Friday, October 18, 2019
Instructional Methods Research Paper Example | Topics and Well Written Essays - 2500 words
Instructional Methods - Research Paper Example Direct and indirect methods are two categories in which the learning methods can be divided. However, these instrumental learning methods are so complicated that they cannot be classified into merely two categories. Every instrumental teaching method used by the teachers has some pros and cons attached to it. The teaching method that the teacher uses in a particular class of students depends on the level and age of the students. Therefore the first step in teaching is to select the correct and accurate teaching method for the students belonging specific class. There is no such ideal method of teaching which can be implied to all teaching level and to all students belonging to different development level; it is the task of the student to select a teaching method which suits the situation. There are factors that the teacher must keep in mind before the selection of any specific instrumental teaching method, these are; material, physical setting, time, space, level of development of stu dents and many more (Kizlik). Approaches to Learning Teacher centered approach This approach is usually based on the fact that the role of the teacher is to provide instruction to the students that may foster learning, in order to achieve a specific goal. The teacher defines the objective of the course to the students and then explains the information to the students. ... Some effective teaching methods have been discussed below. Direct Teaching This teaching method is one of the widely accepted learning methods. This learning method focuses on very specific learning target. The students are given reasons regarding the importance of content which is being taught to them. The students gain can be easily measured by the help of this method. The content of this teaching method must be organized in advance and the teacher must have all the relevant knowledge about the student pre-requisite of the lesson. It is considered one of the effective teaching methods as it is based upon the learning of basic and specific skills. One of the disadvantages of this teaching method is that it stifles the creativity present in a teacher. This teaching method cannot proceed without the well organized preparation of the learning content. The teachers must possess good communication skills if they want to carry on with this teaching method. The steps involved in this metho d must be followed in the prescribed order. This method is usually effective in lower order thinking and it immensely depends on the skills and knowledge of the teacher. Cooperative learning This teaching method fosters mutual responsibility in the students. The teaching method related to this teaching style is supported by different research techniques. This method teaches the students to be more compassionate towards their work, to be patient and less critical. The instructor decides prior to the lecture that what knowledge and skills must be learned by the students. It requires sometimes making the student learn that how they may work in groups, for the specific task assigned to them. There are certain disadvantages related to this teaching style. Some students do
Thursday, October 17, 2019
Lower Limb Prosthetics Evolution Article Example | Topics and Well Written Essays - 500 words
Lower Limb Prosthetics Evolution - Article Example Presently, there has been the use of Carbon fiber springs in the prostheses that allows improved shock absorption and mobility without increasing any weight. Additionally, the carbon fiber have allowed active amputees to wear limbs that can help in the absorption of two to four times their total body weight. In 2004, the esteemed international event aided the drive of development of lighter and more functional devices such as the gait-adaptive knee and an artificial limb that can be modified for its users2. There has been the advancement of the technology today where scientists and developed with the advent of microprocessors, robotics and computer chips have allowed amputees to get back to their accustomed lifestyle. United States., United States., & United States. (1984). Journal of rehabilitation research and development. Washington, D.C: Veterans Administration, Dept. of Medicine and Surgery, Rehabilitation R & D
Strip Club Personal Statement Example | Topics and Well Written Essays - 750 words
Strip Club - Personal Statement Example It offers a cross-section of society, and a person will see both the negative and the positive of life when visiting. First, when paying to get into a strip club, you are looked at rather carefully by the bouncer who is normally at the door. He essentially acts as the gatekeeper to stop the too drunk or the too rowdy or the too strange-looking from going in. Once through this door (which is often covered by a curtain) the first thing that a person will notice is the sudden change in lighting, change in temperature and probably a new mixture of smells. First of all, the lighting inside a strip club is often quite dim and often red in nature. The stage on which the various girls strip is deliberately very-well lit however, and the eye is naturally drawn to it and the pole on which a lady is usually draped. A strip club is often kept a quite a hot temperature - higher than the average business. Perhaps this is because the girls need to keep warm because they are obviously less dressed than the employees of virtually any other business. It may also be to get the customers hot and bothered - to make them feel excited and thirsty and thus ready to buy the over-priced drinks. I It is the smell of spilt alcohol, various lotions that the girls use, smoke (if it is one that allows