Social Policy Exam
Terms in this set (116)
When working in local and federal offices of the US Social Security Administration, local and state welfare offices, not-for-profit and faith-based programs that provide food banks & other services to low-income individuals, SW's are providing services in the: social sector, service sector, safety-net sector, or advocacy sector.
(missed) safety-net sector
Which of the following has not been identified as a challenge that is often encountered by consumers, in relation to social welfare policy?: lack of culturally responsive services, lack of access to services and programs, lack of attention to mental problems, lack of service providers
Lack of service providers
Which of the following has not been identified as one of the Four C's of Culture: competence, cause, cope, concerns
Which of the following best describes Primary Prevention: 1. The goal is to identify and treat specific problems early in their development, such as by slowing their progress or by curing them. 2. The goal is to helping someone slow the progress of an advanced medical or mental health problem. 3. The goal is to prevent the emergence of specific social problems such as cancer, diabetes, truancy, and mental illness. 4. The goal is to provide direct service to someone at the one-on-one level of support.
3. The goal is to prevent the emergence of specific social problems such as cancer, diabetes, truancy, and mental illness
An example of a social welfare strategy that involves public policies is: an amendment to a state constitution, a law enacted in local state or federal legislatures, a decision made by the Supreme Court, a decision related to budget allocations and tax policies.
A law enacted in local, state, or federal legislatures
Which of the following types of social policy advocacy is not required by the NASW Code of Ethics: mezzo policy advocacy, marginal policy advocacy, micro policy advocacy, macro policy advocacy
Marginal policy advocacy
There are 8 core problems in 7 policy sectors: T or F:
Each sector has its own distinctive policies, sources of funds, agencies, programs, and literature: T or F?
The Civil Rights Act of 1965 prohibits discrimination by employers against people of color and individuals with disabilities: T or F?
When SW's help specific clients, families, and communities obtain rights, benefits, opportunities, and services that they need and to which they are entitled, this is considered a mezzo level intervention:
Even when a court has ruled that a specific client is mentally incompetent, providers are still required by law to obtain informed consent: T or F?
In the early 1900s, Jane Addams supported social reforms such as housing codes to protect tenants, gov inspection of food to avert illness, factory regulations to protect workers, and pensions for single mothers with children: T or F?
Which of these does not describe a reason to shift from micro policy to mezzo or macro level policy? 1. The client's unresolved problem is shared by other clients or individuals. 2. All efforts to resolve the client's problem have been unsuccessful. 3. The client's problem is caused by dysfunctional policies of agencies or communities. 4. The client's problem is caused by dysfunctional policies in government settings
(missed) 2. All efforts to resolve the clients problem have been unsuccessful
Consumers who lack medical insurance or who are underinsured are considered to be a part of which group? Chronic consumers, enabling populations, vulnerable populations, medical oriented consumers
A provider who is excessively specialize and insular would likely: prescribe medication in conjunction with therapy, link her services to a client's household or community, avoid communicating with a client's primary physician, warn consumers of side effects of specific treatments
(missed) avoid communicating with a client's primary physician
Which of these responses would be considered micro policy advocacy if a retirement facility refused to admit an elderly person due to a medical condition: 1. Orchestrate a case conference to discuss why he was rejected. 2. Provide a list of other retirement facilities that accept individuals with medical conditions. 3. Contact the local media to alert them of the unethical practices of the facility. 4. Provide the client with individualized, one-on-one counseling to cope with the grief of the rejection
1. Orchestrate a case conference to discuss why he was rejected
When evaluating context it is important to identify: external assets but not external liabilities, external liabilities and assets but only internal liabilities, neither external nor internal assets or liabilities, both external and internal assets and liabilities
Both external and internal assets and liabilities
Which of these is an example of a contingency in a sequence of actions: Initiate a referral, encourage the client to request a Spanish speaking provider, if a referral is not received work with the nurse to get a different referral, evaluate the services that were provided
If a referral is not received, work with the nurse to get a different referral
Micro policy advocacy can be provided directly to patients or through referrals, provided that micro policy advocates ascertain that their clients or consumers of service actually received assistance: T or F?
