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Articles 331 - 360 of 489

Full-Text Articles in Clinical and Medical Social Work

The Discourse Of Denigration And The Creation Of "Other", Joshua Miller, Gerald Schamess Sep 2000

The Discourse Of Denigration And The Creation Of "Other", Joshua Miller, Gerald Schamess

The Journal of Sociology & Social Welfare

This paper attempts to reduce the distance between intellectual frameworks that inform different fields of social work practice by exploring the relationships between intrapsychic mechanisms, family dynamics, small group processes and such society wide phenomena as public denigration, scapegoating, and the systematic oppression of politically targeted population subgroups. Clinical theories are used to explore disturbing social trends such as the redistribution of wealth while cutting services to the needy, the growth of prisons and disproportionaten umbers of incarcerated people of color, societal retreat from social obligation and commitment and divisive political rhetoric. Suggestions are made about how clinical social workers …

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Conflicting Bureaucracies, Conflicted Work: Dilemmas In Case Management For Homeless People With Mental Illness, Linda E. Francis Jun 2000

Conflicting Bureaucracies, Conflicted Work: Dilemmas In Case Management For Homeless People With Mental Illness, Linda E. Francis

The Journal of Sociology & Social Welfare

This ethnographic study finds a case management agency torn between the rules of two conflicting bureaucracies. Funded by a federal grant, the agency is administered by the county, and the regulations of the two systems turn out to be incompatible. This conflict creates dilemmas in providing services to clients: meeting eligibility criteria for services from the federal grant meant the clients did not meet the eligibility criteria for many County services. Agency staff reacted to this dilemma by bending rules, finding loopholes, and investing extra time and emotional labor in each client. The role-conflict engendered by bureaucratic disjunction creates frustration, …

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The Urban Ecology Of Hospital Failure: Hospital Closures In The City Of Chicago, 1970-1991, Gunnar Almgren, Miguel Ferguson Dec 1999

The Urban Ecology Of Hospital Failure: Hospital Closures In The City Of Chicago, 1970-1991, Gunnar Almgren, Miguel Ferguson

The Journal of Sociology & Social Welfare

Abstract: Hospital closures occurred nationally with increasing frequency between 1970 and 1990. In particular, large urban areas experienced a dramatic number of closures. Of the 61 general hospitals operating in Chicago in 1970, 22 (36%) had closed by 1991. While a growing body of literature has examined the etiology and determinants of hospital closure over the last two decades, few empirical studies have focused on the neighborhood correlates of closure, and none have examined specific health outcomes associated with hospital failure. This study uses census and Chicago hospital closure data to compare and contrast different conceptual explanations of closure in …

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Using Professionally Trained Actors In Social Work Role-Play Simulations, Helen E. Petracchi Dec 1999

Using Professionally Trained Actors In Social Work Role-Play Simulations, Helen E. Petracchi

The Journal of Sociology & Social Welfare

The literature available to social work educators contains limited discussion of the use of role play simulation in the classroom. This paper presents the experiences of first-year MSW students in a foundation generalist practice class who were evaluated using role play for their final examination. In a unique arrangement, clients in these simulations were role-played by firstyear acting students from the university's theater arts department. The reaction of the social work students to role play with professionally trained actors is described and discussed from voluntarily submitted descriptions of the experience.

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Review Of Paradigms Of Clinical Social Work, Volume 2. Rachel Dorfman (Ed). Reviewed By Cynthia Franklin, University Of Texas, Austin., Cynthia Franklin Sep 1999

Review Of Paradigms Of Clinical Social Work, Volume 2. Rachel Dorfman (Ed). Reviewed By Cynthia Franklin, University Of Texas, Austin., Cynthia Franklin

The Journal of Sociology & Social Welfare

Book review of Dorfman, R.A. (Ed.) Paradigms of Clinical Social Work, volume 2. Philadelphia PA: Brunner/Mazel, 1998. $49.95 hardcover.

