Academic literature on the topic 'Social work within the health care system'
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Journal articles on the topic "Social work within the health care system"
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Padykula, Nora, Julie Berrett-Abebe, and Terri Haven. "Helping Community Partners Build Capacity within Integrated Behavioral Health." Advances in Social Work 20, no. 2 (September 10, 2020): 266–82. http://dx.doi.org/10.18060/23667.
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Social workers are recent additions to integrated health care teams; therefore, there is emerging literature about the work experiences and training needs of social workers in integrated settings. After receiving a Health Resources Services Administration-Behavioral Health Workforce Education and Training (HRSA-BHWET) integrated behavioral health (IBH) grant, our social work program conducted a survey among our social work field education sites to determine training needs. Results of the needs assessment revealed that a lack of clarity exists about what is meant by integrated behavioral health as well as ways to measure and interpret levels of integration within social work field education sites. Barriers to collaboration and areas of needed training revealed gaps in knowledge and workforce readiness for providing integrated care. Recommendations include using a bidirectional level of integration conceptual framework to support greater participation of social workers and social service agencies in integrated care, in addition to specific curricular and continuing education training opportunities. Social work educators are afforded a unique opportunity to support our field education partners in reviewing and enhancing their systems of care as they continue to train future social workers.
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Bloomquist, Candace D., Julie Kryzanowski, and Tanya Dunn-Pierce. "Applying quality improvement strategies within Canadian population health promotion." Health Promotion International 35, no. 2 (March 18, 2019): 422–31. http://dx.doi.org/10.1093/heapro/daz017.
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Abstract This article describes how quality improvement (QI) methodology was applied to partnership work in a population health promotion unit within a health care system. Using Kolb’s experiential model of learning, we describe and reflect on our experience as a population health promotion unit working on a QI initiative focused on community partnerships for intersectoral collaboration. We identify contextual factors that can guide QI for population health promotion work. The three main lessons we identified were to (i) frame the need for improvement effectively, (ii) start by setting the conditions for others to lead and (iii) be people-focused as well as process-focused. Health care systems can apply QI methods to improve and strengthen their role in working with partners to improve population health. By sharing our experience with other practitioners, we hope to find support and allies as we learn together to improve quality in population health promotion settings.
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Nazar, Nataliia. "The ecosystem approach in health social work." Mental Health: Global Challenges Journal 4, no. 2 (October 13, 2020): 16–18. http://dx.doi.org/10.32437/mhgcj.v4i2.90.
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Introduction
Health is the greatest value in our lives. Analyzing the current approaches of the WHO (2014), we consider this concept not only from the standpoint of physical health and the absence of disease, but understand this phenomenon as a holistic state of complete well-being, which includes, in addition to physical, emotional, mental, social, spiritual, sexual, environmental and many other aspects. This is the so-called holistic model of health (Orzhekhovska, 2013).
Our reasoning suggests (given various aspects of health) that this value does not depend only on an individual's choice to be or not to be healthy, and cannot be governed solely by personal actions. Here are some examples. The lack of geographically close medical services and / or free medical services causes the inability to receive emergency medical care and / or to systematically monitor health. Negative relationships in the family, the absence of a father or mother in the family can lead to emotional rejection of the child (psycho-emotional disorders), the acquisition of undesirable behavior (child addictive behavior or delinquent behavior), lack of self-care skills (this can cause various infectious diseases), getting into institutional care, which usually do not contribute to the full development of personality, etc. Inadequate social policies and an imperfect health care system in the country can cause outbreaks of socially dangerous diseases and provoke the spread of pandemics. Aggressive urbanization creates uncomfortable living conditions in cities due to traffic jams, pollution, noise, which causes other health risks from stress to cancer. As we can see, good health depends not only on the individual being healthy in the broad context of this word, but on the complex impact on us of a number of systems in which we are included. It is important to emphasize the role of social work in this context, the theory and practice of which aim, inter alia, to promote social development and well-being, as well as to improve the health care system and reduce social inequalities. Therefore, the task of social work in general and social workers together with other professionals in particular is to support the individual, family, community, society in the context of strengthening and maintaining the health of both individual and public. An ecosystem approach in social work helps us to understand the process of maintaining and strengthening health, which explains well the mutual influence of each element of the system.
Purpose
The aim of the article was to consider health social work according to ecosystem approach.
Methodology
The study used theoretical methods of research, in particular, analysis, comparison, synthesis and implementation of the results of the study of health social work based on the principles of integral ecology and ecosystem approach.
Results and Discussion
The ecosystem approach is used in various spheres of practical and scientific activity: public health, ecology, economy, legal and social spheres, church-religious sphere and even education (Forget, Lebel, 2001; Deinega, 2018; Veklych, 2017; Voronkin, 2017).
Kabanenko and T. Semigina (2004) write about the separation of the ecological approach in social work on the basis of systems theory (sociological group of social work theories). Within this approach, the authors consider the main models of work and tools that can be used by social workers in their practice: eco-maps, genograms, etc. Systems theory and environmental theory are mentioned in the manual "Introduction to Practical Social Work". In systems theory, "a whole is greater than the sum of its parts", so it is important to consider "the interaction of the client and the environment." Ecological theory considers a person in the context of his or her entourage, but not only the family, society, but also the environment (Klos, Mykytenko, 2005, 52-54). In contrast to the mentioned researchers, T. Syla (2012) explores the problem of violence in the context of the ecosystem approach, she notes that this approach originates from the socio-ecological theory of Bronfenbrenner in psychology. So, no matter what theories the ecosystem approach is based on, the idea behind this concept is a wide range of interconnections. Every smaller object, such as a person, is part of a large range of interactions of larger systems: family, community, society, environment, and so on. Each element of the system affects the other, so solving a problem situation in one area can be an impetus for positive change in another.
Chaikovska and O. Hlavatska talk about the need to train social workers with a "high level of environmental culture" (2019). In scientific works on social work we find the concepts "ecosystem approach" and "ecological approach", which are virtually identical in content. This perspective has formed over time one of the modern concepts of social work: "environmental social work", or "eco-social work", or "green social work". The latter in her current research is much covered by T. Semigina (2018). The researcher notes that "a healthy environment is seen as an inalienable human right, a component of human dignity and non-discrimination." However, today there is no research on health social work from the standpoint of an ecosystem approach.
The ecosystem approach resonates with another very important concept. It is an integrated ecology. This concept appeared in the church-religious sphere, and was covered in the Encyclical (papal document) "Laudato si" by the head of the Catholic Church Pope Francis (2015/2019). According to the vision of Francis, there can be no question of ensuring the common good, guaranteeing fundamental rights, social justice, if humanity understands nature as something separate and does not link environmental pollution with economic activity, behavior, etc.
Conclusion
Therefore, it is obvious that today, in the conditions of social transformations and globalization processes, the solution of any social problem should be considered from the standpoint of the ecosystem approach. Health issues in social work cannot be considered without taking into account changes in the environment. For such activities, it is necessary to train social workers in the context of the ecosystem approach, programs and projects should be developed to help overcome the problems of clients' health in a comprehensive way. Further research is needed to study existing and develop new forms and models of social work on the basis of strengthening and maintaining the health of clients, taking into account the ecosystem approach and the basics of integral ecology
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Monti, Kristina, and Arielle Rosner. "Social Work Leadership as Ambassadors of Health Care Reform: Developing and Implementing a Health Home Program Within a Large Urban Health System." Social Work in Health Care 54, no. 9 (October 21, 2015): 828–48. http://dx.doi.org/10.1080/00981389.2015.1084971.
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Silveira, Claudia Winter da, and Miriam Guterres Dias. "Social Work competencies in Matrix Support in Mental Health / As competências do Serviço Social no Apoio Matricial em Saúde Mental." Argumentum 10, no. 3 (December 23, 2018): 150–61. http://dx.doi.org/10.18315/argumentum.v10i3.23048.
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The Support Matrix is technical-pedagogical support technology and back-stop assistance to Primary Healthcare, provided for within the Unitary Health System (Sistema Único de Saúde (SUS)), which questions the hegemonic organisational and technical-assistance model, proposing links and support among teams with a view to delivering integration and Care resolution. It implies that professional Social Work actions in Mental Health Support Teams have been built and legitimised historically in the field of public policy. Social workers and managers agree that the social worker translates social reality, from the interdisciplinary and inter-sectorial perspective, providing concreteness, directional and visibility to the profession, and form part of the set of professional actions within the SUS.Keywords: Health Policy. Mental Health Policy. Unitary Health System. Matrix Support.Social Work.
