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Foreword by Albert R. Roberts xv Prologue by Andrew Weissman xix Preface xxi Acknowledgments xxv Contributors xxvii Part I Understanding the Practice of Health Care Social Work Chapter 1 The Changing Face of Health Care Social Work 3 Health Care Practice in Thrbulent Times 3 Case Study 5 Today's Health Care Social Worker: Mary O. Norris 9 Effect of the Environment on Health Care Delivery 11 The Role of Managed Health Care 16 Chapter Summary and Future Directions 20 Glossary 24 Questions for Further Study 25 Chapter 2 Evolution of the "New" Health Care Social Work 26 The Profession of Health Care Social Work 26 Defining Health Care Social Work Practice 27 Today's Health Care Social Worker: 29 Christopher L. Getz The Uniqueness of Health Care Social Work Service Provision 30 Toward a Definition of Clinical Health Care Social Work 36 Role of the Health Care Social Worker in Managed Care 37 Chapter Summary and Future Directions 40 Glossary 46 Questions for Further Study 47 Chapter 3 The Many Faces of Social Work Practice 48 Historical Roots of Health Care Practice 48 7bday's Health Care Social Worker: Ricardo Oliver 54 Roles of the Health Care Social Worker 55 Chapter Summary and Future Directions 64 Glossary 68 Questions for Further Study 70 Chapter 4 Standards, Values, and Ethics in Clinical Health Care Practice 72 Sophia F Dziegielewski and George Jacinto Professional Standards in the Health Care Setting 72 Ensuring Effective, Efficient and Quality Services 77 Today's Health Care Social Worker: Julie Gray 81 Values, Ethical Dilemmas, Role Conflicts, and Stress 83 Case Study 92 Recognizing and Handling Stress 96 Chapter Summary and Future Directions 97 Glossary 101 Questions for Further Study 103 Part II Foundation Skills Necessary in Today's Health Care Environment Chapter 5 Concepts Essential to Clinical Practice 107 Sophia F Dziegielewski and Cheryl E. Green Understanding the Biopsychosocial Approach 107 Managed Behavioral Health Care 115 Collaboration Among Health Care Professionals 117 Today's Health Care Social Worker: Lea Patterson-Lust 121 Chapter Summary and Future Directions 127 Glossary 130 Questions for Further Study 132 Chapter 6 Practice Strategy: Considerations and Methods for Health Care Social Workers 134 Influence of Managed Behavioral Health Care 134 Establishing the Time-Limited Service Structure 136 Today's Health Care Social Worker: L. Daisy Skinner 141 Factors in Time-Limited Service Provision 142 When There Simply Is "No Time" for Therapeutic Intervention 147 Practice Methods Used In Time-Limited Service Provision 149 Introduction to Health and Wellness Education and Counseling 165 Chapter Summary and Future Directions 166 Glossary 172 Questions for Further Study 174 Chapter 7 Documentation and Record Keeping in the Health Care Setting 176 Record Keeping and Justification of Service 177 Types of Record Keeping 179 Documentation, Treatment Planning, and Practice Strategy 187 Measuring Goals and Objectives 190 Using Measurement Instruments as Outcome Indicators 191 lTeatment and Intervention Planning 196 Measuring Change in the Health Care Setting 198 Maintaining Clinical Records 199 Ethical and Legal Considerations in Record Keeping 201 Chapter Summary and Future Directions 201 Glossary 206 Questions for Further Study 208 Chapter 8 Health and Mental Health Assessment 209 Assessment and Diagnosis: Is There a Difference? 209 Tbday's Health Care Social Worker: Lisa "Todd" Graddy 211 Clinical Assessment: A Systematic Approach 212 Clinical Diagnosis in the Health Care Setting 217 Special Considerations for Health Care Social Workers 227 The Assessment Process 228 Chapter Summary and Future Directions 234 Glossary 238 Questions for Further Study 240 Part III Fields of Clinical Social Work Practice in Health Care Settings Chapter 9 Practice of Social Work in Acute Health Care Settings 243 Sophia F Dziegielewski and Diane Holliman Acute Health Care Settings 243 Case Study 246 Acute Care Medical Hospitals and Social Work Practice 249 Social Work in the