Domestic Violence and Health Promotion for Mildura

Domestic Violence and Health Promotion for Mildura In Australia, every 1 in 4 persons are affected by domestic violence, with Mildura ranking the second highest place for family violence in Victoria (Domestic violence resource centre Victoria, 2016). Domestic violence is a pattern of abusive behaviour through which a person seeks to control and dominate another person, in which they may have relations with. It is not only physical, but can take on many other forms including sexual, emotional, social, spiritual and economic abuse that can be equally harmful. Violence against women is far greater with 17 per cent of all women and 5 per cent of men experiencing violence by a partner since the age of 15 (Phillips, 2017). 85-90% of incidents of domestic violence occur with children present, and impacts over one million Australian children a year (Sutherland, 2015). Victims suffer long term physical and psychological harm that can lead to negative behaviours such as drug and alcohol use, inherited grief and trauma, poverty and loss of traditional male and female role models within the community. Research has shown that the biggest contributor to domestic violence in regional Australia is the negative attitudes of men towards women, within a community that values traditional patriarchal gender roles, combined with increase alcohol consumption and the vulnerability of women and children (Sutherland, 2015). This essay will explore potential and past health promotion strategies for domestic violence that would be beneficial to implement within Mildura, how they align with the Ottawa charter, health promotion values and principles, and the contribution of occupational therapists. Health promotion strategies Mandatory school-based health programs School-based programs provide the strongest evidence of effectiveness in relation to violence prevention programs (Flood, Fergus, Heenan, 2009).ÂÂ   As a primary prevention plan, mandatory school based programs that take on a holistic approach through educating and advocating against domestic violence within both school and communities has demonstrated effectiveness in reducing family violence. Student-oriented activities including creation of DVDs, rap songs and other forms of media that raise awareness of domestic violence can be presented at different community events. Students are not only educated about negative effects of domestic violence, but they are influenced to feel responsible to advocate against it through community displays of their school work. The Victorian Health Promotion Foundation identified two programs in particular that were successful in influencing and empowering students to reshape their attitudes about this issue (Flood et al., 2009).ÂÂ   Positi ve Relationships and successful lives ran by Mallee sexual assault unit, was conducted within a mainstream secondary college, a specialist school for students who have an intellectual disability, and a local Indigenous KODE school. Students participated in a range of media based activities, in which they presented at community forums. Flood, Fergus and Heenan (2009) depicted that this program was successful due to: allowing students and the community to work together to advocate against domestic violence, the inclusion of indigenous and specialist schools, and being student-driven content that could be used in other prevention programs across the states. In addition, solving the Jigsaw, a program ran within schools of Loddon Mallee region educated children to understand the role of power and control over others to the culture of violence. They were to identify types of power, abuse and violence and acknowledge how violence should not be kept a secret. Milne (2006) stated in her clinical review that it challenged societys ideology e.g. gender issues, self-regard, culture of violence and providing confronting material that children can relate to. Children felt connected within the group, and at ease showing care to one another. It encouraged them to identify what actions were portrayed as violent, how to respond to situations and to speak out about their experiences. Both programs were successful in influencing students to view violence as unacceptable, and motivated them to seek help if needed. Behaviour change programs A behaviour change program that aims to change mens patriarchal ideology that men can take control over women, through teaching them to respond differently to trigger situations as well as counselling for alcohol driven domestic violence should be implemented in Mildura. Education and training can help perpetrators recognise their behaviour is abusive, and explore the use of non-violent strategies that promote intimate relationships built on respect, trust, and equality. A program in regional NSW called Taking Responsibility, has proven to have successful outcomes for men who wish to be better their relationships with partners and/or children. The program was evaluated using follow up interviews of men and partners of the men attending the program. Intended positive outcomes were achieved and expressed through quotations of the participants, and benefits included that men had learnt to change their attitudes towards women, and new ways to express their feelings instead of violence. M en felt they were accepted back by their partners which restored intimate partner relationships and strengthened family bonds. In addition, implementing cognitive-behavioural approaches has also proven successful in reducing alcohol related domestic violence. 