Self-determination is a primary ethical principle underlying social work practice in health care settings. Since the 1970s, a right-to-die movement that shares the social work commitment to self-determination has grown and influences end-of-life care decisions. However, the role of culture is notably absent in discussions of the right to die. A…

Reviews empirical literature to highlight individual, family, and illness variables that alone and together may improve identification of patients and families in need of social work services. Notes that development of screening mechanisms may be useful vehicle for improved psychosocial care and for the planning of social work services. (Author/NB)

Explores the diminishing role of federal government following a series of legislative mandates to maximize equal educational opportunity. Also examines the escalating poverty rate resulting from the economic restructuring of the country. Calls for systemic reform in education, health and human services followed by an integration of these services.…

Discusses links between advanced medical technology, increasing numbers of patients with multiple, chronic health problems, and social workers. Asserts hospitals--once the dominant organization in health care--must now become part of a primary care network of community-oriented delivery systems focused on chronic disease management. Discusses the…

Reviews Kane's "Lessons for Social Work from the Medical Model: A Viewpoint for Practice" (Social Work, July 1982). Three authors offer comments on the article regarding the need for research in social work and the place of social work in the medical field. A rebuttal by Kane is included. (JAC)

Social workers must be part of an interdisciplinary approach to hospital services, particularly ambulatory services. Getting results is the only way social work can maintain its place in the health care system. (JAC)

Describes special areas of practice that make up the field of social work. Discusses the relationship between individuals and their environment and the role that social workers play in the schools, mental and physical health care, community services, and industry. (JAC)