MAYA,8; 1952. Social Work In A.

isyoiiiatrit: setting

ocial Work: may be ””m'm3o5ni wori: practised "med ” it is clinics or un- m menm hm r't'io nus ice: the d” "W men" whicgz ii to manual purpose 0: tal or emo- serve 900919 with m” . tionai disturbances. mm. "1. soclal services to 1.9:-nnw, we" mm: mm mumrl 1900': see- tieveloped in the ea in can w- iai worker: were y 1111 I t c Ham state Ment l HOIP 133 )1) m- um physicians by Dlillvtll Shame iormation on the P81911151 , D M tat: .l.'.".' lcms. They remained u cf: an; ,,d from other social uwor rah name and training tint 1913 W the Boston Psychiatric lliospi developed in the early 1930:. soo- Chjatrla social workers. World war I gave a sudden court to tilt ,1;-may growing demand to: Joe- lal workers trained to work with individuals with nervous or emo- tnnal disorders, with the result that in 1918 program of traininz wt-re begun at Schools of Social work in Boston and New-York to meet, the need for apecially train- all psychiatric social workers. During the past twenty years there has been an increase not only in the number of psychiatric social workers employed, but also in the iunctions they perform. Ap- pi. ing techniques acquired through post-grndiiaie training in Social Service Work they may per- (arm a. wide and varied number of stmai Service duties in mental hospitals and clinics. in the mental hospital, the soc- lnl worker is concerned with the investigation of the background and social situation of the patient. because inoivier to properly un- dot-stand and treat psychiatric ill- nrss it is necessary to have as com- plete a knowledge as possible oi tile personality involved and the clnironmcnt in which he lbies. The Social Worker must also at- trnipt to eliminate fear, prejudice. and other attitudes on the part or either relatives or patient which are obstacles to acceptance of psy- cli;:.tric care and continuation oi t.-eatments. Another major con- mn of the Social Worker is help- ing patients with discharge plans, and ioilow-up care after the pa- tinntfs discharge. The acid test oi pgchinlric treatment is the social rrhshllitation of the patient. Thcreiore. the adjustment or the pamciit following his return to the community is of prime importance. The process of readjustment in the psychiatric patient-is double dil- iicult because of the negative at- titude in the community towards mental illness. The social Worker should be available to visit and counsel the patient in some oi the problems that inevitably arise is the patient struggles to reesta- nllsh himself in the community. This kind of help can go a long

vtay tonards reducing the rate oi,

rz-admissions which now occur. In the psychiatrioclinic the el- lnrts of the social Worker are con-

rentratcd mainly with the rela- i

tires or the patients. Frequently the success of psychiatric treat- ment in the clinic may hinge on whether or not appropriate chan- Res can be effected in those close relatives who constitute the im- mediate environment for the pa- ten .

This is quite apparent in the vases of disturbed children who may be referred to clinic (or any number or reasons. Generally. the parent-child relationship plays an important role either in the cause or the continuance of the illness. - While the psychiatrist works with the child, the Social worker works with the parent. The goal is to achieve movement on the part. of both parent and child so that there may be in- terrelaied changes in the relation- ihip they have with each other. There are some cases. however. in Which the social Worker may work directly with the patient. For instance, any nunfoer of prob! fem: lylnz clearly in the Social where may arise during the pa- tient's treatment. These may be problems of employment, finances. 9.90.. which are interierririg with "19 Drones: or treatment. The Social Worker tries to help find solutions to these problems through nppropriute use of community re- sources.

These are some oi the more im- iiortant ways in which the Social itorlter may be used in the Pay. chiatric setting. In August-. 1951; the Provincial Department or Health and Welfare employed one iull time Physchlatric Social Warker. Miss Ethel Trainer. M. 5. W.. whose services are available to Faicanwooti Hospital nnl the new

Mental Health Clinic in Charlotte--

iown. At the present time, her Work consists mainly in obtaining iieriinent information iur under- slrmding or the patient and his iamily situation. as well as help. int: patients with plans ior dis- Charze. As the service develops it 1-! hoped that more time and at- tention can be devoted to follow-' up care ior discharged patients. as this is an ares inwhich the social Worker has a unique contribution ioinske to the. total treatment Pmlrarn.

V m..L...........m HDATING POPULATION

Canada in 1951 had 5,169 now- With A total of 116353 rooms.

NE VIN. E-Mun cg: t 3:". in i this Wet n are . mi '0 "won" their own tree: on 1 local estate. It is iiopoti the child- ren will thus learn to can (or the um may dam than,

-.

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