Describes study of representative case findings (N=100) in four social work programs which did not have in-house substance abuse treatment for indications whether the social worker had recognized substance abuse as a problem for the client or had made a referral for treatment. Findings suggest many clients were substance abusers, but few were…

Contends that recording has become an administrative rather than a clinical activity, retroactive rather than proactive, bringing its usefulness to clinical practice in question. Presents suggestions for improving the clinical record and for returning it to its proper place as a vital component of clinical practice. (LLL)