53% per cent of women that have been physically assaulted by a male (in the past twenty years) reported that alcohol or drugs had been involved in their most recent incident (Phillips, 2017). Satyanarayana et al (2016) found that teaching cognitive-behavioral techniques including relaxation, anger management, assertiveness training and cognitive restructuring, is able to decrease alcohol consumption amongst men, and resulted in their partners having less depression, anxiety and stress from the DASS scores following intervention Mixed gender community sports programs A strategy that takes on a socio-environmental approach, is the use of well-known sports players to advocate against domestic violence through promoting positive relationships between girls and boys during mixed gender sports programs within the community. AFL football players can volunteer to participate within local football clubs to educate children about domestic violence, teaching them about what it is and why it is not acceptable, how to respond or avoid potential situations that could lead to violence, and access to help such as websites or phone lines. As children may view these players as role models, they will be more influenced to listen to them when out on the field.ÂÂ   An 8 week trial program called Equal Playing Field ran by the Rugby League used sport to minimise violence and assaults in less advantaged communities. This was first implemented for children in Papua New Guinea, and due to the high success rates, a school in Wollongong called Berkeleys Illawarra Spo rts High decided to also run the program. As a result, there were many positive reviews from both students, parents and the community when the well- known rugby players volunteered to educate the boys and girls during games of rugby. The mixed gender teams were encouraged to show good sportsmanship and positive behaviour and actions towards each-other, and acknowledge that violence between men and women within the home is not acceptable (Huntsdale, 2017). A similar program called Kicking goals for Healthy Relationships, created through the partnership of VicHealth and the Australian football league also depicted to be successful in engaging local rural communities and football clubs to promote respectful relationships between men and women (Loxton, Hosking, Williams, Brookes, Byles, 2008). Activities advocated and supported change in football club practises and policies to ensure safe, supportive and inclusive environments for women Both programs demonstrated the importance of usin g primary prevention interventions in highly masculinised environments (in this case sporting clubs), as boys attitudes are often shaped by other men they view as role models. The Ottawa charter and related health promotion values and principles The ability to create supportive environments and simultaneously strengthen community action is greatly shown in both Mandatory school based programs and community sports programs. These programs encourage people to care for each other through educating both students and the community to build healthy and respectful relationships with each other, and encourages change in attitudes towards domestic violence. This also strengthens the community actions as they are empowered to take ownership of these strategies such as advocating against domestic violence through displaying school work, or gathering at community sports events to advocate against domestic violence (The world health organisation, 2017). Through using methods such as education to empower youth to view domestic violence as unacceptable, both strategies align with Ottawa charter reorient health services as they focus strongly on primary promotion and preventative measures rather than secondary/tertiary. Establishing a policy where school based programs for domestic violence are made mandatory for all schools also aligns with building healthy public policy. It also greatly respects cultural diversity as students and/or schools from different culturally backgrounds i.g the local indigenous KODE school can implement the program. The community sports program mediates the ability for capacity building through collaboration and coordination of multiple parties within the community including local sports clubs and their teams, parents and AFL members. Therefore using pre-existing skills and resources within the community, not only encourages their participation, but also empowers them to feel responsible for this program which will help it remain sustainable in the long run. The behaviour change program supports Ottawa charter development of personal skills as it provides education and training for perpetrators of violence to develop skills, which enable them to have more control over their actions, so that they can respond appropriately to triggers that in the past would result in violence. This program takes on a holistic health approach through targeting perpetrators rather than the victims of domestic violence, in which far more programs for victims exist. Therefore, rather than focusing on treating consequences of domestic violence (i.e illness/injury) it takes into account the broader determinants of the people involved, such as their motivation for violence Occupational Therapy and health promotion Occupational therapists in Australia and worldwide can play a huge role in contributing to health promotion. They have the potential to raise awareness of domestic violence due to first- hand experience, however as there is little research available in occupational therapy literature, it is very difficult to single out well-known health promotion strategies. Some researchers have realised this, and conducted a systematic review of past programs/interventions implemented