Kirst ashman understanding generalist practice pdf

The population I would like to work with as a social worker is children and families. In particular, I would like to work in the foster care and Child Protective Services (CPS) field. My eventual career goal involves a profession that allows me to keep children safe, while also strengthening parenting skills and family structures. I can see many ways in which the Generalist Intervention Model (GIM) could assist me in working with this population. I found the assessment process particularly applicable, in particular the way in which assessments can incorporate the micro, mezzo and macro levels involved in the problem (Kirst-Ashman, & Hull, 2012, p. 38). For instance, if I was referred to a family who had become involved with CPS due to reports of suspected child abuse, it would be incredibly important for me to consider all three levels. I would need to not only assess the child's well-being at the micro level, but also factors within the family at the micro/mezzo level that may be contributing to an abusive situation. Finally, I would need to consider what resources or lack of resources at the macro level could be contributing to the problem. This type of assessment would provide me with a much more robust picture of the problem when compared to only focusing on the micro aspects.

Additionally, I think that the way that the planning stage is laid out in the GIM would be particularly useful when working with CPS. Particularly, I think that incorporating the clients' thoughts, opinions, and ideas about their problems and needs would make a major difference in how successful the intervention is (Kirst-Ashman, & Hull, 2012, p. 40). CPS, whether justified or not, has a reputation of strong arming families involved with them and not allowing for input. I think that seeking the input of the family and child could help create a sense of trust and mutual respect. Beyond that, the parents may feel desperately in need of help and have a clear sense of where their problems lie, they simply do not have the resources or knowledge to solve the problems. Adding their input and information to the intervention planning process would result in a fuller, more comprehensive, and likely more effective intervention.

References

Kirst-Ashman, K.K., & Hull, G. H. (2012). Understanding Generalist Practice (6th ed.). Belmont, CA:

Brooks/Cole.

NOT A WORK

Week 2

The population that I selected last week was children and families. In particular, I would like to work with families involved with the foster care system. This will give me the opportunity and challenge of working with various culturally diverse populations. A skill I feel will be essential for me to attain cultural competence when working with this population is a broader understanding of institutional discrimination that may exist within the welfare organizations I interact with. It is likely that some of the families I encounter may have previous experiences with welfare organizations, and those encounters may have been discriminatory (Kirst-Ashman, & Hull, 2012, p. 443). For example, I may work with an African American family who experienced discrimination when trying to obtain food stamp benefits. Having this broad understanding will help guide me in the process of intervention, as well as help me to be more effective in the initial engagement and assessment stages.

Additionally, it will be very important for me to understand varying beliefs about child-rearing, discipline and family roles across different cultures. I will need to recognize that my beliefs are also culturally informed, and ensure that those beliefs to not interfere with my ability to help a family. For instance, I may find a particular discipline technique punitive and harsh, while it may be a cultural norm for the family I am working with. A study that address this topic is Cultural Variations in Mothers' Acceptance of and Intent to use Behavioral Child Management Techniques. The study focuses on the differences in parenting techniques between Euro-Canadian and Chinese immigrant mothers. The researchers found that, “The Chinese-immigrant mothers . . . accepted and intended to use punishment techniques more than Euro-Canadians.” (Mah & Johnston, 2012, p. 495) They concluded that this was due to an overall cultural difference in parenting styles. Specifically, they found that Chinese immigrant mothers were more likely to be authoritarian and feel they had a higher level of control over their children.

This information would be essential for me to have when working with a Chinese immigrant family with similar cultural values. If I was working as an advocate for a child in the family, I would need to understand that certain discipline techniques that I may view as counterproductive or harmful may be completely acceptable for this family. I would also need to carefully and ethically consider at what point I feel a discipline technique constitutes abuse. For example, I may personally disagree with a parent slapping a child's hand as a corrective measure, but I could not classify this as abuse. Rather, I would try to understand the cultural values that inform the choice. On the other hand, while whipping a child with a belt may be a cultural norm for some, I would ethically and legally be responsible to intervene and advocate for the child's safety and welfare.

