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Tuesday, August 25, 2020
R.R.Donnelleys Marketing and Sales Case Study Example | Topics and Well Written Essays - 1250 words
R.R.Donnelleys Marketing and Sales - Case Study Example A steady income development brought about an increase of its all out incomes from $4,247.2 million out of 2002 to $9,316.6 million in the year 2006 (Company Report 2). The Company appreciates an exceptionally expanded client base. Be that as it may, in the first years, the incomes of the organization dove from $947.5 million of every 2005 to $903.5 million in the year 2006 (Company Report 2). There is no denying the way that a couple of key acquisitions like Office Tiger, Banta Corporation, Perry-Judd's Holdings and Von Hoffmann has improved its client base and item portfolio (Company Report 3). The recently rising dangers through rising crude material costs, the current financial emergency and innovative advances have unquestionably affected all the utilitarian parts of R.R.Donnelley, including advertising and deals (Company Report 3). The current deals exercises of R.R.Donnelley are engaged around seeking after a decent procedure towards capital organization, hence permitting it to keep up speculation grade credit measurements and considerable liquidity (Business Wire 1). The vast majority of the new organizations gained by R.R.Donnelley had a much lower working edge then what R.R.Donnelley figured out how to accomplish after securing (Business Wire 3). The whole push of the organization has been on holding a severe monetary control and introducing creative methodologies for improving profitability that is relied upon to directly affect the deals. Th The things are relied upon to improve significantly further in the occasions to come. The net deals in the second quarter of 2008 were $2.9 billion, a great 4.6% more when contrasted with the second quarter of 2007 (Business Wire 4). The organization is likewise concentrating on guaranteeing the correct item blend and following a serious estimating strategy (Business Wire 4). Truth be told, R.R.Donnelley has figured out how to strike a huge deals increment in coordinations administrations and a significant volume growth in post office based mail, stock items and advanced arrangements, however this was weakened somewhat by a slight fall in monetary printing, business print and structures (Business Wire 5). The organization is systematically turning to assessing the business execution and the board adequacy relating to its business exercises all the time. The advertising system of R.R.Donnelley has been truly founded on forceful developments, customization, acquisitions, combinations and joint efforts in order to outfit a quintessential item portfolio to its clients. Moreover, since the most recent ten years, R.R.Donnelley has been at the front line of pleasing the most recent mechanical choices and developments and to consolidate online business openness gateways to reach to a wide client base. Such a methodology unquestionably makes a brand view of R.R.Donnelley being a flexible and techno astute specialist co-op broadening exceptionally serious value alternatives. This flexibility and versatility of R.R.Donnelley has empowered it to be a triumph even in the present difficult occasions. Some remarkable instances of R.R.Donnelley's adaptable and assimilating methodology will absolutely make things all the more clear. As far back as in 2005, R.R.Donnelley came out with its Pipeline (SM) Project Management and Tracking Tool that permitted its clients an upgraded authority over their different pre media ventures while promoting their items and administrations. As of late, in
Saturday, August 22, 2020
Unethical Business Practice of Walmart free essay sample
A great many people would concur that the goal of most organizations is to bring in cash in a good way, and to lead business in a moral way. All things considered, not all organizations work in a decent and moral way. As indicated by Lovelenna Rajeev, creator of Ethical and Unethical Business Practice, Business morals are virtues and standards, that decide our lead in the business world. It alludes to the business exercises, either with different business houses or with a solitary customer(RaJeev2009). While the goal of all organizations is to make benefits, the usiness ought to add to the enthusiasm of the general public by guaranteeing reasonable strategic approaches. Be that as it may, avarice has driven organizations to untrustworthy strategic approaches and general doubt. A few instances of out of line business practice incorporate; pay off and unscrupulousness, out of line treatment of representatives, sexual segregation. Everybody realizes that it is exploitative for a business to utilize deceptive nature and pay off to get representatives to do what the organization needs them to do. We will compose a custom article test on Deceptive Business Practice of Walmart or on the other hand any comparable point explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page All things considered, few out of every odd organization sees an inappropriate in being unscrupulous. The greatest organization on the planet, Wal-Mart, is blamed for utilizing ribery and deceptive nature so their representatives can't Join or speak with an association. Wal-Mart is a non association that feels it needn't bother with outsider intercession. In this way, rather than associations, Wal-Mart has an open entryway strategy meaning if a representative has a difficult they can take their protests past administration and go directly to corporate. As indicated by PSS, the open entryway arrangement does little to support its workers however gives the organization the influence they have to fire undesirable resistant employees(Moore2005). Additionally, Wal-Mart workers get paid not exactly nionized organizations and their representatives common quit before the finish of their first year. The organization additionally disallows it representatives from speaking with association laborers. As per Wikipedia, Wal-Marts official, Tom Coughlin had to leave since he was stealing cash. The official asserted that the cash was utilized for an enemy of association venture including money pay-offs paid to representatives in return for a rundown of names of Wal-Mart workers that had marked association cards and spoken with an association. It is unscrupulous for Wal-Mart to restrict workers to converse with association agents. As indicated by the National Labor Act, bosses are not permitted to debilitate or pay off workers from framing an association for they have that right. Wal-Mart isn't right for paying off workers and consequently they empower exploitative conduct. In the event that Wal-Mart needs to maintain a strategic distance from claims, the organization need s to leave it alone realized that they won't restrict workers conversing with association agents. Not just has Wal-Mart been blamed for pay off and deceitfulness, however they are likewise blamed for out of line treatment of representatives. Wal-Mart is the biggest private boss in America. As indicated by Heidi Cossitt, the normal full time worker makes just $1 5,000 per year. Most of wal-shop laborers are just permitted to work 28 hours per week to shield them from getting after some time, and along these same lines as per Cossitt, a representative