Michele Rountree and Courtney McElhaney Peebles
Communities of color are disproportionately burdened by the prevalence of HIV/AIDS. Research has shown that race and ethnicity in the United States are population characteristics that correlate with other fundamental determinants of health outcomes. This entry will chronicle the history of the epidemic, report the disparate impact of the disease affecting communities of color, and acknowledge the social determinants of health that contribute to the vulnerability of risk. A call to address the imbalance of health inequities, with a complement of individual-level interventions and new approaches that address the interpersonal, network, community, and societal influences of disease transmission, is discussed.
Tracy M. Soska
Housing, especially homeownership and affordable housing, remains essential to the American Dream but also among our most challenging social issues, particularly given the collapse of the housing market in the early 21st century. Housing and affordable housing are inextricably linked to both our national economic crisis and our wavering social policies. Housing is both symptomatic of and a catalyst for overarching social and economic issues, such as poverty, economic and educational inequality, and racial disparities, and it remains an unmet need for a significant portion of our population, such as the elderly, disabled, victims of abuse, those aging out of child welfare, veterans, ex-offenders, and others who encounter unique difficulties and lack of supportive services and service coordination. Advancing comprehensive and coordinated housing policies and programs remains important for social work and in the struggle for decent and affordable housing for all.
Joseph M. Wronka
At the heart of social work, human rights are a set of interdependent guiding principles having implications for meta-macro (global), macro (whole population), mezzo (at risk), micro (clinical), meta-micro (everyday life), and research interventions to eradicate social malaises and promote well-being. They can be best understood vis-à-vis the UN Human Rights Triptych. This consists of the Universal Declaration of Human Rights, increasingly referred to as customary international law on the center panel; the guiding principles, declarations, and conventions following it, on the right panel—like the conventions on the Rights of the Child (CRC), Elimination of Racial Discrimination (CERD), and Elimination of Discrimination Against Women (CEDAW); and implementation mechanisms, on the left panel—like the filing of country reports on compliance to conventions, the Universal Periodic Review, thematic and country reports by special rapporteurs, and world conferences. Briefly, this powerful idea, which emerged from the ashes of World War II, emphasizes five crucial notions: human dignity; non-discrimination; civil and political rights; economic, social, and cultural rights; and solidarity rights. Whereas this article emphasizes issues pertaining to the United States, it touches upon other countries as appropriate, calling for a global vision in the hopes that every person, everywhere, will have their human rights realized. Only chosen values endure. The challenge, through open discussion and debate, is the creation of a human rights culture, which is a lived awareness of these principles in one's mind, heart, and body, integrated dragged into our everyday lives. Doing so will require vision, courage, hope, humility, and everlasting love, as the indigenous spiritual leader Crazy Horse reminds us.
Obie Clayton and June Gary Hopps
The National Association of Social Workers (NASW) affirms a social worker’s responsibility to social change and social justice on behalf of vulnerable and oppressed peoples (NASW, 2008). Because of this directive around social justice, it is the profession’s responsibility to make connections between individual human rights issues within the broader social, economic, and cultural context that creates conditions where injustice can take place. This article attempts to illustrate how social workers in the twenty-first century must be able to recognize and emphasize human rights in their practice on a local, national, and international level. The article also shows the need for social workers to be the catalyst bringing attention to the need to craft solutions to human rights violations that take into account global human rights standards.
Noël Busch-Armendariz, Maura Nsonwu, Laurie Cook Heffron, and Neely Mahapatra
Human trafficking has become a major national and international problem, and while research suggests that trafficking in human beings for the purpose of cheap labor is higher than trafficking for the purposes of sexual exploitation, much less is understood about labor trafficking. This entry summarizes the current knowledge about labor trafficking including important definitions, describes ways in which people are exploited for labor, outlines related policies and laws, summarizes needs of survivors, and offers ways in which social workers are and can be involved in responding to this crime.
Food insecurity and hunger are serious problems around the world, with an estimated 870 million people chronically undernourished. The vast majority of these people—an estimated 14.9%—live in developing countries. Although federal food and nutrition assistance programs and the generally high standard of living in the United States have eliminated the more extreme forms of hunger found in developing countries, less severe but nonetheless serious forms of hunger and food insecurity affect millions of households. Food and nutrition programs require adequate funding, increased access, and further evaluation, but to achieve the goals of ending hunger and assuring food security for all, multisectoral strategies that address the macro-level determinants of food security are needed.
