Syllabus

Master of Social Work

SSWO 605 Social Determinants of Health – Fall A 2019

Credits - 3

Description

Type of Course Enrichment

Elective Course

Overview

This course will expose, explore and examine disparities in health and health care. These two interests are related, but not the same. Resolution of disparities in health insurance and access to adequate and culturally appropriate health care, while vitally important and necessary, cannot resolve the disparity in health. New models are needed and the foundations for them will be explored.

Materials

Required:

Ratcliff, K. (2017). The social determinants of health: looking upstream. Cambridge, UK Malden, MA: Polity Press.

Learning Objectives and Outcomes

School of Social Work Program Outcomes:

Graduates of the UNE SSWO will demonstrate knowledge, skills, and leadership in the following:

  1. Practice social inclusion to enable people, populations, and communities to fully participate in society, enhance human bonds in the context of cultural diversity and ensure improved quality of life and equitable resource distribution. EPAS Competencies 2 & 3
  2. Engage in culturally-informed relationship building, being respectful of the complexity and diversity of contexts and circumstances. EPAS Competencies 3 & 6
  3. Utilize theories of human behavior, social systems and social inclusion when offering interventions with people and their environments. EPAS Competency 8
  4. Promote ethical reflection, critical consciousness and shared decision-making based in social work values and with consideration of the broader contexts of the world in which we live. EPAS Competency 1
  5. Balance the roles of helpers, activists, and advocates through collaboration with communities to build healthy and sustainable resources. EPAS Competencies 2, 5, & 6
  6. Engage as critical consumers and producers of research as it relates to assessment, intervention and evaluation of clinical and community practices. EPAS Competencies 4, 7, 8 & 9
  7. Practice person-centered and collaborative community partnerships across diverse settings. EPAS Competency 6

Course Objectives:

Upon successfully completing this course, students will be able to:

  1. Utilize Reflexivity including examination of belief systems, life experiences, and assumptions that social determinants have on society. Program objective 1 & 7 (As measured by Discussions, Group Paper, and Infographic assignments).
  2. Analyze, research and present how to reduce health disparities, including the relationship between wealth and health, and the impact of class/ethnicity on morbidity/mortality. Program Objective 1 & 2 (As measured by Discussions, Group Paper, and Infographic assignments).
  3. Describe the concept of the various pathways related to social determinants of health from inequity to its physiological and psychosocial embodiment. Program Objective 4 & 6 (As measured by Discussions, Group Paper, and Infographic assignments).
  4. Recommend appropriate methods for enacting social change based on the social determinants identified in a specific community. Program Objective 3. (As measured by Discussions and the Infographic assignment.)
  5. Evaluate social- and health-preventive policies, based on population-based research. Program Objective 6 (As measured by Discussions, Group Paper, and Infographic assignments).
  6. Design an infographic to assess the impact of SDOH factors on service utilization and outcomes. Program Objective 5 (As measured by Infographic assignment).

Assignments

Discussion Forums (Includes Participation)

Discussion Board: The entire collection of discussions in the main course room.

Discussion Forum: The individual forum (venue) for each question.

Discussion Question: The actual question within the discussion forum. Each week there are discussion questions within the main classroom discussion board area. The discussion question requires an initial response by the end of Saturday, midnight, ET. However, feel free to post your work earlier in the learning week if you choose. The goal is for everyone to be actively engaged in this conversation and participate over at least three different days during the class-week totaling at least 3 replies or comments in addition to the initial response. This is a minimum requirement and does not mean maximum points will be earned.

What are initial responses?

Initial responses are those that you post as a direct response to a discussion forum and must include at least 400 words and two integrated/cited sources; one from the text and one from a scholarly journal article. The use of APA style citations is required (6th Edition APA Manual). Note, there are different types of discussion questions each week – these questions are scholarly discussion question(s) where you will focus on demonstrating excellent writing skills, critical thinking, and reflection and integration of course materials. The initial responses are due on Saturdays (on Friday in Week 8).

Remember (Regular Discussion Question)!

  • 400 Words
  • APA format
  • 1 source from text
  • 1 source from journal article

What are responses?

