Social Work Support Services for Stroke Patients

Rizzo, Victoria M.

doi:10.1300/j010v43n01_03

Cited by 9 publications

(7 citation statements)

References 39 publications

(30 reference statements)

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“…16 Although therapists support functional recovery, 2 nurses and SW play an important role in identifying social and emotional challenges and supporting patients as they recover from stroke. [17][18][19] Social care has been identified as a particular challenge in securing timely discharge to ESD, 20 which further highlights the importance of the inclusion of nurses and social workers in interprofessional ESD teams. Based on the results of this review, it would be our recommendation that PT, OT, SLP, SW, and nursing be considered as critical components of an effective ESD team.…”

Section: Discussionmentioning

confidence: 99%

A Synthesis of Peer-Reviewed Literature on Team-Coordinated and Delivered Early Supported Discharge After Stroke

Meyer

Teasell

Thind

et al. 2016

Can. J. Neurol. Sci.

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This review aimed to summarize data from peer-reviewed studies of team-coordinated and delivered early supported discharge (ESD) for postacute, poststroke rehabilitation. A systematic review was performed in Medline, Embase, and CINAHL for appropriate studies. Information on program details and patient cohorts was synthesized. All programs sought patients with mild-to-moderate functional impairment and minimal cognitive impairment (often based on Barthel Index and Mini-Mental State Examination scores, respectively). All also included at least one subjective admission criterion related to rehabilitation suitability or the suitability of the home environment. Based on the identified studies, ESD programs can assume that 15% of patients screened for ESD will be eligible and care should be provided for 4 to 5 weeks postdischarge. Although the benefits of team-coordinated and delivered ESD poststroke have been well-documented, this review may be helpful for clinicians, administrators, and policy makers looking to establish or refine an ESD program for stroke.RÉSUMÉ: Synthèse de la littérature revue par des pairs sur le congé hospitalier précoce avec soutien coordonné et fourni par une équipe de personnel soignant après un accident vasculaire cérébral. L'objectif de cette revue était de résumer les données des études revues par des pairs sur le congé hospitalier précoce avec soutien (CHPS) coordonné et fourni par une équipe de personnel soignant pour la réadaptation post aiguë après un accident vasculaire cérébral (AVC). Nous avons effectué une revue systématique dans les bases de données Medline, Embase et CINAHL pour identifier les études pertinentes. Nous avons effectué une synthèse de l'information sur les détails des programmes et sur les cohortes de patients. Tous les programmes visaient des patients ayant un déficit fonctionnel de léger à modéré et un déficit cognitif minime (souvent basé sur le score à l'indice de Barthel et au Mini-Mental State Examination respectivement). Tous incluaient également au moins un critère d'admission subjectif en lien avec l'adéquation du sujet et de son environnement domiciliaire à la réadaptation. D'après les études identifiées, les programmes de CHPS peuvent présumer que 15% des patients dépistés pour un CHPS y seront éligibles et que les soins devraient être prodigués pendant 4 à 5 semaines après le congé. Bien que les bénéfices du soutien coordonné et fourni par une équipe de personnel soignant après un CHPS aient été bien documentés, cette revue peut aider les cliniciens, les administrateurs et les décideurs qui prévoient établir ou perfectionner un tel programme pour l'AVC.

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Section: Discussionmentioning

confidence: 99%

A Synthesis of Peer-Reviewed Literature on Team-Coordinated and Delivered Early Supported Discharge After Stroke

Meyer

Teasell

Thind

et al. 2016

Can. J. Neurol. Sci.

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“…Social work covers diverse aspects of care such as counselling, liaison with other services, provision of information (eg advice on how to obtain benefits, contact details of medical doctors and self-help groups) and help with arranging housekeeping or nursing interventions (including assistance with personal care and medication for secondary prevention) [ 1 ]. Social workers work with stroke patients in the out-patient phase of the disease but are also members of the multi-disciplinary teams taking care of stroke patients in acute hospitals and during in-patient rehabilitation (in-patient phase) [ 1 , 2 ]. Often social work commences during the acute phase of stroke and is required long after discharge from hospital.…”

