Delivery of clinical social work services in the emergency room: a description of an existing program.

This article describes a program of social work delivery in an emergency room. The application of crisis intervention theory as practiced by the emergency room social worker and the utilization of a system of clinical evaluation, community referral, and advocacy are delineated. Problem categories and protocols in social work treatment of patients and families in cases of death, rape, child abuse, and suicide attempt are discussed. Fees for specific social work services in the emergency room are described. Social work interventions in reducing stress and pressures of the setting that affect staff are noted.