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Journal of Applied Gerontology : the... Aug 2019Types of compromised resident behaviors licensed nursing facility social workers encounter, the behavioral health role they enact, and effective practices they apply...
Types of compromised resident behaviors licensed nursing facility social workers encounter, the behavioral health role they enact, and effective practices they apply have not been the subject of systematic investigation. Analyses of 20 in-depth interviews with Bachelor of Social Work (BSW)/Master of Social Work (MSW) social workers averaging 8.8 years of experience identified frequently occurring resident behaviors: physical and verbal aggression/disruption, passive disruption, socially and sexually inappropriateness. Six functions of the behavioral health role were care management, educating, investigating, preventing, mediating, and advocating. Skills most frequently applied were attention/affirmation/active listening, assessment, behavior management, building relationship, teamwork, and redirection. Narratives revealed role rewards as well as knowledge deficits, organizational barriers, personal maltreatment, and frustrations. Respondents offered perspectives and prescriptions for behavioral health practice in this setting. The findings expand understanding of the behavioral health role and provide an empirical basis for more research in this area. Recommendations, including educational competencies, are offered.
Topics: Cross-Sectional Studies; Humans; Interviews as Topic; Long-Term Care; Nursing Homes; Professional Role; Referral and Consultation; Social Work
PubMed: 29165022
DOI: 10.1177/0733464817733103 -
Health & Social Work Nov 2002Hospital restructuring in North America has involved re-engineering, downsizing, reorganizing, and remodeling of traditional hierarchical functional organizations into... (Comparative Study)
Comparative Study
Hospital restructuring in North America has involved re-engineering, downsizing, reorganizing, and remodeling of traditional hierarchical functional organizations into multisite programmatic conglomerates. The implications for professional disciplines have been dramatic in that departments such as social work have been dismantled and social work practice has come under the domain of program managers representing multiple disciplines. In this study 12 hospitals in Ontario, Canada, that were studied in the early stages of restructuring in 1995 expanded to 22 sites by 1999. The effect of the mergers and moves to program management on the social work profession was examined. The key findings are that social work line positions were not lost, but accountability and recruitment were no longer in the hands of the discipline. These findings suggest that it is more critical now than ever for social workers to champion their contributions to health.
Topics: Health Services Research; Hospital Restructuring; Humans; Interdepartmental Relations; Ontario; Personnel Downsizing; Professional Competence; Social Responsibility; Social Work; Social Work Department, Hospital
PubMed: 12494719
DOI: 10.1093/hsw/27.4.274 -
Social Work in Health Care 1996Social work practice in health care must change to better meet the needs of individuals and their families as the system of care changes from an acute care focus to a...
Social work practice in health care must change to better meet the needs of individuals and their families as the system of care changes from an acute care focus to a community based focus and as individuals seek more active participation in their own care decisions. Practitioners and educators must renew their partnership to create a practice based on the needs of individuals to move most effectively through a more complex system of care and back home again. A paradigmatic shift can redefine social work in health care for the future. Renewed leadership with vision is required.
Topics: Community Health Services; Delivery of Health Care; Health Care Reform; History, 20th Century; Leadership; Professional Practice; Social Change; Social Work; United States
PubMed: 8931187
DOI: 10.1300/J010v24n01_03 -
Social Work Jan 2005
Topics: Humans; Periodicals as Topic; Social Work
PubMed: 15688684
DOI: No ID Found -
Social Science & Medicine (1982) 1986Current and potential future contributions of social workers to health practice are considered at the three levels of direct service to patients, influence on the... (Review)
Review
Current and potential future contributions of social workers to health practice are considered at the three levels of direct service to patients, influence on the processes and procedures of the health setting and influence on its future planning and service development. The capacity of U.S.A. and U.K. social work to contribute at these levels is compared in the light of their contrasting relationships to the health system. U.S.A. social work in health care is practised as employees of the health setting or as private practitioners and contains the majority of U.S.A. social workers. It remains a specialism that sustains a major body of published work, commitment to knowledge-building, standard setting and performance review, and a psycho-social orientation shared by a growing number of medical and nursing professionals. Its approach to the health system is that of the pursuit of professional credibility in the secondary setting by adopting the professional-technical practice model of the clinician. U.K. social work since the early 1970s has been committed to generic education and practice and to the development of its own primary setting in social services departments which now employ almost all U.K. social workers. Area team social work in these departments, typified by statutory work with the most deprived sections of the population, has become the dominant culture of British social work, with implications for the occupational identity and career prospects of those social workers who are outposted or attached to health settings but no longer employed by them. British social work and its management now approach the health system from a position of organizational independence which should strengthen their capacity to influence the health system. The cultural differences between social work and medicine, however, are experienced more keenly than ever as many social workers adopt a socio-political practice model that is at odds with the professional-technical model of the clinician. Provision of social work services to the health system has become a questionable priority and raises the issue of whether much of what is now termed "health care' could more appropriately be termed "social care' and provided in a primary social work setting to which medicine and nursing would make their "proper contributions'.
Topics: Counseling; Culture; Delivery of Health Care; Humans; Professional Competence; Psychotherapy; Social Change; Social Work; State Medicine; United Kingdom; United States
PubMed: 3529415
DOI: 10.1016/0277-9536(86)90181-4 -
Journal of Gerontological Social Work Jul 2017Person-centered care (PCC) has emerged over the last several decades as the benchmark for providing quality care for diverse populations, including older adults with...
Person-centered care (PCC) has emerged over the last several decades as the benchmark for providing quality care for diverse populations, including older adults with multiple chronic conditions that affect daily life. This article critiques current conceptualizations of PCC, including the social work competencies recently developed by the Council on Social Work Education, finding that they do not fully incorporate certain key elements that would make them authentically person-centered. In addition to integrating traditional social work values and practice, social work's PCC should be grounded in the principles of classical Rogerian person-centered counseling and an expanded conceptualization of personhood that incorporates Kitwood's concepts for working with persons with dementia. Critically important in such a model of care is the relationship between the caring professional and the care recipient. This article recommends new social work competencies that incorporate both the relationship-building attitudes and skills needed to provide PCC that is authentically person-centered.
Topics: Humans; Mindfulness; Patient-Centered Care; Social Work
PubMed: 28682181
DOI: 10.1080/01634372.2017.1348419 -
The American Journal of Psychiatry Jan 1958
Topics: Humans; Social Work; Social Work, Psychiatric
PubMed: 13487809
DOI: 10.1176/ajp.114.7.637 -
The American Journal of Psychiatry Jan 1954
Topics: Humans; Social Work; Social Work, Psychiatric
PubMed: 13114449
DOI: 10.1176/ajp.110.7.531 -
The American Journal of Psychiatry Jan 1962
Topics: Humans; Social Work; Social Work, Psychiatric
PubMed: 14005358
DOI: 10.1176/ajp.118.7.627 -
The American Journal of Psychiatry Jan 1961
Topics: Humans; Social Work; Social Work, Psychiatric
PubMed: 13730084
DOI: 10.1176/ajp.117.7.639