Social Policy and Professional Ethics Flashcards

1
Q

Definition of the Institution of Social Welfare: Social Policy

A

a constellation of laws, regulations, customs, traditions, mores, folkways, values, beliefs, ideologies, roles, role expectations, occupations, organizations, and history, all centering on the fulfillment of vital social functions

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2
Q

Definition of the Institution of Social Welfare: The Functions and Domains of Social Policy

A

subjective of vigorous debate in western societies

social policy analysts note that there are numerous perspectives and definitions based on varying beliefs about the role of government and society in providing nurturance, care and protection to citizens

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3
Q

Views on Social Policy

A

major functions of social policy are redistributive; social policy in this view, a vehicle through which harsher consequences of global capitalism and modernism are redressed

other views identify social policy within a network of specific functionals and domains that are more closely resemble traditional social services; these include education, personal social services, housing, health care, employment, and income support

some argue social policy is synonymous with social welfare institutions; social policy deals with residual social functions which are activities not addressed through normal market forces; operate a minimal safety net or programs and supports designed to prevent individuals and families from falling below a loosely defined basic minimum standard

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4
Q

Functions and Domains of Social Policy: Modern Societies

A

complex socialization requirements that must be delegated to the state

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5
Q

Functions and Domains of Social Policy: Normal Family Functions

A

no longer be relied upon to provide the full range of opportunities for socialization and protection possible in previous periods

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6
Q

The Societal Context for the Provision of Services: Characteristics of Social Welfare Activities

A

communal provisions of resources for citizens

social welfare is one spaced of the social contract between citizens and the society

promotes social stability by preventing individuals and families from falling below a minimum standard of health adn welfare

social invetment promotes certain outcomes that are socially desirable and essential

welfare programs focus on target groups who cannot meet their needs through their own efforts or who require social welfare intervention

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7
Q

Major Characteristics of Social Welfare Provisions: Institutional Programs

A

programs, services, and institutions provided by government as integral social functions

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8
Q

Characteristics of Institutional Programs

A

services available to all societal members and have broad, inclusive eligibility criteria; they are universal

services and benefits that are not means-tested

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9
Q

Major Characteristics of Social Welfare Provisions: Residual Programs

A

provided when the market or family is not equipped to provide necessary assistance

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10
Q

Characteristics of Residual Programs

A

means-tested

also known as the safety net

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11
Q

Majors Characteristics of Social Welfare Provisions: Universal Programs

A

programs available to everyone regardless of income

non-means tested

significant political insurance against the winds of policy change

they unify diverse political groups since everyone benefits

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12
Q

Universal Programs: Social Security Old Age Programs

A

insurance programs rather than charity, and are universal since everyone in covered occupation is eligible for benefits

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13
Q

Major Characteristics of Social Welfare Programs: Selective Programs

A

available to people with certain defined characteristics

usually income-tested

provisions available to people who cannot afford benefits

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14
Q

Characteristics of Social Welfare Activities: Purposes of Social Welfare Programs

A

benefit target groups, but also express wider interests of the larger society

-society’s image of itself as humane and caring

-desire for social stability

-genuine altruistic impulses

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15
Q

Purposes of Social Welfare Programs: Social Development

A

certain social welfare programs have a developmental philosophy

they emphasize positive or developmental social goals such as literacy, infant health, maternal well-being, full employment, a higher or a lower birth rate

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16
Q

Purposes of Social Welfare Programs: Social Control

A

other social welfare programs are more reactive to social deviance and emphasize the control of aberrant behavior

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17
Q

Relationship to Large Social Order: Restoration of Stability/Social Control

A

-Pacification or rehabilitation of threatening individuals, groups and communities

-Removing target groups from public visibility

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18
Q

Relationship to Large Social Order: Social Change

A

-Advancing social and technological agendas

-Expanding civil rights and liberties

-Redistributing power and resources

-Supporting and enabling potentially disruptive economic changes by mitigating the worst effects of unemployment and poverty

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19
Q

Traditional Domains of Social Welfare

A

-Incoming maintenance

-Housing

-Health

-Education

-Employment

-Personal social services

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20
Q

Social Welfare Delivery Systems: Occupational

A

social welfare benefits provided through the workplace

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21
Q

Social Welfare Delivery System: Fiscal

A

social welfare benefits provided through tax breaks

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22
Q

Social Welfare Delivery System: Private Market

A

services are purchased from profit making organizations

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23
Q

Social Welfare Delivery System: Social Services

A

services received free or on a sliding scale (ability to pay) through public or nonprofit private agencies

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24
Q

Social Policy Issues: 21st Century

A

focus on the extent to which social programs encourage behaviors that are not socially sanctioned

belief that welfare entitlements promote dependency and cause recipients to leave the job market permanently

some states debated refusing to pay increased benefits for children conceived while the mother was receiving public support

others increased efforts to locate absent fathers to force them to pay for their children

frustration within the system has led to new legislation designed to address these questions

effect has been to place limits on the duration of welfare benefits and to require work or work training as part of the requirement for coninuation

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25
Q

Social Policy Issues: Policy Discussions Invariable Center on Standards of Need

A

How should the standard be established and by whom?

