Week 3: Social Work Role in Health Flashcards
how do social workers incorporate social determinants into daily practice
- make them more visible, articulate, advocate
- intervene in relation to disadvantage, resources
social work roles in hospitals
- discharge planning
- interventions
- psychosocial assessments
- educating patients
- conflict resolution
- assisting managing contested situations
S.W and referrals.
*note who is it important to?
- connecting patients to services at home and in community (avoid readmission)
important to carers in context of community aged care
working with older people in hospital roles
- provide info and education.
- family counselling (grief, loss, stress, transitions)
- strengths-based work (not being patronizing)
- importance of multidisciplinary team
SW and community aged care
- risk assessments (elder abuse)
- carer stress (and family work)
- community supports
- discharge planning
- applications to QCAT?
- advance care planning
- housing affordability + poverty
theory: psychodynamic + psychosocial
theories that inform understanding of human growth, life stage development, and behaviour and psychosocial impact of ill health, disease, sudden loss, trauma
theory: sociological
life course, social determinants of health including the economic political and environmental conditions
theory: person in environment
- systems ecological
- interconnectedness between person, family, relationship with formal and informal systems (schools, employment, community supports)
theory: power, control
power control dynamics
theory: post colonial
impact of colonisation and intervention on ATSI
theory: strengths
focus on patient’s strengths, building a helping relationship that is collaborative, client-centred, and competency based. move from focus on problems
theory: crisis theory and crisis intervention
- 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
key assumptions of consumer directed health care
- people autonomous
- people as rational consumers of health care
- health care as a commodity (treatment = commercial, links to notions of privatisation)
define autonomy
- act freely and intentionally
- substantial understanding
- without controlling powers (self-determination)
consumer directed health care assumes consumers make informed decisions by:
- ability to understand technical concepts
2. ability to take rational approach to emotive, frightening issues
market-based assumptions of informed decisions:
- consumers empowered by info.
- motivated to make decisions based on quality and cost
autonomous, informed consumer requires?
- accurate, timely, comprehensible info.
2. objective info. not framed by self-interest or ideology
how does diversity of values impact rational decisions?
- 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
autonomous, informed consumer:
increase focus on?
decrease focus on?
increase individual responsibility for health
decrease focus on role of state/community
patient agency
- reframes helping relationship ‘expert patient’
- responsibility and control resides w/ individual
- individual constructs their role in health care
Define evidence based practice
- explicit use of current best evidence in making decisions
- integration of best research evidence + clinical expertise + patient’s unique values and circumstances
steps/ application of evidence informed practice.
- start with practice-related problem (what’s the nature of problem?)
- searching and appraising best available evidence to frame and decide on options (what’s most beneficial intervention to address problem?)
- change through implementation
evidence informed practice PROCESS?
- clarifying the problem (what is it related to?)
- what evidence is available on the problem?
- consider other views of problem and stakeholder opinions
when looking for what evidence is available about strategies to address the problem, what kind of evidence are we looking for? (hint: 2)
- ‘effectiveness evidence’ (benefits + negatives impacts, cost-effectiveness)
- ‘implementation evidence’ (feasibility, acceptability, sustainability - what makes it work, why?)
practice approach to SW is an integration of?
- purpose of social work
- knowledge bases
- ethics and values
and shaped by individuals you work with + organisational contexts
what are outcomes?
- increase focus on linking activities with ‘outcomes’
- impact, effect or consequence of service
- need to measure, record, report
social work evaluation of outcomes is more about:
- process (attending)
- satisfaction
- client feedback
