Health and Social Care Essay Example for Free

Health and Social Care Essay We acknowledge with sincere thanks the many people who gave generously of their time to help us with this work. We particularly appreciate the expertise and advice o? ered by Arnon Bentovim, Richard Velleman, Lorna Templeton, Carolyn Davies and Sheena Prentice. The work has been funded by the Department for Education and we thank sta? in the department, particularly Jenny Gray who supported us throughout the work with her interest and valuable comments. The work was assisted by an advisory group whose membership was: Isabella Craig and Jenny Gray (Department for Education); Christine Humphrey (Department of Health) and Sian Rees (NICE); Arnon Bentovim (consultant child and adolescent psychiatrist at the Great Ormond Street Hospital for Children and the Tavistock Clinic); Marian Brandon (reader in social work, University of East Anglia); Carolyn Davies  (research advisor, Institute of Education, University of London); Jo Fox (social work consultant, Child-Centred Practice); David Jones (consultant child and family psychiatrist, Department of Psychiatry; University of Oxford); Sue McGaw (specialist in learning disabilities, Cornwall Partnership Trust); Sheena Prentice (specialist midwife in substance misuse, Nottingham City PCT); Wendy Rose (The Open University); Lorna Templeton (manager of the Alcohol, Drugs and the Family Research Programme, University of Bath); and Richard Velleman (University of Bath and director of development and research, Avon and Wiltshire Mental Health Partnership NHS Trust). Introduction This second edition of Children’s Needs – Parenting Capacity provides an update on the impact of parental problems, such as substance misuse, domestic violence, learning disability and mental illness, on children’s welfare. Research, and in particular the biennial overview reports of serious case reviews (Brandon et al 2008; 2009; 2010), have continued to emphasise the importance of understanding and acting on concerns about children’s safety and welfare when living in households where these types of parental problems are present. Almost three quarters of the children in both this and the 2003-05 study had been living with past or current domestic violence and or parental mental ill health and or substance misuse – often in combination. (Brandon et al 2010, p. 112) These concerns were very similar to those that prompted the ? rst edition of this book, which was commissioned following the emergence of these themes from the Department of Health’s programme of child protection research studies (Department of Health 1995a). These studies had demonstrated that a high level of parental mental illness, problem alcohol and drug abuse and domestic violence were present in families of children who become involved in the child protection system. Research context The 2010 Government statistics for England demonstrate that, as in the 1990s, only a very small proportion of children referred to children’s social care become the subject of a child protection plan (Department for Education 2010b). However, the types of parental problems outlined above are not con? ned to families where a child is the subject of a child protection plan (Brandon et al. 2008, 2009, 2010; Rose and Barnes 2008). In many families children’s health and development are being a? ected by the di? culties their parents are experiencing. The ? ndings from research, however, suggest that services are not always forthcoming. Practically a quarter of referrals to children’s social care resulted in no action being taken (Cleaver and Walker with Meadows 2004). Lord Laming’s progress report (2009) also expressed concerns that referrals to children’s services from other professionals did not always lead to an initial assessment and that ‘much more needs to be done to ensure that the services are as e? ective as possible at working together to achieve positive outcomes for children’ (Lord Laming 2009, p. 9, paragraph 1. 1). Practitioners’ fear of failing to identify a child in need of protection is also a factor driving up the numbers of referrals to children’s social care services which result in no provision of help. ‘This is creating a skewed system that is paying so much attention to identifying cases of abuse 2 Children’s Needs – Parenting Capacity and neglect that it is draining time and resource away from families’ (Munro 2010, p. 6). Munro’s Interim Report (2011) draws attention once again to the highly traumatic experience for children and families who are drawn into the Child Protection system where maltreatment is not found, which leaves them with a fear of asking for help in the future. A ? nding which was identi? ed by earlier research on child protection (Cleaver and Freeman 1995). Evidence from the 1995 child protection research (Department of Health 1995a) indicated that when parents have problems of their own, these may adversely a? ect their capacity to respond to the needs of their children. For example, Cleaver and Freeman (1995) found in their study of suspected child abuse that in more than half of the cases, families were experiencing a number of problems including mental illness or learning disability, problem drinking and drug use, or domestic violence. A similar picture of the di? culties facing families who have been referred to children’s social care services emerges from more recent research (Cleaver and Walker with Meadows 2004). It is estimated that there are 120,000 families experiencing multiple problems, including poor mental health, alcohol and drug misuse, and domestic violence. ‘Over a third of these families have children subject to child protection procedures’ (Munro 2011, p. 30, paragraph 2. 