Clinical and Medical Social Work Commons^™

An Examination Of "Right To Treatment" Standards: Mental Health Policy Within The Context Of The State Hospital System, Kathryn Glass

The Journal of Sociology & Social Welfare

This paper discusses the use of court-imposed standards for public mental hospitals as a method of improving public mental health services. The standards set out in Wyatt v. Stickney are examined, and the author concludes that if implemented nationally such standards would transform the public hospitals. In addition, implementation would alter the power structure of mental health workers, effect the allocation of state and federal funds, and influence the larger system of mental health services. Socio-economic characteristics of public mental hospital patients, and an assessment of present care in this system are presented as central issues in mental health policy …

The Living Together Arrangement: Social Work And The Lost Client, Robert W. Weinbach, Anne C. Blankenship, Sarah M. Friedman, Judy C. Rutledge, Claudia A. Thompson

The Journal of Sociology & Social Welfare

A recent research study suggests that persons living together outside of marriage do not view social work services as a potential source of help for problems brought into the living together arrangement, those common to all intimate long-range dyadic relationships or those directly related to choice of lifestyle. A multi-faceted approach is suggested which would aim at reaching this potential client group in a climate which will neither stigmatize or judge the alternate lifestyle or the persons who practice it.

Therapists Or Helpers? Notes On A Youth-Type Free Clinic, Michael W. Agopian, Robert W. Dellinger, Gilbert Geis

The Journal of Sociology & Social Welfare

This paper builds upon a helpful typology of free clinics that divides then into four major kinds - the street, neighborhood, youth, and sponsored. While the typology tends to weave among characteristics of clientele, locale, and source of support in setting up its units, it nonetheless has the advantage of being based on an empirical assessment of the major forms of clinic operations through the country. Youth clinics - the type that particularly concerns us here - are defined as "generally organized by adults, service clubs, or official boards... because of their concern about drug use among high school students." …

Client Costs And Early Discontinuance From A Community-Based Treatment Program, Ronald A. Feldman, Mortimer Goodman, John S. Wodarski, Wallace J. Gingerich

The Journal of Sociology & Social Welfare

In social work circles client withdrawal from a treatment program commonly has been labeled as "discontinuance". Discontinuance rates have been inordinately high for both casework and group work endeavors, ranging in some instances to 59Z of all clients following the first interview (Aronson and Overall, 1966; Empey and Erickson, 1972; Goldstein, Heller, and Sechrest, 1966; Levinger, 1960; Overall and Aronson, 1963). Discontinuance represents an obvious and essential concern for social work for one overarching reason, to wit, treatment interventions cannot be implemented should the client(s) withdraw from the therapeutic relationship. Additionally, as some investigators have shown, discontinuance represents a focal …

Suicide -- Causation, Indicators And Interventions, Florence W. Kaslow

The Journal of Sociology & Social Welfare

Excerpt from the full-text article:

In this paper an attempt is made to determine what factors propel given individuals toward self destruction. Durkheim's typology of suicides is utilized and an analysis of the social and psychological components of each type undertaken. The social structure is viewed from the vantage point of how it influences and is internalized by members of society. The psychological aspects are handled by looking into what intrapsychic and external forces shape the individual's personality and behavior in such a way that he seeks his own death. In some instances it is hard to draw a sharp …

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, …

Delinquency Theories, Group Composition, Treatment Locus, And A Service-Research Model For 'Traditional' Social Work Agencies, Ronald A. Feldman, John S. Wodarski, Norman Flax, Mortimer Goodman

The Journal of Sociology & Social Welfare

Summary

Rehabilitative endeavors within correctional institutions have failed because of overpopulation, high costs, labelling and stigmatization of inmates, low transferability of treatment changes to the outside community, and deviant peer group composition. Community treatment programs have fared little better because they also entail client stigmatization and typically are conducted within the context of deviant peer groups. Consequently, in order to enhance the rehabilitative potential of community treatment, subsequent efforts should be conducted within "traditional" agencies and within pro-social peer groups. The emphasis upon "pro-social" rehabilitation environments does not posit any particular assets and/or liabilities of a given socio-economic stratum, thus …

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 …