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1983 Family Service abuse adult agency alcohol approach areas assessment Association of America behavior child child abuse cial client clinical Contemporary Social coping Copyright Clearance Center counseling crisis deinstitutionalization divorce drugs effects elder abuse emotional ents environment ethical evaluation example experience family members Family Service Association family therapy feelings function genetic genetic counseling goals Holocaust human service impact incest individual intervention involved issues jail joint custody Journal of Contemporary marital marital rape marriage ment mental health mother organization parents patients percent person perspective placement practitioners problems profes professional programs Psychiatric psychological rape relationship responsibility role loss sexual sexual abstinence skid row Social Casework social service social work practice social workers staff stress therapist tion tional tive treatment unem victim violence women York