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LIBRARY
MICHIGAN STATE UNIVERSITY

REFERENCE DEPARTMENT

EAST LANSING, MICHIGAN

 

 

 

 

£V£LU£1£JN DE A LLVILE 13 ELLUyE £ CLLLD

CUILLJLE CLIAIL VhllIxU LILT.

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Submitted to the School of S'
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Approved: 5/2::0(A;9¢Ca /éf/Z;33Awgia,/

 

 

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ILKNOYLEDCMER

The author withes to aCfinOfiiECge the inieiiish
help given toward the conglstitn of tile :tuc, by
the staffs of the flint .hild CalCance clinic :nd the

Mi hifan it t6 University Echool Pf facial Work. fie

mend Ladwin, Mr. Lennie ironn anc Mrs. inirlev Kasp-
man of the Clinic. lurthar thanks to Lr. Cordon
kléridge, Lr. Lucille Latter, 'r. irnuld Curin and
Mr. Loren lei.
lhe eutxor is also gr:teful t? mi: m;ng Irieac:
who taiped to gath r mrterial and ta prap.rc the V&Ti-
oas crafts. ESTECiLlly r6223161ed Ere: Lillian L56,
Blorence £2611, M rilyn Eileen, and Jean Lootall.
L;st tut not least, he grttefully ecka4wleéga: the
help :nc‘: encouragemsut uf his 'r.~if.~, A: marine, to

tYPEG thiE thesis, inc to 'ham it i: dadicatad.

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dumber cf loathe ?aitin£ :or lirat
igpointment of 4nirty-t.o LééLS Ee-
gu»sting Eervice let tcn iuguat l,
1953, and JLHUlF} El, l380, and re-
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the following :ystem:

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The ulafltitlj tuete of n. »‘ referral; tht Gen 1e
cepted nill var; Iitm L nth to mentn on 2 t
01 projecttd :ttif evailziilitg.
She referral taste Jill v ry from LChth to
on the heels oi reitrr l; ntle ovar :r t
ced ng onth rhich h:V€ not keen atteu u
In the ca lezl‘“r year 4: l357, With 5
full time pr:‘ ,eeple, .e ..c cleanes-
ticzlly 4E4 CLSpfi an tVerege -1 38.; ne tun re-
Opened C's, ... .er -‘zontk‘r. ‘(ith the cue-tent 5:21‘1'
of 6 f’ull  time people (glue one vacancy), the the-
oreticnl :vnxage per south Quin to El ca. 2, tie
present tuote to he b ;et on the meximqm th.' t COULL
he seen diagnosticall, in fbe menth :ith ell Ging-
nostic modalities (eleganttic tea'e, gsycnological
eating, individuel Cisgnaatic intarviewe) as-
5uming all greeent eteii available.
It is considered that it can Le cliniceilx .ound
end heeltny to have a reierrel a ting lict ap-
proximately gentle the Lester of use Lfld :tOponsd
eases that can be :een in the average ;ontn. On
the Lzsis oi cuzrent eteil and current 09 rations,
there can he e total of 63 cases in the reierrtl
waiting list at eny given tile.

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It is to le ei,ecteo th;t teme ettrgency or urge eat
c25vs (3n tie 1.515 uf .ne ULFQt tf the Ccifi or

the needs 01 tie ref errlng aétupy) rill he fitted

in alznost “1) n ntn e a a 7‘ cf the .enthly tuote.

Ihe Quote of new z-nd Iweop nan CLtCt to he accepted

for e succeeding month is to in tttirmintfi .t the

last administrative steif in the terrent month.

The quote hill ie t C.€L ;n LFC grojected “ie -
nostic personnel time tvc ii ?.le Jar the nejt ..nth,
the use 0f vhich usulc Le uiVififid gs Jollovs
12.t1 Ior c 325 elreany attive in fire clinic (e.g.,

encitionei peJcnolegic;l :tae. 3r y;ro*i.trlc stUUJ).
12.5% for "emergency? ntw cr reap " trrtls.

'- - . . .1 ,. . t. 1 ..., : z... "
-4 ior reierrele 11cm tee weltiut ii:

NH.»

37°L5 i tnlog
:texfirg with the clues t.
E .54 for non—~ner ent LJT .cnt ner axe reggened

referrals.
In operation, :t any goint in x esnth 1
current waiting lint 01 new .nd :eolene~ rt:
reached the predettriined meyitam (wt 'tr
cases), a referring ag.ncy or ;
himself would 1e iDiOIm;U t. t
age of personnel time, no :ndi
could be accep t d tiis :anth

~1 still
felt the need :01 .elp, they efeul

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work day early in the suretecing nonth. (ibis
would not e,plj to truly emergency or Vera urgent
czses). As soon as the waiting li;t backlog
(currently ElE cases) is .ork-c oif, it :Lould be
possible to increase the gercent¢ge oi non-emer-
gency new end reopenee ce;es accepted to 737.
Since its inception, the stove iyétfim hzs anter-
gone many modific tions,':oie minor in: sole m Jar. One
of the most ingortent 'es ricotta in Love:i»r, 1359.
This was to release those told to cell incl :rom compe-
tition with new clients ceiling in, Inn to reserve to-
ceptznce for :11 the agplicznt: told to tall thx.
This paper is to evaluate *he .cvice ee.cri ed
stove and 526 (1) if it is climinetlnv the old waiting
list and (2) if it is satisfactorilfi controlling current

intake. It will also inoa eoze communit; ; act on to

tile glen. fie

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:s will le contzcted,
and the opinions of client; hose clinic .ervite ans de-

layed will be senileo. The stuCy could

we

'ziult in letter

éefinitlon and control of the grtsent’:; tem oi intake

U?

or the development of a new scheme if this on: is found
ineffective. Eince the ;rotlem of laneling the gre-
ponierence of needs .ver services is almost an;ver;el
with Child Guidance Clinics, other Clinics could get a

Positive or negetive exemgle from the ilint Clinic's

device.

 

h “' 0 1 -! ' 1 o .I
‘rlint thlo eminence LllflLC, from th proceccs
of en lpTil, lQLE, steff lEfiling.

