Support Of Family Reunification As A Primary Outcome For...

In recent years, there has been much support for family reunification as a primary outcome for children in foster care providing them a better alternative than aging out of the foster care system. Some of the reasons in support of family reunification include that children do best when raised in a stable family setting, preventing multiple placements increases safety, permanency and well-being, there are cost benefits in reduction in the number of children in care, and states can avoid funding sanctions by meeting federal outcome goals (Supporting Reunification and Preventing Reentry Into Out-of-Home Care). Leaving children to grow up in the foster care system is not a good placement option as there is a substantial amount of research about the negative impact it has on children. Some recent findings of a study reported that 25 percent of youth who aged out of care did not obtain high school diploma or GED, only 50 percent were currently employed, and three quarters of the males and more than half of the females had ever been arrested (Courtney et al. 2007). Another study examining youth in California, Minnesota, and North Carolina found these employment patterns persist for many at age 24, with only a small portion of youth (25 percent in California, 22 percent in Minnesota, 16 percent in North Carolina) managing to maintain consistent connections to the labor market and earn as much as their peers nationally (Macomber et al. 2008). In addition to the poor outcomesShow MoreRelatedThe Foster Care Systems Lie Under The Jurisdiction Of The Department Of Human Services / Child Welfare1770 Words   |  8 PagesStable Families Act,† which is the primary responsibility of child welfare services. In each state there is an entity for child protection, in the State of Rhode Island it is the department of Children, Youth and Families. According to the Executive Director of Prevent Child Abuse RI, the money is funded from the federal government with the guideline s that each state must abide by. This funding allows the state the ability to do their job and provide services to protect and reunify children who areRead MoreThe Effects of Parental Incarceration on Children2503 Words   |  10 PagesIncarceration, a topic of controversy, has received much attention in both academic and political arenas. Policy changes in recent years have influenced incarceration rates and, in turn, affected families and children in the U.S. (Hagan Coleman, 2001; Visher Travis, 2003; â€Å"Pew Charitable Trusts†, 2010; Arditti, Lamburt-Shute, Joest, 2003). Policies, such as â€Å"tough on crime† and â€Å"war on drugs†, have contributed to not only a steady rise in incarceration rates and over crowding of correctionalRead MoreQuestion 2. Review The Scholarly Literature Within The6014 Words   |  25 Pagesengagement in family partnership meetings and permanency planning? This study looks to expand on the concept of foster parents as m embers of a multidisciplinary team through their engagement in Family Partnership Meetings (FPM) and permanency planning. More importantly, it would advance the human services field by contributing to existing knowledge on FPM and permanency planning within the foster care system. From the literature, four trends were identified: reunification; family partnership meetings;Read MoreChildren, Families, And Foster Care : Analysis And Recommendations2696 Words   |  11 PagesChildren, Families, and Foster Care: Analysis and Recommendations Foster care is intended to serve as a temporary haven for abused or neglected children who cannot safely remain with their families. However for some children, the journey through foster care is characterized by further trauma and abuse; and even in the best situations, foster care is inherently fraught with uncertainty, instability, and impermanence. The number of children and families who require foster care services has grown substantiallyRead MoreMy Field Placement Will Be At Child Protective Services Essay1441 Words   |  6 Pagesinclude, investigating reports of abuse and neglect of children, provide services to children and families in their homes, providing services to help youth in foster care successfully transition to adulthood and helping children find adoption. There are many subdivisions within the department itself which offers different amenities during an open case with CPS, although these services solely justify the department, there is a unit known as Family Base d Services or also FBSS which focuses on resourcesRead MoreEffectiveness Of The Jackson County Oregon1907 Words   |  8 Pages The Effectiveness of the Jackson County Oregon Community Family Court Brandi Briggs Arizona State University CRJ 308-16169 spring 2015 Dr. Gary Sweeten The Effectiveness of the Jackson County Oregon Community Family Court According to the National Association of Drug Court Professionals (NADCP), 1 out of every 100 people in the United States has been incarcerated (â€Å"The Facts on Drugs,† n.d.). Substance abuse is partly to blame. Approximately 60 percent of prison inmates had a positive drugRead MoreThe Agency : Purpose And Mission2353 Words   |  10 Pagespurpose/mission: ChildNet is a private non-profit agency that