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Social Work 1115
Test 2
109
Other
Undergraduate 1
04/11/2010

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Term
Communities
Definition
Spaces, interactions, location identifiers
Term
Types of Locators
Definition

  1. Geographic: Neighborhoods, cities, towns
  2. Functional: Shared concerns and causes/beliefs
  3. Traditional: Separate and historical identities
  4. Diversity: Oppressed regions, areas

Term
Community Organizational Concepts
Definition
Develops capacity of group members to improve quality of life. (Organize functional communities, community of social/economic development [non-profit orgs seek grants, contributions], social planning and action) A social worker proposes 3 goals. 
Term

Disciplinary Research

 

Definition
Begins with perspective/paradigm, with a theoretical orientation, and proceeds to research questions that direct toward empirical measurements of observations that produce worthwhile generalizations. 
Term
Policy Research
Definition
Purpose is to provide valid, reliable, and relevant knowledge for governmental Entities. 
Term
Evaluative Research
Definition
Assesses the efficacy of a given policy, agency service delivery, or specific treatment/ intervention modality. 
Term
Economic Opportunity Advantages
Definition

  1. Cognitive abilities and skills
  2. Loving, married parents
  3. At least one parent has marketable skill
  4. Health, education, environmental sustainability

Term
FPL
Definition
Federal Poverty Income Limit requirement to fulfill minimum living needs. Does not include costs of health care or housing. Consumer price index adjusted. *Market basket is the original FPL standard which represents family size and food. 
Term
What do you think is wrong with the FPL
Definition
They don't take housing into consideration.
Term
Poverty Demographic Factors:
Definition

  1. Macro economics
  2. Household composition and economic access (single parent)
  3. Social program access impact
  4. Social program funding and effectiveness

Term
Look up page 173
Definition
please
Term
Temporary Assistance to Needy Families (TANF)
Definition

  1. State block grant program (based on census)
  2. Support and income work program
  3. Allows states to deny aid to any poor family category
  4. After five years of assistance block grant assistance ceases
  5. Those off welfare rolls can only obtain 10K-14K annum jobs with little opportunity for advancement. 

Term
Current Poverty Intervention Strategies
Definition

  1. Strong market and family system with a living wage.
  2. Social Insurance System (social security)
  3. Public Assistance programs (food stamps)
  4. Supplemental Security Income (for needy or disabled)
  5. In-Kind benefits (earned income tax credit)
  6. Medicaid/SCHIP (Health insurance benefit for poverty)

Term
RAND study (2002) on aftermath of TANF
Definition

  1. Welfare reform has substantially reduced welfare caseloads.
  2. Most off welfare rolls found jobs, but were lower paying.
  3. Food stamps have decreased in overall after TANF
  4. Not enough evidence of impact of TANF on marriage/fertility. 

Term
If we combine medicare and SS we average $??? per person each year. 
Definition
$25,000
Term
Poverty Impacts on Children
Definition
Family Stress and conflict
Limited learning opportunities in home.
Lower quality of child care
Poor nutriton
Increased homelessness
Inadequate housing
Family is more isolated
Less transportation options. 
Elevated Stress hormones and other health status factors may lead to developmental problems. 
Term
Homelessness in Youth
Definition
Due to family problems, economic problems, and residential instability. 
Term
Homelessness in the Elderly
Definition
Due to declining availability of affordable housing and overall poverty in regions. 
Term
Homeless families with children
Definition
May be urban or rural. Whenever families leave welfare rolls government subsidizing housing is not an option. 
Term
Homeless survivors of domestic violence
Definition
Shelters may be too far away and are emergency only. 
Term
Homeless veterans
Definition
Most single male, half repot mental illness (PTSD), served in war zones for lengthy time periods. 
Term
Mentally ill and the homeless
Definition
25% of homeless, symptoms are left untreated, outpatient services inadequate and institutionalization often less of an option. 
Term
Other factors of homelessness
Definition
Addiction disorders, chronic employment difficulties and chronic health problems. 
Term
McKinney Homeless Assistance Act
Definition
COntains emergency relief provisions for shelter, food, mobile health care, and transitional housing. 
Term
Role of social workers (Poverty and homelessness)
Definition

  1. Direct services
  2. Public assistance workers
  3. Case management services
  4. Employed at charitable organizations, housing programs, urban housing authorities, outreach workers. 
  5. Domestic violence shelter workers. 

