social work and mental health journal

EDs are increasingly serving patients with multifaceted needs. The Journal Impact Quartile of Social Work in Mental Health is Q2. 82-91. With the passage of the ACA, we can expect at least initial increases in ED use. Given the complex patient populations served and the types of services provided, a marginal increase in length of ED stay was expected. Community Mental Health Journal is devoted to the evaluation and improvement of public sector mental health services for people affected by severe mental disorders, serious emotional disturbances and/or addictions.. Coverage includes: nationally representative epidemiologic projects; intervention research involving benefit and risk comparisons between service programs Social work, mental health, older people and COVID-19 - Volume 32 Issue 10 Skip to main content Accessibility help We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Content analysis was used to categorize the note titles (25). Whereas unemployment is clearly linked to mental health problems, employment can improve quality of life, mental health, social networks and social inclusion.Yet in the UK only 15% of people with serious mental health problems are employed – despite an overwhelming consensus from surveys, case studies and personal accounts that users want to work. Seattle, City of Seattle, 2010. http://www.seattle.gov/oir/datasheet/demographics.htmGoogle Scholar, 30 Moore M, Winkelman A, Kwong S, et al. Her starting point is that mental health is a key element of all areas of social work practice and that social work has made a particular contribution to mental health thinking and practice. Injury (codes 800.0–801.9, 803.0–804.9, 850.0–854.1, and 959.01) was also analyzed separately because of its relevance to social work services. Tutor, M.Sc. International Scientific Journal & Country Ranking. Psychiatric Services 57:563–566, 2006Link, Google Scholar, 9 Rockett IR, Putnam SL, Jia H, et al. Social Work in Mental Health: Vol. Dr. Moore, Ms. Dotolo, and Ms. Ho are with the School of Social Work, University of Washington, Seattle (e-mail: Journal of Trauma Nursing, Vol. The U.S. National Hospital Ambulatory Medical Care Survey (NHAMCS) consistently documents high prevalence rates of ED patients with needs potentially amenable to social work services, including patients with mental or substance use disorders and patients who are homeless, poor, or unable to access outpatient services (20). Despite these contributions, ED social work remains an understudied and underfunded area of emergency medical services (4). The editorial board welcomes manuscripts on all aspects of health that are of professional concern to social workers. The Journal of Psychiatry and Mental Health (JPMH) (ISSN 2474-7769) by Sci Forschen is an open access journal that publishes thought provoking, high quality work, involving mental illness and psychological disorders. The World Health Organization has pointed to depression as a leading cause of the disease burden (measured in disability-adjusted life years) in middle- and high income countries .. : Traumatic Brain Injury in the United States: Emergency Department Visits, Hospitalizations and Deaths 2002–2006. There are currently no national practice standards or specific guidelines for ED social workers, and there are no national data repositories. Poverty, social inequality and mental health - Volume 10 Issue 3 Skip to main content Accessibility help We use cookies to distinguish you from other users and to provide you with a better experience on our websites. TABLE 4. This may have affected the accuracy of some ICD-9-CM diagnostic categories, which could have resulted in low observed rates of psychiatric diagnosis. JAMA 304:664–670, 2010Crossref, Medline, Google Scholar, 6 Mahajan P, Stanley R, Ross KW, et al. About this journal. This article is also available for rental through DeepDyve. Only Open Access Journals Only SciELO Journals Only WoS Journals More than one-quarter (26%) of patients seen by social workers had two or more ED visits in the study period (including the index visit), and 61% had at least one inpatient stay in the study period. Finally, this study did not explore the effects of preexisting diagnoses or visit history on receipt of social work services or length of ED stay or cost-effectiveness of services. Attempting to mainstream ethnicity in a multi-country EU mental health and social inclusion project: lessons for social work. Other possible contributors to the increased length of stay include lack or limited availability of community resources. : A nationwide survey of trauma center information technology leverage capacity for mental health comorbidity screening. Notes were randomly selected by the first author, who assessed agreement between use of codes and coders. Many patients triaged to social work services had complex psychiatric and general medical presentations, multiple service needs, comorbid diagnoses, and multiple ED and inpatient stays. Journal of Social Work, 11(2), 132–142. Uninsured patients with psychiatric disorders are also at risk of high ED utilization (11). Social work services provided to patients presenting only in the self-contained psychiatric emergency services were not included because of the way that those notes are entered into the EMR. To meet increasing demands of the ACA for care coordination, there may be a need to enhance and expand social work services in this critical intervention setting and develop triage algorithms to meet the social work needs of all