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Inequality in the social services.

M L Gruber

    The Social Service Review
    |February 11, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Racial disparities exist in institutionalized populations, with nonwhite individuals disproportionately affected. Organizational practices, not inherent needs, drive this inequity, leading to failure-reinforcing outcomes for minority and poor populations.

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    Area of Science:

    • Sociology
    • Public Health
    • Health Services Research

    Background:

    • Analysis of national data reveals distinct patterns in the institutionalized population based on race.
    • Previous explanations focusing on differential problems and needs are examined and refuted.

    Purpose of the Study:

    • To investigate organizational mechanisms contributing to racial disparities in institutionalization.
    • To demonstrate how race and class function as proxies for rationing diagnostic categories and services.

    Main Methods:

    • Analysis of national data on the institutionalized population.
    • Examination of organizational practices and their impact on service allocation.

    Main Results:

    • Evidence suggests organizational proxies like race and class lead to rationing of services.

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  • This rationing results in 'downward drift,' pushing minority and poor individuals into failure-reinforcing institutions.

    • Conclusions:

    • Organizational mechanisms, not individual needs, perpetuate racial disparities in institutionalization.
    • Addressing these systemic issues is crucial for promoting equity and preventing negative outcomes for vulnerable populations.