Mental and Social Health Commons^™

The Differentiated Impact Of Bridging And Bonding Social Capital On Economic Well-Being: An Individual Level Perspective, Saijun Zhang, Steven. G. Anderson, Min Zhan

The Journal of Sociology & Social Welfare

Social capital refers to trust, norms, and social networks. One of the most important features of social capital is its claimed capacity of promoting economic well-being. Theorists have assumed that any such effects vary according to the nature of different types of social capital. Using longitudinal data from a nationally representative dataset, this study investigates the differentiated effects of individual bonding and bridging social capital on subsequent personal income and income-to-needs ratios. The analyses demonstrate that bridging capital, indicated by involvement in various voluntary organizations, has small but significant effects on future economic wellbeing. However, bonding capital, indicated by connections …

Clinical Social Work And The Biomedical Industrial Complex, Tomi Gomory, Stephen E. Wong, David Cohen, Jeffrey R. Lacasse

The Journal of Sociology & Social Welfare

This article examines how the biomedical industrial complex has ensnared social work within a foreign conceptual and practice model that distracts clinical social workers from the special assistance that they can provide for people with mental distress and misbehavior. We discuss: (1) social work's assimilation of psychiatric perspectives and practices during its pursuit of professional status; (2) the persistence of psychiatric hospitalization despite its coercive methods, high cost, and doubtful efficacy; (3) the increasing reliance on the Diagnostic and Statistical Manual of Mental Disorders, despite its widely acknowledged scientific frailty; and (4) the questionable contributions of psychoactive drugs to clinical …

Social Welfare Policy And Public Assistance For Low-Income Substance Abusers: The Impact Of 1996 Welfare Reform Legislation On The Economic Security Of Former Supplemental Security Income Drug Addiction And Alcoholism Beneficiaries, Sean R. Hogan, George J. Unick, Richard Speiglman, Jean C. Norris

The Journal of Sociology & Social Welfare

Prior to January 1, 1997, individuals with drug- or alcohol-related disabilities could qualify for federal public assistance through the Supplemental Security Income (SSI) program. During the welfare reforms of the Clinton administration, this policy was changed, resulting in lost income and health care benefits for many lowincome substance abusers. This paper examines the historical underpinnings to the elimination of drug addiction and alcoholism (DA&A) as qualifjing impairments for SSI disability payments. Following this, empirical evidence is presented on the effect this policy change had on the subsequent economic security of former SSI DA&A beneficiaries. Findings indicate that study participants who …

Fairness Issues In Law And Mental Health: Directions For Future Social Work Research, Jose B. Ashford, Jane Holschuh

The Journal of Sociology & Social Welfare

Concepts from the procedural justice literature in social psychology are examined that offer useful guidance for social work researchers with interests in investigating informal adjudications, speciality treatment courts, and other areas of the administrative process previously neglected in mental health services research. These theoretical concepts are offered as an alternative to the therapeutic jurisprudence framework being adopted by some social workers in the field of law and mental health. The issues outlined in this paper also draw on the health services and psychotherapy literature to highlight issues involving process and procedure as social justice and their significance for advancing a …

Achieving Justice In Child Protection, Rob Neff

The Journal of Sociology & Social Welfare

As formal systems for the protection of children have evolved in this country, certain barriers to achieving justice within the child protection system have emerged concomitantly. Specifically, these barriers involve ambiguous definitions of abuse and the appearance of social inequality and bias within the child protection system. One means of surmounting these barriers to justice is family group conferencing (FGC). Support for this assertion comes from the integration of the restorative justice model and procedural justice theory. When applied to the practice of FGCs in child protection, the integration of these theoretical perspectives provides a strong rationale for the use …

Family Involvement Interventions In Child Protection: Learning From Contextual Integrated Strategies, David Stuart Crampton

The Journal of Sociology & Social Welfare

The use of family group conferencing and related family involvement interventions in child protection is rapidly increasing in the United States and many other countries. There is some concern that the child welfare field will travel down the same road as it did with intensive family preservation services; that is, tremendous enthusiasm later derailed by rigidly designed evaluations that showed unimpressive effects. The work of John Braithwaite suggests an alternative path for finding justifiable excitement about these interventions. Drawing upon Braithwaite's writings and ongoing evaluation research, this article suggests a few steps we can take towards an integrative strategy for …

The Lived Experience Of Welfare Reform In Drug-Using Welfare-Needy Households In Inner-City New York, Eloise Dunlap, Andrew Golub, Bruce D. Johnson

The Journal of Sociology & Social Welfare

Welfare reform has transformed a needs-based family income support into temporary assistance for persons entering the workforce. This paper uses observations from an ethnographic study covering the period from 1995- 2001 to examine the impact on drug-using welfare-needy households in inner-city New York. The analysis suggests that studies may underestimate the extent to which substance use is associated with welfare problems. Nearly all of these already distressed households lost their AFDC/TANF benefits, had difficulty with work programs, and were having more difficulty covering expenses. The conclusion highlights ways to better study this population and policy initiatives that could help them …

Mental Health Needs Of Tanf Recipients, Layne K. Stromwall

The Journal of Sociology & Social Welfare

This paper reports findings of a study of female Temporary Aid to Needy Families (TANF) and non-recipients ages 18-40, receiving behavioral health services in the rural Southwest in 1998-9. TANF recipients (N = 119) were more likely to be seriously mentally ill than non-recipients (N = 370), suggesting that a subgroup of TANF recipients may face significant barriers to employment given the new TANF regulations. The author argues that responsibility for recognizing the needs of TANF recipients for behavioral health services is shared by both the public welfare and behavioral health systems. Suggestions for meeting this challenge in both systems …

Mental Health Policy And Practice Today. Ted R. Watkins And James W. Calicutt (Eds.).

