social workes

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Social work as a profession dates back to years ago, with the first social welfare agencies appearing in urban areas in the 1800s.[1] It has its roots in the attempts of society at large to deal with the problem of poverty and inequality. Social work is intricately linked with the idea of charity work, but must be understood in broader terms. The concept of charity goes back to ancient times, and the practice of providing for the poor has roots in all major world religions. Before the rise of modern states, the Christian church provided social services in (for example) the Mediterranean world. When the Roman Emperor Constantine I endorsed Christianity in the 4th century, the newly legitimised church set up or expanded burial societies, poorhouses, homes for the aged, shelter for the homeless, hospitals, and orphanages in the Roman Empire.[3][page needed][4][5][need quotation to verify] These were often funded, at least in part, from grants from the Empire.[6][7] By 580 AD the church had a system for circulating consumables to the poor: associated with each parish was a diaconium or office of the deacon. Monasteries also often served as comprehensive social-service agencies, acting as hospitals, homes for the aged, orphanages, travelers' aid stations. During the Middle Ages, the Christian church had vast influence on European society and Christians regarded charity as a responsibility and a sign of one's piety. This charity came in the form of direct relief (for example, giving money, food, or other material goods to alleviate a particular need), as opposed to trying to change the root causes of social ills. As there was no effective bureaucracy below city government that was capable of large-scale charitable activities, the clergy carried out this role in Europe until the Early Modern Period. Other societies had their own systems, involving roles such as those of the traditional healer ("witch doctor") It was not until the emergence of industrialization and urbanization that the informal helping systems of the church and family began to be replaced by social welfare services. The practice and profession of social work has a relatively modern and scientific origin,[9] and is generally considered to have developed out of three strands. The first was individual casework, a strategy pioneered by the Charity Organization Society in the mid-19th century. The second was social administration, which included various forms of poverty relief. Statewide poverty relief could be said to have its roots in the English Poor Laws of the 17th century, but was first systematized through the efforts of the Charity Organisation Society. The third consisted of social action - rather than engaging in the resolution of immediate individual requirements, the emphasis was placed on political action working through the community and the group to improve their social conditions and thereby alleviate poverty. This approach was developed originally by the settlement house movement.[10] This was accompanied by a less easily defined movement; the development of institutions to deal with the entire range of social problems. All had their most rapid growth during the nineteenth century, and laid the foundational basis for modern social work, both in theory and in practice.[11] Professional social work originated in 19th century England, and had its roots in the social and economic upheaval wrought by the Industrial Revolution, in particular the societal struggle to deal with the resultant mass urban-based poverty and its related problems. Because poverty was the main focus of early social work, it was intricately linked with the idea of charity work.[11] (Today, it is common for social workers to find themselves dealing with consequences arising from other social problems such as racism, sexism, homophobia, and discrimination based on age or on physical or mental disability.) parishes were too small, parishes could group together to form poor law unions. The Poor Law Commissioners were to be responsible for overseeing the implementation of the Act. Thomas Chalmers a Scottish minister and social reformer in the 19th century, significantly influenced the development of social work through his advocacy for the Parish Relief System and his emphasis on Christian charity and community-based solutions. Chalmers played a pivotal role in laying the groundwork for the concept of organized social welfare, particularly at the local level. Chalmers believed that local communities, organized around parish structures, should take active responsibility for helping and supporting those in need. This system represented a departure from the prevailing Poor Law systems of the time, which were often centralized and administered by the state. Chalmers argued for a decentralized approach to social welfare, emphasizing the role of the church and local communities in caring for their members. He believed that a community-based system would be more effective in understanding and responding to the specific needs of individuals and families. Under the Parish Relief System, the local parish became a key unit for organizing and delivering social services. Chalmers' ideas went beyond mere administrative structures; he underscored the moral and ethical foundations of social work. He argued that Christian charity should be at the core of social responsibility, encouraging the church and