patients. American Journal of Epidemiology 159:702–706, 2004Crossref, Medline, Google Scholar, 29 The Greater Seattle Datasheet. Archives of General Psychiatry 62:617–627, 2005Crossref, Medline, Google Scholar, 25 Graneheim UH, Lundman B: Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Atlanta, Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, 2010Google Scholar, 17 Vaishnavi S, Rao V, Fann JR: Neuropsychiatric problems after traumatic brain injury: unraveling the silent epidemic. For 20 years, human services professionals have relied on Health & Social Work for the latest advances in areas such as aging, clinical work, long-term care, oncology, substance abuse, depression, and maternal health …. Academic Emergency Medicine 8:54–60, 2001Crossref, Medline, Google Scholar, 3 Kushel MB, Gupta R, Gee L, et al. This article engages with contemporary debates relating to the usefulness of the trauma concept for social work practice, with a particular focus on how trauma discourses inform practices with young women presenting to mental health services. This was a cross-sectional study of all patients treated in the ED of a large, urban, academic, level 1 trauma center from January 1, 2012, to March 31, 2013 (N=49,354). British Journal of Social Work, 33, 1081 – 1103 . We hypothesized that social workers would provide services to patients with multiple comorbidities and recurrent visits and that social work contacts would add only marginally to overall length of stay. Seattle, Caradigm. There is a paucity of research on ED social work services despite the important role of social workers on interdisciplinary teams (4). Data were extracted from the electronic medical record (EMR) by using the Microsoft Amalga platform (22). Journal of General Internal Medicine 21:71–77, 2006Crossref, Medline, Google Scholar, 4 Moore M, Ekman E, Shumway M: Understanding the critical role of social work in safety net medical settings: framework for research and practice in the emergency department. Compared with historical Journal Impact data, the Metric 2019 of Social Work in Mental Health grew by 32.76%. JAMA 303:1938–1945, 2010Crossref, Medline, Google Scholar, 19 Dikmen SS, Bombardier CH, Machamer JE, et al. : Evaluation of an emergency department-based enrollment program for uninsured children. Please check your email address / username and password and try again. Non-English speakers, patients not discharged home, and those with comorbid diagnoses had a higher risk of a longer ED stay (Table 4). Medical diagnoses were identified by using the remaining six categories. The same analytic process was used to assess predictors of length of stay. The authors report no financial relationships with commercial interests. Search Google Scholar for this author. 57, No. Patients with TBI have high rates of comorbid mental illness (17–19), and many would benefit from early intervention and identification by social workers. (2011). Demographic characteristics available in the EMR included age, sex, primary language, and race-ethnicity. Formal social work education extends social workers’ training beyond these tasks and equips social workers with biopsychosocial assessment skills, proficiency in brief psychosocial intervention, and clinical case management or care coordination skills. An international journal for the latest research in the mental health field, including treatment and care. 1, Social Work in Health Care, Vol. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide, This PDF is available to Subscribers Only. Level 1 trauma centers are comprehensive care facilities able to provide leadership in injury care, conduct teaching and research, and provide 24-hour injury care (21). Neoliberalism and Australian social work. 56, No. (2011). TABLE 1. We used the NHAMCS to identify the seven most common primary diagnoses at ED visits by major disease category (13). If discrepancies arose, the coding team discussed coding choices until 100% agreement was reached. Such services were associated with an increased length of ED stay (RR=1.34). For the predictor models, discharge disposition was dichotomized as discharged to home or home with care versus nonhome discharge (including death, admitted, transfer, court or jail, against medical advice, skilled nursing facility, or other). Journal of Health and Social Behavior, 51 ... She/he does not attend school or go to work. Mental health problems represent an increasingly important public health challenge. The book is intended to be widely relevant to social workers, although it is recognised that the main audience is likely to be social work students or qualified social workers who want to update their knowledge of mental health. Patients seen by social workers had complex presentations, involving mental disorder diagnoses (18%), substance use disorder diagnoses (29%), comorbid diagnoses (32%), and injuries (51%); a quarter of patients had multiple ED visits (26%). Characteristics of patients seen in an emergency department (ED), by whether they received social work services in the ED. About the journal. : Assessing substance abuse treatment need: a statewide hospital emergency department study. Compared with their population percentage in the county, whites and Asians were underrepresented in the ED patient population (76% versus 53% and 14% versus 9%, respectively), and African Americans (6% versus 22%), Hispanics (7% versus 8%), and American Indians (1% versus 2%) were overrepresented (29). Role of social work in mental health Social workers are trained to understand and assess that the mental