Social Work Presentation

Interdisciplinary team project-
social work
Raneen Allos, SPT
Social work contributions to a
neurologic patient1
• Assists with home environment set up
• Speaks to family regarding finances, support, and the situation regarding the patient’s recent
neurological insult
• Confirms discharge planning ahead of time so that the patient can transfer out of acute care
• Major patient advocate during interdisciplinary meetings
• Provide patient and family with resources
• A medical social worker can work with all diagnoses {CVA, TBI, SCI, etc.}
Education and licensure 2-4
• Education
– Bachelor’s degree in Social Work
– Master’s degree in Social Work at an accredited program
• Licensing following MSW

– Limited Licensed Masters Social Work
– Compete 4000 hours under a Licensed Master of Social Work (LMSW)
– Pass a state board exam
– Apply for LMSW
Areas of specialization5,6
• Clinical Social Work

– Child and Family
– Trauma and Violence
– Healthcare and Aging
• Non-Clinical Social Work
– Community service managers
– Immigration services
– Researcher/Educator
Tests and measures done with
patients7
• Medical social workers have no specific test/measure completed with patients
• However, very comprehensive questioning is done with neurologic patients in acute inpatient settings
when discharge is a topic of conversation
• Questions a social worker may ask:
– Home set up
– Family support
– Hobbies/recreational activities
– Full patient history {specialists, medications, surgical, etc.}
– Financial
Patient and family education7
• Social workers can provide the following resources to both the patient and their family/support
members in the hospital setting
– Counseling resources {psychology referrals, support groups, }
– Financial resources (food banks, signing up for government resources, contact insurance agencies}
– Recommendations on facilities for discharge and educate family on options {IPR, Nursing Home, AFC, etc.}
• Social workers are an essential patient and family advocate in any medical setting!
Legal or advocacy issues 8
• 2022 Issues the National Association of Social Workers have brought to congress
– Protecting Social Workers and Health professional from Workplace Violence
– Loan forgiveness {Fairness Act}
– Climate change {Not yet introduced to Congress}
– Integrated Care
– School based Social Worker
– Differential response in Policing
– Improving reimbursement rates
Physical Therapists and social workers
• Support
– Interdisciplinary teams- advocating for patients together and using both disciplines knowledge to support a discharge
recommendation
• Overlap
– Inpatient acute hospitals
– Inpatient rehab
– Nursing homes
• Co-treatment
– Not necessarily at the same time
– However, both disciplines may refer for the other depending on the situation!
Poststroke Depression-Literature review9
Summary Clinical relevance
• Post stroke depression (PSD) is the most common psychologic • Social workers and other rehabilitation team members
problem in CVA patients {25% within the first year} (PT, OT, SLP, PM&R, etc.) are all important to
recognizing PSD in their patients
• PSD causes increased mortality risk {including death by
suicide} • Social workers get an inside look into the whole family
and how the CVA affects everyone-most likely the
• PSD is a shared experience with partners of CVA patients
frontline provider who will identify depression in the
• Goals of articles: Call social workers and rehab team to signs patient or their partner
of PSD and highlight social workers relationship with patients
Critique
and their partners
• Article could have increased details regarding other
• Social workers recognize high risk demographic population
rehab members and CVA patients
– Women>men (regardless if they are the patient or the partner)
– CVA location and severity • Adequate options of formal assessment tools
– Race and Age are unclear • Good symptoms and risk factors given that will allow
• Partner support and health contribute to PSD for both parties social workers, PTs, and everyone to watch for PSD!
Social work and Covid-19 10

• Social workers had challenges to providing care during the • Social workers had to present information about
pandemic Covid-19 in an accessible manner
• Green social work (GSW) view the environment • Unclear why but many minority social workers died
importantly when it comes to human beings from Covid-19 {especially targeting those working in
medical facilities}
• Financially struggling individuals did not have resources
such as soap, hot water, masks, etc. to protect themselves Critique
• Social workers continued care through lockdown {referring • One-sided opinion
services, allocating limited services, finding resources,
• Increased knowledge on how Covid affected social
addressing mental health disparities, advocating for
work and how they assisted the public
underrepresented groups, etc.}
Mental Health advocacy 11

• Social work is all about advocating for clients, especially • Reinforces patient centered care
underserved populations and clients with mental health issues
• Provides social workers rights to advocate for clients
• Ethical obligations of doing what’s best for the patient versus
• Stops involuntary treatment
what the patient wants
• Worker-led vs person-led advocacy Critique
– Worker led can lead to oppression of the client and forcing the social • Based in Australia, may be different across the World
worker to not truly advocate for the client
• In the end, unsure what the relevance is that the
• Independent Mental Health Advocacy (IMHA) model-Act in IMHA was based in social work ideals
Australia ”promotes and supports the human rights of people
experiencing compulsory treatment in mental health care”.
• Survey sent to mental health professionals confirmed "strong
social work influences on the IMHA model”
• Depending on the advocates background, they will utilize
different skills to advocate for clients
references
1. A Complete Guide to Medical Social Work. https://www.onlinemswprograms.com/careers/medical-social-work/#what-do-medical-social-workers-do. Accessed June 20, 2023
2. Medical Social Worker: Mayo Clinic of Medicine and Science. https://college.mayo.edu/academics/explore-health-care-careers/careers-a-z/medical-social-
worker/#:~:text=Medical%20social%20workers%20work%20with,as%20well%20as%20their%20families. Accessed June 20, 2023
3. Social Work Licensing Guide: Licensing and Regulatory Affairs Bureau of Professional Licensing. https://www.michigan.gov/-
/media/Project/Websites/lara/bpl/Folder22/Social_Work.pdf?rev=4217b09721d74f8a9638155499cfa0ba. Accessed June 20, 2023
4. Social Work Guide. https://www.socialworkguide.org/licensure/michigan/ Accessed June 20, 2023
5. Differences between Clinical and Non-Clinical Social Work: Simmons University. https://online.simmons.edu/blog/differences-clinical-non-clinical-social-work/ Accessed June
20, 2023
6. Don’t Want to Be a Therapist? Alternative Careers for MSWs. https://resources.noodle.com/articles/dont-want-to-be-a-therapist-alternative-careers-for-msws/ Accessed June 20,
2023
7. What Do Medical Social Workers Do? https://onlineprograms.ollusa.edu/resources/article/medical-social-

work/#:~:text=Patient%20Intake%20Screening&text=The%20social%20worker%20performs%20a,patient's%20treatment%20plan%20and%20prognosis Accessed June 20, 2023
8. Congressional Bills NASW Has Helped Develop, 2022: National Association of Social Workers. https://www.socialworkers.org/Advocacy/Policy-Issues Accessed June 20, 2023
9. McCarthy MJ, Powers LE, Lyons KS. Poststroke Depression: Social Workers' Role in Addressing an Underrecognized Psychological Problem for Couples Who Have Experienced
Stroke. Health Soc Work. 2011;36(2):139-148. DOI:10.1093/hsw/36.2.139
10. Dominelli L. A green social work perspective on social work during the time of COVID-19. Int J Soc Welfare. 2021;30:7-16
11. Maylea C, Makregiorgos H, Martin J, et al. Independent Mental Health Advocacy: A Model of Social Work Advocacy? Australian social work. 2020;73(3):334-346

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Interdisciplinary team project-

• Licensing following MSW

• Clinical Social Work

Summary Clinical relevance

Summary Clinical relevance

7. What Do Medical Social Workers Do? https://onlineprograms.ollusa.edu/resources/article/medical-social-

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