Patricia A. Fennell and Sara Rieder Bennett
There is a paradigm shift occurring in medicine, from models focused on treating acute illnesses to those concerned with managing chronic conditions. This shift coincides with the higher prevalence of chronic illnesses resulting from factors such as lower mortality from formerly fatal illnesses and an aging population. The chronically ill do not fare well in an acute care model, and as a result, it has become imperative to develop new models effective for these chronic conditions. These new care models will require comprehensive, coordinated case management, an activity in which social workers can play a significant role.
Christina E. Newhill
Client violence and workplace safety are relevant issues for all social workers across practice settings. This entry addresses why and how social workers may be targets for a client's violent behavior, and what we know about who is at risk of encountering violence. Understanding violence from a biopsychosocial perspective, identifying risk markers associated with violent behavior, and an introduction to guidelines for conducting a risk assessment will be discussed. The entry concludes by identifying and describing some general strategies for the prevention of client violence.
The soldiers from the wars in Iraq and Afghanistan, as well as large numbers of nonwounded soldiers, experience post-traumatic stress disorder. Further, the families, groups, and communities from which all U.S. service men and women come, during and after these and other wars, have experienced their own war-related trauma. Stories on the nightly news reveal soldier reaction to combat stress, including intrusive memories, racing thoughts, nightmares, troubled sleep, irritability, anxiety, fear, isolation, depression anger, poor concentration, hyper- or hypovigilance, exaggerated responses, and increased alcohol and other drug abuse. The stories of family, friends, and community are filled with war stress symptoms of their own. Charged with keeping their families together, bills paid, jobs afloat, children safe and growing, families may experience a drop in income, loneliness and isolation, long deployments, multiple last minute combat redeployment and duty extensions, anger, frustration, depression, increased alcohol and other drug abuse, loss of trust, fear, increase in domestic violence, and school disruption. Not all of the change for family is negative as some spouses and children who are left behind find they have new skills and new independence with which to negotiate their world. The returning soldier's response to this newfound independence and skill may require the services of the clinical social worker.
Addie Weaver, Joseph Himle, Gail Steketee, and Jordana Muroff
This entry offers an overview of cognitive behavioral therapy (CBT). Cognitive behavioral therapy is introduced and its development as a psychosocial therapeutic approach is described. This entry outlines the central techniques and intervention strategies utilized in CBT and presents common disorder-specific applications of the treatment. The empirical evidence supporting CBT is summarized and reviewed. Finally, the impact of CBT on clinical social work practice and education is discussed, with attention to the treatment’s alignment with the profession’s values and mission.
Cognitive therapy is a perspective on social work intervention with individuals, families, and groups that focuses on conscious thought processes as the primary determinants of most emotions and behaviors. It has great appeal to social work practitioners because of its utility in working with many types of clients and problem situations, and its evidence-based support in the literature. Cognitive therapies include sets of strategies focused on education, a restructuring of thought processes, improved coping skills, and increased problem-solving skills for clients.
James W. Drisko
This entry examines the common factors approach in social work and in related professions. The term “common factors” refers to a set of features that are shared across different specific models of psychotherapy and social services, but may not always be conceptualized as being curative influences. The common factors approach broadens the conceptual base of potentially curative variables for practice and research. The history of common factors, the research designs and statistical methods that have led to the approach’s elaboration, the approach’s empirical base, and its fit with social work’s person-in-environment perspective are each explored. The intersection of the common factors approach with the evidence-based practice movement is examined. The role of common factors in the psychotherapy integration movement is also discussed. The implications of the common factors approach for research, policy, and practice in social work are identified.
Dorothy N. Gamble and Marie Weil
Major social changes resulting from globalization, the increase in multicultural societies, and growing concerns for human rights, especially for women and girls, will affect all community practice in this century. Community-practice processes—organizing, planning, sustainable development, and progressive social change—are challenged by these trends and the ethical dilemmas they pose. Eight distinct models of community-practice intervention are described with examples from around the globe. The values and ethics that ground community-practice interventions are drawn from international and national literature. Model applications are identified for work with groups, urban and rural communities, organizations and coalitions, and in advocacy and leadership for social justice and human rights.
Joshua Kirven and George Jacinto
Community healing and reconciliation have been a focus of many nations in response to civil war, genocide, and other conflicts. There have been increasing numbers of high-profile murders of African-American youths in the United States over the past 10 years. This article provides an overview of gun violence and its effects on African-American youths. Sanford, Florida, and Cleveland, Ohio, experienced the murders of Trayvon Martin and Tamir Rice, and the responses of the cities will be highlighted. The two cities provide potential models by communities to address historical injustices in the aftermath of high-profile fatal black male tragedies.
Conflict resolution is a core competency for social workers, and social workers have contributed greatly to this thriving field. Conflict resolution as a field of practice includes mediation, facilitation, conflict coaching, dispute system design and management, and arbitration. Conflict professionals provide preventative, restorative, substantive, procedural, and decision-making services to people in conflict. The use of conflict resolution processes is rapidly growing in areas of traditional social work practice such as child welfare, special education, family counseling, care of the elderly, and medical care. This is a tremendous potential growth area for social work.