illnesses experienced by individuals, families, groups and communities are not caused or determined by a single factor. Nonwhites and non-English speakers had a lower likelihood of receiving social work services. Future studies should incorporate these characteristics. In adjusted regression analysis, females (relative risk [RR]=1.15), patients not discharged home (RR=1.44), and those with two or more comorbid diagnoses (RR=1.80), injuries due to assault (RR=1.37), and traumatic brain injury (RR=1.20) were more likely to receive social work services. Provision of social work services modestly increased length of ED stay. The effect of educational disequilibrium in field work on graduate social work students’ self concept and mental health. To capture substance use disorders, we combined the following exhaustive diagnoses list: alcohol dependence (303.00–303.99), alcohol abuse (305.00–305.09), opioid dependence (304.00–304.01), opioid abuse (305.50–305.59), cocaine dependence (304.20–304.29), cocaine abuse (305.60–305.69), amphetamine dependence (304.40–304.49), amphetamine abuse (305.70–305.79), marijuana dependence (304.30–304.39), marijuana abuse (305.20–305.23), sedative abuse (305.4), polydrug dependence (304.70–304.99), polydrug abuse (305.90–305.99), and tobacco use (305.1). Injuries (N=9,523, 51%) and comorbid disorders (32%) were common among patients seen by social workers, as was TBI (N=4,077, 22%). Alexandria, Va, Council on Social Work Education, 2008Google Scholar, 33 Rasooly IR, Mullins PM, Mazer-Amirshahi M, et al. Register, Oxford University Press is a department of the University of Oxford. 58, No. Journal description Aims & scope Editorial team Author guidelines Journal news Literati awards Indexing & rankings Related journals Injury etiology was further classified by using the Centers for Disease Control and Prevention–recommended framework of E-code groupings in the Web-based Injury Statistics Query and Reporting System (23): unintentional injury (E800–E869 and E880–E929), self-inflicted injury (E950–E959), assault (E960–E969, E979, and E999.1), and undetermined (E980–E989). Data from this study can be used as a guide for trauma centers to begin to develop these algorithms. Triage algorithms are needed to target efficiencies, systematize provision of ED social work services, and improve access to services for all patients. Patients treated for traumatic injuries also have many social work needs. Social workers require time to complete assessments, provide counseling and referrals, and organize complicated discharge plans for patients with multifaceted needs, including those with comorbid diagnoses, severe illness, and injury. In 2007, visits related to mental health and substance use problems represented 12.5%—or one out of eight—ED visits in the United States (12). Social capital and mental health - Volume 181 Issue 4 - Kwame McKenzie, Rob Whitley, ... Social ties and mental health. The American Psychiatric Association (APA) has updated its Privacy Policy and Terms of Use, including with new information specifically addressed to individuals in the European Economic Area. It has been demonstrated that the majority of patients seen by social workers in the ED are discharged home rather than admitted (7). doi: 10.1093/bjsw/33.8.1081 Mental Health & Prevention is a peer reviewed journal dedicated to the prevention of mental and behavioural disorders and mental ill health, and the promotion of mental well-being. Other factors to consider include examination of existing triage procedures and data elements and inclusion of priority populations to meet social work’s social justice mission. 1 Almgren G, Lindhorst T: The Safety Net Health Care System. Social workers provided services to nearly 40% of patients seen in a large, urban, level 1 trauma center ED. Healthcare Cost and Utilization Project Statistical Brief 92:1–12, 2006Google Scholar, 13 National Hospital Ambulatory Medical Care Survey. The University of Washington Institutional Review Board approved the study. Most social workers provide services to individuals with mental health concerns, yet there are gaps in research on social work education and training programmes. Comprehensive reviews were conducted of medical records of all patients (N=49,354) treated in a level 1 trauma center ED from January 1, 2012, to March 31, 2013. Social work services were provided to 18,532 (38%) patients. American Journal of Evaluation 27:237–246, 2006Crossref, Google Scholar, 27 Cavanagh S: Content analysis: concepts, methods and applications. Its scope encompasses universal, selective and indicated prevention and mental health … We then determined predictors of social work services by estimating relative risk (RRs) and 95% confidence intervals (CIs) for receiving social work services by using unadjusted Poisson regression with robust standard error variance to determine univariate associations (28). Published by Oxford University Press on behalf of The British Association of Social Workers. Content analysis of chart notes was used to categorize the types of social work services provided. : Use of emergency department services for somatic reasons by people with serious mental illness. The prevalence of each major mental disorder is not reported in NHAMCS; therefore, we included major mental disorder diagnostic categories prevalent in the United States (24) as well as those disorders that were listed as common reasons for ED visits among adults (13). Caroline Grimbly, Social Work and Mental Health, The British Journal of Social Work, Volume 41, Issue 