Social Work Practice in Health Care

From Simon & Schuster, Social Work Practice in Health Care is Carel Bailey Germain's comprehensive analysis of the health care system and the structural and content of social work services.

An ecological perspective, Social Work Practice in Health Care, is a a classic in the field which has won praise from scholars and is gathered with the author's articles on the subject.

Carel Bailey Germain was Professor of Social Work Emerita at the University of Connecticut. She is the author of Human Behavior in the Social Environment and the editor of Social Work Practice: People and Environments.

Foreword

xi

Preface

xv

Acknowledgments

xix

Part I The Context of Social Work Practice in Health Care

The Health Care System as Context for Social Work Practice

3

(13)

Issues and Programmatic Responses

Policy Issues

Access and Equity

Costs

Quality

Summary

The Health Care Organization as Context for Social Work Practice

16

(18)

Proliferation and Reduction

The Organization and the Professions

Presures on the Organization

Patient Rights

Dilemmas Posed by Technology

Environmental Pollution

Demographic Factors

Standard-setting Bodies

Summary

Illness and the Sick Role as Context for Social Work Practice

34

(23)

Health, Disease, Illness, and Sickness

Becoming a Patient

Conflicting Explanatory Models of Illness: The Influence of Culture

Psychological and Social Factors in the Patient Role

Patienthood

Summary

The Professional Frame of Reference as Context for Practice

57

(32)

An Adaptational Model

Adaptedness

Stress

Coping

Social Work Processes in Health Care Practice

Phases

Expanding the Unit of Attention, Knowledge, and Values

Problem Definition, Goal-setting, and Task Allocation

Professional Relationships

Orientation of Interventions to Stress and Coping

Other Social Work Tasks and Roles

Summary

Part II Social Work Practice in Health Care

The Helping Process: Initial Phase

89

(36)

Preparation

Engagement

Exploration, Assessment, Planning, and Contracting

Summary

The Helping Process: Ongoing Phase

125

(39)

Client Motivation and the Social Work Role of Mobilizer

Client Problem-solving and the Social Work Roles of Teacher, Coach, and Mediator

Client Self-esteem and Management of Painful Emotions and the Social Work Roles of Enabler and Organizer

Client Self-directedness and the Social Work Role of Facilitator

Issues of Dependence and Independence

The Excessively Dependent Client

The Excessively Independent Client

Summary

The Helping Process: Ending Phase

164

(34)

Terminating the Helping Relationship

Evaluation of Service Outcomes

Discharge Planning

Hindrance

Concrete Aids

Fear of Prognosis

Finances

Home Supports

Housing

Long-term Institutional Care

Temporary Institutional Care

Death, Dying, and Bereavement

Summary

Collaborative Practice in Health Care: The Social Work Function

198

(32)

The Collaborative Process

Role Separation

Overestimation and Disappointment

Realistic Appraisal

Accommodation

Integration of Roles

Collaborative Practice: Conferring, Cooperating, and Consulting

Collaborative Practice: Teaming

The Social Worker's Functions

Teamwork

Team as Group

Team as Team

Team as Organization

Barriers to Teamwork

Summary

Innovation and Change in Health Care Organizations

230

(27)

Innovation and the Social Work Role of Innovator

Organizational Change and the Social Work Role of Advocate

The Change Process

Organizational Environments

Skills and Processes

Issues

Summary

Epilogue: Flourishing in an Uncertain Future

257

(7)

Opportunities for Clinical Services

Services to the Health Organization

Service to the Community

Politically Oriented Activity

Research Opportunities

Glossary of Medical Terms Used in the Text

264

(5)

References

269

(16)

Author Index

285

(6)

Subject Index

291

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Social Work Practice in Health Care

Summary

Author Biography

Table of Contents

Supplemental Materials