Chapter 3 Weekly Notes
Chapter 3 Weekly Notes REHB 126 - C01
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This 7 page Class Notes was uploaded by Amy Notetaker on Sunday February 14, 2016. The Class Notes belongs to REHB 126 - C01 at Clarion University of Pennsylvania taught by Dr. Jennifer May in Spring 2016. Since its upload, it has received 9 views. For similar materials see Introduction to Rehabilitation and Human Services in Rehabilitation at Clarion University of Pennsylvania.
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Date Created: 02/14/16
REHB Chapter 3 Notes Settings for Human Service Delivery o Institutional and Community Based Services: Outreach to those in need Mental health trend now is downsizing in institutions and focusing more on community based services Goal is to have clients interact with their environments in the least restrictive setting involves going in homes or on the streets Focus of treatment is health and wellness instead of illness There is an effort to reach the service to the community that involve outreach programs or programs like Hospice care Community-based care in Corrections takes individuals from prison and local jails into the community with supervised planned programs Involves educational services, counseling, substance abuse treatment, and employment assistance Example would be a halfway house or home confinement with an electronical monitor School based services or systems of care are an integrated support service in schools where children, youth, and families need to be successful Substance Abuse and Mental Health Service Administration(SAMHSA) developed a comprehensive Community mental health services program to address needs of children and youth and their families When schools are part of the system of care access to assistance is facilitated and it delivers multiple services to those in need o Human Services in Rural Areas Distance, stigma, and costs are barriers that prevent successful referrals Usually accumulates people that are disadvantaged and it is also becoming more populated from people migrating more towards rural areas now Rural areas have few services because everything is located in urban areas which can cause barriers. Also usually people in rural areas are middle class and working they usually form a rural stoicism that relates to working hard, expressing few emotions, and coping w/o complaint o Human Services in Industry and the Military Signs an employee needs assistance would include Tardiness, absenteeism, ineffective job performance, and inability to cooperate or communicate with others Federal Comprehensive Alcohol Abuse and Alcohol Prevention, Treatment, and Rehabilitation Act(1970) passed and created National Institute on Alcohol Abuse and Alcoholism Required federal agencies to have alcohol abuse and prevention programs well known as employee assistance programs (EAPs) Americans with Disabilities Act(ADA) signed by George H. W. on July 26, 1990 which enables people w/ disabilities to have access to goods and services like employment George W. Bush’s priority was the New Freedom Initiative which wanted to eliminate barriers for ID American Red Cross was first to provide services to military in 1881 Service to Armed Forces(SAF) developed to helpmilitary sbetter serve families of military personnel Field offices formed in military hospitals and military installations to communicate between service personnel and families The Impact of Technology o Communication E-mail allows professional to communicate and share info Instant messaging(IM) and SMS(text messaging) also allows for communication with each other where response is instantaneously Cellphones also allow for service 24/7 and confidentiality Teleconferencing is a cost effecting approach to meetings Web logs allow for people to post their diaries or thoughts to share their experiences or microblogging like twitter o Information Management Information in human service database usually includes name, other demographic data, service payments/costs, and a record of the interaction w/ managed care organization Management of info allows for professional to transfer info if needed o Providing Service to Clients Software programs and tools can be used to teach clients specific knowledge or skills to enhance daily living or vocational potential Counseling is also provided online now E-therapy Online chat forums provide law enforcement with chat services around the globe o Professional Development Software or Cd roms are available for skill development Software is interactive and usually uses simulation as the instructional tool Podcasting can deliver video training Managed Care o The Influence of managed care It is to create a financial accounting system in order to manage the impact of medical treatment on the patients clinical response and quality of life External review is a part of managed care and it is used to monitor and communicate to service providers what they can provide and still receive financial coverage for providing It is to approve the lowest level of care that will meet the client’s needs Mental Health Patients’ Bill of Rights covers issues such as the right to know, confidentiality, choice, determination of treatment, nondiscrimination, and treatment review o Managed Care and the Human Service Professional Purpose of care coordination by a helping professional is to oversee the comprehensive care of a client which can include: 1) assessment 2)planning, coordination, monitoring of treatment 3) evaluation There is an increased documentation with service delivery and unless the managed care organization has established the same information system as the organization the professional may have two systems of documentation to maintain Gatekeeping is also involved and it’s when the managed care system, usually for mental health services, have a referral from a physician Purpose is to decrease utilization of mental health service but it also increases course load to the physician who must sign the referral Also occurs when a special service is needed. Introduction to a gatekeeper can be seen as barrier to the client and for the human service professional it is just another layer of bureaucracy between them and their clients The International Dimension o Challenges in International Human Services th Growing population