Table of Contents
Introduction
PART I: SOCIAL WORK, HEALTH CARE AND POLICY
Chapter 1 — The Development of Health Care Policy
Social Justice
From Social Problem to Social Policy
Values
Social Change
The Influence of Policy
Understanding Policy
The Roles of the Social Worker in Health Care Policy
Witness to Human Needs
Being Political
United States Health Care Policy
The United States Veterans Administration
The Social Security Act of 1935
Changes in Health Care Policy
The Second World War
The Civil Rights Movement
Healthy People 2010
The Emergence of Chronic Illness
Life Expectancy
Summary
References
Chapter 2 – Health Care Policy and Social Injustice
Disparities
Age
Gender
Race and ethnicity
Economic class
Sexual Orientation
Socio-Cultural Access Issues
Challenges to Policy
Worthy/Unworthy
Complexities of Culture
Racism
Funding
Delivery
Competence
Social Injustice in Health Care Policy
Eugenics in Germany
Eugenics in the United States
The Tuskegee Study
Deinstitutionalization
Summary
References
Chapter 3: Health Insurance
Public Health Care Insurance
Medicaid
Medicare
Common Insurance Related Terms and Policies
Managed Care
Health Savings Accounts [HSAs]
Diagnostically Related Groups [DRGs]
Health Insurance Portability and Accountability Act [HIPAA]
The Future of Health Care Policy
Nationalization of the Health Care Debate
Summary
References
Chapter 4 – Health Care: A Field of Practice
Social Work and Health Care
Social Work Roles
Advocate
Communicator
Mediator
Researcher
Evaluator
Recorder
Educator
Health Care Settings
Inpatient
Additional Forms of Inpatient
Rehabilitation
Assisted Living
Nursing Homes
Hospice
Outpatient
Ambulatory Clinics
Physician’s Office
Home Health Care
Public Health
Summary
References
PART II: SOCIAL WORK, HEALTH CARE AND PRACTICE
Chapter 5 — Social Work Foundation
Social Work Language
The Foundational Concepts of Social Work
The National Association of Social Workers Code of Ethics
Cultural Competence
Evidence-Based Practice
Strengths Perspective
Liberal Education
Critical Thinking
Ecological Systems Theory
Generalist Perspective
Practice Models
The Medical Model
The Biomedical Model
Biopsychosocial Model
Social Determinants of Health Model
Application of Theory
Summary
References
Chapter 6 – Cultural Competence
The Concept of Culture
Personal Culture
Community Culture
Cultures and Health Care
Race
Ethnicity
Gender
Sexuality Orientation
Religion
Age
Economics
Privilege
Diversity
Stereotypes and Stigma
Ways to Understand
Generalizations
Asking the Patient
Building Competence
Self-awareness
Cultural Awareness
Knowledge Acquisition
Skill Development
Summary
References
Chapter 7 — Engagement and Assessment
Process of Engagement
Personal Strengths
Professional Skills
Assessment
Forms of Assessment
Interviews: Lessons Learned
Cultural Guides
The Power Differential
Vulnerability
Environment
Taking Notes
Listening
Confidentiality
Empowerment
Thoughtfulness
Treatment of Colleagues
Unspoken Cues
Home Visits
Safety
Teamwork
Unhurried
Follow-through
Flexibility
Alternative Forms of Assessment
Genogram
Ecomaps
People in Crisis
Immediate and Concrete Action
Limited Time
Empathy
Education
Families
Summary
References
Chapter 8 — Chronic Illness: Grief, Loss, and Coping
The Advent of Chronic Illness
Chronic Illness
Types of Chronic Illness
Quality of Life
Spirituality
Family and Care Givers
Roles for Social Work in Chronic Illness Care
Prevention
Adherence to Treatment
Strengths and Barriers
Adaptation Skills
Psychosocial Coping
Loss Due to Illness
Physical Losses
Emotional Losses
Social Losses
Personal Space
Socialization
Community Mobility
Palliative Care
Summary
References
Chapter 9 – The Health Care Team
History of Social Workers on Health Teams
Role of the Social Worker on the Health Care Team
Values
Theories
Ecological Systems
Strengths Perspective
Cultural Competence
Patient Cultures
Professional Cultures
Professional Social Work Expertise
Facilitate Interdisciplinary Communication
Contribute Professional Social Work Culture
Identify Adjustment Barriers
Supply Expertise Regarding High Risk Groups
Support Patient Self-Determination
Learning the Language
Improved Communication
Community Referrals
Credibility with Patients and the Team
Cultural Advocate
Types of Teams
Team Settings
Inpatient Settings
Outpatient Settings
Challenges of a Health Care Team
Summary
References
Chapter 10: Caregivers, Family and Friends
The Support System
Support
Communication Difficulties
Practical Assistance Difficulties
Responses to Care Giving
Physical Response
Emotional Response
Social Response
Burn-Out
Time and Logistical Challenges
Financial Complexities
Secondary Trauma
Life’s Purpose and Meaning
Policy Issues
Social Work Response
Assessment
Emotional Support
Self-Care Support
Financial Support
Summary
References
PART III: SOCIAL WORK, HEALTH CARE AND PROFESSIONALISM
Chapter 11 — Ethical Considerations
Ethics
National Association of Social Workers Code of Ethics
Human Rights
Ethical Conflicts
Cultural Differences
Value Differences
Informed Consent and Confidentiality
Technological Advances
End of Life
Rationing
Resolving Ethical Conflicts
Summary
References
Chapter 12 — Supervision
Supervision
Receiving Supervision
Other Professional Supervision
Cost Savings
Preparation
Assessment of Practice
Job Satisfaction
Giving Supervision
Good Supervision
Establishing Goals
Topics for Supervision
Stress
Burnout
Secondary Trauma
Preparation
Self-Care
Conflicts
Healthy Boundaries
Benefits of Supervision
Summary
References
