Evidence-based macro practices (EBMPs) rely on the best available evidence to promote system change. The field of social work needs to develop, implement, and disseminate EBMPs to respond to increasing public accountability to deliver cost-effective interventions that promote health and well-being among vulnerable populations. There are several evidence-based macro practices at the community and organizational levels that have potential to improve the effectiveness of social work practice. These EBMPs, their components, and the critical role they play in improving interventions and enacting change at a macro level are important. Building science in social work, informing practice in the 21st century, and effectively responding to system-wide challenges (e.g., epidemics, institutional racism, growing inequality) that disproportionally impact the health and well-being of the most vulnerable members of our society are important areas to explore.
Erick G. Guerrero, Tenie Khachikian, and Murali Nair
Susan F. Allen and Elizabeth M. Tracy
Home visiting and home-based intervention are two strategies used by social workers when working with individuals or families in direct practice. The basic rationale for home-based work is the benefit to social workers’ assessments and understanding of clients, as well as the benefit of more relevant practice with families who are seen in the setting where difficulties are occurring. Home-based interventions have been shown to be effective in improving health and decreasing family discord. When visiting the home, the social worker has the added responsibility of respecting the privacy of families as a guest in their homes.
Mary Ohmer and Emily Underwood
Community assessments in macro social work practice focus on identifying the needs and assets of a community that can be mobilized for community improvement and change. Macro social workers engage with residents and community members as partners in conducting and utilizing the findings from community assessments. The first section describes the values and principles underlying community assessments. This is followed by a discussion of approaches for conducting community assessments. The overall approach to community assessment discusses the shift in community assessment from focusing mainly on needs and deficits to understanding both community assets and needs. Two specific approaches to community assessment are then described in greater detail, including the consensus organizing approach to conducting a community analysis and the asset-based community development approach to conducting asset mapping. This section is following by an overview of the key methods for collecting and reporting data for a community assessment.
This entry focuses on services for adults with severe mental illness, specifically the five psychosocial interventions considered evidence-based practices. The emergence of psychiatric rehabilitation, the only professional discipline designed to serve a specified population, is described. The primary historical practice approaches, which are the foundation for psychiatric rehabilitation, are discussed. Each of the five evidence-based practices is then described with the empirical supporting evidence. The emphasis on this population and interventions were selected as social workers are the major providers for this population and frequent implementers and developers of these interventions.