An Epidemiology Of Two Diseases Health And Social Care Essay

Tuberculosis is an infective disease that is considered as one of the greatest slayer of all clip which is caused by bacteriums whose scientific name is Mycobacterium TB besides known as Koch ‘s B. Tuberculosis is characterized by the formation of tubercles on the lungs and other tissues of the organic structure. Harmonizing to the Health Protection Agency, TB normally causes disease in the lungs ( pneumonic ) , but can besides impact other parts of the organic structure ( extra-pulmonary ) . Merely the pneumonic signifier of TB disease is infective. Transmission occurs through coughing of infective droplets, and normally requires drawn-out close contact with an infective instance. Terbium is curable with a combination of specific antibiotics, but intervention must be continued for at least six months The Health Protection Agency is one of the bureaus that are involved in advancing the wellness of persons that are affected by the disease. The wellness protection bureau intends to advance the riddance of TB in England by the support of the National Health Services and the Department of Health by developing a BCG ( Bacillus Calmette-Guerin ) Immunisation Programme. The marks of this programme are the persons who are at great hazard of geting the disease such as babes and older peoples who are most likely easy affected by the disease. Lung malignant neoplastic disease is the most common malignant neoplastic disease in the universe but it is one of the most preventable types of malignant neoplastic disease. Nine out of 10 people who have lung malignant neoplastic disease are caused by smoking but some people who are non non-smokers are besides affected. Many people believed that lung malignant neoplastic disease can non be treated but it can merely by descrying its early marks such as relentless cough for two hebdomads, repeated chest infection, relentless thorax or shoulder strivings, weight loss, declining cough, and fatigue or loss of energy. On the study of BBC News Network UK, it says that West Scotland has the highest rate of people diagnosed with lung malignant neoplastic disease than those people populating in the remainder of United Kingdom because smoking rates are 5 % higher in Scotland than the remainder of the UK, said Professor David Forman of Leeds University. The National wellness services said that the most effectual manner of forestalling lung malignant neoplastic disease is to non smoke or if you have been smoking and have serious wellness conditions better quit smoking every bit early as possible. In order to understate the rate of lung malignant neoplastic disease in the state the National Health Services have come up with a programme called, Go Smoke Free Programme, this programme is intended to assist those people to discontinue smoke and it besides provides free group or one on one support from trained advisers, and entree to four hebdomads nicotine replacing therapy. It is besides suggested by the National Health Services that a diet rich in fruits and veggies and regular exercising can cut down the hazard of holding lung malignant neoplastic disease ( http: //www.nhs.uk/Conditions/Cancer-of-the-lung/Pages/Prevention.aspx ) .Epidemiology OF THE TWO DISEASES:TUBERCULOSIS EPIDEMIOLOGYFigure 1. Tuberculosis instance studies and rate s by age group and sex, UK, 2008hypertext transfer protocol: //www.hpa.org.uk/web/HPAweb & A ; HPAwebStandard/HPAweb_C/1225268898745 The figure shows the instances of TB by rate and age of male and female in the United Kingdom by the twelvemonth 2008. It is noticeable in the graph that between the ages zero to twenty nine the instances of TB is bit by bit increasing. It besides shows that from the ages runing from 0-4, 10-14, and 15-19 the figure of female instances are higher than the figure of male instances which indicates that these age groups are easy transmitted by TB but it shows that the lowest instance of TB is from the age of 90 and above because nowadays lifetime alterations and there are few who are able to last at this age. From ages between 30-89 old ages old the Numberss of male and female instances of TB were diminishing from about 680 instances down to 5 Numberss of instances. In footings of rate, the figure shows that the highest rates were in immature grownups and these rates shows that males are more prone to TB than females. Higher rates were besides seen in persons aged 75-90 old ages because that at this age their immune system is weaker than the younger aged that is why the disease can be easy transmitted.LUNG CANCER EPIDEMIOLOGYhypertext transfer protocol: //info.cancerresearchuk.org/cancerstats/types/lung/incidence/uk-lung-cancer-incidence-statistics The figure shows the Numberss of new instances and age specific incidence rate between male and female diagnosed with lung malignant neoplastic disease in the UK in the twelvemonth 2006. Lung malignant neoplastic disease is seldom diagnosed below 30 old ages of age. The figure shows that get downing from the age of 40 until the age of 70 nine the figure of instances between male and female diagnosed with lung malignant neoplastic disease are invariably increasing as the figure of rate in male and female per 100,000 population additions but at the age between 79-85 the figure of instances were diminishing from about 4,500 instances to 2,000 instances. It is besides noticed in the figure that the figure of instances and rate of people diagnosed with lung malignant neoplastic disease are higher in male than in female of all age groups.APPROACHES AND STRATEGIESTobacco is the individual largest preventable cause of malignant neoplastic disease in the universe today. It causes 80 %  œ 90 % of all lung malignant neoplastic disease deceases and about 30 % of all malignant neoplastic disease deceases in the development states. A comprehensive scheme including prohibitions on baccy merchandises, advertisement and sponsorship, increased revenue enhancement on baccy merchandises and surcease programmes can cut down baccy ingestion in many states. In Addition, In order to understate the rate of incidence of lung malignant neoplastic disease in the state it is besides of import that wellness professionals would inform the people in the community about the side consequence of smoking to the wellness and good being of single such as developing tummy ulcers, decreased circulation of blood flow to the appendages like the fingers and toes, the hazard of developing upper respiratory piece of land infections would be increased, and developing different sorts of malignant neoplastic diseases. Another important attack to command the incidence of increasing rate of malignant neoplastic disease more specifically lung malignant neoplastic disease is the alteration of diet. Low fat high fiber diet can assist cut down the hazard of developing certain sorts of malignant neoplastic disease. Regular exercising and care of normal organic structure weight along with a healthy diet will assist understate the happening of malignant neoplastic disease. National policies and programmes should besides be implemented to raise consciousness and cut down exposure to malignant neoplastic disease hazard factors that people are provided with the information and back up them in order to follow a healthy life style.INVESTIGATE CURRENT PRIORITIES AND APPROACHES TO THE PROVISION OF SERVICESSince smoke is one of the major causes of lung malignant neoplastic disease and it is evitable the National Health Services developed a programme called â€Å" Go Smoke Free † Programme, this programme he lps persons who are tobacco users to actuate themselves to discontinue smoke by supplying one to one or group support. The â€Å" Go Smoke Free † Programme identifies the benefits of non smoking and helps people in bettering their wellness like cut downing the hazard of certain unwellness, disablement or disease caused by malignant neoplastic disease, bosom disease, and lung diseases ( hypertext transfer protocol: //smokefree.nhs.uk/why-go-smokefree/quit-smoking-and-start-living/ ) .

