Mental Health Issues in long term care Research Paper

Mental Health Issues in long term care - Research Paper Example Census Bureau, 2009). There are two main reasons responsible for this trend: 1. The baby-boomer generation is growing old with most of the people in this group being in their 50s currently. 2. The life expectancy has moved from 47.3 years in 1900s to 77 years in 2000 (Federal Interagency Forum on Aging Related Statistics, 2010). This has been achieved largely due to improved sanitation, nutrition and rapid advancement in medical technologies. These factors have contributed to the dramatic rise in lifespan and proportionate increase in health care issues - especially mental health issues among the older American population. Statistics reveal that over 14 million people live in long term care facilities of which nearly 90% are over 65 years (Federal Interagency Forum on Aging Related Statistics, 2010). These long term care facilities vary in scope from institutions and homes for the mentally challenged to nursing homes and assisted-living facilities. According to the U.S. Department of Health and Human Services (2001), 67% of nursing home residents exhibit some form of mental or behavioral problems. ... ncidence of mental health problems in long term care residents is therefore extremely high (American Health Care Association, 2003): Mental Retardation 2.82% Depression 42.79% Psychiatric diagnosis 18.76% Dementia 45.35% Behavioral problems 30.62% Mental Health Issues in Long Term Care Facilities Following are some of the common mental health issues faced by residents in long term care facilities: 1. Depression: Depression is the most common mental health issue among residents in long term care facilities. Older people often experience loneliness, helplessness, hopelessness, frustration and anger towards the later phase of their life. Symptoms of depression include feeling ‘low’ and not enjoying things that once used to be very interesting to them, difficulty falling asleep or sleeping all the time, loss or increase in appetite, crying or acting out emotionally, anger, irritability, suicidal behavior, restlessness or slowed movements. According to the National Institute of Mental Health (2000), although older Americans, over the age of 65 years, make up only 13% of the population, they account for 20% of the people who commit suicide. In fact older Americans have the highest suicide rate of any age group (National Institute of Mental Health, 2000). The most important factor that helps address depression in residents of long term care facilities has been found to be human interaction especially with their loved ones. 2. Delirium: Delirium is mostly caused by acute illness or drug toxicity. It may also be caused by fever, acute infection mostly urinary tract infection, medical conditions such as diabetes or as a reaction to leaving familiar people and places. Delirium always involves periods of diminished consciousness. A person suffering from delirium may act

Born For Liberty by Sara M. Evans Essay Example for Free

Born For Liberty by Sara M. Evans Essay The Introduction part of the book Born for Liberty by Sara M. Evans is the written path of being informed of the History of Women in America. As it is mentioned in the first few pages of this book, there is a lack of information that we need to fill in ourselves. We have all heard from many historians specially, that our World cannot take the right direction if it finds its past obscured and hard to be seen! I believe a lot of things are connected to each other, and history is one of the most relevant part of our globe and the reason being is because we depend on what our ancestors had been through! The fact that I am using the word depend might confuse you by giving you the wrong idea! In the past, there have been a lot of wonderful, but without forgetting to mention the not so pretty moments that people have lived years ago! Historians are the ones who are willing to examine and study the roots of out life in order to offer us the opportunity to improve our chances of the event that might happen again as it usually does when there are pieces of the puzzle missing! We learn from what had happened to our ancestors, and this way we figure out something else that should improve our life, and diminishing the chances of something ugly to happen again! I guess, all of us know that there has been an abundance of distinct wars in many different countries, and as the years are going by we are reducing the numbers of wars around the world and that is because we learned from the others mistakes! Now going back to the main topic, the history of Women in America, there is a great deal to talk about! Everybody, even my little sister can notice that women are kind of excluded from our History and it has always been that way till now! There was always this vision we had in our minds, that there was always a HE rather than a SHE! We always viewed women as weak creatures designed only for housework, and offering pleasure to the man she stands by! If you have noticed, the fairy tails and the other old stories we have heard during the years we grew, there was always the prince, the hero, the superman, etc! Well, I think it is time for us to have a look at the female part of the world and try to accept their accomplishments during the years that have passed! Women were always excluded from most formal public roles, and as the years passed they learned how to be heard and Sara M. Evans  supports really well this idea by giving a good example of this that is mentioned in the introduction part of the book when it says: The most extreme example is the women of Salem, Massachusetts; as accused witches, accusers, and witnesses, these women held an entire colony in thrall for months (Evans 4). There have also been feminist historians who have dedicated their lives primarily to clear the bad opinion people saved relating to women. Now it is more than obvious and lucid that women have really shaped the broader history and they have given it the flavor it lacked back then! They were the ones who helped to solve the uncountable problems the government had with the immigrants, the ethnic problems and the other ones that would still be present if it wasnt for the intellectual women who set goals to themselves! This is what Sara M. Evans is trying to explain in her book Born For Liberty!

