Nancy A. Humphreys and Shannon Lane
Hate crimes and their traumatic repercussions are an important area for social worker intervention. This entry will examine how hate crimes are defined and handled, and the difficulties inherent in categorizing and responding to them. Collection of hate crime statistics and hate crime–related legislation are reviewed. The entry will also examine how social workers can help victims and perpetrators and influence how society conceptualizes and prevents hate crimes and their consequences.
Vivian Jackson and Wendy Jones
The revised NASW Standards and Indicators for Cultural Competence in Social Work Practice (2015) requires social workers to “provide and advocate for effective communication with clients of all cultural groups, including people of limited English proficiency or low literacy skills, people who are blind or have low vision, people who are deaf or hard of hearing, and people with disabilities” (p. 43). This article focuses on one component of this standard—literacy, specifically health literacy. It presents a summary overview of health literacy and its implications for social work practice. It also presents the history of the concept and provides various definitions and types of health literacy as described in the literature. The authors describe the association between health literacy levels of the population, the intricacies of health systems, and their impact on health outcomes. The negative impact for marginalized populations including persons with limited English proficiency and immigrants and refugees—a major focus of the social work profession—signals the need for action at multiple levels. The authors explore a multifaceted approach to health literacy at the clinical, organizational, and policy levels with reference to the role of the social work profession.
Michele Rountree and Courtney McElhaney Peebles
Communities of color are disproportionately burdened by the prevalence of HIV/AIDS. Research has shown that race and ethnicity in the United States are population characteristics that correlate with other fundamental determinants of health outcomes. This entry will chronicle the history of the epidemic, report the disparate impact of the disease affecting communities of color, and acknowledge the social determinants of health that contribute to the vulnerability of risk. A call to address the imbalance of health inequities, with a complement of individual-level interventions and new approaches that address the interpersonal, network, community, and societal influences of disease transmission, is discussed.
Since the start of the human immunodeficiency virus (HIV) pandemic, numerous biomedical advances have caused the social-work response to shift from management of a crisis to prevention of an incurable, but treatable chronic disease. About 1.3 million people in the United States and more than 33 million people worldwide are estimated to be living with HIV. Rates of incidence in impoverished, marginalized communities are highest, with the rates continuing to increase among young African American gay and bisexual men. Other communities at high risk are people who are incarcerated, engage in sex work or other kinds of exchange sex, and participate in risky injection-drug use. Minority groups are often impacted because of reduced access to quality medical care and HIV testing. Social workers in HIV prevention work are challenged to educate clients and communities on the sexual risk continuum, provide more interventions that are culturally tailored for disadvantaged at-risk groups, and implement evidence-based HIV prevention and testing programs worldwide. The National HIV/AIDS Strategy now provides structure to funding opportunities for HIV prevention programs, and there is disparate access to effective treatments worldwide for those living with HIV.
Obie Clayton and June Gary Hopps
The National Association of Social Workers (NASW) affirms a social worker’s responsibility to social change and social justice on behalf of vulnerable and oppressed peoples (NASW, 2008). Because of this directive around social justice, it is the profession’s responsibility to make connections between individual human rights issues within the broader social, economic, and cultural context that creates conditions where injustice can take place. This article attempts to illustrate how social workers in the twenty-first century must be able to recognize and emphasize human rights in their practice on a local, national, and international level. The article also shows the need for social workers to be the catalyst bringing attention to the need to craft solutions to human rights violations that take into account global human rights standards.
Laina Y. Bay-Cheng
This entry defines sexuality and identifies dominant explanatory models. In doing so, the entry outlines the central debate regarding the relative contributions of biology and social context. In addition, it highlights current key issues in the field of sexuality: the connection between sexuality and social inequality, the growing emphasis on the promotion of sexual health and well-being rather than just the prevention of sexual risk, the salience of sexuality across the life course, and the debate regarding sexuality education policy. Finally, it identifies parallels between these trends and social work, including the relation of sexuality to social work roles and practice.
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.
This article summarizes the incidence of women in the United States who have been sentenced to prison as a consequence of a felony conviction for violation of state or federal laws. It also describes their characteristics and co-occurring health conditions; issues that contribute to women’s experiences after release from prison, including those that lead to success and failure during re-entry; and gendered practices and policies that provide alternatives to incarceration.
Priscilla A. Day
Indigenous people across the globe are struggling for the cultural survival of their families and communities. This article provides an overview of indigenous people across the world and some of the many challenges they face to keep their cultures alive and strong. Indigenous peoples live throughout the world and share many common characteristics, which are described in detail in the article. Historical and contemporary challenges affecting cultural survival are provided, including accounts of the history of colonization and some of its lasting impacts on indigenous people and their cultures. Bolivia is highlighted as a country that has embraced the “living well” concept. The article closes by encouraging people to learn about and become allies with indigenous people because, ultimately, we are all impacted by the same threats.
Flavio F. Marsiglia, Jaime M. Booth, and Adrienne Baldwin
Undocumented immigrants represent a large and vulnerable population in the United States. When conducting individual practice with undocumented immigrants, social workers must be aware of the laws that impact service provision, the unique psychosocial stressors that are experienced by this population, as well as their strengths that can be built upon. To that end, this chapter provides a snapshot of who undocumented immigrants are, a history of laws governing immigration in the in United States, an overview of the current legal climate, and a discussion of the process of acculturation and psychosocial stressors and strengths. Specifically, this chapter outlines environmental, instrumental, social, interpersonal, and societal sources of stress and strength. The chapter concludes with a discussion of how laws and unique psychosocial stressors impact individual practice with undocumented immigrants and provides suggestions for culturally competent practice.