CEAPIER II

SETTING END LLCKCRCUHD Oi 1th ETULX PEG LEM

(f)

The first Child Guidance Clinic in Lmerics we
established in Chicago in 1336. In isle Dr. Inch of
the Kelcmezoo Etete Hospital persuaded the Grand
Rapids Prot:te Locrt and the County Lonni;sicn:r: to
pay the eigenses of the Traveling clinic riich aienined
children reierred iy the Cnurt. It grricrmed d: {nestle
services only.3 In 1952, i:;etus ees given to ‘he Child
Guidance Clinic novement with the establiehlent of
Lemonstretion Clinics in Noriclx and at. Louis inner
the Lonmcnwealth fund.4 The lest-grating Child Guidance
Clinic movement embraced flint in 1333 when the Whaley
home Foundation and CJULEHS lune set up e clinic. for
sixteen years this clinic 5 TVEd flint and was sup-

p rted by private :nd iocel “scannity lands. ihe
continual {ecreese of the;e iunce cc sec correegcnding
cutbrcks in staff until the director resign c énc the

Clinic ”:5 closed in June, lQeG.

 

z. . - — 1. - a .- a .-

“ha.el ire erickson, ihe Child and -is ,rliere
(Sen irencisco, Cklifornle: A.L. ireenen end to.,i3LJ),
p. 145.

4

 

Irid o

 

By the fill of l?€6, t gram; of civic-min ed
Flint citizens 1'; d inducec the: Eteze i‘etuertmunt of
iinéntel Eaglth to cyree to the estatlisknent 0-1 a joint
state end community-suggorted Child Guicance Clinic in
flirt. It r:s cpened tn;t rem; ,eer to ; rvc Ccnepsee,
Lepeer, and Skin essee ccanties. fie are all State
Child Gaid;nce “linics, tie flint Clinic .es set Up
with the ctgte providing cert;in key gersagnel tut aith
rinsing, secretariel, Lfld other aperiting -196fl-65 te-
ing provided by the local commqnlty.5

The structure of the Child Guidance Clinic in
Eichigen is lesed on a teen camoo'ed of c CLilQ psy-
chiatris,, clinical gsychlogist, end gsycti'tric so-
cial worker. The ilint Clinic's current attif con-
sists of a child psyclietrlst, tzo clinical psycholo-
gist, teo full time end one 9;.t time psychi tric so-
cial workers, and a mental hggiene nurse. RoweVer, this
staff, aided by s verel unofficiel c;nsulttnts in the
ccimdnity, is un tie to Aces up iih tne CEZLDC ior
its & rvices.

The flint Child Guidance Clinic ves established

for the rollOwing purgoses:

 

F - ‘t -- ‘ I ' -‘ o u g 1 -
uflint Cnild unicence Clinic, anneal Escort, lgtO.

8) Ike prim: 3 purgoee 01 {h& clinic la the ung-
nosie ann tz‘n.ti ent o1 chll;:¢11 gram ill”: *0
fit: age 01' :izt. e1:

, or until they have 1 mi: ted

high school, nno gratent emotional, pale nality
or behavior proalc m: to tlumaelVea, chlr gar-
ente, or the communit 3; no to counsel znc :16
the parents 01 the: e chiicren.

b) To rork :or the prevention of maladjua- ments of
children through +ne application oi pxeve-ntive
techniques, community ecuthion, or any other
feasible means.

c) To help chilfiren and Jeremie l3 CUOptléilnj :ith
social {genciez and other con munity or._znizations
interested in tie neliare oi cLllLIen.

d) 10 engage in research in the ciagnos'a, treats nt
or prevention oi e.-tlon1l elituit ane in (:hil~
Cren and their 9 rents.

e) To coop1-'ate 1111 tie Leg
in tie overall state plan
mente-l illneas.

health
on 01

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Ihxee sfuoi~s Lave teen Cone cCVerlng intage prob-
lems similiar to the one: cen1icereo in tile gioer.
ii Angelo etuo lea clients mxo call, lut co not con lete
their applicztlon ploceoure et 1 Cilic o t1 : rent in-

7

stitution. The aelf—reierred Lao a 3re1t1r reneenc;

to comolete intake thsn Lid ire client: rel rrec L3
social a4en15.

Moorehead stuoied clients not acceoted ior treat-
ment tut referred el e.1e1e at intake. The problezs of

the treatment institution shere her :tue3 t;ok olcce

would be analogous to iho:e o: the lllnt Cnilo Gui: .nte

 

6Flint Cb -ild Cuic ance Clinic, tcnititu Tion 2d

bylaws, tlto f.

7Eleznor ii 1ngelo,’?ar:nte 1no tall tut to Hot
Aoply” (unsolll<1.d tlez. i1, Llltr tollese, 13i7), p. 35

 

 

~8-

Clinic.8 are found that nest 01 th clients mic accepted
reierrel ielt satisfied with tie kelp received end posi-
tive toward the referring clinic. b1veral months :fter
referral was offered, lost vio ted not accepted it felt
that their childs' symptons had not i proved. They
felt cuite negative toward the clinic. Leny IECCiVeé
0th r professional help zfter their initial Contact vith
the clinic, tut not, cstensitly, as a direct r1<ult of
the clinic referral.

Kathryn Mcrkkus also studieo a aroug of clients
several months 1fter they had teen reie IIEu elsewhere

ntake legertment cf a treatment in:titution.9

H‘

to".

y the

U:

She found tt1t JOEt suct getient eioressec relief sndi
satisfaction es en inmediste resoonse at the ref rral
source.

These three studies 1ho* inrt EOie of the p»“

*3
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sure crtsteo st intake t3 too much neeo tor the

[n
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I

ices ave iletle :t a jive -n clinic, can he l‘s s enci Cy
dynamic referral to and from th:t clinic, it other
conmjnity resources are eoeguete.

Intake, since it covers 2 client's initial con-

tect mith an agency ens the 8{EHC3'S a;suiotion of case-

 

 

Jtnet Arlen Moortheed, ”h izllow~uo L*ucy of
Ce; s Feierred Clea lere 3or Irrtt‘»nt", L:_tu Collere
Etuoie in suciii 30:1,;1v111, (1‘ s , p. 2-.

