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When you begin work with couples and families, you likely will conclude after only a few cases that all couples and families are different in at least a few ways. Members of these couples and families individually belong to many different population subgroups, with each group exerting cultural influence. Based on conflict resolution traditions or power distance index of a certain culture, for instance, you may need to modify the theoretical approach you take with a client with that background.

Keep in mind that the classroom study of theory and intervention integration cannot provide a description of how to modify or tailor your theory to all the potential relational and cultural presentations you will see. It should, however, provide you with a solid foundation and a toolbox with which to work.

For this Discussion, select a cultural consideration (related to race, ethnicity, religion, gender, sexual orientation, etc.) and think about how this consideration may impact the application of your theoretical orientation when working with couples and families. Then, reflect on how you might modify interventions in professional work in which this consideration is present.

By Day 4

Post a brief description of the cultural consideration you selected. Then, explain two challenges of applying your theoretical orientation to address this cultural consideration when working with couples and families. Explain how you might modify evidence-based interventions to be more culturally sensitive and responsive. Justify your response using evidence-based articles.

1)The topic for PowerPoint Presentation

Thoroughly discuss the pro’s and Con’s of internal and external recruiting.

 Every slide needs to include 100 words in the Notes section. 

 Your in-text citation and your reference (on your reference slide) must be in APA format. 

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2)  

1.       How would you personally define ethics? 

2.       How does business ethics differ from your personal ethics? 

3.       What is the biggest influence on your personal ethics? Why? 

4.       Do you try to always be ethical? Why or why not? 

5.       Do you think you have a high personal standard? 

6.       Do you know an adult that has lied, cheated, or stolen anything? How might an adult justify this type of behavior?

See attached instructions

Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Refer to the Discussion Forum Grading Rubric under the Settings icon above for guidance on how your discussion will be evaluated.

Developing Your Own Career Goal

Prior to beginning work on this interactive assignment, read Chapters 5 and 6 and Gleeson’s article How Values-Based Leadership Transforms Organizational Cultures (Links to an external site.). After completing your career goal using the process below, you will attach it to your first post by Day 3.

My Goal Sheet

Many individuals may not know how to develop a career goal; follow the steps below to help you determine where to start. There are a few steps that can be helpful in determining your career goal, which include conducting a self-assessment, exploring industries and careers, and determining factors that are non-negotiable (e.g., geographic location, salary requirements, health care benefits, etc.). The final step of goal setting is writing the first draft of your goal.               

Step 1: Self-Assessment

• What do you do well?
• What energizes you?
• If you knew you could not fail, what would you do?
• What high school subjects did you do well in?
• What issues do family and friends come to you for help?
• What do you receive praise for at work or home?
• What are some of your greatest accomplishments?
• What is something you do where you lose track of time when you are doing it?

Step 2: Career Exploration

Explore job industries by researching the type of careers that use your interests and skillset. O*Net OnLine (Links to an external site.), the Occupational Outlook Handbook (Links to an external site.), and Bureau of Labor Statistics (Links to an external site.) are great web resources for career exploration, job analysis, and education requirements.

While deciding on a goal, consider your current lifestyle and where you would like to be in the future. Some helpful questions to consider are listed below.

• Does the career you want pay a salary that meets your needs?
• Will it offer you opportunities to advance?
• Are you comfortable sitting at a desk all day, or do you prefer to travel?
• Is the career you are considering likely to exist when you are ready for a job?

Step 3: Determining Your Non-Negotiable Items

Although we may not speak them aloud, we each have things we are not willing to compromise on. During this step, write out your must-haves for your future career.

To help get you started, think about the minimum salary you need to have, where you want to live, and desired work hours.

Must Have
Do Not Want
1.1.2.2.3.3.4.4.5.5.

Step 4: Pulling It All Together—Write the First Draft of Your Goal

Now that you have conducted a self-assessment, explored industries and occupations, and written down your non-negotiable items, what are your future career goals? Be as specific as possible.

Example Career Goal

I would like to become a project manager within a large organization (5000+ employees) utilizing my organizational skills, education in organization development, my ability to plan strategically, and my detail-oriented nature. Since I have a family, I must have a salary of $50,000 or more, work within 25 miles of Houston, Texas, and work a 9:00 a.m. to 5:00 p.m. traditional work schedule.

