Describe what you think is the role of social workers in equal rights and access to LGBTQ populations. Next provide a detailed explanation of your reaction to the United Nations Address on Global LGBT Rights. 

Assignment 2: Journal Entry – Social Workers and the LGBTQ Population and Advocacy, Internationally

The LGBTQ community continues to experience incidences of prejudice and bias. Not only are these prejudices exemplified in interpersonal interactions through slurs and violent acts but also in the policies maintained in social work agencies and institutions. On June 26, 2015, the United States Supreme Court extended marriage rights to same-sex partners. Since this ruling, the federal government has extended all federal and military/veteran benefits to married same-sex couples. Despite this progress, states continue to debate laws and policies that would legalize forms of discrimination toward LGBTQ individuals. Advocacy organizations, such as the Human Rights Campaign, provide policy maps showing the different rights provided in different states (see https://www.hrc.org/state-maps). Social workers are expected to fight to eliminate these inequalities throughout communities, programs, and institutions.

Around the world, members of the LGBTQ community continue to struggle for their rights. In some countries, they have made some progress. In 2016, 20 countries legally recognized marriage for same-sex couples (Human Rights Campaign, 2016). However, in other countries, the LGBTQ community faces much greater obstacles, and the consequences of fighting for basic rights are grave for both LGBTQ individuals and allies. Being gay is a crime punishable by death in 10 countries and is illegal in a total of 73 countries (Human Rights Campaign, 2016). Because of the violence and social exclusion experienced globally, LGBTQ individuals may seek refugee status because of their sexual orientation or gender identity/expression (UN High Commissioner for Refugees [UNHCR], 2016).

Human Rights Campaign. (2019). State Maps of Laws & Policies. Retrieved from https://www.hrc.org/state-maps

Human Rights Campaign. (2016). International. Retrieved from http://www.hrc.org/explore/topic/international

UN High Commissioner for Refugees. (2015). Protecting persons with diverse sexual orientations and gender identities: A global report on UNHCR’s efforts to protect Lesbian, Gay, Bisexual, Transgender, and Intersex asylum-seekers and refugees. Retrieved from http://www.refworld.org/docid/566140454.html

To prepare: Consider the following statement:

NASW encourages the adoption of laws that recognize inheritance, insurance, same-sex marriage, child custody, property, and other rights in lesbian, gay, bisexual, and transgender relationships. The Association firmly believes that all federal protections and responsibilities available to legally married people in the United States should be available to people who enter same sex unions (including domestic partnerships, civil unions, and same sex marriages).

Then, read or view the United Nations Address on Global LGBT Rights by Hillary Clinton.

Clinton, H. (2011, December). Gay rights abroad. Speech delivered in recognition of International Human Rights Day, Geneva, Switzerland. Text posted with permission from the White House Office of Communications at https://www.huffingtonpost.com/2011/12/06/hillary-clinton-gay-rights-speech-geneva_n_1132392.html?ref=mostpopular

Xtra. (2012, March 13). Secretary of State Hillary Clinton’s historic LGBT speech – full length – high definition. Retrieved from https://www.youtube.com/watch?v=WIqynW5EbIQ

Submit a 2-3 page reaction to this statement of the National Association of Social Workers (NASW).

1-Describe what you think is the role of social workers in equal rights and access to LGBTQ populations. Next provide a detailed explanation of your reaction to the United Nations Address on Global LGBT Rights.

2-Explain why, in the context of practicing social work in North America, it is important for us to acknowledge and address sexual orientation and gender diversity of marginalized populations across the world.

3-Explain the role of social workers on an international level in relation to the rights of the LGBTQ community. Identify specific skills and actions you would employ as an advocate.

. Explain the differences between  Medicare and Medicaid in terms of eligibility, cost, benefits, services  provided, and limitations in services.

an explanation of the differences between the  public and private health insurances as well as the difference in access  to care based on one’s insurance. Explain the differences between  Medicare and Medicaid in terms of eligibility, cost, benefits, services  provided, and limitations in services. Finally, describe special  programs that your state’s Medicaid program offers to increase access to  care for vulnerable populations, such as pregnant women, children,  single mothers, or immigrants.

