----~---— A ~\‘ I‘ '\ l ‘x ‘1... x \H“ \\\ l ‘ WZMFVU M lK HI \ r I l x l .a, :- V 7 : ——F—,-_'.——-3 7 7/ 7 V, \ H ‘k‘ H CHQfiflCTERISTICS OF ”CHRONiC” FAMIL‘ES KNOiN fbthE INGHAM COUNTY DEPARTMENT OF SOCIA WELFARE FOR FIVE YEARS OR MORE by Donald David wilder CHARACTERISTICS OF "CHRONIC" FAMILIES KNOWN TO THE INGRAM COUNTY DEPARTMENT OF SOCIAL WELFARE FOR FIVE YEARS OR MORE by Donald David Wilder A PROJECT REPORT Submitted to the School of Social werk Michigan State University in Partial Fulfillment of the Requirements for the Degree 0 MASTER OF SOCIAL WORK June 1960 Approved: W W “1““ Chairman, Research Committee irector o oo [HESS LIBR.r-1P Y Michigan State University ~—___—.— ACKNOWLEDGEMENTS The writer wishes to extend his appreciation to the many persons who contributed their time, interest, and encouragement to this project. Particularly, he would like to thank Mr. Daryl V. Minnie, the director of the Ingham County Department of Social Welfare, the workers, and administrative personnel for their active part in this study. Also, the writer would like to express his gratitude to Mr. Morris Gluckin, committee chairman, and mr. Arnold Gurin who gave thoughtful consideration to the writer's concerns in focusing the project. 11 TABLE OF CONTENTS Page ACKNOWLEDGEMENTS o o o o o o o o o o o o o o o o o 0 ii TABLE OF CONTENTS 0 o o o o o o o o o o o o o o o 0 iii LIST OF TABLES o o o o o o o o o o o o o o o o o 0 iv Chapter I. INTRODUCTION 0 o o o o o o o o o o o o o o o 1 II. METHODOLOGY 0 o o o o o o o o o o o o o o o 16 III. FINDINGS o o o o o o o o o o o o o o o o o o 31 Sex Of Head Of HousehOld o o o o o o o o o 32 Age 0 o o o o o o o o o o o o o o o o o o 36 Education 0 o o o o o o o o o o o o o o o 38 Race 0 o o o o o o o o o o o o o o o o o o #0 Occupation o o o o o o o o o o o o o o o o #7 Major Illness and Behavior Problems . . . 52 Dependents o o o o o o o o o o o o o o o o 54 Indebtedness o o o o o o o o o o o o o o o 58 The Sex and Employment Status of Head of Household on October 30, 1959 . . . . . 59 SUMMARY AND CONCLUSIONS 0 o o o o o o o o o o o o o 63 APPENDIX A - CASE SCHEDULE 0 o o o o o o o o o o o o 70 Operational Definitions and Coding In- StrUCtions o o o o o o o o o o o o o o 72 BIBLIOGRAPHY o o o o o o o o o o o o o o o o o o o o 78 iii LIST OF TABLES TABLE Page 1. NUMBER OF YEARS KNOWN TO THE DEPARTMENT OF 328 CASES BY PERCENTAGE . . . . . . . . . . . 18 2. TEN FAMILIES WHO RECEIVED THEIR ASSISTANCE IN DIFFERENT YEARS WITH THE MONTHS OF ASSISTANCE PER YEAR 0 O O O O O O O O O O O O O O O O O 22 3. THE RESULTS OF THE INDEX OF DEPENDENCY FORMULA ON THE TEN FAMILIES PRESENTED IN TABLE 2 . . 26 A. SAMPLE PERCENTAGES IN EACH INDEX CATEGORY . . . 28 5. NUMBER OF YEARS KNOWN OF 328 CASES BY PERCENTAGE AND DEPENDENCY INDEX . . . . . . . . . . . . 32 6. THE SEX OF HEAD OF HOUSEHOLD AT TIME OF INITIAL ASSISTANCE OF 328 CASES BY INDEX . . . . . o 33 7. THE NUMBER OF YEARS 82 FEMALE ONE-PARENT FAMILIES WERE KNOWN TO THE DEPARTMENT BY PERCENTAGE AND DEPENDENCY INDEX RELATED TO 328 CASES . . . . 3h 8. CHARACTERISTICS OF 82 FEMALE ONE-PARENT FAMILIES BY PERCENTAGE AND DEPENDENCY INDEX . . . . . 36 9. AGE OF 328 CASES BY INDEX . . . . . . . . . o o 37 10. EDUCATION OF 322 CASES BY INDEX . . . . . . . o 39 11. NUMBER OF YEARS KNOWN OF 322 CASES BY EDUCATION 40 12. RACE OF 328 CASES BY INDEX . . . . . . . . . . 41 13. CHARACTERISTICS OF 33 NEGRO FAMILIES BY PER- CENTAGE COMPARED WITH TOTAL SAMPLE . . . . . 42 1A. OCCUPATIONAL CLASSIFICATION OF 2A5 MALES BY _ INDEX 0 O O O O O O O O O O O O O O O O O O O 48 15. INITIAL REASON OF 328 CASES FOR ASSISTANCE BY INDEX 0 O C O C O O O O O O O O O O C O O O O 1‘9 iv LIST OF TABLES TABLE Page 16. REASON FOR INITIAL ASSISTANCE OF 245 MALES BY PERCENTAGE AND INDEX . . . . . . . . . . . . 