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Susan J. Wells and Geoff Johnson
The true extent of child abuse and neglect is unknown but reports to state agencies indicate over 3 million reports concerning maltreatment of over 6 million children are made each year. Confirmed reports involved over 679,000 children in 2013. Yet, only 32% of the children known to be harmed by maltreatment in the community are investigated by child protective services. The perplexing dilemma in surveillance and service delivery is how to identify those who need help without spuriously including those who do not. This entry focuses on the definition of maltreatment and provides an overview of the history, etiology, and consequences of child abuse and neglect as well as the current trends and dilemmas in the field. To afford some perspective for the reader, some international data and information are provided.
Susan Frauenholtz and Amy Mendenhall
Mental-health disorders are widely prevalent in children and adolescents, and social workers are the primary service providers for children and families experiencing these disorders. This entry provides an overview of some of the most commonly seen disorders in children and adolescents: attention deficit hyperactivity disorder, oppositional defiant disorder, conduct disorder, separation anxiety disorder, and specific learning disorders. The prevalence, course, diagnostic criteria, assessment guidelines, and treatment interventions are reviewed for each disorder. In addition, the key role of social workers in the identification and intervention of these disorders, as well as ways social workers can support the children and families experiencing these disorders, is discussed.
Child care services, enabling parents to commit themselves to paid employment while providing a supervised environment for their children, have a long and complex history in the United States. Child care services can provide children with educational and other advantages, as well as custodial care. In fact, the United States has multiple kinds of services providing child care and early childhood education. Publicly funded services have concentrated on care for impoverished children and those facing other risks or disadvantages, but many of these children and their families remain unserved because of gaps in programs and lack of support for subsidies, while other families purchase the services they need.
Usha Nayar, Priya Nayar, and Nidhi Mishra
The paper presents a global scenario of child labor by placing the issue in a historical context as well as comparing current work in the field. It specifically explains the psychosocial, political, and economic determinants of child labor and the prevalence of different forms as well as its magnitude in the different regions of the world. It features innovative programs and actions taken against child labor by local governments, civil societies, and United Nations bodies—mainly the International Labor Organization and the United Nations Children’s Fund. The paper also highlights multilateral collaborations among the UN and other international agencies that stand against child labor in general and the employment of children in hazardous conditions. It illustrates the cooperation among local governments, civic organizations, and child-rights movements that have brought gradual changes over the decades toward ending child labor. Further, it suggests that social work, relevant professional schools, and associations working in various disciplines should be engaged in research-based advocacy and find innovative solutions to control child labor.
Dorinda N. Noble
Children are interesting, resilient people, whose lives are often perilous. Social workers deal extensively with children and families, and with policies that affect children, to help children and families overcome family disruption, poverty, and homelessness. Social workers also provide mental health care while working to ensure that children get medical care. Schools are areas of practice for social workers dealing with children. The issues of ethical practice and social justice for children are complex.
Anthony N. Maluccio
Social work has a long tradition of direct practice with children in a range of settings, such as child welfare, child guidance, hospitals, schools, and neighborhood centers. This entry focuses on general principles and strategies for direct social work practice with preadolescents and, to a lesser extent, their families, within an eclectic conceptual framework.
James K. Whittaker
This entry addresses the current state of therapeutic group care services for children and youth. Demographic programmatic trends and research findings are reviewed as are emergent issues and critical questions for further research and practice innovation. Suggestions for improvement of therapeutic group care services are offered in the context of an overall spectrum of services for children and families.
Barbara L. Jones and Casey Walsh
Despite rapid medical advances, children in this country still face significant barriers to adequate health care, including unequal access to insurance and health care. There is great need and opportunity in our nation at this time to advocate for the advancement and prioritization of pediatric health care. Children remain vulnerable to the challenges of poverty, violence, firearms, mental health, and health care access. Social workers play an important role in assisting children and families who face health care crises by providing supportive services, advocacy, culturally grounded assessment, trauma informed care, and evidence-based interventions to improve healthcare outcomes and quality of life. The Patient Protection and Affordable Care Act (ACA), signed into law in 2010, has increased access to pediatric health and behavioral health services. While the future of this law is uncertain at the time of this writing, social work is and will continue to be an important discipline to assist children and families in the areas of health promotion and adaptation to illness and injury.
The United Nations has defined six grave violations that occur in war that impact children: killing or maiming of children, recruitment or use of children as soldiers, sexual violence against children, attacks against schools or hospitals, denial of humanitarian access for children, and abduction of children. These violations have a myriad of negative impacts on children, including biological, psychological, and social effects. Culturally appropriate support and care provided at the micro, mezzo, and macro levels can help alleviate these impacts and help children recover from these experiences.
