Accurately Addressing Crisis in Public Health : Foster Care , Suicide and Opioid Addiction .

The opioid epidemic has unfortunately resulted in a secondary looming crisis ,  and one were innocence plays a vital role . A slow creeping crisis within the Health and Human Resources Administration related to Foster Care and stemming from the removal of parental rights  of those immersed in opioid addiction which leads to heroin addiction (H H A,2018) .In addition to these looming crisis we are also observing an alarming rise in suicide cases (Psychiatry Adviser,2018) .It is important to note that interventions in all three crisis must be implemented expeditiously , as all three issues are considered emergency situations ,in this seance they share likeness in characteristics ; not with standing they are different and distinct in causality and the therapeutic approach should paralleled the root of the issue and not the characteristic as to prevent therapeutic measures not suitable , of good fit and economically sound .

Statistical Data 

Suicide Rates - suicide rates increased in nearly every state from 1999 to 2016 . Suicide is rarely caused by any single factor and mental health issues are only a portion pf causes of suicide . Factors for suicide can include drug abuse , relationship issues , legal problems and financial troubles .More than half of all people who commit suicide do not suffer from mental issues ( CDC Vital Signs , 2018). The states with the highest rates of suicide are as follows : Montana , Kansas , South Carolina , New Hampshire , Oklahoma , Utah,Minnesota ,North Dakota and Wyoming  with 58 % increase since 1999.   The states with rates of;  or between 31-37% are :  Colorado, Maryland , Arkansas, Kentucky ,  Indiana Ohio,Pennsylvania , Wyoming and Massachusetts. States with rates of 19-30% increases are Oregon, Texas , New York , Road Island , Alabama , and Los Angeles. The remainder of the states rates rose by 6-18% which is still very high. 

Foster Care Rates- there were no aquishable statistical data found with regard to crud rates or case counts in the increase in foster care . A study that demonstrates outcomes in the characteristics of the scenario in foster care were obtained from the cdc and the discussion stemming from the outcomes is as follows : Mental , behavioral and developmental disorders identified in childhood often persist into adulthood . This particular study was selected because it lends credence to prior studies related to complex childhood trauma ; such as family separation , child abuse and depraved indifference . 

Opioid Addiction - Statistical data need not be compared because it precedes both issues discussed  previously .   

Critical Analysis - The proposed model to ascertain the looming crisis in Foster Care entitled " What Ever It Takes "  where the goal of the proposed model is to compile a system called TST or Total System Therapy are suitable in its concept because it proposes complete therapeutic care in approaching the crisis and rightfully so because the removal of children from parental neglect prevents depraved indifference and it is considered an emergency , but in evaluating the proposed therapeutic interventions from the model  we find that these are not of suitable fit ,because the proposed interventions are existential in nature and are likely extremely difficult for a developing child to carry out  , on the other hand they are also not congruent with the over all concept of assembling a supportive system fro the child . In simular findings TST interventions would be a reasonable fit to implement in Suicidal idealization and self aggression and self harm , becsuse these interventions accurately address the adult existence and  provides insight into suicidal ideation which addresses the issue on a long term basis . The overarching reason for this is because TST are active learning and must be performed by the person as opposed to a child learning intervention where the child must be guided and incapacitated to perform the proposed interventions for himself . Curiously enough the proposed intervention to address suicide entitled Dialectical Behavioral Therapy or DBT is suitable to address Foster Care   .  The intervention is as follows : Dialectical Behavioral Therapy is cognitive behavioral approach to treatment that synthesizes change based strategies  characteristic of behavior therapy and validation strategies (NIH,2018) ;consistent with acceptance  based treatment , This is a better fit in addressing  family separation and in  preventing child abuse , neglect and indifference it also foments healing through forgiveness particularly when applied to Tele health measures which secures the child allows the process and is consistent with a progressive therapeutic regimen. Further TST currently has no statistical measures to sustain its efficacy and DBT is promising in addressing both immediate crisis intervention in Foster care and Suicide idealization .   Because the three crisi share characteristics careful interventions  should be evaluated as to be accurate in public health interventions and in cost effective health rehabilitation .. 

References

CDC(2018) Suicide Rising Across The USA . Centers for Disease Control Vital Signs . Retrieved from http://www.cdc.gov

NIH(2018) Collaborative Adolescent Research on Emotions and Suicide (CARES) Retrieved from http://www. clinical trials.gov/et2/show/NCTO1528020

Psychiatry Advisor (2018) Suicide Rates on the rise in nearly every state ,Says New CDC Report. Retrieved from http://psychiatry advisor. com

Campus Security and Student Safety Measures .Next Steps in Public Health

The quote from author S Shepard "( There is a lot going on in the world  these days and unfortunately ; due to recent events  campus security has become a bit  of a buzz word)". These remarks made by the author should be headed because they describe aspects of the attack at a High school just days before the school year 2018 were coming to a close . This particular piece is written in plain language or rather technical writing rather than scientific writing because in public health we use technical writing to avoid bias to multicultural populations . The author is justifying the use of attack resistant doors which will be implemented as a public health measure very soon through out school campus across the United States (Shepard,2018) . Attack resistant doors will be further described , but first we must evaluate the type of society which know merit the implementation of such doors to maintain safety and security in the learning setting . So what type of society are we observing and addressing in public health ?  Well when we begin an appraisal of the type of society that merit these types of intervention ; we begin by observing the defining characteristics of the society. when we do we conclude that the society are a pathological one , the definition of pathological is the following (1) being such to a degree that is extreme , excessive , or markedly abnormal . The second definition that are given is the following (2) altered or caused by disease , or indicative of disease . A person and or community can be pathological as seen often times in communities taken over by drugs , or a person who is mentally challenged , but societies can also become pathological when these issues become rampant with little public health intervention  hense, the term pathological society. Attack resistant doors and school guard glass are a new product which are part of new security measures implemented in door way systems ; these systems work by dwarfing and or delaying the entry into particular areas by an attacker , thereby sealing them off from the student body and teaching professionals , This system not only repeals an attacker but also provides a great time frame for first res ponders to minimize MCE . The opening meets test standards for forced entry and ballistics resistant levels of protection for various threats set forth based on the FBIs active shooter reports. The attacker resistant doors assembly can withstand an intense four minute physical attacker after being shot 60 times with 7.62 NATO rounds. This public health intervention is guided towards assuring the education of and security of students who attend public schools across the U.S and are part of the protection from foreign and domestic attacks upon the most vulnerable and innocent / 


References

Shepard , S (2018) Attack Resistant Doors . Retrived from http://www.hsph.harvard.edu/communications /home/communications-resources

Shi ,L &Johnson . J.A (2014) Novick and Morrows Public Health Administration .Principles for Population -Based Management . 3rd ed Bartlett Jones Publishing USA