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Nancy Morrow-Howell and Leslie Hasche
Despite high levels of functioning among older adults, chronic health conditions lead to impairment and the need for help. Family members provide most of the assistance; yet formal services such as in-home personal and homemaker services, congregate and home-delivered meals, adult day services, employment and educational services, transportation, nursing homes, assisted and supportive living facilities, legal and financial services, and case management are available. Even with the growing number and type of services, unequal access and uneven quality persist. In these settings, social workers develop and administer programs, provide clinical care, offer case management and discharge planning, and contribute to policy development.
Sarah (Hicks) Kastelic
Alaska Natives represent less than 1% of the U.S. population but reside in more than 229 Native villages and account for 40% of federally recognized tribes. Most Alaska Native communities shared common Euro-American contact experiences: exposure to western religions, education, and disease. Historical trauma contributes to many of the social welfare problems Natives experience today: low educational attainment, unemployment, inadequate health care, substance abuse, and violence. Service delivery mechanisms, lack of cultural appropriateness, and isolation compound these pressing issues. Locally delivered social welfare services that take into account traditional Native worldviews, values, languages, and intergenerational relationships are effective in addressing many of these issues.
Shulamith Lala Ashenberg Straussner and Richard Isralowitz
Social workers commonly encounter individuals and families that have problems resulting from alcohol and other drug (AOD) misuse, abuse, and dependence. This entry provides an overview of AOD problems in the general population and within such subpopulations as young people, the elderly, women, ethnic and racial minorities, and the gay and lesbian community. Clinical and policy responses to these problems in the United States, the roles of social workers in this field, and directions for the future are addressed.
Anna Celeste Burke
Historically, U.S. policy has been characterized by long-standing ambivalence evident in the changing emphasis placed on prohibition as the aim of drug policy, and in debate about the relative merits of various approaches to drug control. Often characterized as supply reduction versus demand reduction efforts, significant changes have occurred over time in these efforts, and in the emphasis placed on them. In the last quarter of the twentieth century, U.S. drug policy adopted a more prohibitionist stance, with increased reliance on a variety of law enforcement, and even military actions, to control the supply and use of drugs, even in the face of evidence for the effectiveness of prevention and treatment, and high costs associated with the burgeoning incarceration rates.
Maryann Amodeo and Luz Marilis López
This entry focuses on practice interventions for working with families and individuals including behavioral marital therapy, transitional family therapy, and the developmental model of recovery, as well as motivational interviewing, cognitive-behavioral therapy, relapse prevention training, and harm reduction therapy. A commonality in these intervention frameworks is their view of the therapeutic work in stages—from active drinking and drug use, to deciding on change, to movement toward change and recovery. We also identify skills that equip social work practitioners to make a special contribution to alcohol and other drug (AOD) interventions and highlight factors to consider in choosing interventions.
There are a range of practice interventions for clients with AOD problems based on well-controlled research.
Flavio F. Marsiglia, David Becerra, and Jaime M. Booth
Prevention is a proactive science-based process that aims to strengthen existing protective factors and to diminish or eliminate other factors that put individuals, families, and communities at risk for substance abuse. Prevention is important because alcohol and drug abuse are a leading cause of morbidity, mortality, and health expenditures in the United States. Alcohol and other drug abuse is also associated with infectious diseases, chronic diseases, emergency room visits, newborn health problems, family violence, and auto fatalities. The comorbidity of drug and alcohol abuse with mental health disorders and HIV adds urgency to the development, evaluation, and implementation of comprehensive and effective prevention interventions. The social work profession plays a key role in substance abuse prevention, as it not only targets the use and abuse of alcohol and other drugs but also aims at reducing the related negative health and psychosocial outcomes and economic burden they produce on individuals and society at large.
Paul A. Abels
Chauncey A. Alexander (1916–2005) was Executive Director of the National Association of Social Workers from 1967 to 1982 and founder and president of the First Amendment Foundation. He was instrumental in developing an International Code of Ethics for social workers.
Litsa Alexandraki (1918–1986) was best known for her work in Greece on matters of child welfare, and the protection of refugees and migrants. She was also elected for three terms as President of the International Federation of Social Workers, a position she held from 1962–1968.
The ally model of social justice is a philosophical approach that is congruent with social work’s values and emphasis on social justice and human rights. Using concepts from multiple identities and social justice, it directs those with privilege to act on behalf of those without privilege who belong to a different social group. It is developmental in nature and contains an extensive list of specific ally characteristics that inform social workers at the intrapersonal, interpersonal, and system levels. Despites its limitations, the ally model of social justice is instructive for all social workers regardless of setting as they continue the profession’s mission to eliminate social injustice.
