Clinical and Medical Social Work Commons^™

Diagnostic Classifications And Resource Utilization Of Decedents Served By The Department Of Veterans Affairs, Sonia A. Duffy, Laurel Copeland, Faith Hopp, Robert J. Zalenski

Social Work Faculty Publications

Background: Given the volume and cost of inpatient care during the last year of life, there is a critical need to identify patterns of dying as a means of planning end-of-life care services, especially for the growing number of older persons who receive services from the Veterans Health Administration (VHA).

Methods: A retrospective computerized record review was conducted of 20,933 VHA patients who died as inpatients between October 1, 2001 and September 30, 2002. Diagnoses were aggregated into one of five classification patterns of death and analyzed in terms of health care resource utilization (mean number of inpatient days and …

Review Of Freud's Free Clinics: Psychoanalysis And Social Justice, 1918-1938. Elizabeth Ann Danto. Reviewed By Leslie Leighninger., Leslie Leighninger

The Journal of Sociology & Social Welfare

Book review of Elizabeth Ann Danto, Freud's Free Clinics; Psychoanalysis and Social Justice, 1918-1938. New York: Columbia University Press, 2005. $ 29.50 hardcover.

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 …

The Use Of Critical Ethnography In Managed Mental Health Care Settings, Cassandra L. Bransford

The Journal of Sociology & Social Welfare

How social workers in managed mental health care settings exercise their professional authority may have profound consequences for the provision of ethical and value-based services to vulnerable populations. Building upon Gidden's theory of structuration, this article describes the use of critical ethnography as a specific research methodology that may support social workers in the exercise of their authority. This article examines the historical roots of critical ethnography and provides a detailed examination of its underlying assumptions and research procedures. The article concludes with a case example of a critical ethnography conducted within a managed mental health care setting.

Nineteenth Century Review Of Mental Health Care For African Americans: A Legacy Of Service And Policy Barriers, Tony B. Lowe

The Journal of Sociology & Social Welfare

The need to focus on service and policy barriers to mental health service delivery for African Americans remains critical. The purpose of this article is to review nineteenth century care as a method for understanding contemporary service and policy barriers. A case study strategy is used to compare the efforts of Pennsylvania and South Carolina using primary and secondary sources to document these developments through a political economy perspective. These findings suggest that the prevailing social, political and economic realities have created mental health disparities along racial lines. Existing barriers are likely rooted in this same reality.

The Effects Of Prolonged Job Insecurity On The Psychological Well-Being Of Workers, Cynthia Rocha, Jennifer Hause Crowell, Andrea K. Mccarter

The Journal of Sociology & Social Welfare

Job insecurity has been increasing since the 1980s. While researchers have found job insecurity to be negatively associated with multiple indicators of well-being for workers and their families in cross sectional studies, less is known about the long term effects of prolonged job insecurity. Specifically, there is a need to collect measures of both insecurity and its consequences at multiple time periods. The current study followed workers for 3 1/2 years to assess the effects of chronic job insecurity on psychological distress. Results indicate that while workers reported increased feelings of security over time, there were longer term negative effects …

Review Of Mental Disorders In The Social Environment. Stuart A. Kirk (Ed.). Reviewed By Kia J. Bentley., Kia J. Bentley

The Journal of Sociology & Social Welfare

Book review of Stuart A. Kirk (Ed.), Mental Disorders in the Social Environment: Critical Perspectives. New York: Columbia University Press, 2005, $69.50 hardcover, $34.50 papercover.

Outcomes Associated With A Home Care Telehealth Intervention, Faith Hopp, Peter Woodbridge, Usha Subramanian, Laurel Copeland, David Smith, Julie Lowery

Social Work Faculty Publications

To determine whether adding telehealth technology to traditional home care services increases health-related quality of life (HRQOL) and home care satisfaction, and decreases resource utilization among home care patients. This trial included 37 home care patients receiving services in a Veterans Affairs medical center, randomized into intervention and control groups. Outcome measures included patient satisfaction and HRQOL at baseline and 6-month follow- up, and the use of inpatient and outpatient services before and during the 6-month study period. Intervention group patients reported greater improvement in the mental health component of HRQOL, (t = 2.27; df = 15; p = …

Americans' Attitudes Toward Euthanasia And Physician-Assisted Suicide, 1936-2002, Jen Allen, Sonia Chavez, Sara Desimone, Debbie Howard, Keadron Johnson, Lucinda Lapierr, Darrel Montero, Jerry Sanders

The Journal of Sociology & Social Welfare

Public opinion polls conducted from 1936 to 2002 found that Americans support both euthanasia and physician-assisted suicide. Although public opinion regarding end-oflife decisions appears to have been influenced by the events of the times, Americans have consistently favored the freedom to end one's life when the perceived quality of life has significantly diminished, either by one's own hand or with the assistance of a physician. This paper indicates that existing policy regarding euthanasia and physician-assisted suicide conflicts with the American public's attitudes regarding the matter, as well as examines implications for social workers who serve clients facing end-of-life decisions.

