医疗疾病与社工专业.PPTVIP

醫療社工的發展與專業角色 醫療社工的發展史 社工專業在健康照護體系的淵源 可回溯自1700s的濟貧院 慈善組織會社 醫院社會工作 hospital social work – 19世紀末 成立醫院社工協會(美國) – 1918年 健康照護社會工作 health care social work 醫療社工的理論背景 人在情境中 the person-in-environment perspective 生物心理社會模型與醫療模型 the biopsychosocial model and the medical model 健康照護與醫療照顧 Health care and medical care 健康照護係跨專業團隊工作 何謂跨專業團隊 interdisciplinary teamwork Various professions or disciplines are working together and collaborating rather than merely working in the same place. As a form of group practice 健康照護跨專業團隊的背景 專業分工的概念 健康包含的範圍漸廣 人的問題越趨複雜 問題之間的交互影響 跨專業團隊的功能與困境 Functions of interdisciplinary teams Problems in interdisciplinary team functioning 健康照護社會工作的角色 臨床服務/core service – a complex role Case finding and outreach Preservice planning Assessment Concrete service provision Psychosocial evaluations Identification of goals and objectives Direct clinical counseling Assistance with short- or long-term planning Information and health education Assistance with wellness training Referral services Continuity of care Client advocacy 行政服務 Goals -- Enhance service delivery Ensure the services are meeting professional and efficient standards Core administrative services -- Agency consultation Program development Quality improvement Service advocacy Agency liaison 社區服務 Definition -- An intervention process to help with social problems and to enhance social well-being through planned collective action. Core community services -- Service outreach At-risk service outreach Community consultation Health education Policy and program planning Liaison to the community 健康照護社工的服務模型 社工專業實施的基本流程 Practice paradigm 社工專業的實施任務 相應於不同案主狀態的主要任務及角色 專業關係 * * Admission screening or referral Preliminary steps Initial phase Ongoing phase Ending phase Services terminated; goals achieved; or patient role vacated; or new role of chronic or disabled patient is assumed. Family continues, terminates or is referred. person exchanges environment stress Stress reduction Coping re