makes $11,000 a year(Cossit 2003). This is well underneath the neediness rate which makes Wal-Mart workers qualified for open help, for example, food stamps. Another issue with Wal-Mart is that medical coverage is just accessible to a little level of once more, Wal-Mart is acting deceptive by paying low wages to its representatives and by just contribution high premium medical coverage. To take care of this issue, and to keep away from an igger one, Wal-Mart needs to quit being eager and bolster their representative instead of treating them unjustifiably. As the biggest retail organization, Wal-Mart has an obligation to treat all representatives and providers with deference. Be that as it may, this isn't generally the situation. Concurring the article Earning Less, Holding Fewer Senior Positions, in 2003, Dr. Richard Drogin, Professor at California State University-Hayward, led an investigation on compensation for female representatives at Wal-Mart and found that: Female hourly specialists procure up to 37 percent less every hour than male partners; female full-time mployees working in any event 45 weeks win on normal almost $5,000 not exactly male representatives in yearly pay; ladies make up to 72 percent of wal-shops all out workforce however just 33 percent of its administrators; and ladies make up 92 percent of wal-bazaars clerks, yet just 14 percent of Wal-Mart store managers(Drogin2004). These statics show Just how unjustifiable and exploitative Wal-Mart is with regards to oppressing ladies. Wal-Mart needs to pay people the equivalent. A ladies is Just as proficient as a man with regards to running an association and in this manner a ladies Wal-Mart representative ought to have indistinguishable benefits and pay from beneficiary male partners. Taking everything into account, Wal-Mart is a colossal organization known by numerous family units around the globe. The organization has on numerous events been blamed for unjustifiable and untrustworthy business practice. Pay off, unscrupulousness, unjustifiable treatment of workers and oppression ladies is exploitative and ought not be rehearsed by any business or organization. Its a disgrace that such a tremendous organization, that gets such a lot of money flow must be so exploitative. Inevitably, individuals will see directly through wal-shops deceptive practices and eventually Wal-Mart will lose a ton of clients.
Friday, August 7, 2020
Why Children With ADHD Need Structure and Routines
Why Children With ADHD Need Structure and Routines ADHD Parenting Print Why Children With ADHD Need Structure and Routines By Keath Low Keath Low, MA, is a therapist and clinical scientist with the Carolina Institute for Developmental Disabilities at the University of North Carolina. She specializes in treatment of ADD/ADHD. Learn about our editorial policy Keath Low Medically reviewed by Medically reviewed by Steven Gans, MD on August 05, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on August 13, 2019 ADHD Overview Symptoms Causes Diagnosis Treatment Living With In Children 10000 Hours / DigitalVision / Getty Images If youre parenting a child with attention deficit hyperactivity disorder (ADHD), youve likely heard how important it is to expose such children to routines and a structured environment. But what does that mean exactly, and how does structure help? With this overview, get a better understanding of why routines are the key to caring for children with trouble focusing. Understanding Structure Structure is a term one hears a great deal as it relates to parenting children with ADHD. So, what does structure look like? Simply put, a structured environment is one that is organized and predictable. When your child has day-to-day routines and a schedule to follow, this creates structure in their lives. Consistent house rules, expectations, and consequences that are clearly understood by your child (and positively reinforced by you) help maintain a predictable environment. In a structured environment, your child knows what to expect. This knowledge creates a sense of security, which is why most children benefit from structure whether they have ADHD or not. How to Organize Your Home to Help a Child With ADHD Structure and ADHD Many children are capable of structuring their chores, schedules, and activities and of developing good habits on their own. For a child with ADHD, however, this is a much more difficult undertaking because of how the disorder functions. Children with ADHD struggle with the ability to regulate themselves. This means they find it challenging to stop impulsive behaviors and keep their focus when there are so many distractions pulling them in different directions. The symptoms of ADHD lead to problems with self-control. As a result, children with ADHD need more external controls (i.e. structure) in order to help them manage symptoms. When you build in external controls at home, you are helping your child to experience more successes and also teaching them good habits and skills along the way. With structure, children learn to set aside the same block of time to complete their homework or to establish a bedtime and morning routine. Simple moves such as taking a shower and picking out clothing for school the night before can make getting to school on time the following morning much easier. A Helpful Analogy One way to help explain structure is to use an analogy. Structure is a lot like scaffolding. In other words, the routines, the reminders, and limits you set and the consistency you provide is a lot like the scaffolding used on tall buildings. This scaffolding provides support as the building is going up, or âgrowing.â Similarly, when you create structure at home, you are providing the support needed to help your child be successful and develop greater competence. As a result, your childs self-confidence grows. Eventually, this will help your child develop skills to organize and structure their lives as they move into adulthood. Helpful ADHD Resources
Saturday, May 23, 2020
Segmentation and Target Market Free Essay Example, 2750 words
It is clear from the discussion that market segmentation is important to manage the customers, make recruitment and plan the distribution. In this business, the target market will be divided into two segments: male and female. Under the female segment, there will be several sub-segments. The female sub-segments are divided into four parts. The first female segment is those customers who have mid-range spending habit. These customers fall between the age group of 18 and 35. They usually buy for self and are ready to give a full price. Their buying pattern and wardrobe express their personality. This type of customers prefers differentiating products. They normally spend above average and don t prefer to bargain much. This type of customers doesn t buy bulky items rather they prefer major products which can develop their personality and looks. They try to avoid the crowd and prefer informal clothes such as boots, t-shirts, jeans, and others. They also use online shopping if they find anything that suits them. The second category is those customers who prefer sporty looks and purchase less costly items. We will write a custom essay sample on Segmentation and Target Market or any topic specifically for you Only $17.96 $11.86/page
Tuesday, May 12, 2020
Imperialism And Colonialism In Joseph Conrads Heart Of...