Sandra A. Lopez
Private independent practice (known historically as private practice) is a growing segment of the social work profession. Social workers entering this context are providing a range of services, including clinical and nonclinical. Major considerations for establishing, maintaining, and marketing a successful and ethical private independent practice will be discussed. Existing tensions and challenges in the social work profession and in the field of social work education will be briefly examined. Future directions for private independent practice of social work will be explored.
Margo A. Jackson
Despite the significant life and work experiences that a growing number of older adults have to contribute to the workforce, pervasive ageism operates in overt and covert ways to discriminate against older workers in hiring and workplace practices. This article provides a current overview of definitions, prevalence, types, and effects of ageism in the U.S. workplace. For social workers counseling older adult victims of workplace ageism, this article discusses theories, foundational knowledge, and ongoing self-awareness and training needed for bias awareness. Counseling strategies and resources are highlighted, including coping and resilience strategies to counteract ageist stereotypes and discrimination, facilitate job-seeking support, and advocate for older workers by promoting awareness and serving as a resource for employers to reduce workplace ageism.
Albert R. Roberts
Crisis intervention has been used to help millions of at-risk and vulnerable social work clients throughout the world. Acute crisis-inducing situations range from the sudden loss of a loved one to a Stage IV cancer diagnosis to a school shooting spree. This entry includes definitions and descriptions of crisis theory and crisis intervention protocols. It traces the historical background on the development of crisis intervention programs. The next two sections discuss social work roles and techniques with persons in crisis, and evidence-based crisis intervention protocols based on the latest meta-analysis.
This article proposes social equity as a paradigm to guide social work practice and education. “Cultural equity” encompasses the multiplicity of personal, social, and institutional locations that frame identities in therapeutic practice as well as the classroom by locating these complexities within a societal matrix that shapes relationships of power, privilege, and oppression. Foregoing cultural competency for a cultural equity framework requires both analysis and interruption of the “otherizing” process inherited through multicultural discourses and the legacies of colonization. Through the use of education for critical consciousness, accountability through transparency, community-learning circles, progressive coalition-building, and usage of action strategies, transformative potential is revealed across multiple sites, both local as well as global. Multiple illustrations for the coherent application of cultural equity in social work practice and education are offered.
Ramona W. Denby and Allison Bowmer
The notion of culture, while vast, is often conceptualized through an examination of gender, race, and ethnicity; class and economics; religion; sexual orientation; and even age. Culture can be temporal when, for example, gender norms or ethnic patterns evolve with each new generation. Likewise, the formation of a person’s identity (or identities) is largely influenced by culture. The ways in which an individual exhibits meaning and expression through culture can become the building blocks for identity and behavior. Social work assessments and related interventions rest on a fundamental understanding of a client’s history, environment, and current conditions. This entry provides an examination of how particular sociocultural influences and identity development shape behavior and how social work practitioners, whether at the micro, mezzo, or macro level, use this understanding to effect change in individuals or environments.
Janet B. W. Williams
The fourth edition of the Diagnostic and statistical manual of mental disorders Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association is referred to as DSM-IV. DSM-IV's predecessor, DSM-III, differed considerably from the first two editions. Its innovative incorporation of specified diagnostic criteria and a multiaxial system for evaluation resulted in its having a major impact on the field of mental health.
Frederic G. Reamer
Digital, online, and other electronic technology has transformed the nature of social work practice and education. Contemporary social workers can provide services to clients by using online counseling, telephone counseling, video counseling, cybertherapy (avatar therapy), self-guided Web-based interventions, electronic social networks, e-mail, and text messages. In addition, increasing numbers of social work education programs are using distance education technology to teach students. The introduction of diverse digital, online, and other forms of electronic social services has created a wide range of complex ethical and related risk management issues. This article provides an overview of current technology used in social work; identifies compelling ethical issues; and explores risk-management issues. The author identifies relevant standards from the NASW Code of Ethics and other resources designed to guide practice.
Direct social work practice is the application of social work theory and/or methods to the resolution and prevention of psychosocial problems experienced by individuals, families, and groups. In this article, direct practice is discussed in the context of social work values, empowerment, diversity, and multiculturalism, as well as with attention to client strengths, spirituality, and risk and resilience influences. The challenges of practice evaluation are also considered.
David F. Gillespie
Disasters are a form of collective stress posing an unavoidable threat to people around the world. Disaster losses result from interactions among the natural, social, and built environments, which are becoming increasingly complex. The risk of disaster and people's susceptibility to damage or harm from disasters is represented with the concept of vulnerability. Data from the Indian Ocean tsunami, Hurricane Katrina, and genocide in Darfur, Sudan, show poor people suffer disproportionately from disasters. Disaster social work intervenes in the social and built environments to reduce vulnerability and prevent or reduce long-term social, health, and mental health problems from disasters.
Karen Kayser and Jessica K. M. Johnson
This entry presents the demographic trends of divorce and the social changes that have impacted the divorce rate. A cultural perspective of divorce is provided by analyzing divorce in the context of race and gender and across nations. Current explanatory theories of divorce are described. Research on the consequences of divorce on adults and children is presented followed by the practice implications for social workers. Future directions for policy and research are discussed.
Dual degree programs are growing rapidly around the country with increasing numbers of universities offering students an opportunity to earn an M.S.W. along with another degree. While two degrees offer clear benefits to the students and provide revenue to the institutions, they also raise some issues and concerns about the “relative worth” of an M.S.W.