Clinic Social Service
The clinic social service represents the psychosocial dimension of patient care within the hospital . The activity carried out by social workers and social pedagogues includes advising inpatients, semi-inpatients and outpatients and their relatives.
The social service in the hospital adapts to the content, form and practice of the consultation of the respective type of hospital with its individual and special requirements and the needs of the patients. It fits into the organizational guidelines, structures and guidelines of the institution.
He works on an interdisciplinary basis with doctors, nurses, physiotherapists, ward assistants, DRG officers and many other professional groups, thus completing the holistic health concept by introducing psychosocial aspects. The clinic social service is based on all existing systems of a patient, includes them in the consultation, uses the available resources and provides assistance for self-determined solutions.
It has proven itself in the hospital sector for decades and is now established in almost every hospital. The work of the Clinic Social Services is based on the recommendations and quality standards of the German Association for Social Work in Health Care (DVSG) .
history
Germany
The clinic social service began over 100 years ago. In the middle of the 19th century, at the time of industrialization, Germany developed explosively. The number of poor grew steadily and they could not afford hospital treatment.
This is where the first social hospital care started. The aim was to secure funding for the treatment of the poor, to advise them and, if possible, to find a job for them.
In 1893 Jeanette Schwerin and Albert Levy founded the first girls and women groups for social aid work in Berlin . The members were girls and women from good middle-class backgrounds who volunteered to support socially disadvantaged and sick people.
The broad spectrum of social work and the desire to establish itself in the hospital institution promoted professional training and further education for the employees of the girls' and women's groups, who initially only worked on request.
In 1908 Alice Salomon founded the first social school for women in Germany. Thus it paved the way for the professionalization of social work through a two-year theoretical and practical vocational training.
An important step was the founding of the Association for Social Hospital Care of the Berlin University Clinics outside the Berlin Charité by Anni Tüllmann and Hedwig Landsberg in 1919. They established social services as an integral part of a hospital. The work of this Berlin association was the origin and model for hospital social services throughout Germany.
In 1926 the German Association for Welfare Service in Hospitals was founded, which was later renamed the German Association for Social Service in Hospitals eV ( DVSK ). Its aim was to unite social work under one concept. This is how a wide network of hospital social services came into being. The first nationwide training courses and forums took place.
In 2003 the DVSK was renamed what is today the German Association for Social Work in Health Care (DVSG). The (DVSG) is the professional association for social work for all social workers / educators working in the health sector and provides the opportunity for information, advice, professional exchange, training and the development or further development of uniform professional concepts. It represents the interests of social work in the health sector and consolidates their position.
Tasks of the hospital social service
The normal course of life is interrupted by the illness. Patients are confronted with a new life situation and a changed state of health. In the case of serious illnesses, this can mean that the previous life must be rethought and structured. This is where the competence of the hospital social service comes into play. He can advise and support the patient and his relatives in any necessary restructuring of their previous life. As an interface in the complex social benefit system, the employees present the various offers of help, coordinate the possible and individually appropriate benefit claims or measures, clarify the assumption of costs and, if necessary, prepare the transfer to other care or rehabilitation facilities.
Every help process requires the patient's consent and consideration of his or her wishes and existing resources. Everything happens in consultation and consultation with the patient and everyone involved. The employees of the social service are, like all hospital employees, bound to secrecy .
Psychosocial Interventions
- Social history
- Talks, advice and support
- Help in coping with illness
- Help with problems in the social environment
- Help with existential crises
- Addiction counseling
Social interventions
- Legal support
- Housing matters
- Care for relatives in need
- Practical help
- Mediation of external advice centers and self-help groups
Economic interventions
- Economic security (e.g. housing benefit, basic security)
- Health and long-term care insurance benefits
- Services of the employment agency
- Pension insurance benefits
- further financial help
- Handicapped ID card
Outpatient and inpatient aftercare
- domestic care
- Home help
- Assisted living
- Short and long term care
- Palliative care ward and hospice
- other outpatient and inpatient support services
Medical rehabilitation
- Follow-up treatment
- Neurological early rehabilitation
- Geriatric rehabilitation
- Further inpatient treatment
Participation in working life
- Vocational rehabilitation / retraining services
- Gradual reintegration
Others
Another area of responsibility is the documentation of daily work. Depending on the requirements of the hospital, this is done by hand or electronically. The documentation serves, in addition to traceability, transparency as well as evaluation and statistical purposes. The guidance of interns, the development of professional concepts, regular training and further education, quality management, evaluation and research are also integrated into everyday working life.