local communities to actively engage in addressing social issues. This perspective contributed to a broader understanding of social work as a profession that is not only concerned with material needs but also places significant value on the moral and spiritual well-being of individuals. Moreover, Chalmers advocated for a community-based approach to addressing social problems. His belief in the community's active involvement in supporting its members became a foundational principle in social work philosophy. This community-oriented perspective highlighted the importance of understanding and addressing the specific needs of local communities, an idea that has persisted in social work practice, emphasizing the significance of culturally competent and contextually relevant interventions. Chalmers' approach to welfare further influenced social work by recognizing that individuals' well-being is interconnected with various aspects of their lives. His vision extended beyond addressing immediate material needs, incorporating considerations of spiritual, moral, and psychological aspects. While Thomas Chalmers may not have directly shaped the formal structure of contemporary social work, his ideas have left an enduring impact on the profession's ethical foundations, community-based practices, and the holistic understanding of well-being. The 19th century saw a great leap forward in technological and scientific achievement. There was also a great migration to urban areas throughout the Western world, which led to many social problems. This galvanised the socially active, prosperous middle and upper classes to search for ways to ameliorate the physical and spiritual conditions of the poor underclasses.[25] This was coupled with a religious revival, and many Protestant mission efforts (urban missions), attempted to resolve the problems inherent in large cities like poverty, prostitution, disease, and other afflictions. A new philosophy of "scientific charity" emerged, which stated charity should be "secular, rational and empirical as opposed to sectarian, sentimental, and dogmatic.[26]" During this time, rescue societies were initiated to find more appropriate means of self-support for women involved in prostitution.[citation needed] State-built Mental asylums were built from the 1840s to assist in taking care of the mentally ill. Most historians identify the Charity Organization Society, founded by Helen Bosanquet and Octavia Hill in London in 1869,[27] as the pioneering organization of the social theory that led to the emergence of social work as a professional occupation.[10] COS had its main focus on individual casework. It supported the concept of self-help and limited government intervention to deal with the effects of poverty. The organisation claimed to use "scientific principles to root out scroungers and target relief where it was most needed". Alsager Hay Hill was prominent from its foundation, acting as honorary secretary of the council until July 1870, and as an active member of the council until 1880.[29] Hill also worked as an almoner to the Society for the Relief of Distress in the East of London. He campaigned about the many flaws in the poor laws and urged for a more scientific classification of paupers. His 1867 pamphlet, on Our Unemployed, was one of the earliest attempts to highlight the problem of systemic unemployment; he suggested a national system of labour registration. In 1871, Hill pioneered a system of labour exchanges in England, establishing 'The Employment Inquiry Office and Labour Registry,'. There, Hill advised applicants for assistance, and founded and edited Labour News to improve communication between masters and men seeking work.[30] Octavia Hill is regarded by many as the founder of modern social work. She was a moving force behind the development of social housing, and her early friendship with John Ruskin enabled her to put her theories into practice with the aid of his initial investment. She believed in self-reliance, and made it a key part of her housing system that she and her assistants knew their tenants personally and encouraged them to better themselves. She was opposed to municipal provision of housing, believing it to be bureaucratic and impersonal. Under her guidance, the Charity Organisation Society organised charitable grants and pioneered a home-visiting service that formed the basis for modern social work. Octavia Hill is regarded by many as the founder of modern social work. She was a moving force behind the development of social housing, and her early friendship with John Ruskin enabled her to put her theories into practice with the aid of his initial investment. She believed in self-reliance, and made it a key part of her housing system that she and her assistants knew their tenants personally and encouraged them to better themselves. She was opposed to municipal provision of housing, believing it to be bureaucratic and impersonal. Under her guidance, the Charity Organisation Society organised charitable grants and pioneered a home-visiting service that formed the basis for modern social work. She also provided housing for the poor; after being improved her properties were let to those on intermittent and low incomes. At the heart of the Octavia Hill system was the weekly visit to collect rent. From the outset, Hill conceived this as a job for women only. She and her assistants, including Emma Cons combined the weekly rent collection with checking every detail of the premises and getting to know the tenants personally, acting as early social workers.