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Social Work Practice in Healthcare
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Social Work Practice in Healthcare
Advanced Approaches and Emerging Trends

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April 2015 | 536 pages | SAGE Publications, Inc

This pragmatic and comprehensive book helps readers develop the knowledge, skills, and values necessary for effective health care social work practice, as well as an understanding of the technological, social, political, ethical, and financial factors affecting contemporary patient care. Packed with case studies and exercises, the book emphasizes the importance of being attentive to both patient and organizational needs, covers emerging trends in health care policy and delivery, provides extensive discussion of the Patient Protection and Affordable Care Act, and addresses social work practice across the continuum of care.


 
Introduction to Social Work Practice in Healthcare
 
Chapter 1: The Historical and Contemporary Context for Healthcare Social Work Practice
Introduction  
Evolution of medical social work practice  
Historical context of health care in the United States  
Public health in the United States  
Early efforts to nationalize health care in the United States  
Contemporary health care reform: The Patient Protection and Affordable Care Act of 2010  
Summary  
Key terms, concepts and exercises  
 
Chapter 2: The Organizational Context of Health Care Social Work Practice
Introduction  
Health care organizations  
Social work challenges in contemporary health care organizations  
The advent of managed health care  
The PPACA and Accountable Care Organizations  
The health care system as a continuum  
Continuum components, focus of care and social work services  
Summary  
Key terms, concepts and exercises  
 
Chapter 3: Knowledge and Theoretical Foundations of Health Care Social Work Practice
Introduction  
The changing health care system  
Definitions of health, wellness, disease and disability  
The medical model of practice  
Health condition adjustment: Patient/family counseling  
A theoretical framework for intervention  
Summary  
Key terms, concepts and exercises  
 
Chapter 4: Health Care Social Work Practice Skills and Competencies
Introduction  
Definition of health care social work practice  
The roles and functions of health care social work practice  
The helping process applied to health care social work practice  
Summary  
Key terms, concepts and exercises  
 
Chapter 5: Values and Ethics of Health Care Social Work
Introduction  
Social work values  
Ethical dilemmas  
Ethical decision-making  
Ethics Committees  
Challenges  
Opportunities  
Summary  
Key terms, concepts and exercises  
 
Chapter 6: Practice-Based Research in Health Care Social Work
Introduction  
Evidence-based practice  
From research to quality improvement  
Practice based evaluation  
Best practice in evaluation design  
Evaluative designs  
Outcome findings and quality evaluation  
Creating a positive culture for evaluation  
Summary  
Key terms, concepts and exercises  
 
Part 2: Advanced Approaches and Emerging Trends
 
Chapter 7: Chronic Illness: Issues and Interventions
Introduction  
Health disparities and associated costs of chronic illness  
Biopsychosocial assessment of health needs and services  
Social work role in care coordination  
Facilitating adherence to medical regimens  
The impact of chronic illness on family functioning  
Special considerations: Chronic illness in childhood Chronic diseases overview  
Summary  
Key terms, concepts and exercises  
 
Chapter 8: Transitional Planning Across the Continuum of Care
Introduction  
Discharge planning through the continuum of care  
Interprofessional care coordination  
Medical “gatekeepers”  
Preadmission planning  
Transitional care planning  
The role of social work in long-term care  
Alternatives to nursing home care  
Summary  
Key terms, concepts and exercises  
 
Chapter 9: Social Work Practice in Oncology, Palliative Care and End of Life Care
Introduction  
Eolution of cancer care  
Survivability factors  
Cultural issues  
Current trends in psychosocial care: Functions and roles  
Psychosocial screening and assessment  
Depression and anxiety in cancer patients  
Characteristics of oncology social work practice  
Patient and family intervention  
Summary: The challenge of oncology practice  
Key terms, concepts and exercises  
 
Chapter 10: Community Health and Health Promotion
Introduction  
Theoretical framework  
Skills and competencies  
Values and ethics  
Health promotion and wellness models  
Cultural considerations  
Role of social work in community and public health  
Emerging trends  
Challenges  
Opportunities  
Summary  
Key terms, concepts and exercises  
 
Chapter 11: Gerontological Health Care Social Work Practice
a. Introduction  
b. Our aging population  
c. Demographic influences  
d. Present health status of the aging population  
e. Health care and social services needs of an aging population  
f. The opportunity for social work practice  
g. Gerontological social work functions  
h. Intervention with an aging population  
i. Social work policy practice with an aging population  
j. Summary  
k. Key terms, concepts and exercises  
 
Chapter 12: Intervention with Pediatric Patients and their Families
Introduction  
Child health in the United States  
Chronic health  
Mental health  
Developmental disabilities  
Accidental injury  
Pediatric care sites and social work practice  
Social work practice knowledge and skills  
Documentation  
Child maltreatment  
Professional values and ethics  
Practice challenges  
Practice opportunities  
Summary  
Key terms, concepts and exercises  
 
Chapter 13: Co-occurring Psychiatric and Substance Abuse Disorders in Medical Patients: Implications for Health Care Social Work Practice
Introduction  
Psychiatric care in health settings  
The social work role in behavioral health  
Substance abuse as a co-occurring disorder  
Integrating care  
Summary  
Key terms, concepts and exercises  
 