by occupational therapists who worked with victims of domestic violence. Carlson and Streit (2010) found that O.Ts have worked in more secondary/tertiary prevention settings, and key areas where they have added value in addressing domestic violence included advocating the importance of social support systems, providing training for emotional and financial troubles, as well as education on safety. Ramsay et al (2009) and Gutman et al (2004) depicted the important of occupational therapists using advocacy to connect those who were experiencing or had experienced domestic violence with social supports around the community and giving them resources that can help them become independent. It was found that women who were able to use community resources to find shelters or programs where other women in similar situations were found, was beneficial in stopping or preventing domestic violence. Through providing a range of support systems women learn to become re-engaged within their daily occupations and increase community participation. A stress management program for abused women promoted improvement in emotional well-being (Gutman et al, 2004). Women experience stress due to emotional issues surrounding the violence including feelings of helplessness and believing they deserved. Through learning strategies to manage stress, many participants were able to generalise learnt strategies outside the clinic, and increased their participation in previous activities that they were not able to do beforehand. Gutman et al (2004) also illustrated the importance of safety education, to decrease risk of partners becoming victim to domestic violence. Occupational therapists worked with woman to develop a safety plan: identifying a safe place to escape and connections to support systems so they could safety escape violent situations. Employment skills were the focus of an intervention designed by Helfrich and Rivera (2006), which supported women who had left their violent partners. Group sessions taught victims how to search for, apply for, and maintain a job, including how to write resumes, where and how to apply, completing mock interviews, and ways to advance in a job. Feedback given by participants were mostly positive and felt that they had learnt necessary skills to obtain a job within their community. Common challenges for occupational therapists It is somewhat difficult for occupational therapists to take particular health promotion approaches to address domestic violence. More than half of occupational therapists work in hospitals or outpatient settings where they fill secondary or tertiary health promoting roles through empowering people through education, training and equipment. Their aim being that their clients can develop the necessary skills to manage their chronic disease or injury and prevent further deterioration and potential secondary conditions. If occupational therapists turned to a more upstream primary prevention approach, it would be difficult to maintain the quality of services in the traditional downstream approach, and thus time constraints is also a pressure to adopt preventative health promotion role alongside their current remit (Scriven, Atwal, 2004). Occupational therapists, like any health profession, need to work with not only the health conditions of the community, but also their attitudes and social/cultural norms which can be barriers to implementing new programs. Communities that support or encourage the use of violence will make it very difficult for occupational therapist to implement a program advocates against domestic violence. For example intimate partner violence is accepted across India, Nigeria and China, where men have the right to discipline female behaviour. Sub groups of communities, can also have differing views of family violence, for example the indigenous communities or isolated rural areas within Australia may accept violence as a part of their culture, compared to the majority of the population who condone it (World Health Organisation, 2009). Lack of partnerships to establish a health promotion strategy is also a limitation for occupational therapists. Evidence has shown that occupational therapists often use concepts and medical terminology that can be misunderstood and possibly misconstrued in health promotion partnership arenas (Wilcock 1999, Townsend 1999). It is also found that it is easier for an occupational therapist to implement secondary health promotion such as cognitive behavioural training for perpetrators of violence rather than working towards implementing primary preventative approaches that rely on other organisations. In conclusion, with domestic violence being a significant issue in Mildura, health promotion strategies such as mandatory school based programs, behaviour change programs for perpetrators and community sports programs can influence members of the community to construct or change their attitudes towards domestic violence, to foster for healthy and respectful relationships. Occupational therapists face many challenges in the area of health promotion, as its harder for them to adopt an upstream primary preventative approach, due to time constraints and demands for secondary/tertiary care, as well as difficulty building partnerships and working with the differing cultural and social attitudes of specific communities. Furthermore, for occupational therapists wanting to become more engaged with health promotion, they need to be prepared to go extra lengths to gain power and respect from others, and have specific skills and resources to be able to facilitate for an upstream approach, to pre venting domestic violence in Mildura.

