Friday, January 24, 2020

Media Portrayal of Mental Illness in America Essay -- Media American S

Media Portrayal of Mental Illness in America The media in American society has a major influential impact on the minds and beliefs of millions of people. Whether through the news, television shows, or film, the media acts as a huge database for knowledge and instruction. It is both an auditory and visual database that can press images and ideas into people's minds. Even if the individual has no prior exposure or knowledge to something, the media can project into people's minds and leave a lasting impression. Though obviously people are aware of what they are listening to or watching, thoughts and assumptions can drift into their minds without even realizing it. These thoughts that drift in are extremely influential. The massive impact it can leave on America's perception leads to generalizations, assumptions, and stigmas. The media influence is not always negative, however. In most cases it has beneficial and positive aspects. Without the media, people would be drastically less informed and conscientious about major issues in t he world around us. In some cases, however, the way the media portrays an issue can twist one's perception, leaving an assumption instead of a factual concept. Mental illness is one of the biggest concepts that the media has distorted due to the majority of portrayals the media presents. Mental health is extremely important and plays a key role in every individual's life. Yet it is also has millions of misconceptions. Mental illness is more common that one would like to believe. In reality, one in five Americans will suffer from a mental disorder in any given year. Though that ratio is about equivalent to more than fifty-four million people, mental illness still remains a shameful and stigmatized topic (National Institute of Mental Health, n.d.). The taboo of mental illness has an extensive and exhausting history, dating back to the beginning of American colonization. It has not been an easy road to say the least. Due to the endless efforts and research of certain foundations and in dividuals, the ideas and functions of mental health have improved significantly. The advancements made in the field are impressive and without them humankind would not be the same. Yet then why do only fewer than eight million people who are in need of help seek treatment? (National Mental Health Association, 2001). The history, stigmatization, and perce... ...on.(2000,May 15). Negative Media Images of People with Mental Illness Impact America’s Perception: NMHA Survey Focuses on Entertainment and News Media. Retrieved June,16,2002, from http://mhnet.org/articles/nmha3.htm National Mental Health Association.(2001). Did You Know? Retrieved June,16,2002, from http://www.nmha.org/infoctr/didyou.cfm Star,S.A.(1952). What the public thinks about mental health and mental illness. Paper presented at the annual meeting of the National Association for Mental Health. Star,S.A.(1955). The public’s ideas about mental illness. Paper presented at the annual meeting of the National Association for Mental Health. Swindle,R.,Heller,K.,& Pescosolido,B.(1997,August). Responses to â€Å"nervous breakdowns† in America over a 40-year period: Mental health policy implications. Paper presented at the meeting of American Sociological Association, Toronto, Ontario. U.S. Public Health Service.(1999). The Surgeon General’s Report on Mental Health. Retrieved June,5,2000, from http://www.surgeongeneral.gov/library/mentalhealth/home.html Veroff,J.,Douvan,E.,& Kulka,R.A.(1981). Mental Health in America: Patterns of help-seeking from 1957-1976. New York: Basic Books.

