Post Open Heart Surgery Depression Essay Example

Post Open Heart Surgery Depression Essay Example Post Open Heart Surgery Depression Essay Post Open Heart Surgery Depression Essay Abstract The focus of this paper is to conclude a theory that presents an explanation as to why a large percentage of patients often develop depression post open-heart surgery. This theory will consider dynamic causes of depression including physiological, psychological, developmental, social, and spiritual factors of patient experiences. Post-Cardiovascular Surgery Depress Physiologic Stressors Depression is among one of the many risks involving any cardiac open-heart surgical procedure. The body is put under a tremendous amount of physical stress and could cause someone to feel the effects of depression. A saw is used to crack open the sternum, the muscles are stretched apart and the adjacent nerves are strained to expose the underlying body systems. The combination of broken bones, pulled muscles, and pinched nerves can cause extreme pain in the patient. The pain experienced by this procedure can deter patients from taking the necessary steps to rehabilitate themselves and from returning to their optimum state of wellness. The physical pain could prevent one from working with physical therapy, causing further muscle and mobility loss. The simple task of taking a deep breath may be far too painful for patients and potentially cause further problems such pneumonia. Patients are told after surgery their length of stay is four to five days so long as there are no complications. If patients are unable to return to their normal level of functioning they potentially would have to go to inpatient rehab, assisted living facilities or their length of stay may be increased before able to return home. Other common post operative complications such as dysrhythmias cause a patient’s length of stay in the hospital to be greater than anticipated which also contributes to their depressed mental state. Psychological Stressors Sometimes the greatest conflict a patient endures post open-heart surgery is the struggle between his or her own psyche and mentality. Pain, although may seem like a physical stressor actually can cause an adverse effect on a patient’s dignity and may shatter his or her confidence. Simple tasks such as taking deep breathing and preforming their minimum of four walks daily may cause the patient to view those tasks as impossible feats due to their pain and lack of confidence. An added stressor one may find difficult to accept is his or her altered body image. Open-heart surgeries leave a fairly large and noticeable mid-sternal incision and may cause the patient to become depressed about the change to their physical appearance. Developmental Stressors It is proven fact that post cardiothoracic surgical procedures cause a decline in cognitive function in patients that is potentially irreversible but in most causes resolves with in a few months after surgery (Fintel, 2011). This cognitive delay can cause unclear thinking and reasoning in patients preventing them from reaching reconstitution. The cognitive delay may present as frustration in patients but ultimately results in depression. Social Stressors Patients experience mental and physical stressors from open-heart surgery but also experience extra-personal stressors that are placed on their social life. Since patients are unable to drive, use their upper body for any type of strenuous activity, or lift anything greater than 5lbs for six to eight weeks post open-heart surgery, it is possible that the activity restrictions post-op put a damper on one’s spirit because he or she is unable to preform their usual activities needed for everyday life, fitness, work, etc. This causes patients to often feel that their independence is taken away and feel frustration for having to depend on others to do things for them, and an overwhelming sense of guilt for having to place their burden on others close to them, which are all factors that further contribute to his or her depressive state of mind. Patients often feel guilty and realize that their numerous amount of needs and support put a strain on others close to them, whether it is another family member or friend. Patient’s worry that the relationships they had pre-open heart surgery will never be the same due to their condition. It is important for patients to realize that a support system is so vital to their recovery and wellbeing. Spiritual Stressors Open-heart surgery will also try a patient’s spirituality. Patients may ask God, â€Å"why me? † and develop a sense of anger and or betrayal. This may cause he or she to feel forsaken and separated from God; this mistrust in God can further contribute to a patient’s loneliness and depression. The varying combinations of stressors mentioned above compromise a patients normal state of mind and can easily be attributed to their negative and depressed way of thinking which only makes sense to lash out against God. Hopefully a patient’s actions and mentality can be persuaded and enlightened by the nurse or others taking care of the patient. (Isaiah 41:10 KJV) â€Å"Don’t you be afraid, for I am with you. Don’t be dismayed, for I am your God. I will strengthen you. Yes, I will help you. Yes, I will uphold you with the right hand of my righteousness. † It is important for the patients to see their condition in a more positive and proactive light. This patient should view their surgery as a success through the power of God and as second chance to change their life style to improve their health and hopefully prevent the need for future surgical procedures. Conclusion The author speculates that post open-heart surgery depression is triggered by an array of stressors. The diverse stressors discussed above act in conjunction and almost create domino effect to cause a patient to feel overcome with depression. The physiological stressors trigger patients to become hopeless about their physical restrictions and cognitive dysfunction, which leads to self doubt, dependence on others which affects their psyche. The preceding psychological stress causes them to rely on family and friends for support and depression can stem from lack of support received or from guilt; which causes them to become reclusive to their former social domain. Finally when patients are feeling low and alone he or she may choose to blame God for their current predicament. There are many directions in which stressors can develop to cause depression in patients but the writer believes that it is the integration of all these stressors that further contribute to ones depressed state of mind. Discussion Question Do you think there are other causes of post open-heart surgery depression that I did not mention? If so, what else could help explain the cause? Do you support my theory?

Michel Trudeau Killed by Avalanche in 1998

Michel Trudeau Killed by Avalanche in 1998 Michel Trudeau, the 23-year-old son of former Canadian Prime Minister  Pierre Trudeau  and Margaret Kemper and younger brother of current Canadian Prime Minister Justin Trudeau was killed by an avalanche in British Columbias  Kokanee Glacier Park  on November 13, 1998. Three other skiers also present on the slopes were rescued by a national park service helicopter from the provincial park in the wilderness area northeast of Nelson, B.C., where the young Trudeau was presumed to have been pushed off the ski trail by the avalanche and swept down into Kokanee Lake, where he was believed to have drowned. A private memorial service for family and friends was held on Friday, November 20, 1998, in Outremont, Quebec, though his body was never recovered from the lake. After the Incident Nearly ten months after the avalanche that killed Michel Trudeau, the Royal Canadian Mounted Police (R.C.M.P.) sent a dive team into Kokanee Lake to search for his body, but a long winter, cold summer, and snow in the Rockies hampered search efforts. Before beginning the search, the R.C.M.P. cautioned that it was possible young Trudeaus body may never be found because divers could only go down to a depth of 30 meters (about 100 feet) while the lake is 91 meters (close to 300 feet) deep at its center. After nearly a month of searching - largely due to the limited number of days of open waters on the lake and the high altitude that prevented deep diving - Trudeaus family called off the search without recovering the body and later erected a chalet nearby as a memorial to Michel. More About Michel Nicknamed Miche by Fidel Castro (of all people) during a visit with his grandparents to Cuba in 1976, Michel Trudeau was born only four months before on October 2, 1975, in Ottawa, Ontario. Upon retiring from politics, Michels father Pierre moved the family to Montreal, Quebec, where the 9-year-old Michel would spend the rest of his childhood. Michel attended the Collà ©ge Jean-de-Brà ©beuf before pursuing a graduate degree in microbiology at Nova Scotias Dalhousie University. At the time of his death, Michel had been working at a mountain resort in Rossland, British Columbia for about a year.   On November 13, 1998, Michel and three friends set out on a backcountry skiing trip in the Kokanee Glacier Park, but the avalanche separated the group from Michel as he was swept downhill into the lake.   After his death, a newly discovered varietal of rose was named after him, dubbed the Michel Trudeau Memorial Rosebush, with proceeds from sales of the new flower benefitting the Canadian Avalanche Foundation, which helps survivors and victims of Canadas many avalanches recover after getting caught in one of natures most destructive natural disasters.

Mnutes Essay Example | Topics and Well Written Essays - 750 words

Mnutes - Essay Example A motivational session with speaker David Miln Smith has been scheduled for the 17th and 18th of June. A total of four sessions; a morning and evening session per day with two hour duration, has been arranged. There was also a mention about the meeting with COL Haselden to be held on the 13th of May in order to review the slides for the Mission Partners Meeting that was scheduled for the 27th of May. Members were requested to ensure the correctness of their slides by reviewing them on their U-Drive and then to send slides to Ms. Wingate. Chief Haynes took the opportunity to tank everyone for their contribution and participation in the Centennial Celebration. He stated that had it not been for everybody’s cooperation, the event would not have been as successful as it had turned out. Mr. Harris stated that the 1st BSAT moves would begin on that day and they will be moving from AFIP to WRIAR. He further added that all the tasks have been completed on time and that five new tasks alone awaited completion. Mr. Larochelle stated that he had sent out the Hand Receipt spreadsheet that week and added that if anyone wanted to update their hand receipts they could do so as they could then account for all the items on the receipt. With regard to the Human Recourses Pilot Project, it was announced that MEDCOM had assigned Walter Reed Army Medical Center (WRAMC) as one of the agencies to hire Non-US citizens for a few highly specialized

United States school counseling program Term Paper

United States school counseling program - Term Paper Example School counseling is not a new concept; it has been in existence since long; however, it is also true that school counseling at elementary and middle level is a later development as compared to high school and college counseling.Academic counseling, vocational guidance and other forms of school counseling are offered in most schools these days for the students who need it. According to the Education Encyclopedia (2011), school counselors facilitate communication between students, teachers and parents while striving to make learning process a positive experience for all parties involved. This paper will provide a brief history and evaluation of the school counseling program specifically at elementary and middle high school level offered to students in the USA, focusing on the roles and responsibility of a school counselor. History of School Counseling In USA:Though existence of informal school counseling, where the teacher played the role of counselor is centuries long, almost as long as that of education itself; the history of formal school counseling can be traced back to the beginning of twentieth century. In the pro social reform movement period, when child labor was at its peak, counseling was introduced in many schools of USA, but this was mostly vocational counseling which aimed at transforming people in the workforce into productive members of the society (Education Encyclopedia, 2011). During its first half, the 20th century faced two world wars. Two noticeable events occurred in the post war era that cleared the way for counseling in schools as we know it today (Yau, 1988). One was the establishment of American School Counselor Association in 1950 and second was inclusion of aid for counseling in guidance in the national defense education act in 1958 (Education Encyclopedia, 2011). In 1970’s the focus of school counseling was further expanded to engulf the special needs department. Special needs students also fell under the department of school counselor as per the Education for all handicapped children act in 1978. The ASCA has also developed a set of national standards for school counseling program, which serves as a guide for all school counselors regarding their role and responsibilities (Sabella, 2006). Importance of School Counseling Professional school counseling helps in maximizing student success via promotion of a safe and supportive learning environment (ASCA, 2009). According to Gysbers (2003), identity issues, problems pertaining to academic learning, peer pressure, drugs and changing or disturbing family relationships are a common part of students’ daily lives in the USA today. The role of counselor is therefore very important. The school counselor not only identifies the students in need of assistance, but also serves to rectify the problems and help the students in solving their issues. This is attained via expanding communication channels and introducing the students to effective life coping strateg ies as per the requirement. 2. ROLE OF A SCHOOL COLUNSELOR A review of available literature was conducted in order to find out the current trends and issues in school counseling in the USA and to explore the roles of a school counselor in America. The ASCA have carefully developed a national model for professional school counselors to follow. This model is typically based on four areas, namely: foundation, delivery, management and accountability (ASCA, 2011). The element of foundation in the model points out that the counselors are to develop a philosophy in their work and then to follow it. Ideally, counselors create a mission statement in collaboration with that of the school they are working at to create a supportive environment for the students that encourages learning. Delivery refers to the provision of required and expected services by the counselor to the staff, teachers, students’ and parents. Management also falls within the realm f counseling. As per the national