Review Of Troubled Fields: Men, Emotions And The Crisis In American Farming. Eric Ramirez-Ferrero. Reviewed By Leon Ginsberg., Leon Ginsberg

The Journal of Sociology & Social Welfare

Book review of Eric Ramirez-Ferrero, Troubled Fields: Men, Emotions and the Crisis in American Farming. New York: Columbia University Press, 2005. $64.50 hardcover, $24.50 papercover.

Review Of Aids, Rhetoric And Medical Knowledge. Alex Preda. Reviewed By Cudore L. Snell., Cudore L. Snell

The Journal of Sociology & Social Welfare

Book review of Alex Preda, AIDS, Rhetoric, and Medical Knowledge. New York: Cambridge University Press, 2005. $70.00 hardback.

Patient Insurance Status And Do-Not-Resuscitate Orders: Survival Of The Richest?, Gigi Nordquist

The Journal of Sociology & Social Welfare

This study investigated the effect of patient insurance status upon physicians' decisions to write do-not-resuscitate orders (DNRs). Ninety-four physicians completed a questionnaire consisting of demographic data and a case vignette. In addition to the main research question, the study explored the effect of religious affiliation on writing DNRs and performing "slow codes." Results indicate that insurance status has a significant effect upon the likelihood of writing a DNR, with physicians more likely to write DNRs for patients covered by public (i.e., government-funded, as compared to private) insurance. Religious affiliation was also significant, with greater church attendance associated with a lesser …

Review Of Double Jeopardy: Adolescent Offenders With Mental Disorders. Thomas Grisso. Reviewed By James W. Callicutt., James W. Callicutt

The Journal of Sociology & Social Welfare

Book review of Thomas Grisso, Double Jeopardy: Adolescent Offenders with Mental Disorders. Chicago, IL: University of Chicago Press, 2004. $29.00 hardcover.

Review Of Healing From The Trauma Of Childhood Sexual Abuse: The Journey For Women. Karen A. Duncan. Reviewed By Carol T. Tully., Carol T. Tully

The Journal of Sociology & Social Welfare

Book review of Karen A. Duncan, Healing from the Trauma of Childhood Sexual Abuse The Journey for Women. Westport, CT: Praegar 2004, $39.95 hardcover

Professional Hope In Working With Older Adults, Terry Koenig, Richard Spano

The Journal of Sociology & Social Welfare

Writings about hope within gerontological literature assume social workers already possess hope that they can use in their practice. The purpose of this article is to challenge this assumption and to examine ways in which social workers can sustain hope in personal life, in their agencies, and in the reform of larger social structures that impact older adults. The authors examine culture change in nursing homes as an emerging approach that can be more fully developed by applying the strengths perspective to interpersonal work with elders, agency change and broader structural change.

Review Of Practice Issues In Hiv/Aids Services. Ronald J. Mancoske And James Donald Smith (Eds.). Reviewed By Vijayan K. Pillay., Vijayan K. Pillai

The Journal of Sociology & Social Welfare

Book review Ronald J. Mancoske and James Donald Smith (Eds.), Practice Issues in HIV/AIDS Services. Binghamton, NY, 2004. $39.95 hardcover, $24.95 papercover.

The Roles Of Buddhist Temples In The Treatment Of Hiv/Aids In Thailand, Tomoko Kubotani, David Engstrom

The Journal of Sociology & Social Welfare

Although efforts are being made to decrease the number of new HIV infections in Thailand, less support is give to the growing population that is already affected by the disease. This qualitative study explores the roles of Buddhist temples in the treatment of AIDS in Thailand, specifically the perspectives of both Buddhist monks and persons who are living with AIDS on HIVIAIDS and the care provided at the temples. Three major themes were derived from the interviews: (1) temple as a last choice; (2) temple as a support group; and (3) the role of Buddhism and monks at the temple.

Principles Of Clinical Practice With Older Men, Lenard W. Kaye, Jennifer A. Crittenden

The Journal of Sociology & Social Welfare

Older men are much less likely to be aware of community services available to them and they are less likely to utilize services generally. This underutilization is affected by the way in which social services are organized and how practitioners function within them. Since there are greater numbers of elderly women and women utilize services more readily, practice tends to be female-centered. It is important that gender-sensitive intervention processes are established that recognize the unique experiences and concerns of older men in order to better serve them. The uniqueness of men's experiences with such issues as loss of a spouse, …

Informal Care-Two-Tiered Care? The Work Of Family Members And Friends In Hospitals And Cancer Centres, Christina Sinding