Be sure to support your postings and responses with specific  references to the resources and the current literature using appropriate  APA format and style.

 

Gehlert, S., & Browne, T. (Eds.). (2012). Handbook of health social work (2nd ed.). Hoboken, NJ: Wiley.
Chapter 5, “Health Policy and Social Work” (pp. 100–124)

Centers for Medicare and Medicaid Services. (n.d.). Retrieved from http://www.cms.gov/

Burg, M. A., Zebrack, B., Walsh, K., Maramaldi, P., Lim, J. W., Smolinski, K. M., & Lawson, K. (2010). Barriers to accessing quality health care for cancer patients: A survey of members of the association of oncology social work. Social Work in Health Care, 49(1), 38–52.
Note: Retrieved from Walden Library databases.

Chaumba, J. (2011). Health status, use of health care resources, and treatment strategies of Ethiopian and Nigerian immigrants in the United States. Social Work in Health Care, 50(6), 466–481.
Note: Retrieved from Walden Library databases.

Allen, H. (2012). Is there a social worker in the house? Health care reform and the future of medical social work. Health and Social Work, 37(3), 183–186.
Note: Retrieved from Walden Library databases.

Collins, S. (2012). Essential health benefits & the Affordable Care Act: What social workers need to know. Retrieved from https://www.socialworkers.org/assets/secured/documents/practice/health/essentialhealthbenefits.pdf

Gross, W., Stark, T. H., Krosnick, J., Pasek, J., Sood, G., … Junius, D. (n.d.). Americans’ attitudes toward the Affordable Care Act: Would better public understanding increase or decrease favorability? Retrieved from http://www.stanford.edu/dept/communication/faculty/krosnick/docs/2012/Health%20Care%202012%20-%20Knowledge%20and%20Favorability.pdf

Lindberg, E. (2013). What will Obamacare mean to social work? Retrieved from http://sowkweb.usc.edu/news/what-will-obamacare-mean-social-work

Reisch, M. (2012). The challenges of health care reform for hospital social work in the United States. Social Work in Health Care, 51(10), 873–893.

Post a brief summary of the  policy proposal and its purpose that you created based on either Jose’s  or Iris’s situation and the trade-offs you used to develop your  proposal.

Working With Clients With Addictions: The Case of Jose

Jose is a 42-year-old, heterosexual, Latino male. He had been booked and charged for vagrancy three times in the last 2 months. He had also been arrested six other times over the past 10 years for various minor offenses, such as trespassing, public drunkenness, and disorderly conduct. After this last hearing, the judge mandated him to a drug treatment facility and gave him 2 years’ probation.

As a social worker at the county’s mental health and substance abuse agency, I was assigned to manage his case and to ensure he followed the judge’s ruling. My role was also to provide resources and referrals and advocacy, when needed. We met initially to complete the intake form so that I might get as much information as possible to assist him. Jose informed me immediately that he had no source of income, was homeless, and was very interested in services to address his alcoholism and substance abuse. He added that over the past 20 years, he had tried many times to get clean and sober but had little success. Jose identified himself as a “chronic relapser.” He was concerned that he was going to have to pay for the drug treatment facility and expressed surprise that the judge had not placed him in jail as he had been in the past.

I explained that our state had recently passed a law that required the judicial system to direct persons who were identified as primarily having addictive problems out of or away from incarceration and instead into alternative community-based drug treatment programs. I told him that a class action suit had been brought by a number of inmates for alternative services after a recent study was published that reported that more than two-thirds of state prison inmates had chronic and severe drug and alcohol abuse problems and that almost half of this group’s only convictions were for drug- and alcohol-related offenses. These findings had propelled the state to put this new policy into place. All of the counties quickly established a process to manage a new model.

