The Relationship Between Homelessness And Schizophrenia Essay

The Relationship Between Homelessness And Schizophrenia Essay Psychiatric disorders can lead to many types of problems. These problems can range from housing instability to disease, and even death. Having a disorder and lack of stable living conditions most often further complicates the overall health and the care this is a bit confusing for a homeless adult. Without the proper health care, the mind will become even more unstable. This does not automatically follow logically. Individuals with severe mental illness soften most times with homelessness because of their inability to accomplish daily tasks and earn money. Mental illness is serious and severe and can have a domino effect on ones life and those surrounding the individual. The hand in hand relationship that homelessness shares with mental illnesses are disturbing. One of the many mental disorders that can lead to homelessness is Schizophrenia. Stating that an individual has a mental illness can be interpreted many ways, however, it is usually defined and understood as a psychological disease or disorder. The severity of the illness determines how much of an individuals daily functioning will be affected. The ability to care for ones self, a home or household and the ability to maintain an intimate relationship are lost. Homeless people with mental disorders remain homeless for longer periods of time and begin to have less contact with family and friends. Mental illnesses, such as schizophrenia or severe depression, can cause a strain on family and other social relationships (Hawkins and Abrams 2007). Studies have examined what the quality of life is like after discovering that one has a mental illness, those who become homeless and other studies focus mainly on treatment options. Suffering from a mental illness makes it more difficult to gain employment. Having poor health also cripples the individuals desire to seek help, and whether they can receive help or not is another issue. Studies that take a deeper look into the rates of homelessness could lead to better treatment and help. It is especially important to study mentally ill homeless individuals that have substance abuse since these individuals are one of the most disadvantaged groups among homeless persons (Levine and Huebner 1991). There is no one explanation as to why an individual who is mentally ill will begin abusing their bodies with drugs, it is known though that when substance abuse and mental illness are combined contact with law enforcement is inevitable. All people with mental disorders, including those who are homeless, require ongoing access to a full range of treatment and rehabilitation services to lessen the impairment and disruption produced by their condition (U.S. Department of Health and Human Services, 2003). Most people with the mental disorder do not need hospitalisation, what they do need is better housing options and more treatment options and but can live in the community with the appropriate supportive housing options. Further studies do show however that these community-based services are far and few in between and there is not enough housing to accommodate the growing number of patients affected by a mental illness. The hardest challenge to face with helping mentally ill patients is that the illness causes other cognitive problems. Dr Yuodelis Flores states that the most serious barrier to treatment is lack of insight, persons with serious mental illness may not understand that they are ill and need care. Severe and persistent mental illnesses (SPMI) including schizophrenia, bipolar disorder, major depression and dementia impair judgment, conceptual understanding and the capacity to make appropriate behaviour decisions (HCH Clinicians Network, 2000). A patient, who is now learning of their illness, reacts irrationally and with anger and then instead of trying to understand the illness they just shut out those closest to them. Schizophrenia is a serious disorder of the mind and brain but it is also highly treatable. There is a constant flow of improvement on the medications for this illness. In addition to that, there are many new and improving psychosocial treatments and cognitive therapies for schizophrenia that are being tested and approved for use. One of the theories of what causes schizophrenia is that it is a result of a genetic predisposition combined with environmental exposures and or stress (The Internet Mental Health Initiative, 1996-2010). Stress can trigger a preexisting illness into existence, which in the case of Schizophrenia makes sense in terms of one having a genetic predisposition to the disease. Schizophrenia-like most other illnesses do not develop until after the age of 18, however, an age range is given due to the fact that illnesses have developed earlier in some. Men tend to develop schizophrenia slightly earlier than women; whereas most males become ill between 16 and 25 years o ld, most females develop symptoms several years later, and the incidence in women is noticeably higher in women after age 30 (The Internet Mental Health Initiative, 1996-2010). Taking a closer look at an individuals support system also determines if a homeless result is possible. Mental illnesses, such as schizophrenia or severe depression, can cause a strain on family and other social relationships (Hawkins and Abrams 2007). Society is well aware of homeless people, but many are unaware of the reasons why and then many do not care to know the reason. When a homeless individual is seen many shy away especially if that homeless individual is acting out. This passive attitude towards the homeless does not help them nor does it help society. In 2002 the cost of schizophrenia was estimated to be $62.7 billion, with $22.7 billion excess direct health care cost $7.0 billion outpatient, $5.0 billion drugs, $2.8 billion inpatients, and $8.0 billion long-term care (The Internet Mental Health Initiative, 1996-2010). Being out of sight and out of mind, these numbers do not reflect the homeless. About 1% of the population is affected by Schizophrenia (The Merck Manuals, 2008). Schizophrenia affects men and women equally having no racial or socioeconomic preference. In the United States, schizophrenia accounts for about 1 of every 5 Social Security disability days and 2.5% of all health care expenditures (The Merck Ma nuals, 2008). Brandt (1995) studied how actively working with homeless who are suffering from schizophrenia can better their lives. He focused on the bag ladies as they are deemed social outcast as they have a tendency to act out when help is offered. Quite outspoken about his distaste on societies role in helping those in need, he began to roam the streets gathering individuals to be a part of his study. 