Ethical Challenges For Health And Social Care: Fill & Download for Free

One of the great public health challenges in America today is that of untreated and poorly treated serious mental illness. Millions of Americans, and their families, lack access to or receive poor quality care -- the hallmarks of a broken mental health system. Jails and prisons have become principal places where many people with chronic mental illness arrive in the absence of alternatives. Many homeless individuals suffer from untreated serious mental, addictive, and chronic physical health problems resulting in great suffering as well as great strain on medical services and state medical assistance budgets.The legal, medical, and social service safety net for people with serious mental disorders has become so frayed that it often seems non-existent (1).What can be done?Access to humane mental health and substance use treatment must be provided in local, community-based treatment settings, not jails or prisons, nursing homes, shelters, or long-term hospitals. The mental health 'system', such as it is, needs to be re-engineered to deliver alternatives to inpatient care such as intensive community treatment teams and crisis services, including court mandated outpatient treatment so that people with serious and high risk mental illness do not “die with their rights on.”Patients and families must come first, not the convenience of providers and payers. Patients do best, especially with chronic conditions, when they are informed, supported, and held responsible for their lives and health, which calls for a genuine partnership among, patients, families, and clinicians. Treatment must be comprehensive and continuous to control any chronic disease; for mental and addictive disorders that means psychotherapy, skill building, and rehabilitation services; wellness management; and medications. Nothing less is sufficient -- or works.The fields of psychiatry and mental health have many evidence-based practices for people with serious mental illness. There is robust scientific evidence that case management, including health coaches and peer counselors, reduces the use of emergency acute services by people with serious mental illness and improves their lives. Existing Federal privacy laws also need to be better understood and updated so that families can do what they want more than anything, to help loved ones get the care that will save their lives and enable a quality existence in the community. Programs diverting individuals from jails and prisons, including specialized mental health and drug courts should be the rule, not the exception.Families, as well, can serve as the early warning system for signs of a loved one’s recurring symptoms and early relapse.It has been said that measure of a society is its humane attention to the sick and vulnerable. When real reform, transformation, comes to mental health and addiction services we will meet that moral and ethical standard -- and we will be able to serve so many in need.Reference:1. Sederer, LI & Sharfstein, SS, Fixing the Troubled Mental Health System, JAMA. 2014;312(12):1195 doi:10.1001/jama.2014.10369.

If you know what the core values, the values and missions a specific ENFP lives and fights for, and challenges them in a way that has no room for conversation or explanation, then there might be some anger or instant cut offs.I will use myself as an example. I highly value ethical usage of authority, especially in professions such as mental health, education, law, and social services. If I meet someone who spouts one thing, and behaves in a way that completely abuses human rights and autonomy, has a position where they clearly use their authority to their benefit while manipulating others, I will consider that person irrelevant. Anything that person does or says from now on, I don’t care for. They’ve spent enough time showing me their true colors, that they are all talk, and are a danger to humanity. I don’t keep people like that around.Inauthentic (say one thing and do another) people who live in a way that harms the greater culture might be ones that ENFPs would get angry at.If you are living with one, pushing limitations on autonomy or constantly saying an ENFP’s dreams/goals/visions are not possible could irritate them to the point where they become angry. Independence is important, and having the beliefs in possibility are important, too.I am a life coach for highly sensitive, gifted, and creative people. If you or any ENFP you know is looking for a coach for personal development, please reach out. ORGANIZED MESSES