Micro policy advocates should prioritize services to people with limited income because they often possess multiple conditions: T or F?
Clients who repeatedly return to service providers are sometimes described as "revolving door
clients: T or F?
Advocates do not typically involve family and friends in micro advocacy due the potential conflict of interest: T or F
Micro policy advocacy skills are typically among the first skills taught in most SW school programs: T or F
As a result of in-service trainings and continuing education, providers are always able to stay current with existing research: T or F
When a mezzo policy advocate is identifying points or issues that competing groups have in common or using process skills with committees to facilitate positive outcomes, the skill being utilized is known as: communicating, mediating conflicts, influencing, initiating
(missed) mediating conflicts
Which of these would not be considered as formal agency policy?: missions statements, organizational charts, organizational culture, intake procedures
When members of a group or organization feel pressure to please others, to avoid interpersonal conflict, and to unquestioningly follow rules and procedures, the culture can be described as: passive/defensive, hierarchical, aggressive/defensive, highly demanding
Following the riots in Watts community in 1965, a mezzo policy advocacy group was developed that is known as: Watts Community Level Advocacy Center, Watts Labor Community Action Committee, Watts Zero Displacement Agency, Zero Displacement Action Center of Watts
Watts Labor Community Action Committee
The top of an organizational chart would typically include: agency president, executive directors, board of directors, program directors
(missed) board of directors
The practice of designating land within a jurisdiction for various land-use purposes is known as: land designation, distribution of land, civic engagement, zoning
Informal policies can be reflected in the values and preferences of staff members and the expression and interpretation of specific policies: T or F?
Homeless individuals are not eligible to vote: T or F?
Members of neighborhood watch groups are trained to intervene when they become aware of suspicious activity: T or F
Once a policy is adopted, it is time to cease advocacy & move on to the next strategy: T or F?
The purpose of 0 displacement is to ensure that immigrants are not relegated to homeless status: T or F?
Commercial activity is more likely to occur in an urban community, while agricultural activity is more likely to occur in a rural community: T or F?
Members of local school boards are examples of: elected officials, unelected officials, interest groups, executive branch
Legislation for Social Security and Medicare is processed by which committee in the House of Representatives?: Labor and Public Welfare, Ways and Means, Healthcare, Older Adults
(missed) ways and means
Macro policy advocates sometimes use specific techniques to select policies in a process known as: Policy objectives, policy selection, policy analysis, policy strategy
(missed) policy strategy
Which type of evaluation requires an experimental design to ascertain if persons who receive services or benefits from a specific program benefit from them when compared to a control group that does not receive these services or benefits: evidence based, compare and correct, standard control, gold standard
(missed) gold standard
A sequence of actions and verbal exchanges that will increase the liklihood that a proposal will be enacted is known as: political strategy, overarching strategy, establishing policy goals, diagnostic consideration
(missed) political strategy
Which of these is not an example of a personal power resource?: Coercive, expertise, charisma, coalition
Regulations are enacted by legislatures, while statues are fashioned by civil servants: T or F?
Members of local school boards are examples of unelected officials: T or F
The majority party of the legislature appoints the chairs of all committees and has a majority of the members on each committee of the chamber: T or F?
Because Latinos had voted overwhelmingly for Republicans in the presidential and congressional elections of 2012, many Republican elected officials focused on immigrations reforms in order to continue this support in the elections of 2014 & 2015.: T or F
When engaging in the 8 policy advocacy challenges, it is crucial to follow them in a sequential process: T or F?
Macro policy advocates often use procedural power to increase the changes that a particular measure will be enacted: T or F?
