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Back in around 2000, when the service definitions for addictions were being revisited, this term was changed, for just those reasons, to "Community Treatment". The problem has been that so few people, inside addictions or outside, adopted that change--"outpatient" seems to be remarkably tenacious. Identifying and establishing language changes seems to be one thing, but I don't know how one gets them actually adopted. Any ideas, anyone?
 
Originally Posted by Julia Greenbaum:

I agree Rheanon! Not just outpatients. Sometimes people with mental health issues are called patients or even clients even if they have never been a patient or received a service for their mental health.

ARGHHHHHH.......I don't like any of the terms used to describe what we do/are for all the reasons shared already and 2 more-most terms are either too professional/unprofesional-sounding or too Union'non-union sounding. The same is also true for the 2 I am going to offer......just that they are better and from our expeience work from a normalizing community-based perspective: 1. Whatever(fill in the blank) Counsellor or
2.Community Treatment Professional

I guess we'll just have to keep looking and don' t even start with what's wrong with the term VISITS  to describe, measure, or justify what we do.

What about the term "Client"? Is that still okay to be used universally? If so, what is it about that particular term that makes it okay and can we use it (and other terms such as "Counsellor","Community Treatment Professional", Caregiver, etc) as a starting point to create Linguistic (is that the right word?) guidelines to begin sifting through old terms and changing/adding new ones?

My opinion: we should be guided more by what the client ("recipient of service") perceives as our role/action, and overall have less juristiction in the semantics. This is I believe the direction "recovery"is taking us. Standardization of language should not be attempted without input from the people we are trying to help. This should make it more difficult to determine "outcome measures", but that too needs more input from you-know-who... 

I agree. With language, context is everything, so I think standardization can be tricky. One approach is to avoid labeling entirely where possible and talk about "the person providing a service", or "the person providing care" or "the person... " whatever it is specifically they are doing in that particular scenario. Of course this is easier said than done depending on the form on communication.

I'm just now catching up on this incredibly helpful thread, so thank you to everyone who has contributed to this so far! I am guilty of using the term "front line worker" as recently as a few minutes ago and while I have questioned it, I never really thought of it in the ways it's been explained here. I liken it more to someone who has direct interaction with the person who requires assistance rather than someone like me, who can be helpful in a system navigation kind of way, which I think as more of a "behind-the-scenes" or secondary role.

 

I also use the phrase "complex needs" quite often to describe a variety of situations that involve multiple, competing, cross-jurisdictional needs that do not fit neatly into any one service system or sector.

 

This is a really helpful exercise to keep me mindful of the power of language!

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