Uma A. Segal
Individuals and families from around the globe form a continuous stream of immigrants to the United States, with waiting lists for entry stretching to several years. Reasons for this ongoing influx are readily apparent, because the United States is one of the most attractive nations in the world, regardless of its problems. There is much in the United States that native-born Americans take for granted and that is not available in most other countries, and there are several amenities, opportunities, possibilities, lifestyles, and freedoms in the United States (U.S.) that are not found together in any other nation. In theory, and often in reality, the U.S. is a land of freedom, of equality, of opportunity, of a superior quality of life, of easy access to education, and of relatively few human rights violations. This entry will focus on immigration policy through legislative history and its impact, demographic trends, the economic impact, the immigrant workforce, educational and social service systems, ethical issues, and roles for social workers.
Carmen Monico, Karen Smith Rotabi, and Taghreed Abu Sarhan
International development, humanitarian aid, and relief are at the heart of international social work practice. They have evolved historically and globally; shaped by world markets, social and environmental forces, including natural disasters. Considering this context, the authors cluster relevant social-work theories and practices as (a) human rights perspectives, and (b) ecological, feminist, and cultural theories. They discuss both micro and macro practice, with an emphasis on the latter. Case studies are presented with the overlay of relevant international conventions, guidance, and international private law. A continuum of humanitarian assistance is presented considering different countries. Guatemala is a prominent example in addition to Haiti’s massive earthquake of 2010 with recent revelations of sexual abuse and exploitation by humanitarian aid workers, post-conflict community-based practices in Afghanistan, and the largest cross-border forced migration in modern history of Iraqi, and Syrian refugees with this second group being of particular concern given their mass displacement. Capacity building as related to social work training is emphasized. This entry concludes that much remains to be accomplished with regard to capacity building among humanitarian assistance organizations so that the principles and practice strategies of international social work are institutionalized.
Michael Sherraden, Li-Chen Cheng, Fred M. Ssewamala, Youngmi Kim, Vernon Loke, Li Zou, Gina Chowa, David Ansong, Lissa Johnson, YungSoo Lee, Michal Grinstein-Weiss, Margaret M. Clancy, Jin Huang, Sondra G. Beverly, Yunju Nam, and Chang-Keun Han
Child Development Accounts (CDAs) are subsidized savings or investment accounts to help people accumulate assets for developmental purposes and life course needs. They are envisioned as universal (everyone participates), progressive (greater subsidies for the poor), and potentially lifelong national policy. These features distinguish CDAs from most existing asset-building policies and programs around the world, which are typically regressive, giving greater benefits to the well-off. With policy innovation in recent years, several countries now have national CDA policies, and four states in the United States have statewide programs. Some of these are designed to be universal and progressive. Evidence indicates that true universality can be achieved, but only with automatic account opening and automatic deposits. In the absence of automatic features, advantaged families participate and benefit more. Today, momentum for universal and automatic features is gradually gaining traction and accelerating. At this stage in the emergence of inclusive asset-based policy, this is the most important development.
The International Council on Social Welfare (ICSW) is a nongovernmental organization (NGO) focused on advocacy, knowledge-building, and technical assistance projects in various areas of social development carried out at the country level and internationally. Created in 1928 in Paris to address the complexities and challenges of social work, the ICSW has evolved through the years to embrace the major issues of social development, becoming a global organization committed to improving human well-being. Establishing common ground on issues of international significance and acting with partners through its nine regional networks, ICSW represents national and local organizations in more than 70 countries throughout the world. Membership also includes major international organizations. By virtue of its constitution, it operates as a democratic and accountable organization.
M. C. Terry Hokenstad
Social work education's development and focus around the world reflects the increasing reality of global interdependence in the initial decade of the 21st century. A number of countries have recently initiated programs of education for social workers, and there are an increasing number of international exchange programs for students and faculty. There continues to be considerable diversity in the focus and structure of educational programs across nations, but a recently developed set of Global Standards for Social Work Education and Training provides a common framework that can be voluntarily applied and adapted to local conditions.
Bonnie E. Carlson
Intimate partner violence—physical, emotional, or sexual abuse experienced in both heterosexual and same-sex relationships—has emerged as a significant and complex social problem warranting the attention of social workers. Numerous risk factors have been identified in individual perpetrators and victims, as well as at the level of the relationship, community, and society. Partner violence has diverse consequences for female victims, as well as for perpetrators and children who are exposed to it. Although many female victims do seek help and end abusive relationships, seeking help from professionals such as social workers is often a last resort.
Jill Theresa Messing
Intimate partner violence—the continual and systematic exercise of power and control within an intimate relationship that often also includes physical and sexual violence—has emerged as a significant and complex social problem warranting the attention of social workers. Risk and protective factors have been identified at the individual, family, community, and societal levels. Some of these risk factors for repeat and lethal violence have been organized into risk assessment instruments that can be used by social workers to educate and empower survivors. Intimate partner violence has multiple negative health and mental health consequences for female victims and their children. Social workers in all areas of practice should be prepared to intervene with victims of intimate partner violence in a culturally competent manner using a strengths-based framework.
