Namkee G. Choi
Adult day care centers provide important health, social, and support services for functionally and cognitively impaired adults and their caregivers. The adult day care services are underutilized, however, because of the shortage of centers, caregivers' lack of awareness of and resistance to using services, and the mismatch between the needs of potential consumers and their informal caregivers and the services provided by the centers. To foster and support the expansion of adult day care centers, lessons learned from national demonstration programs need to be disseminated, and social workers need to be trained to provide essential services at the centers.
Safeguarding is an area of social work activity concerned with the care and protection of children or adults who have care and support needs and who may be at risk of abuse or neglect. This is a major concern for social workers who usually have prime responsibility for ensuring as far as possible that the vulnerable clients they work with are protected. People’s ability to keep themselves safe is partly determined by their individual circumstances, and this may change at different stages in their life, so it is important that safeguarding is always considered in relation to the wishes of the person concerned. Effective safeguarding depends on a careful consideration of the factors involved and will almost always involve a multi-agency partnership approach. This article will primarily examine the situation regarding safeguarding vulnerable adults in the United Kingdom.
Colita Nichols Fairfax
Afrocentric social work is a concept and praxis approach applicable in environmental and global settings where people of African descent are located. Using concept analysis as a methodology, this article explores Afrocentric social work theory and its applicability in the social sciences. Concept analysis is an examination of a thought or theory with the intent to create a more concise operational definition. Afrocentric social work not only is applicable to racial and social justice issues, it also is applicable to intellectual and philosophical discourses of social work, which has largely ignored Afrocentric social work as a viable theory and philosophical canon. The Walker and Avant method of concept analysis is employed in this article to provide a systemic discourse to define the attributes of Afrocentric social work, as well as its structural elements that scholars and practitioners utilize as a theory and praxis application.
Retirement is a modest social institution that appeared in most industrialized nations near the start of the 20th century. The aim of retirement was to solve the societal dilemma of an increasingly aged labor force by moving older workers systematically out of their jobs so as to not cause them financial harm (Atchley, 1980, p. 264). Although retirement has been considered benign since its inception, the history of retirement indicates that it is one of the main progenitors of ageism in society today (Atchley, 1982, 1993; Haber & Gratton, 1994; McDonald, 2013; Walker, 1990). Retirement and its accompanying stereotypes have been used as a tool for the management of the size and composition of the labor force contingent on the dictums of current markets in any given historical era. Ever-changing ideologies about older adults that extend from negative to positive ageism have been utilized by business, government, the public, and the media to support whatever justification is required in a particular era, with little thought to the harm perpetrated on older adults. Unfortunately, society has subscribed to these justifications en masse, including older adults themselves. In this article the ageism embedded in retirement is examined to make what is implicit explicit to social work practitioners and policymakers in the field of aging.
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.
Larry D. Williams, Blenda Crayton, and Agha Erum Agha
The history of social work education is replete with accounts of how the early charity organizations influenced its development. For example, Toynbee Hall in London inspired the founding of Hull House in Chicago as well as the London Charity Organization, the Women’s University Settlement, and the National Union of Women Workers. In addition, Octavia Hill established one of the first training programs in social work education that emphasized the principles for helping impoverished clients. The program was later expanded in 1890 into a one-year program of courses and supervised practice. Later, the program expanded to outlying areas and provinces and eventually evolved into two-year programs of study at the London School of Sociology
Defining today’s baccalaureate social workers as entry-level professionals is indeed a paradigm shift. Tracy Whitaker, Toby Weismiller, and Elizabeth Clark stated in their 2006 work, “Clearly, the social work profession is at a crossroad. If there are to be adequate numbers of social workers to respond to the needs of clients in the 21st century and beyond, the sufficiency of this frontline workforce, must not only be ensured, it must be prioritized.” In our ever-changing society, the social work profession must rethink the various levels of the profession and recognize, as well as promote, a professional career trajectory that embraces the baccalaureate social work professional. Administrators and faculty of each social work program are responsible for ensuring that students are competent, and that they possess skill sets that will elevate their marketable in a competitive workforce. Recruiting new social workers, replacing retiring social workers, and retaining social workers in the profession are all needed.
Bereavement, which is the circumstance of having experienced the death of a significant other, is associated with significant emotional, cognitive, spiritual, physical, and social disruption. Given its ubiquitous nature, nearly everyone is affected by bereavement at some point, and opportunities for social work intervention with the bereaved are many and varied. This entry provides a brief summary of our extant knowledge about bereavement including its theoretical underpinnings, psychosocial sequelae, and empirical evidence of related interventions.
A generic set of case management functions are performed in most practice settings. To improve outcomes within a complex service delivery system, case managers need to collaboratively work with clients and care providers. By incorporating the paradigm of evidence-based practice, case managers can improve decision making through integrating their practice expertise with the best available evidence, and by considering the characteristics, circumstances, values, preferences, and expectations of clients, as well as their involvement in the decision making.