References

Mah, J., & Johnston, C. (2012). Cultural Variations in Mothers' Acceptance of and Intent to Use Behavioral Child Management Techniques. Journal Of Child & Family Studies, 21(3), 486-497.

Kirst-Ashman, K. K., & Hull, G. H. (2012). Understanding Generalist Practice (6th ed.). Belmont, CA: Brooks/Cole.

END OF EXAMPLE OF GOOD ANSWERS

SOCW 04 week 1

Learning Resources to be used as references to support your answer.

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Beder, J. (2006). Hospital social work: The interface of medicine and caring. New York, NY: Routledge.

· Chapter 1, “About Medical Social Work” (pp. 1–8)

Massachusetts General Hospital. (n.d.). Pioneering a profession: A history of social work innovation at the MGH, 1905–2005 . Retrieved from http://www.mghpcs.org/socialservice/Documents/HistoryTimeline.pdf

Gehlert, S., & Browne, T. (Eds.). (2012). Handbook of health social work (2nd ed.). Hoboken, NJ: Wiley.

· Chapter 1, “Conceptual Underpinnings of Social Work in Health Care” (pp. 3–19)

Engel, G. L. (2012). The need for a new medical model: A challenge for biomedicine. Psychodynamic Psychiatry, 40(3), 377–396.

Note: Retrieved from Walden Library databases.

Kontos, N. (2011). Perspective: Biomedicine—Menace or straw man? Reexamining the biopsychosocial argument. Academic Medicine, 86 (4), 509–515. USW1_SOCW_8204_WK01_Kontos.pdf

Mishna, F., Bogo, M., Root, J., Sawyer, J. L., & Khoury-Kassabri, M. (2012). “It just crept in”: The digital age and implications for social work practice. Clinical Social Work Journal, 40(3), 277–286.

Note: Retrieved from Walden Library databases.

Reamer, F. G. (2013). Social work in a digital age: Ethical and risk management challenges. Social Work, 58(2), 163–172.

Note: Retrieved from Walden Library databases.

Optional Resources

NASW. (2003). Standards for integrating genetics into social work practice . Retrieved from http://www.socialworkers.org/practice/standards/GeneticsStdFinal4112003.pdf

Discussion 1 - Week 1 Attachment

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Evolution of Medical Social Work (title of work #1)

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The medical social work profession owes its roots to Dr. Richard Cabot and Nurse Garnet Pelton. In 1905, Garnet Pelton was hired by Dr. Cabot, a physician at Massachusetts General Hospital, to provide social services to his clinic patients (Massachusetts General Hospital, n.d.). Dr. Cabot recognized the importance of addressing a patient’s social needs and health needs simultaneously in order to achieve maximum benefit. Since 1905, the field of medical social work has become one of the leading disciplines of the social work profession. Currently, medical social work services are provided in a plethora of health care settings, including both inpatient and outpatient settings.

Over time, the medical social work field has evolved and adapted in the face of changing health care policy and reform. Consider managed care, which resulted from the enactment of the Health Maintenance Organization Act of 1973 as a means of containing health care costs in the United States. Managed care affected medical social work and influenced the delivery of health care services provided by medical social workers.

To prepare for this Discussion, review this week’s resources including the web article titled, “Pioneering a Profession: A History of Social Work Innovation at the MGH, 1905–2005.” Consider how individuals and events have shaped the medical social work profession. Think about the health care delivery systems in the United States and their impact on the profession. Finally, consider the future of the profession.

Work #1 Answer in APA format with 2 citations per paragraph treat each answer as a separate work or file and each work or file need separate references. Support your posts with specific references to the Learning Resources. Be sure to provide full APA citations for your references.

