Social Work in Health Settings Social Work in Health Settings: Practice in Context maintains its use of the Practice in Context (PiC) decision-making framework to explore a wide range of social work services in health care settings. The PiC framework is used to cover a broad range of social work practice sites, settings, and populations over 30 case chapters. Fully updated to reflect the landscape of health care provision in the United States since the Affordable Care Act was passed, the cases are grounded by “primer” chapters to illustrate the necessary decisional and foundational skills for best practices in social work in health settings. The cases cover working with both individuals and groups of clients across the life course and the PiC framework helps maintain focus on each of the practice decisions a social worker must make when working with a variety of clients from military veterans to HIV-positive children. The ideal textbook for social work in health care and clinical social work classes, this thought-provoking volume thoroughly integrates social work theory and practice, and provides an excellent opportunity for understanding particular techniques and interventions. Judith L. M. McCoyd is Associate Professor of Social Work at Rutgers University, The State University of New Jersey, School of Social Work, USA, with focus on clinical practice, loss and grief, and interprofessional education. Toba Schwaber Kerson is Mary Hale Chase Professor Emeritus in Social Science at the Graduate School of Social Work and Social Research, Bryn Mawr College, Bryn Mawr, Pennsylvania, USA, and a Fulbright Specialist. “The new edition of this classic text offers the most comprehensive and insightful analysis of social work practice in health care found in any textbook. The cases are new and discuss cutting-edge issues including transgender health, genetic testing and counseling, immigrant health, and international public health. Of particular value are the discussions of each case that identify new learning and that model reflective practice skills. Because it presents con- temporary issues influencing the context for, and the process of, social work decision-making in the accessible form of case studies, Social Work in Health Settings is strongly recom- mended as a textbook for students as well as advanced practitioners.” Goldie Kadushin, University of Wisconsin-Milwaukee, USA “The fourth edition of McCoyd and Kerson’s Social Work in Health Settings makes a strong case for its impact and utility for social workers in health care. This well-written and consist- ently edited book allows each contributor to speak in her own voice. The range of settings and social work roles presented expands our understanding of social work in health care while the casebook format helps the reader to see reflective social workers in action. Social work educators will also find the book useful for teaching generalist social work practice.” Julie S. Abramson, University at Albany, SUNY, USA Social Work in Health Settings Practice in Context Fourth edition Judith L. M. McCoyd, Toba Schwaber Kerson, and Associates First edition published 1989 (revised) by Haworth Press Inc Second edition published 1997 by Haworth Press Inc Third edition published 2010 by Routledge This edition published 2016 by Routledge 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 711 Third Avenue, New York, NY 10017 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2016 J. L. M. McCoyd, T. S. Kerson, and Associates The right of Judith L. M. McCoyd, Toba Schwaber Kerson, and Associates to be identified as authors of this work has been asserted by them in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library. Library of Congress Cataloging in Publication Data A catalog record for this book has been requested. ISBN: 978-1-138-92435-2 (hbk) ISBN: 978-1-138-92436-9 (pbk) ISBN: 978-1-315-68442-0 (ebk) Typeset in Times New Roman by Swales & Willis Ltd, Exeter, Devon, UK Contents List of figures ix List of tables xi List of contributors xii Acknowledgments xvi 1 Practice in Context: the framework 1 TOBA SCHWABER KERSON, JUDITH L. M. MCCOYD, AND JESSICA EUNA LEE PART 1 Individual and family work in health settings 23 2 Primer on micro practice in social work in health care: context, skills, interventions, and best practices 25 JUDITH L. M. MCCOYD AND TOBA SCHWABER KERSON Section 1.1 Maternal and child health settings 37 3 Barriers for a mentally ill mother’s adoption plan 39 DASI SCHLUP 4 Fetal surgery 52 JENNIFER DIEM INGLIS, JESSICA HERTZOG, AND HEATHER K. OUSLEY 5 Getting there: decision-making in the NICU 64 LAURIE STEWART Section 1.2 Children and youth 77 6 Working with families with HIV-positive children 79 JULI E. BIRMINGHAM, DEBORAH A. CALVERT, JENNIFER D. GREENMAN, JOHN KRALL, AND RACHEL WARNER vi Contents 7 Social work in a pediatric hospital: managing a medically complex patient 90 JENNIFER