Lenard W. Kaye
Social workers address older adult issues at all levels of service planning, policy-making, and delivery and across a wide range of community and institutional settings. While various models of practice intervention with older adults exist, more recently the focus is on the integration of micro and macro strategies with an emphasis on strength-based perspectives to geriatric social work practice. The older adult population will expand dramatically and become increasingly culturally, racially, and ethnically diverse in the future and social work services will need to be sensitive to the variety of issues faced by a more heterogeneous and sophisticated older adult population.
Carole B. Cox
Dementia is not a disease, but a group of symptoms so severe that they inhibit normal functioning. Alzheimer's disease is the most common type of dementia in older persons impacting not only the person with the illness but the entire family. Obtaining an accurate diagnosis is essential in order to assure appropriate and timely care and to exclude reversible causes of dementia. Social workers can play key roles throughout the course of the illness as educators, therapists, supporter and advocates for improved policies and services.
Cognitive therapy is a perspective on social work intervention with individuals, families, and groups that focuses on conscious thought processes as the primary determinants of most emotions and behaviors. It has great appeal to social work practitioners because of its utility in working with many types of clients and problem situations, and its evidence-based support in the literature. Cognitive therapies include sets of strategies focused on education, a restructuring of thought processes, improved coping skills, and increased problem-solving skills for clients.
This entry discusses community planning in the context of community social work. Distinctions are made between community planning as a rational comprehensive process of the planning discipline, and the process of community planning in community social work. Community planning is defined as a process of participatory and inclusive organized social change, directed toward community empowerment, building community, and developing members’ capacities to take part in democratic decision making. A three-dimensional model of empowering community planning is presented and discussed. The model focuses on the tasks of community social work in the planning process, and the empowering outcomes they can enable.
Margo A. Jackson
Despite the significant life and work experiences that a growing number of older adults have to contribute to the workforce, pervasive ageism operates in overt and covert ways to discriminate against older workers in hiring and workplace practices. This article provides a current overview of definitions, prevalence, types, and effects of ageism in the U.S. workplace. For social workers counseling older adult victims of workplace ageism, this article discusses theories, foundational knowledge, and ongoing self-awareness and training needed for bias awareness. Counseling strategies and resources are highlighted, including coping and resilience strategies to counteract ageist stereotypes and discrimination, facilitate job-seeking support, and advocate for older workers by promoting awareness and serving as a resource for employers to reduce workplace ageism.
Gunnar Almgren and Ji Young Kang
This entry provides a brief overview of the field of social demography, the components of population change, projections for future population growth, and recent transformations in population composition pertaining to age, race, and ethnicity. Trends that shape family household structure (for example, marriage, divorce, cohabitation, and nonmarital child bearing) are also considered, as are trends pertaining to the distribution of income, wealth, and poverty. Population trends given particular attention include the growth of class-based disparities in marriage and nonmarital child bearing, the contributions of immigration to population growth and diversity, and a disturbing increase over recent decades in the prevalence of poverty among children of immigrants.
Implementation research seeks to inform how to deliver evidence-based interventions, programs, and policies in real-world settings so their benefits can be realized and sustained. The ultimate aim of implementation research is building a base of evidence about the most effective processes and strategies for improving service delivery. Implementation research builds upon effectiveness research and then seeks to discover how to use specific implementation strategies and move those interventions into specific settings, extending their availability, reach, and benefits to clients and communities. This entry provides an overview of implementation research as a component of research translation and defines key terms, including implementation outcomes and implementation strategies, as well as an overview of guiding theories and models and methodological issues including variable measurement, research design, and stakeholder engagement.
Melissa Lim Brodowski, Jacqueline Counts, and Aislinn Conrad-Hiebner
This chapter provides an overview of early-childhood home-visiting programs and offers a brief summary of the research, policy, and practice issues. The first section defines home visiting and the funding available to support it. The next section summarizes common characteristics of home-visiting programs and describes the features of several evidence-based home-visiting programs. The outcomes from home visiting for parents and children, including relevant cost-benefit studies, are briefly reviewed. The chapter concludes with implementation issues and future directions for home visiting.
Ruth J. Parsons and Jean East
The concept of empowerment has deep roots in social work practice. Building upon the work of empowerment theorists of the 1980s and 1990s and applied broadly in the 2000s [Itzhaky and York (2000), Social Work Research, 24, 225–234; Travis and Deepak (2011), Journal of Ethnic and Cultural Diversity in Social Work, 20, 203–222], the concept of empowerment has evolved from a philosophical level to practice frameworks and methods. Substantial research confirms empowerment outcomes as personal, interpersonal, and sociopolitical. Practice interventions contain both personal and structural dimensions and are accomplished through multilevel interventions. Based on transformation ideology, empowerment is a counter to perceived and objective powerlessness. Social work relationships provide an opportunity for experiencing power and collaboration. Empowerment interventions are often useful with vulnerable populations, such as women and members of stigmatized groups.
Julianne S. Oktay and Bradley Zebrack
Oncology social work researchers have made (and continue to make) important contributions to the knowledge base that supports the profession. This article discusses the profession of oncology social work, its roots in medical social work in the United States, the development of cancer treatment, and the body of research that informs its art and practice. Oncology social work research is placed in the broader contexts of the social work profession, the field of oncology, and the specific field of oncology social work.
Through the decades, the profession of oncology social work has grown, gained stability and legitimacy. Oncology social work itself, along with oncology social work research, have made rapid strides in the 21st century and accelerating in impact and relevance. Oncology social work research is stronger now than ever. Recent developments, such as the addition of a research institute at the annual AOSW conference and initiatives to establish a “practice-based research network” are expanding capacity in the field.
Oncology social work researchers bring a unique perspective to their research. Social work’s patient-centered perspective is reflected in research that explores the cancer experience of patients and family members and leads to new interventions based on that experience. Social work’s focus on human development over the life course results in research that reflects a developmental framework or focuses on specific age groups, such as children, adolescents, young adults, or the elderly. Social work’s conceptual model of “Person-in-Environment” is reflected in research on cancer patients in the context of their interpersonal relationships. The values of social justice and cultural competence are reflected in research on health disparities, minority populations, and multicultural perspectives. Finally, the field of oncology social work itself has been the focus of recent research on distress screening and its implementation.
In the 21st century, oncology social work research stands in a pivotal position. Although this type of research is now widely recognized as important, it is still a challenge to access the level of support from major funders of cancer research required to establish and reinforce a strong and vibrant knowledge base for the profession.