The profession addressed a panoply of social problems that grew larger in an ever-expanding geopolitical environment, where social equity or justice was often a remedial value. Social welfare institutions and programs, initially private and later both public and private, filled the societal void, bringing social care to the disadvantaged. Lay caregivers formed the foundation for a nascent, but now over 100 year old, profession. Growth was sustained for over 50 years from the 1930s to 1980s, when progressive thought was challenged with conservative ideology. The challenge for contemporary social welfare and a maturing social work profession is how to navigate a changing milieu, highlighted by complex human conditions, in the face of real and contrived shortages, increasing class stratification, political polarization, and heighten judicial scrutiny. Workforce realities—education, technology, and integration of new diverse practitioners throughout the practice continuum—which can address demanding fields (that is, aging, health, child welfare), focused on evidence to move the human condition forward.