Health Policy/Systems: Overview and History

Author(s):  
Heather A. Walter-McCabe

This article describes the complex healthcare policy and financing systems in the US within a historic and political context for how the US arrived at these systems. It also provides an overview of frameworks useful for articulating how social work may have an increased influence on policies impacting the healthcare system along with specific arenas ripe for social work interventions towards healthcare system improvements. Social workers have the obligation, through the National Association of Social Workers Code of Ethics, and the requisite skills, to participate in the healthcare policy process ensuring that they not only have a place at policy making tables, but that members of communities impacted by these policies have an opportunity to assist in setting the healthcare policy agenda and programs to best serve them.

Author(s):  
Tetyana Semigina ◽  
Tetiana Basiuk

Dr. Iryna Zvereva (1952–2013) was one of the prominent founders of social work and social pedagogy in Ukraine. From 1992 through to 1998 she worked at the State Center of Social Services for Youth, the first professional public social work organization in Ukraine. She became a professor at the Taras Shevchenko National University of Kyiv and the Borys Grinchenko University of Kyiv. She led the development and international recognition of the Ukrainian professional community: under her leadership the Ukrainian Association of Social Educators and Social Work Specialists had joined the International Federation of Social Workers (IFSW) in 1994. She initiated the elaboration of the National Code of Ethics for Social Workers in accordance with international standards. She worked for the Ukrainian and international organizations that had introduced innovative, pioneer social work practices in Ukraine, and she authored over 200 publications on social work and social pedagogy.


2002 ◽  
Vol 83 (5) ◽  
pp. 483-492 ◽  
Author(s):  
Sophie Freud ◽  
Stefan Krug

The authors, both social work educators, serve on an ethics call line committee that provides insights on how the provisions of the (United States) National Association of Social Workers Code of Ethics (NASW, 1996) interface with the ethical dilemmas encountered by the social work community. In this paper, the authors highlight aspects of social work practice that they consider ethical, yet not easily accommodated by the provisions of the current Code. They also question the 1996 introduction of the concept of dual relationships into the Code and suggest that the Code adopt the less ambiguous term of boundary violations. Also recognized by the authors is the need for clear boundaries for the protection of clients against temptations that might arise in a fiduciary relationship, and for the legal protection of social workers. But, the authors argue, social work practitioners in certain settings, with particular populations, and in certain roles, inevitably face multiple relationships as an integral aspect of their work. The authors conclude that social work's adoption of the psychoanalytic constrains of anonymity, neutrality, and abstinence has detoured the profession from its original double focus on individuals and their society.


2018 ◽  
Vol 28 (6) ◽  
pp. 731-740 ◽  
Author(s):  
Christoph Bördlein

Behavioral social work is the application of behavior analysis to the field of social work. There are behavioral social work interventions for individuals, groups, and communities. Nevertheless, behavioral social work is far from a widely adopted approach among social work practitioners. A reason for the underuse might be seen in the fact that most interventions in behavioral social work aim at individual clients and groups. Social work could further benefit from the application of methods taken from behavioral community interventions. Behavioral community interventions modify the behavior of a larger group of people (e.g., pedestrians using a crosswalk, cafeteria patrons, students using a university building) with antecedent- and consequence-focused interventions. The article describes a training program for social work students in behavioral community interventions. Results of two projects, undergraduate students designed and performed, are presented. Behavioral community interventions are recommended as a valuable part of the education of social workers.


10.18060/124 ◽  
2000 ◽  
Vol 1 (1) ◽  
pp. 1-25 ◽  
Author(s):  
Elaine P. Congress

Recognizing ethical issues and dilemmas that arise in professional practice is crucial for social work practitioners, educators, and students. After a discussion about the limited, although growing, literature on social work ethics, the ten main tenets form the most current NASW Code of Ethics are presented. These topics include limits to confidentiality, confidentiality and technology, confidentiality in family and group work, managed care, cultural competence, dual relationships, sexual relationships, impairment and incompetence of colleagues, application to administrators and relevance to social work educators. In addition to understanding the Code of Ethics, social workers can use the ETHIC model of decision making for resolving ethical dilemmas. This easy to use five step process includes examining personal, agency, client, and professional values, thinking about ethical standards and relevant laws, hypothesizing about consequences, identifying the most vulnerable, and consulting with supervisors and colleagues. A case example involving confidentiality, HIV/AIDS and family therapy demonstrates how social workers can use the ETHIC model.


Author(s):  
Carmen Ortiz Hendricks

Latinos are a heterogeneous and highly complex population that presents the profession with one of the greatest challenges in understanding diversity and what constitutes culturally and linguistically competent social work interventions. At this point in history, Latinos are the fastest growing racial and ethnic group in the United States. This has given rise to strong anti‐immigration sentiment, English only legislation, and increased discrimination and racism, which Latino newcomers must contend with upon arrival in the United States. Social workers need to work to reduce both external and internal institutional barriers to service delivery for Latinos while responding effectively to their interpersonal and familial needs.


