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Article

Samuel S. David, Priscilla Gibson, and Patience Togo Malm

Language mediates every aspect of social work, and the ability to communicate effectively with and about clients is a paramount responsibility that rests with the social worker. This responsibility extends to clients who do not speak, understand, read, or write fluently in the dominant language, either because they speak other languages or because of communication-related disabilities. This category may include individuals with learning disabilities, speech disorders, aphasia, autism spectrum disorders, specific language impairment, and physical impairments that impact language production, among other conditions. Primary concerns include disparities in access to services; the need for training on working with interdisciplinary teams; minimizing bias, micro-aggressions, and stereotyping; and issues related to translation, interpretation, and intercultural communication. In addition to these concerns, linguistically diverse populations are often excluded from research, resulting in gaps in knowledge about their needs. Service accommodations for language minorities tend to focus on translation and interpretation; however, research suggests that social workers also need to understand and guard against unconscious bias, and learn to use affirmative language to support the well-being of clients rather than pathologizing them. Clients with communication disabilities, on the other hand, may have distinct or overlapping needs, and service organizations rarely address the language support needs of these two populations within one unified framework. Service providers may waste precious time and effort navigating multiple, overlapping policy directives. Information on the policy context in the United States and the European Union related to language rights and language access provides a background for this topic.

Article

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.

Article

Uma A. Segal

Individuals and families from around the globe form a continuous stream of immigrants to the United States, with waiting lists for entry stretching to several years. Reasons for this ongoing influx are readily apparent, because the United States is one of the most attractive nations in the world, regardless of its problems. There is much in the United States that native-born Americans take for granted and that is not available in most other countries, and there are several amenities, opportunities, possibilities, lifestyles, and freedoms in the United States (U.S.) that are not found together in any other nation. In theory, and often in reality, the U.S. is a land of freedom, of equality, of opportunity, of a superior quality of life, of easy access to education, and of relatively few human rights violations. This entry will focus on immigration policy through legislative history and its impact, demographic trends, the economic impact, the immigrant workforce, educational and social service systems, ethical issues, and roles for social workers.