...EXECUTIVE SUMMARY: BBDE is a behavioral health service center founded by Rulan Wilson to serve the mental health needs in an urban western county. The center provides individual and group therapy, inpatient long-term care, psychiatric care and recreational therap. For 20 years, Rulan has been the director and Chief Executive Officer (CEO) of the growing health center. The center currently employs 100 full time employees and generates approximately $11 million in annual revenue. Revenue comes from state block grants (1/2), Medicaid (1/3) and the balance from county government, insurance, fees and small contracts. The Board of Directors (BoD) is a volunteer board with members from the local community (county commissioner and certified public accountant) as well as individuals with a mental/behavioral health background. The current board members have all served for more than 10 years. The BBDE accounting staff includes a Chief Financial Officer (CFO), controller and several clerks. The controller, Don Blake, had only been with the company three months at the time of the case study. Despite the title of controller, Don spends the majority of his time preparing Medicaid reports instead of focusing on supervising, planning, decision making, and implementing strategy. In Don’s short tenure with the organization, it has been brought to his attention that proper guidelines are not followed for travel expense reimbursements and the Board of Directors are part of...
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...Business research can be described as a study in which a business or company gather data and analyzes it in order for better decision making and output. There are several steps in executing a research the first step is data collection process. There are several ways to collect data like interviews, surveys, questionnaires and databases. I’m currently employed at the Weed Army Community Hospital in the Medical Evaluation Board Department. We evaluate soldier’s medical diagnoses and process cases for medical discharge. Over the years I have counseling numerous mental health patients that are returning from deployment. Our goal is to advise and refer soldiers and family members to the appropriate sources to include, Social Work Service. Cases with extreme mental disability are soldiers with Post Traumatic Stress Disorder (PTSD) with major sleep disorders. The problem is regardless of the psychotherapy and medication the soldiers are given they continue to have extreme nightmares of death and fear. Soldier that are diagnose with PTSD normally gets two to four hours of sleep a night. Beginning with the first step in the research process is to identifying the problem. Our dilemma was soldier Behavioral Health Care beyond Army life. Data was gathered from our Mental Health Department and Traumatic Brain Injury database. After we identify the problem a Case Review Committee meeting was conducted with the hospital Behavioral Health Providers to discuss and analyze the...
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...One of the leading risk for infection is the one and only guinea worm disease, also known as Dracunculiasis. It definitely affects those who live in poor communities, due to the lack of safe drinking water. It is clearly a disadvantage in the communities in Africa. There is definitely a limited of safe drinking water and health care education. In the following case study, it delineates the lack of efforts to eliminate the disease in parts of sub-Saraharan Africa and in Asia. “The fight against guinea worm disease represents one of the most successful international collaborations and is particularly interesting because the intervention is, at its heart, behavior change” (Hopkins, 1998). In 1986, guinea worm disease has made its way to 20...
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...Arroyo Fresco Arroyo Fresco Community Health Center (AF) is a community health center serving western Arizona from 11 clinics and 4 mobile service vans. Community health centers have been established over the past 40 years in underserved areas in all 50 states, and they are nonprofit, community-owned health care organizations that offer patients high-quality primary care and preventive services regardless of their ability to pay. They also provide enabling services, such as transportation, translation, case management, health education, and home visitation, which increase access to care. AF serves three counties – Yuma, Mohave, and La Paz – with diverse populations and needs. The service area of over 23,000 square miles has fewer than 400,000 people – about one-third of the state’s overall population. AF provides ambulatory medical (i.e. obstetric/gynecologic, family medicine, pediatric) and dental services, which are supported by routine laboratory and X-ray services, vision and hearing screening, behavioral health and substance abuse screening, and pharmacy services. AF also ensures that its patients can access all services required across the continuum of care through partnerships or contractual relationships with hospitals, physicians, and agencies throughout the tricounty area and these arrangements are spelled out in the annual plan required by the Bureau of Primary Health Care (BPHC). Arroyo Fresco’s mission is to provide residents of Yuma, La Paz, and Mohave counties...
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...There is a difference between "excessive gaming" and "addictive gaming". Two gamers may play for an identical number of hours each day, but their psychological motivation and the meaning that gaming has within their lives can be very different. Gaming addiction should be defined by how much the game negatively impacts others areas of life, not by how much time is spent playing. Griffiths, M et al. (2010). The role of context in online gaming excess and addiction: Some case study evidence. International Journal of Mental Health and Addiction, 8, 119-125. * In a volunteer sample, 41% of online gamers acknowledged that they use gaming as an escape. In the same sample, 7% were viewed as "dependent". These gamers possessed several behavioral attributes that are related to more well established forms of addiction (e.g., mood modification, tolerance, & relapse). Hussain et al. (2009). Excessive use of massively multi-player online role-playing games: A pilot study. International Journal of Mental Health and Addiction, 7, 563-571. * Most online gamers are male. Among male gamers, more severe online gaming addiction is correlated with...