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Review Of Clinical And Practice Issues In Adoption: Bridging The Gap Between Adoptees Placed As Infants And As Older Children. Victor Groza And Karen F Rosenberg (Eds.). Reviewed By Richard P. Barth, University Of North Carolina, Chapel Hill., Richard P. Barth Sep 1999

Review Of Clinical And Practice Issues In Adoption: Bridging The Gap Between Adoptees Placed As Infants And As Older Children. Victor Groza And Karen F Rosenberg (Eds.). Reviewed By Richard P. Barth, University Of North Carolina, Chapel Hill., Richard P. Barth

The Journal of Sociology & Social Welfare

Book review of Victor Groza and Karen E Rosenberg (Eds.), Clinical and Practice Issues in Adoption: Bridging the Gap Between Adoptees Placed as Infants and as Older Children. Westport, CT: Praeger Publishers, 1998. $55.00 (hardcover).

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Mental Health Policy And Practice Today. Ted R. Watkins And James W. Calicutt (Eds.). May 1998

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.

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Review Of The Impact Of Managed Care On The Practice Of Psychotherapy: Innovation, Implementation And Controversy. Richard M. Alperin And David G. Phillips. Reviewed By Steven Segal, University Of California, Berkeley., Steven Segal May 1998

Review Of The Impact Of Managed Care On The Practice Of Psychotherapy: Innovation, Implementation And Controversy. Richard M. Alperin And David G. Phillips. Reviewed By Steven Segal, University Of California, Berkeley., Steven Segal

The Journal of Sociology & Social Welfare

Richard M. Alperin and David G. Phillips, The Impact of Managed Care on the Practice of Psychotherapy: Innovation, Implementation and Controversy. New York: Brunner/Mazel, 1997. $31.95 hardcover.

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Indochinese Mental Health In North America: Measures, Status, And Treatments, Thanh V. Tran, Donna L. Ferullo Jun 1997

Indochinese Mental Health In North America: Measures, Status, And Treatments, Thanh V. Tran, Donna L. Ferullo

The Journal of Sociology & Social Welfare

The massive influx of Indochinese refugees and immigrants to North America since the end of the Indochina war, especially to the United States of America, has resulted in numerous multi-disciplinary efforts to document and study their mental well-being. As a group, Indochinese Americans arrived from war-torn countries where many had experienced various forms of trauma, poverty, and oppression. Their pre-migration experiences, and experiences in adjusting and adapting to the new life in the host society have influenced their mental health status and overall quality of life in various ways. This paper analyzes and synthesizes a wealth of multi-disciplinary research on …

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Degreed And Nondegreed Licensed Clinical Social Workers: An Exploratory Study, John T. Pardeck, Woo Sik Chung, John W. Murphy Jun 1997

Degreed And Nondegreed Licensed Clinical Social Workers: An Exploratory Study, John T. Pardeck, Woo Sik Chung, John W. Murphy

The Journal of Sociology & Social Welfare

This exploratory study focuses on 155 randomly selected respondents who obtained a clinical license in social work with or without the Master of Social Work (MSW) degree. Ninety-seven of the respondents obtained a license with an MSW degree;fifty-eight obtained a license without the MSW degree. The two groups of respondents completed a survey instrument that explored their basic demographic characteristics, their attitudes and behaviors related to practice, and their philosophical and political attitudes toward practice. The researchers found few statistically significant differences between the two groups of respondents. The article offers implications of these findings for the profession of social …

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Reconstructing Sex Offenders As Mentally Ill: A Labeling Explanation, Rudolph Alexander Jr. Jun 1997

Reconstructing Sex Offenders As Mentally Ill: A Labeling Explanation, Rudolph Alexander Jr.

The Journal of Sociology & Social Welfare

A growing number of states are being pressured to keep incarcerated sex offenders behind bars longer. The response to this pressure has been to look to the mental health system and retrieve civil commitment for sex offenders, a policy largely abandoned in the 1960s. In the 1970s, the courts ruled that civil commitment to a mental institution required that the individual be both mentally ill and dangerous. So legislators, with the support of a few mental health professionals, met this requirement by legislatively reconstructing sex offenders as mentally ill and permitting their indefinite commitment to mental institutions. The author discusses …

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Personal Narrative And The Social Reconstruction Of The Lives Of Former Psychiatric Patients, Robin M. Gilmartin Jun 1997

Personal Narrative And The Social Reconstruction Of The Lives Of Former Psychiatric Patients, Robin M. Gilmartin

