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The role of the social worker in the comprehensive long-term care of multiple sclerosis patients

Department of Social Services, St. Barnabas Hospital, Bronx, NY.

Address correspondence and reprint requests to Ms. Geronemus, Director of Social Service, St. Barnabas Hospital, 4422 Third Avenue, Bronx, NY 10457.

Psychosocial needs of the multiple sclerosis (MS) population are defined, and a framework is presented offering methods of social work intervention. The multidisciplinary team approach is considered in meeting the long-term needs for comprehensive care among these patients. Concepts from varying methodologies are incorporated in this framework. Crisis prevention is presented as the keystone of the model. Interventions at three basic levels of need are included: (1) for the newly diagnosed patient and family, (2) for the minimally to moderately disabled patient and family, and (3) for the severely disabled patient, family, or caretaker. Major problems confronting the MS patient and family are discussed at each level, and appropriate social work interventions are outlined.

Accepted for publication September 15, 1979.

Supported by a grant from the National Multiple Sclerosis Society, Grant No. RG 1135A-4.