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
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