Social worker. The hospital social worker recognizes groups at high psychosocial risk. These groups include:

Practice Area 172 CLINICAL PRIVILEGE WHITE PAPER Social worker Background The role of the hospital social worker is to provide quality services to pa...
Author: Morris Jones
5 downloads 0 Views 66KB Size
Practice Area 172

CLINICAL PRIVILEGE WHITE PAPER Social worker Background The role of the hospital social worker is to provide quality services to patients and their families. These services may include psychosocial assessment and counseling, and can range from pre-admission planning to support during medical treatment and recovery. Discharge planning is another important function as the social worker helps patients and families make their own decisions about post-hospital care. The hospital social worker recognizes groups at high psychosocial risk. These groups include: • • • • •

frail elderly patients, chronically ill people, children and adults with handicapping conditions, victims of maltreatment, and critically ill patients.

Social workers serve patients who are insured, uninsured, and underinsured.

Positions of societies and academies NASW

The National Association of Social Workers (NASW) recommends that hospital social workers be appropriately licensed, have a master’s degree in social work, and have two years’ supervised experience or its equivalent in a hospital setting, according to an NASW spokesperson. “But social work practitioners in today’s environment need more credentials than a master’s degree in social work or a state license that may attest only to minimum competency,” the spokesperson adds. As a result, the NASW offers social workers such credentials as membership in the Academy of Certified Social Workers (ACSW), the Qualified Clinical Social Worker credential, and the Diplomate in Clinical Social Work credential. These credentials demonstrate knowledge and experience beyond state licensing.

Qualifications for membership in the ACSW

• Education: Master’s or doctorate degree in social work from a school accredited by the Council on Social Work Education (CSWE).

A supplement to Briefings on Credentialing 781/639-1872

Criteria reviewed 2006

1

Social worker

Practice Area 172 • Experience: Two years of full-time (or 3,000 hours of equivalent part-time), paid post-master’s or post-doctorate social work experience with supervision by a social worker in an agency or organized setting. • Documentation: Completed supervisory evaluation form and two professional references from social work colleagues. • Examination: Tests social work knowledge in assessment and service planning, intervention, professional development and ethical standards, and administration.

Qualifications for Qualified Clinical Social Worker

• Education: Master’s or doctorate degree in social work from a school accredited by the CSWE. • Experience: Two years of full-time (or 3,000 hours of equivalent part-time), paid post-master’s or post-doctoral clinical social work experience in an agency or organized setting, supervised by a clinical social worker with at least two years’ experience. • State regulation: Membership in ASCW or current state social work license or certification. • Documentation: Verification of supervision, current state registration, license, or certification. Also, a professional reference from a social work colleague.

Qualifications for Diplomate in Clinical Social Work

• Education: Master’s or doctorate degree in social work from a school accredited by the CSWE. • Experience: Two years of full-time (or 3,000 hours of equivalent part-time), paid post-master’s or post-doctoral clinical social work experience in an agency or organized setting, supervised by a clinical social worker with at least two years of experience. Three additional years of full-time clinical social work practice or 4,500 hours of part-time practice in not less than three years. Two years of full-time or 3,000 hours of part-time within the last 10 years. • State regulation: Highest level of certification, license, or registration in state.

2

A supplement to Briefings on Credentialing 781/639-1872

Criteria reviewed 2006

Practice Area 172

Social worker

• Documentation: Verification of supervision, current state registration, license, or certification. Also, a professional reference from a social work colleague. • Examination: Cognitive advanced examination that tests the applicant’s qualifications to practice social work independently, and completion of a clinical social work skills assessment. For each of the above NASW credentials, applicants must submit an official copy of school transcripts (with the school seal). In addition, applicants must sign an agreement to practice according to NASW’s Code of Ethics and practice standards, and submit to adjudication proceedings if charged with violations. The NASW also created the Academy of Certified Baccalaureate Social Workers (ACBSW) as a social work credential. This credential gives BSWs professional recognition and is modeled after the ACSW. The ACBSW requires at least two years of supervised social work experience in an agency or organized setting. AASSWB

The American Association of State Social Work Boards (AASSWB) publishes information on state licensure of social workers. “Licensure is done in all states at one of four levels of practice,” says an AASSWB spokesperson. “They are licenses to practice social work and there is no specific licensure for hospital social work.” The AASSWB spokesperson also points out that there are certain states where hospital social workers are exempt from licensure. In Virginia, for example, if individuals work in a public or private nonprofit organization or agency, then legally they do not have to be licensed to practice social work. The Credentialing Resource Center recommends that every organization contact the appropriate state board for specific information concerning such exemptions. The following is the AASSWB table that details state by state the levels of social work practice that are regulated. The table does not include exemptions.

