SW 368

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thaos37
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153054
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SW 368
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2012-05-09 01:57:14
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Social Institutes
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Final exam
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  1. What is capitalism?
    It's an economic system that "emphasizes private business initiative in the pursuit of profits through the use of priveate property
  2. 3 essentials of a capitalist economic system
    • 1) Property primarily privately owned
    • 2) Used to accumulate private gain or profit
    • 3) Owners/profit- seekers control national economy
  3. A central characteristic of captialism is that it is a market system. What does that mean?
    Factors of production (land, labor, captial) are commodities for sale
  4. A basic philosophy espoused by these individual capitalists is laissez-faire, what does that mean?
    • "Leaving things alone"
    • Government shouldn't interfere
    • Market economy self-regulating through "supply and demand"
    • Best mechanism for allocating and distributing resources
  5. What is supply and demand?
    self-regulating and the fairest and most efficient mechanism for allocating and distributing society's resources
  6. What is globalization?
    The inexorable integration of markets, nation-states, and technologies to a degree never witnessed before
  7. Globalization
    • US economic system spreading with increasing speed throughout the world
    • It's highly influenced and developed by technology
    • Creating a 2 tiered employment system:
    • full-time, highly paid
    • part-time, or temporary, low paid
  8. What is social group?
    collective of persons differentiated from at least one another group by cultural forms, practices, or way of life

    Group members tend to associate more with each other because shared experience and experience
  9. Social groups understand themselves as such when faced with other groups that differ from them

    Existence of different social groups in the foundation of a diverse society
    • Under existence: The way we experience difference
    • The way we also experience prejudice, discrimination and oppression

    Our identification as part of a group - privileged, dominant, marginalized, subordinat - determinates if, when , and how we experience oppression
  10. What's prejudice?
    Definition: prejudment (usually negative) without sufficient info to support the judgment

    • Usually related to belief that another individual/group is inherently inferior to oneself or one's social group
    • It's an attitude
  11. What's discrimination?
    Definition: practice of treating individuals and groups differently

    • Usually derived from prejudice
    • An action
  12. Domination & subordination
    "In most instances of differences there is also a factor of inequality" - Jean Baker Miller, feminist psych
  13. Key characteristics of dominant groups:
    • 1) dominant goup usually impedes the development of subordinates and blocks their freedom of expression and action. Occurs overtly or covertly.
    • 2) dominant group has the greates influence in determining a culture's overall look (art, science, popular culture)
    • 3) Through power and control over culture, the dominant group's values, traditions, ways of behaving, etc. become the norm for a given society
    • 4) Bc of its influence in all aspects of life, the existence of inequality between the dominant and subordinates groups is obscured (fuzzy boundary)
  14. And so...
    • Dominant goups have an unequal share of power, status, access and other resources
    • Power allows the dominant group to obscure the existence of inequality
    • --> Normalizes
    • --> Institutionalizes
  15. Who's the dominant group in American society?
    White, heterosexual, Christian, able-bodied, males
  16. Identity
    • And individual's and/or a group's unique sense of self and similarity and/or difference in comparison to others
    • Every leve of identity is relevant to the human experience, and every level is relevant to social work practice
  17. Identity exists on 3 basic levels:
    • 1) Universal
    • 2) Group
    • 3) Individual
  18. Define Universal identity
    • Things all humans share as members of the same species
    • --> biological and physical makeup
    • --> self-awareness or consciousness
    • --> ability to use symbos to communicate
    • ~~~~~~> Fixed, doesn't change in any significant way
  19. Define group identity
    Identification with social groups

    • Gender
    • Age
    • Ethnicity
    • Religion
    • Culture
    • ----> Can and do change over time and circumstance
  20. Define individual identity.
    What makes us unique

    • Particular genetic makeup
    • life experiences
  21. Ronald Reagan : 3 themes of his presidency
    • Lowering taxes
    • Increasing spending on defense
    • Cutting social spending
  22. Ronald Reagans' "Supply -side economics" AKA "trickle-down theory"
    • Tax cuts for the rich lead to
    • investment in production, which leads to
    • increase employment, which leads to
    • more spending by working class, which leads to
    • more demand for what is produced, which leads to
    • more investment in production

    • LED TO
    • tax cuts for wealthy
    • increased spending in social programs
    • support of Americans who believed that spending on social programs only benefitted people of color
  23. Reagan: 1981
    • Budget cuts were achieved through passage of Omnibus Budget Reconciliation Act (OBRA) in July
    • Tax cuts enacted in Augst
    • Increases in defense spending in the fall
  24. Impact of OBRA
    Eliminated 57 social programs by folding them into community block grants:

    • -> community services
    • -> AODA
    • -> Mental healt
    • -> maternal and child health
    • -> community development
    • -> primary health
    • -> preventive health
  25. What do block grfants do?
    Transfers federal funds for programs into state local oversight