Should there be a national standard or should each state have the widest flexibility?

To what extent should standards conform to local conditions?

The criteria used for setting benefit levels have many implications

states with more generous benefits or easier eligibility criteria could become magnets for the poor, attracting poverty-stricken recipients from more penurious jurisdictions

local conditions differ

rural areas in many states are far less expensive than large urban centers

uniform benefits would have to account for differing local standards

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26
Q

Social Policy Issues: Other Controversies Continue to Boil Around Social Priorities

A

How can government mediate between the competing interests of various groups?

For example, does affirmative action discriminate against the white poor?

Should society provide relatively high benefit levels for the elderly, when the numbers of children and young mothers in poverty are rapidly growing?

Should costly medical treatments from seriously ill patients take prioirty over preventative care?

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27
Q

Social Policy Issues: Costs and Taxation

A

Who should pay for social programs?

How can costs be limited?

Can welfare recipients shoulder more of the burdens?

Should government rely more on user fees?

Should social security taxes become more progressive?

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28
Q

Social Policy Issues: Residual View

A

services should be rendered on temporary case basis as a response to catastrophe, personal misfortune, or mismanagement

residual social services are to be available only when normal market forces, family resources, or other private resources are overhwlemed or break down

residual services or programs are means-tested or based on some deficiency

they usually fight a stigma

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29
Q

Social Policy Issues: Institutional View

A

social services are a central function of the society and must be available to all, not just for emergencies or abnormalities in individual, family, or community functioning

services are only rehabilitative but developmental and preventative

geared towards helping individuals reach their fullest human potential

these services are not means-tested and carry no stigma

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30
Q

Income Maintenance: Social Security Act of 1935 with Many Amendments

A

provides Old Age, Survivors, Disability, and Health Insurance

a federal program operated by the Social Security Administration, a part of the Department of Health and Human Services

the nation’s largest social program and covers 90 percent of the workforce

employers and employees contribute to workers’ Social Security retirement fund

there is a maximum contribution tied to a maximum eligible salary

tax regressive since it has its highest impact on lower wage workers, while the highest paid workers, particularly those over the Social Security maximum, pay at a very low rate

under social security, the basic benefit paid to a retired or permanently disabled worker is related to retirement age and the level of covered earnings

dependents and survivors receive a proportion of the benefit is not means-tested

in the last decade, Social Security rules changed and eligible recipients may continue to work and earn income

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31
Q

Social Security Analysts

A

concerned about the fiscal health of the Social Security system as the large “baby boom” generation becomes eligible for benefits

begun claiming cash and medical benefits

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32
Q

Income Maintenance: Survivors’ Insurance

A

paid to surviving minor children (and those still in school and under age 22) and their surviving parent, and to dependent parents of deceased worker

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33
Q

Income Maintenance: Disability Insurance

A

paid to disabled adults who are unable to work; most people over 65 are entitled to Medicare and voluntary supplemental medical insurance for physician fees

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34
Q

Income Maintenance: Unemployment Insurance

A

originally passed in 1935 as part of the Social Security Act

employers contribute to a state unemployment fund that benefits workers who are dismissed

the states administer UI

programs and benefits very from state to state

workers must register with the U.S. Employment Service and show willingness and ability to work

benefits are time-limited and are based on past earnings and length of employment

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35
Q

Income Maintenance: Workman’s Compensation

A

a social insurance program providing cash payments and medical benefits to workers who are injured on the job and suffer a significant disability

the states operate the program, and its coverage varies

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36
Q

Income Maintenance: Supplemental Security Income

A

passed in 1972 and administered by the Social Security Administration

a program for certain categories of the poor: the aged, blind, and disabled

individuals who are single, healthy, and employable are not eligible for SSI

since the program is administered by a federal agency, eligibility requirements are identical for all states

many states add small cash supplements to the government’s minimum payment

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37
Q

Income Maintenance: Aid to Families with Dependent Children

A

replaced in 1996 by Temporary Assistance for Needy Families (TANF)

variation in payment levels and some states provide benefits below subsistence levels

