Search

The Mass Incarceration Trauma (MIT) framework is a conceptual model for understanding the role of trauma in the lives of individuals who experience incarceration in the United States. This population faces poverty, violence, and discrimination across the life span. The MIT framework is guided by an ecological systems perspective, a foundational theoretical approach in social work that recognizes that effective assessment and intervention require an understanding of the complex contexts in which individuals live. The MIT framework presents the cumulative trauma exposures commonly faced by this population before, during, and after incarceration at the individual, social, environmental, and historical levels. Because traumatic stress undermines health and daily functioning, it is essential that interventions for this population address both the ongoing risk for trauma exposure and the consequences of multiple, repeated past exposures across ecological systems. It is to be hoped that a new and fundamental focus on the poverty, contexts of violence, and lifetime disadvantages experienced by those who cycle through prisons in the United States might reframe the question of how our society should prevent and respond to crime as well as respond to those swept into the criminal justice system., (© 2023 National Association of Social Workers.)

Low-income, underrepresented communities of color are disproportionally affected by emotional distress. Little is known about malleable, household-level determinants of emotional distress, addressable by feasible, stigma-neutral interventions. The present study addressed this knowledge gap by analyzing secondary data from a cross-sectional community needs assessment survey in a marginalized urban community (N = 677). Relying on dominance analyses, authors found that, on average, the largest household-level contributions to respondents' emotional distress included exposures to fellow household members' alcohol use and anger-driven behaviors. Both determinants are arguably feasible to address via household-level interventions and community-level preventive efforts. Household members' physical and serious mental illness and drug use were moderately associated with respondents' emotional distress; household cohesion and communications, residential overcrowding, and child behavior played a minimal role. Article concludes with a discussion of public health implications of the results., (© 2023 National Association of Social Workers.)

Public libraries in the United States have begun to partner with social work to address the psychosocial needs observed in patrons that are beyond the training and education of most library staff. This is a new area of inquiry with limited research available. Of the few published studies, the majority focus on staff perceptions of patrons' needs and surveys of patrons experiencing homelessness about their use of public libraries. The present study is the first to examine and compare staff perception of patrons' needs, patrons' self-expressed needs, and the actual use of social work services by patrons within one library system. Comparisons are explored between actual service usage alongside the perception of patrons' needs as originally reported by both staff and patron groups. Implications for library-based social work practice are discussed., (© 2021 National Association of Social Workers.)

Gender equity is still a challenge for the world, especially in those regions where sociocultural practices permeated by machismo, that is, male chauvinism, intersect with poverty and institutionalized racial discrimination. The creation of safe and feminized spaces where women can express themselves freely is crucial in the process of cultivating their awareness of their own positions, and the first step toward individual and collective empowerment. In this article the authors point out the direct and positive relationship between feminine cooperativism and women's empowerment, taking as a case study the Mujeres Pescadoras del Manglar cooperative in Oaxaca, Mexico, a group of women who, thanks to a social work program implemented by La Ventana civic association, has been able to gain empowerment and recognition at a personal and political level. Likewise, Mujeres Pescadoras del Manglar is an example of the national phenomenon of bolstering female employment in the fishing sector, which is on the rise thanks to the growing number of women's cooperatives, through which they can access the labor market, feminize new spaces, and achieve full empowerment for themselves, their families, and the society in which they live. The fieldwork was carried out from November 2018 to February 2019 in the community of El Zapotalito, Oaxaca. The methodology used consists of semistructured interviews, life stories, field diaries, and participant observation. This article showcases a positive example of social work empowering low-income women on the Chica coast of Oaxaca., (© 2021 National Association of Social Workers.)

The Temporary Assistance for Needy Families (TANF) program is a federal block grant to the states, with a required state contribution. Although often viewed as a cash assistance program with work requirements and services targeted at extremely low-income families with children, only about one-quarter of all state and federal TANF funds are now used for traditional cash aid. Uses of funds vary widely by state, and alternatives range from refundable tax credits to support of state child welfare systems. In this article, the author examines the relationship between state categorical TANF spending and key social, political, and economic characteristics using data from 2015 to 2017 and multilevel linear models. Racial and ethnic demographics of the cash assistance caseload are associated with differences in spending, with states with larger proportions of the caseload composed of people of color devoting a lower percentage of effort to traditional benefits and more to alternative cash transfers. Changes in unemployment rate within states are associated with greater spending on basic assistance and reduced spending on alternative transfers. These findings indicate that, although TANF cash benefits spending may be economically responsive within the program's overall flexible structure, spending patterns raise issues of equity for disadvantaged families., (© 2021 National Association of Social Workers.)