35 homeless individuals were chosen between the ages of 22 and 70 and consisted of 17 women and 18 men. The results were significant enough to show that being proactive with these individuals is helpful no matter the age or gender. The only remaining issue however with treating homeless individuals just like with any other patient, is the need to want treatment. When someone is in need of help in whatever form of therapy needed, it is the patient that makes the initiative and this is unable to be the case with homeless individuals. Brandt (1995) acknowledged that Many different groups must be inv olved in the work. [This includes], psychiatrists, hospitals, general practitioners and the entire social welfare system. And the best possible contact must be maintained with the patient (p. 1). Antipsychotic drugs, rehabilitation, and psychotherapy are the major parts of treatment. Community support activities, such as job coaching, teach the skills needed to survive in the community. These skills enable people with schizophrenia to work, shop, care for themselves, manage a household, and it also rehabilitates their social abilities. Hospitalisation is seen more when patients relapse. Forced hospitalisation is also rare and is only seen when the individual is a threat to themselves or others (National Coalition for the Homeless, 2006). The death rate for homeless people is about four times greater than the rate for the general population and among young homeless men, the rate is even higher (National Coalition for the Homeless, 2006). According to the National Coalition for the Homeless (2006), average homeless adults die twenty years earlier than their non-homeless counterparts. Over half of homeless adults die violently and one-quarter of those is murdered (p.2). The appr opriate housing can provide the framework necessary to end homelessness for many individuals (National Coalition for the Homeless, 2006). A study done in 2002 by Folsom, McCahill, Bartels, Lindamer, Ganiats and Jeste not only examined the death rate in schizophrenic homeless individuals, but they then compared the preventative and primary care to those with severe depression. While depression is a mental illness, it does not cripple ones abilities the way that schizophrenia does. The stages of withdrawal from friends and family are the same, however an individual with depression is more likely able to describe their feelings to a doctor, and there is no stigma placed on this illness like those with schizophrenia. Schizophrenic patients can go undiagnosed for years and then when they are, many providers are uncomfortable with treating them and some do not even see a point. Folsom et al state that (2002) serious mental illnesses, including schizophrenia, are much more common among homeless people than in the general population. Investigations have consistently found higher rates of substance abuse, schizophrenia, bipolar disorder, and major depression among homeless people than in the general population (p.1). This is why preventive treatment is very important along with better housing. The growing number of homeless people is unknown, implementing better shelters that can provide the mental treatment needed will be a big step in helping these people. Folsom et al also noted that there is a direct correlation with schizophrenia and homelessness with death, the age-adjusted mortality rate for people with schizophrenia is about two times that of the general population; cardiovascular disease is the most common cause of death among people with schizophrenia. Homeless people have been reported to have a mortality rate [that is] 3.5 times as high as that of the general population (p.1). With this study and with all studies, the best care depends on the patient to supply the proper medical history along with any medical symptoms. Middle-aged and older homeless people with schizophrenia received less primary and preventive health care and were treated for fewer chronic medical problems than a comparison group with depression (Folsom, McCahill, Bartels, Lindamer, Ganiats, Jeste, 2002). Going forward with other research, monitoring the health care of schizophrenics should be compared to all the different types of mental illnesses as well as comparing them to those who have no mental illness at all. Any one of the homeless people that you see on a daily basis can be suffering from a mental illness, that fact is quite disturbing. It is something that should not be taken lightly for it comes in many forms and can affect anybody. Being able to identify the symptoms and seeking help is a key fundamental towards regaining your health back. There still is great difficulty in caring for schizophrenics and the only way for it to get better is to continue the research and find ways for all the branches in the healthcare system to work together so that the patient can have the best treatment available. In the next 20 years hopefully, there will be a cure for all types of mental illness that we see today until being able to understand what it means for those who are suffering is just as important.

