Critical Issues In Community Care Social Work Essay

Critical Issues In Community Care Social Work Essay The purpose of this essay is to Critically examine an area of Community Care provision in mental health services. ideological, political and legislative frameworks will be taken into account, it will also examine the complex relationships between service user movements, professional bodies and the statutory, voluntary and independent sector services in the delivery of community care it will also identify and justify evidence of good practice in the provision of community care The system of community care was aimed to maintain the stability of the social order and to address the disparities and inconsistencies within the existing community care discourse. Mental health services became a part of the community care system early in the 17th century. With time, mental health in community care became an effective element of regulating the state of mental health across different population groups. Today, mental health community care is a two-tier system of community services, comprising health care and mental care provided to vulnerable populations in need for treating and monitoring various types of mental health conditions. The history of community care in the UK dates back to the beginning of the 17th century, when the Poor Law was adopted to make every parish responsible for supporting those who could not look after themselves (Mind 2010). Yet, it was not before the beginning of the 19th century (or 1808, to be more exact) that the County Asylums Act permitted county justices to build asylums supported by the local authorities to replace psychiatric annexes to voluntary general hospitals (Mind 2010). In 1879, the UK established the Mental Aftercare Association which worked on a comparatively small scale and focused on personal and residential care of the limited amount of mental ex-patients (Yip 2007). The association was further supplemented with three more voluntary associations that worked on a national scale and provided community care to mental outpatients (Yip 2007). Those organisations included the Central Association for Mental Welfare, the Child Guidance Council, and the National Council for Mental Hygiene (Yip 2007). Later in 1939 the Feversham Committee proposed amalgamation of all four voluntary organizations into a single system of mental health community care (Yip 2007). In 1890, the first general hospital clinic for psychiatric patients Was created at St. Thomas Hospital, while the World War I became the turning point in the improvement of health care facilities in the UK, giving rise to an unprecedented number of asylums and hospital facilities for mentally ill people (Yip 2007). It should be noted, that the first stages of mental health community care development was marked with the growing public commitment toward institutionalized care: throughout the 18th and the 19th centuries, cure and containment of mental illnesses in the U.K. and in Europe was provided in accordance with the principles of institutionalized care (Wright et al. 2008). The mental health care went in line in the development and proliferation of other institutional solutions, including houses of correction, schools, and prisons (Wight et al. 2008). The asylums rationale, first and foremost, lay in the belief that separation was in the interests of dangerous lunatics, giving them security and maximizing the prospects for cure (Wright et al 2008). Yet, those who ever appeared within such asylums had only one chance out of three to come out; the majority of mental health patients, regardless of the diagnosis, were destined to stay behind the asylum walls for the rest of their lives (Yip 2007 ). Medical professionals considered asylums as an effective means to isolate potentially dangerous patients from the rest of the community: asylums and isolation often served an effective way of investigating the reasons and consequences of mental health disturbances (Wright et al 2008). Many doctors viewed asylums and isolation as the sources of effective moral treatment for mentally ill (Wright et al 2008). Only by the beginning of the 19th century did professionals in medicine and social care come to recognize insanity as a mental illness and not as a product of sinful human nature; yet, years would pass before asylum residents would be given a slight hope to release themselves from the burden of isolation and torture (Wright et al. 2008). With the development of psychoanalysis in the 19th century, mental health became one of the issues of the national concern supported by the active development of psychopharmacology in the 20th century mental illness was finally explained in somatic terms (Wright et al. 2008). Psychopharmacology promised a relatively safe method of treating and alleviating mental health suffering, while the identity of psychiatry within the medical profession was finally restored (Wright et al 2008). Nevertheless, for many years and centuries, mental health community care remained a by-product of industrialized society development, which, under the pressure of the growing urban populations, sought effective means to maintain the stability of the social order. Because in conditions of the newly emerging economies lunatics and individuals with mental health disturbances were less able to conform to the labor market discipline and more apt to create disorder and disturbance in society, asylums were an e ffective response to the growing urban mass and the basic for maintain peace and stability in the new industrialized community (Goodwin 2007). The need for maintaining social order was an essential component of the community care ideology, with institutionalization and local provision support as the two basic elements of mental health care provision. Today, the provision of mental health community care services is associated with several issues and inconsistencies; many