HIPPA stands for: Health Information Protection and Accessibility Act, Healthy Individuals Prevention and Accessibility, Health Institutions Policy Accreditation Act, Health Information Portability and Accountability Act
(missed) Health Information Portability and Accountability Act
People with low health literacy are more likely than those with higher health literacy to: self-report fair or low health, request information about a specific diagnosis, follow a doctor's recommended treatments, use preventive services like mammography
Self-report fair or low health
Which of these is not an example of legislation that has been enacted by local jurisdictions? 1. Regulation of the number of fast-food outlets in specific neighborhoods. 2. Prohibition of vending machines in schools that sell soda and candy. 3. Restrictions of the fat content of menu items in fast food establishments. 4. Restrictions on the number of bars in specific communities
(missed) Restrictions on the fat content of menu items in fast food establishments
OSHA stands for:
Occupational Safety and Health Administration
A lack of sufficient SW's and discharge nurses in a hospital can lead to inadequate: distribution of medication, policy advocacy, intervention design, transition planning
In the 1930's FDR decided not to include national health insurance in the SS act because: 1. The cost was prohibitive. 2. There was insufficient advocacy for this component of the reform bill. 3. He believed that opponents, especially doctors, would block the entire Act. 4. It was too close the beginning of WW11
(missed)3. He believed that opponents, especially doctors, would block the entire act
The Society for Ethical Treatment of Medical Patients maintains a database of the frequency of violations of patent's ethical rights in the US: T or F
Health regulations in 1 state can be different from health regulations in another state: T or F
Federal Child Abuse Amendments of 1984 allow withholding of life-sustaining treatment only if infants are comatose and if treatment merely prolongs dying and would be medically futile: T or F?
Physicians, nurses, and SW's are licensed and regulated by federal boards and commissions? T or F
When staff members follow checklists as they provide medical treatments in intensive care units, medical errors substantially decline: T or F
It is estimated that roughly 30,000 uninsured people are losing their lives each year due to lack of coverage prior to the enactment of the ACA in 2010: T or F?
Which social reformer advocated for more humane treatment and state financing to build public mental hospitals/asylums for individuals with mental illness?: Jane Addams, Ellen Gates Starr, Frances Perkins, Dorothea Dix
How many Americans are affected by anxiety disorders, such as panic disorder, OCD, PTSD, GAD, and phobias?: 2.4 million/1.1%, 40 million/18.7%, 20 million/10.4%, 70 million/33.7%
Which of these is not a right identified by the NASW Code of Ethics?: 1. The right to access service, resources, and other needed information. 2. The right to be treated with dignity and respect and as having worth. 3. The right to treatment from a local provider. 4. The right to refuse treatment
3. The right to treatment from a local provider
Healthcare facilities that receive Medicare or Medicaid reimbursement are required to inform individuals of their right to engage in treatment decisions as a result of: Patient self-determination act, NASW code of ethics, mental health parity act, mental hygiene movement
Patient Self-Determination Act
Which of these is seen as a barrier to accessing mental healthcare: cultural and linguistic competence, stigma attached to mental health services, too much info about mental health services, self-determination
Stigma attached to mental health services
The first point of contact for many people as they enter the healthcare system is: medical social worker, nurse's aide, primary care provider, intake worker
(missed) primary care provider
In colonial times, mental illness was not defined as a medical problem or a matter of social concern: T or F?
During the Reagan administration, states were allowed to ignore mental health issues and the numbers of mentally ill who became homeless, incarcerated, or confined to nursing homes increased: T or F?
Affluent individuals are more likely to die of suicide than low-income individuals: T or F?
Individuals diagnosed with a serious mental illness are 14x more likely to be a victim of a violent crime than to be arrested as the perpetrator of one: T or F
Since prevention of illness will present a significant cost savings in the long run, private insurance companies, as well as Medicare and Medicaid, have allocated significant funds for research of preventive interventions: T or F?
More than 90% of those who die by suicide have a diagnosable mental disorder: T or F?
What does each policy sector do?
Delivers services, resources, benefits and opportunities
What are the 8 policy sectors?
child & youth. health. gerontology, mental health, education & job development, corrections, safety-net, global
What are distinctive features of the 8 policy sectors?
A set of policies, funding sources, agencies programs, literature, controversies.