Verisimilitude in The English Patient Essay -- The English Patient

Verisimilitude in The English Patient One critic has written, "Ondaatje has always been fascinated by history - seen as a series of arcane stories about the past. In his hands, even the documents of history slide away from factual representation toward a haunting apprehension of indeterminacy." (Barbour 207). In The English Patient Ondaatje blends fiction and history into a socially conscious story. Verisimiliude is the aspect of belivability present in a novel. Ondaatje's use of the element of verisimilitude accentuates important undercurrents and events which are vital to understanding the novel. The English Patient is set in the Villa San Girolamo at the close of World War II. The war has damaged the lives of the four main characters. The setting of a war torn villa reflects the damage in their lives. All around the people are unexploded bombs. Ondaatje researched Kip's job of diffusing bombs carefuly. He gives bit by bit narration of the process of diffusing a live bomb. This careful detail and verisimilitude creates an air of tension and apprehension. Bombs were attached to taps, to the spines of books, they were drilled into fruit trees so an apple falling onto a lower branch would detonate the tree, lust as a hand gripping that branch would. He was unable to look at a room without seeing the possibilities of weapons there. (Ondaatje 75). The characters themselves are like walking bombs. They were all innocent before the war began but it devaststed them. They all must endure secret torments from their pasts. The emotional climax of the book is provided by another bomb - Hiroshima - which invokes one of our time's most terrifying images of the slaughter of innocents. It is the final explosion that drives the fo... ...expedition in search of Zerzura. Michael Ondaatje did considerable amount of research for this book, which took him five years to complete. He shuffled through the archives of London's Royal Geographical Society and read the journals of 1930s explorers. The results of this painstaking research is a novel with vivid and realistic detail. The description of the desert is the most potent detail. These vivid discriptions are the greatest contributers to the verisimilitude of the novel. He gives detailed descriptions of the many types of desert winds such as the africo, aajej, khamsin, and datooand the changing landscape of the dunes. Places such as Gilf Kebir, Zerzura, the Sudan, and Gebel Kissu are brought to life. The historical accuracy and events in The English Patient leads the reader to believe that even though this story never happened - it might have.