The negative impacts of the Great Recession (GR) (2007 to 2009) on the lives of families with low incomes warrant social work concerns about how well antipoverty policy responded to meet economic needs over this period and since. Given America's long-standing tension between welfare state adequacy and market-oriented policies, how well did the safety net respond to the economic downturn? Did GR-era changes reverse or accelerate trends in public assistance? This article examines key policy changes and indicators of caseloads, inclusion, and generosity for three antipoverty policies: the Temporary Assistance for Needy Families, the Supplemental Nutrition Assistance Program (SNAP, formerly Food Stamp Program), and the Earned Income Tax Credit from 2007 to 2017. Authors' analysis shows a continuation of market-oriented U.S. antipoverty policy. Authors argue that the reemphasis of conditioning benefits on employment undermines the countercyclical feature of the social safety net and perpetuates the inequitable redistribution of public resources between those inside and outside of the labor market. Authors discuss social workers' role in strengthening antipoverty policies to improve the economic well-being of people with low incomes and the economic justice of the social safety net., (© 2021 National Association of Social Workers.)

Modern technology threatens to dramatically alter the U.S. labor economy, but the crumbling social safety net may be insufficient for affected workers. Some advocates propose to address these converging problems through universal basic income (UBI). Authors conducted a preliminary review of social work perspectives on the topic of UBI. They found very little relevant literature, especially among American scholars. Existent social work literature frames UBI as an alternative to the neoliberal welfare state and mass unemployment. Social workers also contribute a critical social justice orientation to UBI scholarship in other disciplines. Grounded in the NASW Code of Ethics, authors argue that it is imperative for American social workers to seriously consider UBI as an answer to growing inequality and the unique expertise that social workers offer as allies of marginalized populations., (© 2019 National Association of Social Workers.)

Worldwide neoliberal policies are transforming the landscape of social work. Studies have shown that these policies increased social workers' caseloads, regulated welfare expenditures, impaired public services' capabilities to attend to the needs of growing demand, transformed social services delivery by implanting new public management methods, and often also worsened working conditions and deteriorated the professional status of social workers. Moreover, these policies have raised both poverty and inequality levels and left their negative marks on social work education, by prioritizing academic disciplines more attuned with the needs of neoliberal regimes. This article seeks to encourage schools of social work, social workers in the social services, and people living in poverty to challenge the harmful impact of this context by engaging in meaningful alliances focused on the fight against poverty and social exclusion. This article presents a long-term partnership project between a school of social work, local public social services, and groups of active clients, to tackle the issue of poverty in Israel. The article describes the project, introduces the theoretical and methodological principles, analyzes achievements and challenges, and finally discusses the potential contribution of such partnerships for the future of the profession., (© 2019 National Association of Social Workers.)

A lack of financial capability—financial opportunities and abilities—and poverty are highly interlinked. Over 65 percent of people in India are excluded from any financial services. This article explores income-poor Indians’ experiences with financial capability through a qualitative study. Purposive sampling was used to collect data from 658 individuals, through focus groups (n = 566) and face-to-face interviews (n = 92). Findings show that 97 percent of respondents had the opportunity to earn an income, and 55 percent earned through financial inclusion programs, but 87 percent of respondents earned less than U.S. $2 a day. Although almost all saved and needed to borrow, 46 percent were eligible for formal savings and only 23 percent for formal loans. Financial abilities or knowledge and skills related to income, savings, and loans were higher among the few who had a stable income or had medium and high income in relation to those who had unstable and low income. Respondents experienced many challenges with their financial capabilities, including borrowing to save, fearing formal loans, and lacking clarity about loan and interest rate; banks miscalculating interest rates; and political parties influencing access to loans. Implications for social policy and social work practice are discussed.

