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112243 1 (1980-05-05)

handle is hein.gao/gaobacuqp0001 and id is 1 raw text is: HOW TO PAY FOR PARAPROFESSIONALS IN MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES Beryce W. MacLennan, Ph.D. Hrr Who are Paraprofessionals? Before one can examine how paraprofessionals can be financed, it is necessary to know what is meant by paraprofessional, in the fields of, mental health and substance abuse. The literal meaning is, of course, similar to professional. However, in today's world it is very broadly used. With the exception of RNs, who are deemed to be professional .whatever their degree, it may include anyone with less than a masters degree who delivers direct care, educational or treatment services related to mental health and substance abuse. Paraprofessionals may be psycholog y, social- work, or 'nurse assistants; a wide variety of counselors; activity or rehab- ilitation therapists; special educators; residential managers or case managers; crisis or outreach vorkers. They may work with the young, the old, the chronically handicapped, with substance abusers, or the mentally disturbed. Educationally, paraprofessionals may have batchelor's or associate of arts or science degrees, high school diplomas, or no educational certificate at all. Sometimes they. can have a considerable amount of in-service training or continuing education with or without formal education, sometimes their formal education may include no specialized training. The specialized training of paraprofessionals may be very broad or very narrow. Some paraprofessionals are only trained to use one skill or to work with one problem, such as alcoholism. Others, such as many mental health associates, may have a broad training in psychology and social therapies and ** This paper reflects the author's personal views and is not endorsed by the U.S. General Accounting Office. April 1980

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