ABSTRACT

Over a quarter of the members of the social work profession are working in health related settings yet preparing students to work in such multi-disciplinary environments, with hierarchical organizations and problem-focused systems, can create value conflicts, principally with the strengths-based paradigm inherent in social work practice. In order to prepare social work students for delivering services that honor the profession’s ethics, values, and principles in medical environments, a focused academic curriculum and field experience are warranted. This conceptual paper aims to inform social work educators about the unique considerations for preparing students to practice in health care settings. We address how the underlying influence of the biomedical model, organizational culture, and billing and reimbursement services within the medical context can challenge social work values and practice. However, we illustrate how the Integrated Behavioral Health model can be applied to help students utilize clients’ inherent strengths and problem-solving capabilities while they navigate the terrain of multi-disciplinary medical environments.

摘要

超过四分之一的社会工作专业成员在与健康相关的环境中工作，但让学生准备在这种具有等级组织和以问题为中心的系统的多学科环境中工作，可能会产生价值冲突，主要是基于优势的范式社会工作实践中固有的。为了让社会工作专业的学生为在医疗环境中提供尊重职业道德、价值观和原则的服务做好准备，需要有重点的学术课程和现场经验。这份概念性文件旨在告知社会工作教育工作者有关准备学生在医疗保健环境中实践的独特考虑因素。我们解决了生物医学模型、组织文化、医疗范围内的计费和报销服务可以挑战社会工作的价值观和实践。然而，我们说明了如何应用综合行为健康模型来帮助学生在多学科医疗环境中导航时利用客户的内在优势和解决问题的能力。