Marriage remains a central institution among all races and ethnic groups. Legalized marriages have become an important aspect of family life among LGBTQIA (lesbian, gay, bisexual, transgender, queer and questioning, or intersex, asexual or allied) community. Given the cultural significance that marriages underscore in all communities, applied social scientists should have access to the most appropriate and affirming interventions. By having knowledge about and access to a wealth of marital interventions, social workers, family therapists, community developers, counselors will be empowered to attend to the needs of couples who desire to experience purposeful marriages. This in turn will strengthen family and community life for all who value intimacy. This article explores a brief history of marriage in America, specifics with regards to cultural groups, and a variety of interventions that may be reproduced in best practice approaches from a conflict theory lens.
Colita Nichols Fairfax
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.
Amira M. Khan, Zohra S. Lassi, and Zulfiqar A. Bhutta
Nearly 80% of the world’s population lives in low- and middle-income countries (LMICs) and these regions bear the greatest burden of maternal, neonatal, and child mortality, with most of the deaths occurring at home. Much of global maternal and child mortality is attributable to easily preventable and treatable conditions. However, the challenge lies in reaching the most vulnerable communities, especially the rural populations, making it imperative that maternal, newborn, and child health (MNCH) interventions focus on communities in tandem with facility-based strategies. There is widespread consensus that delivering effective primary health care (PHC) interventions through the continuum of care, starting from pregnancy to delivery and then to the newborn, infant, and the young child, is an integral component of health strategies in high-, middle- and low-income settings. Despite gaps in research, several effective community-based PHC approaches have been proven to impact MNCH positively. Implementation of these strategies is needed at scale in LMICs and in partnership with all stakeholders including the public and private sector. Community-based PHC, operating on the principles of community engagement and community mobilization, is now more critical than ever. Further robust studies are needed to evaluate certain strategies of community-based PHC and their impact on maternal and child health outcomes, such as the use of mobile technology and social franchises. Recognition of community health workers (CHWs) as a formal cadre and the integration of community-based health services within PHC are vital in strengthening efforts to impact maternal, neonatal, and child health outcomes positively. However, despite the importance of community-based PHC for MNCH in LMICs, the existence of a strong health system and skilled workforce is central to achieving positive health outcomes in these regions.
Brian A. Gerrard and Gertina J. van Schalkwyk
School-based family counseling (SBFC) is an integrative systems approach to helping children succeed academically and personally through mental health interventions that link family and school. SBFC may be practiced by any of the mental health approaches and is best viewed as a supporting approach to traditional mental health disciplines. An important precursor to SBFC was the guidance clinics attached to schools that were developed by the psychiatrist Alfred Adler in Vienna in the 1920s. A core assumption in SBFC is that the two most important institutions in the life of a young child are the family and the school and that an effective way to help children is by mobilizing both family and school resources. SBFC has eight strengths: school and family focus, systems orientation, educational focus, parent partnership, multicultural sensitivity, child advocacy, promotion of school transformation, and interdisciplinary focus. Despite its early origins, SBFC remains a new approach that challenges traditional mental health disciplines that focus on either school or family, but not both. There is moderate evidence-based support (EBS) for the effectiveness of SBFC, but further research is needed on different approaches to SBFC.
In social work, social capital is linked to both the prevention and treatment of mental and physical health. This concept has also been incorporated in the development of empowering interventions with marginalized minorities. The capacity-based and the youth development models of intervention, both call on social service organizations to work interdependently around meeting the needs for the human and social capital growth of youth (Morrison, Alcorn, & Nelums 1997). Social capital is also a feature of empowering interventions in neighborhoods and community development, as is collective efficacy, which is a measure of working trust that exists among residents and has been popularized as a way to stop youth high-risk behavior.
Adam M. Smith
One of the primary goals of the United Nations (UN) is to provide justice. The vast majority of mentions of “justice” in the UN Charter relate to the creation of the International Court of Justice (ICJ), one of the UN’s five principal organs. However, this body is not empowered to take cases on behalf of aggrieved individuals or even to prosecute individual malefactors. Rather, it is “justice” for states that is its goal. Meanwhile, the treaties signed at the 1948 Peace of Westphalia radically delimited the arena of international affairs. Most importantly, Westphalia held as paramount the noninterference by other states in the internal affairs of other members of the international community. Rejecting the logic of Westphalia, the notions of “humanitarian intervention” and the “responsibility to protect” refer to the legal right and/or obligation for a state to interfere in another state for purposes of humanitarian protection. Consequently, the UN established the International Criminal Tribunal for the Former Yugoslavia (ICTY) in order to address the carnage ongoing in the Balkans, as well as the International Criminal Tribunal for Rwanda (ICTR), which targeted that country’s 1994 Hutu–Tutsi violence. Meanwhile, the International Criminal Court (ICC), a non-UN institution, is the first permanent international tribunal devoted to justice in the wake of mass crimes. Each of these post-Cold War international tribunals have been concerned with the enforcement of International Humanitarian Law (IHL). Ultimately, however, the international community continues to hold fast to central elements of Westphalian protections.