The Ethics of Social Networking for Health Care Social Workers by jennyyingdi

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The Ethics of Social Networking
for Health Care Social Workers
Stephen Collazo, LCSW




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       Tumblr

       Pinterest

       Google+

       Foursquare

       Twitter

       Blogs

       LinkedIn

       Facebook




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    What makes social
    networking so special?




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    Traditional Internet Technologies

       One to Many
           Webpages, News Sites, and Online Information Resources
           Online Shopping, Banking, and Other Services

       One to One
           Email and Instant Messaging

       Many to Many
           Chatrooms
           Online Forums and Discussions Boards




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    Social Networks:
    All to All




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    Social Networking in 3 Easy Steps

       1. Create an online presence
           Profiles
           Postings and written content
           Creating media (photos, videos, music)

       2. Connect with other users
           Friend
           Follow
           Tag

       3. Explore the connections




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    Social Network Usage




   Facebook                 Twitter                 Tumblr
       845 million              465 million             120 million
        users                     accounts                 monthly
       1 billion posts          11 new                   visitors
        p
        per day y                          p
                                  accounts per            15 billion
       1 trillion                second                   monthly
        monthly                  175 million              pageviews
        pageviews                 tweets per day




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    New Trends

       Mobile
           37% of users access social networks on their mobile devices,
            increase of 47% in the past year.
           Age group with largest mobile use increase:
               55+, up 109% from previous year

       The Digital Divide
           Home internet access correlates with income and race
           Laptop ownership equal across all races
           Mobile social network access higher in Black and Hispanic
            population




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    How is social media used in
    healthcare?




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    Patient Social Media Use




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    Patient Social Media Use

       Most patients view their own use of social networks as helpful
        in regards to their health.

       Caregivers are more active in social networks for health
        related purposes.

       Only 1% seek out medical information within a social
        network directly from a medical professional.




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    Physician Social Media Use




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    Physician Professional Use

        Mostly use social media in a professional manner to learn from
         peers and experts.
        Vast majority use social media to discuss clinical issues with
         colleagues.
        One third of physicians have patients ask to be friends on
         Facebook. One fourth of these physicians accept requests.
        AMA cautions physicians to maintain appropriate physician-
         patient boundaries and recommends separating personal and
         professional use in regards to social media.




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    Healthcare Institution Use

       1,229 Hospitals actively using social media




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    MD Anderson Cancer Center and
    The Department of Social Work
       Facebook

       Twitter

       YouTube

       Foursquare

       Blog

       Department of Social Work
           Educational Approach
           Show, don’t tell
           Blogs (Twitter and Facebook), YouTube, iTunes U, Message Boards




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    Growing pains




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    Challenges of Social Networks in
    Medical Social Work
     HIPAA
        Protected Health Information

     Employer
        Brand management and damage
        Patient safety




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    Social Work Ethics and Social
    Networks
       Informed Consent

       Confidentiality

                       p
        Dual Relationships
           Practitioner/Client
           Supervisor/Supervisee




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    Social Work Ethics and Social
    Networks
       Competency

       Representation

               g       g      y
        Licensing and Regulatory Issues?

       Good Clinical Practice
           Self disclosure




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    MD Anderson Social Media Policy

       Social Media is allowed for employee use, if not interfering
        with performance

       Practice institutional core values in online interactions

       Awareness of HIPAA and Protected Health Information

       Transparency of use and self identification

       Never provide medical advice through social networks

       Recommends not “friending” or “following” patients




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    Should Social Work Go Further?

           Networks are a natural blend of professional
     Social
     and personal online.

         of clinical experience vs. lack of social
     Lack
     network experience.

     NASW Technology   Standards




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    Best Practices

       Common Sense

       Reframe Your Thinking
           Would I say this in a crowded room of people?
           Permanent

       Facebook
           Privacy settings
             Lifehacker Privacy Guide
           To friend or not to friend?

       Twitter
           Privacy settings
           What are you tweeting?




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    Good Alternatives

     Separate   accounts for personal and professional
     use

     LinkedIn

     Opportunity   for intervention




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    Questions or Comments?




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    Resources


    http://tinyurl.com/collazo-webinar




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