Chapter 14: Supervision and Evaluation
Introduction  
Importance of clinical supervision  
The historical context of supervision  
Definitions: Field education, supervision and consultation  
Theoretical foundations  
Supervision Competencies  
Supervision modalities  
Trends in supervision  
Ethical responsibilities of supervisors  
Performance evaluation  
Summary  
Key terms, concepts and exercises  
 
Chapter 15: Cultural Competence in Health Care Social Work
Introduction  
Defining cultural competence  
Specific considerations in culturally competent health care  
The gay, lesbian and transgendered population  
Culturally competent health care organizations  
Summary  
Key terms, concepts and exercises  
 
Chapter 16: Glimpses into the Future of Health Care and Social Work Practice
Introduction  
On the health care policy horizon  
On the health care service delivery horizon  
On the health care social work practice horizon  
Envisioning the future…  
Key terms, concepts and exercises  

Supplements

Instructor Teaching Site

Password-protected Instructor Resources include the following:

  • A Microsoft® Word® test bank is available containing multiple choice, true/false, short answer, and essay questions for each chapter. The test bank provides you with a diverse range of pre-written options as well as the opportunity for editing any question and/or inserting your own personalized questions to effectively assess students’ progress and understanding.
  • A Respondus electronic test bank is available and can be used on PCs. The test bank contains multiple choice, true/false, short answer, and essay questions for each chapter and provides you with a diverse range of pre-written options as well as the opportunity for editing any question and/or inserting your own personalized questions to effectively assess students’ progress and understanding. Respondus is also compatible with many popular learning management systems so you can easily get your test questions into your online course.
  • Editable, chapter-specific Microsoft® PowerPoint® slides offer you complete flexibility in easily creating a multimedia presentation for your course. 
  • Sample course syllabi for semester and quarter courses provide suggested models for use when creating the syllabi for your course.
  • Case studies, discussion questions, class exercises, and web resources from the book are provided in Microsoft® Word® for use in your course.

Charting the territory of health care in American society is a daunting task. This text takes on the challenge in a bold and ambitious style that is robust in historical accuracy and insightful when articulating the responsibility of professional social work in today’s complex evolving health care environment. A particular hallmark of this text is the thread that is weaved from the origins of American health care to its current texture.

Frank R. Baskind, Dean Emeritus and Professor, Virginia Commonwealth University School of Social Work, Past President of the Council on Social Work Education

More than an academic text, this important work clearly and accurately characterizes the skills, challenges, and patient and family-centered work of the present day healthcare social worker. Amidst the turmoil and theoretical debate driven by health care reform, the authors write from direct experience effectively bringing their knowledge into a comprehensive examination of the value and role of social workers in the health care arena today.

Edward Woomer, Associate Administrator, Nemours duPont Hospital for Children, Past President of the National Society for Social Work Leadership in Health Care

“Drs. Allen and Spitzer provide a very thorough and insightful examination of not only the profession of social work, but also the complex context in which social workers must work. The treatment of the history of attention to social determinants of health, the evolution of the healthcare delivery system, and the renewed attention to social determinants through the Affordable Care Act is of interest and importance not only to members of the profession, but to all healthcare professionals and others who wish to understand this rapidly changing industry.”

Carolyn (Cindy) A. Watts, Richard M. Bracken Chair and Chairman, Department of Health Administration, School of Allied Health Professionals, Virginia Commonwealth University

This comprehensive volume makes an important new contribution to the literature of health care social work. In exploring social work’s changing roles in health care, it offers knowledge that is based both on thorough research and on practice wisdom drawn from experiences of the editors and authors.

Kay Davidson, Past Dean and Professor, University of Connecticut School of Social Work

Drs. Allen and Spitzer provide a comprehensive and well-sourced review of the practice of social work within the broader context of past and present health care delivery models. Most intriguing is their projection of the future of social work in health care using patient-centered, integrated care, medical homes, navigators, and patient/provider partnerships.

Michael Jurgensen, Senior Vice President, Health Policy & Planning, Medical Society of Virginia
Key features

KEY FEATURES:

  • This single source guide combines theory, practice, ethics, and policy for effective health care social work practice.
  • The Patient Protection and Affordable Care Act of 2010 and its implications for social work practice are integrated throughout, helping readers develop critical thinking skills as they consider the premise of the Act, evolving health care service delivery, and social work practice.
  • Coverage of advanced approaches and emerging trends in contemporary health care social work are included for effective practice in the areas of chronic illness, practice across the continuum of care settings, palliative and end-of-life care, community health care, elderly and pediatric care, co-existing psychiatric and substance disorders, supervision and staff evaluation, and cultural competence.
  • A wide variety of case studies, examples, sample forms, and exercises drawn from the authors' extensive experience in health care social work help translate theory into practice.
  • An emphasis on evidence-based practice, best practices, and practice evaluation provides preparation for engaging in research-informed practice and practice-informed research—an essential competency.
  • Coverage of future directions and career opportunities for health care social work prepares readers to respond to the changes brought about by the Affordable Care Act and demographic shifts in the population, as well as the demand for improved outcomes and the integration of behavioral and medical health care services.

Sample Materials & Chapters

Chapter 6

Chapter 15


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