Section: Introductionmentioning

confidence: 99%

Social work after stroke: identifying demand for support by recording stroke patients’ and carers’ needs in different phases after stroke

et al. 2016

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BackgroundPrevious studies examining social work interventions in stroke often lack information on content, methods and timing over different phases of care including acute hospital, rehabilitation and out-patient care. This limits our ability to evaluate the impact of social work in multidisciplinary stroke care.We aimed to quantify social-work-related support in stroke patients and their carers in terms of timing and content, depending on the different phases of stroke care.MethodsWe prospectively collected and evaluated data derived from a specialized “Stroke-Service-Point” (SSP); a “drop in” center and non-medical stroke assistance service, staffed by social workers and available to all stroke patients, their carers and members of the public in the metropolitan region of Berlin, Germany.ResultsEnquiries from 257 consenting participants consulting the SSP between March 2010 and April 2012 related to out-patient and in-patient services, therapeutic services, medical questions, medical rehabilitation, self-help groups and questions around obtaining benefits. Frequency of enquiries for different topics depended on whether patients were located in an in-patient or out-patient setting. The majority of contacts involved information provision. While the proportion of male and female patients with stroke was similar, about two thirds of the carers contacting the SSP were female.ConclusionThe social-work-related services provided by a specialized center in a German metropolitan area were diverse in terms of topic and timing depending on the phase of stroke care. Targeting the timing of interventions might be important to increase the impact of social work on patient’s outcome.Electronic supplementary materialThe online version of this article (doi:10.1186/s12883-016-0626-z) contains supplementary material, which is available to authorized users.

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“…A total of 40 articles that reported the results of 34 separate outcome studies of social work services in aging were reviewed (Anker-Unrever & Netting, 1995;Babins, Dillion, & Merovitz, 1988;Boult, Boult, Ebbitt, Luptak, & Kane, 1994;Burns, Nichols, Martindale-Adams, & Graney, 2000;Chase Goodman & Pynoos, 1990;Claiborne, 2003;Dhooper, Green, Huff, & AustinMurphy, 1993;Dziegielewski, 1991;Egan & Kadushin, 1999;Engelhardt et al, 1996;Epstein et al, 1998;Ferris, Steinberg, Shulman, Kahn, & Reisberg, 1987;GallagherThompson et al, 2000;Goodman, 1990;Haley, Brown, & Levine, 1987;Hussian & Lawrence, 1981;Lord & Pockett, 1998;McCallion, Toseland, & Freeman, 1999;McNeill, Nicholas, Szechy, & Lach, 1998;Mittelman et al, 1993;Montgomery & Borgotta, 1989;MorrowHowell & Becker-Kemppalssen, 1998;Naleppa & Reid, 1998;Oktay, Steinwachs, Mamon, Bone, & Fahey, 1992;Peak, Toseland, & Banks, 1995;Ponto & Berg, 1992;Rizzo, 2002;Rosen, Gilbert, & Lee, 1999;Rubin, Sizemore, Loftis, Adams-Huet, & Anderson, 1992;Rubin, Sizemore, Loftis, & Loret de Mola, 1993;Toseland, 1990;Toseland, Blanchard, & McCallion, 1995;Toseland, Labrecque, Goebel, & Whitney, 1992;Toseland et al, 2001...…”

Section: Resultsmentioning

confidence: 99%

“…Five studies reviewed in the health category also found significant cost savings and improved quality of life for older adults. Rizzo (2002) retrospectively evaluated the social work support services provided to stroke patients participating in an inpatient physical rehabilitation program. The results suggested that high levels of informational support services provided by social workers (i.e., stroke education and family teaching) had a significant and positive impact on total hospital charges.…”

Section: Healthmentioning

confidence: 99%

Studies of the Cost-Effectiveness of Social Work Services in Aging: A Review of the Literature

Rizzo

Rowe

2006

Research on Social Work Practice

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The American population aged 65 years and older is growing rapidly, creating an increased demand for social workers. Reimbursement structures of Medicare and Medicaid present significant barriers for aging individuals seeking social work services as well as social workers wanting to provide services to the elderly. To build a case for the modification of these reimbursement structures, a review of studies of social work services in aging was conducted to (a) make explicit the current knowledge of the efficacy and cost-effectiveness of these services, (b) identify current gaps in knowledge, (c) promote a research agenda to address the gaps, and (e) assure that the knowledge identified addresses payers'needs to understand the value of social work services in aging. The results indicate that social work interventions can have a positive impact on the health care costs, the use of health care services, and the quality of life of older Americans.

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Social Work Support Services for Stroke Patients

Cited by 9 publications

References 39 publications

A Synthesis of Peer-Reviewed Literature on Team-Coordinated and Delivered Early Supported Discharge After Stroke

A Synthesis of Peer-Reviewed Literature on Team-Coordinated and Delivered Early Supported Discharge After Stroke

Social work after stroke: identifying demand for support by recording stroke patients’ and carers’ needs in different phases after stroke

Studies of the Cost-Effectiveness of Social Work Services in Aging: A Review of the Literature

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