Across many countries, authors have showcased how societal structures such as imperialism and colonialism can affect the way in which an individual experiences the world. Those born into the so-called ââ¬Å"First Worldâ⬠countries have been privileged in that they have not felt the burden of such societal structure, as compared to those born into those ââ¬Å"Second Worldâ⬠countries. These individuals have dealt with the pressures of Westernized society in such a way that their entire way of life has been transformed. Those whose countries hold values of imperialism and colonialism have only imposed their ways of life onto the ââ¬Å"Second Worldâ⬠countries, whose citizens have lived in those shadows for centuries. These different worldviews can also impactâ⬠¦show more contentâ⬠¦As Kurtzââ¬â¢s title grows, he is able to work his way into the nativesââ¬â¢ minds. He becomes their leader, even though he is an outsider. Little does Marlow know, Kurtzââ¬â ¢s corruptness and his imperialistic and colonialist efforts to rule the African land would become his demise. In the end, Marlow understands that Kurtz is not all he is made out to be, and finds that his practices are harsher than necessary as he reads in Kurtzââ¬â¢s book his plans to ââ¬Å"Exterminate all the brutes!â⬠(50). Kurtz is referring to the natives he befriends and uses to his advantage. While Marlow and Kurtz move throughout the Congo as foreigners of a ââ¬Å"First Worldâ⬠country, the Natives of the Congo are forces reconcile with Kurtzââ¬â¢s colonization and rule of their land and over their people. What Conrad presents in Heart of Darkness are the dangers of naivetà © regarding ââ¬Å"First Worldâ⬠practices of imperialism and colonialism, and then becoming aware, as Marlow gradually does, of their implications. Secondly, in Wang Anyiââ¬â¢s short story, ââ¬Å"The Destination,â⬠Chen Xin experiences the changes in his home city, Shanghai, following a ten-year period of life in rural China. In returning home, Chen Xin embarks on a never-ending journey to find true happiness. As a young man, he volunteers himself to move to the countryside in order to avoid the repercussions of the Communist government. The Cultural Revolution,Show MoreRelated Colonialism and Imperialism in Joseph Conrads Heart of Darkness2027 Words à |à 9 Pagesà Joseph Conrads novella, Heart of Darkness, describes a life-altering journey that the protagonist, Marlow, experiences in the African Congo.à The story explores the historical period of colonialism in Africa to exemplify Marlows struggles.à Marlow, like other Europeans of his time, is brought up to believe certain things about colonialism, but his views change as he experiences colonialism first hand. This essay will explore Marlows view of colonialism, which is shaped through his experiencesRead MoreExposing Colonialism and Imperialism in Joseph Conradââ¬â¢s Heart of Darkness1940 Words à |à 8 PagesThe Evil of Colonialism Exposed in Heart of Darkness à à Marlow was an average European man with average European beliefs. Like most Europeans of his time, Marlow believed in colonialism; that is, until he met Kurtz. Kurtz forces Marlow to rethink his current beliefs after Marlow learns the effects of colonialism deep in the African Congo. In Joseph Conradââ¬â¢s Heart of Darkness, Marlow learns that he has lived his entire life believing in a sugar-coated evil.à Marlows understanding of KurtzsRead MoreImperialism And Colonialism In Joseph Conrads Heart Of Darkness1266 Words à |à 6 Pagesmostly means the taking it away from those who have a different complexion or slightly flatter noses than ourselves, is not a pretty thing when you look into it too muchâ⬠(Hochschild, 1998, p. 164). Marlow, a fictional character in Heart of Darkness, is discussing colonialism, a policy that dramatically altered the world during the nineteenth century. While, those who plunder other nations are said to have done so in the name of progres s, civilization, and Christianity, there is a certain hypocriticalRead MoreEssay on Hearts of Darkness: Post Colonialism850 Words à |à 4 PagesWrite a critique of Joseph Conrads Heart of Darkness, based on your reading about post-colonialism and discussing Conrads view of African culture as other. What would someone from Africa think about this work? Heart of Darkness starts out in London and also ends there as well. Most of the story takes place in the Congo which is now known as the Republic of the Congo. Heart of Darkness was essentially a transitional novel between the nineteenth and twentieth centuries. During the nineteenthRead MoreEssay on Joseph Conrads Heart of Darkness1276 Words à |à 6 Pagesera of decolonization, Joseph Conradââ¬â¢s Heart of Darkness presents one of fictions strongest accounts of British imperialism. Conradââ¬â¢s attitude towards imperialism and race has been the subject of much literary and historical debate. Many literary critics view Conrad as accepting blindly the arrogant attitude of the white male European and condemn Conrad to be a racist and imperialists. The other side vehemently defends Conrad, perceiving the novel to be an attack on imperialism and the colonial experienceRead MoreEssay about Heart of Darkness1745 Words à |à 7 Pagesin depth review of Joseph Conradââ¬â¢s He art of Darkness, a classical novella that illustrates