30). Children’s services have the task of identifying children who may need additional services in order to improve their well-being as relating to their: (a) physical and mental health and emotional well-being; (b) protection from harm and neglect; (c) education, training and recreation; (d) the contribution made by them to society; and (e) social and economic well-being. (Section 10(2) of the Children Act 2004) The Common Assessment Framework (Children’s Workforce Development Council 2010) and the Assessment Framework (Department of Health et al. 2000) enable frontline professionals working with children to gain an holistic picture of the child’s world and identify more easily the di? culties children and families may be experiencing. Although research suggests that social workers (Cleaver et al. 2007) and health professionals are equipped to recognise and respond to indications that a child is being, or is likely to be, abused or neglected, there is less evidence in relation to teachers and the police (Daniel et al. 2009). The identi? cation of children’s needs may have improved, but understanding how parental mental illness, learning disabilities, substance misuse and domestic violence a? ect children and families still requires more attention. For example, a small in-depth study found less than half (46%) of the managers in children’s social care, health and the police rated as ‘good’ their understanding of the impact on children of parental substance misuse, although this rose to 61% in relation to the impact of domestic violence (Cleaver et al. 2007). The need for more training on assessing the likelihood of harm to children of parental drug and alcohol misuse.

Mexico - A Special Place Essay -- essays research papers

Mexico - A Special Place It seemed at first like any other family trip with mom all excited and planning, my step dad telling everyone not to pack to much, getting on another plane, and then we land. First thing that I noticed was the heat, it made my knees buckle. Then looking around and seeing all the men with guns, everyone seems so serious going through the lines that have green and red light that either say that you can go or you have to be stopped and searched. It was scary seeing all of this right before my eyes. Everyone was speaking a language that I wasn’t understanding. All sorts of people running out to us trying to give us rides or selling stuff, I don’t really know because I don’t know what they were saying. Once we found the bus that my mom had reserved it was a long, hot, bumpy ride through poverty and dirtiness. What seemed like a ride that wouldn’t stop and seeing accidents and almost being in one myself, we finally reached a green, tropical area along the beach, where our condo was. The moment we got into the condo we all got our bathing suits on and ran to the beach. The first thing that I noticed was how hot the sand was. The sand wasn’t think the sand that was have in Washington, it was soft and clean and dry that was without rocks and sticks in it. We found a place to lay and put our stuff under one of the large umbrellas. When we went to go into the water I noticed something that I will never forget. The Mexicans where roped off from our area and all lined up wanting to sell us jewelry, shirts, hats, and pottery. My brother said that they tried to sell him some marijuana, but no one tried to sell me any of that stuff. Which is a good thing because I am only nine. I didn’t go to the ocean as fast as my brother and younger sister did. Or I didn’t do what my older sister did, which is flirt with the pool boys and try to get her tan started. I stayed with the people selling stuff. I kept thinking that I could swim any time but I could never talk and bargain and try to learn there language. I got so lost and I think that sometimes they had me say the wrong things because they laughed after having me say some phrase of theirs. I liked being the center of attention. I have learned so much about Mexico by just trying to talk to the venders. I even made friends that I think I will always remember and try to keep in touch with.   Ã‚  &nb... ...as the first trip. Being here at home and surrounded by our life with money, cars, school, and friends, I forget about the different life that others had in Mexico. I feel the excitement coming back to me every time mom wants to take a trip there. My first trip changed my whole perspective for other cultures and relly got me thinking about it would be like if I lived in Mexico or if I had to go through all of the poverty. It make me think how different my life would be if I lived there and thankful that I live where I do, but yet so excited to go down and meet all of the friendly people that can even remember me and my name when I see them. Mexico made me notice that with all of the friendly people down in Mexico and their not so great life style, that I now have a better understanding for everything that I have. Even though my life, my family life is different because it is just my mom and I now, when we go to Mexico I still feel the same way about Mexico as when I had my big fa mily. So I think that the place impacts me now with the same feelings no matter who I go with, it is just a special place. No matter how many times that I go to Mexico it is like the first time every time.