Helmut K. Anheier and Marcus Lam
Foundations are private institutions for public benefit. With a long history that reaches back to antiquity, foundations are experiencing a renaissance and increased attention paid to them by policy makers. Already by the mid-1980s, observers had begun to report the end of the relative decline in the overall size and importance of the foundation sector—a trend that had characterized the previous decades. Some analysts suggest the possibility of a new, third “foundation wave,” after a first growth period in the late Middle Ages, alongside the rise of commerce and finance, and a second period of growth in the late 19th century, following the industrial revolution. Political stability, an increase in demand for social, educational, and cultural services of all kinds, and economic prosperity are certainly significant factors behind this growth. Yet a more immediate reason is the way in which foundations have been suggesting themselves as instruments of welfare state reform in the broadest sense.
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.
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 past two decades have witnessed a surge in the growth of initiatives and funding to weave physical and behavioral health care, particularly with identification of the high costs incurred by their comorbidity. In response, a robust body of evidence now demonstrates the effectiveness of what is referred to as collaborative care. A wide range of models transverse the developmental lifespan, diagnostic categories, plus practice settings (e.g., primary care, specialty medical care, community-based health centers, clinics, and schools). This article will discuss the foundational elements of collaborative care, including the broad sweep of associated definitions and related concepts. Contemporary models will be reviewed along with identified contextual topics for practice. Special focus will be placed on the diverse implications collaborative care poses for the health and behavioral health workforce, especially social workers.
Jacqueline Mondros and Lee Staples
The authors review the history of community organization, both within and outside social work, describe the various sociological and social psychological theories that inform organizing approaches, and summarize conflict and consensus models in use in the early 21st century. We review the constituencies, issues, and venues that animate contemporary organizing efforts and indicate demographic trends in aging, immigration, diversity, and the labor force that suggest new opportunities for collective action. Finally, the authors discuss dramatic increases in organizing for environmental justice, immigrant rights, and youth-led initiatives, as well as new activities involving information technology, electoral organizing, and community–labor coalitions.
Carolyn I. Polowy, Sherri Morgan, W. Dwight Bailey, and Carol Gorenberg
Confidentiality of client communications is one of the ethical foundations of the social work profession and has become a legal obligation in most states. Many problems arise in the application of the principles of confidentiality and privilege to the professional services provided by social workers. This entry discusses the concepts of client confidentiality and privileged communications and outlines some of the applicable exceptions. While the general concept of confidentiality applies in many interactions between social workers and clients, the application of confidentiality and privilege laws are particularly key to the practice of clinical social workers in various practice settings.
Charles E. Lewis Jr.
The Congressional Social Work Caucus is a bicameral authorized Congressional Member Organization (CMO) founded by former Congressman Edolphus “Ed” Towns In November 2010 during the 110th Congress. The mission of the caucus is to provide a platform in Congress that will allow social workers to engage the federal government. The Social Work Caucus consists of members of the House of Representative and the U.S. Senate who are professional social workers or who generally support the ideals, principles, and issues germane to the social work profession. Because of House Ethic rules, CMOs are prohibited from possessing resources of its own and must depend on the office budgets of its members. Consequently, the Social Work Caucus participated in a number of congressional briefings and seminars in conjunction with other social work organizations such as the National Association of Social Worker (NASW), the Council on Social Work Education (CSWE), and the Social for Social Work and Research (SSWR). These public events covered a wide range of topics such as social workers roles in the Affordable Care Act, military social work, funding for mental health research, and trauma-based practice in child welfare.
Social work is a consulting profession. Often compared with social-work supervision, consultation is relatively voluntary and time limited. Visionaries once anticipated that consultation would become a larger field of practice in which social workers served as consultants. There are indications that the field of consultation has begun to realize some of that promise because consultation is second only to direct practice in how licensed social workers spend time at work. If the primary consumers of social-work consultation are social workers themselves, then this reflects a high standard of practice because seeking case consultation has been codified as a duty in social-work codes of ethics, practice standards, and standards of care.
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.
Continuing education (CE) refers to an array of opportunities by which professionals can augment existing knowledge and skills. CE is essential for professional competence, career development, and compliance with licensing rules and other regulations. CE is offered through a variety of auspices, methods, and venues. Advances in instructional technology and electronic communication have further expanded access to CE opportunities. Ongoing challenges in CE include strategies for assuring quality in CE programming and adequately evaluating skill and knowledge acquisition.
Julia M. Watkins and Jessica Holmes
The Council on Social Work Education (CSWE) provides leadership in social work education through faculty development, research, and accreditation of baccalaureate and master's social work programs. As of February 2012, 689 social work programs were accredited by CSWE. These programs represent an estimated 7,500 faculty members and 82,000 students at the baccalaureate and master's levels. CSWE promotes continued educational innovation and relevancy through setting accreditation standards, which are regularly revised by volunteer representatives from the social work education and practice community and approved by the CSWE Board of Directors.
This article defines cultural competence and culturally competent practice and focuses on cultural awareness, knowledge acquisition, and skill development as key components. It traces the historical development of cultural competence in the disciplines of psychology and social work, pointing out how cultural competence has become a professional standard. Cultural competence has also been recognized on the federal and state health and human services levels. Cultural competence is viewed on the practitioner, agency, and community levels as well as the micro, mezzo, and macro dimensions. Among the implications for practice are the issues of cultural competence and cultural competencies, the ethics of cultural competence, social context, and biculturation and multiculturalization. Cultural competence research is briefly surveyed, as is the relationship between cultural competence and critical race theory.