50 17. NUMBER OF YEARS KNOWN OF 178 MALES WITH UNEM- PLOYMENT AS INITIAL REASON BY DEPENDENCY INDEX 50 18. DEPENDENCY OF 101 MALES KNOWN FOR 20 YEARS OR MORE WITH UNEMPLOYMENT AS INITIAL REASON BY ILLNESS AND BEHAVIOR PROBLEMS IN PERCENTAGE . 51 19. MAJOR ILLNESS OF 2h5 MALES BY INDEX . . . . . . 53 20. BEHAVIOR PROBLEMS OF 2A5 MALES BY INDEX . . . . 53 21. DEPENDENTS OF 328 CASES BY INDEX . . . . . . . . 55 22. NUMBER OF YEARS KNOWN TO THE DEPARTMENT OF 328 CASES BY DEPENDENTS . . . . . . . . . . . . . 56 23. THE TOTAL NUMBER OF CHILDREN WITHIN A FAMILY OF 328 CASES BY INDEX . . . . . . . . . . . . . . 57 24. INDEBTEDNESS OF 328 CASES BY INDEX . . . . . . o 59 25. THE SEX OF HEAD OF HOUSEHOLD OF 328 CASES AT TIME OF INITIAL ASSISTANCE AND ON OCTOBER 30, 1959 BY INDEX 0 O O O O O C O O O O O O C O O O O O 26. ILLNESS AND BEHAVIOR PROBLEMS OF MALES OF 102 TWO-PARENT FAMILIES TOGETHER AT TIME OF INITIAL ASSISTANCE AND ON OCTOBER 30, 1959 BY DEPENDENCY IN PERCENTAGE O O O O O O O O O O O O I O O O 61 27. EMPLOYMENT STATUS OF 175 MALES ON OCTOBER 30, 1959 BY DEPENDENCY INDEX 0 O O O O O O O O O O 62 CHAPTER I INTRODUCTION Families who have found it difficult to be self- sufficient have evidently been a problem fOr many years. Initially, families receiving assistance were perceived as having personal family faults and also as lacking in moti- vation. Befbre the depression of the 1930's personnel en- gaged in public and private agencies began believing that there were other factors that caused dependency. The de- pression verified their thinking and the fecus shifted to environmental and economic reasons as causing dependency. The Social Security Act adopted in August 1935 was created to alleviate future family financial problems. After unem- ployment decreased, many families were still relying on public assistance as a means of existence. The theory of cause of dependency once again shifted to the person who was receiving assistance and away from environmental fac- tors. Frequently the term "chronicity" is now used to‘de- note these families who continually rely on public assist- ance when related factors are quite favorable. The problem of chronicity within welfare departments is not a local problem. The welfare dilemma is widespread -1- -2- in the United States with many programs, especially Aid to Dependent Children, beginning to show signs of abuse.1 One of the purposes of the Social Security Act with frequent amendments was to aid the needy and afflicted.2 There are still many inadequacies in welfare services. The services which are most needed either to prevent dependency and family breakdown, or to rehabilitate are, in many communities, in their infancy. Some communities have recognized the problem of chronicity and have attempted to meet it. Other communities have recognized the problem but lack the support and in- terest necessary to carry out the projects. One community concerned about chronicity was St. Paul, Minnesota result- ing in the study conducted by Bradley Buell and Associates3 which viewed the problems and services of the community. Other agencies are using social workers to seek out the families who are in need of service but unable or unwilling to come to an agency for help.“ Nevertheless a project 1The Wall Street Journal, June 9, 1959. 21. S. Falk, "Public welfare Today and Tomorrow," Social Work, Vol. 1, No. 1 (January 1956), pp. 27-33. 