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Rogala, Maciej Bartłomiej, and Ewa Donesch-Jeżo. "Various dimensions of trust in the health care system." Emergency Medical Service 7, no. 4 (2020): 296–305. http://dx.doi.org/10.36740/emems202004109.
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Trust is one of the most important factors in building effective and long-lasting relationships in the entire healthcare sector. Trust becomes a valuable ally in situations of high risk and uncertainty as well as the increasing complexity of tasks that accompany the daily work of all medical professionals, especially paramedics, due to the nature of their work in the medical rescue system. Mutual trust is the basis of social capital thanks to which it is possible to achieve mutual benefits, easier to coordinate activities, create new quality and solutions through cooperation or strong ties. It is a kind of glue that binds various organizational and system links, thanks to which it is easier to plan and introduce necessary improvements and changes within individual medical units or the entire health care system. The high degree of trust increases the quality of clinical communication with the patient and the effectiveness of medical care and strengthens the employees’ motivation and willingness to cooperate. Creating social capital based on trust is in the interest of all internal and external stakeholders of the entire health care system, thanks to which joint, cross-sectoral projects for health in the public dimension are possible. The aim of the article was, on the one hand, to systematize the theoretical and practical knowledge related to the multidimensionality of trust in the health care system, but on the other, to identify and analyse the factors building trust that should be discussed and, above all, applied in everyday professional practice and social space of all employees of the health care system. with particular emphasis on paramedics.
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Dobl, Stefanie, Liz Beddoe, and Peter Huggard. "Primary health care social work in Aotearoa New Zealand: An exploratory investigation." Aotearoa New Zealand Social Work 29, no. 2 (July 26, 2017): 119–30. http://dx.doi.org/10.11157/anzswj-vol29iss2id285.
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INTRODUCTION: The social work profession has a long-standing history of contributing to health care in Aotearoa New Zealand. Traditionally, hospitals have been the stronghold for the profession. However, both international and national evidence demonstrates that social workers have also been integrated in primary health care practices (PHCPs). Primary health care (PHC) provides care in the community and is recognised for its potential to achieve health equity across all population groups. This article reports on a small, qualitative research project which explored the perceptions of key stakeholders about social work integration into PHC and the experiences gained by social workers working within PHCPs regarding their contributions to the achievement of national aspirations for PHC.METHODS: Semi-structured, one-to-one interviews with 18 participants representing three groups (social workers, other PHC professionals and key informants) were undertaken in 2012. The interviews took place in various locations in Aotearoa New Zealand. A general inductive approach was used to identify key themes. FINDINGS: Three key themes were identified from the data: these are issues of context, namely social work professional factors, organisational factors in PHC and lastly, wider factors in the health care system. The integrated social workers enhanced the access of populations to coordinated care, increased engagement with communities, and strengthened the workforce, among other things. These unique contributions towards the PHC vision were well recognised by all groups, with participants calling for the establishment of integrated social work positions on a larger scale. CONCLUSION: The study evidences the successful integration of social workers into PHC practices in Aotearoa New Zealand. This viable model should be of special interest for key stakeholders regarding the design of local, holistic, PHC services which serve populations most affected by health and social inequalities. Importantly, “health for all”, as anticipated by the PHC vision needs long-term and real commitment especially by financial decision-makers.
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Cash, Belinda, Suzanne Hodgkin, and Jeni Warburton. "A transformative approach to systems theory in caregiving research." Qualitative Social Work 18, no. 4 (December 25, 2017): 710–26. http://dx.doi.org/10.1177/1473325017749988.
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This paper illustrates how systems theory can be used in social work research design to understand the systemic issues associated with spousal care in rural Australia. Spousal caregiving is embedded within multiple formal and informal systems, including family, community, health and aged care practice, social policy, and social and cultural norms. It is therefore a complex phenomenon to explore in social research, with each of these systems interacting with and influencing other aspects of the care system. The purpose of this paper is to provide an illustration of a research design that explores this systemic complexity. The design is conceptually underpinned by the transformative paradigm; a critical approach that reflects social work principles of social justice. The methodology is based on an ecosystems approach to assessment, using multiple methods to explore interactions between systems of care at policy, practice and individual levels. This application of systems theory to research presents an innovative opportunity for social work research to reflect long-established practices of understanding complex phenomenon within its sociocultural context.
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Mano, Laureta, and Mirela Selita. "The Albanian Social Security System and the Institutions of Social Protection in Albania." European Journal of Social Sciences Education and Research 3, no. 2 (April 30, 2015): 18. http://dx.doi.org/10.26417/ejser.v3i2.p18-25.
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The social security system in Albania consists of social assistance and social services, health services and health care insurance and social insurance schemes. In the social objectives of the constitution are declared that the State within the constitutional competencies and the probable means as well as in the fulfillment of private initiatives and responsibilities, aims to higher possible standards of health, physical and mental; social care and services of elderly, orphan and invalids; medical rehabilitation, special education and integration in the community, of disabled persons. The Constitution foreseen that everyone has the right of social insurance when retired or in case of incapacity of work under a certain system established by a law. Everyone, when is unemployed for any reasons independent on individual will and when there is no living means, has the right of need under the conditions foreseen by law. Social insurance is a scheme protecting by benefits persons in respect of temporary incapacity due to sickness, maternity, old-age, disability and loss of breadwinner, employment accidents/occupational diseases, unemployment. Social Services are benefits in kind for disabled persons or vulnerable persons. Social Assistances are cash benefits given to families in need, that means families with lower incomes comparable with minimum standard of living or families without incomes. Health services consist of public health, primary health care, hospitalization services nurse's service, dental and pharmaceutical net. The Institutions of Social Protection in Albania are Social Insurance Institute, National Social Services and Health Care Insurance Fund.
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Batheja, Cyrus. "Transformational Executive Health-Care Leadership: What Makes a Good and Great Health-Care Leader?" Creative Nursing 27, no. 2 (May 1, 2021): 78–82. http://dx.doi.org/10.1891/crnr-d-21-00007.
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Health-care leaders work at the highest levels of organizations and face unique challenges in today's health-care systems. This article reports the lived experiences of an executive nurse to better understand their leadership journey and leadership shadow, exploring their professional development of health-care leadership while navigating change and conflict by interpreting critical turning points in their career and triangulating data to identify and analyze central themes. Offering a real-world perspective, the article uses personal reflection aligned to professional inquiry, workplace observations, document reviews, and personal accounts to focus on executive nursing and the construction of a social movement from within a large managed care organization. The purpose of this evaluation is to create deeper understandings of ways in which to improve patient and provider experiences, reduce system waste, and improve population health. The theme of transformational leadership emerged, and new insights were created to inform future thinking.
Dissertations / Theses on the topic "Social work within the health care system"
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Vickerman, Shelley Ann. "The experiences of transgender female sex workers within their families, occupation and the health care system." University of the Western Cape, 2018. http://hdl.handle.net/11394/6868.
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Magister Artium (Psychology) - MA(Psych)There is a dearth of scholarly literature surrounding transgender female sex workers (TFSW) within South Africa. Their voices are often marginalised and not adequately heard in the literature and in a society that generally views gender as a fundamental element of the self, determining their subject positions against binaried heteronormative gender ideals. This process of the ‘othering’ of TFSW, is exacerbated by the moralistic judging of their occupation of sex work. This has left many TFSWs vulnerable to emotional abuse such as being socially stigmatised, discriminated against and socially isolated. The literature further echoes vulnerability to physical violence, such as hate crimes, rape, heightened HIV infection, homelessness, police brutality and murder. The current study aimed to explore the subjective experiences of TFSW within their families, occupations and the healthcare system within the Cape Town metropole, South Africa. The study was framed within an intersectional feminist epistemological position, highlighting intersecting identities that marginalise groups of people. Informant driven sampling was used in the case of this study where a total of eleven participants were individually interviewed using a semi-structed approach – interviews ranged from 35-90 minutes. The data collected was subsequently analysed using thematic analysis and the three themes that emerged were: transgender female (TGF), Sex work and HIV. Family rejection and abuse based on participants non-conforming gender identity was expressed by participants. Repressive home circumstances led to many opting to live on the street. Participants described being introduced to sex work through a network of other homeless TFSW, also described as ‘Sisters’ (who fulfil the role of family) as a means of survival. Sex work for TGFs is a particularly dangerous job, as sex workers run the risk of being exposed as TGFs, often resulting in severe physical harm for some. To cope with their severe realities of violence and homelessness, many reported turning to substances, such as alcohol and methamphetamine. A total of ten participants described being HIV positive and adherence was very poor among the group. This could be attributed to stigmatisation from health workers, substance use and homelessness. This group of women, though vulnerable and structurally oppressed, displayed exceptional resilience. It is suggested that further research should be conducted on this group in the South African context for a clearer understanding of their needs and improved policy, as well as interventions for TFSW.