Motivational Interviewing in a Multicultural Setting

Motivational Interviewing in a Multicultural Setting Motivational Interviewing in a Multicultural Setting Lawrence, Massachusetts is a city rich in cultural diversity and heritage. The Latino population alone boasts seventy three percent and continues to grow (Brown et al, 2013). This brings unique challenges to the therapeutic setting that relate directly to Latino cultural values. There are also challenges that Latinos face that are correlated to substance use. Literature states that Latinos are more likely to binge drink and use drugs more heavily (Franklin Markarian, 2005). Lawrence also has a very young Latino population, resulting in the highest proportion of the population being under five and eighteen years old in Massachusetts (Jaysane Center, 2002). This is imperative to note in a city that reports a high level of substance use among youth. Of many of the challenges that Latino’s face with substance use, they are one-third less likely to enter residential treatment in the state of Massachusetts (Caroll et al, 2009). This illustrates a community that has a great need fo r substance use treatment, yet is currently having that need unmet. As a social work intern, I will have the opportunity to practice with Latino clients and families within my community through in home therapy services. Therefore is vital, as a social worker, to better know the Latino clientele within Lawrence and the distinct factors that might set them apart from other clients within therapeutic settings. Latinos in Therapeutic Settings Latinos represent a very diverse group each having a unique history of social, political, and economic factors that have caused their migration into the United States, or their families migration. This diversity continues to manifest across ethnicity, race, generations, language, but especially nationality. Many Latinos identify first and foremost by their country of origin and will often differentiate, â€Å"I am Puerto Rican† over the official â€Å"I am Latino†. However, though individuals hold this diversity ascribed to their subgroup, many Latinos share core cultural values that are based on mutual experiences such as migration history, access to education and employment, as well as socioeconomic status. Due to acculturation and other psychosocial stressors, language, and poverty, Latinos may be particularly vulnerable within treatment and treatment organizations (Caroll et al, 2009). These shared experiences can impact communication styles such as the willingness to disclose sensitive information which in turn impacts the clinical setting as traditional therapy models often assume direct disclosure from the client. This creates a dysfunctional environment in which Latino clients, ones that do not follow Westernized norms, risk finding therapy to be invasive and opposing with their core cultural values. Therefore it is vital for social workers to consider cultural differences within the clinical setting. Mental health services among foreign-born, monolingual Spanish-speaking Latinos remains low when compared with bilingual Latinos born in the United States (Anez et al, 2008). This is because mental health providers are challenged to develop cultural and Spanish friendly services that will effectively address the needs of a diverse Latino community. Substance Use Factors Substance use is a significant problem among Latinos, who represent the largest ethnic minority group in the United States. However, treatment-related disparities have been identified as being relevant to Latinos. Specific factors that have been identified as contributing to these disparities include the following: cultural and language barriers, poverty, stigma, the lack of bilingual and bicultural staff, and the lack of treatments that are receptive to Latinos’ needs (Anez et al, 2008). The necessity for trained professionals who have the ability and empathy work with the distinct needs of Latinos is great within the therapeutic process. These noted discrepancies are of great concern because it is well documented that Latinos â€Å"†¦ have increased morbidity and mortality rates, high incidences of suicide, school dropout, alcohol use, illicit substance use, and HIV infection (Anez et al, 2008).† Regardless of an apparent need for mental health services very few members of the Latino community actually seek professional help. It appears that these services are not considered to be a primary source of support. In fact, fewer than one in eleven Latinos contact mental health specialists, and often seek services from a primary care provider first (Anez et al, 2008). This illustrates a client group that is currently at an unmet need for alcohol and drug use treatment. Latino clients might have a reason; clients frequently complain that they feel abused, intimidated, and harassed by non-minority personnel (Sue, 2006). Latinos as a group are largely marginalized within greater society; it does not help to do so within the therapeutic setting. Many social work theories originate from a monocultural standpoint, when social workers unconsciously inflict these standards without regard for other cultures, they may be engaging in cultural oppression (Sue, 2006). Social workers must enter the therapeutic setting aware of their own prejudices in order to learn and grow from them. Latino Youth in Therapy Lawrence reports a high level of substance use among youth. In 2002, a survey was conducted within the city which collected the responses of 2,206 high school students resulting