ABSTRACT

Purpose: Social work (SW) is a profession that fulfills important roles on integrated health teams, yet there remains a lack of clarity on SW’s functions. The current study sought to identify typologies of SW’s roles on integrated care teams using latent class analysis (LCA).

Method: An electronic survey was developed, piloted, and administered to Masters level SW students and practitioners in integrated health care settings (N = 395) regarding weekly use of interventions. LCA was conducted to estimate latent sub-groups of respondents.

Results: Respondents reported an average of 14.6 (SD = 4.7) interventions. Five classes of SW roles were identified and varied by setting and focus. One class (13%) completed a hybrid function providing behavioral health and social care interventions.

Conclusions: Classes of SW roles on teams may reflect varying models of integrated care. A flexible SW on the team may adapt to patient and clinic needs, but increases the opportunity for role confusion.

摘要

目的：社会工作 (SW) 是一种在综合医疗团队中发挥重要作用的职业，但对 SW 的职能仍缺乏明确性。当前的研究试图使用潜在类别分析 (LCA) 来确定 SW 在综合护理团队中的角色类型。

方法：针对每周使用干预措施的情况，针对综合医疗保健环境中的硕士级 SW 学生和从业者（N = 395）开发、试点和管理了一项电子调查。进行 LCA 以估计受访者的潜在子组。

结果：受访者平均报告了 14.6 (SD = 4.7) 次干预。确定了五类 SW 角色，并根据设置和重点而有所不同。一个班级 (13%) 完成了提供行为健康和社会关怀干预的混合功能。

结论：团队中 SW 角色的类别可能反映了不同的综合护理模式。团队中灵活的 SW 可能会适应患者和诊所的需求，但会增加角色混淆的机会。