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Social Work Student and Practitioner Roles in Integrated Care Settings
Erin P Fraher1, Erica Lynn Richman2, Lisa de Saxe Zerden3
1Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Program on Health Workforce Research and Policy, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
American Journal of Preventive Medicine
|May 22, 2018
Summary
Social workers in integrated care settings frequently use cultural competency and address social determinants of health. Education and on-the-job training are key for developing these essential skills.
Area of Science:
- Healthcare Delivery
- Social Work Practice
- Behavioral Health Workforce Development
Background:
- Social workers are increasingly integrated into medical and behavioral healthcare settings.
- Understanding their specific roles and skill acquisition in these settings is crucial.
Purpose of the Study:
- To identify the functions performed by social workers in integrated care settings.
- To determine where social workers acquired the skills necessary for these roles.
Main Methods:
- Surveyed Master of Social Work students (n=21) and supervisors (n=21) in an integrated care training program.
- Assessed frequency of 28 functions, skill acquisition sources, and role overlap.
Main Results:
- Most frequent functions included cultural competency, EHR documentation, addressing social determinants of health, and team-based care.
- Students learned most skills (76%) in MSW programs; supervisors cited on-the-job training (65%).
- 80% reported role overlap with other healthcare team members.
Conclusions:
- Findings indicate a need to adapt educational curricula, regulatory frameworks, and payment models.
- These adaptations are necessary to better support social workers in integrated care.
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