He must know him as appears in his ordinary daily life, in his pleasures and difficul ties, emotions and reactions. Nothing can considered too insignificant for his notice which not too insignificant illustrate the operation laws health and mental evolution and this the contribution our allies, the social workers, our studies and adjustments social-psychological conditions in their relation mental welfare. I have said that the social workers should under the control and direction the medical department but because, through their contribution, they have humanized our knowledge because they have broadened the basis our studies and added greatly our resources in the way treatment and adjustment because they have brought into intimate touch with the community, the relationship should one friendly cooperation, mutual understanding, and respect, with adequate scope for initiative and individual judgment. A general policy social work has been outlined for the state hospitals Massachusetts Miss Hannah Curtis, Director Social Work under the Department Mental Diseases. This outline gives first place social case-work the interweaving medical treatment and social service upon the basis personal knowledge the patient in his whole environment. Then follow systematic home visiting, including frequent visits patients that require special supervision and quarterly visits boarding patients the taking histories, medical and social, both inside and outside the hospital when required investigation home conditions special patients, complaints entered at the hospital patients or outside persons relative outside affairs patients, all applications for boarding patients, criminal cases referred courts for observation, special employment problems the placing and care boarding patients, selection homes, after-care work out-patient clinic work and educational work through lectures, conferences, special courses, publications, research work, and raining studeuts and volunteers. To illustrate what being accomplished this alliance medical and social forces, Dr. Macdonald gives some the results that have been noted a Danvers.
One the most striking these the steady increase patients visits or parole in the community.
as conservative and individualistic as the men years ago, yet the leaven medico-sociological relations gradually bringing about the socialization medicine. Nowhere this effect more apparent than in the state-hospital field.
The opportunities for helpful assistance the medical department and the need such assistance strikingly exemplified in a survey the year's work at Danvers the head social worker, Miss Bertha Reynolds.
Three hundred and twentytwo persons were dealt phd dissertation writing services with the Social Service Department.
Two hundred and fifteen these had never before been referrd the department. The sources new eases were as follows per cenl referred physicians the hospital, outside agencies, such as other hospital social-service departments, family welfare societies, children's aid societies, friends patients, the Department Mental Diseases for special after care or investigation, etc. The referred agencies outside the hospital contains its own commentary as the progress in community relations since the old days detachment, which happily had their termination with the organization the present system. The problems for the solution which the assistance the social-service department was enlisted were in the following proportions connected with disease, mental or physical, per rent connected with environmental or social conditions, this including such things as poverty, environmental ill adjustment, a problems, employment problems, family dissensions, legal difficulties, moral problems, supervision drug addicts without psychosis, supervision alcoholics without psychosis, wayward tendencies, vacillating interests, temperament, criminal tendencies, etc. What was really accomplished for the patients cooperative medical and social efforts? Nothing more difficult estimate statistically, Miss Reynold's comment. But a basis for estimate may formed from the variety services rendered. These include arrangements for medical care readjustments in home, in work, in recreation, in hospital matters arrangements for community supervision plans arranged with relief agencies, with special agencies, with venereal-disease assignment writers clinics, with employment agencies legal aid secured advice patients advice relatives contribution diagnosis contribution decision in regard discharge contribution morale visiting and supervision boarding patients advice social agencies information social agencies In training aids for mental patients, Slagle lays down as a general academic writing help centre apa style principle that the emphasis all through the training should placed upon the relation directed activity mental adjustment and social rehabilitation.
The term social rehabilitation used with reference three distinct groups patients-one group that will all probability spend the rest their lives in the hospital, a second that may returned community life, and a third that may profitably treated in a pre-hospital work clinic, with the idea Candidates should selected for the training course instead the course being selected persons who feel that they are fitted for the work The selection should not depend upon the judgment one person, but upon the combined judgment a committee whose business know all the requirements. Of prime importance in work with mental patients the factor personality. This term, difficult define, includes such qualities as gentleness, patience vision, the ability honest and firm, abundant common sense, and adaptability or the power live, for a time at least, in the world the patient If chance, the patient happens the Bride Adorned or the Queen Sheba or the Special Emissary the President an ability fall in line as one the Honorable Subjects exalted a personage will often an entering wedge in creating an interest Occupational therapy for mental cases necessarily includes work with the group deteriorated or deteriorating patients-notably the large group dementia-praecox patients-to found in every state hospital The course for aids who plan enter this field should, therefore, include habit-training work. The student should shown how our lives are for the most made habit reactions and how occupation may used remediably overcome some habits, modify others, and construct new ones, the end that habit reactions will favorable the restoration and the maintenance health, bhe should taught bear always mind, in work with mental patients, the necessity requiring attention, building the habit atten, ion buy essays until becomes application, phd thesis proposal voluntary and agreeable. After habit training, the next step in the rehabilitation the patient kindergarten work.
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