This article discusses the African American social welfare system that began to develop during the early 20th century. This social welfare system, designed by African Americans to serve African Americans, addressed needs that were not being met by any other formal social services while the nascent social work profession was emerging. The myriad programs included settlement houses, boys and girls programs, training schools, and day nurseries. The women’s club movement played a critical role in the development of this social welfare system and provided much of the impetus for change and inclusion. Through formal organizations, including the National Urban League (NUL) and the Universal Negro Improvement Association (UNIA), and an array of clubs and social groups, social services were extended to urban and rural communities throughout the United States.
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Article
African American Social Welfare History
Iris Carlton-LaNey
Article
African Americans Overview
Larry E. Davis, Trina R. Williams Shanks, and John M. Wallace Jr.
Since their arrival 400 years ago, African Americans have endured 246 years of chattel slavery and 100 years of apartheid followed by decades of systematic racial discrimination and injustice. Nevertheless, Africans and their descendants have contributed significantly to the building of the United States and have greatly influenced every sector of society. To document this tenuous position, we summarize key demographic, economic, and social trends as well as the potential role of macro social work to improve outcomes. Present-day racism in the United States is persistent and frequently underestimated, so combatting anti-Blackness and White supremacy at structural and societal levels is essential.
Article
Alaska Natives
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.
Article
Asylum Seekers, Refugees, and Immigrants in the United States
Miriam Potocky and Mitra Naseh
This article presents introductory information on asylum seekers, refugees, and immigrants in the United States, including distinctions among them, major regions of origin, demographic, and socioeconomic characteristics, challenges in social, economic, and cultural adaptation, and best practices for social work with these populations.
Article
Black Lives Matter
Mildred Delozia and Charles M. S. Birore
Black Lives Matter (BLM), which led to the Black Lives Matter movement (BLMM), has been described as a movement with a global following. The movement is aligned with the social work profession’s purpose and values. The social work profession is a human rights profession and has a history of involvement with movements, beginning with the settlement house movement in the late 19th century. The BLMM frames its narrative based on human rights and espouses an agenda that calls out injustice in all facets of social justice. Therefore, a central aim is to understand the BLMM from multiple perspectives. Definitions, theoretical perspectives, and types of social movements are presented, and then the framework of social movements is used to understand the BLMM. Finally, the BLMM is examined in relation to historical social movements, advocacy organizations, and criminal justice reform.
Article
Conflict Theory for Macro Practice
Susan P. Robbins and George S. Leibowitz
Conflict theory encompasses several theories that share underlying assumptions about interlocking systems of oppression and how they are maintained. The relevance of Marx’s theory of class conflict, C. Wright Mills’s power elite, and pluralist interest group theory are all important to understand and address social and economic gaps and informing policy for macro practice.
Conflict theory can provide an understanding of health disparities, racial differences in mortality rates, class relationships associated with negative outcomes, poverty, discrimination in criminal justice, as well as numerous factors that are broadly associated with inequality embedded in social structures. Social workers play a significant role in addressing disparities in research, curricula, primary and secondary intervention, and public policy, and conflict theory can provide the framework necessary to enrich this understanding.
Article
Cultural Equity and the Displacement of Othering
Rhea Almeida
This article proposes social equity as a paradigm to guide social work practice and education. “Cultural equity” encompasses the multiplicity of personal, social, and institutional locations that frame identities in therapeutic practice as well as the classroom by locating these complexities within a societal matrix that shapes relationships of power, privilege, and oppression. Foregoing cultural competency for a cultural equity framework requires both analysis and interruption of the “otherizing” process inherited through multicultural discourses and the legacies of colonization. Through the use of education for critical consciousness, accountability through transparency, community-learning circles, progressive coalition-building, and usage of action strategies, transformative potential is revealed across multiple sites, both local as well as global. Multiple illustrations for the coherent application of cultural equity in social work practice and education are offered.
