The first text to explore the history, characteristics, and challenges of hospice social work, this volume weaves leading research into an underlying framework for practice and care. A longtime practitioner, Dona J. Reese describes the hospice social work role in assessment and intervention with individuals, families, groups, organizations, and the community, while honestly confronting the personal and professional difficulties of such life-changing work. She introduces a well-tested model of psychosocial and spiritual variables that predict hospice client outcomes, and she advances a social work assessment tool to document their occurrence. Operating at the center of national leaders' coordinated efforts to develop and advance professional organizations and guidelines for end-of-life care, Reese reaches out with support and practice information, helping social workers understand their significance in treating the whole person, contributing to the cultural competence of hospice settings, and claiming a definitive place within the hospice team.
- CONTENTS
- ACKNOWLEDGMENTS
- 1. END-OF-LIFE CARE IN THE UNITED STATES
- FROM DYING AT HOME TO DYING IN THE HOSPITAL
- RISE OF THE HOSPICE MOVEMENT
- PROFESSIONAL STANDARDS FOR END-OF-LIFE MEDICAL CARE
- HOSPICE OUTCOMES
- EUTHANASIA AND ASSISTED SUICIDE
- ADVANCE DIRECTIVES
- CURRENT STATUS OF END-OF-LIFE CARE IN THE U.S.
- 2. CURRENT STATUS OF SOCIAL WORK IN HOSPICE
- LACK OF FULL UTILIZATION OF SOCIAL WORKERS ON THE INTERDISCIPLINARY TEAM
- DOCUMENTATION OF SOCIAL WORK OUTCOMES
- END-OF-LIFE CARE CONTENT IN SOCIAL WORK EDUCATION
- IMPACT OF EFFORTS TO DEVELOP THE FIELD
- 3. A MODEL FOR PSYCHOSOCIAL AND SPIRITUAL CARE IN HOSPICE
- OVERVIEW OF THEORY
- A MODEL FOR PRACTICE
- 4. HOSPICE SOCIAL WORK PRACTICE ON THE MICRO LEVEL
- BIOPSYCHOSOCIAL/SPIRITUAL ASSESSMENTAND INTERVENTION
- SPIRITUALITY IN HOSPICE SOCIAL WORK
- 5. MEZZO CONTEXT OF HOSPICE SOCIAL WORK: Work With Families, Groups, and Interdisciplinary Teams
- FAMILIES
- GROUP INTERVENTION IN HOSPICE SOCIAL WORK
- WORKING WITH INTERDISCIPLINARY TEAMS
- 6. MACRO CONTEXT OF HOSPICE SOCIAL WORK: Organization, Community, and Larger Society
- DEEP ECOLOGY
- HOSPICE SOCIAL WORK INTERVENTION AT THE ORGANIZATIONAL LEVEL
- HOSPICE SOCIAL WORK INTERVENTION AT THE COMMUNITY LEVEL
- EMERGING GLOBAL ISSUES IN END-OF-LIFE CARE
- POLICY PRACTICE
- 7. CULTURAL COMPETENCE IN HOSPICE
- HOSPICE PHILOSOPHY AND DIVERSE CULTURAL BELIEFS—MANY DIFFERING WORLD VIEWS
- BARRIERS WITHIN THE HOSPICE ITSELF
- BARRIERS WITHIN THE HEALTH CARE SYSTEM
- ATTEMPTS TO ADDRESS HEALTH CARE SYSTEM BARRIERS
- PERSONAL PREPARATION FOR CULTURALLY COMPETENT PRACTICE
- CULTURAL COMPETENCE TRAINING
- CULTURALLY COMPETENT MICRO-LEVEL PRACTICE IN HOSPICE
- 8. PERSONAL PREPARATION AND SOCIAL WORKER SELF-CARE
- NEED FOR PERSONAL PREPARATION
- APPROACH TO PERSONAL PREPARATION
- 9. FUTURE CHALLENGES IN THE FIELD OF HOSPICE SOCIAL WORK: LOOKING AHEAD
- FURTHER NEEDS FOR RESEARCH
- FURTHER CLARIFICATION OF SOCIAL WORK ROLES
- RESPONSIBILITY FOR MACRO ADVOCACY
- SOCIAL WORK EDUCATION NEEDS
- FUTURE VISION FOR THE ROLE OF HOSPICE WITHIN PALLIATIVE CARE
- APPENDIX A: Social Work Assessment Tool (SWAT) Handbook
- APPENDIX B: Standards for Palliative and End-of-Life Care
- APPENDIX C: Team Functioning Scale
- INDEX
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