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Web Resources This NASW research page focuses on social work contributions to quality psychosocial care in nursing homes.
Included is an overview of the topic, followed by a set of references and Web links to related social work resources. The term psychosocial describes a constellation of social, mental health, and emotional needs and the care given to meet them.
The psychosocial care domain is a multifaceted one because in addition to social workers, other nursing home care providers contribute to meeting psychosocial needs and enhancing quality of life. Also contributory to quality of life are the overall home atmosphere and processes. Federal requirements for social work services Federal law 42 CFR Although federal nursing home regulations have a general requirement that facilities use licensed personnel, this regulation has not been enforced in the case of social work.
Three percent lacked the minimum federal requirement of a BA. Less than half 47 percent were licensed or registered social workers in their home states and only 15 percent reported receiving clinical supervision by a licensed social worker. These findings highlight the continuing discrepancy between actual staffing patterns and recommended professional qualifications.
Addressing psychosocial needs Psychosocial concerns include mental health disorders such as depression, anxiety, dementia, and delirium, as well as a range of issues with more obvious social dimensions, including loss of relationships, loss of personal control and identity, and adjustment to the facility.
A lack of professionally qualified social workers in nursing homes is one of several factors that potentially contribute to inadequate and inconsistent mental health and psychosocial care in nursing homes.
Numerous studies document the extent of nursing home resident mental health needs as well as significant gaps in provision of mental health services. High rates of mental health disorders found include percent with dementia Burns et al.
The American Geriatrics Society and the American Association of Geriatric Psychiatry developed a consensus statement to improve the quality of mental health care in U. This statement supports the important role that nursing home social workers can play in addressing mental health needs of residents.
Are psychosocial needs adequately met? Concerned about inadequate psychosocial care, a group of professional, consumer, and advocacy organizations filed a complaint with the Department of Health and Human Services DHHS inleading to an investigation by the Office of Inspector General OIG into the quality of psychosocial services in nursing homes.
The major OIG findings http: Some 39 percent of the residents with psychosocial needs had care plans that were inadequate to meet those needs. Forty-one percent of those with psychosocial needs addressed in their care plans did not receive all of their planned psychosocial services, and 5 percent received none of these services.
A total of 45 percent of social workers reported barriers to providing psychosocial services, including not having enough time, burdensome paperwork, and insufficient staff. Two of the NHQI measures, the percentage of residents who have become more depressed or anxious and the percent of short-stay residents with delirium, capture psychosocial constructs.
Comfort and security Enjoyment, relationships, meaningful activity, and functional competence Individuality, privacy, autonomy, and dignity Spiritual well-being Social workers can be the key to promoting improvement in quality of life domains by building on their person-in-environment perspective; implementing environmental interventions; using knowledge of group processes to build resident, staff, and family involvement; addressing end-of-life and discharge planning needs with a resident-centered context, and being involved in continuous quality improvement efforts.
Culture Change in Nursing Homes Social workers have taken lead roles in the international movement to promote resident-centered nursing home care.genU is here to support you to live the life you choose. We give you one-on-one active support with daily life so you can keep your independence and easily reach your goals in the most comfortable way.
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