Statue of Liberty Essay Example for Free

Statue of Liberty Essay A universal symbol of democracy and freedom, The Statue of Liberty, is a gift of companionship from the France people to the United States people. The Statue of Liberty enlightening the globe was devoted on 28th October, 1886. In 1924, The Statue of Liberty was designated and selected as a National Monument. The meaning of The Statue of Liberty is Liberty Enlightening the World and is an enormous neoclassical monument in New York Harbor on Liberty Island. It was designed by the Frederic Bartholdi and it is a figure of female. The female represents the Roman Goddess of Freedom, Libertas, who puts up with a tablet inducing the law (tabula ansata) and a torch. When you look at it, I can feel it tells me a lots of things: Liberty, freedom, power to take on the world. And win. On the tabula ansata, 4th July, 1776, the American Declaration of Independence date is emblazoned. At the feet of the Statue of Liberty lies a broken chain. The Statue of Liberty is a convivial signal to the immigrants that are arriving from overseas and it is an icon of the United States and its freedom. The height of the Statue of Liberty is 151ft that is 46.5 meters and along with the pedestal the statue reaches a height of 305 ft that is 93 meters . Inside the statue there are 354 stairs that end at the crown from where a nice view of the New York is available (WHC, 2013). The Statue of Liberty Ellis Island Foundation (SOLEIF) founded by the President Ronald Reagan in 1982. This was done to start a classified division attempt to lift resources for the re-establishment and safeguarding of the Ellis Island and Statue of Liberty. The Foundation initially began the renovation of the Statue of Liberty along with the National Park Service, U.S. Department of the Interior. This was done because the statue needs refurbishment due to a century of sightseeing and weather pollution. On 4th July, 1986, a three day event was celebrated on the restoration of the statue. This weekend was also named as the â€Å"Liberty Weekend† by the President Francois and President Reagan (NPS, 2013). The Statue of Liberty is an icon and symbol of international friendship, companionship and alliance of the United States and France. It describes the liberty and freedom of the people of United States. The Statue of Liberty is an emblem of warm welcome to the people coming from overseas and abroad. To me Lady Liberty was meant to stand for the opportunity afforded to all who either came here or were born here. All that was required was the willingness to work,strive,and dream of a better day. References NPS (2013) History of the Statue of Liberty. The Statue of Liberty-Ellis Island Foundation, Inc., retrieved from http://statueofliberty.org/Statue_History.html NPS (2013) History of the Statue of Liberty. The Statue of Liberty-Ellis Island Foundation, Inc., retrieved from http://statueofliberty.org/Foundation.html NPS (2013) Statue of Liberty: National Monument New York. National Park Service: U.S. Department of the Interior, retrieved from http://www.nps.gov/stli/index.htm WHC (2013) Statue of Liberty. UNESCO World Heritage Centre, retrieved from http://whc.unesco.org/en/list/307

Gilbert Ryle’s The Concept of Mind Essay -- Ryle Concept Mind Philosop

Gilbert Ryle’s The Concept of Mind Gilbert Ryle’s The Concept of Mind (1949) is a critique of the notion that the mind is distinct from the body, and is a rejection of the philosophical theory that mental states are distinct from physical states. Ryle argues that the traditional approach to the relation of mind and body (i.e., the approach which is taken by the philosophy of Descartes) assumes that there is a basic distinction between Mind and Matter. According to Ryle, this assumption is a basic 'category-mistake,' because it attempts to analyze the relation betwen 'mind' and 'body' as if they were terms of the same logical category. Furthermore, Ryle argues that traditional Idealism makes a basic 'category-mistake' by trying to reduce physical reality to the same status as mental reality, and that Materialism makes a basic 'category-mistake' by trying to reduce mental reality to the same status as physical reality. Ryle rejects Descartes’ dualistic theory of the relation betwen mind and body. According to Ryle, this theory attempts to separate mental reality from physical reality, and it attempts to analyze mental processes as if the mind were distinct from the body. As an example of how this doctrine can be misleading, Ryle explains that knowing how to perform an act skillfully is not a matter of purely theoretical reasoning. Knowing how to perform an act skillfully is a matter of being able to think logically and practically, and is a matter of being able to put practical reasoning into action. Practical action is not necessarily produced by highly abstract reasoning, or by an intricate series of intellectual operations. The meaning of actions is not explained by making inferences about hidden mental processes, but is ... ...ocesses which are distinct from observable behavioral responses. Acts such as thinking, remembering, perceiving, and willing are defined by behavioral actions and by dispositions to perform behavioral actions. However, Ryle criticises Behaviorist theory for being overly simplistic and mechanistic, just as he criticizes Cartesian theory for being overly simplistic and mechanistic. While Cartesian theory asserts that hidden mental processes cause the behavioral responses of the conscious individual, Behaviorism asserts that stimulus-response mechanisms cause the behavioral responses of the conscious individual. Ryle argues that both the Cartesian theory and the Behaviorist theory are too simplistic and mechanistic to enable us to fully understand the Concept of Mind. Works Cited: Ryle, Gilbert. The Concept of Mind. Chicago: The University of Chicago Press, 1949.

