Social Work
Social Work, Psychiatric
Social Work Department, Hospital
Fund Raising
Personal Narratives as Topic
Social Welfare
Education, Graduate
Patient Advocacy
Social Support
Patient Care Team
Medically Underserved Area
Cooperative Behavior
Social Environment
Social Isolation
United States
Social Perception
Social Class
Does a dedicated discharge coordinator improve the quality of hospital discharge? (1/382)
OBJECTIVE: To evaluate the effectiveness of the role of a discharge coordinator whose sole responsibility was to plan and coordinate the discharge of patients from medical wards. DESIGN: An intervention study in which the quality of discharge planning was assessed before and after the introduction of a discharge coordinator. Patients were interviewed on the ward before discharge and seven to 10 days after being discharged home. SETTING: The three medical wards at the Homerton Hospital in Hackney, East London. PATIENTS: 600 randomly sampled adult patients admitted to the medical wards of the study hospital, who were resident in the district (but not in institutions), were under the care of physicians (excluding psychiatry), and were discharged home from one of the medical wards. The sampling was conducted in three study phases, over 18 months. INTERVENTIONS: Phase I comprised base line data collection; in phase II data were collected after the introduction of the district discharge planning policy and a discharge form (checklist) for all patients; in phase III data were collected after the introduction of the discharge coordinator. MAIN MEASURES: The quality and out come of discharge planning. Readmission rates, duration of stay, appropriateness of days of care, patients' health and satisfaction, problems after discharge, and receipt of services. RESULTS: The discharge coordinator resulted in an improved discharge planning process, and there was a reduction in problems experienced by patients after discharge, and in perceived need for medical and healthcare services. There was no evidence that the discharge coordinator resulted in a more timely or effective provision of community services after discharge, or that the appropriateness or efficiency of bed use was improved. CONCLUSIONS: The introduction of a discharge coordinator improved the quality of discharge planning, but at additional cost. (+info)Improving access to disability benefits among homeless persons with mental illness: an agency-specific approach to services integration. (2/382)
OBJECTIVES: This study evaluated a joint initiative of the Social Security Administration (SSA) and the Department of Veterans Affairs (VA) to improve access to Social Security disability benefits among homeless veterans with mental illness. METHODS: Social Security personnel were colocated with VA clinical staff at 4 of the VA's Health Care for Homeless Veterans (HCHV) programs. Intake assessment data were merged with SSA administrative data to determine the proportion of veterans who filed applications and who received disability awards at the 4 SSA-VA Joint Outreach Initiative sites (n = 6709) and at 34 comparison HCHV sites (n = 27 722) during the 2 years before and after implementation of the program. RESULTS: During the 2 years after the initiative began, higher proportions of veterans applied for disability (18.9% vs 11.1%; P < .001) and were awarded benefits (11.4% vs 7.2%, P < .001) at SSA-VA Joint Initiative sites. CONCLUSION: A colocation approach to service system integration can improve access to disability entitlements among homeless persons with mental illness. Almost twice as many veterans were eligible for this entitlement as received it through a standard outreach program. (+info)Ethnic groups and our healthier nation: whither the information base? (3/382)
The Government has made the health of minority ethnic groups a central part of its programme to reduce social exclusion and inequalities in health provision. It has also given a commitment in its 'contract for health' to provide the information that is needed to address inequalities, stating that it will be able to draw on a range of data sources, including mortality statistics, cancer registrations, hospital episode data, and general practitioner data. In reality, only one of these is a potential source of comprehensive information on minority ethnic groups and the information base needed to support Government policies is essentially unavailable. Priorities for further action are identified. (+info)A survey of social services needs assessments for elderly mentally ill people in England and Wales. (4/382)
OBJECTIVE: to examine variations in the needs assessment policies and practices of social services departments in England and Wales in dealing with elderly people who have mental illness. DESIGN: postal questionnaire survey. SUBJECTS: a random sample of 61 of 119 social services departments in England and Wales. MAIN OUTCOME MEASURE: 99-item questionnaire. RESULTS: 40 responses were received (66%). There were substantial differences in the way referrals were screened before needs assessment and in the design of needs assessment procedures. Disagreements between health and social services were common and, although mechanisms existed to respond to urgent needs, almost one-third found such responses difficult to make. CONCLUSIONS: there are national variations in the way needs assessments are performed by social services, which may lead to inequalities in provision of care to individuals. The lack of a standardized approach impedes comparisons of need between areas which might aid in the distribution of resources at a national level. (+info)Randomised studies of income supplementation: a lost opportunity to assess health outcomes. (5/382)
