balanced with the counselling, information and practical needs of potential donor families in their shock and grief. Social work assessment, advocacy, liaison, counselling, crisis intervention and particularly communication skills have been utilised, both as an integral component of obtaining informed consent and in working with families' experience of grief and loss in sudden, traumatic bereavement. This tissue donation program, over a period of eight years, has maximised the availability of tissue with its high donation rates, while upholding the rights and needs of potential donor families through provision of an effective social work service. The paper will reflect upon key social work knowledge and processes which have respected the subjective experience of client and worker while working within a medical model.

Autopsy↗
PubMed2004

Relationships between social work involvement and hospice outcomes: results of the National Hospice Social Work Survey.

In a struggle to balance fiscal realities with hospice philosophy, some hospices have attempted to cut costs by reducing social work involvement. This cross-sectional survey of 66 hospices found, however, increased social work involvement was significantly associated with lower hospice costs. Additional benefits included better team functioning, more issues addressed by the social worker on the team, reduced medical services, and fewer visits by other team members, along with increased client satisfaction and lower severity of case. The authors concluded that higher salaries should be paid to a sufficient number of highly educated and experienced social workers. These social workers should be dedicated solely to the hospice social worker position, should participate in intake interviews, and should be supervised by a social worker.

Cross-Sectional Studies↗
PubMed1999

What families know about funeral-related costs: implications for social work practice.

Social workers provide essential services in the area of end-of-life care to individuals who are dying and their families. Results reported here suggest that social work's role be expanded to provide basic information about local final arrangement (funeral and burial) options and costs. This study was undertaken to determine the knowledge and experience level of people responsible for funeral and cemetery arrangements and to investigate factors affecting familiarity with final costs. Survey responses from 163 survivors of older adults in Kansas City showed that adult children play an important role in the final arrangements of a parent and that half the survivors responsible for final arrangements had no idea what to expect in terms of costs.

Aged↗
PubMed2007

Preparing social work students to work with grandparents in kinship care: an approach to infusion of content materials into selected core social work courses.

Grandparents in kinship care represent an expanding population of older adults assuming primary parenting responsibilities for their grandchildren at a time when many grandparents may also be experiencing developmental changes accompanying their own aging process. Research documents a lack of social workers prepared to respond to the needs of an aging population in general, and grandparents in kinship care in particular, as curricular content on this population has been limited in undergraduate and graduate social work programs. This article describes an infusion model proposed for an undergraduate social work program's GeroRich Project designed to introduce content on an aging population in four foundation courses to expand students' knowledge of older adults and grandparents as kinship care providers.

Aged↗
PubMedDate not supplied

Neonatal intensive care unit social work: program considerations.

Social workers in neonatal intensive care units provide psychosocial services to families of critically ill newborn infants, and often provide support to staff as well. Staffing patterns for these professionals vary significantly, and not infrequently are based on subjective criteria. Staff from 67 hospitals were surveyed to determine perceptions about the appropriate number of social work staff members necessary to provide for adequate service, and the functions staff attributed to the role of the social worker. Responses of social workers, head nurses, and medical directors in neonatal intensive care units and hospital social work directors were compared on a variety of issues related to social work services in neonatal intensive care units.

Humans↗
PubMed2003

Harm reduction: a social work practice model and social justice agenda.

Efforts in the United States to eradicate drug use through supply reduction (that is, the War on Drugs) have increasingly violated the principles of social justice and human rights, both locally and globally. This has created ethical conflicts for social workers in policy making, practice, and research. Harm reduction has been conceptualized as a peace movement and is aligned with the humanistic values around which social work is organized. The authors examine how social workers may reduce the ethical conflicts associated with efforts to address substance abuse by adopting a harm reduction approach to policy, practice, and research. They examine current drug policies, the consequences of the policies, and, in particular, how the policies affect social workers as practitioners, agents of social control, and guardians of social justice.

Drug and Narcotic Control↗