Motivation

Describe, compare and contrast one process and one content theory of motivation. Evaluate how appropriate they are for organisations today. Motivation is the desire or willingness of someone to do something. Craig C. Pinder (1998) defined work motivation as a â€Å"set of internal and external forces that initiate work related behaviour and determine its form, direction, intensity and duration. † Motivation plays an important role in a business environment, as employee motivation is believed to improved work performance.Discussed in this essay are two types of motivation theories; Content theory which tries to identify specific needs that motivate people and Process theories which is based on developing models relating needs, motives and behaviour. In this essay, I aim to asses content and process theories accordingly; Abraham Maslow’s Hierarchy of Needs Theory and Stacey Adams Equity Theory; comparing these theories and highlighting any assumptions, strengths, weakness , positives and negatives individually and comparatively to be able to come to a critical conclusion as to whether these theories are suitable for organisations today.My content theory is based on Maslow’s Hierarchy of Needs theory, published in 1943 by Abraham Maslow. His hypothesis was that â€Å"human needs arrange themselves in hierarchies† as quoted in his publication of A Theory of Human Motivation in 1943 (p. 370). In hierarchical order physiological needs which entails food, water, shelter and warmth. Safety needs refers to security, stability and freedom from fear. Social needs include the need for affection and friendships. Esteem needs refers to ego needs, recognition and respect.Finally, Self-actualisation, realisation of ones full potential ‘becoming everything that one is capable of becoming. ’ â€Å"When one set of needs is satisfied, it ceases to be a motivating factor. Thereafter the next set of needs in the hierarchy order takes places,à ¢â‚¬  (Maslow, 1943) this continually occurs until the assumption of self-actualisation is satisfied, as Maslow stated, â€Å"a satisfied need is no longer a motivator. † Equity Theory, a process theory first proposed by Stacey Adams in 1963 ocuses on people’s feelings on how fairly they have been treated in comparison with the treatment received by others. It is based on exchange theory (Homans 1961) undergoing an exchange process, which involve inputs and outcomes. In ‘Social Behaviour: its Elementary Forms’ by George C. Homans he created the rule of ‘Distributive Justice’: â€Å" a man in exchange relation with another will expect that the reward of each man be proportional to his costs†¦ the greater the investments, the greater the profit,† (Homans 1961 p. 75).Numerous business environments present inequality, however, the acknowledgement of inequality will motivate an individual to decrease or eradicate the inequality. These two theories illustrate a relationship in terms of how they motivate individuals by fulfilling a need that affects them both mentally and physically; for example, Maslow’s theory suggests you will be motivated to the next ‘higher level’ of needs if the previous level is fulfilled satisfactorily, if this is not met, work performance will deteriorate and affect individuals mentally or physically as they cannot advance to the next level.As well as, Adams Equity Theory; Work on Walster, Berscheid and Walster, 1973 was covered by Kingsley, Catherine, Park, Hee Sun and Lee, Hye Eun (2007) where they suggested â€Å"mathematically, equity theory predicts that people will be uncomfortable in relationships in which their own ratio of inputs to outcomes is not equivalent to the other party’s ratio of inputs to outcomes†, in other words, this ‘discomfort’ can lead to further enthusiasm to reach the next goal or increase input to ultimately increas e outcomes to reach satisfaction and eliminate the ‘discomfort’.Furthermore, research has proved that both theories of Maslow and Adams can result in consequential behaviour if their needs are unable to be satisfied. For instance, Maslow’s theory states there are five stages of the hierarchy, considering psychological needs are most important, in having a healthy work relationship, if this is not fulfilled, individuals might resort to criminal activities to satisfy that need in order to survive.Similarly, evidence from research highlight that there are negative ways in which workers can redress inequality; As seen in Organizational behaviour and Work, Wilson, Fiona M, (2010), it highlights the ways in which individuals act negatively towards inequity â€Å"underpayment leads to lowered job performance (Prichard et al. , 1972; Lord and Hohenfeld, 1979). Another form of reaction to underpayment is disruptive, deviant behaviour, such as vandalism and theft (Holling er and Clark, 1983). Theft might be seen as a means to replenish feelings of underpayment inequity.The Hawthrone Studies conducted by Elton Mayo between 1924 and 1932, showed that employees are not just motivated by the money, â€Å"outcomes,† but their attitudes, â€Å"needs† as well. Initiating the human relations approach to management and the needs and motivation of employees was the primary concentre of managers. In short, both Maslow and Adams theories can be considered Equity theories of motivation. In some way, Equity Theory may seem more relatable to organisations today globally, as equity is part of the human rights laws, as compared to Maslow’s theory.Maslow’s theory is unmasked as ethnocentric by Geert Hofstede (1984), he stated, there are ‘cultural limitations’ in the study of this theory conducted by Haire, Ghiselli and Porter (1966) where Haire et al, concluded ‘the only nationality group that ordered their need importanc e almost, and their need satisfaction exactly, in the Maslow order was the U. S. managers. The other nationalities showed more or less deviant patterns. ’ Hoftsede argues that Maslow’s theory is based on an individualistic society seeking self-actualisation as their most important goal/need.However, in collectivist societies such as China seeking â€Å"harmony† or â€Å"family support† or job satisfaction, which are not represented in the hierarchy of needs, are seen as their necessary goals. Nevis (1983) study emphasises that Maslow’s Hierarchy is not relatable to Chinese culture. His main observations were that there was a difference in the cultures in terms of belonging; Individualistic society as opposed to collectivist societies seeks belonging, whereas collectivist societies basic needs only emerge after they have satisfied their need to belong.This indicates Maslow’s theory is not appropriate to all cultures, however, there is a predo minant relationship illustrating the need for equity in business environments. Empirical support for Maslow’s Theory is lacking (Murcell 1976), Maslow himself admitted in 1962: ‘my motivation theory was published 20 years ago†¦ nobody repeated it, tested it, or really analysed or criticized it. ’ Lowry (1982: 63). Another criticism discussed (McLeod 2007) concerning the assumption that the lower needs must be satisfied before a person can achieve their full potential and self-actualise.McLeod (2007) argues that this is not always the case, and therefore the theory is ‘falsified. ’ Many creative people such as authors, musicians and artists have exhibited self-actualisation without meeting the lower needs. Van Gogh, who was poor and considered by many psychotic; Rembrandt, who had no food or majority of the basic psychological needs; Toulouse Lautrec, whose body tormented him; were all engaged in some form of self actualisation. Perhaps the devel opment of uniqueness and creativity in meeting some of the levels, in someway compensates for the lack of having the basics.It is sensible however to state that some people aim for self actualisation even when their physiological needs or lower needs are not fully met. Moreover, Maslow defined self-actualisers as people of great accomplishment such as dignitaries and presidents. This statement makes it complex to understand the concept of self-actualisation. In fact, Muchinsky (1993) states that Maslow’s theory is more philosophical than empirical, which means it is complicated to test.The only way to do so is to say that ‘all people are at different stages of development, and all of them are self actualisers in some form,’ Poston (2009). Another weakness is the arrangement of hierarchy; Bellot & Tutor (1990) argue that the arrangement does not apply to organisations today and modern society. They conclude that ‘self actualisation is a proponent need fo r self-esteem’ implying self-esteem would follow only after self- actualisation, which is clearly not illustrated in the Maslow’s theory model.Equity Theory can be assessed into four basic propositions according to Huseman, Hatfield and Miles (1987). One of the propositions being: Individuals develop their perception of fairness by calculating a ratio of their inputs and outcomes and then comparing this to the ratios of others (Huseman, et al. , 1987). Noticeably some inputs and outcomes are intangible, in the sense that they cannot be measured or quantified such as Inputs: experience, knowledge, ability, qualifications and ambition of the individual (Cory, 2006) and outcomes: recognition or job security.This makes coming to a suitable conclusion for an individual’s input and outcomes ratios more difficult as these concepts are intangible, meaning it is difficult to define or understand, as it is vague and abstract a concept. Another proposition suggests that: a s the difference in inequity increase, the tension and distress felt by individuals will increase (Huseman, et al. , 1987). However, not every person will experience equity or inequity in the same way because people have varying tolerance levels for sensitivity to perceived situations of inequity.Huseman et al. , suggest that there are three types of individuals on an Equity Sensitivity Spectrum: Benevolent (more tolerant of under-reward), Equity Sennsitives (follow the ‘norm’ of equity theory) and Entitled (prefer over-reward situations)(Huseman, et al. , 1987). In my earlier statements about Wilson, Fiona M, (2010) work that highlights the ways in which individuals act negatively towards inequity may be narrowed down using this spectrum, unlike the generic idea that â€Å"underpayment leads to lowered job performance (Prichard et al. 1972; Lord and Hohenfeld, 1979). Using the spectrum, Benevolents, will experience distress and guilt if they are in a situation of over -reward. Equity Sensitives, will experience distress when faced with either type of inequity and Entitleds, experience distress when in an equitable or under reward situation. This structure is useful for addressing and understanding equity theory and individuals behaviour. However, needless to say this is just a broad spectrum. The Equity Sensitivity Spectrum does not account for all individual differences in preferences and behaviour.Individuals might show different equity sensitivities in different contexts (Huseman, et al. , 1987). For instance an individual might be Equity Sensitive in their relationships, favouring an equitable balance. Conversely, they might be an Entitled in business environments and are open to the idea of over-reward. Equity theory in a business environment is said to be less damaging if employees are given a voice, respect and feeling of belonging in a workplace. â€Å" People feel affirmed if the procedures that are adopted treat hem with respect and di gnity, making it easier to accept outcomes they do not like,† Deutsch, 2000, p. 45). Skarlicki and Folger (1997) found that employees that are treated with respect are more likely to tolerate unfair pay. The perception of inequity is more likely to be tolerated if employees feel comfortable, belong and are respected by their employer. This further prevents detrimental behaviour an employee is likely to illustrate, if uncompensated for the inequity at work such as counter-productivity work.These intangible concepts such as respect help maintain or increase motivation and prevent problems that arise from under-reward. Cultural differences influence the equity theory (Fadil, Williams, Limpaphayom, and Smatt, 2005). Research shown on Eastern culture illustrate that, equality as opposed to equity was preferred (Leung and Bond, 1982, 1984; Leung and Park, 1986; Mahler, Greenberg and Hayashi, 1981 as cited in Fadil et al. , 2005). Eastern cultural shows that rewards will be given out equally to all those involved in the group’s performance regardless of individual inputs or personal efforts (Fadil, et al. 2005). This is probably as a result of primary sector being the most occupied sector in these cultures. Equality as opposed to Equity is a good ideology that will benefit the equity theory significantly. The business climate today allows Maslow and Adams theory to be applied, although to a limiting degree. Undoubtedly, both theories have shown weakness, strengths and assumptions, which I have explored widely. Today, Maslow’s model is relatable because people do seek to achieve psychological, safety, social and esteem needs, and to discover the realm of self-actualisation.However, as discussed, Maslow’s theory is a very individualistic model that does not relate globally, in collectivist societies. Thus, proving that Maslow’s theory may not be appropriate to business environments globally, which practice collectivism such as China. A lternatively, Adams theory is more fitting for business environments globally in the present and certainly in the future as equity is seen as a necessity of human rights. Finally, ’one of the difficulties in motivating workers is that they, all are ifferent and react differently to the same kind of change or action. ’(Haleopota, 2005) once this concept is understood, it is much easier to regard these theories individually, monitoring the effects on an individual over short and prolonged periods of time. These theories discussed are outdated and difficult to empirically test, even though they have been published for years now. Businesses evolve over the years and structures rotate as time goes along. Needless to say, some aspects of these theories are relatable today but are quickly diminishing.It is essential to remember ‘the concept of motivation is somewhat abstract, different strategies produce different results at different times, and there is no single strat egy that can produce guaranteed favourable results all the time. ’(Halepota, 2005). Bibliography List of references Bellott, F. K. , & Tutor, F. D. (1990). â€Å"A Challenge to the Conventional Wisdom of Herzberg and Maslow Theories†, Paper presented at the Nineteenth Annual Meeting of the Mid-South Educational Research Association. New Orleans, LA Berscheid, E. , Walster, G. , & Hatfield Walster, E. 1978, Equity: Theory & Research, Allyn & Bacon, Inc. Brain, C 2002, Advanced Psychology: Applications, Issues & Perspectives, Nelson Thrones, Cheltenham. p 131-132. Cory, C. , 2006, Equity theory and employee motivation, Buzzle, retrieved from http://www. buzzle. com/editorials/6-24-2006-100325 Deutsch, M. , 2000, Justice and conflict, In M. Deutsch and P. T Coleman (Eds), the Handbook of conflict resolution: theory and practice, San Francisco: Jossey- Bass Inc. Publishers. Eisenhardt, K. M. , The Academy of Management Review, Vol. 14, No. 1 (Jan. , 198 9), pp. 57-74Fadil, P. A. , Williams, R. J. , Limpaphayom, W. , & Smatt, C. , 2005, Equity and Equality? A Conceptual Examination of the Influence of Individualism/Collectivism on the Cross-cultural Application of Equity Theory, Cross Cultural Management, 12 (4), 17-36 Geare, A 1977, Wage Payment Systems, Methuen, New Zealand. P 80 Greenberg, J. , 1988, Equity and Workplace Status: a Field Experiment, Journal of Applied Psychology, 4, 606-613 Greenberg, J. , 1990, Employee Theft as a Reaction to Underpayment Inequity: The Hidden Cost of pay cuts, Journal of Applied Psychology, 5, 561-563Halepota, H. A. ; 2005 A Motivational Theories and Their Application in Construction, Cost Engineering Vol. 47/No. 3 March, 2005, p. 14. Hallez, T. , Ball, B. , 2010, ‘Stacey Adams Equity Theory', Your Coach, Accessed 12th November 2012, Source: from http://http://www. yourcoach. be/en/employee-motivation-theories/stacey-adams-equity-theory. php Hofstede, G. , 1984, The Cultural relativity of the Quality of Life Concept, Academy of Management Review Vol. 9 issue. 