Article
Demographics
Pamela P. Chiang and Hsiu-Fen Lin
This is an overview of the latest social demographic trends in the United States that are particularly significant for social work macro practice, including population changes, projections, and compositions affected by race and ethnicity, nativity, age, and sex and gender. We examine the history of the census survey, the controversial attempt to reinstate a citizenship question in the 2020 census, and the measurement change of the race/ethnicity question in census surveys across decades. In addition, trends in marital status, family structures, socioeconomic status as well as educational attainment, poverty, and income inequality are discussed. Finally, implications about how demographic data inform and impact social work in education, practice, policy, and research are addressed.
Article
Digital Technology
Gina Griffin
As technological advances continue to develop, delivering macro human service through social work innovations becomes a new priority for the discipline. Digital technologies offer potential applications using tablets, smartphones, cloud computing, artificial intelligence, and wearable technology to enable whole new possibilities for human services. As a result, policymakers and community organizers alike can access the existing information much faster, and potentially connect with hard-to-reach communities to make meaningful decisions. Incorporating the latest digital trends from business and industry settings to macro social work practice are highlighted. By utilizing digital technology, human service organizations can become more proactive and citizen-centered, potentially transforming personal and economic capacity.
Article
Discrimination
Kendra P. DeLoach McCutcheon
Social workers have a responsibility to challenge discrimination and promote social and economic justice. To fulfill this responsibility, it must be understood how discrimination exists and the detrimental affect it has on both the psychosocial functioning and well-being of individuals who are marginalized, disenfranchised, and disempowered (targeted groups) and individuals who have privilege, resources, and power (advantaged groups).
Article
Ecological Social Work
Uschi Bay
Ecological social work requires a shift in thinking for social workers because it does not place humans at the center of its concerns. Rather, ecological social work puts the interrelationship between humans and nature at its center. This radically de-centered view of humanity aims to bring consideration of the planet and all of its environmental systems into decision-making to ensure the sustainability of natural resources for the long term. Ecological principles can guide social work practice, research, and education in ways that promote a transition to sustainable practices in every sphere of life. Widespread ecological consciousness is advocated as an important focus for change by some social work authors promoting this approach. A global consciousness is understood to enable humanity’s capacity to deal with the growing concerns about the survival of planet Earth as a suitable habitat for humans, animals, and plants. Humanity’s activities are understood to contribute to the ongoing degradation of fresh water, fertile soils, and pollution of the atmosphere. Drastic changes in the way humans behave and relate to the Earth are considered necessary at the global, national, and local levels. Social workers are thus called on to engage with others in taking on significant roles in many areas of practice to facilitate these crucial societal transformations.
Article
Financial Capability
Margaret Sherrard Sherraden, Jin Huang, and David Ansong
In a context of financial insecurity and inequality, exacerbated by a global pandemic in which many people are struggling to survive, financial capability has become increasingly important. Financial capability combines the ability to act with the opportunity to act in ways that contribute to financial well-being. Improving financial capability requires improved lifelong access to appropriate and beneficial policies, financial products, and services, along with financial education and guidance. Historically, social work played a key role in building financial capability through interventions in households, organizations, communities, and policies. In the 21st century, despite significant developments, social workers must do more to eliminate systemic and persistent economic, racial, and political barriers to financial well-being.
Article
Hate Crimes
Nancy A. Humphreys and Shannon Lane
Hate crimes and their traumatic repercussions are an important area for social worker intervention. This entry will examine how hate crimes are defined and handled, and the difficulties inherent in categorizing and responding to them. Collection of hate crime statistics and hate crime–related legislation are reviewed. The entry will also examine how social workers can help victims and perpetrators and influence how society conceptualizes and prevents hate crimes and their consequences.
Article
Health Disparities and Inequities
Sandra Wexler and Valire Carr Copeland
Despite technological advances and changes in healthcare delivery, some groups in the United States continue to have better health-related outcomes than others. This article discusses health disparities and inequities—differences in health status and healthcare utilization that are influenced by complex social, structural, economic, and cultural factors. It begins by exploring the “problem” with health disparities—what makes them problematic and for whom they are problematic. Factors contributing to health inequities, commonly referred to as social determinants, are then reviewed. Finally, the article considers early 21st-century policy and programmatic responses as well as future directions, including social workers’ role as macro practitioners.