[31] At first Hill believed, "Voluntary workers are a necessity. They are better than paid workers, and can be had in sufficient numbers."[32] Later, she found it expedient to maintain a paid workforce.[31] Hill's principles were summed up in an article of 1869: "Where a man persistently refuses to exert himself, external help is worse than useless." She was an outspoken critic of the principles of "outdoor relief" or the Speenhamland system of poor relief as operated by various Poor Law Boards. Because these systems did not encourage recipients to work, she regarded them as "a profligate use of public funds."[33] Under her methods, personal responsibility was encouraged. She insisted on dealing with arrears promptly; she appointed reliable caretakers; she took up of references on prospective tenants, and visited them in their homes; she paid careful attention to allocations and the placing of tenants, with regard to size of families and the size and location of the accommodation to be offered; and she made no rules that could not be properly enforced. A stress on social action that developed in the 1880s, was pioneered by the Settlement house movement.[34] This Movement (creating integrated mixed communities of rich and poor) grew directly out of Octavia Hill's work. Her colleagues Samuel and Henrietta Barnett, founded Toynbee Hall, Oxford House[35] in 1884 in Bethnal Green as the first university-sponsored settlement. Another early organization was Mansfield House Settlement, also in east London. The settlement was named after Arnold Toynbee, an economic historian whose intellectual work laid the foundations of the movement. Toynbee was actively involved in improving the living conditions of the labourer. He read for workers in large industrial centres and encouraged the creation of trade unions and co-operatives. A focal point of his commitment was the slum of Whitechapel, in east London, where he helped to establish public libraries for the working class population. Toynbee also encouraged his students to offer free courses for working class audiences in their own neighbourhoods. In America, the settlement movement was established by Jane Addams, a young medical student, and Ellen Gates Starr after Addams visited Toynbee Hall and was impressed by the system. She founded Chicago's Hull House in 1889, which focused on providing education and recreational facilities for European immigrant women and children.[35] By 1913, there were 413 settlements in 32 states.[36] The house was both a community service centre and a social research program. Precursors to modern social work arose at Hull House as health professionals began to work with social determinants of poor health. The concept of the Settlement house movement was to bring upper and middle class students into lower-class neighbourhoods, not only to provide education and social aid, but to actually live and work together with their inhabitants. This soon inspired a worldwide movement of university settlements. The idea was to help members of the future elite understand the problems of wider society; this was especially important at a time when class divisions were much stronger, social mobility was minimal, and the living conditions of the poor were completely unknown to many members of the upper class.[37] The settlement movement focused on the causes of poverty through the "three Rs" - Research, Reform, and Residence. They provided a variety of services including educational, legal, and health services. These programs also advocated changes in social policy. Workers in the settlement movement immersed themselves in the culture of those they were helping. There were basic commonalities in the movement. These institutions were more concerned with societal causes for poverty, especially the changes that came with industrialization, rather than personal causes which their predecessors believed were the main reason for poverty. The settlement movement believed that social reform was best pursued and pushed for by private charities.[34] The movement gave rise to many social policy initiatives and innovative ways of working to improve the conditions of the most excluded members of society. Participating universities settled students in slums to live and work alongside the poor local people. Settlement houses focused on education, savings, sports, and arts. The Poor Man's Lawyer service came about because a barrister volunteered his time and encouraged his friends to do the same. In general, the settlement movement, and settlement houses in particular, were "...a foundation for social work practice in this country".[38] One important participant in the scheme was the philanthropist Charles Booth who published his study Life and Labour of the People in London in 1889 while working at Toynbee Hall. The study was the first systematic attempt at gathering comprehensive statistics and mapping poverty and influenced both social research and the fight against poverty for decades afterwards. (COS) and Jane Addams of the Settlement House Movement engaged in a public dispute over the optimal approach; whether the problem should be tackled with COS' traditional, scientific method that focused on efficiency and prevention, or whether the Settlement House Movement's immersion into the problem, blurring the lines of practitioner and client, was superior.