Cynthia Franklin, Linda Webb, and Hannah Szlyk
This article will cover the current best practices in designing and establishing alternative programs for at-risk students and suggest how social workers can assist in program development and sustainability. At-risk students are youth considered more likely than others to drop out of school due to various factors, including truancy, poor grades, disruptive behaviors, pregnancy, and repeated expulsions or suspensions. The history of alternative education in the United States will be reviewed and the types of alternative educations programs in practice outlined. How the framework of an alternative school differs from that of a disciplinary program will be examined along with initial steps toward development and implementation. Effective strategies explained include establishing a task force, involving the greater community, and implementing evidence-based interventions such as Response to Intervention (RTI) into the school curriculum. An example of a sustainable public alternative education program grounded in solution-focused brief therapy (SFBT) is presented.
Jean K. Quam
Arthur J. Altmeyer (1891–1972) was an administrator in Washington, DC from 1934 to 1953. He was a leader of social welfare policy and helped design and implement the Social Security Act of 1935.
Carole B. Cox
Dementia is not a disease, but a group of symptoms so severe that they inhibit normal functioning. Alzheimer's disease is the most common type of dementia in older persons impacting not only the person with the illness but the entire family. Obtaining an accurate diagnosis is essential in order to assure appropriate and timely care and to exclude reversible causes of dementia. Social workers can play key roles throughout the course of the illness as educators, therapists, supporter and advocates for improved policies and services.
Eric R. Kingson, Dana Bell, and Sarah Shive
This entry examines why our nation’s Social Security system was built, what it does, and what must be done to maintain and improve this foundational system for current and future generations. After a discussion of the social insurance approach to economic security and its underlying principles and values, the evolution of America’s Social Security system is reviewed—beginning with the enactment of the Social Security Act of 1935, through its incremental development, to the changed politics of Social Security since the mid-1990s. Next, program benefits and financing are described and contemporary challenges and related policy options are identified, in terms of both the program’s projected shortfall and the public’s need for expanded retirement, disability, and survivorship protections. The entry concludes by noting that social workers have an important role to play in shaping Social Security’s future.
Kenneth S. Carpenter
Delwin M. Anderson (1916–2007) was director of the Social Work Service in the Veteran's Administration from 1964 to 1974. In his work he laid stress on recognizing the social components of illness and physical injury.
Gwendolyn D. Perry-Burney
Maria Corazon Sumulong Cojuangco-Aquino (1933–2009) was best known as the first female president of the Philippines. She challenged the Marcos regime after her husband’s assassination in 1983, and she won the presidency in 1986.
Kristine J. Ajrouch
This entry defines the term Arab American, followed by a discussion of the two waves of immigration: before 1924 and post-1965. A demographic overview is presented next, drawing from data available through analysis of the ancestry question on the long form of the United States Census. Previously invisible in the scholarly and practice literatures, key concerns related to stereotypes emanating through recent world events, assumptions about gender relations, and struggles concerning family relations are highlighted. Finally, practice implications are considered, with an emphasis on cultural sensitivity and social justice.
The term Arab American is relatively new, signifying a pan-ethnic term meant to capture a diverse group of people who differ with respect to national origins, religion, and historical experiences of migration to the United States. Arab American refers to those individuals whose ancestors arrived from Arab-speaking countries, including 22 nations in North Africa and West Asia. Religious faiths include both Christian and Muslim; Lebanon is the number one country of origin for Arab immigrants to the United States, followed by Syria and Egypt. Defined objectively, any individual with ancestral ties to an Arabic-speaking country may be considered an Arab American. This characterization, however, rests upon a language-based definition, obscuring the cultural and structural variations that differentiate those who fall within this pan-ethnic category (Ajrouch & Jamal, 2007).
Pallassana R. Balgopal
The term Asian Americans encompasses the immigrants coming from all parts of Asia. This heterogeneous cluster of Asian Americans, while sharing some common characteristics, also has unique features among its different ethnic groups. This entry presents an overview of this cluster, including key data relating to individual groups. In addition to specific practice guidelines for effective social work interventions, essential knowledge and skills to work with a variety of Asian groups are discussed throughout the text.
This entry describes the diversity among Asian American populations, setting the context to understand the need for different practice interventions. It explains the role of cultural values in the underpinnings of the selection of theoretical frameworks that guide chosen practice interventions. Indigenous and biculturalizations of interventions (Fong, Boyd, & Browne, 1997) are discussed as they relate to general and specific problems relevant to this population. Challenges and dilemmas are raised as ethical decisions are made among practitioners, who serve the Asian American native born, immigrant, and refugee populations.
Yuhwa Eva Lu
Chinese Americans were the first group of immigrants from Asia who came to the United States in the mid-19th century. A second wave of immigrants came following the Immigrant Act of 1965. These new immigrants had more diverse backgrounds and introduced new patterns of lifestyle. Since 1965, the Chinese population has increased 10-fold to reaching 2.9 million in the 2000 census, becoming 1% of the total U.S. population. Chinese Americans are in a varied background and with diverse identities. Two-thirds are foreign-born and experiencing stereotype, prejudice, and acculturation adjustment.
This overview of the Japanese American community includes a brief history of the community in the United States, an overview of some distinct characteristics of the community, and a review of current literature highlighting the particular issues of the community salient to social work research and intervention.