What is the child and youth sector made of?
child welfare agencies, childcare agencies, child guidance clinic, preschool programs, and other programs providing assistance
What does the health sector consist of?
hospitals, community clinic, physician practices, public health programs, other settings providing services
What does the gerontology sector consist of?
hospitals, long-term care agencies, convalescent homes, hospice programs, palliative care programs, retirement homes, day treatment programs, other settings providing services
What does the mental health sector consist of?
counseling agencies, suicide-prevention programs, mental hospitals, workplaces, other settings providing services
What does the education and job development sector consist of?
public & private schools, pre-school primary & secondary levels. community colleges colleges and universities, vocational education, other job training settings
What does the corrections sector consist of?
prisons, probation and parole agencies, community-transition programs, gang-related programs, police departments, juvenile courts, other law enforcement & rehab settings
What does the safety net sector consist of?
US Social Security Administration, local and state welfare offices, not -for-profit and faith based programs that provide food banks & other services to low income persons, SNAP, job assistance, housing
What does the global sector consist of?
agencies providing services for immigrants & refugees, international organizations such as the UN, not for profit agencies like Oxfam and the Gates Foundation, faith-based organizations, other settings assisting immigrants and persons of other nations
Helps clients, families, and communities obtain services, benefits, resources, rights, and opportunities to which they are entitled that they might not otherwise obtain
Change dysfunctional policies in organizations and communities
Change dysfunctional policies in court and government settings
How many problems cut across the 8 policy areas?
Seven Core Problems:
1. Advancing ethical rights, human rights, and economic justice. 2. Improving the quality of social programs. 3. Making social programs and policies more culturally responsive. 4. developing preventive strategies to decrease social problems. 5. improving affordability and access to social programs. 6. increasing the scope and effectiveness of mental health programs. 7. Making social programs more relevant to households and communities.
What are the 4 C's of Culture:
call, cause, cope, concerns
aims to prevent the emergence of the problem
Aims to identify and treat early
aims to identify and treat more advanced problems
What core problem is primary secondary & tertiary prevention found in?
4. Developing preventative strategies to decrease social problems.
What two important policies helped improve mental health access?
the mental health parity and addiction equity act of 2008 & the affordable care act
Collective strategies to prevent and address social problems
Examples of social policies:
constitutions, international treaties, public policies, stated or implied objectives in legislation, court decisions, rules procedures & regulations
Budget and spending priorities are an expression of...
Informal policies are subjective views of persons and groups that influence whether and how to...
implement specific policies
From our upbringing, parent's beliefs/values, social class, religious affiliation, and our personal problems.
Our culture shapes how:
& what we perceive as social problems
Religious affiliations shape our:
Ideology shapes our:
views of the external world
Southerners migrated to what party from what party:
Republican from democratic
What reflects and influences political polarization?
social media and fake news
Name vulnerable populations (there are 16 in total):
AA's. latinos, asian americans, women, elders, veterans, etc.
How to help at micro policy level:
Helping clients obtain services, rights, and benefits that would (likely) not otherwise be received by them and that would advance their well-being
How to help at the mezzo policy level:
Seeking to change dysfunctional policies in institutions and communities that may create the need for micro policy advocacy in the first place
How to help at the macro policy level:
Seeking policy changes at the governmental level
What 4 skills do advocates use as they undertake the 8 challenges?
Value-clarifying skills, political or influential skills, analytic skills, interactional skills
Helping within the counseling relationship by addressing personal emotions, beliefs, and actions. Clinicians seek internal changes of their clients.
Helping clients deal with external providers, institutions, laws, & policies. Advocates represent clients or populations and they work on behalf of clients
Health problems caused by economic inequality:
lower income, higher rates of morbidity & shorter lives than other people
What causes health disparities:
a combo of economic an social factors
How can healthcare professionals promote community-oriented care for consumers?
By establishing collaborative links between and among community agencies
How many million americans experience a mental disorder each year?
One in how many people live with a serious mental illness?
1 in 17