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...are known as Nativist. However, others believe the mind is born as a blank slate and we are who we are because of our experiences and are learned behaviors. Those who believe strongly in environmental influences are known as empiricists. (McLeod, 2007) Why has this debate become so controversial? According to McLeod, 2007 this debate has become heated because it begins a way of evaluating behavioral differences in society which then becomes a political debate about distributive justice and power in society. Many in psychology have come to the realization it is not an all or nothing view. Therefore, the debate has become one of deciding which one is most important. Leaving the question of if both factors influence our development which one is more responsible? Case Study A The Italian National Institute of Health, Rome Italy performed a twin study of the attachment styles in young adults. They assessed the relative contribution of both genetic and environmental influences to individual differences. They used the Experiences in Close Relationships questionnaire. They had a volunteer sample of 677 twins ages 23-24 drawn for the Italian Twin Register....
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...THE BBDE HEALTH CENTER: A CASE STUDY OF BUSINESS ETHICS EXECUTIVE SUMMARY: BBDE is a behavioral health service center founded by Rulan Wilson to serve the mental health needs in an urban western county. The center provides individual and group therapy, inpatient long-term care, psychiatric care and recreational therap. For 20 years, Rulan has been the director and Chief Executive Officer (CEO) of the growing health center. The center currently employs 100 full time employees and generates approximately $11 million in annual revenue. Revenue comes from state block grants (1/2), Medicaid (1/3) and the balance from county government, insurance, fees and small contracts. The Board of Directors (BoD) is a volunteer board with members from the local community (county commissioner and certified public accountant) as well as individuals with a mental/behavioral health background. The current board members have all served for more than 10 years. The BBDE accounting staff includes a Chief Financial Officer (CFO), controller and several clerks. The controller, Don Blake, had only been with the company three months at the time of the case study. Despite the title of controller, Don spends the majority of his time preparing Medicaid reports instead of focusing on supervising, planning, decision making, and implementing strategy. In Don’s short tenure with the organization, it has been brought to his attention that proper guidelines are not followed for travel expense reimbursements...
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...------------------------------------------------- The Belmont Report Office of the Secretary Ethical Principles and Guidelines for the Protection of Human Subjects of Research The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research April 18, 1979 AGENCY: Department of Health, Education, and Welfare. ACTION: Notice of Report for Public Comment. SUMMARY: On July 12, 1974, the National Research Act (Pub. L. 93-348) was signed into law, there-by creating the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. One of the charges to the Commission was to identify the basic ethical principles that should underlie the conduct of biomedical and behavioral research involving human subjects and to develop guidelines which should be followed to assure that such research is conducted in accordance with those principles. In carrying out the above, the Commission was directed to consider: (i) the boundaries between biomedical and behavioral research and the accepted and routine practice of medicine, (ii) the role of assessment of risk-benefit criteria in the determination of the appropriateness of research involving human subjects, (iii) appropriate guidelines for the selection of human subjects for participation in such research and (iv) the nature and definition of informed consent in various research settings. The Belmont Report attempts to summarize the basic ethical principles identified...
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...WORK PROFESSIONAL A diligent, dedicated and results-driven professional with experience in social work, case management and advocacy services. Excellent interpersonal skills, with proficiency in providing counseling and emotional support; conducting individual assessments; and providing quality crisis line phone support. Demonstrated success in managing diverse cases, collaboratively developing treatment plans and working with multi-cultural groups. Software proficiency in Microsoft Office (Word, Excel and PowerPoint). Comprehensive knowledge of medical terminology. AREAS OF EXPERTISE [pic] |Case Management |Treatment Planning |Records Maintenance | |Advocacy Services |Individual Assessments |Data Entry | |Crisis Intervention Services |Psychotherapy Services |Case Documentation | |Counseling & Emotional Support |Crisis Line Phone Support |Medical Terminology | VOLUNTEER/INTERNSHIP EXPERIENCE [pic] GWINNETT SEXUAL ASSAULT CENTER & CHILDREN’S ADVOCACY CENTER, Duluth, GA 2015 – Present Volunteer Victim Advocate ▪ Respond to a 24 hour crisis line; provide quality support, resources and referrals...
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...Behavioral Issues in Foster Care Most people do not realize foster care originated in England in 1562. By law children from poor families could be placed with wealthy families as indentured servants. Prior to this law children were placed in almshouses, otherwise known as poor houses, which later became the foundation for orphanages. In the almshouses children were subjected to horrible conditions. Many were abused both physically and sexually or were severely neglected. Conditions started to change in 1853 when New York minister Charles Loring Brace started the Free Foster Home Movement which helped make the changes for the beginning of the modern foster system as we know it (A Brief History of the United States Foster Care System). Foster care has been used for centuries, and in the last century and a half the government stepped in and developed the Dept. of Health and Human Services. The Dept. of Health and Human Services began the foster care system in order to take care of children who have been taken from their homes because of neglect or abuse. Foster care came about because the old orphanage system was not working. There was almost as much abuse and neglect in an orphanage as the homes the children were being pulled from. The government had to come up with a better system for the children pulled from their homes. The government came up with the foster care system. The way that the foster care system works is families volunteer to provide a more stable environment...
