Reform and Restructuring of Social Services in the United States: Evaluating Collaborative Service Models

This volume tells the little-known story of the Dominican Family—priests, sisters, brothers, contemplative nuns, and lay people—and integrates it into the history of the United States. Starting after the Civil War, the book takes a thematic approach through twelve essays examining Dominican contributions to the making of the modern United States by exploring parish ministry, preaching, health care, education, social and economic justice, liturgical renewal and the arts, missionary outreach and contemplative prayer, ongoing internal formation and renewal, and models of sanctity. It charts the effects of the United States on Dominican life as well as the Dominican contribution to the larger U.S. history. When the country was engulfed by wave after wave of immigrants and cities experienced unchecked growth, Dominicans provided educational institutions; community, social, and religious centers; and health care and social services. When epidemic disease hit various locales, Dominicans responded with nursing care and spiritual sustenance. As the United States became more complex and social inequities appeared, Dominicans cried out for social and economic justice. Amidst the ugliness and social dislocation of modern society, Dominicans offered beauty through the liturgical arts, the fine arts, music, drama, and film, all designed to enrich the culture. Through it all, the Dominicans cultivated their own identity as well, undergoing regular self-examination and renewal.


2017 ◽  
pp. 113-130
Author(s):  
Elizabeth A. Winter ◽  
Diane E. Elze ◽  
Susan Saltzburg ◽  
Mitchell Rosenwald

Author(s):  
David C. Rapoport

Time gaps existed in the first three waves between precipitating political events and the development of terrorist activity. But now the time gap has disappeared because the precipitating events were directly associated with terrorism. All of those events occurred in the Islamic world where religion was employed to justify terror. Jewish, Sikh, and Christian terror groups emerged very quickly afterwards, but Islamic groups were larger, more durable, and had a more significant global impact. The international world changed; Iran’s religious revolution made it a major player; and the Soviet Union’s collapse intensified Islamic opposition to the United States. Sikh, Jewish, and Christian terrorists came from a national base, but Islamic ones often emerged from many countries to join a particular group; and two critical groups, al-Qaeda and ISIS, aimed to re-establish a caliphate embracing the Islamic world. Diasporas provided financial support as they had in other waves, but some Islamic immigrants, like first wave anarchists, employed terror in their new homes and often left those homes to seek targets elsewhere. “Suicide bombing” or “self-martyrdom,” the wave’s distinguishing tactic, made it the most destructive wave. The only religious groups to embrace this tactic were Islamic, though ironically, the secular Tamil Tigers used it and did so more often than any Islamic group did. Islamic groups initiated social services for their societies, a program not seen earlier, and the Tamil Tigers adopted social services for their communities as well. Al-Qaeda, born in the resistance to the Soviet Afghan invasion, became the wave’s most important group. After difficulties in helping uprisings outside Afghanistan in the Islamic world, it decided to strike the United States, and its 9/11 attacks, the wave’s high point, are the most destructive terrorist acts ever. The United States then invaded Afghanistan forcing al-Qaeda to leave that country. Instead of completing the job, however, the United States decided to invade Iraq to prevent Iraq from giving al-Qaeda weapons of mass destruction, weapons Iraq did not have. This over-reaction inflamed Muslims everywhere, enabling al-Qaeda to get more recruits and develop Iraqi resistance. One crucial focus of al-Qaeda in Iraq was its gruesome atrocities towards the Shia population, which produced violence between Sunni and Shia throughout the Islamic world. The United States ultimately eliminated al-Qaeda in Iraq, and al-Qaeda Central was unable to get another ground base. Al-Qaeda Central then adopted two methods to revitalize itself. The lone wolf strategy, developed first by U.S. Christian terrorists, did not produce many significant results. At the same time, many franchises were created but each focused on local activities and did not strengthen al-Qaeda’s global capacities. A new situation developed with the “Arab Spring” in 2011, when peaceful secular demonstrations for equality and democracy were transformed into violent conflicts between Shia and Sunni sects. Syria, the bloodiest scene, attracted support from Shia and Sunni elements everywhere and encouraged Russia and the United States to get engaged. ISIS (Islamic State), the remnant of al-Qaeda in Iraq, was reborn and grew immensely there as it captured much territory in Iraq and Syria and became the wave’s most important group. Al-Qaeda Central also became involved and eventually turned against ISIS. In a short time ISIS lost most of the territory gained, and its European strikes to get the West more deeply involved in the conflict by sending troops to Syria and Iraq failed. Al-Qaeda and ISIS franchises continue to fight each other, a conflict that may end the wave.


Author(s):  
Pamela Aneesah Nadir

Zakat or obligatory charity is a foundation of Muslim social services. Social services with Muslims date back more than 1,400 years to the time of the Prophet Muhammad. His biography reflects his involvement in the care of the poor, widows, and orphans and engagement in social justice for women and minorities. Muslim communities throughout the United States are providing social services for Muslims; however, an institutionalized network of professional social services sensitive to the needs of Muslims is in the developmental stage.