3 p. 389-39 Hollinger, R. C. , & Clark, J. P. 1983, Deterrence in the workplace: Perceived Certainty, Perceived Severity, and Employee Theft. Social Forces, 5, 561-568 Huseman, R. C. , Hatfield, J. D. , and Miles, E. W. , Lawler, E. 1968, ‘Equity theory as a predictor of productivity and work quality’, Psychological Bulletin, vol. 70, pp. 598-610 Maslow, A 1970, Motivation and Personality, 3rd ed. , Harper ;amp; Row, New York. Chapter 2: p. 15-31. Huseman, R. C. , Hatfield, J. D. , Miles, E. W. , 1987, The Academy of Management Review, Vol 12(2), p. 222-234 Maslow, Abraham H. , Lowry, Richard J. 1940-, Maslow, Bertha G, Freedman, Jonathan L. , and International Study Project The journals of Abraham Maslow. Lewis Pub. Co, Lexington, Mass, 1982. McLeod, S 2007, ‘Maslow's Hierarchy of Needs', Simple Psychology, Accessed 11th November 2012, Source: from http://http://www. simplypsychology. org/maslow. html Muchinsky, P. M. , 1993, Psychology applied to work: An introduction to industrial and organizational psychology, 4th edition, Brooks/Cole (Pacific Grove, Calif. ), p. 584 Oleson, M. , Exploring the Relationship between Money Attitudes and Maslow's Hierarchy of Needs.International Journal of Consumer Studies, Vol. 28, No. 1, pp. 83-92, January 2004. Pinder, C. C. 1998. Work motivation in organizational behaviour. Upper Saddle River, NJ: Prentice-Hall Poston, B 2009, ‘Maslow's Hierarchy of Needs', An Exercise in Personal Explorations, Association of Surgical Technologists, p. 347-353 Pritchard, R. , 1969, ‘Equity theory: A review and critique', Organizational Behaviour and Human Performance, vol. 4, issue 2, pp. 176-211 REDMOND, B 2009, ‘Equity Theory',  The Pennsylvania State University, PSYCH 484: Work Attitudes and Job Motivation, pp. -16 Rakowski, N 2011, Maslow's Hierarchy of Needs Model – the Difference of the Chinese and the Western Pyramid on the Example of Purchasing Luxurious Products, GRIN Verlag. Shapiro, D. , Steers, R. M. , ;amp; Mowday, R 2004, ‘INTRODUCTION TO SPECIAL TOPIC FORUM THE FUTURE OF WORK MOTIVATION THEORY', The Academy of Management Review, vol. 29 issue 3, pp. 379-387 The Academy of Management Review, Vol. 12, No. 2 (Apr. , 1987), pp. 222-234 Trevino, A. Javier (2009) ‘George C. Homans, the human group and elementary social behaviour', the encyclopaedia of informal education, p. [Www. infed. org/thinkers/george_homans. htm] WAHBA, M. , ;amp; BRIDWELL, L. , 1976, ‘Maslow Reconsidered: A Review of Research on the Need Hierarchy Theory', ORGANIZATIONAL BEHAVIOR AND HUMAN PERFORMANCE, vol. 15, pp. 212-240 Westerman, C. , Park, H-S. , ;amp; lee, H-E. , 2007, A Test of equity theory in multidimensional friendships: a comparison of the United States and Korea. Journal of Communication, 57, 576-598 Wilson, Fiona M (2010) â€Å"Chapter 6: Motivation†. Organizational behaviou r and work: a critical introduction, (pp. 123-142) Oxford: Oxford University Press Motivation This paper presents the findings with regards to the motivation levels of Officers in the Defense Sector under several parameters. The Indian Army serves as the ultimate instrument for maintaining the unity and the integrity of the nation in the face of external threats and internal unrest and disturbances. Teamwork breeds comradeship which, in turn, leads to pride in belonging to a team and fosters esprit De corps. Motivation thrives on a continuing sense of purpose and it is the Job of the commander to instill this purpose.Skill in the techniques of leadership is the foremost quality in the art of command and contributes very largely to success at all levels of war. The basic structure and motivational ethos of the armed forces in general and the Indian Army in particular, has remained rooted in the colonial context. The entire basis of military motivation has been focused around the Zeta/ honor and martial traditions of the sub-nationality based Regiment. The pride in the â€Å"G uam† (substantiation) has been the primary basis of the military motivational ideology. The history and achievements of the â€Å"Guam† have used to inspire the older.The Indian National Army (NINA) of Subtask Chancre Bose provided a readmes model for the Indian context. It had tried to apply the German and Japanese techniques of military motivation to the Indian context with considerable success. The relation between employee motivation level (dependent variable) with the extent of leadership behavior, organizational culture, team spirit, personal effectiveness and effect of financial motivators (independent variables), as reflected through analysis of data by using Crossbar and Chi-square method is presented as follows: 6. Extent of Leadership Behavior * Level of Employee Motivation Table 6. : Crossbar of Extent of Leadership Behavior * Level of Motivation in Defense Crossbar Level of Employee Motivation Low Medium High Total Autocratic Count 23 11 0 34 % within Exten t of Leadership Behavior 67. 6% 32. 4% 100. 0% Participative Count 6 64 9 79 7. 6% 81. 0% 11. 4% 100. 0% count 18 1937 Extent of Leadership Behavior Charismatic 48. 6% 51 100. 0% Total count 2993 28 150 19. 3% 62. 0% 18. 7% 100. 0% Table 6. 2: Chi Square of Extent of Leadership Behavior * Level of Motivation Chi- Square Tests Value UDF Assam. Gigs. (2-sided) Pearson Chi-Square 94. AAA 4 . 000 Likelihood Ratio 87. 164 4 .OHO Linear-by-Linear Association 65. 070 1 . 000 N of Valid Cases 150 a. O cells (. 0%) have expected count less than 5. The minimum expected count is 6. 35. 124 Fig. 6. 1: Graph for Extent of Leadership Behavior * Level of Employee Motivation Table 6. 1 presents the information related to the extent of leadership behavior and level of motivation of the employees. It is evident that 81% of the employees falling in participative leadership behavior have a medium level of motivation, whereas in al other leadership behavior categories, around 41% of the employees have m edium level of motivation.Autocratic leadership style and behavior has sizeable 68% respondents in low level of motivation, whereas the relative percentage of participative and charismatic leadership behavior is much less. Hence, it seems that as the close-control leadership behavior is increasing, the level of employee motivation is decreasing. To test this association between extent of leadership behavior and level of employee motivation, Chi Square test (Table 6. 2) has been seed, Here, the null hypotheses is that there is no relationship between leadership behavior and level of employee motivation.A high Chi Square value, I. E. 94. 085 confirms this relationship. Asymptotic significance value has been 0. 000, which shows that the relationship is statistically significant at 5% level of significance. Thus, the null hypotheses, stating no relationship between leadership behavior and level of employee motivation stands rejected. Hence, it may be concluded that leadership behavior p lays a significant role in employee motivation. As the close control of dervish behavior increases, the level of employee motivation tends to decrease. 6. Organizational Culture * Level of Employee Motivation Table 6. 3: Crossbar of Organizational Culture * Level of Motivation Crossbar Level of Employee Less count 2429 1 54 Conducive % within Organizational Culture 44. 4% 53. 7% 1. 9% 100. 0% Moderately count 5 37 7 49 10. 2% 75. 5% 14. 3% 100. 0% count 0 27 20 47 Organizational Culture Highly 57. 4% 42. 6% 100. 0% % within 19. 3% 62. 0% 18. 7% 100. 06 Table 6. 4: Chi Square of Organizational Culture * Level of Motivation Chi-Square Tests Pearson Chi-Square 54. 60AAAikelihood Ratio 60. 297 4 .OOOHOinear-by-Linear Association 47. 912 1 . 000 a. O cells (. 0%) have expected c oumountess than 5. The minimum expected count is 8. 77. Fig. 6. 2: Graph for Organizational Culture * Level of Employee Motivation Table 6. 3 presents the information related to the organizational culture and le vel of motivation of the employees. It is evident that 76% of the employees falling in moderately conducive organization culture have a medium level of motivation, whereas in all other organizational culture categories, around 55% of the employees have medium level of motivation.Less conducive organizational culture has sizeable 44% respondents in low level of motivation, whereas the relative percentage of moderately and highly conducive organization culture is much less. Hence, it seems that with more conducive organization culture, the level of employee motivation is increasing. To test this association between organizational culture and level of employee motivation, Chi Square test (Table 6. 4) has been used, Here, the null hypotheses is that there is no relationship between organizational culture and level of employee motivation.A moderately high Chi Square value, i.I. 54. 060 confirms this relationship. AsAsymptoticignificance value has been 0. 000, which shows that the relatio nship is statistically significant at 5% level of significance. Thus, the null hypotheses, stating no relationship between organizational culture and level of employee motivation stands rejected. Hence, it may be concluded that organizational culture plays a significant role in employee motivation. With more conducive organization culture, the level of employee motivation is increasing. 6. 3 Team Spirit * Table 6. : CrCrossbarf Team Spirit * Level of Motivation LOW count 24 24 0 48 within -ream spirit 50. 0% 50. 0% 100. 0% Moderate count 5 48 5 58 % within -ream spirit 8. 6% 82. 8% 8. 6% 100. 0% count 0 21 2344 Team Spirit High % within -ream spspent7. 7% 52. 3% 100. 0% % within -ream spirit 19. 3% 62. 0% 18. 7% 100. 0% Table 6. 6: Chi Square of Team Spirit * Level of Motivation Chi-Square Tests Pearson Chi-Square 80. 60AAAikelihood Ratio 83. 585 4 . OOOHOinear-by-Linear Association 62. 774 1 . 000 a. O cells (. 0%) have expected count less than 5. The minimum expected count is 8. 2 1 . 129 Fig. 6. : Graph for Team Spirit * Level of Employee Motivation Table 6. prPresentshe information related to the team spirit and level of motivation of the employees. It is evident that 83% of the employees having moderate team spirit have a medium level of motivation, whereas in all other team spirit categories, around 49% of the employees have medium level of motivation. Low team spirit has sizeable 50% respondents in low level of motivation, whereas the relative percentage of high team spirit is much less. Hence, it seems that as the team spirit is increasing, the level of employee motivation is increasing.To test this association between team piprintnd level of employee motivation, Chi Square test (Table 6. 6) has been used, Here, the null hypotheses is that there is no relationship between team spirit and level of employee motivation. A high Chi Square value, i.Ie.E80. 607 confirms this hypotheses, stating no relationship between team spirit and level of employee motivat ion stands rejected. Hence, it may be concluded that team spirit plays a significant role in employee motivation. As the team spirit of employee increases, the level of motivation tends to increase. 6. 4 Personal Effectiveness * Level of Employee Table 6. CrCrossbarf Personal Effectiveness * Level of Motivation CrCrossbarOW count 1260 18 % within Personal Effectiveness 66. 7% 33. 3% 100. 0% Medium count 14 564 74 18. 9% 75. 7% 5. 4% 100. 0% count 3 31 2458 Personal 5. 2% 53. 4% 41 100. 0% 19. 3% 62. 0% 18. 7% 100. 01 Table 6. 8: Chi Square of Personal Effectiveness * Level of Motivation Chi-Square Pearson Chi-Square 58. 544aAAAelihood Ratio 55. 162 4 . OOO OHOear-by-Linear Association 44. 284 1 . 000 a. 2 cells (22. 2%) have expected count less than 5. The minimum expected count is 3. 36. Fig. 6. 4: Graph for Personal Effectiveness * Level of Employee Motivation Table . presPresents information related to the personal effectiveness and level of motivation of the employees. It is ev ident that 76% of the employees having medium personal effectiveness have a medium level of motivation, whereas in all other personal effectiveness categories, around 43% of the employees have medium level of motivation. Low personal effectiveness has sizeable 67% respondents in low level of motivation, whereas the relative percentage of high personal effectiveness is much less. Hence, it seems that as the personal effectiveness is increasing, the level f employee motivation is increasing moderately.To test this association between personal effectiveness and level of employee motivation, Chi Square test (Table 6. 8) has been used, Here, the null hypotheses is that there is no relationship between personal effectiveness and level of employee motivation. A moderately high Chi Square value, i. eI 5E. 544 confirms this relationship. AsymAsymptoticnificance value has been 0. 000, which shows that the relationship is statistically significant at 5% level of significance. Thus, the null hy potheses, stating no relationship between personal ffeceffectiveness level of employee motivation stands rejected.Hence, it may be concluded that personal effectiveness plays a significant role in employee motivation. As the personal effectiveness of employee increases, the level of motivation tends to increase moderately. 6. 5 Effect of Financial Motivators * Level of Employee Motivation Table 6. 9: CrosCrossbarEffect of Financial Motivators * Level of Motivation CrosCrossbar count 10 27 1047 Affected % within Effect of Financial Motivators 21 57. 4% 21 100. 0% count 1966 18 103 Effect of Financial 18. 4% 64. 1% 17. 5% 100. 0% Table 6. 0: Chi Square of Effect of Financial Motivators * Level of Motivation Pearson Chi-Square . 12a AAA 736 Likelihood Ratio . 608 2 . 738 Linear-by-Linear Association . 008 1 . 929 a. O cells (. 0%) have expected count less than 5. The minimum expected count is 8. 77. Fig. 6. 5: Graph for Effect of Financial Motivators * Level of Employee Motivation Tabl e 6. 9 presents the information related to the effect of financial motivators and level of motivation of the employees. It is evident that 64% of the employees affected by financial motivators have a medium level of motivation, whereas those unaffected by inanuncialivators, i. eI aEouAround of the employees have medium level of motivation.Of the employees affected as well as not affected by financial motivators, sizeable 20% respondents have low level of motivation. Hence, it seems that there is no much variation in motivation level of the employees affected by financial motivators and the ones not affected by financial motivators. To test this association between effect of financial motivators and level of employee motivation, Chi Square test (Table 6. 10) has been used, Here, the null hypotheses is that there is no elatlegislationween financial motivators and level of employee motivation.A low Chi Square value, i. eI 0E 612 confirms this non-relationship. AsymAsymptoticnificance v alue has been 0. 736, which shows that the relationship is statistically insignificant at 5% level of significance. Thus, the null hypotheses, stating no relationship between financial motivators and level of employee motivation stands accepted. Hence, it may be concluded that financial motivators have no significant effect on employee motivation. Hence, there is no relationship between financial motivators and level of employee motivation.

