Historically, U.S. policy has been characterized by long-standing ambivalence evident in the changing emphasis placed on prohibition as the aim of drug policy, and in debate about the relative merits of various approaches to drug control. Often characterized as supply reduction versus demand reduction efforts, significant changes have occurred over time in these efforts, and in the emphasis placed on them. In the last quarter of the twentieth century, U.S. drug policy adopted a more prohibitionist stance, with increased reliance on a variety of law enforcement, and even military actions, to control the supply and use of drugs, even in the face of evidence for the effectiveness of prevention and treatment, and high costs associated with the burgeoning incarceration rates.
Anna Celeste Burke
Eric F. Wagner
Motivational interviewing (MI) is a collaborative, goal-oriented conversation style designed to strengthen intrinsic motivation for and commitment to change. The spirit of MI includes four elements: partnership, acceptance, compassion, and evocation. MI is often employed as a therapeutic intervention, and it clinical effectiveness is well documented across more than 200 randomized controlled trials. Research has also documented wide variation in MI effectiveness across counselors, studies, and sites within studies.
Social workers often come in contact with women, men, and adolescents who use prostitution as a means of survival. Individuals may earn their entire income in this manner. They may use it to supplement low earnings or welfare benefits, or they may exchange sex for drugs, shelter, or the protection of pimps. Violence, drug use, arrest, and transmission of sexually transmitted disease (STD) or HIV are constant risks of prostitution. Those who engage in prostitution, whether as prostitutes or as clients, represent the entire spectrum of American society. This entry discusses a number of psychosocial issues relevant to understanding the lives of women who engage in prostitution and implications for providing social work supports and services.
Sanna J. Thompson
Runaway and homeless youth may be viewed as subcategories on a continuum of familial disengagement and residential instability. Runaway youth are typically identified as those who leave or are forced from their homes, often returning in a relatively short time. Homeless youth are those with no stable residence, have limited contact with family, and have become affiliated with the culture of homelessness. This entry provides background on specific policies associated with youth who run away or become homeless. Characteristics of these two groups (runaway and homeless youth) are described in terms of high-risk characteristics, such as educational difficulties, substance abuse, victimization, and trauma. Service options to meet the needs of these youth are described and implications for social work practice discussed.
James I. Martin
This entry explains who gay men are, how gay identity constructions have evolved since their inception, and how they continue to evolve. It also describes the health and mental health problems that gay men may present to social work practitioners. In addition, it identifies several social policies that are relevant to gay men. The entry argues that a systemic perspective that takes into account the social, political, and cultural influences on gay men is necessary for understanding the problems that such men commonly experience.
Runaways, throwaways, and homeless youths have always been present in the United States. In recent decades, however, society has become more aware of the problems they face as the problems have become more severe. The effectiveness of new approaches to helping these youths is yet to be determined.
Sheila H. Akabas
Employee assistance programs (EAPs), or membership assistance programs when sponsored by unions, are designed to improve worker productivity and motivation by responding to problems that workers experience which interfere with job performance and satisfaction. Now a ubiquitous characteristic of American workplaces, the programs are largely staffed by social workers. This entry discusses their historic development, extent, scope, structure, how they are perceived and utilized by different racial and gender populations, and the dilemmas and challenges facing EAPs as they try to define their role, function, and best practices amid emerging trends in the world of work.
Marjorie R. Sable and Patricia J. Kelly
Reproductive health includes family planning, prenatal care, and the broader scope of primary care. Because a woman's health status at conception is as important as prenatal care, genetic screening and 20th century medical technology, reproductive health includes “the preconceptual and interconceptual periods and the menopause, and finally, not only reproductive tract problems but the wide range of risk factors that influence a woman's health in general.” Quantitative indicators of reproductive outcomes are useful for summarizing progress in reproductive health. Important indicators are discussed and reveal significant racial disparities.
Todd Michael Franke and Diane de Anda
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 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.