Mission Command Essay

It is the Army’s primary mission to organize, train, and equip forces to conduct prompt and sustained land combat operations (ADRP 6-0, 1-1). To accomplish its mission, the Army utilizes its concept of unified land operations. Unified Land Operations, applicable to all Army operations is the seizing, retaining, and exploiting the initiative to gain and maintain a position of relative advantage. Such advantage provides a structure to prevent or deter conflict, prevail in war, and create the conditions for a favorable conflict resolution (ADP 3-0, p. 9). Critical thinking becomes a vital role when decisive actions need to be executed where it is guided by mission command. Mission Command is the structure that enables commanders to exercise authority and direction. This structure is built on the commander’s intent, mission type orders and decentralized/centralized execution. Agile and adaptive leaders understanding the commander’s intent and context of the mission executed their objective. Commanders and Leaders at all levels apply critical and creative thinking to their understanding and decision making. The development of critical thinking skills has been imperative and a success for the Unites States Army. As the military entered into a new era of war fighting, critical thinking has become essential to help Army forces function effectively and accomplish missions within a mission command structure. Commanders and Leaders at all levels have adopted different decision-making practices. This research paper will present the role of critical thinking and how it facilitates understanding and support the different decision-making approaches in a mission command structure. Critical thinking and creative thinking is applied when commanders and leaders need to understand the mission and are drawn to make effective  decisions. â€Å"Critical thinking examines a problem in depth from multiple points of view (ADRP 6-0, 2-7).† Here, critical thinkers need to determine if there sufficient justification to accept the conclusion as true based on a given inference or argument. Critical thinkers need to be well informed in order to make judgments and decisions. â€Å"Critical thinkers are purposeful and reflective thinkers who apply judgment about what to believe or what to do in response to known facts, observations, experience, oral or written information sources, or arguments (ADRP 6-0, 2-7).† As mentioned creative thinking is also a key to the understanding and for an effective decision-making approach for commanders and leaders. â€Å"Creative thinking involves thinking in new, innovative ways while capitalizing on imagination, insight and n ovel ideas.† Whether we are faced with similar problems we encountered in the past, or faced with new ones; new and creative solutions can be applied. If we utilize the same solutions, an enemy will acknowledge, adapt and overcome the unchallenged solution. Creative thinking will lead to new insights, novel approaches, fresh perspectives, and new ways of understanding and conceiving things. Implementing critical thinking and creative thinking, commanders and leaders are able to better understand and support their decision-making approach. These Decisions are how commanders and leaders put their outcome into action. In order to reach a decision, the proper decision-making approach must be applied for the situation. Commanders or leaders will apply a systematic analytic decision-making or an intuitive decision-making approach. Different situations will dictate what approach will be suitable. Analytic Decisionmaking Analytic decisionmaking allows commanders and leaders to gather information from various sources that are provided to them as well as their own experiences if necessary. Once information has been obtained, several alternative solutions are then generated. These solutions, referred as options, will then be compared and evaluated until the best course of action has been decided. â€Å"It aims to produce the optimal solution by comparing options (ADRP 6-0, 2-8).† According to mission command, analytic decisionmaking is: Methodical and allows the breakdown of tasks into recognizable elements. Ensures commanders and leaders consider, analyze, and  evaluate relevant factors, employing techniques such as war-gaming. Provides a systematic approach when the decision involves processing large amounts of information. Helps resolve conflicts among courses of action. Gives inexperienced personnel a logically structured approach. Depending on the situation commanders and leaders are faced with, analytic decisionmaking can be applied. But, because there are often large amounts of information gathered that needs to be clearly evaluated before a decision can be made, it is time consuming. If the conditions of the mission change, such information will require a complete reevaluation, which can delay decisions. Where there are rapidly changing situations that require quick effective decisions, analytic decisionmaking will not apply. (ADRP 6-0, 2-9). Intuitive Decisionmaking Decisions made by using intuitive decisionmaking are determined based on knowledge, judgment, experience, education, intelligence, boldness, perception, and character. (ADRP 6-0, 2-47) Because it is based on these elements, unlike analytical decisionmaking, intuitive is a more rapid approach to making a quicker decision. Intuitive decisionmaking is often done at the lowest levels of command. According to mission command