manages the local system of services and support for children in the community. It is the community-based-care lead agency in Broward and Palm Beach County and its mission is to protect abused, abandoned and neglected children in the community they serve. B) Population being served: The population being served at ChildNet are children and families who are involved in the child welfare system in Broward and Palm Beach County. C) Services providedRead MoreThe Center For Children of Incarcerated Parents Essay2452 Words   |  10 PagesThe social welfare program identified for the purpose of this paper is the Center for Children of Incarcerated parents. The social problem for which it was designed to address is that of the effects of parental incarceration on children and families of the incarcerated. Its’ target population, children and families of the incarcerated. This paper will explore how services are provided and its source of funding. Additionally, it will seek to provide an understanding of theRead More The Typical Progression a Child Makes through a State Welfare System4032 Words   |  17 Pageschild welfare system. Each states child welfare agency is responsible for ensuring the safety and well being of children. Child welfare systems have several chief components:  · Foster care ? full-time substitute care for children removed from their parents or guardians and for whom the state has responsibility. Foster care provides food and housing to meet the physical needs of children who are removed from their homes.  · Child protective services (CPS) ? generally a division within the childRead More Child Maltreatment Essay2814 Words   |  12 PagesChild maltreatment is a widespread issue that affects thousands of children every year. There are four common types of child maltreatment; sexual abuse, physical abuse, emotional abuse and neglect. All of these types of abuse are very serious and can have many consequences for the children and families. The most common consequence of severe child maltreatment is the removal of that child from their home (Benbenishty, Segev, Surkis, and Elias, 2002). Most social workers trying to determine the

Essay on Gibbs Nursing Model on Reflection Free Essays

string(23) " was able to help him\." Introduction There are a number of different models of reflection that are utilised by professionals to evaluate past experiences. The two main types of professional reflection are reflection-on-action and reflection-in-action (Somerville and Keeling, 2004). Reflection-on-action encourages individuals to re-live past events, with an emphasis on developing a more effective action plan for any future, similar events that may occur. We will write a custom essay sample on Essay on Gibbs Nursing Model on Reflection or any similar topic only for you Order Now However, this type of reflection does tend to focus more on the negative aspects of our actions rather than the positive behaviours that were demonstrated during the event that is being reflected upon (Somerville and Keeling, 2004). Reflection-in-action is a deeper and more interactive form of reflection that encourages individuals to observe and reflect on past situations from the point of view of themselves and of others around them at the time of the event. Self-reflection and reflection upon events that happened within a work environment are important for individuals within the nursing profession (Paget, 2001). Reflection allows medical professionals to challenge and develop their existing knowledge, maximising the opportunity for learning and to avoid mistakes that may have been made in the past (Royal College of Nursing, 2012). The Gibbs (1988) model of reflection suggests that the process of reflection is systematic and follows a number of specific steps in order to be successful. This model of reflection is a type of formal reflection, which draws on research and puts forward a theory as to how most effectively put into practice to process of reflection. The process can be broken down into six key steps: Description: this step explores the context of the event and covers fine details such as who was present at the event, where it happened and what happened. Feelings: this step encourages the reflector to explore their thoughts and feelings at the time of the event. Evaluation: this step encourages the nurse to make their own judgement about the event and to consider what went well and what went less well about the event. Analysis: this step delves even deeper into reflection on the event and encourages the nurse to break the event down into smaller episodes in order to facilitate analysis. Conclusions: this step explores the potential alternatives that may be used to deal with the situation that is being reflected upon. Action Plan: this is the final step in the reflection process. The action plan is put into place in order to deal more effectively with the situation if or when it may arise again. The Royal College of Nursing (2012) believes the Gibbs (1988) model of reflection to be particularly superior because emphasises the role of emotions and acknowledges their importance in the reflection process. Nursing can often be an emotionally charged career, especially for nurses working in areas such as psychiatric health