How Many Social Workers are Needed in Primary Care? A Patient-Based Needs Assessment Example.
Health and Social Work 2005, Nov, 30, 4
Health and Social Work
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Beginning in the 1980s, social workers and other health professionals identified psychosocial services as an important element in the treatment matrix for patients in medical care clinics (Clare & Corney, 1982). Since then, authors have described primary care services social workers can provide and types of populations (for example, by age or diagnosis) who might receive those services (Claiborne & Vandenburgh, 2001; Netting & Williams, 2000; Wodarski, 2000). Recent U.S. government reports have underscored the role of social sciences research in providing effective health services interventions in medical settings (National Advisory Mental Health Council, 1998; Office of Behavioral and Social Sciences Research, 2001; Pellmar & Eisenberg, 2000; Singer & Ryff, 2001). Research on psychosocial need began with a focus on psychiatric problems. Several studies conducted during the 1980s and 1990s have established the prevalence of psychological conditions among primary care patients. The Epidemiologic Catchment Area Study of 20,291 residents of five selected geographical regions conducted in the 1980s found an annual prevalence rate of 28 percent of the U.S. population for mental and addictive disorders. The study found that more Americans with mental and addictive disorders were seen in outpatient medical settings than in specialty mental health services settings (Regier et al., 1993). Subsequent studies that used self-report or physician screening tools found at least one of five or six major psychiatric diagnoses in 28 percent to 36 percent of primary care populations (Hahn, Kroenke, Williams, & Spitzer, 2000; Spitzer, Kroenke, &Williams, 1999).
- 2,99 €
- Category: Health & Fitness
- Published: 01 November 2005
- Publisher: National Association of Social Workers
- Print Length: 23 Pages
- Language: English