Reforms in Behavioral Healthcare

Many programs and services have been provided to care for individuals with behavioral health care needs. I’ve been studying this area for many years, and now I looking for writer who can write my essay paper time to time. It’s college stuff. If you’re a students – you understand me. But. The programs have been established due to the research showing that there is a large number of people experiencing serious mental illnesses and are predisposed to other physical and psychological conditions (Lown, 2014). The mortality rates for individuals with mental illness increase due to their predisposition to a preventable disease such as pulmonary and cardiovascular disorders. Moreover, they are seen to experience higher rates of modifiable risk factors that include obesity and smoking (Robinson & Reiter, 2016). They are vulnerable, poor, and sometimes homeless as the symptom of their condition aggravates. Furthermore, individuals with these mental illnesses have high rates of substance abuse comorbidities that are both segregated from the physical health system.

The fragmentation of the healthcare system leads to inappropriate care, redundancies, and gaps in the care system hence increased the cost of treatment (Lown, 2014). The crisis in the behavioral health system has existed for a long time induced by the cultural, financial, and regulatory issues. The interest of the public has been neglected with earnings and profits being the motivating factor of the physicians (Robinson & Reiter, 2016). Conversely, there are poor quality services provided to patients suffering from behavioral disorders since primary care does not provide as much as psychologist and psychiatrists would do. The physicians in the primary health care do not receive the required training in the particular field and hence not experienced in providing diagnosis and treatment for behavioral problems (Bray, 2010). They tend to give medication without a definite diagnosis of the mental illnesses they are treating since that is not their area of specialization. This led to a situation where patients look for services but do not get them due to lack of appropriate resources and specialists.

There is, therefore, a need to reform the behavioral healthcare system to ensure that the provided services are necessary and essential for all individuals. The focus of reform should include increasing healthcare access for the uninsured and underinsured, giving efficient and effective services, and revitalizing primary care while using the updated research to inform practice. There should be boundaries set within which healthcare providers should operate to ensure that there is no discrimination amongst those in need (Haskins & Margolis, 2014). Insurance consolidation, Medicare expansion, and accountability should be enhanced to give efficient services without raising the cost of access for all individuals. The government should consider a way of funding people in the poverty level to access healthcare services easily. The funding takes place when healthcare costs are managed the economy that is put under control (Haskins & Margolis, 2014). They should be open to insurance that ensures they are well qualified to access the required services at any time.

According to the research, integrated health systems are seen to be more efficient compared to coordination of private practices by a large number of people. Since behavioral healthcare cannot stand alone, it needs to be integrated into the delivery system for easier management of its functions (Robinson & Reiter, 2016). There will, therefore, be a need for the behavioral health professionals to adopt the electronic method of keeping their records for easier communication with other physicians. The reforms will hence create new opportunities for the practice of behavioral health and psychology. There is evidence from long-standing work that when behavioral health care is integrated into the primary care, it becomes cost effective for most individuals.

There is a need to take the advantage of the present opportunities so as to change the current models of practice in behavioral health care. The interest of the public should be protected through the provision of cost-effective, positive treatments considering the effect of specialists over primary health care providers. Alternatively, mental health care needs to be provided to individuals in their places of work and different departments where people are mostly affected by psychological issues (Robinson & Reiter, 2016). For instance, some practitioners are proposed to be allocated to the defense department to ensure that mental services are incorporated in the military healthcare system. Counseling and programs in order to reduce the mortality rate of individuals in the security force are imperative since fast recovery from trauma will be enhanced. Earlier diagnosis will then improve referral for the severe cases and outpatient care as preferred.

The defense force is working towards improving the behavioral care through training, quality measures, evidence-based practices and monitoring of practitioners to boost their effectiveness and quality offered. According to the medical report of 2010, there was a resolution by the medical professionals to improve the quality of primary care for mental health conditions by 2016. There was a vast collection of data from the soldiers to assess their mental well-being and examine healthcare service delivery for everyone. There was then evidence that a significant percentage of individuals serving in the army showed symptoms of anxiety or depression after their involvement in a traumatic event, hence the need for improved healthcare services. There is a development of behavioral health optimization program in the military focusing on both primary care services and mental health. The improvement has led to increased availability of services for the soldiers and their families.

