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Kidney failure imposes substantial medical, social, and monetary consequences on individuals, families, and communities. Although kidney failure is becoming more common worldwide, it is disproportionately more common in linguistically and socially diverse populations, where there is a greater need for social work interventions. Health care professionals frequently underestimate and underappreciate the tremendous psychological burden and adaptive demand that patients with renal failure confront, and as a result, do not adequately treat these issues.