In 1908, McLean gave another presentation at the 35th annual session of the National Conference of Charities and Correction held in Richmond, VA. The title was: “How May We Increase Our Standard of Efficiency in Dealing with Needy Families.” One of his major points was the necessity for workers to record and maintain Diagnosis and Treatment Cards for the families they are trying to help. He said:
“…A growing realization of the need of an aid which would impart definiteness to records and give one a clear idea of not only the main problem, but all of the subsidiary problems, caused the Field Department last fall to send out to the societies in the exchange branch of the department, a proposed form to be known as a diagnosis and treatment sheet. A study of the records last winter has convinced the field secretary that these sheets are an absolute necessity, and should be used by all the societies. Even the very best of the records would have been much clearer to the reader with such a sheet. In many cases, apparent lapses in treatment would have been revealed to the societies, if they had attempted to fill out the blanks….”
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