Alternatively, there is an evidence that the social workers who care for the mentally ill are reducing since they do not take good care of themselves (Van Heugten, 2011). They are seen as stonehearted since they are expected to deal with other people’s problems without hurting themselves. They keep their challenges and heartaches to themselves without sharing so as not to portray a sign of weakness. This ends up hurting them even more. They advise clients, diagnose, and even treat them into managing themselves while they forget to tend their hearts (Robinson & Reiter, 2016). They fail to heed the signs and symptoms associated with professional practices which mostly lead to their failure. Therefore, if behavioral healthcare is to be improved without losing the practitioners, it is essential that the self is also considered. The profession should be enhanced by providing training and resources to ensure that self-care is made indispensable and fundamental before offering services to patients.

Social workers need to realize that a high cost is involved if they neglect the provided advice both for their clients and for themselves. As Nardone, Snyder, and Paradise (2014) show, social work can be an occupation of high stress similar to other caring professions. In the event where the healthcare providers fail to take good care of themselves, there is a package of stress that they carry on along the way which could lead to depression. An individual becomes emotionally exhausted due to the burden of too much demand hence compassion fatigue. The fatigue comes as a result of attempting to help a traumatized person, and it has symptoms similar to those of PTSD. The clients will hence suffer since the social worker will be in no position to offer the required services anymore. Their ability to cater for the problems of others is diminished.

It is, therefore, important for the practitioners to stay healthy and care for their needs also ensuring that they are fit to serve the world better. It is because their failure goes not only beyond them and their clients, but also to increased cost on their profession (Van Heugten, 2011). The social workers should be aware of required boundaries, healthy habits when to seek help and accept help so as to move on safely. It is imperative to seek therapy since one will be aware of the perspective of other professional and will be assisted in developing a self-help regimen.

According to the code of ethics of social work profession, it is a practitioner’s responsibility to seek help whenever they experience psychological distress related to their field (Bray, 2010). It is not ethical for any individual to allow their personal and psychosocial problems interfere with their performance. Roles that social workers perform are familiar with the line of mental health disciplines. They are involved in the prevention programs that focus on individual and public education, early intervention and improving access to services for all people. Research shows that in the event where a social worker experiences psychosocial problems, their professional judgment and performance is jeopardized (Nardone, Snyder, & Paradise, 2014). The help that they seek should provide appropriate remedial action by adjusting their workloads through professional advice. In a recent paper, behavioral and physical healthcare integration enables the providers to function as a team with a shared vision ensuring that they treat the individual as a whole. Using different strategies along the continuum of integration boosts a state’s health plan to care for the beneficiaries (Van Heugten, 2011). It is necessary to train primary health care providers on the screening of behavioral needs.

There is documentation that testing behavioral requirements in a primary health care setting have been active using some evidence-based tools. The tools have been used to screen for PTSD, anxiety, depression, and substance use disorders that are seen easier to administer in public domain (Foa et al., 2008). In addition, routine screening in adults with behavioral health conditions to check for medical complications is seen to be critical in the treatment procedure. The behavioral care providers are, therefore, provided with the appropriate tools such as a blood pressure cuff for successful initial screening (Nardone, Snyder, & Paradise, 2014). The method is seen to be important as a strategy for prevention of behavioral needs in adolescents and children. Researchers have established that over one million teenagers and children experience pre-psychosis risk problems and hence the need for earlier intervention. When treatment begins earlier, it is seen to be more productive and less likely to recur with time.