Term
National Institute of Health ranking major causes of disability
Definition

  1. Major Depressive disorders
  2. Alcohol and/or substance abuse
  3. Roadway traffic accidents
  4. Schizophrenia

Term
See Table 8.1 on 210 please. 
Definition
plase
Term
DSM classification system...
Definition
based on medical model and has been accused of judgmental labeling. 
Term
NASD PIE (person in environment)
Definition
system based on systems ecological theory. INcludes social functioning, environmental problems, mental health problems, physical health problems. 
Term
Mental health problem development caused by...
Definition
Genetic/Biological or Psychosocial
Term
Depression
Definition
Affects women disproportionally 
Term
Bipolar
Definition
Alternates depression and mania
Term
Schizophrenia
Definition
Chemical disorder that affects perception and interactions in profound manner
Term
Anxiety Disorders
Definition
Panic disorder, obsessive-compulsive disorder, post-traumatic stress, anxiety disorders, phobias. 
Term
Suicide
Definition
At risk groups include ethnic, gender and age. 
Term
Alcoholism and substance abuse
Definition
Consideration of disease rather than moral/chacterlogical problem. Includes depressants, narcotics, stimulants, and hallucinogens.
Term
Social/societal costs:
Definition

  1. Emotional/physical abuse
  2. Lost work productivity
  3. Accidents
  4. Violent crime

Term
Adolescents at risk 
Definition
Substance abuse leads to accidents and suicide
Term
Elderly at risk
Definition
Substance abuse leads to isolation and loneliness
Term
Women at risk
Definition
Substance abuse leads to problems wit sexual/physical assault
Term
Children at risk
Definition
abuse and neglect from caretakers with substance abuse. 
Term
Developmental Disabilities
Definition

  1. Includes cognitive impaired, cerbral palsey, autism, epilepsy, and developmental delay.
  2. Factors include heredity, prenatal, acute perinatel, postnatal, and environmental. 

Term
Historical views that shifted through time
Definition
Moral treatment included smaller family type institutions
Psychoanalysis emphasized longer term therapy
Community mental health programs aimed at prevention and non custodial outpatient care (deinstitutionalization)
See box 8.4
Deinstitutionalization requires social worker case management and multiple settings and community resources. 
Term
Mental Health/Disability Interventions
Definition

  1. Alcoholics Anonymous (AA)
  2. Substance abuse programs
  3. Americans with Disabilities Act (ADA) bans discrimination in employment, mandates access and accommodations. 

Term
Social Worker Roles (Disability)
Definition

  1. Clinical Social Workers (MSW)
  2. Crises intervention (BSW)
  3. School based and substance abuse programs
  4. Public mental health services
  5. Case management

Term
Problems of Uninsured
Definition

  1. One third of small businesses (<25 EE) offer benefits
  2. Premiums more than twice inflation
  3. Employees cannot afford their portion of premiums
  4. No portability

Term
___ amount of people have health care insurance at their employer
Definition
one third
Term
Consequences of uninsured (UI)
Definition

  1. UI get less preventative care
  2. UI unable to get prescription filled
  3. May be denied at point of service
  4. Emergency room becomes point of service
  5. Medical bill debt affects life
  6. Hospitalizations more frequent

Term
National Debate Concerns
Definition

-Efficient proportion of GDP allocated to healthcare

-How those healthcare services are allocated

Term
Income affects health 
Definition
Higher income better health service access and care
Term
Insurance affects health
Definition
Uninsured obtain less access and care
Term
Ethnicity affects health
Definition
Infant mortality twice as high for people of color and are more at risk for diabetes, high blood pressure, nutritional diseases
Term
Age affects health
Definition
Long term care is increasing
Term
Disability affects health
Definition
Have more significant health problems. 
Term
Geography
Definition
Urban vs. rural 
Term
Figure 9.2
Definition
please
Term
Private Health Insurance
Definition
Health care is paid in advance rather than point of service
Term
Managed care
Definition
Delivery system limits use/costs through pre-approval of service, delays, and monitoring control policies. Has economy of scale fore negotiation of services/products at lower rates. 
Term
Health Maintenance Organizations (HMO's)
Definition
Individual monthly fees provides preventative care at less costs. May be intrusive between individual and doctor. 
Term
table 9.4 
Definition
please
Term
Reasons for rising cost of health care
Definition

  1. Increasing elderly population
  2. Increased knowledge and technological advances
  3. Emphasis on third party payments where upon maximum fee for services allowed is charged
  4. Medicaid and Medicare set charges for service fees and is price-ceiling
  5. INcrease of malpractice suits. 

