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The private practice of social work: Current trends and projected scenarios in a managed care environment

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Abstract

This article reviews the status of the social work labor force engaged in the private practice of social work based on data drawn from the full membership of the National Association of Social Workers. The demographics, areas of practice, income, and career development patterns of this sub-set of social workers are explored. These trends and issues are then discussed within the context of the realities of actual and potential changes in the mental health system of care in this society and their implications for private practice. Despite clear patterns which show a consistent upward trend in the proportion of social workers engaged in the private practice of social work, the current political and economic environment raises substantial questions about the nature and breadth of this component of social work practice in the future.

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References

  • Abramowitz, M. (1986). The privatization of the welfare state: A review.Social Work, 31, 257–264.

    PubMed  Google Scholar 

  • Alperin, R. M. (1994). Managed care versus psychoanalytic psychotherapy: Conflicting ideologies.Clinical Social Work Journal, 22, 137–148.

    Article  Google Scholar 

  • Barker, R. L. (1991).The social work dictionary, 2nd ed. Silver Spring, MD: NASW Press.

    Google Scholar 

  • Barker, R. L. (1992).Social work in private practice. Silver Spring, MD: National Association of Social Workers.

    Google Scholar 

  • Barker, R. L. (1995). Private practice. In R. L. Edwards (Ed-in-Chief),Encyclopedia of Social Work, (19th ed., pp. 1905–1910). Washington, DC: NASW Press.

    Google Scholar 

  • Bureau of Labor Statistics. (1991). News: Consumer expenditures in 1991, Table 9. Washington, DC: Bureau of Labor Statistics.

    Google Scholar 

  • Brown, F. (1994) Resisting the pull of the health insurance tarbaby: An organizational model for surviving managed care.Clinical Social Work Journal, 22, 59–71.

    Article  Google Scholar 

  • Cohn, V. (1993, January 26). What it will take to cure health care.Washington Post, Health, pp. 16–17.

  • Gibelman, M. & Schervish, P. (1993).Who we are: The social work labor force as reflected in the NASW membership. Washington, DC: NASW Press.

    Google Scholar 

  • Gibelman, M. & Schervish, P. (1993b).What we earn: 1993 NASW salary survey. Washington, DC: NASW Press.

    Google Scholar 

  • Gibelman, M. & Schervish, P. (1995). Pay equity in social work: Not.Social Work, forthcoming.

  • Jayaratne, S., Davis-Sacks, M. L., and Chess, W. (1991, May). Private practice may be good for your health.Social Work, 36, 224–232.

    PubMed  Google Scholar 

  • Karger, H.J. (1989). Private practice: The fast track to the shingle.Social Work, 34, 566–567.

    Google Scholar 

  • Karger, H.J. & Stoesz, D. (1994).American social welfare policy: A pluralistic approach. NY: Longman.

    Google Scholar 

  • Landers, S. (1992, June). Managed care: New accent on quality.NASW News, p. 3.

  • Landers, S. (1992, November). Managed care: Who decides treatment?NASW News, p. 3.

  • Landers, S. (1993, July). Providers ponder a managed-care future.NASW News, p. 3.

  • Landers, S. (1994, November). Supergroups: A ‘big pond’ survival tactic.NASW News, p. 3.

  • Lennon, T.M. (1994).Statistics on social work education in the United States: 1993. Alexandria, VA: Council on Social Work Education.

    Google Scholar 

  • Merle, S. (1962). Some arguments against private practice.Social Work, 7, 12–17.

    Google Scholar 

  • Mizrahi, T. (1993) Managed care and managed competition: A primer for social work.Health & Social Work, 18, 86–91.

    Google Scholar 

  • NASW News. (1995, January). Is managed care threatening the survival of your practice? (Classified advertisement), p. 35.

  • National Association of Social Workers. (1987).Salaries in social work: A summary report on the salaries of NASW members, July 1986–June 1987. Silver Spring, MD: Author.

    Google Scholar 

  • Saxton, P.M. (1988). Vendorship for social work: Observations on the maturation of the profession.Social Work, 33, 197–201.

    Google Scholar 

  • Shallcross, H.M. (1991). Companies want to know how to buy mental health care.Personnel, 68, 19.

    Google Scholar 

  • Specht, H. & Courtney, M. (1994).Unfaithful angels: How social work has abandoned its mission. NY: The Free Press.

    Google Scholar 

  • Staff. (1986, June). Staying afloat on health care's new wave.NASW News, pp. 3, 8.

  • Strom, K. (1992). Reimbursement demands and treatment decisions: A growing dilemma for social workers.Social Work, 37, 398–403.

    Google Scholar 

  • Wetle, T. (1993) Mental health and managed care for the elderly: Issues and options.Generations, 17, 69–72.

    Google Scholar 

  • Williams, L.F. & Hopps, J.G. (1990). The social work labor force: Current perspectives and future trends. In L. Ginsburg, et al. (Eds.),Encyclopedia of Social Work, 18th edition, 1990 Supplement (pp. 289–306). Silver Spring, MD: NASW Press.

    Google Scholar 

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Gibelman, M., Schervish, P.H. The private practice of social work: Current trends and projected scenarios in a managed care environment. Clin Soc Work J 24, 323–338 (1996). https://doi.org/10.1007/BF02190559

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