SEARCH · Search PubMed
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
The status of preventive social work in the United States is reviewed, as are the three knowledge sources used in the teaching and practice of prevention: public health, mental health, and social work. The integration of concepts of prevention in social work curricula and practice are discussed, and new directions for its use are projected.
This paper proposes one model of hospital social work delivery services that places social work in a facilitative role within the medical team, and describes a pilot project designed to evaluate these services. Social work's role in this teaching hospital setting was tailored to provide patients and medical staff access to social work services upon admission, rather than at the time of discharge. This change places social work at the pivotal juncture to improve medical care and addresses the social, cultural and environmental concerns as they surface during patient stay. Unique to this demonstration model is the added advantage of placing the social worker at the hub of the physician-led medical team. Medical students, residents, and attending physicians all learn, observe, and experience the advantages social workers bring to the process. Educating medical students on teams with social workers bodes well for the profession. The authors summarize the program design, results and implications for social work practice in a teaching hospital setting.
The profession of social work has a unique role in preventing and treating alcohol and other drug problems. In human services settings shared beliefs or ideologies of care are expected to have substantial influence over the way in which problems are perceived and the types of service technologies used. Thus, it is important that social work professionals be cognizant of what beliefs they hold and how their beliefs about substance abuse treatment and prevention may affect practice. This article discusses current ideologies of care in the substance abuse arena, including the disease/abstinence, psychosocial, ecological, and harm-reduction approaches. In addition, this article examines managers' beliefs about substance abuse programs to determine if there are differences between those who have a social work background (that is, hold at least one social work degree) and those who do not. Suggestions for social work practice and future research also are provided.
The rapid growth of the proprietary sector in the provision of social services creates a challenge for the social work profession. Little is known about social work services in for-profit organizations or about how they compare with similar services in nonprofit setting. The authors report on a comparative study of social work services in proprietary and nonprofit hospitals that used the results of the Membership Survey, 1985 of the Society for Hospital Social Work Directors and a sample of 50 proprietary hospital social work departments. Services and staffing, characteristics of directors, and responses to diagnostic related groups are contrasted, and the significance for the profession discussed.
Partnership work with service users and carers in social work education is a policy requirement, and it is also central to the anti-oppressive and rights-based values of social work. This paper reports research findings which are drawn from an educational context, but are also relevant to the wider field of health and social care. The research team undertook a systematic knowledge review using the Evidence for Policy and Practice Information and Coordinating Centre system, which had been used in health and education, but which had not previously been used in social care and social work. This involved an extensive search of electronic databases and rigorous screening to identify studies which had sufficient relevance to be subjected to detailed analysis. The research team also undertook a practice survey of the teaching, learning and assessment of partnership in prequalifying programmes in England, Wales and Northern Ireland. This involved three stages: a document search; telephone interviews; and focus groups held with students, academic staff, and service users and carers. Throughout the research process, the interdisciplinary team was advised and supported by a stakeholder group which consisted of service users and carers, students, and employer representatives. In the second part of the paper, subsequent discussion explores key findings from the research, including the disputed nature of the concept of partnership, models of partnership work within social work education and the dearth of research on partnership outcomes. Five related questions are identified as a means of interrogating the robustness of the research process and findings. The paper concludes by arguing for work to be done to theorise partnership, and to develop effective strategies for improving the quality of partnership working in education, and health and social care practice.
Imperative for social work practice is the need to examine practice frameworks that may inadvertently label variations in cultural expression, ways of navigating stress and threat of harm or social oppression, or periods of reassembly in negative or pathological terms. This article reviews research that explored another way of viewing adult children of alcoholics (ACOAs), because of the epistemology of pathology that grounds research and practice in the area of alcoholism. Using the Differential Resiliency Model (DRM) developed by the author, the study examined qualitative data to obtain a nonpathological approach to understanding the resilience of ACOAs. The DRM can help practitioners provide more timely and appropriate support and services that complement the survival and growth needs of individuals and families. A case example illustrates the use of the model.
Although the social work profession has expressed a commitment to equal opportunity in employment for women, this study notes that inequities in salary and status still exist between male and female social workers. A major cause of these differences appears to be the process of promotion within public agencies, which introduces inequities early in the careers of social workers.
Hospitals present a variety of complex challenges for social work practitioners. Clinical social workers deal with emotionally intense and potentially draining cases in a setting where they are often faced with threats to their identity or existence. They must balance their role as patient advocates with institutional needs and be able to adjust to ever-changing models of health care delivery. Why do some social workers thrive in this environment while others struggle to survive? This article draws upon the author's twenty-year career in hospital social work to provide a "snapshot" of the clinical social work role in teaching hospitals. Included in the discussion are observations about the unique aspects of clinical practice in the hospital and strategies for surviving power struggles, turf battles and hospital "politics."
