March+5th+Lecture+Slides - Patterns of Practice and Policy...

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Unformatted text preview: Patterns of Practice and Policy March 5th, 2009 1. Why are clients non­voluntary and how does this affect their treatment (compared to private services)? Relations with clients Self­correction Not available elsewhere/ high costs of private goods Indifference Won’t “elope”: bad treatment Compliance Control of clients 2. How are clients socially constructed? 3. How do SLB’s control clients? Distributing Benefits and Sanctions Structuring Context Teaching the Client Role Psychological Benefits and Sanctions 4. Why are SLB’s prevented from serving as advocates for clients? 5. How are SLB’s alienated from clients? Advocacy and Alienation in SLB Work Advocacy Alienation Segments of their work Outcome of work Input n n n n n Pace of work Implications 6. How do SLB’s adapt to their constrained situations/ how do they cope? Patterns of practice Coping Strategies n n n Organize work Lower expectations Modify concept of clients n Routines and Simplifications n n n n Ration services Control clients Husband resources Manage consequences n n n n 7. What are the costs of service 8. How do they decrease the number of clients? Rationing Services: limitations of access and demand Costs of Services n n n n n Monetary Time Info Psychological Queing Other Alternatives By Appointment By roundup Routines and Rationing ...
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March+5th+Lecture+Slides - Patterns of Practice and Policy...

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