this approach: Focuses on assessment of the situation more than on comparing multiple options. Is effective when time is short. Relies on a commander’s experience and ability to recognize the key elements and implications of a particular problem or situation. Tends to focus on the larger picture more than the individual components. When there are rapid changing situations and decisions need to be made right away, commanders and leaders will apply intuitive decisionmaking approach. Commanders and leaders mix theses two approaches â€Å"to help them remain objective and make timely and effective decisions† (ADRP 6-0, 2-49). In a mission command structure, commanders and leaders avoid making decisions solely by intuition; they incorporate some analysis into their decisions. Decisions should not be rushed or over-thought. A wrong decision can be fatal if critical thinking and creative thinking skills are not used when  commanders and leaders need to make a decision thru an analytical or intuitive approach. In a mission command structure, commanders and leaders decisions are based on the mixture of analytic and intuitive decisionmaking. To facilitate in the decisionmaking, commanders and leaders need to apply his/her critical and creative thinking skills. These skills are imperative to help make well round decisions for any type of mission. If wrong decisions are formulated it can be fatal, becoming an advantage to the enemy. These decisions not only affect the outcome, but it affects the service members who carry out the mission. Our service members’ decisions on the field are influenced by the decisions made by the commanders and leaders. The development of these skills is instrumental for commanders and leaders at all levels. The development of critical thinking skills has become a paramount to the military. One of the key characteristics in the job description of a military leader is, decision-making. But with no such skills, full effective decisions will not exist. Critical thinking as well as creative thinking is imperative to the success of the United States Army and it has been incorporated into the Professional Military Education for leaders at all levels. â€Å"Critical thinking means the ability to construct and defend as argument using reason, applying intellectual standards and epistemic responsibility, and recognizing and countering logical fallacies as we see them in others and ourselves (Colonel Thomas M. Williams).† References Benson, Colonel Bill. (2012). The Evolution of Army Doctrine for Success in the 21st Century. Military Review: March/April2012. Vol 92 Issue 2, p2. Retrieved From http://usacac.army.mil/CAC2/MilitaryReview/Archives/English/MilitaryReview_201206 30MC_art010.pdf Conley, Kathleen. (2013). Operationalizing Mission Command. Leveraging Theory to Achieve Capability. JFQ: Joint Force Quarterly 2013 1st Quarter. Issue 68, p32. Retrieved from http://www.ndu.edu/press/lib/pdf/jfq-68/JFQ-68_32- 35_Conley.pdf Department of the Army Headquarters. (2011). Unified Land Operations. Army Doctrine Publication 3-0. Retrieved from http://armypubs.army.mil/doctrine/DR_pubs/DR_a/pdf/adp3_0.pdf Department of the Army Headquarters. (2012). Mission Command. Army Doctrine Release Publication 6-0. Retrieved from https://armypubs.us.army.mil/doctrine/index.html Sharpe Jr., James D.; Creviston, Thomas E. (2013). Understanding Mission Command. Army Sustainment; July-September 2013. Vol. 45 Issue 4, p10. Retrieved from http://www.army.mil/article/106872 William, Colonel Thomas M. U.S. Army Reserve. (2013). Education for Critical Thinking. Military Review. Retrieved from http://usacac.army.mil/CAC2/MilitaryReview/Archives/English/MilitaryReview_20130228_art011.pdf Appendix Annotated Bibliography Benson, Colonel Bill. (2012). The Evolution of Army Doctrine for Success in the 21st Century. Military Review; March/April2012, Vol.92 Issue 2, p2. Retrieved From http://usacac.army.mil/CAC2/MilitaryReview/Archives/English/MilitaryReview_201206 30MC_art010.pdf This article discusses the U.S. Army doctrine from the early 21st century. It provides the history and the evolution of the Army doctrine. It describes the publication â€Å"AirLand Battle† that was published in 1982, the transition of the doctrine in the 1990’s, through the publication of â€Å"Unified Land Operations† in 2011. It describes unified land operations the â€Å"seizing, retaining, and exploiting the initiative to gain and maintain a position of advantage provides a battlefield framework and logic that nests unified land operations within the joint operational construct of unified action and provides a structure that allows commanders to effectively and accurately describe their intent in time, space, purpose, and priority, which are guided by Mission Command. Conley, Kathleen. (2013). Operationalizing Mission Command. Leveraging Theory to Achieve Capability. JFQ: Joint Force Quarterly; 2013 1st Quarter, Issue 68, p32. Retrieved from http://www.ndu.edu/press/lib/pdf/jfq-68/JFQ-68_32- 35_Conley.pdf This article is the result of the Mission Command White Paper published by General Martin Dempsey, Chairman of the U.S. Joint Chiefs of Staff. It illustrates communication at all levels within military groups for better understanding and effective completion of missions. Mission Command will take on a more dynamic approach, developing ever greater adaptability, critical thinking and independent rapid decision-making. The principles of Mission Command are being currently