smoking) and generally a rather unclean, but not unpleasant smell, that exists inside a strip club. It is not a gentile place, and the smell shows it. On closer inspection the carpet will be seen to be stained with the rinks spit over many years of patrons coming in and out and not being careful because they are watching the girls. What kind of people are in strip clubs Well, there are some of the desperate type of men that are perhaps the clichs of such establishments as seen in movies. There are usually at least a couple of groups of drunk businessmen in town for the night, escaping their wives. However, there may also be a number of rather normal looking couples who actually go to strip clubs for entertainment. What precisely the women get out of it is not clear, but they seem willing enough to be there. Right by the stage where the girls dance and strip are stools for people to sit on, but often a little further back are longer couches and tables/chairs where people can just chat and drink as in any other bar. Most strip clubs do not force all patrons to sit right by the dancers, and thus there is no pressure to tip the girls if you do not want to. Finally, there is normally very loud music for the girls to dance to and often a rather old, has-been DJ who introduces the songs, the girls and may administer the lap dancing sessions when they occur. Normally the lights change for these sessions, in which most of the strippers offer individual performances for the patrons if they are prepared to pay the money. The bouncers are very much in evidence during these lap dances, making sure that the patrons do not touch the women in any way that they do not want to be touched. To conclude, a strip club is a fascinating place to visit. It offers a unique perspective upon human beings and is a business that offers 'pleasure' in a raw and yet often rather sad sense. The sadness comes from the vague sense of embarrassment that seems to hang around
Wednesday, October 16, 2019
Market Entry and Exit Coursework Example | Topics and Well Written Essays - 750 words
Market Entry and Exit - Coursework Example Body The factors that influence market entry timing include demand of the product and the technological advancements that are related to the product. Whenever a new product is being launched, questions regarding the success of the product suffice. These questions include: what is the main purpose of the product or what need will the product satisfy, what are the features of the product that differentiates it from other products that are already available in the market (Schmoch, 2006). These questions revolve around the economics topic of Demand and Supply. The analysis of launching the product that takes place before the product is actually launched, involves discussion about: the substitute and the complementary goods available in the market of the product, and what segment of the market will be attracted by the product and whose demand will the product satisfy. When a product or service is launched into a market, consumers do not start purchasing the product right away and the prod uct does not capturers the entire target market in a very short period of time. Consumers need time to learn about the product and gain confidence in the product. Each product has a learning curve; this learning curve shows how well consumers have understood the product and how many consumers have understood the options and needs that the product satisfies. ... found it difficult to carry these bottles everywhere in their hands, thus a need for a smaller size bottle existed, Coke realized this need and introduced 300ml bottles which satisfied the existing needs of the consumers. As soon as the product is available in the market and consumers have learned about the product and have started using the product, the producers understand what the concerns that consumers have regarding the product are and they change the product accordingly to make it more acceptable among the target market. Another key element that is attached with the timing of entry in the market is the competitors. Competitors start entering with the same kind of new product as soon as they understand the nature and design of the product, they make certain changes to the product to differentiate their products from the existing product and then they launch their own product in the market (Miles, 2011). How fast competitors will enter the market depends on the product itself. I f the technology used to create the product is easily available, is inexpensive and the cost of switching to this new technology is low, then competitors will easily enter the market with their competitive edition of the product. On the other hand, if the product requires very expensive technology, high amount of investment and the switching cost to a new technology is high, the competitors will experience difficulty in creating a new product and their entry will be delayed. As long as competitors do not enter the market, the producer of a new product can maximize profits and have enough time to implement hurdles to stop the competitors from entering the market. Once the competitors enter the market, the consumer choices increase. Thus the profitability of the producer that has first come
Strip Club Personal Statement Example | Topics and Well Written Essays - 750 words