BACKGROUND: Social work practitioners have the potential to make meaningful contributions to improving palliative and end-of-life care because of their work in varied and divergent practice settings across the lifespan, their role in addressing mental health needs, grief and psychosocial aspects of well-being, and their commitment to promoting culturally competent, effective, and humane care, particularly for the most vulnerable and oppressed members of society. The federal government and several national and professional institutes have called for steps to increase the participation of social work researchers as well as to improve the quality, quantity, and dissemination of social work research. OBJECTIVE: This paper proposes a national agenda for social work research in palliative and end-of-life care. DESIGN: The agenda was developed by a multimethod effort that included an extensive analysis of the literature, discussions with a purposive national sample of social work leaders in palliative or end-of-life care, and consideration of established national research priorities. RESULTS: Eleven domains of palliative and end-of-life care and their related research objectives were identified. Their relevance to the mission and value base of the profession and to established national research priorities is highlighted. CONCLUSIONS: This research agenda should serve to stimulate social work research initiatives to improve palliative and end-of-life care, and ultimately inform direct practice, policy and professional education.
In forensic social work, a relatively new field of practice, significant contact between social work and the law is prominent. A statewide program of services to forensic psychiatric patients in Maryland demonstrates the principles and issues involved in forensic work and the widespread applicability of social work concerns in the criminal justice and mental health systems.
Explore the source record for details and available documents.
The Practice Research Center is a joint endeavor between Adelphi University Graduate School of Social Work and the Department of Social Work Services at Long Island Jewish Medical Center. This paper will describe the work of the research center from 1983 to date. This collaborative effort of agency and school is focused on the students' acquiring an understanding and appreciation of a scientific/analytic approach to knowledge building for practice. Research opportunities for social work staff and students contributed to the initiation of empirical studies. The studies focused on current topics of interest that formed the delivery of social work services, enhanced programming and added to the knowledge of practice. Studies included a hunger survey; a survey of psychiatric patients' understanding of their illness following a psycho education intervention; a retrospective study to determine the extent to which breast cancer information influences a woman's surgical options of a lump-ectomy or mastectomy; a two-tier study focused on the characteristics of foster children and the delivery of social work services; a patient and family satisfaction survey of psychiatric patients and their families. The authors will discuss the educational principles related to this effort.
105 women social work graduate students completed the Edwards Personal Preference Schedule (EPPS) and the Community Mental Health Ideology (CMHI) Scale. Scores on each of the 16 EPPS variables were divided into deciles and into quartiles for comparisons with extreme scores on the CMHI Scale. Results revealed that high CMHI scorers showed significantly lower needs for deference and order personality variables, and indicated that the degree of commitment to community mental health ideology is significantly related to personality preferences.
A preadmission social work intervention was evaluated for impact on length of hospital stay (LOS) and patient satisfaction. Psychosocial issues related to function and post-discharge needs were assessed at an exploratory level. A modified post-test only control group design was used. Study group patients were screened before hospitalization and offered services on admission. Control group patients received standard care. Study group patients were significantly more satisfied with services but impact on length of stay was not demonstrated with one possible exception. Post-operative complications were significantly related to longer LOS; however, unlike control group patients, study group patients with complications did not have significantly longer LOS. Women and those limited in preadmission physical function were most likely to report insufficient help after discharge. A more intensive preadmission intervention is recommended to improve impact on LOS and informal support system involvement, while future outcome studies would clarify the nature of service gaps and high risk groups.
To test the hypothesis that state employees with social work education are better prepared for social work positions than are their colleagues without such education, data were collected in five areas, using different instruments and approaches. The data sets were scores on state merit tests for family service workers, employees' quality assurance scores, ratings of employees from supervisors, measures of employees' commitment to social work values, and measures of employees' confidence in their educational preparedness. Overall, employees with social work degrees, either bachelor's or master's, were better prepared than were those without social work degrees.
Client appraisals of social work services are likely affected by the setting in which care is offered. This paper examines clients' assessments of social work services received in the acute care hospital setting. It is based on interviews with 120 discharged hospital social work clients, and investigates their definition of their psychosocial problems, their expectations from the social work department and their appraisal of the outcomes of the social work intervention. Main findings include the dominance of instrumental needs among the psychosocial problems cited by clients, while emotional relief was the most prevalent outcome. A general lack of clarity regarding expectations was observed. The findings are discussed in light of organizational and methodological issues which might influence the examination of clients' assessments.
The elderly frequently suffer long lengths of hospital stay (LOS). These long stays are often associated with long social care stays which occur when patients no longer require acute care and are awaiting post-discharge services. In this study, actual acute care LOS and social care LOS were studied specifically in hospitalized frail elderly. Our data demonstrate that frail elderly receiving only acute care do not suffer markedly prolonged total LOS (TLOS). However, in hospitalized frail elderly patients who experience acute care and social care stays, social care LOS accounts for over half of all hospital days. When patients were grouped and studied according to the type of post-discharge services being sought by the health care team, significant differences in acute LOS and social care LOS were noted. Subgroups of patients were also identified among the various groups which differed significantly in their LOS parameters. Patients who required more than one discharge plan during the course of hospitalization experienced the longest hospital stays of all groups, and spent almost 70% of these days receiving non-acute social care. In a study of the relationship between the intensity of social work intervention and social care LOS in the frail elderly, a statistically significant relationship was noted between the timing and frequency of social work intervention and the actual length of social care stays. Early and frequent social work interventions were associated with significantly shorter social care LOS. We conclude that the study of TLOS should include acute LOS and social care LOS to obtain a reliable measure of the course and cost of hospital care for the frail elderly. The study of social care subgroups may facilitate future investigations to define the social care problems which contribute most to TLOS, and the patient populations which should be most heavily targeted for early and intensive social work intervention.