in respondents revealing that the majority of substances used are alcohol (52.9 percent), inhalants (39 percent), cigarettes (25.2 percent), and marijuana(19.9 percent) ( Jaysane Center, 2002). The reported substance use rates among Lawrence youth can increase the risk of dropping out of school for many, as the drop-out rate of high school within the city has been very high in current years. Rates as much as fifty percent of high school classes dropping out between their freshmen and senior years have been reported ( Jaysane Center, 2002). There have been a number of factors attributed to the drug use of Latino youth. For example, the role of the family has been identified as being the most important component of addiction treatment for the client. It has been shown that parent’s attitudes, and the u se of drugs, play a key role in the drug use behavior of twelve-seventeen year old Latino youth ( Franklin Markarian, 2005). Adolescents in particular have a potential ambivalence when it comes to quitting substances. However Latino youth also share an additional cultural ambivalence attributed with the Latino identity. Motivational Interviewing in a Multicultural Setting Motivational interviewing (MI) is a client-centred counselling approach that uses certain techniques in order to produce motivation to change among ambivalent clients (Miller and Rollnick, 2013). Latinos can be considered ambivalent clients as a result of cultural and systemic factors that are experienced collectively as a group. Ambivalence in this sense can be defined as needing to make a change, but seeing little to no reason to do so (Miller and Rollnick, 2013). MI has been found to be highly effective in the treatment of substance use disorders. However, many Latino’s do not seek needed treatment for substance use. There have been a number of cultural values that have been reported to affect the therapeutic relationship to varying degrees; the three most prominent being personalismo (personal relationships), respeto (respect), and confianza (trust) (Anez et al, 2008). MI is a therapeutic model based upon respect and trust as it is a collaboration which honors the clientâ €™s experiences and individual perspectives. Latinos have also been reported to work towards engaging in pleasant conversational exchanges, and to avoid unpleasant ones, often trying to avoid conflict. MI permits the integration of these cultural values within the therapeutic setting, as it also avoids argumentation within the therapeutic relationship. This method differs from other more challenging styles that might advise a client about changes that need to be made, instead MI creates a more cooperative therapeutic setting where the Latino client’s internal motivation is drawn out and explored. This means that the counselor is not leading sessions or dictating the client in anyway. Instead the counselor’s role is to guide the client, listen to the client, and offer knowledge when needed. This method is ideal when working within the Latino community, especially when most therapeutic approaches have shown to cross with their core identity. Clients are experts on th emselves; no professional can know them better than they know themselves (Miller and Rollnick, 2013). If the counselor has the ability to show the Latino client their support of the clients personal expertise, it can create a positive relationship and rapport within the therapeutic setting, and in turn creates a catalyst for change. Motivational Enhancement Therapy Motivational Enhancement Therapy (MET) has been proven to help individuals resolve ambivalence around engaging in treatment as well as stopping substance use. The approach persuades change quickly through motivational methods. Research found on MET methods suggests that its effects depend on the type of drug used by participants as well as on the goal of the intervention. For example, MET has been used successfully with people who are addicted to alcohol and who want to reduce their problem drinking (Caroll et al, 2009). Brief motivational interventions (BMIs) such as this have also been identified as being particularly effective methods when working with Latino adolescents who have substance use disorders, in fact, â€Å"Brief motivational interventions (BMIs) have been identified as particularly promising for use in efforts to reduce or eliminate adolescent [alcohol and other drug] use problems (Cordaro, 2012)†. The client-counselor relationship and the counselor’s ab ility to engage with the Latino adolescent, has also been found to be a key factor within the motivational therapeutic setting. First impressions count as the initial therapy session appears to be significantly correlated to the client’s dropout from the intervention (Cordaro, 2012). In summary, the ability for the counselor to build rapport with the client from the first session is one of the most important factors when working with the Latino community, in particular with youth. Client Approach This coming fall I will begin an internship providing in-home therapy services with Lahey Behavioral Health in Lawrence, Massachusetts. I will unquestionably have the opportunity to work with Latino clients and families within the community. When working in family systems, I might come across a situation in which a client within that system might have a substance use issue that needs to be addressed. When addressing the substance use issue with either an adult or an adolescent, the first impression and rapport is extremely important during the initial session, as it has