The group-led facilitations were a crucial part of this class’s learning experience. For the last half of the semester, every week I felt lucky to participate in so many interactive and interesting lesson plans — completely driven by student involvement! This past Tuesday, the last presentation focused on health disparities in the United States and how complex this problem is. Initially, people might think of health as being physically sick or not but, as the class brought up, there are multiple dimensions of health and various factors which influence our quality of life. Health disparity themes include: race, socioeconomic class, gender, sexuality, ability, culture, religion, immigration status, language, education, literacy, and criminal justice involvement. I appreciated the visual handout we were given in class. I had not thought of the four levels ranging from individual lifestyle factors, social and community networks, to general socioeconomic, cultural, and environmental factors.
The handout had provided helpful statistics regarding America’s health disparities, single motherhood, LGBTQ+, children/youth, and refugee communities. After reviewing this document with through a large-group discussion, I liked how we separated into different small groups based off of the four aforementioned populations. Each group had a case study focusing on their specific target population. My group focused on “single mothers” and read a case study about Sylvie Moore: a 29-year-old, woman of color, single mother of three multiracial children. In this profile, Sylvie has a monthly net amount of $157 after all her expenses (e.g. childcare, telephone, gas and utilities, car insurance, and internet services) and fainted at work recently, hitting her head on a concrete counter, but is in the hospital awaiting test results.
As a group, we were given instructions to assess Sylvie’s barriers as well as potential solutions. Some barriers we had speculated included her having a low-paying job which meant, more than likely, she had low benefits like no paid-time-off, or flex time; or not having a strong support system like depending on her family for childcare; and how there are barriers to applying for government assistance programs because hours are only from 9am-5pm and most people are busy working during this time. On the other hand, our group had determined some potential solutions as well. The potential solutions we imagined were having social workers help marginalized folks navigate the system; proposing policies which support paid sick days; and advocating for universal access to quality education.
Unfortunately, Sylvie is an example of millions of U.S. Americans who live paycheck-to-paycheck. This activity and overall lesson has helped me realize that addressing community and social systems requires time, is multi-layered, and complex. At the same time, this group’s lesson provided students, like myself, the opportunity to unpack certain issues around health disparities and propose interventions which we, as social workers, will pursue in the future. It was a great end to an amazing semester!