BACKGROUND: Despite the wealth of evidence linking low income to ill health, there is little information from randomised studies on how much and how quickly these risks can be reversed by improvements in income. OBJECTIVE: To conduct a systematic review of randomised studies of income supplementation, with particular reference to health outcomes. DESIGN: Extensive searches of electronic databases and contact with previous authors. As well as searching for trials that were specifically designed to assess the effects of increased income, studies of winners and losers of lotteries were also sought: if winning is purely chance, such studies are, in effect, randomised trials of increased income. RESULTS: Ten relevant studies were identified, all conducted in North America, mostly in the late 1960s and 1970s. Five trials were designed to assess the effects of income supplementation on workforce participation and randomised a total of 10,000 families to 3-5 years of various combinations of minimum income guarantees and reduced tax rates. Two trials were designed to assess re-offending rates in recently released prisoners and randomised a total of 2400 people to 3-6 months of benefits. One trial was designed to assess housing allowances and randomised 3500 families to three years of income supplements. One trial assessed the health effects of 12 months of income supplementation in 54 people with severe mental illness. Finally, one study compared three groups of people who won different amounts of money in a state lottery. In all these studies the interventions resulted in increases in income of at least one fifth. However, no reliable analyses of health outcome data are available. CONCLUSIONS: Extensive opportunities to reliably assess the effects of increases in income on health outcomes have been missed. Such evidence might have increased the consideration of potential health effects during deliberations about policies that have major implications for income, such as taxation rates, benefit policies, and minimum wage levels. Randomised evidence could still be obtained with innovative new studies, such as trials of full benefit uptake or prospective studies of lottery winners in which different sized winnings are paid in monthly installments over many years. (+info)Do multi-sectoral development programmes affect health? A Bolivian case study. (6/382)
This cross-sectional study, carried out in Inquisivi, Bolivia, a rural area where Save the Children/US works, tests the hypothesis that participation in multisectoral development programmes results in improved health behaviours and better health outcomes. To test this hypothesis, four groups of households were compared: those participating in Save the Children's health-only programmes; those with access to health and micro-enterprise credit or health and literacy programmes; those participating in all three programmes (health, credit and literacy); and households from comparison communities (no access to any of Save the Children's programmes). Data come from a stratified sample of 499 households in the altiplano, foothills and valleys of the Andes. Findings reported here suggest that there is no clear association between participation in one or more of Save the Children's programmes and parents' actions to prevent and treat diarrhoea. Additionally, the point prevalence of diarrhoea was similar for all four groups. However, children of individuals participating in health, credit and literacy were significantly less likely than children from comparison communities to be malnourished or at risk of becoming malnourished, even after controlling for such potentially confounding factors as social class, source of drinking water, and the availability of health facilities. (+info)Medical and psychosocial services in drug abuse treatment: do stronger linkages promote client utilization? (7/382)
OBJECTIVE: To examine the extent to which linkage mechanisms (on-site delivery, external arrangements, case management, and transportation assistance) are associated with increased utilization of medical and psychosocial services in outpatient drug abuse treatment units. DATA SOURCES: Survey of administrative directors and clinical supervisors from a nationally representative sample of 597 outpatient drug abuse treatment units in 1995. STUDY DESIGN: We generated separate two-stage multivariate generalized linear models to evaluate the correlation of on-site service delivery, formal external arrangements (joint program/venture or contract), referral agreements, case management, and transportation with the percentage of clients reported to have utilized eight services: physical examinations, routine medical care, tuberculosis screening, HIV treatment, mental health care, employment counseling, housing assistance, and financial counseling services. PRINCIPAL FINDINGS: On-site service delivery and transportation assistance were significantly associated with higher levels of client utilization of ancillary services. Referral agreements and formal external arrangements had no detectable relationship to most service utilization. On-site case management was related to increased clients' use of routine medical care, financial counseling, and housing assistance, but off-site case management was not correlated with utilization of most services. CONCLUSIONS: On-site service delivery appears to be the most reliable mechanism to link drug abuse treatment clients to ancillary services, while referral agreements and formal external mechanisms offer little detectable advantage over ad hoc referral. On-site case management might facilitate utilization of some services, but transportation seems a more important linkage mechanism overall. These findings imply that initiatives and policies to promote linkage of such clients to medical and psychosocial services should emphasize on-site service delivery, transportation and, for some services, on-site case management. (+info)Problems of an aging population in an era of technology. (8/382)
With the substantially growing number of elderly persons in Canada and the rest of the developed world, the need for adequate health and social care will increase. Health and social service providers must develop policies and programs allowing the elderly to lead rich and independent lives for as long as possible. As advances in age-related diseases are made, the elderly will potentially live longer and lead more active and fulfilling lives. Society, governments and those involved in the care of the elderly must meet the new challenges of this aging population in a humane and respectful way. (+info)Social work is a professional field of practice that promotes social change, problem-solving in human relationships, and the empowerment and liberation of people to enhance well-being. According to the International Federation of Social Workers (IFSW), social work involves "the application of social sciences, theory, knowledge, and skills to effect positive changes in individuals, groups, communities, and societies."