been shown to be linked to successful client engagement. My focus for motivational interviewing would rely on building a positive and strong relationship with my Latino clients so as to build enough trust to persuade towards change talk. It is important for me to note that Latino clients hold an admiration for older adult’s that is attributed to the life experience and a general perception that their wisdom hol ds significant value, younger generations are taught to respect their elders and greet adults with a courteous â€Å"Senor† or â€Å"Senora† (Anez et al, 2008). Pretending my client is significantly older than I am I would approach therapy in the following way. First I would begin by asking the client how they would like to be addressed, this would provide the client the ability to structure a conversation around names or nicknames that their friends or family call them, or possible formal titles such as â€Å"Senor† or â€Å"Senorita†. It is also important for me as to be able to address the client respectfully, and to take a careful note of pronunciation. I would structure questions around cultural values, such as being a buena genta (likeable person), family values, respect, trust, and personal relationships (Anez et al, 2008). . In terms of being a likeable person, I could structure a question such as, â€Å"How important is it for you to be viewed a s someone who is likeable?† this shows me the importance that the person holds on their image and how others view them. I would also be interested in knowing how the client interacts in interpersonal relationships outside of therapy; this can be achieved by asking, â€Å"When you are first getting to know someone, what helps you feel comfortable?† or â€Å"What does it take for you to develop trust with someone?†. This can help me gain an understanding of the client’s strengths, stressors and coping mechanisms. I would also ask, â€Å"How do you handle conflict?† or â€Å"â€Å"Can you tell me about a moment when your trust was broken?† This can give me an understanding of how the client handles and copes with hard situations, or if the client has a resistance to talking about hard situations within a therapeutic setting. I would further ask the client what their expectations of trust are within our therapeutic setting, summarizing the sessi on with a shared agreement using the values of trust put forward by the client. This shows the client that I value trust and the client as an expert. Over the course of many sessions I would continue to understand the client’s value system as well as where they stand in terms of change talk. Open-ended value questions would give me an insight into what really matters to the client. I would ask the client what they value the most in life, which can sometimes help to be a motivation for change. This can especially be motivating if the client values their family, a child, being employed or having an education. Once the client has reached the point of talking about their values, I would spend time using a number scale in order to help guide conversation around where my client is in terms of changing, making sure to have all documents used with the client translated if fits the clients need. The clients identified goal during this time might be to reduce the amount of the substance used. Once a goal has been identified and set with the client, I would continue to guide the client into conversation with questions such as how life was like before drug use; questions about the future, as well as what advantages and disadvantages are in terms of their current drug use patterns. I would summarize that session with a collaborative treatment plan that the client feels is realistic for them, and will continue to check up on how the client is doing with the treatment plan during each following session, making additional adjustments along the way and talking about the process. Summary The community of Lawrence, Massachusetts is home to a large proportion of Latinos and the population continues to grow, bringing with them unique challenges especially pertaining substance use and therapy. Latinos drink and use drugs more heavily, a trait that often cascades to younger generations. Latino clients are in need of substance use help, however they are less likely to enter treatment, leaving the need largely unmet. As a social work intern, who will be conducting in-home therapy for families within the city of Lawrence, it is my responsibility to ensure that the cultural values of my clients are integrated into the therapeutic setting. As a Latina social worker, clients might not be as resistant to my therapeutic methods as they might to a non-Latino social worker. As a Latina, I understand and share many core cultural values with Latino clients. Because of this, I might have the ability to build a stronger rapport, one that is essential during the beginning stages of the client-counselor relationship. However, I do not speak fluent Spanish. In fact I only have the ability to speak a limited amount of words, and a few phrases. This largely limits my ability to work with clients who are predominantly in Spanish speaking households, as I am not bilingual. There is also the possibility that I might be looked down upon because I do not speak Spanish, as if I have betrayed my culture and heritage. It is important for me to be aware that these opinions exist, and to notice that they might come up during counseling sessions. If they do I would do my best to redirect the questions back onto my client in a calm and collected manner. In general, MI