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Lia Nower and Kyle Caler
Gambling disorder is a significant public health concern. The recent and continued proliferation of land-based and interactive gambling opportunities has increased both accessibility and acceptability of gambling in the United States and abroad, resulting in greater and more varied participation. However, there is currently no designated federal funding for prevention, intervention, treatment, or research, and states are left to adopt varying standards on an ad hoc basis. Social workers receive little or no training in screening or treating problem gamblers, though research suggests that a significant proportion of those with mental health and other addictive disorders also gamble excessively. Raising awareness about the nature and scope of gambling disorder and its devastating implications for families and children is a first-step toward integrating gambling into prevention, assessment and treatment education in social work. This, in turn, will increase the chances of early identification and intervention across settings and insure that social workers can lend a knowledgeable and credible voice to addressing this hidden addiction.
Mansoo Yu and Rachel Fischer
Tobacco use is a major public-health concern in the United States. Intervention and prevention strategies for tobacco use are an urgent public-health priority because tobacco use is the single most preventable cause of death. To help social workers better understand tobacco use problems, this entry presents an overview, including definitions of terms, the scope and impact of tobacco use problems in terms of different segments of the population (that is, age, gender, race or ethnicity, geographic location, and education level or socioeconomic status), etiology of tobacco use (for example, biological or genetic; psychiatric; psychosocial; or environmental or sociocultural factors), policy history, tobacco prevention, clinical issues (such as cessation desire, treatment and success, or screening tools for tobacco use disorder and tobacco withdrawal), and practice interventions for tobacco use problems. Based on the information, the roles of social workers will be addressed.
Karen Smith Rotabi
The practice of intercountry adoption is considered from a historical framework, beginning with World War II to other conflicts and the global dynamics of child circulation for adoption. Significant sources of children are presented, including Russia, China, and Guatemala, as well as moratoriums related to poor practice and fraud. Framed from a social justice perspective, the Hague Convention on Intercountry Adoption is presented with an exploration of child sales and abduction into intercountry adoption. A global market for children creates significant practice challenges for social workers who engage in assessment, both in the country of child origin and in the destination country. Follow-up care includes case management to support families and children in the intercountry adoption process. In conclusion, the significant decline in the practice is reflected upon pragmatically; the need for true reform in the practice is necessary to preserve intercountry adoption for orphaned and vulnerable children.
Meredith Stensland, Sara Sanders, and Marla Berg-Weger
Advance care planning (ACP) is the process of determining and documenting desired wishes for the end of one’s life. Referred to by such terms as end-of-life planning, advance (health) directives, and living wills, ACP is a relatively new concept within our society, having emerged as a social, political, and ethical issue in the United States only since the 1960s. Researchers and legislators have been challenged in their efforts to examine healthcare decision-making and design appropriate policy to guide practice. This article will define ACP, provide an overview of the history and evolution of the process and the associated legal and ethical issues, and describe the process with three specific populations. In addition, it examines the role of the social work profession in working with individuals and families on planning for the end of one’s life.
Continuing education (CE) refers to an array of opportunities by which professionals can augment existing knowledge and skills. CE is essential for professional competence, career development, and compliance with licensing rules and other regulations. CE is offered through a variety of auspices, methods, and venues. Advances in instructional technology and electronic communication have further expanded access to CE opportunities. Ongoing challenges in CE include strategies for assuring quality in CE programming and adequately evaluating skill and knowledge acquisition.
Definitions of what constitutes advanced statistical analysis often differ among social-work researchers and across disciplines. In this article, the term advanced statistical analysis refers to advanced models increasingly applied to social-work research that help address important research questions. Because contemporary statistical models fully rely on the maximum likelihood (ML) estimator, this article begins with an overview of ML that serves as a foundation for understanding advanced statistical analysis. Following the overview, the article describes six categories of analytic methods that are important in confronting a broad range of issues in social-work research (that is, hierarchical linear modeling, survival analysis, structural equation modeling, propensity score analysis, missing data imputation, and other corrective methods for causal inference such as instrumental variable approach and regression discontinuity designs). These analytic methods are used to address research issues such as generating knowledge for evidence-based practices; evaluating intervention effectiveness in studies that use an experimental or quasi-experimental design; assessing clients’ problems, well-being, and outcome changes over time; and discerning the effects of policies.
This article discusses the African American social welfare system that began to develop during the early 20th century. This social welfare system, designed by African Americans to serve African Americans, addressed needs that were not being met by any other formal social services while the nascent social work profession was emerging. The myriad programs included settlement houses, boys and girls programs, training schools, and day nurseries. The women’s club movement played a critical role in the development of this social welfare system and provided much of the impetus for change and inclusion. Through formal organizations, including the National Urban League (NUL) and the Universal Negro Improvement Association (UNIA), and an array of clubs and social groups, social services were extended to urban and rural communities throughout the United States.
Claudia J. Dewane
Clinical social work is a derivative profession, drawing its knowledge and practice base from several theoretical schools. The four primary theoretical schools contributing to social-work philosophy are psychodynamic, humanist, cognitive–behavioral, and postmodern. Acceptance and commitment therapy (ACT), although considered one of the third-wave behavioral approaches, draws from all four theoretical schools of clinical intervention. This entry gives an overview of ACT development, its essential features, empirical base, tenets and techniques, and relevance to the social-work profession.
Older workers make important contributions to the workplace, its productivity, and its culture. Work remains important for older adults for financial security, to give meaning to later life, to maintain social networks, and to promote lifelong learning. However, ageist beliefs about the capacity of older adults to remain productive and contributing workers in the workforce can create barriers for older workers. Understanding how older workers experience ageist behavior in the workplace can help employers, policy makers, and social workers learn more about how to address this social problem. Organizations can become more age friendly through enabling workplace programs, supportive management, and proactive human resource managers. Social workers serving older adults in employee assistance programs and in private practice can help them to challenge ageism in the workplace. Finally, legislation such as the Age Discrimination in Employment Act protects the rights of older workers; however, more legislation is needed to address bullying and harassment of older adults in the workplace.
Albert R. Roberts (1944–2008), PhD, BCETS, DACFE, was a renowned professor and prolific writer. He taught at various universities for 35 years and wrote more than 250 journal articles and 38 books or book chapters.