 

rr D

9Kathr3 n M rkk nus , e s;.cli;tr ic Cliiic i tit
Pati: nts biseune"e' A follow-U.) ttuc3" izitn Co ll:
tau ES 111 k JCiCl 1‘=OT':K£’}1}\V[II, \.-;".w/, ..)o 5:50

work rezgonsitility tor the client, is L :ancticnal,
dynymic and integral part of csse1ork strvices. The
following thinging concerning intake, glzznto iron
cesework literature, seems rel-ttc to the profilems
1nder study in t1is pcp.r.

Ech‘rz irocdl3 and conceptatlly ceiin s intaae
es the total impact of a community on an agency.10
She further defines it 15 a learned process oi inter-
action With a client tin t rtsdlts in acceptance for sar-
vice, referral, etc. Agencies can he malnl; 1nd nar-

rowly concerned With a client's v rbel recutst, or they

J

can focus on the Lossitle rc,: iiication: of tbzt retu1st--
the need: of the client's total personality and-nilieu.
The worker has the right to explore the client's re-
cueet even if the agency can not {rent it.

Littermzn descrilzd one zgan3's hanCling oi the
veitiny liat prollem.ll the cited the timost uniersel
exaltnathn ior waiting ii: t L--ooor finances or lack of
trained staff. the felt tth a single cesezorxar for
applications lessened errors in rrrengin; typointments,
made proper follow—u; and intern: t.t;on gore certe;.,

'l

ore realistic eva u ticn of relttive

(f?
9.1
M

end orrmi te

 

c

lOirenc s Lcncrz, ”Intsaeztcncept (no Broccs

C
(cociel teseuork, June, lSLS), Vol. Jikill, n. f, g. 533.

‘vfcru

L1
fhen 11 ere Is a Haiting niLt" to i
35.8), V01. 1111)., no 60

llCLtherine M. Lit errxen "C'rvins A) iicsnts
’ ‘ “ ‘ , I .
ti C129- 02“., \Jdne,

-10-

Littcr'mzn 5Lfl1ezri. ed that unne-

reel r gue:t zud making pzsper r I I
a high {agree of case‘ork £7111. EL
clients Fe put on e vaiting list onl

keen iound to te clinic fiLtEIILl. L

from client to clinic repreLEHL pres
otker t gs, ana thilEiOIt “£60 to

e'LLucted. Ere ulvldeu aLl
(+)
(2)

C611

1L0 e tLa t can only uait

Ln t can wait up to tr; ve

5.:

wait lOHVCT. EC? to *1

two to

'.
La

Pl

911 CTIIL TECLu: t a CI‘ cc. specie

’.
v.1

Y;

H

'ound t at over 28; of tLOEG on th

cellea out" beiore heing callus ior

‘ r

TC

‘Ik:

H
0

[SJ

H»

terview. £3 itad

genarail:

“ 0-.
man

y of ~6: cantect: 1.

over the Lele;:hcn: ElttCTLEU

interviewir‘g taxes

hallowitz Lnd La ttr

tive can come of the universal proil

They cescribeq an 5:9:riient in the

ter of Luffalo. Ihe clinic cividu

treatment into three gruugs: (1) re

agplicants

Li 1‘

gaii

LhLlC Guigance

rstbncing a client's
I¢l Lecisicn: tuke
-6 anviLcfi that
ycftvff I'LVE

Citl

OLA

pkone cells

sur& -u eocition to

IfifiLiStLCLlly

into three groups:

exs,

T" 1.;
J. 2

rily assign

i vorxer. the

1‘

eiting List "can-

ththLflg construc-

&m 01 waiti:

.' 3.") I}

h

c accepted

(a Ll'i:'l,:_;, It

 

{a 110

Intake (nCi tlle "(it‘la b L.ill
£- JC iv 1 CI: ' ' ' ' ‘ - l 3

103:, LLL‘v' \LeceLgar,

Q
1- o
1.1“

 

(”,1
lo.-

 

-11-

ealtetion oniy, (§) retairirg continued igzk nit: g:r-
ents only, (2) Tfiguiriufi the lull tr;.tmant 01 the
eats 2n; the Lild. Ite; Iaun: LLat 3;.cg ieil into

the first catesory, lJ.tp into the seeunc, an: {4’ into

M.

x 1 ‘ I ‘ ' 1 : . .- .' ‘ t. i
tne tnirc. til, of the ciinic cage; uttLEu uiLéu;£iS

r
If"
C.
C

“I

V
0

only znc .ere emciucec ircm til:
Tue firet graup inciqoea Cikfig Viflrt ite child's
symptoms were t?gTéV?tan tut “ct deny; :nd ctiic aha
p:reuts mere basically sound. A follow-up studg Ceter-
mine? that iourteen of the 5L;teen chee: in {his lraap

were maintaining tneir a in: e y ;r iater.

«1"

Group tag ens cgmggéec Q:

iilfiten Vith deeger

f)

conflict

ffi.

reactive to their perente' diLfiCJititi.
Group three's children had eeeger and Lore interna-
lizcd eiaturtzncee. The parents Ltd Lee: health and
treatment at: e>93cted to teas gore time. Licept for
emergencies, parents in the third (rump h;d to eeit the
longest for tr; tment. however, they LCTQ cfiered a
chance to come to the clini' Curing ‘he wait vienever
they felt the need. They vare tale of pcisitie
emergency appointments Enquld this netc arise. tork-
ere ;a€e “ollow~up cantacts :n a mecca tesis durigg the
waiting period. It we: eeterminec that one-fifth of

the parents in the third groua m-Ce prc;rc:s ;ith their

a My

protlems during the veiting pvricc.