is the best approach when working with Latino clients as it has been proven to work with ambivalent clients as well as clients with substance use disorders. MI also fosters an environment that is inclusive towards the cultural values of Latinos, and fosters the collaborative therapeutic process between the client an d counselor. When the cultural values of the Latino community are taken into consideration, it fosters change, and retains client engagement within therapy. References Aà ±ez, L. M., Silva, M. A., Paris Jr., M., Bedregal, L. E. (2008). Engaging Latinos Through the Integration of Cultural Values and Motivational Interviewing Principles.Professional Psychology: Research Practice,39(2), 153-159. Brown, N., Chesbro, T., Lee, D. H., Puza, H. (2013). Lawrence, Massachusetts Greenway Plan. University of Massacusetts, 1-50. Carroll, K. M., Martino, S., Ball, S. A., Nich, C., Frankforter, T., Anez, L. M., et al. (2009). A Multisite Randomized Effectiveness Trial of Motivational Enhancement Therapy for Spanish-Speaking Substance Users.Journal of Consulting and Clinical Psychology,77(5), 993-999. Cordaro, M., Tubman, J. G., Wagner, E. F., Morris, S. L. (2012). Treatment Process Predictors of Program Completion or Dropout Among Minority Adolescents Enrolled in a Brief Motivational Substance Abuse Intervention.Journal of Child Adolescent Substance Abuse,21(1), 51-68. Franklin, J., Markarian, M. (2005). Substance Abuse in Minority Populations.Clinical Textbook of Addictive Disorders, 321-339. Jaysane, A. P., Center, M. P. (2002). The Community Context of Health in Lawrence, Massachusetts.Lawrence, MA: Merrimack College. Miller, W. R., Rollnick, S. (2013). The Spirit of Motivational Interviewing.Motivational Interviewing:Helping People Change(3rd ed., ). New York, NY: Guilford Press. Sue, D. W. (2006). Principles and Assumptions of Multicultural Social Work Practice.Multicultural Social Work Practice. Hoboken, N.J.: Wiley.

How Natural Processes Operate at Coastal Geographic Environment Essay

How Natural Processes Operate at Coastal Geographic Environment Natural Processes are actions or events that have natural causes, which result in natural events. The three main coastal environment processes that operate at Muriwai are Coastal Erosion, Coastal Transportation and Coastal Deposition. The elements that interact to produce natural processes are wind, waves and tides. Each phenomenon at Muriwai's coastal geographic environment has been produced by interaction. Coastal Erosion is a process at Muriwai that gradually wears away the rock particles of the earth's surface, transporting them to another location. There are many types of processes that cause erosion at Muriwai such as wave erosion, wind erosion and wave refraction. Thousands of years ago when sea levels dropped over years at the Southern end of Muriwai, the sedimentary rock and sandstone was exposed to the air. Rock from volcanic activity mixed with the sedimentary rock; this is called Breccia -- a mixture of all rock. An example of this is at Maori Bay. Coastal Erosion operates at different rates and different times. Limestone rock is eroded slower than sedimentary rock. The cliff at Muriwai made of sedimentary rock was eroded back to expose 'Fisherman's Rock' - the shore platform which, made of limestone -- tended to erode back slower than the cliff. The types of wave erosion that caused this are - Hydraulic Action, when waves hit the cliff, air is forced into cracks, and then as the wave retreats this air expands explosively. Over time the cracks enlarge, weakening the base of the cliff causing erosion. Attrition is the breakdown of rock particles when they hit Otakamiro point and each other causing the base of the headland to erode. Chemical Erosion/Corrosion occurs due to the content of limestone in the rockface of Otakamiro point. The seawater combined with the limestone produces a weak chemical solution, which erodes the base of the cliff and produces a pitted effect. Chemical Weathering is when water weakens the structure of the rock and Mechanical Weathering is where water seeps into the rock face causing fragments of rock to break off. These types of erosion have caused the formation of several phenomena at Muriwai. Motutara Island (stack) was produced by the formation of two caves on either side of the headland -- forming an arch and the roof slowly erodin... ...ll build up the dunes and travel inland. Surface Creep occurs when landing sand particles remove the larger and heavier particles, pushing them forward. Suspension is the picking up of sand by wind. This is when sand is airborne and then deposited anywhere. Coastal Deposition is the third main natural process occurring at Muriwai's coastal geographic environment. It is the process of sediment being deposited to form natural features. This is when the rock fragments from Otakamiro Headland are ripped away by waves, broken down by attrition and transported along the coast where they are deposited as beaches and sand dunes. The movement of the material is called Longshore Drift; the direction of the deposit depends on the direction of the winds. Titomagnetite sand (black sand) was deposited at Muriwai when it was bought from the south by Longshore Drift. Coastal Erosion, Coastal Transportation and Coastal Deposition are natural processes that have occurred at Muriwai's coastal geographic environment. These processes outlined have formed such phenomena as Motutara Island (stack), Otakamiro Point (headland/cliff), Fisherman's Rock (shore-platform), cave and the blowhole.