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38
Q

“Man in House” Rule 1968

A

Supreme Court struck down the rule under which families with a man in residence were ineligible for child support, even if the man was not the child’s biological father

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39
Q

The Personal Responsibility and Work Opportunity Reconciliation Act of 1996: Summary

A

the law has far-reaching implications for Medicaid and family cash assistance programs

it eliminates the open-ended federal entitlements (for state reimbursement) of the Aid to Families with Dependent Children program (AFDC) and creates a block grant for states to provide time-limited cash assistance for needy families

make extensive changes in child care, food stamps, SSI for children, benefits for legal immigrants, and the Support Enforcement Program

modifications to child nutrition programs and reductions in the social services block grant

current laws for child welfare and child protection programs are unchanged

the legislation will reduce federal expenditures with the majority of savings due to changes in the Food Stamp Program and reductions in benefits for legal immigrants

states will have increased flexibility in setting benefit levels and providing related services

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40
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I)

A

provides block grants to the states

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41
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Use of Block Grant Funds

A

states may use block grant allocations for any “manner reasonably calculated to accomplish the purpose of Title I (TANF)” activities authorized under Title IV-A and IV-F as of September 30, 1995, are also eligible uses

the bill ends the federal entitlement of individuals to cash assistance under the old AFDC program, and states have complete flexibility to determine eligibility and benefit levels

welfare payments are limited to a 5-year lifetime maximum; states may request waivers

states are expected to provide job training and child care to unemplyed mothers receiving welfare payments

if a two-parent family receives federally funded child care, then both parents must work, with exceptions for parents of severely disabled children or parents who are themselves disabled

states will continue to experiment with measures to control the fertility of mothers on welfare by limiting or restricting benefits to unmarried women who continue to bear children while on welfare

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42
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Under Age One Exemption

A

states may exempt single custodial parents with a child under one year from the work requirement

a parent may only receive this exemption for a total of 12 months

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43
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Sanctions Against the Individuals

A

assistance may be reduced if adult family members refuse to work

a state may terminate assistance and Medicaid for the individual whose cash assistance is terminated for failure to work

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44
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Teen Parents

A

to receive assistance, unmarried teen parents of a minor child at least 12 weeks of age must participate in educational activities directed toward receiving a high school diploma or GED, or participate in an alternative education or training program approved by the state

states must also deny assistance if the teen is not living at home or in an approved adult-supervised setting

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45
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Paternity Establishment

A

a state must reduce a family’s grant by 25 percent or may terminate it completely, if the parent fails to cooperate in establishing paternity or in establishing, modifying, or enforcing support order

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46
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Person Convicted of Drug-Related Felony

A

cash assistance and food stamp benefits may be denied to individuals convicted of drug possession, use, or distribution, though other family members can receive benefits

to circumvent this provision, states must pass legislation

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47
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Contingency Fund

A

the federal government federal matching funds for states experiencing an economic downturn, states must have met one of two triggers to access the fund:

an unemployment rate of 6.5 percent

the number of food stamp recipients must reach a certain legislatively established number

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48
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Work Requirements

A

adults in families receiving assistance under block grants are required to participate in work activities after receiving assistance for 24 months

recipients must participate in community service within two months of receiving benefits if they are not working

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49
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Additional State Options

A

states may deny assistance to additional children born or conceived while the parent is on welfare (family cap)

states may deny assistance to unmarried teen parents and their children, and require school attendance by parents and children in a family

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50
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Benefits for Immigrants (Title IV)

A

-SSI and Food Stamps are limited for legal resident aliens

-the law allows for some exceptions: refugees, asylees, or those granted withhholding of deportation are eligible only for their first five years

-lawful permanent residents with 40 qualifying quarters of work may receive benefits

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51
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Legal Immigrants

A

-States can determine eligibility of current legal immigrants for federal cash assistance under Title IV-A (TANF), Medicaid, and services under the Social Services Block Grant (SSBG)

-states decide to provide or deny services at their option

-Immigrants arriving after the bill was enacted are first subject to the five year federal bar, and then states may provide services

-General assistance originally mandated by the Social Security Act, but funded by the states and localities

-To receive federal subsidies for TANF and Social Security Programs, states must offer local financial aid to those poor who do not fit into any federal assistance category; each state administers the program differently

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52
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Public Housing

A

initiated in 1937

provides federal subsidies for construction of low-income public housing

public housing is subsidized and means-tested

as a result more successful families are often forced to leave their housing

a central criticism of public housing arises from this policy, since every housing project ultimately concentrates the poorest and least successful of the poor