Term
Other health problems
Definition

  1. AIDS (box 9.1)
  2. Catastrophic illness
  3. Teen Pregnancy
  4. Environmental Factors

Term
Health Government Programs
Definition
-Medicare: rising costs of services and particularly prescriptions
-Medicaid: Health service delivery is shifting to Medicaid. 
-State Children's Health Insurance Program SCHIP: as costs grow higher states are limiting eligibility standards even when block grant provides federal economic benefit to states. 
Term
Health Care Reform
Definition

-Removing pre-existing conditions from insurance company policy

-Providing affordable portability

-Lowering ranks of uninsured

Term
Medical Social Workers
Definition
Crises intervention, shorter term intervention, identification of resources/placement
Term
Other social worker roles (insurance)
Definition

-Long term care and home health care social workers: Adjustment of client, helping families cope, placement issues

-Community based program social workers: health clinics, family planning, AIDS outreach, mental health. 

Term
Family Definition (short answer)
Definition
Any group of individuals who live together (proximity/contact) and who have specific functional roles, especially in regard to children, elders. 
Term
Children well-being
Definition

  1. Positive, nurturing relationship with at least one caregiver
  2. Consistent parenting first years of lie
  3. Well-balanced discipline
  4. At least 2 years separation between siblings
  5. Access to others for emotional Support

Term

Legal Definition of child abuse/neglect

(on test)

Definition

  1. Physical, mental, sexual abuse, exploitation, maltreatment
  2. Perpetrator is caregiver
  3. Circumstances indicate health/welfare harm

Term
see table 10.1 
Definition
page 325
Term
Poverty impacts on family
Definition

  1. Ethnicity: people of color have higher poverty rates
  2. Single female households
  3. Lack of appropriate role models
  4. Lack of access to services for problems

Term
Divorce/Separation impacts on family
Definition

  1. Crises for family
  2. Guilt in the children
  3. Children symptoms: bed wetting, behavioral probs or changes, withdraw
  4. Custody: Visitation issues, court decisions, joint custody, fragments lives. Needs social worker mediation. 

Term
Single Parenting
Definition

  1. Income disparity: (median) $62,000/27,000 married/single female
  2. Latch-Key children
  3. CHore role/responsibility changes
  4. Offer less future educational opportunities
  5. More anxiety in children

Term
Gay/Lesbian Parenting
Definition

  1. Difficulties gaining custody
  2. No sexual orientation differences in children
  3. Secrecy issues
  4. Peer ridicule

Term
Blended Families
Definition

  1. Loss of relationship of parent
  2. Anxiety over stepfamily relationships
  3. Fantasies over reuniting family
  4. Changing roles/relationships

Term
Substance abuse issues
Definition

  1. Enablers/codependent: Spouse minimizes, makes excuses, relies on others for self worth.
  2. "Perfect Child Syndrome"
  3. "Scapegoated child syndrome"

Term
Verbal spousal abuse
Definition
Yelling, ridiculing, criticizing, diminishing, embarrassing
Term
Nonverbal spousal abuse
Definition
property destructions, sexual, stalking
Term
Economic/financial abuse
Definition
Withholding resources, fraud,, interference with employment. 
Term
Spiritual Abuse
Definition
Religious practice interference, controlling children.
Term
Abused/Abuser Characterisitcs
Definition

  1. "Learned Helplessness" Syndrome: PTSD symptoms
  2. Abused lack employment skills
  3. Abuser "honeymoon" syndrome
  4. Re-occurrence generational syndrome

Term
violence against women act
Definition
page 339
Term
Child maltreatment
Definition

  1. Four categories: Physical, sexual, child neglect, psychological
  2. Age differences: younger children are most at risk 
  3. Linked to unemployment and substance abuse

Term
Physical abuse
Definition

  1. Victims receive broken bones, welts, abrasions
  2. "Battered Child" syndrome: neurological/developmental damage
  3. Linked to unemployment and substance abuse

Term
Sexual Abuse 
Definition

  1. INcest: Most serious personal/social consequences
  2. Other family members: siblings and others
  3. Trusted adults: teachers babysitters, neighbors, coaches, clergy
  4. Strangers: Most prevalent
  5. Relavent factors include age, relationship, length of time, and available reporters (most important), discovery of interventions. 

