scholarly journals Time to return to work following workplace violence among direct healthcare and social workers

2020 ◽  
Vol 77 (3) ◽  
pp. 160-167
Author(s):  
Kelvin Choi ◽  
Esther T Maas ◽  
Mieke Koehoorn ◽  
Christopher B McLeod
Keyword(s):  
Social Work ◽  
Return To Work ◽  
Social Workers ◽  
Social Services ◽  
Workplace Violence ◽  
Long Term Care ◽  
Cox Regression ◽  
Term Care ◽  
Psychological Injuries

ObjectivesThis study examined time to return-to-work (RTW) among direct healthcare and social workers with violence-related incidents compared with these workers with non-violence-related incidents in British Columbia, Canada.MethodsAccepted workers’ compensation lost-time claims were extracted between 2010 and 2014. Workers with violence-related incidents and with non-violence-related incidents were matched using coarsened exact matching (n=5762). The outcome was days until RTW within 1 year after the first day of time loss, estimated with Cox regression using piecewise models, stratified by injury type, occupation, care setting and shift type.ResultsWorkers with violence-related incidents, compared with workers with non-violence-related incidents, were more likely to RTW within 30 days postinjury, less likely within 61–180 days, and were no different after 181 days. Workers with psychological injuries resulting from a violence-related incident had a lower likelihood to RTW during the year postinjury (HR 0.61, 95% CI 0.43 to 0.86). Workers with violence-related incidents in counselling and social work occupations were less likely to RTW within 90 days postinjury (HR 31–60 days: 0.67, 95% CI 0.48 to 0.95 and HR 61–90 days: 0.46, 95% CI 0.30 to 0.69). Workers with violence-related incidents in long-term care and residential social services were less likely to RTW within 91–180 days postinjury.ConclusionsWorkers with psychological injuries, and those in counselling and social work occupations and in long-term care and residential social services, took longer to RTW following a violence-related incident than workers with non-violence-related incidents. Future research should focus on identifying risk factors to reduce the burden of violence and facilitate RTW.

scholarly journals Resistance from within: social work within the community support sector of the Ontario Ministry of Health and Long Term Care

2021 ◽  
Author(s):  
Joseph L. Durand
Keyword(s):  
Health Care ◽  
Social Work ◽  
Social Workers ◽  
Long Term Care ◽  
Community Support ◽  
Term Care ◽  
Recognition Theory ◽  
Relationship Of ◽  
The Impact

This study examines the impact of surveillant care managerialism upon the practice of three social workers employed within the community support sector in Ontario health care. It applies the “Foucauldian Toolkit” of Jason L. Powell to examine the nature of the discourse shaping their practice and how they are both complicit and resistant to these discourses. It introduces recognition theory as counter discourse and argues that through the unique knowledge gained through relationships of respectful recognition that social workers act justly. Moreover it is argued that the relationships between social workers and their clients is the source of our unique knowledges as practitioners. Finally, this study examines the implications of social workers integrating a Foucauldian understanding of the reflexive relationship of power/knowledge and how through intersubjective relationships, we practice, create identities and serve the needs of justice even in a system and profession which does not acknowledge it as a requirement.

Social Workers’ Impact on Policy Through Regulations: A Case Study of the U.S. Long-Term Care Ombudsman Program

2021 ◽  
pp. 146801732110103
Author(s):  
Susanny J Beltran ◽  
Vivian J Miller ◽  
Tyrone Hamler
Keyword(s):  
Social Work ◽  
Social Workers ◽  
Long Term Care ◽  
Writing Process ◽  
The United States ◽  
Term Care ◽  
The Social ◽  
The U.S

Summary Involvement in the political process in the United States is critical for social work professionals, as social policies dictate funding and programming in social work practice. Yet, there is little to no focus given to the regulation writing process in the social work literature in the United States. This article contributes to the scant body of knowledge that addresses the regulatory process from a social work perspective. A brief overview of the regulation writing process is provided, followed by a case study using the regulations for the U.S. Older Americans Act Long-Term Care Ombudsman Program to illustrate the process. Findings A total of 85 comments, submitted to the Federal Register docket, were analyzed using content analysis. Findings reveal that comment submissions varied greatly in terms of length, source, and input. Notably, findings indicate low participation from the social work profession. Application The open comment period of the regulation writing process offers a free, but effortful, window of opportunity for social workers to engage in post-legislative advocacy. There is a need to support the involvement of the social work profession in the regulation writing process, through practice and training enhancements.

scholarly journals Resistance from within: social work within the community support sector of the Ontario Ministry of Health and Long Term Care

2021 ◽  
Author(s):  
Joseph L. Durand
Keyword(s):  
Health Care ◽  
Social Work ◽  
Social Workers ◽  
Long Term Care ◽  
Community Support ◽  
Term Care ◽  
Recognition Theory ◽  
Relationship Of ◽  
The Impact

This study examines the impact of surveillant care managerialism upon the practice of three social workers employed within the community support sector in Ontario health care. It applies the “Foucauldian Toolkit” of Jason L. Powell to examine the nature of the discourse shaping their practice and how they are both complicit and resistant to these discourses. It introduces recognition theory as counter discourse and argues that through the unique knowledge gained through relationships of respectful recognition that social workers act justly. Moreover it is argued that the relationships between social workers and their clients is the source of our unique knowledges as practitioners. Finally, this study examines the implications of social workers integrating a Foucauldian understanding of the reflexive relationship of power/knowledge and how through intersubjective relationships, we practice, create identities and serve the needs of justice even in a system and profession which does not acknowledge it as a requirement.