Evolution of Medical Social Work (title of work #1)

Work #1 Post a brief description of one major historical event that you believe influenced the medical social work profession. Explain the impact—both positive and negative—of managed care in the evolution of medical social work since the emergence of managed care in the 1980s. Take a position and provide specific examples to support your position. Briefly describe current issues—the challenges and the opportunities for the medical social work profession. Select one current issue that you think is important or challenging for this profession. Explain why. Provide a future perspective of this profession with regard to leadership and advocacy for patient care and well-being. Justify your response with scholarly resources.

Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style.

SOCW 04 WK 1 DISCUSSION #2

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Discussion 2 - Week 1.

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Work #2

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Person-in-Environment Perspective (title of work #2)

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The terms disease and illness are often used interchangeably, yet they are conceptually very different. Illness refers to the human experience of disease. Disease, on the other hand, refers to a structural change in the body or mind. Traditionally, the primary focus of the medical model has been the disease and the diagnosis and treatment of the disease. In 1977, George Engel argued that the medical model “leaves no room in its framework for the social, psychological, and behavioral dimensions of illness” (p. 130).

A primary goal of medical social work is to address illness. Medical social workers are charged with evaluating and analyzing how illness impacts the social, emotional, psychological, and behavioral realms of individuals and groups—that is, the “person-in-environment” perspective. Since its inception, medical social work has been rooted in the person-in-environment perspective and has relied heavily on the principles of the biopsychosocial model. The biopsychosocial model, a pinnacle of social work practice, systematically considers biological, psychological, and social factors and their complex interactions in understanding health, illness, and health care delivery. Thus, medical social workers must consider all systems in a patient’s life when assessing a patient’s needs and suggesting interventions.

To prepare for this Discussion, consider the medical social worker’s practice from the “person-in-environment” perspective. Review both the disease and biopsychosocial models of disease and health. Examine the posts your colleagues share about the future perspectives of the profession in this week’s Discussion 1.

Work #2 Answer in APA format with 2 citations per paragraph treat each answer as a separate work or file and each work or file need separate references. Support your posts with specific references to the Learning Resources. Be sure to provide full APA citations for your references.

Person-in-Environment Perspective (title of work #2)

Work #2Answer in a brief description of the “person-in-environment” perspective. Compare and contrast the medical model and the biopsychosocial model. Be sure to describe the advantages and disadvantages of both models in the delivery of medical social work services. Explain how the person-in-environment perspective relies heavily on the principles of the biopsychosocial model. Explain whether the biopsychosocial model might continue to be compatible with the future of the social work profession. Provide a rationale. Finally, explain whether the person-in-environment perspective might rely heavily on the principles of the biopsychosocial model in the future.

Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style

SOCW 04 wk2 discussion

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Centers for Medicare & Medicaid Services. (2012). Discharge planning . Retrieved from http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Discharge-Planning-Booklet-ICN908184.pdf

Beder, J. (2006). Hospital social work: The interface of medicine and caring. New York, NY: Routledge.

· Chapter 2, “General Medical Social Work” (pp. 9–20)

Craig, S. L., & Muskat, B. (2013). Bouncers, brokers, and glue: The self-described roles of social workers in urban hospitals. Health Social Work, 38(1), 7–16.

Note: Retrieved from Walden Library databases.

Gehlert, S., & Browne, T. (Eds). (2012). Handbook of health social work (2nd ed.). Hoboken, NJ: Wiley.

· Chapter 2, “Social Work Roles and Health-Care Settings” (pp. 20–40)

Judd, R. G., & Sheffield, S. (2010). Hospital social work: Contemporary roles and professional activities. Social Work in Health Care, 49(9), 856–871.

Note: Retrieved from Walden Library databases.

Fox, M. T., Persaud, M., Maimets, I., Brooks, D., O‘Brien, K., & Tregunno, D. (2013). Effectiveness of early discharge planning in acutely ill or injured hospitalized older adults: A systematic review and meta-analysis. BMC Geriatrics, 13, 70.

