Stephen H. Gorin, Julie S. Darnell, and Heidi L. Allen
This entry describes the development and key provisions of the Patient Protection and Affordable Care Act (ACA), which instituted a major overhaul of the U.S. health system, much of which took effect in 2014. The key provisions of the ACA included an individual mandate to purchase insurance, an employer mandate to offer coverage to most workers, an expansion of Medicaid to all persons below 138 percent of the federal poverty level (FPL), minimum benefit standards, elimination of preexisting condition exclusions, and reforms to improve health-care quality and lower costs. This historic legislation has deep roots in U.S. history and represents the culmination of a century-long effort to expand health care and mental health coverage to all citizens.
Michael Sherraden, Lissa Johnson, Margaret M. Clancy, Sondra G. Beverly, Margaret Sherrard Sherraden, Mark Schreiner, William Elliot III, Trina R. Williams Shanks, Deborah Adams, Jami Curley, Jin Huang, Michal Grinstein-Weiss, Yunju Nam, Min Zhan, and Chang-Keun Han
Since 1991, a new policy discussion has arisen in the United States and other countries, focusing on building assets as a complement to traditional social policy based on income. In fact, asset-based policy already existed (and still exists) in the United States, with large public subsidies. But the policy is regressive, benefiting the rich far more than the poor. The goal should be a universal, progressive, and lifelong asset-based policy. One promising pathway may be Child Development Accounts beginning at birth, with greater public deposits for the poorest children. If every child had an account, then eventually this could grow into a universal public policy across the life course.
This entry presents introductory information on asylum seekers, refugees, and immigrants in the United States, including distinctions among them, major regions of origin, demographic and socioeconomic characteristics, challenges in social and cultural adaptation, and best practices for social work with these populations.
DeBrenna LaFa Agbényiga
As a profession, social workers must understand and work well within the realms of capacity development. This understanding is important because it provides a foundation for working at the micro and macro levels to engage communities, organizations, systems, and individuals. However, the complexity of capacity development has made it difficult for social workers to fully engage from this stance. This entry discusses the historical development of capacity development and building while linking it to social justice. It also provides a theoretical perspective and methods for understanding and utilizing capacity development and building in social-work practice.
Chaos theory and complexity theory, collectively known as nonlinear dynamics or dynamical systems theory, provide a mathematical framework for thinking about change over time. Chaos theory seeks an understanding of simple systems that may change in a sudden, unexpected, or irregular way. Complexity theory focuses on complex systems involving numerous interacting parts, which often give rise to unexpected order. The framework that encompasses both theories is one of nonlinear interactions between variables that give rise to outcomes that are not easily predictable. This entry provides a nonmathematical introduction, discussion of current research, and references for further reading.
Usha Nayar, Priya Nayar, and Nidhi Mishra
The paper presents a global scenario of child labor by placing the issue in a historical context as well as comparing current work in the field. It specifically explains the psychosocial, political, and economic determinants of child labor and the prevalence of different forms as well as its magnitude in the different regions of the world. It features innovative programs and actions taken against child labor by local governments, civil societies, and United Nations bodies—mainly the International Labor Organization and the United Nations Children’s Fund. The paper also highlights multilateral collaborations among the UN and other international agencies that stand against child labor in general and the employment of children in hazardous conditions. It illustrates the cooperation among local governments, civic organizations, and child-rights movements that have brought gradual changes over the decades toward ending child labor. Further, it suggests that social work, relevant professional schools, and associations working in various disciplines should be engaged in research-based advocacy and find innovative solutions to control child labor.
Citizen participation is a process through which people served by government and nonprofit organizations can provide input about how these services are offered. Citizen participation is particularly beneficial in low-income neighborhoods. Local control of neighborhood decision making helps low-income people and communities of color counter the effects of economic and social oppression. Social workers can work with communities to increase their power and influence in public decision-making. They can also facilitate the development of leadership and political skills among agency clientele by creating organizational structures that encourage their participation in agency decision-making.
Hal A. Lawson
Social workers are uniquely prepared to provide leadership for collaborative practice, especially when they employ intervention logic. Intervention-driven collaboration develops interdependent relationships among people. These relationships are cemented by norms of reciprocity and trust, enabling participants to organize for collective action in response to “wicked” problems characterized by uncertainty, novelty, and complexity.
Among the family of “c-words” (for example, communication, coordination), collaboration is the most difficult to develop, institutionalize, and sustain because it requires new organizational designs, including inter-organizational partnerships, as well as policy change. Notwithstanding the attendant challenges, collaborative practice is a mainstay in multiple sectors of social work practice, including mental health, substance abuse, school social work, complex, anti-poverty initiatives, international social work, workforce development, and research. Growing collaboration with client systems connects collaborative practice with empowerment practice and facilitates the achievement of social work's mission.
Calvin L. Streeter
One of the hallmarks of social work is its recognition that people grow and mature in a social context. Communities are one of the many social systems that touch people's lives and shape their individual and group identity. A conceptual overview of community is presented. Social systems, ecological systems, and power/conflict are presented as alternative frameworks for understanding how the social interaction between individuals, groups, and social institutions are patterned within the community. Virtual community is reviewed as a recent phenomenon that may have implications for community in modern society.
Dorothy N. Gamble and Marie Weil
Major social changes resulting from globalization, the increase in multicultural societies, and growing concerns for human rights, especially for women and girls, will affect all community practice in this century. Community-practice processes—organizing, planning, sustainable development, and progressive social change—are challenged by these trends and the ethical dilemmas they pose. Eight distinct models of community-practice intervention are described with examples from around the globe. The values and ethics that ground community-practice interventions are drawn from international and national literature. Model applications are identified for work with groups, urban and rural communities, organizations and coalitions, and in advocacy and leadership for social justice and human rights.