Home health care is professional medical and non-medical care delivered in the home (home refers to a private residence, an assisted living facility, or a group home) to assist ill, injured, or disabled seniors or adults remain safely at home for as long as possible. As the population ages, and the numbers of Baby Boomers age 85 and older increases, it is likely that there will be a growing need for long-term care, including home health care. In this article, the role of social work in home health care is reviewed as it is impacted by sources of payment and demographic characteristics of home care users. Social work assessment and intervention in home health care is also discussed with a focus on effective referral practices.
Mary Raymer and Dona J. Reese
Hospice social workers are essential members of the interdisciplinary team that provide biopsychosocial and spiritual care to terminally ill patients and their significant others during the last 6 months of life. Hospice philosophy emphasizes symptom control, quality of life, patient self-determination, and death with dignity. Hospice social workers must be skilled in providing evidence-based interventions including direct client services; collaboration with the interdisciplinary team; community outreach; developing culturally competent services; and advocating for policy change on the organizational, local, and national levels.
Tracy M. Soska
Housing, especially homeownership and affordable housing, remains essential to the American Dream but also among our most challenging social issues, particularly given the collapse of the housing market in the early 21st century. Housing and affordable housing are inextricably linked to both our national economic crisis and our wavering social policies. Housing is both symptomatic of and a catalyst for overarching social and economic issues, such as poverty, economic and educational inequality, and racial disparities, and it remains an unmet need for a significant portion of our population, such as the elderly, disabled, victims of abuse, those aging out of child welfare, veterans, ex-offenders, and others who encounter unique difficulties and lack of supportive services and service coordination. Advancing comprehensive and coordinated housing policies and programs remains important for social work and in the struggle for decent and affordable housing for all.
Jessica Grogan and Frank C. Richardson
The Humanistic Psychology Movement, which began in 1962 and flourished throughout the 1960s and 1970s, exercised a strong influence over the development of social work assessment and practice. Defined by its distinctive research methodologies, based on the phenomenology of Husserl and Heidegger and in the consideration of subjective, experiential elements, humanistic psychology contributed to the modern practice of qualitative and survey-oriented research. Its health and growth orientation, antihierarchical emphases, and affirmation of the inherent strengths of human nature also greatly impacted therapeutic practice. Specific therapeutic orientations that arose from the movement include person-centered counseling, existential therapy, Gestalt counseling, transactional analysis, and the strengths perspective.
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.
Benjamin J. Lough
This entry provides a brief historical overview of international volunteer service, along with changes to traditional forms of international service. It presents a general typology for contemporary international-service programs and reviews how these forms differ in practice. Using the limited data available, it provides a demographic snapshot of the scale and prevalence of international volunteer service from the United States and globally. The entry then reviews critical intersections between international service and social work, and describes debates of particular concern to the social worker profession. Finally, the entry outlines important areas for future social work research and practice.
Sarah E. Bledsoe, Brianna M. Lombardi, Brittney Chesworth, and Samuel Lawrence
This article discusses interpersonal psychotherapy (IPT), a psychotherapeutic intervention developed by Gerald Klerman, Myrna Weissman, and colleagues in the 1970s as an outpatient treatment for major depression in adults. Based on the theories of Harry Stack Sullivan and Adolph Meyer, IPT is a manualized, time-limited intervention that addresses the underlying interpersonal antecedents and correlates of psychiatric illness. The goal of IPT as originally developed is to reduce depressive symptoms and improve interpersonal relationships. IPT has been widely tested in adults and adolescents and is an empirically supported treatment for major depression. IPT has been adapted for a variety of psychiatric illnesses and problems of living including perinatal depression, anxiety, and trauma-related disorders. Current evidence detailed below supports the use of IPT across cultures, illnesses, and populations.
Nina L. Aronoff
This is an overview of interprofessional and partnered practice and how these are connected to and further the purposes of social work practice. This brief summary locates several models of collaborative practice in social work and also delineates the ways in which partnered practice provides an overarching paradigm that includes and also extends these approaches, describing a philosophy of practice that speaks to today's imperatives for change in the world.
Peter De Jong
Social work interviews are purposeful conversations between practitioners and clients, involving verbal and nonverbal communication. The basic skills are regularly used by social workers and reflect the field's major practice principles and the model of change employed by the practitioner. Competency-based forms of interviewing such as motivational and solution-focused interviewing are increasingly being used in direct and indirect practice. Additional research is needed on the outcomes of specific interviewing skills and how they are learned and transferred into practice.
Deana F. Morrow
This entry will provide an overview of psychosocial issues and social work intervention relevant to working with lesbians. Practice issues related to the impact of heterosexism, coming out, lesbian identity development, and lesbian couple and family formation will be discussed. Assessment and intervention methods appropriate for social work practice with lesbians will be addressed.