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Cox, Julia R. "Training Future Mental Health Professionals in an Evidence-Informed System of Care." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/5964.
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High quality mental health services do not reach the youth who need them, leading to efforts to implement effective treatments more broadly. One focus of these efforts concerns training the mental health workforce, of which master’s-level social workers represent a large proportion. However, the curricula of master’s in social work (MSW) programs do not often emphasize evidence-based approaches. One possible solution is Managing and Adapting Practice (MAP; PracticeWise, LLC), a system that allows clinicians to (1) identify clinically indicated evidence-based programs by searching a growing evidence-base of randomized controlled trials (RCTs) and (2) build individualized evidence-informed treatment plans by focusing on common practice elements. MAP may also address the concerns about manual-based programs (e.g., inflexibility). Although some MSW programs have integrated MAP, the benefits of MAP training within MSW education have not yet been evaluated. This project evaluated multiple mechanisms of training in a semester-long MSW-focused MAP course relative to curriculum-as-usual control at a large public university.
Participants were advanced MSW students (mean age = 27, SD = 5.8; 92.3% women; 59% white) either enrolled in the MAP course (n = 17) or enrolled in curriculum-as-usual (n = 22). The MAP course was co-taught by an expert MAP trainer and a MAP-trained social worker. Pre- and post-semester, participants completed a battery that included: (1) role-plays with standardized patients that were videotaped and coded using the Therapy Observational Coding System of Child Psychotherapy – Revised Strategies scale; (2) a written task that was subsequently coded to assess participants’ clinical decision-making skills during different phases of a standardized case; and (3) attitudinal factors that may be predictive of future MAP usage, such as attitudes toward evidence-based practice and the acceptability and feasibility of MAP. Results indicate significant uptake of cognitive and behavioral therapeutic strategies in the MAP condition. Overall, participants endorsed positive attitudes toward evidence-based practice broadly and MAP specifically. Findings may be used to inform the development of more effective evidence-informed curriculum for master’s-level clinical programs and future workforce training initiatives. Methodological considerations may inform advances in instrumentation to measure multidimensional training outcomes
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Flad, Jennifer. "Advocating work an institutional ethnography of patients' and their families' experiences within a managed care health system /." Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2009. http://wwwlib.umi.com/cr/syr/main.
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Kim, Wonhee. "Association of Youth Mental Health Status with Caregiver Strain: The Moderating Role of Youth Mental Health Service Use in System of Care Research." Case Western Reserve University School of Graduate Studies / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=case1606841849946494.
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Jaghoory, Mahnaz. "Challenges of collaborative activities within emergency health care. : A study of the limitations of IT in supporting current medical practices within emergency health care in Vaasa and Umeå." Thesis, Umeå universitet, Institutionen för informatik, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-121522.
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Emergency Health Care (EHC) is an extended and multi-professional protocol designed to make communication easier in the event of a health-care emergency. Information and communication technologies (ICTs) play a vital role within EHC by coordinating emergency responses across involved departments as well as to health-care providers in the pre-hospital and hospital settings. Despite advances in ICT, there are still a variety of challenges regarding ICT usage in emergencies. To identify these challenges, a semi-structured interview was conducted with pre-hospital and hospital staff at the Emergency Departments of Vaasa Central Hospital, Finland, and Umeå University Hospital, Sweden. The findings indicate that workflow practices and the applying of medical knowledge in a pre-hospital setting is more challenging in Vaasa due to limited accessibility to the patient electronic record system. In the hospital setting, the clinical workflow and application of medical knowledge is easier in Umeå than in Vaasa as a result of there being an integrated information system in the Umeå region compared to a disintegrated system in the Vaasa region. It was discovered that the lack of a national record system in Sweden is a challenge for practitioners in the hospital setting in Umeå. In addition, badly structured information in the Finnish national record system has made collaborative activities between departments and hospitals difficult within EHC. The results reveal that the capacity of IT tools to provide on-time accessibility to patient information is fundamental for safe decision making and collaborative activities across departments and hospitals within EHC.
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Thompson, Guy. "A Phenomenological Study: Foster Care Youth Aging Out of the System." Thesis, NSUWorks, 2016. https://nsuworks.nova.edu/fse_etd/73.
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The purpose of this applied dissertation was to explore the lived experiences of teens aging out of foster care, in an effort to better understand their needs. While the child welfare system is geared towards family preservation, reunification, and adoption, most young adults transitioning from the foster care system are not reunited with family members or are only reunited as a last resort. Unfortunately, every year, thousands are leaving the support of the foster care system, unprepared. Youth departing the child welfare system are not gradually transitioned into becoming self-sufficient. They do not have an effective support system available if they fail or need help. Instead, when they leave foster care, they are simply released from the system they have become accustomed to and most struggle during this transition. The researcher conducted three 60-minute interviews with nine former foster youth. Questions were based on a set of interview questions (Appendix C), developed and used by Dr. Lee (2010), to assist in understanding the lived experiences of former foster youth. From an analysis of the data gathered from the young adults’ interviews and the researcher’s observations, four prevalent themes emerged: 1) Looking for the ‘care’ in foster care, 2) the threat of mental disability, 3) pick of the draw, and 4) navigating emotionally alone. This study will allow the state and foster care system to examine the highlighted issues and to consider appropriate corrections. Gaps have been identified in the system, as it currently operates, and there is a need to examine the current practices with internal and external lenses, in order to recommend possible changes.
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Grahn, Robert. "Treatment repeaters : re-entry in care for clients with substance use disorder within the Swedish addiction treatment system." Doctoral thesis, Umeå universitet, Institutionen för socialt arbete, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-141601.
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According to the regulations contained in the Social Services Act (SFS 2001:453), Swedish social services have a legal responsibility to provide support, care, and treatment for individuals with substance use problems. This law mandate those who are responsible to provide treatment to motivate drug users to actively seek treatment on a voluntary basis, ensuring an end to their dependence on drugs. Studies have shown that although the treatment system largely focuses on promoting abstinence, about two-thirds of client’s relapse into substance use within one year after completing treatment. This dissertation focuses broadly on clients who repeatedly enter and use treatment for substance use disorders in the Swedish addiction treatment system. The aim of this thesis is to examine and identify the population groups who are repeated treatment users of the Swedish treatment system for substance use disorder, including both the voluntary treatment and compulsory care. This thesis was based on three national level databases. The results showed that clients with a higher degree of problems and problems in different areas of life also had an increased risk of having treatment for substance use disorder repeatedly. Clients who were older, men, reported more years of polydrug and alcohol use to intoxication, reported more compulsory care episodes for substance use, had ever been charged with crime, had ever been in inpatient mental health treatment, and had a higher ASI mental health symptom composite score, were significantly more likely to report more voluntary addiction treatment episodes. The strongest significant association with the number of treatment episodes was the number of compulsory treatment episodes for alcohol and drugs. Individuals who experienced prior compulsory care including mandatory treatment through LVU (law (1990:52)), been in prison, and had children mandated to out-of-home care, were more likely to have two or more entries in the compulsory care system for substance use disorder. In addition, this analysis showed that 59% of clients mandated to compulsory care dropped-out during their compulsory care episode, and that younger clients were significantly more likely to drop-out. Those who drop-out were significantly more likely to experience negative outcomes, i.e. additional sentence to compulsory care and higher risk of mortality. A hierarchal logistic regression model also identified that individuals with riskier childhood conditions were more likely to have had repeated entries to compulsory care for substance use disorder. The indirect effects showed that a family history of substance use disorder and psychiatric problems are both associated with higher probability of institutional care as a child i.e. LVU, and that in turn, mandated childhood institutional care is related to repeated compulsory care intakes as an adult. Individuals who use treatment for substance use disorder repeatedly have a higher degree of problems i.e. an exposed and problematic group of individuals characterized by problem in several different areas of life. Growing up in a home environment with unfavorable conditions, mandated care before the age of 18 (LVU), compulsory care for substance use disorder as an adult, children taken into out-of-home care, and crime are the factors that are primarily associated with repeated treatment for substance use. A change in the view of treatment for clients in need of repeated use of treatment seems important, and access to adapted continuous care efforts are crucial to counteract the risk of relapse after a treatment episode of voluntary or compulsory care. Further, it seems important to motivate the client to complete the compulsory care without any deviation, since this seems to have positive effects on their substance use disorder.