Cross Cultural perspectives

The company decided to use was Struck Corporation. Struck has been an iconic symbol in the coffee industry here in the United States. It is a place where people go to meet, work; do school work, and many other things. Struck Corporation has created an atmosphere that makes people feel okay with spending six dollars or more on a latte. Although its great success in the United States and many other countries, Struck has really struggled to thrive in Europe. Struck CEO Howard Schultz traveled to Italy in 1983 and was really inspired by their espresso bars.He saw the potential in the concept off coffee house thriving in Seattle. Schultz really took that idea and sculpted it into everything the American people were looking for. As the company grew and expanded into other countries, it eventually came full circle and ended up back in Europe, where the idea began. This would prove to be more off struggle than expected. You would think that Struck would thrive in a country that lives off cof fee and tea. The espresso and latte experience in Europe is an everyday thing; apart of the culture.Struck is having a difficult time bringing an American version of a coffee shop to Europe. Its reputation of having a fast food type atmosphere isn't doing the trick. The European people need a more intimate experience. One problem that Struck is having in Europe is the way they serve the coffee. The iconic paper cup and sleeve isn't cutting it in Europe. I feel it portrays a cheaper product. Also, Struck has a fast food type environment. When in Europe the coffee shops are sit down restaurants almost. Struck needs to learn how to adapt to the European cafe culture.Struck very modern look and dcore have not been keeping up with the elaborate dcore of the cafeg's in Europe. In 2012 the New York Times captured a picture of a beautifully decorated coffee shop. It had big comfortable velvet chairs that filled the room. Chandeliers line the ceilings and just a beautiful atmosphere. To my s urprise it was a Struck. They were successful in creating an atmosphere that holds to European tradition. In Europe you do not go to a coffee shop to be waited on. Even though they do have servers they do not work on tips.All of this is very different from an American coffee shop. Struck has really perfected coffee shops here in America. Instead of an elaborately decorated room, it's more Of a modern and sleek area for enjoying your favorite cup of coffee. Also, there are no servers coming to your table, but energetic baristas brewing amazing coffee with a smile and a small conversation. Struck may be on to something in Europe trying to adapt to their way of doing things. In order to keep turning a profit out in Europe they must continue to disguise themselves as a local coffee shop.In the New York Times article In Europe, Struck Adjusts to a Cafe Culture where they quote local coffee goers. Daphnia Monitor 19 year old Parisian said, â€Å"We see stars like Kim Sardinian in all the magazines walking around with a Struck,† and, â€Å"My friends and I come because it's hip. † What this tells me is that the American lifestyle is being mimicked. Especially when very famous influential people are going to Struck regularly. There are several viable solutions for Struck in Europe. The key would be to not spend extra money but to shift the money that is being spent.When opening new stores, Struck would have to go about the dcore in a different way. Change from paper cups and sleeves to mugs and plates, and still stay true to being environmentally friendly. Last, the training and Struck team should never change. Struck can change the dcore by going from a modern look and shift it to very elaborate looking decorations. Interior decorations in Europe don't have the same color schemes as we have here in the United States. Having big comfortable chairs of some kind of fabric instead of modern chairs and leather couches.Incorporating chandeliers and mirrors to make the rooms kick bigger and fancier. One major misconception of Struck in Europe is the iconic coffee cups and sleeves. Unfortunately this is perceived as a lesser product, even though this is not the case. This will save money in several different types of cups, sleeves, and much more. A coffee cup that can be rewashed and reused will save a lot of money and will take very minimal water to wash. Also, adding Rupee's favorite treats to accompany the drinks will be a great addition. If the ambiance was altered and the cups changed, the consumer will not know he difference.They are judging the coffee before they even get a chance to taste it. Some are lured in by the fact that it is an American company enjoyed by the stars. American celebrity endorsements and maybe invitations to store openings would help raise customer interest. Customers will continue to drink it as long as it is portrayed and interpreted as cool or hip. Lastly, the employee training is key. This is something th at must not be tainted no matter what changes around them. Customer involvement and connection has been and continues to be absolutely crucial part of Struck success.This is what separates Struck from any other coffee shop American or European. Continuing to hire fun, charismatic, and hardworking people no matter what culture and nationality is essential to the company thriving anywhere. Also, putting the Correct people in management is a key part Of the team. In conclusion, there are several WAP to lure in the European people to Struck. Adapting to European culture can and will be very beneficial. SSH fitting the image slightly but keeping the priorities in tact will be essential. Changing from paper to glass mugs will help lower costs and bring people onto the stores. Cross cultural perspectives The international market is the primp situation for all companies, even though almost every organization experiences growth as time passes. The main goal of almost every big business Is to be able to reach the largest market and enable growth; the international market. There are many different things that International markets bring to an organization, advantage wise, for Instance a bigger brand name, international market shares, Investors, or even growth that will allow the capability to be able to manufacture many products for a lot less expensive labor cost.Even though most companies want to go big or go home, there are bound to be many different obstacles and difficulties in making the bigger picture happen. Between going national and international, there are so many deferent moral and social responsibilities that must be overcome as the organization progresses through the ranks to be a worldwide international organization. The organization that I choose is the Levi Strauss compa ny, I love the Jeans and there is an over abundant amount of information available to the public about the history of their organization.Levi Strauss and Company, which Is based In San Francisco, California has actually been one of many different companies that have been able to overcome all the adversity and become an International organization and one of the largest retail sale producers In apparel. The organization has their headquarters in California, but they are able to operate and be successful with their different plants and operations in 110 different nations across the globe. Breaking down the split of what their income as a company is generally split from the United States and outside the border to a ear 50/50 split.Actually, Levi Strauss has recently been dealing with issues with foreign organizations to incorporate stockholders, media sites, investment companies, and even employees' right's unions. There were noted to be a lot of different reasons that people were getti ng upset with Levi Strauss and Company, but one of the major reasons Levi Strauss and Company incurred so much trouble was in their two plants in Bangladesh. There was mass confusion about the laws and stipulations In that country compared to the united States.What was stated Is that Levi Strauss was ring employees that were below the minimum age requirement, but in all actuality, in Bangladesh, there are different laws as to how old an individual must be to work in a similar plant as Levi Strauss and Company. The minimum age for an individual to work at a manufacturing plant comparable to Levi Strauss and Company is sixteen. When one looks at the history of Bangladesh, there is nothing out of the ordinary to see children, ages fifteen and younger to be out in the workforce and helping with their families household income.One issue in Bangladesh to be specific is their lack f producing a birth certificate to prove age, another issue that has been brought up is the lack of nutrition for the supposedly younger kids, who most likely look younger than they actually are. Even though these younger people are working In different Levi Strauss' plants, these types of situations are very evident and continuous even though the Conditions of Engagement for and from Levi Strauss and Company. Levi Strauss isn't the first one to be in the microscope from external stakeholders for child As an ethical international company, Levi Strauss seems to have the moral views of he majority of people. To ensure they stay ethical, there are a few things that the organization must follow like the encouragement of dialogs interactions, motivation of involvement in making decisions, adjusts personal as well as company goals and conducts, imposes direct responsibility for expecting and addressing ethical crises.These would be the most basic ethical requirements required by Levi Strauss along with an international anti bribery plan, a global rule of business actions, and An anti- corruption plan. During the year 2008, the organization was once again in the spotlight from many external pressures by the way they were breaking different child labor laws, like the way that Uzbekistan has been doing the same thing. Not only did Levi Straus help take care of the issue, but they have confessed that they have worried about the problem for a very long time.Following the different problems, Levi Strauss and company went through major changes including no use of any product coming from Uzbekistan. Being involved in such a critical matter, Levi Strauss and company took added measures to relieve the pressure and stress from the child labor laws by not only ruminating employees that were part of the infractions, but would continue to help assist them with full pay and benefits contingent on them going to school and completing that for themselves and their families.Laws against labor of underage is definitely a major concern for Levi Strauss, but unfortunately with having 110 differe nt countries subject to the same standards, there are always other obstacles for the organization to overcome because they are such a large international organization. One of the other obstacles that happens more often than almost anything is discrimination in the workplace. This has actually become more of a recognized problem and enforced almost worldwide, not Just in the United States.Many attempts to regulate discrimination are moral and the practices therein are sure to find their way into problems. In Vietnam, operational corruption is one of the biggest moral challenges to overcome, and it includes Levi Strauss and Company. Corruption in organizations has been noted to take away three to four percent of the world's total gross domestic products each year. In one of the latest researches, 67% of business proprietors inVietnam presume that they will have to pay for a bribe at some stage in a particular year to carry on in business operations (Inrush & Areola, 2010) These two ex amples are not even scratching the surface as to what an international organization must face on a daily basis to keep their head above water and to keep themselves profitable. The way that Levi Strauss and Company have been able to continue to be successful is the fact that they were able to instate one set of written rules and guideline to have as a basis for all of their companies and plants around the world to abide by.This type of action is Just a preventative method that instills the idea and provides a little insurance plan to help prevent allegations of wrongdoings. Levi Strauss and Company is much like all international companies in the way that they have to uphold their integrity and ensure that they are conducting business in a throughout the company, a simple memo will not suffice. There must be people all over the world at all the different plants making sure that the code of ethics provided by the company are met and are not too specific to follow by all employees.If t hese hypes of actions have been thought of years ago, there probably would never have been an issue in Bangladesh and the underage labor that was happening and they could have avoided that completely. Many, many businesses are striving for the international market in today's society. They are all wanting growth and potentially higher earnings. Social and Moral factors are often overlooked and ignored when businesses are up and coming. There will never be a way for one method or one set of rules to govern any international company from one end to another.Arrangements according to the environment and he nation are essential clues to help adjust for each little market in the bigger picture of international business. The more of the little things each international companies do to ensure moral and social obligations, the longer and more thriving their business will become and continue to prosper. References Five compliance and ethics issues to consider in Vietnam. 