Responses are posts that demonstrate that you are responding to another student. These are generally what you think of as “participation” posts. You are expected to actively participate in the forums each week. To actively participate in the forums means to respond to anyone on at least 3 different days per week. You can respond to one student on three different days or 20 students on three different days! You can respond to students in one forum only, or spread out your responses among any forums assigned for the week! However, what is important is that you are actively present in the forums responding to other students on three different days. Your initial posting does not count towards responses to others.

Responses to others must add substantively to the discussion by building upon classmates’ ideas or posing critical questions to further the discussion. For example, a posting of “I agree with what people are saying” is not sufficient. What is considered sufficient is initiating further discussion; promoting further thought; providing critical or integrative dialogue; providing effective support or encouragement; challenging by showing supporting literature or other documentation, and/or self-reflecting regarding the topic.

The weekly points available for the discussion board include participation. Your instructor will review the weekly contributions in the discussion forums by taking note of each of the criteria listed in the “Discussion Forum Rubric” accessible in the course.

Assignments

Infographic (Week 4)

For this infographic assignment, build an infographic based on the information learned over the first 4 weeks of the course. An infographic is a visualization of the most important messages you feel the population/client population needs to know about social determinants and the role that these disparities play within the social work profession and the role of a social worker. This can include information on the different health disparities evident in the United States, the different impacts on the population, different roles a social worker plays, ethical guidelines, why the NASW, WHO and continued research is important, etc. This infographic can then be used as an educational tool.

You are welcome to choose one of the tools in the course to build your infographic. These tools are user-friendly and have plenty of user guides to get you started.

Have some fun with this assignment – the focus here is not on your graphic design abilities, but on a different approach to understanding the social determinants of health faced by your target audience. This will assignment will be worth 280 points of your overall grade.

Submission details: Add a discussion post with your infographic (or a link to your infographic as a PDF) in the appropriate discussion forum to share with the class. Submit to this assignment link to the instructor for grading.

Group Paper Assignment: Social Determinants of Health and Social Care (Week 7)

For this assignment, you are to identify and describe how social determinants are understood from a social work perspective. You will identify and present a social determinant issue and reflect on how this is similar or different to the text and ideas explored in the course. You will similarly identify the various variables of the social determinant and how those factors impact the client population. You will explain how you as social workers might mitigate the negative effects of your clients’ SDH(s) and the degree to which SDH(s) may limit your success in working with clients (i.e., explore the strengths and limitations of social determinants, social worker roles, ethical guidelines and the significance of or need for continued research).

This paper will be written in APA, thinking critically as a group, in third person, 12pt Times New Roman font and be 10 pages (10 pages of content – exclusive of the title and reference pages), integrating theory learned throughout the program. This assignment will be worth 400 points of your overall grade. Please review the grading rubric in the course for evaluation criteria found in the course.

The group will submit one paper and each person will likely receive the same grade unless the other classmate(s) did not perform or equally contribute. Grading for this paper will be affected by the effort that was put forth in this assignment and individual contributions. The grading is at the discretion of the instructor. The instructor will assign students to groups.

Grading Policy

The School of Social Work uses the following grading system for all courses with the exception of field education courses. Students are expected to maintain a “B” (3.0) average over the course of their study. Students with less than a GPA of 3.0 will be placed on academic probation. Students must have an overall GPA of 3.0 in order to receive their Master’s Degree.

Your grade in this course will be determined by the following criteria:

Grade Breakdown

AssignmentPoint Value% of Grade
Discussion Questions (Includes weekly participation)330 pts (30 pts each discussion X 11 discussion forums)33%
Infographic Assignment270 pts27%
SDH and Social Care Assignment400 pts40%
Total1,000100%

Grade Scale

Grade Points Grade Point Average (GPA)
A 94 – 100% 4.00
A- 90 – 93% 3.75
B+ 87 – 89% 3.50
B 84 – 86% 3.00
B- 80 – 83% 2.75
C+ 77 – 79% 2.50
C 74 – 76% 2.00
C- 70 – 73% 1.75
D 64 – 69% 1.00
F 00 – 63% 0.00

Schedule

Course Dates: Aug 28 – Oct 20

All assignments are to be submitted by 11:59 pm ET on the dates listed below. Unless otherwise specified, all module discussions and assignments are due the last day of the module or unit week.