Enron Corporation and Anderson case study Essay

Analyzing the fall of two Giants This case results in the publishing of Sarbanes-Oxley Act of 2002 and relevant to the Securities and Exchange Commission. Also, it is related to SAS 103: Auditing, Quality Control, and Independence Standards and Rules. [1] What were the business risk Enron faced, and how did those risks increase the likelihood if material misstatements in Enron’s financial statements? The business risks Enron faced are as following: †¢Using complex business model †¢extensive using special purpose entities †¢using untraditional ventures to expand business rapidly †¢limitations in GAAP The complex business model used in Enron lead overstate its revenue while not disclose the exact value of debt. Numbers of special purpose entities are used to keep debt off the books. The untraditional ventures incense the business expansion rapidly and risky. Also, the limitation of GAAP makes it possible that management took advantages of complex standards to hide the actual economic substance. All of these above increase the likelihood of material misstatements in Enron’s financial statements. [2] (a) What are the responsibilities of a company’s board of directors? (b) Could the board of directors at Enron—especially the audit committee—have prevented the fall of Enron? (c) Should they have known about the risks and apparent lack of independence with Enron’s SPEs? What should they have done about it? The responsibilities of a company’s board of directors include: †¢Protect the shareholders’ assets and provide a return on investment †¢Make important decisions that affect shareholders (dividends) †¢Decide on which executives to hire / fire The fall of Enron could have been prevented by the board of directors. The board should responsible for the company’s financial reports. However, they are failed to disclose the off books liabilities to the public, which led  the Enron fall. What is more, the board and the audit committee do not question any of the high risk transactions. They should have known about the risks and apparent lack of independence with Enron’s SPEs. They should recognize that the high risk transactions with SPE will have huge effects on Enron. Meanwhile, they should ask SPE to disclosure financials properly. [4] What are the auditor independence issues surrounding the provision of external auditing services, internal auditing services, and management consulting services for the same client? Develop arguments for why auditors should be allowed to perform these services for the same client. Develop separate arguments for why auditors should not be allowed to perform non-audit services for their audit clients. What is your view, and why? Auditors should not be allowed to perform non-audit services for their audit clients, because auditors need to be independence. If an auditor provide management consulting services for his audit client, he is just audit what he have done, which ,I think, is meaningless. On the contrary, some people may agree that auditors should be allowed to perform their services for the same client. First, choosing one firm to do all of these services can save a great deal of money. Second, the auditors will much more familiar with the client’s business and its industry, which make their work efficient. [6] Enron and Andersen suffered severe consequences because of their perceived lack of integrity and damaged reputations. In fact, some people believe the fall of Enron occurred because of a form of â€Å"run on the bank†. Some argue that Andersen experienced a similar â€Å"run on the bank† as many top clients quickly dropped the firm in the wake of Enron’s collapse. Is the â€Å"run on the bank† analogy valid for both firms? Why or why not? Yes, I think the â€Å"run on the bank† analogy valid for both firms. The fraud of Enron’s financials leads a collapse of investor, customer, and trading partner confidence. Its stocks experience a sharp slump. Meanwhile, Standard & Poor’s re-classify Enron’s stocks as junk bonds, making almost every stockholder feel unsafe. The price drops to $0.26 per share in couple of days. Even worse, debts holders begin to call the loans because of the diminished stock price, which lead the collapse of Enron directly. Andersen experiences a similar situation. The damaged reputation of Andersen results  in losing many top clients and partnerships oversea. [9] What has been done, and what more do you believe should be done to restore the public trust in the auditing profession and in the nation’s financial reporting system? The Sarbanes-Oxley Act of 2002 is a good way to restore the public trust in the auditing profession and financial report. The Act required top management to certify the accuracy of financial information individually, and increase the independence of outside auditors. As the most severe act in history ever, I believe SOX can help to restore the public trust.