N)
I

..J

The :uthors felt that the stove glen Left xith
the parents the re ponsitility for racing and seeiing

.'_ I e I k ' n "'f‘ a — j ' I- 1 —‘ .’ . .. .2 3’] 4 A.’ .. N ' . . ,- ’ ‘
vita the pruyLCmE 0; thtLr L41;U324 i“ ‘CCUYMUUE: Lth

The three erticiee taiiiriitc chVt, g rticuiurly

the lest one, {how thct tLe usuei Léflziul 'lfLutE of

- r v. 1: ~ 14:‘- smp..-. , '.+ A” a.
831...] iLEziin-G _‘ LCLHQ, La;£~'Ib‘-. «1' ...;it'. Uut La.. 1.6

ameliorated and the nugericei veitiut ii;L LEA :e

ChLPILL III
CATFLPING LNL litklmtal of LLIA

Evaluation of the Intaae tuota LQEtEfi

Letreen Angu;t i, lBLa .nc Jznuery El, 1360,

J

-erent: and agencies contacted tie flint thilc CULd-

'4'

ence Clinic TbgdLitlnb heln ior 266 children. Ills

Q

a

figure averages alcut éS'regueate oer menth as com-

ared with a rate of 63 per month a year orior to this
_.“€I'l0(3. The tflw'cCC TLéEQil ior 1.1-6. cetruse i: not i--.n;;'¢.11.
It CcUld he conjucturea that pullicity concerning the
clinic's new system of intake hr; result d in a letter
czncegticn of the clinic': iunctiom ant. inteha lini-
tations. Lecause oi the neuy craniae in the intake
eyztem :nd retard-Keeping, it i; ul;ficult Lu teteriine
the erect cisposition 01 each 0556. leile l nee: ;ome
estimated figure: to tho“ the LtitUh oi :ome o: tne {:2
CZLEL three uonths after the stat) peiiou clo:ed. This
iniormition YES compiled anc eetimctec irom clinic re-
cords. Ibis table llluetretee the varioue nethoce the
clinic hzs for screening and handling retUeete :or LET-
vice, asiCe from eccegting cuiltren ior traetttnt.

When the clinic began the mar- inteke 5,:th

hoped to retuce {recuelly the felting LL-t ikiibiflé at

IALLE l

PLFFILL LItPOLITiJN Of 256 r:eJ:.

 

 

 

i s
tibVICE LLLrIVLL illuitn LuUULI i,
i953 AND Jnnolri 31, iatoa
3 I
Disposition bases Per cent”
Total 286
Intake forms Sent £12 133

 

ConsoltatLon Fitkoo
Opening 18 8

 

 

 

Opened (rd w ltlug

Lppointjents 3? l9
Handled is

hmergeHCics .E l4
received

‘iagnostic 44 23

lppointments

 

Applicants

 

 

 

Lid Not Complete 76 34
Intake
*F i
aLets conciled es of Losil :9, lBrO.

Cf

Of £ppiic:nts sent intaee 1orma.

"x.

-l’

xulLir

I ,
In

that time.

0
fi ‘

EfiLuu

I
‘J

of clibnts

fions

Cfu:

:u

fl

..hs
f.

I. »
Lg
G

CUES

1 (A.

.1.

V9

..
u."

A

.‘l

.- '13.;

3’:
L

i“: i- V E

Dist.

1.

here

1’

clinic

.Q

'1 cu

l ) f “ ." 4"
.x .v nu ‘4 ‘~- g.
A.

i to

I .

4.93. .4

. ‘1
—V

V

U‘
LA

-

6“

i

f
c...
U

(ED

‘3.
's-a

: r
..L'J'J '—

.. 0 ‘IV

tly b

‘1
‘TJC'

knswn

hrve

in-

fact

at CJS

fLr

formttion ӣ9

9»

vi
.. A.
. x...
}
w...

LfiL

vxc

1L.

+p

( wt
'1‘. _

0

‘
b5);

C.
Ci.

.6

rf. a... 1.. .23 n3 ta 3 .4.
1.. «J I... 6...“ C; 1L PC Qv
(K (K (K (I .sf rt 11. l

00.00000000000000
0 0000000000000000
00000000000000000
0.000000000000000
00000000000000000
0 0000000000000000
00000000000000000
00000000000000000

«aaagauflufldog
r: :; Lu ...»... LU CL 0!. Q2.
_._.....
OlfiLlllll
7L. . . ..

-15-

The general conclusion tag

I

I‘Clflg tale.- 2 is thzt
the new system has not :ignlficantlg rrcucec tie intake
waiting list. ibe Iluctuetions snc apparent temporzry
downuerc trends could Le can to seasonal pressurxs or
Glance.

The clinic rages responeiiilitd :or ciinnte if
a telephone contact .itn a stzif person (after the client
has completec {DC returneu the intake :orms) reveals
that the child is Clinic Iéterial. Title Z shove Low
long those accepted ior strvice Curing the study ueriod
vaitrc for their lirst appointment. It excludes tho:e
cases hznéleo as em rgcncies aha does not Completely
cover the rest 0: the quiverze {ccauze i?) rec not Leen
given diagnostic or treatment e pointments three acnths

after the end of the stUCy gerioo.

NUQELE or .uhiifi EJIILJC £0} IIFLT
ABPJIJImLhI Si lhiifl’lua
LLiiS LLQdiiilmG LilVlCt
Ltlttid £JQJLI 1, 19‘3,
JHL JihULil El, lJCJ,
kub LLLEIVIhG
IAPPQIJ‘JIJJLHIE.
L1 iiJJIJ'IJ 2,0,
lBCJ.
meLer of JJ$iET oi
Leses gontts aitzd
6 0000000000000000000000000 J‘-
8 0000000000000000000000000 g
7 0000000000000000000000000 Z
7 0000000000000000000000000 é
:2 0000000000000000000000000 E
3 00000000000000.0000000000 e
l 0000000000000000000000000 7

of halting for :ervice LE {1

The length cf time bettcen e

tin,c:liuic e;u1 hi; rwcceptczur

meezqrec LthUic tutu itctli

3

vait coulo sucstantially ig'i

M
(3
ya?
I
0.
.--.)
H
g;
r—m
I
C
*3

‘ V. ‘39:) int“: [.1 ’

r— 1
at
Y
H
(Y‘
(a
C-
L)
<'
f“
H
0‘
(J
r.