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53
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Subsidized Housing

A

1969 federal law subsidizes the difference between the operating costs of public housing and tenants’ ability to pay

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54
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Section 8 Benefits (Housing and Community Development Act of 1974)

A

gives communities more opportunity to use federal block grant aid, and recipients of rent subsidies greater than housing choice

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55
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Issues

A

the most problematic questions regarding public housing rest with the growing problem of violence and drug use that seems difficult to control in many large high-risk projects

many cities have demolished large projects built in the 1950s that have become centers of social problems

few new projects are under consideration, as agencies move to scattered site development and housing subsidies to reduce concentrations of poor people in large projects

56
Q

Temporary Assistance for Needy Families (TANF) Block Grant (Title I): Medical Care

A

the initiation of Obamacare or ACA altered the landscape for healthcare

programs and dimensions are not fully understood at this time and its major features are being debated

Congress, Unions and large corporations have sought exemption from the act causing some doubt about its popularity

57
Q

Health: Medicaid

A

added to Social Security Act (SSA) in 1965

a combined federal and state program that pays for physicians and other health-related services

states administer the program and set policies within federal guidelines

states differ in eligibility requirements but must cover TANF families, SSI recipients, and other poor

58
Q

Health: Medicare

A

added to SSA in 1965

funded partly by contributions from the elderly and by general tax revenues

a universal health program to help elderly

not means-tested

covers hospital and medical costs for persons 65 and over and for disabled Social Security beneficiaries

provides basic hospital insurance and optional supplementary medical insurance

patients pay small fees to discourage unnecessary use

new recent drug benefits provide limited benefits and are largely administered by profit-making corporations

59
Q

Health: Procedures to Limit Costs – PSROs (Professional Standards Review Organizations)

A

efforts to limit costs of Medicare and Medicaid led to a variety of cost control strategies

1983, DRGs (Diagnostic Related Groups) were introduced and had set maximum reimbursements rates for hospital care under Medicare

HMOs are major providers of medical care for large groups of elderly with the encouragement of the Department of Health and Human Services

60
Q

Health: Catastrophic Health Insurance

A

individuals responsible for medical bills up to some limit, after which insurance pays

61
Q

Health: Employer Contributed Insurance

A

employment related health care insurance

62
Q

Health: HMOs vs. Fee-For-Service

A

the 1973 HMO Act offers federal assistance to independent organizations providing comprehensive health care for those enrolled

members pay fees that entitle them to hospital and physician care

many communities, under pressure from federal policy makers and seeking to control the costs of health care for the poor, are currently emphasizing managed care as a solution for providing health services

63
Q

What are the cons to HMOs?

A

costs are uprising as the population ages and many new treatments are developed

analysts claim HMOs have squeezed out most of the waste and their costs will rise dramatically over the next few years

complaints about HMOs and their tendency to deny expensive treatments in some instances are leading to additional regulation (example: minimum hospital stays for childbirth and others are developing oversight mechanisms)

64
Q

Health: Community Health Centers

A

first begun under Great Society’s Office of Economic Opportunity

federally-funded health centers are found in many low income areas

many health centers are affiliated with hospitals and managed care organizations, and are able to offer a widespread spectrum of health services

65
Q

Health: Prospects for National Health Insurance

A

efforts to enact a comprehensive national health insurance system with universal and mandatory coverage begin with the original SSA in 1935

the Patient Protection and Affordable Care Act, signed into law March 23, 2010 represents that latest development of the drive for universal health care

66
Q

Nutrition: Food Stamp Program

A

first federal program from 1939-1943

revised in 1963 and significantly expanded in 2010

largest federal food subsidy program

federal and state government operate the program jointly

67
Q

How does the Food Stamp Program work?

A

-Federal government pays the direct cost of food stamps and some state administrative costs

-States administer the program; some have requirements for childless families; able-bodied adults must register and accept work that pays prevailing local rates

-Recent statistics suggest that the program now provides assistance to 40 percent of American families

68
Q

Nutrition: Women, Infants, and Children (WIC)

A

special supplemental nutrition program operated by Food and Nutrition Services of the Department of Agriculture through local agencies and health clinics

pregnant and nursing high in important nutrients

69
Q

Nutrition: School Nutrition Programs for Children

A

federal reimbursement provided assistance is provided for meals served free or at reduced cost to poor children

70
Q

Nutrition: Meals for the Elderly

A

includes Meals on Wheels program and congregate meals in institution

71
Q

What’re considered the new epidemics?