Therefore, it is necessary to integrate behavioral health care into primary care program since there is evidence that it has worked before even in the army’s medical command (Committee on the Assessment of Ongoing Effects, 2012). The integration needs to be improved so as to ensure that care is accessible for all individuals. The U.S. Army implemented a treatment model for the management of PTSD in the medical department by clinicians in the primary care. Most patients suffering from behavioral disorders are seen to be vulnerable citizens hence the need for beneficial and efficient treatments (Bray, 2010). The physicians should also provide valuable information to their clients when screening and prescribe medications. It is seen from studies that only 62% of necessary information is provided to customers on medication in the event if treatment. Also, only 35% provide information on the adverse effects of the drugs (Van Heugten, 2011). Coverage of preventive health services by insurers is essential to ensure that most people seek the services hence reduction in the number of cases. It should cover annual wellness visits with screening for any mental problems.

According to empirical literature, some interventions are effacing and those that may cause harm hence they need to have a deeper outlook into the available options. The treatment of individuals in this category is seen to be successful due to the extent of restriction in lifestyle that they experience (Bray, 2010). However, some issues still require being considered to ensure that the treatment is effective. Issues such as determining individual factors that may affect treatment and development of alternative modes of delivery still need to be considered.

As a behavioral health provider, I am involved in providing a variety of services that include primary, secondary, and tertiary services. I carry out different activities such as assessment, diagnosis, and treatment of individuals with psychological problems and behavioral dysfunctions (Porter, 2009). As a way of implementing the reforms made to the health system, I will involve an activity in preventing diseases by educating on healthy behavior to improve client’s quality of life (Bray, 2010). For instance, establishing home visit programs that promote improvement in the child health and development. The parents will be educated on proper parenting skills for those children that are or may be affected by behavioral problems. It is on this note that I will establish those affected by drug and substance abuse from the homes and look for better ways of improving care by the establishment of focus group discussions.

In addition, creation of a social group discussion for healthcare providers will ensure they speak up about the traumatic events that they face in the process of delivering services (Bray, 2010). In this way, we would all take care of our physical health, reducing stress, and honoring both spiritual and emotional needs. In this way, fatigue on the part of physicians would be reduced, enhancing them to work even with greater enthusiasm. Since part of improving service, provision is caring for oneself; a platform will be provided where individuals can seek help from other trained professionals, hence reducing compassion fatigue (Van Heugten, 2011). It is because there is so much for us to process; the challenging work environment, unresolved grief from patients, declining social policy, and personal responsibilities. By understanding the issues that we as physicians go through in our profession, it will be easier to provide services to the clients with an open mind. We will not get affected and traumatized by the events going through when handling different cases without seeking help.

From its inception, the contributions of social work have been on the mental and emotional well-being of all patients (Nardone, Snyder, & Paradise, 2014). There is hence a need to consider reforms that improve their effectiveness as they offer their services such as ensuring that they are given the required resources in their profession. It is imperative to consider integrating behavioral health care into the primary programs so that individuals can be wholesomely treated. The continuity of behavioral care is seen to depend on the reforms done today to the satisfaction of both the practitioners and those seeking help.

Jean-Paul Sartre Theory. Authenticity and Freedom for Everyone

To be authentic is to recognize the freedom of all people and achieves in a classless community where every human being will be able to express their freedom. Therefore, according to my understanding on the claim made by Jean-Paul Sartre I agreed with the statement where he clearly identified that our freedom is limited by our bodies and our place in history and society where others have the opportunity to go to Oxford and become scholars, however some do not. So according to his claims, he backtracked a bit about our essential freedom as his thought developed. He also advocated for social change and believed that we may transform the global and by looking at ourselves as the only source of salvation and meaning in this world (Seigel 43)

In addition, he also believed that relationships with others could be authentic. For example, if someone sees you as free, they give other implication to someone’s life through that gratitude. He even argues there can be authentic love. Still his most fundamental value was freedom, nevertheless not just the freedom that conscious beings have at that time they do selection, however the judgment value that every person must be able to exercise his or her freedom in concrete ways, therefore, that human community need to be transformed in the direction of making this a reality for everyone (Sartre 3)

Clearly demonstrate your analysis of the author’s intentional response to Sartre’s assertions when she wrote her essay (My Uniform by Cheryl Strayed)