3Bradley Buell and Associates, Communit Plannin for Human Services (New York: Columbia UnIversity Press, I952). “Welter Haas, "Reaching Out-~A Dynamic Concept in Cisiwork," Social WOrk, Vol. A, No. 3 (July 1959), pp. A - 5- -3- conducted by the New York City Ybuth Board5 to this purpose experienced initial resistance and lack of interest on the part of social agencies. This lack of willingness on the part of some communities to accept change only extends and prolongs the well developed patterns of dependent families. It would seem that Chronicity is a problem not only to welfare recipients but also to the community. The, approach by various welfare departments to the problem of helping these families varies considerably. The article by .Mr. Schorr6 attempted to describe certain major problems in ADC which seemed to be interrelated. There seems to be an implication in the fOur problem areas that there is confusion on the part of welfare recipients as well as welfare de- partments. Chronicity is one of the major concerns of the public agencies, but they are also concerned with misuse of funds by welfare recipients, population growth causing an increase in clientele, and a growing disinclination on the public's part to question welfare policies.7 The complacency 5Kermit T. Wiltse, "The Hopeless Family," So ial WOrk, Vol. 3, No. A, (October, 195 ), p. 12, quoting SyIvan S. Furman, Reachi the U eached (New York: New YOrk City Youth Board, I952i. 6Alvin L. Schorr, "Problems in the ADC Program," Social Work, Vol. 5, No. 2, (April 1960), pp. 3-15. 7The wall Street Journal, June 10, 1959. -4- of public attitudes toward Chronicity will have to change before communities and their welfare departments will be able to effect change in the chronic family. Now that it has been indicated that one of the major concerns of the welfare department is the long-term depend- ent family, it would be well to turn to the discussion of this group. Those persons who continually receive public assistance have always aroused interest as well as created heated differences of opinions. Since there are many families receiving assistance, it is to be expected that there would be many different types of families. There are a variety of terms used to characterize these dependent wel- fare families. Such terms are, fer example, "chronic”, a family that continually receives assistance through the years; "hopeless", a family that has difficulty in becoming involved in a casework relationship that has substance and holds potential fer movement;8 "multiproblemfl, a family with social and emotional distress of varying kinds; "hard to reach", a family beset by many problems and that seems unable or unwilling to handle them;9 "very dependent", a 8Kermit T. Wiltse, "The Ho less Family,” Social Work, Vol. 3, No. A, (October 1958 , pp. 12-22. 9Helen W. Hallinan, "Co-ordinating Agency Efforts in Behalf of the Hard-to-Reach Family," Social Casework, Vol. XL, No. 1 (January 1959), p. 9. -5- family who relies upon public assistance fer their existence; and "hardcore", a family who is extremely difficult to reach and necessitates skillful handling by the worker. These are a few of the terms which are commonly used to depict the long-term welfare client. As is usually the case in dealing with persons, the terms are interchangeable and more than one can be applied to a single family. Therefore, the families referred to in the study can be either one or a combination of these terms or possibly cannot be categorized at all. In the preceding paragraph types of welfare families were briefly defined. Now the question can be asked, “What are the factors involved in causing these families to be- come dependent?" As was stated previously categorization involving individuals cannot be completely accurate, but far convenience, simplicity, and practicality, terms will again be applied. Two very general nomenclatures involving pre- cipitating factors could be "internal" and "external". The internal elements could include those families that are damaged enough psychologically to cripple their work habits, but are not disturbed enough to be committed to an insti- tution. It was found in the study conducted by the New YOrk City Youth Boardlo that the multiproblem family had lolbid. . 