UK Policies Regarding Inequality And Inclusion Education Essay

This essay will place one UK enterprise within Early Old ages that aims to turn to issues associating to inequality and inclusion. It will discourse the inequalities and the subsequent negative effects that this enterprise aims to turn to. It will analyze the possible impact of the enterprise. ‘Removing barriers to achievement ‘ was a Government enterprise in 2004 to enable kids with extra demands to make their full potency, by giving chances to play, learn and develop. It promoted the importance of affecting kids with SEN in doing determinations about their ain acquisition through communicating with them. It had a vision to back up early old ages ‘ scenes, schools and local governments in doing betterments in commissariats. It built on the Every Child Matters results and utilizing incorporate services to better inclusive pattern. It covered four cardinal countries ; early intercession through supplying entree to suited child care for kids and households ; taking barriers to larning through inclusive pattern in every scene ; raising outlooks and accomplishments, through bettering learning accomplishments and schemes for run intoing the demands of kids with SEN ; and presenting the importance of partnership through an built-in attack so parents can be confident that their kids will acquire the instruction they need. ( Lloyd ) Dewey described how a balanced course of study of kids ‘s active acquisition and high quality instruction of cognition was needed for experimental instruction. It is necessary to understand what is meant by equality and inclusion and this essay will take to clear up this. With respect to inclusion the Early Years Foundation Stage statutory model ( 9:1.13 ) suggests: â€Å" suppliers should present individualized acquisition, development and attention that enhances the development of the kids in their attention and gives those kids the best possible start in life † Through the EYFS practicians use the four subjects of alone kid, Positive relationships, enabling environment and acquisition and development to enable inclusive pattern. It is each commissariats duty to take barriers to inclusion, be a positive function theoretical account for valuing diverseness, challenge kids and be alert to marks of exclusion. The National Children ‘s Bureau and Early Years Equality Organisation have proposed a 6th result, viz. to be equal- feel you belong. The benefits of inclusion for kids in Early Old ages are huge. Children learn to value others and in bend they excessively are valued. Their single demands are catered for and they are able to play in enriched environments, where they can larn about others backgrounds and civilizations. Early Old ages scenes need to hold committedness to inclusive pattern to enable kids to accomplish. Inclusive pattern takes into history the United Nations Convention on the rights of the kid, which stated that all kids and immature people have the right to state what they think about affairs that affect them and that they are taken earnestly. ( ) Equality in Early Old ages is concerned with run intoing the demands of single kids. It includes everyone regardless of ethnicity, civilization, faith, household background, place linguistic communication, larning troubles, disablements, gender or ability. ( MacLeod-Brudenell 2004:257 ) Children are influenced by their place environment, household values and societal factors. Vygotsky described that a kid ‘s development is embedded in society and that they are a meaningful member from birth. ( Fawcett 2009:49 ) Bruner developed a scaffolding attack based on Vygotsky ‘s zones of proximal development, he believed kids learnt within their cultural environment. It is of import therefore to value kids ‘s civilization so that they develop. Bronfenbrenner ‘s ‘systems ‘ suggested that non merely was the kid influenced by immediate household ( micro ) , the wider societal context of school ( meso ) and parents work topographic points and Government ( exo ) besides had an consequence on them. Research into the benefits for kids go toing a high quality preschool proviso was completed by the 2004 Effective Provision of Preschool Education ( EPPE ) Government undertaking which stated the importance of inclusion and recognised the significance of the Early Old ages. It stated that with respect to SEN scenes should supply different larning chances to run into the demands of single kids. ( Fawcett 2009:93 ) EPPE concluded that early intercession was a cardinal factor in bettering kids ‘s cognitive development. This essay will foreground larning troubles and disablements and the Governments scheme to turn to inequality and inclusion. Children who need excess support in countries such as behavioral or emotional, physical or centripetal, address and linguistic communication are said to hold a Particular Educational Need ( SEN ) . The SEN Code of pattern ( Dfes 2001 ) is used by suppliers to guarantee kids with SEN are given support that is required to run into their specific demands. Guidance on how to place, buttocks and ) supply aid is contained in the codification which should be used in concurrence with the commissariats policy for SEN. If a kid had been identified within a scene as holding SEN they are entitled to holding extra programme of support