Estimating multiple regression model; GCC countries Statistics Project

Estimating multiple regression model; GCC countries - Statistics Project Example The assignment will conduct a multiple regression analysis using the data from observations for a period from 1999 – 2012. The multiple regression analysis is a technique of statistics that is used to develop a linear model for predicting the unknown value of a variable from known or assumed values of independent variables. In this case, the model Y = ∠« (Xa, Xb); where Y = GDP per capita, Xa = FDI, and Xb = Export is represented by the equation Y = b0 + b1Xa + b2Xb. The task of the multiple regression analysis is to determine the values of parameters a, b1, and b2. In order to it, the assignment collected data for Xa, Xb, and Y for years from 1999 – 2002. Table 1 presents data set; values will be used for regression analysis. The sample data of table 1 is collected from the annual reports published by the Qatar Central Bank (â€Å"Annual Reports†, n.d.) and Index Mundi (â€Å"GDP†, n.d,; â€Å"Exports†, n.d)). The set represent values of three variables collected from 14 observations. These values will be used to find a regression line that best fits the data illustrated in Table 1. The regression coefficients of variables as well the intercept of the regression equation are calculated using Excel functions. The parameter calculation method does not consider the noise in regression analysis. This study does not conduct sample data distribution phenomenon; however, it does conduct a study of Goodness of fit of the model. The given data are used to conduct descriptive and inferential analyses. Descriptive coefficients characterizes the data set; the concept represents the central tendency and dispersion of data taken from observations. Inferential analysis, in this case, describes the behavior and authentication of the model through hypothesis testing of regression parameters. Descriptive statistics of all three variable are evaluated using Excel built in function; they are presented in Table 2.

EMERGENCY NURSING DISCUSSION 3 Essay Example | Topics and Well Written Essays - 500 words

EMERGENCY NURSING DISCUSSION 3 - Essay Example Introduction of such a rule has several implications, both positive and negative, both of which will be discussed in this essay. The main positive outcome of this rule is formal addressing of the established "access block"of eight hours, which was a burden on the emergency departments and had adverse impact on the care of the patient. Thus, the new "access block" standard is four hours and this is enforced with high level of compliance, thereby solving the access block problem. Implementation of the rule forces hospital administrations to take responsibility for the access block problem. Also, ramifications pertaining to patient flow is beyond only ED problem and the hospital gets involved in it. Another major advantage of this rule is that it forces the staff to assess and manage patients at an early stage, thus enhancing the role of clinical judgment, without merely depending on laboratory diagnosis (Cadogan, 2009). The four hour rule has some negative effects too. It causes increased stress because of increased number of after hour shifts, 24- hour emergency consultant cover and increase in weekend shifts. Such stress, without punitive penalties can lead to gaming of figures, facts and flow of patients. The stress can also cause reduction in the standard of care delivered in the emergency room. Also, the autonomy of the emergency physician can get denuded which can in turn impact the patients negatively. The rule increases the propensity for adverse patient outcomes and here are high chances for the patients to get discharged early without a proper diagnosis. Some experts opine that excellence in patient flow will be rewarded than appropriate patient care (Cadogan,

