In: Social work in health care: the journal of health care social work ; a quarterly journal adopted by the Society for Social Work Leadership in Health Care, Band 46, Heft 2, S. 1-14
• Summary: We assessed patient and provider barriers and facilitators to sustainability of a collaborative depression care model for depression treatment in predominantly Hispanic diabetes patients in safety net care clinics. • Findings: Semi-structured interviews and focus groups were conducted with patients and providers at two community clinics participating in a randomized controlled effectiveness trial of the Multi-faceted Depression and Diabetes Program (MDDP), a socioculturally adapted collaborative care model. Analysis identified eight themes grouped into three categories: barriers, facilitators, and recommendations for program sustainability. Barriers included patient concerns about use of medication and provider concerns about use of psychotherapy, increased workload for clinic staff, delay in receiving outcomes data, and lack of resources to sustain the program. Facilitators included patient benefits such as improved clinical outcomes, quality of care received, access, and satisfaction; provider benefits such as increased awareness and reduced anxiety; and clinic benefits in the form of reduced costs of care. Recommendations included changes in communication patterns among providers, specific changes in procedures, changes in resources, and changes in clinic organizational culture. • Applications: Sustainable adoption of collaborative depression care for underserved populations in safety net care systems by organizational decision-makers and providers requires: stable funding and qualified staff; technologies to facilitate provider access to easily applied treatment guidelines, information exchange between primary care physicians and depression care providers, and routine monitoring of patient depression symptoms and treatment adherence and satisfaction; and treatment consistent with patient preferences.
Cancer Navigation: Charting the Path Forward for Low Income Women of Color is a practical quick-reference resource for U.S. health care providers working with marginalized women throughout the cancer continuum. The authors present research and best practices for working with low income women of color empathetically and without judgement which is accessible for practitioners and support networks.
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Technological innovation has long been seen as a hallmark of progress in the modern world. While these advances may facilitate advantages to individual and social well-being, they have the potential for creating new areas of risk and expanding on those that already exist. In addition, a global pandemic has reshaped how we interact with one another, as more people connect online. Social work's ongoing relationship with technology necessitates that we evaluate and re-envision how tech ethics create, shape, and transform social work practice. This paper has three goals. First, we argue that technologies have long been a hidden driver of social work practice and provide an initial mapping of their current influence. Second, we introduce the Ethical OS as a tool for conceptualizing ethical issues that may arise in social work practice, education, and policy. We ask if this tool could promote seeing around corners regarding how developing technologies might be advantageous or disadvantageous for reference or consumer groups. For example, how do they reify historical injustices such as structural racism and how do they offer remediation? Third, we discuss the importance of building coherent, social work tech habits of mind, in practice now and for the future