A

-Teenage sex, pregnancy, and parenthood

-Acquired Immune Deficiency Symptoms (AIDS)

-HIV and other sexually transmitted diseases

-Alcoholism and drug abuse

-Smoking

72
Q

Employment: Minimum Wage Legislation

A

most direct way of increasing earnings of working poor, but farm and domestic workers are not necessarily covered

liberal view is that raising minimum wage will ease poverty

conservatives argue that increasing minimum wage will increase poverty because employers will reduce hiring and will not hire entry level workers

73
Q

Employment: Vocational Rehabilitation

A

for mentally and physically disbale who have a reasonable chance of being employed

states run programs according to federal guidelines, supplemented with federal funding

each recipient is assigned a counselor to develop an individualized plan

74
Q

Employment: Bill of Rights for the Handicapped (Title V of the Rehabilitation Act of 1973)

A

integrate disabled people into society

all federally subsidized programs and facilities must have affirmative action programs to hire, promote and not discriminate against qualified disabled persons and provide access

75
Q

Education

A

-Affirmative Action

-Desegregation

-Head Start: initiated under 1964 Economic Opportunity Act; provides compensatory preschool education for poor children

-Mainstreaming: educating special needs children with other children to the extent feasible

76
Q

Personal Social Services: Child Welfare

A

Title IV E of Social Security Act provides child welfare services for disabled, abused, and homeless children

77
Q

Child Welfare: Child Abuse Prevention and Treatment Act of 1974

A

requires states to mandate reporting of child abuse and neglect

all states have relatively similar reporting laws, though some variation exists as to who is required to report

78
Q

Child Welfare: Adoption Assistance and Child Welfare Act of 1980

A

created a network of regional centers to encourage adoption of children

encourages alternatives to foster placement, and mandates case planning and periodic reviews, etc.

79
Q

Adoption Assistance and Child Welfare Act of 1980: Introduced Concept of Permanency Planning

A

a policy initiative supported by Title 2e of the Social Security Act, it required public child welfare agencies to establish standards of accountability and practice designed to insure that children in placement or likely to require placement will receive services designed to insure a permanent home is found

80
Q

Child Welfare: The Adoption and Safe Families Act of 1997

A

-Amends previous child welfare reform legislation

-Established national goals for children in the child welfare system; seeks to make the system more responsive to children and families, reaffirms the need for linkages between the child welfare system and other systems of support for families, as well as between the child welfare system and the courts, and encourages removal of barriers that prevent permanency

81
Q

What’re the key principles in the Adoption and Safe Families Act of 1997?

A

-Safety of children is of paramount concern and must guide all child welfare services when making service provision, placement and permanency planning decisions

-Foster care is a temporary setting and not a place for children to grow up

-Permanency planning efforts for children should begin as soon as a child enters foster care and should be expedited by the provision of services to families

-The child welfare system must focus on results and accountability (law requires annual reports on state performance; creation of adoption incentive)

-Innovative approached and demonstrations are encouraged to achieve the goals of safety, permanency and well-being (expands authority for child welfare demonstrations; allows states greater flexibility to develop innovative strategies; requires criminal record checks for prospective foster and adoptive parents; health insurance coverage for children with special needs)

82
Q

Child Welfare: Foster Care Independence Act of 1999

A

-Benefits youths who have aged out of foster care or are preparing to leave foster care

-Requires states to create job-training and college guidance programs directed to teenagers both before and after leaving foster care

-States will be able to extend Medicaid coverage from 18-21 years of age as well as raise the personal asset level so teenagers in foster care can save for such things as a car or down-payment on an apartment, to ensure smoother transitions between foster care and independent living

83
Q

Services for the Elderly: Federal Older American Act 1965

A

to improve quality of life for the elderly

84
Q

Services for the Elderly: “Aging Network” and Services

A

coordinated by federal government

lifting of mandatory retirement caps to enable workers to retire at a later time of their own choice

85
Q

Child Welfare: Mental Health Services

A

-Alcohol, Drug Abuse, and Mental Health Administration

-Community mental health centers

-Deinstitutionalization and its aftermath (supportive community services were inadequate and failed to provide necessary services to stabilized mentally ill released from inpatient care; led to increase in numbers of homeless mentally ill and remission-reinstitutionalization cycles)

-Rights of mental health patients

86
Q

Child Welfare: The Title XX Social Services Block Grant

A

grants to states for providing personal social services such as child welfare services and family planning

state and local governments direct the spending of block grants

87
Q

Child Welfare: Other Forms of Social Services

A

-Individual, marital, and family counseling

-Homemaker services

-Alcohol and drug abuse rehabilitation

-Tenant organizing

-Advocacy and legal aid service

-Information and referral service

-Crisis hotline and walk-in services

-Shelters and Counseling for Domestic Violence

-Family Planning Services

-Youth Centers and Programs

-Ethnic Mutual Aid Associations

-Senior Centers

88
Q

How does Medicare work for its recipients?