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...Almost every nursing home with patients having dementia has observed these behavioral symptoms that can lead to social isolation, poor health outcomes and a decrease in physical functioning. (Cohen-Mansfield, Marx, & Rosenthal, 1989; Dyer, Pavlik, Murphy, & Hyman, 2000; Galynker, Roane, Miner, Feinberg, & Watts, 1995; Harwood, Barker, Ownby, & Ducra, 2000). Agitation is a state of anxiety and passivity is a state of not being active, which result in patients worrying without knowing why, and not being able to calm themselves. This leads to higher stress levels and eventually poor health outcomes and a decrease in QoL. The absence of suitable stimulation from the social and physical surroundings may be the reason for these two behavioral...
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...IHP-504: Healthcare Policy and Financing Case study: To market or not to market Southern New Hampshire University The evaluated case study depicts a scenario wherein a recently established local nonprofit healthcare organization has been in operations for a little over a year. It was founded by a number of healthcare professionals (volunteers) including nurses and administrators who share a common mission, vision and goals. Their mission is to increase the community’s health by extending free preventative health services, such as regular check-ups and immunizations to the most financially vulnerable patient populations, hence their intentions are purely altruistic. The group of healthcare professional volunteers find that since the inception of their venture the results are supremely disappointing as “the current use of their services is only at an estimated 7% of original expectations” (SNHU, n.d., para. 3). Additionally, the no-charge rental space arrangement necessary to conduct the provider-patient physical interactions is limited to the total of three years’ time, and the arrangement is due to expire in less than two years. A new venue may need to be secured and it may not be rent-free (additional expenditures for future consideration). Both the current circumstances that leave a lot to be desired and the uncertain future appear to be increasingly discouraging in continuing this nonprofit venture. However, one of the important aspects that could have prevented...
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...War II, and the U.S. Public Health Service (PHS) study titled "Tuskegee Study of Untreated Syphilis in the Negro Male" (Tuskegee Study). These abuses led to the creation of codes of research ethics in Europe and the U.S. In the wake of the Second World War, the subsequent Nuremberg Trials on war crimes produced the Nuremberg Code, which outlined ten points for conducting ethical research with human subjects. Nearly two decades later, the World Medical Association (WMA) developed a code of research ethics known as the Declaration of Helsinki, published in 1964 and subsequently revised. This document is built on both the Nuremberg Code and the physician's code of ethics known as the Declaration of Geneva. In the U.S., news that researchers deceived and withheld treatment from subjects who suffered from syphilis in the Tuskegee Study led to the creation of the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research (National Commission or "the Commission"). The Commission was charged with establishing a code of research ethics for U.S. research involving human subjects. In 1979, the Commission issued the Belmont Report, the foundational document of the current system of U.S. human subjects protections. The Belmont Report outlines three key ethical principles for conducting research with human subjects: respect for persons, beneficence, and justice. The Belmont Report, in turn, informed the U.S. Department of Health and Human Services (HHS) Code...
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...I have a unique interest in further improving my communication skills. I also would like to broaden my knowledge on how to solve varying health-related concerns as I advance my profession. I believe by pursuing a master’s degree in social work will further sharpen my skills and thus make me better in this profession. At this point in time, I believe graduate education will provide a perfect way to the realization of my professional goals. The various subjects that have a unique focus on the prevalent societal problems and well-being of people will equip me with the necessary requisite skills. The graduate education will also expose me to diverse people from all walks of life, with different cultural, religious and views which are essential in enhancing my ability to interact with people from diverse backgrounds. I will learn to tolerate others and improve my interpersonal and communication...
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...2010 Health Improvement and Cost Reduction Plan (HICREP) Sammy Osei MPA/Healthcare Management Health Improvement and Cost Reduction Plan (HICREP) 2 INTRODUCTION Medicare, an entitlement program that provides healthcare benefits to seniors over 65 years old, patients with disability and those suffering from end stage renal diseases, contributes enormously to the rising cost of care in the United States. Key cost drivers within Medicare are the leading chronic diseases and its risk factors. This program plan institutes preventative educational and training programs to help minimize and alleviate ailments associated with major chronic diseases and its risk factors. The plan identifies demographic groups affected by leading chronic diseases, specifies target stakeholders, and justifies how their contribution impacts the program. This plan outlines program case statement detailing the mission, goals, objectives, organizational history and structure as well as plans devised for fundraising. The plan does a thorough problem analysis to identify unmet needs necessitating this intervention plan. This P Plan presents a financial statement that describes the tax status of the P-Plan and reports a year’s budget estimate with relevant financial policies that justifies and strategically integrates budget with objectives, goals and mission to ensure fiscal accountability and responsibility. A human resource structure is illustrated in this P-Plan detailing list of positions and...
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