2010, Gregory Inrush & Fernando Areola. Retrieved from http://knowledgeable. Thunderbird. Dude/ research/2009/11/04/Vietnam/ Levi Strauss & Co. (Unknown) 2010. Retrieved from http://en. Wisped. Org/wick/Levi_Strauss_&_Co. Cross Cultural Perspectives For many years, Nike Inc has been known worldwide as the champion of athletic gear producers, being a global leader in business and marketing. The company experienced a tremendous growth between 1970s and 1990s, dominating the global athletic footwear and apparel market (Cartey, 2002). However, in 1990s, Nike started facing a fierce criticism for its unethical practices of conducting business in developing countries.Critics accused Nike for poor working conditions, exploitation of cheap overseas labor, and violation of minimum wage and overtime laws in countries, such as China, Vietnam, Indonesia, and Mexico, where the company had outsourced its manufactures. Instead of using ethical means to developing a global brand, Nike used child labor and every possible cheap way to increase its profits. Like many other U. S. companies, Nike manufactures its products in third world countries. Workers in these manufactures may earn as little as 12 cents per hour, working in unsafe, even dangerou s working environments.These manufactures are called sweatshops, and have triggered many objections from human right organizations for violating the basic human rights. Victoria Carty (2002) explains that: The Internet has significantly accentuated awareness of the controversies surrounding Nike’s business culture and practices. Information regarding corporate abuses has spread quickly through cyberspace, bringing bad publicity to new levels of awareness, and has facilitated mobilization among activists.It has also provided the resources and environment essential for organized mobilization in the form of a new social movement (NSM). When the labor activists and scholars began observing Nike’s labor practices, they discovered systematic violations of workers’ rights in Nike factories. Their findings resulted on health and safety absences in the working environment, discrimination against trade unions, forced overtime, unfair wages, and increasing production quota s whenever workers met them.Since assembly line workers in developing countries could not have success against the exploitation, citizens from the international community begun advocating for them and started an anti-Nike campaign to confront these unethical issues and demand corporate social responsibility and respect for human rights. These manufactures, on the other hand have allowed developing countries to expend their exports and improve their economies. Therefore, many debates have developed about globalization and global labor practices.While critics seek regulations to restrict the use of sweatshop labor, economists think that such regulations will harm the world’s poor. Proponents, who support sweatshops, argue that free trade without labor restrictions generates future prosperity and, therefore, better working conditions for the host country, by providing developed countries with access to cheaper goods. In turn, opportunities to exploit cost advantages in export ma rkets are greater. Based on their research, even terrible jobs provide some positive outcomes to a society, by benefiting others, who are not part of this employment.Workers can also earn job-related skills and provide benefits to the society at large. Eventually, a durable economic growth will improve the economic and social conditions of these people. That is why the economist Paul Krugman supports Myerson’s economic theory that â€Å"The overwhelming mainstream view among economists is that growth of this kind of employment is tremendous good news for the world's poor† (Arnold & Hartman, 2005). Sweatshops are the optimal solution for a developing nation’s economy.According to Arnold and Hartman (2005), â€Å"†¦the argument states that, however much we may not like some of what we see in the labor conditions of developing nations, this is the market at work; and the market works to generate overall improvements in economic welfare for a society. † They consider a moral obligation to perform actions that better enhance the overall satisfaction of these societies. Therefore, they argue, as many sweatshops as possible must be created and maintained. Is their evaluation legitimate?Generally, market economies have the potential to create tremendous economic growth in poor countries; ethical responsibilities would be that businesses which seek to benefit from that growth not do so by exploiting the human and natural resources of host countries (DesJardins, 2011). Although free markets generate benefits, certain boundary conditions hold firm. The relation between workers and their employers should be such that workers are fully informed about occupational health risks and their employment is truly voluntary, not through coercion.People must be able to make rational decisions about their self-interest, and no child should be held to the terms of any contract they enter into. Critics of sweatshops argue that workers may agree to work under poor conditions, because they have no other option to earn income, and they may not have enough information, prior to being employed in those sweatshops. Once they have made such choices, it would be extremely difficult for them to get out of a labor agreement and return to the previous circumstances.That is why the fact that workers agree to work under poor conditions does not mean they agreed to the kind of conditions they face. DesJardins (p. 280) explains that â€Å"Someone who chooses to surrender her money to an armed robber is also relatively better off than she otherwise would have been, but this fact does not justify the actions of the robber. † So, there is not a well-functioning free market in these countries. In contrast, they cause a social disruption, because people leave from their villages to depend on public social services in urban areas.An increased population in urban areas worsens sanitation and housing resources. Job losses from the closed factorie s in these countries result in a higher poverty. What should Nike do to show an ethical responsibility to business in these host countries? First, it should not tolerate any discretionary exploitation in the contractors it employs—for example, when managers try to extort sexual favors from vulnerable workers. Second, it should insist that the established labor laws be obeyed and also that governments enforce those rules uniformly.This will do away with impure structural exploitation. Third, it should press for structural solutions that end the exploitability of labor and do its fair share to repair the background circumstances that make taking unfair advantage possible. Certainly it should not lobby for policies that perpetuate or strengthen the structural conditions that permit businesses to exploit workers. In 1990s Nike started facing criticism from different human right organizations for poor labor conditions of its workers in foreign countries, in particular in Asian cou ntries.Nike has violated the minimum wage and overtime laws in these countries and has used the exploitation of the poor people to gain billions of dollars. These events have triggered many critics and economists to discuss and analyze the situation from a variety of ethical frameworks. Nike has tried to take actions to curb its practices and observe these manufactures to ensure that child labor is not being used. However, there is still much to do for applying the same ethical responsibility standards inside U. S. as well as in international business. Cross Cultural Perspectives For many years, Nike Inc has been known worldwide as the champion of athletic gear producers, being a global leader in business and marketing. The company experienced a tremendous growth between 1970s and 1990s, dominating the global athletic footwear and apparel market (Cartey, 2002). However, in 1990s, Nike started facing a fierce criticism for its unethical practices of conducting business in developing countries.Critics accused Nike for poor working conditions, exploitation of cheap overseas labor, and violation of minimum wage and overtime laws in countries, such as China, Vietnam, Indonesia, and Mexico, where the company had outsourced its manufactures. Instead of using ethical means to developing a global brand, Nike used child labor and every possible cheap way to increase its profits. Like many other U. S. companies, Nike manufactures its products in third world countries. Workers in these manufactures may earn as little as 12 cents per hour, working in unsafe, even dangerou s working environments.These manufactures are called sweatshops, and have triggered many objections from human right organizations for violating the basic human rights. Victoria Carty (2002) explains that: The Internet has significantly accentuated awareness of the controversies surrounding Nike’s business culture and practices. Information regarding corporate abuses has spread quickly through cyberspace, bringing bad publicity to new levels of awareness, and has facilitated mobilization among activists.It has also provided the resources and environment essential for organized mobilization in the form of a new social movement (NSM). When the labor activists and scholars began observing Nike’s labor practices, they discovered systematic violations of workers’ rights in Nike factories. Their findings resulted on health and safety absences in the working environment, discrimination against trade unions, forced overtime, unfair wages, and increasing production quota s whenever workers met them.Since assembly line workers in developing countries could not have success against the exploitation, citizens from the international community begun advocating for them and started an anti-Nike campaign to confront these unethical issues and demand corporate social responsibility and respect for human rights. These manufactures, on the other hand have allowed developing countries to expend their exports and improve their economies. Therefore, many debates have developed about globalization and global labor practices.While critics seek regulations to restrict the use of sweatshop labor, economists think that such regulations will harm the world’s poor. Proponents, who support sweatshops, argue that free trade without labor restrictions generates future prosperity and, therefore, better working conditions for the host country, by providing developed countries with access to cheaper goods. In turn, opportunities to exploit cost advantages in export ma rkets are greater. Based on their research, even terrible jobs provide some positive outcomes to a society, by benefiting others, who are not part of this employment.Workers can also earn job-related skills and provide benefits to the society at large. Eventually, a durable economic growth will improve the economic and social conditions of these people. That is why the economist Paul Krugman supports Myerson’s economic theory that â€Å"The overwhelming mainstream view among economists is that growth of this kind of employment is tremendous good news for the world's poor† (Arnold & Hartman, 2005). Sweatshops are the optimal solution for a developing nation’s economy.According to Arnold and Hartman (2005), â€Å"†¦the argument states that, however much we may not like some of what we see in the labor conditions of developing nations, this is the market at work; and the market works to generate overall improvements in economic welfare for a society. † They consider a moral obligation to perform actions that better enhance the overall satisfaction of these societies. Therefore, they argue, as many sweatshops as possible must be created and maintained. Is their evaluation legitimate?Generally, market economies have the potential to create tremendous economic growth in poor countries; ethical responsibilities would be that businesses which seek to benefit from that growth not do so by exploiting the human and natural resources of host countries (DesJardins, 2011). Although free markets generate benefits, certain boundary conditions hold firm. The relation between workers and their employers should be such that workers are fully informed about occupational health risks and their employment is truly voluntary, not through coercion.People must be able to make rational decisions about their self-interest, and no child should be held to the terms of any contract they enter into. Critics of sweatshops argue that workers may agree to work under poor conditions, because they have no other option to earn income, and they may not have enough information, prior to being employed in those sweatshops. Once they have made such choices, it would be extremely difficult for them to get out of a labor agreement and return to the previous circumstances.That is why the fact that workers agree to work under poor conditions does not mean they agreed to the kind of conditions they face. DesJardins (p. 280) explains that â€Å"Someone who chooses to surrender her money to an armed robber is also relatively better off than she otherwise would have been, but this fact does not justify the actions of the robber. † So, there is not a well-functioning free market in these countries. In contrast, they cause a social disruption, because people leave from their villages to depend on public social services in urban areas.An increased population in urban areas worsens sanitation and housing resources. Job losses from the closed factorie s in these countries result in a higher poverty. What should Nike do to show an ethical responsibility to business in these host countries? First, it should not tolerate any discretionary exploitation in the contractors it employs—for example, when managers try to extort sexual favors from vulnerable workers. Second, it should insist that the established labor laws be obeyed and also that governments enforce those rules uniformly.This will do away with impure structural exploitation. Third, it should press for structural solutions that end the exploitability of labor and do its fair share to repair the background circumstances that make taking unfair advantage possible. Certainly it should not lobby for policies that perpetuate or strengthen the structural conditions that permit businesses to exploit workers. In 1990s Nike started facing criticism from different human right organizations for poor labor conditions of its workers in foreign countries, in particular in Asian cou ntries.Nike has violated the minimum wage and overtime laws in these countries and has used the exploitation of the poor people to gain billions of dollars. These events have triggered many critics and economists to discuss and analyze the situation from a variety of ethical frameworks. Nike has tried to take actions to curb its practices and observe these manufactures to ensure that child labor is not being used. However, there is still much to do for applying the same ethical responsibility standards inside U. S. as well as in international business.