Strip Club - Personal Statement Example It offers a cross-section of society, and a person will see both the negative and the positive of life when visiting. First, when paying to get into a strip club, you are looked at rather carefully by the bouncer who is normally at the door. He essentially acts as the gatekeeper to stop the too drunk or the too rowdy or the too strange-looking from going in. Once through this door (which is often covered by a curtain) the first thing that a person will notice is the sudden change in lighting, change in temperature and probably a new mixture of smells. First of all, the lighting inside a strip club is often quite dim and often red in nature. The stage on which the various girls strip is deliberately very-well lit however, and the eye is naturally drawn to it and the pole on which a lady is usually draped. A strip club is often kept a quite a hot temperature - higher than the average business. Perhaps this is because the girls need to keep warm because they are obviously less dressed than the employees of virtually any other business. It may also be to get the customers hot and bothered - to make them feel excited and thirsty and thus ready to buy the over-priced drinks. I It is the smell of spilt alcohol, various lotions that the girls use, smoke (if it is one that allows smoking) and generally a rather unclean, but not unpleasant smell, that exists inside a strip club. It is not a gentile place, and the smell shows it. On closer inspection the carpet will be seen to be stained with the rinks spit over many years of patrons coming in and out and not being careful because they are watching the girls. What kind of people are in strip clubs Well, there are some of the desperate type of men that are perhaps the clichs of such establishments as seen in movies. There are usually at least a couple of groups of drunk businessmen in town for the night, escaping their wives. However, there may also be a number of rather normal looking couples who actually go to strip clubs for entertainment. What precisely the women get out of it is not clear, but they seem willing enough to be there. Right by the stage where the girls dance and strip are stools for people to sit on, but often a little further back are longer couches and tables/chairs where people can just chat and drink as in any other bar. Most strip clubs do not force all patrons to sit right by the dancers, and thus there is no pressure to tip the girls if you do not want to. Finally, there is normally very loud music for the girls to dance to and often a rather old, has-been DJ who introduces the songs, the girls and may administer the lap dancing sessions when they occur. Normally the lights change for these sessions, in which most of the strippers offer individual performances for the patrons if they are prepared to pay the money. The bouncers are very much in evidence during these lap dances, making sure that the patrons do not touch the women in any way that they do not want to be touched. To conclude, a strip club is a fascinating place to visit. It offers a unique perspective upon human beings and is a business that offers 'pleasure' in a raw and yet often rather sad sense. The sadness comes from the vague sense of embarrassment that seems to hang around
Tuesday, October 15, 2019
Developing Yourself as an Effective Human Resources or Learning and Development Practitione Essay Example for Free
Developing Yourself as an Effective Human Resources or Learning and Development Practitione Essay LO1: Understand the knowledge, skills, and behaviors required to be an effective HR or LD practitioner. Briefly summarize the CIPD Map (i.e. 2 core areas, specialist professional areas, the bands and the behaviors) Comment on the activities and knowledge specified within any 1 professional area at either band 1 or 2 identifying those you consider most essential to your own (or other identified) HR/LD role. Theà HR Profession Mapà is a framework based on extensive research withà HR professionalsà at all stages of their career, and sets out what makes greatà HR: the knowledge, skills, and behaviors. An extensive variety of associations and HR experts are currently utilizing the CIPDs Profession Map to benchmark and fabricate their HR ability at the singular, group, capacity and association levels As you can see on the image above CIPD has created LO2: Know how to deliver timely and effective HR services to meet usersââ¬â¢ needs. 2.1. Identify the needs of 3 different customers using the HR service and explain how conflicting needs are prioritized. 2.2 Identify 3 different methods of communication and explain the advantages and disadvantages of each. In business, effective communication is vital to remaining competitive, amplifying benefit, keeping workers drew in and cheerful, and ensuring everybody is centered around the correct objectives and targets. At the point when correspondence is done effectively, it implies a similar thing to both the sender and recipient. Type of Communication Advantages Disadvantages Face to Face Eye to an eye is yet the favored correspondence channel if lucidity of a message is an essential factor. Communication in person enables you to connect with the audience in a forward and backward dialog. It likewise enables you to use nonverbal motions, outward appearances, and individual magnetism to upgrade the message. A disadvantage is a potential that a contention could turn out to be more warmed or enthusiastic in an eye to eye channel. Strain or stress is likewise more probable if you have the individual clash with the other individual. Written Email Email is a key correspondence direct in topographically scattered organizations or ones in which representativeââ¬â¢s travel. Email considers more adaptable reaction times. You can communicate something specific one day and get a reaction in a couple of hours or the following day. It takes into consideration discussion that isnt time-forced, however, can serve for quick turnaround times. It additionally considers the incorporation of records, for example, archives or pictures. Email is less individual than either vis-à -vis or telephone. The missing setting of the message may prompt errors or misjudged messages. Also, the greater part of emails and vital data can be lost with a basic hard-drive crash. In the event that email data are stored on another server, at that point information could get lost if that site goes down or bankrupt. Phone Land or cell phones have taken up the correspondence slack in organizations where separation and travel counteract eye to eye discussion. The phone still permits quick connection between two gatherings in the correspondence. Cell phones likewise extend your capacity to speak with removed specialists or workplaces. The absence of nonverbal or outward appearances expel those components from the message. This can repress the capacity to restrain the unique circumstance or feeling of a message sender. The telephone is likewise less personal than an up-close meeting. 