Racial disproportionality in out-of-school suspensions is a persistent social justice issue in public schools. This article examines out-of-school suspensions of four black youths from the perspectives of the youths, their caregivers, and educators. The case involving David, a 14-year-old African American with a learning disability, illustrates the challenges of students experiencing the intersection of disability and race. The case involving George, a 14-year-old Liberian immigrant, illustrates how parents and teachers may form alliances around shared goals and values despite profound cultural differences in understanding of youths' misbehavior. The case involving Nina, a 12-year-old African American, illustrates how educators' failure to consider the context of her misbehaviors as responses to sexual harassment, along with their subsequent harsh punishment and failure to protect her, led to her disengagement from school. The case involving Craig, a 16-year-old African American, provides a glimpse into how the use of criminal justice language to refer to youths' misbehaviors can support the development of a criminalized self- and social identity. These cases illustrate the diversity of black students--including ability, disability, culture, and gender--and how events surrounding suspensions are interpreted by students, caregivers, and educators. Understanding such diversity will undergird implementation of effective alternatives to suspensions.

Social workers are leaders in the substance abuse services field and may often work in substance use disorder (SUD) education, prevention, assessment, treatment, or resource coordination and case management roles. As the Patient Protection and Affordable Care Act (ACA) (2010) drives changes in the fields of health and behavioral health, social workers have an opportunity to lead structural changes at the micro and macro levels that will have a positive impact on low-income clients with SUDs. In this article, authors examine the current state of SUDs and health care access, the impact of the ACA on the field, and implications for social work practice and education. Social workers should seek specialized education and credentialing in SUD services, know how to help clients apply for health care coverage, and advocate for integrated substance abuse treatment and health care programs and an expansion of Medicaid in their local communities. Social workers are well positioned to be a voice for clients to ensure that the current structural changes result in a better, integrated system of care that is able to respond to the needs of low-income clients with SUDs.

This article describes an empowerment approach for working with diverse women who experience poverty, trauma, and multiple structural oppressions. The approach is the result of 20 years of experience developing, implementing, and evaluating this practice in a metropolitan community, and is grounded in women's empowerment theory and relational-cultural theory. The interventions combine social work's clinical interventions with community organizing strategies to promote personal and collective empowerment, supporting the "personal is political" tenet of feminist practice. The interventions, including nonclinical interviews, story circles, and leadership and advocacy education and training, can guide practitioners in providing services and programs that create a space for women to make changes in their personal lives and in their community. Program outcomes report successful changes for women in improving symptoms, increasing self-efficacy, and engaging in community advocacy. Women who participated also reported an increased sense of power, balancing commonality and difference among women, and a sense of hope for their future.

Farmworkers experience pervasive economic insecurity in part because of the seasonal nature of agricultural work and limited employment protections. Yet little is known about the adequacy of the social safety net in responding to farmworker needs. Using data from the 2005-2009 National Agricultural Workers Survey (N = 10,469), the current study analyzed predictors of social welfare participation among Latinos, who represent approximately 80 percent of all farmworkers. Nearly 95 percent are immigrants, although almost half of them have lived in the United States for more than 10 years. Descriptive analyses showed that, even among farmworker households whose income fell below the poverty line or that were headed by legally documented individuals, social services use was very low. Logistic regression analyses revealed that degree of social integration influenced social welfare participation, controlling for education, poverty status, family composition, and employment characteristics. Latino farmworkers who were recent immigrants (that is, in the United States for less than five years) had significantly lower odds of access to social insurance and public assistance programs relative to their U.S.-born counterparts. Low self-reported English ability significantly decreased access to most social insurance programs but not public assistance receipt. The findings indicate the need for social workers to engage in outreach efforts and policy advocacy to improve farmworkers access to social welfare.

In this qualitative study, the authors examined the culturally nuanced meanings of out-of-school suspensions for 30 lower income caregivers of African American children suspended from school. Caregivers were invited to describe their experiences of their children's suspensions during in-depth, individual, audiotaped interviews. Caregivers generally valued their children's school success, recognized when their children had misbehaved, and supported educators' imposition of appropriate consequences. Out-of-school suspensions, however, were rarely viewed as appropriate consequences. On the contrary, caregivers produced emotionally laden moral narratives that generally characterized their children's suspensions as unjust; harmful to children; negligent in helping children with underlying problems such as bullying; undermining parents' racial socialization; and, in general, racially problematic. Suspensions also contributed to some families' withdrawal from participation in their schools. Understanding how caregivers experience children's out-of-school suspensions provides important clues to how families and schools can work together to effectively reduce racial disparities in out-of-school suspensions.