A

select a standard program in which doctor visits are covered by Medicare Part B

Part B has been significantly cut with the advent of the Patient Protection and Affordable Care Act

hospital care is paid through Part A

if an HMO is selected there are no additional fees, though recipients may be required to pay co-payments for doctor visits

managed care plans receive 95 percent of what the government expects it would spend in traditional Medicare

prescription benefits are available under Medicare Part D

89
Q

What is Managed Care?

A

broad term for any kind of health insurance where the insurer manages or oversees the care a patient gets – as opposed to traditional “indemnity insurance,” where the patient goes to a doctor and the doctor bills the insurance company, which pays without questioning

90
Q

What is management like in Managed Care?

A

insurers may required that patients start out with a general practitioner or primary care doctor instead of going straight to a specialist

insurers may pay primary care doctors to become care managers by being paid a monthly fee for each member-patient who signs up with them, instead of getting a fee for each service rendered

patient may be required to use certain hospitals

doctors may have to seek permission from the insurer regarding a patient’s hospital stay, surgery or specialty care

common forms of care are HMOs and PPOs

91
Q

Managed Care: Health Maintenance Organization (HMO)

A

broad term for managed care systems that provide health care services for a monthly premium

people who join HMOs get full medical care, but only from doctors and hospitals that belong to their HMO

HMOs require patients to see primary care doctor assigned to manage the patient’s care, ideally seeing the patient has good preventive care so the patient’s overall health care costs will be low

92
Q

Types of HMOs: Staff-model HMO

A

most integrated type of HMO

doctors are full-time employees of the HMO and work on salary

facilities or clinics are owned by the HMO, and patients go to hospitals owned by the HMO

tend to be the largest HMOs; they have fewer enrollees overall than other types

93
Q

Types of HMOs: Group-Model HMO

A

contracts with groups of doctors to provide care

second most popular type of HMO, behind IPAs

94
Q

Types of HMOs: IPAs

A

doctors contract with HMOs to provide services

depending on the arrangement with the HMO, the doctors may be paid a monthly fee for each member or for each services provided

doctors in IPA finance, who run their own offices, are often in contract with more than one HMO

IPAs have more members than any other type of HMO

95
Q

Types of HMOs: PPOs (Preferred Provider Organizations)

A

have been called “managed care lite” because they have fewer restrictions than conventional HMOs

PPOs consist of doctors, hospitals, and other health care providers who have made a deal with insurer to provide patient care at a reduced fee to the insurer

most PPOs allow people who belong to go to any doctor or hospital in the network for, at most, a low co-payment

members may also go directly to a specialist

PPOs allow members to go to doctors or hospitals outside their network for an extra payment

96
Q

Types of HMO Plans: POS (point-of-service) Plans

A

fastest growing form of managed care

members can receive regular HMO care or be partly subsidized if they want to use a doctor or hospital not in the HMO

allow patients to go to doctors or hospitals that are not part of the plan, for an extra charge

97
Q

Types of HMO Plans: PSNs/PSOs (Provider-Sponsored Networks/Organizations

A

groups of doctors and hospitals who have joined together to offer managed care

act like a full-fledged HMO, selling their services as a full-service health insurer to businesses and individuals

patients will not necessarily know they are in a physician or hospital-owned plan unless they ask

specialty PSNs also contract with HMOs, for example, providing all the obstetrical and gynecological care to the HMO members

98
Q

The Health Maintenance Organization (HMO): Managed Care Populations

A

in 2012, approximately 15 million Medicare beneficiaries, were in HMOs

149 million people were part of managed care plans according to the American Association of Health Plans, the industry trade group; strongest in the Western part of the country

individuals as well as group participants may join managed care plans; eligibility and costs depend on the managed care company and the state

since 1997 insurers have been required to sell individual policies to people who have been covered before under a group policy even if they have a history of illness

under Obamacare, existing medical conditions may not be used to refuse coverage

99
Q

Types of HMO Plans: Indemnity Insurance

A

previsouly the predominant form of helath insurance

patients may use any doctor or hospital, and the insurance company pays some or all of the cost

doctors and hospitals have complete flexibility when indemnity insruance applies

there is no management of care by the insurer

100
Q

Types of HMO Plans: Capitation

A

an HMO innovation in which HMOs pay doctors and hospitals a monthly fee for every HMO member they agree to care for – whether the member spends months in the hospital or no time at all, and whether the patient goes to the doctor weekly or not at all

thought to increase the incentive for preventative care

101
Q

Types of HMO Plans: Adverse Selection

A

when insurers recruit the healthiest people and avoid insuring people with serious and costly existing conditions

some states have laws against overt adverse selection (also known as “cherry picking”)