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Wollard, Marissa R., and Monique N. Bettencourt. "OLDER LESBIAN AND BISEXUAL WOMEN’S ACCESS TO SERVICES AND RELATED HEALTH OUTCOMES." CSUSB ScholarWorks, 2017. https://scholarworks.lib.csusb.edu/etd/509.
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This exploratory research utilized a qualitative focus group of seven participants to see what insights older lesbian women provide toward impacting understanding of their perceived isolation, perceived invisibility, health needs and access to social services that are congruent with LGBTQ+ culture. The participants were recruited through snowball sampling. After the completion of the data collection, data were thematically analyzed and color coded. The significance of this study was to gain greater insight into the specific needs and areas of concerns of a vulnerable population. This greater insight may lead to social workers’ being able to provide better services for lesbian women. The major themes derived from the data were separated by access, homophobia, invisibility, social support, and health. Sub-themes included: quality of healthcare, support system, community involvement, political climate, coming out, need for LGBTQ+ specific services, discrimination (sexism/homophobia), finances, relationship status, health issues and social limitations, quality of life, planning, invisibility.
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Cohen, Deborah A. "Obtaining Genuine Family Involvement: Unpacking the System of Care Values and Principles." UKnowledge, 2014. http://uknowledge.uky.edu/csw_etds/9.
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Despite the federal government’s $1.5 billion investment between 1993 and 2010 to fund 164 separate community-based systems of care, there has been an extremely limited attempt to measure the impact of system of care. The impetus for this research is the struggle for how the value based concept of system of care is communicated within a community. While child mental health services researchers have published a number of randomized control trials to explore individual level supports for youth served in a system of care community, researchers have struggled to devise a way to measure system of care philosophy diffusion.
While system of care is a system level intervention, this study explored the role of the system of care value: family voice as it pertains to direct practice for children and families. The goal was to assess whether specific direct practices regularly associated with system of care (i.e., wraparound or home-based services) lead to greater family voice or if the mere presence of a high-functioning system of care community leads to equal family voice for all receiving community-based services.
The primary finding was a relationship between the perception of family functioning and perceived empowerment/self-efficacy. This finding suggests that as functioning improves, so does a caregiver’s perception of their personal empowerment/ self-efficacy. While the framing of this study was to “unpack” the system of care value of family voice, the findings do not support any clear cut explanation for how family voice is promoted or communicated to families. Based on the findings, it appears as if families feel more empowered as their child improves. Additional research needs to be done on the application of family voice within the practice setting to better understand how to best instruct staff to infuse family voice in their daily practice.
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Swanepoel, Monique (Marais). "The psychosocial influences on the family of a child diagnosed with cancer." Diss., University of Pretoria, 2014. http://hdl.handle.net/2263/46181.
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Cancer affects everyone; it does not distinguish between age, race, gender or social background. When a child is diagnosed with cancer, it does not only affect the child, but also the family system as a whole. The focus of this study was on the psychosocial aspects that are affected in the family system once a child diagnosed with cancer. These psychosocial aspects included the emotional impact, the spousal impact, the role changes that occur in the family system, the financial impact, the impact on siblings as well as the impact on religion and spirituality. These aspects were investigated by the researcher during the applied study.
This applied study used a qualitative approach with a collective case study research design. The research population of this study included families who have a child diagnosed with cancer, who was treated at Nicus Lodge Cancer Treatment Centre in Pretoria which is a CANSA affiliate. The staff at Nicus Lodge selected participants who met the criteria based on purposive sampling, on behalf of the researcher. The researcher used semi-structured interviews and an interview schedule in order to obtain the participants’ experiences of their child diagnosed with cancer and the psychosocial effects it had on them as a family system. Nine participants participated in the study. The interviews were recorded with the permission of the participants and then later transcribed. Creswell’s steps for qualitative data analysis were implemented. By utilizing these measures and tools, the researcher was able to formulate findings from which conclusions and recommendations could be made. From the findings, the following themes and sub-themes were identified, demonstrating the psychosocial effect that a child diagnosed with cancer has on the family system and answering the research question: Theme 1: Protective measures with the sub-themes of religion, support structures and personality. Theme 2: Restrictive measures with the sub-themes of role changes, single parent, multiple children and date of diagnosis. Theme 3: Financial related aspects with the sub-themes of employment/unemployment, supportive employer, transport and medical aid. The findings demonstrated that many different aspects of a family system are affected when a child is diagnosed with cancer. It also demonstrated that a family system that had the necessary protective measures, were able to cope more effectively and maintain their quality of life when their child was diagnosed with cancer. The findings furthermore showed specific focus areas that a social worker in the health care setting, specifically in the oncology field, should focus on which hinder family systems from coping effectively. These focus areas enable the social workers to provide adequate supportive services to the families of a child diagnosed with cancer.
Supportive services are imperative when dealing with a family of a child diagnosed with cancer, and this is one of the recommendations of the study and a focus area for future studies. Recommendations from this study can be used by social workers in the health care field to better understand the challenges that families of a child diagnosed with cancer experience and how to effectively address their needs. Social workers can also utilize the recommendations to find ways to make their services known to the communities and improve their intervention and supportive services to these families. It is important for social workers to improve awareness in the community and to provide them with the necessary resources to cope better with the situation. To better understand this paper, certain key terms were used by the researcher.Dissertation (MSW)--University of Pretoria, 2014.
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Books on the topic "Social work within the health care system"
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Ontario Association of Social Workers. Guidelines for social work with elderly persons in the health care system. [Toronto?]: Ontario Association of Social Workers, 1998.
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From advocacy to allocation: The evolving American health care system. New York: Free Press, 1986.
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Tom, Chapman, ed. Realising participation: Elderly people as active users of health and social care. Aldershot, Hampshire, England: Ashgate, 2001.
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Resources, Virginia Secretary of Health and Human. Report of the Secretary of Health and Human Resources on case management system development activities, to the Governor and the General Assembly of Virginia. Richmond: Commonwealth of Virginia, 1994.
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1937-, Tibbs Margaret Anne, ed. Social work and people with dementia: Partnerships, practice and persistence. 2nd ed. Bristol, U.K: Policy, 2006.
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Kimmich, Madeleine H. Partnering with families to reform services: Managed care in the child welfare system : a primer on family-driven managed service systems. Englewood, CO: American Humane Association, 1999.
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Committee on the Use of Animals in Research (U.S.), National Academy of Sciences (U.S.), and Institute of Medicine (U.S.), eds. Science, medicine, and animals. Washington, D.C: National Academy Press, 1991.
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Kersting, Robert C. PREDICTORS OF NURSING HOME UTILIZATION BY THE ELDERLY WITHIN THE CONTEXT OF THE AMERICAN HEALTH CARE SYSTEM. 1994.
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1946-, Keller Shirley M., and Society for Social Work Administrators in Health Care. Productivity Measurement Task Force., eds. Productivity measurement system for administrators of social work programs in health care. Chicago, Ill: American Hospital Association, 1993.
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Guidelines for social work with the elderly persons in the health care system. Toronto: Ontario Association of Social Workers, 1998.
Find full textBook chapters on the topic "Social work within the health care system"
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Brandon-Friedman, Richard A., Ryan Karnoski, and Seventy F. Hall. "Working with transgender and nonbinary youth in the child welfare system." In Social Work and Health Care Practice with Transgender and Nonbinary Individuals and Communities, 148–62. Abingdon, Oxon ; New York, NY : Routledge, 2020.: Routledge, 2020. http://dx.doi.org/10.4324/9780429443176-13.
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Richter, Marlise, and Kholi Buthelezi. "Stigma, Denial of Health Services, and Other Human Rights Violations Faced by Sex Workers in Africa: “My Eyes Were Full of Tears Throughout Walking Towards the Clinic that I Was Referred to”." In Sex Work, Health, and Human Rights, 141–52. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-64171-9_8.