The majority of children from lower income families enter elementary school well behind their peers in reading, math, and general knowledge. Poor academic achievement in the early grades is associated with a range of social problems such as failure to complete high school, increased risk of unintended pregnancy, increased criminal activity, and insufficient wages. There has been a steady increase in the number of publicly funded preschool programs designed to help children from a range of disadvantaged backgrounds develop school readiness skills. Social work has been minimally involved in preschool programs, even as policymaker interest and public support for these programs have grown. This article reviews the outcomes research on preschool intervention programs and discusses the implications of this research for social work policy advocates and practitioners.

Epigenesis is the biochemical process through which some genes are expressed and others remain silent, and it reinforces and explains the powerful impact that the environment has on human development. Epigenetic effects occur not only through diet, chemical exposure, and high levels of environmental stress, but also through chronic poverty and racism. Epigenesis provides a mandate for social workers to intervene at the policy level, both for today's children and for those in future generations.

As the United States' economy continues to experience challenges, more families at or near the poverty level fall prey to predatory financial practices. Their vulnerability to these operations is increased by a lack of knowledge of asset-building resources and alternative financial services. This article focuses on Volunteer Income Tax Assistance (VITA)--a free income tax preparation program, which is a vital resource available to low-income families. Unfortunately, VITA is largely underused and often unknown to economically strained families and to the social workers and other professionals to whom these families turn for assistance. This article concludes with policy and practice implications for social workers and other professionals engaged in providing services to financially vulnerable families.

This study explores factors that influence the general well-being (anxiety, depression, positive well-being, self-control, vitality, and general health) of low-income Korean immigrant elders by interviewing 206 older adults living in Los Angeles County and Orange County, California. Ordinary least squares regression results reveal that lack of English proficiency and longer residence in the United States were significant predictors of higher anxiety, higher depression,lower self-control,lower vitality, and lower general health among Korean immigrant elders. Losing a spouse was a significantly negative factor in vitality. Financial problems were significantly associated with lower positive well-being. Social support was a significant factor in lower anxiety, lower depression, higher positive well-being, higher self-control, and higher vitality. Spiritual coping was significantly associated with lower anxiety,lower depression, higher positive well-being, and higher vitality. The findings of this study show that low-income Korean immigrant elders are at high risk for psychological and physical health problems influenced by difficulties with the acculturation or adjustment and socioeconomic stress of living in a new society. The study discusses essential implications for culturally competent social work practice among low-income Korean immigrant elders.

Although substantial numbers of women seeking Temporary Assistance for Needy Families (TANF) report domestic violence, few receive mandated services through the Family Violence Option (FVO). This study used transcripts ofinterviews between welfare caseworkers and their clients to identify and classify the responses made by workers to client disclosures of abuse and to assess the match or mismatch of these responses with FVO policy requirements. Only 22 of 782 client interviews involved the disclosure of abuse to the welfare caseworker. A typology of worker responses was created, from least to most engaged. This typology shows that only half of those who disclosed abuse received assistance from the welfare worker, despite policy mandates that clients receive information on TANF waivers and community resources. This study suggests that problems with implementation of the FVO reflect a systemic reluctance to address issues of violence with women rather than problems of individual workers.

This three-year longitudinal study investigated whether low-wage employment was associated with improved psychological and parenting outcomes in a sample of 178 single mothers who were employed and unemployed current and former welfare recipients both before and subsequent to the passage of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. Participation in employment predicted fewer depressive symptoms and less negative parenting style over time. Employment at time 1 was associated with a reduced likelihood of receiving welfare in the interim between times 1 and 2, less financial strain at time 2, and (through these) a decrease in mothers' depressive symptoms at time 2. Fewer depressive symptoms at time 2, in turn, predicted less negative parenting style, net of the mothers' earlier demographic, mental health, and parenting characteristics. Mothers with higher education attainment were more likely to be employed (and to earn more) at both time points. Implications of these findings for welfare policies are discussed.

Trends in social welfare policy and programs place increasing expectations on families to provide members with various forms of material and socioemotional support. The historic ability of kin networks of many African Americans to provide such support has been compromised by long-term community and family poverty. The potential mismatch between the expectations of social welfare systems for kin support and the actual functional capacities of kin networks places African Americans living in poverty at great risk of chronic poverty and its long-term multiple consequences. This article reviews historical and contemporary research on the structure and function of African American kin networks. On the basis of evidence of functional decline, the authors argue that social workers must re-examine the a priori assumption of viable kin networks as a reliable source of resilience among African Americans living in poverty. Social workers must focus assessment at all levels of practice on a variety of aspects of kin networks to make accurate judgments about not only the availability of resources, but also the perceived costs and benefits of participation in exchange for resources.

