With the increasing need for managing health care cost in ESRD settings more needs to be done to increase patient medical compliance. The effectiveness of using SW trained in Cognitive Behavioral Strategies, should be evaluated. Given that most ESRD patients will not seek behavioral counseling on their own, clinical social workers, already available in outpatient clinics, could be trained in CBT or REBT programs developed by the Albert Ellis Institue or the Beck Institute for Cognitive Behavioral Therapy specifically medical compliance for the ESRD population.
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Comments (4)
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This is by no means meant to discredit the profession of Social Workers, but I have concerns taking CBT out of the hands of the professionals who have this in their scope of practice, e.g. psychiatrists and clinical psychologists. We should not underestimate the consequences of, and potential side effects of CBT, leave alone the competency to diagnose and find the right indication for CBT.
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Many of the clinical social workers currently working with the ESRD population are Licensed Clinical Professionals. To imply that CBT is not within the scope of practice of a Licensed Clinical Social Worker is to discredit a significant number of the practicing mental health professionals in the US.
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I believe you're from New Zealand so you must be aware that the Royal College of Psychiatrists states on its website that a patient's GP can refer him/her to a social worker for cognitive behavioral therapy.
http://www.rcpsych.ac.uk/mentalhealthinfoforall/treatments/cbt.aspx
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My apologies, I never intended to offend a group of professionals, social workers in this case, that I respect very much for what they do. I was not aware of this scope of practice in the US and apparently also UK. My working experience is in continental Europe, Australia and New Zealand. Nephrologists in New Zealand do not routinely read the Royal College of Psychiatrists website in the UK.