of the community care complexities that emerged early in the 19th century have not been resolved until today. Nevertheless, it would fair to say that under the influence of the social and scientific development, the provision of mental health community services has undergone a profound shift and currently represents a complex combination of health care and social care aimed to treat and support individuals with diagnosed mental health disturbances. In present day community care environments, mental health care provision exemplifies a complex combination of health care and social care. The former is the responsibility of the NHS, while the latter is arranged by local authority social services (Mind 2010). It should be noted, that the division of duties between medical establishments, local authorities, and social care professionals has always been one of the basic complexities in the development of mental health care in the U.K. (Wright et al. 2008). In 1954, the House of Commons was the first to emphasis inadequate resorting of mental health community services and to vote for the development of a community-based rather than a closed system of mental health institutions (Wright et al. 2008). Community services proposed by the House of Commons had to be available to everyone who could potentially benefit from them (Wright et al. 2008). As a result, deinstitutionalization became and remains one of the central policy debates within the mental health service provision discourse. Central to the argument for deinstitutionalization and the development of community-based services is the contention that the prognosis of patients is likely to improve as a result of discharge from mental hospitals, and that people with mental health problems already in community will benefit from remaining there rather than being institutionalized (Goodwin 2007). Social care providers in England claim that deinstitutionalization represents a new style of service provision and approach to mental illness which is better and more acceptable than traditional remote mental hospitals (Goodwin 2007). Since the beginning of the 1970s, mental health community care was associated with the treatment of mentally ill patients outside the asylums but, unfortunately, deinstitutionalization did not always lead to the anticipated results and is still one of the major policy debates. The ideology of deinstitutionalization in mental health community care failed and did not improve the provision of mental health services for several reasons. First, deinstitutionalization does not provide mental health patients with an opportunity to reintegrate with their community: being discharged from asylums, many mentally ill patients were transferred to general medical establishments and other facilities, including residential homes as a result, instead of community living, deinstitutionalization for these patients turned out to be a complex form of deinstitutionalization, while adequate funding of community services was constantly lacking (Wright et al. 2008). For this reason, the practical side of the deinstitutionalization policy proved to be less advantageous for the prevailing majority of asylums residents than it was claimed to be (Goodwin 2007). Second, the ideology of deinstitutionalization does not improve health outcomes for patients with mental problems. The current state of research suggests that the process of transferring mental health patients from one hospital to another results in negative health consequences and adverse mental health reactions, including significant deterioration of behaviors and greater problems with social activity (Goodwin 2007). The more complex are the issues with transferring mentally ill patients from and into prisons according to Fawcett and Karban (2007) the process, later called transinstitutionalisation, results in prison overcrowding and the loss of effective psychiatric care for those who are imprisoned. Today, deinstitutionalization as the ideological underpinning of mental health delivery does not work for patients but works against them. It does not improve the state of care provision and reflects in additional costs and adverse health outcomes. Nevertheless, the prevention of unw anted institutionalization is acknowledged as one of the basic principles of care provision (Gladman et al. 2007) and must become one of the basic elements of policy development and provision in community mental health. The third problem is the lack of outpatient monitoring: the ideology of deinstitutionalization in mental health delivery will not be effective and productive, unless policymakers and social workers have a possibility to monitor the destination of the discharged patients and their live in communities. Throughout the period between 1954 and 1994, the number of mental health hospital beds in the U.K. was reduced from 152000 to 43000 which, according to Wright et al. (2008) did not result in a reduction in the number of people treated. Not with standing that since 1997 the Government is the one solely responsible for the development and implementation of programmes of supervision and control regarding mentally ill patients, the quality of their discharge and monitoring leaves much room for improvement (Lehman 2007). The discharge process itself and the destination of the discharged patients represent the two most problematic areas of community care provision: the discharge process is oft en poorly planned, while a very little effort is put into monitoring their quality of life beyond asylums (Goodwin 2007). Discharged patients are believed to live and operate in the community, with their families and friends, but the real outcomes of the discharge into community is highly variable (Ritchie Spencer 2007). Of all patients discharged from mental hospitals, over 45 percent find themselves in residential homes, 7 percent are in locked facilities, and only 22 percent live independently