The Journal of Sociology & Social Welfare

Ted R. Watkins and James W. Calicutt (Eds.), Mental Health Policy and Practice Today. Thousand Oaks, Sage Publications, 1997. $ 58.00 hardcover, $ 27.95 papercover.

Community Mental Health: A View From American History, Mary Ann Jimenez

The Journal of Sociology & Social Welfare

The limitations of the movement for deinstitutionalization of the chronically mentally disordered have been the subject of a repeated series of investigations and analyses in the last 10 years. These critiques can be summed up in the undeniable observation that the chronically mentally disordered have by and large failed to benefit from deinstitutionalization in the ways that the original advocates and planners of this policy had hoped. The promise of community mental health, at least as articulated by the scores of witnesses before Congressional committees in the early 1960's, has not been realized for this population.

The Politics Of Mental Health After Care, Steve Rose

The Journal of Sociology & Social Welfare

Essential to the development of a positive practice in mental health after-care is a precise formulation of clients' needs. Clarity about a statement of needs provides added information about anticipated obstacles to meeting those needs, both at the client and systemic levels. To accomplish this preliminary task, it becomes necessary to create what we refer to as a "problem definitional" level of theory. Problem defining theory mediates between more global theory, which establishes a larger context for understanding the broad policy issues and direct implications,* and the articulation of practice theory.

Organizational Structure And Professional Norms In An Alternative Health Care Setting: Physicians In Health Maintenance Organizations, Judith K. Barr, Marcia K. Steinberg

The Journal of Sociology & Social Welfare

The development of new organizational forms for the delivery of health and medical care in the U.S. includes health maintenance organizations (HMOs), designed to provide a set of comprehensive basic health services to a defined population for a fixed prepaid premium. As complex organizations, HMOs have the potential for limiting the autonomy of professionals working in them. This paper describes the legal requirements and organizational mechanisms under which physicians practice in HMOs and considers the potential for conflict between the organization and professional norms.

On the basis of document and interview data from nine HMOs, it appears that mechanisms developed …

The Paradoxes Of Health Planning, Bonnie Morel Edington

The Journal of Sociology & Social Welfare

The National Health Planning Act of 1974 designated 200 Health Systems Agencies (HSAs) nationally and a State Health Planning and Development Agency in each state. Components of the law are analyzed to illustrate its ambiguities and contradictions. The components analyzed are: the findings which led to the passage of the law; the law's purpose; the ten national health priorities; the National Guidelines for Health Planning; the purposes of the HSAs and the data they are to assemble and analyze. The major contradiction is that agencies designated to focus on cost containment in health care are expected to make health care …

Lessons From Private Health Insurance, Martha N. Ozawa

The Journal of Sociology & Social Welfare

All across the country there is a sense of urgency, and even of crisis over what is happening in the health industry. Of special concern are the rapid rate of increase in the cost of health care services and the increasing national expenditures for health care. For fiscal year 1976, the total U.S. spending for health care reached $149.8 billion, or a per capita expenditure of $638. Expressed as a percentage of the gross national product (GNP), the national spending for health care reached a record-breaking 8.6 percent.1 From the early 1960s--except during the period from August 1971 through April …

Social Wolk In Relief And Rehabilitation After Wars, At Home Aid Abroad, Walter A. Friedlander

The Journal of Sociology & Social Welfare

In the United States after the wars of the 19th. century, particularly after the Civil War, no professional social workers existed who could have cared for the wounded soldiers and civilians or for the disabled veterans. But in Europe, during the war of France and Italy against Austria, in 1859, the foundation of some services for the wounded soldiers of the three involved nations were laid by a Swiss banker, Henry Dunant of Geneva who arrived by accident on the evening of the bloody battle in Solferino (Italy) and started to help bandaging some of the bleeding victims of this …

Reported Ill-Health And Life Cycle Among Welfare Mothers, Robert Lejeune

The Journal of Sociology & Social Welfare

Excerpt from the full-text article:

A person's presentation of self, as Goffman uses that depends phrase, in part on the expectations of others, and also, no doubt, on the power which these others have over the person. Thus it happens very frequently that persons, particularly of low status or stigmatized positions, are called upon, as a conscious or unconscious technique of survival, to present to others negative featureS of the self; to resort to what Goffman has called "negative idealization." (Coffman 1959; 39-41; 1963). These considerations have direct bearing on the role of welfare recipients in American society. Welfare clients, …

Adolescent Pregnancy And Poverty: Implications For Social Policy, Clara L. Johnson

The Journal of Sociology & Social Welfare

Excerpt from the full-text document:

Adolescent pregnancy, per se, has been devoted little consideration by clinical observers and empirical researchers. For the most part, such pregnancies have received attention only insofar as they have occurred without the moral and legal sanctions of matrimony. This concern with illegitimacy has had the effect of blinding theorists and researchers to a whole segment of the adolescent pregnant population--the married teenager. Further, the adverse effects of adolescent pregnancy have been shrouded by moral precepts.

From existing evidence there appears to be no doubt that the married teenage girl is an integral part of the …