Reality Check: Social Work Geriatric Workforce Issues Mini White House Conference on Aging July 2005. Gero-Ed Center, National Advisory Board Member JoAnn Damron-Rodriguez, PhD, LCSW University of California, Los Angeles Department of Social Welfare [email protected]
Geriatric Workforce Issues
Mini White House Conference on Aging
Gero-Ed Center, National Advisory Board Member
JoAnn Damron-Rodriguez, PhD, LCSW
University of California, Los Angeles
Department of Social Welfare
Prepared for distribution by theCSWE Gero-Ed Center
Addressing Key Issues of Older Persons and Their
Families in Today’s Delivery System
(Choice, Quality and Satisfaction)
(Family Caregiver Acts)
(HCBS, Olmstead Decision)
(+ Ethnic Elders)
Promote Self Determination through Older Person and Family Centered Solutions Social Work enhances the developmental, problem solving, and coping capacities of older people and their families.
Develop Linkages to Appropriate, Accessible and Acceptable ServicesSocial work promotes the effective, coordinated, and humane operating of systems that provide resources and services to older people and their families.
Respect the Diversity of the Older Population Social work recognizes the need and strengths of persons who differ based on culture, race, class, gender, sexual orientation, disability.Evidence Supports Geriatric Social Worker’s Competence In and Effectiveness To:
Lack of Title Protection: Recognizing a SOCIAL WORKER Centered Solutions
States legally recognize four categories of social work professionals:
Intermediate (MSW no experience),
Advanced (MSW with two years clinical experience),
and Clinical (MSW with state licensure)
Some practitioners hold a social work title without a social work degree. Estimated number of current number of social workers :350,000; number self identifying as social workers: 782,000
Older persons do not recognize nor understand the role of social worker
Lack of Reimbursement Mechanisms for SOCIAL WORK SERVICES
No Medicare/Medicaid reimbursement for comprehensive assessment and care management
OBRA 1987, BBA 1997 limit professional social work services in NHBarriers to Older Persons Receiving Psychosocial Care from Qualified Geriatric Social Workers
1. Centered Solutions Guarantee older adults have the benefits of geriatric social work servicesand psychosocial care through:
Establishment of competitive and equitable reimbursement of services provided by a qualified social worker in the community, hospitals and nursing homes.
Center for Medicare and Medicaid Services
Reimbursement for psychosocial care including geriatric assessment, family caregiver assessment, clinical case management, counseling and other services aimed to increase older adults’ autonomy and quality of life.
Center for Medicare and Medicaid ServicesGeriatric Social WorkWHCoA Recommendations
2. Recognize the professional role of geriatric social work in contributing to the quality of care for older persons though the following actions:
Stipulate the professional qualifications of a social worker (BSW, MSW and licensure) for geriatric positions in all publicly reimbursed care both in nursing homes and the community.
Center for Medicare and Medicaid Services , AOA
Promote older persons recognition of the services provided by a professional geriatric social worker including elder advocacy, linkage to service, family enablement, and counseling.
AARP, NASWGeriatric Social WorkWHCoA Recommendations
3. in contributing to the quality of care for older persons though the following actions:Attract and retain gerontological social workersthrough:
Provide aging enriched field and classroom education in all Schools of Social Work.
CSWE, Hartford Geriatric Social Work Initiative (PPP, CSWE GeroEd Center) and other Foundations
Sponsor federal and private financial incentives, such as loan forgiveness, student stipends, senior practitioner fellowships, and continuing education for education in geriatrically enriched programs .
HSRA, BHPr, AAA, do you want to specifically mention Medicaid here?Geriatric Social WorkWHCoA Recommendations
California Geriatric Education Center in contributing to the quality of care for older persons though the following actions:
CSWE Gero-Ed Center
Use this website www.Gero-EdCenter.org/
Hartford Geriatric Social Work Initiative
Institute for Geriatric Social Work
National Association of Social Workers
“Assuring the Sufficiency of a Frontline Workforce”
The New York Academy of Medicine
Practicum Partnership Program
The Rizzo and Rowe Report on the
Efficacy and Cost-Effectiveness of
Social Work Services
Geriatric Social WorkRESOURCES and REFERENCES
Berkman, B., Dobrof, R., Harry, L., & Damron‑Rodriguez, J.A. (1997). White paper: Social work. In S.M. Klein (Ed.), A national agenda for geriatric education: White papers (pp. 53-85). New York: Springer Publishing Company. [Previously published as a monograph: U.S. Bureau of Health Professions.]
Scharlach. A., Damron-Rodriguez, J.A., Robinson, B., & Feldman, R. (2000). Educating social workers for an aging society: A vision for the 21st century. Journal of Social Work Education, 36(3), 521-538.