Table of contents for The changing face of health care social work : professional practice in managed behavioral health care / Sophia F. Dziegielewski.


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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                                                      465





Library 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