Social workers are trained to work with individuals, families, groups, and communities to address a wide range of social, emotional, and practical needs. They help people navigate complex systems, access resources, and advocate for their rights. Social workers may be employed in various settings, including hospitals, mental health clinics, schools, community centers, and government agencies.
In medical settings, social work is often focused on helping patients and their families cope with illness, disability, or injury. Medical social workers provide counseling, support, and advocacy to help patients and families navigate the healthcare system, access needed resources, and make informed decisions about treatment options. They may also assist with discharge planning, coordinating care transitions, and connecting patients with community-based services.
Medical social work is a specialized area of practice that requires knowledge and skills in areas such as psychosocial assessment, crisis intervention, case management, and advocacy. Medical social workers must be able to communicate effectively with healthcare professionals, patients, and families, and have a deep understanding of the social determinants of health and the impact of illness on individuals and communities.
Social work, psychiatric, is a specialized field of social work practice that focuses on the mental, emotional, and behavioral well-being of individuals, families, groups, and communities. It involves the application of social work principles, theories, and interventions to address the psychosocial needs and challenges of people living with mental illness or experiencing psychological distress.
Psychiatric social workers collaborate with other mental health professionals, such as psychiatrists, psychologists, and nurses, to provide comprehensive care for individuals with psychiatric disorders. They conduct biopsychosocial assessments, develop treatment plans, provide counseling and therapy, coordinate services, advocate for patients' rights, and engage in case management and discharge planning.
Psychiatric social workers also play a critical role in promoting mental health awareness, reducing stigma associated with mental illness, and advocating for policies that support the mental health needs of individuals and communities. They may work in various settings, including hospitals, clinics, community mental health centers, private practices, and residential treatment facilities.
The Social Work Department in a hospital is a division that provides various social services to patients, their families, and sometimes hospital staff. The primary goal is to help individuals cope with the psychosocial aspects of illness or injury, including emotional support, financial assistance, discharge planning, and access to community resources.
Social workers in this setting are typically licensed professionals who have a master's degree in social work (MSW) and specialize in healthcare. They collaborate with other healthcare providers to address the complex needs of patients, such as:
1. Assessing patients' psychosocial needs and strengths
2. Providing counseling and support for patients and families facing chronic illness, disability, or end-of-life issues
3. Coordinating discharge planning, including arranging home healthcare, rehabilitation services, or long-term care facilities
4. Helping patients and families navigate the healthcare system and understand their rights and options
5. Advocating for patients' needs within the hospital and broader healthcare system
6. Connecting patients with community resources, such as support groups, transportation services, or financial assistance programs
7. Providing education to patients, families, and staff on various topics, including coping strategies, advance care planning, and palliative care.
'Fundraising' is not a medical term, but rather it refers to the process of gathering money or other resources for a specific purpose, typically for a charitable organization or a cause. In healthcare, fundraising can be used to support various initiatives such as medical research, patient care, building or renovating facilities, purchasing equipment, and providing financial assistance to patients in need.
Fundraising activities in healthcare may include events like charity walks, galas, auctions, or online campaigns. Healthcare organizations may also seek grants from foundations, corporations, or government agencies to support their programs and services. While fundraising is not a medical term, it plays an important role in supporting the mission of many healthcare organizations and improving the health and well-being of individuals and communities.
