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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]

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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]

Prepared for distribution by theCSWE Gero-Ed Center

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Reality Check: SOCIAL WORK

JoAnn Damron-Rodriguez, PhD, LCSW

University of California, Los Angeles

Department of Social Welfare

[email protected]

Mini-Conference on Geriatric Healthcare Workforce Issues

Bethesda, Maryland

July 16, 2005

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Geriatric Social Work:

Addressing Key Issues of Older Persons and Their

Families in Today’s Delivery System

Consumer Direction

(Choice, Quality and Satisfaction)

Family Caregiving

(Family Caregiver Acts)

Community Care

(HCBS, Olmstead Decision)

Addressing Diversity

(+ Ethnic Elders)

evidence supports geriatric social worker s competence in and effectiveness to
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:
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Social Work with Diverse Older Populations
  • The Value Added of Psychosocial Care
barriers to older persons receiving psychosocial care from qualified geriatric social workers
Lack of Title Protection: Recognizing a SOCIAL WORKER

States legally recognize four categories of social work professionals:

Basic (BSW),

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 NH

Barriers to Older Persons Receiving Psychosocial Care from Qualified Geriatric Social Workers
the need and challenges of preparing a geriatric social work force
The Need and Challenges of Preparing a Geriatric Social Work Force
  • By 2020, approximately 65,000 geriatric social workers needed
  • Approximately 5% of MSW graduates specialize in geriatrics
  • 9% practicing social workers are specifically in field of aging and have the lowest annual income of all workers
  • Yet 76% social workers have older persons in their caseload and the majority report needing more geriatric knowledge
  • Social work labor force is aging and reducing in size- retention
progress in preparing a geriatric social work force
Progress in Preparing A Geriatric Social Work Force
  • US Bureau of Health Professions 1995 National Agenda for Geriatric Education: Social Work leads in the success of recommendations
  • John A. Hartford Foundation Geriatric Social Work Initiative
    • CSWE Gero Ed Center- aging infused curricula
    • Practicum Partnership Program- age enriched field education
  • Evidence of SW effectiveness (Rizzo & Rowe Report, insert date):
    • Shortening lengths of stay and decreasing inappropriate use of emergency rooms
    • Overall healthcare better coordinated
    • Caregivers more able to cope
    • Greater satisfaction
  • Social work force more diverse than other health professions
  • State Level: CalSWEC Aging Initiative (Archstone Foundation)
geriatric social work whcoa recommendations
1.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 Services

Geriatric Social WorkWHCoA Recommendations
geriatric social work whcoa recommendations1
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, NASW

Geriatric Social WorkWHCoA Recommendations
geriatric social work whcoa recommendations2
3. 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
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California Geriatric Education Center

http://www.geronet.med.ucla.edu/centers

/cgec/home.html

CSWE Gero-Ed Center

http://depts.washington.edu/geroctr

Use this website www.Gero-EdCenter.org/

Hartford Geriatric Social Work Initiative

http://www.gswi.org

Institute for Geriatric Social Work

http://ww.bu.edu/igsw/

National Association of Social Workers

“Assuring the Sufficiency of a Frontline Workforce”

www.naswdc.org

The New York Academy of Medicine

Practicum Partnership Program

http://socialwork.nyam.org

The Rizzo and Rowe Report on the

Efficacy and Cost-Effectiveness of

Social Work Services

http://socialwork.nyam.org/pdf/Efficacy_

Final_Report.pdf

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.

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