TY - JOUR KW - Clinical Clerkship/organization & administration KW - Clinical Competence KW - Evidence-Based Medicine KW - Female KW - Humans KW - Male KW - Medical History Taking KW - Mental Disorders/diagnosis KW - Models, Educational KW - Primary Health Care/organization & administration KW - Social Work, Psychiatric/education/organization & administration KW - Treatment Outcome KW - United States AU - B. D. Rock AU - M. Cooper A1 - AB - A neighborhood primary health care program serving a socially and economically oppressed community, and a graduate school of social work have collaborated to create a social work student field work unit in a primary health care setting, to demonstrate emerging and innovative social work roles in an ever-increasing managed care environment. Patients with high levels of psychosocial stress make large demands on the primary care system and consume considerable laboratory and diagnostic treatment resources. Development of social services in primary care settings is a relatively new concept, however it has been clearly demonstrated that primary care physicians need the skills of social workers to handle the psychosocial and environmental aspects of illness. The principal goal was to demonstrate social work practice in a primary care health setting, utilizing practice research approaches. Validation of effectiveness was noted, as depression, anxiety, adjustment reactions (to name a few) were decreased, resulting in fewer physician visits, less somatization and improved compliance with medical and diet/nutrition regimens. The case examples and single subject data presented provide qualitative evidence, in the context of a natural experiment, for the profession to pursue this model further in both program development and research. BT - Social work in health care C5 - Education & Workforce; Medically Unexplained Symptoms CP - 1 CY - UNITED STATES DO - 10.1300/J010v31n01_01 IS - 1 JF - Social work in health care N2 - A neighborhood primary health care program serving a socially and economically oppressed community, and a graduate school of social work have collaborated to create a social work student field work unit in a primary health care setting, to demonstrate emerging and innovative social work roles in an ever-increasing managed care environment. Patients with high levels of psychosocial stress make large demands on the primary care system and consume considerable laboratory and diagnostic treatment resources. Development of social services in primary care settings is a relatively new concept, however it has been clearly demonstrated that primary care physicians need the skills of social workers to handle the psychosocial and environmental aspects of illness. The principal goal was to demonstrate social work practice in a primary care health setting, utilizing practice research approaches. Validation of effectiveness was noted, as depression, anxiety, adjustment reactions (to name a few) were decreased, resulting in fewer physician visits, less somatization and improved compliance with medical and diet/nutrition regimens. The case examples and single subject data presented provide qualitative evidence, in the context of a natural experiment, for the profession to pursue this model further in both program development and research. PP - UNITED STATES PY - 2000 SN - 0098-1389; 0098-1389 SP - 1 EP - 17 EP - T1 - Social work in primary care: A demonstration student unit utilizing practice research T2 - Social work in health care TI - Social work in primary care: A demonstration student unit utilizing practice research U1 - Education & Workforce; Medically Unexplained Symptoms U2 - 10989871 U3 - 10.1300/J010v31n01_01 VL - 31 VO - 0098-1389; 0098-1389 Y1 - 2000 ER -