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AbstractAn ethical and forward-looking health sector response to sex work aims to create a safe, effective, and non-judgemental space that attracts sex workers to its services. Yet, the clinical setting is often the site of human rights violations and many sex workers experience ill-treatment and abuse by healthcare providers. Research with male, female, and transgender sex workers in various African countries has documented a range of problems with healthcare provision in these settings, including: poor treatment, stigmatisation, and discrimination by healthcare workers; having to pay bribes to obtain services or treatment; being humiliated by healthcare workers; and, the breaching of confidentiality. These experiences are echoed by sex workers globally. Sex workers’ negative experiences with healthcare services result in illness and death and within the context of the AIDS epidemic act as a powerful barrier to effective HIV and STI prevention, care, and support. Conversely positive interactions with healthcare providers and health services empower sex workers, affirm sex worker dignity and agency, and support improved health outcomes and well-being. This chapter aims to explore the experiences of sex workers with healthcare systems in Africa as documented in the literature. Findings describe how negative healthcare workers’ attitudes and sexual moralism have compounded the stigma that sex workers face within communities and have led to poor health outcomes, particularly in relation to HIV and sexual and reproductive health. Key recommendations for policy and practice include implementation of comprehensive, rights-affirming health programmes designed in partnership with sex workers. These should be in tandem with structural interventions that shift away from outdated criminalized legal frameworks and implement violence prevention strategies, psycho-social support services, sex worker empowerment initiatives, and peer-led programmes.
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Minteguiaga, Analía, and Valerie Carmel. "Access to Social Protection by Immigrants, Emigrants and Resident Nationals in Ecuador." In IMISCOE Research Series, 109–25. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-51237-8_6.
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AbstractFormal labour and affiliation to Ecuador’s social security system is the main gateway for access to social protection benefits, especially in the case of migrants. However, a large informal labour market and low levels on inclusion in the social security system forces large sectors of society to rely on family and community arrangements for the management of risk and economic uncertainty. The state provides some non-contributory benefits through cash transfer programs but, with the exception of health care, these only cover people living in conditions of extreme poverty. Universal, non-means tested programs are limited to the public health and education systems. Overall, migrants face several obstacles to access social protection benefits. Gaining the right to work legally is mostly reserved for white-collar and highly educated immigrants, excluding impoverished immigrants. Paired to the inability to access labour-related benefits and government programs for the so-called poor, immigrants lack the safety nets provided by extended family and a community setting. Nationals residing abroad have restricted access to social benefits, having access only to the contributory pension system on a voluntary basis. This chapter discusses the social protection system in Ecuador and focuses on eligibility criteria to show the extent of migrants’ access to the social benefits.
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Reid, Lynette. "Antimicrobial Resistance and Social Inequalities in Health: Considerations of Justice." In Ethics and Drug Resistance: Collective Responsibility for Global Public Health, 257–78. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-27874-8_16.
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Abstract Within-country social inequalities in health have widened while global health inequalities have (with some exceptions) narrowed since the Second World War. On commonly accepted prioritarian and sufficientist views of justice and health, these two trends together would be acceptable: the wealthiest of the wealthy are pulling ahead, but the worst off are catching up and more are achieving sufficiency. Such commitments to priority or sufficiency are compatible with a common “development” narrative about economic and social changes that accompany changes (“transitions”) in population health. I set out a very simple version of health egalitarianism (without commitment to any particular current theory of justice) and focus on two common objections to egalitarianism. Priority and sufficiency both address the levelling down and formalism objections, but these objections are distinct: giving content to equality (I argue here) places in question the claimed normative superiority of priority and sufficiency. Using examples of the role of antimicrobials in both these trends – and the future role of AMR – I clarify (first) the multiple forms and dimensions of justice at play in health, and (second) the different mechanisms at work in generating the two current patterns (seen in life course narratives and narratives of political economy). The “accelerated transition” that narrowed global health inequalities is fed by anti-microbials (among other technology transfers). It did not accelerate but replaced the causal processes by which current HICs achieved the transition (growing and shared economic prosperity and widening political franchise). The impact of AMR on widening social inequalities in health in HICs will be complex: inequality has been fed in part by tertiary care enabled by antimicrobials; AMR might erode the solidarity underlying universal health systems as the well-off seek to maintain current expectations of curative and rehabilitative surgery and chemotherapy while AMR mounts. In light of both speculations about the impact of AMR on social and global health inequalities, I close with practical and with theoretical reflection. I briefly indicate the practical importance of understanding AMR from the perspective of health justice for policy response. Then, from a broader perspective, I argue that the content by which I meet the formalism objection demonstrates that the two trends (broadening within-country inequality and narrowing global inequality) are selective and biased samples of a centuries-long pattern of widening social inequalities in health. We are not in the midst of a process of “catching up”. In light of the long-term pattern described here, is the pursuit of sufficiency or priority morally superior to the pursuit of equality as a response to concrete suffering – or do they rationalize a process more objectively described as the best-off continuing to take the largest share of one of the most important benefits of economic development?
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Kerschen, Nicole. "Migrants’ Access to Social Protection in Luxembourg." In IMISCOE Research Series, 285–98. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-51241-5_19.
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Abstract For over 100 years, Luxembourg has been an immigration country. In 2019, 93% of the resident population are European citizens. Luxembourg nationals represent 53% of the entire population, nationals from other European Union (EU) Member States 40% and non-EU foreigners 7%. These three groups have different rights regarding residence and access to work in Luxembourg. All persons engaged in a professional activity in Luxembourg, whatever their nationality or residence, are covered by a compulsory social security system. The essence of the Welfare State, whose origins date back to the Customs Union with Germany, is Bismarckian. It protects workers against the following social risks: unemployment, sickness and maternity, long-term care needs, family, invalidity and old age. Family members are entitled to derived rights. Regarding health-care and old age pensions, it is possible to subscribe a voluntary insurance under specific conditions. A guaranteed minimum income, recently reformed, is accessible to everybody residing legally in Luxembourg under specific conditions. For non-EU foreigners, a residence for at least 5 years during the last 20 years or the possession of a long-term resident status is required.
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Dagliana, Giulia, Sara Albolino, Zewdie Mulissa, Jonathan Davy, and Andrew Todd. "From Theory to Real-World Integration: Implementation Science and Beyond." In Textbook of Patient Safety and Clinical Risk Management, 143–57. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_12.
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AbstractThe increasing complexity and dynamicity of our society (and world of work) have meant that healthcare systems have and continue to change and consequently the state of healthcare systems continues to assume different characteristics. The causes of mortality are an excellent example of this rapid transformation: non-communicable diseases have become the leading cause of death, according to World Health Organization (WHO) data, but at the same time there are new problems emerging such as infectious diseases, like Ebola or some forms of influenza, which occur unexpectedly or without advanced warning. Many of these new diseases diffuse rapidly through the different parts of the globe due to the increasingly interconnected nature of the world. Another example of the healthcare transformation is the innovation associated with the introduction and development of advanced communication and technology systems (such as minimally invasive surgery and robotics, transplantation, automated antiblastic preparation) at all levels of care. Consequently, the social and technical dimensions of healthcare are becoming more and more complex and provide a significant challenge for all the stakeholders in the system to make sense of and ensure high quality healthcare. These stakeholders include but are not limited to patients and their families, caregivers, clinicians, managers, policymakers, regulators, and politicians. It is an inescapable truth that Humans are always going to be part of the healthcare systems, and it is these human, who by their very nature introduce variability and complexity to the system (we do not necessarily view this as a negative and this chapter will illustrate). A microlevel a central relationship in focus is that between the clinician and the patient, two human beings, making the health system a very peculiar organization compared to similarly high-risk organizations such as aviation or nuclear energy. This double human being system [1] requires significant effort (good design) in managing unpredictability through the development of personal and organization skills, such as the ability to react positively and rapidly to unexpected events and to adopt a resilient strategy for survival and advancement. In contrast to other similar industries, in terms of level of risk and system safety, healthcare settings are still plagued by numerous errors and negative events involving humans (and other elements) at various levels within the system. The emotional involvement is very high due to the exposure to social relationships daily and results in significant challenges to address both technical and non-technical issues simultaneously.
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Rocha, Paulo, and Sarah Hean. "Tracing the Historical Development of a Service Model for Interagency Collaboration: Contradictions as Barriers and Potential Drivers for Change." In Improving Interagency Collaboration, Innovation and Learning in Criminal Justice Systems, 141–64. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-70661-6_6.
