...and individuals with other barriers to educational achievement, including individuals with limited English proficiency ("Special Populations", 2014).” Many of the homeless fall into more than one category of Special Populations. The National Healthcare for the Homeless Council (2014) adopts the U .S. Department of Health and Human Services’ definition of what it means to be homeless stating a homeless person is, “ an individual who lacks housing (without regard to whether the individual is a member of a family), including an individual whose primary residence during the night is a supervised public or private facility (e.g., shelters) that provides temporary living accommodations, and an individual who is a resident in transitional housing.” Homelessness does not discriminate against age, adults and children are homeless. The most common causes of homelessness is a lack of affordable housing, poverty, unemployment, substance abuse, and mental illness ("Facts And Figures: The Homeless", 2010). As of 2009, one in 50 children in America were homeless, or approximately 1.5 million ("Facts And Figures: The Homeless", 2010). According to the National Alliance to End Homelessness, 23 percent of homeless people are reported as chronically homeless ("Facts And Figures: The Homeless", 2010). This paper will explore the special problems the homeless encounter, the barriers they experience when receiving services, solutions to these barriers, assessment techniques,...
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...Organizational Barriers to Mental Health Care Alex Nimako Aspen University Dr. Nina Beaman May 2, 2015 The health care environment relevant for this assignment is the state mental hospital at Norristown, Pennsylvania. The closest minority group to this facility will be immigrant Mexicans. In order to examine the potential barriers that might exist for a Mexican seeking mental health at the facility, an assessment of barriers to health care as noted by Purnell (2013) will be provided. This paper will therefore discuss the identified barrier issues relating to language, availability, accessibility, affordability, appropriateness, accountability, and adaptability. Other issues regarding acceptability, awareness, attitudes, approachability, alternative practices and practitioners, and additional services will also be discussed. This paper will further discuss ways to decrease barriers to mental health care for this minority group to assist the facility strive for cultural competency. Acosta (2003) noted in his project on a model mental health program for Hispanics that language barriers and lack of health insurance are the two major barriers to receiving mental health care for Latinos. There are no nurses, social workers, physicians, and psychologists at this facility who speak Spanish. However there are several Spanish speaking patients at both the civil side and forensic unit. The facility has to rely on interpreters whose services can only be obtained through a state established...
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...to explore evidence-based treatment options for co-occurring disorders, particularly in the field of addictions. Co-Occurring Disorders are “The coexistence of both a mental illness and SUD is known as a co-occurring disorder and is common among people in treatment.” (Substance Abuse and Mental Health Services Administration, 2023) It is vital when working with clientele who presents with co-occurring disorders that both disorders are treated effectively. While completing this assignment, one should be able to grasp the challenges and strategies that professionals use when developing effective treatment plans....
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...3 Changes to legislation are reflective of broader social, economic and political trends. Mental health as a general public concern – and its role in the workplace – has garnered increasing attention over the past several years. One in five Canadians will experience a mental disorder in their lifetime. Whatever the reason for this new awareness, mental illness and poor mental health is now being recognized as a major business concern. 3 In order for workplace health promotion to be adopted, it must make a difference to the financial bottom line and be presented as a strategic priority to organizations. Taking a proactive approach to protecting employees’ mental health is the right move for organizations looking to keep a healthy staff team and a healthy budget. There this company, XYZ want to help improve the mental health of employees as it is beneficial in helping both the individual and the whole organization to achieve long-term excellence. As a result, a detailed project plan is described in the report that tells how the overall project will be carried out. 3 1 The Definition of Project 3 1.1 Project Objectives: 4 2. Business Projects: 4 Key Personnel Involved is: 5 2.1Assessment of costs relating to stress and psychosocial risks 5 2.2 Methodology for Carrying out the Project: 6 Creating a Healthy Workplace Committee 6 2.3 Conducting a Situational Assessment – Getting to the Root of the Problem 7 2.4 Developing a Healthy Workplace Plan 8 2.4.1 Types...
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...The Silent Society: Being Deaf Deafhood and Epistemology When considering the epistemology of deafness, one must consider the history of how deafness has evolved. The history of deafness comes from the ignorance of those who could not understand how people who had a disability were different from them. It was easier to place these types of “folks” in intuitions and not deal with their needs. Understanding the deaf community comes through understanding the culture and the history that allows the deaf to have a “voice” and provide them with the necessary services that make the deaf more human. Through mental health, hearing assessments, and trauma, there is an understanding that even though they may not live in the hearing world, there are still apart of society. How they function as a community is important, as they too have a voice. Deafhood is described as “static”, not a medical condition; however, it is a process-a struggle that is endured by every child, adult, and family to explain themselves, and each other their own existence within their world (Hauser, O’Hearn, Steider, &Thew, 2010). Epistemology can be defined as the philosophy that investigates the origin, nature, methods, and limits to human knowledge. When dealing with deaf epistemology, there are many facets to which it can be understood and misunderstood. The authors discuss the visual learning process that a Deaf child goes through by being raised by either a Deaf parent or a hearing parent....