during the 20 century also known as population explosion which occurred in developing countries like Africa, Asia, and Latin America A challenge for the 21 century is the growing migration rate which raises major socioeconomic issues Urbanization is another challenge that creates a long term global trend that is most pronounced in poor countries are less capable at coping with pressures o Influences on the United States Recognition of multiracial induvial like tiger woods or Barrack Obama 2.4% of the population identify themselves as a member of more than one race Some human service professionals work as service providers or volunteers in developing countries or they can choose to remain in the United States and work with people of very different backgrounds as them Trends in Human Services o Aging in America There is a growth in senior population which will lead to challenges for the human services during the next 50 years Issues such as housing, depression, and environmental modification o Housing for 85 and older is determined by financial assets, self-sufficiency, social support, cultural values, access to social services, and types of houses available. Living arrangements include renting or owning, living with children, or assisted living which offers a combination of social services and personal space o Depression affects 6.5 individuals over the age of 65 Many people either believe it is natural to feel that way or they are aware of it but refuse to seek help o Confronting Death and Dying Erikson(1963) said the final stage of life, ego integrity versus despair, one comes to terms with both the meaning of life and the place of death within the experience of living Most will go through bereavement which is the loss of someone to whom a person feels close with and the process to adjusting Services for the dying spouse and survivor have been created like hospice or support groups o A New Focus Individuals see life stage as a time to continue working or engage in public service o An Emphasis on Diversity Diversity is usually used to refer to many demographic variables Ethical Standard for Human Service Professions appreciate human beings in all of their diversity’ People also end up having a “worldview” which affects thoughts, decision making, lifestyle, and behavior and it can also change our attitudes, values, and opinions o Human service professionals are supposed to become aware of this and become effective cross- culturally, and to be sensitive to the worldview of their clients o Racial and Ethnic Diversity African American, Pacific Islanders, white Americans are races whereas Hispanic American is an ethnicity that could apply to a person of any race Ethnicity is a common culture, heritage, and a shared meaning which could include religious groups, country of origin, or any other facet passed down generation to generation Equal opportunity underlies the American belief system which leads minorities to bear a greater burden because the cost of care or services, societal stigma, fragmented services, and the clients fear and mistrust of treatment Helper may create barriers like lack of cultural issues, bias, or inability to speak language o Religion Hart-Celler Bill replaced national and ethnic quotas with quotas based on occupation and family reunification Brings challenges like vandalism like violence against certain groups, negative stereotypes, discrimination, and ignorance o Sexual Orientation Misconception and fear contribute to heightened emotions People believe it is a disease but psychological and psychiatric association do not consider it one In some states those in the LGBT community can be denied housing, employment, and public accommodation o Terrorism Defined in the Code of Federal Regulations as the “unlawful use of force or violence against persons or property to intimidate or coerce a government, the civilian population, or any segment thereof, in furtherance of political or social objectives” Categorized as domestic or international where the distinction between the two is the origin of the responsible individuals or groups Ex. Bombing of Murrah Federal Building was domestic and 9/11 was international Short-Term Consequences American Psychological Association divides people involved in terrorist attacks in 3 categories o 1)Survivors of past traumatic events 2)people who personally witnessed or were victims of the terrorist act 3)those who experience traumatization from learning friends, family, and others who were subject to the violence or from exposure to repeated media accounts Symptoms include recurring thoughts of incident, isolating yourself, survivors guilt, feeling the loss of control of one’s life Long- Term Consequences Include fear or hate towards foreigner known as xenophobia which is from international terrorism and can become a social and psychological danger o New Roles and Skills for Clients and Helpers Get to know client, consider their point of view, explore their expectations, and once a relationship exists the client will become an active participant in assessing the problem Being engaged in the process increases likelihood client will do whatever is necessary ,also impacts clients satisfaction, and the client can give a lot of info about one’s self which will give better service delivery Human Service Professionals need helping skills like advocacy They speak on behalf of clients or those who cannot speak for themselves o Direct advocacy is empowering clients to act, improving environments, acting on behalf of a client by writing letters, filing forms, informing clients about programs, services and policies o Advocacy can be on a larger scale also “like is this public policy fair and equitable?” o A Climate of Partisanship Elected representatives either belong to Partisanship(strong support of the party platform and a rejection of the other party’s platform or proposed policies) or bipartisanship(at time when politicians from all parties come together to support common goals) This matters to human service professionals because governmental policies determine who are clients, ways that clients may be served; funding influences the resources we have to help the increasing number of those in need Advocacy goes beyond politics to spread the word for the clients needs
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