Clarity of purpose and administrative accountability: an empirical study in long-term residential care

Soc Work Health Care. 1997;25(1-2):193-208. doi: 10.1300/J010v25n01_16.

Abstract

Experienced social workers in an Australian residential aged care facility mounted a practice research project over three years. Aims included meeting agency accountability requirements and illustrating social work roles. In consultation with a university school of social work lecturer, the staff members devised a tool to document their practice on a per case basis across the care continuum as well as non case-related work associated with resident needs and agency purpose. A three-month pilot indicated that casework comprised 70% of work time, the 405 cases incorporating higher than expected time on preadmission, gatekeeping and admission tasks. Analyses of the most time-consuming cases revealed complex interacting factors inadequately captured by available and physically-driven case classification and costing tools.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Case Management / economics
  • Cost-Benefit Analysis
  • Documentation / methods
  • Female
  • Homes for the Aged / economics*
  • Humans
  • Long-Term Care / economics*
  • Male
  • Nursing Homes / economics*
  • Patient Admission / economics*
  • Patient Care Planning / economics
  • Social Work / economics*