and palliative care. Therefore, reflection on these emotions and exploration of how to manage them and improve management of them in the future is of particular importance in the nursing profession. Case Study Step One (Description) A young male patient aged 16 years came into the clinic around three days ago. He complained of low self-esteem and is feeling fed up and depressed because of pimples and spots on his face. The patient was worried thatgirls would not be attracted to him because of the spots. The consultation took place with just myself present, no other nurses were in the room at the time of the appointment. The consultation lasted around half an hour, during which time myself and the patient discussed the history of his problems with his skin and the emotional distress that the spots were causing him. The patient disclosed that he had begun to get spots at around age 14 when he had started puberty and that it had begun to make him feel extremely self-conscious. The patient described the negative effect that the acne was having. For example, he has been bullied at school and is feeling apprehensive about starting sixth form in September because he believes that he will be the only sixth former with s pots. Based on the reasonably lengthy history of the acne, the presence of acne on the face and the negative emotional effect that the acne was having, a three month dosage of oxytetracycline was prescribed for the patient. Step Two (Feelings) During the consultation I had a number of feelings. Primarily I felt sympathy for the client because his situation reminded me of my own time as a teenager. I suffered from bad skin from the ages of 14 to about 20 and it severely affected my own self-esteem. In a review of the literature, Dunn, O’Neill and Feldman (2011) have found that patients suffering from acne are more at risk of depression and other psychological disorders. However, the review also found that acne treatment may lead to improvement of the psychological disorder that are so often co-morbid. This made me feel re-assured that prescribing oxytetracycline had been the right thing to do. My own experiences of acne also meant that I was able to relate well to the patient. I also felt some anger during the consultation. This anger was directed at the patient’s peers who had been cruel enough to taunt and tease the patient because of his acne. I also felt regret and guilt. I regretted not referring the pati ent onwards for emotional support and for not exploring the psychological impact of the acne in more detail. I also felt a sense of pride that this young man had the courage to come to the clinic by himself to seek help for his acne. I remembered how upsetting acne was as a teenager and I remembered that I would have been too embarrassed to have ever gone to a clinic or to have sought help from an adult. In turn, I also felt happiness. I felt happy that this young man had come to the clinic and I felt happy that I was able to help him. You read "Essay on Gibbs Nursing Model on Reflection" in category "Essay examples" Step Three (Evaluation) On evaluation, the event was good in a number of ways. Firstly it added to my experience of dealing with young people and in dealing with the problems that are unique to this population of patients. I have not had many young patients during my nursing career and I welcome the opportunity to gain experience with this group. Furthermore, it re-affirmed my career choice as a nurse. During your career you always have doubts as to whether you have chosen the correct path. However, there are points in your career when you feel sure that you have made the right choice. However, there were also some negative elements. Firstly, the appointment was quite short and I am worried that this may have made the patient feel rushed and uncomfortable. After the consultation I did some research into the effects of acne in young people. Purvis et al. (2006) have found that young people with acne are at an increased risk of suicide and that attention must be paid to their mental health. In particular, the authors found that directly asking about suicidal thoughts should be encouraged during consultations with young people. This information only served to make me feel more anxious and I wished that I had bought this up with the patient. Step Four (Analysis) On reflection, being able to relate to the patient increased my ability to deal more effectively with the situation. I feel that the patient was able to open up more to me because he sensed my sympathy for him and his situation. Randall and Hill (2012) interviewed children aged between 11 and 14 years about what makes a ‘good’ nurse. It was found that the ability to connect to them was extremely important and so I think this is why the patient felt comfortable opening up to me. On reflection, I am also now convinced that the patient coming to see me was a very positive event. The patient could have chosen to go on suffering and could have chosen not to open up and talk about the problems his acne was causing. In a review of the literature, Gulliver, Griffiths and Christensen (2010) found that young people perceived embarrassment and stigma as barriers to accessing healthcare. Therefore, it could have been very