Social Work Practice in Community-based Health Care

by Egan; Marcia

• ISBN13: 9780789025661
• ISBN10: 0789025663
• Edition: 1st
• Format: Hardcover
• Copyright: 2007-06-22
• Publisher: Routledge

Summary

Make sure your practice skills are up-to-date with the changes brought on by managed care As a result of escalating costs, the focus of health care in the United States has shifted from inpatient, hospital-based care to outpatient care in the community. Social Work Practice in Community-Based Health Careis a comprehensive guide to the knowledge and skills needed to provide effective and efficient practice within a managed-care context that's focused on a diversified, aging consumer population and high-risk health conditions. This unique book examines the essential elements of community health practice, including logic modeling for planning and evaluation, interdisciplinary collaboration, and the use of technology and telemedicine in social work practice. Social Work Practice in Community-Based Health Carepresents practical information for social workers in the wake of the insertion of managed care as a third party to the relationship between physicians and their patients, and advances in medical care that are transforming previously acute and life-threatening illnesses to chronic conditions. The book offers a critical analysis of available research and model service delivery innovations, applying evidence-based practice to case studies in a style that's easily accessible to practitioners, administrators, supervisors, and social work students. The book also includes glossaries at the end of each chapter and appendices that analyze online resources and address cultural background assessment questions. Topics discussed in Social Work Practice in Community-Based Health Careinclude: the revolution in funding and delivery evolving trends and healthcare needs of the consumer population a conceptual framework for culturally competent practice the nature of social work in ambulatory health a brief history of healthcare social work emerging practice settings the use of new communication technologies in practice methods for evaluating direct practice ethical considerations current community-based programs for culturally diverse and at-risk populations and much more Social Work Practice in Community-Based Health Careis an important resource for social work practitioners, academics, and students.

Author Biography

Goldie Kadushin is Associate Professor in the Helen Bader School of Social Welfare at the University of Wisconsin-Milwaukee.

Table of Contents

Preface	p. xi
The Context of Community-Based Health Care
The Revolution in Health Care Funding and Delivery	p. 3
Introduction	p. 3
Controlling Escalating Costs of Health Care	p. 4
The Changing Structure of Health Care Delivery	p. 8
The Changing Focus of Health Care Delivery	p. 10
Changes in Government Funding for Faith-Based Organizations and Welfare	p. 12
Ethical Considerations	p. 15
The Influences of Managed Care on Practice	p. 19
Summary	p. 21
Discussion Questions and Activities for Individuals and Small Groups	p. 22
Glossary	p. 22
The Health Care Consumer Population	p. 25
Introduction	p. 25
Increasing Longevity	p. 26
The Diversification of Health Care Consumers	p. 27
Chronic Illness	p. 30
The Underinsured and the Uninsured	p. 41
Health Conditions and Psychosocial Factors and Behaviors	p. 44
Summary	p. 45
Discussion Questions and Activities for Individuals and Small Groups	p. 45
Glossary	p. 46
Cultural Competence in Ambulatory Health Care Practice	p. 49
Introduction	p. 49
What Is Culturally Competent Practice?	p. 50
What Are "Culture" and "Cultural Background"?	p. 52
How Are Health Disparities Linked to Cultural Background?	p. 53
A Framework for Understanding Cultural Background	p. 54
Summary	p. 79
Discussion Questions and Activities for Individuals and Small Groups	p. 80
Glossary	p. 80
Social Work in Community-Based Health Care	p. 83
Introduction	p. 83
What Is Social Work in Community-Based Health Care?	p. 85
Settings for Social Work Practice in Ambulatory Community Health Care	p. 90
Advances in Communication Technology for Health Care Practice	p. 99
Summary	p. 102
Discussion Questions and Activities for Individuals and Small Groups	p. 103
Glossary	p. 103
Culturally Responsive Practice in Ambulatory Health Care
Direct Practice in Community-Based Health Care	p. 107
Introduction	p. 107
A Conceptual Process and a Technique for Critical Thinking	p. 108
Perspectives, Concepts, and Theories for Direct Practice	p. 110
Culturally Responsive Practice	p. 112
Culturally Responsive Assessment	p. 115
Evidence-Based Interventions	p. 121
Ethical Dilemmas in Direct Practice	p. 137
Interdisciplinary Health Care Teams	p. 139
Coordinating an Individual Consumer's Care	p. 142
Summary	p. 145
Discussion Questions and Activities for Individuals and Small Groups	p. 145
Glossary	p. 146
Practice on Behalf of Health Care Consumer Populations	p. 147
What Is Practice on Behalf of Health Care Consumer Populations?	p. 147
Concepts for Practice: Organizations, Communities, Health Care Populations, and Problems	p. 149
Challenges in Interagency Practice on Behalf of Consumer Populations	p. 160
Collaborations and Coalitions/Consortia	p. 162
Health Promotion in Programs on Behalf of Consumer Groups	p. 169
Leadership on Behalf of Consumer Groups: What Makes a Leader Effective?	p. 171
Ethical Considerations	p. 173
Applying the Concepts for Logic Modeling of a Community Program for Children with Asthma	p. 174
Summary	p. 111
Discussion Questions and Activities for Individuals and Small Groups	p. 177
Glossary	p. 178
Evaluating Practice and Programs in Ambulatory Health Care	p. 181
Why Evaluate Social Work Practice?	p. 181
How Is Direct Practice Evaluated?	p. 182
How Are Programs in Community-Based Practice Evaluated?	p. 188
How Are Data Analyzed?	p. 191
Summary	p. 195
Discussion Questions and Activities for Individuals and Small Groups	p. 196
Glossary	p. 196
Appendixes
Exemplars of Innovative Programs in Ambulatory Health Care	p. 201
Background	p. 201
Reaching Out to Latinas: Cultural Competence in an Ambulatory Health Care Program	p. 201
Creatively Responding to the Needs of HIV/AIDS-Affected Children	p. 202
Participatory Program Development in Perinatal Community Care	p. 203
A Vision of Health Care for the Uninsured, Working Poor Made Manifest	p. 204
Web Sites for Social Work in Community-Based Health Care	p. 207
General Health Topics and Information	p. 207
Specific Diseases or Health Conditions	p. 209
Major Health Care Organizations	p. 215
Health and Minority Populations	p. 216
Genetics	p. 218
Specifically for Social Workers	p. 219
Assessment/Measurement Tools and Instruments	p. 219
Culturally Related Assessment Topics and Questions	p. 221
Spiritual Orientation	p. 221
Health Beliefs	p. 221
Family Structure, Authority, and Roles	p. 221
Acculturation	p. 222
Social Rules and Values	p. 222
References	p. 223
Index	p. 245
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