L-
..-
Rd

omit: conaideretion oi about

('1'
t h
"3
f?-
. N
C
H:
O
'1‘:
h
t‘.‘
<
.4
C
.1“
o
'-

tatle cannot Le mace without
fate of the other 38;. ELLE

stagingfui in iuiore Lion :c

:.. c t.“ ..J. who
corin. tne QIL-cuvcfl gerioc

M.

the intake toot; .jSLLJ i: not

close to the optiwom

>4

t a
P 3
hr
")9
t, ....
..-)
bl
p‘

'0
(T
‘1
....
0

Fee 1; the Clin;c.

tiifiut'b filzt contact 11th

crvice conic not is

'r‘

. -.. - ‘ ., v’
‘_ It, ode-Ne. 11:? .5; 0 2111.5

A - :- ,._.".~ .. J..
tut; ..JEI'iOU. c‘JgfilC: J;.‘.>

14; 01 tthL originally

clinic. (tee tttln 1). It

t‘

I V.
Ll.)

fl“

,'.--- 'I-~ ,.
e oliiiflu.iig 50-

0

'5 ~ 4 - . . - ‘ -.‘ 1x +' .—
UL “at; cLCJuili—JLJ 431‘ LA: chi/.58 1.

an, other cases {:5 LE.-

ud ascctL;

. . . . _; ,
t [it mooning: 33. {1-2.
‘ J: -\Ll~—'!Lt'~ée LI; t‘ae

7" f l 5.;
' Lb- . «0—1-4.
r I
.. , V ‘c
...LL: —’..i.; L s 9.. \-‘. Uf
‘ ‘ r- ' r. i . f .
\— \ \ he, u.- ,‘ c. \. v.4] \ JC

 

~. .... ~ '.. T"."~ T ~ I.
i L.‘.L,.LIJ§|'L- --.4J. - a l‘I-b—‘IU .1;er .I‘-"w.‘ .L 4‘ .8“ \v di. -.-L

This stucy incluned two : tepgts to castle the

putlic's feeling regercing esitinq for clinic :ervice.

ret vzs a cuertionneire resoesiing six re

[-4.
7F
x I
kl
H‘:
’
m
0
I

The f
two dichotomous {no four open-en' (uextions. iLis iorm
mes sent to ten zg ncias wio re1er children to the
clinic. One Lg ncy :tetec that it men not refierred any-
one for :t least a year and tEeIeIore cool; mzke no
meaningful contribution to *ne :urvey. Leven o: the
others Leo their forms :icxec up curing schecuieo ep-

pointnents ith égency heads. One rs sailed in teceuse
of misuwderstood sihections. ite folioming zgencics
replied to the questionnsire: The iiint But; c Schools
(tlrough its liason person), The iouth bureau, Micuigan
Children's Aid iociety, cetkclic rerii, Lervicc, Jaeily
tervice Societ5, the fhsley heme, fLe 1. .L.£., the
County Juvenile tfihnt.

fill the eg;ncies serving i;e Clinic at. :ren sent
a letter steeriting tie new inteke E§stev ~Len it wes

tdootefi eimo;t two years teioze tii; stucv. ibis letter

:es GugliCrLeo and sent to 3: ;en ,encies ineluteo in
the survey elong zith tue AU?&tLQuu izes enc LUV ring

0.

'U
a T
:3
0
H.
y
0

The

CUTE t‘ . LL03“; ‘V :.r,

H
«‘7‘
'h
t

"D

Y‘\
(‘1:
+4
V

r
’ 1"
I
('1-

‘ m
I"
P

'
'1
(\‘t
r-J
rn
Fwd
' -
m
D
.3
r "
O

the clinic's nev
eifect on the numter

One spunC“ ielt tt

the clinic he"

Eince the eneet

inteke CthEFE,

r3

D
e.
l.

.w
,t

' I
I
H
J
,.

logical testing.

not Clear :n ivk

felt that its 1

itE-Tnil ty the “egg

Ielt that its rejerr

as it could all élong.

U"
I“?
n s
(‘f'
H-
( I
r?
ta.
0
“N
H

rm

111;: lliiuf l. c Q

(J
yn

ffi

fl‘

recree;ed for

clinic's CefinitiVe

'64: tIJCy t9

“v ‘p ’ ' *" " ’
‘ {fillet LO «EVK:

the new :lsn because

t- d
r
'M

not Julio Lag rte

.. ‘ ' ' .,. 3,.
L Ll: L 1“; :JE LL45

f.
{r‘
'0
C
..
T‘
(.
H:
H
n
I

i!- iiiieult

~sn ll} co;u-t211t.

«ed Lit ttft

Si§fi3lliCtLJt

r-4
{1‘
'h
t)
O

'~<‘

(J
l, I
r.
’3)
6-00
(3
"n
'f

1—4.
"n
(3
H4
*4
0

0

(- )

“F

:3

O
k

-23-

One {gaucy felt that it v23 LOP; encoqra Lag to
talk to garint: ,hen there i: a altsitilitg of an
"o;ening” in thirty days. Th1: i» Lig
A child atlas; réczival an a paintient .ithin thirty
days unless he ie considered an cmargency.

four of the eight zgcncies urn*&CtEu {:3 :u; e:-
tions -h;ch they f€lt cal; iigrov; intexe. Cue tg‘ncy
ielt that a'%reveling" CH:€'OTKEF gsing into the LOEES
of those interzitcd in clinic : rxite egalfl evalL-te
the need and screen agplicznt: mcfif e; taitiously and
afiectively thsn the intaxe :nrier in the cllnic. One
buggesti-n wes that the blue and yinx term: sent to
prrents a: e gnqrt of intake vazws too gu":uuni Lfid tto
threatenlni. It 3&5 felt th t termé :toulc be brief,

simple and imJersonal, s;nce :ppliCLuts Itceive tuem

lers. Tde client should re Lten find :xlllfully evalu-
ated 55 soon as gassible ;it5r the lirst regueat.
This ight lead to more early ISItrltlE to the family

m
agencies.

