Search results for ‘Subject term:"medical model"’ Sort:
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Unitas: the clinic of the street-community mental health in practice
- Author:
- EISMANN Edward P.
- Journal article citation:
- Smith College Studies in Social Work, 71(2), 2001, pp.305-321.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The community mental health movement of the 1960s and 1970s represented a radical departure from the conservatism of the traditional medical model which stressed the biological and intrapsychic origins of mental illness. Community mental health ideology emphasized social, cultural, and environmental factors responsible for mental illness and its prevention. Community mental health downplayed the "cult" of the professional and played up the healing power inherent in the social fields and support structures a person is already embedded in. Emphasis was placed on professionals working collaboratively with and through community care takers in promoting social adjustment for a particular social environment. This article describes how community mental health ideology has been operationalized for over 33 years, serving functioning and dysfunctioning youth through developing their capacities to be care takers to each other and to younger community children in the form of a symbolic family. The impact of such relationships and the place of the "therapeutic community meeting" or "family circle" as vehicles of therapeutic leverage, are illustrated.
Medical vs social
- Authors:
- CANTOPHER Tim, TURNER Margaret
- Journal article citation:
- Professional Social Work, February 2017, pp.24-25.
- Publisher:
- British Association of Social Workers
This article asks the question as to whether antidepressants are too readily prescribed when support to address underlying social, relationship and environmental causes of depression would be more helpful. One author, a psychiatrist and author of Depressive illness: the curse of the strong, argues medication is a key 'first aid' to recovery, whilst a mental health social worker, calls for a more socially-orientated focus. (Edited publisher abstract)
Talking past each other: towards HIV/AIDS prevention in Nigeria
- Authors:
- IYIANI Christian, BINNS Tony, SHANNON Pat
- Journal article citation:
- International Social Work, 54(2), March 2011, pp.258-271.
- Publisher:
- Sage
HIV/AIDS is extensive in Nigeria, with a prevalence rate of 5.8%. This study investigates the relationship between HIV/AIDS prevention programmes and the lived realities of people most at risk in the poor urban community of Ajegunle in Nigeria’s Lagos State. The research compared the formal approach of the HIV/AIDS prevention organisations, with the felt realities of those on the receiving end of such responses: sex workers, street youths and low-income families. The results demonstrate a significant difference between the medical model of health espoused by agencies and the broader social model of the lay respondents. While providers, international non-governmental organisations (NGOs) and their client NGOs, emphasise Western medical models for HIV/AIDS intervention and prevention, at-risk groups expressed strong feelings of powerlessness over socio-cultural and political conditions affecting them. The article suggests that multi-sectoral responses with full community participation are necessary in order to engage in more effective preventive action. This requires a major power shift, whereby local people are fully involved in decision-making about policies and their implementation.
Medical model on top
- Author:
- METTERI Anna
- Journal article citation:
- Community Care, 26.9.02, 2002, p.48.
- Publisher:
- Reed Business Information
Looks at Finnish mental health care policy where the medical model in psychiatry has been strengthened. Argues that it is now up to staff to move towards more collaborative methods of working.
Regime of truth: rethinking the dominance of the bio-medical model in mental health social work with refugee youth
- Authors:
- FENNIG Maya, DENOV Myriam
- Journal article citation:
- British Journal of Social Work, 49(2), 2019, pp.300-317.
- Publisher:
- Oxford University Press
This paper argues for a re-examination of mental health responses to refugee youth seeking asylum in high-income countries. Reviewing international literature related to mental health and social care services for refugee children and youth and drawing upon Foucault’s concepts of power, truth and discourse, the authors explore and question the predominance of the bio-medical model in responding to refugee children’s distress. The authors demonstrate that, despite notable initiatives and developments in social work theory and practice, the bio-medical model has, in many ways, become a ‘regime of truth’, with the power to define refugees’ problems and thus shape the policies and services that affect their lives. While not denying that many refugee youth and their families may benefit from such therapeutic interventions, it is our contention that working with this population requires a significant expansion, diversification and transformation of the current paradigm informing social work practice to incorporate the multiple and unique cultures and contexts of this population. The article concludes with a discussion of promising practices and interventions with refugee youth and families. (Edited publisher abstract)
Social work and the support model of services for people with developmental disabilities
- Author:
- MARY Nancy L.
- Journal article citation:
- Journal of Social Work Education, 34(2), Summer 1998, pp.247-260.
- Publisher:
- Council on Social Work Education
This article discusses the evolution of service delivery for people with developmental disabilities from the medical model to the developmental model to the current support model. Today's service delivery model has changed the conceptualisation of consumers, service intent, and the role of professionals. In this context, the author examines the role of social work practice, education, and research in service provision for people with developmental disabilities.