Customer Relationship Management Systems Education Essay

Sing that the companys concern schemes turn out to be more clients based with the alteration and personalize inspection and repair, the ( IT ) information engineering are make usage of non merely to supply services and merchandises within and concern, but besides to provide end-users of the organisations points for ingestion and services. Specially, the use of IT adjoins as a new facet to relationship selling, recognized as Customer Relationship Management ( CRM ) and at its inside, is about obtaining client, supplying services, cognizing them good, and looks frontward to their demands ( L.Ryals and A. Payne.2001 ) . Conventional selling concentrated on the four Ps ( monetary value, topographic point, merchandise and publicity ) for intensifying market portion from side to side addition in the measure of minutess among the purchasers and Sellerss. Although client relationship direction converge on utilizing schemes, tolls and engineering for encouragement the relationship among the m arketer and client focussing on increasing gross revenues net incomes, processs, client satisfaction and profitableness. However, to reply the nucleus inquiry I will cover up the undermentioned stairss:The Main CRM SystemsDefinition of CRM ( Customer Relationship Management )Advantage and Disadvantages of CRM with illustrationAnd DecisionThe Main CRM Systems:Finnegan, ( 2007 ) defined CRM system as â€Å" A CRM system is an information system that is used to be after, agenda and command the presales and post-sales activities in an organisations † . CRM comprise all portion of covering with bing and possible clients: Gross saless, selling and service or proficient support etc. sometimes its call ‘back office and front office systems ‘ because they are the border with the client. CRM systems are collected of analytical and operational parts. Operational CRM The bellow diagram ( figure-1 ) are shown based on the three basic parts of the CRM which contains SFA ( gross revenues force mechanization ) Gross saless CRM entail appraisal about telephone gross revenues, web gross revenues, reta il shop canvass, and field gross revenues ; CSS ( client service and support ) Service CRM entail client conventional applications related to name Centre informations, web self-service informations, and radio informations ; And EMA ( endeavor selling mechanization ) selling CRM involves run informations, content informations and informations analysis. Definition of Customer Relationship Management ( CRM ) :Harmonizing to nucleus demand and as an indispensable constituent of CRM we should do clear about what dose digital house mean is. Keneth C. Laudon and Jane P. Laudon ( 2007 ) defined digital house as â€Å" A digital house is one where about all of the organisations important concern relationships with clients, providers and employees are digitally enables † . However it is an interior concern process are achieved in the class of digital webs across the whole organisation or linking legion organisations. There are many definitions of CRM have been explicated and illuminate by different writers in different position. Pancucci ( 2002 ) observes that ‘there are a figure of definitions of CRM, even taking the ordinance into the domain of societal scientific discipline where the psychological science, behavior forms of group of people, and socio-economic position are seen as critical use of purchasing finding ‘ . Some are shown bellow:Gronroos, ( 1999 ) defined â€Å" CRM is a direct branch of the selling Concept: he explained as ; CRM is a committedness to at the same time hike client satisfaction and stockholders value by supplying consistent, seamless, high-quality experiences for valued client † .Christopher, Payne and Ballantyne, ( 1991 ) defined CRM as â€Å" it is the integrating of client service quality and selling, which has as its concern the double focal point of acquiring and maintaining client † .Strauss and Frost, ( 2001 ) defined CRM as â€Å" it is a holistic procedure of identifying, pulling, distinguishing and retaining client † .Grtner Group, ( 1999 ) â€Å" CRM is a subject – a doctrine even – that requires concern to recognize and foster their relationship with clients. With CRM, an single client ‘s demands and penchants are available to anyone in the concern working at the client interface, irrespective of channel. Each client is treated as an person in a relationship that feels like one-to-one † . However, thought behind the CRM is set up single association with clients, pleasuring different clients in a different manner based on the