    • Success: allows communities to determine their own needs
    • Criticism: allows funds to be allocated unequally based on perception of community leaders (same orgs get funded every year)
  26. Note: while Reagan cut funding to many programs that help low-income people, he cost not to cut big-ticket programs with large middle-class constituencies
    • Medicare
    • Social security
  27. Reagan 2nd term
    • Stalemate
    • >Regan avoided substantive issues and focused on his popularity index
    • --> "affirmative action" - preference was given to minority
    • --> quotas - inflamed stead conservative, white male base
  28. George Bush, Sr
    Promised no nex taxes even though was lef with huge budget deficit
  29. Bush Sr: Issues fo LGBTQ
    • Aids epidemic begin
    • >First identified by CDC in 1982
    • > Activists were able to gain minimal budget spending to support research
    • ---> American life lobby: far right group that claimed any attempt to make aids a top priority was and outrageous legitimization of lifestyle repugnant to the vast majority of americans'
  30. Issues for people with disabilities
    • 1990 - Americans with Disabilities act
    • Sought to bar discrimination in the workplace, housing, and public accomodations
  31. Issues for SW
    • Some previously sw-held positions were "declassified," meaning non-sw could get job
    • more agencies began recruiting SW's in fields such as protective services, mental health, aids, aoda, homelessness

    • controversy:
    • >SW's going into private practice
    • criticisim:
    • >will take away from the profession's rol as service provider to those with limited means
    • >created term "clinical sw"
  32. Clinton
    • Clinton promised health care reform
    • Discovers budget deficit is much larget than has been reported
    • Dilemma: promised contradictory policies
    • >Halve the deficit
    • >Fund social investments and provide tax cut from middle-class citizens
    • Cabinet selections indicated a willingness to hear from different perspectives
    • Gives Hilary oversigh of health care campaign
  33. Clinton: Health care vs. anti-crime
    • US has a health care system that revolves around employers and private insurance companies
    • In 1992, even with Medicaid and Medicare, 40 mil americans lacked private health insurance or access to M/M
    • US health care system provided docs and hospitals w/incentives to perfom costly procedures and expensive tests
    • Resulted in poor and uninsured lacking acces to primary care and preventitive services, who then sought services only after condition was serious
    • >Used ER for primary care
    • Ultimately, health care plan was too complex for anyone to understand, as well as too costly to implement
    • Easy to blame Clinton's plan for failure of health reform, but likely NO plan would have gained support from Congress in 1994
    • > Too many special interest groups, including insurance companies, have a vested interest in the status quo
  34. Anti-crime legislation proved to be an area of success for clinton
    Funded expansion of police forms and new prisons
  35. Clinton 2nd term: Balanced Budget Act of 97
    • Huge cuts in M/M = most sweeping changes in Medicare since its inception
    • >Disallowed expensive procedures; sought billing from private insurance; restricted choice of providing physicians (HMO); slashed home health care services by 15%; deleted high federal medicaid subsidies to hospitals serving large #'s of poor and uninsured
    • >Caps on discretionary spending
  36. Clinton: Gun Control
    • Brady Bill passed in Clinton's first term - established a waiting period and criminal background check for purchase of handguns
    • Issues again surfaced allowing Columbine HS shootings
    • >Sought bans on gun sales on internet and at gun shows; expanded background check; increased minimum age for purches from 18 to 21; banned high-capacity ammo clips and required mandatory lock devices on guns
  37. Clinton: Limited healthcare success
    • 1996=federal legislation that required private health insurance companies not to discriminate against mental health problems in their plans (altho level of care doesn't have to be equal tho, there's a cap on certain things)
    • >2008, equal="parity" for mental health coverage passed in the federal level, to be fully functional in 2010
    • >States without parity, including WI have until 2015 to provide parity in some form

    • 1997=$20 billion funding to states to provide health insurance to uninsured children
    • >states could expand medicaid or establish separate plans for children --> not very successful as many states eligible for the funding failed to enroll eligible children so money enrolled back into govt
  38. Clinton: Budget Deficit
    • 1998=prediction of 219 billion surplus as clinton announced balanced budget
    • >congressional budget office predicted doubling that to $1.6 trillion by 2008

