The Role of Social Workers in Interprofessional Primary Healthcare Teams.


Journal

Healthcare policy = Politiques de sante
ISSN: 1715-6580
Titre abrégé: Healthc Policy
Pays: Canada
ID NLM: 101280107

Informations de publication

Date de publication:
08 2020
Historique:
entrez: 20 8 2020
pubmed: 20 8 2020
medline: 9 10 2021
Statut: ppublish

Résumé

In Ontario, Canada, social workers are employed in a number of primary healthcare (PHC) settings such as Community Health Centres (CHCs) and Family Health Teams (FHTs). However, many aspects of social work practice within PHC settings are unknown. The objectives of our study are to determine the amount of social work services provided in CHCs and FHTs, identify the types of services that social workers provide in CHCs and FHTs and ascertain the methods social workers use to deliver services in CHCs and FHTs. An analysis of a cross-sectional data set obtained from a survey conducted in June 2016 in Ontario was performed. The majority of practices (84.2%) had a social worker, although several practices also hosted other types of mental health workers. In virtually all practices with social workers, they (and individuals designated as mental healthcare providers) were also involved in practice level efforts to support mental healthcare delivery. In several practices, the care they delivered extended beyond that related directly to mental healthcare, ranging from preventive care and health promotion (64.5%) to palliative care (16.8%). In several practices, these workers also offered group appointments related to healthy behaviour (43.6%) and self-management (~33%). Interestingly, the role of social workers in practices where they were the sole designated mental healthcare worker was not meaningfully different from practices where other mental health professionals work. In PHC, social workers deliver or support the delivery of mental healthcare, but their role extends beyond that domain to encompass a broader set of services that contribute to the individual's health and wellbeing.

Sections du résumé

Background
In Ontario, Canada, social workers are employed in a number of primary healthcare (PHC) settings such as Community Health Centres (CHCs) and Family Health Teams (FHTs). However, many aspects of social work practice within PHC settings are unknown.
Objectives
The objectives of our study are to determine the amount of social work services provided in CHCs and FHTs, identify the types of services that social workers provide in CHCs and FHTs and ascertain the methods social workers use to deliver services in CHCs and FHTs.
Method
An analysis of a cross-sectional data set obtained from a survey conducted in June 2016 in Ontario was performed.
Results
The majority of practices (84.2%) had a social worker, although several practices also hosted other types of mental health workers. In virtually all practices with social workers, they (and individuals designated as mental healthcare providers) were also involved in practice level efforts to support mental healthcare delivery. In several practices, the care they delivered extended beyond that related directly to mental healthcare, ranging from preventive care and health promotion (64.5%) to palliative care (16.8%). In several practices, these workers also offered group appointments related to healthy behaviour (43.6%) and self-management (~33%). Interestingly, the role of social workers in practices where they were the sole designated mental healthcare worker was not meaningfully different from practices where other mental health professionals work.
Conclusions
In PHC, social workers deliver or support the delivery of mental healthcare, but their role extends beyond that domain to encompass a broader set of services that contribute to the individual's health and wellbeing.

Identifiants

pubmed: 32813638
pii: hcpol.2020.26292
doi: 10.12927/hcpol.2020.26292
pmc: PMC7435073
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

27-42

Informations de copyright

Copyright © 2020 Longwoods Publishing.

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Auteurs

Vela Tadic (V)

Executive Director, Bruyère Academic Family Health Team, Ottawa, ON.

Rachelle Ashcroft (R)

Assistant Professor, Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON.

Judith Belle Brown (JB)

Professor, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON.

Simone Dahrouge (S)

Scientist, Bruyère Research Institute, C.T. Lamont Primary Health Care Research Centre, University of Ottawa, Ottawa, ON.

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Classifications MeSH