"Personal Narratives as Topic" is not a standardized medical term or concept. However, in a broader context, personal narratives can refer to first-hand accounts or stories about an individual's experiences, particularly in relation to their health and healthcare. Personal narratives can be a powerful tool in medicine, providing insights into patients' perspectives, values, and preferences. They can help healthcare providers better understand their patients' experiences, improve communication, build trust, and inform shared decision-making. Personal narratives may also play a role in medical education, research, and advocacy.
"Social welfare" is a broad concept and not a medical term per se, but it is often discussed in the context of public health and medical social work. Here's a definition related to those fields:
Social welfare refers to the programs, services, and benefits provided by governmental and non-governmental organizations to promote the well-being of individuals, families, and communities, with a particular focus on meeting basic needs, protecting vulnerable populations, and enhancing social and economic opportunities. These efforts aim to improve overall quality of life, reduce health disparities, and strengthen the social determinants of health.
Examples of social welfare programs include Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), Medicaid, Section 8 housing assistance, and various community-based services such as mental health counseling, substance abuse treatment, and home healthcare.
In the medical field, social workers often play a crucial role in connecting patients to available social welfare resources to address various psychosocial needs that can impact their health outcomes.
Social behavior, in the context of medicine and psychology, refers to the ways in which individuals interact and engage with others within their social environment. It involves various actions, communications, and responses that are influenced by cultural norms, personal values, emotional states, and cognitive processes. These behaviors can include but are not limited to communication, cooperation, competition, empathy, altruism, aggression, and conformity.
Abnormalities in social behavior may indicate underlying mental health conditions such as autism spectrum disorder, schizophrenia, or personality disorders. Therefore, understanding and analyzing social behavior is an essential aspect of diagnosing and treating various psychological and psychiatric conditions.
Graduate education typically refers to educational programs beyond the undergraduate level that lead to an advanced degree, such as a master's, doctoral, or professional degree. These programs usually require completion of a Bachelor's degree as a prerequisite and involve more specialized and in-depth study in a particular field. Graduate education may include coursework, research, examinations, and the completion of a thesis or dissertation. The specific requirements for graduate education vary depending on the field of study and the institution offering the degree program.
Patient advocacy refers to the process of supporting and empowering patients to make informed decisions about their healthcare. Patient advocates may help patients communicate with healthcare providers, access necessary resources and services, understand their health conditions and treatment options, and navigate complex healthcare systems. They may also work to promote patient-centered care, raise awareness of patient rights and concerns, and advocate for policies that improve the quality and accessibility of healthcare services. Patient advocacy can be provided by healthcare professionals, family members, friends, or dedicated patient advocates.
Social support in a medical context refers to the resources and assistance provided by an individual's social network, including family, friends, peers, and community groups. These resources can include emotional, informational, and instrumental support, which help individuals cope with stress, manage health conditions, and maintain their overall well-being.
Emotional support involves providing empathy, care, and encouragement to help an individual feel valued, understood, and cared for. Informational support refers to the provision of advice, guidance, and knowledge that can help an individual make informed decisions about their health or other aspects of their life. Instrumental support includes practical assistance such as help with daily tasks, financial aid, or access to resources.
Social support has been shown to have a positive impact on physical and mental health outcomes, including reduced stress levels, improved immune function, better coping skills, and increased resilience. It can also play a critical role in promoting healthy behaviors, such as adherence to medical treatments and lifestyle changes.
A Patient Care Team is a group of healthcare professionals from various disciplines who work together to provide comprehensive, coordinated care to a patient. The team may include doctors, nurses, pharmacists, social workers, physical therapists, dietitians, and other specialists as needed, depending on the patient's medical condition and healthcare needs.
The Patient Care Team works collaboratively to develop an individualized care plan for the patient, taking into account their medical history, current health status, treatment options, and personal preferences. The team members communicate regularly to share information, coordinate care, and make any necessary adjustments to the care plan.
The goal of a Patient Care Team is to ensure that the patient receives high-quality, safe, and effective care that is tailored to their unique needs and preferences. By working together, the team can provide more comprehensive and coordinated care, which can lead to better outcomes for the patient.
