Nearly two years ago, Catholic Charities, Archdiocese of DC, embarked upon the launch of a program funded by the Griffin foundation, that would provide comprehensive social work to patients diagnosed with neurodegenerative disorders with a primary focus on Huntington’s Disease. Huntington Disease is a hereditary disease that is a complex and debilitating illness that has often been called “quintessential family disease”. (HUNTINGTON'S DISEASE SOCIATY OF AMERICA, 2017) Other illnesses served through the program are Parkinson’s, Multiple Chlorosis and ALS. While researching the program design, we discovered, no easily identifiable evidenced-based model of social work existed to address the specific needs patients with neurodegenerative …show more content…
The implementation of a combination of evidenced-based models such as traditional patient navigation, and the wrap-around services model, coined by the project, Therapeutic Patient Navigation is now utilized to address the complex long term needs of the population that we serve. The service goals of Therapeutic Patient Navigation through the project would include individual and family counseling; linking patients to specialty care; assisting with medical adherence, participating in the health planning process; educating patients and family about the illness; providing extensive support with the daily functioning through providing wrap-around service referrals. The outcomes seek to improve symptom management, improve patient emotional support, and increase the patient quality of life by decreasing the emotional destress caused by lack of support, and confusion over navigating the medical system. Tackling the dynamic nature of the potential range of social work services to these patients ultimately shaped the program design, and widened the scope of practice of the social work team in the field, and required that crafted new model of social work. The team immediately observed that
of the therapy, the client meets the therapist to describe specific problems and to set goals they
A clinical assessment is then conducted for treatment needs. Different treatment plans are made for each client. Individualized treatment plans are used to make referrals and they are updated periodically.”
Have personalized navigation maps to enable patients to move around the clinic comfortably, smoothly, and
This meek beginning social work had progressed into a professional service with treatment obligations in all patient care areas, helping patients ←and→ families to attain their highest level of adjustment/coping in society, endorsing vocational ←and→ psychosocial rehabilitation. Social workers developed implemented treatment approaches which addressed individual social difficulties work with acute/chronic medical conditions, dying patients, bereaved families. VA social workers were liable for ensuring continuity of care through the admission, evaluation, treatment, follow-up processes this consisted of coordinating discharge planning providing case management services based on the patients clinical community health social services
Individuals’ mental status or physical/ behavioral recovery or medical treatment cannot persist in a healthy phase if their social roles in relationships are unaccounted or if their family is homeless, or they are living in a toxic social environment. I believe, even with the integration, of healthcare professional, the primary focus of social work should not only encompass psychological forces, the environment, or the social structure but on the boundary or the relationship between the person and the social
Social workers in the mental health wing of the Woodstock General Hospital (WGH) are an integral part of an interdisciplinary mental health team that provide patient-centered care through both inpatient and outpatient services. They offer capacity-building program interventions to individuals, couples and families by providing single session walk-in counselling, groupwork, psychiatric evaluation, crisis intervention and inpatient support as well as long term counselling. There are specialized outpatient supports including early psychosis intervention, programs for eating disorders, Cognitive Behavioural Therapy and Dialectical Behaviour Therapy, programs for children and youth as well as programs specific to geriatric mental health. In
As social workers, it is our responsibility to use the most effective method of practice to engage our clients, assess their situation, and help them create goals that will produce positive outcomes. Every client will present a unique set of challenges; therefore, the social worker must be careful in choosing an approach that will meet the client’s needs, compliment the skills of the therapist and are in line with the agency’s mission. According to Robert and Watkins (2009), psychotherapy is a therapeutic interaction between a trained therapist and a client that is
It is important for a counselor to proper an action plan to overcome barriers for the client during treatment. Counseling is not about taking and not taking the proper actions. When a client is having barriers it is very important for the counselor to identify those barriers and set an action plan to help client overcome the obstacles. The counselor should identify the principles for a well action plan, discuss barriers that a client might encounter, outline intervention that will help with the barriers, list of community resources that will help client if need it and outlined aftercare plan when treatment is over.
Social services within the outpatient and inpatient programs are facilitated by the social workers. The social workers host group therapy sessions, complete treatment plan, facilitates the aftercare planning meetings between the patient and their family members or friend, locate housing centers for homeless patients as well as those that are in unsafe living conditions, determine patient eligibility for program services, conduct biopsychosocial assessments, conduct CDC with patients, evaluate patients support systems, physical and emotional functioning of the patient’s, financial stability, safety, suicidal/homicidal ideation, implement treatment and discharge plans that coincide with the patient’s medical treatment, and offer referrals to residential housing and community resources.
Constructing a treatment and service plan for a client involves various components. Prior to starting a treatment plan the professional should carry out a client evaluation. The evaluation should determine the basis of the difficulty or issues and assess the back ground of the client. After the completion of the evaluation, a professional can start constructing an agreement to fulfill the needs of the client. The treatment plan should include goals that relate to the difficulties and issues the client is experiencing, this assessment will discuss the components of Mr. McCunes personalized treatment program.
The role of the social worker in this setting is to perform duties as an informed clinician based on evidence based practice to provide individualized case management to all clients. The social worker will complete a comprehensive intake assessment which includes demographics of the client, address presenting problem, and a risk assessment. Client’s also receive mental health screenings and individual and group counseling to gain new coping skills and address any triggers to prevent relapse utilizing interventions as CBT and Motivational Interviewing. The social worker will discuss limits of confidentiality and a signed informed consent from the client to receive services.
When developing a treatment plan for any complex case, it is critical to consider any factors that contribute to the client’s situation. One must generate a plan of action that will support the client appropriately and yet not be overwhelming. It often takes a long time for a client to come to terms that they need help. For many, seeking mental health services can be both a daunting and intimidating laden with feelings of failure and disappointment.
Client-centred Case Consultation primary goal is to develop a plan for dealing with the clients difficulties
Medical social workers collaborate with other human service workers to help severely ill patients, suffering from physical and psychological issues. Throughout the many challenges of patients, medical social workers and other professionals meet the common and severe needs of people with physical and mental illnesses. Andrews, Darnell, McBride, & Gehlert (2013) state “Social workers are familiar with the complex and overlapping systems that must be negotiated to ensure that the social, psychological and economic needs of individuals and groups are addressed in a way that underscores optimal health” (p. 67). Once the patient discuss their core issues with the medical social worker and other medical staff members at the hospital, physicians, nurses, and medical social workers can give patients ' positive feedback the concerns their health and well-being. Medical social workers interact with each other for the patient’s safety.
Following referral of a confused client for treatment by healthcare professionals, an initial care plan is designed. A care plan is a treatment plan agreed between the confused client and their multidisciplinary team (MDT) to address their mental health issues. It includes an assessment of the client’s health, personal and social care needs ensuring they get the best care. The MDT works with the client to achieve specific goals. The MDT may need to change the care plan depending on client’s state of health (HSE 2016).