Mental and Social Health Commons^™

List: Planned Parenthood Of Northeast Florida, Inc. 1992 Board Of Directors

Saffy Collection - All Textual Materials

A list of the 1992 board of directors and officers.

Long-Term Care Policy: Where Are We Going?, Gerontology Institute, University Of Massachusetts Boston, Omb Watch

Gerontology Institute Publications

Millions of Americans suffer from physical or mental conditions that make it difficult for them to live fully independent lives. These are the frail elderly, disabled and chronically ill persons of all ages, and many mentally ill or mentally retarded persons. They need help to manage daily activities, whether they live in their own homes or in nursing homes.

Such care can be extremely expensive, since it often must be provided for many years, even a lifetime. Today, those costs are met largely by the individuals themselves or by their families and by public programs for low-income persons.

For many …

Alcoholism: A Barrier To Empowerment For Women, Marion Brink

New England Journal of Public Policy

Women's increasing economic power has encouraged the promotion of their drinking as fashionable. However, women are more vulnerable to the impact of alcohol, and the stigma attached to alcoholism is greater for them than it is for men. As a consequence, a woman — and those around her — will deny her alcoholism until she has lost much more than her male counterparts. When, or if, she seeks help for this devastating disease, she finds a lack of woman-specific programs and facilities. This article notes the barriers to recovery for women and offers some suggestions for breaking them down. Two …

Trends In Hospital And Nursing Home Care Expenditures, Maine, 1982 To 1986, Maine Department Of Human Services

Maine Collection

Trends in Hospital and Nursing Home Care Expenditures, Maine, 1982 to 1986

Maine Department of Human Services - Office of Data, Research, and Vital Statistics

John R. McKernan, Jr., Governor, Rollin Ives, Commissioner, Brenda Smith, Planning and Research Associate, May, 1989.

"This report produced under Appropriation No. 1310-4010."

Contents: Introduction / Hospital Care Expenditures / Nursing Home Care Expenditures / Comparison of Hospital and Nursing Home Care Expenditure Trends / Concluding Remarks / References

Blue Ribbon Commission On The Regulation Of Health Care Expenditures, State Of Maine, 113th Legislature

Maine Collection

Blue Ribbon Commission on the Regulation of Health Care Expenditures

State of Maine, 113th Legislature (January, 1989)

Office of Policy and Legal Analysis, Room 101, State House--Sta. 13, Augusta, Maine 04333.

Contents: Preface / Executive Summary of Recommendations / Introduction and Background / Detailed Recommendations

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.

U.S. Women And Hiv Infection, P. Clay Stephens

New England Journal of Public Policy

Women are inadequately provided with HIV services and education and are differentially denied access to these. Divisions of race, ethnicity, economic class, and religion, among others, are compounded by sexual discrimination within each of these categories.

Review of current data on women with AIDS reveals that the reporting methods used convey a false impression that women are not at significant risk. Moreover, the persons indirectly affected by AIDS are predominantly women — mothers, sisters, partners, family members, teachers, and human service workers. Thus, AIDS is more of a women's issue than the statistics imply.

Women, as a gender-defined class, face …

Human Immunodeficiency Virus In Intravenous Drug Users: Epidemiology, Issues, And Controversies, Donald E. Craven

New England Journal of Public Policy

Intravenous drug users are the second most common risk group for acquired immunodeficiency syndrome (AIDS) in the United States, and they account for approximately 25 percent of the cases. Drug users may spread human immunodeficiency virus (HIV) by sharing contaminated drug injection paraphernalia and through sexual contact; women who use drugs can transmit the virus to their children. The rapid spread of HIV in this risk group and the fact that intravenous drug users are a source for heterosexual and perinatal transmission underscore the need for immediate intervention. In addition, many drug addicts are poor, have limited career possibilities, and …

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 …

Resettlement Problems Of Prisoners-Of-War Of The Japanese In World War Ii And The Chinese Communists In Korea, Allen Hanegan

Masters Theses

The readjustment problems that were encountered by the prisoners-of-war (POWs) were caused by their identification problems, the chief aspect of which was their defensive isolationism. These problems produced further difficulties for the individual POW in the behavioral category and for the entire POW group in their underlying distrust of the outside world. These also produced confused reactions, paranoid syndromes, and a lack of participation in military and civilian affairs, and were expressed in the POWs as fearful withdrawal and belligerent negation with anti-social overtones. These problems were more marked in the case of the Korean War prisoners than in the …

The Philosophy And Goals Of A Farm-Living Group Home For Mentally Retarded Citizens In The State Of Washington: A Working Plan Of Implementation, Max R. Grimmett

All Graduate Projects

Group homes were established as a result of House Bill #465 passed by the Washington State Legislature in 1969. The purpose of this bill was to make it possible for some people living in state institutions to move into smaller and more "homelike" places.

The purpose of the study was to determine what has been done in the area of group homes under the Washington State Guidelines. A study was made of the existing group homes and the programs offered at the present time. After collecting data, a plan was developed to create a proposed farm-living group home for mentally …

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 …

The Ecology Of Stray Dogs: A Study Of Free-Ranging Urban Animals, Alan M. Beck

Purdue University Press Books

This readable contribution should be in the hands of any city or state agency dealing with dog problems or with public health problems. The book should also be of considerable interest to all ecologists, behaviorists, and biologists. This is a unique book in which the ecologist's methods are applied to understanding and possibly solving one of our urban problems. This fascinating small monograph is the work of a man who-armed with camera, tape recorder and thermometer and driving not a Land-Rover but a used sedan-studied free-ranging dogs among the bricks of Baltimore.