Social Work in Palliative Care
The Social Work Profession
 
 
 
Social Workers
 
 
Social workers have unique skills and in-depth knowledge of working with individual, social, cultural and community diversity, providing interventions across the lifespan and during life transitions. Social workers have expertise in working with complexity, assessing social determinants of health and providing psychosocial interventions to improve the quality of life for the people they work with. Fundamental to social work practice is adopting social justice approaches to address inequities. gaps and fragmentation across health and social care sectors. Social work recognises that health and social care disparities are caused by a range of factors (social determinants of health) which impact on quality of life, access to and experiences of palliative, end of life and bereavement care.
 
Social work has a fundamental commitment to social justice and human rights which positions the profession as a leader with expertise in analysing, advocating for and implementing system and policy change around health and social inequities.
 
 
Social Workers Role in Palliative Care
 
Social Workers are university qualified professionals who play an important role in the delivery of palliative, end of life and bereavement care. Most social workers will encounter people with a life limiting illness, who are at the end of life or have experienced loss and bereavement. Many social workers may not work in specialist palliative care services, however collectively, the expertise within the profession contributes significantly to the holistic care of people living with a life limiting illness and their families. The profession of social work is a compassionate community that provides a supportive network for people and their families.
 
 
Social Workers in Specialist Palliative Care Services
Palliative care social workers work in services which specialise in this area of health care, whether they be inpatient, community or hospice settings. Palliative care social workers provide specialised holistic care to individuals and with a life limiting illness to help them manage the changes that impact on a range of areas in their lives and the lives of those around them. Social workers have training and experience to provide a range of strategies including;

  • Comprehensive assessment and care planning.
  • Anticipating future psychosocial needs and assisting individuals and families to put plans in place, including contingency planning in anticipation of crisis that may occur as illness progresses.
  • Advance Care Planning (ACP).
  • Counselling and therapeutic support, including legacy activities
  • Liaison between the individual, family and community resources.
  • Family conferencing, mediation and support
  • Assisting individuals and families to navigate, health legal and social care systems
  • Support with funeral and estate planning.
  • Practical support.
  • Bereavement support.
 
 
 
Social Workers in other Roles and Settings
 
Social workers work in a variety of roles and organisations but have expertise that contributes to the holistic care of people living with a life limiting illness and their families. They support people with a life limiting illness and their families in a variety of ways and often in partnership with palliative care services to provide holistic care.

Some examples include:

  • Private practitioners (accredited mental health social worker) who specialise in psychotherapeutic support for patients with an advanced disease and their families.
  • Bereavement counsellors who provides counselling support for families after the death of their loved one.
  • Play therapists who have expertise in supporting children experiencing grief and loss.
  • Financial counsellors with expertise on managing financial affairs, including supporting people with accessing superannuation/life insurance, negotiating with creditors etc.
  • Social workers who work in legal services with expertise on end of life issues relating to legal matters
  • Centrelink Social Workers with expertise on payment eligibility, crisis payments and financial support options
  • Social workers in clinical, service coordination or case management roles in health, disabilities, aged care, mental health, education, justice, and multicultural or refugee sectors may work with people with life limiting illness.