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This pragmatic and comprehensive book helps readers develop the knowledge, skills, and values necessary for effective health care social work practice, as well as an understanding of the technological, social, political, ethical, and financial factors affecting contemporary patient care. Packed with case studies and exercises, the book emphasizes the importance of being attentive to both patient and organizational needs, covers emerging trends in health care policy and delivery, provides extensive discussion of the Patient Protection and Affordable Care Act, and addresses social work practice across the continuum of care.

Tabla de contenidos provista por Syndetics

• Preface(p. xiii)
• Acknowledgments(p. xiv)
• About the Authors(p. xvii)
• Introduction(p. 1)
• Part I Introduction to Social Work Practice in Healthcare
• 1 The Historical and Contemporary Context for Healthcare Social Work Practice(p. 7)
• Introduction(p. 7)
• Evolution of Medical Social Work Practice(p. 7)
• Historical Context of Healthcare in the United States(p. 12)
• Public Health in the United States(p. 14)
• Early Efforts to Nationalize Healthcare in the United States(p. 16)
• Contemporary Healthcare Reform: The Affordable Care Act(p. 22)
• Summary(p. 25)
• Key Terms and Concepts(p. 25)
• Questions for Discussion(p. 26)
• Exercises(p. 26)
• References(p. 27)
• 2 The Organizational Context of Healthcare Social Work Practice(p. 31)
• Introduction(p. 31)
• Healthcare Organizations(p. 31)
• Social Work Challenges in Contemporary Healthcare Organizations(p. 36)
• The Advent of Managed Healthcare(p. 42)
• The Affordable Care Act and Accountable Care Organizations(p. 44)
• The Healthcare System as a Service Continuum(p. 46)
• Continuum Components, Focus of Care, and Social Work Services(p. 48)
• Summary(p. 62)
• Key Terms and Concepts(p. 63)
• Questions for Discussion(p. 63)
• Exercises(p. 64)
• References(p. 64)
• 3 Knowledge and Theoretical Foundations of Healthcare Social Work Practice(p. 69)
• Introduction(p. 69)
• The Changing Healthcare System(p. 69)
• Definitions of Health, Wellness, Disease, and Disability(p. 70)
• The Medical Model of Practice(p. 72)
• Adjustment to Illness Counseling(p. 73)
• A Theoretical Framework for Intervention(p. 74)
• Summary(p. 90)
• Key Terms and Concepts(p. 90)
• Questions for Discussion(p. 90)
• References(p. 91)
• 4 Healthcare Social work Practice Skills and Competencies(p. 95)
• Introduction(p. 95)
• Definition of Healthcare Social Work Practice(p. 95)
• The Roles and Functions of Healthcare Social Work Practice(p. 96)
• The Helping Process Applied to Healthcare Social Work Practice(p. 105)
• Summary(p. 119)
• Key Terms and Concepts(p. 120)
• Questions for Discussion(p. 121)
• Exercises(p. 121)
• 5 Value and Ethnic of Healthcare Social Work(p. 127)
• Introduction(p. 127)
• Social Work Values(p. 128)
• Ethical Dilemmas(p. 128)
• Ethical Decision Making(p. 131)
• Ethics Committees(p. 134)
• Challenges(p. 136)
• Opportunities(p. 138)
• Summary(p. 139)
• Key Terms and Concepts(p. 140)
• Questions for Discussion(p. 140)
• Exercises(p. 141)
• References(p. 142)
• 6 Practice-Based Research in Healthcare Social Work(p. 145)
• Introduction(p. 145)
• Evidence-Based Practice(p. 146)
• From Research to Quality Improvement(p. 152)
• Practice-Based Evaluation(p. 154)
• Best Practice in Evaluation Design(p. 158)
• Evaluation Designs(p. 163)
• Outcomes and Quality Evaluation(p. 170)
• Creating a Positive Culture for Evaluation(p. 171)
• Summary(p. 172)
• Key Terms and Concepts(p. 172)
• Questions for Discussion(p. 173)
• Exercises(p. 173)
• References(p. 173)
• Part II Advanced Approaches and Emerging Trends
• 7 Chronic Illness: Issues and Interventions(p. 175)
• Introduction(p. 175)
• Health Disparities and Associated Costs of Chronic Illness(p. 176)
• Biopsychosocial Assessment of Health Needs and Services(p. 183)
• Social Work Role in Care Coordination(p. 185)
• Facilitating Adherence to Medical Regimens(p. 186)
• The Impact of Chronic Illness on Family Functioning(p. 188)
• Special Considerations: Chronic Illness in Childhood(p. 191)
• Chronic Diseases Overview(p. 192)
• Heart Disease(p. 194)
• Cancer(p. 198)
• Diabetes(p. 201)
• Summary(p. 205)
• Key Terms and Concepts(p. 205)
• Questions for Disussion(p. 206)
• Exercises(p. 206)
• References(p. 207)
• 8 Transitional Planning Across the Continuum of Care(p. 213)
• Introduction(p. 213)
• Transitional Care Planning Through the Continuum of Care(p. 216)
• Alternatives to Nursing Home Care(p. 231)
• Summary(p. 234)
• Key Terms and Concepts(p. 234)
• Questions for Discussion(p. 235)
• Exercises(p. 235)
• References(p. 236)
• 9 Social Work Practice in Oncology, Palliative, and End-of-Life Care(p. 239)
• Introduction(p. 239)
• Evolution of Cancer Care(p. 239)
• Survivability Factors(p. 241)
• Cultural Issues(p. 242)
• Current Trends in Psychosocial Care: Functions and Roles(p. 243)
• Psychosocial Screening and Assessment(p. 245)
• Depression and Anxiety in Cancer Patients(p. 247)
• Characteristics of Oncology Social Work Practice(p. 249)