information acquired on their front-runners, first picks, and disbursement designs ; activates a concern executes to place, develop, get, and retain progressively profitable and loyal clients by presenting the exact merchandise or service, to the exact clients at the right clip, through the precise channel, and the right cost in the shop planning and supply concatenation functions through concern process mechanization, engineering solution and information ownerships to do the most every client contact. Advantages of Customer Relationship Management ( CRM ) :Customer relationship direction helps the concern houses which have determined to implement CRM scheme can ease with Numberss of following advantages: Construct up client keeping and trueness:Customer trueness can be defined harmonizing to Mcllroy and Barnet ( 2000 ) as â€Å" client ‘s committedness to make concern with a peculiar administration, buying their goods and services repeatedly, and urging the services and merchandises to friends and associated † . Therefore, the nucleus benefits of the client keeping and trueness are construct up long term relationship and steer finally to hike net incomes and gross revenues, doing mind of belonging, in the sentiment of Uncles ( 1994 ) harmonizing to consumer trueness programmes apprehensiveness is willing to introduce on behalf of clients, a feeling that the seller is acquire ready to listen, is caring and concerned and consideration methods. The consequence we can acknowledge as a keeping and trueness is an of import facet for client relationship direction ; harmonizing to Byrom ( 2001 ) there are more than 150 trueness strategies and about 40 million trueness cards in t he UK. For illustration Tesco trueness Club-card, introduce 1995 was to offer as â€Å" benefits to regular shoppers whilst assisting the company discover more about its client demands † ( Tesco, 2004 ) . The accomplishment of Tesco Club-card had been successful and celebrated in the food market universe as Smith, ( 2004 ) harmonizing to Club-card accomplishment evaluation â€Å" a 3rd of UK places use the plan † . Improved Customer acquisition Ratess:Customer acquisition is an parlance used to explicate the tactics and systems to pull off client point of view and enquiry typically allocate to the organisations to recite the effectivity of effect to pick of promotional activities through out the client lifecycle. However, client geting rate helps to the organisations with follow up client relationship direction ( CRM ) chance for cross-selling, repetition buying, up-selling and bring forthing advanced gross growing. For illustration Tesco Personal Finance ( TPF ) reached acquisition rates December 2008 for hard currency consideration of around 950m lb and get 6m Tesco Finance Customer histories with successfully followed by client relationship direction. ( Andrew Higginson, 2008 ) Improve Cross Selling and up-selling:Cross selling refers to selling things that are correlated or can be included with the points being sold. And up merchandising is the techniques of offering clients a merchandise in addendum to the merchandise are soon buying. For illustration if they sell digital Mobile, it makes sense to suggest linked merchandises to their client: more long life battery, screen, charger etc. or if they are up sell to their client they can offer about anything in addendum to the points clients are antecedently paying attending. However, it is encourage to client to come once more in the shop with purchasing purpose to clip, and enhance to doing long term relationship as a portion of client relationship direction activity. Hike the contract or Name centre effectivity:Taylor and Bain ( 1999 ) has been defined call Centre as â€Å" it is a dedicated operation with employees focused wholly on client service maps, employees are utilizing telephone and computing machine at the same time, and where call procedure controlled and processed by an automatic distribution system † . There has been consistent recent enlargement in call Centre inspection and repair world-wide, with the call Centre of the modern-day expected to progress into the client entree Centre of the hereafter, and supplying a new economical footing for assorted organisations. The activity and effectivity of a call Centre are deriving client orientation, service precedence, growing of turnover, and contribute wholly on the client service map. For illustration UK largest Mobile networking company o2 has given responsibly to keep client service activity through assorted call Centres such as: Active Business Communication call Centre, Active Digital call