Table Of ContentSocial 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
