In response to need: an analysis of social work roles over time.

In this qualitative research synthesis, interviews with 22 early health-related social workers were reexamined to identify themes that emerged when these social workers discussed the roles and goals of their work. Those interviews, with colleagues of Ida M. Cannon and those leaders in the next generation of social workers who had practiced during the first half of the 20th century, were conducted in 1976. For this study, the themes that emerged from the original interview data as social workers' responses to perceived needs were then compared with data consisting of 80 cases, drawn from four more recent casebooks (1982, 1989, 1996, 2010), that followed a framework of practice in context. The comparison demonstrated that themes remain consistent over time and include responses to needs created by wars, due to new and underserved populations, created by public health crises, created by technological advances, experienced by organizations, and resulting from economic and policy issues, as well as needs of clients. Analysis also suggests that caution is in order to avoid being co-opted by organizations and others in power at the cost of the profession's social justice mission and ethical imperatives.