There is little doubt that social work practice has been, is, and will continue to be impacted by emerging technologies, generally defined in terms of information and communication technologies (ICT), in the United States and around the globe. However, while it is relatively easy to locate descriptions of innovative technologies and social work services utilizing these technologies, it is somewhat more difficult to locate concrete evidence to illustrate actual widely-adopted changes in the practice arena brought about as a result of ICTs. It is harder still to identify concrete, data-based evidence concerning the efficacy and cost-effectiveness of these technologies and services, the “real impact” that changes clients’ lives. Furthermore, there is little discussion concerning the concurrent impact of other significant ongoing transformations in social work practice that in some ways support increased impact of emerging technologies and in other ways limit their potential impact. Such trends as the following: the increasing prevalence of integrated mental health and substance abuse services into “behavioral health”; the promotion of inter-professional and multidisciplinary approaches; greater awareness of, and in some venues now required, focus on patient/client-centered care; heightened acknowledgement of the role of caregivers and their enhanced influence and power as advocates; heightened prevalence of universal design principles; increased attention to mindfulness; and greater sensitivity to the short- and long-term impact of trauma are all relevant. These trends create an environment in which emerging ICTs can have greater potential impact. They interact with both the development of new technologies and the escalating awareness of the potential of these technologies by practitioners, the agencies that employ them, and the clients and caregivers who utilize their services. Also involved are for-profit enterprises that see in this technology-enhanced arena a potential to earn substantial profits. The available sources make clear that little is indeed clear, and that there are both challenges and opportunities confronting the use of emerging technologies, with critical trade-offs between access and privacy, and between enhanced services and technology-related barriers to these services. Throughout this review social work’s commitment to social justice provides a lens that cannot be ignored, demanding recognition of sources whose description of impact may be less optimistic than that of ICT cheerleaders. The current state of affairs should serve as a call to action for all stakeholders in the human services to share information and data about these emerging trends, and to play an active role in their further development to ensure that the demands of social justice are addressed.
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