Centre, Aerial call Centre and so on ( www.o2.co.uk [ accessed-16/01/10 ] ) . And they are determined to give first-class clients feedback on-behalf of o2 Mobile web to keep good client relation. However, client relationship direction has being bearing a great advantage for encouragement the contract or name centre effectivity with the enterpriser and standard client service. Deliver a individual, knowing position of the client:A watercourse advantages for a company conveying out by following client relationship direction system are placing and aim the greatest clients and coevals of distinction of excellence directed for the gross revenues force, create direction of gross revenues and marketing campaigns more effective by puting precise ends, established features relationships with the clients with the vision to do the most house ‘s net incomes and advancement client satisfaction, Understanding the desires of employees and continue a sound co-relationship with them. Disadvantages of Customer Relationship Management System ( CRM ) :Not merely CRM system has advantages so far it can be such a restriction as follows:High Software Cost:For the most portion state of affairs insist package support for client relationship direction affair but the cost of such package is normally elevated. For illustration Wendy Close, research manager at Stamford, Conn.-based Garthner Inc. , allocated the cost for most favorite ‘SIEBAEL ‘ CRM package at $ 16000 to $ 25000 per user, a sum that includes package, preparation, services and hardware. However, this cost might non be low-cost where fewer figure of seats and non holding often economic systems of graduated table convey the monetary value down to $ 12000 for each user. ( www.searchcrm.techtarget.com ) [ Accessed-16/01/10 ] Managing Datas:It is non easy to get by with Immigration and Naturalization Services and outs of informations warehousing and informations disfiguration engineerings. It entails a batch of historical informations to scrutiny analysis and analyze the tapping of information energetic out of it. For illustration the article says on respect Tesco Data Swapping with Oil of Olay and raises a large inquiry â€Å" This is traveling to be large, and non merely in fast traveling consumer goods † . Alan Mitchell ( 2002 ) Not Easy to Process:The appraisal of CRM procedure and its operation is non an easy mission. It requires multidimensional public presentation, and multifactor client behavior which are hard to qualify. Even if they are described in some state of affairs largely score card or in metric format, which is frequently hard to rehearse and understand them. A study found that conducted by research and consultative house Gartner ( Zimmer, 2006 ) â€Å" more than half of the organisations who have implemented the CRM have troubles after execution † . Harmonizing Crowbars, C. & A ; Stone, M. ( 2004 ) Aberdeen Group CRM Spending and Satisfaction study ( February, 2003 ) identified that on a user ranged among of â€Å" somehow satisfied † and â€Å" satisfied † scope from one ( non satisfied ) and to five ( wholly satisfied ) which are depends on Area/ location. Approachs of past purchasing behavior of consumer might n't be same in the hereafter excessively! :Majority of CRM move towards with cod informations on the past buying behavior of client and set abouting it as the likely behavior in farther excessively. This could be an immoral guess in a figure of positions. Customer constrains maintain on switching and varies upon the criticalness of the intent and the degree of letdown with the bing options. For illustration, an article study says Tesco broadband dissatisfaction rate due to hapless client service and experience 2009 churn rates of around 20 % per annum. However the 20 % are used to regular client of Tesco. ( www.phone-shop.tesco.com/latest-news ) [ Accessed-17/01/10 ] Decision:However in the terminal of the study it is explicable that, In malice of that, the client relationship direction has become a maximal precedence for legion of companies. Bohling et Al. ( 2006 ) remarks on diary of CRM execution as ; â€Å" in many competitory markets, concern invest well in CRM execution recently though, companies have become progressively displeased with client relationship direction apply, as the bulk of them are falling short of the outlooks that precede them and are hence considered failures † . Conversely, though it has being first prioritized for many companies but non all companies are being success based on comparison to advantage and disadvantages of client relationship direction in digital houses. Kumar and Shah ( 