2.3 Describe how you can provide effective service delivery. HR gives organization benefits over the representative lifecycle. Delivery perfection implies assembling and keeping up powerful administration, which incorporates: Building connections, which requires to invest energy and to speak with individuals, particularly up close and personal. This can be succeeded by being liberal, having an uplifting disposition, concentrating on passionate insight, listening effectively, promising open correspondence, esteeming others. There are many advantages in growing great connections: the work is more enjoyable and beneficial, it makes a positive domain, it values people and correspondence, it averts issues and enhances performances. Resolving complaints While instinctual a complain produces negative responses, overseeing it is part of the activity. It is significant to assume liability for the issue and to associate with a client on both an expert and individual level, utilizing cautious dialect, listen carefully and feel for the client. Moreover, grievances give the chance to enhance administrations delivery. Managing difficult customers Initially, it is fundamental staying alert that the client is despondent and to change claim attitude. Also, it is expected to listen them act. Right off the bat, it is central remaining ready that the customer is beset and to alter have the viewpoint. Moreover, it is relied upon to listen to them adequately, being empathic and after that repeat their stresses and make a request. Finally, demonstrate an answer and make a move rapidly revealing every movement to take to settle the issue. Finally, being empathic and after that rehash their worries and make inquiries. At last, display an answer and make a move instantly disclosing each progression to take to settle the issue. Managing time and budget constraints Overseeing time and budget successfully serves to deliver magnificence, to be beneficial and to meet desires. A key factor for effectiveness is to organize undertakings, distributing time and money related assets where it is generally required. It is vital to esteem the time and assets. It intends to compose, taking control of the day and arranging costs. Seeking continuous improvement The key to a consistent change in delivering outstanding services is observing the inner process, gaining from clients input, modifying the delivery process and enhancing performances and administrations guidelines. LO3: Be able to reflect on own practice and development needs and maintain a plan for personal development. 3.1 Define and explain the importance of Continuous Professional Development Most of the people once they have got their degree feel that their trip to knowledge has come to an end. They do not realize that the trip just began. Working in HR specifically is a continuous journey to research and expansion of knowledge and skills. This not only benefits the individuals but enhances ââ¬Ëââ¬â¢Continuing professional development is important because it ensures you continue to be competent in your profession. It is an ongoing process and continues throughout a professionalââ¬â¢s career.ââ¬â¢Ã¢â¬â¢ http://continuingprofessionaldevelopment.org/why-is-cpd-important/Here are some examples explaining why CPD is playing an important role in our careers: CPD guarantees our abilities keep pace with the present principles of others in a similar field. CPD guarantees that we and our insight remain important and progressive. We are more mindful of the changing patterns and headings in our calling. The pace of progress is presumably quicker than its at any point been ââ¬â and this is an element of the new type that we live and work in. On the off chance that we stop, we will get left behind, as the cash of our insight and abilities winds up plainly outdated. upgrade our certainty and inspiration add to our vocation advancement as we turn out to be more viable in our working environment CPD encourages us to remain intrigued and fascinating. Experience is an extraordinary educator; however, it means that we tend to do what we have done sometime recently. Centered CPD opens us up to new potential outcomes, new information and new aptitude zones. 3.2 Undertake a self-assessment against the CIPD Professional Map at either band 1 or band 2. Identify the areas for development. 3.3 Explain at least 2 of the options you have considered to meet your development needs which have been identified through undertaking 3.2. 3.4 Devise a personal development plan based on the outcome of the self -assessment and any personal aspirations which are relevant. This should cover a period of 6 months. undertaking 3.2. Bibliography Article title: Profession Map for HR and LD | CIPD Website title: CIPD URL: https://www.cipd.co.uk/learn/career/profession-map Author Continuing Development Article title: The importance of continuing professional development (CPD) Website title: Continuing Professional Development URL: http://continuingprofessionaldevelopment.org/why-is-cpd-important/
