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Social Threat-Safety Test Uncovers Psychosocial Stress-Related Phenotypes

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The Social Work Assessment Tool (SWAT).

Dona J Reese, Mary Raymer, Stacy F Orloff

Journal of Social Work in End-Of-Life & Palliative Care

|May 22, 2007

Summary

The Social Work Assessment Tool (SWAT) improved patient outcomes in hospice care. Further development is needed for comprehensive outcomes measurement in social work practice.

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Area of Science:

Palliative Care
Social Work
Healthcare Outcomes Measurement

Background:

The National Hospice and Palliative Care Organization initiated efforts to integrate social work into patient/family outcomes.
The Social Work Assessment Tool (SWAT) was developed as part of these initiatives.
Previous pilot studies informed the revision and refinement of the SWAT.

Purpose of the Study:

To report on the development and performance of the Social Work Assessment Tool (SWAT).
To evaluate the effectiveness of the SWAT in measuring patient and family outcomes in hospice and palliative care settings.
To identify areas for improvement in social work outcomes measurement.

Main Methods:

A performance improvement project involving 19 social workers from 14 hospice programs.
The SWAT was used with 101 patients and 81 primary caregivers over a median of 44 days.
Quantitative analysis of SWAT scores and qualitative interviews with social workers.

Main Results:

Significant improvement in patient SWAT scores was observed between the first and second social work visits (p < .01).
Qualitative feedback indicated a need for further training and readiness for quantitative outcomes measurement among social workers.
The SWAT was deemed appropriate for diverse patient populations.

Conclusions:

The SWAT demonstrates potential for measuring patient outcomes in hospice and palliative care social work.
Additional qualitative and practice-level measures are necessary for a holistic approach to outcomes assessment.
The findings highlight the evolving role of social workers in quantitative outcomes measurement within palliative care.