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.
Susan F. Allen and Elizabeth M. Tracy
Home visiting and home-based intervention are two strategies used by social workers when working with individuals or families in direct practice. The basic rationale for home-based work is the benefit to social workers’ assessments and understanding of clients, as well as the benefit of more relevant practice with families who are seen in the setting where difficulties are occurring. Home-based interventions have been shown to be effective in improving health and decreasing family discord. When visiting the home, the social worker has the added responsibility of respecting the privacy of families as a guest in their homes.
Ruth Paris and Ellen R. DeVoe
In this entry we address the primary purpose of family in supporting the growth and development of individual members throughout the life course. Life cycle and attachment theories inform our understanding of how families function. Changing family patterns are addressed in terms of the variety of family forms, the multiplicity of needs as economies shift and life expectancy lengthens, family coping and adaptation to normative transitions and unexpected crises, and the influence of cultural and racial diversity. We conclude with brief comments on the issues for contemporary families and needs for the social work profession.
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.
Fariyal Ross-Sheriff and Julie Orme
Human trafficking (HT), also known as modern-day slavery, has received significant emphasis during the last decade. Globalization and transnational migration trends continue to amplify economic disparities and increase the vulnerability of oppressed populations to HT. The three major types of HT are labor trafficking, sex trafficking, and war slavery. Victims of HT are exploited for their labor or services and are typically forced to work in inhumane conditions. The majority of these victims are from marginalized populations throughout the world. Although both men and women are victims of HT, women and children are heavily targeted. Interdisciplinary and multi-level approaches are necessary to effectively combat HT. Combating HT is particularly relevant to the profession of social work with its mission of social justice. To address the needs of the most vulnerable of society, implications for social workers are discussed.
James C. Raines
Learning disabilities (LD) are the most common disability in public schools. Since 1975, students with learning disabilities have been eligible for a free appropriate public education, including special services such as school social work. Students with LD may be diagnosed via standardized achievement measures and clinical assessment. Despite 40 years of progress, the evidence suggests that students with LD still feel stigmatized and finish college and enter the workplace at a rate much lower than their nondisabled peers. School social workers can assist students with learning disabilities by assessing their self-esteem and social skills and then providing appropriate intervention. Self-esteem interventions should target students with LD, their parents, and their peers in the least restrictive environment. Social skills interventions may target students with LD as a separate group or provide those skills as part of universal inclusive education aimed at all children in the classroom.
Social workers working with individuals with intellectual disabilities and their families require an understanding of the disabilities themselves as well as the larger context of disability in society. Individuals with disabilities face particular risks for poverty and poor healthcare, and it is essential for social workers to understand the complex web of social services available. Furthermore, social workers often work not only with the person with a disability but also with their caregiving families.
Australian research on intercountry adoption in Australia is reported with particular reference to social work, divergent and competing interests of various stakeholders, and the highly political and contested nature of its practice in Australia. The practice of intercountry adoption in Australia is examined from its diffusion into Australia in the 1970s to contemporary times. Government approved Australian intercountry adoption programs began operation in the 1970s and although always small in number, the recent decline is consistent with global trends. Intercountry adoption in Australia is regulated by state and federal governments and social workers are integral to its practice. Controversies surrounding intercountry adoption in Australia have historically been linked to pressure from lobbyists and the support of some politicians. In 2014, Australia was at a crucial juncture with changes to how intercountry adoption is structured under review by the federal government.
Kathleen Coulborn Faller
Social workers play a vital role in helping physically and sexually abused children. In order to play this role, they need knowledge about the nature of the problem: (1) legal definitions of physical and sexual abuse, (2) its incidence and prevalence, and (3) its signs and symptoms. Social workers have three major roles to play: (1) identifying and reporting child abuse to agencies mandated to intervene; (2) investigating and assessing children and families involved in child abuse; and (3) providing evidence-based interventions, both case management and treatment, to physically and sexually abused children.
The following article on juvenile delinquency has three major objectives: First, it defines delinquency and discusses its measurement and extent; second, it reviews theory and risk factor data on causes of delinquency; third, it discusses current trends in juvenile justice intervention and delinquency prevention, including social worker involvement.