Social Roles and Effects of Private Practice by Clinical Social Workers

在日本，很少有社会工作者从事私人执业。本报告是对东京一家社会工作者经营的私人成瘾问题咨询室的研究结果。该室的主要社会作用之一是家庭干预成瘾问题和功能失调家庭（AC）的成年子女问题。虽然我国有一些精神病院和诊所治疗酗酒者、吸毒者、饮食失调者，但他们很少治疗赌博依赖和共同依赖，也很少咨询他们的家人和辅导员。因此，房间对家庭干预的影响非常重要。由于家庭干预，IP（已确定的患者）；酗酒者、吸毒者等拒绝承认自己是IP的人来到房间接受咨询。这一主要干预措施也应作为该做法的效果之一加以估计。社会工作者对医生、公共卫生护士和社会工作者等专业人员进行教学和监督，传播如何理解、治疗和帮助添加剂及其家人，并对他们和公民进行讲座。这是房间的另一个重要的社会角色它是一个挑战新家庭问题的先锋组织。

There is few private practice by social workers in Japan. This reports the findings of the reserch of one private addiction problems counseling room runned by socail workers in Tokyo.One of main social roles of that room is family intervention in addiction problems and adult children problems of dysfunctional families (AC). Although there are some mental hospitals and clinics that treat alcoholics, drug abusers, eating disorders in our country, they rarely treat gammble dependency and co-depedency, and seldom counsel their families and AC.Then it's very important that the room effects family intervention.As a result of family intervention, IP (identified patients) ; alcoholics, drug abusers etc., who denied to adimt to be IP by themselves, came to the room in order to be counseled. This primary intervention also should be estimated as one of the effets of the practice there.And the social workers teach and supervise the professions : physicians, public health nurses, and soical workers, to transmit how to understand, treatment and help the additives and their families, also give lectures to them and the citizen. It's another important social role of the room which is a pionee organization challenging new family problems.