FENSTERMACHER 8 Assistive technology and developmental disability: helping Gina find her voice 102 BONNIE FADER WILKENFELD 9 Genetic testing following a pediatric cancer diagnosis: a role for direct practice social workers in helping families with Li–Fraumeni syndrome 113 ALLISON WERNER-LIN AND SHANA L. MERRILL 10 Family-focused care of an adolescent with a burn: a multi-disciplinary approach 126 ANNE HAHN 11 The Young Women’s Program: a health and wellness model to empower adolescents with physical disabilities in a hospital-based setting 137 NANCY XENAKIS 12 The role of the social worker in transgender health care 149 RUSSELL HEALY Section 1.3 Adults 161 13 The social worker on the genetic counseling team: a new role in social work oncology 163 SUSAN SCARVALONE, JULIANNE S. OKTAY, JESSICA SCOTT, AND KATHY HELZLSOUER 14 Woman to Woman: a hospital-based support program for women with gynecologic cancer and their families 175 ARDEN MOULTON 15 Liver Transplant 2015 187 REGINA MILLER AND SENAYISH ADDIS 16 Returning veterans, constrictive bronchiolitis, and Veterans Administration services: a war-related illness and injury study center 199 KATHLEEN RAY AND RACHEL E. CONDON Contents vii 17 Work with undocumented immigrants: when serious illness intersects with no insurance 210 PATRICIA A. FINDLEY 18 An integrated health care approach to promote smoking cessation for persons with serious mental illness 221 JUDITH A. DEBONIS, LISA DE SAXE ZERDEN, AND ANNE C. JONES Section 1.4 Aging 235 19 In-home support for Junior: a study of collaboration, boundaries, and use of self 237 RENEÉ C. CUNNINGHAM 20 Geriatric social work in a community hospital: high-touch, low-tech work in a high-tech, low-touch environment 249 SARAH MAUS AND TOBA SCHWABER KERSON 21 A framework for working with people with early-stage dementia: a relationship-focused approach to counseling 260 PHYLLIS BRAUDY HARRIS AND KATHLEEN “CASEY” DURKIN 22 The future of end-of-life care: as palliative care gains momentum, what is the future of hospice? 273 MICHELLE K. BROOKS AND JUDITH L. M. MCCOYD PART 2 Social work and public health 285 23 Public health social work primer 287 TOBA SCHWABER KERSON AND JESSICA EUNA LEE Section 2.1 Work with special populations 299 24 Social work practice in an adolescent parenting program 301 TRACI WIKE, KATHLEEN ROUNDS, AND HELEN DOMBALIS 25 Screening for perinatal depression in an inner-city prenatal setting 313 LAUDY BURGOS viii Contents 26 Social work in the pediatric endocrinology and diabetes setting: fighting the new epidemic of type 2 diabetes in children 325 HELAINE CIPOREN 27 Managing asthma from a social work perspective in a center for children with special health needs 337 LAURA BOYD AND TOBA SCHWABER KERSON 28 Camp Achieve: a week-long overnight camp for children and teens with epilepsy 349 SUE LIVINGSTON, EMILY BEIL DUFFY, MARIKATE TAYLOR, AND TOBA SCHWABER KERSON 29 Following her lead: a measured approach to working with homeless adults 359 ANNICK BARKER 30 Pediatric public health: educating professionals and communities about children’s health and environmental exposures 371 BAMBI FISHER Section 2.2 Internationally related public health 383 31 Community-based health and social services for Bhutanese refugees 385 JESSICA EUNA LEE AND PARANGKUSH SUBEDI 32 Research for health efforts in the West Bank, Palestine 397 CINDY SOUSA Section 2.3 Summary 409 33 Conclusion 411 JUDITH L. M. MCCOYD AND TOBA SCHWABER KERSON Index 421 Figures 1.1 Ecomap for Andy Long 16 1.2 The Practice in Context differential discussion grid 18 3.1 Ecomap of case study 48 4.1 Level of anxiety during and after pregnancy 61 5.1 Ecomap of Brooklyn’s family 71 6.1 Christina’s ecomap 85 7.1 Ecomap for Ned 94 8.1 Ecomap for Gina 105 9.1 Genogram of Jack’s family 121 11.1 Young Women’s Program organigraph – a hub with a web 144 13.1 Pedigree for Carla’s family 171 14.1 Ecomap for Irma and Sofia during Irma’s cancer treatment 184 15.1 Ecomap for Mark 194 15.2 Community of support worksheet 196 16.1 World Health Organization Framework of Reintegration 203 17.1 Ecosystem map for Vilma 217 18.1 Healthy Inglewood Project’s (HIP) integrated services for persons with serious mental illness: a “medical home” 226 19.1 Ecomap for Junior 245 20.1 Ecomap for Mrs. Esposito 253 21.1 Ecomap for Mr. Adams 270 22.1 Pathway oncology patient – Palliative Care to hospice 276 23.1 Influences on public health of demographics 288 24.1 Ecomap for Tanya Smith 307 25.1 Points of screening in the OB/GYN diagnostic and treatment center 317 26.1 Intervention options for diabetes care 330 27.1 Ecomap for José 343 28.1 Organigraph for Camp Achieve 351 29.1 Ecomap of Ms. Harper’s social network before intervention 364 29.2 Ecomap of Ms. Harper’s social network after intervention 364 30.1 What is a message map? 374 30.2 Example of a message map for Suffolk County exposures 375 31.1 Overview of U.S. refugee resettlement process 386