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The Role of Social Work in Pediatric Pulmonary

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.

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The Role of Social Work in Pediatric Pulmonary

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  1. The Role of Social Work in Pediatric Pulmonary Susan Horky, LCSW Pediatric Pulmonary Division University of Florida

  2. 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 10

  3. Overview What does a Social Worker do?? Social Work in pediatric healthcare Cases

  4. What does a social worker do? http://www.socialworkers.org/pressroom/events/anyGivenDay1007/default.asp http://www.youtube.com/watch?v=IkQzfv8o3n8 http://www.socialworkers.org/pubs/choices/default.asp

  5. What does a Social Worker do? MSW,LCSW PhD BSW, MSW MSWs may do some or all of these • concrete services • resource information • case management • discharge planning • advocacy/policy • social welfare/child protection • psychotherapy • research • medical social work • administration

  6. Child Guidance/Psychiatric Social Work Early 1900s Medical Social Work 1890s 1920s 2007 Child Welfare/Social Policy Child Welfare/Social Policy History of Social Work

  7. History of Social Work- Child Welfare • Providing food/shelter • Job training • Child labor laws • Public health • Federal programs for the poor

  8. History of Social Work - Medical “to make medical care effective” • Financial needs/resources • Psychosocial support • Adherence

  9. Child Guidance Model: • Psychiatrist sees child • Social work works with family 1930s 1940s 1950s • WWII- Social Workers • do more therapy: • Psychiatrists at war • Psychiatrists doing meds Some Social Workers trained in psychoanalysis History of Social Work-Child Guidance/Psychiatric Social Work

  10. Most Social Work jobs combine social and psychological aspects

  11. Health

  12. Top Ten Social Work Rules • Start where the patient is • The relationship is everything • Don’t judge a book by its cover • There is no big book in the sky • Concrete help may lead to counseling

  13. Top Ten Social Work Rules • It takes two to tango • People are doing the best the know how • People bring their solutions, we figure out what the problem is • Emotions always underlie behavior • Don’t just do something, sit there!

  14. 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

  15. 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

  16. 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

  17. PPC • Adjustment to illness • Parenting issues • Support • Life stresses • Relationships • School • Work • SSI • Insurance/Housing • Transition/Voc Rehab

  18. Goal is for Adaptation: Adaptation is achieved when the family’s POWER > LOAD

  19. LOAD: • Chronicity • Unpredictability • High Costs • Extensive Daily Care • Pain/embarrassment (physical appearance) • Multiple providers • Isolation

  20. POWER: • Healthy family dynamics: • Open communication • Mutual respect and support • Good differentiation • Shared problem solving and decision making • Role flexibility • Enhancement of personal growth

  21. More Power: Knowledge of disease process and health care system Sharing the Burden Finding meaning in the illness Financial Security

  22. Cases

  23. Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996

  24. Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996

  25. Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996

  26. Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996

  27. Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996

  28. Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996

  29. Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996

  30. Case taken from: Gropper, RC. Culture and the Clinical Encounter. Yarmouth, Maine: Intercultural Press, 1996

  31. THANK YOU! Questions?

  32. --Testing --Research Mental Health Medications Resources

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