• Patient and Family Intervention(p. 250)
• Summary: The Challenge of Oncology Practice(p. 253)
• Key Terms and Concepts(p. 254)
• Questions for Discussion(p. 254)
• Exercises(p. 254)
• References(p. 255)
• 10 Community Health and Health Promotion(p. 259)
• Introduction(p. 259)
• Theoretical Framework(p. 259)
• Skills and Competencies(p. 264)
• Values and Ethics(p. 264)
• Health Promotion and Wellness Models(p. 265)
• Cultural Considerations(p. 275)
• Role of Social Work in Community and Public Health(p. 277)
• Emerging Trends(p. 279)
• Challenges(p. 281)
• Opportunities(p. 282)
• Summary(p. 282)
• Key Terms and Concepts(p. 282)
• Questions for Discussion(p. 283)
• Exercises(p. 283)
• References(p. 284)
• 11 Gerontological Healthcare Social Work Practice(p. 287)
• Introduction(p. 287)
• Our Aging Population(p. 287)
• Demographic Influences(p. 289)
• Present Health Status of the Aging Population(p. 291)
• Healthcare and Social Service Needs of the Aging Population(p. 292)
• The Opportunity for Social Work Practice(p. 293)
• Gerontological Social Work Functions(p. 296)
• Intervention With an Aging Population(p. 297)
• Social Work Policy Practice With an Aging Population(p. 306)
• Summary(p. 307)
• Key Terms and Concepts(p. 307)
• Questions for Discussion(p. 308)
• Exercises(p. 308)
• Hartford Foundation Geriatric Social Work Competencies(p. 308)
• References(p. 311)
• 12 Pediatric Healthcare Social Work Practice(p. 315)
• Introduction(p. 315)
• Child Health in the United States(p. 315)
• Chronic Health(p. 316)
• Mental Health(p. 318)
• Developmental Disabilities(p. 318)
• Accidental Injury(p. 319)
• Pediatric Care Sites and Social Work Practice(p. 320)
• Social Work Practice Knowledge and Skills(p. 322)
• Professional Values and Ethics(p. 343)
• Practice Challenges(p. 346)
• Practice Opportunities(p. 348)
• Summary(p. 350)
• Key Terms and Concepts(p. 351)
• Questions for Discussion(p. 351)
• Exercises(p. 352)
• References(p. 353)
• 13 Co-occurring Psychiatric and Substance Abuse Disorders in Medical Patients(p. 357)
• Introduction(p. 357)
• Psychiatric Care in Healthcare Settings(p. 358)
• The Social Work Role in Behavioral Healthcare(p. 359)
• Substance Abuse as a Co-occurring Disorder(p. 369)
• Integrating Care(p. 375)
• Summary(p. 377)
• Key Terms and Concepts(p. 377)
• Questions for Discussion(p. 378)
• Exercises(p. 378)
• References(p. 379)
• 14 Supervision and Performance Evaluation(p. 383)
• Introduction(p. 383)
• Importance of Clinical Supervision(p. 383)
• The Historical Context of Supervision(p. 386)
• Definitions: Field Education, Supervision, and Consultation(p. 386)
• Theoretical Foundations(p. 388)
• Supervision Competencies(p. 391)
• Supervision Modalities(p. 391)
• Trends in Supervision(p. 394)
• Ethical Responsibilities of Supervisors(p. 398)
• Performance Evaluation(p. 398)
• Summary(p. 406)
• Key Terms and Concepts(p. 406)
• 15 Cultural Competence in Healthcare Social Work(p. 413)
• Introduction(p. 413)
• Defining Cultural Competence(p. 413)
• Specific Considerations in Culturally Competent Healthcare(p. 417)
• Culturally Competent Healthcare Organizations(p. 429)
• Summary(p. 434)
• Key Terms and Concepts(p. 435)
• Questions for Discussion(p. 435)
• Exercises(p. 436)
• References(p. 436)
• 16 The Future of Healthcare and Social Work Practice(p. 439)
• Introduction(p. 439)
• On the Healthcare Policy Horizon(p. 439)
• On the Healthcare Service Delivery Horizon(p. 444)
• On the Healthcare Social Work Practice Horizon(p. 451)
• Envisioning the Future(p. 459)
• Key Terms and Concepts(p. 459)
• Questions for Discussion(p. 460)
• Exercises(p. 460)
• References(p. 460)
• Appendix Log(p. 465)
• Glossary of Terms(p. 483)
• Index(p. 501)

Notas de autor provistas por Syndetics

Karen M. Allen , PhD, LCSW , received her bachelor's degree in social psychology from Oakland University, her MSW in social work administration, and her PhD in education from Wayne State University. She has nearly 20 years of experience in health care as a medical social worker, department director, and administrator. She is currently professor and director of the social work program at Indiana University Bloomington and has written over 30 publications including peer-reviewed papers, books, book chapters, and other publications. William J. Spitzer , PhD, DCSW , earned his doctorate in social work and business administration from the University of Illinois. His 30 year career appointments include Virginia state manager of licensing operations and department director of social work services for Virginia Commonwealth University (VCU) hospitals/clinics, Oregon Health & Science University hospitals/clinics, and Sarah Bush Lincoln Health System. He serves as the National Society for Social Work Leadership in Health Care publications editor, was society president in two states, and on the National Association of Social Workers (NASW) board of directors. He has 40 publications, served on multiple Council on Social Work Education (CSWE) accreditation teams and journal editorial boards, and edits the expanding eleven-volume Exemplars in Health Care Social Work Practice texts.