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The role of the Social Worker in ARV Rollout Based on Social Work Practicum Experience at Sinikithemba Clinic, Mc Cord’s Hospital Durban, South Africa. Presented by Tracie Rogers Social Work Unit Department of Behavioural Sciences UWI, St. Augustine. Social Work Practicum.
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The role of the Social Worker in ARV Rollout Based on Social Work Practicum Experience at Sinikithemba Clinic, Mc Cord’s Hospital Durban, South Africa
Presented by Tracie Rogers
Social Work Unit
Department of Behavioural Sciences
UWI, St. Augustine
Behavioural Sciences/ Faculty of Social Sciences – University of the West Indies, St. Augustine
School of Social Work & Psychology, University of Kwazulu Natal, Durban, South African
Adult
Paediatric
Role of the Social Worker in Pediatric ARV Treatment and Management
Role of the Social Worker in Adult ARV Treatment and Management
Group & Community Work
The Potential of the Social Worker
Three Areas of Focus:
1. Assessing the Child
2. Assessing the Family System
3. Assessing the Support Structures
Level of Disclosure
Child’s Functioning & Developmental Stage
Education/ School Based Needs/ Peer Relations
CD4 Count %/ Medical issues & concerns
The present family structure
Regularity of the Care giver
Family’s capacity for supporting adherence to ARV regimen
Stability of the Family
Level of Disclosure among family members
Norms, Values, Beliefs, Socio-cultural Dynamics
Religion/ Spirituality
Financial Stability/ Welfare needs
Making a Psychosocial Assessment:1. The Child2.The Family
3. Assessing the Support Structures
Goals:
Protocol for child under age 14 – caregiver(s) is/are primary client(s); child is integrated where if developmentally mature enough to contribute to the interview; limited confidentiality for children
Protocol for children above age 14 – adolescent is primary client; caregiver(s) is/are integrated into the interview process; adolescents are interviewed individually as well as with caregiver(s)
Family/caregiver’s support structure or support system of the residential facility in cases where children are institutionalized are assessed specifically in terms of their capacity to provide for a child living with HIV
Is the Child aware of his/her status?
What is the caregiver’s attitudes towards disclosure
Assessment of the safety of disclosure for the child
Assessment of disclosure risks and benefits explained to the caregiver(s)
Where the child is under the age of 14 and the social worker’s assessment differs from the caregiver’s, the social worker clarify concerns and provide continuous support and information to the caregiver(s) in the interest of the child’s safety and wellbeing
Where the child is over age 14, the social worker advises caregiver of the legal ramifications for persons who are sexually active and HIV positive
Caregiver(s) encouraged to disclose to children and the social worker should work with them to disclose in a systematic and psychologically safe way
Three Areas of Focus:
Three Areas of Focus:
Our primary concern is linking clients to comprehensive, holistic support services
