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Strengthening the Social Work Voice: The NASW
Social Work Policy Institute
Presentation to Idaho Social WorkersApril 8, 2011
Joan Levy Zlotnik, PhD, ACSWDirector, Social Work Policy Institute
NASW
Why Develop a Social Work Think Tank?
©2010 National Association of Social Workers. All Rights Reserved.
Why Develop a Social Work Think Tank?
Social Work Reinvestment Initiative
Goal: Secure federal and state investments in professional social work to enhance societal well-being.
Why Develop a Social Work Think Tank?
Social Work Policy Institute
• Division of the NASW Foundation
• Established October, 2009
• www.SocialWorkPolicy.org
Social Work Policy Institute Mission
• To strengthen social work’s voice in public policy deliberations
• To collect and disseminate information on social work effectiveness
• To create a forum to examine current and future issues in health care and social services delivery
SWPI Mechanisms
• Position papers and briefs
• Symposia
• Listening sessions
• Briefings
• Web-based resources and tools (e.g., social work effectiveness)
• Collaborations with key stakeholders
Year One: SWPI Priorities• Solidifying Research/Practice/Policy Connections
– Organize Information on Social Work Effectiveness
• Promote Social Work Role in Psychosocial Interventions – Social Work & Comparative Effectiveness Research
– Social Work Role in Hospice
– Addressing Health Disparities
– The Social Work Role in Long Term Care
• Enhance Social Work Voice in Improving Child Welfare Service Delivery
Highlight of Activities
• Hosted Comparative Effectiveness Research (CER) Symposium and developed report and brief
• Hosted Symposium on Hospice Social Work: Linking Practice, Policy & Research and developed report and brief
• Created Research to Practice Brief on impact of caseloads on worker turnover and service delivery
• Participate in CDC Knowledge to Action Think Tank
• Advisor for National Child Welfare Workforce Institute
• Analyze British SW taskforce report relevance for U.S.
• Planning for Supervision: The Safety Net for Front-Line Child Welfare Practice
©2009 National Association of Social Workers. All Rights Reserved.
Convening Power of SWPI
©2010 National Association of Social Workers. All Rights Reserved.
SWPI Initiative 1: Comparative Effectiveness Research
Growing attention to what works for whom under what conditions
$1.1 billion in the American Recovery and Reinvestment Act
CER supports research assessing the comparative effectiveness of health care treatments Conduct and synthesize researchDevelop registriesGenerate and obtain outcomes data
CER: How Does Social Work Fit?
• Review available information• Convene stakeholders
– Federal staff– Social work researchers– Providers– Funders
• Identify opportunities and challenges for social work• Develop and disseminate action steps
Recommendations for Action
CER Recommendations are Targeted to:• National Organizations• Academic Settings• Practice-Research Linkages• Engagement with Government Agencies• Enhancement of Research Methodology
©2009 National Association of Social Workers. All Rights Reserved.
Recommendations for Action
©2009 National Association of Social Workers. All Rights Reserved.
Recommendations for Action
©2009 National Association of Social Workers. All Rights Reserved.
Hospice Social Work: Linking Policy, Practice and Research SYMPOSIUM GOALS• To promote high quality psychosocial care in hospice
• To explore social work’s contribution to building comprehensive End of Life (EOL) care
• To identify research on social workers’ roles and intervention practices
• To understand hospice regulations and the regulatory development process
• To engage key stakeholders in dialogue and action planning
©2009 National Association of Social Workers. All Rights Reserved.
Hospice Social Work: Action Agenda Highlights To Enhance Social Work’s Contribution to Quality Hospice
Care
• Value and promote hospice social work credentials, competitive salaries, social work supervision and peer support and professional development opportunities.
• Promote social work role on interdisciplinary team (IDT), including enhanced IDT research and training.
• Engage patients and family members in care planning.
©2009 National Association of Social Workers. All Rights Reserved.
Hospice Social Work: Action Agenda Highlights Cont’d. To Enhance Social Work’s Contribution to Quality Hospice Care
• Enhance relationships and information exchange between the social work community and CMS.
• Promote culturally-competent care and outreach to diverse populations.
• Ensure social work input into quality improvement and assessment strategies.
• Strengthen attention to EOL and palliative care in the social work curriculum.
• Enhance linkages between hospice social workers and other health care social workers.
©2009 National Association of Social Workers. All Rights Reserved.
Hospice Social Work: Action Agenda Highlights Cont’d
To Strengthen Research-Policy-Practice Bridges• Enhance social work research on EOL care supported by NIH and AHRQ
• Build visible practice- and policy-relevant dissemination tools of research findings.
