Helen Rehr - The Social Work-Medicine Relationship: 100 Years at Mount Sinai
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An absorbing exploration of the growth of social work at the Mount Sinai Medical Center
The Social Work-Medicine Relationship: 100 Years at Mount Sinai explores the lessons learned in the formation and management of social work departments in health care, through the perspective of the hospital internationally acclaimed for excellence in clinical care, education, and scientific research. Internationally respected experts Dr. Helen Rehr and Dr. Gary Rosenberg from Mount Sinai use their unique viewpoints to tell the extraordinary story of a century of knowledge and growth, concentrating on the development of the social work department and the people dedicated to providing the finest care possible. This commemoration of the winding path of social work and health care takes the reader on a fascinating and surprising walk through the history of not only a great hospital, but also the effects that the work at Mount Sinai had on the community and public policy.
The Social Work-Medicine Relationship provides an absorbing general history of social health care and its growth at the Mount Sinai Medical Center from its inception in 1906 to the present day. This unique review of the factors in place that triggered the formation and subsequent growth of the institutions social work services department is useful knowledge for every social worker in both academic and practice organizations. Special focus is given to explain how women have consistently been a driving force in the expansion to fulfill the needs of the community. Presentation papers are included from influential women the first half of the century that illustrated patient needs and positively affected the growth of services. The book is extensively referenced and includes several informative appendixes.
The Social Work-Medicine Relationship explores the history of:
The Social Work-Medicine Relationship: 100 Years at Mount Sinai explores the lessons learned in the formation and management of social work departments in health care, through the perspective of the hospital internationally acclaimed for excellence in clinical care, education, and scientific research. Internationally respected experts Dr. Helen Rehr and Dr. Gary Rosenberg from Mount Sinai use their unique viewpoints to tell the extraordinary story of a century of knowledge and growth, concentrating on the development of the social work department and the people dedicated to providing the finest care possible. This commemoration of the winding path of social work and health care takes the reader on a fascinating and surprising walk through the history of not only a great hospital, but also the effects that the work at Mount Sinai had on the community and public policy.
The Social Work-Medicine Relationship provides an absorbing general history of social health care and its growth at the Mount Sinai Medical Center from its inception in 1906 to the present day. This unique review of the factors in place that triggered the formation and subsequent growth of the institutions social work services department is useful knowledge for every social worker in both academic and practice organizations. Special focus is given to explain how women have consistently been a driving force in the expansion to fulfill the needs of the community. Presentation papers are included from influential women the first half of the century that illustrated patient needs and positively affected the growth of services. The book is extensively referenced and includes several informative appendixes.
The Social Work-Medicine Relationship explores the history of:
- early medicine
- social services
- American medicine and the emergence of the social work profession
- the beginning of Mount Sinai medicinethe Jews Hospital
- the Mount Sinai Auxiliary Board
- Mount Sinais Department of Social Work Service
- applied social work research
- the Mount Sinai Department of Community Medicine
- the Mount Sinai Division of Social Work
- globalization of social work services
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Hafford-Letchfield Trish
Gary Spolander
Helen Cosis Brown
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The Social WorkMedicine Relationship
100 Years at Mount Sinai
2006 by The Haworth Press, Inc. All rights reserved. No part of this work may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, microfilm, and recording, or by any information storage and retrieval system, without permission in writing from the publisher.
First published by
The Haworth Press, Inc., 10 Alice Street, Binghamton, NY 13904-1580.
This edition published 2012 by Routledge
Routledge
Taylor & Francis Group
711 Third Avenue
New York, NY 10017
Taylor & Francis Group
711 Third Avenue
New York, NY 10017
Routledge
Taylor & Francis Group
2 Park Square, Milton Park
Abingdon, Oxon OX14 4RN
Taylor & Francis Group
2 Park Square, Milton Park
Abingdon, Oxon OX14 4RN
PUBLISHERS NOTES
The development, preparation, and publication of this work has been undertaken with great care. However, the Publisher, employees, editors, and agents of The Haworth Press are not responsible for any errors contained herein or for consequences that may ensue from use of materials or information contained in this work. The Haworth Press is committed to the dissemination ofi deas and information according to the highest standards ofi ntellectual freedom and the free exchange of ideas. Statements made and opinions expressed in this publication do not necessarily reflect the views of the Publisher, Directors, management, or staffof The Haworth Press, Inc., or an endorsement by them.
The development, preparation, and publication of this work has been undertaken with great care. However, the Publisher, employees, editors, and agents of The Haworth Press are not responsible for any errors contained herein or for consequences that may ensue from use of materials or information contained in this work. The Haworth Press is committed to the dissemination ofi deas and information according to the highest standards ofi ntellectual freedom and the free exchange of ideas. Statements made and opinions expressed in this publication do not necessarily reflect the views of the Publisher, Directors, management, or staffof The Haworth Press, Inc., or an endorsement by them.
Unless otherwise speced, quoted materials that appear in this book were obtained from codential sources whose identities were protected as a condition of their participation in the research study.
Cover design by Kerry E. Mack.