or with their families (Goodwin 2007). The remainder are either homeless or untreated (Morse et al 2007). Deinstitutionalization in its current form and in the way the government implements it does not make outpatients automatically eligible for social care. In present day community care environments, the four basic measures predetermine the quality of outpatients with mental illnesses lives: sufficient material support, emotional support, sufficient care, and the presence of a well-performing social network within which they must be accepted (Goodwin 2007). These are the basic prerequisites for the successful outpatient reintegration with their Community. The only problem to be resolved is the need to develop a clear set of criteria, which will define and determine each patients right for social care services. Today, according to the basic provisions of the National Service Framework for Mental Health, all mentally ill individuals should have 24-hour access to local social and medical services to meet their needs (Mind 2009). These patients and individuals have the right for their needs to be assessed based on the results of the needs assessment social care providers will decide whether an individual is eligible for this particular type of social services (Mind 2009). Finally, deinstitutionalization of care does not provide any opportunity to properly and objectively assess the needs of patients. When developed, the deinstitutionalization ideology in mental health community care implied that all mental health patients would have similar community needs, but the idealistic interpretation of deinstitutionalization is far from reality. Today, needs assessment was and in one of the most problematic aspects of the social care provision for mentally ill. Despite the fact that needs assessment represents and reflects the major policy shift toward better quality of social care provision, social services do not always provide or have an opportunity to fully utilize their service potential and to meet the needs of the mentally ill individuals. According to Mind (2009), needs assessment compromises community care assessment, care programme approach assessment, mental health assessment, and carers assessment. Yet, there is still the lack of consensus on what constitutes need: social care providers tend to define need as the requirement of individuals to enable them to achieve acceptable quality of life and as a problem which can benefit from an existing intervention (Thornicroft 2007). It is not clear whether acceptable quality of life is the notion comprehensible to guarantee that all community needs of mentally ill patients are met (Barry Crosby 2007). More importantly, it is not clear who, when, and in what conditions should engage in the process of needs assessment: do social care providers possess enough education, training, and knowledge to conduct regular assessments? These are the issues which must be resolved to enhance the quality and efficiency of community care in the context of mental health services. Mental health and deinstitutionalization: still effective Despite the problems and failures of deinstitutionalization, community care for mentally ill individuals is effective and reliable, given that it leads to reduced social withdrawal, better social functioning, and increased participation in various pro-social activities (McGuire et al 2007). That, however, does not mean that mentally ill outpatients have better opportunities to find a job; rather, they either participate in specially designed workshops or return to the function of a house wife (Prot-Klinger Pawlowska 2009). Yet, some population groups require additional attention on the side of care providers. For example, in older populations, more than 55 percent of people with diagnosed schizophrenia were never offered appropriate psychological therapies and do not even have any out-of-hours contact number (Parish 2009). As a result, there must be a profound shift toward providing community care based on the need rather than based on the patient age (Parish 2009). People with lear ning disabilities represent the opposite end of the current problem continuum, and social care providers often either omit or neglect the needs of these patients (Thronicroft 2007). Several essential steps should be made to develop the quality of community care provision for the mentally ill. Conclusion First, community care providers must develop a single set of measures as a part of their needs assessment strategy to make sure that all community care providers operate as one, and use the same criteria of needs assessment in different socioeconomic groups. Second, special attention must be paid to the vulnerable populations that are often overlooked by the community care system, including older patients with mental health problems. Third, the principles of deinstitutionalisation require detailed consideration: more often than not, patients who are discharged from closed mental health facilities are transferred to other mental health hospitals or smaller mental health departments and wards, while the governments striving to reduce the number of mental health beds and specialists do not leave these patients any single chance to meet their health and social needs. The groups of patients, who will benefit most from the closure of the mental health institutions, have in many cases fared worst (Goodwin 2007). Finally and, probably, the most important, is that patients who are discharged from mental health institutions should be closely monitored and constantly supported. One of the main goals of the community care is to help out patients successfully reintegrate with their community. The destination of the discharged patients must become one of the social care priorities, and community care providers must engage outpatients in their social network, to ensure that all social and health needs of t hese individuals are met.