without bias the motives behind human intentions and the extremes individuals can go to achieve wealth and profits at the expense of others with the aim of shedding insight into the rise of European imperialism, the imperial history, its politics and evil activities in the colonized African tribes along the river Congo during the eighteenth and nineteenth century. The Heart of Darkness is an exceptionallyRead MoreHeart of Darkness on the Flaws of Imperial Authority1024 Words à |à 4 Pages ââ¬Å"Heart of Darknessâ⬠on the Flaws of Imperial Authority Throughout Joseph Conradââ¬â¢s ââ¬Å"Heart of Darknessâ⬠despite the many conditions of the described Africa most if not all the characters agree that these conditions indeed differ from the conditions found in Europe. In working through conversations with Chinua Achebeââ¬â¢s Colonialist Criticism and An Image of Africa: Racism in Conrads Heart of Darkness it can be brought to light that not only is Conradââ¬â¢s ââ¬Å"Heart of Darknessâ⬠a novel that criticizesRead MoreHeart of Darkness by Joseph Conrad1329 Words à |à 5 Pages Heart of Darkness is a novel written by Joseph Conrad. The setting of the book is in Belgian Congo, which was the most infamous European colony in Africa. This is a story about the protagonist Marlowââ¬â¢s journey to self discovery, and his experiences in Congo. Conradââ¬â¢s story explores the colonialism period in Africa to demonstrate Marlowââ¬â¢s struggles. Along the way, he faces insanity, death, his fear of failure, and cultural contamination as he makes his was to the inner station. Conrad through theRead More The Evil of Colonialism and Imperialism in Heart of Darkness by Joseph Conrad1559 Words à |à 7 PagesEvil of Colonialism in Heart of Darkness à à à A masterpiece of twentieth-century writing, Heart of Darkness exposes the tenuous fabric that holds civilization together and the brutal horror at the center of European colonialism. Joseph Conrads novella, Heart of Darkness, describes a life-altering journey that the protagonist, Marlow, experiences in the African Congo.à The story explores the historical period of colonialism in Africa to exemplify Marlows struggles. Joseph Conrads Heart of DarknessRead MoreAnalysis Of Joseph Conrad s Heart Of Darkness1250 Words à |à 5 Pages Written in 1902, Joseph Conradââ¬â¢s Heart of Darkness follows the character Marlow in his journey up the Congo River to find the mysterious Kurtz, an ivory trader. In the story, Conrad explores the issues of colonialism and imperialism. The Company has enslaved native Congolese to help them mine for ivory and rubber in the area. The Congolese experience brutal working conditions as the company profits off their free labor. Racism is evid ent throughout the story with Marlow calling the blacks ââ¬Å"savagesââ¬
Wednesday, May 6, 2020
Disorders Free Essays
The research states that in sexual trauma there is a prevalence of consequent axis II disorders, especially Borderline Personality Disorder (BPD) as well as Post Traumatic Stress Disorder (PTSD) and Substance Use Disorder (SUDS) (Yen et al. , 2002). This heavy correlation between PTSD, borderline personality disorder and substance abuse disorder, create complications in treatment (Ross, Dermatis, Levounis, and Galanter, 2003). We will write a custom essay sample on Disorders or any similar topic only for you Order Now The goal of the present paper is three-fold. First, it aims at reviewing current research and theoretical frameworks which are designed to measure the degree of the relationship between PTSD and BPD. It is also sought to trace how it is possible by seeing to the correlation to avoid or neutralize further psycho social problems while reducing harm in substance abuse prevention. Second, the researcher plans to analyze the implications of how failure to address these dynamics in reducing harm and treating co-occurring disturbances may further delay treatment and create relapse. Finally, there is an analysis of the methodologies employed in the treatment theories presented. A particular emphasis is made on the Integrative Treatment Approach suggested by Najavits (2002) and the Dialectical Behavioural Therapy developed by Lineham (1993). The researcher attempts to explain how these theories influenced the understanding of this dilemma. Before proceeding to the first point, it is necessary to clarify the main theoretical concepts, such as BPD and PTSD. Speaking popularly, Post Traumatic Stress Disorder (PTSD) is ââ¬Å"a normal response to an abnormal eventâ⬠(Schiraldi, 2000, p. 3). Being categorized by the American Psychiatric Association as one of the anxiety disorders, it is typically caused by either or several of the three types of traumatic events: Intentional Human causes, Unintentional Human causes, or Acts of Nature. The presence of the stressor as part of the diagnosis differentiates PTSD from other disorders and makes it a uniquely complex phenomenon. Besides an exposure to the stressful event, American Psychiatric Association in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (1994, paraphrased in Schiraldi, 2000) lists another four PTSD criteria: persistent (more than one month) re-experiencing of the trauma (this category of symptoms is titled ââ¬Å"intrusive memoriesâ⬠in Johnson, 2004), persistent (more than one month) avoidance