A supplement to Briefings on Credentialing 781/639-1872

Criteria reviewed 2006

3

Social worker

Practice Area 172

LEVELS OF SOCIAL WORK PRACTICE REGULATED STATE

TITLE

INITIALS

EDUCATION

EXPERIENCE

EXAM REQUIRED

BOARD APPROVAL

Alabama

Private Independent Practice Licensed Certified Social Worker Licensed Graduate Social Worker Licensed Bachelor Social Worker

PIP LCSW LGSW LBSW

DSW/MSW DSW/MSW MSW BSW

2 yrs POST 2 yrs POST 0 0

Advanced Advanced Intermediate Basic

Alaska

Licensed Clinical Social Worker

LCSW

DSW/MSW

2 yrs POST

Clinical

Arizona

Certified Independent Social Worker CISW Certified Master Social Worker CMSW Certified Baccalaureate Social Worker CBSW

DSW/MSW DSW/MSW BSW

2 yrs POST 0 0

Clin/Adv Intermediate Basic

Arkansas

Licensed Certified Social Worker Licensed Master Social Worker Licensed Social Worker

LCSW LMSW LSW

MSW MSW BSW

2 yrs POST 0 0

Clin/Adv Intermediate Basic

YES

California

Licensed Clinical Social Worker Associate Clinical Social Worker

LCSW ASW

MSW MSW

2 yrs POST 0

Clinical N/R

YES

Colorado

Licensed Clinical Social Worker

LCSW

DSW or MSW

1 yr POST 2 yrs POST

Clin/Adv Clin/Adv

NO

Connecticut

Licensed Clinical Social Worker

LCSW

DSW/MSW

3,000 hrs POST

Clin/Adv

YES

Delaware

Licensed Clinical Social Worker

LCSW

DSW/MSW

2 yrs POST

Clinical

YES

District of Columbia

Licensed Licensed Licensed Licensed

LICSW LISW LGSW LSWA

MSW MSW MSW BSW

3,000 hrs POST 3,000 hrs POST 0 0

Clinical Advanced Intermediate Basic

YES

Florida

Licensed Clinical Social Worker Certified Master Social Worker

LCSW CMSW

DSW/MSW MSW

3 yrs (2 yrs POST) 3 yrs (2 yrs POST)

Clinical Intermediate

YES

Georgia

Licensed Clinical Social Worker Licensed Master Social Worker

LCSW LMSW

MSW MSW

3 yrs POST 0

Advanced Intermediate

YES

Hawaii

Licensed Social Worker

LSW

DSW/MSW

0

Intermediate

N/S

Idaho

Independent Practice Certified Social Worker Social Worker

CSW CSW SW

DSW/MSW DSW/MSW BSW

2 yrs POST 0 0

Intermediate Intermediate Basic

YES

Illinois

Licensed Clinical Social Worker

LCSW LSW

2,000 hrs POST 3,000 hrs POST 0 3 yrs POST

Clinical Clinical Intermediate Intermediate

YES

Licensed Social Worker

DSW or MSW MSW or BSW

Indiana

Clinical Social Worker Social Worker

CSW SW

MSW MSW or BSW

2,000 hrs POST 0 2 yrs POST

Clinical Intermediate Intermediate

YES

Iowa

Licensed Social Worker

LSW

DSW/MSW

2 yrs POST

Clinical

YES

4

Ind. Clinical Social Worker Independent Social Worker Graduate Social Worker Social Work Associate

A supplement to Briefings on Credentialing 781/639-1872

YES

YES YES

Criteria reviewed 2006

Practice Area 172

Social worker

LEVELS OF SOCIAL WORK PRACTICE REGULATED STATE

TITLE

INITIALS

EDUCATION

EXPERIENCE

EXAM REQUIRED

BOARD APPROVAL

Kansas

Specialist Clinical Social Worker Master Social Worker Baccalaureate Social Worker