2017 ◽  
Vol 674 (1) ◽  
pp. 262-280 ◽  
Author(s):  
Carolyn Riehl ◽  
Melissa A. Lyon

Many localities across the United States are pursuing efforts to improve outcomes for children and youth through place-based, cross-sector collaborations among education, business, government, philanthropy, and social services agencies. In this article, we examine these place-based initiatives, investigating how they attempt to ameliorate educational inequity and how they might reflect the broader sociological vision of James S. Coleman. We draw from publicly available information on a set of 182 cross-sector collaborations across the United States and from in-depth case studies of collaborations in Buffalo, New York; Milwaukee, Wisconsin; and Portland/Multnomah County, Oregon. We find evidence that in some ways, cross-sector collaborations contribute to improving schools, offer interventions and resources to support families and communities, and attempt to revitalize localities with strong norms and social ties to support education and equity. However, these outcomes are not yet fully formed, widespread, or guaranteed to last over time.


1990 ◽  
Vol 19 (3) ◽  
pp. 331-360 ◽  
Author(s):  
Tim Dant ◽  
Brian Gearing

ABSTRACTIn the United Kingdom a range of services for elderly people in the community has developed that is delivered by a variety of professionals and administered within different organisations. This has resulted in a problem of co-ordinating services to meet the individual needs of the most frail elderly people. In the United States ‘case management’ has been introduced as a way of improving the co-ordination of care. Despite structural differences in the provision of health and social services between the United States and the United Kingdom, the concept of case management has influenced the design of a number of innovatory schemes in the United Kingdom, including the Gloucester Care for Elderly People at Home project (CEPH). These innovatory schemes have demonstrated the need for a ‘keyworker’ and clarified the tasks that are involved in taking responsibility for co-ordinating services to meet the needs of elderly people at risk of failing to cope at home. There is, however, a danger of proliferating the complexity of service provision by creating a new breed of professional; an alternative might be to alter the responsibilities, attitudes and team orientation of existing professional workers so as to include taking on the key worker role for some of their clients.


2017 ◽  
Vol 39 (3) ◽  
pp. 267-282 ◽  
Author(s):  
Marie L. Mallet ◽  
Rocío Calvo ◽  
Mary C. Waters

As undocumented Latino immigrants transition into adulthood, they also transition into illegality. They move from a somewhat protected status under which they had access to education and other social benefits, to the more vulnerable category of undocumented adults without access to social rights. How undocumented immigrants’ interactions with social services contribute to the formation of their ethnic identity and feelings of belonging to the United States is the focus of this research. Drawing on qualitative interview data from undocumented adults who grew up in the United States, this article shows that as undocumented children transition into adulthood, they face a new system that forces them to learn how to become an immigrant if they want to remain part of American society.


2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Paola Andrea Sanchez Garay ◽  
Daniele Restifo ◽  
Swathi Rao ◽  
Diana Espinoza ◽  
Madalina Liliana Ionescu ◽  
...  

Abstract BACKGROUND We are reporting a case of a Hispanic female who presented with a pericardial effusion as a complication of hypothyroidism, untreated due to lack of medical care, which demonstrates health disparities in chronic diseases. CLINICAL CASE The patient is a 48 year-old Hispanic female with PMHx of hypothyroidism, non-compliant with medical therapy, who presented to the ED with fatigue and dyspnea. Despite progressively worsening symptoms for the past 4 months, she had refused to be seen by a physician because she was uninsured. Her physical exam was notable for generalized pallor and bradycardia, with otherwise normal cardiopulmonary exam. Her initial laboratory data showed hemoglobin of 5.5 g/dl. CXR demonstrated an enlarged cardiac silhouette, which on CT was found to represent a large pericardial effusion. On admission her laboratory data demonstrated low ferritin, TSH of 94 mIU/L and T4 of 1.4 mcg/dl. m. Cortisol was 9 mcg/dl at 11 am. Repeat hemoglobin post-transfusion was 9 g/dl The patient was started on IV levothyroxine and hydrocortisone. Echocardiogram showed a large posterior wall pericardial effusion without evidence of RV strain. Pericardiocentesis was attempted but was unsuccessful because of difficult access to the fluid location. She was discharged on levothyroxine 88mcg QD and recommended to follow up with endocrinology and cardiology as an outpatient. It is well known that the United States spends a disproportionate amount of money in healthcare in comparison to developing countries (1). Underinvestment in social services and high prices set by pharmaceutical companies are likely contributing factors (1). Unfortunately, the resulting outcomes do not necessarily reflect the spending. Minorities are well known to have a higher morbidity and mortality as well as to present more frequently with dramatic manifestations of chronic diseases. This can often be attributed to a lack of access to medical care and poor follow up. Our patient was diagnosed with pericardial effusion as a complication of untreated hypothyroidism, a condition that is underdiagnosed despite a high incidence (3-37%). This pericardial effusion was initially concerning due to its large volume. The fact that she was hemodynamically stable reflects its chronicity, but it could have led to a fatal complication if she continued without appropriate therapy for a longer period of time. CONCLUSION A case such as this should make us question what more we can do to improve healthcare outcomes for minorities in the USA. REFERENCES (1). Papanicolas, Irene, Liana R. Woskie, and Ashish K. Jha. “Health care spending in the United States and other high-income countries.” Jama 319.10 (2018): 1024-1039.


Author(s):  
Jennifer E. Mosley

Nonprofit organizations serve a wide variety of functions and play a particularly important role in providing needed social services in the United States. This entry begins by exploring the roles and origins of the nonprofit sector, reporting on its current scope and scale, and reviewing federal regulations governing nonprofit organizations. Special attention is then given to understanding human service organizations and their financing, including the implications of changing government-nonprofit relationships. Four additional issues facing the sector—accountability, technology, political participation, and diversity, as well as recommendations for meeting future challenges, are also discussed.


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