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Social Work in Health Care

Tamara S Davis, Rebecca Reno, Joe Guada, Staci Swenson, Adriane Peck, Stacey Saunders-Adams, Lauren Haas-Gehres
Integrating physical and behavioral health services has the potential to reduce health disparities and service inequities among persons most at risk. However, clinical social workers in integrated health settings must possess relevant knowledge and skills to provide quality care to diverse populations. The Social Worker Integrated Care Competency Scale (SWICCS), developed to complement the Integrated and Culturally Relevant Care (ICRC) field education curriculum, measures students' self-perceptions of knowledge and skills associated with providing behavioral health care...
November 20, 2018: Social Work in Health Care
Xiaoling Xiang, Ashley Zuverink, Walter Rosenberg, Elham Mahmoudi
The present study was a retrospective evaluation of a social worker-led transitional care intervention that addresses the medical and social needs of inpatient super utilizers with ≥5 inpatient admissions in a 12-month period. Bivariate analyses revealed significant reductions in the total number of hospital admissions, 30-day readmission rates, number of emergency department visits, average hospital charges per episode, and total hospital charges per person after the intervention. This social work intervention may be of interest to providers and payers, particularly regarding addressing the psychosocial needs of complex patients who account for most of health care costs...
November 14, 2018: Social Work in Health Care
Stephanie Begun, Katie Massey Combs, Michaela Torrie, Kimberly Bender
Homeless youth become pregnant or involved in pregnancies at high rates. There are many ways by which unintended pregnancies may be prevented, including the use of condoms and other contraceptives. However, there is a dearth of research regarding contraceptive use among this vulnerable youth population, and especially through lenses that consider homeless youths' diverse gender identities, expressions, and sexualities. This study qualitatively explores homeless youths' attitudes and experiences regarding condom and other contraceptive use...
November 8, 2018: Social Work in Health Care
Rebecca S Rouland Polmanteer, Robert H Keefe, Carol Brownstein-Evans
Postpartum depression (PPD) is a mental health disorder that affects approximately 20% of all new mothers. PPD frequently co-occurs with and is exacerbated by trauma, particularly for women from vulnerable populations. Trauma-informed care (TIC) is a best practice that recognizes the importance of, and takes steps to promote recovery from, trauma while preventing retraumatization. Despite its potential utility, there is limited research published on TIC, including how TIC is operationalized across practice settings...
October 22, 2018: Social Work in Health Care
Rebecca Reno, Brieanne Beaujolais, Tamara S Davis
Integrated care is a promising practice to promote health equity and improve population health across the life course, but the mechanisms needed to integrate services remain nebulous. This study aimed to identify the components required to achieve a fully integrated health care system as articulated by social work trainees. The authors conducted five focus groups (N = 20). Transcripts were analyzed using structural and pattern coding. Three primary themes emerged: Organizational Structure and Support, Personal and Interpersonal Dynamics, and Practitioner Knowledge...
October 17, 2018: Social Work in Health Care
Shulamit Geller, Yaron Yagil
Terror management theory (TMT) contends that the need to manage the anxiety evoked by the awareness of one's own mortality, through proximal and distal defenses, lies at the heart of any human motivation. Proximal defenses aim at dismissing death awareness. Distal defenses aim at keeping them out of frame. The terror management health model (TMHM) applies TMT to issues of health and illness. TMT and TMHM are both explored mainly through empirical positivist research and theoretical discussions. Very few publications relate to the implementation of TMT...
October 15, 2018: Social Work in Health Care
Sean Lynch, Catherine Greeno, Judith L Teich, Janet Heekin
OBJECTIVE: To assess the level of integration of pediatric integrated behavioral health service delivery models (IBHSDM) since it has not been well established. DATA SOURCES: A systematic review of journal databases (e.g., PubMed) and Google searches was used to identify publications. STUDY SELECTION: Studies were included if they examined children who were treated in an IBHSDM. DATA EXTRACTION: The authors extracted data from studies and assessed them for level of integration using a federal conceptual framework...
October 15, 2018: Social Work in Health Care
Cynthia Akorfa Sottie, Judith Darkey
Stigmatization of persons cured of leprosy (PCLs) is a long standing social problem especially in the developing world, which often leads to their isolation from mainstream society. This study presents the voices of PCLs in the Cured Lepers' Village in Ho, a community located in Southern Ghana. The study collected data through in-depth interviews and focus group discussions with 20 participants. Findings indicate that PCLs continue to live a significant number of years in the Cured Lepers' Village after they are cured of leprosy...
October 15, 2018: Social Work in Health Care
Nurcan Uysal, Gülşah Gürol Arslan, Samiye Mete
The purpose of this study was to understand the views of hospitalized patients regarding family/informal caregivers (ICs). In this study thematic content analysis was used, interviews were audio-recorded, transcribed verbatim, and coded. The 4 themes and 11 subthemes were determined. Themes: Identity of IC, expectations of IC, feelings about the presence or absence of an IC. Along with feeling positive emotions when ICs were present, patients also felt as though they were a burden on caregivers. Family caregivers are an important social support for patients and they may lead to more meaningful patient outcomes globally...
October 15, 2018: Social Work in Health Care
Luisa Kcomt
Transgender people experience interpersonal and structural barriers which prevent them from accessing culturally and medically competent health care. This rapid systematic review examined the prevalence of health-care discrimination among transgender people in the U.S. and drew comparisons with sexual minority samples and the general U.S. population. Eight primary studies with 35 prevalence estimates were analyzed. Transgender populations experience profound rates of discrimination within the U.S. health-care system...
