Physical disability is traditionally defined by society's view of atypical function. The medical model offers information on factors contributing to physical disability, including genetics, injury, and disease. The social model of disability, however, defines the societal responses, not the physical differences, as disabling. People with physical disabilities have unique characteristics and experiences that fall into the broad range of human diversity. They belong as full participants in society. Social workers must focus on working in respectful partnerships with people with physical disabilities to change environments and attitudes. This will help build a just society that honors diversity. This entry addresses multiple factors that cause disability, from genetics to environment, as viewed through the medical model. The social model view of “the problem” is offered in comparison. It also introduces the wide diversity of people with physical disability. The entry discusses two major societal responses to physical disability. Environmental modification is one approach. A more recent approach, Universal Access, involves upfront design of environments to meet diverse needs. The final sections explain implications for social workers and lays groundwork for action. Creating access and respectful partnerships are foundations of the work ahead. It is difficult to define physical disability without situating the discussion in the model used to view and deal with human diversity. This discussion is based on the social model of disability, a view of disability that sees the environment as disabling, not the individual condition. Discussion of the medical model is offered as a contrast. (For a more complete discussion of disability models, see Mackelprang's Disability: An Overview in this publication.)
Mary Ann Clute
Michael Sherraden, Li-Chen Cheng, Fred M. Ssewamala, Youngmi Kim, Vernon Loke, Li Zou, Gina Chowa, David Ansong, Lissa Johnson, YungSoo Lee, Michal Grinstein-Weiss, Margaret M. Clancy, Jin Huang, Sondra G. Beverly, Yunju Nam, and Chang-Keun Han
Child Development Accounts (CDAs) are subsidized savings or investment accounts to help people accumulate assets for developmental purposes and life course needs. They are envisioned as universal (everyone participates), progressive (greater subsidies for the poor), and potentially lifelong national policy. These features distinguish CDAs from most existing asset-building policies and programs around the world, which are typically regressive, giving greater benefits to the well-off. With policy innovation in recent years, several countries now have national CDA policies, and four states in the United States have statewide programs. Some of these are designed to be universal and progressive. Evidence indicates that true universality can be achieved, but only with automatic account opening and automatic deposits. In the absence of automatic features, advantaged families participate and benefit more. Today, momentum for universal and automatic features is gradually gaining traction and accelerating. At this stage in the emergence of inclusive asset-based policy, this is the most important development.
Toba Schwaber Kerson
Health is a need, a basic requirement for life. Needs can become rights when bodies of people, usually governments or organizations such as the World Health Organization sanction them. While many have declared health as a right, the greatest burden of illness continues to be carried by minority and medically underserved populations. Also, industrialization, urbanization, economic development, and food market globalization have brought with them the poor health habits that place people at risk for cardiovascular and other diseases. Improved health habits and universal health care coverage would help to address the health needs of all.
Jacquelyn C.A. Meshelemiah
The social work profession has evolved extensively since its inception in 1898. The profession began with a focus on helping others and recognizing social injustices as its core charges. The profession is now being called to view human rights as its professional responsibility, too. As driving forces behind this new charge, the Council on Social Work Education (CSWE) and the National Association of Social Workers (NASW) are taking concrete steps to ensure that the human rights perspective is being integrated into social work education and practice.
Jacquelyn C.A. Meshelemiah and Raven E. Lynch
Genocides have persisted around the world for centuries, yet the debate persists about what intentions and subsequent actions constitute an actual genocide. As a result, some crimes against humanity, targeted rape campaigns, and widespread displacement of marginalized groups of people around the globe have not been formally recognized as a genocide by world powers while others have. The 1948 Convention on the Prevention and Punishment of the Crime of Genocide set out to provide clarity about what constituted a genocide and the corresponding expected behaviors of nations that bear witness to it. Still, even with this United Nations document in place, there remains some debate about genocides. The United States, a superpower on the world stage, did not sign on to the Convention on the Prevention and Punishment of the Crime of Genocide until 1988 due to a belief that its participation was not necessary as a civilized world leader that had its own checks and balances. More genocides have taken place since the enactment of this 1948 legislation. Genocides that have taken place pre- and post-1948 affirm the need for nations around the world to agree to a set of behaviors that protect targeted groups of people from mass destruction and prescribe punishment for those who perpetrate such atrocities. Although it may seem that identifying genocidal behaviors toward a group of people would be clear and convincing based on witnesses and/or deaths of targeted members, history has shown this not to be the case time and time again. Perpetrators tend to deny such behaviors or claim innocence in the name of self-defense. Regardless of any acknowledgment of wrongdoing, genocides are the world’s greatest crime against humanity.
Various models and theories of adult development exist but they are more assumptions about development than theories. The most popular age and stage theories have lost favor to contextual theories that put more emphasis on interaction with the environment. It has also become recognized that adults are a diverse group and do not follow universal stages of development. The usefulness of chronological age is also questionable as it does not tell us much about any particular person. Instead, we have to know their concerns and the events they are dealing with, and their dreams and aspirations.
Michael A. Dover
Human need and related concepts such as basic needs have long been part of the implicit conceptual foundation for social work theory, practice, and research. However, while the published literature in social work has long stressed social justice, and has incorporated discussion of human rights, human need has long been both a neglected and contested concept. In recent years, the explicit use of human needs theory has begun to have a significant influence on the literature in social work.
Primary prevention involves coordinated efforts to prevent predictable problems, to protect existing states of health and healthy functioning, and to promote desired goals for individuals and groups, while taking into consideration the physical and sociocultural environments that may encourage or discourage these efforts. This entry discusses the history of this basic approach to professional helping from medical, public-health, and social-science perspectives. It also reviews major theories that guide preventive thinking and action. One section sketches the substantial empirical base for evidence-based practice and how such information can be retrieved. This entry concludes with a review of practice methods for increasing individual strengths and social supports while decreasing individual limitations and social stresses, which together characterize most contemporary preventive services.