1. 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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2. 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
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3. 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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4. 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
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5. 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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6. 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
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7. 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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8. 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
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9. 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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10. 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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11. 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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12. 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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