Week 3: Social Work Role in Health

Question 1

how do social workers incorporate social determinants into daily practice

Answer 1

• make them more visible, articulate, advocate

- intervene in relation to disadvantage, resources

Question 2

social work roles in hospitals

Answer 2

• discharge planning
• interventions
• psychosocial assessments
• educating patients
• conflict resolution
• assisting managing contested situations

Question 3

S.W and referrals.

*note who is it important to?

Answer 3

• connecting patients to services at home and in community (avoid readmission)
  important to carers in context of community aged care

Question 4

working with older people in hospital roles

Answer 4

• provide info and education.
• family counselling (grief, loss, stress, transitions)
• strengths-based work (not being patronizing)
• importance of multidisciplinary team

Question 5

SW and community aged care

Answer 5

• risk assessments (elder abuse)
• carer stress (and family work)
• community supports
• discharge planning
• applications to QCAT?
• advance care planning
• housing affordability + poverty

Question 6

theory: psychodynamic + psychosocial

Answer 6

theories that inform understanding of human growth, life stage development, and behaviour and psychosocial impact of ill health, disease, sudden loss, trauma

Question 7

theory: sociological

Answer 7

life course, social determinants of health including the economic political and environmental conditions

Question 8

theory: person in environment

Answer 8

• systems ecological
• interconnectedness between person, family, relationship with formal and informal systems (schools, employment, community supports)

Question 9

theory: power, control

Answer 9

power control dynamics

Question 10

theory: post colonial

Answer 10

impact of colonisation and intervention on ATSI

Question 11

theory: strengths

Answer 11

focus on patient’s strengths, building a helping relationship that is collaborative, client-centred, and competency based. move from focus on problems

Question 12

theory: crisis theory and crisis intervention

Answer 12

• people’s usual systems of coping can be disrupted and may act in ways that hinder or bring about illness
• help with managing. encourage patterns of coping, or introducing new ways access appropriate supports

Question 13

key assumptions of consumer directed health care

Answer 13

• people autonomous
• people as rational consumers of health care
• health care as a commodity (treatment = commercial, links to notions of privatisation)

Question 14

define autonomy

Answer 14

1. act freely and intentionally
2. substantial understanding
3. without controlling powers (self-determination)

Question 15

consumer directed health care assumes consumers make informed decisions by:

Answer 15

1. ability to understand technical concepts

2. ability to take rational approach to emotive, frightening issues

Question 16

market-based assumptions of informed decisions:

Answer 16

• consumers empowered by info.

- motivated to make decisions based on quality and cost

Question 17

autonomous, informed consumer requires?

Answer 17

1. accurate, timely, comprehensible info.

2. objective info. not framed by self-interest or ideology

Question 18

how does diversity of values impact rational decisions?

Answer 18

• values influence lifestyles and health
• informed individual may still choose ‘unhealthy’ risk behaviour even if others view it as not ‘best interest’ e.g dilemma of painful treatment

Question 19

autonomous, informed consumer:
increase focus on?
decrease focus on?

Answer 19

increase individual responsibility for health

decrease focus on role of state/community

Question 20

patient agency

Answer 20

• reframes helping relationship ‘expert patient’
• responsibility and control resides w/ individual
• individual constructs their role in health care

Question 21

Define evidence based practice

Answer 21

• explicit use of current best evidence in making decisions

- integration of best research evidence + clinical expertise + patient’s unique values and circumstances

Question 22

steps/ application of evidence informed practice.

Answer 22

1. start with practice-related problem (what’s the nature of problem?)
2. searching and appraising best available evidence to frame and decide on options (what’s most beneficial intervention to address problem?)
3. change through implementation

Question 23

evidence informed practice PROCESS?

Answer 23

1. clarifying the problem (what is it related to?)
2. what evidence is available on the problem?
3. consider other views of problem and stakeholder opinions

Question 24

when looking for what evidence is available about strategies to address the problem, what kind of evidence are we looking for? (hint: 2)

Answer 24

1. ‘effectiveness evidence’ (benefits + negatives impacts, cost-effectiveness)
2. ‘implementation evidence’ (feasibility, acceptability, sustainability - what makes it work, why?)

Question 25

practice approach to SW is an integration of?

Answer 25

• purpose of social work
• knowledge bases
• ethics and values
  and shaped by individuals you work with + organisational contexts

Question 26

what are outcomes?

Answer 26

• increase focus on linking activities with ‘outcomes’
• impact, effect or consequence of service
• need to measure, record, report

Question 27

social work evaluation of outcomes is more about:

Answer 27

• process (attending)
• satisfaction
• client feedback