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Peer review of social work documentation.

Peer review of social work documentation has helped promote the uniformity and consistency with which services are delivered; and social workers are exposed to the professional practice of their colleagues, since all staff members participate in conducting peer reviews. The system also helps identify areas of weakness or deficiency common to staff members. The detection of such patterns is the responsibility of the peer review committee, which brings them to the attention of the social work service management and of the service's QA committee. Corrective action is then taken to remedy identified problems. The system also has the potential to help identify patient problems and needs not met by the existing system of health care delivery; such gaps in service can then be brought to the attention of the management of the medical center for consideration and possible resolution. By focusing on documentation elements as indicators of high-quality and appropriate social work intervention, the peer review system used by the social work service has helped enhance social worker performance and service delivery.

Documentation↗

The development of an Australian national classification system for social work practice in health care.

Australian Social Work, over recent years, has been challenged to develop a standardised and accurate classification system for social work interventions. The need for such a system arose through changes in funding arrangements based on the Diagnosis Related Groups (DRGs) treated within hospitals. In Australian hospitals, the mix of DRGs treated became known as its 'casemix.' These new funding arrangements made it necessary for Social Work to classify and measure activity with each patient to ensure continuing resource allocation to social work services in hospitals. A national Casemix Network was formed under the auspice of the Australian Association of Social Workers to develop a classification system. The Network worked collaboratively with other allied health professions to produce a generic framework for professional activities and also developed a classification of social work interventions. These activity classifications have been incorporated into procedure coding in Australian hospitals. The challenges associated with casemix funding required Social Work to address a number of philosophical and methodological issues related to classification of professional activities to ensure an outcome that recognised the unique contribution of Social Work to health care.

Australia↗

Hospice: social work's response to a new form of social caring.

Social work's response to hospice, as a new form of social caring, is portrayed by a social work process paradigm, conceptualized from the practice and research experiences of the authors. Guidelines are suggested for working with patients, families, care providers, and other concerned persons through the four phases of hospice care. As changes occur in the patient and the hospice settings, the participants join together to bring about a satisfactory fit between the person needing care and the environment. By anticipating the needs and reactions of the terminally ill patient to each transition in the care process, the social worker assists in orchestrating proactive interventions through the continuum of hospice care. Future research studies are recommended for determining what difference social work actions make toward ensuring a "safe passage."

Adaptation, Psychological↗

Survey offers guidelines for social work.

Collection of hospital social work data is a step toward making the product of social work practice both measurable and quality controlled and can serve as a guide for all hospitals.

Data Collection↗

Infant mortality: priority for social work.

Despite a clear mandate and pressing social need, the social work profession has not adopted infant mortality as a clear priority in the 1980's. This failure to claim infant mortality as a professional priority occures in spite of evidence that the factors responsible for infant deaths may be especially appropriate for social work interventions. Social work has an important role in the reduction of preventable infant deaths, and many individual social workers already are active in perinatal social work and other specialities involved in saving infant lives. The profession should make a new commitment to this serious social problem.

Aid to Families with Dependent Children↗

Boundary issues in social work: managing dual relationships.

Social work literature clearly demonstrates that ethical issues related to boundaries are among the most problematic and challenging. Boundary issues involve circumstances in which social workers encounter actual or potential conflicts between their professional duties and their social, sexual, religious, or business relationships. This article provides an overview of boundary issues in social work (circumstances involving dual and multiple relationships); presents a conceptually based typology of boundary issues in the profession; and provides guidelines to help social workers manage the boundary issues and risks that arise in practice.

Codes of Ethics↗

Do unions matter? An examination of the historical and contemporary role of labor unions in the social work profession.

The attitudes among social workers toward labor unions are a topic of significance. Historically, social workers have had an ambivalent relationship with unions. This article analyzes the extent to which unions matter to social workers and whether unions represent the interests of professional social workers. The relationship between social work and unions is conceptualized as reciprocal in nature. Insights about social workers' current attitudes toward unions are informed through critical analysis of a recent research study that examined attitudes toward unions among social work union members. The authors discuss the potential for a collaborative progressive agenda between the social work profession and labor.

History, 19th Century↗

Gandhian principles in social work practice: ethics revisited.

Social work as an expression of culture is a highly value-laden activity. The emergence of many new ethical issues resulting from technological and scientific advancements suggests a need for greater attention to values and ethics. In this article the authors argue that the thought of Mahatma Gandhi, as revealed in his social activism, is relevant to social work ethics and a resource for its ethical enrichment. Principles such as seeking truth through service to others, individual self-development, nonviolent social action, and material simplicity could enhance the current NASW Code of Ethics.