I’ve written an essay on this. Hope this piece of writing will provide you the holistic picture.Health and well-being for all - problems, prospects and challengesIt is a sad reality that people in rural India are dying because of lack of health care infrastructure, our country's total IMR and MMR among the highest in the world, the rate of suicide is abnormally high because of no care of mental health, and tribal health is at the lowest among all communities. The health care of women, child, differently abled, and geriatric is in the possible miserable condition. According to World Bank's Universal Health Coverage Index, India is at the 157th position of entire 195 Nations. Lancet Report mentions that India is the poorest performer of all BRICS countries. Is there health and well-being for all? Are we targeting health and wellness for all? Indeed, yes! Then what are the reasons for such deplorable condition?In this essay, I will discuss the problems of health care. What are the prospects and challenges associated with them? Also, I will investigate on the way forward for such a condition.Health care is not only medical care, but also all aspects of preventive care as well. WHO defines health as "State of total physical, mental and social well-being and not a mere absence of disease or infirmity." But, in India, there is no such health well being. Let's look at the problems of health care in India.The SOCIAL problems are enormous. There is a complete neglect of rural population. According to KPMG report, 32% hospitals and 16% beds are available in the rural areas where nearly 75% of the population reside. Furthermore, the suicide rate is immense in India. According to WHO, the suicide incidences in India are 21.1 per one lakh population. It confirms the lack of mental well-being of citizens. Also, the tribal community is fighting hard against the health problems. The Under-5 mortality among the tribals is more than any other community in India.Similarly, there are many POLITICAL and INFRASTRUCTURAL problems. There is an overemphasis on secondary and tertiary health care facilities with no serious primary health centers, which is the first point of contact. Furthermore, the condition of healthcare infrastructure is in a sad state. There is a lack of hospitals along with the weak strength of doctors and nurses. It is a policy failure as the focus is more on demand-side rather than handling supply side. For instance, lack of emphasis on hygiene, environment, sanitation, etc.There are ECONOMIC problems too. On the one hand, there is massive poverty which doesn't allow people to use expensive health services in the private sector. On the contrary, public health expenditure is inadequate. The public health care spending is nearly 1% of GDP, which is way below than the other developing countries. For instance, China invests approximately 3% of GDP. Therefore, the out of pocket expenditure shifts families from APL to BPL.Likewise, there are ETHICAL issues involved in the medical system. The lack of regulation by the government in private sector allows doctors and hospitals to adopt unethical practices. The lack of awareness among the patients provides doctors to take benefit of "supplier induced demand" to extract money.As mentioned above, the problems are plenty in the health care system. It is also wrong to say that government hasn't done anything to heal the ailing health care industry. But the challenges have overcome the prospects. Let us discuss the prospects and challenges associated with the problem.For tackling the rural health care problems, there have been schemes like National Rural Health Mission (NRHM) and ASHA workers. But the structure isn't enough; there are significant flaws in governance and implementation. On the other hand, out of pocket expenditure or affordability is covered through Rashtriya Swasthya Bima Yojana (RSBY) but it is more secondary and tertiary health problems and neglecting the main primary health care services. The ambitious scheme of Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) aims at correcting the imbalance in the availability of affordable health care facility by setting up AIMS-like institutes. But, there is a criticism of being too ambitious and not entertaining the issues related to the primary health sector.The Jan Aushadhi scheme set up many Jan Aushadhi stores which provide quality generic drugs at affordable prices. But, there are issues regarding lack of medicines reported as only 73 of 361 essential drugs listed under the Jan Aushadhi scheme. Furthermore, there is a huge push towards traditional AYUSH mission, but the existing infrastructure of AYUSH in underutilized and practitioners are moving away from the traditional system for better opportunities.Providing health care for vulnerable sections is critical for reaching universal health coverage. In this respect, calling 'Viklang' to 'Divyang' is a good step in changing the attitude towards differently abled. Also, the Accessibility Program (Sugamya Bharat) is a prospect, but there are still many buildings with no ramps and wheelchair supported toilets. The Mental Health Bill for providing universal mental health is a significant step, but the lack of mental health practitioners creates a huge gap in the implementation of such initiative in the future. Similarly, high MMR and IMR shows India is unable to tackle the problems of institutional delivery though there are schemes of Janani Suraksha Yojana (JSY) and Janani Shishi Suraksha Yojana (JSSY).Therefore, many steps are taken, but lots more are required. The recent MDG results are a manifestation of this problem. The new SDGs which emphasize on universal health coverage (SDG-3) is a good initiative. Now, it is important to understand how the health care for all is achievable. How to solve the challenges and set the future course of action?There is a need to tackle the problems in a multidimensional manner. There are four areas which need immediate focus. The priority quarters are availability, accessibility, affordability and awareness. For AVAILABILITY, more medical practitioners must be trained. More priority for primary health services required in rural and tribal areas, in this regard, AYUSH practitioners can play a useful role. Furthermore, the essential drugs should be added in Jan Aushadhi scheme. For ACCESSIBILITY, implementation along with infrastructure enhancement is the need of the hour. The rural-urban divide is enormous; therefore, proper supply chain management is indispensable. The usage technology is good for accessibility, the use of telemedicine is very helpful.For AFFORDABILITY, increase in public spending is required. Collective Health Cess (CHC) could be levied for an increase in funding. Also, more push for research and development is very essential. The focus area is expanding in penetration of health insurance. According to NSSO Report, only 81% of the population are under the coverage of health insurance. For AWARENESS, providing community-based services are necessary. Regular workshops of associated health programs along with Nukkad-Nataks and plays could increase the awareness level of people.Therefore, a holistic approach is required to take this challenge. Though, the hurdle of healing health sector requires a long process. But, if all the steps as mentioned above are made with proper implementation, the dream of health and well-being for all will become a reality.