Social work practice and chronic pediatric illness.

The role of social workers in a pediatric chronic illness setting is presented. The difference between acute and chronic illness is explored, with emphasis on the ramifications of these differences for social work practice. Early assessment of patients and families provides the social worker with a data base from which to select an appropriate intervention with families. Of primary importance is the amelioration of feelings of helplessness, dependency, and isolation. This may be accomplished by helping families anticipate problems, mobilizing resources to help, and encouraging families to share their experiences with other families. Because the medical system, particularly in a teaching hospital, may not provide continuity of care for patients, the relationship of the social worker to patient and family, and resulting knowledge of the family, becomes an important resource in the provision of high-quality care.