Thursday, January 16, 2020

Impact Public Management Health Social Health And Social Care Essay

( Question and Undertaking ) What is New Public Management? Critically discuss the impact of New Public Management on the bringing of Health and Social Care in the UK? New Public Management ( NPM ) , as the name indicates is a new planetary phenomenon, which shifts the focal point of public disposal to a more up-to-date public direction. Through NPM, the modern direction techniques holding their beginning in the private sector, is happening application in to the populace sphere besides. Moore et Al. ( 1994:13 ) high spots that â€Å" the cardinal feature of NPM is the attempt to originate or imitate, within those subdivisions of the public service that are non privatized, the public presentation inducements and, the ordinance and control that exist in a market environment. † NPM is no more an Anglo-Saxon phenomenon, as it was thought ab initio ; it is a planetary tendency. There are several factors lending to new public direction reforms in a state: societal, economic, political factors to pick the most of import. Technological factors like the rapid growing of information engineering to play a cardinal function as a taking factor towards NPM reforms. In the instance of most developed states, the changeless demand for increased efficiency of bringing of public services through cost cuts has accelerated the thrust for NPM. There was a demand for extremist alterations in the direction of the authorities with the chief aim of increased efficiency, effectivity of the system as a whole and economic system of running it ( Metcalfe and Richards, 1990 ) . In the recent old ages, the construct of public assistance province has undergone considerable alterations and up steps, as per the demand in the society, and this has challenged the traditional construct of province ‘s duties with regard to public services. The increased credence gained by the alleged ‘neoliberal thoughts ‘ in the 1980s and thenceforth has redefined these traditional constructs. Harmonizing to these neoliberal constructs, economic efficiency can be achieved merely through market competition, which offers free market pick to the populace ( Massey, 2005 ) . However, the instance of most developing states is different. There, chiefly external force per unit areas, which were strengthened after financial and economic crises they faced in the 1970s, have driven the NPM reforms. These include loaning conditions and other models imposed by external loaning bureaus like the IMF, World Bank, etc and their changeless accent on structural accommodations in the name of good administration. The increased usage of international advisers for structural reforms has surely added to this tendency, and they act as â€Å" alteration agents † for the reform processes. Decentralization of direction at assorted degrees within public services is the most of import component of NPM. This include the sloughing of governmental duties like the degeneration of fiscal control by the authorities through one-year budgets and the institutional restructuring steps like puting up of independent bureaus. Public services are thrown unfastened to competition by increased usage of markets like undertaking out of cardinal maps. The accent displacement to client orientation through high quality public presentation and better end products. Downsizing of authorities mechanism needed for the specific undertaking, and the spreading civilization of user charges are of import facets associated with NPM. In the instance of a figure of crisis provinces, reform of province owned endeavors have taken the challenge of reforms through undertaking out its cardinal operations associated with bringing of public services. Performance contracts are given in the instance of public public-service corporations like conveyance and electricity where the province retains the answerability for public presentation. Transparency of maps signifiers portion of the nucleus values of NPM. Contestability and value for money are similar of import values of NPM. NPM introduces and puts a type of quasi markets in topographic point. The wellness attention systems in UK can be viewed as an illustration of this. Again, private money is allowed to flux in freely, as in the instance of University fees in UK. In the procedure of coaction between two organisations, as portion of the NPM reforms, their civilizations play a critical function. The integrating of civilizations must non take to tensenesss and misgiving and hence forced integrating is non good for anyone. But at the same clip, culturally different organisations, if merged together, can be able to make a synergism and may be able to organize an advanced entity. Wherever implemented, NPM has been successful in power displacements towards new equilibriums. The strengthening of senior general direction and weakening of trade brotherhoods can be seen in this context. There is a tendency to authorise consumers of services in topographic point of public sector manufacturers ( Powell, 2007 ) . 2.0 New Public Management in UK The new reforms in UK started in the twelvemonth 1979 under the premier curate ship of Mrs. Margaret Thatcher. The mechanism was called â€Å" Prior option reappraisal † and was intended to analyze the activities of assorted authorities sections. For more than a century, UK populace sector was dominated by the old Public Administration original where probity and due procedure was emphasized more than existent results. The NPM original comes as a replacement to this old original and this is an illustration of a successful original alteration ( Greenwood et al, 1993 ) . It had the twin steering rules of directors and markets. Though due to widespread public sentiment, the NHS ( National Health Service ) was non privatized, this was thrown unfastened for competition. Two typical organisations were created: the DHAs ( District Health Authorities ) and hospital trusts. The DHAs were responsible for the wellness attention in a designated geographical country. They were granted specific budgetary support based on the population they were designed to provide. The position of infirmary trusts were modified into independent trusts in topographic point of their earlier â€Å" not-for-profit † position. A fund-holding strategy was besides introduced, through which the DHAs transferred their budget to group patterns depending on the class of patients and their figure. The figure normally varied between 1500 and 1800. The doctor who holds the fund on behalf of the patients is required to negociate with infirmaries and private clinics straight and take the most cost effectual wellness attention. This passage was non all of a sudden, but took about 20 old ages to make the full-blown province. The alterations