The Journal of Sociology & Social Welfare

This study explores ways in which high-functioning former patients integrate the experience of prior psychiatric hospitalization into their lives and find meaning from that event. The narratives of two individuals are presented and discussed in relation to social role theory, social constructionism, and labeling theory. The narratives underscore that the process of integrating and making meaning of important life events such as psychiatric hospitalization occur within a social context. Understanding mental illness and psychiatric hospitalization in familial, social, and political terms was instrumental in helping these individuals to reconstruct personal narratives in order to overcome shame and internalized stigma and …

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Family Functioning And Psychological Well-Being In Vietnamese Adolescents, Quang Duong Tran, Cheryl A. Richey Mar 1997

Family Functioning And Psychological Well-Being In Vietnamese Adolescents, Quang Duong Tran, Cheryl A. Richey

The Journal of Sociology & Social Welfare

This paper presents an exploratory study that examines the influences of family functioning on the psychological well-being in a sample of Vietnamese adolescents. Thirty Vietnamese families from the King County area in the state of Washington participated in this study. Thirty adolescents between 13 and 19 years of age and 53 parents (27fathers and 26 mothers) responded to self-reported questionnaires. Data analysis was conducted to provide a descriptive "picture" of family and individual characteristics associated with Vietnamese adolescents' psychological well-being. Gender differences were apparent with Vietnamese female adolescents reporting higher mean scores on depressive symptoms and lower mean scores on …

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Improving Social Work Practice With Persons Who Are Homeless And Mentally Ill, Carol T. Mowbray, Shirley P. Thrasher, Evan Cohen, Deborah Bybee Dec 1996

Improving Social Work Practice With Persons Who Are Homeless And Mentally Ill, Carol T. Mowbray, Shirley P. Thrasher, Evan Cohen, Deborah Bybee

The Journal of Sociology & Social Welfare

Despite a proliferation of programs targeted for persons who are homeless and mentally ill, few reports in the literature detail the challenges experienced or strategies utilized by workers, the majority of whom are social workers. The present study reports results from two focus group sessions held with staff running a model service intervention for this population at two separate sites. The methodology that was utilized quanitified results, allowing presentation of themes, as well as comparisons of the frequency of responses across categories and by site. Staff perceived barriersa ssociatedw ith client behaviors and characteristicsp redominated at both sites. However, systemic …

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Predictors Of Depression Among Workers At The Time Of A Plant Closing, Nancy R. Vosler, Deborah Page-Adams Dec 1996

Predictors Of Depression Among Workers At The Time Of A Plant Closing, Nancy R. Vosler, Deborah Page-Adams

The Journal of Sociology & Social Welfare

Using an ecological theoretical perspective, this study of white male UAW workers stressed by a plant closing explored predictors of depression at multiple systems levels. The five best predictors of workers' depression were family strengths, age, economic strain, health, and social support. Additional bivariate predictors included self-esteem and having an alcohol problem at the individual level, marital status and family satisfaction at the family system level, and household income, home ownership, and key relationships at the social-environmental level. Implications for collaboration between direct-service and policy-practice social workers are discussed.

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Incarnating Heaven: Making The Hospice Philosophy Mean Business, Mark A. Mesler, Pamela J. Miller Sep 1996

Incarnating Heaven: Making The Hospice Philosophy Mean Business, Mark A. Mesler, Pamela J. Miller

The Journal of Sociology & Social Welfare

Hospice providers in the U.S. are on the horns of a dilemma. Survival of individual programs may require accreditation for third party reimbursement, but this stronger alignment with the business world of medicine may jeopardize their unique philosophy of care for dying persons. Hospice's current business/philosophy dilemma was expressed succinctly by a study participant as attempting to incarnate heaven. Data gathered through an ongoing participant observation study reveals the effects of current third party reimbursement on hospice practice. Further, these effects have implications for current U.S. health care reform efforts which are discussed in conclusion.