Monday, October 14, 2019
Analysis of Risk
Analysis of Risk The aim of this essay is to introduce the aspect of risk and some highlighting on the theories that support this aspect of risk assessment and will briefly discuss existing risk assessment schedules and at the end it will critically analyze national and local reports related to risk assessment (Faisal). Royal Society (1983) states that, risk assessment which axiom as the probability that a particular adverse event occurs and social services has been concerned predominate with risk assessment to prevent harm. They may also suffer further if they have to deal with seeing their perpetrator on a regular basis, and may be subject to further assaults in retaliation of their initial complaint. In addition to the risks to existing victims, poor responses may result in increasing numbers of people being abused. The Oxford Dictionary define risk as meaning a hazard, a dangerous, exposure to mischance or peril, as verb it also similar which means hazard, to danger, to expose to the chance of injury or loss( Parsloe, 2005). Risk is closely linked to dangerousness, resulting in harm which seems to be agreed means harm to self or others and extend of harm which constitutes a risk in various situations especially adult with learning disabilities. Every human being becomes vulnerable during their lifetime for many of reasons they all respond differently to events that happen to them because of who they are and the lack of support that they have around them (Jacki, 2001). People with learning disabilities are one of the most vulnerable groups in the society (Department of Health 2001). Learning disabilities may be more at risk not only because their own difficulties in understanding or communication but also because of the way they receive services and the fact that they may be actively targeted or taken advantages (Jean and Anthea, 1997). Increasingly responding to the risks of others, preventing risks to vulnerable adults or running risks to themselves is all in days work for the busy practitioners and manager in the field of social care (Brearley, 1982). Any criminal offence which is perceived to be motivated because of a persons disability or perceived disability, by the victim or any other person. [Association of Chief Police Officers]. According to Home Office Any incident, this constitutes a criminal offence, which is perceived by the victim or any other person as being motivated by prejudice or hate. People with learning disabilities are subject to risk all time due to their vulnerability they sometimes abused by those who have control over them or by those who realize that they are vulnerable because of their disabilities they often find it very much more difficult to assess risk the way most of social carer and services do (Vaughn and Fuchs, 2003). However, take risks because they feel vulnerable to a point approaching hopelessness (Fischhoff et al., 2000). In either case, these perceptions can prompt adults to make poor decisions that can put them at risk and leave them vulnerable to physical or psychological harm that may have a negative impact on their long-term health and viability. According to Kemshall and Pritchard (2001) states that, there has been much debate about a welfare model or a criminal justice model should be adopted. In order to fully appreciate the process of risk assessment, here identify the one of particular serous case review murder of Steven Hoskin after the recent death 39years young man who has been dead by numbers people. Adults vulnerable protection systems are likely to come under close scrutiny (Jacki, 2001). Steven Hoskin had learning disabilities and he was 39 young man who was been killed and his body was found at the base of the St Austell railway viaduct on 6th of July 2006. Two principal perpetrators, Darren Stewart (aged 29 years) and Sarah Bullock (aged 16 years), and the manslaughter conviction of Martin Pollard (aged 21 years). Steven Hoskin was 39 years old. Born to a single woman who herself had a learning disability, Stevens learning disability became apparent in his early childhood. At 12 years of age he left a local prim ary school and became a weekly boarder at Pencalenick special school, returning to his mother (on the Lanhydrock Estate, outside Bodmin) at weekends. Steven did not read. After leaving school at 16, Steven was unable to secure employment and was admitted as an inpatient to Westheath House, an NHS Assessment and Treatment unit for people with learning disabilities and mental health problems. Although he remained there for 14 months, the therapeutic purpose of his stay is unknown. While at Westheath House, Steven participated in youth training activities in the Bodmin area. This was an unhappy time for Steven as he was victimised by the other trainees.'(ref) Stevens relationship with his mother deteriorated and ultimately became characterised by conflict and violent outbursts. In September 2003, Steven was charged and convicted with common assault and he was subject to a Probation Order. An Adult Protection Plan confirmed that Stevens mother should move.