ABSTRACT

Despite the fact that social work departments are dependent upon hospitals for resources and support, little research has been conducted to analyze organizational factors that promote or impede their development. The researchers hypothesized that departments are most likely to expand in hospital settings with missions that are supportive of clinical, preventive, and community-oriented services; that stress innovation; and that emphasize hospital-funded services and programs. Further, it was hypothesized that social work services would be most likely to expand in settings where hospital administrators perceive them to be relevant to practical needs of the institution. Findings from a survey of 50 nonprofit hospitals in Los Angeles County in 1980 confirm these hypotheses and suggest that social workers need to use knowledge of the organizational context to develop high-level support for their departments.