Transcript Chapter 5

Chapter 12
Social Work in Health,
Rehabilitation,
and Mental Health
Social Work
An Empowering Profession
Seventh Edition
Brenda 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
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Public health
Primary health care
Hospital-based services
Long-term care
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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?
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Social Work and Genetics
• Genetic services rapidly expanding
• Requires knowledge of genetics
• Ethical issues: respect for privacy and selfdetermination
• Genetic issues involved in many fields of
practice – child protection, occupational social
work, adoption, mental health, addictions
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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
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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
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Vocational rehabilitation
Social model of disability
Self-sufficiency
Accessibility
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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?
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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
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Least restrictive alternatives
Mainstreaming
Normalization
Deinstitutionalization
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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
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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?
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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
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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?
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