Escape from Tomorrow Essay Example | Topics and Well Written Essays - 750 words

Escape from Tomorrow - Essay Example In relation to other films of the same genre, Moore puts effort in pointing at cultural freedom. The director does not seek permission to shoot the film in Disney World but the movie manages to come out to the public to attract attention because of its relevance. Films by other directors that are in the same genre do not exploit freedom and override some concepts that are necessary in the family theme (Amy, 2012, pg. 106). Moore categorically presents his main character Jim with all the characteristics that contemporary fathers and husbands go through. The author goes ahead to indicate to the audience that the delusions of Jim lead to his death. Movies and films in the same genre as Escape from Tomorrow have a happy conclusion unlike Moore’s story where Jim dies in his delusions. Another similar film similar to Escape from Tomorrow is Mary Poppins that has the context of the family and a theme that points out problems within the family set-up (https://www.youtube.com/watch?v=25xPAyNLQv4). Comparing the two movies, Moore concentrates more on the resultant effects that outside influences have on the family institution. Mary Poppins has a micro aspect that concentrates on happenings within the family set up, how problems arise and consequences of continuous disagreements within the family. Making comparisons of movies of the same genre opens up severalthemes that might have been overlooked by the producers themselves (Laurie, 2013, pg. 120). From the two films, the common aspect is problems that exist in families caused by both internal and external factors.

My Educational Goals Scholarship Essay Example | Topics and Well Written Essays - 250 words

My Educational Goals - Scholarship Essay Example I am a very dedicated and hard working person. I like helping others. During my time at college I will look for volunteering opportunities by inquiring local churches, governmental institutions, and non-profits. I want to learn as much as I can during my time in college. In college students learn from their interaction with students, professors, and non-faculty staff inside and outside the classroom. I want to study a career in criminal justice because I want to make a difference in society through my work efforts. In the United States there were a total of 10.63 million crimes committed in 2009 (Disastercenter). I am very motivated to start my college career. I know that is will a lot of sacrifice and commitment, but I am ready for the challenge of becoming a full time college student. Work Cited Page Disastercenter.com. 2010. â€Å"United States Crime Rates 1960-2009† 10 April 2011. Lewin, T. 23 July 2010. â€Å"Once a Leader US Lags in College Degrees.† The NY Times. 10 April 2011.

Module 6 Essay Example | Topics and Well Written Essays - 500 words - 1

Module 6 - Essay Example It is believed that there are certain places considered as sacred spaces where the kami communicate with people. These places are usually located near waterfalls, trees and mountains, rivers, and other unusual natural formations. In these places, shrines are built to house the kami where the sacred space separates them from the ordinary world. Sacred spaces also exist in the homes where the kamidana or home shrine is designated. The shrine and the home shrine are therefore treated with the utmost respect, and this is evident in the architecture of the edifice. A large gate called tori, with a distinctive design fronts kami shrines, exhibiting two upright bars and two crossbars that indicate the separation of the sacred from the common space. Aside from this several real and symbolic barriers mark the sacred space, such as statutes of protection, ropes and fences. The shrines have distinctive parts such as the public hall of worship (haiden), the hall of offerings (heiden), and the innermost portion which comprises the worship hall reserved for the high priest (honden). It is in the honden where the symbol of the enshrined kami is situated. http://it.spcollege.edu/flashapplications/accessibleYouTubePlayer/index.htm?swfWidth=480&swfHeight=358&videoWidth=480&videoHeight=270&srtFile=http://it.spcollege.edu/srt/HUM2270_KevinMorgan/Hum2270_Mod6_EarlJapArtCult_TradJapArch.srt&youtubeURL=http://www.youtube.com/watch?v=VVnQvhS4vRs The video chosen for review describes how Japanese dwellings are constructed. It is interesting to note that the traditional Japanese home is constructed of wood and light materials and seldom have solid walls. There are also no permanent partitions, only temporary dividers, typically free-standing folding screens made of paper that are set up when the need to segregate spaces arises. Occasionally, there are also sliding doors which are installed along wooden