LSCSW MSW BSW

DSW/MSW MSW BSW

2 yrs POST 0 0

Clinical Intermediate Basic

YES

Kentucky

Licensed Independent Practice Certified Social Worker Licensed Social Worker

LCSW CSW LSW

DSW/MSW DSW/MSW BSW or BA

2 yrs POST 0 0 2 yrs

Clinical Intermediate Basic Basic

YES

Louisiana

Board Certified Social Worker

BCSW

MSW

2 yrs POST

Clin/Adv

YES

Maine

Licensed Clinical Social Worker Licensed Master Social Worker Licensed Social Worker

LCSW LMSW LSW

DSW/MSW DSW/MSW BSW

2 yrs POST 0 0

Clinical Intermediate Basic

YES

Maryland

Certified Social Worker—Clinical Certified Social Worker Graduate Social Worker Social Work Associate

LCSW LCSW LGSW LSW

DSW/MSW DSW/MSW DSW/MSW BSW

2 yrs POST 2 yrs POST 0 0

Clinical Advanced Intermediate Basic

YES

Massachusetts

Licensed Independent Clinical Social Worker

LICSW LCSW LSW

DSW/MSW DSW/MSW BSW or BA or 1 yr college or HS AA/BA

3 0 0 2 1 8 0

Clinical Intermediate Basic Basic Basic Basic Basic

NO

MSW MSW or BA 2 yrs college or 1 yr exp.

2 yrs POST 4,000 hrs POST 2 yrs POST 1 yr POST 0

N/R N/R N/R N/R N/R

NO

Licensed Certified Social Worker Licensed Social Worker

yrs

yrs yr yrs

Licensed Social Work Associate

LSWA

Certified Social Worker Social Worker

CSW SW

Social Work Technician

SWT

Licensed Independent Clinical Social Worker

LCSW LISW LGSW LSW

DSW/MSW DSW/MSW MSW BSW

2 yrs POST 2 yrs POST 0 0

Clinical Advanced Intermediate Basic

YES

Licensed Independent Social Worker Licensed Graduate Social Worker Licensed Social Worker Mississippi

Licensed Certified Social Worker Licensed Master Social Worker Licensed Social Worker

LCSW LMSW LSW

DSW/MSW DSW/MSW BSW

2 yrs POST 0 0

Clin/Adv Intermediate Basic

YES

Missouri

Licensed Clinical Social Worker

LCSW

DSW/MSW

2 yrs POST

Clin/Adv

NO

Montana

Licensed Social Worker

LSW

DSW/MSW

2 yrs POST

Advanced

YES

Nebraska

Certified Master Social Worker Certified Social Worker

CMSW CSW

DSW/MSW MSW/BSW

3,000 hrs POST 0

Clin/Adv N/R

YES

Nevada

Licensed Clinical Social Worker Licensed Independent Social Worker

LCSW LISW

DSW/MSW DSW/MSW

3,000 hrs POST 3,000 hrs POST

Clinical Adv/Int

YES

Michigan

Minnesota

A supplement to Briefings on Credentialing 781/639-1872

Criteria reviewed 2006

5

Social worker

Practice Area 172

LEVELS OF SOCIAL WORK PRACTICE REGULATED STATE

TITLE

INITIALS

Licensed Social Worker

LSW

Licensed Associate in Social Work New Hampshire

EDUCATION

EXPERIENCE

EXAM REQUIRED

BOARD APPROVAL

LSWA

MSW/BSW or MA/BA Emp. in SW

0 3,000 hrs POST 0

Basic Basic N/R

Certified Clinical Social Worker

CCSW

DSW/MSW

2 yrs POST

Clinical

YES

New Jersey

Licensed Clinical Social Worker Licensed Social Worker Certified Social Worker

LCSW LSW CSW

DSW/MSW DSW/MSW BSW or BA

2 yrs 0 0 1 yr

Clinical Intermediate N/R N/R

YES

New Mexico

Licensed Independent Social Worker LISW Licensed Master Social Worker LMSW Licensed Baccalaureate Social Worker LBSW

