1. CHAPTER 29 COMMUNITY AND SOCIAL CAREERS
Communicable
Demographic
Dependence
Hallucination
Immunization
Pollution
Vector
Withdrawal
Journal question: What are some symptoms of withdrawal?

2. Chapter 29 Learning Objectives
Define at least eight terms relating to community and social health care.
Describe the function of the community and social health care team.

3. Chapter 29 Learning Objectives
Specify the role of the community and social health care team members, including personal qualities, educational requirements, responsibilities, and credentialing requirements.
Identify at least six services provided by community health care agencies.

4. Chapter 29 Learning Objectives
Specify the difference between physical and psychological drug dependency.
Identify at least four signs and symptoms of withdrawal from an addictive substance.

5. Careers in Community and Social Health Care
Primary goals of community and social health care workers
Prevention of illness and injury
Provision of care to a population
Community and social care workers are involved in
Search for the source of disease
Use of technical and regulatory means to protect the population from environmental, social, and behavioral hazards

6. Community and Social Health Careers

7. Resources and Services for Domestic Violence Victims

8. Community and Social Career: Costs and Earnings

9. Community Health Providers
Community nutrition worker
Provides food and nutritional education through public health clinics and programs
Screening patients to determine eligibility
Testing blood
Taking dietary histories
Assessing vital signs
Counseling on basic nutrition
Education
High school education and experience working with public or training in nutrition education
Discuss with students why there would be a need for a “community nutrition worker” in communities .

10. Community Health Providers
Caseworker supervisor
Supervises and coordinates agency staff
Assigns cases
Education
Graduate level plus social work experience

11. Community Health Providers
Caseworker
Provides counseling for children, parents, and foster parents
Determines suitability of foster and adoption applicants and places children
Education
Bachelor’s degree in social work (master’s degree preferred)
Ask students why they think it would be important for a caseworker to investigate physical and psychological home conditions to determine the need for intervention of the agency workers.

12. Community Health Providers
Case assistant
Works under the direction of the caseworker
Assists patients in completing forms and applications
Training
On-the-job or vocational school training

13. Community Health Providers
Attendant for children’s institutions
Works under the supervision of the director
Provides care for children who are in housed in city, county, private, or other institutions
Assists the children in dressing
Assists with feeding, schooling, and recreational activities
Education
High school diploma is preferred
Attendants may be responsible for discipline when children misbehave.

14. Community Health Providers
Child care attendant (school setting)
Helps the disabled child perform tasks needed to attend classes
Duties may include
Transporting child
Replacing braces or slings
Helping with participation in activities
Education
High school graduate
School attendants are usually employed by the school system.

15. Child Care Attendant
FIGURE 29-3 A child care attendant assists with recreational activities.

16. Social Care Providers Health sociologist
Identifies and explains social factors affecting care of patients
Specializes in the study of the effect of social factors on disease
Gathers and interprets data about the community
Works in universities or the government
Education
Usually have a doctoral (PhD) degree
Health sociologists are also called medical sociologists.

17. Social Care Providers Geriatric social worker (GSW)
Provides assistance to the elderly in
Hospitals
Group homes
Senior centers
Hospice setting
Long-term-care facilities
Most states require licensure or certification.
Education
Bachelor’s or master’s degree in social work
Discuss with students why most states require certification or licensure of a geriatric care worker.

18. Geriatric Social Worker
FIGURE 29-4 Geriatric social workers help to improve quality of life for the elderly.

19. Social Care Providers
Three levels of education for professional social workers
Bachelor’s degree (BSW)
Master’s degree (MSW)
Doctoral degree (DSW)
Certificate is available through the Academy of Certified Social Workers.

20. Social Care Providers
Most social workers specialize in one area of practice.
Child welfare
Family counseling
Corrections
Aging
Medical
Psychiatric care
A master’s or doctoral degree is usually required of social workers employed in mental health or medical environments.

21. Areas of Specialization for Social Workers
Discuss each of the areas of specialization.

22. Social Care Providers Funeral directors
Remove the deceased
Prepare the remains
Help to arrange services
Most funeral directors are also licensed embalmers.
Training requirements
All states, except Colorado, require licensure.
Most funeral directors complete an associate’s degree.
Funeral directors may also be called morticians or undertakers.