Predictors of Mortality in Board and Care Homes

1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Social Services ◽  
Long Term Care ◽  
Significant Proportion ◽  
The Elderly ◽  
Term Care ◽  
Care Facilities ◽  
Board And Care

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.

Quality in long-term care homes for people with dementia: an assessment of specialist provision

2006 ◽  
Vol 26 (4) ◽  
pp. 649-668 ◽  
Author(s):  
SIOBHAN REILLY ◽  
MICHELE ABENDSTERN ◽  
JANE HUGHES ◽  
DAVID CHALLIS ◽  
DAN VENABLES ◽  
...  
Keyword(s):  
Social Services ◽  
Research Evidence ◽  
Long Term Care ◽  
Term Care ◽  
North West ◽  
People With Dementia ◽  
National Service Framework ◽  
Specialist Services ◽  
Care Regimes

There has been debate for some years as to whether the best model of care for people with dementia emphasises specialist facilities or integrated service provision. Although the United Kingdom National Service Framework for Older People recommended that local authority social services departments encourage the development of specialist residential care for people with dementia, uncertainty continues as to the benefits of particular care regimes, partly because research evidence is limited. This paper examines a large number of ‘performance measures’ from long-term care facilities in North West England that have residents with dementia. Of the 287 in the survey, 56 per cent described themselves as specialist services for elderly people with mental ill-health problems (known familiarly as ‘EMI homes’). It was envisaged that EMI homes would score higher than non-EMI homes on several measures of service quality for people with dementia that were developed from research evidence and policy documents. The analysis, however, found that EMI homes performed better than non-EMI homes on only a few measures. While both home types achieved good results on some standards, on others both performed poorly. Overall, EMI and non-EMI homes offered a similar service.

scholarly journals Financing Long-term Care: Lessons From Japan

2019 ◽  
Vol 8 (8) ◽  
pp. 462-466 ◽  
Author(s):  
Naoki Ikegami
Keyword(s):  
Social Services ◽  
Social Insurance ◽  
Ad Hoc ◽  
Long Term Care ◽  
Early Stage ◽  
Functional Decline ◽  
Eligibility Criteria ◽  
Term Care ◽  
Service Levels

Long-term care (LTC) must be carefully delineated when expenditures are compared across countries because how LTC services are defined and delivered differ in each country. LTC’s objectives are to compensate for functional decline and mitigate the care burden of the family. Governments have tended to focus on the poor but Germany opted to make LTC universally available in 1995/1996. The applicant’s level of dependence is assessed by the medical team of the social insurance plan. Japan basically followed this model but, unlike Germany where those eligible may opt for cash benefits, they are limited to services. Benefits are set more generously in Japan because, prior to its implementation in 2000, health insurance had covered long-stays in hospitals and there had been major expansions of social services. These service levels had to be maintained and be made universally available for all those meeting the eligibility criteria. As a result, efforts to contain costs after the implementation of the LTC Insurance have had only marginal effects. This indicates it would be more efficient and equitable to introduce public LTC Insurance at an early stage before benefits have expanded as a result of ad hoc policy decisions.

Matrix of Stages and Process Tools Within the Organizational and Management Mechanism for Providing Services in the System of Long-Term Care for Older Citizens Based on Public-Private Partnership

2020 ◽  
Vol 19 (3) ◽  
pp. 22-32
Author(s):  
K.A. Samofatova ◽  
Keyword(s):  
Social Services ◽  
Long Term Care ◽  
Public Insurance ◽  
Management Mechanism ◽  
Term Care ◽  
Public And Private ◽  
Medical Infrastructure ◽  
Older Citizens ◽  
Managerial Mechanism

the article describes a matrix of stages and process tools developed on the basis of algorithms of legal, organizational, technical and financial processes, consisting of a set of stages, processes and tools necessary for the implementation of an infrastructure PPP project in the field of social services, the strict implementation of which will lead to the effective functioning of the organizational and managerial mechanism for providing services in the framework of long-term care for elderly citizens on the basis of publicprivate partnership (PPP), reflecting the interaction between public and private parties within the framework of a concession agreement for the object of social or medical infrastructure with the participation of public, insurance and credit institutions.

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