In demonstrating my analysis of the author’s intentional response to Sartre’s assertions when she wrote her essay on my uniform, we find how Cheryl Strayed’s had difficulties in her life. She always been ambitious and learned to read when at a tender age and even fall in love with words in a way that excelled everything she had ever experienced. By the time she graduated she had a remarkable list of achievements (Stern 7)

Concerning her intentional response to Sartre’s assertion which indicates that the existence precedes essence implies that things, and we, exist prior to our categorizations. It indicates that possessions themselves, and we lack intrinsic nature prior to human projection of values. It regards humans as the permitted makers of whatever substances there might be. Sartre’s belief was that we are born free of any intrinsic nature. We create our essence, which we are, through our choices.

The Best Essay Sample on Iliad and Gilgamesh

Introduction

Studies in the light of other epic traditions, especially those from Mesopotamia, continue to have shared similarities. A lineage appears to connect Homeric poems to the Akkadian epics world (Beye 22). The similarities and commonalities link the themes, oral traditions characters, and transmission methods. Both The Epic of Gilgamesh and The Iliad, provide a relationship of such themes as death and immortality. The paper, therefore, compares the themes in Epic of Gilgamesh and Homer’s Iliad.  Comparison of the epics not only explores the themes but also reveals the beginning of literature and society as a whole.

The Iliad is an ancient epic written by Homer, a Greek poet. The poem is the narration of the events that happened at the end of the Trojan War. It also recounts the siege of Greece during the war. Written in the eighth century, The Iliad is one of the oldest literature works in ancient western traditions and the loved story for years. The subject matter is the Trojan War that stirred a bloody battle, Achilles’ Wrath, and the Gods that regularly intervened in the war (Homer, Mitchell, and Molina 1). The literature explores the theme of fate and homecoming, glory and death. It forms the basis for other stories and subjects of later Renaissance, Roman, and Greek writing.

Gilgamesh is the king of Uruk who was a one-third human and two-third god (George 4). He built great temple towers and Ziggurats. The fields and orchards soured the walls of the city. Despite his godliness, Gilgamesh was a cruel despot.  He raped women of all the statuses. He forced people to work on the building and projects through oppression. The cries of the people were heard by the gods who later created Enkidu, a wild man, to keep an eye on Gilgamesh. Enkidu learned about the atrocities carried by Gilgamesh and set out for Uruk facing Gilgamesh head-on. Gilgamesh won the wrestling match, but there existed no hard feelings. The two warriors became best friends. Enkidu and Gilgamesh did things together. Enkidu died one day leaving Gilgamesh in grief. Gilgamesh sought mortality but it was all in vain.

Glory

The Iliad celebrates war, and the characters seem to be worthy and despicable through bravery and competence degree in battles. Paris is cowered since he receives abuses from his lover and the family members. Eternal glory, on the other hand, is on Achilles who rejects the options of comfort and uneventful life at home. Warlike deities appear in the epic and fighting proves one’s integrity and honor. Avoiding of war is portrayed as ignoble fear and misaligned priorities of laziness.

Both Gilgamesh and Achilles are heroes, one is a semi-divine, and one is mortal. They experience heroic lives and sought glory in wars and everlasting life. However, the views of the heroes differ as expressed in the poem pattern and events. They are uncivilized at the beginning of the story and disregarded by their people (Homer, Mitchell, and Molina 1). Both heroes have comrades accompanying them and cherish them beyond others. A divine mother protects them. The companions die, and the heroes are responsible any way at the mercy of fate and gods.  However, Gilgamesh never thought of death until the death of Enkidu. Achilles realized that glory may be stolen from them depriving the dead hopes for immortality. The death of a comrade led to Gilgamesh refusal to follow suit and continue enjoying heroic deeds.