9 quoting A 3 ud 9: Some of he Char- te ; s of M_tio ob 6 2.9.35 :: ‘ew or: ew 'or, ity Yout =oaro, '5 . -6- more than its share of emotional problems and retardation. It may also refer to those social problems such as divorce, desertion, and separation which may be the end result of prior psychological disturbances. If the wage earner be- comes absent in these families, it is likely that they will become dependent on public assistance. The external com- ponent could refer in the main to the marginal income group. What are the reasons fer a family coming within this classi- fication? Some of the reasons may be that the wage earner has a limited education, limited work skill, and/or is able to obtain only common labor. Also these families may not be able to save or prepare fer unemployment, and, therefbre, they tend to lose their self-supporting status very quickly when earnings are reduced. Because these families are in the marginal income group and lose their self-supporting status frequently, the impact on the children receiving assistance would seem to cause a degree of conflict regard- ing their training for future employment. It would appear that children in families receiving assistance would drap- out of school for economic reasons.11 Periods of unemploy- ment may keep recurring because of the head of the family 11Eleanor M. Snyder, Public Assistance Reci ients in New York StateI January-Februa§§ I252 (New York: Inter- epartmenta ommittee on w' ncomes, 1958), p. 48. -7- being employed in low wage positions with industry. There- fbre, it would seem to be indicated that an intermittent need fer assistance might come about whenever seasonal lay- offs, dismissals, cut backs in working force, or illnesses reduce the earnings of the wage earner. Consequently, it would seem to be that the marginal families tend to make up a large proportiOn of the assistance recipients. Some of these questions come within the focus of the study and will be discussed at that time. Now that the types of families and their types of problems have been touched upon, the county agency which comes into daily contact with these families will be discussed. The figure on the next page shows the structure of the Ingham County Department of Social welfare (it will be referred to, subsequently, as the Department). The per- sonnel can be placed into two classes: (1) administrative, and (2) casework. The administrative positions would include the director, typists, receptionist, file clerk, et al. The casework staff includes the casework supervisor, intake workers, and caseworkers.. These are the persons involved with assistance. There are three main assistance programs administered by the Department. They are: (1) General Assistance, (2) Adultliospitalization, and (3) County Hospital. Each pro- gram will be discussed briefly in the following paragraphs. -3- humane: oxmva unexposommo noaoonaanoaonom Condom pdsv< possum Boom mafia # unamoupaooom , .r noaoaooasoo moaaom owns enamhsm Hmpaamom noma>noasm medunsooo< mfinmnmaunmso meannsnnan Samson gnozonmo ooammoomam: new; a w e a - ,TL oa< Hmuoom onmhaoz Hmaoom no smohsm Ho unoaphmmoa r _ I: ..11 i manna: .> Hanna nomwenomsm u nopoonaa HA H To :oammwasoo onmhaoz oanHoz Hmmuom anaoom oonom mm