William Elliot III and Melinda Lewis
Children’s Development Accounts (CDAs) are a policy vehicle for allocating intellectual and financial resources to low- and moderate-income children. Unlike basic savings accounts, CDAs leverage investments by individuals, families, and, sometimes, third parties. By giving families savings incentives and building universal and progressive vehicles for saving, CDAs may improve the financial health of low-income families and the educational outcomes of their children, reducing or even eliminating asset advantages currently enjoyed by wealthier families.
Shirley Gatenio Gabel
The history of social work is deeply rooted in helping vulnerable populations improve their well-being, and children have been at the forefront of these efforts since the inception of the profession. Health is long understood to be critical to children’s well-being. Social workers who are skilled in integrating different systems can play pivotal roles in engineering new and improving existing health-care infrastructures and can act as advocates for fusing health-service systems with other social infrastructures to optimize outcomes for children. This entry reviews trends in children’s health throughout the world, particularly in the United States. It describes the dramatic improvements in reducing infant mortality, child mortality and morbidity from many infectious diseases as well as accidental and environmental causes, and the unequal progress in realizing children’s health. The challenges that lie ahead that pose risks to children’s health are discussed, including the health inequities created among and within countries by social, economic, and political factors. An argument for a comprehensive, integrated, evidence-based, and cross-disciplinary approach to improve children’s future health is presented.
Karen M. Staller
Children's rights can refer to moral rights—basic human rights regardless of age or station—and legal rights, those awarded based on chronological age or level of maturity. They are conceptualized in three categories: protection rights (the right to be free from harm and exploitation), provision rights (the right to have their basic needs met), and participation rights (the right to have a say). Children's rights can conflict with family autonomy, and state intervention is based on the common law doctrine of parens patriae. The UN's Convention on the Rights of the Child is the most comprehensive statement of children's rights to date.
Delanie P. Pope and Joseph Kozakiewicz
Child support is the legal mechanism requiring parents to share in the economic support of their children. Under the law, parents are obligated to support their children regardless of whether they reside with them. Support calculations for noncustodial parents are based on many different factors, which vary from state to state. Enforcement is the single biggest challenge in the area of child support. The federal government continues to pass laws enhancing states' enforcement capabilities. Recipients of child support differ by race and ethnic group. Child support obligations are distinct from alimony and are usually independent of parenting time.
Peter J. Pecora
The mission of child welfare is multifaceted and includes: (a) responding to the needs of children reported to public child-protection agencies as being abused, neglected, or at risk of child maltreatment; (b) providing children placed in out-of-home care with developmentally appropriate services; and (c) helping children find permanent homes in the least-restrictive living situations possible; and (d) providing “post-permanency” services to children so they do not return to foster care. This section describes the mission, scope, and selected issues of major child-welfare-program areas.
Mark E. Courtney
Child welfare services in the United States evolved from voluntary “child saving” efforts in the 19th century into a system of largely government-funded interventions aimed at identifying and protecting children from maltreatment, preserving the integrity of families that come to the attention of child welfare authorities, and finding permanent homes for children who cannot safely remain with their families. Since the 1970s, the federal government has played an increasing role in funding and creating the policy framework for child welfare practice. That child welfare services are disproportionately directed toward members of ethnic and racial minorities has been an enduring concern.
Tanya Smith Brice
Shirley Chisholm (1924–2005) was a political leader and activist best known as the first African American woman elected to the US House of Representatives and the first African American to seek the Democratic Party nomination for US President.
Diana R. Garland
The term “Christian social services” refers to the involvement of persons and agencies that identify themselves as having a Christian faith orientation that motivates their response to the material and interpersonal needs of persons not met by family or the larger community. This entry describes formalized services provided through organizations, including congregations, as well as agencies and organizations affiliated with congregations.
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.
Tanya Smith Brice
Jay Carrington Chunn, II, (1938–2013), was a leader in social work education, a professor, and an author who focused on public health and policy within urban populations.
Citizen participation is a process through which people served by government and nonprofit organizations can provide input about how these services are offered. Citizen participation is particularly beneficial in low-income neighborhoods. Local control of neighborhood decision making helps low-income people and communities of color counter the effects of economic and social oppression. Social workers can work with communities to increase their power and influence in public decision-making. They can also facilitate the development of leadership and political skills among agency clientele by creating organizational structures that encourage their participation in agency decision-making.