Explain the meaning of cultural competence, its benefits and limits.

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Providing Culturally Appropriate Services in a Changing Community

1. Explain the meaning of cultural competence, its benefits and limits.

2. Describe how the demand-for-services should or should not shape Our Covenant Health Center’s approach to its community and original mission. (In addressing this, you must indicate whether you would or would not change the mission, and explain why or why not.)

3. Examine the ethical considerations behind reducing the social worker and lay health worker to part time positions in order to provide funding for another part-time bilingual social worker and part-time Spanish-English interpreter. (You must look at this from all angles, not just one side).

4. Explain why you would or would not take this approach (as noted in No. 3) to provide more Spanish-speaking health care workers, and provide at least one other option for this clinic.

5. Examine how public health organizations and health care providers encourage their employees to gain “cultural competence” beyond being bilingual.

Rationing Issues in Healthcare

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Rationing Issues in Healthcare
The concept of rationing healthcare is dealt with on a daily basis. Healthcare rationing in the United States exists in various forms. Access to private health insurance is rationed based on price and ability to pay. Those not able to afford a health insurance policy are unable to acquire one, and sometimes, insurance companies prescreen applicants for pre-existing medical conditions and either decline to cover the applicant or apply additional price and medical coverage conditions. Access to state Medicaid programs is restricted by income and asset limits through a means test and to other federal and state eligibility regulations. Health maintenance organizations (HMOs) that commonly cover the bulk of the population restrict access to treatment via financial and clinical access limits.
Using the South University Online Library, find a current article (no more than two years old) on rationing issues in healthcare. The article should also be peer-reviewed.
Note: Peer-reviewed refers to articles reviewed and approved by authors’ professional peers who are experts on the topic being discussed.
After reading your article, summarize its contents and the main theme discussed. Then, answer the following questions:
• How is rationing defined and what criteria are offered to ration care?
• Discuss and apply at least one of the major ethical theories to the issue and the ethical decision-making process to the issue.
• What do you feel the impact of the issue in the article will be on the healthcare industry? What can be done to ensure rationing is done fairly?
• Discuss the major codes of ethics of the stakeholders involved in the issue and how these codes will affect the decision-making process and the final decision.
• Examine and discuss the impact that the issue and the final decision will have on the stakeholders involved.
• Discuss any potential policy implications for the issue and the final decision.

Develop an alternative solution based on your own research using three to five academic sources from journals, professional organizations, and websites.

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Write an eight- to ten-page case analysis of the following article (which can be found in the Ashford Online ProQuest database):
• Souza, M. & McCarty, B. (2007). From bottom to top: How one provider retooled its collections [Electronic version]. Healthcare Financial Management, 61(9), 67-73.
Include the following:
• Complete a summary of the case study that identifies the key problems and issues, provides background information, relevant facts, the solution employed, and the results achieved.
• Identify and explain the accounting practices California Sutter Health used in defining and solving its collection problems.
• Develop an alternative solution based on your own research using three to five academic sources from journals, professional organizations, and websites.
• State your informed opinion of the approach used by California Sutter Health, and provide support using concepts from your research and personal experience.

Explain one model to addiction treatment and explain why it may be effective in treating addiction.

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As a helping professional, identifying and applying appropriate assessment approaches to client treatment is essential to the treatments of addiction. After assessing clients with addiction problems, helping professionals must use and apply a treatment model to address the addiction. Identifying the right treatment model will be critical. The goal of any treatment program or approach is to stop abnormal, destructive addictive processes and replace them with healthy, constructive processes. There are many approaches available, but during the last 50 years, the Minnesota Model has dominated the field. It was the first formal approach to the treatment of any addiction and is now used to treat an array of chemical or behavioral addictions.

Although the Minnesota Model approach to treatment is still one of the most well-known and common treatment approaches, there are many other approaches found in the field. As a helping professional, you need to be acquainted with many treatment approaches as well as being familiar with trends in the assessment of addiction.

• Post two assessment approaches for assessing an individual’s addiction and explain why they are effective.

• Next, explain one model to addiction treatment and explain why it may be effective in treating addiction.