The Caribbean is a multiethnic, multilingual archipelago of islands and mainland territories, with similar experiences of European colonialism and modern-day globalization. The countries generally enjoy stable political systems but grapple with many of the problems experienced by countries elsewhere. These include vulnerability to natural disasters, migration, violence, and drug abuse. Lifestyle diseases such as cancer, hypertension, diabetes, and heart disease are on the increase, and the region is second only to sub-Saharan Africa in the prevalence of HIV and AIDS. In the English-speaking Caribbean, social work is well established, and social service provisioning is modeled on the traditional welfare state approach. A few countries have achieved universal levels of social service delivery.