2008 ) argued that â€Å" CRM offers house strategic benefits, such as greater client satisfaction, and trueness † . Anders ( 1996 ) remarks as â€Å" it is a higher response cross-selling attempts and better word-of-mouth promotion † . However, though some disadvantages and statement has been placed but it is should be remind that CRM assists a company dressed ore on the client as an assets side by side consumers are non forced to by necessity in the same organisation. Many companies waste a batch of money obtain new clients and waste it by neglecting to get to cognize and grok their client, retain and maintain in grip with them. Therefore, Company should setup CRM system based on allow to clients to manage their relationship with multiple providers instead than the other manner embracing. Bibliography:L. Ryals, and A. Payne, ( 2001 ) ‘Customer relationship direction in fiscal services: towards information enabled relationship selling, diary of strategic selling, vol.9, pp. 4-27.Anderson, Eugene W. ( 1996 ) â€Å" client satisfaction and monetary value tolerance, † selling letters, vol.7. ( July ) , pp.265-74Kumar, V. ( 2008 ) , ‘managing client for net income ‘ . Upper Saddle River, NJ: Wharton School Publishing. -and Denish Shah ( 2004 ) , â€Å" edifice and prolonging profitable client trueness for the twenty-first Century, † Journal of Retailing, 80 ( 4 ) , pp.317-30T.Bohling, D.Bowman, S.Lvalle, V.Mittal, G. Ramani et Al. ( 2006 ) , CRM execution: Effective issues and penetrations, Journal of Service Research 9 ( 2 ) , pp.184-194.Performance of Customer Relationship Management with Diagram hypertext transfer protocol: //www.kssi.ae.wroc.pl/~mowoc/Dydaktyka/MIS/Lect5.pdf [ Accessed- 09/01/10 ] Strauss, J. & A ; Frost, R. ( 2001 ) , E -marketing. Upper Saddle River, NJ: Prentice Hall.Gronroose, C. ( 1999 ) . Relationship selling: Challenges for the organisation. Journal of Business Research, vol.46, pp.327-355.Gartner Group, ( 1999 ) , specifying CRM: available at: C. Pries & A ; M. Stone ( 2004 ) ‘Managing CRM execution with consultants- CRM or alter direction? , diary of alteration direction, vol.4, No.4, ( December ) , pp.352-370Christopher, M. Payne, A. and Ballantyne, D. ( 1991 ) ‘Relationship Marketing- delivery quality, Customer Service, and selling together, Butterworth-Heinemann Ltd. , Oxford.Keneth C. Laudon and Jane P. Laudon ( 2007 ) pull offing the digital house, 9th edi. Upper saddle river, NJ: Prentice Hall.Finnegan, D & A ; Willcocks, L ( 2007 ) Implementing CRM: from engineering to knowledge, jhon willy and boies LTD. Wet Sussex, England.Mcllroy, A. , Barnett, S. ( 2000 ) , â€Å" edifice client relationships: do dismiss card plants? † pull offing the service quality, Vol. 10 n o. 6. Pp.347-55Uncles, M. ( 1994 ) â€Å" Do you or your client need a trueness strategy? â€Å" , diary of Targeting, measuring and analysis for selling, vol. 2 no.4, pp.335-50Byrom, J. ( 2001 ) â€Å" the function of trueness card informations within local selling enterprises † , international diary of Retiling & A ; Distribution Management, vol. 29 No. 7.pp.333-42Tesco, ( 2004 ) , â€Å" Corporate information † , p. 1-3 available at: www.tescocorporate.com [ accessed-17/01/2010 ]Smith, J. ( 2004 ) , â€Å" Every small aid † , The Ecologist, vol. 34 No.7, pp.1-9Higginson, A ( 2008 ) , â€Å" can Tosco truly offer the same value as my bank † , p.1-4 available at: www.tescoplc.com/annualreport09/storage/pdf/retailing_services.pdf [ accessed- 17/01/10 ]O2 Centre of first-class partner- hypertext transfer protocol: //www.o2.co.uk/sme/whyo2/o2partners/excellence-centre [ accessed-16/01/10 ]Taylor, P. and Bain, P. ( 1999 ) , â€Å" An assembly line in the caput ‘ : work and employee dealingss in the call Centre † , â€Å" Industrial Relations Journal, vol. 30 No. 2, pp. 101-17Cost of Siebel CRM package: hypertext transfer protocol: //searchcrm.techtarget.com/tip/Siebel-CRM-software-costs [ accessed- 16/01/10 ]Alan Mitchell ( 2002 ) , ‘Can company affords to portion CRM strategies? † p.1-1 available at www.marketlocation.com [ accessed-14/01/10 ]Zimmer, J. ( 2006 ) , â€Å" Be ready to take the heat † , Destination CRM, Viewpoint available at: www.destinationcrm.com [ accessed-14/01/10 ]Tesco Telecom, overseas telegram & A ; warless: ( November, 2009 ) , available at: hypertext transfer protocol: //phone-shop.tesco.com/latest-news/Tesco % 20Telecoms % 20CW % 20release % 20FINAL.pdf [ accessed: 17/01/10 ]Crowbars, C. & A ; Stone, M. ( 2004 ) , â€Å" Pull offing CRM execution with consultants- CRM or alter direction † job with CRM execution, â€Å" diary of alteration direction † vol. 4. No .4, pp.350-370.