of trauma-associated stimuli and suppression of general responsiveness (ââ¬Å"avoidance behavior according to Johnson, 2004), persistent (more than one month) symptoms of hyperarousal (or, according to Johnson, 2004, ââ¬Å"hypervigilanceâ⬠), and disruption of psychological and functional equilibrium. In its turn, Borderline Personality Disorder (BPD) from the viewpoints of attachment theory and developmental psychopathology is defined as ââ¬Å"a highly prevalent, chronic, and debilitating psychiatric problemâ⬠associated with the following symptoms: â⠬Å"a pattern of chaotic and self-defeating interpersonal relationships, emotional lability, poor impulse control, angry outbursts, frequent suicidality, and self-mutilationâ⬠(Levy, 2005, p. 259). Kernberg (2004), who considered the organization of the personality to be crucially determined by affective responses as displayed under conditions of peak affect states, listed ââ¬Å"identity diffusion and the â⬠¦ predominance of primitive defensive operations centering on splittingâ⬠among the key symptoms of this psychological dysfunction noting that they are accompanied by ââ¬Å"the presence of good reality testingâ⬠(p. 99). The researcher meant that although the patient imagined himself living in the paranoid and distorted reality, he differentiated between the self and other objects. It is true that many current researchers acknowledge the correlation between PTSD and BPD, the latter being treated as one type of personality disorders (PDs). Bremner (1999) conceptualized BPD as fitting to the psychiatric disorders associated with traumatic stress. From this perspective, an exposure to traumatic events and consequent stress affected structural and functional aspects of the brain so that stress-related psychiatric dysfunctions were developed. The viewpoint was supported by McGlashan et al. (2000) who as relying on the results of a descriptive, prospective, longitudinal, repeated-measures study of a clinical sample of four representative DSM-IV personality disorders called The Collaborative Longitudinal Personality Disorders Study (CLPS) (N = 571) found a high rate of Axis II/II overlap. To specify, PTSD and BPD co-existed in almost a half of the sample. To be even more specific, Yen et al. (2002) conducted a longitudinal, prospective, naturalistic, multisite and cross-sectional study to analyze the correlation of the aforementioned two Axis II disorders within the population of 668 individuals between the ages of 18 and 45 years. Twenty-five percent of those participants (N = 167) exhibited BPD symptoms. Furthermore, BPD participants more often suffered from lifetime PTSD than patients with any other form of PDs (51% of those 191 individuals who reported of a history of traumatic exposure). Overall, Yen et al. (2002) hypothesized that BPD symptoms trigger vulnerability for traumatic exposure which is the key characteristic of PTSD. Bolton, Mueser, and Rosenberg (2006) observed that between 25% and 56% of individuals with BPD exhibit symptoms of current PTSD as compared to approximately 10% of other patients. Upon analysis of the two studies ââ¬â the index one involving 275 mentally impaired inpatient and outpatient individuals with PTSD (30 patients with BPD among them) and the replication one involving 204 patients (20 people with BPD among them), the researchers stated that comorbid diagnoses of BPD and PTSD were associated with higher rates of severe anxiety and depression. Ross, Dermatis, Levounis, and Galanter (2003) cited empirical evidence of comorbid PDs being highly associated with Substance Use Disorder (SUDS) in approximately 50% of the samples. They also shared a viewpoint that stress-related dysfunctions predicted worse treatment outcomes, for example, poorer psychosocial functioning, increase drug use, and lower retention rates. In a course of the eight-month research in a specialized inpatient dual diagnosis unit at a public hospital, the researchers observed the population of 100 patients, among which 53% displayed some kind of PDs. Seventy-four percent of the interviewees were targeted as having BPD, whereas twenty-five percent exhibited PTSD symptoms. Patients with comorbid disorders (dual and triple diagnoses) were more likely to abuse substance use (33% ââ¬â alcohol; 32% ââ¬â polysubstance; 25% ââ¬â cocaine; 21% ââ¬â cannabis; and 13% ââ¬â heroin). Consequently, such individuals had more inpatient admissions and more severe symptom profiles than the ones with a single diagnosis. The difference between people with the single-, dual- and triple diagnoses was extremely evident in after-hospitalization treatment. Ross et al. (2003) argued that comorbidity of PDs as accompanied by SUDs should put the clinicians on alert as such individuals needed to be guided ââ¬Å"at this critical junctionâ⬠(p. 275) of a transition from the in- to out-patient environments so that they would be aware of the necessity to comply with after-care therapy. IIâ⬠¦ The concluding section is dedicated to the analysis of the two innovative and effective therapeutic approaches to treating PDs as combined with SUDs: first, the Dialectical Behavioural Therapy developed by Lineham (1993) and, second, the Integrative Treatment Approach suggested by Najavits (2002). The former approach fits into the problem-solving