6, September 2011, Pages 1213–1214, https://doi.org/10.1093/bjsw/bcr121. All analyses were done by using each patient’s first visit to the ED in the study period. Patients could receive more than one service during their visit. Future studies could examine the cost-benefits of providing social work services and the impact of these services on care coordination. It has been suggested that social workers in EDs can save valuable medical provider time (2) and help patients enroll in insurance programs (6). Social Work in Health Care 51:140–148, 2012Crossref, Medline, Google Scholar, 5 Tang N, Stein J, Hsia RY, et al. ... Journal of Social Work ISSN: 1468-0173 Online ISSN: 1741-296X. 0.982 ... Social Work in Health Care, Volume 59, Issue 8 (2020) Research Article . An increase in the number of comorbid diagnoses was associated with an increased likelihood of receiving social work services. 1, Social Work in Health Care, Vol. : Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. 27, No. The findings suggest an important role for social workers in this setting. We utilized an inductive analytic approach whereby codes were developed from the data (26). Types of services provided by social workers to patients seen in an emergency departmenta. All Journals Social Work in Mental Health List of Issues Volume 18, Issue 6 Social Work in Mental Health. In addition, predictors of ED social work services were identified with the goal of developing social work referral and treatment algorithms. Therefore, we could not determine the impact of unmeasured sociodemographic factors on receipt of social work services and length of stay. Specifically, more than one-quarter of the 2.8 million intentional injuries treated in EDs were self-inflicted, and nearly one-third of the 2.7 million patients transferred from EDs to other hospitals were transferred to a psychiatric hospital (13). Females, patients not discharged home, and patients arriving by emergency medical services (EMS) had a higher likelihood of receiving social work services compared with males, those discharged home, and those not arriving by EMS (Table 3). Many patients seen by social workers were discharged home (42%). New York, Springer, 2012Google Scholar, 2 Gordon JA: Cost-benefit analysis of social work services in the emergency department: a conceptual model. Enter your email address below and we will send you the reset instructions, If the address matches an existing account you will receive an email with instructions to reset your password, Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username. Kate Karban's book is an ambitious text, covering the key discourses around mental health and relating them to current social work practice. It is written for workers in all areas of the physiological, psychological, social, cultural, and environmental health sciences. : Alcohol and drug use disorders among adults in emergency department settings in the United States. This is increasingly important because the Affordable Care Act (ACA) calls for improved care coordination and integration of previously siloed service sectors, such as emergency medicine, outpatient psychiatry, and general medical care. Journal of Pediatrics 165:618–621, 2014.Crossref, Medline, Google Scholar, 34 Pines JM, Russell Localio A, Hollander JE: Racial disparities in emergency department length of stay for admitted patients in the United States. Chi-square tests were used to assess significant differences for categorical variables, and two-tailed t tests were used for continuous variables. In addition to providing mental health services to patients, social workers provided crisis counseling to family or friends of critically ill or incapacitated patients (counted in mental health services). Atlanta, Centers for Disease Control and Prevention, 2010. http://www.cdc.gov/injury/wisqars/ecode_matrix.htmlGoogle Scholar, 24 Kessler RC, Chiu WT, Demler O, et al. Although this study has provided valuable information about provision of social work services in the ED, it had a number of limitations related to using large administrative databases. The Journal Impact 2019-2020 of Social Work in Mental Health is 0.770, which is just updated in 2020. https://www.caradigm.com/en-us/solutions-for-population-health/intelligence-platformGoogle Scholar, 23 Matrix of E-code Groupings. Search for other works by this author on: © The Author 2011. Subsequent notes were coded by using the codebook, and as new codes arose they were added to the codebook through an iterative process (27). General medical, mental, and substance use disorder diagnoses associated with the first ED visit in the study period were identified. : Social work and implementation of the Affordable Care Act. Psychiatric Services 65:918–923, 2014Link, Google Scholar, 37 Russo J, Katon W, Zatzick D: The development of a population-based automated screening procedure for PTSD in acutely injured hospitalized trauma survivors. Annals of Emergency Medicine 45:245–250, 2005Crossref, Medline, Google Scholar, 7 Auerbach C, Rock BD, Goldstein M, et al. For some patients, psychiatric diagnoses were assigned by ED medical providers rather than by mental health specialists. Citation ... Social Work in Mental Health, Volume 18, Issue 6 (2020) Research Article . You do not currently have access to this article. Forensic Mental Health Social Work: Capabilities Framework Social work is characterised by its ability to see the individual within the context of their family, their community and the wider society. : The impact of race on analgesia use among