Should we allow all to be able to vote Speech or Presentation

Should we allow all to be able to vote - Speech or Presentation Example Should we allow all to be able to vote? Vote: Right of Every Citizen Vote is one of the basic rights of every citizen. â€Å"In America, every single adult citizen is entitled the right to vote† (Lowe). Voting makes a person know his or her importance in the process of elections because the representatives are selected on the choice of people, which is a real democratic process. Voting note only injects a sense of responsibility in a person’s mind but also makes a person contribute something to the nation by giving vote to the most appropriate person. Should Every Person Vote? It is a common debate in many countries that whether everyone should be allowed to vote or not. â€Å"The right to vote in these United States is at once both our greatest privilege and our most important responsibility† (Guss). The governments of every country should allow everyone to vote because it is a civil right of every person. However, there should be a test to separate educated voters from the dumb citizens because educa tion injects a sense of awareness in the minds of the citizens. Without having an understanding of all political and social affairs, a person cannot make a suitable decision during the process of voting. Education makes a person aware of who is good and who is not suitable for the vote. The role of the test can be very important in judging the eligibility of a person to vote. The test should include a small general knowledge test along with political knowledge test in order to know whether a person has some awareness of the country’s political affairs or not.... If a person does not pass the test, he or she should not be given the right to vote because vote is a very important responsibility which plays a critical role in improving or harming a country's progress. If a government gives the right of vote to every person without judging their political knowledge, it can adversely affect the country’s progress in the long run. Therefore, a test of all citizens before elections holds great importance in the entire election process. The test should also be able to judge some other important aspects, which include, age of a person, learning disabilities, criminal charges, citizenship, time spent in the country, political opinions, and religious views. According to the laws of the United States of America, the age of a person should be at least 18 years because this is the age when a person becomes fully aware of different aspects of life. A person should also be a resident of the country where elections are going to take place. Moreover, th ere should not be any sort of criminal charges on a person who is going to vote in elections. It is because a person having criminal mindset can never think positive on any important matter. Criminals and murderers should not be allowed to vote (Leigh). In some states, former prisoners are still not allowed to take part in voting (Clark). According to the Civil Rights Act of 1964, there should also be a literacy test for every individual. People with mental illness should also be excluded from the process of voting because they are not able to think properly on any specific issue. There should also be some rules regarding minimum stay of a person in a country where elections are taking place. It is important because stay in the country injects patriotism in the minds of the

Electric Fan Industry Case Study Example | Topics and Well Written Essays - 250 words

Electric Fan Industry - Case Study Example Unfortunately, a relevant data could not be found and had to use a monthly production by organized sector since 2000 A.D. Anyway, this study will be analyzed to allow the manager to make a decision to choose which method is better in decision making. The methods in question involve regression, and additive and multiplicative. After thorough scrutiny of all the methods, it was concluded that regression model was the most efficient method due to less errors. In order to reach this conclusion, a myriad of analysis tools such as, StatTools 6, MS Solver, were used in the analysis of sample data and results using spreadsheets. The Bhagyanagar Fans Limited Company has been experiencing a reduction in the components supply by many units in the last peak season. So, the association decided to do something about it by hiring Ravi Kumar as a market research executive to come forward with a model that will stop the company from losing money and help them better understand the short term demand pattern. But according to David W. Stockburger, in order to make this forecast, or the info which needs to be predicted, must be obtained from some kind of sample data, then transform this information into the predicted. The young executive, Ravi Kumar, despite his unsuccessful research data, was accepting the challenge to work with the only available data he could find, the monthly production from 2000 A.D., in order to come up with a short term forecast for the next six months as requested by the owner, MR. Tibrewala. Different tools were used in the analysis of the electric fans production such as, MS Excel Solver, and StatTools 6 to determine the best forecasting model where the properties of regression, additive and multiplicative models were discussed. After all of these models were analyzed using the historical data, the trend and the seasonality which had the most impact on the data. The regression model

