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The medical model, mental health practitioners, and individuals with schizophrenia and the families
- Author:
- BEECHER Blake
- Journal article citation:
- Journal of Social Work Practice, 23(1), March 2009, pp.9-20.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The medical model is the dominant treatment model in mental health practice. The purpose of this mixed methods study is to explore the influence of the medical model of treatment on individuals with schizophrenia and their families in a large US community mental health centre. Findings from the quantitative data indicate that nurses (mean 23.58), not social workers, had significantly more clients with schizophrenia on their caseloads and also have the largest caseloads (mean 73.36). Qualitative data from practitioners suggest that the medical model of treatment has an important influence over caseload composition and size. Implications for individuals with schizophrenia and their families as well as for social work are discussed. (Edited publisher abstract)
Unchaining Prometheus: does a caste allocation hypothesis begin to explain the pervasive effects of diagnostic labelling and stigma on service users?
- Author:
- COOTE David
- Journal article citation:
- Ethnicity and Inequalities in Health and Social Care, 2(2), July 2009, pp.20-29.
- Publisher:
- Emerald
Diagnostic labelling has been seen to be a predictor of several different negative outcomes. This review draws on the claims of Wright and colleagues' that the ‘labelling’ field needs theoretical development. By comparing and contrasting the two main approaches to understanding diagnostic practices, Modified Labelling Theory and the medical model the authors further hypothesise on the social function of diagnostic practices. The focus of this review is on four conceptual books and articles. Three empirical studies are also reviewed. Then models are advanced that explain the conceptual overlap that occurs within the debate.