Bibliography: pages 178-181. / In this study the writer assumed that the psycho-social characteristics of physically disabled patients would influence the role and task of the medical social worker at the Rehabilitation Clinic. Therefore an attempt was made to determine the psycho-social characteristics of patients referred to the Rehabilitation Clinic. Furthermore an attempt was made to determine the role and task of the medical social worker in relation to these psycho-social characteristics. The research method was a descriptive one, using archival data; the latter being social work records of interviews with patients. Prior to the research a literature study was done on various aspects of physical disability and vocational rehabilitation. A sample group of 45 subjects was compiled by a random sampling technique. Two structured schedules were used to extract data from both the social work file and the Rehabilitation Clinic patient file. The research and processing of the information was done manually. The findings revealed the following 1. The majority of the physically disabled patients were Coloured males in the age category of 31-50 years. 2. These patients had poor educational qualifications and were previously unskilled or semi-skilled labourers. 3. The patients were unemployed and had no income. 4. These patients had a passive lifestyle with no hobbies or little religious involvement. They also habitually abused liquor and/or cannabis. 5. The housing conditions of these patients were inadequate and primitive. 6. The various roles of the medical social worker included those of rehabilitation counsellor, team member, co-ordinator/resource manager and teacher, whereas the tasks included assessment, dissemination of information, referrals, co-ordinating of services and education. The final conclusion in this study was that the role and task of medical social worker was influenced by both the psycho-social characteristics of referred patients as well as the expectations of the rehabilitation team of the Rehabilitation Clinic.

Thesis (MSocialWork)--Stellenbosch University, 2001. / ENGLISH ABSTRACT: The aim of this study was to compile practical guidelines to assist medical practitioners in utilizing social work services in their practices. Exploratory, descriptive and applied research was done to determine and describe medical practitioners' knowledge of psychosocial problems and their present and potential utilization of social work services. Results were generalized in respect of the population as a whole. In the theoretical study social functioning was conceptualized by the description of micro, mezzo and macro levels of functioning. The approach towards rendering of services (in the Medical field) and intervention (in the Social Work field) was described, followed by recommendations for the eclectical utilization of the approaches. The eclectical application of the intervention approaches requires that social workers should have certain knowledge, values and skills to interpret certain roles. This occurs within certain social work areas, with the achievement of the aims and functions of Social Work as goal. The ethical and value basis of Social Work and Medical Science shows certain similarities and disparities. The values of Social Work, as contained in the Behavioural- and Ethical Code for Social Work and the Oath of Hippocrates, in Medical Science, are described in this study. In the empirical study qualitative and quantitative information was gathered, inter alia, about the existence of psychosocial problems of patients in medical practitioners' practices, how medical practitioners handled them, how well equipped they were to do it, their present and potential utilization of Social Work services, the role of third parties in the rendering of services and referral procedures. Thirty nine (39) medical practitioners, selected by random sampling procedure, were involved in the study and completed selfadministered questionnaires. The majority respondents indicated that their undergraduate training was inadequate in enabling them to handle psychosocial problems of patients. The entire spectrum of psychosocial problems existed in all the respondents' practices. The majority of respondents handled such problems themselves, while specialists, psychologists and psychiatrists were at times used as resources. The majority of respondents