Social Work in Health Care最新文献

{"title":"How COVID-19 has impacted integrated care practice: lessons from the frontlines.","authors":"Zachary Cooper,&nbsp;Lisa De Saxe Zerden","doi":"10.1080/00981389.2021.1904316","DOIUrl":"https://doi.org/10.1080/00981389.2021.1904316","url":null,"abstract":"<p><p>Primary care systems are a mainstay for how many Americans seek health and behavioral health care. It is estimated that almost a quarter of behavioral health conditions are diagnosed and/or treated in primary care. Many clinics treat the whole person through integrated models of care such as the Primary Care Behavioral Health (PCBH) model. COVID-19 has disrupted integrated care delivery and traditional PCBH workflows requiring swift adaptations. This paper synthesizes how COVID-19 has impacted clinical services at one federally qualified health center and describes how care has continued despite the challenges experienced by frontline behavioral health providers.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":"60 2","pages":"146-156"},"PeriodicalIF":2.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00981389.2021.1904316","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25503266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"cAIR: Implementation of peer response support for frontline health care workers facing the COVID-19 pandemic.","authors":"Elizabeth Wierman Rubin,&nbsp;Anna Rassman","doi":"10.1080/00981389.2021.1904321","DOIUrl":"https://doi.org/10.1080/00981389.2021.1904321","url":null,"abstract":"<p><p><b>Purpose</b>: While global pandemics such as the COVID-19 public health crisis are known to increase the likelihood of frontline health care workers experiencing the negative effects of stress and trauma, many health care workers on the frontlines of the COVID-19 pandemic lack adequate support. This paper presents the findings of a social work led peer support model, COVID-19 Am I Resilient (cAIR), developed and deployed during the first wave of the COVID-19 pandemic.<b>Methods</b>: This quality improvement initiative was developed and piloted within the Clinical Education and Practice department at a large urban health care system. The pilot included provision of peer support through synchronous video presentations, one-on-one peer support, and resourcing and referral. Pilot outcomes of feasibility and staff engagement were evaluated using participant responses to an online survey as well as attendance records at project activities.<b>Implications</b>: Developed to help frontline health care workers thrive in the midst, and wake, of the COVID-19 pandemic, the pilot study of the cAIR peer support model has implications for further development and implementation of peer support for typically underrepresented health care disciplines working during the COVID-19 pandemic as well as future public health emergencies.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":"60 2","pages":"177-186"},"PeriodicalIF":2.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00981389.2021.1904321","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25525271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual family town hall: An innovative multi-family telehealth intervention during COVID-19.","authors":"Cathleen Morey","doi":"10.1080/00981389.2021.1904317","DOIUrl":"https://doi.org/10.1080/00981389.2021.1904317","url":null,"abstract":"<p><p>The COVID-19 pandemic has posed unprecedented challenges to the U.S. mental healthcare system. Immediate action has been required to transform existing social work practice models to ensure uninterrupted delivery of essential mental health services. This paper describes how clinicians in a residential program, who offered an in-person multi-family education workshop, rapidly pivoted in the context of the pandemic to develop and implement an alternative and unique multi-family intervention model - a virtual family town hall. This innovative telehealth practice model serves as an exemplar of best practices amidst the COVID-19 pandemic as it prioritized health and safety, increased accessibility, and allowed clinicians to effectively respond to family members' heightened informational needs.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":"60 2","pages":"166-176"},"PeriodicalIF":2.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00981389.2021.1904317","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25511018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing home social services: A systematic review of the literature from 2010 to 2020.","authors":"Vivian J Miller,&nbsp;Tyrone Hamler,&nbsp;Susanny J Beltran,&nbsp;Jacquelyn Burns","doi":"10.1080/00981389.2021.1908482","DOIUrl":"https://doi.org/10.1080/00981389.2021.1908482","url":null,"abstract":"<p><p>Nursing home (NH) social workers carry out person-centered care, guided by the 1987 Nursing Home Reform Act. As the projected population of individuals requiring NH care is expected to grow and become more racially and ethnically diverse, the social worker in this setting becomes increasingly important. The aims of this study are to: (1) identify existing research that discusses the role of social work and nursing facilities, (2) synthesize findings to determine what is most often reported in the literature, and (3) present recommendations for practice, research, and policy. This study used the PICO framework and PRISMA guidelines to systematically search for articles published in English between 2010 and 2020 across 11 databases. A final sample of 23 articles discussed social work in the NH organized into three categories: (1) qualifications of the NH social worker (n = 5), (2) social worker responsibilities (n = 11), and (3) policy dictates practice (n = 7). Future research ought to include primary data collection methods with NH social workers, as well as NH residents and family, as residents must be at the center of their care. Considering policy modifications to further enhance the social work role of the interdisciplinary team is warranted.