Purpose: Capture the Legacy of the Palliative Social Work Specialty.
Our goal is to build an anthology of interviews with architects who created the specialty and with many who advanced essential aspects of Palliative Social Work such as certification and fellowship development to document its rich legacy.
Process: We intend to record this history with audio/video interviews to capture the words of those who were instrumental in building our specialty.
Our intention is to share these interviews, along with other resources and historical documents on this website. which is available to the public.
The project is not affiliated with any organization
Barbara Monroe was a social worker for over forty years. She was Chief Executive of St Christopher’s Hospice (London) and Chair of the national Childhood Bereavement Network. She has led and lectured on numerous international training programmes and has written extensively about psychosocial aspects of palliative care.
“So long ago – the Washington Summit….I would have been talking about how pivotal the role of the skilled and experienced social worker is in the provision of good quality palliative care; access to which now, as then, is inadequate and unequal.
Other professions have their role, for example, at St Christopher’s we always insisted on employing the very best liaison psychiatry. However, overall, there has been too much cherry picking and pandering to particular interests, rather than delivering an effective response to those most in need.
Essential in the foundation are social workers, those with the ability to undertake biopsychosocial assessment and support; ie complex relationship building, the skills and willingness to intervene in social relationships, statutory and welfare entitlements, mental health and broader risk assessments and ongoing support, an understanding of and the skills to deploy a wide range of complex legislation including assessing competence, and safeguarding the vulnerable and disadvantaged, both adults and children.
Added to this, professionals who are used to working in partnership with other professionals and services in the various communities served, both statutory and voluntary; eg housing, education, medical and social care, to build individualized packages of care. No other profession brings this integrated skill set, and integration is vital for equitable and cost effective service delivery. We and others need to avoid defending history or a particular form of supply and professional silos. It is clear now that dying can’t be got right within and by hospice and palliative care services alone.
These services can and should be hubs to support the development of competent and confident service delivery across settings and communities. What is an effective response to need? Social workers are best placed to lead this work and will need to move beyond individual advocacy to organisational engagement, system level change and service redesign. Good care is not a commodity, it is a partnership.
“If ours were a logical system, most people working and most of the money in healthcare would be under the control of social workers…social workers never look away.”
Pg xviii Oxford Textbook of Palliative Social Work, 2022.