Attach your paper as part of your first discussion post.

lease read and respond to the attachment.

Note: Only up to 20% of the content in the written response can be quotes from third parties.

Watch Videos (links below) and write a 2-3 page reflection paper.  12 font, Times New Roman, Double space – Does not need cover page, abstract, or reference page.

Each hour of PD should have a 2-3 page reflection including

1. Title and presenter, summary of content and key points
2. How the content relates to their Human Services course work, community or clients?
3. How will you be able to utilize the knowledge with their clients/coworkers/family now or in the future

https://www.youtube.com/watch?v=YQSxWEM3Q1M

https://www.youtube.com/watch?v=AdQ2EqjmTHE

https://www.youtube.com/watch?v=cogh-m-lAX8

Counselors As Contributors to Health Care Reform

The training of counselor educators and supervisors provides for instruction in the wellness model, developmental stages of lifetime adjustment, early intervention and prevention, and empowerment of clients. These values seem perfectly matched for the re-focusing of health care on the early stages of care rather than end-of-life care. An example of a health care model that utilizes early identification of mental health issues and has a client-centered approach to care is Intermountain Healthcare’s Mental Health Integration model.

Intermountain’s Mental Health Integration involves licensed mental health professionals working side-by-side with primary care physicians. Together they are administering or reviewing clients’ mental health screening instruments, consulting with physicians on mental health issues, providing same-day brief counseling and psycho-education, recommending referral for chronic and severe patients, and working in a health care team along with other professionals. This model engages community agencies such as the National Alliance for Mental Illness (NAMI) to support patients and families in the treatment process. Studies at Intermountain indicate that the Mental Health Integration model provides higher quality health care at revenue-neutral or reduced costs. The idea is for mental health workers to collaborate across professional fields to increase quality health care.

The Committee on Crossing the Quality Chasm: Adaptation to Mental Health and Addictive Disorders offers the following six aims to achieve high-quality health care:

“The Six Aims of High-Quality Health Care:

• Safe—avoiding injuries to patients from the care that is intended to help them.
• Effective—providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit.
• Patient-centered—providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.
• Timely—reducing waits and sometimes harmful delays for both those who receive and those who give care.
• Efficient—avoiding waste, in particular waste of equipment, supplies, ideas, and energy.
• Equitable—providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status”

Source: Institute of Medicine (Eds.). (2006). Improving the quality of health care for mental and substance-use conditions. Washington, DC: The National Academies Press. Retrieved from http://books.nap.edu/openbook.php?record_id=11470&page=57

To prepare for this Discussion:

• Review the article, “Integration of Mental Health into Primary Health care in Uganda: Opportunities and Challenges.” Consider the challenges to integrating mental health care into primary care and think about strategies for overcoming these challenges.
• Review the article, “Far West Area Health Service Mental Health Integration Project: Model for Rural Australia,” and think about how mental health care can be improved by using a primary health care model.
• Review the article, “Reducing Harm Through Quality Improvement.” Consider the challenges and opportunities presented by Intermountain Healthcare’s mental health integration quality improvement program.
• Think about how you think the implementation of the mental health integration model might affect you personally.

With these thoughts in mind:

Post by Day 4 an explanation of how you think you would be affected personally by the implementation of the mental heath integration model. Be specific, using the model and your situation to illustrate your points.

This is a great discussion about the influence of our personal bias while doing performance reviews. Watch this video on Understanding Unconscious Bias.

The main problem with performance appraisal programs is supervisory bias when making judgments. How can a company attempt to identify and reduce appraisal bias? Respond substantively to two other learners.

Support your claims with examples from required materials and/or other scholarly resources, and properly cite any references. Your initial post should be a minimum of 200 words.

 Write a page answering the questions with two APA references including in-text citation. 

Project success may be defined as the completion of the project within the cost, time, and performance constraints. 

· In your estimation, what other factors may also be considered project success?

· How do you know?

· Is IT as innovative today as it was in the 1990’s/2000’s?

· Be sure to use real world experience either in your organization, place of employment, or business.  

Assess the process of benchmarking as a function of practice management. Suggest one financial and one operational benchmark that a practice manager could use to improve business outcomes and the quality of patient care. Support your recommendations with at least one real-world example.