Namkee G. Choi
Adult day care centers provide important health, social, and support services for functionally and cognitively impaired adults and their caregivers. The adult day care services are underutilized, however, because of the shortage of centers, caregivers' lack of awareness of and resistance to using services, and the mismatch between the needs of potential consumers and their informal caregivers and the services provided by the centers. To foster and support the expansion of adult day care centers, lessons learned from national demonstration programs need to be disseminated, and social workers need to be trained to provide essential services at the centers.
Safeguarding is an area of social work activity concerned with the care and protection of children or adults who have care and support needs and who may be at risk of abuse or neglect. This is a major concern for social workers who usually have prime responsibility for ensuring as far as possible that the vulnerable clients they work with are protected. People’s ability to keep themselves safe is partly determined by their individual circumstances, and this may change at different stages in their life, so it is important that safeguarding is always considered in relation to the wishes of the person concerned. Effective safeguarding depends on a careful consideration of the factors involved and will almost always involve a multi-agency partnership approach. This article will primarily examine the situation regarding safeguarding vulnerable adults in the United Kingdom.
Nancy Morrow-Howell and Leslie Hasche
Despite high levels of functioning among older adults, chronic health conditions lead to impairment and the need for help. Family members provide most of the assistance; yet formal services such as in-home personal and homemaker services, congregate and home-delivered meals, adult day services, employment and educational services, transportation, nursing homes, assisted and supportive living facilities, legal and financial services, and case management are available. Even with the growing number and type of services, unequal access and uneven quality persist. In these settings, social workers develop and administer programs, provide clinical care, offer case management and discharge planning, and contribute to policy development.
Larry D. Williams, Blenda Crayton, and Agha Erum Agha
The history of social work education is replete with accounts of how the early charity organizations influenced its development. For example, Toynbee Hall in London inspired the founding of Hull House in Chicago as well as the London Charity Organization, the Women’s University Settlement, and the National Union of Women Workers. In addition, Octavia Hill established one of the first training programs in social work education that emphasized the principles for helping impoverished clients. The program was later expanded in 1890 into a one-year program of courses and supervised practice. Later, the program expanded to outlying areas and provinces and eventually evolved into two-year programs of study at the London School of Sociology
Defining today’s baccalaureate social workers as entry-level professionals is indeed a paradigm shift. Tracy Whitaker, Toby Weismiller, and Elizabeth Clark stated in their 2006 work, “Clearly, the social work profession is at a crossroad. If there are to be adequate numbers of social workers to respond to the needs of clients in the 21st century and beyond, the sufficiency of this frontline workforce, must not only be ensured, it must be prioritized.” In our ever-changing society, the social work profession must rethink the various levels of the profession and recognize, as well as promote, a professional career trajectory that embraces the baccalaureate social work professional. Administrators and faculty of each social work program are responsible for ensuring that students are competent, and that they possess skill sets that will elevate their marketable in a competitive workforce. Recruiting new social workers, replacing retiring social workers, and retaining social workers in the profession are all needed.
Bereavement, which is the circumstance of having experienced the death of a significant other, is associated with significant emotional, cognitive, spiritual, physical, and social disruption. Given its ubiquitous nature, nearly everyone is affected by bereavement at some point, and opportunities for social work intervention with the bereaved are many and varied. This entry provides a brief summary of our extant knowledge about bereavement including its theoretical underpinnings, psychosocial sequelae, and empirical evidence of related interventions.
A generic set of case management functions are performed in most practice settings. To improve outcomes within a complex service delivery system, case managers need to collaboratively work with clients and care providers. By incorporating the paradigm of evidence-based practice, case managers can improve decision making through integrating their practice expertise with the best available evidence, and by considering the characteristics, circumstances, values, preferences, and expectations of clients, as well as their involvement in the decision making.
Helmut K. Anheier and Marcus Lam
Foundations are private institutions for public benefit. With a long history that reaches back to antiquity, foundations are experiencing a renaissance and increased attention paid to them by policy makers. Already by the mid-1980s, observers had begun to report the end of the relative decline in the overall size and importance of the foundation sector—a trend that had characterized the previous decades. Some analysts suggest the possibility of a new, third “foundation wave,” after a first growth period in the late Middle Ages, alongside the rise of commerce and finance, and a second period of growth in the late 19th century, following the industrial revolution. Political stability, an increase in demand for social, educational, and cultural services of all kinds, and economic prosperity are certainly significant factors behind this growth. Yet a more immediate reason is the way in which foundations have been suggesting themselves as instruments of welfare state reform in the broadest sense.
Child care services, enabling parents to commit themselves to paid employment while providing a supervised environment for their children, have a long and complex history in the United States. Child care services can provide children with educational and other advantages, as well as custodial care. In fact, the United States has multiple kinds of services providing child care and early childhood education. Publicly funded services have concentrated on care for impoverished children and those facing other risks or disadvantages, but many of these children and their families remain unserved because of gaps in programs and lack of support for subsidies, while other families purchase the services they need.
Christina E. Newhill
Client violence and workplace safety are relevant issues for all social workers across practice settings. This entry addresses why and how social workers may be targets for a client's violent behavior, and what we know about who is at risk of encountering violence. Understanding violence from a biopsychosocial perspective, identifying risk markers associated with violent behavior, and an introduction to guidelines for conducting a risk assessment will be discussed. The entry concludes by identifying and describing some general strategies for the prevention of client violence.
Jacqueline Mondros and Lee Staples
The authors review the history of community organization, both within and outside social work, describe the various sociological and social psychological theories that inform organizing approaches, and summarize conflict and consensus models in use in the early 21st century. We review the constituencies, issues, and venues that animate contemporary organizing efforts and indicate demographic trends in aging, immigration, diversity, and the labor force that suggest new opportunities for collective action. Finally, the authors discuss dramatic increases in organizing for environmental justice, immigrant rights, and youth-led initiatives, as well as new activities involving information technology, electoral organizing, and community–labor coalitions.