2020 ◽  
pp. 002087281990116
Author(s):  
Solomon Amadasun

Human trafficking victims require holistic and long-term services if their social conditions are to be improved. This study aims to explore the nature of social work services for human trafficking survivors. Semi-structured interviews were conducted with a cohort of social workers in a statutory anti-trafficking organization in southern Nigeria and the results were analyzed using thematic analysis. While the social workers reported providing services to trafficking survivors, these services were mainly rehabilitation-driven and short-term-focused. Although the research relates to a small-scale study, it has far-reaching implications for social work professionals and the Nigerian political leadership.


Social Work ◽  
2016 ◽  
Vol 61 (3) ◽  
pp. 217-226 ◽  
Author(s):  
Suzanne Pritzker ◽  
Katie Richards-Schuster

Abstract In the National Association of Social Workers’ Code of Ethics, social workers are called on to promote meaningful involvement in decision making among vulnerable populations. The ethical imperatives and social justice implications associated with unequal participation suggest that the field of social work is uniquely situated to lead research and practice in the area of youth civic engagement. This article examines the current state of the social work literature regarding how young people participate civically. Authors identified 113 articles on this topic published over the past decade in journals with a large presence in social work or by social work authors. They present the findings of their exploratory research, with a focus on describing where this research is being published, the range of research foci, and the terms used to describe this work. Increased attention to promoting youth civic engagement is needed in the profession’s core journals. Based on the analysis of this literature, they recommend moving toward a cohesive body of social work scholarship that includes increased collaboration among scholars, more unified terms and language, increased range of research foci and methodologies, and more rigorous and comparative testing of strategies by which youths participate civically.


2007 ◽  
Vol 88 (4) ◽  
pp. 561-566 ◽  
Author(s):  
Carole B. Cox

As the growth of grandparent-headed families continues, increasing numbers of social workers will find themselves dealing with the multitude of issues that these families face. Understanding the needs and concerns of these families is critical for the development of appropriate interventions, which include counseling, support groups, working with schools, and case management. This article discusses specific interventions social workers can use in working with these families. In addition, because their needs and problems are often systemic and not the result of any individual pathology, it stresses (a) the importance of working with grandparents to help them become self-advocates and (b) the role of social workers in changing unresponsive and insensitive policies and systems.


2018 ◽  
Vol 3 (2) ◽  
pp. 37-41
Author(s):  
Bhagya Hithaishi Jayawardana ◽  
K Nanayakkara

Ethical practice is fundamental to any practiced based profession including social work. The social work profession is a diverse one with a mission to promote wellbeing and quality of life for vulnerable people. Despite serving the society it’s also central to promoting social work Ethics to maintain the professional standards and lessen the ethical issues and dilemma’s faced in day today practice. Ethics are really important to any profession, yet a necessity for those rooted in and human services. In the Sri Lankan context, it is disheartening to see how social workers have lost their professional identity with the absence of a professional code of ethics in place. A qualitative research approach was followed to explore and describe the key ethical challenges faced by the social workers in Sri Lanka. Survey method, in-depth interviews and key informants interviews were utilized and analyzed based on purposive sampling method. The data were categorized based on different themes. The finding proves that there is no proper guideline to be followed for the practitioners, particularly in situations of ethical dilemmas and conflicts. Most of the Human Service Organizations have their own set of rules with lesser focus on the code of ethical conduct. The unethical practice unintentionally promotes the malpractice leading to scenarios where organizational set of rules violates the client’s self determination and confidentiality. Although most of the upcoming social work graduates are made aware of the importance of maintaining an ethical conduct, when they join the work force as social workers they face many constraints due to absence of a formal code of ethics. This has resulted most of the social workers not having any obligations to continue an ethical practice  hence their practice is inevitably not much embedded in ethics. Thus the study provides an outlook on the ethical challenges faced by the social workers specially working in different sectors in Sri Lanka.


2018 ◽  
Vol 13 (2) ◽  
pp. 4-30
Author(s):  
Reidunn Håøy Nygård ◽  
Merete Saus ◽  
Shanley Swanson Nicolai

This qualitative study compares social work in Sami communities within Norway and Native American communities in Montana in the US. A total of 39 social workers were interviewed. We investigated the conceptualization of culture and ethnicity, as well as the implications of these constructions for a culturally adequate social work practice. We find that social workers in Sápmi conceptualize culture and ethnicity as hybrid and fluid, while the social workers in Native American communities have a more fixed and static conceptualization. When working in Native American communities, social workers’ theme of inequality among groups, and the continuing effect of assimilation on family life. Among social workers in Sami communities in Norway, little attention is given to power relations among ethnic groups. These differences in construction affect both the framing and the legitimacy of culturally adequate social work within these two contexts.


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