The third chapter of this book primarily discusses
the need for primary prevention and talks about social work in primary care
settings. Primary care
intervention is the idea that society must try to prevent people from
habitually engaging in health behaviors that tend to contribute to chronic
diseases. “Primary prevention implies the elimination of the sources of
distress and “disease” in our social structures, such as poverty, racism,
pollution, poor education, and the general lack of a nurturing environment” (
Fort Cowles, 2003, p. 77). Major settings of social work in primary prevention include
public schools, workplaces, recreational settings, social agencies that provide
social support and skills training and education, and health settings. Social
work practice in primary care in the health field requires knowledge of health
behavior, illness behavior, social aspects of illness, generalist social work
practice, medicine, psychopathology, organizational theory, epidemiology, the
etiology of illness, psychosocial dysfunction, the sociology of medicine, the
WHO concept of health, empowerment and the strengths perspective, individual
and environmental research methods, and the biopsychosocial model of health
care. A health care social worker requires specific knowledge in many different
areas in order to be successful. The model curriculum for social work in
primary care is recommended by the Michigan Prevention Training and Curriculum
Development Project. This curriculum provides a student of social work to be
trained in all the different areas needed. I found an article that discusses
that the social work program at Columbia University is run by ex-cons who
served time for murder, attempted murder, and robbery and assault. I found this
article to be very interesting as it relates to the social work curriculum: Columbia's Cons: Ivy League social work program run by team of former prisoners
References:
Fort Cowles, L.A.
(2003). Social Work in the Health Field: A Care Perspective (2nd ed.)
Binghamton, NY: The Haworth Press.
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