MSW MSW BSW

2 yrs POST 0 0

Clin/Adv Intermediate Basic

YES

New York

Certified Social Worker

CSW

MSW

0

Clin/Adv/Int

NO

North Carolina

Certified Certified Certified Certified

CCSW CSWM CMSW CSW

DSW/MSW DSW/MSW DSW/MSW BSW

2 yrs POST 2 yrs POST 0 0

Clinical Clinical Intermediate Basic

YES

North Dakota

Private Practice Licensed Certified Social Worker Licensed Social Worker

LCSW LCSW LSW

DSW/MSW DSW/MSW BSW

3 yrs POST 0 0

Clin/Adv/Int Intermediate Basic

YES

Ohio

Licensed Independent Social Worker Licensed Social Worker Registered Social Work Assistant

LISW LSW RSWA

DSW/MSW AA

2 yrs POST 0 0

Clin/Adv Basic N/R

NO

DSW/MSW/BSW

Oklahoma

License for Private Practice Licensed Social Worker Licensed Social Work Associate

LSW LSW LSWA

DSW/MSW DSW/MSW BSW

2 yrs POST 2 yrs POST 2 yrs POST

Clinical Advanced Int/Basic

YES

Oregon

Licensed Clinical Social Worker Clinical Social Work Associate

LCSW CSWA

DSW/MSW DSW/MSW

2 yrs POST 0

Clinical N/R

YES

Pennsylvania

Licensed Social Worker

LSW

DSW/MSW

0

Intermediate

NO

Puerto Rico

Licensed Social Worker

LSW

BSW

2 yrs POST

N/R

NO

Rhode Island

Licensed Ind. Clinical Social Worker Licensed Clinical Social Worker

LICSW LCSW

DSW/MSW MSW/BSW

2 yrs POST 0

Clinical Intermediate

YES

South Carolina

Licensed Independent Social Worker LISW Licensed Master Social Worker LMSW Licensed Baccalaureate Social Worker LBSW

DSW/MSW DSW/MSW BSW

2 yrs POST 0 0

Clin/Adv Intermediate Basic

YES

South Dakota

Independent Practice Certified Social Worker Social Worker

2 yrs 0 0 2 yrs

Advanced Intermediate Basic Basic

YES

Nevada

6

Clinical Social Worker Social Work Manager Master Social Worker Social Worker

CSW-PIP DSW/MSW CSW DSW/MSW SW BSW or BA

A supplement to Briefings on Credentialing 781/639-1872

Criteria reviewed 2006

Practice Area 172

Social worker

LEVELS OF SOCIAL WORK PRACTICE REGULATED STATE

TITLE

INITIALS

EDUCATION

EXPERIENCE

EXAM REQUIRED

BOARD APPROVAL

South Dakota

Social Work Associate

SWA

AA/BA

0

Basic

Tennessee

Independent Practitioner Certified Master Social Worker

LCSW CMSW

DSW/MSW DSW/MSW

2 yrs 0

Clinical N/R

YES

Texas

Advanced Clinical Practitioner Advanced Practice Licensed Master Social Worker Licensed Social Worker Social Work Associate

LMSW-ACP

DSW/MSW DSW/MSW DSW/MSW BSW BA/AA

3 yrs POST 3 yrs POST 0 0 1 yr/3 yrs

Clinical Advanced Intermediate Basic

YES

Basic (Associate)

Utah

Clinical Social Worker Certified Social Worker Social Service Worker

CSW CSW SSW

DSW/MSW DSW/MSW MSW/BSW or BA

2 yrs POST 0 0 1 yr POST

Clinical Intermediate Basic Basic

NO

Vermont

Licensed Clinical Social Worker

CSW

DSW/MSW

2 yrs POST

Clinical

YES

Virginia

Licensed Clinical Social Worker Licensed Social Worker

LCSW LSW

MSW MSW or BSW

2 yrs POST 0 2 yrs POST

Clinical Basic Basic

YES

Virgin Islands

Certified Independent Social Worker Certified Social Worker Social Worker

CISW CSW SW SWA

2 yrs POST 0 0 2 yrs POST 0

Clin/Adv Intermediate Basic Basic Basic

YES

Social Work Associate

DSW/MSW DSW/MSW BSW or BA AA/BA

Washington

Certified Social Worker

CSW

DSW/MSW

2 yrs POST

Clin/Adv

YES

West Virginia

Licensed Licensed Licensed Licensed

Ind. Clinical Social Worker Certified Social Worker Graduate Social Worker Social Worker

