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• Demographic changes resulting from shifts in aging, immigration, and minority populations impacts virtually every aspect of the health care system, including the provision of social services by health care social workers.
• How do changing demographics affect employment opportunities, service delivery provisions, and continuing education requirements for social work professionals in the health care field?
• In addition to the social relationship issues of social marginality and stigma, persons with mental illness often face challenges related to employment and economic hardship.
• What role can social workers play in the mental health rights movement?
• 19.9 million in U. S. report Illicit drug or alcohol use (2007)
• Issues – role difficulties at work, school, or home, psychological dependence, drug testing and mandatory treatment
• Social work response– Personal and family counseling– Referrals for education, health and legal services– Work with at-risk groups – teens, older adults, women,
• Clients in child welfare and criminal justice are often mandated to participate in drug treatment programs and periodic drug testing.
• What ethical dilemmas arise for social work practitioners who work with clients who have been court-ordered to participate in drug or alcohol treatment programs?