102
Q

Types of HMOs Plans: Physicians and Managed Care

A

doctors in staff-model HMOs do not have to set up and run their own office or deal with billing

many primary care doctors prefer managed care organizations as they emphasize primary and preventative care

doctors are concerned that the managed care companies will drop them if they complain about the company to patients

some managed care companies offer incentives to limit patient care

103
Q

Issues Concerning Social Work Clients: Gag Rules

A

rules in HMO contracts that limit what doctors can say to their patients

some contracts say doctors cannot impugn the quality of an HMO

some go further, prohibiting doctors from informing patients about medical services that are not covered by the HMO, or any financial deals between the doctor and the HMO

104
Q

Issues Concerning Social Work Clients: Incentives

A

a payment from an HMO to a doctor for limiting the number of procedures, or for limiting of referrals to specialists

105
Q

Issues Concerning Social Work Clients: Cherry Picking

A

when managed care plan markets its services to healthy people, avoiding those who are sick and would cost the plan a lot of money

106
Q

Issues Concerning Social Work Clients: Carve-Out

A

when a health care provider contracts with a managed care plan to provide a particular type of care

a member of the managed care plan who needs psychiatric care might be sent to a contracted clinic

members are generally not aware of a carve-out

107
Q

Issues Concerning Social Work Clients: Managed Care Mental Health Coverage

A

some states require a prescribed level of mental health coverage

most plans have lower lifetime limits for mental illness compared to physical illness

some plans provide mental health parity in which health plans treat mental health equivalently to physical health

108
Q

Issues Concerning Social Work: Pre-Existing Conditions

A

an illness or condition diagnosed before an insurance policy went into effect

conditions can include pregnancy, diabetes, cancer, and high blood pressure

some states limit what can be considered pre-existing conditions

some states do not allow insurers to charge extra

109
Q

Pre-Existing Conditions: Pre-Existing Condition Exclusions in Managed Care

A

when in force, contract provisions can eliminate coverage for a particular condition for six months, a year, or forever

for people who work for larger companies, where the costs of their pre-existing condition will be spread over many workers, the limit may ony be for a few months, if it is there at all

people who have been covered in the previous 12 months for a pre-existing condition are not required to have a waiting period

110
Q

Prescription Drug Programs: Prescription Drugs

A

-January 1, 2006, Medicare offered Part D, a new prescription drug insurance program replacing existing drug plans, either as an add-on to the government’s traditional fee-for-service or as part of a comprehensive managed care plan

-The program has income limitation and qualification features

-Most prescription drug plans limits which medications are covered, a system known in the private sector as a preferred drug list formulary

-In most cases coverage stops once recipients have spent $3,600 of their own money and will not resume until those out-of-pocket costs reach $5,100

-There are complicated requirements for changing prescription drug insurance carriers, and many seniors are having difficulty understanding requirements

111
Q

Prescription Drugs: Coverage

A

covered drugs include any drug available only by prescription, approved by the Food and Drug Administration (FDA), used and sold in the U.S., and used for a medically accepted indication, such as prescription drugs, biological products, insulin, vaccines, and certain medical supplies associated with the injection of insulin

112
Q

Prescription Drugs: Not Covered Drugs

A

certain drugs or classes of drugs are excluded by law (drugs when used for anorexia, weight loss, or weight gain; drugs used to promote fertility; drugs when used for cosmetic purposes or hair growth; drugs when used for the sypmtomatic relief og cough and colds; prescription vitamins and mineral products, except prenatal vitamins and fluoride preparations; nonprescription drugs; outpatient drugs for which the manufacturer seeks to require the associated tests or monitoring services be purchased exclusively from the manufacturer as a condition of sale; barbiturates; and benzodiazepines)

plans are required to include at least two drugs in every therapeutic category under their umbrella of coverage

113
Q

Approaches to Social Welfare Policy Making: Rational

A

an idealized and structured approach that includes identifying and understanding a social problem, specifying alternative solutions and their consequences for consumers and society, and rationally choosing the best alternatives

the rational approach minimizes ideological issues, a seemingly impossible task

114
Q

Approaches to Social Welfare Policy Making: Political

A

an approach that acknowledges the importance of power, compromise, competing interests, and partial solutions

those most affected by social policies often have the least political power to promote change

those with political power are often influenced by interests seeking to protect their own position

policy makers are often concerned with retaining power and privilege

the needs of the disadvantaged can become marginalized unless aggressive advocacy is available