(ref) Even the initial meeting of the Serious Case Review Panel confirmed there was no lack of information about Steven and his circumstances and that with better inter-agency working; Steven Hoskin would have been spared the destructive impacts of unrestrained physical, financial and emotional abuse in his own home. While this knowledge cannot change, erase or soften what happened to Steven, it was an impetus for Cornwall Adult Protection Committee and its partner agencies to analyse what went so badly wrong. As uncomfortable as this process has been, it leads to learning, i.e. our purpose has not been one of judgement but of correction and improvement (Dixon 1999). It is important that adult protection is triggered when someone is believed to be at risk of harm/abuse and not only at the point where there is demonstrable evidence of harm. In order to conform to their obligations under human rights law, agencies have to be proactive in undertaking risk assessments (e.g. Monahan et al 2001) to ensure that preventive action is taken wherever practicable. The Disability Rights Commission (2005) confirmed that the health of people with learning disabilities is likely to be worse than that of other people, (even before taking into account specific health needs or disability related barriers to accessing health care), as they are likely to live in poverty and are exceptionally socially excluded. Young People and Adults have to look out for young people. They must be alert to the possibility that the same young people may be harming those more vulnerable than themselves (ref.). Valuing People (2001) identified Independence as a key principle and helpfully confirmed that: While peoples individual needs will differ, the starting presumption should be one of independence, rather than dependence, with public services providing the support needed to maximize this. Independence in this context does not mean doing everything unaided (p23). It is essential that health and social care services review the implications of acceding to peoples choice if the latter is not to be construed as abandonment (e.g. Flynn, Keywood and Fovargue 2003). Stevens murder has confirmed that the choices of adults with learning disabilities in relation to their health care decision-making (Flynn, Keywood and Fovargue, 2003). Valuing People (2001) defines choice as follows: `Like other people, people with learning disabilities want a real say in where they live, what work they should do and who looks after them. But for too many people with learning disabilities, these are currently unattainable goals. We believe that everyone should be able to make choices. This includes people with severe and profound disabilities who, with the right help and support, can make important choices and express preferences about their day to day lives. (p24). Protecting Vulnerable Adults, Valuing People states: `People with learning disabilities are entitled to at least the same level of support and intervention from abuse and harm as other citizens. This needs to be provided in a way that respects their own choices and decisions. (p 93) The difficulty for people with learning disabilities is that carers often do feel often they are expected to make these choices for them. The law of negligence can appear to inhibit decision making personal freedom and choice sit uncomfortably next to the concepts of duty of care and professional liability (Fuchs, 2003). The police reported Stevens circumstances in the months preceding his murder as follows: `Steven Hoskin had lost all control of his own life within his home. He had no say, choice or control over who stayed or visited the flat. He had no voice or influence over what happened within the premises. Darren Stewart had recognised the clear vulnerability of Steven Hoskin and had moved in on himà ¢Ã¢â ¬Ã ¦he recognised the opportunity for accommodation and removed from Steven Hoskin the little ability he had to make his own choices and decisions. Darren Stewart was fully aware of Stevens vulnerability and learning difficulties and took advantage of those facts to control both Steven and the premises. Margaret (2007) identifies the following factors in what went wrong for Steven: Youths use Stevens bedsit to drink and take drugs where they steal his money and assault him. Steven cancels his weekly community care assistant service. Tortured after admitting their involvement in shoplifting. Assaulted, made to wear dog collar, cigarettes stubbed out on him .Forced to falsely confess to being paedophile and to swallow 70 painkillers. Marched to top of viaduct and forced over edge falls to his death. Safeguarding adults: To be vulnerable is to be in circumstances defined by the continuous possibility of harm or threat (e.g. Flynn 2005). No Secrets makes it clear that monitoring safety is a multi agency responsibility. The key to protecting and safeguarding vulnerable adults is sharing information, so any professional who comes into contact with a vulnerable adult should be able to determine immediately if, and when, other agencies are involved and has a duty to share concerns. There were no such consequences arising from the numerous instances when Steven and Darren came to the notice of NHS services or the police. Flynn (1989) confirmed that adults with learning disabilities living in their own tenancies were vulnerable to victimisation, most particularly in localities of hard to let tenancies; that these men and woman were wary and scared of young people; and that most experienced loneliness and isolation. Departments of Adult Social Care cannot be expected to look out for all citizens with learning disabilities without the resources to do so. Fair Access to Care criteria are known to be rendering more and more vulnerable adults ineligible for ongoing support (ref) It forcibly brings the commissioners and providers of health services and the police to the foreground. They were Darrens first port of call and, perhaps under his influence, they became Stevens as well. Stevens murder presses the case for ever-greater investment in partnership working in safeguarding adults (Perkins et al., 2007). The stated primary aim of No Secrets (2007) is to create a framework for action within which all responsible agencies work together to ensure a coherent policy for the protection of vulnerable adults at risk of abuse and a consistent and effective response to any circumstances giving ground for concern or formal complaints or expressions of anxiety. The agencies primary aim should be to prevent abuse where possible but, if the preventive strategy fails, agencies should ensure that robust procedures are in place for dealing with incidents of abuse.