Alternative Professional Roles in Health Care Delivery: Leadership Patterns in Self-Help Groups
dc.contributor.author | Yoak, Margaret | en_US |
dc.contributor.author | Chesler, Mark A. | en_US |
dc.date.accessioned | 2010-04-13T18:42:28Z | |
dc.date.available | 2010-04-13T18:42:28Z | |
dc.date.issued | 1985 | en_US |
dc.identifier.citation | Yoak, Margaret; Chesler, Mark (1985). "Alternative Professional Roles in Health Care Delivery: Leadership Patterns in Self-Help Groups." The Journal of Applied Behavioral Science 4(21): 427-444. <http://hdl.handle.net/2027.42/66640> | en_US |
dc.identifier.issn | 0021-8863 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/66640 | |
dc.description.abstract | The increasing professionalization of health care delivery systems, improved client awareness, funding cutbacks, and an emphasis on voluntarism have led recipients of health services to turn increasingly to self-help groups. This article examines the leadership and organizational pattern of such groups, using a study of 43 self-help groups from around the U.S. whose members are parents of children with cancer. Three leadership patterns emerged: groups were independent and parent-led, were led by professionals, or had a shared leadership of parents and professionals. Data indicate that the professionally led groups were the smallest, leastformal, and had the narrowest range of activities. The groups with shared leadership had the greatest longevity, tended most often to retain as members parents of deceased children. The authors conclude that such coalitions of clients and professionals are vital for ensuring proper service delivery at a time when health care systems will likely remain bureaucratic and public resources for professional care are being reduced. | en_US |
dc.format.extent | 3108 bytes | |
dc.format.extent | 2347228 bytes | |
dc.format.mimetype | text/plain | |
dc.format.mimetype | application/pdf | |
dc.publisher | Sage Publications, Thousand Oaks, CA | en_US |
dc.title | Alternative Professional Roles in Health Care Delivery: Leadership Patterns in Self-Help Groups | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Management | en_US |
dc.subject.hlbsecondlevel | Psychology | en_US |
dc.subject.hlbsecondlevel | Economics | en_US |
dc.subject.hlbtoplevel | Business | en_US |
dc.subject.hlbtoplevel | Social Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | University of Michigan, Ann Arbor, Michigan 48109. | en_US |
dc.contributor.affiliationother | St. Louis County Department of Community Health and Medical Care, 801 S. Brentwood Blvd., Clayton, Missouri 63105. | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/66640/2/10.1177_002188638502100407.pdf | |
dc.identifier.doi | 10.1177/002188638502100407 | en_US |
dc.identifier.citedreference | Abbott, A. (1983). Professional ethics. American Journal of Sociology, 88(5), 855-885. | en_US |
dc.identifier.citedreference | Adams, D. (1979). Childhood malignancy. In The psychosocial care of the child and his family. Springfield: C. C. Thomas. | en_US |
dc.identifier.citedreference | Adams, M. (1978). Helping the parents of children with malignancy. The Journal of Pediatrics, 93(5), 734-738. | en_US |
dc.identifier.citedreference | Back, K., & Taylor, R. (1976). Self-help groups: Tool or symbol? Journal of Applied Behavioral Science, 12(3), 295-309. | en_US |
dc.identifier.citedreference | Bakker, B., & Karel, M. (1983). Self-help: Wolf or lamb? In D. Pancoast, P. Parker, & C. Froland (Eds.), Social service delivery systems: An international annual (Vol. 6). Rediscovering selfhelp: Its role in social care. Beverly Hills: Sage. | en_US |
dc.identifier.citedreference | Begun, J. (1979). The consequences of professionalization for health services delivery: Evidence from optometry. Journal of Health and Social Behavior, 20, 376-386. | en_US |