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AbstractIn England and Wales, Liaison and Diversion (L&D) services work to facilitate integrated rehabilitative interventions orchestrated between Criminal Justice and Welfare systems to improve health and social care outcomes. A new L&D national model was introduced in 2014 to unify practice across all L&D sites. This chapter analyses the L&D’s historical activity before, during and after the process of implementation of this national model and provides a timeline whereby potential tensions and their underlying contradictions within and between the L&D and neighbouring services activity systems are identified. A case study of an L&D service in southern England is used by way of illustration and Cultural-Historical Activity Theory (CHAT) articulates the complexity of interactions between the professionals at the street-level. Our findings showed that fragmented information technology (IT) systems, both intra- and interagency, have been particularly problematic in this setting and that the national model was not apt to transform this situation. Fragmentation hinders information sharing and ultimately affects professionals’ capacity to collaborate. We suggest service providers at a local level engage in a dialogue with one another and that they are in a better position to govern local practices instead of having policy enforced unilaterally top-down.
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Körükcü, Öznur, and Kamile Kabukcuoğlu. "Health Promotion Among Home-Dwelling Elderly Individuals in Turkey." In Health Promotion in Health Care – Vital Theories and Research, 313–27. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_22.
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AbstractAlthough the social structure of Turkish society has changed from a broad family order to a nuclear family, family relations still hold an important place, where traditional elements dominate. Still, elderly people are cared for by their family in their home environment. Thus, the role of family members is crucial in taking care of elderly individuals. In Turkey, the responsibility of care is largely on women; the elderly’s wife, daughter, or daughter-in-law most often provides the care. Family members who provide care need support so that they can maintain their physical, psychological and mental health. At this point, Antonovsky’s salutogenic health model represents a positive and holistic approach to support individual’s health and coping. The salutogenic understanding of health emphasizes both physical, psychological, social, spiritual and cultural resources which can be utilized not only to avoid illness, but to promote health.With the rapidly increasing ageing population globally, health expenditures and the need for care are increasing accordingly. This increase reveals the importance of health-promoting practices in elderly care, which are important for the well-being and quality of life of older individuals and their families, as well as cost effectiveness. In Turkey, the emphasis on health-promoting practices is mostly focused in home-care services including examination, treatment, nursing care, medical care, medical equipment and device services, psychological support, physiotherapy, follow-up, rehabilitation services, housework (laundry, shopping, cleaning, food), personal care (dressing, bathroom, and personal hygiene help), 24-h emergency service, transportation, financial advice and training services within the scope of the social state policy for the elderly 65 years and older, whereas medical management of diseases serves elderly over the age of 85. In the Turkish health care system, salutogenesis can be used in principle for two aims: to guide health-promotion interventions in health care practice, and to (re)orient health care practice and research. The salutogenic orientation encompasses all elderly people independently of their position on the ease-/dis-ease continuum. This chapter presents health-promotion practices in the care of elderly home-dwelling people living in Turkey.
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Murphy, Tine, Marie Aakjær, Eva Pallesen, and Charlotte Rosenberg. "“Living with” Interagency Collaboration—Three Sustaining Practices." In Improving Interagency Collaboration, Innovation and Learning in Criminal Justice Systems, 87–109. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-70661-6_4.
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AbstractInteragency collaboration is increasingly prevalent in welfare contexts due to the current pressure for integrating different professional domains around desired effects on citizens’ life and well-being. In the context of prison service this is equally important, due to the complexity in the constellation of actors that come into contact with a citizen before, during and after imprisonment. Drawing on a combination of neo-institutional theory (DiMaggio & Powell in The New Institutionalism in Organizational Analysis. University of Chicago Press, Chicago, IL, 1991) and sensemaking theory (Weick in Sensemaking in Organizations. Sage, Thousand Oaks, CA, 1995), we investigate an example of how “the Norwegian import model” enables actors to make sense of their work in a way that enables a practice of “living with” contradictions. Based on empirical data produced as part of the COLAB project, this chapter analyses the interagency collaboration of staff and management in a Norwegian low-security prison where professionals target the inmates’ education, health care, sports & leisure, faith and social services. The chapter identifies some key local practices, which underpin the collaboration across sectors and professions. These three practices are narrative practices, practices related to tools and documents, and shared meetings.
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Hack, Samantha M., Christopher R. Larrison, Melanie E. Bennett, and Alicia Lucksted. "Experiences of African-American men with serious mental illness and their kinship networks within the mental health care system." In Rethinking Social Work Practice with Multicultural Communities, 98–114. Routledge, 2020. http://dx.doi.org/10.4324/9780429330872-5.
Full textConference papers on the topic "Social work within the health care system"
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Blumberga, Solveiga, and Gundega Tirzīte. "INTERGENERATIONAL ATTITUDES AND SOCIAL PERCEPTIONS OF E-HEALTH SERVICES." In NORDSCI International Conference. SAIMA Consult Ltd, 2020. http://dx.doi.org/10.32008/nordsci2020/b2/v3/05.
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Health care is important and necessary for all humankind on all generations, so, it is of most importance to understand the situation and possibilities. This is where understanding consumer attitudes and perceptions can help to improve for equal possibilities to all generations and social groups. Consumer attitudes and social perceptions give us the information to help advance processes and detect problems that are not obvious and are often mistaken as too insignificant for attention. Since 2007, e-health has been introduced in Latvia as a big change towards digitalization, simplicity and more efficient health care all over the country. Officially, doctors and patients are using the e-health system to store and receive information related to a person’s health care since the year 2018. The topic of the research is of great importance, and it aims to ensure those people who do not have access to a computer or who cannot work with it are able to receive the same level of health care as those who are active and can easily navigate and use platforms such as e-health in the e-environment. The key questions of the research are as follows: what are the attitudes of consumers from different generations on e-health, what are the social perceptions of consumers from different generations on e-health, are there statistically significant differences in consumer attitudes of different generations are there statistically significant differences in the social perceptions of consumers of different generations about e-health, are there statistically significant relations between different generations of consumers on consumer attitudes and social perceptions about e-health? Methods used in the study are two surveys created by authors on social attitudes towards e-health services, and on social perceptions towards e-health services. The results of e-health services that are related to its integration do not reflect promises of dwindling waiting lines and state-paid services. The results also show that older users are more interested in e-health, as they face health problems more frequently than younger consumers daily, but their possibilities are limited by the technology that has created a very long bridge between patients, and the possibility to interact in the newly integrated e-health system. Younger potential users of e-health have important modernity where the older e-health users are viewing this differently, for which modernity is not current. Social perceptions that affect awareness and emotion are linked and do not differ significantly between generations, which show’s that if consumers had a chance to improve their social expectations about e-health, it would affect users and potential users alike, creating positive emotions and would improve attitudes on e-health, in general.
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Hoványi, Gábor, Róbert Tésits, and B. Levente Alpek. "An in-depth survey of the factors causing dissatisfaction within the group of elderly workers in South Transdanubia." In The Challenges of Analyzing Social and Economic Processes in the 21st Century. Szeged: Szegedi Tudományegyetem Gazdaságtudományi Kar, 2020. http://dx.doi.org/10.14232/casep21c.13.
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The currently still active age group (aged 50–64) faces a number of difficulties with the approaching retirement age, as their ability to work and adapt quickly to changing situations are constantly losing their effectiveness. With this, of course, we do not claim that an older worker will carry out his or her work less effectively than a younger worker, as the experience gained in a particular job can balance out the performance differences stemming from age. However, as we approach the retirement age, losing your job at an older age would pose serious challenges for those who would want to return to the group of economically active workers. It is unlikely that they will find a job that matches their qualifications, as their knowledge is less up-to-date and employers would prefer young people who could be relied on in the longer term, as opposed to those who need to be replaced within a few years. These potential difficulties are revealed by the widely distributed questionnaire, which seeks to identify the motivations and preparedness of different social strata for the changing challenges of a precarious age, based on the current economic situation and living conditions of the workers. Results: Through the questionnaire survey, we were able to gain insight into how aging workers are preparing for their approaching retirement years and what steps they can take to preserve their current labour market position, as well as what opportunities they might have for returning to the labour market after losing their jobs as a result of possible redundancies. Conclusion: Due to the aging national age structure, the situation of the aging workers is becoming an increasingly widespread problem, which, if we are not able to remedy in time, then will have to count on the degradation of the employability for the examined group in the near future. This will be mainly due to the constantly deteriorating health status of the individuals and the overwhelmed health care system that needs to provide for all age groups.
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Liu, Chengcheng. "Strategies on healthy urban planning and construction for challenges of rapid urbanization in China." In 55th ISOCARP World Planning Congress, Beyond Metropolis, Jakarta-Bogor, Indonesia. ISOCARP, 2019. http://dx.doi.org/10.47472/subf4944.