[45] Even as schools of social work opened and formalized processes for social work began to be developed, the question "is social work a profession?" lingered. In 1915, at the American National Conference of Charities and Corrections, Dr. Abraham Flexner spoke on the topic "Is Social Work a Profession?" He contended that it was not because it lacked specialized knowledge and specific application of theoretical and intellectual knowledge to solve human and social problems.[46] This led to the professionalization of social work, concentrating on case work and the scientific method. The importance of the role of women, in particular of feminist organisations, had in the history of social work has been highlighted by several historical studies.[47][48][49][50][51] Regarding the development of social service in the beginning of the 20th Century (1910-1920), women and feminists movements were crucial for the recognition of social work as a profession. On one hand, their discourse reinforced the dualist vision of social roles, considering care work was appropriate with the characteristic women were supposed to have (e.g. softness, empathy, solicitude, love, abnegation, etc.). On the other hand, they affirmed a will to change women's place in society by giving them more power and better recognition. Conversely, when feminists are absent, this has an impact on the professionalisation process, relegating women in the margins. This appears particularly in a study on professionalisation of socio-cultural community work from the 1960s in Switzerland.[52] This study shows that men were hired as socio-cultural community workers to develop youth activities, especially with teenage boys, while status of women were less prestigious (assistant, social carers or child care workers) and the child care work they were attributed to viewed as not (or less) relevant for the « socio-cultural community work project » of the centres. The first professional medical social workers in England were called hospital almoners, and were based in medical institutions. The Royal Free Hospital, London hired Mary Stewart as the first almoner in 1895. Her role was to assess people requesting treatment at the hospital to ensure that they were considered "deserving enough" of the free treatment. The role soon developed to cover the provision of other social programs, and by 1905 other hospitals had created similar roles. By this time, the Hospital Almoners Council had been formed to oversee the new profession.[19] The first professional medical social workers to be hired in the United States were Garnet Pelton (6 months) and Ida Cannon (40 years), in 1905 at the Massachusetts General Hospital. Dr. Richard Clarke Cabot was a key advocate in the creation of the role, as he believed there to be a link between tuberculosis and sanitary conditions. Both Pelton and Cannon had trained as nurses before taking up the role. After graduating from Simmons College in 1907, Cabot was in charge of the outpatient ward of the hospital, and together with the newly created social workers, they redefined the way in which health and wellbeing was managed. The economic, social, family and psychological conditions that underpinned many of the conditions that patients presented with were recognised for the first time. Social workers would work in a complementary relationship with doctors, the former concentrating on physiological health, and the latter on social health. In addition to this, he saw that social work could improve medicine by providing a critical perspective on it while working alongside it in an organisational setting. This approach soon spread through other American hospitals, and in 1911, there were 44 social work departments in 14 different cities. Two years later, the number of social work departments had grown to 200. After 1905, most social workers were trained as nurses. The American Association of Hospital Social Workers was set up in 1918 to increase the links between formal education and hospital practice. In 1929 there were ten university courses in medical social work. Around this time, psychiatry and psychology began to compete with social work as the complementary discourse to medicine in hospitals. Social work practice adapted to this by aligning itself more closely with psychoanalytic ideas, and became less concerned with living conditions and social health. While this detracted from the social concerns, it added a more scientific basis to dealing with patients, and challenging behaviours were more likely to be seen as a mental dysfunction than poor moral character.[19] The increase of social spending after World War Two saw another rise in the number of social workers. As the problem of poverty moved up the public agenda, it became increasingly clear that laissez-faire economic policies were not working and that governments had to take proactive measures to reduce poverty, rather than leave the task to privately run organizations. The principles of classical liberalism were being increasingly challenged by downturns in economic growth, a growing perception of the evils of poverty, unemployment and relative deprivation present within modern industrial cities, and the agitation of organized labour. New liberals began to adapt the old language of liberalism to confront these difficult circumstances, which they believed could only be resolved through a broader and more interventionist conception of the state.