described as Early Old ages Action. Parents are informed throughout and if it becomes necessary to affect professionals, such a address and linguistic communication healers or kid psychologists the kid is so entitled to a programme described as Early Old ages Action Plus. Individual Education Plans ( IEP ) are devised for kids with SEN in scenes to back up and develop single acquisition. These frequently high spot specific countries of concern or developmental demand. Close partnership with parents and professionals impact on kids ‘s acquisition and development frequently ensuing in better passages to other scenes or school entry. Observations and appraisals are valuable in early intercession. However, would it be more valuable for IEP ‘s to go built-in to be aftering for all kids, holding respect for Every Child Matters results and the Early Years Foundation Stage model, which valued individualized acquisition and development. Funding for SEN has increased from ?2.8 billion to ?4.1 billion in the last four old ages, a Parliament publication described, nevertheless there are still kids being allow down by the system which causes defeat to parents, kids schools and local governments. The Education and Skills Act of 2008 stated it was the responsibility of local governments to advance immature peoples ‘ engagement in instruction and preparation. The Warnock study in 1978 introduced the incorporate attack, now known as inclusive attack and statements of SEN. This study was similar to ‘removing barriers to achievement ‘ and Every Child Matters because it put the kid at the Centre of its docket and used a squad work attack. However, Warnock suggested in 2005 that unless there was a alteration in precedence given to kids with SEN the enterprise would non accomplish its purpose. Warnock was described by the Disability Rights Commission as saying subdivision 8 of the Human Rights Act which announced kids have â€Å" the right to personal development and right to set up relationships with other human existences and the outside universe † She suggested that the importance for the kid was that they were able to accomplish this, non peculiarly where they achieved it, she believed particular schools were the manner forward for some kids with SEN and non others. Inequalities and neg effects this enterprise aims to turn to†¦ †¦ .. The challenges confronting kids who have Special Educational Needs ( SEN ) are that excessively many kids are waiting excessively long to hold their demands met. Early intercession is hindered by deficiency of support or hapless coordination between professionals. Mainstream scenes are diffident how they will pull off, they may experience ailment equipped, so kids may be turned off. Developing staff accomplishments needs to be a precedence. Particular schools feel they may hold an unsure hereafter. Families face fluctuations in degrees of support that is available to them within their Local Authority. The ‘postcode lottery ‘ that exists demands careful consideration and alteration. The ‘removing barriers to achievement ‘ inaugural purposes to raise outlooks and accomplishment through individualized instruction, constructing on what kids already know and can make. It understands the demand for kids to be active scholars. Every Child Matters believed that early intercession was the key to back uping kids with SEN. Using an integrated attack such as Common Assessment Framework ( CAF ) the squad of preschool, wellness service, parents and professionals assess the demands of single kids through careful observations. Because it is of import to observe that kids behave otherwise in different state of affairss the CAF would turn out utile for seting all relevant observations together to bring forth an appraisal. Potential impact of enterprise†¦ The inclusive attack to advancing the possible and public assistance of kids with SEN will supply better results for kids. High quality, flexible commissariats who value parental engagement would take to early designation and intercession. It was hoped that the ‘removing barriers to achievement ‘ inaugural would supply preparation and academic support for staff. The ‘removing barriers to achievement ‘ inaugural believed that over clip the figure of kids go toing particular schools would fall. Increased cognition and capablenesss in mainstream scenes would enable this to go on, nevertheless the Government still accepted some kids needed the instruction provided by particular schools. The University of Cambridge reported in a Parliament publication that there was grounds that kids who would hold antecedently attended particular schools were booming in mainstream instruction. However it besides reported that some instructors and schools felt sick equipped to get by with kids with SEN. Failings†¦ OFSTED, 2004 described there to be a important deficiency of advancement in commissariats refering SEN. A Parliament publication suggested OFSTED had commented â€Å" advancement in larning remains slower than it should be for a important figure of students † Although OFSTED stated the programme raised consciousness of the benefits for inclusion and had made some betterments to pattern, it besides suggested this was merely in a minority of schools it visited. A Parliament publication described how Lord Adonis, the Under Secretary of State for