Social Work Practice in Home Health Care / Edition 1

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Through Social Work Practice in Home Health Care, social workers will discover a unique “how-to” approach to social work practice in home health care agencies. You will find a historical perspective on home health care and clinical interventions to help you improve home health care for your patients. A wide range of clients, such as the developmentally disabled, post-hospitalization patients, the physically disabled and chronically impaired of all ages, the mentally ill, the terminally ill, newborn infants and their mothers, abused older adults, and abused children are in need of appropriate services that lead to positive and helpful results. Through Social Work Practice in Home Health Care, you will discover how to tailor your practice to meet the needs of individual clients and improve their quality of life.

Current and comprehensive, Social Work Practice in Home Health Care provides you with successful methods and suggestions to find resources that clients need in order to face certain life challenges, such as abuse, neglect, poverty, malnutrition, uninhabitable housing, dysfunctional family situations, sensory deprivation, isolation, caregiver stresses, and alcohol and drug abuse. This unique book offers you techniques that can be used with any client base, including:

  • learning from the successes and failures of others through case studies of twelve home health care agencies
  • understanding problem areas of home health care and how clinical interventions can be used to help you make a difference in challenging situations
  • analyzing staffing trends and clinical patient care policies regarding social work services to better assist individuals and their families in identifying, resolving, or minimizing the problems that often accompany an illness
  • screening your clients who are in need of social work interventions, such as individuals suffering from depression over an amputation or debilitating heart attack
  • implementing educational programs that provide systemic knowledge about medicare to improve your services to the elderly

    Social Work Practice in Home Health Care provides you with insightful information on everything from staffing, recruiting, and training home health care workers to obstacles that you may encounter, such as the lack of knowledge about social workers among physicians and the public, to help you provide better services to your clients. You will discover how to improve your skills in psychosocial assessment, counseling and decision making, discharge planning, community resources, and supervision to help you adjust your practice and offer positive and effective suggestions to each individual client.

Through this book social workers will discover a unique “how to practice” approach to social work practice in home health care agencies. You will find a historical perspective as well as clinical interventions in social work practice for home health care. A wide range of clients, such as the developmentally disabled, post-hospitalization patients, the disabled and chronically impaired of all ages, the mentally ill, the terminally ill requiring hospice care at home, newborn infants and their mothers, and abused older adults and children are in need of your services and through this book, you will discover how to tailor your practice to meet the needs of individual clients.

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Editorial Reviews

"Home health care is the fastest growing segment of the health service industry and employment in home health care has doubled since 1988," says the author. This publication provides a vast array of information regarding home health care services. Goode supports her information by supplying numerous research studies, the findings and the conclusions reached.
In researching social work services specifically in home health care, Goode found that the number of social workers employed is growing slowly as agencies begin to understand the role of the social worker. This growth is supported by the conclusion Goode obtained from speaking with professional medical social workers: "Some said they would expect higher utilization and more employment growth if agencies really understood the social work practice area and the benefits of having a program." This statement makes it clear that it is inperative for the social worker to understand his or her role when entering into this field.
Goode pays special attention to the details of social work intervention. Several sections of the book are devoted to identifying appropriate clients and their problems. Goode identifies specific problem areas and suggested interventions/treatments regarding dementia, behavior problems, substance abuse, caregiver issues, abuse/neglect, placement and discharge planning. Probably the most important and helpful aspect of this book is the explanation of Medicare and Medicaid coverage, identifying what social work services are reimbursable through this coverage and the proper documentation needed to verify the need for services. Medicare and Medicaid coverage is the most complicated and misunderstood component in home health care services making it one of the most important pieces to the continuing growth of social work.
Goode enters into another complication of social work in home health care, that is, the required documentation needed for reimbursable services. Appendix E is devoted to copies of the numerous types of documents that a social worker in home health care needs to be familiar with. This includes important documentation forms such as: physician orders, care plans, evaluations, visit/calendar worksheets, interdisciplinary referrals and other necessary forms. This allows the reader an opportunity to become acquainted with some very involved forms that consume much of the time of a medical social worker. Social Work Practice in Home Health Care touches on coordination of services among the home health care team. This is a topic that a whole chapter could be devoted to due to its critical importance in meeting the needs of a client. Yet, through Goode's thorough coverage of the social worker's role, she provides a clear understanding of where his or her job stops and another starts.
Foreword (December, 1999)
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Product Details

  • ISBN-13: 9780789004840
  • Publisher: Taylor & Francis
  • Publication date: 12/28/1999
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 148
  • Product dimensions: 5.90 (w) x 8.30 (h) x 0.50 (d)

Table of Contents


  • Foreword
  • Preface
  • Chapter 1. Introduction to Home Health Care: A Historical Perspective
  • Medical Social Services
  • Home Health Care Services
  • Appropriate Clients and Their Problems
  • Home Health Organizations
  • Medicare
  • Medicaid
  • Chapter 2. The Utilization of Social Work Services in Twelve Home Health Care Agencies: A Research Study
  • Purpose
  • Methodology
  • Research Questions
  • Procedures
  • Scope and Limitations
  • Findings and Analysis
  • Conclusions and Implications for Future Applications and Research
  • Chapter 3. Problem Areas for Clinical Intervention
  • Social Work Visits and Staffing
  • Problem Areas
  • Crisis Management
  • Chapter 4. Staffing Models
  • Job Descriptions for MSW- and BSW-Level Social Workers
  • Chapter 5. Clinical Patient Care Policies Regarding Social Work Services
  • Introduction
  • Nature of Services
  • Responsibilities
  • Procedure for Implementation of Medical Social Services
  • Social Work Roles and Responsibilities
  • Chapter 6. Appropriate Clients for Social Work Intervention
  • Chapter 7. Medicare Standards for Social Work Practice in Home Health Care
  • Medicare Standards on Social Work Services
  • Medical Social Services
  • Social Work Referrals and Documentation
  • Discharge Planning
  • Coordination of Care and Documentation
  • Chapter 8. Review of Medical Social Work Literature
  • Overview
  • Home Health Care Services for the Elderly
  • Bioethical Issues
  • Health Care in the Future
  • Medical Social Work and Discharge Planning
  • Geriatric Assessment Team
  • Policy Issues and Health Care
  • Future Directions for Home Health Care
  • Medicare Standards for Social Work Practice in Home Health Care
  • Health Care Spending and Reform
  • Group Work by Social Workers
  • Disease-Specific Social Work Practice
  • Social Work Practice in Home Health Agencies
  • Literature Gaps the Study Addressed
  • Chapter 9. Conclusions and Implications for Future Applications and Research
  • Study Conclusions
  • Looking Toward the Future
  • Appendix A. Recruitment Letter for Research Participants
  • Appendix B. Interview Questions
  • Questions Used for Clinical Focus Group Interviews
  • Questions Used for Administrative Interviews
  • Appendix C. Consent Form
  • the Utilization of Social Work in Home Health Care Agencies
  • Appendix D. Home Health Care Agencies that Participated in the Study
  • Appendix E. Documentation System for Social Workers
  • Physician Orders
  • Home Health Certification and Plan of Care
  • Addendum: Medical Update
  • Interdisciplinary Referral
  • Medical Social Services Evaluation
  • Care Summary
  • Daily Activity Log
  • Medical Social Services Care Plan
  • Medical Social Services Revisit Note
  • Visit/Calendar Worksheet
  • Care Coordination Note
  • Glossary
  • References
  • Index
  • Reference Notes Included
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