Us History Civil War Dbq

James Richards Harris 3rd The Fatal Flaws of the Constitution (DBQ) During the 1850’s, the supreme and absolute Constitution, which had previously seen no topic it couldn’t resolve or illuminate in the eyes of its interpreters, was faced with its toughest, unrelenting foe; the issue of slavery, and the locations that it existed in or was desired to exist in. Ultimately, this issue led to the demise of the Union that had been created under the watchful and guiding eye of the Constitution. This decade in particular was brimming with the reoccurring argument of whether or not slavery would be allowed to expand into any newly-acquired United States territories. The sectional discord that resulted between the South and the North as a result of this argument ended in secession, disunion, and eventually war. The flaw of the Constitution existed not in its clear and over-comprehensive guidelines for the Union, but rather in its ambiguity over the rarely discussed topic of slavery. In fact, it was so infrequently discussed because in 1839, Congress had passed a â€Å"gag rule† that prohibited any debate about, reading of, printing of, or reference to slavery. There was such a state of ambiguity on the subject that each side, North and South, found the Constitution as both a helpful tool to prove that they were in fact in the right and the other side in the wrong. By 1850 sectional disagreements centering on slavery were straining the bonds of union between the North and South due to the Compromise of 1850 (doc A). These tensions became especially acute when congress began to consider whether western lands acquired after the Mexican War would permit slavery under popular sovereignty. In 1849 California requested to enter the Union as a free state. Adding more Free State senators to Congress would destroy the balance between slave and free states that had existed since the Missouri compromise of 1820. The compromise essentially erased the effects of the compromise by allowing the balance of free and slave state to potentially be broken. The Sectional sentiment that was aroused by the compromise of 1850 is obviously present in a letter from an anonymous Georgian (doc B). In his â€Å"plain words for the north†, the Georgian emphasizes that the constitution â€Å"recognizes slavery where it exists† and that unless the same view was accepted by the North the destruction, â€Å"the destruction of the constitution is inevitable†. However in a document by William Llyod Garrison (doc E), Garrison, an extreme abolitionist whose motto was â€Å"no union with slaveholders†, argued that the constitution â€Å"never intended to give any protection or countenance to the slave system†. Thus the question of whether or not the constitution protected slavery arose. Since the framers of the did not explicitly condone or embrace slavery, the decision was left to congress, the president, and the courts to decide. Although salvery was not mentioned in the Constitution, the context of it essentially supports slavery- many of the signers were slave owners. However, northerners such as Emerson (Doc D), who addressed the fugitive slave law, argued that slavery was immoral and foresaw the ending of the Union. Southerners on the other hand, saw slavery as their naturall right and regarded the three-fifths clause as evidence that slaves did not hold the rights of citizens. Sountherns were aided in their argument by the Dred Scott decision in the Supreme Court, which ruled that African Americans had no civil rights, and the Missouri Compromise was unconstitutional. Although the decision was made on the basis of the interpretation of the Constitution, it also reflected the susceptiballity of the court to be influenced by personal views and politics due to the fact that several of the judges were slave owners. Even though the court decision settled the question of slavery explansion and strengthened the souths position, it irnonically fueled the republican movement after the defeat of the Lecompton constitution to establish equitable voting methods. After Lincolns election South Carolina, which saw secession as the only alternative left to protect their way of life and liberty, challenged federal authority and attempted to coerce other southern states to join them. On February 7, 1871, seven slave states declared independence, joined the confederate states of America and elected Jefferson Davis as president. In davis’ message to Confederate Congress (Doc H), he expressed his view that the constitution set up a compact between independent states, rather than a national government made up of states. The misconception that the Constitution set up a national government, he said, was the perception of a certain political school in the North. In contrast, Lincolns message (Doc I) questions how the southern states could withdraw from the Union without the consent of the other states. As these two documents have pointed out, the different interpretations by which the Northerners and Southerners interpreted the Constitution was one of the main sources of sectional discord and tension. Despite efforts at preserving the Union, social and economic forces were pulling the North and South apart. Northern society was beign cultured by the industrial revolution, and by educational and humanitarian movements that had little effect in the South. Southern society was dominated by agriculture, and therefore slavery was a necessary institution and way of life. Since the North and South were essentially two different societies united under one common law, it seemed inevitable that the conflict over slavery and states rights would arise. It would have been impossible to accommodate the differences between the North and South under one law that applied to both. So while the constitution was originally framed as an instrument of national unity there was no possible way for it not to divide the nation with two entirely different societies. Therefore the only solution to save the union was not to abolish the constitution, but to either abolish or accept slavery.

