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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
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...
September 17, 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...
September 5, 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...
August 23, 2018: Social Work in Health Care
Becky Bell Scott, Susanna Doss, Dennis Myers, Burrit Hess
This article presents the perceptions parents have of the causative and curative factors for their child's externalized behaviors and what treatment they prefer to receive from their primary care integrated behavioral health team. This is a qualitative study, using interpretative phenomenological analysis. Semi-structured interviews were conducted with a purposive sample of 12 parents representing 14 patients with a disruptive behavior disorder (DBD) who sought care from their primary care physician for treatment of the DBD...
August 21, 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
Nina Szczygiel, Silvina Santana
Social interactions play an important role in people's life and people's health but their scope and intensity tend to decrease with age, challenging social support dynamics and increasing the risk of social isolation and helplessness. In Portugal, policymakers still seem to rely on traditional social relations in eldercare, while contextual changes and trends are redefining family roles and behaviors and defying the established social support structure. In this work, we aim to examine the scope, structure and experiences of the informal social support network available in the country for stroke patients 6 months after their discharge from the acute care unit in the context of a larger study...
October 2018: Social Work in Health Care
Jinhyun Kim, Yeol Choi
Understanding health disparities in the early stage of life is complicated by the complex interplay of psychosocial and environment factors. Despite these complexities, few studies have investigated multidimensional aspects of determining health trajectories of Korean children and adolescents. Thus, this study aims to investigate the impact of intrapersonal, interpersonal, and environmental factors on trajectories in self-rated health and depressive symptoms. Totally, 2378 Korean student samples were selected from the Korean Children and Young Panel Survey for data analysis...
October 2018: Social Work in Health Care
Harriet Aronow, Susan Fila, Bibiana Martinez, Todd Sosna
The Coleman Care Transitions Intervention (CTI) is a "Patient Activation Model." Depression can be a barrier to activation and may challenge CTI. This study addressed whether CTI coaches modified the intervention for older adults who screened positive for depression. Over 4,500 clients in a Centers for Medicare and Medicaid Services demonstration completed screening for depression with the PHQ-9; one in five screened positive (score = 9+). Our findings suggest that coaches modified CTI and played a more directive role for clients who screened positive for depression, resulting in similar 30-day readmission rates among patients who screened positive for depression risk and those who did not...
October 2018: Social Work in Health Care
Denise R Black, Tami H Wyatt, Mary L Held
Disseminating evidence-based knowledge and strengthening the education program of the healthcare workforce is an essential step toward achieving transformation of the U.S. healthcare delivery system to integrated healthcare. Computer applications may be an effective approach for social workers to learn integrated concepts. A feasibility study using an experimental research design was used to compare instructional approaches among MSW students (N = 15) composed of experimental (N = 7) and control (N = 8) group participants...
October 2018: Social Work in Health Care
Els Evenboer, Anne-Marie Huyghen, Jolanda Tuinstra, Erik Knorth, Sijmen A Reijneveld
Behavioral and emotional problems can lead to severe restrictions in the functioning of children and to an impaired development. The types of support for children vary greatly between care providers. The aim of this study is to apply the Taxonomy of Care for Youth (TOCFY) and to make an inventory of the core elements and program elements of the various types of support for children with behavioral and emotional problems that were offered overall and per main types of providers in a delineated region. We assessed the types of support to children (N = 621) by applying TOCFY...
October 2018: Social Work in Health Care
Samantha Herrera, Lauren Peccoralo, Gregory A Hinrichsen
Depression is common in patients attending primary care clinics especially for those in socioeconomically disadvantaged urban neighborhoods. A number of behavioral health collaborative care models exist to screen, assess, and treat patients within primary care clinics. This paper discusses the implementation of a behavioral health care program using the Improving Mood Promoting Access to Collaborative Treatment (IMPACT) model within an urban primary care clinic setting in New York City, that serves a large population of ethnically diverse and socioeconomically disadvantaged patients...
