Summarizes recent research concerning prevalence of substance abuse-related problems among chronically mentally ill people, outlines important assessment and treatment strategies suggested to date, and highlights policy dilemmas that impede further progress in helping substance-abusing client with major mental illness. (NB)

Notes that public welfare agencies are serving middle-class Americans. Examines six factors that may contribute to gentrification of public welfare agencies: growing demands for services from nontraditional clients; restructuring of public welfare's service delivery system; declining resources; increasing emphasis on child protective services;…

Conducted national survey of burnout among 1,196 social workers who work with elderly people. Examined extent to which workers experienced emotional exhaustion, depersonalization, and personal accomplishment. Found that levels of gerontological social workers' burnout appeared lower than levels found among social workers in child welfare, mental…

Notes growth in number of self-help groups/agencies for mental health clients. Examines self-help perspective in relation to problems with traditional mental health services and need for client-run services. Goal of article is not to endorse self-help perspective but to use it as basis for raising research questions that will further mental health…

Contends that, because psychological effects of childhood sexual abuse impact functioning of both children and adults, counselors will probably encounter clients who have experienced childhood sexual abuse. Looks at problems both counselors and clients face when confronting dysfunctional behavior and symptoms resulting from sexual abuse.…

Presents three case examples to illustrate specific actions that career counseling must take to integrate sexual orientation into career counseling. Suggested actions involve signaling lesbian and gay affirmation in career counseling practice; enhancing development of positive gay or lesbian identity in context of career development work; and…

Presents information from interviews for Amish Study, study undertaken to understand, from rural family's perspective, experience of having received in-home family services. Describes barriers to service found by rural families and presents two cases from Amish Study. Considers need for outreach to rural families. (NB)

Discusses problems experienced by families who have child who is human immunodeficiency virus (HIV) positive or who has Acquired Immune Deficiency Syndrome (AIDS), noting that child with HIV/AIDS in family usually means at least one parent also has HIV/AIDS. Urges professionals to think of family, rather than individual, and to plan services for…

Notes that counseling psychology has traditionally neglected research and practice with children. Focuses on ethical and practical issues in conducting research with child participants. Highlights areas of informed consent and assent, minimization of risk, and use of deception. Gives special attention to areas where research with children differs…

Identifies reasons for the increasing use of psychotherapeutic interventions for brain dysfunctional adults. Explores complexities of working with survivors of traumatic brain injury. Highlights needs and goals typically encountered in therapeutic session. Discusses modifications to traditional counseling approaches to use when working with this…

This article proposes a new model offering a hierarchy of supports in special education and rehabilitation that incorporates three traditional models of assistance: the custodial-welfare model, the scientific-medical model, and the humanistic-educational model. The hierarchy is based on the principle that human rights to dignity, freedom, and…

Outlines ethical mandates for cultural sensitivity, including the importance of a broad definition of culture, knowledge of values and beliefs of diverse clients, awareness of the counselor's cultural identity, and development of culturally appropriate skills. (Author/MKA)

Reports on two studies in which college students rated the degree to which clients were responsible for causing and solving their problems. Study 1 revealed that men held male clients responsible for problems. Study 2 demonstrated that clients with schizophrenia were evaluated differently than those with problems of anxiety and personal…

Human services providers must understand the rights and responsibilities of the governments involved with Native Americans. Their unique status and the practice implications of that status are examined. An overview of culturally competent social work is provided; specific issues such as historical trauma and sovereignty are explored. (Author/EMK)

Racial identity models emphasize the assessment of clients' racial identity and its dynamic interaction with counselors' racial identity. With an emphasis on Helms' (1995) model, this article discusses how racial identity models may be applied to support multicultural counseling practice. (Contains 59 references.) (GCP)