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Coherency Among Substance Abuse Models, Stephen Kauffman, John Poulin Sep 1996

Coherency Among Substance Abuse Models, Stephen Kauffman, John Poulin

The Journal of Sociology & Social Welfare

Social policy decisions are often made based upon socially constructed models of human behavior. As such, understanding the social constructions in a given policy area is of utmost importance. This study examines three competing models within the substance abuse area: the moral model, the disease model, and the biopsychosocial model. Utilizing survey data from a random sample telephone survey of 1,019 residents of Delaware County, Pennsylvania, the study examines a) the degree to which individual models are internally consistent between beliefs about causes and beliefs about solutions, b) whether the assumptions in competing models are in fact different; and c) …

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Speak Of The Devil: Rhetoric In Claims-Making About The Satanic Ritual Abuse Problem, Mary Deyoung Jun 1996

Speak Of The Devil: Rhetoric In Claims-Making About The Satanic Ritual Abuse Problem, Mary Deyoung

The Journal of Sociology & Social Welfare

This paper uses Toulmin's (1958) scheme to conduct a rhetorical analysis of claims being made in the construction of the satanic ritual abuse of children problem. The analysis reveals that the persistence of these claims over the last fifteen years is the product not of their compelling facts or their effective conclusions, but of their persuasive warrants. These implicit, "self-evident truths" resonate well with recent cultural concerns about the vulnerability of children to abuse, and the satanic menace.

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Poverty, Family Support, And Well-Being Of Infants: Mexican Immigrant Women And Childbearing, Margaret Sherrard Sherraden, Rossana E. Barrera Jun 1996

Poverty, Family Support, And Well-Being Of Infants: Mexican Immigrant Women And Childbearing, Margaret Sherrard Sherraden, Rossana E. Barrera

The Journal of Sociology & Social Welfare

Data reveal that despite high levels of poverty, Mexican immigrants have relatively few low birth weight babies. This unusual pattern suggests that there are "protective" social factors mediating the effects of povertyperhaps especially family support. Our study, based on in-depth interviews with immigrant women in Chicago, finds that family support does protect some women from delivering a low birth weight infant but it does not protect women living in extreme poverty. Implications for services to Mexican immigrant women in childbearing years and their families are presented. These findings also speak to broad issues in social policy, especially the need for …

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Market Mechanisms And Consumer Involvement In The Delivery Of Mental Health Services: A Uk-Us Comparison, Wes Shera Mar 1996

Market Mechanisms And Consumer Involvement In The Delivery Of Mental Health Services: A Uk-Us Comparison, Wes Shera

The Journal of Sociology & Social Welfare

Both the United Kingdom and the United States Are in the midst of health care reform. By focusing on services for the severely mentally ill this paper compares recent developments in managed care in the U.S. and care management in the U.K. It particularly focuses on the use of market mechanisms and consumer involvement in these reforms.

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Multicultural Clients: A Professional Handbook For Health Care Providers And Social Workers. Sybil M. Lassiter. Dec 1995

Multicultural Clients: A Professional Handbook For Health Care Providers And Social Workers. Sybil M. Lassiter.

The Journal of Sociology & Social Welfare

Sybil M. Lassiter, Multicultural Clients: A Professional Handbook for Health Care Providers and Social Workers. Westport, CT: Greenwood Press, 1995. $65.00 hardcover.

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Feminization Of The Aids Epidemic, Mark S. Kaplan Jun 1995

Feminization Of The Aids Epidemic, Mark S. Kaplan

The Journal of Sociology & Social Welfare

Although males still constitute a substantial number of persons with AIDS, it is becoming clear that this is a disease affecting women and minority populations more adversely. Today women, while representing approximately 16 percent of all AIDS cases nationwide that are reported to the Centers for Disease Control, make up the fastest-growing segment of the population with AIDS. This article contends that AIDS is increasingly afflicting women who have little economic, political, or social power. Furthermore, misdirected public policy has been partly responsible for the greater incidence of the disease in certain regions and populations.

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Attention Deficit Disorder And Case Management: Infusing Macro Social Work Practice, Dennis D. Long Jun 1995

Attention Deficit Disorder And Case Management: Infusing Macro Social Work Practice, Dennis D. Long

The Journal of Sociology & Social Welfare

Intervention with children with attention deficit disorders is complex and requires change at multiple system levels using a social work perspective. Case management, macro social work practice, time allocation issues, the structure of a professional self, constraints in expanding a narrow definition of the social worker, and specific macro level intervention areas for social workers are examined in this context.

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Women Who Hurt Themselves. Dusty Miller. Mar 1995

Women Who Hurt Themselves. Dusty Miller.

The Journal of Sociology & Social Welfare

Dusty Miller, Women Who Hurt Themselves. New York: Basic Books, 1994. $22 hardcover.