Interventions For Substance Abuse Amongst Young People The WritePass Journal

Interventions For Substance Abuse Amongst Young People INTRODUCTION Interventions For Substance Abuse Amongst Young People , 20,688 young people accessed substance misuse services, with the majority of this number accessing services for abuse of cannabis (64%) or alcohol (29%) (National Drug Treatment Monitoring System, 2012). Over half of the users were aged 16 to 18 (53%), whilst the rest were aged under 16 (National Drug Treatment Monitoring System, 2012). About two thirds (64%) of the young people who accessed specialist substance misuse services in 2010-11 were male.   Overall, females accessing substance misuse services for young people are younger with 19% of males aged under 15 years compared to 27% of females. Almost   half   of   the   young   people   entering   specialist   substance   misuse   services   are   recorded   as   being   in mainstream   education, such   as   schools   and   further   education   colleges,   followed   by   a   further   19%   in alternative   education, such   as   schooling   delivered   in   a   pupil   referral   unit   or   home   setting.   A further 19% are recorded as not in education or employment.   However, it should be noted that education   and   employment   status   was   reported for only new   young   people   entering   specialist   services   during the year. Therefore, the total will be lower than that of all young people (National Drug Treatment Monitoring System, 2012). Referrals to drug and alcohol treatment services commonly come from youth offending teams, although around 14% of referrals come from mainstream education institutions and 7% are made up of self-referrals. Perhaps surprisingly referrals from the Child and Adolescent Mental Health service (CAHMS) make up only 3% of referrals (National Drug Treatment Monitoring System, 2012). These figures paint a perhaps surprising picture. For example, more young people are referred to specialist drug and alcohol services from mainstream education than specialist educational centres, suggesting that substance abuse could be far rifer amongst young people as might be expected. It could be argued that failure of school authorities to take a more effective preventative approach to drug and alcohol abuse may be contributing to the overall problem. These figures also suggest that immediate attention and intervention must be offered to young people to reduce negative outcomes associated with such high drug use. The statistics reveal that there is a high rate of drug and substance abuse among young people in the UK. The high of level concern about the use of illicit drugs and substances has an effect on health, educational and political discussions in the UK. The government’s national strategy for ten years on drug misuse views young people as a critical priority group in need of quick prevention and treatment intervention (Keegan and Moss, 2008) and recognises the need to improve our understanding of the role played by illicit drugs and substances in the lives of such young people. Educators, health practitioners and policy makers should have comprehensive understanding when it comes to discussions involving the abuse of illicit drugs. For example, the Government must take into account factors such as a lack of understanding amongst young people as to the laws that govern different classes of illegal drugs. Abuse of alcohol and other drugs leads to the destruction of cognitive and emotional development in young people and exposes them to an increased possibility of accidental injury or even death. Finally, there is also a risk of users becoming drug dependent. Abuse of drugs and alcohol by young people can also lead to such negative consequences as coronary heart diseases, lung cancer, AIDS, violent crime, child abuse and unemployment (Gurnack, Atkinson Osgood, 2002). As a result, individuals indulging in the use of alcohol and other drugs incur tremendous costs in their individual lives, their family lives and even their future careers. Society is also not exempt as it pays a price in different ways. For instance, society incurs extra costs in health care, drug and alcohol treatment, law enforcement and supporting the seriously affected families who have been rendered helpless by the situation. There are many reasons why young people become involved in substance abuse. From a sociology perspective it has been argued that the recreational abuse of drugs has become ‘normalised’ (Parker, Measham and Aldridge, 1995) among certain groups of young people. However, Shiner and Newburn (1997) have argued that this theory is reductionist and simplifies the reasons behind a young person’s choice to abuse drugs. In reality, the reasons as to why a young person may begin to abuse drugs can range from having poor adult role models who may also use drugs and alcohol as a way of coping or even a genetic predisposition toward poor self-regulatory behaviours (Spooner and Hall, 2002). Evidence shows that adolescent alcohol and drug abuse is not influenced by a single factor but a large number of factors which are not necessarily confined to any single part of the an adolescent’s world (Connors, Donovan DiClemente, 2001). Environment The environment in which a person lives is very instrumental when it comes to the kind of life that people lead, especially young people. If the environment is for example characterized by pronounced unemployment then young people in such an environment will indulge in activities that make them forget even for a moment the realities of the unemployment situation. If, for example, in their immediate environment young people face the situation of a large supply of drugs and everyone around them is abusing drugs or alcohol, then it is easy for such young people to adopt this kind of lifestyle and become drink or drug abusers. The above explanation shows that the kind of environment a young person stays in has a very direct influence on the habits that are finally adopted by this group of young people. Curiosity Young people naturally have the tendency to try new things and to find out how it feels doing something new.   Young people in the United Kingdom are not an exception and most of them usually try drinking and drugs just to explore and find out what the experience is like. This however results in the young people becoming victims of the consequences that follow (Woo and Keatinge, 2008). The Defence Mechanism A good number of young people use drugs specifically to assist them in easing trauma that may result from unsatisfactory relationships and also physical or emotional abuse that may arise from families or homes that lack happiness. Promotion and Availability There is always a great amount of pressure from advertisement of alcohol over the media. The colourful nature of these promotions is often very enticing and mostly misleading. In the promotions or commercials, alcohol is glamorised hence the young people are influenced to indulge and as a result end up facing the dire consequences. This review will analyse the different interventions utilised when working with young people who abuse drugs and alcohol. These include those carried out by mental health workers, religion-orientated interventions, community based interventions and more psychiatric, medication based interventions. Motivational based interventions are also discussed. Aims and Objectives The aim of this project will be to review and critically evaluate the literature regarding different interventions for young people who abuse drugs and alcohol in the UK. To achieve this aim the project has set the following objectives: To critically examine the interventions for young people (aged 16 to 21) who use drugs and alcohol in UK, with the aim of providing recommendations to improve the care given to the youths who are addicted or at risk of substance abuse. To use secondary data to identify the importance of different interventions in dealing with young people (age 16 to 21) who use drugs and alcohol in the UK. Rationale Interventions for young people aged 16 to 21 who use drugs and alcohol has elicited varied opinions from professionals involved in their care. This has been a result of the often complex and varied needs of young people with substance abuse issues, such as mental health issues (Weaver et al., 2003), social exclusion (Fakhoury and Priebe, 2006) and involvement with the criminal justice system (Hamdi and Knight, 2012; Lundholm et al., 2013). Therefore, there is often disagreement on where the intervention should focus primarily. Various strategies have been advanced to address the involvement of young adults in drugs and substance abuse. For example, medication by mental health nurses in cases of addiction (Bennett and Holloway, 2005). However, due to the variety of interventions available for treating young people with substance abuse disorder, it is important to continuously review the literature in this area and pin point the most effective interventions for treating this group of individuals. [Client must write some words here on why they have chosen this topic (this is essential according to the assignment brief).] SEARCH STRATEGY In preparation for this critical literature review, a number of sources including journals, articles and health text books were used. The search was conducted using computerised databases which enabled access to literature on interventions for young people who abuse drugs and alcohol. Examples of such databases are given below: The Department of Health NHS Evidence (National Institute for Health and Clinical Excellence, 2012). PsycINFO (American Psychological Association, 2013). PubMed (National Center for Biotechnology Information, 2013). Google Scholar (Google, 2013). net (EMAP Publishing, 2013). Nursing and Midwifery Council publications (Nursing and Midwifery Council, 2010). Royal College of Psychiatrists useful resources (Royal College of Psychiatrists, 2013). Royal College of Nursing library services (Royal College of Nursing, 2013). These databases contained numerous useful sources such as journal articles, recommendations, guidelines and reviews that were used to gather evidence relevant to interventions for young people who abuse drugs and alcohol. Search terms used included; ‘drugs and substance abuse’, ‘alcohol abuse’, ‘effects of alcohol abuse’, and ‘intervention measures for drugs and substance abuse[1]’. It was not uncommon for a search to produce many results. Therefore, for any search that produced more than 50 results, the first 50 results were observed to pick out the most relevant and interesting studies. The remaining results were not looked at because of time constraints[2]. In addition to searching for relevant sources through online databases, reference lists within articles were also utilised to search for other relevant sources. Inclusion Criteria For an effective review of the subject area, there was a need to select relevant articles to achieve the set objectives. Therefore, only sources relevant to intervention for young people who abuse drugs and alcohol, papers published in the English language and papers published after the year 1999 were selected. Although sources pertaining to studies carried out in the USA were still considered relevant, a priority was given to sources from the UK. If a source had used an adult sample but was still considered relevant and useful then it was considered for inclusion. Exclusion Criteria General papers on drugs and substance abuse not specific to youths, papers published in languages other than English and published before the year 1999 were not included. An example search strategy when using one of these sources, the British Nursing Index, is given below. Search Strategy Example: British Nursing Index (BNI). Through citing the term ‘intervention for young people who abuse drugs and alcohol’, 5,000 articles were gathered without limiters. Limiters such as ‘role of mental health nurses’ and ‘only book and journals concerned with drugs and substance abuse’ were applied to the second search, which reduced the output to 2,034 books and journals. In the third search, additional limiters such as year of publication (2000-2012) were applied, which then reduced the number of books and journals to 734. After all further limiters were applied, such as articles that only used an age group of 16 to 21 years as participants, 70 journals and books were chosen for further analysis. Only 23 articles were considered relevant for this review and analysis due to their in depth exploration of the subject and their meeting of inclusion and exclusion criteria. LITERATURE REVIEW Interventions for substance abuse serve a number of purposes including reducing use of illicit or non-prescribed drugs and curbing problems related to drug misuse, including health, social, psychological and legal problems and last but not least tackling the dangers associated with drug misuse, including the risks of HIV, hepatitis B and C and other blood-borne infections and the risks of drug-related death. Prevention and intervention are usually categorised into primary (direct prevention), secondary (early identification of the problem and subsequent treatment) and tertiary levels (late identification and treatment). Furthermore, interventions are now often categorised into population wide interventions, selective interventions aimed at only high risk groups and early interventions for at-risk groups (Cuijpers, 2003). The nature of interventions has also evolved over the years. Twenty to thirty years ago the emphasis was on providing young people with information and buffering moral values whereas in the more modern era, a social dimension has been added and young people are taught resistance skills to avoid peer pressure (Gilvarry, 2000). Alcohol related deaths are rife in the UK, with 8,748 alcohol related deaths in the UK in 2011 (Office for National Statistics, 2013). However, there were 1,883 noted drug related deaths in 2010, a decrease of 299 from 2009 (Ghodse et al. 2012). These statistics reflect the importance of interventions for drug abusers, which could be protecting some individuals from the most extreme consequence of substance abuse. Mental Health Interventions Research has evidenced that Major Depressive Disorder (American Psychiatric Association, 1994) is often co-morbid in young people who abuse drugs and alcohol (Sutcliffe et al., 2009; Marshall and Werb, 2010; Marmorstein, Iacono and Malone, 2010). Due to the potentially devastating effects of depression at both the individual (Galaif et al., 2011; Petrie and Brook, 2011) and societal level (Sobocki et al., 2006), substance abuse is viewed as something that must be dealt with swiftly and effectively. This co-morbidity of mental illness and substance abuse means that mental health nurses are often involved in interventions with young people. Mental illness is a psychological anomaly that is generally associated with distress or disability that is usually not considered to be a component of an individual’s normal development (Nursing and Midwifery Council, 2008). Despite the fact that standard guideline criteria are used all over the world to define mental illness, diagnosis and i ntervention is often incredibly complex, especially when substance abuse is also a factor. Community services are offered to people with such problems through assessment by different psychiatrists and clinical psychologists, or sometimes social workers. All these professionals use methods of observation and inquiries through asking questions to help establish any given patient’s condition. Mental health nurses are often at the front line in providing care and support in both hospitals and the community. In the United Kingdom, mental health nurses play a great role in taking care of young people with mental disorders and mental illnesses that may have developed as a result of substance abuse (Department of Health, 2012). They offer counselling services in order to help people focus on their goals or outcomes; help people develop strategies that support self-care and enable individuals and their families to take responsibility for and participate in decisions about their health. They provide a range of services including education, research and knowledge sharing and e vidence informed practices. They also perform the role of addiction counsellors in order to provide intake co-ordination, assessment, treatment and follow-up care for youths with addictions, mental illness and mental health problems using common assessment tools. They can provide health promotion, prevention and early detection of problematic substance use; use core competencies and knowledge in addictions and a full range of withdrawal management services including detoxification services using best practice treatment protocols, outreach, prescribing, counselling, and harm reduction However, mental health nurses are often faced with challenges that hinder them from successfully achieving their goals. Challenges include non co-operation of the patients’ families and also the complex nature of patient problems (Nursing and Midwifery Council, 2008). In a comprehensive review, RachBeisel, Scott and Dixon (1999) found that there was a much higher prevalence of substance abuse amongst individuals with mental illness and that the course of mental illness was significantly negatively influenced by the abuse of illegal substances. These findings highlight a key issue in mental health interventions for young people who abuse substances, namely that it is important to determine the relationship between the substance abuse and mental illness before allocating a suitable intervention. For example, if a young person has developed a mental illness as a result of abusing substances, a mental health focused intervention may not be appropriate as it would not be treating the root of the problem or the reason why the young person started to use illegal substances in the first place. Psychiatric and Medical Interventions Psychiatric and medical based interventions refer to the treatment of substance abuse in a young person by a psychiatrist who is medically trained and able to provide an additional dimension of treatment than a psychologist or mental health worker is able to. An example of this is the prescription of methadone, a synthetic opiate that is used to help young people withdraw safely from heroin use. The National Institute for Health and Clinical Excellence (2007) recommend a psycho-social approach when treating individuals with substance abuse disorder and advocate the use of medication. However, use of medication with young people who are suffering from substance abuse disorders should be used with care due to the risk of dangerous side effects (Webster, 2005). Motivational Interventions Motivational interventions are brief interventions used by professionals to enhance a young person’s motivation to change and stop abusing substances (Tevyaw and Monti, 2004). In a review of the effectiveness of motivational interviewing (Smedslund et al., 2011) it was found that although motivational interviewing techniques were more effective at reducing the extent of future substance abuse when compared to no intervention, the technique was no more effective when compared to other types of intervention. For example, motivational interviewing was no better at reducing extent of substance abuse that simply assessing a patient and providing feedback. The authors reviewed 59 studies that had been accessed from a range of online databases. This is a reasonable number of studies as the body of literature on motivational interviewing as an intervention for substance abuse is quite limited. However, the authors failed to collect evidence on other measures of efficacy such as a redu ction in future criminal prosecution for drug offences or improvement in overall quality of life. The efficacy of motivational interviewing has been studied in young people in particular by McCambridge and Strang (2003). 