Montessori Language Rationale Essay

Language, simply put, is a system of symbols with an agreed upon meaning that is shared within a group of individuals. Maria Montessori understood that children have to learn language, that it is not inborn. She also understood the adolescent mind has a long sensitive period for language. Because language is deeply connected to the process of thinking, the child will need to be spoken to and listened to often. Each child learns language at their own rate and pace. There can be different factors, such as a child learning multiple languages at once. Most often, with little effort, the child will be able to learn oral language by being in an environment that fosters conversation. Early on, toddlers will begin to make intentional sounds, â€Å"At one year of age the child says his first intentional word†¦his babbling has a purpose, and this intention is a proof of conscious intelligence†¦He becomes ever more aware that language refers to his surroundings, and his wish to master it consciously becomes also greater†¦.Subconsciously and unaided, he strains himself to learn, and this effort makes his success all the more astonishing.† (The Absorbent Mind, p. 111) Most children by the age of two will have a rapid growth in language comprehension. Towards the end of the second year the child is able to combine two or more words into basic sentences, â€Å"Every child†¦bur sts out with a number of words all perfectly pronounced. And all this occurs at the end of the second year of his life.† (The Absorbent Mind, p. 103) The directress plays the most important role by giving objects labels within the environment. It is essential that all language be given to a child within a context. The child needs to know the names, labels, and the meaning of things in the environment in order for them to have relevancy, â€Å"At about a year and a half, the child discovers another fact, and that is that each thing has its own name.† (The Absorbent Mind, p.113) This allows the child to see and understand the greater picture of things and gives things meaning. Once the greater picture is achieved, it can then be broken down into smaller details. The Montessori language materials isolate elements of language and offer  Ã¢â‚¬Ëœportals’ for the children in the exploration of language. Maria crafted the materials to be presented to the child in the same manner in which they learn oral language, starting with nouns, articles, adverbs, etc. After a new concept is presented to the child, there should always be a return to the original environmental language using storytelling, poetry, storybooks and everyday speech. This allows the child to clearly see how the new concept is applied, with context, in our world. The Montessori preliminary language exercises give the child the vocabulary for objects in the immediate environment. Three part cards with appropriate terminology are a wonderful material to introduce new vocabulary for nouns. Sandpaper letters are a great tool to introduce the child to the sounds of alphabet. Puzzles may also be placed on the shelf, for they indirectly teach the left to right reading style. By the time the absorbent mind of the child has reached the age of six, they will come to understand that the sounds and words have meaning and that these symbols can be used in writing.  The Montessori curriculum helps the child develop writing skills through many materials. Tracing the sandpaper letters, working with the movable alphabet, metal insets, as well as using the sand tray, all help teach letter formation. A silent helper in the Montessori classroom is the practical life area. In the practical life area, you will find many jobs that indirectly teach proper pincer g rip for holding a pencil. Introduction to reading comes through phonetic reading boxes. The reading boxes are cleverly organized, going from simple to the complex. Reading does not follow the same process of writing, which is taking our own thoughts and symbolizing. When we read, it is not our language with which we are working with, it is the author’s language. Reading is the analysis of the language followed by a synthesis. Story telling and socio-dramatic play in the environment can help the child develop an imagination that fosters a higher capability to understand what is being read to them. The Montessori language program is like no other. With a prepared Montessori environment, the child can flourish in orally, in their handwriting, and  lastly in their reading.