36
E1
(2'
13‘
p1
D
Sufi
.‘1‘

'1
*3
n

...:
m
:3
L.
B
(

(P
H
5+
VP
0
'5.
L";
5.“.
n
r)
in a
. A.
O
L)
M
r“
C.)
C
.~—r
m
H
H
:3
I

cies. This again indiczted z LLCK of :;mili fit; with

the clinic's intaxe grOCELS, since «ta clinic ust sad

£11

065 taie the reaponsibility gar tut; VECiiiCHEo

The summeri; d vi 3 of he intake :Jettn in iuoes

rn
H
('7
(P

r.\ , " '9 N ‘C } I r a a " l‘ 1‘, o ,". . U .4 ‘ “" ~v t'
some fEblLuE tnat in re (re not more ~uL longer r

m

then in the east. Thi a;g:r:nt filEuUuCEgtlun h:s Te-

’

sultan from the focus on naiting end the fact trrt e

‘

:ey of veiting res teen flee“ 115a and defined. ”0

rn
fl

of the fgencies obviOJsly do not u Ceretend unet c enges

$- 0».
‘27

in intake policy the clinic has x'de in the last
years. They eenerellj feel tlet the syst m L‘s not
helped or hindered reizrrel: to the clinic. Eo;t of

the su etionneire response: ere concerned :itn general

b

teiting for clinic gervice, not {peeific waiting uithin

‘

the framework of the present S';t£$.

J

About three of the regiie .rateed the "infor-

7’)

mal" services that clinic :teft :extar: per-arm for vari—
ous :gencies. These edvizfiry int consul.etive services

are e

C
‘.
(‘1'

't .|. . V ‘ 1’, . A .._j:, ,. -, ,V .~.' ..J.‘ t
.e itensive .nn Lelp to reliete inteea yzessu es.

Tele;hone Interviews
Schedules A end L (see ropenniy) were died es
lee in cznducting telegnone intelVi*fib uith 9 seat:
2h) rad waited for service. form A was used ;n inter-
vie ing the grqup tho hso been accents: ;ut uio not re-
ceive appointments. torn L egaliee to tie gr.ug uno

waited Lut zere finally g.rved t; tte Clinic.

Thirty-five cells ware attenptee using iorm l but

only t'enty inferViEts 4ere completed Pecans: the y ren‘s

”ere-not at Lone. L; the time the euct~s2ful t enty

interviews :ere compl ted in A,ril, land, eight of the
ctild en in this group of ”not 5 rved clients" Lad been
offered appointments. One parent hnc net an appointment
rnd two nore had appointments :cneeuleo in the near fu-
ture. soother 9 rent h d :ccegt d the clinic‘s cancel-
lation of her appointment and referral to zaother re-
source. One Couple sea bed group tn'rapg at tee clinic
in addition to an appointrent for their ctild. Ttree
parents hed refused appointments because of insufficient
:otivation. The oth+r twelve p rents in the group Vere
still waiting for appointments. None hen fornall; eith-
drswn.

The intake quota system required all applicants
teyond a certain number each month to call b cx.tne
month following Ior acceptance ior service. Part of
cuestiOnnaire form A was to dECEPJlDE thether or not
any of the twenty parents in the group were affected
by this device. None of the pIPGStE mentioned callin
back as a step beiore acceptance ior service. inree
of the parents did call s1ter they tad teen accepted.
This nae teceuse of their need ior support eno to out
ores.ure on the clinic. iwo parents felt that they
would have call d while waiting Leo not eatenoeting cir-
cumstances occuppied their attention. The otter fifteen
parents accepted the clinic's oracles to notii; t’egl of
appointments as soon as time was aveiiaile.

1he teenty p:rents here esxec stout their ieelings

regarding the clinic's tencling o: apglic:nts. Two of
them Were vetue and Geniuseu about the rte:eds legind
waiting for agpointmente. ihe; felt aezcetec, neclec—
ted, and hostile to -h~ clinic, althqugh the, intel-

h t the

(”"

l ctuelly Knem th t Llcre .ule ?e : Léit 23d
clinic ould eventualls centect t;em. Another 9 :ent
did not iiae the wait; but felt that all cliniCs work
slowly teceuse of the delicacy of the ark th;t they

C
u

."40
m

do. 1h 191e¢5es the general feelinte 01 fifteen of
the taenty g rents toward the clinic. The; resigneciy
accepted the long teleys ;no slow intake process. They

anew that the clinic could act meat the Cemsnu for its

aervices. Two parents felt enthusiastic ataut *he I ud-

MP

ling of their eleication. Three “the

leit tint they
had receixe: to service.

Only thrée of the t'vlf,flt.‘, 3)::‘er1ts i’elt that they
{new enough about the Clinic te mane sugyc:tione. One
felt that the tlue and pint iorms s:nt p Lents a: a
pvrt of the intake procedure we;e here to angeretena

and that each iniormetien colle test lantltc in a

(T

fece-to-iece interviet. éugther sag a the tgat the

*4:

Clinic ELKE tore of an tf art to Lennie c¢ileyens'
‘ . ‘- a. « o .‘ ..‘ r« :. -.fiv. ”r? a N ' 1"

problems during their ficrly el6g«dtitJ quIS. A tLlIQ

mother wietfully su§ke\ted ttst Ear ch id ;Eeuid LLVG

been seen sooner.

The getter of pszente 1;; :t 1:35 on the tax: the

telephone interview: uere :ttemgtec invicztes that Ltny

of thtse notr-rs er

(1‘

prohehly working. forty oer cent
of the t. rut}; mothre inter-‘vlereo :-ot ; .rt ed Ltd Lee-:1
offered appoi at": —1ts. '1'er clinic is, therefore, prot-

H

eeching e l raer mutt r o: cllloren than the rou-
tine etetistics alone would indicate. The twenty 35r-
ent: did not understand ant Li; not feel affectec 1y the
cell-beck system :5 a part of intake accegtence. Very
few called the clinic .Lile waiting ior éppoint eats.
Ihe parents-'e ez1erz ll; unceretooo any accepteo the fact
that the clinic is struialing with intake pressur.s and
a waiting list. Ihe; did not like to sit tut tern re-
signed to it. but a minority die out eatersttio the
clinics pressures :ni f t bitter end neglacted lecauce
they had '0 “eit.

form L we: used in twenty ftt£13ted interviews

. .'.-.. '. “ V! -g :.,—:. .-Pv...v ...
xith 3.reate “to .aiteo virgiog ,arioo1 LCJ‘ZL -itelvlng

(‘-

clioic a 90 cm rents, but re :19?! attaining clinic ser-

't)

vice. Leven were not Lt Bome ten the cell; rare et-
teaptrd.

in effort «as ERCE to fine out ii Th» call-L ck
device at.tfi£: tim- o: tIm;.hir;t IELJ‘Et,fCH‘;.€FViLe ttd
afiected the t-irteen gerant: irtxrvie.ec in this troop.