indicated that they could perhaps utilize Social Work services and that there is a great need for such a resource. Most medical practitioners preferred to send written referrals via patients, with the responsibility being with the patient for making an appointment with the social worker. Minimal use was made of third parties in the patients' frame of reference in the assessment and treatment of patients. Third parties, within the reference framework of patients, were used minimally by medical practitioners in the making of assessments and the rendering of services. Respondents had divergent opinions regarding their competence in the psychosocial field of service rendering. The majority of respondents indicated the need for training programs focusing on the handling of patients' psychosocial problems. Limited time for attending such training programs was however mentioned as the biggest obstacle. These findings of the empirical study, together with the theoretical framework, were used as a guideline for the composition of a practical guideline for the referral of services to social workers in private practice. / AFRIKAANSE OPSOMMING: Die doelstelling van hierdie studie was om praktykriglynne te ontwikkel, waarvolgens geneeshere in privaat praktyk maatskaplike werkers as ondersteuningshulpbron kan benut. Verkennende, beskrywende en toegepaste navorsing is gedoen, ten einde geneeshere se kennis van psigososiale probleme en hul huidige en potensiele benutting van maatskaplikewerkdienste te bepaal en te beskryf. Bevindinge is ten opsigte van die populasie as geheel veralgemeen. In die teoretiese studie is maatskaplike funksionering deur die beskrywing van mikro-, meso- en makrovlakfunksionering, gekonseptualiseer. Die benaderings tot dienslewering (in Geneeskunde) en intervensie (in Maatskaplike Werk) is beskryf. Daarna is 'n aanbeveling vir die eklektiese benutting van die benaderings gedoen. Die eklektiese benutting van die intervensiebenaderings vereis dat maatskaplike werkers oor sekere kennis, waardes en vaardighede moet beskik en sekere rolle moet vertolk. Dit geskied binne sekere maatskaplikewerkvelde en het as mikpunt die verwesenliking van die doelstellings en funksies van Maatskaplike Werk. Die etiese en waardegrondslag van Maatskaplike Werk en Geneeskunde toon sekere ooreenkomste en verskille. Die waardes van Maatskaplike Werk, soos vervat in die Gedrags- en Etiese Kodes vir Maatskaplike Werk, en van Geneeskunde, soos vervat in die Eed van Hippocrates, word in hierdie studie bespreek. In die empiriese studie is kwalitatiewe en kwantitatiewe inligting ingesamel oor, onder andere, die voorkoms van psigososiale probleme by pasiente in geneeshere se praktyke, geneeshere se hantering daarvan, hul bekwaamheid om sodanige probleme te hanteer, hul huidige en potensiele benutting van maatskaplikewerkdienste, die rol van derde partye by dienslewering en verwysingsprosedures. Nege-en-dertig (39) geneeshere, geselekteer deur ewekansige steekproeftrekking, is by die ondersoek betrek en het self die vraelyste ingevul. Die meeste geneeshere het aangedui dat hul voorgraadse opleiding hulle nie voldoende toegerus het om psigososiale probleme by pasiente te hanteer nie. Die hele spektrum van psigososiale probleme het in respondente se praktyke voorgekom. Die meeste respondente het sodanige probleme self hanteer, terwyl spesialiste, sielkundiges en psigiaters soms as hulpbronne benut is. Die meeste respondente het aangetoon dat hulle moontlik van maatskaplike werkers gebruik kan maak en dat daar 'n groot behoefte aan sodanige hulpbron bestaan. Die verwysingsprosedure wat deur die meeste geneeshere verkies is, was die stuur van skriftelike verwysings saam met pasiente. Derde partye, in pasiente se verwysingsraamwerk, is minimaal deur geneeshere by assessering en dienslewering betrek. Geneeshere het uiteenlopende menings gehad oor hul bevoegdhede in die psigososiale veld van dienslewering. Die behoefte aan opleidingsprogramme, wat fokus op die hantering van psigososiale probleme by pasiente, is deur die meeste respondente aangedui. Beperkte tyd is egter as die grootste struikelblok vir die bywoning van sodanige opleidingsessies aangevoer. Hierdie bevindinge van die empiriese studie, saam met die teoretiese raamwerk, is as riglyn benut vir die ontwikkeling van 'n praktykriglyn vir verwysing van dienste na maatskaplike werkers in privaat praktyk.