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":"60 4","pages":"387-409"},"PeriodicalIF":2.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00981389.2021.1908482","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38972353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengths-based behavioral telehealth with sexual and gender diverse clients at Center on Halsted.","authors":"Ing Swenson,&nbsp;Trevor G Gates,&nbsp;Michael P Dentato,&nbsp;Brian L Kelly","doi":"10.1080/00981389.2021.1885561","DOIUrl":"https://doi.org/10.1080/00981389.2021.1885561","url":null,"abstract":"<p><p>The COVID-19 pandemic necessitated an immediate response and rapid transition from traditional face-to-face behavioral health services to behavioral telehealth at an organization serving sexual and gender diverse (SGD) individuals in Chicago. In this practice innovations article, we explore the unfolding public health crisis and the impact on service delivery for SGD individuals. Using a large multi-service organization as a case study, this paper describes how key members of the staff and leadership team shifted services online as a means of responding to isolation, loneliness, and disparities in access to healthcare for Chicago SGD communities. Lessons learned and practice recommendations are presented.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":"60 1","pages":"78-92"},"PeriodicalIF":2.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00981389.2021.1885561","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25350253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to the special issue: Social work practice in the era of the COVID-19 pandemic - Challenges and innovations.","authors":"Abigail M Ross,&nbsp;Brianna Lombardi,&nbsp;Lisa De Saxe Zerden","doi":"10.1080/00981389.2021.1890381","DOIUrl":"https://doi.org/10.1080/00981389.2021.1890381","url":null,"abstract":"The emergence of the novel coronavirus (SARS-COV-2) in late 2019 is likely the largest global public health crisis of our lifetimes. COVID-19 morbidity and mortality rates in the United States are among the highest in the world, resulting in over 26.5 million infections and 450,000 deaths to date (Centers for Disease Control and Prevention, 2021). Compounded by a federal response by the Trump administration that can only be categorized as an abject failure, the US has concurrently experienced its worst economic downturn observed since the Great Depression (International Monetary Fund, 2020). Consistent with extant research on population health disparities, the pandemic continues to disproportionately affect communities of color (Centers for Disease Control and Prevention, 2021), highlighting entrenched health inequities in access to and quality of care driven primarily by the social determinants of health (SDOH). A recent study confirms the role of social factors in disease spread, with each 1 point-increase in Social Vulnerability Index scores at the county-level linked to 87 excess cases and 3 additional COVID-related deaths per 100,000 people across the US (Karmakar et al., 2021). Accompanied by skyrocketing rates of mental health conditions and substance misuse (Czeisler et al., 2020; Simon et al., 2020), disproportionate increases in deaths by suicide among Black Americans (Bray et al., 2021) and increased rates of drug overdose (Friedman et al., 2020; Glober et al., 2020), the pandemic has overwhelmed health systems and pushed the health workforce and the American public to the brink. As the primary social care workforce (National Academies of Science, Engineering and Medicine, 2019), the social work profession is central to both short pandemic response and longer-term pandemic recovery efforts. As a workforce focused primarily on addressing the social needs of those who are vulnerable and marginalized, social workers are responding through both direct service provision as well as macro efforts to ameliorate unprecedented disruption across health, social, and economic systems. Despite widespread confusion about","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":"60 1","pages":"1-7"},"PeriodicalIF":2.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00981389.2021.1890381","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25371171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding social workers' hidden roles in medication safety for older adults: A qualitative study.","authors":"Kamal Wagle,&nbsp;Ann H Cottingham,&nbsp;Dawn Butler,&nbsp;Jenny Grover,&nbsp;Debra K Litzelman","doi":"10.1080/00981389.2021.1900023","DOIUrl":"https://doi.org/10.1080/00981389.2021.1900023","url":null,"abstract":"<p><p>Older adults are vulnerable to risks associated with medications. This study explores the roles of Social Workers in facilitating medication safety for older adults. Eight social workers from federally qualified health centers participated in a case-based and interactive medication safety curriculum. They participated in an in-depth, semi-structured interview to explore their roles and strategies in assisting older adults and caregivers with medication management. Findings were transcribed and analyzed. Six themes