The Role of Social Work in Pediatric PulmonarySusan Horky, LCSWPediatric Pulmonary DivisionUniversity of Florida

Which of these is a social worker?

What does a social worker do?

What comes to mind when you think Social Work or social worker?12435678910

OverviewWhat does a SocialWorker do??Social Work in pediatric healthcareCases

http://www.socialworkers.org/pubs/choices/default.asphttp://www.socialworkers.org/pressroom/events/anyGivenDay1007/default.asphttp://www.youtube.com/watch?v=IkQzfv8o3n8

What does a Social Worker do? concrete services resource information case management discharge planning advocacy/policy social welfare/child protection BSW, MSWMSW,LCSWPhD psychotherapy research medical social work administration

MSWsmay do someor all of these

History of Social Work

History of Social Work- Child WelfareProviding food/shelter

Job training

Child labor laws

Public health

Federal programs for the poor

History of Social Work - Medicalto make medical care effective Financial needs/resources

Psychosocial support

Adherence

History of Social Work-Child Guidance/Psychiatric Social Work

Health

Top Ten Social Work RulesStart where the patient is

The relationship is everything

Dont judge a book by its cover

There is no big book in the sky

Concrete help may lead to counseling

Top Ten Social Work RulesIt takes two to tango

People are doing the best the know how

People bring their solutions, we figure out what the problem is

Emotions always underlie behavior

Dont just do something, sit there!

Social Work in Pediatric PulmonarySetting: Primarily Clinic

Roles:Psychosocial Assessment Child and family functioningConcrete needsEmotional needs

May depend on roles of other team members

Social Work in Pediatric Pulmonary (contd)Interventions:Support to child and/or family members

Ongoing psychotherapy or referral for same (child or family members)

Behavioral interventions Child behaviorParentingAdherence

Groups

Social Work in Pediatric Pulmonary (contd)

Assistance with concrete issues

Community resources: WIC, Food Stamps, SSI

Case Management: Agencies involved with child: school, after-school, outside therapist

Conveying families views to team

Discharge planning (has varied over time)

Child protection

PPCAdjustment to illness

Parenting issues

Support

Life stresses

RelationshipsSchool

Work

SSI

Insurance/Housing

Transition/Voc Rehab

Goal is for Adaptation:Adaptation is achieved when the familys POWER > LOAD

LOAD:ChronicityUnpredictabilityHigh CostsExtensive Daily CarePain/embarrassment (physical appearance)Multiple providersIsolation

POWER:Healthy family dynamics:Open communicationMutual respect and supportGood differentiationShared problem solving and decision makingRole flexibilityEnhancement of personal growth

More Power:Knowledge of disease process and health care systemFinding meaning in the illnessFinancial SecuritySharing the Burden

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

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

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

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

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

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

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

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

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