Nancy R. Hooyman
The rapidly growing older population is more heterogeneous by health and economic status, gender, race, sexual orientation, and family and living arrangements than any other age group. Although many adults face vulnerabilities and inequities as they age, most elders are resilient. This entry reviews this diversity, discusses concepts of productive, successful, and active aging, and suggests leadership roles for social workers in enhancing the well-being of elders and their families.
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.
Jeanette C. Takamura
Public policy advances in the field of aging in the United States have lagged compared to the growth of the older adult population. Policy adjustments have been driven by ideological perspectives and have been largely incremental. In recent years, conservative policy makers have sought through various legislative vehicles to eliminate or curb entitlement programs, proposing private sector solutions and touting the importance of an “ownership society” in which individual citizens assume personal responsibility for their economic and health security. The election of a Democratic majority in the U.S. House and the slim margin of votes held by Democrats in the U.S. Senate may mean a shift in aging policy directions that strengthens Social Security, Medicare, and Medicaid, if the newly elected members are able to maintain their seats over time. The results of the 2008 presidential election will also determine how the social, economic, and other policy concerns will be addressed as the baby boomers join the ranks of older Americans.
Daniel S. Gardner and Caroline Rosenthal Gelman
Minority and immigrant elders constitute a greater proportion of the population than ever before and are the fastest growing segment of the older population. Within these racial and ethnic groups there is considerable variation with regard to age, gender, country of origin, language, religion, education, income, duration of U.S. residency, immigration status, living arrangements, social capital, and access to resources. The authors summarize research on older adults regarding racial and ethnic disparities, barriers to health and social service utilization, and dynamics of family caregiving. Implications are offered for social-work practice, policy, and research.
Sarah (Hicks) Kastelic
Alaska Natives represent less than 1% of the U.S. population but reside in more than 229 Native villages and account for 40% of federally recognized tribes. Most Alaska Native communities shared common Euro-American contact experiences: exposure to western religions, education, and disease. Historical trauma contributes to many of the social welfare problems Natives experience today: low educational attainment, unemployment, inadequate health care, substance abuse, and violence. Service delivery mechanisms, lack of cultural appropriateness, and isolation compound these pressing issues. Locally delivered social welfare services that take into account traditional Native worldviews, values, languages, and intergenerational relationships are effective in addressing many of these issues.
Cynthia Franklin, Linda Webb, and Hannah Szlyk
This article will cover the current best practices in designing and establishing alternative programs for at-risk students and suggest how social workers can assist in program development and sustainability. At-risk students are youth considered more likely than others to drop out of school due to various factors, including truancy, poor grades, disruptive behaviors, pregnancy, and repeated expulsions or suspensions. The history of alternative education in the United States will be reviewed and the types of alternative educations programs in practice outlined. How the framework of an alternative school differs from that of a disciplinary program will be examined along with initial steps toward development and implementation. Effective strategies explained include establishing a task force, involving the greater community, and implementing evidence-based interventions such as Response to Intervention (RTI) into the school curriculum. An example of a sustainable public alternative education program grounded in solution-focused brief therapy (SFBT) is presented.
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.
Kristine J. Ajrouch
This entry defines the term Arab American, followed by a discussion of the two waves of immigration: before 1924 and post-1965. A demographic overview is presented next, drawing from data available through analysis of the ancestry question on the long form of the United States Census. Previously invisible in the scholarly and practice literatures, key concerns related to stereotypes emanating through recent world events, assumptions about gender relations, and struggles concerning family relations are highlighted. Finally, practice implications are considered, with an emphasis on cultural sensitivity and social justice.
The term Arab American is relatively new, signifying a pan-ethnic term meant to capture a diverse group of people who differ with respect to national origins, religion, and historical experiences of migration to the United States. Arab American refers to those individuals whose ancestors arrived from Arab-speaking countries, including 22 nations in North Africa and West Asia. Religious faiths include both Christian and Muslim; Lebanon is the number one country of origin for Arab immigrants to the United States, followed by Syria and Egypt. Defined objectively, any individual with ancestral ties to an Arabic-speaking country may be considered an Arab American. This characterization, however, rests upon a language-based definition, obscuring the cultural and structural variations that differentiate those who fall within this pan-ethnic category (Ajrouch & Jamal, 2007).
Pallassana R. Balgopal
The term Asian Americans encompasses the immigrants coming from all parts of Asia. This heterogeneous cluster of Asian Americans, while sharing some common characteristics, also has unique features among its different ethnic groups. This entry presents an overview of this cluster, including key data relating to individual groups. In addition to specific practice guidelines for effective social work interventions, essential knowledge and skills to work with a variety of Asian groups are discussed throughout the text.
This entry describes the diversity among Asian American populations, setting the context to understand the need for different practice interventions. It explains the role of cultural values in the underpinnings of the selection of theoretical frameworks that guide chosen practice interventions. Indigenous and biculturalizations of interventions (Fong, Boyd, & Browne, 1997) are discussed as they relate to general and specific problems relevant to this population. Challenges and dilemmas are raised as ethical decisions are made among practitioners, who serve the Asian American native born, immigrant, and refugee populations.