pediatric emergency department patients. Hyattsville, Md, National Center for Health Statistics, 2010Google Scholar, 14 Auerbach C, Mason SE: The value of the presence of social work in emergency departments. Insurance acquisition is only one factor affecting ED utilization (39,40). : Medical emergency department utilization patterns among uninsured patients with psychiatric disorders. Nonwhite patients and patients who were not English speakers were less likely to receive social work services. Legal knowledge and an ability to understand how and when to intervene are both necessary and appropriate in forensic settings. This article reviews the social work literature on ICT, draws on research on tele-psychology and tele-education, and provides suggestions on how to enhance engagement with ICT by social workers to implement and provide mental health services and supports tailored to community values, needs, and preferences that are commensurate with the values of the social work profession. Nurse Education Today 24:105–112, 2004Crossref, Medline, Google Scholar, 26 Thomas DR: A general inductive approach for analyzing qualitative evaluation data. In the ED, it is likely that a combination of factors, rather than a lower level of need, contributes to the lower likelihood of receiving social work services, including inadequate and subjective referral and triage procedures to social work and staff difficulty using interpretation services. Health and Social Work 38:67–71, 2013Crossref, Medline, Google Scholar. Next, backward elimination was used to delete variables from the model that were not significant at p<.05 in order to determine adjusted RRs and CIs. This multidisciplinary journal focuses on recovery-oriented care of persons with mental health problems and on their rehabilitation. When social work services were provided, patients had an increased risk of a longer stay. Mick McCormick. Then we compared the characteristics of patients who received social work services during their ED visit and those who did not. Expanding social work capacity and roles in the ED may be crucial to support ACA mandates for coordinated care. Most were mental health services (54%), followed by care coordination (31%) and material support or other referrals (15%). During the study period, 49,354 patients were treated in the ED (Table 1) and included in analysis. This journal offers quality articles on clinical practice, education, research, collaborative relationships, mental health policy, and the delivery of mental health care services. Show all authors. All Journals Social Work in Health Care List of Issues Volume 59, Issue 8 2019 Impact Factor. Client Attitudes toward Integrating Religion and Spirituality in Mental Health Treatment: Scale Development and Client Responses Holly K. Oxhandler, James W. Ellor, and Matthew S. Stanford Volume 63, Issue 4, October 2018, Pages 337–346 The Power of Prevention and Youth Voice: A Strategy for Social Work to Ensure Youths’ Healthy Development Linda Sprague Martinez, Katie Richards-Schuster, et al. European Journal of Social Work, Vol. See all articles by this author. Regression model of predictors of receipt of social work services by patients seen in an emergency department (ED). JAMA 299:70–78, 2008Crossref, Medline, Google Scholar, 36 Love J, Zatzick D: Screening and intervention for comorbid substance disorders, PTSD, depression, and suicide: a trauma center survey. If you originally registered with a username please use that to sign in. TABLE 3. Social work services provided to patients seen only in the psychiatric emergency service were not included in analyses because of the nature of the way those notes are entered, which likely resulted in an underestimation of number of mental health services provided. Annals of Emergency Medicine 60:172–80.e5, 2012Crossref, Medline, Google Scholar, 11 Baillargeon J, Thomas CR, Williams B, et al. Rasooly IR, Mullins PM, Mazer-Amirshahi M, The impact of race on analgesia use among pediatric emergency department patients, Pines JM, Russell Localio A, Hollander JE, Racial disparities in emergency department length of stay for admitted patients in the United States, Trends in opioid prescribing by race/ethnicity for patients seeking care in US emergency departments, Screening and intervention for comorbid substance disorders, PTSD, depression, and suicide: a trauma center survey, The development of a population-based automated screening procedure for PTSD in acutely injured hospitalized trauma survivors, A nationwide survey of trauma center information technology leverage capacity for mental health comorbidity screening, Medicaid increases emergency-department use: evidence from Oregon’s Health Insurance Experiment, Emergency department utilization after the implementation of Massachusetts health reform, Social work and implementation of the Affordable Care Act, https://doi.org/10.1176/appi.ps.201500469, https://www.caradigm.com/en-us/solutions-for-population-health/intelligence-platform, http://www.cdc.gov/injury/wisqars/ecode_matrix.html, http://www.seattle.gov/oir/datasheet/demographics.htm, Rate of Nonsurgical Admissions at a Level 1 Trauma Center, Mental health counseling, supportive counseling, or referral to psychiatric services, Chemical dependency or substance abuse services, Material support and other referral services, Discharge disposition not to home (reference: to home), Arrived in ED via emergency medical services (reference: no), Social work service provided (reference: no).

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