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Social and psychological care before and during hospitalization
1School of Social Work, Virginia Commonwealth University, Richmond 23284.
Insights
This study explores hospital social and psychological care, integrating behavioral medicine and clinical social work perspectives. It advocates for a unified approach to patient services within complex healthcare systems.
Area of Science:
- Healthcare Services Research
- Clinical Social Work
- Behavioral Medicine
Background:
- Social and psychological care in hospitals can be viewed technically or as comprehensive patient services.
- Understanding the hospital's structural, political, economic, and ideological context is crucial for effective care.
- Existing research on preparing children for hospitalization offers valuable data within behavioral medicine.
Purpose of the Study:
- To review studies on preparing children for hospitalization.
- To analyze reports from practicing clinical social workers in US hospitals.
- To propose an integrated framework for understanding and delivering hospital-based social and psychological care.
Main Methods:
- Literature review of studies on pediatric hospitalization preparation within behavioral medicine.
- Analysis of contextual reports from clinical social workers in US hospitals.
- Theoretical integration of diverse research frames and methodologies.
Main Results:
- Behavioral medicine provides a framework for understanding pediatric preparation for hospitalization.
- Clinical social work reports offer rich contextual insights into hospital care delivery.
- Significant data exists from both technical and contextual perspectives on hospital care.
Conclusions:
- An integrated approach to hospital social and psychological care is proposed.
- This integration should bridge behavioral medicine and clinical social work perspectives.
- Overcoming professional and theoretical differences is necessary for a unified framework.
Abstract:
Social and psychological care may be viewed as a series of technical procedures; or it may be seen as a complex set of services rendered by the hospital to its potential and actual patients. In the latter case, an understanding of the structure, the political and economic, as well as the ideological context of the hospital is necessary. A review of studies on the preparation of children for hospitalization, conducted in the theoretical framework of behavioural medicine, provides a significant set of data. Material available from practising clinical social workers in United States hospitals, provides equally useful reports, albeit of far greater contextual nature than the first. The paper proposes that in post-behaviouristic and post-phenomenological times an integration of frames of reference, designs and methodologies ought to be attempted, notwithstanding serious dissonances, disagreements, and professions-bound interests.
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