characterizing social workers' roles in medication management were identified: a) Referral: matching patients and medication-related resources within the health-care system and community; b) Communication: connecting providers, patients, caregivers, and support system; c) Access to medicine: addressing unique needs of each patient to foster their ability to obtain their medicines; d) Social Determinants of Health: investigating the social challenges of each patient and facilitating specific medication management approaches to meet identified needs; e) Engagement: engaging patients in co-developing a treatment plan; f) Caregiver Support: preparing caregivers to assist in medication management. Social workers are trained and well positioned to provide a multi-faceted approach to improve medication management for older adults. Their unique perspectives and skills are important in addressing the complex challenges of medication management.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":"60 4","pages":"369-386"},"PeriodicalIF":2.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00981389.2021.1900023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25487531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of healthcare mistreatment among transgender and gender diverse individuals: Are there different patterns by patient race and ethnicity?","authors":"Kristie L Seelman,&nbsp;Andre Vasi,&nbsp;Shanna K Kattari,&nbsp;Luis R Alvarez-Hernandez","doi":"10.1080/00981389.2021.1909201","DOIUrl":"https://doi.org/10.1080/00981389.2021.1909201","url":null,"abstract":"<p><p>Using data from the 2015 United States Transgender Survey, this study investigates which patient sociodemographic characteristics and psychosocial risks are associated with likelihood of transgender mistreatment in healthcare and how patterns vary for patients of color. Numerous predictors, including alignment of identity documents, were associated with healthcare mistreatment. Among subgroups of transgender patients of color, psychosocial risks were more consistently significant than sociodemographic characteristics in predicting mistreatment. National and international health organizations are called to enact clear policies that affirm transgender patients and patients of color and establish a commitment to effectively serving these populations within their ethical codes.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":"60 5","pages":"411-429"},"PeriodicalIF":2.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00981389.2021.1909201","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25576754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compliance with preventative measures during the COVID-19 pandemic in the USA and Canada: Results from an online survey.","authors":"Donna Wang,&nbsp;Suzanne Marmo-Roman,&nbsp;Kathryn Krase,&nbsp;Lusta Phanord","doi":"10.1080/00981389.2020.1871157","DOIUrl":"https://doi.org/10.1080/00981389.2020.1871157","url":null,"abstract":"<p><p>This study explored people's compliance with recommended preventative measures during early stages of the COVID-19 pandemic. An online survey was administered in June 2020 in the USA and Canada (N = 1,405). Regression analysis found that when controlling for other factors, age and political ideology were significant predictors of compliance with preventative measures. A content analysis of narrative answers of compliance/noncompliance found that the majority of individuals intended to comply with preventative measures, with primary reasons as social responsibility, self-protection, and protection of family members. Reasons identified for not complying were viewing preventative practices as unnecessary, getting mixed messages from various sources about effectiveness, distrust in government and inability to comply. This study informs social workers on intervention strategies on micro, mezzo and macro levels of practice.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":"60 3","pages":"240-255"},"PeriodicalIF":2.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00981389.2020.1871157","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39124016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guardianship patient characteristics and outcomes in geriatric social work practice: Australian context.","authors":"Matthew Jackman,&nbsp;Fiona McDermott,&nbsp;Jacinta Sadler,&nbsp;Nicole El Hage,&nbsp;Halim Lee","doi":"10.1080/00981389.2021.1990189","DOIUrl":"https://doi.org/10.1080/00981389.2021.1990189","url":null,"abstract":"<p><p>This study explored the patient characteristics and outcomes in relation to guardianship in a large-scale sub-acute Australian hospital. Fifteen patients who appointed a guardian at The Kingston Center, Monash Health, participated through exploratory data collection and analysis utilizing a de-identifiable template. The findings revealed both diverse and complex patient characteristics, and ethical dilemmas in patient outcomes for social workers. Patient outcomes post-guardianship appointment and discharge highlighted a negative impact from long length of stay and the iatrogenic impact on patient wellbeing in hospital. The study reflected a disparity between patients' discharge goals and their outcomes indicating significant ethical dilemmas and complexities for social workers in ensuring rights to autonomy and responsibility for safety are balanced.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":"60 8-9","pages":"614-630"},"PeriodicalIF":2.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39559527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}