Silence, Feminism & Racism Essay Example for Free

Silence, Feminism Racism Essay The essays done by Hooks simply described the voice as an relevant tool in achieving freedom from oppression, not only for the perspective of one woman, but using the voice in order to liberate other women experiencing cruelty. This is an example of one important role of women in the society. Silence on the contrary keeps women from being in the state of oppression, because they are hindered from using their voice to speak of their situation. Women in silence never learned how to speak for themselves, and the only solution is to free them from silence. For other women, even though they are subjected to domination, they still use their voice to resist the impact of those who oppress them. Hooks mentioned that feminism is transformative. The writings of today are racist and at the same time sexist as dictated by the culture. But then the way a student reads a composition, for example a novel, the style of literary criticism may be varied from the usual cultural dictatorship that makes the women oppressed in those readings. I agree, feminism is a possible tool for critical and analytical examination of writings, and when the feministic view is inserted in the classrooms, this may transform the customary outlook of women. But as for me, the feministic view cannot be totally pushed into the minds of people but could be just used as a guide in making literary criticisms, but not an overall guiding principle in much or almost all of the things. Some of the women chose not to be identified in the feminist movement because of the fear or responsibility. Attached to being a feminist is the confrontation and many critical encounters from the opposition that would punish the ego and esteem of women. Of course, much of the views of a feminist will be opposed by the status quo of men stronger than women, which entails public critique to their feministic ideals. Hooks was happy learning many things from her teachers who happened to be black also in her younger days, until she transferred to another institution of all-white teachers in the 1960s because of school integration. Here she was always confronted because of her color. It made her think that the teachers are not willing to enrich their intellect but to make them consider education as just a form of obedience to them. Also, there was not even any subject or discussion incorporating the life of the blacks. This is one of the factors that made her decide to continue writing for their culture and for womanhood. She had made it a channel for arousing her imagination of conceptualizing teaching as a way to free people from captivity of the mind, especially the women at that time.

