A brief description the social-service department may As a definitely organized unit, with a corps specially trained field workers and a physician in charge its activities, the social-service department the Kings Park Hospital has come into existence only within the last two years. In this short space time, its function has become fairly well defined. It occupies the position an auxiliary the medical department, under whose general control and direction its It a recognized fact that understand mental disorders one must study the patient, not only in cross section as seen the hospital wards, but also in his social setting, thus obtaining some knowledge the personal cheap custom essays online and human aspects his condition. One must know him as appears his ordinary daily life, paraphrasing and summarising and study his emotions and his reactions in his difficulties as well as his pleasures. Tt this social knowledge concerning the patient that the social-service department has attempted place in the physician's hands, thus broadening the scope his resources in the wav treatment and adjustment and adding, speak, the human element his scientific and technical view his Through the information the field workers bring the physician, they often are able make a valuable contribution diagnosis. They may learn much as the etiological factors upon which the prognosis the case often depends, for frequently these upsetting factors, especially if they are the environmental type, may modified as permit an early parole, and such modifications may prove a valuable The results our parole work make increasingly evident the fact that the more intensive and intelligent the preparole preparation the environment for the patient, the more successful the adjustment apt Many our patients exhibit difficulties adaptation that are, for the most part, associated with their respective settings environment, habits, or temperamental friction, all which may corrected. After the patient leaves the hospital, the social-service department becomes the sole means contact the hospital with the patient and here renders its most valuable assistance.

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In their regular visits the homes our patients, our field workers are able watch carefully the reaction the patient toward his surroundings, scrutinize the attitude the family toward him, and give advice as the best method procedure in the treatment any difficulties that may arise. It the function, therefore, the field workers this department meet problems that involve family and social relationships, and dealing with temperamental difficulties, peculiarities, disappointed ambitions, and the like, from a psychiatric standpoint, render them harmless. We have felt for a long time, perhaps unjustly, that members the medical staffs hospitals frequently pay too little heed the recommendations regarding extramural adjustments made the field workers, and their decisions regarding the advisability parole or the return patients from parole. We should bear in mind that the intelligent treatment mental disorders involves sociologic as well as medical problems, and that only through friendly cooperation and mutual understanding between the physician and the social worker can the best results obtained.

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In addition the general field work outlined above, the department operates two out-patient clinics, not infrequently called upon examine prisoners in the county jails both Suffolk and Nassau counties, and more recently has taken antrsyphilitic work, not only for patients parole, but for the families all syphilitic patients admitted In conclusion, want emphasize our opinion that the matter granting parole must a purely best college writing services medico-social question, and that although there an economic feature considered, the number paroles should not altered for the sake economic advantages alone. Considering the first factor parole, the patient's mental condition, realize that desire alone cannot increase the number recoveries from mental disease.

The mental condition the patient a fact and cannot altered because the taxpayers The mental condition, however, not the only element considered. Parole also determined a large extent the possibility securing a suitable environment outside the hospital. So far as recovered cases are concerned, the fact recovery the decisive point. But many paroles are possible without complete recovery, depending entirely upon the possibility placing the patient under favorable custom of writing letters custom written college papers conditions.

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It therefore, necessary adapt the environment the patient his mental condition, that where to buy college research papers onr problem at once becomes social and educational as well as medical. Success in paroling increasingly large numbers patients depends largely upon a proper adjustment the patient's environment, the supervision given the patient at the hands the hospital, and the early recognition the return mental symptoms the family, the employer, or the visiting social worker. In the case chronic patients, think that help writing a term paper much could done carrying occupational therapy into the home. Where patients are not sufficiently recovered compete in the industries, they might, having shown skill in basket weaving and the like, continue such work in the home. This, however, would necessitate an extramural occupational therapist, and this degree organization have not as yet We believe that a constant observation should kept for patients with parole possibilities, and that wherever a patient found whose symptoms not contraindicate every effort should made arrange the extramural environment receive him and keep that environment adjusted his needs through the constant supervision a social worker. This, contend, should a state-wide policy. Possibly, as has been recommended the State Charities Aid Association, the organization a state social-service department, whose function would promote such a policy throughout the state-hospital system, would cause considerable saving the state, and relieving overcrowding as now exists, would permit more intensive work among those patients still in need hospital care. Given such a policy, are the opinion, judging from our own experience, that a conservative estimate any state hospital could during each year parole between and per cent its total population and could maintain a daily average at least exclusive academic essay writing services reparoles parole.

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