Marginalized Women Veterans With PTSD - Free Essay Example

Sample details Pages: 5 Words: 1647 Downloads: 10 Date added: 2019/04/15 Category Society Essay Level High school Tags: Veterans Essay Did you like this example? MARGINALIZED WOMEN: VETERANS WITH PTSD Veterans with PTSD In 2015 a study was conducted that showed an increase of about 47 percent of women veterans that are utilizing the Veteran Administration healthcare system, (Shivakumar, Anderson, Suris, North, 2017). These women are much younger than their male colleagues in the same positions. Post-traumatic stress disorder, or PTSD is one of the most common diagnosis among women the ages 18-44, (Shivakumar, Anderson, Suris, North, 2017). Around 7.5 percent of the total patients seen by the VA healthcare system in 2015 consisted of women. (Kehle-Forbes, Harwood, Spoont, Sayer, Gerould, Murdoch, 2017). It was shown that women use the VA services more frequently than males, but care of those veteran women is lacking and needs to be enhanced. Women report feeling not welcomed and an inconsiderateness to their needs was apparent. The woman studied, discontinued their care because they felt as though the provider was not meeting their needs, (Kehle-Forbes, Harwood, Spoont, Sayer, Gerould, Murdoch, 2017). Less than half of woman veterans that received services for mental health within the VA system felt as though their needs had been met, (Kehle- Forbes, Harwood, Spoont, Sayer, Gerould, Murdoch, 2017). Don’t waste time! Our writers will create an original "Marginalized Women: Veterans With PTSD" essay for you Create order This paper examines the common issues women veterans encounter when receiving mental healthcare for PTSD from the VA healthcare system. These issues will be addressed as well as social justice problems, ethical issues, socio-economic problems and strategies of action to bring about positive outcomes. An action plan will be prepared and conveyed to the VA Hospital administration in hopes that it will be taken into consideration to create a new process to help female veterans in obtaining adequate care. Several scholarly studies and evidence-based methods as well as current guidelines will be applied to create this action plan. It is important to consider any gender differences when managing the unique needs of the female veterans. There is room for enhancements in assessment, improved screening tools, and treatments that coincide with current interventions to minimize the psychological impact and encourage recovery. Current Incidence and Prevalence recent study showed that 17 percent of The National Guard and 15 percent of active military are A female. The same study also showed that 20 percent of new recruits are women, (Conard Sauls, 2013). About half of these woman deploy to Iraq and Afghanistan. These missions place these women right in the middle of the action in war zone territories, (Conard Sauls, 2013). they are not in direct combat, they Even if are exposed to the war zone in other ways such as medical units. In todays military, woman take on the same roles and tasks as the men they serve beside including combat pilots, police, intelligence, medical personal, etc, (Conard Sauls, 2013). Suicide and car bombings, roadside bombs, and ambushes are just some of the hostile situations these woman endure. Even when in noncombat type rolls, they are exposed to these violent a encounters and witness other traumatic events such as sexual assault, torture, and death. This can be a daily occurrence and when unable to return home and step away from these situations, leads to post traumatic stress it a it disorder, or PTSD, (Conard Sauls, 2013). Sensory exposure happens to many medical service women due to the constant exposure to dying patients and leads to woman having difficulty caring for the wounded in combat zone, (Conard Sauls, 2013). Anxiety, depression and PTSD go hand in hand and commonly present together increasing the risk of suicide among this group. The reports are outstanding, with woman veterans times more likely to commit suicide than non-military woman, (Conard Sauls, 2013). These woman being 3 a have an absence of personal hygiene and privacy as well as other issues that their male counterparts do not experience. Along with the added stress of war, these women also have chance of extended deployments, a (Conard Sauls, 2013). About 20 percent of female veterans deployed to Iraq have been diagnosed with PTSD, (National Center for PTSD, 20118). Socioeconomic Aspects of Women Veterans with PTSD A PTSD impacts the female veterans quality of life and vulnerability while deployed. study