dc.identifier.citedreference | Belle-Isle, J., & Conradt, B. (1979). Report of a discussion group for parents of children with leukemia. Maternal-Child Nursing Journal, 8(1), 49-58. | en_US |
dc.identifier.citedreference | Borkman, R. (1976, September). Experiential knowledge: A new concept for the analysis of self-help groups. Social Service Review, 50, 445-456. | en_US |
dc.identifier.citedreference | Borman, L. (1979). Characteristics of development and growth. In M. Lieberman & L. Borman (Eds.), Self-help groups for coping with crisis: Origins, members, processes and impact. San Francisco: Jossey-Bass. | en_US |
dc.identifier.citedreference | Chesler, M. (1981). Creating and maintaining interracial coalitions. In B. Bowser & R. Hunt (Eds.), Impacts of racism on white Americans. Beverly Hills: Sage. | en_US |
dc.identifier.citedreference | Chesler, M., & Barbarin, O. (1984). Problems between the medical staff and parents of children with cancer. Health and Social Work, 9(1), 49-65. | en_US |
dc.identifier.citedreference | Chesler, M., & Yoak, M. (1984). Self-help groups for families of children with cancer. In H. Roback (Ed.), Group intervention for medical-surgical patients and their families. New York: Jossey-Bass. | en_US |
dc.identifier.citedreference | Chutis, L. (1983). Special roles of mental health professionals in self-help group development. Prevention in Human Services, 2(3), 65-73. | en_US |
dc.identifier.citedreference | Coping with cancer. (1980). Bethesda, MD: U.S. Department of Health and Human Services, National Cancer Institute. | en_US |
dc.identifier.citedreference | Di Matteo, M., & Hayes, R. (1981). Social support and serious illiness. In B. Gottlieb (Ed.), Social networks and social support. Beverly Hills: Sage. | en_US |
dc.identifier.citedreference | Dory, F., & Reissman, F. (1982). Training professionals in organizing self-help groups. Citizen Participation, 3(3), 27-28. | en_US |
dc.identifier.citedreference | Epstein, I. (1970). Professionalization, professionalism, and social worker radicalism. Journal of Health and Social Behavior, 11, 67-77. | en_US |
dc.identifier.citedreference | Featherstone, H. (1980). A difference in the family. New York: Basic Books. | en_US |
dc.identifier.citedreference | Fisher, J., Nadler, A., & De Paulo, B. (Eds.). (1983). New directions in helping (Vol. 1). New York: Academic Press. | en_US |
dc.identifier.citedreference | Freidson, E. (1970). Profession of medicine. New York: Dodd and Mead. | en_US |
dc.identifier.citedreference | Freidson, E. (1974). Dominant professions, bureaucracy, and client services. In Y. Hasenfeld & R. English (Eds.), Human service organizations. Ann Arbor: University of Michigan Press. | en_US |
dc.identifier.citedreference | Freudenberger, H. (1974). Staff bum-out. Journal of Social Issues, 30, 159-165. | en_US |
dc.identifier.citedreference | Froland, C., Pancoast, D., Chapman, N., & Kimboto, P. (1981). Helping networks and human services. Beverly Hills: Sage. | en_US |
dc.identifier.citedreference | Futterman, E., & Hoffman, I. (1973). Crisis and adaptation in the families of fatally ill children. In J. Anthony & C. Koupernick (Eds.), The child in his family: The impact of death and disease (Vol. 2.). New York: Wiley. | en_US |
dc.identifier.citedreference | Gilder, R., Buschman, P., Sitarz, A., & Wolff, J. (1976). Group therapy for parents of children with leukemia. American Journal of Psychotherapy, 30, 276-287. | en_US |
dc.identifier.citedreference | Gottlieb, B. (Ed.) (1981). Social networks and social support. Beverly Hills: Sage. | en_US |
dc.identifier.citedreference | Gourash, N. (1978). Help-seeking: A review of the literature. American Journal of Psychology, 6(5), 413-423. | en_US |
dc.identifier.citedreference | Haug, M. (1975). The deprofessionalization of everyone? Sociological Focus, 8(3), 197-213. | en_US |
dc.identifier.citedreference | Haug, M. (1976, Winter). The erosion of professional authority: A cross-cultural inquiry in the case of the physician. Health and Society, 83-106. | en_US |