Inree oi the par

I“

;nts :tatad that they txc teen inttruc-

ted to call beck at least once <t ‘Le 11; L mini :1 e

,4
‘3
r x
k"
C
(V‘

lzt~ er month anti!- t-ez’ore ;eing:' eat .5115- ;Jlm: in-

teke forms. Three parent; calla; is: acrice or +0 rtten1t

. ' ~ ‘I 7' ~ I -, A
a 0-51tLtJiti . tnle

fl
0
(fl
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tat family activi*ims kept Ear too has;. ii} of the gir-

ents felt thut the school :ud/or 519 clinic L:é orig-

inally taken r s1cneitilit. for arr u_;ng for el;nic

: rvice and the garcn't, z-reiort, did not initiete any

calls to the clinic.

moke r gtrding intake QFOCiCaTLS. Ixo itcoamtqced that

the clinic eg~loy a lergtr :teii. an Quflitivflid some

procedure that excluted t":1“ deuglter-—:ne anger1tooa

téat the clinic ceuid nct aCcegf t téiid Ior treatment

unless they had othur aveilelie c7il. en in Lte same

sge gr up. (the otviouei; Lutt Lave wiequger tood

some inttrpret<tion of intake gglici). Ito 1 rents sug-
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at the time of first reguagt for :rrvice ;Luuld he ex-

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teen patents. -11 331.: “area; evtlu tea. but; _)-IL'. tee

With the clinic. Three mentionum the int:Ke VJIiET:

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intake

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gereuts felt tact the &,$

capsintnents. One or thege ieit t: t 're a pOlnflwEut
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veEu p r-nts are steé her long the r;c :eited
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firzt r ruast fur -rvice. rive ielt tr.t tmL. pr‘iO'i
t:d not been very lane. Izeir tiazt' TEA Item one
meek, (for {u emer ency), to t:3 iontls. Iwa »«“£niS
definitely :trt G en: ti! ctrars imeliéd f;:t tiey ;elt
that Hie-y rad eitez‘l a long tine. J u £..fl..'h£'f*~1l Hut
fie Lad "tited ten 6615, fear :Llc trcy 4 hittd
three mantis, one h:d aiteu 1cur a~uthb, t‘a :élttd

five 3.0’1t1hE‘, and c-
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from home

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since

nr, :.i; QTib17fo
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acge e piitznts miirt :e emotivnelly
31 T!b:ir flirt: I“‘2u€ft4 tfl‘4i1 t,3?-

t the clinic hat a yeiting tigt LnQ

reioxe, e neit 1 .«teES'rg. iwo
sarv1ce Ly +Le clinic 155 prsmgt.

eted tin t tie; C Cizzjt lixe thitizg

to

5n; 0: the net} r: in ihi: gruug ;crk
25; of them could ct .e Tthhéd

curing the C8'.
Jrcup hnc been asked to czil

were annoyed and coafu:eu Ru

5 deia; which thcv cisiiked.

b

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Almozt idEJtiC#L p-rceac.(;s of
not L8 reacbef, pcseitly chaqse i;4y
Lag. Ihe fact that a'reqfs rho 11$ r
mcnts 'cd gértiJ ”ecu LHVCLV‘G in tte
stile none of those ant servad Ly the
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teen some »mare of an; "IEJE'le ta iJ

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teas prcctcures.
ast partially 514er-

waiting. East 9 Jents in toth gr;i;: ; :siveiy accep-
ted waiting for egpointxadts, but :;e 9‘? Lti to rc-
ceivec tppoiutmant: safimec gcrt r‘ ignnc to 1h: ctie"

tirat mit‘i'rr LT’GLJ") crl‘joged.

Ctr—.911} IV

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its cxn ‘nm zev~rai ctxar Ciinic intaie s;5tem; 1.L tc—
t—fl.ii£1~£C : v.1- 1.19:: 3‘1 CLLuui ‘35. .. JJ. 'cqu, .4. -ii;_ r _;’,)L1LC.21tE-o

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lifit 'Lile jfrgittinb Culfhnt afigiicant: to t: s Ivnd
mithout unrtaruuatln teie”.

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intzfit .gy‘tei. .o flu t i' z a let :mc i.41c {Int :31“ ::31-

9161 and Cifiicult to cezinn. A zeinutiiitciiy Vsiic

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; 1y; :SLnt :iag grijic; Teiqiig’ t-iutc.

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This tool facilitate more oafiinitch ocxctaiog sac con—

sents be cc rgorized accordiog to :ha seriouaoo:s of
their irations. Halloyitz LEO Latter itit LQLE tnose
'eitinq should ie ciffwrcntiatcé tCCJTpidL to the Cu-
gree toe perents and/or the thiio nt¢Ced to 3c invoived
in treat eat. Th¢:e authors giviec ttgt sevzrai rather

than one waiting il‘t mai :9 v;i4:iiz t 39456 :3 wif-

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;liio:n'a: u.n. iratman and LO., 1913.

Lrticlas LNG PerLVaLLels

an, Catherine E. "kerving isplic;nts Jheu Tr
" ”’Vtiflj gist; iOCiFl L.:e. 3‘ ' ‘ A

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L“~)Ci( l L’- 1"? - "'V'I'fi.’ \U d146, J...‘\":),I J

p. 263.

u- r5
Ht;

Erorn George Legals. 'Ihc mitare and Lercrtgtion of
Case: f€flr£J€u in (Y6 ili;t LbLLU Lu-\ance Llir-1c
in lfiif." Unpullisb~c ; tter's trails, Lch: 01
of teem-.1 .‘er, Qumxxwit, oi denim}, ;..-~? ..

r.

grown, George Lennie. "Lfii
from Initial r~Lucst
III‘:Iit 301' IN. atrnemt at
Clinic," July, 195

L1 £n-clo, Llcanor. ”P;rgrta
dnpublisL6-a k6 stt1r': fix:
mile *tsecrch, Lbica a, ILL.