were slow and limited in the beginning, as they started with the debut of the general direction. However, the procedure gained impulse later on and the quasi market experiment of 1990s was synoptically restructured. But since 1997 there was few harnessing back of market finding forces, particularly in sectors like primary wellness attention. However, in other sectors, the private finance flow has steadily been increasing. With in wellness attention systems of audit public presentation direction and assessment mechanisms have steadily improved and matured. Managerial functions have been more and more detailed. General direction was introduced and clinical professionals and physicians were bit by bit involved in the direction of wellness attention system. They performed the function of portion clip directors. This had the consequence of a displacement in power focal point within wellness attention systems. The managerial block emerged as the clear victor of the conflict for power equilibriums with in wellness attention organisations. The liberty of clinical professionals was no more absolute and their trade brotherhood dickering power has been well weakened ( Felie et. Al, 2002 ) . Therefore, every bit far as UK wellness attention sector is concerned, it can be boldly said that the NPM original has grown in to a full-blown province. Peoples have started to take the one time fresh ways as taken for granted. Kitchener in 1998 pointed out that the advancement towards a â€Å" Quasi market original † was about complete. However, there was a powerful clinical presence in topographic point of a simply managerial government. The word ‘quasi market ‘ is used because although market mechanisms have been introduced, it has to run with in some major restraints, which are absent in the private sector. The most of import of these restraints is that, the handiness of financess in the market is determined by the authorities each twelvemonth through the budgets. Therefore, no participant in the market can increase the entire size of the market. 3.0 NPM and Performance of UK in Health Care Among the states of the European Union, UK has a relatively low cost wellness system. It spends about 6.7 % of its GDP on wellness, where as it is 10.6 % in Germany, 9.6 % in France, and 8.6 % in Netherlands. But in footings of public presentation, UK has a comparatively better place in malice of such lower disbursement. It is placed 14th on a list of 29 states of the OECD in footings of critical indexs like infant mortality. In the instance of life anticipations besides the image is non that bad. If we take the illustration of USA with mostly private participants in the wellness attention sector, the disbursement is much more in footings of per centum of GDP, but its public presentation is non so attractive in comparing with other industiralised states. This raises echt uncertainties on the premise that public wellness attention system is ever inferior and under executing in comparing to a private system ( Dawson et. Al, 2002 ) . The chief characteristic of the populace sector in UK is its uninterrupted public presentation measuring. This includes marks set antecedently in a centralised mode, the regular coverage of the informations and steps to modulate the system behavior through wagess and punishments. Clarkson ( Clarkson et. Al, 2009 ) point out that the societal attention establishments in UK have improved their public presentation over the old ages after the NPM reforms, whereas the corresponding state of affairs in Northern Ireland is more or less inactive. Different types of evaluations are used for the intent. There are many public presentation arrows, which are clearly mapped on to drumhead studies of a New Performance Management System analysis. But there are unfavorable judgments that direction in action of a heath attention system seek to pull strings inspectors for accomplishing higher evaluations than they deserve ( Ferguson, 2009 ) . In the instance of NPM reforms of wellness attention in UK, some argue that it is dubious whether the competition ushered in as portion of the reforms has lead to improved wellness results in existent footings. The application of NPM has given topographic point for larger suppliers like insurance companies and large infirmaries, but the existent betterment in the wellness attention is still problematic ( Simone, 2008 ) . The most of import unfavorable judgment of NPM is that it has a inclination to concentrate on the procedure instead than the results ( Glasby, 2008 ) . Therefore, it is like seeing the forests and non the forest. The integrating becomes an terminal in itself, instead than going a agency to an terminal, Internet Explorer ; integrating of assorted procedures to hold the consequence of improved service bringing to the users. Most of the researches besides give undue importance to the procedure of integrating without giving equal attending to the jobs originating out of that. For the successful execution of NPM, the context of reforms, i.e. how good the bing system is working and what is the demand for integrating should be clearly borne in head. Then the specific constructions needed to accomplish the coveted results must be carefully designed. The focal point should be on give voicing the possible benefits in positive footings. E.g. in the recent reforms in kids ‘s servicesA in UK, alternatively of ‘preventing the maltreatment on kids ‘ the focal point was on more wide construct of ‘keeping kids safe and good ‘ . Another of import thing is to be unfastened and true, particularly to avoid misgiving and cynicism. The donees of the procedure can be the users of the services, the staff or the organisation itself. It is of import to specifically province that who is chiefly benefited. Sometimes there is a inclination that the confederates may truly be seeking benefits for the spouses, but creates an feeling that it is all done for the benefit of the users of services ( Glasby, 2007 ) . There are besides academic deliberations on the consequence of NPM on the basic moralss and values of public services. It is widely criticized that NPM has eroded the equity, nonpartisanship and probity of public services and has damaged the â€Å" human face † of these cardinal services. If person assumes that the acceptance of NPM reforms is good in all instances, it would be a hapless apprehension of the topic. Though there could be many advantages particularly in developed states, the acceptance of NPM in the instance of crisis provinces can be ( and would be ) debatable to a considerable degree. Therefore, execution of NPM reforms is non a Panacea in such instances. The public sector in such crisis provinces needs a more careful execution of the reforms and the extent of the reforms should be limited to selected sectors.