200 young people from inner city London were randomly allocated to either a motivational interviewing condition or a non-intervention education control condition. All participants were aged between 16 and 20 and were using illegal drugs at the time of the study. The motivational interviewing intervention consisted of a brief, one hour face-to-face interview and self-reported changes in the use of cigarettes, cannabis, alcohol and other drugs was used as the outcome measure both immediately after the interview and at a three month follow up point. It was found that in comparison to the control group, young people who received motivational interviewing as a brief intervention reduced their use of cigarettes, alcohol and cannabis. Although these results initially seem in favour of motivational interviewing as an intervention for young people who have substance abuse issues, it should be noted that self-report measures are very open to bias and it is possible that the reported reduced use of drugs and alcohol was much higher than the actual reduction in use. This was reflected in a follow up study by the same authors 12 months later (McCambridge and Strang, 2005) where it was found that the difference in reduction in substance use between the experimental and control groups found after three months had completely disappeared. This result suggests that although motivational interviewing may be an effective short term intervention for treating young people with substance abuse issues, it has no enduring effectiveness over a long period of time. This may be due to a lack of follow-up support for young people and the brief nature of the intervention. Community-Based Interventions Community drug and alcohol services offer interventions such as comprehensive assessment and recovery care planning, support and care co-ordination,   advice and information, stabilisation, counselling and relapse prevention and motivational interviewing (Nursing and Midwifery Council, 2008). Hepatitis B vaccinations, Hepatitis C testing and referral to treatment for these diseases, are also essential due to the risk of infections through needle sharing. Like most interventions, these community services are aimed at promoting recovery from addiction and enabling the achievement of individual goals, helping individuals to remain healthy, until, with appropriate support, they can achieve a drug-free life. This may involve stabilising service users on prescribed substitute medication to improve withdrawal symptoms and to reduce cravings. In their review of community-based interventions, Jones et al. (2006) found a limit on the effectiveness of such interventions, especially when it ca me to long term and enduring effect for reducing substance abuse. The results suggested that a change in community-based interventions was needed. Morgenstern et al. (2001) found a very high level of satisfaction among community based substance abuse counsellors who had received training in delivering cognitive behavioural therapy (CBT) to clients. This suggests that perhaps one way of increasing the effectiveness of community-based interventions would be to equip community-based workers with a wider range of skills with which they can help young people suffering from substance abuse. Supporting this recommendation was a study by Waldron and Kaminer (2004) who found that use of CBT was associated with clinically significant reductions in substance abuse amongst adolescents. Religious Interventions Some interventions are religious in nature. For instance, the United Methodist Church follows a holistic approach which stresses prevention, involvement, treatment, community organization, and advocacy of abstinence. The church could be argued to have a progressive role by offering a spiritual perception on the issue of substance abuse. Another popular religious based approach to tacking alcohol abuse in particular is the 12-step program offered by Alcoholics Anonymous. Individuals are commonly encouraged or possibly even required cut any acquaintances with friends who still use alcohol.  The 12-step programme motivates addicts to stop consuming alcohol or other drugs and also it helps to scrutinize and modify the habits related to their  cause of addiction. Numerous programs accentuate that recovery is a long-lasting process with no culmination. For drugs which are legal such as alcohol, complete abstinence is recommended rather than attempts at  moderation which may cause rel apses. Fiorentine and Hillhouse (2000) found that participants in a 12-step program stayed in future treatment for a much longer period of time and were much more likely to be able to complete a 24-week intervention programme. It was also found that a combination of a 12-step program and an alternative substance abuse intervention was more effective than either treatment alone. This suggests that providing young people with interventions in isolation may not be the most effective way of helping them overcome their substance abuse. However, literature on religious based interventions tends to focus on adults and although still applicable to the treatment of young people in many ways, young people may be put off by the religious nature of these 12-step programmes and may be intimidated by the group nature of the treatment. In support of this criticism, Engle and MacGowan (2009) found that only two out of 13 adolescent group treatments of substance abuse could be categorised as showing potential efficacy in treating young people with these problems. Family-Oriented Interventions It has been argued that the family has a central role in both increasing and reducing the risk of problem behaviours in young people such as substance abuse (Vimpani and Spooner, 2003). A review by Velleman, Templeton and Copello (2005) echoed this view that the family can have both a positive or negative impact on a young person’s risk of substance abuse. Kumpfer, Alvarado and Whiteside (2003) have identified that support for families based within the home, family education and skills training, improving parental behaviour and time-limited family therapy are all highly effective forms of family-based interventions for young people with substance abuse issues. However, as research has shown that the family can also play a role in increasing risk of substance abuse, professionals must be confident that family therapy is suitable and not run the risk of worsening a young person’s relationship with their family and in turn worsening their substance abuse. School-Based Interventions Education about the use of drugs and alcohol within schools has been advocated as a preventative intervention for young people at risk of substance abuse disorder. Fletcher, Bonell and Hargreaves (2008) found that interventions focused around encouraging a positive school environment and improving young peoples’ relationships was associated with a reduction in risky substance abuse. However, part of this conclusion was based on the review of observational studies, which are open to bias and subjectivity. CONCLUSIONS AND FUTURE RECOMMENDATIONS This essay has reviewed a number of sources regarding the efficacy and suitability of certain interventions for young people with substance abuse issues. A key limitation of much of the literature is the tendency to put emphasis on drugs as a generic material with very little distinction is made between different types of illicit substances. With the very varied effects of different drugs on the user, it could be argued that the specific reasons for a young person’s drug usage will have an impact on the effects that a drug has. For example, stimulant drugs will most likely be used for nervous system arousal, while other drugs such as alcohol and cannabis are sedatives and cause nervous system depression. These kinds of drugs can be termed as instrumental drugs since the reasons behind their usage correspond to the effect of the different kind of drug that is used (Brick, 2008). Therefore, it might be useful for professionals to base their interventions on the types of substanc e abused. From the above literature review it is evident that there is need for mental healthcare especially to help young people who are adversely affected by the use of drugs and other substance abuse. Some youths suffer from psychiatric disorders as a result of indulgence in drugs and substance abuse. Others experience mental problems that need serious rehabilitation measures taken in order to counter such problems hence emphasis should be laid on the care that is to be given to the young people affected by any of the above problems caused by the abuse of drugs and other substances. Therefore, mental health interventions remain an important intervention for young people. A number of recommended adjustments in healthcare to cater for young people struggling with abuse have been identified. For example, there should be an increased application of various musical strategies in helping patients suffering from various mental health conditions as a result of substance abuse (Connors, Donovan DiClemente, 2001), as this kind of intervention appears to be lacking in use with young people. Another main limitation in research that aims to measure the effectiveness of intervention measures is the lack of control that researchers have. It would be considered unethical if young people with drug abuse problems were randomly allocated to intervention procedures, especially if one was chosen as a control condition and was not believed to be effective in treating substance abuse issues. This means that it can be difficult to compare intervention methods. Another limitation lies in the types of measure researchers’ use to measure effectiveness of intervention methods. For example, a self-report measure may be used to assess whether young people have either stopped or at least reduced their intake of illicit substances. This type of questionnaire may also be used to see if the young people are seeing a positive result from receiving an intervention. However, self-report measures are open to social desirability bias meaning that many young people may fabricate their answer s in order to either please the professionals who are involved with helping them or to conceal ongoing substance abuse. The review has also emphasized the causes or triggers of alcohol and drug abuse among young people in the United Kingdom showing that the environment a young person stays in is one of the greatest factors that lead to indulgence in alcohol, drug and substance abuse. Other factors like enjoyment, peer pressure, promotions in the media and rebellion are also causes of alcohol, drug and substance abuse among the youth in the United Kingdom (Gurnack, Atkinson and Osgood, 2002). More focus on these root causes could help improve prevention and reduce the need for later intervention, which has a poor track record of success. Finally, there is need according to the literature review to improve media perception of mental health patients in order to help alleviate the conditions of psychiatric disorders that are caused by the indulgence of young people in alcohol, drug and substance abuse (Berglund and Thelander, 2003). This doesn’t indicate failure in the mental nursing services but it just implies that mental health workers and psychiatrists need reinforcement in order to positively contribute to successful intervention (Califano, 2007).   This suggestion is based on the need for a more holistic approach when it comes to treating young people with substance abuse issues, where the effect on all areas of their life including their mental health must be taken into account during intervention. Strengths of this Critical Literature Review Secondary data was reviewed in this project, which provided larger scope on choices of information for the project. In addition this review was able to identify key areas for improvement of health condition interventions for youths affected by substance abuse. Limitations of this Critical Literature Review This literature review was small in scale, since word and time limits were set. Although 23 articles were selected for review, this number could have been improved. 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APPENDICES Appendix A Search Term: â€Å"Drugs and substance abuse.†    Source Number of Relevant Hits Department of Health 0 NHS Evidence 5597 PsychINFO 22 PubMed 2337 Google Scholar 1,070,000 Nursing.net 4435 Nursing and Midwifery Council 59 Royal College of Psychiatrists 477 Royal College of Nursing library services 1,753    Search Term: â€Å"Alcohol Abuse.†    Source Number of Relevant Hits Department of Health 0 NHS Evidence 6893 PsychINFO 92 PubMed 87,995 Google Scholar 1,480,000 Nursing.net 1760 Nursing and Midwifery Council 138 Royal College of Psychiatrists 629 Royal College of Nursing library services 1,654 Search Term: â€Å"Effects of alcohol abuse.†    Source Number of Relevant Hits Department of Health 0 NHS Evidence 5476 PsychINFO 31 PubMed 21,363 Google Scholar 1,430,000 Nursing.net 8502 Nursing and Midwifery Council 40 Royal College of Psychiatrists 531 Royal College of Nursing library services 2,590    Search term: â€Å"Intervention measures for drugs and substance abuse.†    Source Number of Relevant Hits Department of Health 0 NHS Evidence 3169 PsychINFO 3 PubMed 215 Google Scholar 174,000 Nursing.net 7672 Nursing and Midwifery Council 23 Royal College of Psychiatrists 302 Royal College of Nursing library services 3,250       Appendix B    Title First Author Publication Year 1 Drug treatment and twelve-step program participation: the additive effects of integrated recovery activities. Fiorentine 2000 2 A critical review of adolescent substance abuse group treatments. Engle 2009 3 Co-occuring severe mental illness and substance use disorders: A review of recent research. RachBeisel 1999 4 Statistics for young people in specialist drug and alcohol services in England 2011-12 National Drug Treatment Monitoring System 2012 5 Substance abuse in young people. Gilvarry 2000 6 The efficacy of single-session motivational interviewing in reducing drug consumption and perceptions of drug-related risk and harm among young people: results from a multi-site cluster randomised trial. McCambridge 2004 7 The role of the family in preventing and interviewing with substance use and misuse: a comprehensive review of family intervention, with a focus on young people. Velleman 2005 8 School effects on young people’s drug use: a systematic review of intervention and observational studies. Fletcher 2008 9 A review of community-based interventions to reduce substance misuse among vulnerable and disadvantaged young people. Jones 2006 10 Motivational enhancement and other brief interventions for adolescent substance abuse: foundations, applications and evaluations. Tevyaw 2004 11 Motivational interviewing for substance abuse. Smedslund 2011 12 On the learning curve: the emerging evidence supporting cognitive-behavioural therapies for adolescent substance abuse. Waldron 2004 13 Testing the effectiveness of cognitive-behavioral treatment for substance abuse in a community setting: within treatment and posttreatment findings. Morgenstern 2001 14 Family-based interventions for substance use and misuse prevention. Kumpfer 2003 15 Deterioration over time in effect of Motivational Interviewing in reducing drug consumption and related risk among young people. McCambridge 2005 16 Drug misuse: psychosocial interventions: full guideline. National Institute for Health and Clinical Excellence 2007 17 Substance abuse treatment and the stages of change: Selecting and planning interventions. Connors 2001