23. Social Care Providers Counselor Works in a variety of settings
Schools
Rehabilitation agencies
Mental health or correctional facilities
Colleges
Specializes in
Marriage
Family
Career selection
Grief
Education
Positions usually require a master’s degree
Internship is needed for certification or licensure

24. Social Care Providers Vocational and rehabilitation counselor
Assists disabled individuals and students to
Identify career opportunities
Learn a trade
Helps disabled individual find employment
Education
Bachelor’s degree (entry-level)
Master’s may be required
Most vocational counselors work for state or local rehabilitation agencies and schools.

25. Social Care Providers Substance abuse counselor
Specializes in treatment of drug or substance abuse
Duties include
Providing help for the abusers
Implementing preventative programs
Education or training as
Psychologists
Nurses
Social workers
Counselors

26. Commonly Abused Chemicals

27. Social Care Providers Child life specialist
Focuses on the emotional and developmental needs of children by using the following to reduce the stress of illness and improve the child’s understanding of health care treatments
Play therapy
Activities
Communication
Education
Bachelor’s degree in related fields
Supervised field training
Children do not have the emotional maturity to understand confinement, lack of privacy, separation from family, and pain resulting from tests and treatments.

28. Social Care Providers Social and human service assistant
One of the fastest growing occupations between 2000 and 2010
Job duties depend on type of employment.
Social work assistant
Care management aide
Community outreach worker
May give care directly or indirectly
Education or training
No specific requirements
Social and human services assistant may assess patient needs for benefits, arrange transportation, and organize group activities.

29. Substance Abuse Drug dependence or addiction Psychological dependence
Physical dependence
Withdrawal
Hallucination
Person may develop tolerance to the substance
Person abuses drugs for many reasons:
Desire to experience new sensations
Relaxation
Gain acceptance
Escape boredom

30. Warning Signs of Inhalant Abuse

31. Substance Abuse
Alcohol is the most commonly abused substance in the United States and a major medical problem.
Treatment of alcoholism
Detoxification
Therapy to prevent drinking
Treatment of symptoms is the first step, followed by treatment of mental disorders.
Medication may be used to control mood and behavior.

32. Public Health Resources
State services
Immunization
Sanitation
Animal control
Vital statistics
Public health nursing services
Referral services
Air and water pollution control
Vector control
Food and drug control
Community-sponsored blood testing
Ask the students if they or anyone in their families have used any of the public health resources in their community. Discuss the resources that were used.

33. Federal Health Agencies
Collect data and distribute demographic health statistics
Support local and state agencies
Organize and support disaster relief programs

34. Federal Health Agencies
Department of Health and Human Services (DHHS) is the main organization for public health at the federal government level.
Centers for Disease Control and Prevention (CDC)
Provides programs that prevent and control communicable, vector-borne, and chronic illnesses
Food and Drug Administration (FDA)
Regulates foods, drugs, medical devices, and cosmetics
National Institutes of Health (NIH)
Deals with research in determining the cause, treatment, and methods of prevention of diseases
Discuss how the CDC is different from the NIH.

35. Performance Instruction
Licensed personnel perform most of the duties because of the legal and privacy rights of people seeking care.
Entry-level worker provides assistance under the supervision of licensed personnel.

36. Summary
The functions of the community and social health care team are to prevent illness and provide care for a population.
The roles of community and social health care workers are to search for the origin of disease and regulate potential sources of illness and injury.

37. Summary
Services provided by community health care agencies include providing food, counselling, screening, examination, testing, and placement.
The difference between physical and psychological drug dependency is that physical dependence results from the body needing a substance, whereas psychological dependence is a state of mind.

38. Summary
Signs and symptoms of withdrawal from an addictive substance include nervousness, trembling, sweating, cramps, and hallucination.

39. Review
What is the main organization for public health care at the federal level?
a. Department of Education
b. Centers for Disease Control and Prevention
c. Food and Drug Administration
d. National Institutes of Health
e. Department of Health and Human Services

40. Review
What is the main organization for public health care at the federal level?
a. Department of Education
b. Centers for Disease Control and Prevention
c. Food and Drug Administration
d. National Institutes of Health
e. Department of Health and Human Services

41. Review Euphoria is: a. Loss of time b. A state of feeling well
c. A condition of uncontrolled sleep
d. A state of sleep
e. An increase in nourishment

42. Review Euphoria is: a. Loss of time b. A state of feeling well
c. A condition of uncontrolled sleep
d. A state of sleep
e. An increase in nourishment