Chapter 12 Social Work in Health, Rehabilitation, and Mental Health Social Work An Empowering Profession Seventh Edition Brenda DuBois & Karla Miley This multimedia product and its contents are protected under copyright law.  The following are prohibited by law: Any public performance or display, including transmission of any image over a network; Preparation of any derivative work, including the extraction, in whole or in part, of any images; Any rental, lease, or lending of the program. Copyright ©2011 Pearson Education Inc. All rights reserved.

Social Work in Health Systems Health central to social functioning 40% social workers employed in health systems (BLS, 2009) Examples of medical settings Public health Primary health care Hospital-based services Long-term care Copyright ©2011 Pearson Education Inc. All rights reserved.

Professional Identity CSWE EPAS 2.1.1 Demographic changes resulting from shifts in aging, immigration, and minority populations impacts virtually every aspect of the health care system, including the provision of social services by health care social workers. How do changing demographics affect employment opportunities, service delivery provisions, and continuing education requirements for social work professionals in the health care field? Copyright ©2011 Pearson Education Inc. All rights reserved.

Social Work and Genetics Genetic services rapidly expanding Requires knowledge of genetics Ethical issues: respect for privacy and self-determination Genetic issues involved in many fields of practice – child protection, occupational social work, adoption, mental health, addictions Copyright ©2011 Pearson Education Inc. All rights reserved.

Social Work and HIV / AIDS More than 33 million persons worldwide HIV/AIDS infected Issues - public fear, isolation, victimization, ostracism, feelings of powerlessness Ethics – right to know, privacy, duty to treat, mandatory treatment Social work response – case and cause advocacy Copyright ©2011 Pearson Education Inc. All rights reserved.

Social Work and Physical Disabilities 54 million in U.S. (20 percent) have activity limitations Issues – rejection, stigma, social devaluation Ethics – self-determination Social work responses Vocational rehabilitation Social model of disability Self-sufficiency Accessibility Copyright ©2011 Pearson Education Inc. All rights reserved.

Engage, Assess, Intervene, Evaluate CSWE EPAS 2.1.1 Reasonable accommodations for persons with disabilities is much more than architectural and mobility accessibility. How is "environmental modification" used as an empowerment intervention strategy in services for people with a wide range of disabilities? Copyright ©2011 Pearson Education Inc. All rights reserved.

Social Work and Developmental Disabilities Includes mental retardation, cerebral palsy, autism, and other organic disorders Issues – emotional responses, lack of services, self-determination Social work responses Least restrictive alternatives Mainstreaming Normalization Deinstitutionalization Copyright ©2011 Pearson Education Inc. All rights reserved.

Social Work and Mental Health Culturally based concept 10% of U.S. adults have diagnosable mental illness with serious disability Issues – conflicting theories, underlying organic causes, stigmatizing labels, deficit focus Social work response In patient, out patient services Interdisciplinary team approach Community-based service delivery Copyright ©2011 Pearson Education Inc. All rights reserved.

Human Rights and Justice CSWE EPAS 2.1.5 In addition to the social relationship issues of social marginality and stigma, persons with mental illness often face challenges related to employment and economic hardship. What role can social workers play in the mental health rights movement? Copyright ©2011 Pearson Education Inc. All rights reserved.

Social Work and Chemical Dependency 19.9 million in U. S. report Illicit drug or alcohol use (2007) Issues – role difficulties at work, school, or home, psychological dependence, drug testing and mandatory treatment Social work response Personal and family counseling Referrals for education, health and legal services Work with at-risk groups – teens, older adults, women, ethnic minorities Copyright ©2011 Pearson Education Inc. All rights reserved.

Ethical Practice CSWE EPAS 2.1.2 Clients in child welfare and criminal justice are often mandated to participate in drug treatment programs and periodic drug testing. What ethical dilemmas arise for social work practitioners who work with clients who have been court-ordered to participate in drug or alcohol treatment programs? Copyright ©2011 Pearson Education Inc. All rights reserved.