A Medically Underserved Area (MUA) is a designation used by the U.S. Department of Health and Human Services' Health Resources and Services Administration (HRSA). It refers to a geographic area that lacks sufficient access to primary care services, as defined by specific criteria such as:
1. The ratio of primary medical care physicians per thousand population is less than 30% of the national average.
2. The population has a poverty rate of at least 20%.
3. The population has an infant mortality rate that is higher than the U.S. average.
4. The population has a high elderly population (over 65 years old) and/or a large minority population.
MUAs are often located in rural or inner-city areas where there is a shortage of healthcare providers, facilities, and services. This designation helps to identify areas with significant healthcare needs and makes them eligible for federal assistance and resources, including funding for community health centers and other programs aimed at improving access to care.
Cooperative behavior, in a medical or healthcare context, refers to the actions and attitudes displayed by individuals or groups working together to achieve a common goal related to health and well-being. This may involve patients following their healthcare providers' advice, healthcare professionals collaborating to diagnose and treat medical conditions, or communities coming together to promote healthy behaviors and environments. Cooperative behavior is essential for positive health outcomes, as it fosters trust, communication, and shared decision-making between patients and healthcare providers, and helps to ensure that everyone involved in the care process is working towards the same goal.
A "social environment" is not a term that has a specific medical definition, but it is often used in the context of public health and social sciences to refer to the physical and social conditions, relationships, and organized institutions that influence the health and well-being of individuals and communities.
The social environment includes factors such as:
* Social support networks (family, friends, community)
* Cultural norms and values
* Socioeconomic status (income, education, occupation)
* Housing and neighborhood conditions
* Access to resources (food, healthcare, transportation)
* Exposure to discrimination, violence, and other stressors
These factors can have a significant impact on health outcomes, as they can influence behaviors related to health (such as diet, exercise, and substance use), as well as exposure to disease and access to healthcare. Understanding the social environment is essential for developing effective public health interventions and policies that promote health equity and reduce health disparities.
Social isolation, in the context of health and medicine, refers to the lack of social connections, interactions, or engagement with other people or communities. It is a state of being separated from others, lacking companionship or meaningful communication, which can lead to feelings of loneliness and disconnection. Social isolation can be self-imposed or imposed by external factors such as mobility issues, loss of loved ones, or discrimination. Prolonged social isolation has been linked to various negative health outcomes, including mental health disorders, cognitive decline, and increased risk for chronic conditions like heart disease and stroke.
I'm sorry for any confusion, but "United States" is a geopolitical entity, specifically the name of the country consisting of 50 states, and it is not a medical term or concept. Therefore, I can't provide a medical definition for it. If you have any questions related to health, medicine, or biology, I would be happy to try to help answer those!
Social perception, in the context of psychology and social sciences, refers to the ability to interpret and understand other people's behavior, emotions, and intentions. It is the process by which we make sense of the social world around us, by observing and interpreting cues such as facial expressions, body language, tone of voice, and situational context.
In medical terminology, social perception is not a specific diagnosis or condition, but rather a cognitive skill that can be affected in various mental and neurological disorders, such as autism spectrum disorder, schizophrenia, and dementia. For example, individuals with autism may have difficulty interpreting social cues and understanding other people's emotions and intentions, while those with schizophrenia may have distorted perceptions of social situations and interactions.
Healthcare professionals who work with patients with cognitive or neurological disorders may assess their social perception skills as part of a comprehensive evaluation, in order to develop appropriate interventions and support strategies.
I'm sorry for any confusion, but "social class" is not a term that has a medical definition. It is a sociological concept that refers to the grouping of individuals in a society based on their shared economic and social positions. This can include factors such as income, education, occupation, and wealth.
However, social class can have an impact on health outcomes and access to healthcare. For example, people in lower socioeconomic groups are more likely to experience chronic diseases, mental health disorders, and have limited access to quality healthcare services compared to those in higher socioeconomic groups. This relationship is often referred to as the "social determinants of health."
Social adjustment, in the context of mental health and psychology, refers to an individual's ability to adapt and function effectively within their social environment. It involves developing and maintaining positive relationships with others, fulfilling various social roles (such as being a family member, friend, or employee), and meeting the expectations and demands of one's social group.
Social adjustment can be affected by various factors, including an individual's personality traits, coping skills, mental and physical health status, and life experiences. Poor social adjustment can lead to feelings of isolation, loneliness, and dissatisfaction with life, as well as increased risk for mental health problems such as depression and anxiety.
Assessing social adjustment is an important aspect of mental health care, as it can provide valuable insights into an individual's overall functioning and quality of life. Treatments such as psychotherapy and social skills training may be used to help improve social adjustment in individuals who are struggling in this area.