Copyright ©2011 Pearson Education Inc. All rights reserved. Chapter 12 Social Work in Health,...

Copyright ©2011 Pearson Education Inc. All rights reserved.

Chapter 12Social Work in Health,

Rehabilitation, and Mental Health

Social WorkAn Empowering Profession

Seventh EditionBrenda DuBois & Karla Miley

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Social Work in Health Systems

• Health central to social functioning• 40% social workers employed in health

systems (BLS, 2009)• Examples of medical settings

– Public health– Primary health care– Hospital-based services– Long-term care


Professional Identity CSWE EPAS 2.1.1

• Demographic changes resulting from shifts in aging, immigration, and minority populations impacts virtually every aspect of the health care system, including the provision of social services by health care social workers.

• How do changing demographics affect employment opportunities, service delivery provisions, and continuing education requirements for social work professionals in the health care field?


Social Work and Genetics

• Genetic services rapidly expanding• Requires knowledge of genetics • Ethical issues: respect for privacy and self-

determination• Genetic issues involved in many fields of

practice – child protection, occupational social work, adoption, mental health, addictions


Social Work and HIV / AIDS

• More than 33 million persons worldwide HIV/AIDS infected

• Issues - public fear, isolation, victimization, ostracism, feelings of powerlessness

• Ethics – right to know, privacy, duty to treat, mandatory treatment

• Social work response – case and cause advocacy


Social Work and Physical Disabilities

• 54 million in U.S. (20 percent) have activity limitations

• Issues – rejection, stigma, social devaluation• Ethics – self-determination • Social work responses

– Vocational rehabilitation– Social model of disability– Self-sufficiency– Accessibility


Engage, Assess, Intervene, Evaluate CSWE EPAS 2.1.1

• Reasonable accommodations for persons with disabilities is much more than architectural and mobility accessibility.

• How is "environmental modification" used as an empowerment intervention strategy in services for people with a wide range of disabilities?


Social Work and Developmental Disabilities

• Includes mental retardation, cerebral palsy, autism, and other organic disorders

• Issues – emotional responses, lack of services, self-determination

• Social work responses – Least restrictive alternatives– Mainstreaming– Normalization– Deinstitutionalization


Social Work and Mental Health

• Culturally based concept• 10% of U.S. adults have diagnosable mental illness

with serious disability• Issues – conflicting theories, underlying organic

causes, stigmatizing labels, deficit focus• Social work response

– In patient, out patient services– Interdisciplinary team approach– Community-based service delivery


Human Rights and Justice CSWE EPAS 2.1.5

• In addition to the social relationship issues of social marginality and stigma, persons with mental illness often face challenges related to employment and economic hardship.

• What role can social workers play in the mental health rights movement?


Social Work and Chemical Dependency

• 19.9 million in U. S. report Illicit drug or alcohol use (2007)

• Issues – role difficulties at work, school, or home, psychological dependence, drug testing and mandatory treatment

• Social work response– Personal and family counseling– Referrals for education, health and legal services– Work with at-risk groups – teens, older adults, women,

ethnic minorities


Ethical Practice CSWE EPAS 2.1.2

• Clients in child welfare and criminal justice are often mandated to participate in drug treatment programs and periodic drug testing.

• What ethical dilemmas arise for social work practitioners who work with clients who have been court-ordered to participate in drug or alcohol treatment programs?

Copyright ©2011 Pearson Education Inc. All rights reserved. Chapter 12 Social Work in Health,...

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