I learned that Jose had not been steadily employed for the past 12 years, although he had been gainfully employed for at least a decade before then. He had graduated high school and appeared to have above-average intelligence. He had never been married nor had children. For the past 2 years, he said that he had primarily been living under a railroad bridge near a major freeway in the area. He reported no support or family in the area, but said that he still has occasional contact with a sister and an aunt in separate Southern states and a cousin on the West Coast.

Jose shared that he had moved to the West Coast from the South 8 years ago, hoping that a change of location would help him get sober. However, upon arrival and having no place to reside, he ended up living on the street and in pursuit of alcohol and cocaine. He was mostly supporting his habit by panhandling and recycling.

Jose stated that he comes from a family with members who have struggled with alcohol abuse and drug addiction. He said that his mother was placed in a nursing home at the age of 42 (when Jose was 8) and was diagnosed with dementia as a result of long-term alcoholism. His father committed suicide at the age of 47 (when Jose was 10). Jose said that his father suffered from depression and was a heroin intravenous drug user. As a result of his parents’ difficulties, Jose was almost completely raised by his grandmother in an urban public housing project. Jose said that he also had bouts of depression but had never sought professional help to address it. It was not clear if the depression was brought on by the substance abuse or if the drug abuse was being used to address the depressive symptoms.

Based on the information provided, we created a plan of action. After exploring alternatives for immediate assistance, I was able to arrange for Jose’s admission the next day into a 5-day detoxification center, followed by 30 days of inpatient treatment at a county-supported program. Jose and Iwould either meet or speak on the phone every week in order to track his progress so that I could complete a written report for the judge and Jose’s probation officer.

After Jose’s release from the inpatient program, we worked together to decide goals that seemed feasible for him and would continue his current trajectory toward a clean and sober life. A bed was found for him at a local sober living environment (SLE) house in the community that agreed to take him as long as he could start paying rent within the first two months. He seemed to adapt well to the new environment and reported that for the first time in many years he was feeling hopeful and was less depressed. The planned goals included continued and consistent attendance at Alcoholics Anonymous™ (AA) meetings, getting together with his sponsor for recovery support, and seeking employment. We worked together to build his resume and looked on the Internet for possible job leads.

Within a few weeks of living in the SLE, Jose was able to obtain employment conducting telephone sales for a local telemarketing company. Later that same year, Jose obtained his driver’s license and began working for a valet parking contractor. After 2 years he is still living in the same SLE residence and says that his life is now stable and productive. He is no longer mandated to meet with me, and his probation has expired with no incidences. He is in a relationship with a woman he met at work, and they plan to wed next year.

In your reading for this week, you meet Jose and  Iris, two individuals who are in situations that require assistance and  guidance from a professional social worker and policy advocate.

In  this Discussion, create a policy proposal that will impact the  situations faced by either Jose or Iris. Describe the trade-offs you  used to develop your proposal.

To prepare: In your text, review “Trade-Offs: Systematically Comparing Policy Options in Step 3” in Chapter 8.

Post a brief summary of the  policy proposal and its purpose that you created based on either Jose’s  or Iris’s situation and the trade-offs you used to develop your  proposal.

address the identified problem. What is the responsibility of the social  workers working with Jose and/or Iris to advocate for a change in the  social policy?

Be sure to support your post with specific references to this  week’s resources. If you are using additional articles, be sure to  provide full APA-formatted citations for your references.

 

Jansson, B. S. (2018). Becoming an effective policy advocate: From policy practice to social justice  (8th ed.). Pacific Grove, CA: Brooks/Cole Cengage Learning Series.
Chapter 8, “Placing Policy Proposals in Policy Briefs in the Second, Third, and Fourth Steps of Policy Analysis” (pp. 246-283)

Plummer, S.-B, Makris, S., Brocksen S. (Eds.). (2014). Social work case studies: Concentration year.Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].
“Working with Clients with Addictions: The Case of Jose” (pp. 65–68)
“Working with the Aging: The Case of Iris” (pp. 68–69)

Stuart, P. H. (1999). Linking clients and policy: Social work’s distinctive contribution. Social Work, 44(4), 335–347.
Note: Retrieved from Walden Library databases.