therapeutic paradigm which is praised for the treatment allowing wide amplification and being clinically effective. Its core assumption is that antisocial and inadequate behavioral patterns are explained by the scarcity of patientsââ¬â¢ psychological resources to cope with their problems in an alternative acceptable manner. Linehamââ¬â¢s Dialectical Behavioural Therapy differentiates from other problem-solving alternatives in its particular attention to the effect of a specific diagnosis on the course of treatment and its extensive preventive measures against poor attendance. Linehan compared the outcomes of her dialectical behavioural therapy (DBT) to the ones of standard outpatient-care methods to find that the ratio of patients who continued treatment with the assistance of a single therapist increased from 42 to 83 percent. The approach utilizes a range of cognitive-behavioural therapeutic techniques as based on a dialectic philosophy. On the one hand, the patient is helped to value his/her self as a precious and integrative phenomenon by eliminating the feelings of guilt, self-abomination and neglect. On the other hand, a therapist assists an individual with multiple disorders in finding stimuli for change. The core concept of the approach is the ââ¬Å"skillâ⬠which is defined as ââ¬Å"cognitive, emotional, and overt behavioral (or action) response repertoires together with their integration, which is necessary for effective performanceâ⬠(Linehan, 1993, p. 329). The scholar described the four broad modules of skills: (1) mindfulness, (2) interpersonal effectiveness, (3) emotion regulation, and (4) distress tolerance. To proceed, the pioneer of this method listed three categories of skills training procedures: (1) skills acquisition, (2) skill strengthening, and (3) skill generalization. An introduction of new skills occurs at the first stage. At the further stages, a patient learns to manage the freshly acquired skills and project them onto the everyday environment. The Integrative Treatment Approach suggested by Najavits (2002) was designed specifically for treating PTSD and substance abuse. Therefore it is especially valuable for helping patients with multiple diagnoses. This therapeutic technique is a present-focused one so far as it helps patients to free themselves from the past traumatic experiences and enables them to practice in acquiring safety from trauma/PTSD and substance abuse. Being equally effective for single patients and groups of various backgrounds, Najavitsââ¬â¢ methodology relies on the five principles. First, individuals with multiple disorders are stimulated to value safety as the main life goal in regard to relationships, thinking, behavior, and emotions. Second, they are guided into the integrated course of treatment, during which several dysfunctions are seen to at once. Third, individuals are helped in designing ideals to balance against the loss of ideals resulting in PTSD and substance abuse. Fourth, a range of exercises includes cognitive, behavioral, interpersonal, case management practice. Finally, the method heavily relies on cliniciansââ¬â¢ activities. How to cite Disorders, Papers
Friday, May 1, 2020
Scottsdale Community Assessment and Analysis Essay Sample free essay sample
Scottsdale. Arizona was incorporated in 1951 and is the 6th largest metropolis in Arizona ( City of Scottsdale. 2013 ) . Scottsdale is 184. 2 square stat mis located in the picturesque Sonoran Desert nestled merely east of Phoenix. North of the Salt River Pima Indian Community. and west of the McDowell Mountains. The cityââ¬â¢s functionary motto is ââ¬Å"The Westââ¬â¢s Most Western Town. â⬠The metropolis is a premier country for new urban growing and development. and downtown Scottsdale is considered the finest urban centre in Arizona. The metropolis besides takes pride in keeping a clean visual aspect and heightening character countries such as the historic Old Town country in south Scottsdale. The metropolis of Scottsdale is routinely rated as one of the most desirable communities to populate. visit. and behavior concern harmonizing to the official web site of the City of Scottsdale. Arizona ( 2013 ) . Analysis of the functional wellness forms of the community of Scott sdale reveals a community rich in out-of-door recreational chances and yet has hapless air quality. vitamin D lacks. and hapless nutritionary consumption. The 217. 385 people that call Scottsdale place have a strong sense of community ( Sperlingââ¬â¢s Best Places. 2013 ) . The community is 89. 3 % white ( City of Scottsdale. 2013 ) . preponderantly Christian. and the bulk of people speak English at place ( US Census Bureau. 2013 ) . Hispanics. nevertheless. have a great presence in the community and encompass a big part of the staying minority groups ( Sperlingââ¬â¢s Best Places. 2013 ) . 52 % of the occupants hold a Bachelorââ¬â¢s grade ( US Census Bureau. 2013 ) and most are concern professionals who work in direction. concern and fiscal operations. The matrimony and divorce rates reflect the national norms for the United States ( City of Scottsdale. 2013 ) . The cost of life in Scottsdale is higher than the national norm with a average place monetary value of $ 306. 500 ( Sperlingââ¬â¢s Best Places. 