Women disadvantaged by poverty, as well as racial or ethnic minority status, are more likely to experience depression than the rest of the U.S. population. At the same time, they are less likely to seek or remain in treatment for depression in traditional mental health settings. This article explores a therapeutic, psychosocial engagement strategy developed to address the barriers to treatment engagement and the application of this strategy to a special population--women of color and white women who are depressed and living on low incomes. The conceptual foundations of this intervention-ethnographic and motivational interviewing--as well as its key techniques and structure are reviewed. Finally, a case example description and promising pilot data demonstrate the usefulness of this strategy.

Young children with disabilities are significantly more likely to live in poverty than their peers without disabilities. Exposure to poverty creates additional risk of adverse outcomes for these vulnerable children. In this article, the following key circumstances contributing to this increased risk of impoverishment are analyzed: elevated costs of raising children with disabilities, low levels of public income transfer benefits, difficulty balancing parental employment and caregiving responsibilities, unavailable or high-cost child care, and inadequate leave time to permit parents to meet their children's episodic care needs. The implications of these issues for social work practice and advocacy needs are discussed.

Temporary Assistance for Needy Families (TANF), a part of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, changed the philosophical ground and rules and regulations that apply to low-income families with children who seek federal income support. TANF recipients have less flexibility in charting their life courses than AFDC recipients had. This article presents the findings of a study that investigated how TANF leavers, in comparison with AFDC leavers, fared economically after they left the cash assistance rolls. The major finding is that the income status of AFDC leavers increased considerably, but that of TANF leavers declined. The authors argue that TANF leavers fared less well economically because their decisions about whether to work, to engage in work-related activities, and to leave cash assistance rolls were under stricter control. The data sources for this study were the 1993 and 1996 Survey of Income and Program Participation.

Welfare reform has placed the lives of clients, the jobs of social workers, and the mission of agencies in jeopardy. Based on interviews with senior staff at 107 nonprofit human services agencies, this article documents the largely untold story of how nonprofit agencies' workers responded to the impact of welfare reform on their clients, their jobs, and the delivery of services. Workers reported less time for social services because of welfare-related regulations, penalties, work mandates, crises, and paper work. They also reported more service dilemmas including less control of the job, more ethical conflicts, less efficacy, and increased burn-out. Even so, workers felt that they were making a difference, and agencies indicated increased advocacy. Relying heavily on the voice of social workers, the article illuminates the experiences and feelings of agency staff as they try to do their best for clients in difficult times.

The globalization of the economy creates new challenges for social work in the arenas of social and economic justice. This article outlines social justice issues related to the debt crisis of the Global South and sweatshops. A presentation of colonial precursors is followed by a detailed examination of these global institutions with an emphasis on the vulnerability, disempowered status, and exploitation of poor people of the Global South. Connections with global inequities in wealth, income, and the distribution of resources are made explicit. The article explores domestic social justice problems as possible points of connection with these issues. Finally, the authors give recommendations for social work education, advocacy, and activism.

Although it is widely acknowledged that nonprofit agencies are critical actors in the nation's social service arena, few studies to date have investigated how the 1996 welfare reform legislation affected them. This article reports on one component of a research project in southeast Michigan that explored how the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 transformed the interorganizational environment of private nonprofit social services providers. The study found that smaller agencies and those that focus on clients' emergency needs appeared to be particularly vulnerable in today's climate. Private nonprofit providers, however, are critical to the survival of low-income individuals and families, particularly TANF recipients, and to the ultimate success of welfare reform.

The practice of international adoption of children is critiqued, using Rawls' egalitarian concept of a distributive method of social justice. From this perspective, international adoption may be perceived as contradictory to principles of social justice by ignoring the social context within which it occurs. Social contexts that frequently surround international adoption are severe poverty and the disenfranchisement of the adopted child's biological family; the disenfranchisement of certain children because of their lower social status; gender oppression and discrimination against female children; risk to children's rights to the knowledge of their birth history and parentage; risk to children's rights to identification with their ethnic, cultural, and national group; and practices that may involve abduction, deceit, and trafficking in children. The article presents alternate views, including libertarian and utilitarian perspectives. Solutions from two international conventions are critiqued and implications are discussed for social work policy advocacy, practice, and research.