being utilized in combat and other activities by many leaders and organizations. HeadQuarters, Department of the Army. (2011). Unified Land Operations. Army Doctrine Publication 3-0. Retrieved from http://armypubs.army.mil/doctrine/DR_pubs/DR_a/pdf/adp3_0.pdf This is an Army Doctrine Publication the presents the Army on guidance and direction for conducting operations on land, and provides the foundation for developing other principles, tactics, and techniques. The introduction included is a brief description of what the Army calls Unified Land Operations; applicable to all Army operations is the seizing, retaining, and exploiting the initiative to gain and maintain a position of relative advantage. Such advantage provides a structure to prevent or deter conflict, prevail in war, and create the conditions for a favorable conflict resolution (ADP 3-0, p. 9). In order to create favorable conflict resolution there needs to be a decision making and understanding of the mission. With Unified Land Operations, critical thinking becomes a vital role when decisive actions need to be executed where it is guided by mission command. HeadQuarters, Department of the Army. (2012). Mission Command. Army Doctrine Release Publication 6-0. Retrieved from https://armypubs.us.army.mil/doctrine/index.html This is an Army Doctrine publication that establishes guidance on command, control, and the mission command war- fighting function. This army doctrine guides the Army forces to function effectively and accomplish missions. Mission Command is broken down into three categories. For this research paper, the focus will be on the understanding and decision-making for commanders and staff through critical thinking. The development of critical thinking skills has been imperative and a success for the Unites States Army. As the military entered into a new era of war fighting, critical thinking has become essential to help Army forces function effectively and accomplish missions within a mission command structure. Commanders and Leaders at all levels have adopted different decision-making practices. Sharpe Jr., James D.; Creviston, Thomas E. (2013). Understanding Mission Command. Army Sustainment; July-September 2013, Vol. 45 Issue 4, p10. Retrieved from http://www.army.mil/article/106872 This article focuses on the background of mission command of the U.S. Army. It states the mission command is a warfighting function and the philosophy of the Army’s command described within the revision of Army Doctrine Publication 6-0, Mission Command. It discusses mission command history; trust in the doctrine of mission command, and decentralized execution.

Integration of Modern Technology in Schools Essay

A type of modern technology should be provided to the students in the classrooms at school. The next few paragraphs will explain how modern technology, such as iPads and Mac computers, can help students in classrooms learn at their own pace and be able to keep better track of notes or assignments. It will explain how modern technology can help improve students’ scores on tests, mid-terms, and finals. In addition, it will explain why using LoudCloud systems into the curriculum is a high-quality choice. Therefore, iPads or personal laptops should be provided by the district to the students at Jackson High School because it would help improve their academics significantly. To begin with, using an iPad can help students track their†¦show more content†¦Ã¢â‚¬Å"With its large display of an onscreen keyboard, the iPad is great for taking notes in class. In a landscape view, they can see the note-taking page and a list of all their notes. It even circles a recent note in red so they can see where they are at a glance† (Apple). On the other hand, a Mac can also help students learn on a more accurate basis. It is intended to have a long and dynamic life. The Mac notebooks feature strong enclosures, are made from high quality materials like aluminum, and glass so they are ready for the challenges in a classroom. The MagSafe power connector is held in place magnetically, so if anyone trips over the cord, it disconnects safely and the Mac stays put. It can last up to 7 hours on one charge and they distribute miraculous performance for almost any task. â€Å"Students who have vision disabilities will benefit from VoiceOver – the world’s first gesture-based screen reader, built into every Mac. It also makes it easier for deaf or hard-of-hearing students by including support for playing back open – and closed-captioned content. It has built-in technologies to help students with difficulties using the keyboard, mouse, and track pad. Students with cognitive and learning disabilities can benefit from a simplified Finder, integrated information reference book, spelling and grammar checking, etc† (Apple). In addition, the iPad and Mac could be provided to theShow MoreRelatedThe Impact Of Technology On Education And Revealed Reactions1666 Words   |  7 Pagesdetect the impact of technology on education and revealed reactions for both students and teachers of using technology in classroom. These researches has given us three results: 1) Some research has shown a dramatic difference between the schools in the past and now. 2) What Is Successful Technology Integration? 3) However, some of researches indicate to several difficulties and disadvantages that associated with using technology. What Is Successful Technology Integration? 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