115
Q

Identifying Policy Problems: Public Issues vs. Private Troubles

A

a constant struggle in social policy involves the conditions under which a problem affecting individuals is converted into a social issue that warrants public attention

the criteria are unclear but the process always involves publicity, interest groups pressuring for amelioration of the problem, social research, and mobilizing public and media support

116
Q

Identifying Policy Problems: Blaming the Victim vs. System Accountability

A

many problems are seen largely as the problems of individuals, rather than as symptoms of system dysfunctions

the social system is more comfortable resolving social problems by treating persons who exhibit behavioral symptoms than altering or reforming the social institutions that contribute to individual failures

117
Q

Formulating Policy Alternatives: Research

A

-Target population demographics; locate the at-risk population and catalogue any special characteristic

-Review previous policies; perform historical analysis

-Identify social science theories that explain the problem’s causes and solutions

-Create demonstration projects or other practice-based experiments to support alternative policies; identify international models to support domestic innovations

118
Q

Formulating Policy Alternatives: Synthesize Data

A

-Developing position papers

-Stimulate debate, discussion, and feedback

-Revise mission, goals, strategies, objectives, methods, etc

119
Q

Formulating Policy Alternatives: Propose Policy in an Appropriate Format

A

-Prepare a report describing findings and recommendations

-Identify required legislative or policy changes

-Review and amend specific policies, program protocols, measures of success, workloads etc

120
Q

Legitimating Policy: Lobbying

A

essential to create a climate of acceptance for policy or legislative changes

121
Q

Implementing Policy: Organization Capacity Building

A

-“re-tooling” existing organization/system

-Building organizational commitment

-Establishing revised organizational mission

-Obtaining necessary funding

-Creating and staffing new agencies

122
Q

Implementing Policy: Issuing and Carrying Out Directives to Translate Policies Into Actions

A

-Reviewing rules and regulations

-Creating guidelines for carrying out new plans and directives

123
Q

Implementing Policy: Coordinating Resources and Expenditures

A

-State, federal, municipal, and nonprofit organizations

-Linking goals and methods to implementation strategies and resources

124
Q

Implementing Policy: Obstacles to Implementation

A

-Inadequate, incomplete, or faulty communications

-Inadequate Resources

-Organizational Competition

-Rigid Bureaucratic Structures That are Unable to Adapt to New Assignments

125
Q

Monitoring and Evaluating Policy Using Program Evaluation: Summative

A

evaluation to measure program results

126
Q

Monitoring and Evaluating Policy Using Program Evaluation: Formative

A

evaluation designed to improve the intervention or the methods as the program develops

127
Q

Ethical and Legal Considerations in Practice: Privacy and Confidentiality

A

privacy is the general ethical and cultural framework for the rules that guide the more limited, but explicit concerns of social workers

clients have a right to privacy but understand the limitations of confidentiality

128
Q

What is a common practice when disclosing the limits of confidentiality with clients?

A

Ask clients to review and sign informed consent forms that describe the limits of the confidential relationship with the agency

129
Q

What’re agencies required to do to keep confidentiality?

A

-Secure and lock records

-Develop policies that insure records are not left where unauthorized persons can read them

-Computerized records need to be secured with the same care given to written records

-Conversations about clients should be held where they cannot be overheard

130
Q

Limits to Confidentiality: Informed Consent

A

clients may provide consent for information to be shared with family members, or other professionals or agencies for referral purposes

131
Q

Limits to Confidentiality: Child Abuse

A

all states have laws that mandate social workers to report mere suspicion of child abuse to appropriate local authorities

132
Q

Limits to Confidentiality: Sexual Abuse

A

reporting of sexual abuse follows the same general rules as child abuse reports

133
Q

Limits of Confidentiality: Danger to Self or Others

A

the client’s mental state is such that s/he might deliberately or accidentally cause harm to him/herself

the client has made a direct threat to harm someone else and there is a reasonable possibility that the client can carry out the threat

duty to warn of intent to harm

clients with communicable diseases such as AIDS (still unclear where practice leans)

134
Q

Limits of Confidentiality: Elder Abuse

A

many states now require social workers to report cases of abuse or exploitation of elders by family members and other caretakers

135
Q

Limits of Confidentiality: Defense Against Malpractice

A

a social worker sued for malpractice may reveal material discussed by clients

limited to statements that are needed to support an effective defense

136
Q
A