The Journal of Sociology & Social Welfare

In a qualitative study conducted in Ontario, Canada, family members and friends of ill people defined a normal territory in which care from health professionals could not be counted on to be timely, effective or empathic. Under these conditions relatives and friends took on considerable responsibility, both for providing care and for securing care from health professionals. Yet considerable variation was apparent in this study in the sense respondents had of their own capacities to provide and secure care. Findings from this study suggest that service tiers exist in the institutional care system, linked to the time, knowledge and resources …

Self-Help Group Participation And Empowerment In Hong Kong, Bong-Ho Mok

The Journal of Sociology & Social Welfare

This paper reports on the first comprehensive study of self-help groups in Hong Kong. Initial findings from the quantative and qualitative data suggest that self-help group participation has an impact on intrapersonal, interpersonal and community/political empowerment. Based on existing data, this study has resulted in the development of a hypothetical model encompassing the interrelationships among self-help group participation, social support, social learning, leadership and empowerment, for testing in future research.

Research In Home-Care Telemedicine: Challenges In Patient Recruitment, Usha Subramanian, Faith Hopp, Julie Lowery, Peter Woodbridge, David Smith

Social Work Faculty Publications

This study reports challenges in recruiting patients for a randomized controHed trial of home-care telemedicinae. Descriptive statistics on patient eligibility for home-care telemedidne services and patient refusals for participation are provided. Frequency counts of reasons for study exclusion and participant refusal and Chi-square tests to compare race and age-related differences are given. Of 302 home-care patients reviewed, 197 (65.2%) did not meet inclusion criteria. The most common reasons for study exclusion were patients either needing <2 visits per month (n = 59, 30%) or >3 skilled nurse visits per week (n = 46, 23.4%). Of the eligible patients (n = 105), 79 …

Review Of Handbook Of Drug Abuse Prevention: Theory Science And Practice. Zili Sloboda & William J. Bukowski (Eds). Reviewed By Sean R. Hogan., Sean R. Hogan

The Journal of Sociology & Social Welfare

Book review of Zili Sloboda and William J. Bukoski (Eds.), Handbook of Drug Abuse Prevention: Theory, Science, and Practice. New York: Kluwer Academic Publishers, 2003. $150.00 hardcover.

Review Of Refusing Care: Forced Treatment And The Rights Of The Mentally Ill. Elyn R. Saks. Reviewed By Kai J. Bentley., Kia J. Bentley

The Journal of Sociology & Social Welfare

Book review of Elyn R. Saks, Refusing Care: Forced Treatment and the Rights of the Mentally Ill. Chicago: University of Chicago Press, 2003. $35.00 hardcover, $24.50 papercover.

Review Of The Loss Of A Life Partner: Narratives Of The Bereaved. Carolyn Ambler Walter. Reviewed By Amanda Smith Barusch., Amanda Smith Barusch

The Journal of Sociology & Social Welfare

Book review of Carolyn Ambler Walter, The Loss of a Life Partner: Narratives of the Bereaved. New York: Columbia University Press, 2003. $52.50 hardcover, $26.50 papercover.

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 …

Sharing Power With The People: Family Group Conferencing As A Democratic Experiment, Lisa Merkel-Holguin

The Journal of Sociology & Social Welfare

Can family group conferencing be leveraged to promote the democratic ideals of voice, freedom, justice, fairness, equality, and respect, and provide the citizenry with the opportunity to build a more just and civil society? This article reviews family group conferencing, and various model adaptations, from a democratic context and through the lens of responsive regulation.

Review Of Family Health Social Work Practice: A Macro Level Approach. John T. Pardeck (Ed.) Reviewed By Marsha Blachman, Marsha Blachman

The Journal of Sociology & Social Welfare

Book review of John T. Pardeck (Ed.), Family Health Social Work Practice: A Macro Level Approach. Westport, CT: Auburn House, 2002. $ 67.95 hardcover.

Review Of Addiction Treatment: A Strengths Perspective. Katherine Van Wormer & Diane Rae Davis. Reviewed By Mike Gorman., Mike Gorman

The Journal of Sociology & Social Welfare

Book review of Van Wormer, Katherine and Davis, Diane Rae, Addiction Treatment A Strength's Perspective, Pacific Grove, CA: Thomson Brooks Cole, 2003. $ 51.92 papercover.

The Social Problem Of Depression: A Multi-Theoretical Analysis, Rich Furman, Kimberly Bender

The Journal of Sociology & Social Welfare

The purpose of this paper is to discuss the social problem of depression from a multi-theoretical perspective. It explores depression through the lens of two psychologically based theories of human behavior, existential theory and cognitive theory, as well as through the vehicle of two sociological theories, Marxist theory and the theory of oppression. By understanding how each of these theories explains depression, social workers may be helped to see the complexity of treating the problem. It is the belief of the authors that social work literature, which is often dominated by reductionist, quantitativelybased research studies, has increasingly ignored theoretical explorations …