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Until the 19th century, abortion law 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 states. The landmark 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 has added restrictions on abortion, making it difficult for women to exercise their reproductive rights. Social work's commitment to promote the human rights of women compels social workers to be aware of and involved in this issue.

Clinical social work is a derivative profession, drawing its knowledge and practice base from several theoretical schools. The four primary theoretical schools contributing to social-work philosophy are psychodynamic, humanist, cognitive–behavioral, and postmodern. Acceptance and commitment therapy (ACT), although considered one of the third-wave behavioral approaches, draws from all four theoretical schools of clinical intervention. This entry gives an overview of ACT development, its essential features, empirical base, tenets and techniques, and relevance to the social-work profession.

Through cycles of systematic and purposeful iterative engagement with problems they face in specific practice settings, social workers engaging in action research build knowledge that is useful in advancing practice for the purposes of social betterment. This entry situates action research in the development of social-work knowledge and then examines variants of action research formed when degrees of participation and control vary among members of vulnerable populations, particularly within community situations involving coping with a degraded quality of life. The author identifies the importance of methodological pluralism and addresses how sound action research results in knowledge dissemination and utilization for the purposes of social betterment, often through alternative methods of inquiry. The entry concludes with caveats social workers engaged in action research should heed, and the author emphasizes the pivotal role social work can serve in local efforts to engage in knowledge development for social betterment.

Frankie Victoria Adams (1902–1979) was a social worker who influenced the development of social work education and of professional social work in the American South. She developed the Group Work and Community Organization concentrations at Atlanta University.

Gambling disorder is a significant public health concern. The recent and continued proliferation of land-based and interactive gambling opportunities has increased both accessibility and acceptability of gambling in the United States and abroad, resulting in greater and more varied participation. However, there is currently no designated federal funding for prevention, intervention, treatment, or research, and states are left to adopt varying standards on an ad hoc basis. Social workers receive little or no training in screening or treating problem gamblers, though research suggests that a significant proportion of those with mental health and other addictive disorders also gamble excessively. Raising awareness about the nature and scope of gambling disorder and its devastating implications for families and children is a first-step toward integrating gambling into prevention, assessment and treatment education in social work. This, in turn, will increase the chances of early identification and intervention across settings and insure that social workers can lend a knowledgeable and credible voice to addressing this hidden addiction.

This entry begins with a presentation of demographic data from the U.S. Census 2010 on the adolescent population 12 to 19 years by age, gender, and ethnicity. A summary of the information available on major issues and problems affecting adolescent populations is presented from numerous governmental and empirical research sources on the following topics: education, runaway and homeless youth, sexual behavior, substance abuse, suicide, victimization and criminal behavior, and texting while driving.

This chapter summarizes literature and research related to advances in direct practice work with adolescents. Social workers are on the forefront of developing and utilizing a variety of evidence-based practices to address complex client and community needs.

Although rates of adolescent pregnancy have exhibited a downward trend since 1991, the United States continues to have a significantly higher rate than other industrialized nations. Adolescent pregnancy, especially in early and middle adolescence, has long-term developmental and economic impact on the teen and her child, in addition to high social costs. This entry describes the current trends in adolescent pregnancy in the United States, and examines factors reported in the research literature as associated with adolescent pregnancy, discusses federal policy directed toward adolescent pregnancy prevention, and identifies various intervention programs.

This article begins with an overview of biological development based upon empirical research. The main focus of the article is the presentation of the major theoretical frameworks that have been employed to explain the processes involved in the psychological, cognitive, moral, social, and sexual development of the adolescent and empirical research findings where appropriate.

Adoption of children from foster care and international adoptions have accelerated since 1987. Federal policy changes have markedly increased the termination of parental rights and adoption of children in foster care. Adoption by relatives and single parents has also grown markedly. Open adoption is increasingly normative. Adoption outcomes are generally positive although there is substantial call for post-adoption support for children adopted from foster care. These services are emerging but their efficacy is still untested. More work is needed on post-adoption services because there are now more former foster children in post-adoption status than there are children in foster care.

The practice of intercountry adoption is considered from a historical framework, beginning with World War II to other conflicts and the global dynamics of child circulation for adoption. Significant sources of children are presented, including Russia, China, and Guatemala, as well as moratoriums related to poor practice and fraud. Framed from a social justice perspective, the Hague Convention on Intercountry Adoption is presented with an exploration of child sales and abduction into intercountry adoption. A global market for children creates significant practice challenges for social workers who engage in assessment, both in the country of child origin and in the destination country. Follow-up care includes case management to support families and children in the intercountry adoption process. In conclusion, the significant decline in the practice is reflected upon pragmatically; the need for true reform in the practice is necessary to preserve intercountry adoption for orphaned and vulnerable children.

A history of transracial and intercountry adoptions in the United States is briefly provided as well as highlights trends, demographics, practices, and policies that have evolved as families have become more diverse. The current prevalence of intercountry and transracial adoptions in the United States is examined as well as the impact of policy changes in the United States and abroad on rates of intercountry adoption. Additionally, the challenges that have emerged for children adopted transracially and from abroad, as well as for their adoptive families, are reviewed. These include navigating ethnic and racial identity formation, cultural sensitivity, and challenging behaviors. Finally, future directions for social work practice, research, and policy are explored, and implications are provided for social workers intervening with families who have adopted children transracially or internationally. Specifically, adoption-competent professionals should also integrate cultural humility and competence into their therapeutic work with adoptive children and families. Implications for research in the conclusion focus on expanding prior studies on intercountry and transracial adoptions to incorporate racial and ethnic groups underrepresented in the literature. Policy implications include increasing access and funding for post-adoption services for all adoptive families.

Adoption by lesbian and gay parents is becomingly increasingly common. This entry presents an overview of the limited research that has focused on lesbian and gay adoptive parents. Specifically, this entry addresses the experience of adoptive parenthood for lesbian and gay parents, with emphasis on the decision-making process (that is, choosing adoption, choosing an agency, choosing an adoption type, and specifying child characteristics), the transition to adoptive parenthood, the psychological adjustment of the adoptive parents and their children, and the adoptive parent–child relationship. We end with recommendations for future research and implications for practitioners and policymakers.