Task Centred Approach in Mental Health

Task Centred Approach in Mental Health â€Å"Write a case study illustrating a social work intervention with an individual or family drawn from your current practice placement. The case study should illustrate the application of a social work method / approach (such as crisis intervention, systemic approaches, solution focused approach, CBT etc) to a practice situation and should contain a critical analysis of the chosen methodology.† Within this assignment I will discuss a case that I am managing within my placement by providing details of the case and other professional bodies that are currently involved. In relation to this case I will discuss the relevant theories and methods that I have used with this client and critically analyse my choice of method. I will also mention other methods or approaches that I feel may have been beneficial to my work with the client. In order to provide evidence of this session with my client I will also attach a process recording to illustrate my chosen method. Michael is a 47 year old male that is a service user of the Mental Health Team in Ballyfermot. Michael has been diagnosed with schizophrenia and a mild intellectual disability. He currently lives alone in the community with the support of the Mental Health Team. I am managing this case with the supervision of my practice teacher. At the moment Michael has the support of the outreach team in which they manage his medication and food shopping, whereas the social work department manage his finances in regards to his bills and give Michael a daily allowance each week. I am currently working one to one with Michael on a weekly basis in regards to the goals he has set for the following weeks. Each week Michael and I meet to discuss relevant issues that may have arisen for him during the week. Michael and I worked in partnership to complete the recovery star and made a plan to tackle some of the areas in his life that he would like to improve on. An example of this would be attending litera cy classes, learning how to text and learning how to cook at home and also finding a job. I am working in partnership with Michael to achieve these goals. For this session, I planned to discuss and start the recovery star with Michael in order to understand his lifestyle at this present time. In order to complete the recovery star I used a task centred approach. The theory that I used for this session was behaviourism. Behaviourism is based on the theories of Pavlov, Skinner and Watson (Trevthick.P, 2005). According to Trevthick.P (2005) it was seen that through observable and measureable responses that behaviours are learned and in result behaviours can also be unlearned (Trevthick.P, 2005). According to Trevthick.P (2005) it also states that there are four types of techniques which are systematic desensitization, aversion therapy, operant conditioning, and modelling. In regards to working with Michael in this session, I used one of these techniques which were operant conditioning. â€Å"Operant conditioning is a technique where ‘the environment has been specifically programmed to support certain behaviours and discourage other s’ (Sheldon, 1995) by altering the consequences that follow† (Trevthick.P,2005:P.96). While working with Michael and arranging to have our sessions in the civic centre every week it is evident through our sessions that the environment around him would have an effect on his behaviour. For example if the civic centre was busy Michael would sometimes seem a little anxious, whereas if the centre was quiet, Michael’s mood would be quite calm. Through operant conditioning it also discusses the possibility of reinforcements in regards to behaviours. Through this it is evident that through our weekly sessions, Michael would understand his reinforcement by participating within the session would be his daily allowance. This has become clear on a number of occasions as Michael has become quite engaging in regards to the sessions that would take place on a weekly basis. Whereas before if Michael received his daily allowance before his weekly sessions he would become disengag ing and would abandon the session. Through this theory I then decided to use the method of task centred work with Michael. According to Adams, R et al (2002) â€Å"Task centred casework was described as a method to help people with problems of living.† (Adams.R et al, 2002). According to Payne.M (1997) task centred work looks at problems with the client and ensuring that the client accepts and acknowledges the problems that they have. Also understanding that their problems can be resolved by their actions outside the ongoing work they may have with the social worker and that the problems can be defined clearly. While also having certain issues in the clients lives that they feel that they can change and that these problems are realised by the client and not others that are in the client’s life (Payne. M, 1997). It is also discussed that it should be assessed of the â€Å"direction and strengths of clients wants† (Payne. M, 1997), this is explained in regards that the clients want can start an action, although the clients belief system can shape the want while also providing an accept able way of accomplishing those wants. In result according to Payne. M (1997) a belief can steer an action and by completing certain cognitive therapies these beliefs can be changed. According to Payne. M (1997) this was called a point of leverage. A point of leverage is accuracy, scope and consistency. Accuracy is when a social worker would discuss how accurate a client’s belief is then discuss the scope in which they discuss the range of beliefs that client has and explored with the client when they think these beliefs are limited. And lastly consistency in which the social worker would tackle misrepresentations due to a disagreement between one belief and another in which the social worker would be able to remove these and discuss it with the client. Through this emotions can arise for the client when there is a collaboration of their belief and want. This can then follow onto an action which would be shown by a behaviour which would be carried with intent which then follo ws on to a plan (Payne. M, 1997). A plan is a portray of intentions which is formed from the interaction of the belief, want and emotion (Payne. M, 1997). Through this a plan can be set in regards to exploring alternative options that may not have been tried by doing so this can give feedback to the client and social worker to understand if the method was successful or not. Through this method it also allows the client to resolve any problems they may have while also providing them with the skills for situations that may arise in the future. In result the client would be able to tackle a future issue that may arise without the need of the social worker. As cited in Payne. M (1997), Reid (1978) discusses the various stages of task centred practice. These are as follows step one â€Å"identify potential problems† (Payne.M, 1997) identifying specific problems the client is having and allowing them to express these problems in their own words in order to gain a full understanding of the situation. Step two is â€Å"reaching tentative agreements† (Payne.M, 1997), by doing this you can explore the main problems the client may be facing. Step three is â€Å"challenge unresolvable or undesirable problems† (Payne.M, 1997) by completing this with the client the social worker can challenge these problems so the client will not be encouraged to obtain an unrealistic goal. Step four is â€Å"raising additional problems† (Payne.M, 1997), through this step the social worker can challenge and allow the client to realise other problems they may be having. Step five is â€Å"seek others involvement† (Payne.M, 1997) through this it may be beneficial to seek others that can be supportive or can contribute to finding a solution. Step six is â€Å"jointly assess the reason for referral† (Payne.M, 1997); in this step it would be useful to discuss the reason