Lo Nat Agply,"
dtt iur JUVt-
Jij', 1.3;aio

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Markkus, Kathryn "b 9:3ctittric Clinic Se: rs
: ‘ 1 ‘ e: ; lo 1 v-J) Ifquy." LEQLIL

ntal hygiene, 1?le

icine, 1w.» LE'thl, Conn:

mkclt‘ Ci P»
Univ:—r PS.ltj
July, 135

maorhead, J ne t Illenc. 'LeCl red Lesa
Up ituiy of LI..s ILILIT:C Ll.
meat." prutlithe d I. ter's tLr .:
t e Ior Juv-nlle Ia; arch, Smith ‘lle;e. ngy,
1
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Theiacn, Edna Eta. "lbs it JC; 01 Petty
the flint Lhilc Gala;nce Llini .
E Lt 14:: t?&;ii, Lxfimaol OI LJC r
verslty of iichigtn, 1T;E.

\

flint Child LJiuan ace ;lini c, CJHitltqtlbfl 'gc LV-L; s.

rlint, ilchigzn, JLL.

Flint Lilld Guide
L Til, 1.13:8L

Smith Calle'e 5*J:lt; in fuel 1 "3:5. )lVIII, Jgne,
‘ I
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flint Lhild talc nee Lllnlc. 1*3uIl icsart, 1;-nt,
dick'gan, 13:3.

LPPL-g-ILIX

l‘LIIQT Labial) CUIHJEl‘LL‘ (3141.1le

--\ . JI ,‘J " y . - .
L J ”J nllx‘L \- m J ‘J -1 t. J— r i. 1 JV: 6
I

hlld EULCLIKHI clinic 141 ttlI C» ntrv
\Aill } ‘ve L . en zIIIiv'1.:erg n z}; y 1
like al othgrs, fluru '1 n a "uvi

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, but tIus
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a I .r a- a r p;yc‘i t1l: 11111:: all oxtr
ttws CCU1t ;r is 7“ t5? th;m t1»; :u;glw <31 gelt'anel.

rnr tiLC. Our stzil, altar LInrlttrlng vgliau: Qufi-
sililitic- izr 1*r‘lng lil ;TI;le:, :12 r cmetILlng
thé setting a; of e manthly Paifillél Iuotb 1;;tem which
"3uld 39 rate :; Icllov.:

6

monthly Quota 01 “a.
ccepte: 111 v 1-;

7‘1

1-

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lra'leilé- g: 133

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FLINT LLILL CUILiACk LAINIL
?J? L. tec‘na :vc.
flint 2, - - licrigzn

1. Lo yuu feel it“ the carlznt 5;:tgw has :Ife; LC tne
flow of re; rlais from dour ;;e¢c; to fke LLLnic?

E. has your 151L1P&.l policy to ”I t.‘e Lliuic been ef-
icCttO Ly the 91¢; mt image ngu?

E. tines iris sysfem has gene in!) ejfext, h'VL Jan 16-
ceiwec.:1x, signiiicgnt l‘ELf.”J; Jinx; LlLeuts ICg Ia-
ing it? I: :0, glass“ ;u m Ii:e ilitiij.

4. Jim t sulgjx tiLIN'.r££EI%Liug FliikwiiflLL45- Iutt}u3 s»l-
icy 'auld you dec to iAUIov; 3a vLce to clients?

* -" .~- L :‘ 5:4: H'YJ
pEOPUErL} BELL [L lieu; "isvisl- &\4.51L).4L.

'1 fl

, f..’_v“"'.lfo
A". LL11£LUUL

‘rom the ri;nt Child Guidzn
to Iin; on: hqm you ieei ( 3
'&&fl Jon KUG the Liiuic. Ihi

*irk sour reguiar Liinic a)
' [bout :efch: 21th the

This ‘2 Mr. E
clinic, we would ii
what hr " - ' t
C5111. hi 3
pointme

Clinic.

"1 ”I
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D
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1

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r) (‘f
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f“ ._
f? .
Q
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C
r-f
*—
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‘7‘
IN
J

& you ceilzfi gtcut en appaintment
for your 7hl 6 :nd you rere LEK‘Q to caii Face 1 ter.
L.

ire. :12‘411" able
Liiuic, can you

2. (E) Lid 3am try agein?
i. If yes, ikakt.hepprned than?

2. If no, "11.; not?

"
r4.
(-0-
|-.
p.

3. How 00 3011 feel grout. viii-t hagpuzee
you tflC the Clinic?

4. Since ,ou h:ve rag tii: 6;?fifl%fi£€,
would jpu h;ve any :u;;e:tis " '

-‘ : "(an-T'fi'C'IL '1,’~3_"=.‘, rv':"'$jt;-
PLL/PV'L a", 4.1-L4L' L 14‘“.-- _ -. tk..‘-4.‘..vu;_.

e flint Chile Caidznce
at low in; ital :Lout
;nc the Llinic. This

0 . J r reguiir clinic ap-
pointncnts or unet you t'LKEd elout before xith the
Clinic.

A while lack
yoAr child :nd yJu

,4
\

(1‘ t-)

u called gloat an appointment zor
re aLKEQ to call Lacx later.

E.

1. Our recorcs :uuv t
and lLtET lrnuglt
bliniCo .1; I"

did you ca
your firzt ep'oin-m;'

“a

. Haw long did 304 welt?

”Q

. As you unc~rstcod it, (by as it nece
eery ior ,ou to cell Lecx mzny tiles?

4. How did you feel zhaut this?

pl
0

9 Eince you

rve Fsd this cygerience,
;;uld you

b: A

‘" sagfziciezs 10? us?

Nd pay-1
L.
V“ l
A
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l1
Q-
3.