Ethics, Professional↗

Valuing families: social work practice with families from a strengths perspective.

Social work and social workers have long been concerned with families. Historically, most approaches to social work with families have focused on individual pathology and problem solving or have considered problems of a family member to be symptoms of family dysfunction. In contrast, other approaches to social work have focused on growth, function, and healing. This article describes both problem-focused and growth-focused approaches to practice and presents a strengths approach to practice that values families and builds resilience. Assumptions of the strengths approach are discussed and applied to work with families through a case example.

Family↗

The naive epistemology of a working social psychologist (or the working epistemology of a naive social psychologist): the value of taking "temporary givens" seriously.

In this article I first describe the origin of 6 recent lines of inquiry. In describing these 6 case studies, I attempt to determine the inspirations for my ideas. I also attempt to determine (a) whether these specific inspirations (or, perhaps, strategies) have occurred in my past research and (b) whether, in conclusion, some general principle can begin to account for how I generate my ideas.

Humans↗

The evolution of social work in a community hospital.

Since 1905 social work has had the privilege of working with great medical leaders who have respected and assisted our profession. As predicted in 1984 by Abraham Lurie, The social work department of the future will be more decentralized ... develop stronger links administratively ... knowledge of changing social problems ... legislation, research, computerization, data gathering and retrieval. The Columbus Regional Hospital Social Work department is still early in its development, yet the above predictors have occurred which strengthened social work role and professional practice. By 1992 the following areas served as a strong foundation for the department's continued growth: Resource acquisition Hospital Integration Physician Support We must continue to advocate for improved care along with providing an environment of compassion for the patients and their families who seek services. Through continued participation on hospital committees such as ethics, and utilization review, we can demonstrate our practice and influence the environment. By creatively accessing resources we can influence and shape opportunities for colleagues. As a social work manager I thank those who have come before me who laid framework, fought battles and defined territory. We need to continue to support one another through collaborative processes and shared experiential learnings.

Community-Institutional Relations↗

[Ambulatory nursing-care related social work].

From a gerontological point of view, social work which accompanies care processes is absolutely necessary. The social production of care depends crucially on an appropriate attention toward the fitting between informal and formal help systems. Social work can support these fitting processes both on a firm level and on a neutral level. Some specific attributes of social work with elder care-dependant living in their private homes are discussed, such as threatening, difficult or ashaming aspects, as well as the necessity of all involved persons agreeing in the developed help-planning process. Practice research and Social science perspectives are discussed as appropriate reference system for life-world orientated social work with informal caregiving arrangements. Concerning the support of informal caregivers as an important example of ambulant social work with elder people, some dimensions of theoretical and practical professionality are proposed.

Aged↗

Observations on the scientific base of health social work.

This article examines aspects of social work in health care from a philosophy of science perspective, which suggests different ways of conceptualizing and defining variables ranging from service recipients to principles undergirding social work intervention. Focus is given to the relationships among theory, practice, and research in social work by considering the nature of clinical theory; health social work theory; and theory grounded research.

Health Services Research↗

American social work, corrections and restorative justice: an appraisal.

Social work played an active role in American corrections until the 1980s when the ethic of rehabilitation began to give way to a more conservative doctrine of retribution. Changes in the field of social work, characterized by preference of social workers to work only with certain populations, contributed to social work's diminishment in corrections. Although efforts at rehabilitation continue in corrections, the concept of restorative justice that emphasizes assisting victims, communities, and offenders in dealing with the consequences of crime is gaining acceptance in the field of corrections in the United States and in other countries. This study explored social work's presence in corrections, the decline of that presence, and how the concept of restorative justice can invigorate social work within the field of corrections. Several examples of social work's contemporary efforts to use the concept of restorative justice in the United Kingdom are presented.

Criminal Law↗

Social work labor market: a first look.

Virtually no literature exists on the labor market for social workers. Fragmentary evidence suggests that this market is highly segmented by education; that many people who do not have social work degrees work in social work jobs, at least at the lower levels; that people who want to be social workers have such a strong commitment to the career of social work that relative wages make relatively little difference to their career decisions; and that employers often hire applicants without degrees for social work jobs. These factors tend to depress wages for social workers. Suggestions are made for a research and data collection program to make possible a definitive analysis of the social work labor market.

Educational Status↗