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Clinical and Medical Social Work Commons™

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Articles 481 - 510 of 641

Full-Text Articles in Clinical and Medical Social Work

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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Restraint Use: Impact Of An Employee Educational Program In A Skilled Nursing Facility, Elizabeth Ann Roybal Jan 1996

Restraint Use: Impact Of An Employee Educational Program In A Skilled Nursing Facility, Elizabeth Ann Roybal

Theses Digitization Project

No abstract provided.

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Indicators Of Delay Between Recommendation For Community Outpatient Treatment And Release Into A Conditional Release Program, Dennis Howard Littlefield, Eric Harley Summers Jan 1996

Indicators Of Delay Between Recommendation For Community Outpatient Treatment And Release Into A Conditional Release Program, Dennis Howard Littlefield, Eric Harley Summers

Theses Digitization Project

The mentally ill who have been found not guilty of a crime by reason of insanity (NGRI), appear to be at risk in several areas when confronted with the judicial system. The purpose of this study is to determine whether the factors which predict recidivism of NGRI patients in Community Out-patient Treatment (COT) also inhibit a patient's release into a conditional release program (CONREP).

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In-Home Health Care And Hospitalization Status, Donna Lee Maeser Jan 1996

In-Home Health Care And Hospitalization Status, Donna Lee Maeser

Theses Digitization Project

The purpose of the study was to describe the relationship between in-home health care services for elderly patients who were recently discharged from inpatient care and re-hospitalization rates. The design was descriptive and the hypothesis was that the provision of in-home health care services would mitigate a decline in the health status, of an elderly patient, following discharge from inpatient care and prevent re-hospitalization.

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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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The Affective Quality Of The Relationships Between Mothers Recovering From Cocaine/Polydrug Addiction And Their 12-Month-Old Infants, Jane Reed Vanbremen Jan 1995

The Affective Quality Of The Relationships Between Mothers Recovering From Cocaine/Polydrug Addiction And Their 12-Month-Old Infants, Jane Reed Vanbremen

Dissertations

No abstract provided.

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Feminist Therapy: A Qualitative Examination Of The Practitioner's Perspective, Kathleen Marianne Scott De Jong Jan 1995

Feminist Therapy: A Qualitative Examination Of The Practitioner's Perspective, Kathleen Marianne Scott De Jong

Theses and Dissertations (Comprehensive)

This study was undertaken to investigate feminist therapeutic practice from the practitioner's perspective. The initial goals of this study were to explore practitioner perspectives on feminism and power and their impact upon feminist practice. Additionally, the researcher sought to discover how practitioners found congruence between their feminist-informed values and therapeutic practice and if, in the course of practicing as a feminist, ethical dilemmas arose. Based on a sample of eight women who identified themselves as feminist practitioners, the researcher used semi-structured open-ended interviews to investigate the participants' beliefs, values and perspectives on clinical practice. From the application of a generic …

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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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External Locus Of Control And Negative Life Experiences In Persons With Chronic Fatigue And Immune Dysfunction Syndrome, Pamela Thomas Priebe Aug 1994

External Locus Of Control And Negative Life Experiences In Persons With Chronic Fatigue And Immune Dysfunction Syndrome, Pamela Thomas Priebe

Graduate Theses

A review of related literature indicated a person's perception of negative life experiences may be unusually high prior to the onset of an illness. An external locus of control belief system may also be present prior to the onset of an illness. The present study used the Life Experiences Survey measure to compare the perception of life experiences of a group of people with CFIDS and a group of people without CFIDS. The present study also used the Locus of Control Scale to measure the locus of control belief system for the same two groups of people. The results of …

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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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Mental Health Crises As A Regional Problem, Roger A. Lohmann Sep 1993

Mental Health Crises As A Regional Problem, Roger A. Lohmann

Faculty & Staff Scholarship

Mental health crises are often presented and thought about as individual problems, activities going on only within the minds of individuals. This presentation considers mental health crisis as a regional problem. It discusses the four county region of North Central West Virginia which is the catchment area for Valley Community Mental Health Center. It is based on a study conducted by the author of the need for a revised and integrated crisis management system for the region.

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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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Structuring Support For Volunteer Commitment: An Aids Services Program Study, Taryn Lindhorst, Ronald Mancoske Mar 1993

Structuring Support For Volunteer Commitment: An Aids Services Program Study, Taryn Lindhorst, Ronald Mancoske

The Journal of Sociology & Social Welfare

Since the AIDS epidemic began over a decade ago, the bulk of services for people living with HIV in the community setting have been provided by volunteers. Volunteers are confronted with the stigmatized status of people with HIV and must learn to manage multiple crisis issues. This paper describes research on volunteerism in a buddy program for people living with AIDS and the perceptions of volunteers about the structural supports of the volunteer program. Issues around perceptions of stress and the relationship between bereavement and volunteering are explored.

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Medical Social Work: Why Is It Underutilized In Home Health Care?, Susan Lee Robilotta Jacobs Jan 1993

Medical Social Work: Why Is It Underutilized In Home Health Care?, Susan Lee Robilotta Jacobs

Theses Digitization Project

No abstract provided.

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The Emotional And Instrumental Experiences Of Caregivers Of Senile Dementia/Alzheimer Type Patients, Lisa Hilder Jan 1993

The Emotional And Instrumental Experiences Of Caregivers Of Senile Dementia/Alzheimer Type Patients, Lisa Hilder

Theses Digitization Project

No abstract provided.

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Rediscovering The Asylum, Sharon M. Keigher Dec 1992

Rediscovering The Asylum, Sharon M. Keigher

The Journal of Sociology & Social Welfare

Spending a night at a typical big city shelter for the homeless has reminded the author of the massive and regimented environment in institutions that she had mistakenly believed no longer existed after the much acclaimed "deinstitutionalization" of America. St. Mary's is run by a religious order attempting to provide charitable care in a nondemanding environment. Many demands are made, however. The lack of privacy and respect for individuality inherent in institutional life tends to erode the "inmate's" very conception of self. It controls their activities, time, and choices, and thus creates barriers to exit. Providing "shelter" for the homeless …

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Assessing The Impact Of Serving The Long-Term Mentally Disabled Homeless, Laura E. Blankertz, Ram A. Cnaan, Marlene Saunders Dec 1992

Assessing The Impact Of Serving The Long-Term Mentally Disabled Homeless, Laura E. Blankertz, Ram A. Cnaan, Marlene Saunders

The Journal of Sociology & Social Welfare

Homelessness has emerged as a major social problem. In an attempt to understand this problem, attention has been focused on postulating its causes, describing the individuals who hold this status, and estimating its magnitude. This study assesses the outcome of one social service program for long-term mentally disabled homeless individuals. It includes a synopsis of the state of the art in serving homeless individuals with severe mental health problems; a description of a program created to meet their needs; and an analysis of the outcome of this program.

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Homeless Persons' Interest In Basic And Health Services: The Role Of Absolute, Relative, And Repressed Needs, Russell K. Schutt Dec 1992

Homeless Persons' Interest In Basic And Health Services: The Role Of Absolute, Relative, And Repressed Needs, Russell K. Schutt

The Journal of Sociology & Social Welfare

This study describes and explains the interest of homeless persons in housing, economic, and health-related services with intake interview data collected by a large urban shelter for single adults. Shelter guests were most interested in assistance with housing, job, and economic benefits, rather than health services. Three explanations of variation in service interests are identified: the "absolute needs" explanation expects service interests to vary directly with service needs, the "repressed needs" explanation expects service interests to vary inversely with alcoholism and mental illness, while the "relative needs" explanation expects interest in health-related services to be related to health needs, but …

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