dc.identifier.citedreference | Haug, M., & Sussman, M. (1969). Professional autonomy and the revolt of the client. Social Problems, 17, 153-161. | en_US |
dc.identifier.citedreference | Heffron, W. (1975). Group therapy sessions as part of treatment of children with cancer. In C. Pockedly (Ed.), Clinical management of cancer in children. Acton, MA: Science Group. | en_US |
dc.identifier.citedreference | Hinckley, B. (1979). Twenty-one variables beyond the size of winning coalitions. Journal of Politics, 41(1), 192-212. | en_US |
dc.identifier.citedreference | Kartha, M., & Ertel, I. (1976). Short-term group therapy for mothers of leukemic children. Clinical Pediatrics, 15, 803-806. | en_US |
dc.identifier.citedreference | Katz, A. (1959). Social adaptation in chronic illness: A study of hemophilia. American Journal of Public Health, 53, 1670-1671. | en_US |
dc.identifier.citedreference | Katz, A. (1981). Self-help and mutual aid: An emerging social movement? Annual Review of Sociology, 7, 129-155. | en_US |
dc.identifier.citedreference | Katz, A., & Bender, E. (1976). Self-help groups in Western society: History and prospects. Journal of Applied Behavioral Science, 12(3), 265-282. | en_US |
dc.identifier.citedreference | Kellerman, J. (Ed.). (1980). Psychological aspects of childhood cancer. Springfield, IL: C. C. Thomas. | en_US |
dc.identifier.citedreference | Killilea, M. (1976). Mutual help organizations: Interpretations in the literature. In G. Caplan & M. Killilea (Eds.), Support systems and mutual help. New York: Grune and Stratton. | en_US |
dc.identifier.citedreference | Kleinman, H., Mantell, J., & Alexander, E. (1976). Collaboration and its discontents: The perils of partnership. Journal of Applied Behavioral Science, 12(3), 403-409. | en_US |
dc.identifier.citedreference | Kulka, R., Veroff, J., & Douvan, E. (1979). Social class and the use of professional help for personal problems: 1957 and 1976. Journal of Health and Social Behavior, 20(1), 2-17. | en_US |
dc.identifier.citedreference | Langton, S., & Petersen, J. (1982). What is selfhelp? Citizen Participation, 3(3), 3-4,7-7. | en_US |
dc.identifier.citedreference | Larson, M. (1977). The rise of professionalism: A sociological analysis. Berkeley: University of California Press. | en_US |
dc.identifier.citedreference | Lenrow, S., & Burch, R. (1981). Mutual aid or professional services: Opposing or complementary? In B. Gottlieb (Ed.), Social networks and social support. Beverly Hills: Sage. | en_US |
dc.identifier.citedreference | Levy, L. (1976). Self-help groups: Types and psychological processes. Journal of Applied Behavioral Science, 12(3), 310-322. | en_US |
dc.identifier.citedreference | Lieberman, M. (1979). Help-seeking and self-help groups. In L. Lieberman & M. Borman (Eds.), Self-help groups for coping with crisis. San Francisco: Jossey-Bass. | en_US |
dc.identifier.citedreference | Lipsky, M. (1980). Street-level bureaucracy: Dilemmas of the individual in public services. New York: Russell-Sage. | en_US |
dc.identifier.citedreference | Lipson, J. (1982). Effects of a support group on the emotional impact of Caesarean birth. Prevention in the Human Services, 1(3), 17-30. | en_US |
dc.identifier.citedreference | Martinson, I. (1976). The child with leukemia: Parents help each other. American Journal of Nursing, 76(7), 1120-1122. | en_US |
dc.identifier.citedreference | Maslach, C. (1976). Burned out. Human Behavior, 5, 17-22. | en_US |
dc.identifier.citedreference | Pancoast, D., Parker, P., & Froland, C. (1983). Social service delivery systems: An international annual (Vol. 6). Rediscovering self-help: Its role in social care. Beverly Hills: Sage. | en_US |
dc.identifier.citedreference | Parsons, T. (1951). The social system. Glencoe, IL: The Free Press. | en_US |
dc.identifier.citedreference | Pilisuk, M., & Froland, C. (1978). Kinship, social networks, social support and health. Social Science and Medicine, 12B, 273-280. | en_US |
