social work final

ethnicity

Belonging to a group of people with a shared culture and geographic origin. May included shared language, foods, rituals, religion, etc.

Identity can shift and change over time, two people from the same family may self-identify in different ways

People do not fit into neat boxes

Race

Race is considered a social construct meaning there is no biological basis for racial classifications

Race is defined as a group of people who share similar physical characteristics and ancestry to similar regions of the world

Racial classifications in the US are: White, Black, Asian, American Indian or Alaskan Native, & Hawaiian Native or Pacific Islander

While classifying people on the basis of race makes no sense people continue to experience discrimination and racism on the basis of their “race.”

Discrimination

The act of treating someone differently or less favorably than others, usually based on their membership in a group or category. It can occur in many settings, including at school, work, or in public.

Preference

Liking your group because its your group

Superiority

Believing your group to be better than others

Purity

Not mixing your group with others socially and physically

Explotiveness

Using other groups under the guise that its whats best for your group in order to maintain the ideals important for you

Group Cohesion

Valuing the needs of the group above your own and working together with other members to make sure those needs are met

Devotion

Being loyal to the group and its interest no matter what because its of central importance to each memeber

You do not “arrive” at being antioppressive & antiracist

requires building knowledge and critical thinking

sitting with the uncomfort

acknowledging privilege —> how we have benefited and been harmed by the system

Is more than a thought exercise: leads to action

listening, learning, reflection, and debate to create meaningful change

Overt

socially unacceptable

covert

socially acceptable

Dr. Love’s liberation consciousness

awareness - analysis - action - allyship/accountability

cultural competence

Respecting and understanding how culture impacts a person’s beliefs/values/and expereinces

Antioppressive Social Work Practice

Recognizing oppression occurs in all levels (micro/mezzo/macro)

consequences of oppression

lower socioeconomic status

poor educational outcomes

increased health problems —> mental and intergenerational trauma

self reflection

recognizing power and privilege you possess/understanding your social location ex: parents with DCPP case

client’s experience of oppression

understanding the macro policies that impact the client/ impact of social services/ and acknowledging impactful historical and current events

empowerment

validating the structural and systemic forces/ identifying harmful narrative held by white supremacy culture

partnership

the client is the expert of their life

all goals and interventions should be decided together

minimize power differentials: both social worker and client have knowledge to share

minimize intervention

as least restrictive as possible

shouldn’t be kept in services beyond whats necessary

poverty residual

poverty is the result of moral failing

deserving vs undeserving

welfare is handout

individualism

people have the power to get out of poverty themselves

poverty institutional level

poverty is the result of macro factors such as racism and intergenerational poverty

basic standard of living is a human right

welfare is a investment

collectivism

SNAP

help low income families get food and necessities

range income between $95-973 for family of 4

under $15,060 for individual and $31,200 for a family of 4

average grocery for a single person is $345/month

never intended to cover full

poverty gap

the difference between the poverty line and actual income

Social Mobility

Moving socioeconomic status

risk factors

poverty rates in the us- 11%

children- 20%

single female headed homes- 27%

male single headed homes- 17%

two parent- 16%

people of color

lgbtq+

disabilities

level of education

Impacts of poverty unstable housing

evictions/frequent move/ unsafe conditions/ homelessness

lower educational attainment

less enrichment/ lower quality of schools/ frequently moving schools/ attendance issues

health problems

lack of access to affordable medical/mental/dental care, frequently being unenrolled from medicaid/stress

un/over/underemployment

maintaining work due to appointments/lack of paid time off/low wages don’t cover the cost of child care/working multiple jobs

making social work accessible

libraries/schools/community centers

family structures

nuclear family- traditional mom/dad/children living as a unit

blended family

adoption family

queer family

extended family/multigenerational

single parent

immigration and families

family separation/financial impact/ambiguous loss/acculturative stress

family systems

family functions as a unit, you cannot understand the person without knowing the family

family provides structures and rules

how families interact with other systems affect the overall health and well-being

DCF

DCPP- Division of child protection and permanency: investigation/kinships/adoption/supportive independent living for older teens/group homes

statistics children

37% of all children, 53% of Black children will experience a welfare investigation before 18

17% determine the child is a victim of maltreatment

healthcare

maintenance and improvement of health through prevention/diagnosis/treatment/recovery or cure of illness or injury

healthcare system

healthcare professionals

preventive care- screenings/vaccines/physicals

interventions- medication/treatment/surgery

hospitals/tele-health/clinics

medicaid

health insurance for low income families/children/pregnant people 18%

federal program managed by states

us citizen/legal resident for 5+ years

medicare

federal program, insurance for 65+

paid taxes for 10+ years

based on income and plan chosen

many older adults have both medicare and medicaid

Affordable insurance act ObamaCare

created state market places to purchase insurance, made it more affordable to obtain insurance

premiums are subsidized by federal government depending on income

went to 92% from 84%

private insurance typically from employer

costs and benefits vary

preferred by healthcare providers

coverage is contingent upon employement

55% have private insurance

so what social workers need to help….

clients navigate the healthcare system/refer to appropriate resources/understand how barriers impact health and well being

social worker roles

advocate/broker/mediator/counselor/researchers

social workers in healthcare

case managers/crisis worker: emergency department/community/psychotherapist

Levels of care: in-patient/rehab/partial/out-patient

barriers to healthcare

insurance coverage

cost- treatment/medication/time off work

accessibility- where the providers are located/transportation/language

stigma- social and cultural beliefs about medical and mental illness/attitudes seeking help

knowledge-lack of health or mental literacy and bad information

types of mental health providers

psychiatrist

psychologist

social workers

counselors

nurse practitioners

risk factors of mental challanges

genetics/ racism/homophobia/trauma/relation challenges/community violence/ brain injury

Ageism

discrimination based on age, belief they are less capable

illness aging

chronic- diabetes/arthritis/cancer/heart disease/slower healing/fall risk

accessing healthy foods/changes in metabolism

• cost of food

• mobility to purchase or cook

• slowed metabolism- weight gain

mental health- loneliness/sleep problems/change in weight/loss of interest

financial stressors

increases in housing/aging in place/fixed income

loss

loss of home/community/mobility/death/independence/driving-care for self/loss of community/ physical functioning

grief

physiological/psychological process varies across culture and religion. when its not gotten over it is treated as a pathology

grief cylce

denial/anger/bargaining/depression/acceptance

intervention with older adults

case management- in home care/senior community/rehand/hospitals

mental care-individual/couple/family therapy

policy advocaccy- programs to meet older adults needs/reduce stigma of aging

older adults strenghts

capabilities/support systems/wisdom/resilience

substance abuse

overuse of substance negatively impact'- occupation/academic/financial.health

substance interventions

harm reduction- mitigating health risk

abstinence

subtance and criminal justice

criminalized

mandatory sentencing

dwi

child endagerment

school to prison pipeline

marginalization of kids psuhing them out leading to juvi

social work criminal justice

part of rehab.intervention/responding to mental health crisis.diversion and juvi progrmas

social work values

dignity/worth of a person/socila justice/human relations/self determination

burntout

physical-feeling of exhaustion

psych- deprresion

behavior-skipping/emotional eating/procrastinating

flow activity

sense of accomplishment