Lori Messinger and Jennifer Wheeler Brooks
This entry provides an overview of research on lesbians in the United States using an overarching framework of oppression and empowerment. Historical and current demographic and cultural information about lesbians will be reported, along with an analysis of personal and environmental factors critical to social work practitioners' ability to enhance the well-being of lesbian individuals, couples, and families.
Elaine M. Maccio
This entry briefly covers the history, demographics, research, clinical practice, diversity, debates, and trends surrounding marriage and domestic partnership in the United States. Who marries and why, when, and at what rate people marry is covered, as are some of the statistics behind alternatives to marriage, such as cohabitation, domestic partnership, and civil unions. It is beyond the scope of this entry to discuss in detail relationship dissolution and divorce, although information is provided insomuch as it relates to marriage and domestic partnership.
The ability to form close relationships with others is a crucial component of life span development. In fact, an inability to do so may be considered partial criteria for some types of mental disorders (American Psychiatric Association, 2000). Psychologist Erik Erikson (1980) theorized that young adults must master intimacy over isolation if they are to move successfully through his proposed stages of psychosocial development. Apart from these theoretical obligations, much of global society sanctions the forming of close relationships that it deems appropriate. Proms, engagements, weddings, and anniversary celebrations serve to socially reinforce (usually heterosexual) couplings and the norms surrounding acceptable relationships.
Marriage is the legal, and most often consensual, partnering of two persons of either sex. Domestic partnership can refer to any unrelated persons 18 years of age or older living together for a minimum specified period of time (for example, one year) and in a financially interdependent relationship. Both unmarried heterosexual couples and same-sex couples can apply for domestic partner status in those jurisdictions, companies, and institutions that recognize it. However, such distinction still falls short of the 1,138 federal benefits and protections afforded to legally married couples (U.S. General Accounting Office, 1997, 2004). For example, access to a partner's Social Security benefits, Medicaid and Medicare benefits, and veterans' pensions, and the exemption from gift and estate tax liabilities, are just a few of the laws mentioned in the U.S. Code that are affected by marital status. Only marriage offers couples such entitlements; civil unions, a proposed substitute for same-sex marriage and available in only a handful of states, afford no federal benefits and protections.
Victoria M. Rizzo and Rebekah Kukowski
In 1965, Titles XVIII and XIX of the Social Security Act were passed, creating Medicare and Medicaid and laying the foundation for US healthcare policy. Medicare was originally created to meet the specific medical needs of adults age 65 and older. Currently, individuals with end-stage renal disease, amyotrophic lateral sclerosis (ALS), and other disabilities may also receive Medicare, regardless of age. Medicaid was established to provide a basic level of medical care to specific categories of people who are poor, including pregnant women, children, and the aged. As part of the Affordable Care Act (ACA), states are provided with the opportunity to expand Medicaid to close the coverage gap for public health insurance. This entry provides explanations of Medicaid and Medicare and associated social healthcare programs in the United States. An overview of significant programming developments and current issues of legislative consideration are also provided.
Charles D. Cowger
This entry discusses the relationship of war and peace to social work practice. The historic and current mandate for social workers to work for peace is presented. The inevitable tie of war to everyday social work practice is described, and the relationship between social justice and peace is illustrated.
Demetrius S. Iatridis
Major socioeconomic developments during the last decades of the twentieth century and the beginning of the new millennium, including globalization, urbanization, the diminishing nationally funded welfare state, privatization, the U.N. Millennium Development Goals, and the consequent rapid expansion of private nonprofit health and welfare organizations, contributed greatly to the integration of social policy in macro social work practice. In this context, policy practice based on specific macro social work knowledge, values, and skills includes problem-solving intervention methods for human wellbeing. This transformation challenges and enhances social work's goals for both individual and societal development.
Political ideologies shape public policy debates as well as the social policy strategies developed to address social problems. The clashes among these long-standing political traditions—conservatism, liberalism, radicalism—reflect fundamental and often irreconcilable differences regarding social, economic, and political life. Ideology also shapes theories of racial and gender inequality. These ideological perspectives and theories are compared for their views on several core issues that underpin social welfare provision, including human nature, need, the general welfare, social problems, and the role of government. The resulting distinctions provide social workers with a framework to more effectively assess contemporary social welfare policies.
Since the Progressive Era, social workers have played important roles in political struggles for social justice. They have criticized, designed, and implemented an array of social policies and have increasingly campaigned for and held political office. Even so, there has been considerable ambivalence within the profession about the extent to which social workers should engage in political action. A major challenge facing the profession during this century will be to ensure that social work students and practitioners understand the impact of political processes on their own and their clients' lives and develop the skills to identify which forms of political intervention are effective for different goals and contexts.