Discharge management
"Discharge management is a conceptual, professional approach to social work in hospitals in order to develop and implement a viable decision for post-inpatient care in an interprofessional setting in the event of multiple problems with patients and their relatives / caregivers."
The discharge management is coordinated by the employees of the clinic social service. The entire help process within discharge management is carried out through good interdisciplinary cooperation and mutual exchange of information. The aim is to achieve greater transparency among the professional groups among themselves. A holistic and individual discharge management should be available to the patient. The patient's right to self-determination and wishes should be taken into account at all times. The selection of the right measure and its quality are decisive for the success of discharge management.
The hospital draws economic benefits from discharge management if the length of stay does not have to be exceeded and the so-called revolving door effect can be avoided. Discharge management does not mean discharging the patient as quickly as possible, but rather discharging the patient from the hospital with the best possible care despite the tense economic situation and the limited length of stay. Holistic, ethical principles and the quality of advice must not be lost.
Legal basis
Social care and advice in hospitals are anchored in law at the federal level in accordance with Section 112, Paragraph 2, Nos. 4 and 5 of SGB V. The seamless transition from hospital treatment to rehabilitation or care is described here.
In addition, each federal state regulates the use of social work in hospitals
In Baden-Württemberg, the use of social services is anchored in Section 31 of the State Hospital Act (LKHG):
- (1) The hospital ensures a social hospital service that also includes care transfer. The hospital pastoral care remains untouched.
- (2) The social hospital service has the task of providing social advice and care for the patient and his relatives, in particular because of the help that is required during the hospital stay and after discharge from the hospital. The social hospital service ensures that after the patient is discharged, the measures necessary for his care, aftercare and rehabilitation are initiated.
- (3) The rights and obligations of other social services remain unaffected. The social hospital service works closely with these services.
privacy
The clinic social service is obliged to protect social data. Within a hospital, this is based on internal regulations of the respective hospital on confidentiality and data protection and is anchored in Sections 43–51 of the State Hospital Act of Baden-Württemberg (LKHG). In addition, all social workers / pedagogues in the clinic's social service are subject to the statutory confidentiality and confidentiality obligations in accordance with Section 203 of the Criminal Code.
literature
- German Association for Social Work in Health Care eV (DVSG): Product and service description of clinical social work . 2nd Edition. 2007, ISBN 3-9811072-4-1 .
- DVSK: Action plan for social work in hospitals.
- Peter Reinicke (Ed.): Social work in hospitals - past and future. Lambertus Verlag, Freiburg im Breisgau 2001, ISBN 3-7841-1363-X .
- Peter Reinicke: Social Hospital Welfare in Germany - From the Beginnings to the End of the Second World War . Leske + Budrich, Opladen 1998, ISBN 3-8100-2007-9 .
- Herbert Viefhues (ed.), Hans-Gerhard Nülens, Ursula Kersken-Nülens: Social services in the hospital . Kohlhammer Verlag, Stuttgart / Berlin / Cologne / Mainz 1986, ISBN 3-17-008592-1 .
- Norbert Gödekcer-Geenen, Hans Nau (Hrsg.): Clinical social work - a position determination . LIT Verlag, Münster 2002, ISBN 3-8258-5934-7 .
Individual evidence
- ↑ a b About us website of the DSVG. Retrieved June 30, 2011
- ↑ Position paper of the German Association for Social Work in Health Care eV 02/2004 ( Memento of the original dated September 3, 2013 in the Internet Archive ) Info: The archive link was automatically inserted and not yet checked. Please check the original and archive link according to the instructions and then remove this notice. DVSG website (PDF download; 40 kB). Retrieved July 1, 2011