The Secret Details Into Classification Essay Model Essay Samples and Exercises That Many People are not Aware Of

The Secret Details Into Classification Essay Model Essay Samples and Exercises That Many People are not Aware Of Classification Essay Model Essay Samples and Exercises: No Longer a Mystery Students do not need to read the full guide to be able to construct effective essays. Therefore, many students and employees decide to purchase cheap essay rather than writing it themselves. Spm format your vocabulary when you're involved in our essay shop. For you to compose a dialogue or conversation, you should have foreknowledge of the topic you're going to be writing about. We have been supplying classification essay assistance and classification essay assistance for an adequate time period, and for that time we've gained great wisdom and experience in writing classification essays. Additionally, a customer may ask the writer to submit part of the job for review and, if needed, ask her or him to make corrections. We have a broad collection of classification essay examples that students may purchase from our site and customize based on their own needs. Students don't have the capability to get adequate info regarding how exactly they have to classify the modules of their essays. If you require some particular kind of a classification essay, be certain to bring some instructions for the format, and we'll be certain to stick to all your instructions, requirements and specifications. The very first step is to select a topic wisely. It is a powerful method. When you surf our site for recommendations that may help you write your own essay, you will come across many helpful tips. An extensive understanding of the item you need to create a reference list about is needed. Stop by this custom made web website and you will discover an amazing database of classification essay examples. We've gathered an amazing group of qualified classification essay writers who are going to be able to categorize your information and be certain your information is well structured and prepared to be presented. There are a large array of books which add to the making of an excellent library. Next, you are going to need to consider how many categories there are. After you produce a list of subjects you enjoy, take into consideration the way you can approach it from an intriguing angle. If you're fond of music, so you might categorize various styles in music. These similarities can help make certain that the classifications are related to one another. The organizing principle is the way you sort the groups. You have to fill in this form. It's equally as convenient. The Hidden Gem of Classification Essay Model Essay Samples and Exercises To select the interest of the audience on this degree of penetration in your topic is a good idea to set the intrigue by mentioning some tricky or surprising details, facts or any other type of evidence supplied by the theme. Your story shouldn't be less than 350 words. Your subject will represent a wide whole. This subject can be approached from several diverse angles and gives you and your reader the opportunity to earn sense of contemporary politics. The point is to examine this whole for those parts which make this up, the parts which other people may not typically think about. Then, there's the New York of the commuterthe city that's devoured by locusts every day and spat out each evening. On the flip side, exploring something completely outside your experience may be good way to learn something new in this practice. Explore a topic that's important to you and you will be surprised at how fun and easy this paper is to write. You may win half of the battle by picking a nice and appropriate topic. Some great essay you are experiencing problems with a zoo. English must start your answer employing the 10 words offered in the question. Get assistance with your writing.

Creativity Is Essential For Success - 1118 Words

Creativity involves the production of ‘new and innovative ideas’ (Muldner and Burleson, 2015). Ward (2004) claimed that creativity is also outlined by ‘the ability to move beyond what currently exists and to generate and implement new ideas’. This suggests that in order to progress, creativity is a vital skill to learn and he therefore suggested that we should be teaching it in schools and expanding the perceptions of children. Not only is creativity essential for success in the workplace due to the fast paced technological society that we live in, it also is beneficial to emotional growth and academic success (Niepel et al, 2015). It helps expand our perceptions of the world and keeps life fulfilling and interesting to us. The root†¦show more content†¦This may also influence how we define creativity, when you have a pre-existing idea of what a creative person is like, you may develop the way you define it and stereotype to the labels you already currently hold. One study suggested that this stereotype of coming across as ‘crazy’ if you are creative, could impact the way creativity is researched, as it would cloud the real judgement. (Plucker, Beghetto, and Dow, 2004). 1.2 Measuring creativity and ways it can be expressed Creativity proves very challenging to measure as it is so diverse and can be expressed differently in everyone, which explains its difficulty to define. There is no set scale of creativity. Due to the complicated nature of defining creativity, it is hard to measure and generalise results. In this study I attempted to operationalize creativity by finding the prominent themes that arose when asking the participants’ their experiences of creativity and their thoughts around the subject. Creativity can be expressed in many different ways; one method could be to express ourselves through the use of social media. A study by Pimentel and Diniz (2014) investigated creativity and social media. 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