easy for the patient to have avoided coming and seeking help. I felt a range of both positive and negative emotions during the consultation, and I think this re-affirmed for me that I enjoy nursing and enjoy helping others. It is important to genuinely care about patients and to provide them with the best care possible. This would be hard to do if you did not feel empathy for patients. The experience also helped me realise that I need to actively search out training and learning opportunities regarding working with young people with mental health issues. Step Five (Conclusion) If the same situation was to arise again I think that I would approach it in a slightly different way. In particular, I would have offered to refer the patient to further support services. During the consultation the patient mentioned that he felt that the spots on his face made him unattractive to the opposite sex. In addition to providing medication to get to the biological and physiological roots of the problem, on reflection I think it would have been beneficial to the patient to have provided information about charities that offer self-esteem and confidence building. Such charities that offer these services include Young Minds (http://www.youngminds.org.uk/) and Mind (http://www.mind.org.uk/). In retrospect, I also believe that I should have given the patient a longer consultation time in order for us to have explored the psychological impact of his acne in more detail. Coyne (2008) has found that young people are rarely involved in the decision-making process when it comes to t heir consultations. Therefore, giving the patient more time to discuss his problems may have improved his sense of wellbeing as he felt more involved in his care process. Step Six (Action Plan) There are a number of elements to my action plan. Firstly, I will make sure that in the future the consultation room has leaflets and information pertaining to mental health problems in young people. This way, young people can access the information if they perhaps feel too embarrassed to talk about it. Hayter (2005) has found that young people accessing health clinics put a high value on a non-judgemental approach by health staff. Therefore, in future I would be sure to be aware of my attitude and make sure that either subconsciously or consciously; I am not making any judgements about the patient. Hayter (2005) also found that young people had serious concerns regarding confidentiality, especially during busy times at the clinic. Therefore, in the future I would be certain to reassure young people that their details and consultations are kept completely confidential. To re-assure young patients, I may ask them to sign a confidentiality form, which I will also sign in front of them. Furthermore, my action plan will include improving my knowledge and awareness of working with young people as a nursing professional. This will allow me to increase the tools and skills I have for dealing with young people with complex needs. During the consultation I felt anger toward the patient’s peers who had teased him. In the future, I will focus on being more objective when dealing with a patient who has been the victim of bullying. References Coyne, I. (2008) Children’s participation in consultations and decision-making at health service level: A review of the literature. International Journal of Nursing Studies, 45(11), pp. 1682-1689. Dunn, L.K., O’Neill, J.L. and Feldman, S.R. (2011) Acne in adolescents: Quality of life, self-esteem, mood and psychological disorders. Dermatology Online Journal, 17(1). Available at: http://escholarship.org/uc/item/4hp8n68p [Accessed 20 October 2013]. Gibbs, G. (1988) Learning by Doing: A guide to teaching and learning methods. Oxford: Further Education Unit. Gulliver, A., Griffiths, K.M. and Christensen, H. (2010) Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry, 10(1), pp. 113. Hayter, M. (2005) Reaching marginalised young people through sexual health nursing outreach clinics: Evaluating service use and the views of service users. Public Health Nursing, 22(4), pp. 339-346. Paget, T. (2001) Reflective practice and clinical outcomes: practitioner’s views on how reflective practice has influenced their clinical practice. Journal of Clinical Nursing, 10(2), pp. 204-214. Purvis, D., Robinson, E., Merry, S. and Watson, P. (2006) Acne, anxiety, depression and suicide in teenagers: A cross-sectional survey of New Zealand secondary school. Journal of Paediatrics and Child Health, 42(12), pp. 793-796. Randall, D. and Hill, A. (2012) Consulting children and young people on what makes a good nurse. Nursing Children and Young People, 24(3), pp. 14. Royal College of Nursing (2012) An exploration of the challenges of maintaining basic human rights in practice. London: Royal College of Nursing. How to cite Essay on Gibbs Nursing Model on Reflection, Essay examples

Life on the frontier Essay Example For Students

