SocW 6500 Social Work Field Education Cumberland County

Socw 6500 Social Work Field Education Icumberland County Health Depar

Provide a comprehensive analysis of the Cumberland County Health Department’s CMARC program, focusing on its mission, purpose, target population, services, organizational structure, strengths and weaknesses, community and societal context, and implications for social work practice. Your discussion should incorporate the program's target demographic, funding sources, service delivery processes, community partnerships, and relevant societal trends influencing its operation and effectiveness. Include insights on how the program aligns with best practices in social work and what challenges it faces in fulfilling its mission to support children with special health care needs and their families.

Paper For Above instruction

The Cumberland County Health Department’s (CCHD) Child and Medical Assessment and Resource Coordination (CMARC) program exemplifies a targeted social work intervention designed to address the complex needs of vulnerable children and their families. Its core mission is to improve health outcomes by connecting families to essential services in a professional, efficient, and fiscally responsible manner. The overarching goal of CMARC is to facilitate access to high-quality healthcare, social services, and community supports for children aged birth to five who are experiencing developmental, behavioral, or emotional difficulties, particularly those exposed to adverse childhood experiences (ACEs). These ACEs include domestic violence, neglect, parental substance abuse, homelessness, mental health issues, and community violence, all of which pose long-term risks to child development and well-being.

The primary target population served by CMARC comprises children with special health care needs, those discharged from neonatal intensive care units (NICUs), and children exposed to significant trauma or adverse childhood experiences. The demographic profile includes children from socioeconomically disadvantaged backgrounds, homeless families, and those involved in the child welfare system. The program emphasizes a holistic approach, addressing not only medical needs but also social, emotional, and environmental factors that influence a child's health trajectory.

Services provided by CMARC encompass comprehensive assessments or screenings to identify family needs and concerns, followed by collaborative development of care plans tailored to each child's specific circumstances. These care plans specify goals such as establishing a medical home, linking families to community programs like WIC and food assistance, and providing parent or caregiver education. CMARC also focuses on reducing barriers to service access by assisting families with appointments, home visits, and referrals to relevant community resources. A significant aspect of the program involves care coordination—ensuring that children receive appropriate, continuous, and integrated care across health, social, and educational systems.

The organizational structure of the CCHD is characteristic of public health agencies, with funding primarily supplied by state and division of public health budgets. Annually, the program receives approximately $50,573 to serve clients who lack Medicaid, reflecting modest but focused resource allocation. As a public entity, the department operates within a collaborative framework involving various committees, such as the SOAR (Strength in Overcoming Adversity through Resilience) and the Fostering Health committee. These collaborations enable the program to align with community needs and advance health equity initiatives.

Service delivery occurs through multiple channels, including home visits, community-based clinics, and coordination with schools, hospitals, and other community organizations. Families are usually referred through physicians, social workers, or community agencies, and assessments are carried out by social workers in conjunction with caregivers. The process involves establishing clear goals with identified needs, with the flexibility to close cases if families no longer engage, have deceased, or decline further services. Monitoring and evaluation are integral, with ongoing reviews of child progress and organizational outcomes to ensure accountability and continuous quality improvement.

The program’s strengths include its focus on family-centered care, promoting resilience and linking families to a broad range of resources. Its core function of connecting marginalized children with medical homes and community supports helps mitigate health disparities. Additionally, the collaborative nature of CMARC, engaging multiple community organizations and committees, enhances its capacity to serve holistically. However, weaknesses exist, notably the challenge of service decline due to families refusing assistance or losing contact, which limits reach and impact. Limited funding constrains extensive outreach and follow-up efforts, emphasizing the need for sustainable resource strategies.

Community analysis indicates that CMARC is embedded within a network of agencies and initiatives aimed at fostering child health, such as the Sandhills Autism Network and the Head Start advisory committee. These partnerships facilitate resource sharing and advocacy for children’s rights and needs. The societal context reveals ongoing trends like increased awareness of ACEs, a focus on trauma-informed care, and the importance of social determinants of health. Recent policy shifts emphasize early intervention and integrated care models, aligning with CMARC’s mission and activities.

Social work practice within CMARC is guided by principles of strengths-based, culturally competent, and family empowerment approaches. Social workers operate within hospital settings, child protective services, and community agencies, ensuring comprehensive and coordinated care delivery. Challenges include navigating systemic barriers, addressing social inequities, and securing sustainable funding. Nonetheless, CMARC exemplifies effective social work application—advocating for vulnerable populations, promoting resilience, and fostering interagency collaboration to improve child health outcomes.

References

• Braveman, P., & Gottlieb, L. (2014). The social determinants of health: It's time to consider the causes of the causes. Public Health Reports, 129(Suppl 2), 19–31.
• Fazel, S., et al. (2014). Child and adolescent mental health worldwide: Review of the evidence. The Lancet Psychiatry, 1(4), 282–297.
• Haskins, R., et al. (2017). Supporting early childhood development: The role of public policies. The Future of Children, 27(2), 89–107.
• Johnson, S. (2018). Trauma-informed care in social work practice. Journal of Social Work, 18(3), 239–255.
• Larson, K., et al. (2019). Disparities in health care access among children with special health care needs. Pediatrics, 144(4), e20190346.
• McLennan, J. D., & Ryan, N. (2020). Child health and social equity: Strategies and challenges. Social Science & Medicine, 258, 113096.
• National Center for Medical Home Implementation. (2021). Building family-centered medical homes for children with special health care needs. Pediatrics, 147(Supplement 3), S263–S273.
• Shonkoff, J. P., et al. (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232–e246.
• U.S. Department of Health & Human Services. (2018). Early childhood framework: Promoting social and emotional development for children birth to age 5. Administration for Children and Families.
• Wulsin, L., & Leslie, D. (2020). The integration of social determinants into health care practice: A review. Journal of Community Health, 45(3), 532–538.