Susan C. Harnden
This entry discusses the evolution of the field of couples counseling from an auxiliary service provided through a variety of professional disciplines to a well-established field defined by its own standards, approaches, and a building body of research. While a few interventions for couples have been well researched using well-established standards, many of the interventions used by practitioners still lack evidence-based research or standard criteria. Also the research does little to address diversity and the application of interventions considering race, ethnicity, and socioeconomic levels. These concerns require ongoing attention.
Karen Kayser and Jessica K. M. Johnson
This entry presents the demographic trends of divorce and the social changes that have impacted the divorce rate. A cultural perspective of divorce is provided by analyzing divorce in the context of race and gender and across nations. Current explanatory theories of divorce are described. Research on the consequences of divorce on adults and children is presented followed by the practice implications for social workers. Future directions for policy and research are discussed.
Betty Jo Barrett
Since the mid 1980s, a growing body of theoretical and empirical literature has examined the existence of intimate partner violence (IPV) in lesbian, gay, bisexual, and transgender (LGBT) communities. Collectively, this research has suggested that IPV in rainbow communities occurs at rates comparable to those documented among heterosexual populations and results in similar detrimental psychological, social, and physical consequences for victims. Importantly, however, this work has also highlighted myriad ways in which the social and structural marginalization of gender and sexual minority populations create unique vulnerabilities for IPV that are not shared by cissexual and heterosexual individuals. This entry provides an overview of this scholarship to inform strength-based social work practice with and for LGBT survivors of domestic violence at the macro, mezzo, and micro levels.
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.
Economic insecurity and family Well-Being is a growing concern for American society. With the dramatic changes that occurred following the “great recession” of 2008, and the lingering effects since, families have experienced stressors and multiple strains in their adjustment to the impact of the changing fiscal climate and their financial demands. To understand the experience of economic insecurity, an understanding of economic security is helpful in providing a context for how these two dynamics emanate and impact families and their Well-Being. This article provides a glimpse of how the fragility of the economy and the mental tax experienced by the family are inextricably interdependent and connected.
Ellen L. Csikai
As medical technology advances producing the ability to prolong life almost indefinitely, individuals and families are asked to make increasingly complex choices about what treatments best correspond to their conceptions of how they wish to die. These decisions create a need for attention to medical aspects as well as psychosocial consequences. Social workers play pivotal roles in ensuring access to needed information and resources and in safeguarding individuals' rights to self-determination in end-of-life decisions. This entry discusses issues related to advance care planning, the process of end-of-life decision making, and social work roles with individuals, families, and health care providers.
Sadye L. M. Logan
Families in almost all societies are viewed as the basic unit for coordinating personal reproduction and the redistribution of goals within the larger societal context of production and exchange. They are vulnerable to the rapidly changing economics of the environments in which they live. Universals regarding families worldwide include a delay in marriage, an increase in divorce rates, a decrease in household size and fertility rates, and nontraditional living arrangements. The most studied aspect of families continues to be family diversity, with greater emphasis on an interdisciplinary framework. There is also a movement toward more effective ways of treating families. Placing families in an historical context, this entry discusses evidence-based family interventions, the latest research on families, family diversity, and implications for social work practice and education.
Mikal N. Rasheed and Janice Matthews Rasheed
This entry traces the historical, conceptual, and theoretical development of social work practice with families, beginning with the Charity Organization Society and the Settlement House movement. From the 1920s through the 1950s, social work practice was heavily influenced by psychoanalytic theory. However, emerging theoretical frameworks, including systems and ecological theory from the 1960s and the 1970s, shifted the focus of intervention back to the family. The 1970s saw the development of a proliferation of models for family therapy. The emergence of postmodern, constructivist, narrative and feminist thought has had a more recent influence on social work practice with families. Although these theories and models of family therapy have profoundly influenced direct practice with families, there is a renewed interest in what is described as family-centered social work practice. The theoretical foundation of family-centered practice emphasizes a strengths perspective and an empowerment model of social work practice. This approach represents a broad range of interventions that build linkages between the family and key environmental support systems of diverse, multi-stressed, and at-risk families. During the 2000s, attention has shifted to evidence-based practice (EBP). The focus on EBP has been to provide a source of information for clinicians and families to consider when selecting an appropriate intervention for the presenting problem.
Sandra Owens and Letha A. Chadiha
There is evidence that family caregiving in the United States has been increasing at an unprecedented rate as a result of various societal issues. This entry provides a summary of the scholarly literature regarding elder-caregiving trends, demographics, legislation, challenges, and racial and socioeconomic impacts, as well as the rewards of caregiving. Additionally, the entry provides empirical findings regarding evidence-based interventions associated with family caregiving of older adults.
Family estrangement—a concept similar to emotional cutoff in Bowen family systems theory—is the unsatisfactory physical or emotional distancing between at least two family members. It is attributed to a number of biological, psychological, social, and structural factors affecting the family, including attachment disorders, incompatible values and beliefs, unfulfilled expectations, critical life events and transitions, parental alienation, and ineffective communication patterns. Family estrangement is often experienced as a considerable loss; its ambiguous nature and social disenfranchisement can contribute to significant grief responses, perceived stigma, and social isolation in some cases. The social-work profession has a role to play in raising social and political awareness of the prevalence of, contributors to, and effects of estrangement on the intergenerational family, with clinicians working to assess and address the impact of estrangement on individuals and the family system.