(p.) This statement clearly indicated that No Secrets was intended to encompass both a safeguarding preventative approach, in addition to an adult protection intervention one; although we would acknowledge that the intervention role has taken precedence in reality (ref.). Risks change constantly and people grow, change, and develop. It is important to review risk assessment regularly, and aim always to increase choice and freedom for the people with learning disability (Sellars, 2003 p.155). In considering the effectiveness of No Secrets as a mechanism to provide a level of intervention that could protect adults at risk of abuse, it would seem sensible to consider what has failed to work successfully within adult protection, whether such failures were a consequence of the nature of guidance or instead insufficient/inappropriate application of that guidance, and whether such failings could only be overcome by the introduction of legislation. An obvious mechanism that could be used as part of this evaluation process would be the consideration of Serious Case Reviews relating to adults.(ref). People may make an informed choice to accept a particular risk today, but circumstances and people change. A risk considered acceptable today, may be a problem tomorrow, and statutory agencies have a consequent responsibility to regularly monitor and respond to changing circumstances. Personalisation does not mean a statutory agency has permanently discharged its duty of care on the basis of an informed decision taken at a single point in time. This was a key point of the Serious Case Review into the death of Steven Hoskin, Steven wanted friends. He did not see that the friendship he had so prized was starkly exploitative, devoid of reciprocity and instrumental in obstructing his relationships with those who would have safeguarded him.'(ref.) Disability hate crime fails to recognise the duration of Stevens contact with his persecutors; the counterfeit friendship; the background to Stevens perilous disclosures to Darren; the joyless enslavement; or the motivations of all of his persecutors. Stevens murder has profound implications for the support of vulnerable adults in our communities. It challenges the principle, or dogma, of choice for adults who are apparently able; it unstitches some certainties about communities -their capacity to look out for others, their familiarity and permanence; and it requires us to question why the ever- tightening eligibility criteria of services are rendering very vulnerable men and women so unprotected. The fact that individuals in all agencies knew that Steven was a vulnerable adult did not prevent his torture and murder (ref). This does not imply that these agencies are without merits or strengths or that they are wholly culpable, but is intended to convey their acknowledgement of their individual and collective under-performance, and what has to change in the light of the magnitude of cruelty experienced by Steven (ref). There is the role of care providers in adult protection intervention work, how they are engaged in investigations, and what role commissioning has in the overall process. And the commissioning role can be crucial, as noted by the joint investigation into the Cornwall Partnership NHS Trust, which stated, The trust has blamed the three PCTs in Cornwall for failing to commission appropriate services for people with learning disabilities and, while this does not lessen the trusts culpability, the criticism is accurate. This is the other side of the coin; we are inclined to believe that it wont happen, even when the objective statistics suggest otherwise the difficulty that now exists for people with learning disabilities, especially those with greater disability, and those who care for and support them, is that the law specifies that many such people are vulnerable, and not able to make this choice for themselves (Daniel, 2003). The onus of assessing risk and making the decision therefore often rests with carers. Because it is such a difficult decision to make for someone else, carers often take the simple way out, and avoid letting situations arise where learning-disabled people in their care have the opportunity to develop sexual relationships: if a person cannot make an informed choice then perhaps it is easier not to offer them that choice (Lindsay 2004). This is the current dilemma for those who work in community care situations. According to David J. Thompson,(2000) the issue of sexual relationships is perhaps the most difficult and complex, but this problem of balancing risk and choice is a constant one for carers and professionals, in relation to many aspects of everyday life. In the background is the ogre of the law (and/or local management), ready to jump on the unwary, should they get it wrong. No wonder, perhaps that many are cautious about enabling such choices to be made. Get higher in the information of vulnerable adults referred to them for the reason that they are at risk of physical and sexual mistreatment, in addition to financial fraud, a study has found in Social services departments have seen (Simon, 1997. So where adult with learning disabilities have more complex problems, such as behaviour problem, mental illness, or others any physical or mental disorder they will need additional care and support to cope with their everyday lives (Hawks, 1998). Sometimes these problems impose additional risks, and these do need to taken into account when assessing and managing risks for each person/adult.
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