醫療社工的發展與專業角色

醫療社工的發展史  社工專業在健康照護體系的淵源 1. 可回溯自 1700s 的濟貧院 2. 慈善組織會社 3. 醫院社會工作 hospital social work – 19 世紀末 4. 成立醫院社工協會 ( 美國 ) – 1918 年 5. 健康照護社會工作 health care social work

醫療社工的理論背景  人在情境中 the person-in-environment perspective  生物心理社會模型與醫療模型 the biopsychosocial model and the medical model  健康照護與醫療照顧 Health care and medical care

健康照護係跨專業團隊工作  何謂跨專業團隊 interdisciplinary teamwork 1.Various professions or disciplines are working together and collaborating rather than merely working in the same place. 2.As a form of group practice

 健康照護跨專業團隊的背景 1. 專業分工的概念 2. 健康包含的範圍漸廣 3. 人的問題越趨複雜 4. 問題之間的交互影響

 跨專業團隊的功能與困境 1.Functions of interdisciplinary teams 2.Problems in interdisciplinary team functioning

健康照護社會工作的角色  臨床服務 /core service – a complex role 1.Case finding and outreach 2.Preservice planning 3.Assessment 4.Concrete service provision 5.Psychosocial evaluations 6.Identification of goals and objectives

7.Direct clinical counseling 8.Assistance with short- or long-term planning 9.Information and health education 10.Assistance with wellness training 11.Referral services 12.Continuity of care 13.Client advocacy

 行政服務 Goals -- 1.Enhance service delivery 2.Ensure the services are meeting professional and efficient standards

Core administrative services -- 1.Agency consultation 2.Program development 3.Quality improvement 4.Service advocacy 5.Agency liaison

 社區服務 Definition -- 1.An intervention process to help with social problems and to enhance social well-being through planned collective action.

Core community services -- 1.Service outreach 2.At-risk service outreach 3.Community consultation 4.Health education 5.Policy and program planning 6.Liaison to the community

健康照護社工的服務模型  社工專業實施的基本流程 Admission screening or referral Preliminary steps Initial phase Ongoing phase Ending phase Services terminated; goals achieved; or patient role vacated; or new role of chronic or disabled patient is assumed. Family continues, terminates or is referred.

 Practice paradigm personexchangesenvironment stress Stress reduction Coping resources Improved exchanges Client and worker Competence  Relatedness Identity Self-directedness And a more responsive environment  

 社工專業的實施任務 1. 相應於不同案主狀態的主要任務及角色  專業關係