    INSTEAD 9/11 happened and $$ went towards war instead
  39. Bush Jr
  40. State & County systems of care: DHS, what's the mission?
    Protecting and promoting health and safetfy of the people of WI
  41. DHS goals.
    • Assure the health, safety, and well being of WI citizens while emphasizing prevention
    • Make WI a national leader in reforming health care
    • Improve the lives of WI seniors and people w/disabilities
    • Increase opportunites for children to grow up safe, healthy and successful in strong families
    • Create a high-performing organization that is customer-focused, and values our partners and employees
  42. DHS organizational structure
    • Officer of the secretary
    • then office of legal counsel & office of policy initiatives and budget
    • then division of pub. health, division of health care access and acct., division of mental health and substance abuse serv, division of quality assurance, division long term car, division of enterprise services
  43. DCF
    It combines functions from 2 other state depts to more narrowly focus on the needs of children and families
  44. DCF mission
    Dept of children and families is to promote the economic and social well-being of WI's children and families. The dept is committed to protecting children, strengthening families and buliding communities
  45. DCF 5 overarching goals:
    • children are nurtured, safe and engaged
    • enhance prevention and early intervention efforts throughout EI
    • families will have access to quality early care and education (headstart)
    • parents will secure and maintain meaningful jobs
    • fathers will be more engaged in the lives of their children
  46. Who provides social services? (5 types)
    • 1)Public agencies - are established by law and are operated by federal, state or local government
    • - US dept of health and human services (DHHS) is the major fed agency
  47. 2nd social services
    Priv. not-for-profit corporations (aka voluntary agencies) are governed by a board of directors or trustees
  48. 3rd social services
    Priv. for-profit corporations, aka proprietary agencies, provide services like child care, nursing home care, and mental health care, but generally charge their clients for services at the current market rate

    -> govt agencies sometimes purchase services from private agencies if they cant provide them
  49. 4th social services
    Self-help groups, provides social services but generally dont rely on gvt funding

    • >less formal structure (AA)
    • >relies on members for funding
    • >this category also includes cooperatives where people band together to share child care, purchase groceries, etc.
  50. 5th social service
    Religious orgs, have long hx of providing social services

    • >services generally provided by clergy or lay members of religious set
    • >Under Bush II administration, religious orgs were encouraged to purse federal funding
  51. 1981, Reagan replaced title XXD with the social blok grant
    • goals:
    • increase economic self-support and self-sufficiency
    • reduce abuse and neglect of children and adults
    • reduce inappropriate institutional care
    • secure institutional care when needed
  52. 2002 George BUsh established "New freedom commission on mental health"
    • Report issued in 2003:
    • Recommended transformation of public MH system based on 2 principles
    • > New freedom commission of MH
    • >Achieving the promise:
    • >Transforming MH care in America:
    • --->Services and txs should be patient and family centered, geared to give consumers real and meaningful choices about tx options and providers, oriented to requirements of bureaucracies
    • --->Care must be focused on increasing consumer's ability to successfully cope with life's challenges, on facilitating recovery, and on building resilience, not just on managing symptoms
  53. 6 goals of MH
    • Americans understand that MH is essential to overall health
    • MH care is consumer and family driven
    • Disparities in MH services are eliminated
    • Early MH screening, assessment and referral to services are common practice
    • Excellent MH care is delivered and research is accelerated
    • Technology is used to access MH care and info
  54. Reverend Samuel A Jackson
  55. Reverend Samueal A Jackson
    All roots of religions go back to Abraham (father of jews, christians, muslims, etc)

    • How the present/past world works?
    • > wisdom, wealth, power

    • Religion jewish roots/religious "principles"
    • >loving kindness
    • >justice
    • >righteousness

    • 2 meanings to justice:
    • > primitive: regular justice
    • > distributive: there should be eno of this earth's good for everyone

    • Most of the hx that you read are written by winners
    • .
    • Danger of churches: they're starting to build more facilities and worry for themselves therefore some collapse, they forget the important thing is to help others!!! -- exist for the benefit of others

    • How do we get church to be the main provier of social welfare?
    • >they need to turn back to the main philosophy churches originally had: love kindness, justice and righteousness
  56. When the gentlemen
  57. The released: when the gentlemen featured in the video are released frm prison, they are typically given a few dollars and 2-week prescription for their psychotropic medication. Discuss the potential for these men to have the ability to advocate for themselves and their care
    They can't! TOo used to the prison structure
  58. The released - what do you observe about them that changes when they are engaged in treatment vs when they aren't?
    Act normal when treated.
  59. The Released: Discuss your thoughts on the role of social work in advocating for programs and services for this population, such as mental health courts and re-entry programs
    Much needed.
  60. Identify an ind. featured in the Released and discuss how a job program that offers people living with severe and persisten mental illness 3 hours of paid employment per week would benefit him
    If enrolled in such a program, it could have given him structure therefore giving him a routine to his life.
  61. the released - what are your thoughts on how our society has come to be in the mental illness/criminal justices crisis situation we are in?
    THe prison has become a big part of lives of people who live with mental illnesses. Push them aside and ignore them.
  62. Juvi video - refer to sheet
  63. Ageism speaker - Kristin
    • Definition of old changed?
    • >Not considered old unless over 100 yrs
    • >people are more independent now and health conscious and it depends on attitude

    Seen culture change, people's mood changed, more room, people wnat to go outside, be active...etc

    • Big changes:
    • >Home health care has gone up
    • >Down size nursing home area and add assisted living
    • >Ask if people would like to return out to community since there's a lotta resources
    • >Funding - focus on what clts want

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