Thesis (MTech (Public management))--Cape Technikon, Cape Town, 2004 / The evolution of the South African health system has been characterised by inequities, imbalances as well as fragmentation. The unification of South Africa in 1910 did not consolidate public health administration, which was characterised by increasing institutionalisation, professionalism and organisation. This was the status-quo up until after 1990, whereby there were marked efforts and endeavours to effect defragmentation. In the context of the dramatic political changes that the country has seen over recent years, many aspects of local health care have been upgraded. Issues such as policy making and planning, the development of human resources and training for health care and the establishment of health systems and structures requires a different approach from the previous. Effective human resources development and management in consultation with communities, can contribute towards improvement of service delivery around health issues. Personnel matters and skills development should be considered in the exercise to boost employee morale and job satisfaction. The challenge facing South Africa has been to design a comprehensive programme to redress social and economic injustices, to eradicate poverty, increase efficiency and reduce waste. In the health sector this has been ongoing to involve the complete transformation of the national health care delivery system and the relevant institutions. Health care workers jointly, require the right skills, knowledge and expertise with attitude in their duties and obligation to serve the community.

On t.p.: Master of Arts in Social Work (Welfare Programme management) / Thesis (MA(MW))--Stellenbosch University, 2004. / ENGLISH ABSTRACT: Medical social workers working in children's wards are more prone to burnout because of the stressful nature of their work. Because social work requires emotional involvement, it is not uncommon for workers to be emotionally drained and frustrated, which might lead to burnout. Stress amongst social workers is an important issue, as a stressed workforce can negatively affect the quality of service. This study was undertaken with the aim of providing guidelines for handling stress amongst medical social workers working in children's wards, in order to promote job satisfaction and enhance work performance. Chronically ill children who are hospitalised, often suffer from behavioural and emotional problems that require social work intervention, which in turn puts pressure on the social worker. Concurrent stressors on the children and their families may exhaust their normal coping capacity and further complicate the child's adaptation to hospitalisation. The role of the medical social worker is to provide social support to the child and the family in order to promote positive coping in the child during and after hospital treatment. The demands put on the social worker by hospitalised children can cause stress, which could adversely affect their work performance and job satisfaction. Social workers therefore, have to carefully select an appropriate practice framework when dealing with hospitalised children. This entails the selection of appropriate perspectives, theories and models to ensure effective intervention. These frameworks provide structure and directive to social work intervention, and combined with supervision, can promote job satisfaction amongst medical social workers. The study was undertaken amongst medical social workers working in paediatric wards within hospitals in the Cape Metropolitan area. The empirical study focused on an investigation of factors, which might contribute to the experience of burnout amongst the social workers. Work-related stressors playa major role in increasing the likelihood of burnout amongst social workers. If these stressors are not properly dealt with they might lead to burnout amongst medical social workers, which will have a direct bearing on the child's benefit from medical services. A combination of both organisationally based and individually based strategies should be implemented in order to overcome job-related stress and to prevent burnout. / AFRIKAANSE OPSOMMING: Mediese maatskaplike werkers wat in kindersale werk, is meer geneig tot uitbranding as gevolg van die stresvolle aard van hulle werk. Maatskaplike werk vereis emosionele betrokkenheid. Dit is dus nie ongewoon vir maatskaplike werkers om emosioneel gedreineerd en gefrustreerd te voel nie. Laasgenoemde is kenmerke van uitbranding. Oormatige stres by maatskaplike werkers kan 'n negatiewe uitwerking op die kwaliteit van hul dienslewering hê. Hierdie navorsingstudie was onderneem met die oog op die daarstelling van riglyne vir die hantering van stres by mediese maatskaplike werkers, wat in kindersale werk om sodoende werkstevredenheid en -verrigting te bevorder. Kroniese siek kinders wat gehospitaliseer word, presenteer dikwels met gedrags- en emosionele probleme wat uiteraard tydens intervensie addisionele druk op die maatskaplike werker plaas. Gepaardgaande stressors kan daartoe lei dat pasiënte en hul gesinne afwyk van hul normale funksionering wat weer die pasiënt se hanteringsvermoë en aanpassing by die hospitaalopset belemmer. Die rol van die mediese maatskaplike werker is om sosiale ondersteuning aan bogenoemde partye te gee ten einde positiewe hanteringsvermoë tydens en na mediese behandeling, by pasiënte te vestig. Die eise wat deur pasiënte aan maatskaplike werkers gestel word kan stres veroorsaak wat hul werksverrigtinge en tevredenheid negatief kan affekteer. Maatskaplike werkers moet dus versigtig te werk gaan in die keuse van 'n gepaste praktykraamwerk vir intervensie ten opsigte van gehospitaliseerde kinders. 'n Verantwoordbare keuse van perspektiewe, teorieë en modelle lê ten grondslag van effektiewe maatskaplike werk intervensie. Hierdie raamwerke bied struktuur en rigting aan maatskaplike werk intervensie. Laasgenoemde, tesame met Stellenbosch University http://scholar.sun.ac.za superviste kan werkstevredenheid onder mediese maatskaplike werkers bevorder. Stressors wat met werk verband hou, speel 'n groot rol in die toename van uitbranding onder mediese maatskaplike werkers. Indien hierdie stressors nie effektief hanteer word nie, kan dit tot uitbranding by maatskaplike werkers ly wat dan weer die pasiënt se benutting van mediese dienste negatief beïnvloed. Die ondersoekgroep het bestaan uit tien mediese maatskaplike werkers wat werksaam was in paediatriese sale in hospitale binne die Kaapse Metropool. Tydens 'n empiriese ondersoek is gefokus op faktore wat moontlik aanleiding kan gee tot die uitbranding van maatskaplike werkers. Dit word dus aanbeveel dat 'n kombinasie van strategieë van beide die orgarusaste en die persoon geïmplementeer moet word om werksverwante stres te oorkom en dus uitbranding by mediese maatskaplike werkers te voorkom.