dc.identifier.citedreference | Pilisuk, M., & Parks, S. (1980). Structural dimensions of social support groups. The Journal of Psychology, 106, 157-177. | en_US |
dc.identifier.citedreference | Pizzo, P. (1983). Parent to parent. Boston: Beacon Press. | en_US |
dc.identifier.citedreference | Prottas, J. (1979). People-processing: The street level bureaucrat in public service bureaucracies. Lexington: Lexington Books. | en_US |
dc.identifier.citedreference | Reinharz, S. (1981). The paradox of professional involvement in alternative settings. Journal of Alternative Human Services, 7, 21-24. | en_US |
dc.identifier.citedreference | Richardson, A. (1983). English self-help: Varied patterns and practices. In D. Pancoast, P. Parker, & C. Froland (Eds.), Social service delivery systems: An international annual (Vol. 6). Rediscovering self-help: Its Role in Social Care. Beverly Hills: Sage. | en_US |
dc.identifier.citedreference | Rieff, R. (1971). The danger of the techni-pro: Democratizing the human service professions. Social Policy, 2, 62-64. | en_US |
dc.identifier.citedreference | Ritzer, G. (1977). Working: Conflict and change. Englewood Cliffs, NJ: Prentice-Hall. | en_US |
dc.identifier.citedreference | Ross, J. (1978). Social work intervention with families of children with cancer: The changing critical phases. Social Work in Health Care, 3, 257-272. | en_US |
dc.identifier.citedreference | Ross, J. (1980). Childhood cancer: The parents, the patients, the professional. Issues in Comprehensive Pediatric Nursing, 4, 7-16. | en_US |
dc.identifier.citedreference | Roth, J. (1974). Professionalism: The sociologist's decoy. Sociology of Work and Occupations, 1, 6-23. | en_US |
dc.identifier.citedreference | Schulman, J., & Kupst, M. (Eds.). (1980). The child with cancer. Springfield, IL: C. C. Thomas. | en_US |
dc.identifier.citedreference | Smith, D., & Pillemer, K. (1983). Self-help groups as social movement organizations: Social structure and social change. In L. Kriesberg (Ed.), Research in social movements, conflicts and change (Vol. 5). Greenwich, CT: JAI Press. | en_US |
dc.identifier.citedreference | Sontag, S. (1979). Illness as metaphor. Cancer News, 33(1), 6-12. | en_US |
dc.identifier.citedreference | Spinetta, J., & Deasy-Spinetta, P. (1981). Living with childhood cancer. St. Louis: C. Mosely. | en_US |
dc.identifier.citedreference | Steinman, R., & Traunstein, D. (1976). Redefining deviance: The self-help challenge to the human services. Journal of Applied Behavioral Science, 12(3), 347-361. | en_US |
dc.identifier.citedreference | Stolberg, A., & Cunningham, J. (1980). Support groups for parents of leukemic children. In J. Schulman & M. Kupst (Eds.), The child with cancer. Springfield, IL: C. C. Thomas. | en_US |
dc.identifier.citedreference | Stone, C. (1983). Whither the welfare state? Professionalization, bureaucracy, and the market alternative. Ethics, 93, 588-595. | en_US |
dc.identifier.citedreference | Tracy, C., & Gussow, Z. (1976). Self-help health groups: A grass roots response to a need for services. Journal of Applied Behavioral Science, 12(3), 381-397. | en_US |
dc.identifier.citedreference | Vachon, M., Lyall, W., & Freeman, S. (1978). Measurement and management of stress in health professionals working with advanced cancer patients. Death Education, 1, 365-375. | en_US |
dc.identifier.citedreference | Wollert, R., & Barron, N. (1983). Avenues of collaboration. In D. Pancoast, P. Parker, & C. Froland (Eds.), Social service delivery systems: An international annual (Vol. 6). Rediscovering self-help: Its role in social care. Beverly Hills: Sage. | en_US |
dc.identifier.citedreference | Wortman, C., & Dunkel-Schetter, C. (1979). Interpersonal relationships and cancer: A theoretical analysis. Journal of Social Issues, 35(1), 120-155. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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