This article presents information from a study of people receiving food assistance services from food pantries and soup kitchens in Virginia. The data indicate that significant numbers of individuals and families--many of whom are employed--are seeking food assistance. Many of these individuals also have been homeless, victims of domestic violence, unable to pay their utility bills, or have lost their public benefits. A critical issue raised by the findings is the low rate of participation in the food stamp program. Fewer than 40 percent of the respondents were receiving food stamps. Although the food stamp program is intended to help households buy a nutritionally adequate diet, there is growing concern that a large segment of low-income Americans are slipping through this safety net. The article concludes with suggestions for social work interventions to address issues of food security.

This article examines the methods and dynamics of packaging multiple sources of wage and nonwage income as a means of making ends meet over a 10-year period among a sample of displaced steelworkers who lost jobs as a result of plant closings in the 1980s and then experienced extensive downward mobility. The study tracked changes in the respondents' income and employment over a decade, the dynamics of their use of social services, their pooling of a variety of income sources, and the use of social assistance to supplement low wages. The study found that among this sample income packaging was a universal economic strategy and that use of social services did not affect later employment and earnings.

What proportion of the American population uses a social safety net program during the course of adulthood? To address this question, we constructed a series of life tables using 30 years of longitudinal data. Our results indicate that two-thirds of Americans between the ages of 20 and 65 will at some point reside in a household that receives benefits from a means-tested welfare program (food stamps, Medicaid, Supplemental Security Income, Aid to Families with Dependent Children, or other cash welfare). Such assistance is often in the form of in-kind programs, such as food stamps or Medicaid. The findings also indicate that the use of welfare tends to take place over fairly short intervals of time. For example, although 65 percent of Americans will use welfare by age 65, only 15.9 percent will do so for five or more consecutive years. However, once the use of welfare occurs, it is quite likely to occur again at some point during adulthood. Our results suggest that, contrary to conventional wisdom, the use of the United States social safety net is a mainstream experience.

Over the past decade, the federal earned income tax credit (EITC) has become the largest antipoverty program in the United States. For the 2002 tax year, working families with children can receive as much as $4,140 in EITC benefits. Although families may arrange to receive benefits throughout the year (through their paychecks), most receive a lump sum after filing federal income taxes. Research suggests that many families use the credit to purchase big-ticket items, to move, to pay for educational expenses, or to set aside savings. Thus, the credit may promote long-term household development as well as help families with basic expenses. Research also suggests that EITC encourages work among single-parent families, an outcome that is consistent with one goal of welfare reform. Social workers can be involved in outreach efforts that help low-income workers claim EITC benefits and inform them about advance-payment options. Social workers can also support efforts to increase EITC benefits for larger families and link tax refunds to saving programs.

The study discussed in this article examined the perspectives of front-line welfare workers on issues related to the implementation of TANF: domestic violence, work requirements, time limits for cash benefits, and functions of workers. Based on focus groups held in upstate New York, findings suggest a lack of criteria for the granting of exemptions from TANF requirements, worker resistance to serving those caught in the cycle of violence, and congruence between the legislation's "work first" strategy and worker preference. However, participants identified limitations to employment-focused welfare programs, including restrictions on education and job preparation. Further research is needed on the implementation of TANF, including use of the Family Violence Option, and on the use of administrative discretion by front-line workers.

Research indicates that high levels of stress, low social support networks, and depression during pregnancy have a powerful negative effect on maternal functioning and infant developmental outcomes. Low-income, inner-city women from ethnic minority groups, whose levels of depression have been documented as higher than their white counterparts, are at increased risk, as are their infants. This article reviews the relevant research literature and proposes that "bundling" several social work treatments intended to reduce or prevent depression, expand social networks, and enhance mothers' knowledge of child development is more effective than any single approach. Joining treatments into one intervention approach offers multiple treatments for multiple problems and can be designed to be evaluated.

