This article offers an introduction to macro social work practice interventions. Specifically, it seeks to: (a) identify the difference between direct service (micro) and macro practice; (b) describe historical and contemporary foundations for macro practice; (c) establish a connection between macro practice and core social work values; (d) describe specific examples of macro social work practice using 21st-century social justice issues as exemplars; and (e) identify roles needed for macro social work practice. This article emphasizes the need for macro social work practice to create much needed change in the areas of social, environmental, and economic justice. It will examine the trend in social work that has increasingly placed emphasis and value on micro practice, which has marginalized macro-level social work as a result.
Society continues to confront seemingly intractable social justice issues and is, in the early 21st century, experiencing a critical reckoning of how systems of oppression continue to exact violence against vulnerable populations. This article uses examples of social, environmental, and economic justice issues with specific recommendations on how to adopt an anti-oppressive macro practice framework.
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Community: Practice Interventions
Anne Williford and Marie Villescas Zamzow
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Corporate Settings
David Stoesz and Catherine Born
For-profit health and human service corporations afford a range of employment opportunities for professional social workers, although organizational structures may not resemble those of nonprofit and government agencies, and these settings may present new professional challenges. Corporations have become prominent, in some cases dominant, providers in fields as disparate as hospital management and nursing home care, child and adult daycare, residential treatment, managed health care, welfare eligibility and job placement, child support, and corrections. For-profit expansion across the array of health and human services continues, which bodes well for social workers willing to consider corporations as a practice setting. Opponents of commercial human services worry that adverse client selection criteria may screen out the most troubled individuals and about possible corner-cutting in service delivery to meet fiscal targets. The general concern is that, in these firms, profit may trump program. Others strongly believe that the profit motive is simply incompatible with the human service mission. Proponents claim that benefits include management and cost efficiencies, nimbleness, ease and speed of innovation, and technological prowess. The emergence of new commercial entities such as benefit corporations that commit to creating social benefit, not just profit, are also touted. Arguments aside, the neoliberal social policy vector that emerged in the later decades of the 20th century encourages the outsourcing of public services. Thus, privatization in the form of corporate human services may continue to expand and almost certainly will continue to exert influence in health and human services policy, programming, and service delivery for the foreseeable future.