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In the past 40 years, China has experienced the largest and fastest urbanization development in the world. The infrastructure, urban environment and medical services of cities have been improved significantly. The health impacts are manifested in the decrease of the incidence of infectious diseases and the significant increase of the life span of residents. However, the development of urbanization in China has also created many problems, including the increasing pollution of urban environment such as air, water and soil, the disorderly spread of urban construction land, the fragmentation of natural ecological environment, dense population, traffic congestion and so on. With the process of urbanization and motorization, the lifestyle of urban population has changed, and the disease spectrum and the sequence of death causes have changed. Chronic noncommunicable diseases have replaced acute infectious diseases and become the primary threat to urban public health. According to the data published by the famous medical journal The LANCET on China's health care, the economic losses caused by five major non-communicable diseases (ischemic heart disease, cerebrovascular disease, diabetes mellitus, breast cancer and chronic obstructive pulmonary disease) will reach US$23 trillion between 2012 and 2030, more than twice the total GDP of China in 2015 (US$11.7 trillion). Therefore, China proposes to implement the strategy of "Healthy China" and develop the policy of "integrating health into ten thousand strategies". Integrate health into the whole process of urban and rural planning, construction and governance to form a healthy, equitable and accessible production and living environment. China is building healthy cities through the above four strategies. The main strategies from national system design to local planning are as follows. First of all, the top-level design of the country. There are two main points: one point, the formulation of the Healthy China 2030 Plan determines the first batch of 38 pilot healthy cities and practices the strategy of healthy city planning; the other point, formulate and implement the national health city policy and issue the National Healthy City. The evaluation index system evaluates the development of local work from five aspects: environment, society, service, crowd and culture, finds out the weak links in the work in time, and constantly improves the quality of healthy city construction. Secondly, the reform of territorial spatial planning. In order to adapt to the rapid development of urbanization, China urban plan promote the reform of spatial planning system, change the layout of spatial planning into the fine management of space, and promote the sustainable development of cities. To delimit the boundary line of urban development and the red line of urban ecological protection and limit the disorderly spread of urban development as the requirements of space control. The bottom line of urban environmental quality and resource utilization are studied as capacity control and environmental access requirements. The grid management of urban built environment and natural environment is carried out, and the hierarchical and classified management unit is determined. Thirdly, the practice of special planning for local health and medical distribution facilities. In order to embody the equity of health services, including health equity, equity of health services utilization and equity of health resources distribution. For the elderly population, vulnerable groups and patients with chronic diseases, the layout of community health care facilities and intelligent medical treatment are combined to facilitate the "last kilometer" service of health care. Finally, urban repair and ecological restoration design are carried out. From the perspective of people-oriented, on the basis of studying the comfortable construction of urban physical environment, human behavior and the characteristics of human needs, to tackle "urban diseases" and make up for "urban shortboard". China is building healthy cities through the above four strategies. Committed to the realization of a constantly developing natural and social environment, and can continue to expand social resources, so that people can enjoy life and give full play to their potential to support each other in the city.
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Runcan, Remus. "SOCIAL WORK IN ROMANIA IN THE TIME OF THE COVID-19 PANDEMIC: STRENGTHS AND WEAKNESSES." In NORDSCI International Conference. SAIMA Consult Ltd, 2020. http://dx.doi.org/10.32008/nordsci2020/b1/v3/28.
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The Covid-19 pandemic has posed great challenges for all social work clients and their families, caregivers, medical and mental health care providers, and support systems. Social work clients are vulnerable to the detrimental effects of restrictions (isolation) and are confronted with adverse consequences from distancing and new rules, which may trigger or worsen psychiatric disorders (anxiety, depression, self-harm, substance abuse, suicidal behaviour and thoughts), according to recent literature (March-May 2020). This paper presents the results of a survey of Romanian social workers aimed at identifying both positive and negative effects of the Covid-19 pandemic on both social workers and their clients.
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Erdei, Renáta J., and Anita R. Fedor R. Fedor. "The Phenomenon and the Characteristics of Precariate in Hungary: Labormarket situation, Precariate, Subjective health." In CARPE Conference 2019: Horizon Europe and beyond. Valencia: Universitat Politècnica València, 2019. http://dx.doi.org/10.4995/carpe2019.2019.10284.
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Anita R. Fedor- Renáta J. Erdei Abstract The focus of our research is labor market integration and the related issues like learning motivation, value choices, health status, family formation and work attitudes. The research took place in the North Great Plain Region – Szabolcs-Szatmár-Bereg county, Nyíregyháza, Nyíregyháza region, Debrecen, Cigánd district (exception), we used the Debrecen and the national database of the Graduate Tracking System. Target groups: 18-70 year-old age group, women and women raising young children, 15-29 year-old young age group, high school students (graduate ones) fresh university graduates. The theorethical frameworks of the precariate research is characterized by a multi-disciplinar approach, as this topic has sociological, economic, psychological, pedagogical, legal and health aspects. Our aim is to show whether There is relevance between the phenomenon of precariate and labor market disadvantage and how individual insecurity factors affect a person’s presence in the labor market. How the uncertainties in the workplace appear in different regions and social groups by expanding the theoretical framework.According to Standing precariate is typical to low gualified people. But I would like to see if it also typical to highly qualifiled young graduates with favourable conditions.It is possible or worth looking for a way out of the precarious lifestyle (often caused by objective reasons) by combining and using management and education.Are there definite features in the subjective state of health of groups with classic precariate characteristics? Results The research results demonstrate that the precarious characteristics can be extended, they are multi-dimensional.The personal and regional risk factors of labor market exclusion can develop both in different regions and social groups. Precarized groups cannot be connected exclusively to disadvantaged social groups, my research has shown that precarious characteristics may also appear, and the process of precarization may also start among highly qualified people. Precariate is a kind of subjective and collective crisis. Its depth largely depends on the economic environment, the economic and social policy, and the strategy and cultural conditions of the region. The results show, that the subjective health of classical precar groups is worse than the others.
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Zhang, Mingshao, Pengji Duan, Zhou Zhang, and Sven Esche. "Development of Telepresence Teaching Robots With Social Capabilities." In ASME 2018 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/imece2018-86686.
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A telepresence robot is a device that allows people to participate in video conferences on a moveable platform from a remote location. The users can remotely control the robot’s motion and interact with each other through a video screen. Such systems, which were originally designed to promote social interaction between people, have become popular in various application areas such as office environments, health care, independent living for the elderly, and distance learning. Although there is ample published empirical work surrounding the use of telepresence and computer-mediated communication in education, few studies have examined telepresence robots in the classroom. Although some studies have indicated positive learning experiences and outcomes in education facilitated by telepresence robots, further research is needed to better identify the possible effects such approaches have on student learning and perceptions of instructor credibility. In order to maximize the students’ learning outcomes, it is very important to improve the usability of the telepresence robot platform for both the instructors and the students. In addition, the instructor credibility is also crucial to the overall learning experience. In the research presented here, an innovative remote teaching platform, which includes features of telepresence robots and social robots (which are autonomous robots that interact and communicate with humans by following social behaviors and rules associated with their roles), is developed. It is believed that telepresence robots equipped with the capabilities provided by social robots can improve the credibility of the instructor and the usability of the education platform, both of which contribute to the students’ overall learning outcomes.
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Shalaby, Mohammed, and Kazuhiro Saitou. "High-Stiffness, Lock-and-Key Heat-Reversible Locator-Snap Systems for the Design for Disassembly." In ASME 2008 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2008. http://dx.doi.org/10.1115/detc2008-49664.
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Recent legislative and social pressures have driven manufacturers to consider effective part reuse and material recycling at the end of product life at the design stage. One of the key considerations is to use joints that can disengage with minimum labor, part damage, and material contamination. This paper extends our previous work on the design of high-stiffness reversible locator-snap system that can disengage non-destructively with localized heat [1, 2], to include 1) modeling for tolerance stack-up and 2) lock-and-key concept to ensure that snaps only disengage when the right procedure is followed. The design problem is posed as an optimization problem to find the locations, numbers, and orientations of locators and snaps, and the number, locations and sizes of heating areas, which realize the release of snaps with minimum heat, compliance, and tolerance stack-up. The motion and structural requirements are considered constraints. Screw Theory is utilized to pre-calculate a set of feasible types and orientations of locators and snaps that are examined during optimization. The optimization problem is solved using Multi Objective Genetic Algorithm (MOGA) coupled with structural and thermal FEA. The method is applied on two case studies. The Pareto-optimal solutions present alternative designs with different trade-offs between the design objectives while meeting all the constraints.
