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The Role of Social Work in Pediatric Pulmonary. Susan Horky, LCSW Pediatric Pulmonary Division University of Florida. 1. 8. Which of these is a social worker? What does a social worker do? What comes to mind when you think “Social Work” or “social worker”?. 9. 6. 4. 2. 7. 3. 5. - PowerPoint PPT Presentation
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The Role of Social Work in Pediatric Pulmonary
Susan Horky, LCSW
Pediatric Pulmonary Division
University of Florida
Which of these is a social worker?
What does a social worker do?
What comes to mind when you think “Social Work” or “social worker”?
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Overview
What does a SocialWhat does a SocialWorker do??Worker do??
What does a SocialWhat does a SocialWorker do??Worker do??
Social Work Social Work in pediatric healthcarein pediatric healthcare
Social Work Social Work in pediatric healthcarein pediatric healthcare
CasesCasesCasesCases
http://www.socialworkers.org/pubs/choices/default.asp
http://www.socialworkers.org/pressroom/events/anyGivenDay1007/default.asp
http://www.youtube.com/watch?v=IkQzfv8o3n8
What does a Social Worker do?
• concrete services• resource information• case management• discharge planning• advocacy/policy• social welfare/child protection
BSW, MSW
MSW,LCSWPhD
• psychotherapy• research• medical social work• administration
MSWsmay do someor all of these
Medical S
ocial W
ork
Early
1900
s
2007
History of Social Work
1920
s
Child Guidance/Psychiatric Social Work
Child Welfare/Social Policy Child Welfare/Social Policy
1890
s
History of Social Work- Child Welfare
• Providing food/shelter
• Job training
• Child labor laws
• Public health
• Federal programs for the poor
History of Social Work - Medical
“to make medical care effective”
• Financial needs/resources
• Psychosocial support
• Adherence
History of Social Work-Child Guidance/Psychiatric Social Work
Child G
uidance Model:
• Psychiatris
t sees child
• Social w
ork works with fa
mily
1930s1930s
WWII- Social W
orkers
do more th
erapy:
• Psychiatris
ts at war
• Psychiatris
ts doing meds
1940s1940s
Some Social Workers
trained in
psychoanalysis
1950s1950s
HealthHealth
Top Ten Social Work Rules1. Start where the patient is
2. The relationship is everything
3. Don’t judge a book by its cover
4. There is no big book in the sky
5. Concrete help may lead to counseling
Top Ten Social Work Rules6. It takes two to tango
7. People are doing the best the know how
8. People bring their solutions, we figure out what the problem is
9. Emotions always underlie behavior
10.Don’t just do something, sit there!
Social Work in Pediatric Pulmonary
• Setting: Primarily Clinic
• Roles:– Psychosocial Assessment
• Child and family functioning• Concrete needs• Emotional needs
– May depend on roles of other team members
Social Work in Pediatric Pulmonary (cont’d)Interventions:
• Support to child and/or family members
• Ongoing psychotherapy or referral for same (child or family members)
• Behavioral interventions • Child behavior• Parenting• Adherence
• Groups
Social Work in Pediatric Pulmonary (cont’d)
• Assistance with concrete issues
• Community resources: WIC, Food Stamps, SSI
• Case Management: Agencies involved with child: school, after-school, outside therapist
• Conveying families’ views to team
• Discharge planning (has varied over time)
• Child protection
PPC
• Adjustment to illness
• Parenting issues
• Support
• Life stresses
• Relationships
• School
• Work
• SSI
• Insurance/Housing
• Transition/Voc Rehab
Goal is for Adaptation:
Adaptation is achieved when the family’s
POWER > LOAD
LOAD:
• Chronicity• Unpredictability• High Costs• Extensive Daily Care• Pain/embarrassment
(physical appearance)• Multiple providers• Isolation
POWER:
• Healthy family dynamics:– Open communication– Mutual respect and support– Good differentiation– Shared problem solving and decision making– Role flexibility– Enhancement of personal growth
More Power:
Knowledge of disease process and health care system
Finding meaning in the illness Financial
Security
Sharing the
Burden
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996
Mental Mental HealthHealth
Medications Resources
--Testing--Research