Welfare reform policies assume that recipients will increase work efforts if they are offered improved income and support services incentives. Yet, based on personal interviews with 60 welfare recipients, this study found that recipients often do not understand the incentives provided. This results both from a lack of knowledge about existing incentives and from confusion about eligibility rules and benefit calculations. Such knowledge deficits do not appear to be the result of lack of interest in working, but rather stem from the complexity of incentives. To improve recipient responsiveness and well-being, work incentives need to be simplified and strategies developed for better dissemination of information to recipients. Caseworkers must play a vital role in such efforts, because they often are the key to ensuring that recipients gain access to available benefits.

This article describes the process of developing an empowerment approach in a comprehensive child development program that defined its mission as empowerment of families living in poverty. This description is derived from a seven-year organizational ethnographic research project that included data from participant observation, agency documents, individual interviews of staff and family participants, and focus group interviews with staff. Findings concerning empowerment are presented in two areas: (1) resolution of contrasts and dichotomies related to the nature of services, understanding staff roles, and working with the federal government; and (2) lessons learned forprogram effectiveness. Implications for empowerment-oriented social work practice and policy are offered.

Bronfenbrenner's process-person-context-time model is used to examine theories that explain the adverse effects of economic deprivation on children's socioemotional development. In his model, each of five structures of the ecological environment-microsystems, mesosystems, exosystems, macrosystems, and chronosystems-is subsumed within the next higher level. Theories of the effects of poverty on proximal processes in the microsystem of the family have the most research support, but processes in other microsystems such as the peer group and school and in other levels of the ecological environment may also explain the relation between economic deprivation and children's socioemotional functioning. Social work practice and policy implications are drawn from the analysis.

During the past two decades, most states have allowed welfare benefit levels to erode with inflation. Very little attention has been paid by academics and policy makers to the potential effects of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 on welfare benefit levels. This article provides a number of explanations for likely reductions in states' welfare benefit levels. Consequences of reducing welfare benefit levels are examined. The article shows how small changes in benefit levels can alter profoundly eligibility for welfare. Social workers need to advocate for increases in welfare benefit levels which, at the very least, keep up with inflation.

As a result of the recent implementation of work-oriented antipoverty programs, more welfare recipients can be expected to be working in low-wage jobs. With these jobs there is little hope that these workers' incomes will rise above the poverty level. One way to help support these low-wage workers is through tax reform. Although low-wage workers pay little or no federal tax, they still pay high payroll and local taxes. To help such workers keep more of their earnings, refundable taxes like earned income tax credit and child refund taxes should be expanded, and sales taxes on food should be eliminated.

Each year millions of people die from malnutrition-related problems. Those who survive are robbed of a healthy body, a sound intellect, and the hope for healthful living. Despite its global toll malnutrition is given limited attention by the world community; hence, it is generally viewed as a silent emergency by advocacy organizations. The causes and consequences of malnutrition are complex, and it will require the concerted efforts of all social institutions, including the social work profession, to combat malnutrition effectively. This article examines social determinants and consequences of malnutrition and suggests several social work actions that might be helpful toward minimizing malnutrition.

Opponents of policies that protect same-race adoption assert that children of color are languishing in out-of-home care because they are being restricted from entering transracial adoption arrangements. This article argues that transracial adoption is not necessary to ensure that children of color are adopted in a timely manner and sets forth alternative arguments around six issues: (1) policies favoring adoption by foster parents, (2) the availability of same-race families to adopt children of color, (3) the abundance of children in out-of-home care unavailable for adoption or with special needs, (4) disparities in child welfare services related to ethnicity, (5) misleading data on the numbers of children of color who are in foster care, and (6) poverty as an underlying cause of out-of-home placements. This article briefly presents the history of the transracial adoption controversy and discusses its current status; counters assertions typically used to oppose same-race adoption policies for children of color; summarizes the positions of several social work organizations regarding adoption and race; and makes recommendations for education, policy, research, and practice.

This article explores the diminishing role of federal government following a series of legislative mandates to maximize equal educational opportunity; it also examines the escalating poverty rate resulting from the economic restructuring of the country. It calls for systemic reform in education, health, and human services followed by an integration of these services.

This study presents survey data on low-income elderly people who attended daytime meal programs. The survey examined sociocultural and quality of life variables as they affected use of health care and transportation services. Most of the respondents self-reported their health status as poor or very poor, and more than half had no medical care during the preceding six months despite the presence of multiple physical symptoms. Social isolation from family or neighborhood support systems exacerbated problems with transportation, and most of the elderly people relied on public transportation to gain access to health services. Public transportation services posed additional barriers to health care use, among them fear.