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.
Yin-Ling Irene Wong
This entry provides an overview of contemporary homelessness as a major social problem in the United States, focusing on the definition of homelessness and its prevalence, as well as on the composition and characteristics of the homeless population. It then discusses the dynamics and causes of homelessness and examines policy responses toward homelessness since the McKinney–Vento Homeless Assistance Act of 1987. The entry points to the multifaceted nature of homelessness and highlights promising interventions that have shown to be effective in addressing homelessness among members of special needs populations.
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.
Michael A. Dover
Human need and related concepts such as basic needs have long been part of the implicit conceptual foundation for social work theory, practice, and research. However, while the published literature in social work has long stressed social justice, and has incorporated discussion of human rights, human need has long been both a neglected and contested concept. In recent years, the explicit use of human needs theory has begun to have a significant influence on the literature in social work.
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.
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.
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.
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.
Africa is one of the world's poorest regions and it faces numerous and complex challenges as it strives to achieve its development objectives. The main challenges relate to poverty and its alleviation, economic growth, democratization leading to political stability, improving social welfare, and generally creating a just and equitable society. The resolution of these issues is critical to social work if the profession is to make an impact.