a short description of the social problem?from the Policy Advocacy Challenge you selected from the Jansson text. Then address the

Analyses of Social Problems in Case Studies

As a social worker, you need to use your policy advocacy skills to ensure your clients receive the services they need. Although you may tend to think of policy advocacy skills as separate from your clinical social work skills, they are similar. Think of the advanced practice skills—reframing, educating, brokering, collaborating, and building trust and rapport, for example—that you would use in working with a client who was experiencing homelessness, aging, child sexual assault, or low wage earnings.

How could you apply advanced practice skills to policy advocacy? How will you use these practice skills to identify the policy and social problems that are impacting these families? 

For this Discussion, you will review examples of social problems and use your practice skills to analyze the problems from the client perspective. 

To prepare 

· Read Chapter 7 of the Jansson text. 

· Review the “Policy Advocacy Challenge” sections assigned from the Jansson text this week. 

· Select one of the Policy Advocacy Challenge examples to use for your Discussion. Use your experiences as a practicing social worker and/or your academic interests to inform your selection. 

Day 3 

Post a short description of the social problem from the Policy Advocacy Challenge you selected from the Jansson text. Then address the following: 

· Who is defining the problem? 

· What values are reflected in this definition of the problem? 

· What is being omitted in this definition? 

Be sure to support your post with specific references to this week’s resources. If you are using additional articles, be sure to provide full APA-formatted citations for your references. 

Policy Advocacy Challenge 2.6

Ethical Reasoning by Frontline Social Workers Gretchen Heidemann Ph.D. and Bruce Jansson, Ph.D. Take the example of hospitals in Los Angeles “dumping” patients with no address onto the streets of Skid Row. In March 2007, 62-year-old Carol Ann Reyes was dropped off by a taxicab on the curb in the heart of downtown Los Angeles’ Skid Row wearing nothing but a hospi- tal gown. A video camera outside a rescue mission caught Ms. Reyes wandering confusedly up and down the sidewalk for several minutes before someone helped her. She had been discharged from an area hospital where she had been for three days after taking a fall. Her medical records showed that she suffered from dementia, extremely high blood pressure, and a persistent cough and fever. What she did not have was an address. Carol Ann had been of those cases were investigated by the Los Angeles City Attor- ney, including that of a man who was dropped off on the streets of Skid Row barefoot, with face bandaged, and could hardly walk. One of the hospitals involved agreed to a $1 million settlement for dumping a paraplegic man. Another made a $1.5 million settlement for dump- ing a 32-year-old man suffering from paranoid delusions. Two other hospitals were given stiff fines and required to develop protocols for discharging homeless patients to ensure their dig- nity and continuum of care. Attorneys representing the hospital repeatedly denied guilt and asserted that the actions did not amount to “dumping.” Had you seen these practices, which clearly reflected informal and formal policies of Los Angeles area hospitals, and alerted local authorities, you would have engaged in policy advo- cacy, since you would have sought not merely to redress the conditions for specific patients, but to change the formal and informal policies of the hospitals themselves. What ethical principles did these hospitals violate? What ethical rationale might the hospi- tal administrators have been using to justify their actions? Discuss why many frontline hospi- tal staff did not report ethical violations to external authorities. What would you have done? .

HERE IS AN Example:

Post a short description of the social problem from the Policy Advocacy Challenge you selected from the Jansson text. 

Hello Class, 

The social problem from the Policy Advocacy Challenge I selected is hospitals not providing aftercare services. I think the social problem here is aftercare post hospital discharge for those who are homeless is not being carried out. The passage talked about California hospitals dumping patients that had been discharged at skid rows because patients had no home address on file. This is a violation of the California Health Code that requires hospitals to make appropriate arrangements for post-hospital care and continuing health care requirements before discharging patients (Jansson, 2015, pp. 44).  

Who is defining the problem? 

Based on the reading the city officials of Los Angeles and a LA attorney investigated and reported what they found. Something that stood out to me in the reading is according to Jansson (2015) social workers should view problems with healthy skepticism as they proliferate with scant evidence that they are truly problems. In this case there is more than enough evidence to deem this a social problem. The hospitals admitting, they were wrong and settling in court for millions of dollars says a lot but of course it is not always this obvious. 

What values are reflected in this definition of the problem? 

The social work core values that are lacking based on the problem are service, social justice, and dignity and worth of a person. Part of a hospital’s responsibility is arranging and providing aftercare services to patients before and after discharge. In this case this service was not done. The fact that these patients were dumped in the streets because they didn’t have a home address and deprived after care like everyone else is a great in justice. One woman was dumped near a crime ridden area. Side note I know this class focuses on macro level social work and policy advocacy, but I must question if these hospitals had a LCSW because the last 3 parts of the generalist intervention model are evaluation, termination and follow up and clearly none of that was done. The last is dignity and worth of a person. What some of these California hospitals did by dumping patients at skid rows is the polarizing opposite of having dignity and worth of a person. Having and showing dignity and worth of a person means treating each person in a caring and respectful fashion regardless of race, sexual orientation, religion, gender or financial status (NASW, 2021). Some of the patients did not even have the mental capacity to understand where they were or what was going on. One patient had dementia and the other suffered from paranoid delusions.  

What is being omitted in this definition? 

I don’t really feel anything is missing from the definition or I don’t understand what is missing. I guess the passage focused more so on California, LA precisely, so maybe not capturing the issue across various states. What I can say is that despite there being a policy in place hospitals still violated it. According to the National Health foundation (2015) in Los Angeles County, approximately 6,000 homeless patients are admitted to hospitals each year, and many hospitals have typically kept many patients twice if medically necessary because there was an insufficient availability of appropriate discharge facilities.  

Resources 

Jansson, B. S. (2018). Becoming an effective policy advocate: From policy practice to social justice (8th ed.). Cengage Learning.  

National Association of Social Workers. (2021). Code of Ethics of the National Association of Social Workers.  https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of-Ethics-English  

National Health Foundation. (6 C.E. 2015). National Health Foundation Program That Assists Homeless Patients Discharged from Hospitals Shows Humanistic and Cost-Effective Value to Community. Business Wire (English). 

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