September 2018: Social Work in Health Care
Emily B Peterson, Wen-Ying Sylvia Chou, Angela Falisi, Rebecca Ferrer, Michelle A Mollica
INTRODUCTION: Social workers collaborate with a wide range of healthcare providers in clinical trial teams, yet their roles may not always be understood or supported by team members. It is currently unknown how social workers and multidisciplinary team members perceive social workers' roles in the clinical trial context. METHODS: Using a group case-study approach, social workers, core medical team members, and allied healthcare workers (n = 19) completed in-depth interviews to discuss the roles of social workers in a cancer clinical trial setting...
September 2018: Social Work in Health Care
Stephanie A Bryson, Harvey Bosma
Highlighting a strong human rights and social justice orientation underlying health social work in Canada, this paper describes recent contributions of Canadian health social work practitioners and scholars to five areas identified by Auslander (2001) in a delphi study of health social work in its first century. Five current 'trends' are discussed which correspond with Auslander's themes of professional legitimacy and scope, social causation, dissemination of knowledge, interventions, and cultural appropriateness...
September 2018: Social Work in Health Care
Jessica L Liddell, Catherine E Burnette, Soonhee Roh, Yeon-Shim Lee
Although American Indian (AI) women continue to experience cancer at higher rates and have not seen the same decline in cancer prevalence as the general U.S. population, little research examines how interactions with health care providers may influence and exacerbate these health disparities. The purpose of the study was to understand the experiences of AI women who receive cancer treatment, which is integral for eradication of AI cancer disparities among women. A qualitative descriptive methodology was used with a sample of 43 AI women with breast, cervical, colon, and other types of cancer from the Northern Plains region of South Dakota...
September 2018: Social Work in Health Care
Yao Ching-Teng, Lin Chia-Ju, Liu Hsiu-Yueh
Health issues common among older adults living in institution settings include poor life satisfaction and depression conditions. Engagement in appropriate group reminiscence therapy programs could alleviate these health issues among older adults in long-term care institutions. This study tested the effectiveness of a structured group reminiscence therapy protocol on the life satisfaction of institutionalized older adults. A quasi-experimental design was applied. A convenience sample of older adults was drawn from two nursing homes in southern Taiwan...
September 2018: Social Work in Health Care
Nicole M Saint-Louis, Joretha N Bourjolly
This study examined the experiences of health care professionals who participated in monthly narrative oncology groups. Ten professionals participated in separate, semi-structured, face-to-face interviews. Using a qualitative research design, the transcriptions of the interviews were analyzed using a phenomenological approach. The analysis yielded descriptive information about the professionals' positive experiences of participating in narrative oncology sessions and provides insight into the importance of such a group through five themes: (1) Shared perspectives and bearing witness, (2) Comfort in confidentiality and a safe-space, (3) Group-care becomes self-care, (4) Writing gives structure, and (5) Patient stories...
September 2018: Social Work in Health Care
Kylie Agllias
This paper describes a mixed method survey that was administered to a group of Australian palliative care social workers (n = 27). Specifically, it aimed to investigate the ways that social workers understood and worked with clients who were estranged from family at the end of life. Respondents suggested that estrangement potentially impacted clients emotionally, practically, and existentially. They were challenged to make clear assessments, provide emotional support, encourage news ways of thinking about estrangement, to manage practical issues, work with the client's family, and monitor their own professional role...
September 2018: Social Work in Health Care
Heather Larkin, Eunju Lee, Nina Esaki, Mary DeMasi, Shawn Trifoso, Katharine Briar-Lawson, Erica Dean, Patricia Weldon, Jihyun Park, Lara Bowen, Deborah Benson, Anthony Cortese, William T Gettman, Timothy Hathaway, Thomas Hulihan, Audrey LaFrenier, Nicole MacFarland, Steven D Marcal, Harris Oberlander, David Wallace, Bill Wolff, Jaclyn A Yusko
Adverse childhood experiences (ACEs) are linked to later life health problems such as behavioral health (BH) service use but less is known about how to counter this association. Using a population based sample of 807 adults, we examined the effects of protective factors in countering this association. ACEs were associated with increased BH service use while protective factors were associated with decreased BH service use. However, no significant interaction effect was found. Research is needed to develop a better measure of protective factors...
August 2018: Social Work in Health Care
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