schools and Minister with duty for SEN commented â€Å" the current system is non working absolutely † he suggested that some households were still non having equal support, doing defeat. Research into how the programme has progressed is still merely on a little graduated table, small has been produced to see the societal impact of inclusion on SEN kids and their equals in mainstream schools. A survey by Education Exeter in 2010 will look at friendly relationships and societal interactions with respect to inclusion. This will turn out utile in understanding how much kids are affected by the programme aimed at taking barriers to achievement. A cardinal precedence is developing of the Early Years work force in recognizing SEN and step ining early, nevertheless is increasing funding adequate to do this happen. Harmonizing to Dyson ( cited Lloyd ) is the programme more concerned with bettering National Standards instead than the engagement and inclusion of kids with SEN? Would a alteration in the course of study better suit taking barriers to achievement through developing it to reflect the holistic attack instead than kids accomplishing on a graduated table? P graduated tables are a mandatory portion of educating kids with SEN that are working below flat 1 of the national course of study. The Inclusion development programme which was launched following the ‘removing barriers to achievement ‘ is counsel for commissariats concentrating on specific countries of SEN. It gives utile information and counsel for commissariats to better inclusive pattern through preparation stuffs, information refering where to happen specific aid and advice. It is an priceless acquisition resource to enable quality betterment. Through go oning professional development Early Old ages practicians work to place prejudiced pattern for illustration stereotyping, ignorance, bias and fright. ( Jones 2004:15 ) Through placing factors which may discourage inclusion practicians can measure pattern and do betterments. In decision the inaugural ‘removing barriers to achievement ‘ aimed to turn to issues associating to inequality and inclusion. Although the rules of the scheme are clear to assist kids to make their full potency, in world some kids with SEN are still neglecting to accomplish this. The Every Child Matters personalised instruction attack to SEN and a quicker system of appraisal and support will be required to accomplish the schemes aims. It maintained that early intercession was the factor that would find its success as the Surestart programme outlined in the Children ‘s Act 2004. Other factors that need to be addressed are bureaucratism and paperwork, doing certain schools and instructors are equipped to run into kids ‘s demands through preparation and support. It besides needs to measure resources and increased support in order to supply high quality early old ages practicians that value and advance equality and inclusive pattern.

Minor Parties or a common feature of United States Politics

Minor Parties (third parties) have been a common feature of United States Politicsa.Describe the point of view expressed about minor parties in the political cartoon above.b.Identify and explain how two rules of the United States electoral system act as obstacles to minor-party candidates winning elections.c.Minor parties make important contributions to the United States political system in spite of the institutional obstacles to their candidates’ success.Describe two of these contributions.a)Describe the point of view expressed about minor parties in the political cartoon above.The political cartoon depicts Ralph Nader addressing America’s â€Å"throw away mentality†. Meanwhile a citizen in the background is casting her vote by dropping a ballot into a trashcan. This is a fairly pessimistic view on voting for third parties, as the cartoonist is showing that votes that are going for third parties are worth nothing. Because the vast majority of the country votes f or major party candidates, third party candidates rarely become elected.b)Identify and explain how two rules of the United States electoral system act as obstacles to minor-party candidates winning elections.The United States style democracy is winner take all.  The majority, however slight, maintains all the say. Basically the â€Å"Tyranny of the Majority†.Minor parties have to overcome ballot laws, which are state laws that determine who may appear on ballots and who may not. Parties without enough money or enough support will not be able to appear on the ballot Presidential debates often do not include third parties. This may be because the Commission on Presidential Debates is a private company created by Democrats and Republicans c)Minor parties make important contributions to the United States political system in spite of the institutional obstacles to their candidates’ success. Describe two of these contributions.Third party candidates running for public offi ce realize that they have slim chances of being elected, so their primary purpose is to call attention to ignored, misrepresented, or little known issues.Eugene Debs with worker rights and Ross Perot with the national debtMajority parties often adapt their own policies to include popular third party stances, so third party voters may in fact get what they want even though a majority party wins.