[54] A liberal convert to greater government intervention was Thomas Hill Green, who believed that the state should foster and protect the social, political and economic environments in which individuals will have the best chance of acting according to their consciences. The state should intervene only where there is a clear, proven and strong tendency of a liberty to enslave the individual.[55] This strand began to coalesce into the social liberalism movement at the turn of the twentieth century in Britain.[56] In their view, the poverty, squalor, and ignorance in which many people lived made it impossible for freedom and individuality to flourish. In the early 1900s, the Liberals under H.H. Asquith introduced various reforms, including health insurance, unemployment insurance, and pensions for elderly workers, thereby laying the groundwork for the future British welfare state.[57] William Beveridge, often called the 'architect of the welfare state', was pivotal in framing the debate about social work in the context of state welfare provision. His 1942 report on Social Insurance and Allied Services,[58] known commonly as the Beveridge Report, identified five "Giant Evils" in society: squalor, ignorance, want, idleness, and disease, and went on to propose widespread reform to the system of social welfare to mitigate these problems.[59] The report proved very popular with a war-weary public, and went on to form the basis to the post-war expansion of the Welfare State and the creation of the National Health Service, a free at the point of delivery healthcare provider. Currently, social work is known for its critical and holistic approach to understanding and intervening in social problems. This has led, for example, to the recognition of poverty as having a social and economic basis rooted in social policies rather than representing a personal moral defect. This trend also points to another historical development in the evolution of social work: once a profession engaged in social control, now it is directed toward social and personal empowerment operating on the core components of service, social justice, dignity and worth of the person, importance of human relationships, integrity, and competence.[60] This is not to say that modern social workers do not engage in social control (consider, for example, child protection workers), and many, if not most, social workers likely would agree that there is an ongoing tension between these forces within the profession. For example, see the debate between structural social work and humanistic social work. Since the first social work class was offered in the summer of 1898 at Columbia University, social workers have led the way developing private and charitable organizations to serve people in need. Social workers continue to address the needs of society and bring our nation’s social problems to the public’s attention. Today, Americans enjoy many privileges because early social workers saw miseries and injustices and took action, inspiring others along the way. Many of the benefits we take for granted came about because social workers—working with families and institutions—spoke out against abuse and neglect. The civil rights of all people regardless of gender, race, faith, or s****l orientation are protected. Workers enjoy unemployment insurance, disability pay, worker’s compensation and Social Security. People with mental illness and developmental disabilities are now afforded humane treatment. Medicaid and Medicare give poor, disabled and elderly people access to health care. Society seeks to prevent child abuse and neglect. Treatment for mental illness and substance abuse is gradually losing its stigma. The social work profession celebrated its centennial in 1998. That year, several important artifacts from across the country were donated to the Smithsonian Institution to commemorate 100 years of professional social work in the United States. Social work pioneer Jane Addams was one of the first women to receive a Nobel Peace Prize, which was awarded in 1931. Known best for establishing settlement houses in Chicago for immigrants in the early 1900s, Addams was a dedicated community organizer and peace activist. Frances Perkins, a social worker, was the first woman to be appointed to the cabinet of a U.S. President. As President Franklin D. Roosevelt’s Secretary of Labor, Perkins drafted much of the New Deal legislation in the 1940s. Social worker and civil rights trailblazer Whitney M. Young, Jr. became the executive director of the National Urban League while serving as dean for the Atlanta School of Social Work. He also served as president of NASW in the late 1960s. A noted expert in American race relations, Time Magazine acknowledged Young as a key inspiration for President Johnson’s War on Poverty. Other famous social workers include Harry Hopkins (Works Progress Administration), Dorothy Height (National Council of n***o Women), and Jeanette Rankin (the first woman elected to the U.S. Congress). Social work is an academic discipline and practice-based profession concerned with meeting the basic needs of individuals, families, groups, communities, and society as a whole to enhance their individual and collective well-being.