Article
HIV/AIDS and People of Color
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.
Article
Human Rights and Social Work
Obie Clayton and June Gary Hopps
The National Association of Social Workers affirms a social worker’s responsibility to social change and social justice on behalf of vulnerable and oppressed peoples. Because of this directive around social justice, it is the profession’s responsibility to make connections among individual human rights issues within the broader social, economic, and cultural contexts that create conditions where injustice can take place. Social workers in the 21st century, especially those working at the policy or macro level, must be able to recognize and emphasize human rights in their practice and policy recommendations on local, national, and international levels. Social workers can bring attention to the need to craft solutions to human rights violations that take into account global human rights standards.
Article
Immigration Policies in the United States
Uma A. Segal
Immigrants from around the globe form a continuous stream to the United States, with waiting lists for entry stretching to several years. Reasons for ongoing arrivals are readily apparent; the United States continues to be one of the most attractive nations in the world, regardless of old and new 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 that do not appear to be found together in any other nation. In theory, and often in reality, the United States 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 policy most relevant to migrants as is evidenced through legislative history and its impact on demographic trends, the economy, the workforce, educational and social service systems, ethical issues, and roles for social workers. “Immigration policy” should be distinguished from “immigrant policy.” The former is a screening tool determining eligibility entry into a country; the latter, on the other hand, provides insight into national policies specifically designed to enable integration (or segregation) of immigrants once they have entered its borders.
Article
Income and Wealth Inequality
Laurel Sariscsany
Reversing extreme economic inequality is one of the grand challenges for social work, identified as one of the most critical issues in the field. Two key types of economic inequality, income and wealth inequality are described. Although, wealth and income inequality are often discussed synonymously they have differing levels of inequality and impact clients’ lives differently. Perhaps more importantly, as this article describes, solving income and wealth inequality require differing solutions. The article further explores the specific income and wealth inequality experienced by women and people of color, due in part to discrimination. Lastly, the efforts of social workers to address economic inequality through research, practice, and advocacy are described.
Article
Indigenous and Tribal Communities
Megan G. Sage
Indigenous populations have experienced hundreds of years of historical trauma, systemic racism, and oppression since colonization began in the Americas, Australia, and New Zealand. Settler colonialism has created and continues to perpetuate historical and ongoing trauma and systemic racism in Indigenous populations. Despite considerable diversity and resilience among Indigenous populations globally, there is a clear pattern of significant disparities and disproportionate burden of disease compared to other non-Indigenous populations, including higher rates of poverty, mortality, substance use, mental health and health issues, suicide, and lower life expectancy at birth. Substantial gaps related to access to healthcare and service utilization exist, particularly in low-income Indigenous communities. Implementation and sustainment of White dominant-culture frameworks of care in Indigenous communities perpetuate these systems of oppression. Development and implementation of culturally informed services that address historical trauma and oppression, and systematically integrate concepts of resiliency, empowerment, and self-determination into care, are issues of policy as well as practice in social work. The co-creation and subsequent implementation, monitoring, and sustainment of effective systems of care with Indigenous populations are essential in addressing health disparities and improving outcomes among Indigenous populations globally.
Article
Institutional Racism and Effects on Health and Well-Being
Valire Carr Copeland, Betty Braxter, and Sandra Wexler
Racial inequality negatively influences the lives of people of color in the United States. Although race refers to differential concentrations of specific genes, the impacts are confined to physical characteristics such as skin color, hair type, and eye color. Rather than designating meaningful biological categories, race is a social construct. Yet, where there are inevitable intersections with institutional structures and interpersonal health relationships, race and racism produce inequities.
Racism occurs within and permeates the overarching political, social, cultural, and economic systems of American society. It can take several forms: structural, institutional, interpersonal, and internalized. Institutional racism in the healthcare system yields adverse effects on the physical and mental health and well-being of racialized individuals and communities. These inequities are well documented.
Recommendations are offered for creating a fairer and more just healthcare system in America. Equality and equity in the country’s healthcare system will be achieved only if racism is challenged in all its forms.
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