showed that 59 percent of the woman veterans had unmet medical needs and also screened positive for PTSD in the 12 months prior. Cost was reported as the delay in seeking care, (Lehavot, Der-Martirosian, Simpson, Sadler) A PTSD is a it Social Justice The effect of social justice and injustice of mental health and the VA Healthcare system majorly impact female veterans and their treatment for PTSD. In a survey of female veterans with PTSD that deployed to Iraq or Afghanistan, found that their opinion of treatment of their mental illness from the VA to be negative rather than positive, (Fox, Meyer, Vogt, 2015). They also felt that male veterans were treated better than the female veterans and swayed their longing to seek out treatment at the VA, (Fox, Meyer, Vogt, 2015). There is a stigma that accompanies any mental illness in itself, but for women veterans with PTSD to feel as though they are being treated differently because of sex is an injustice to not only them, but the entire VA system. Ethical Issues Suicide and PTSD in our veterans has been a big topic in the mainstream media. There is a huge stigma associated with mental illness and suicides, veterans with PTSD owning firearms, and the VA sy stem in general, (Bongar, Sullivan, James, 2017). Politics and avoidance of responsibility has dominated over ethical obligations to the female veterans with PTSD. Cost and financial obligation have become more of an ethics issue when dealing with our female veterans. Fear of judgement sometimes tends delay woman from seeking care and treatment, (Koven, 2017). The substandard care of women veterans with PTSD has a negative effect on the nations citizens because it causes distrust of the government. Theses woman risk their lives for a country that refuses to give quality mental health care, (Koven, 2017). Washington, 2013). recent study found that most of the women with PTSD did not have any insurance other than the VA and they did not know that they were eligible for VA benefits, (Lehavot, Der-Martirosian, Simpson, Sadler, Washington, 2013). Recent reports have shown that many female veterans feel uneasy in societal institutions because of instances that occurred in combat. (Jackson, 2014). Morbidity and mortality of not directly related to socioeconomic status however, may impede the accessibility of seeking treatments and in turn lower the chance of positive outcome. Plan to address this group Change needs to happen in regard to treatment strategies for our female veterans who suffer with PTSD. The American Psychological Association (APA) Practice Guidelines for the Treatment of Post-traumatic Stress Disorder (PTSD) will need to be evaluated and improved. This needs to start in the primary care setting and can easily be done by recognizing and screening all veteran females, (Sarah Christopher, 2017). Social support has been shown to drastically impact female veterans who return from deployment. Symptoms are more controlled when women are able to talk about their feelings of PTSD with people close to them. Reports have shown that they adjust better when accepted by group and are able to have that release, (National Center for a Conclusion In conclusion, the VA system needs to convey accessibility, trustworthiness, and discretion for woman with PTSD. Recognizing PTSD symptoms by utilizing better screening tools and the clinical practice guidelines will lead to earlier treatment and education of female veterans with PTSD. Social stigmas associated with mental health need to be recognized and demolished so that female veterans can feel as if the care they need is achievable. The VA will start to enroll female veterans with PTSD to patient specific programs because the evidence supports this new process and provides them with the adequate care that is required for healing. Encouragement to join support groups, social clubs, and any positive group settings to help reintroduce these female veterans back into the community and help create a support system. PTSD, 2018). Positive motivation should be given to join groups like the VFW to get involved with functions to give those needed outlets veterans in order to help create social connections, (National Center for PTSD, 2018). References Bongar, B., Sullivan, G., James, L. (2017). Handbook of military and veteran suicide: Assessment, treatment, and prevention Oxford University Press. Retrieved from https://search.proquest.com/docview/1945129743?accountid=28179 Conard, P. L. and Sauls, D. J. (2014), Deployment and PTSD in the female combat veteran: A systemic review. 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