Wednesday, January 8, 2020

The Effect of the Battle at Antietam Essay - 1467 Words

The Effect of the Battle at Antietam The effects of the bloodiest battle in American military history spread all over the world; however, the resulting Emancipation Proclamation, in particular, had an enormous impact on Britain’s decision to not recognize the Confederacy as a nation. During a low point for the Union, the birth of this pivotal piece of anti-slavery legislation from the Battle at Antietam helped deter Britain from intervening. The Battle at Antietam and the resulting Proclamation were colossal victories for the Union as they discouraged the intervention of the British, preventing potential war between the United States and Great Britain. In 1862, during the time of the Battle at Antietam, the British Cabinet was†¦show more content†¦Thus, doubt began to linger in the forefront of the minds of the British. Consequently, intervention was delayed. Moreover, Lincoln’s ideas about ending slavery caused Britain to hesitate (Brauer). Two major reasons contributed to Britain seeking intervention as a result of the Battle at Antietam. First is the fact that America practiced slavery. In a letter from Secretary of State William H. Seward to Henry Adams 18 August 1862, Seward wrote, â€Å"I cannot avoid thinking that the ideas of intervention and mediation have their source in an imperfect conception in Europe of the independence of the American Nation† (Papers Relating to Foreign Affairs). It is important to remember that both Britain and France were anti-slavery at the time. Slavery was viewed as one of America’s most noticeable imperfections. Secondly, the cotton famine was severely affecting the British. When the Union captured New Orleans, cotton flow to Britain was still not returned as promised by Seward. Throughout the summer, pressure built for Britain and France to mediate a settlement, which would mean Confederate independence. The Paris Constitutionnel reported in June 1862 that only British intervention would end this bloody war (McPherson 57). In a letter from Henry Adams to Seward in August 1862, Adams thought the cotton famine was shifting support towards the Confederacy in Britain. Also, the government was not strong enough in Britain to forceShow MoreRelatedThe Battle Of Antietam And The Civil War876 Words   |  4 Pagessentence perfectly represents the Battle of Antietam as a turning point in the Civil War and its effect on America decades later. The small step was one man s step on the moon just like the Battle of Antietam was just another battle during the Civil War, but they were short and impact ful events that revolutionized their fields. America s advances in science and technology would not be the same without that one step on the moon. Similarly, without this one battle, America s modern beliefs on slaveryRead MoreThe Battle Of The American Civil War1018 Words   |  5 Pages On September 17, 1862, the Union and Confederate armies met near the Maryland village of Sharpsburg in a battle that still remains the single bloodiest day in American history. The battle consisted of many attacks and counterattacks between Union General George B. McClellan and The Army of the Potomac against Confederate Robert E. Lee and his Army of Northern Virginia. Despite being heavily outnumbered, the Confederates managed to fight relentlessly over the course of the struggle. However, afterRead MoreThe Battle of Antietnam1232 Words   |  5 PagesThe Battle of Antietam was the bloodiest, most significant battle of the Civil War. 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The first problem was that the North and South hadRead MoreCommunist Leader Joseph Stalin : The Death Of One Man1661 Words   |  7 PagesDavis’s second plan to come in to effect. This lack of faith was reiterated, and dissipated the South’s advantages by virtue of the fact that it set a standard that the Confederates were willing to quickly adapt and never held true to their strategy. Along these lines, this lack of discipline fortified the Union’s strengths as the readily conforming nature of the Confederate army lost sight of their defensive advantages, unaware that they were fighting a battle of endurance. Accordingly, as Sun TzuRead MoreThe Reasoning And Significance Of The Emancipation Proclamation1090 Words   |  5 Pagespursuit for a better America. The Battle of Antietam (also known as Sharpsburg) stopped the pursuit of the Confederate Army trying to enter into Virginia and is known as one of the bloodiest one day battles in America. 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