Transcript Social Work - Pediatric Pulmonary & Allergy Division

The Role of Social Work in
Pediatric Pulmonary
Susan Horky, LCSW
Pediatric Pulmonary Division
University of Florida
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Which of these is a social worker?
What does a social worker do?
What comes to mind when you think
“Social Work” or “social worker”?
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Overview
What does a Social
Worker do??
Social Work
in pediatric healthcare
Cases
http://www.socialworkers.org/pressroom/events/anyGivenDay1007/default.asp
http://www.youtube.com/watch?v=IkQzfv8o3n8
http://www.socialworkers.org/pubs/choices/default.asp
What does a Social Worker do?
MSW,LCSW
PhD
BSW,
MSW
MSWs
may do some
or all of these
• concrete services
• resource information
• case management
• discharge planning
• advocacy/policy
• social welfare/child protection
• psychotherapy
• research
• medical social work
• administration
History of Social Work
Child Guidance/Psychiatric Social Work
Child Welfare/Social Policy
Child Welfare/Social Policy
History of Social WorkChild Welfare
• Providing food/shelter
• Job training
• Child labor laws
• Public health
• Federal programs for the
poor
History of Social Work - Medical
“to make medical care effective”
• Financial needs/resources
• Psychosocial support
• Adherence
History of Social WorkChild Guidance/Psychiatric Social Work
Biological
Health
Psychological
Social
Top Ten Social Work Rules
1. Start where the patient is
2. The relationship is everything
3. Don’t judge a book by its cover
4. There is no big book in the sky
5. Concrete help may lead to counseling
Top Ten Social Work Rules
6. It takes two to tango
7. People are doing the best the know how
8. People bring their solutions, we figure out
what the problem is
9. Emotions always underlie behavior
10.Don’t just do something, sit there!
Social Work in Pediatric Pulmonary
• Setting: Primarily Clinic
• Roles:
– Psychosocial Assessment
• Child and family functioning
• Concrete needs
• Emotional needs
– May depend on roles of other team members
Social Work in Pediatric Pulmonary (cont’d)
Interventions:
• Support to child and/or family members
• Ongoing psychotherapy or referral for same (child
or family members)
•
•
•
•
Behavioral interventions
Child behavior
Parenting
Adherence
• Groups
Social Work in Pediatric Pulmonary (cont’d)
• Assistance with concrete issues
• Community resources: WIC, Food Stamps, SSI
• Case Management: Agencies involved with child:
school, after-school, outside therapist
• Conveying families’ views to team
• Discharge planning (has varied over time)
• Child protection
PPC
• Adjustment to illness
• School
• Parenting issues
• Work
• Support
• SSI
• Life stresses
• Insurance/Housing
• Relationships
• Transition/Voc Rehab
Goal is for Adaptation:
Adaptation is
achieved when
the family’s
POWER >
LOAD
LOAD:
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•
•
•
•
Chronicity
Unpredictability
High Costs
Extensive Daily Care
Pain/embarrassment
(physical appearance)
• Multiple providers
• Isolation
POWER:
• Healthy family dynamics:
– Open communication
– Mutual respect and support
– Good differentiation
– Shared problem solving and decision making
– Role flexibility
– Enhancement of personal growth
More Power:
Knowledge of
disease
process and
health care
system
Finding
meaning in
the illness
Sharing
the
Burden
Financial
Security
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
--Testing
--Research
Psychologist
Mental
Health
Psychiatrist
Medications
Social
Worker
Resources