2013 ) . The Scottsdale community values the alone life style and character of sophisticated urban cool assorted with the h istoric Wild West. where mountain king of beastss still roam following to five star luxury resorts. The scenic desert terrain is assorted with tropical thenar trees and is meticulously groomed in private and public countries. The City of Scottsdale has a 12 community Parkss with senior centres and 25 vicinity Parkss offering activities such as walking. skating. jogging. fishing. baseball. volleyball. swimming. The motorcycle friendly community enjoys walking and biking the waies of the Green Belt and boosting on trails on Camelback and Superstition Mountains. The community is good maintained and there is a noteworthy deficiency of graffito. litter. and abandoned countries. The metropolis has a low violent offense rate and is good equipped with constabulary. fire combatant. and exigency medical services. with an mean response clip of 4:57 harmonizing to the one-year constabulary study ( City of Scottsdale. 2010 ) . Scottsdale besides has many national nutrient Bankss. blood Bankss. infirmaries. and mental wellness installations to serve its community members. With an norm of three 100s and 14 cheery yearss a twelvemonth. Scottsdale occupants and visitants likewise enjoy the multiple out door activities and locales that the community has to offer. Scottsdale will host may esteemed events such as the award winning Arabian Equus caballus show Cavalia. the universe celebrated Barrett-Jackson Collector Car Auction. Spring preparation for 15 major conference squads. and the Phoenix Open golf tourney ( Scottsdale Convention A ; Visitors Bureau. 2013 ) . The metropolis of Scottsdale is a world-renowned golf finish harmonizing to golf publications. golf pros. class designers and golf teachers. The country offers golf players more than one hundred and 74 public and private classs to take from ( World Golf. 2013 ) . The community has a large challenge keeping the grass on the multiple golf classs within a desert province with small H2O resorts. Scottsdale pioneered effluent reuse and H2O banking which recycles H2O within the community therefore dim inishing the demand to import H2O. The community aims to conserve its natural H2O resources. continue its meaningful unfastened infinite. and heighten the character countries that make Scottsdale such a desirable topographic point to populate ( City of Scottsdale. 2013 ) . Rated figure ten as one of Americaââ¬â¢s most playful metropoliss. Scottsdale values resources like boosting trails and museums while touting conditions for walkability and healthy life style picks ( Sperlingââ¬â¢s Best Places. 2013 ) . yet some of the community functional wellness form consequences reveal certain unhealthy tendencies. Scottsdale ranks in the top 10 in caffeine ingestion in the state ( Prince Market Research. 2008 ) . although low in nicotine ingestion ( 30 Cities with Smoking Problems. 2013 ) . intoxicant ( Ewalt A ; Vander Broek. 2008 ) . and drugs ( Vardi. 2009 ) . Despite the extended out-of-door recreational countries. a high per centum of clip is spent on sedentary leisure activities such as telecasting sing with 33. 3 % of striplings watching telecasting three or more hours a twenty-four hours. And. merely 25. 7 % participate in physical activities that last 60 proceedingss in a one-week clip period ( CDC-Arizona. 2010 ) . Scottsdale besides has the less desirable top 10 ranking for U. S. metropoliss with the worst air pollution ( Health. 2013 ) . above mean ozone ( Scottsdale=31. 8. US =28. 3 ) and particulate affair ( Scottsdale=33. 3. US=22. 1 ) ( City of Scottsdale. 2012 ) . A seeable brown cloud is apparent on bad air yearss. Children and the aged are vulnerable to respiratory jobs such as bronchitis and asthma. Local intelligence warns occupants to avoid out-of-door activities on risky yearss. Despite life in the ââ¬Å"Valley of the Sunâ⬠. many Scottsdale occupants have a vitamin D lack due in portion to protective steps implemented to cut down the hazard of skin malignant neoplastic disease. such as the usage of sunblock and turning away of Sun exposure. and in portion to hapless nutritionary consumption. Many community members are lacking in vitamin D with me rely 22. 3 % holding a vitamin D degree gt ; 30ng/ml with optimum scope between 50-80ng/ml ( Jacobs and Alberts. 2008 ) . Healthy nutrients rich in vitamin D. such as mushrooms. eggs. and fish are good beginnings of vitamin D. The functional wellness forms of the community. nevertheless. uncover a tendency toward unhealthy eating wonts within the community. The fleshiness rate is 24. 3 % . somewhat lower than the national norm of 35. 7 % ( CDC. 2013 ) ; however. about one in four people are corpulent. This per centum is brooding of the overall tendency in fleshiness rates lifting up from a national fleshiness norm of 13 % merely thirty old ages ago ( CDC. 2012 ) . There are one hundred and 32 listings for fast nutrient eating houses in the xanthous pages for Scottsdale. The metropolis streets are lined with eating houses. fast nutrient ironss. and food market shops providing to the busy lives of the people in the community. Healthy options are available in eating houses like True Food. Pita Jungle and My Fit Foods ; nevertheless. every twenty-four hours of the hebdomad. you will happen long lines at fav ourites such as McDonalds and In-N-Out Burger. The community of Scottsdale has a nutrition shortage related to inadequate vitamin D degrees and hapless nutritionary dietetic consumption. Healthy nutrient picks. such as increasing fresh fruits and veggies ingestion and nutrients rich in vitamin D. is recommended for the community. Bettering the nutritionary consumption of the community members lies in the development of public wellness schemes to increase public consciousness and attacks to advance healthy feeding and nutritionary wellness. Fortunately. Scottsdale Healthcare Systems is the taking employer in the metropolis with over 4. 