LICSW LCSW LGSW LSW

DSW/MSW DSW/MSW MSW BSW

2 yrs POST 2 yrs POST 0 0

Clinical Advanced Intermediate Basic

YES

Wisconsin

Certified Certified Certified Certified

Ind. Clinical Social Worker Ind. Social Worker Adv. Practice Social Worker Social Worker

CICSW CISW CAPSW CSW

DSW/MSW DSW/MSW DSW/MSW MSW/BSW

2 yrs POST 2 yrs POST 0 0

Clinical Advanced Intermediate Basic

YES

Wyoming

Licensed Clinical Social Worker

LCSW

DSW/MSW

2 yrs POST

Clin/Adv

YES

LMSW-AP

LMSW LSW SWA

Source: American Association of State Social Work Boards

A supplement to Briefings on Credentialing 781/639-1872

Criteria reviewed 2006

7

Social worker

Practice Area 172

Positions of other interested parties Beverly (MA) Hospital

According to Blair Smith, social work coordinator and senior clinician at Beverly (MA) Hospital, an acute-care facility that is part of the Beverly-based Northeast Health Systems, the hospital looks for social worker applicants who have a master’s degree in social work and hold the highest level of licensure in Massachusetts, an LICSW. “That’s what the majority of our staff are, although depending on the need, we occasionally hire people who have an undergraduate degree in social work.” The primary functions of the social workers at Beverly Hospital are: • Psychosocial assessments • Crisis intervention • Supportive counseling • Advocacy and protective work—whenever there are issues of abuse, neglect, or violence • Community outreach—referral and coordinating services • Discharge planning—arranging transfers for individuals, either home with services or to other hospitals or rehab facilities • Consulting physicians—general practitioners and specialists “It’s difficult to define the inpatient caseload of individual social workers at our facility because they do not just work in the hospital,” Smith says. “They also work in the community and do outreach as well.” Smith’s best estimate is that each social worker on staff is assigned to approximately 15 inpatient cases at any given time. There is no formal reappointment procedure at Beverly Hospital. “As long as the social workers maintain their licenses and meet an annual performance review and evaluation, they stay here until they choose to leave,” Smith says.

JCAHO

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has no formal position concerning the delineation of privi-

A supplement to Briefings on Credentialing 781/639-1872

Criteria reviewed 2006

8

Practice Area 172

Social worker

leges for social workers. But according to a JCAHO spokesperson, there are two things that a health care organization has to do in regard to social workers. The first is to verify that there is evidence that the social worker has a current license to be an independent practitioner. The second is to grant initial, renewed, or revised privileges to that independent practitioner based on relevant training and/or experience, current competence, and the ability to perform the privileges requested. While the JCAHO does not require hospitals to use any specific method in delineating clinical privileges, its 1997 Comprehensive Accreditation Manual for Hospitals does require that such privileges be hospital-specific and based on an individual’s demonstrated current competence (MS.5.15). It further requires (MS.5.15.1– MS.5.15.1.3) that “privileges are related to an individual’s documented experience in categories of treatment areas or procedures, the results of treatment, and the conclusions drawn from quality assessment and improvement activities when available.”

For more information

For more information regarding this practice area, contact: American Association of State Social Work Boards 400 South Ridge Parkway, Suite B Culpeper, VA 22701 Telephone: 540/829-6880 Fax: 540/829-0142 National Association of Social Workers 750 First Street, NE, Suite 700 Washington, DC 20002-4241 Telephone: 202/408-8600 Fax: 202/336-8311

A supplement to Briefings on Credentialing 781/639-1872

Criteria reviewed 2006

9

Social worker

Practice Area 172

The information contained in this document is general. It has been designed and is intended for use by hospitals and their credentials committees in developing their own local approaches and policies for various credentialing issues. This information, including the materials, opinions, and draft criteria set forth herein, should not be adopted for use without careful consideration, discussion, additional research by physicians and counsel in local settings, and adaptation to local needs. The Credentialing Resource Center does not provide legal or clinical advice; for such advice, the counsel of competent individuals in these fields must be obtained. Reproduction in any form outside the recipient’s institution is forbidden without prior written permission. Opus Communications retains the copyright to the Clinical Privilege White Papers.

10

A supplement to Briefings on Credentialing 781/639-1872

Criteria reviewed 2006