Social work

Macro-work involves fostering change on a larger scale through advocacy, social policy, research development, non-profit and public service administration, or working with government agencies.

The first was individual casework, a strategy pioneered by the Charity Organization Society in the mid-19th century, which was founded by Helen Bosanquet and Octavia Hill in London, England.

Statewide poverty relief could be said to have its roots in the English Poor Laws of the 17th century but was first systematized through the efforts of the Charity Organization Society.

Building public understanding and awareness through consumer advocacy helped bring mental illness and its treatment into mainstream medicine and social services.

[29] A role for psychiatric social workers was established early in Canada's history of service delivery in the field of population health.

Native North Americans understood mental trouble as an indication of an individual who had lost their equilibrium with the sense of place and belonging in general, and with the rest of the group in particular.

Indigenous peoples in Canada have faced cultural oppression and social marginalization through the actions of European colonizers and their institutions since the earliest periods of contact.

By 1887 asylums were converted to hospitals, and nurses and attendants were employed for the care of the mentally ill. Social work training began at the University of Toronto in 1914.

Before that, social workers acquired their training through trial and error methods on the job and by participating in apprenticeship plans offered by charity organization societies.

The need to establish hospitals became more acute, first to treat and manage Englishmen and Indian 'sepoys' (military men) employed by the British East India Company.

By the recommendations Mudaliar committee in 1962, Diploma in Psychiatric Social Work was started in 1970 at the European Mental Hospital at Ranchi (now CIP).

National Human Rights Commission (NHRC) in 1998 and 2008 carried out systematic, intensive and critical examinations of mental hospitals in India.

[50] Lack of any universally accepted single licensing authority compared to foreign countries puts social workers at general in risk.

[51] Social work is an interdisciplinary profession, meaning it draws from a number of areas, such as (but not limited to) psychology, sociology, politics, criminology, economics, ecology, education, health, law, philosophy, anthropology, and counseling, including psychotherapy.

[53] Professional practitioners from multicultural aspects have their roots in this social work immersion engagements from the early 19th century in the western countries.

[65] In the broadening scope of the modern social worker's role, some practitioners have in recent years traveled to war-torn countries to provide psychosocial assistance to families and survivors.

[79] Examples of fields a social worker may be employed in are poverty relief, life skills education, community organizing, community organization, community development, rural development, forensics and corrections, legislation, industrial relations, project management, child protection, elder protection, women's rights, human rights, systems optimization, finance, addictions rehabilitation, child development, cross-cultural mediation, occupational safety and health, disaster management, mental health, psychosocial therapy, disabilities, etc.

Social workers play many roles in mental health settings, including those of case manager, advocate, administrator, and therapist.

However, ASWB suppressed this information, leading many critics to assess that if the exams were free from flaws and bias, such data would have been released a long time ago.

This came after analyzing ASWB data, which revealed considerable discrepancies in pass rates for aspiring social workers of diverse racial backgrounds, older individuals, and those who speak English as a second language (ESL).

It also highlights ASWB's silence about the licensure apparatus that perpetuates racial disparities, leading its association members to institutional betrayal.

[102] After the release of ASWB data showing race and age-related discrepancies in pass rates, the national accreditation body, the Council on Social Work Education (CSWE), removed the ASWB licensure exam pass rates as an option for social work education programs to meet accreditation requirements.

[103] Members from various communities in social work have expressed that discussions about addressing this systemic oppression should be guided by a formal acknowledgment of wrongdoing and a spirit of reconciliation and healing.

[102] The state of Illinois passed a landmark bill, HB2365 SA1, marking a significant step in reducing its regulatory body's dependency on ASWB.

With this bill, Illinois has addressed the uneven power that ASWB held and its unfettered pursuit of profit, which affected the qualification of educated social workers for practice entry.

Now, educated social workers can obtain licensing by completing 3000 hours of professional supervision, eliminating the previous requirement of ASWB exam results for licensure, which often led to issues of unemployment and related emotional, behavioral, and physical health consequences.

In a study conducted in 2023, it was discovered that there are questions in ASWB exams that have rationales based on theories that are not evidence-based, and that have significant item validity issues.

They suggested that it may be necessary and timely to move away from oppressive assessment formats used to evaluate social workers' competence and reconsider licensing exams with serious validity issues that disproportionately exclude individuals based on their race, age, and language.

In the United Kingdom, just over half of social workers are employed by local authorities,[113] and many of these are represented by UNISON, the public sector employee union.

However, this service depended on the goodwill of employers to allow the representatives to be present at these meetings, as only trade unions have the legal right and entitlement of representation in the workplace.

Victorian photograph of the exterior of a London slum property
A Marylebone slum in the 19th century