Conformists, Innovators, and Rebels: Adapting to the Devaluation of Social Work in Home Health Care



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University of Houston Graduate College of Social Work


This article emerged from a pre-dissertation, interview-based pilot study of a convenience sample of 14 home care social workers. The interviews occurred between August-December 2006 in the New York City metropolitan area. The study goal was to explore factors influencing the decision-making process of home care social workers regarding Alzheimer’s disease patients, paralleling an earlier study of home care nurses (Cabin, 2007). Both studies were prompted by a literature review indicating a dissonance between the need for psychosocial care by Alzheimer’s disease home care patients, statistically-significant evidence of effective psychosocial interventions to improve patient and caregiver outcomes, and government home care policy which does not cover such interventions (Cabin, 2006a, 2006b).



Perspectives on Social Work, William D. Cabin, Health Care, Medicare, Medicaid, Perspectives on Social Work, Social work, Health care, Medicare, Medicaid