• Ensure practice relevant and practitioner and consumer/family -engaged research.
• Enhance involvement of social workers in interdisciplinary EOL research.
• Pursue systematic reviews of hospice psychosocial research.
• Advocate for increased funding for EOL research.
• Promote partnerships among national and local social work and hospice entities.
©2009 National Association of Social Workers. All Rights Reserved.
NASW Activities: End-of-life and Palliative Care
• Develop Comments and Letters to Influence Policy– Submitted comments to CMS advocating inclusion of advance
care planning in Medicare annual wellness visit (2010)
– Submitted comments advocating for inclusion of end-of-life and palliative care as a topic area in Healthy People 2020 (2009)
– Congressional letter & member action alert to oppose hospice rate cuts (2008–09)
– Submitted comments to CMS opposing downgrading of social work qualifications in revised Medicare Conditions of Participation (2008)
©2009 National Association of Social Workers. All Rights Reserved.
NASW Activities: End-of-life and Palliative Care
• NASW 2010 Annual Practice ConferenceSocial Work’s Critical Role in End of Life Care
• NASW Standards for Palliative and End of Life Care http://www.socialworkers.org/practice/bereavement/standards/standards0504New.pdf
©2009 National Association of Social Workers. All Rights Reserved.
NASW Activities: End-of-life and Palliative Care
• Joint Commission: Participate in PTAC for Home Care (includes hospice)
http://www.jointcommission.org/AboutUs/Fact_Sheets/advisory_groups.htm
http://www.jointcommission.org/AccreditationPrograms/HomeCare/
• Hospice Foundation of America (HFA): Support live teleconference • Mayday Fund: Endorsed chronic pain report (2009)
http://www.socialworkers.org/practice/aging/2010/010610b.asp
• Aging with Dignity: Promoted translations of Five Wishes (2007) http://www.socialworkers.org/practice/aging/2008/alzheimers.asp
• ©2009 National Association of Social Workers. All Rights Reserved.
NASW Activities: End-of-life and Palliative Care• National Healthcare Decisions Day: • Alzheimer’s Association Dementia Care Practice
Recommendations: Supported development of two sets of recommendations– Phase 3, EOL care in assisted living & nursing home settings
(2007)
– Phase 4, home care (2009)—included extensive information on EOL care
http://www.socialworkers.org/practice/aging/2010/010610a.asp
©2009 National Association of Social Workers. All Rights Reserved.
NASW WebEd
©2009 National Association of Social Workers. All Rights Reserved.
Free web-ed courses for social workers and other social service professionals.
Membership in NASW is not required.
Courses take approximately 90 minutes to complete;
Learners can earn one CE for completing the test at the end of the course.
www.naswwebed.org
NASW WebEd
©2009 National Association of Social Workers. All Rights Reserved.
• Understanding Cancer: The Social Worker's Role • Understanding End of Life Care: The Social Worker's Role• Understanding Aging: The Social Worker's Role• Understanding Cancer Caregiving: The Social Worker’s Role• Achieving Cultural Competence to Reduce Health Disparities in
End of Life Care• Promoting Adherence to Cancer Oral Medications: The Social
Worker’s Role
www.naswwebed.org
Discussion
• Ensuring social work’s place at the policy table– Strengthening research and policy connections
– Identifying and reporting on social work effectiveness
– Addressing critical policy issues for social work action
• Supporting the Social Work Reinvestment Initiative– Optimizing the role of social workers in practice
– Assessing challenges and opportunities to quality training and education
SWPI Reports
• Comparative Effectiveness and Research and Social Work: Strengthening the Connection (full report, 2 page brief and executive summary http://www.socialworkpolicy.org/events/social-work-research-and-comparative-effectiveness-research-cer-a-research-symposium-to-strengthen-the-connection.html
• Coming soon to SocialWorkPolicy.org –Hospice Social Work: Linking Policy Practice and Research – Report and 2 page brief
©2009 National Association of Social Workers. All Rights Reserved.
For More Information
• Social Work Policy Institute http://www.socialworkpolicy.org
• Social Work Reinvestment Initiative• http://www.socialworkreinvestment.org
• NASW Center for Workforce Studies• http://workforce.socialworkers.org/
©2009 National Association of Social Workers. All Rights Reserved.
For More Information
Contact:Joan Levy Zlotnik, PhD, ACSW
Director, Social Work Policy Institute, NASW
Stacy Collins, MSW
Senior Practice Associate – Health
Chris Herman, MSW
Senior Practice Associate – Aging
©2009 National Association of Social Workers. All Rights Reserved.