Initial discussion posts are due by 11:59 pm ET Saturday unless specified otherwise and comments due throughout the class week. The goal is for everyone to be actively engaged in conversation and participate over at least three different days during the class-week.

Introductions | To be completed prior to starting Module 1

Week 1: Introduction/Social Determinants of Health | Dates: Wednesday, August 28 – Tuesday, September 3

  • Readings:
    • Ratcliff (2017). Chapter 1 – Introduction and Chapter 2 – Social Determinants of Health
    • Navarro, V. (2009). What we mean by social determinants of health. International Journal of Health Services, 39(3), 423-441. doi:10.2190/HS.39.3.a
  • Multimedia: I want to be a pilot
  • Discussions: two discussions (Due Saturday)
  • Assignments: Course Assignments introduced

Week 2: Poverty and Health | Dates: Wednesday, September 4 – Tuesday, September 10

  • Readings:
    • Ratcliff (2017). Chapter 3 – Poverty and Health
    • Tyler, E. T. (2013). “Small places close to home”: Toward a health and human rights strategy for the US. Health and Human Rights, 15(2), 80-96.
  • Multimedia: TEDMed Talk – The psychological consequences of poverty 
  • Discussions: two discussions
  • Assignments: Continue working on Infographic Assignment

Week 3: Environmental Health | Dates: Wednesday, September 11 – Tuesday, September 17

  • Readings: Ratcliff (2017). Chapter 4 – Environmental Health
  • Multimedia: Carbon Footprint
  • Discussions: two discussions (Due Saturday) 
  • Assignment: Continue working on Infographic Assignment

Week 4: Water and Health | Dates: Wednesday, September 18 – Tuesday, September 24

  • Readings: Ratcliff (2017). Chapter 5 – Water and Health
  • Multimedia:
    • Clifford, C. (2018). Matt Damon: A million people a year die ‘completely needlessly’ from lack of clean water. CNBC.com
    • Frostenson, S. (2018). America has a water crisis no one is talking about. Vox.com
    • Water.org
  • Discussions: two Discussion Forums (Due Saturday) 
  • Assignment: Submit Infographic Assignment (to the discussion forum for peer review and for grading by instructor to the submission link)

Week 5: Automobiles and Health | Dates: Wednesday, September 25 – Tuesday, October 1

  • Readings: 
    • Ratcliff (2017). Chapter 6 – Automobiles and Health
    • Douglas, M. J., Watkins, S. J., Gorman, D. R., & Higgins, M. (2011). Are cars the new tobacco? Journal of Public Health, 33(2), 160-169. doi:10.1093/pubmed/fdr032
    • Health Effects from Automobile Emissions from Washington State Department of Ecology.
  • Multimedia: BreatheLife: What air are you breathing?
  • Discussions: Week 5 Discussion Forum (Due Saturday) 
  • Assignment: Continue working on the SDH and Social Care Group Paper Assignment

Week 6: Occupational Health | Dates: Wednesday, October 2 – Tuesday, October 8

  • Readings:
    • Ratcliff (2017). Chapter 7 – Occupational Health
    • MCN’s Environmental and Occupational Health Program Initiatives
    • Frontiers in Public Health: Occupational Safety
  • Discussions: Week 6 Discussion Forum (Due Saturday) 
  • Assignment: Continue working SDH and Social Care Assignment

Week 7: Food and Health | Dates: Wednesday, October 9 – Tuesday, October 15

  • Reading: Ratcliff (2017). Chapter 8 – Food and Health
  • Multimedia: What the Health
  • Discussion: Week 7 Discussion Forum (Due Saturday)
  • Assignment: Submit your SDH and Social Care Group Paper Assignment

Week 8: Conclusion/Final Thoughts/Wrap-Up | Dates: Wednesday, October 16 – Sunday, October 20 (short week!)

