(13.) O'Brien and Turner, Establishing Medical Social Work
The approved visits thus represented approximately two-thirds of the pllaned visits (64.4 percent), with more variation among the skilled therapies that are used least frequently (occupational therapy and medical social work
services had approximately an 80-percent ratio of approved-to-planned visits, and speech therapy has a 54-percent ratio of approved-to-planned visits).
The challenges facing medical social work
can be differentiated into three areas: the work environment, the traditional branding of the social work profession, and a resistance toward change.
Social work with the client population of people with serious mental illnesses that existed within the domain of organized, public mental health care came to be "in," one of several crucial professional boundary expansions at that time, including in child welfare and medical social work
The vision for the journal was that it be built on the heritage of two other social work health journals, Medical Social Work
and the Journal of Psychiatric Social Work (Mahaffey, 1976).
Respondents had been practicing medical social work
for an average of 14 years and had been employed at their current facility for an average of 10 years.
Those familiar with medical social work
realize practitioners are often faced with doing quick assessments, counseling, and crisis intervention, but also know these interventions take critical assessment and intervention skills that maintain respect for the person-in-environment perspective.
Richard Cabot, a prominent physician and educator who recognized the interdependence of medicine and social factors in promoting normal physical welfare, was a key player in the development of medical social work
Advocating for social justice in policies, formulation of policies, facilitation of discussion of old and new policies, and education of staff regarding new policies all received a greater level of participation by social workers who had been in hospice social work or in medical social work
and had longer agency retention.
Looking back over a five-year period at the restructuring in hospital social work departments, Globerman, McDonald, and White help document the disappearance of medical social work
(the very specialty that founded this journal) at the end of the 20th century.