why the client was referred to the service especially if the client was forced to do so. Step seven is â€Å"get precise details† (Payne.M, 1997), it would be very important for the social worker to get accurate details into when and where the problems are occurring for the client. Step eight is to specify the problem for the client, step nine would be to identify the clear baselines and lastly step ten would be to decide on the changes the client would like to make (Payne.M, 1997).Throughout this process it is vital that the client and social worker have a similar understanding of what needs to be achieved and also provide feedback at the end of each session in order to understand if certain aspects of their work is not proving su ccessful. Adams. R et al (2002) discusses this that task centred work is a systematic model which examines what works well for the client and what doesn’t work so well in regards to achieving the desired goals that are put in place (Adams.R et al,2005). In regards to this the main reason why I used this approach with Michael was because he has a mild intellectual disability and it can be difficult to engage Michael in activities for a long period of time. So when starting the recovery star I explained to Michael that we would complete three sections and then continue the rest the following week. Throughout this session Michael became agitated and annoyed as he wanted to receive his daily allowance and leave. Although when continuing to proceed with the recovery star and using the task centred approach it became clear to myself and Michael what improvements he would like to make in the different areas of his life. With this new knowledge, Michael and I were able to set a basic map. While working in this session with Michael, I decided to use the basic map of task centred practice that is discussed by Trevthick.P (2005). The reason I used this specific map instead of the other process described by Payne.M (1997) was because the basic map overall described four basic steps that would be beneficial to the sessions I had with Michael. According to Trevthick.P (2005) a basic map of a task centred approach consists of four steps. These steps are as follows, step one would be targeting three main problems the client has. Through the recovery star there were certain areas Michael wanted to improve on, which was his living skills i.e. cooking and cleaning and also his literacy skills. Step two consisted of a contract which was setting up a plan to achieve these goals successfully and set a time frame for when these would be completed. This was competed by researching the resources that were in the community in regards to the literacy classes and possible cooking classes and looking at the time scale of when Michael would like to accomplish these goals. Step three consists of problem solving which would be solving any problems that would arise for me or Michael in regards to the sessions that take place. For example whil e working towards improving Michaels literacy skills it was evident that Michael would need one to one tutoring and this wouldn’t be possible for several months, although Michael was adamant to start in which he decided to start in a group. In result as the student social worker I know I will have to support, encourage and motivate Michael in this process as he may find it challenging to be part of a group of sixteen. Finally step four is termination in which will commence when I start to finish up in my placement and hope that Michael will continue with his goals with his own social worker. At this present time because of Michael’s background and his diagnosis this method has been successful to date. I have also been able to use a person centred approach along with the task centred approach with Michael throughout this process in order to allow Michael to open up about his feelings and be honest about what is going on for him at that time and in result has allowed Mic hael to achieve positive outcomes within our daily sessions. In regards to the task centred approach that I have undertaken with Michael, at present it has been successful as it looks at the three main problems that he would like to improve on within the short space of time that I will be working with him. By using this approach it was evident that Michael felt motivated to complete these goals as he focused on the three main issues he had in his life. According to Trevthick.P (2005) it can be very difficult to engage in the underlining issues that may be present. In my opinion and the evidence from conducting sessions with Michael this is quite accurate as it can be difficult to engage Michael in certain difficult conversations from his past from a task centred approach. Although by using a person centred approach when discussing these difficult conversations can be suitable as this approach allows him to discuss these issues calmly and reflect on the situation that he may find difficult. For example by using this approach, it allowed Michael to open up about his daughters and the relationship he has with them and how he wants it to improve. He was also able to realise that he wanted to do something about his literacy skills and how this issue could be a barrier for him when searching for a job. By conducting a task centred approach and completing the recovery star I discovered this about Michael and was able to use the person centred approach to discuss it in more depth. Although even though it is discussed that a task centred approach is chosen because it allows the goals to be achievable, it can be difficult for those who may suffer from a mental health illness. Some individuals may find it difficult to achieve the goals that have been set, although at that time it is important for the social worker and client to be able to feedback any difficulties that have arisen and be able to change in accordance with the individual. For example while working with Michael it can be difficult for him in regards to his mental heal th, so throughout our sessions I ensure that near the end of each session Michael is able to understand what was discussed and his understanding and ensure that he is still motivated in regards to the goals that he has set for himself. In conclusion, it is evident that the ongoing weekly sessions with Michael have been beneficial in regards to a task centred approach. The reason for this is that Michael can concentrate on three specific goals at a time and doesn’t feel overloaded. From working with Michael on a one to one basis, his history and mental health status, this approach is working in a positive way in regards to what Michael wants to achieve. From previous case notes it has been noted of other methods that have been tried and failed to motivate and encourage Michael. This approach does have its limits for example it doesn’t allow the client to discuss their issues in detail, although that is when the social worker can incorporate other approaches into their work with the client. Throughout my work with Michael this approach has been favourable as with this client it has achieved positive results, while I am also aware that this may not be the case with every client that I encounter. Although while managing this case I plan to continue with this method and incorporate various approaches as needed in order to work in partnership with Michael to achieve his goals while anticipating a positive outcome. References Adams. R, Dominelli, Payne.M (2002). Social Work: Themes, Issues and Critical Debates. 2nd ed. Hampshire: Palgrave. P191-199 Teater. B (2010). An Introduction to Applying Social Work Theories and Methods. Berkshire: Open University Press, McGraw Hill Education. P178-193 Nelson – Jones. R (1992). The Theory and Practice of Counselling Psychology. London: Holt, Rinehart and Winston LTD. P107-120 Payne. M (1997). Modern Social Work Theory. 2nd ed. Hampshire: Palgrave. P104-112 Trevithick. P (2005). Social Work Skills: A practice handbook. 2nd ed. Berkshire: Open University Press, McGraw Hill Education. P95-98, P275-277 Recovery Star