Term
Child Neglect
Definition

  1. Failure to provide food, clothing, and shelter
  2. Lack of supervision
  3. Abandonment
  4. Medical
  5. Failure to provide adequate education
  6. Emotional neglect

Term
Psychological abuse
Definition

  1. Rejecting
  2. Isolating
  3. Terrorizing
  4. Ignoring
  5. Corrupting

Term
Adolescent issues
Definition

  1. Delinquency: gangs, crime
  2. Runaways
  3. Academic/social/mental health problems
  4. Substance abuse
  5. Teen pregnancy

Term
Child Welfare Delivery System
Definition

Group of services promotes well being of children in following areas:

  1. Safety
  2. Permanency achievement (right of child)
  3. Strengthening families for successful care goals

Term
Family Preservation Programs
Definition
Emphasis on keeping family intact and together, rather than removal from home. Includes family support (provides support and education), family centered preventative (provides case management and counseling), and intensive family preservation programs (designed for crises moments i.e. removal is imminent). 
Term
Permanency planning
Definition
Specific plan developed to keep family intact when possible or provide permanent placement in a nurturing home. The law goes by best interest of the child
Term
Best interests of the child
Definition
Priority is this and must choose the least detrimental alternative from options
Term
Best interests of the child cont. 
Definition

  1. To ensure this a guardian ad litem or court appointed attorney must represent this in all legal proceedings.
  2. May not always lead to reunification with biological parent, rather may be placed with other guardian. 
  3. Parens patriae: state is a parent to all children

Term
Child welfare services historical shift
Definition
Foster/residential care is to be seen as temporary placements only. Permanent placement must be overriding goal. Quick at taking kids from home and putting them in foster care. 
Term
Child welfare services (in-home services)
Definition
Comprehensive family case planning with time mandates under court supervision in order to proceed to TPR (termination of parental rights) if necessary. Then movement to adoption emphasized. Time period before TPR is mandated. 
Term
Child welfare services (movement to kinship..
Definition
care (biological relatives) as much as feasible. Investigate family members. Age matters
Term
Read boxes 11.3 and 11.2 and 11.4
Definition
please
Term
Child Protective services (Investigations of child maltreatment)
Definition
Compose intake, screen other reports, interview reporters and is under immediate timeline. 
Term
CPS (Determination of intervention)
Definition

A. No maltreatment evidenced and withdraw.

B. Offer help to family

C. Child at serious risk and/or family is uncooperative

D. With court permission, immediately remove child (S) and place in emergency care. 

Term
CPS (reasons for removal)
Definition
Child has been seriously injured
Parent makes verbal threat
Evidence of sexual abuse and perpetrator remains in home
Current crises exists such as parent in jail or mentally unstable
Parent is uncooperative and child remains at great risk of abuse. 
Term
Substitute Care
Definition
Emergency placement operates 24-7. Must be least restrictive environment (Ex. Rainbow House)
Term
Foster Care
Definition
Living in homes outside of family until reunification or other permanency placements occur. Strict state standards/eligibility policies define this. May receive governmental economic supports. There has been a historical inadequate number of these sties of care. 
Term
Residential Treatment
Definition
Goal is to improve coping skills of abused children, not the placement of choice. Pressure is created by overloading the system, and children often languish in care. Need empirical evaluation of cases statewide. 
Term
Adoption
Definition
Problems include slow process of TPR, discovery of adoptive homes that are not always financially supported adequately, special needs/ethnic children placement. 
Term
Social Worker Roles in Child Welfare
Definition

  1. Group homes and residential treatment centers
  2. Domestic violence shelters
  3. Counselors in youth centers
  4. Crises counselors in law enforcement centers
  5. Child protective services

Term
The problem with child welfare is
Definition
High turnover and high case loads
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