Social Roles and Effects of Private Practice by Clinical Social Workers

在日本，社会工作者很少有私人执业。本文报道了对东京一家由社工开办的私人成瘾问题咨询室的研究结果。该咨询室的主要社会角色之一是家庭干预成瘾问题和功能障碍家庭的成年子女问题。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同龄人，也很少对他们的家人和行为进行咨询。因此，房间对家庭的干预非常重要。由于家庭干预，IP(指认病人)、酗酒者、吸毒者等不承认自己是IP的人来到房间接受咨询。这一初级干预也应被评估为实践的效果之一。社会工作者教授和监督专业人员：医生、公共卫生护士和社会工作者，传递如何理解、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，它是一个挑战新的家庭问题的组织。

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.