Anger drove Achilles away and prevented him from participating in the society.  This is similar to Gilgamesh terrorizing of Uruk. Inflicting harm on innocent lives was the joy of Achilles. He understood that his life was short and would be highly honored by Zeus (Homer 418). In the diplomatic mission, Odysseus promises, “I will honor you like a god” (Homer 366). After the death of Enkidu, the Gilgamesh became uncivilized. Gilgamesh was too concerned of his mortality. Seeking Utanapishtim he hoped to avoid death and followed Enkidu. Gilgamesh embarked on a killing spree in the world and enjoyed life. The scorpion-men praised his semi- divinity and uniqueness terming him as immortal. Gilgamesh appeared kingly.

The Iliad were faced with the realities of war. Men encountered gruesome deaths; the women became concubines and slaves; children estranged from their mothers and fathers. The breakout of a plague decimated the army in Achillean camp. The biggest and mightiest warriors experienced horror and fears. The armies regretted why the war ever began. The Achilles points that bravely and cowardly men would, in the end, meet the same death.

Death

Death is an inescapable and inevitable stage of human life. Gilgamesh learned this lesson and understood that only gods could live forever. Enkidu warned Gilgamesh about the deadly confrontation against Humbaba in the Cedar Forest.  Enkidu expressed his views about death. Gilgamesh laughed off and reminded Enkidu that life is short and that only fame would last. Enkidu encounters a painful and inglorious death, and Gilgamesh’s bravado rings hollow.

There was Mesopotamian theory that taught about life after death (Noegel 248). This did not offer scant comfort as one spent time dead.  However, after the death of Enkidu, Gilgamesh became distraught and sought Utnapishtim in an attempt to learn secrets of immortality.  Utnapishtim explained the story of the floods and the quest for immortality was in vain. Creation contains the seeds of death, thus, making it inevitable.

The Iliad gives brief chronicles of a more extended period of war; there was fate that awaited all people involved. Hector explained that Troy was destined to fall and that Priam and all the children would die. Hector had died before the poem ended. Achilles met his death as well but not within the pages of The Iliad.  Homer constantly reminds that it is hard to escape death irrespective of your social status in the society even if you are the greatest of men (Homer, Mitchell, and Molina 1). The glory of men does not live in their institutions, constructions, or cities. It is important for the human beings to live honorably for future generation to remember them for the good work. While the material, creational, and physical bodies of the immortal cannot survive, their deeds and words can. Gilgamesh returned to Uruk with a different view of life. Fame or wealth does not measure the quality of life, rather, the quality of the time spent while alive and the people they were living around do.

How to deal with grief

According to Wolff (393) the epics portray Achilles and Gilgamesh as mighty god-like heroes that experience loss of loved ones and comrades in their lives (392). Achilles lost Patroclus while Gilgamesh experienced profound grief at the death (due to his desire for glory) of his beloved warrior companion, Enkidu. As described, Achilles reactions were horrifying as he clawed to the ground with both hands to collect soot and soiled his handsome face. Achilles was overpowered by his powers and fell on the dust (468). The grief had extended for a longer period before Achilles decided to resolve the anguish through vengeance. “I will meet the murderer face-to-face”, said Achilles (471).

Gilgamesh mourned Enkidu lavishly nearly making the mourning state ritual.  He promised the people of Uruk to cry like a lioness or an eagle (Gilgamesh 8.45-60). On the other hand, he did not seek revenge for the loss of Enkidu but made and attempted to resuscitate him from the dead. The attempt illustrates a different connection between Gilgamesh and Enkidu. There could have existed a deeper bond between them compared to Patroclus and Achilles. Nevertheless, the recited passage by Achilles illustrated a typical force and conflict theme in the Greek literature. Coping with grief expression differs a lot. Achilles understood morality and tried to avenge for Patroclus’ death instead of raising him from the dead. Gilgamesh was immature and went on an impossible journey through complex layers of immorality.  They both have the grudge factor for the loss. However, they both hold on to the loss, grief, and rage for their comrades.

Conclusion

The genre of epic in literature continues to interest different scholars. The epic construction embodies the distinctive literary form of art. In that context, there is highly developed and complex embellishment skillfully interwoven with raw materials of the society in the making. Epic of different nations reveals historical and literary differences and similarities in their civilization process. Similarities of two cultures can produce an epic literature that is recognizable.