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The Role of Social Work in Reintegration

The Role of Social Work in Reintegration

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The Role of Social Work in Reintegration

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  1. The Role of Social Work in Reintegration Kathleen Ray, PhD, MSW, LCSWRita Torres, MSW, LCSW Social Workers, NJ WRIISC

  2. Goals of Talk • Identify determinants affecting reintegration • Distinguish the social work process of assessment • Recognize the role of social work on the WRIISC team • Implement social work expertise within the PACT Team setting

  3. Reintegration • Transition from combat deployment and return to community life • Active military service to civilian roles and activities • Common pathway, but different for everyone • Success depends on a multitude of individual and environmental factors

  4. Determinants of Reintegration

  5. Determinants of ReintegrationBody Function • Pain • Mental Health • Sleep

  6. Determinants of ReintegrationBody Structure • Obesity • Physical Injuries/limitations

  7. Determinants of ReintegrationEnvironmental Factors

  8. Determinants of ReintegrationPersonal Factors • Self-efficacy • Alcohol/drug use • Life philosophy

  9. Determinants of ReintegrationActivity • Activities of Daily Living • ADL’s • iADL’s • Physical Activities

  10. Social Work • Trained in identifying determinants of reintegration • Uses ecosystems framework to understand relationships, vocation, living circumstances on bio-psycho social concerns • Targets areas need to strengthen for optimization of medical/psychological well being. • Tailors discharge plan

  11. Ecosystems Perspective • Framework of practice • Concepts from ecology and general systems theory • Interaction and adaptation between people and their environments

  12. Implications for Change • Social Workers and clients join forces against problematic fit of client and environment rather than judge clients to be deficient • Change in one part of system will change other parts • Focus on strengths

  13. WRIISC (War Related Illness and Injury Study Center) • What is the WRIISC? • Clinical Evaluation • Research • Education

  14. The Tasks of Social Work at WRIISC

  15. Tasks (cont’d.)

  16. Treatment Plan • General • Specific • Goal – as close as possible to providing a ”seamless transition” between Veteran’s military lifestyle and re-integration to civilian life.

  17. What Helps Make the Social Worker More Effective on a Team • Part of the team • Inclusion from the beginning • Access to both Veteran and family to develop effective supports for treatment implementation • Recommendations must be practical and feasible

  18. How PACT can Utilize Social Work Services ** • Gather information not necessarily provided during a physical exam • Offer guidance for realistic recommendations • Identify barriers to access care • Provide supports to maximize Veteran ability to implement WRIISC recommendations • Empower Veteran to direct own health care • Educate Veteran on navigating system and advocate for Veteran as needed • Follow up on recommendations