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Discussion 2: Person-in-Environment Perspective

                       SOCW – 6204/8204: Medical Social Work I 

        Discussion 2: Person-in-Environment Perspective

The terms disease and illness are often used interchangeably, yet they are conceptually very different. Illness refers to the human experience of disease. Disease, on the other hand, refers to a structural change in the body or mind. Traditionally, the primary focus of the medical model has been the disease and the diagnosis and treatment of the disease. In 1977, George Engel argued that the medical model “leaves no room in its framework for the social, psychological, and behavioral dimensions of illness” (p. 130).

A primary goal of medical social work is to address illness. Medical social workers are charged with evaluating and analyzing how illness impacts the social, emotional, psychological, and behavioral realms of individuals and groups—that is, the “person-in-environment” perspective. Since its inception, medical social work has been rooted in the person-in-environment perspective and has relied heavily on the principles of the biopsychosocial model. The biopsychosocial model, a pinnacle of social work practice, systematically considers biological, psychological, and social factors and their complex interactions in understanding health, illness, and health care delivery. Thus, medical social workers must consider all systems in a patient’s life when assessing a patient’s needs and suggesting interventions.

To prepare for this Discussion, consider the medical social worker’s practice from the “person-in-environment” perspective. Review both the disease and biopsychosocial models of disease and health. Examine the posts your colleagues share about the future perspectives of the profession in this week’s Discussion 1.

 

By Day 4   ( Note!!! PLEASE WRITE OUT EACH QUESTION BEFORE PROVIDING A RESPONSE)

Post a brief description of the “person-in-environment” perspective. Compare and contrast the medical model and the biopsychosocial model. Be sure to describe the advantages and disadvantages of both models in the delivery of medical social work services. Explain how the person-in-environment perspective relies heavily on the principles of the biopsychosocial model. Explain whether the biopsychosocial model might continue to be compatible with the future of the social work profession. Provide a rationale. Finally, explain whether the person-in-environment perspective might rely heavily on the principles of the biopsychosocial model in the future.

 

Be sure to support your responses with specific references to the resources. If you are using additional articles, be sure to provide full APA-formatted citations for your references both within the text and on the referencing section.  PLEASE ALWAYS INCLUDE THE REQIRED TEXTBOOK as part of the references and if possible some of the REQUIRED READING if applicable. Please always start by referring to THE TEXTBOOK, below  REQUIRED

Hospital Social Work (Paperback) 2006  Author:

Handbook of Health Social Work 3RD 19

 

 

Required Readings

 

Learning Resources

Beder, J. (2006). About medical social work. In Hospital social work: The interface of medicine and caring (pp. 1-8). Routledge. https://doi.org/10.4324/9780203956120

 

Massachusetts General Hospital. (n.d.). History of social service. https://www.massgeneral.org/social-service/about/history 

 

Gehlert, S., & Browne, T. (Eds.). (2019). Conceptual underpinnings of social work in health care. In Handbook of health social work (3rd ed., pp. 4-17). Wiley. https://doi.org/10.1002/9781119420743 

Engel, G. L. (2012). The need for a new medical model: A challenge for biomedicine. Psychodynamic Psychiatry, 40(3), 377–396.

Kontos, N. (2011). Perspective: Biomedicine—Menace or straw man? Reexamining the biopsychosocial argument. Academic Medicine, 86(4), 509–515.

Mishna, F., Bogo, M., Root, J., Sawyer, J. L., & Khoury-Kassabri, M. (2012). “It just crept in”: The digital age and implications for social work practice. Clinical Social Work Journal, 40(3), 277–286.

Reamer, F. G. (2013). Social work in a digital age: Ethical and risk management challenges. Social Work, 58(2), 163–172.

Optional ResourceNASW. (2003). Standards for integrating genetics into social work practice. Retrieved from http://www.socialworkers.org/practice/standards/GeneticsStdFinal4112003.pdf

 

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