Until the 19th century, abortion law in the United States was nonexistent, and abortion was not seen as a moral issue. However, by the turn of the 20th century, abortion was legally defined and controlled in most of the United States. The landmark U.S. Supreme Court case Roe v. Wade (1973) marked the legalization of abortion but did not end the controversy that existed. Legislation at both the federal and state levels between 1989 and 2022, added restrictions on abortion, making it difficult for women to exercise their reproductive rights. In June 2022, the Supreme Court, in Dobbs v. Jackson Women’s Health Organization (2022), overturned Roe v. Wade (1973), which had guaranteed a constitutional right to abortion. Social work’s commitment to promoting the human rights of women compels social workers to be aware of and involved in this issue.
Article
Abortion
D. Lynn Jackson
Article
Disability: Psychiatric Disabilities
W. Patrick Sullivan
The psychosocial catastrophe that accompanies serious mental illness negatively impacts individual performance and success in all key life domains. A person-in-environment perspective, and with a traditional and inherent interest in consumer and community strengths, is well positioned to address psychiatric disabilities. This entry describes a select set of habilitation and rehabilitation services that are ideally designed to address the challenges faced by persons with mental illness. In addition, it is argued that emphasis on a recovery model serves as an important framework for developing effective interventions.
Article
Quality of Care
Enola Proctor and J. Curtis McMillen
Assessing and improving the quality of social services is one of the most pressing concerns for social work practice and research. Practice in nearly every setting is affected by stakeholder expectations that agencies monitor and improve quality. This entry addresses the meaning of the phrase “quality of care” with respect to social work services, considers this topic in relation to quality improvement, quality assurance, and evaluation of services, and points to the research that is needed in order to assess and improve quality.
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Social Capital
Katrina Balovlenkov
Social capital is a social science concept used within macro social work practice to describe the role of human relationships, connectivity, and networks in the planned change process. Social capital has been used to examine how marginalized populations and resource-limited communities mobilize and act to improve social conditions relying on human relationships, connectivity, and networks. Social capital, particularly as it relates to social support and collective efficacy, is linked to preventing and treating disease and addressing socioeconomic conditions that create community-level barriers to well-being. Cultivating social capital has influenced social movements in the United States to produce positive change, such as efforts to create green spaces, challenge discriminatory laws, expand access to healthy food in food deserts, preserve native lands, and enact healthcare reforms. While the definition and measurement of social capital has evolved over the years, in the broadest sense it informs macro social work by improving our understanding of how collective advocacy built on interconnectedness, reciprocity, and trust in both the quality and quantity of social relationships results in real change.
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Suicide and Public Policy
Janelle Stanley and Sarah Strole
The historical context of suicidal behavior and public policies addressing suicide arose simultaneously within the United States, and both reflect a culture of discrimination and economic disenfranchisement. Systems of oppression including anti-Black racism, restrictive immigration policy, displacement of American Indigenous communities, religious moralism, and the capitalist economic structure perpetuate high-risk categories of suicidality. Suicidal behavior, protective factors, and risk factors, including firearms, are examined in the context of twentieth and early twenty first century public policy. Recommendations for public policy will be discussed with consideration for policies that impact communities disproportionately and social work ethics, such as right to die laws and inconsistent standards of care.