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...Although mental illness affects almost one in every four UVic students according to a National College Health Assessment research study, it is among the most silent of health related issues. Like many other universities, UVic creates pressure for students trying to juggle academics, extracurricular activities, work, and a social life. Students may feel stuck, and unable to confess the strain this pressure puts on their well-being. The UVic Student Mental Health Initiative is trying to end the trend of silence around mental illness. Nov. 15-21 is National Addictions Awareness week, where students interested in mental health advocacy will come together to spread awareness on addictions in tandem with other mental health issues, in hope of reducing...
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...Mental Health Care Disparities: Consequences of Ineffectiveness and Lack of Access for Minorities Ebony Marinnie RN Rowan University Mental Health Care Disparities: Consequences of ineffectiveness and lack of access for minorities For ages mental illness has been seen as the ultimate curse. The mentally ill were seen as possessed, hidden from society, and never talked about. In America, it is estimated that 26.2 percent of people ages 18 and older suffer from a diagnosed mental disorder in a given year (Kessler,Chiu, Walters, & Demler, 2005). The aforementioned statistics reflect those that have sought or been forced into treatment. There are many left uncounted due to lack of access and ineffective treatment secondary to a number of reasons. Considering history, discrimination, personal perception, socioeconomic status, educational backgrounds and a host of other reasons many minority groups are reluctant to seek out treatment in what many may consider a system of mental health created and sustained primarily for the middle and upper-class White America. In fact, 60 percent of people with mental illnesses do not receive treatment (Kessler et al., 2005). The purpose of this paper is to discuss mental health care disparities in minority populations within American society, and to suggest some needed changes to close the gap in America. One quarter of all Americans meet the criteria for having a mental illness and a quarter of those have a disorder that significantly...
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...Running head: CANCER PAIN MANAGEMENT 1 Cancer Pain Management Lavon R. Williams University of South Alabama Running head: CANCER PAIN MANAGEMENT Cancer Pain Management Cancer is rapidly becoming a chronic illness, and an estimated that 10 million individuals in the United States are survivors of cancer (Sun, Borneman, Piper, Koczywas, & Ferrell, 2008). According to 2008, cancer statistics from the American Cancer Society, about 2 565,650 people die in the United States from cancer every year. Approximately 1.6 million new cases of cancer are expected to be diagnosed in the United States this year (American Cancer Society, 2012). This is why the health care needs of cancer patients are unique, and many are at risk for developing late or long-term side effects and pain from their primary treatments. These long-term effects may also hinder optimal physical, psychological, and cognitive functioning for patients (Sun et al., 2008). Pain is experienced by 30% to 50% of cancer patients receiving treatment and by 70% to 90% of patients with metastatic or advanced disease. In almost every cancer-related case pain is inadequately managed due to a lack of patient and professional knowledge of optimum management (Sun et al., 2008). This paper will discuss how nurses can help provide adequate pain management in advanced cancer patients. Patient and family needs Support for the patient and family may include education and information, coping skills, counseling and psychotherapy...
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...Michelle Ilyayev 2/04/2014 Assessment and counseling EDU-6262 Each of the sanctioning bodies for Clinical Mental Health Counseling professionals clearly espouse their own guidelines, procedures, and professional standards. These ethical codes clearly delineate the standards by which Clinical Mental Health professionals must administer assessment tasks and tools. Mental Health Counselors must utilize the most appropriate assessment test and measures available. Statistical validity, reliability, and generalizability must be ensured when ever possible. Assessment tests are performed from strength based perspective that incorporates all of each client’s unique personal attributes and characteristics. We must conduct thorough interviews before deciding which test we administer. Counselors have the ultimate responsibility in choosing which assessment test they are using and why. Professional protocol is be adhered to the highest extent possible at all times. When writing reports and sharing them with clients and interdisciplinary colleagues, professional jargon should be kept at a minimum. The written documentation pertaining to the assessment process must be understandable to all, especially the client. Evidence Based Practice must be supported by written explanation as to why one test was used over another. Counselors have a professional and ethical responsibility to be trained...
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...(R-Ohio) introduced the bipartisan legislation to improve foster care services for thousands of vulnerable youth in America. This bill would improve health care and mental health services to children and young people in the foster care system to ensure that effective community-based options are available for them and their families. “Therapeutic foster care, often referred to as treatment foster care (TFC), is the evidenced-informed trauma-informed and highly effective placement of children and youth with serious medical,...
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...Didion University of Phoenix The burden of mental illness in the United States is among the highest of all diseases, and mental disorders are among the most common causes of disability. The first goal of this paper is the examination of the vulnerable population of the mentally ill. Second, this paper will review the goals and agenda of Healthy People 2020 as it applies to mental illness. Third, this paper will review my work place assessment for barriers for the care and treatment of mentally ill patients. Finally, this paper will review a short presentation I gave to co-workers in an effort to aid in better treatment for the mentally ill. Recent figures suggest that in 2004, approximately 1 in 4 adults in the United States had had a mental health disorder in the past year, most commonly anxiety or depression ("Healthy People 2020 ", n.d.).. It is estimated that only about 17% of U.S. adults are considered to be in a state of optimal mental health ("Healthy People 2020 ", n.d.). An estimated 26% of Americans age 18 and older are living with a mental health disorder in any given year, and 46% will have a mental health disorder over the course of their lifetime ("Healthy People 2020 ", n.d.). Mental health disorders often have a serious impact on physical health and are associated with the prevalence, progression, and outcome of some of today’s most pressing chronic diseases including diabetes, heart disease, and cancer. Mental health disorders can have harmful and long-lasting...