Acute Care Mental Health Setting 252 7bday's Health Care Social Worker: Michele Saunders 254 Social Work in the Nephrology Setting 255 Chapter Summary and Future Directions 258 Glossary 263 Questions for Further Study 265 Chapter 10 Long-Term Health Care and Restorative Health Settings 267 Long-Term and Restorative Care 267 History of Health Care Use and Cost-Containment Measures 268 Today's Health Care Social Worker: Holly Bailey 271 Those in Need of Restorative and Long-Term Care 272 Restorative Home Care Social Work 276 Planning for Death in Long-Term and Restorative Home Care 285 Glossary 291 Questions for Further Study 291 Chapter 11 New Horizons: Health and Wellness Counseling 294 Sophia F Dziegielewski and George Jacinto Health Promotion and Social Work Practice 294 Theoretical Foundations 299 Humor and Promoting Wellness 301 Implementation of Health Counseling 307 Chapter Summary and Future Directions 313 Glossary 317 Questions for Further Study 318 Part IV Special Topics and Exemplars in Clinical Health Care Practice Chapter 12 Emergency Room Social Work Services 323 Sophia F Dziegielewski and Delbert Ernest Duncklee, Jr. Emergency Room Social Work 323 Opinions of Social Workers in the Field 329 Chapter Summary and Future Directions 335 Glossary 337 Questions for Further Study 337 Chapter 13 Case Management and Discharge Planning 338 Sophia F Dziegielewski and Alicia Kalinoski Case Management and Discharge Planning in Health Care Social Work 338 Opinions of Social Workers in the Field 343 Chapter Summary and Future Directions 347 Glossary 349 Questions for Further Study 349 Chapter 14 Home Care Social Work 350 Sophia F Dziegielewski and Dawn Tbwnsend The Transition to Home Care Services 350 Opinions of Social Workers in the Field 355 Chapter Summary and Future Directions 360 Glossary 364 Questions for Further Study 365 Chapter 15 The Roles and Services Provided by the Hospice Social Worker 366 Sophia F Dziegielewski and Joanna Kaevats Hospice Social Work 366 Opinions of Social Workers: Toward A Better Understanding of Hospice 370 Chapter Summary and Future Directions 376 Glossary 379 Questions for Further Study 380 Chapter 16 Social Work in Long-ebrm Care Facilities 381 Sophia F Dziegielewski and Depsy Bredwood The Long-Term Care Facility 381 Opinions of Social Workers in the Field 385 Chapter Summary and Future Directions 390 Glossary 390 Questions for Further Study 393 Chapter 17 Children with Chronic and Life-Threatening Illness 394 Sophia F Dziegielewski and Breanne Anderson Life-Threatening Illnesses and Health Care Social Work 394 Opinions of Social Workers: Toward a Greater Understanding 398 Chapter Summary and Future Directions 402 Glossary 404 Questions for Further Study 404 Chapter 18 Shaken Baby Syndrome 405 Sophia F Dziegielewski, Kelly Richards, and Sherri Diebolt Understanding and Recognizing Shaken Baby Syndrome 405 Case Exemplars 412 Preventive Education 413 Chapter Summary and Future Directions 417 Glossary 420 Questions for Further Study 421 Chapter 19 Complementary Therapies: Tips and Techniques for Health Care Social Workers 422 Sophia Dziegielewski and Patricia Sherman The Trend .Thward Alternative Approaches to Health Care 422 Practice Strategy 423 Considerations and Concerns 425 Chapter Summary and Future Directions 435 Glossary 437 Questions for Further Study 438 Part V Conclusion Chapter 20 Health Care Social Work: A Product of Political and Cultural Times 441 Managed Behavioral Health Care and Social Work Practice 441 Roles and Standards for Health Care Practice 444 Fields of Health Care Social Work Practice 446 Concepts Essential to Health Care Practice 447 Future Trends: Expanding the Role of the Health Care Social Worker 457 Questions for Further Study 462 Index 465Library of Congress Subject Headings for this publication: Medical social work United States Methodology, Managed care plans (Medical care) United States, Hospitals Case management services United States, Hospitals United States Administration, Social work administration United States, Medical care Computer network resources