Climate Change And Global Warming Essay - 1385 Words

Though gasoline cars make lives of humans easier to travel, it threatens the environment. Climate is defined as weather conditions existing in a particular area over a period of time. When changes in weather patterns start to occur, this is called climate change. Peter Singer describes carbon emissions would extinguish human life. Climate change is a disastrous event because there is a wide range of environmental impacts affecting life expectancy. In different geographical areas, climates will change if temperatures influence them to fluctuate. The major cause of climate change is human expansion of the greenhouse effect. Kolbert presents scientific research about climate change and global warming leading to a global catastrophe. Any process that causes the Earth’s temperature to become imbalanced affects the climate. While climate change is a natural process, purchasing a SUV and doing human activities of all kinds has impacted on the atmosphere by burning fossil fuels for en ergy. Climate change is a global issue that has and will affect the world. Peter Singer believes greenhouse gas emissions ultimately lead to global warming that will kill a lot of people. The effects of carbon dioxide in the atmosphere increasing each year is devastating news to humans and animals because it affects future generations. Studies show climate change is already affecting everyone worldwide and continues to do so. According to the World Meteorological Organization (1950), the â€Å"temperaturesShow MoreRelatedGlobal Warming And Climate Change974 Words   |  4 Pagesabout global warming, whether it is true or false. Is there evidence to prove that global warming has impacted the climate due to the rise in the earth’s temperature? Climate change is a problem that is worldwide that should be reviewed. The rise in the earth’s temperature has caused some impact to the weather and climate changes to many places worldwide. 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Essay on Are Cochlear Implants a Threat to the Deaf...

The sound of your parents voice, hearing your favorite song playing on the radio, even knowing the sound of your own voice, these are just a few sounds that sadly many of us take for granted, and unfortunately many will never get to experience. Hearing loss affects about 10% of the Global population, with 124.2 million people affected from a moderate level to a severe disability. (WHO 2008) Deafness can be the result of many different causes such as otitis media (middle ear infections), hereditary disorders, genetic mutations at birth, prenatal exposure to certain diseases such as meningitis, and trauma to the eardrum or auditory nerves. (Better Health Channel, 2013) While not a cure to deafness, the invention of cochlear implants†¦show more content†¦The middle ear has three ossicles (tiny bones) the hammer, the anvil, and the stirrup that connect the middle ear to the inner ear. When sound enters your middle ear, it causes the ossicles to vibrate. These vibrations then move into the cochlea, which is filled with fluid. When the vibrations move the fluid that is in the cochlea, it stimulates tiny hair cells that respond to different frequencies of sound. After the tiny hair cells are stimulated, they direct the frequencies of sound into the auditory nerve, as nerve impulses. (ASHA 2013) Cochlear implants consists of three external parts: a microphone, a speech processor, and a transmitter. The internal parts include: a receiver and stimulator and an array of up to 22 electrodes, depending on how much amplification is needed. Cochlear implants work by bypassing all the damaged parts of the ear to directly stimulate the tiny hair cell s on the cochlea that direct sound frequencies to the auditory nerve. (ASHA 2013) Opposing Arguments Those that oppose cochlear implants argue mostly from a minority standpoint. 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