The Women's and Children's Health cluster serves patients ranging in age from newborn to 50 (upper limits of child-bearing age). Social workers serve patients in Inpatient Pediatrics, Pediatric Intensive Care, Outpatient Pediatric Subspecialty Clinics (Cardiology, Endocrinology, Hematology/Oncology, Nephrology, and Pulmonology), OBGYN, Labor and Delivery, Full-term Nursery, Neonatal Intensive Care Unit, Maryland Women's Center, and the Safe Haven program. Patients in these areas run the entire gamut of socioeconomic status. Most of the patients are from the Baltimore City area, but we also serve many patients who come from all around the region for specialty care at the University of Maryland Hospital for Children.
Whenever a child is being treated for a serious illness, or a pregnancy is in jeopardy, families are in need of social work services. Patients who are referred to social workers in Women's and Children's Health have complex psychosocial needs, including teenage pregnancy, drug addiction, domestic violence, child abuse/neglect, or chronic illness.
Clinical Social Work activities in Women's and Children's Health Cluster include the following:
Assessment of patient care requirements are determined by interviews with patients and families, consultation with interdisciplinary staff, multidisciplinary rounds, chart reviews, and contact with community agencies.
Treatment strategies include crisis counseling, strength-based counseling, adjustment-to-illness counseling, grief counseling, conflict management, support groups, family meetings, and education about community resources.
Social workers attend daily multidisciplinary rounds and interact with the multidisciplinary team throughout patient care. Documentation is completed for all psychosocial assessments and all follow-up contacts with patients and families. Documentation is completed in the electronic medical record in the plan of care and in the patient/family education section.
The extent to which social work services meet patient/family needs is regularly evaluated by performance measures, customer satisfaction surveys and outcome measures. Social Work Care is monitored by monthly chart reviews, patient satisfaction surveys, interdisciplinary team satisfaction surveys, direct patient volumes and clinical practice outcomes. Quality of social work services is evaluated based on thresholds established for each indicator.
All social workers in the Women's and Children's Health cluster are clinician's who have been trained at the master's level and licensed in the state of Maryland. In this cluster there are 4 social workers licensed at the LCSW-C level and one social worker licensed at the LGSW level who is working towards her LCSW-C licensure. They all attend professional training in order to maintain their licensure and in order to provide appropriate clinical interventions to meet their patients' needs. They all attended hospital and department orientation and they all complete annual training including appropriate safety and competency training.