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Defining Success: The Politics Of Evaluation In Alcohol And Drug Abuse Treatment Programs, James L. Wolk, David J. Hartmann, William P. Sullivan Dec 1994

Defining Success: The Politics Of Evaluation In Alcohol And Drug Abuse Treatment Programs, James L. Wolk, David J. Hartmann, William P. Sullivan

The Journal of Sociology & Social Welfare

Alcohol and drug abuse treatment programs must respond to several important stakeholders or beneficiaries of services who have an investment in how success is defined. Utilizing data from recent statewide studies of treatment outcomes of alcohol and drug abuse services, this paper concludes that a strict adherence to an abstinence-only model of success, rigidly adopted by many in the treatment industry is counterproductive. Multiple measures of success are essential to fully understand and assess a changing model of intervention in the chemical dependency field.

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Client-Driven Advocacy And Psychiatric Disability: A Model For Social Work Practice, David P. Moxley, Paul P. Freddolino May 1994

Client-Driven Advocacy And Psychiatric Disability: A Model For Social Work Practice, David P. Moxley, Paul P. Freddolino

The Journal of Sociology & Social Welfare

This paper presents an innovative advocacy model designed to assist people coping with psychiatric disabilities to fulfill their basic living needs. The model emphasizes the importance of clients defining their own needs for advocacy and then, with the support and assistance of an advocate, taking direct action to fulfill these needs. The model is elaborated in terms of its basic attributes, the interlocking roles of both clients and advocates, the importance of the advocacy relationship, and seven core processes of advocacy. The authors conclude with a discussion of possible effects of introducing the model into social work practice in mental …

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Social Work, Social Science And The Disease Concept: New Directions For Addiction Treatment, Douglas Frans May 1994

Social Work, Social Science And The Disease Concept: New Directions For Addiction Treatment, Douglas Frans

The Journal of Sociology & Social Welfare

The perception of alcoholism and other substance abuse disorders as disease entities is a view ardently defended not only among chemical dependency professionals but, increasingly, by the general public as well. Over the past two decades, this perspective has also become so ensconced within the addiction treatment industry that alternative interventions are almost nonexistent even though evidence of their effectiveness is available (Miller & Hester, 1989). And yet, "no leading research authorities accept the classic disease concept" (Fingarette, 1988, p. 3). Competing views are generally characterized as irresponsible, and their sponsors summarily dismissed as dangerously uninformed by disease view proponents …

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Access To Prenatal Care And County Size: Implications For Service Delivery, Ellen E. Whipple Dec 1993

Access To Prenatal Care And County Size: Implications For Service Delivery, Ellen E. Whipple

The Journal of Sociology & Social Welfare

The impact of population size across twenty-three west Michigan counties was examined to determine access to prenatal care, low birth weight, and infant mortality. Surveys were completed by forty-five managers of hospitals and county health departments. Service availability, sociodemographic, system-related and lifestyle factors were examined as contributors to perinatal support utilization. Low birth weight and infant mortality were highest in the small- and large-sized counties. Positive birth outcomes in medium-sized counties may have been due to greater availability of infant and child health services through health departments, and the targeting of resources to specific problem areas, such as smoking cessation. …

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Families Of People With A Severe Mental Illness: Role Conflict, Ambiguity And Family Burden, James G. Hanson Sep 1993

Families Of People With A Severe Mental Illness: Role Conflict, Ambiguity And Family Burden, James G. Hanson

The Journal of Sociology & Social Welfare

The perspective of families of people with a severe mental illness has become a focus of interest for mental health professionals. This paper reports the results of an ethnographic study of families' perceptions of dealing with a severe mental illness in their midst. The findings suggest that the families face continual role conflict and ambiguity as the illness moves through characteristic stages. Attention is given to the families' experience and needs and to social workers' responsibilities for involving and communicating with such families in order to reduce a portion of their burden.

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Reformulation Of The Context Of Community Based Care, Phillip Fellin May 1993

Reformulation Of The Context Of Community Based Care, Phillip Fellin

The Journal of Sociology & Social Welfare

Community based care has traditionally been defined as residential location. An alternative is presented of including the patient's membership in multiple communities, both geographical and identificational. The literature on social supports is cited as a basis for social integration as a goal.

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