Note: Retrieved from Walden Library databases.

Marshall, J. W., Ruth, B. J., Sisco, S., Bethke, C., Piper, T. M., Cohen, M., & Bachman, S. (2011). Social work interest in prevention: A content analysis of the professional literature. Social Work, 56(3), 201–211.

Note: Retrieved from Walden Library databases.

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Primary Roles of Medical Social Workers (title of work #3)

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Medical social workers assume various distinct roles in their practice. These roles range from educator and advocate to counselor, liaison, and mediator. The generalist intervention model (GIM) informs medical social work practice, with these roles reaching across each stage of the model. Medical social workers view patients and their problems in context, combine practice skills and techniques that meet the individual situation, and implement interventions across the multiple systems present in the patient’s life. The interventions are implemented on a continuum ranging from micro to mezzo to macro levels.

It is important to be mindful of the fact that patients are not the only people with whom medical social workers practice. It is not uncommon for medical social workers to intervene with family members and support caregivers, cooperate with members of the community, and collaborate with other health care professionals as well.

To prepare for this Discussion, think about the wide array of services provided by a medical social worker. Consider the roles, responsibilities, and scope of practice of the medical social work profession. Examine the medical social work practice skill within the GIM.

Work #3 Answer in APA format with 2 citations per paragraph treat each answer as a separate work or file and each work or file need separate references. Support your posts with specific references to the Learning Resources. Be sure to provide full APA citations for your references.

Primary Roles of Medical Social Workers (title of work #3)

Work #3 Answer in a description of three primary roles of medical social workers that you consider to be inspiring and rewarding. Explain why. Explain how these roles directly support patients and their families. Explain how these roles might directly address three issues related to patient care (e.g., noncompliance with treatment regimen). Then, describe specific interventions (e.g., patient education to improve treatment compliance) you might implement when performing your primary roles to resolve the three specific issues you selected. Illustrate these issues and interventions with examples (e.g., patient education or health literacy to reinforce treatment regimen).

Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style.

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Discharge Planning (title of work #4)

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One of the most common terms heard in inpatient hospital settings throughout the country currently is “length of stay.” This essentially refers to how long a patient occupies a bed in a hospital. The objective of some hospitals is to minimize the length of stay in an effort to contain costs. Due to most hospitals’ priority of keeping length of stay as short as possible, discharge planning begins upon admission to the hospital. It is a process that capitalizes on social worker’s engagement, assessment, and planning skills.

An effective discharge plan ensures that a patient is being discharged to a safe environment that is conducive to healing and recovery. In some cases, this is different from the environment they were living in prior to the hospitalization. In addition, the discharge plan must adequately meet the patient’s medical needs outside of the hospital environment. This can include coordinating follow-up medical appointments and appropriate therapies, ordering medical equipment, arranging home health care, placing the patient in a skilled nursing facility, and linking the patient to supportive community resources. Constructing a discharge plan requires hospital social workers to collaborate with the patient, his or her family, caregivers, medical team, and community resources.

To prepare for this Discussion, think about the components of discharge planning and the individuals involved in discharge planning. Consider medical social work practice skills within the generalist intervention model as discussed in Discussion 1 this week. Examine the factors involved in creating a discharge plan for a patient in a hospital setting. Consider the specific roles a medical social worker plays in creating a discharge plan.

Work #4 Answer in APA format with 2 citations per paragraph treat each answer as a separate work or file and each work or file need separate references. Support your posts with specific references to the Learning Resources. Be sure to provide full APA citations for your references

Discharge Planning (title of work #4)

WORK #4 Answer in a brief description of the components of discharge planning. Identify and explain the key factors that must be considered in the discharge planning process. Explain the roles of a medical social worker in creating a discharge plan. Be specific. Then, explain how discharge planning incorporates all of the practice skills in the generalist intervention model. Finally, explain challenges a medical social worker might face working with other professionals involved in discharge planning.

Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style.

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