  • Reading: Ratcliff (2017). Chapter 9 – Conclusion
  • Multimedia: What makes us get sick? Look upstream (18:14 mins) by Rishi Manchanda
  • Discussion: Week 8 Discussion Forum (Due Friday)

Student Resources

Online Student Support

Your Student Support Specialist is a resource for you. Please don't hesitate to contact them for assistance, including, but not limited to course planning, current problems or issues in a course, technology concerns, or personal emergencies.

Questions? Visit the Student Support Social Work page

UNE Libraries:

Information Technology Services (ITS)

ITS Contact: Toll Free Help Desk 24 hours/7 days per week at 1-877-518-4673

Accommodations

Any student who would like to request, or ask any questions regarding, academic adjustments or accommodations must contact the Student Access Center at (207) 221-4438 or pcstudentaccess@une.edu. Student Access Center staff will evaluate the student's documentation and determine eligibility of accommodation(s) through the Student Access Center registration procedure.

Policies

Essential Academic and Technical Standards

Please review the essential academic and technical standards of the University of New England School Social Work (SSW): https://online.une.edu/social-work/academic-and-technical-standards-une-online-ssw/

Technology Requirements

Please review the technical requirements for UNE Online Graduate Programs: Technical Requirements

Confidentiality Statement

Student and faculty participation in this course will be governed by standards in the NASW Code of Ethics relating to confidentiality in sharing information from their placement sites and practice experiences. Students should be aware that personal information they choose to share in class, class assignments or conversations with faculty does not have the status of privileged information.

Attendance Policy

Online students are required to submit a graded assignment/discussion prior to Sunday evening at 11:59 pm ET of the first week of the term. If a student does not submit a posting to the graded assignment/discussion prior to Sunday evening at 11:59 pm ET, the student will be automatically dropped from the course for non-participation. Review the full attendance policy.

Late Policy

Assignments: Late assignments will be accepted up to 3 days late; however, there is a 10% grade reduction (from the total points) for the late submission. After three days the assignment will not be accepted.

Discussion posts: If the initial post is submitted late, but still within the discussion board week, there will be a 10% grade reduction from the total discussion grade (e.g., a 3 point discussion will be reduced by 0.3 points). Any posts submitted after the end of the Discussion Board week will not be graded.

Please make every effort ahead of time to contact your instructor and your student support specialist if you are not able to meet an assignment deadline. Arrangements for extenuating circumstances may be considered by faculty.

Student Handbook Online - Policies and Procedures

The policies contained within this document apply to all students in the College of Graduate and Professional Studies. It is each student's responsibility to know the contents of this handbook.

UNE Online Student Handbook

UNE Course Withdrawal

Please contact your student support specialist if you are considering dropping or withdrawing from a course. The last day to drop for 100% tuition refund is the 2nd day of the course. Financial Aid charges may still apply. Students using Financial Aid should contact the Financial Aid Office prior to withdrawing from a course.

Academic Integrity

The University of New England values academic integrity in all aspects of the educational experience. Academic dishonesty in any form undermines this standard and devalues the original contributions of others. It is the responsibility of all members of the University community to actively uphold the integrity of the academy; failure to act, for any reason, is not acceptable. For information about plagiarism and academic misconduct, please visit UNE Plagiarism Policies.

Academic dishonesty includes, but is not limited to the following:

  1. Cheating, copying, or the offering or receiving of unauthorized assistance or information.
  2. Fabrication or falsification of data, results, or sources for papers or reports.
  3. Action which destroys or alters the work of another student.
  4. Multiple submissions of the same paper or report for assignments in more than one course without permission of each instructor.
  5. Plagiarism, the appropriation of records, research, materials, ideas, or the language of other persons or writers and the submission of them as one's own.

Charges of academic dishonesty will be reviewed by the Program Director. Penalties for students found responsible for violations may depend upon the seriousness and circumstances of the violation, the degree of premeditation involved, and/or the student’s previous record of violations.  Appeal of a decision may be made to the Dean whose decision will be final.  Student appeals will take place through the grievance process outlined in the student handbook.