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...Dementia gradually robs people of their independence, dignity and loved ones. For the purpose of this assignment the author is going to use evidence based research to critically discuss the care of two couples who have lived together for a long time, because of the cruelty of Alzheimer’s disease they have been separated. For the purpose of confidentiality pseudonyms will be used in this assignment (National Midwifery Council, 2002). Jim Blake’s care will be discussed first followed by the care of his wife. An overview of Dementia will be explored first followed by Jim’s care. Analysis of risk assessment and management will be incorporated in the delivery of Jim and Mrs Blake’s care. Different psychosocial interventions will be applied in the care of the two couples. Throughout the assignment government directives will be used in support of these interventions. Lastly implications for clinical practice will be analysed prior to conclusion. Cantley (2001), Bates et al (2004) defines dementia as a deterioration in intellectual performance from a previous level accompanied by a significant decline in personal and social function. Dementia usually starts with relatively slight impairment but can progress to a point where all skills of communication and self care are lost (Whaley & Breitner, 2002). According to Wilbourn & Prosser (2003), Cantley (2001) dementia is caused by the cortical atrophy, enlarged ventricles and softening of brain tissues. There are different types of dementia...
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...DUNBAR COMMUNITY MENTAL HEALTH 4232 PARKSIDE AVENUE PHILADLEPHIA, PA 19105 PHONE (215) 878-2198/FAX (215) 860-5103 THERAPEUTIC STAFF SUPPORT PROGRESS NOTE Date:1-15-10 TIME:4:00 to 9:00 CHILD: Quiara Riley DOB: July 20/1993 THERAPEUTIC STAFF SUPPORT: Ghada Mahjoub Treatment Plan Goal Goals for this session: client will comply w/ adult directives Goal #1client will accept adult direction w/0 posing opposition implement tx plan intervention &monitor client response. Goal #2Quiara displays difficulties with controlling her anger in the school &community setting. Goal #3cooperate & resolve conflict appropriately with others. form respectful & trusting relationships& express feelings verbally vs physically. DATA: Describe the location of, and participants in the session, current issues related to the treatment goals and overall description of the session. Please include the frequency intensity and duration of behaviors where appropriate. TSS conducted session in home environment w/ client and mother present . client has been compliant w/household rules and adhered to her directives w/o arguing & displayed a mild increase in compliance. Client completed chores as given & verbalized making an effort to improve compliance. Client presented herself as defiant, argumentative, stubborn and non-compliant toward adult directions frequency 3-5 x’s every 10-20 minutes for 3-5 minutes per episode...
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...belong to Europe, but this is predicted to change in the upcoming years. Asians are among one of the fastest growing elderly population in the United States (Belozersky, 2005). Majority of Asian Americans are foreign born and report speaking a language other than English (Searight, 2009). Multiple languages and dialects spoken by the subgroups within the Asian American population bring more linguistic diversity and disparities to the United States. Furthermore, fastest growing minority in the United States has been stereotyped and inherited the label “model minority”. This label neglects the problems faced by the poorer and less successful member of this group, including the elderly, “they are hobbled by less blatant but more pervasive barrier of language and culture” (Dugger, 1992). Elderly immigrants find it more difficult to thrive in a new country. In addition to the stress of immigration, English Language Proficiency poses a major issue for this group. English proficiency has been an important factor in explaining disparities in health and health care access among older adults (Gentry, 2010). Limited English skills make it difficult to communicate health issues and concerns. Asian Immigrants that speak little or...
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...WORD COUNT 4399 The assignment will discuss a critical incident from a nursing management perspective, being an admission assessment experienced during placement. It is not a care study. There will be an overview of the nurse-managers responsibilities during the admission assessment and attention drawn to local and government policy. Particular consideration is given to risk assessment, Essence of Care (DoH 2001) in respect of the Waterlow Pressure Damage Assessment (1985), pressure sores, nutritional screening and delegation. Other issues considered will be communication, partnership working, the therapeutic relationship, and the nurse as an agent of change. Findings will be supported by literature. Identifying factors have been changed to respect patient confidentiality. Mary had no previous psychiatric history. She was eighty-four and lived in residential accommodation. She had two adult daughters who were unable to attend Mary’s admission. Prior to admission Mary’s behaviour had changed over several weeks and she had been refusing to get out of bed during the day. During admission she showed occasional signs of confusion but was able to give consent. Physically, Mary was in a wheelchair, had a history of falls, pressure damage, skin flaps. and needed full assistance with mobility. My mentor facilitated her admission assessment. I observed this in preparation of undertaking future ones myself whilst under supervision. From a management perspective my mentor who was the...
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