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Hotar, Nükhet. "Covid-19 and its Effects on Work Life." In International Conference on Eurasian Economies. Eurasian Economists Association, 2020. http://dx.doi.org/10.36880/c12.02466.
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Covid-19 which emerged in Wuhan province of China, evolved into a global pandemic within a short time has had social and economic effects besides its influence on public health.
Research has shown that during the pandemic, besides health sector, manufacturing, tourism and education sectors have been affected adversely. In addition to its sectoral repercussions, the changes it has caused on working life should also be taken into consideration. In parallel with the practices in many other countries, our country has taken measures in order to slow down the spread of the virus and the to minimize the number of employees in the same working place such as distance working and rotated working in public and private sectors and etc.
Due to physical isolation requirements during the pandemic period, individuals have got to know new practices and concepts such as virtual shopping, distance education and have tried to adapt themselves to them.
Individuals who actively take part in working life have also been encountered with concepts such as distance working and rotated working. All foundation and enterprises have strived for taking the measures of hygiene stipulated by the public authority while trying to ensure the adaptation process takes place with efficiency and without loss of workforce. In both public and private sectors, online meetings, conferences and activities etc. and non-spatial life style and working system have become a part of individuals’ lives.
This study is aimed at coming up with a future projection by handling the effects of COVID-19 pandemic has caused on working life.
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Wells, John S. G., Michael Bergin, and Cathal Ryan. "DELAROSE: A Case Example of the Value of Embedded Course Content and Assessment in the Workplace." In HEAd'16 - International Conference on Higher Education Advances. Valencia: Universitat Politècnica València, 2016. http://dx.doi.org/10.4995/head16.2016.2844.
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In recent years there has been a significant growth in online learning and the delivery of joint programmes of education involving collaborative partnerships between higher education institutions in different jurisdictions. This paper details a case-study of the pilot delivery and assessment of a new online learning programme ‘Certificate in the Management of Work-Related Stress’. This programme was developed as part of an innovative partnership between four European Higher Education Institutions (HEIs) located in Austria, Ireland, Switzerland and the United Kingdom to develop and deliver an accredited online learning programme, as part of a wider EU funded project called DELAROSE, on the management of work-related stress for workers in the health and social care sector across Europe. It describes the nature of the online course, with particular attention given to, the assessment activities undertaken by learners throughout the course, and the collection and analysis of learner feedback as this relates to feasibility and impact of the programme of learning. This case-study highlights the positive benefits to learners of embedding course content and assessment experiences within a real-life workplace context
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Lebassi, B., J. E. Gonza´lez, and R. D. Bornstein. "On the Environmental Sustainability of Solar Technologies in a Coastal City." In ASME 2010 4th International Conference on Energy Sustainability. ASMEDC, 2010. http://dx.doi.org/10.1115/es2010-90333.
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In this study, a first order environmental impact study of a large scale deployment of solar energy installed technologies in complex coastal urban environment is conducted. The work is motivated by the positive prospects of building integrated solar technologies as a sustainable alternative to energy demands and reduction of green house gases. Large scale deployment of solar technologies in rooftops of densely populated cities may have the potential of modifying surface energy budgets resulting in cooling or heating of the urban environment. To investigate this case the meso-scale model, Regional Atmospheric Modeling System (RAMS) is used, with a horizontal grid resolution of 4 km on an innermost grid over South Coast Air Basin (SocAB) region of Southern California. The simulation took place in summer 2002 where strong urban heat islands (UHIs) were observed for the region. The urban landscape was modified to represent a percentage of the rooftops with optical properties corresponding to solar PV and thermal collectors. Results show that the large scale presence of solar technologies in rooftops of SoCAB may have a net positive thermal storage effect enhancing the existing UHI by up to 0.3°F. This additional heat is advected inland as the sea-breeze develops warming further inland areas. The net environmental effect of solar technologies when compared with solar energy production was not investigated in this study.
Reports on the topic "Social work within the health care system"
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Sten, Pegi. Social work intervention and patients' utilization of the Kaiser health care system. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.1902.
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Tipton, Kelley, Brian F. Leas, Nikhil K. Mull, Shazia M. Siddique, S. Ryan Greysen, Meghan B. Lane-Fall, and Amy Y. Tsou. Interventions To Decrease Hospital Length of Stay. Agency for Healthcare Research and Quality (AHRQ), September 2021. http://dx.doi.org/10.23970/ahrqepctb40.
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Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recovery and discharge, but hospitals continue to face challenges. Purpose. This Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge. Methods. We conducted a structured search for published and unpublished studies and conducted interviews with Key Informants representing vulnerable patients, hospitals, health systems, and clinicians. The interviews provided guidance on our research protocol, search strategy, and analysis. Due to the large and diverse evidence base, we limited our evaluation to systematic reviews of interventions to decrease hospital LOS for patients at potentially higher risk for delayed discharge; primary research studies were not included, and searches were restricted to reviews published since 2010. We cataloged the characteristics of relevant interventions and assessed evidence of their effectiveness. Findings. Our searches yielded 4,364 potential studies. After screening, we included 19 systematic reviews reported in 20 articles. The reviews described eight strategies for reducing LOS: discharge planning; geriatric assessment or consultation; medication management; clinical pathways; inter- or multidisciplinary care; case management; hospitalist services; and telehealth. All reviews included adult patients, and two reviews also included children. Interventions were frequently designed for older (often frail) patients or patients with chronic illness. One review included pregnant women at high risk for premature delivery. No reviews focused on factors linking patient vulnerability with social determinants of health. The reviews reported few details about hospital setting, context, or resources associated with the interventions studied. Evidence for effectiveness of interventions was generally not robust and often inconsistent—for example, we identified six reviews of discharge planning; three found no effect on LOS, two found LOS decreased, and one reported an increase. Many reviews also reported patient readmission rates and mortality but with similarly inconsistent results. Conclusions. A broad range of strategies have been employed to reduce LOS, but rigorous systematic reviews have not consistently demonstrated effectiveness within medically complex, high-risk, and vulnerable populations. Health system leaders, researchers, and policymakers must collaborate to address these needs.
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Gender mainstreaming in local potato seed system in Georgia. International Potato Center, 2020. http://dx.doi.org/10.4160/9789290605645.
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This report presents the study findings associated with the project “Enhancing Rural Livelihoods in Georgia: Introducing Integrated Seed Health Approaches to Local Potato Seed Systems” in Georgia. It also incorporates information from the results of gender training conducted within the framework of the USAID Potato Program in Georgia. The study had three major aims: 1) to understand the gender-related opportunities and constraints impacting the participation of men and women in potato seed systems in Georgia; 2) to test the multistakeholder framework for intervening in root, tuber, and banana (RTB) seed systems as a means to understand the systems themselves and the possibilities of improving gender-related interventions in the potato seed system; and 3) to develop farmers’ leadership skills to facilitate women’s active involvement in project activities. Results of the project assessment identified certain constraints on gender mainstreaming in the potato seed system: a low level of female participation in decision-making processes, women’s limited access to finances that would enable their greater involvement in larger scale potato farming, and a low awareness of potato seed systems and of possible female involvement in associated activities. Significantly, the perception of gender roles and stereotypes differs from region to region in Georgia; this difference is quite pronounced in the target municipalities of Kazbegi, Marneuli, and Akhalkalaki, with the last two having populations of ethnic minorities (Azeri and Armenian, respectively). For example, in Marneuli, although women are actively involved in potato production, they are not considered farmers but mainly as assistants to farmers, who are men. This type of diversity (or lack thereof) results in a different understanding of gender mainstreaming in the potato seed system as well. Based on the training results obtained in three target regions—Akhalkalaki, Akhaltsikhe, and Marneuli—it is evident that women are keen on learning new technologies and on acquiring updated agricultural information, including on potato production. It is also clear that women spend as much time as men do on farming activities such as potato production, particularly in weeding and harvesting. However, women are heavily burdened with domestic work, and they are not major decision-makers with regard to potato variety selection, agricultural investments, and product sales, nor with the inclusion of participants in any training provided. Involving women in project activities will lead to greater efficiency in the potato production environment, as women’s increased knowledge will certainly contribute to an improved production process, and their new ideas will help to improve existing production systems, through which women could also gain confidence and power. As a general recommendation, it is extremely important to develop equitable seed systems that take into consideration, among other factors, social context and the cultural aspects of local communities. Thus, understanding male and female farmers’ knowledge may promote the development of seed systems that are sustainable and responsive to farmers’ needs and capacities.