Library of Congress Cataloging-in-Publication Data
Rehr, Helen.
The social workmedicine relationship : 100 years at Mount Sinai / Helen Rehr, Gary
Rosenberg.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-0-7890-3076-4 (hard : alk. paper)
ISBN-10: 0-7890-3076-4 (hard : alk. paper)
ISBN-13: 978-0-7890-3077-1 (soft : alk. paper)
ISBN-10: 0-7890-3077-2 (soft : alk. paper)
1. Mount Sinai Hospital (New York, N.Y.). Dept. of Social Work ServicesHistory. 2.
Medical social workNew York (State)New YorkHistory. I. Rosenberg, Gary. II. Title.
[DNLM: 1. Mount Sinai Hospital (New York, N.Y.). Dept. of Social Work Services. 2.
Community Health Serviceshistory. 3. Social Work Department, Hospitalhistory. WX 28
AN7 M928R 2006]
HV688.U6N53 2006
362.12097471dc22
362.12097471dc22
2005017697
Contents
Kenneth L. Davis
Fanny L. Mendelsohn
Doris Siegel
Chapter 7. Social Work Research in Health Care: Studies That Affect Practice
Barbara Berkman
Lawrence Cuzzi
Irwin Epstein
Gary Holden
Social Work and Social Policy
Hortense Hirsch
About the Authors
Helen Rehr, DSW, has had a career of over fifty years at The Mount Sinai Medical Center, holding a range of practice, research, teaching, and administrative positions. Dr. Rehr was the Director of the Department of Social Work and the Director of the Division of Social Work (Department of Community and Preventive Medicine) at the Mount Sinai School of Medicine. Dr. Rehr is an Adjunct Clinical Professor at Hunter College School of Social Work and the Brookdale Center on Aging. She has held visiting professorships in Israel and Australia. Dr. Rehr is the author, co-author, and editor of over 100 published studies, reports, monographs, articles, chapters, and books, and continues her editorial board membership with Social Work in Health Care, which has created a prestigious annual award in her name. Dr. Rehr was the recipient of the Ida M. Cannon Award, the highest award of the Society of Hospital Social Work Directors of the American Hospital Association.
Gary Rosenberg, PhD, is the Edith J. Baerwald Professor of Community and Preventive Medicine at the Mount Sinai School of Medicine. He is the past President of the Society for Social Work Administrators in Health Care. Dr. Rosenberg has been elected to the Hunter College Hall of Fame and has received the Distinguished Alumni Award from Adelphi University and the Founders Day Award from New York University. In addition, he is a Fellow in the Brookdale Center on Aging, a Fellow in the New York Academy of Medicine, and a recipient of the Ida M. Cannon Award of the Society for Hospital Social Work Directors of the American Hospital Association.
Foreword
As the administrative leader Kenneth L. Davis of The Mount Sinai Medical Center, I have both the privilege and challenge of following in the footsteps of Dr. S. S. Goldwater, the first professional medical administrator in the United States. It was under Dr. Goldwaters leadership that The Mount Sinai Hospital formed the Social Service Departmentthe third in the nation.
Dr. Goldwater wrote, The most important person in the hospital is not the governor, the contributor, the doctor, the nurse, the superintendent, or the secretary; the most important person in the hospital, beyond all question, is the patient. This simple yet poignant philosophy led him in 1906 to approve the founding of the Social Service Department because he was convinced that it would contribute directly to better care of patients.*
As much of a visionary as Dr. Goldwater was, it is hard to imagine that he could have predicted just how dramatic the benefit to patients would be. In the century since he made this momentous decision, health care in the United States has undergone dramatic change.
The dynamics of todays physician-patient relationship bare little resemblance to such interactions at the dawn of the last century. In the early 1900s, most physicians lived and worked in the same community as their patients. Home visits were routine. The doctor got to know patients within many and varied contexts. In todays more mobile world, in which medical science has become far more complex, the relationship between doctor and patient is condensed into limited time within an office or hospital.
Parallel to the narrowing of the physician-patient relationship, the social and economic factors that impact a patients care have become far more complex. Disparities in insurance coverage, financial resources, living conditions, family support systems, and countless other areas directly impact patient care. Finding ones way through the mountains of red tape and paperwork needed to find and receive critical services has become nearly impossible for an individual without special training.
Although physicians today have arsenals of technology and drugs to which to turn for treating almost every disease, these remain far from sufficient to treat the patient, who is, after all, far more than his or her disease. The physician and the social worker must as a team consider all the factors that impact a patients health and devise the best course of treatment based on the individuals needs.
Within my own medical specialty of psychiatry, I have had ample opportunity to learn firsthand the necessity and benefits of physicians and social workers partnering to care for patients. We are fortunate today to have far greater understanding of the complex workings of the human brain than any previous generation. As a result, many conditions previously thought hopeless are manageable. However, no manner of drug or psychotherapy can assist a patient whose disease has already stripped him or her of basic necessities such as access to food and shelter. First and foremost, such patients must receive the assistance a social worker can provide; then, and only then, medical interventions can help.
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