[1][2] Social work practice draws from areas such as psychology, sociology, health, political science, community development, law, and economics to engage with systems and policies, conduct assessments, develop interventions, and enhance social functioning and responsibility. The ultimate goals of social work include the improvement of people's lives, alleviation of biopsychosocial concerns, empowerment of individuals and communities, and the achievement of social justice. Social work practice is often divided into three levels. Micro-work involves working directly with individuals and families, such as providing individual counseling/therapy or assisting a family in accessing services. Mezzo-work involves working with groups and communities, such as conducting group therapy or providing services for community agencies. Macro-work involves fostering change on a larger scale through advocacy, social policy, research development, non-profit and public service administration, or working with government agencies.[4] Starting in the 1960s, a few universities began social work management programmes, to prepare students for the management of social and human service organizations, in addition to classical social work education.[5] The social work profession[6] developed in the 19th century, with some of its roots in voluntary philanthropy and in grassroots organizing.[7] However, responses to social needs had existed long before then, primarily from public almshouses, private charities and religious organizations. The effects of the Industrial Revolution and of the Great Depression of the 1930s placed pressure on social work to become a more defined discipline as social workers responded to the child welfare concerns related to widespread poverty and reliance on child labor in industrial settings. The practice and profession of social work has a relatively modern and scientific origin,[15] and is generally considered to have developed out of three strands. The first was individual casework, a strategy pioneered by the Charity Organization Society in the mid-19th century, which was founded by Helen Bosanquet and Octavia Hill in London, England.[16] Most historians identify COS as the pioneering organization of the social theory that led to the emergence of social work as a professional occupation.[17] COS had its main focus on individual casework. The second was social administration, which included various forms of poverty relief – 'relief of paupers'. Statewide poverty relief could be said to have its roots in the English Poor Laws of the 17th century but was first systematized through the efforts of the Charity Organization Society. The third consisted of social action – rather than engaging in the resolution of immediate individual requirements, the emphasis was placed on political action working through the community and the group to improve their social conditions and thereby alleviate poverty. This approach was developed originally by the Settlement House Movement.[17] This was accompanied by a less easily defined movement; the development of institutions to deal with the entire range of social problems. All had their most rapid growth during the nineteenth century, and laid the foundation basis for modern social work, both in theory and in practice.[18] Professional social work originated in 19th century England, and had its roots in the social and economic upheaval wrought by the Industrial Revolution, in particular, the societal struggle to deal with the resultant mass urban-based poverty and its related problems. Because poverty was the main focus of early social work, it was intricately linked with the idea of charity work.[18] Other important historical figures that shaped the growth of the social work profession are Jane Addams, who founded the Hull House in Chicago and won the Nobel Peace Prize in 1931; Mary Ellen Richmond, who wrote Social Diagnosis, one of the first social workbooks to incorporate law, medicine, psychiatry, psychology, and history; and William Beveridge, who created the social welfare state, framing the debate on social work within the context of social welfare provision. diagnosed with posttraumatic stress disorder, 17 percent with depression, and 7 percent with alcohol use disorder.[25] In 2009, there was a high level of suicides among active-duty soldiers: 160 confirmed or suspected Army suicides. In 2008, the Marine Corps had a record 52 suicides.[26] The stress of long and repeated deployments to war zones, the dangerous and confusing nature of both wars, wavering public support for the wars, and reduced troop morale all contributed to escalating mental health issues.[27] Military and civilian social workers served a critical role in the veterans' health care system. Mental health services is a loose network of services ranging from highly structured inpatient psychiatric units to informal support groups, where psychiatric social workers indulges in the diverse approaches in multiple settings along with other paraprofessional After Independence in 1947, general hospital psychiatry units (GHPUs) were established to improve conditions in existing hospitals, while at the same time encouraging outpatient care through these units. In Amritsar Dr. Vidyasagar instituted active involvement of families in the care of persons with mental illness. This was advanced practice ahead of its times regarding treatment and care. This methodology had a greater impact on social work practice in the mental health field especially in reducing the stigmatisation. In 1948 Gauri Rani Banerjee, trained in the United States, started a master's course in medical.
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