We conducted the study to explore and define the role of the social worker in Primary Health Care. The medical care model on its own is viewed as inappropriate for developing countries. We see Primary Health Care as holding the key to improving the health status of the many disadvantaged communities in South Africa. The Primary Health Care approach demands those health care providers, including social workers work collaboratively to provide the best possible services to the communities. Social Work is a profession concerned with the disadvantaged. However, social workers are assigned a very limited role in Primary Health Care. Since participants are concerned about subjective and experiential realities, participatory research was the appropriate research method. The major findings and conclusions were that, social workers have a role in Primary Health Care. They have to be assertive and tell others what is it that they do to find a place in Primary Health Care / Social Work / M.A. (Social Science (Mental Health))

We conducted the study to explore and define the role of the social worker in Primary Health Care. The medical care model on its own is viewed as inappropriate for developing countries. We see Primary Health Care as holding the key to improving the health status of the many disadvantaged communities in South Africa. The Primary Health Care approach demands those health care providers, including social workers work collaboratively to provide the best possible services to the communities. Social Work is a profession concerned with the disadvantaged. However, social workers are assigned a very limited role in Primary Health Care. Since participants are concerned about subjective and experiential realities, participatory research was the appropriate research method. The major findings and conclusions were that, social workers have a role in Primary Health Care. They have to be assertive and tell others what is it that they do to find a place in Primary Health Care / Social Work / M.A. (Social Science (Mental Health))

A study of the relevant theoretical concepts and empirical research was undertaken to explore the role of the social worker pertaining to the problem of epilepsy in the black community of Mamelodi. The sample comprised 40 families in which there was a person with epilepsy. Data were obtained through an interview schedule administered by the researcher. The literature study highlighted the phenomenon epilepsy, causes of epilepsy/ psychosocial effects of epilepsy on the epileptic and his family and the treatment of the epileptic. However/ it became quite clear that a multi-disciplinary team approach is vital importance in the treatment of an epileptic Furthermore/ significant others like traditional healers, faith healers, priests, relatives and friends were identified as some of the important informal support systems. Although the findings of study cannot be generalised to the entire population they can be of great significance for further research. / 'n Studie van die relevante konsepte asook empiriese navorsing is gedoen om die rol van die maatskaplike werker met betrekking tot die probleem van epilepsie in die swart gemeenskap van Mamelodi te eksploreer. Die steekproef is saamgestel uit 'n groep van 40 gesinne met 'n epileptikus in hul midde. Inlighting is verkry deur groep van onderhoudskedule. Die literatuurstudie beklemtoon die volgende: die verskynsel van epilepsie, oorsake van epilepsie, psigososiale gevolge van epilepsie op die per soon met epilepsie en sy gesin en die behandeling van die epileptikus. Dit het egter duidelik na vore gekom dat 'n multi-dissiplinere spanbenadering van die uiterste belang is in die behandeling van die epilepsielyer. Dit het ook duidelik geword dat betekenisvolle ander persone soos tradisionele genesers, geloofsgenesers priesters, familie en vriende van die mees belangrike steunstelsels is. Alhoewel bevindinge van die studie nie veralgemeen kan word en van toepassing gemaak kan word op die bevolking as geheel nie, kan dit egter van groot belang vir verdere navorsing wees. / Social Work / M.A. (Social Science)

A study of the relevant theoretical concepts and empirical research was undertaken to explore the role of the social worker pertaining to the problem of epilepsy in the black community of Mamelodi. The sample comprised 40 families in which there was a person with epilepsy. Data were obtained through an interview schedule administered by the researcher. The literature study highlighted the phenomenon epilepsy, causes of epilepsy/ psychosocial effects of epilepsy on the epileptic and his family and the treatment of the epileptic. However/ it became quite clear that a multi-disciplinary team approach is vital importance in the treatment of an epileptic Furthermore/ significant others like traditional healers, faith healers, priests, relatives and friends were identified as some of the important informal support systems. Although the findings of study cannot be generalised to the entire population they can be of great significance for further research. / 'n Studie van die relevante konsepte asook empiriese navorsing is gedoen om die rol van die maatskaplike werker met betrekking tot die probleem van epilepsie in die swart gemeenskap van Mamelodi te eksploreer. Die steekproef is saamgestel uit 'n groep van 40 gesinne met 'n epileptikus in hul midde. Inlighting is verkry deur groep van onderhoudskedule. Die literatuurstudie beklemtoon die volgende: die verskynsel van epilepsie, oorsake van epilepsie, psigososiale gevolge van epilepsie op die per soon met epilepsie en sy gesin en die behandeling van die epileptikus. Dit het egter duidelik na vore gekom dat 'n multi-dissiplinere spanbenadering van die uiterste belang is in die behandeling van die epilepsielyer. Dit het ook duidelik geword dat betekenisvolle ander persone soos tradisionele genesers, geloofsgenesers priesters, familie en vriende van die mees belangrike steunstelsels is. Alhoewel bevindinge van die studie nie veralgemeen kan word en van toepassing gemaak kan word op die bevolking as geheel nie, kan dit egter van groot belang vir verdere navorsing wees. / Social Work / M.A. (Social Science)