500 employees. and the local Mayo Clinic is ranked 5th with about 1. 800 employees ( Sperlingââ¬â¢s Best Places. 2013 ) . These top employers provide wellness professionals and resources to ease coaction among public and private sectors in attempts to educate people. The Scottsdale Parks and Recreational community centres and YMCA centres offer plans that promote wellness services and could ease nutritionary instruction to the community ( City of Scottsdale. 2013 ) . Community members value wellness publicity to positively impact the lives of kids and households and would. therefore. would probably be receptive to recommendations for healthy eating wonts. Over all. Scottsdale is a desirable community to populate in and see due to its many out-of-door activities and its clean visual aspect one can bask. Educating the community of their hazard factors for existent and possible wellness jobs is indispensable for better wellness. The community of Scottsdale has resources to assist the community improve and prevent wellness jobs. On high pollution yearss. there is a warning system in topographic point to rede vulnerable groups avoid out-of-door activities on these risky yearss. Educating the community about eating healthy nutrients that are high in vi tamin D is indispensable due to lacks and hapless nutritionary consumption. Healthy nutrient picks will better nutritionary lacks. fleshiness rates. and help the people in the community to populate a better. healthier life manner. Gordonââ¬â¢s Functional Health Pattern and Assessment signifier was utilized in measuring the community ( see the appendix ) . A elaborate sum-up of the findings. every bit good as nursing diagnosings for each class. is presented in the attach toing tabular array. Mentions 30 Cities with Smoking Problems. The Daily Beast. Retrieved January 23. 2013 from hypertext transfer protocol: // World Wide Web. thedailybeast. com/articles/2011/01/03/30-cities-with-worst-smoking-problems-from-memphis-to-honolulu. hypertext markup language. City of Scottsdale ( 2013 ) . The official web site of the City of Scottsdale. Arizona. Retrieved January 24. 2013 from hypertext transfer protocol: //www. scottsdaleaz. gov. City of Scottsdale. Arizona ( 2010 ) . Scottsdale one-year constabulary section one-year study 2010. Retrieved from hypertext transfer protocol: //www. scottsdaleaz. gov/Assets/Public+Website/police/ Annual+Reports/2010AnnualReport. pdf. Centers for Disease Control and Prevention. CDC National Heart Disease and Stroke Prevention Program. ( 2009 ) . Arizona capacity edifice. Retrieved from hypertext transfer protocol: //www /cdc. gov/dhdsp/programs. Centers for Disease Control and Prevention. Immunization Information Systems ( IIS ) . ( 2010 ) . 2010 iisar informations engagement rates. Retrieved from hypertext transfer protocol: //www. Center for Disease Control and Prevention. gov/vaccines/programs/iis/annual-report-IISAR/2010-data. hypertext markup language Centers for Disease Control and Prevention ( 2012 ) . Retrieved November 13. 2012 from World Wide Web. Center for Disease Control and Prevention. gov/obesity/data/adult. hypertext markup language. Ewalt. D. M. A ; Vander Broek. A ( August 7. 2008 ) . By The Numbers: Americaââ¬â¢s Hard- Drinking Cities. Forbes. Retrieved January 23. 2013 from hypertext transfer protocol: //www. forbes. com /2008/08/07/alcohol-drinking-cities-forbeslife-drink08-cx_de_avb_0807hard. hypertext markup language. GOCYF. ( 2009 ) . Arizona statewide substance maltreatment epidemiology profile. Retrieved fromhypertext transfer protocol: //gocyf. AZ. gov/sap/documents/2009AEP/Full2009SAEP. pdf. Health ( 2013 ) . U. S. Cities With the Worst Air Pollution. Retrieved from: hypertext transfer protocol: //www. wellness. com/health/gallery/0. . 20490855. 00. hypertext markup language. Jacobs. E. T. . Alberts. D. S. ( 2008 ) . Vitamin D inadequacy in southern Arizona. TheAmerican Journal of Clinical Nutrition. Mar ; 87 ( 3 ) :608-13. Prince Market Research. ( 2013 ) . Retrieved from hypertext transfer protocol: //www. affiniongroupmedia. com /themes/ site _themes/affinionassets/ releases/health_saver/08caffeine/media/2008Final Report. pdf. Scottsdale Convention A ; Visitors Bureau ( 2013 ) . Retrieved January 24. 2013 from World Wide Web. experiencescottsdale. com. Sperlingââ¬â¢s Best Places ( 2013 ) . Retrieved January 24. 2013 from World Wide Web. bestplaces. net/city/arizona/scottsdale.U. S. Census Bureau ( 2013 ) . Retrieved January 24. 2013 from World Wide Web. nose count. gov. World Golf ( 2013 ) . Retrieved January 24. 2013 from World Wide Web. worldgolf. com.
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