October 15, 2018: Social Work in Health Care
Abigail Ross, Janis Arnold, Allyson Gormley, Susanna Locke, Susan Shanske, Christine Tardiff
BACKGROUND: Care coordination (CC) is integral to improving health care quality. Research on CC by health care social workers (HSWs) in pediatric health care settings is limited. This paper aims to operationalize and quantify CC functions fulfilled by HSWs in one large urban pediatric hospital. METHODS: Twenty-three discrete CC tasks across four categories of assessment, meetings, consultations, and facilitation were identified and operationalized by an HSW CC committee through a consensus-driven decision-making process...
September 17, 2018: Social Work in Health Care
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No abstract text is available yet for this article.
November 2018: Social Work in Health Care
Charissa K Eaton
This study examines the profession primarily responsible for discharge planning in all hospitals serving older adults in Minnesota. Quantitative analyses determined that the majority of hospitals in Minnesota serving older adults are small, rural hospitals with critical access designations, are private nonprofit, and are affiliated with a health care system. Social workers are primarily responsible for discharge planning in half of the hospitals, nurses in a quarter and either a nurse/social worker team or both nurse and social worker separately in the remaining quarter...
November 2018: Social Work in Health Care
Adrianne Frech, Ginny Natale, Dmitry Tumin
We used data from the United Network for Organ Sharing registry of living kidney donors and recipients to identify correlates of paid employment among couples following spousal living donation. Among such couples, post-transplant employment of both spouses (41%) was as common as employment of the donor only (41%). However, when the recipient was female, donor-only employment after transplant was more than twice as likely as compared to employment of both spouses (relative risk ratio = 2.57; p < .001)...
November 2018: Social Work in Health Care
Rosalba Hernandez, Brett Burrows, Kenneth Wilund, Michael Cohn, Shuo Xu, Judith T Moskowitz
BACKGROUND: Depression is a pervasive psychological issue facing hemodialysis (HD) patients. Novel technology-based treatment strategies that deploy psychology-based interventions have not been the focus for therapy and few published studies exist. The aim of the current trial is to determine the feasibility and acceptability of an Internet-based positive psychological intervention in HD patients with comorbid depressive symptoms. METHODS: HD patients (n = 14) with elevated symptoms of depression were enrolled in a single-arm pre-post trial with clinical assessments at baseline and immediately post intervention...
November 2018: Social Work in Health Care
Andrea Greenblatt, Eunjung Lee
With cancer survival rates rapidly increasing over time, more people are living into the survivorship stage of their cancer experience. Furthermore, the experience of cancer may impact individuals long after treatment has ceased. This paper presents the results of a mapping review implemented to explore key themes in the literature related to issues with identity following the completion of cancer treatment. The review included 22 studies including quantitative, qualitative, mixed method, and review studies as well as conceptual papers...
November 2018: Social Work in Health Care
Mónica M Alzate, Susy Villegas, Hamisu M Salihu
OBJECTIVE: To explore cultural-contextual factors that impact the high rate of Hispanic/Latina teen pregnancy in Oklahoma from the perspective of providers and parents. METHODS: Community Based Participatory Research at the Latino Community Development Agency in Oklahoma City; focus groups and in-depth interviews; 33 service providers and 14 Hispanic/Latino parents. RESULTS: (a) The value of respect among Hispanic/Latino families is a risk factor for unplanned teen pregnancy...
November 2018: Social Work in Health Care
Joohee Lee, Michelle Brazeal, Hwanseok Choi, Tim A Rehner, Stephanie T McLeod, Christina M Jacobs
PURPOSE: The purpose of this study is to examine the prevalence of depression and physical and psychosocial factors associated with depression among adults with Type 2 Diabetes Mellitus (T2DM). METHODS: The sample included 421 patients with T2DM at a Federally Qualified Healthcare Center in a southern state. The Patient Health Questionnaire (PHQ-9) was used to measure the severity of depression. RESULTS: The multiple logistic regression analyses revealed that the likelihood of depression increased as the level of pain increased and as the level of ambulation difficulties increased...
November 2018: Social Work in Health Care
Thereasa E Abrams, Dhitinut Ratnapradipa, Heather Tillewein, Alison A Lloyd
This phenomenological study engaged an availability sample of eight, long-term, adult burn survivors living a primarily rural burn center catchment area of the U.S. in face-to-face interviews focused on their holistic health since their burn injuries occurred. Criteria for the primary study involved females (n = 1) and males (n = 7) with an age range of 18 to 65 years and a minimum of 20% total body surface area (TBSA) injuries that required hospitalization in a specialized burn center. The mean age of participants at the time of interviews was 54...
October 2018: Social Work in Health Care
Hyejung Oh, Hyunjin Noh, Omar T Sims, Yuqi Guo, Patricia Sawyer
Although residential geographic health disparities have been noted in the previous literature, studies are specifically lacking on intra-group health comparisons of African American older adults by residential geography. The purpose of this study was to determine if health-related characteristics of African American older adults varied by residential geography. Socioeconomic demographics, medical conditions, primary care use, and self-ratings of general health, social activity, and physical activity were compared in a community-dwelling sample of 327 urban and non-urban African American older adults...
October 2018: Social Work in Health Care
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