Social Work Assessment

The social work assessment, which takes account of a range of factors, contrasts starkly with health assessment tools which focus individually on one small part of a patient’s functioning. The social work assessment may be viewed with suspicion, or even outright hostility, by hospital professionals particularly if the outcome is different to the prevailing opinion of the multi-disciplinary team. Increasingly, obtaining a global, holistic assessment is becoming difficult as hospitals develop a range of strategies to ‘speed up’ the discharge process. These strategies impact patients’ physical and mental health. Older patients with a cognitive impairment are disproportionately affected – the very group whose hospital admissions are rising fastest. As hospital stays shorten, the assessment is done earlier. Social work managers allocate dwindling resources on a basis of need. The social work assessment is increasingly driven by indicators of ‘critical’ and ‘substantial’. Lower levels of need or need that cannot be met by current service provision is simply not recorded. Thus, the social worker bases the assessment on less information, on a patient subjected to additional factors, using indicators designed to control budgets. However, social work resources are charged so patients themselves may pay the price for an inaccurate assessment

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• The Faintest Stirring of Hope Became Possible’

  Roni Strier, C S Shdaimah•Ethics and Social Welfare•2020

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• Be ready for the clash of powers

  Open Access•Roman Baláž•European Journal of Social Work•2022

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