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Medical social work is a sub-discipline of
social work Social work is an academic discipline and practice-based profession concerned with meeting the basic needs of individuals, families, groups, communities, and society as a whole to enhance their individual and collective well-being. Social wo ...
. Medical social workers typically work in a hospital, outpatient clinic, community health agency, skilled nursing facility, long-term care facility or
hospice Hospice care is a type of health care that focuses on the palliation of a terminally ill patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life. Hospice care prioritizes comfort and quality of life b ...
. They work with patients and their families in need of psychosocial help. Medical social workers assess the psychosocial functioning of patients and families and intervene as necessary. The role of a medical social worker is to "restore balance in an individual’s personal, family and social life, in order to help that person maintain or recover his/her health and strengthen his/her ability to adapt and reintegrate into society." Interventions may include connecting patients and families to necessary resources and support in the community such as preventive care; providing psychotherapy, supportive counseling, or grief counseling; or helping a patient to expand and strengthen their network of social supports. Professionals in this field typically work with other disciplines such as medicine, nursing, physical, occupational, speech and recreational therapy.


History


Britain

Medical social workers in Britain and Ireland were originally known as hospital
almoner An almoner (} ' (alms), via the popular Latin '. History Christians have historically been encouraged to donate one-tenth of their income as a tithe to their church and additional offerings as needed for the poor. The first deacons, mentioned ...
s or "lady almoners" until the profession was officially renamed medical social work in the 1960s. In 1895, Mary Stewart became the first lady almoner in Britain with her appointment to the
Royal Free Hospital The Royal Free Hospital (also known simply as the Royal Free) is a major teaching hospital in the Hampstead area of the London Borough of Camden. The hospital is part of the Royal Free London NHS Foundation Trust, which also runs services at Bar ...
in London for a three-month trial period. Lady almoners determined the patient's ability to contribute towards their own medical care at charity hospitals. Some sources credit Anne Cummins as the "mother of almoners" as she had the ability and the funding to first establish a comprehensive social work service at St Thomas's Hospital in London in 1909. In 1945, the Institute of Almoners in Britain was formed, which, in 1964, was renamed as the Institute of Medical Social Workers. The Institute was one of the founder organizations of the
British Association of Social Workers The British Association of Social Workers (BASW) is the largest professional association of registered social workers and qualified care managers in the United Kingdom. The association has a members' code of ethics that outlines best social work p ...
, which was formed in 1970. In Britain, medical social workers were transferred from the
National Health Service The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the " ...
(NHS) into local authority Social Services Departments in 1974, and generally became known as hospital social workers.


China

Medical social work was started in 1921 by Ida Pruitt in Beijing. In-service training was given to social workers for carrying out casework,
adoption Adoption is a process whereby a person assumes the parenting of another, usually a child, from that person's biological or legal parent or parents. Legal adoptions permanently transfer all rights and responsibilities, along with filiation, fro ...
services and recuperation services.Lynne M. Healy, ''International Social Work: Professional Action in an Interdependent World'', Oxford University Press, 2001,
p.24
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India

Dr. Clifford Manshardt an American missionary in 1936 started formal training in social work in India through Dorabji Tata Graduate School of Social Work. The first medical social worker was appointed in 1946 in J.J. Hospital, Bombay. In 1960s scope of medical social workers increased in India.


Ireland

In Ireland, the origins of medical social work go back to paediatrician
Ella Webb Isabella ("Ella") Gertrude Amy Webb (16 October 1877 – 24 August 1946) was a pioneering Irish paediatrician and founder of the Children's Sunshine Home for Convalescents (now LauraLynn Ireland Children's Hospice) a convalescence home for chi ...
, the first physician in Ireland to appoint almoners to work in her dispensary for sick children that she established in the Adelaide Hospital in Dublin, and to Winifred Alcock, the first almoner appointed by Webb in 1918.


Singapore

Almoners from St Thomas’ Hospital, London, who arrived in Singapore in 1948 and 1949 are recognized as the forerunners of hospital social worker's in Singapore. Medical Social Worker is a Singapore Ministry of Health recognized profession for
psychosocial The psychosocial approach looks at individuals in the context of the combined influence that psychological factors and the surrounding social environment have on their physical and mental wellness and their ability to function. This approach is ...
care and a required professional by bylaw in every clinical specialty department.


United States

The
Massachusetts General Hospital Massachusetts General Hospital (Mass General or MGH) is the original and largest teaching hospital of Harvard Medical School located in the West End neighborhood of Boston, Massachusetts. It is the third oldest general hospital in the United Stat ...
was the first American hospital to have professional social workers on site, in the early 1900s. Garnet Pelton, Ida Maud Cannon and Dr. Richard Clarke Cabot were the central figures of the hospital social work. Clarke credited his approach as similar to that of Anne Cummins in London. Cannon started specific training for medical social workers in 1912. The major duties carried out by medical social workers were case management, data collection, follow ups, care coordination, health education, financial assessment and discounting patient medical fees.Sarah Gehlert, Teri Browne,
Handbook of Health Social Work
', John Wiley & Sons, 2011,


Further reading


Books

*Gehlert, S., & Browne T. A. (Eds.) (2012). ''Handbook of health social work''. John Wiley & Sons, Inc. *Kerson, T. S., & McCoyd, J. L. M. (Eds.) (2010). ''Social work in health settings: Practice in Context''. Routledge. *Jill Barr, & Lesley Dowding (Eds.) (2015). ''Leadership in Health Care''. SAGE Publications. *Harris, M. G. (Ed.) (2006). ''Managing Health Services: Concepts and Practice''. Elsevier. *Daniel B. McLaughlin, & John R. Olson (Eds.) (2012). ''Healthcare Operations Management''. Health Administration Press. *Curtis, R., & Christian, E. (Eds.) (2012). ''Integrated care: Applying Theory to Practice''. Taylor & Francis. *James F. McKenzie, & Robert R. Pinger (Eds.) (2014). ''An Introduction to Community & Public Health''. Jones & Bartlett Learning. *Elizabeth D. Hutchison (Ed.) (2014). ''Dimensions of Human Behavior: Person and Environment''. SAGE Publications. *Ann Ehrlich, & Carol L. Schroeder (Eds.) (2013). ''Medical Terminology for Health Professions''. Cengage Learning. *Marianne Neighbors, & Ruth Tannehill-Jones (Eds.) (2015). ''Human Diseases''. Cengage Learning. *Bohle, P. & Quinlan, M. (Eds.) (2010). ''Managing Occupational Health & Safety''. Palgrave Macmillan. *Michelle A. Green, & Mary Jo Bowie (Eds.) (2011). ''Essentials of Health Information Management: Principles and Practices''. Cengage Learning.


Articles

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See also


References


External links


Profession related


NASW - Medical Social Workers

Society for Social Work Leadership in Health Care

Social Work in Health Care


Practice related


San Diego State University Test Finder


on record at Warwick University
U.S. Department of Health and Human Services

Basic Epidemiology, WHO

The Health Foundation Resources

Quality Improvement: Theory and Practice in Healthcare, NHS, UK

Social Work Psychosocial Assessment - York College
{{Social work Social work Health care occupations Hospice