Midgley, J., & Livermore, M. M. (Eds.) (2008). The handbook of social policy (2nd ed.). Thousand Oaks, CA: Sage Publications.
Chapter 6: “The Impact of Social Policy” (pp. 83–100) (PDF)

 Describe the medical social worker’s role in clarifying the ACA to  patients and families.

The Patient Protection and Affordable Care Act  (ACA, also known as ObamaCare) became law on May 23, 2010. It strives to  reform the health insurance and health care industries in an effort to  cut health care costs and provide Americans with affordable health  insurance. The ACA also strives to expand Medicare and Medicaid to  assist those Americans who cannot currently afford health insurance. As a  result of the reforms, there may be a significant influx of patients  into the health care system. In addition, there will be a greater focus  on integrating health care services, particularly for individuals with  physical and mental health conditions. It is expected that under the  ACA, social workers will take a more active role in the coordination of  care for existing and new members of the health care system. Social  workers will also provide additional direct, frontline services to  patients.

To prepare for this Discussion,  review this week’s resources. Consider the debate over the ACA and  explore the reputable sources on the Internet for additional resources  on the balanced debates over the ACA. Consider how the ACA might expand  meaningful services to all Americans including children, young adults,  uninsured minorities, and spouses of employed individuals. Consider one  population.

Post a description of the  findings of your research on the debate over ACA. Explain some of the  misconceptions or misunderstandings the general population might have  about the ACA. Explain how the ACA may or may not increase  affordability, health insurance coverage, and access to health care  services for the population you selected. Explain the potential or  documented influence of the ACA on medical social work practice.  Describe the medical social worker’s role in clarifying the ACA to  patients and families.

Be sure to support your postings and responses with specific  references to the resources and the current literature using appropriate  APA format and style.

Gehlert, S., & Browne, T. (Eds.). (2012). Handbook of health social work (2nd ed.). Hoboken, NJ: Wiley.
Chapter 5, “Health Policy and Social Work” (pp. 100–124)

Centers for Medicare and Medicaid Services. (n.d.). Retrieved from http://www.cms.gov/

Burg, M. A., Zebrack, B., Walsh, K., Maramaldi, P., Lim, J. W., Smolinski, K. M., & Lawson, K. (2010). Barriers to accessing quality health care for cancer patients: A survey of members of the association of oncology social work. Social Work in Health Care, 49(1), 38–52.
Note: Retrieved from Walden Library databases.

Chaumba, J. (2011). Health status, use of health care resources, and treatment strategies of Ethiopian and Nigerian immigrants in the United States. Social Work in Health Care, 50(6), 466–481.
Note: Retrieved from Walden Library databases.

Allen, H. (2012). Is there a social worker in the house? Health care reform and the future of medical social work. Health and Social Work, 37(3), 183–186.
Note: Retrieved from Walden Library databases.

Collins, S. (2012). Essential health benefits & the Affordable Care Act: What social workers need to know. Retrieved from https://www.socialworkers.org/assets/secured/documents/practice/health/essentialhealthbenefits.pdf

Gross, W., Stark, T. H., Krosnick, J., Pasek, J., Sood, G., … Junius, D. (n.d.). Americans’ attitudes toward the Affordable Care Act: Would better public understanding increase or decrease favorability? Retrieved from http://www.stanford.edu/dept/communication/faculty/krosnick/docs/2012/Health%20Care%202012%20-%20Knowledge%20and%20Favorability.pdf

Lindberg, E. (2013). What will Obamacare mean to social work? Retrieved from http://sowkweb.usc.edu/news/what-will-obamacare-mean-social-work

Reisch, M. (2012). The challenges of health care reform for hospital social work in the United States. Social Work in Health Care, 51(10), 873–893.