Life on the frontier Essay Billingtons point of view several lines in to Americas Frontier Heritage begins with a philosophical question, he poses the question, ?Do they consider their fellow men as equals, or as inferiors and superiors?.? By they Billington is referring to America and in this case specifically to the people of the time he is discussing, people of the frontier in the aforementioned 19th and early 20th century. This quote would be the one posed to I, the reader, throughout not only his book but Limericks as well. Billington begins by explaining the foundation on which the country was built on, the thought of ?equality? and ?individualism.? These two words as many know are core virtues America was built on along with free enterprise, the pursuit of happiness and essentially the right to earn as much as you work for. All tremendous things that this country since day one has thrived on but the theme Billington implies throughout is that these products of life came without obstacles to most if not all. He states ?Nowhere could a stake in society be more easily obtained,? interesting, because as most are aware this ?frontier? time was the heart of the most extreme segregation and lack of acceptance unless you were of a specific demographic. Reading along further in the book Billington begins to narrow in on what his essential, main point was to begin with. Which seems to be America is a land for all individuals to come to and prosper without government interference. I realized this upon Billington stating ?.where superabundant opportunity allowed each to rise or fall to his proper level as long as governments did not meddle.? At first Billington seems to be taking the naive route of that America since day one has been a perfect melting pot for all colors and types of people to thrive without resistance much of this sense came from his frequent claims of everyone being ?neighborly? and getting along in the communities. Upon finishing reading it became more obvious this was not his intention at all. His intention was to describe America as a land where government will not interfere which was unheard of to nearly all from every corner of the globe. That it is great here because if you came to America you would have a chance, without a lord taking your income for a ?tax,? or a ruler telling you where to live and for this I entirely agree. The Legacy of Conquest brings up an entirely different perspective then Americas Frontier Heritage. Limerick narrates the other side of the story, one would probably say ?uglier? side. She discusses the lesser known hardships endured by the people who at the time frankly just were not as relevant as the majority. The frontier of the West as she describes was yes a diverse place where many could move to to make a living and settlement but if you were not of the majority you would almost definitly encounter resistance. The reputation of the West was that of where minorities: Blacks, Hispanics, Asians, Certain Europeans etc. could go to live, ?free? of the Souths and Northeasts individual prejudices. This was quite a mirage that most did not see, notice, or at the time frankly care about. She uses the example of Oregon in 1857. Oregon was much opposed to slavery which of course sounded good to the Freedmen but, as Limerick state ?.they also opposed intrusion of free blacks.? Limerick br ings up the point of was the West and America in that case really such a welcoming place? It seems to be that unless you were white and protestant honestly it was not quite so welcoming. .u76ee175597fcbbc36cb624afa0086e8e , .u76ee175597fcbbc36cb624afa0086e8e .postImageUrl , .u76ee175597fcbbc36cb624afa0086e8e .centered-text-area { min-height: 80px; position: relative; } .u76ee175597fcbbc36cb624afa0086e8e , .u76ee175597fcbbc36cb624afa0086e8e:hover , .u76ee175597fcbbc36cb624afa0086e8e:visited , .u76ee175597fcbbc36cb624afa0086e8e:active { border:0!important; } .u76ee175597fcbbc36cb624afa0086e8e .clearfix:after { content: ""; display: table; clear: both; } .u76ee175597fcbbc36cb624afa0086e8e { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u76ee175597fcbbc36cb624afa0086e8e:active , .u76ee175597fcbbc36cb624afa0086e8e:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u76ee175597fcbbc36cb624afa0086e8e .centered-text-area { width: 100%; position: relative ; } .u76ee175597fcbbc36cb624afa0086e8e .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u76ee175597fcbbc36cb624afa0086e8e .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u76ee175597fcbbc36cb624afa0086e8e .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u76ee175597fcbbc36cb624afa0086e8e:hover .ctaButton { background-color: #34495E!important; } .u76ee175597fcbbc36cb624afa0086e8e .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u76ee175597fcbbc36cb624afa0086e8e .u76ee175597fcbbc36cb624afa0086e8e-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u76ee175597fcbbc36cb624afa0086e8e:after { content: ""; display: block; clear: both; } READ: Marine Corps Uniform In The 21st Century EssayThe books, Americas Frontier Heritage and The Legacy of Conquest, written by Ray Allen Billington and Patricia Nelson Limerick, respectively, each provide extremely compelling and contrasting views of the frontier in the 19th and early 20th century. Despite the obvious and apparent differences on points of view, neither I believe can be credited with a definite ?wrong? or ?right? assessment. I agree and disagree with both on various points but without dispute I believe bring up tremendous points and valid information that everyone can understand