ABSTRACT

The Mount Sinai Hospital in New York City was in the epicenter of the COVID-19 pandemic and had to transform from a tertiary to crisis care hospital and increase its bed capacity by 50 percent to care for COVID-19 patients. The size, scope, complexity and uncertainty of this crisis was unparalleled. This article describes the comprehensive response of the Department of Social Work Services, one of the largest hospital social work departments in the country. The response was informed by four Departmental principles, as well as crisis intervention strategies. This article describes organizational structures, practice models, policies, and protocols developed to respond quickly and effectively, given infection prevention mandates, to patient, population and workforce needs. Finally, it includes how social workers addressed COVID-19 related physical and psychosocial needs and applied and modified interprofessional communication and collaboration. Lessons learned and clinical and administrative changes that will assist in navigating “new normal“ operations are discussed.

摘要

纽约市的西奈山医院位于COVID-19大流行的中心，不得不从三级医院转变为危机护理医院，并将病床容量增加50％，以护理COVID-19患者。这场危机的规模，范围，复杂性和不确定性是无与伦比的。本文介绍了社会工作服务部的综合反应，该部门是美国最大的医院社会工作部门之一。响应是根据部门的四项原则以及危机干预策略得出的。本文介绍了组织结构，实践模型，策略和协议，旨在根据感染预防的要求快速，有效地响应患者，人群和劳动力的需求。最后，它包括社会工作者如何解决与COVID-19相关的身体和心理需求，以及如何应用和修改专业间的沟通与协作。讨论了所学到的经验教训以及将有助于导航“新的正常”操作的临床和行政管理方面的变化。