Social Work and Complex Care Systems: The Case of People Hospitalised with a Disability. Issue 1 (2nd January 2016)

• Record Type: Journal Article
• Authors: Redfern, Helen; Burton, Judith; Lonne, Bob; Seiffert, Helen
• Is Part Of: Australian social work. Volume 69:Issue 1(2016)
• Page Start: 27
• Page End: 38
• Publication Date: 2016-01-02
• Subjects: Health Social Work -- Medical Social Work -- Disability -- Collaboration -- Patient Flow -- Length of Stay; Social service -- Periodicals; Social service -- Australia -- Periodicals; Social Work -- periodicals; Social Work -- Australia -- periodicals; Periodicals; 361.3
• DOI: 10.1080/0312407X.2015.1035295
• Languages: English
• ISSNs: 0312-407X

Abstract

Abstract: Health and hospital system reforms prioritise efficiency. However, initiatives can impact on people with new or existing disabilities who require time to maximise functional independence. With greater demands for shorter hospital stays social workers face increasing pressure to facilitate discharge. This paper reports findings from research identifying factors contributing to extended stays for adults with disabilities. We sought to better understand patient characteristics and discharge planning challenges by analysing a clinical dataset of 80 patients and qualitative interviews with five experienced hospital social workers. Three key factors are identified: issues around rehabilitation services; assessment and planning for community care; and availability of and access to discharge options. Strategies to reduce length of stay are reported. We argue that building collaborative partnerships and working across multiple, complex systems and disciplines are vital to ensure these patients access appropriate community-based resources within the current health reform environment.