Wednesday, September 11, 2019
Is Intraprenuership Necessary in Asia and How Does It Contribute To Research Proposal
Is Intraprenuership Necessary in Asia and How Does It Contribute To Organizations - Research Proposal Example The study employed a sample representation of industries as well as companies through which the generalization of the findings was to be made. High innovation among the trading firms was notable within this era of globalization. Through an empirical study mode, the research found out four basic determinants of the capacity for companies to engage in intrapreneural activities: Technically skilled employees, the organizationââ¬â¢s layout, secrecy availability as well as the market knowledge by the organization (Balasundaram and Uddin, 2009, p.35). Another research study was carried out through the evaluation and analyses of the available literature on the concepts as well as the principles that are prevalent within organizations and which in one way or the other influence the spirit of entrepreneurship. Work place values, employee personal character as well as social cultural factors are key in determining the direction taken as regards the intrapreneurialship of an organization. Am ong other findings of the study was that intrapreneurial spirit and success depends in much more than just mere creativity of an employee. One needs to be ready to take risk and be tolerant even as one awaits the senior managementââ¬â¢s decision concerning an innovation. Moreover, it was the finding of this study that firms that nurture and uphold the spirit of intrapreneurship have better performance compared to their counterparts. The study recommended all firms to uphold the spirit of intrapreneurship in order to have a competing edge within the business field (AZAMI, 2013, p. 198). The findings ascertained the recommendations by another report that indeed, intrapreneurs are agents of change within organizations; managing as well as motivating them is thus critical to every organization (Wong, 2008, p.1). Maier and Zenovia undertook a study through the literature to compare and contrast entrepreneurship versus intrapreneurship within the current world. Among the different find ings that sought, the two comprises vast similarities as well as differences. Their study revealed that the two are major basic tools that companies and other firms can exploit for use within the economic dynamics that we are facing today and through which, solutions to trade problems can be found. Min particular, this study found out that every company should uphold the spirit of innovation as it is only through this that future success of them are laid. They reasoned that yesterdayââ¬â¢s innovation can never guarantee tomorrows competence hence the need to encourage the intrapreneural spirit (2011,p. 975). Through an exploratory investigation, Bosma and friends sought to analyze the global perspective of intrapreneurship. Moreover, the study sought to understand the distribution of intrapreneurs within the frame work of age and found that more innovation rests with the younger employees as compared to the elderly employees. Furthermore, the likely hood of employees to engage in intrapreneural innovations is double within the high income countries as compared to the low income countries (Bosma, Stam and Wennekers, 2010, p. 3). Globalization is seen to be a threat to some extent as innovations are simply taking over the older ones thus necessitating
Tuesday, September 10, 2019
Lakshmi Mittal and the Growth of Mittal Steel Assignment
Lakshmi Mittal and the Growth of Mittal Steel - Assignment Example This paper discusses the consistent growth of Lakshmi Mittal and all the issues it met, including in the final stages before merging with Arcelor. The strategy it undertook concerning foreign direct investment (merging and acquisition) undoubtedly enabled it reach greater heights. Arcelor Mittal Steel Company is a company that was started as a result of a merger between two steel companies namely Mittal Steel and Arcelor. The origin of the company was in India with Mittal being started in the early 1970s. The company, just like any other investment, faced some key issues and challenges as it developed. However, all these challenges have to be overcome by identifying available opportunities and making use of them. Competition in India was very stiff leading to limited growth opportunities. The main competition came from state and the privately owned companies. This led to the decision of Mittal to expand its borders to other countries, beginning with Indonesia. It is evident that Mittal in its foreign direct investment chose to use the method of merger and acquisition, rather than Greenfield investment. This is so because the merger method offers a lot of advantages. The local companies to be merged to or acquired are already conversant with the local customs and the institutions associated to the acquired firms. Furthermore, there is an advantage of easy access and relations with distribution systems. Mittal company only had to make improvements on what the merged firms had done, so as to establish itself in a competitive position and eliminate the potential competitors. Marinescu and Constantin (2008) say that ââ¬Å"from financial point of view, the acquisition necessitates a smaller initi al investment. Capital is injected step by step, leading to lower market risk as opposed to a Greenfieldâ⬠(n.p.). In as many countries that Mittal developed, there are a lot of advantages that are achieved by the host nations. Apart
Monday, September 9, 2019
Critique of Thomas Friedman's Article It's a Flat World, After All Term Paper
Critique of Thomas Friedman's Article It's a Flat World, After All - Term Paper Example The author started the article with the explanation of the various globalisation eras. According to the author, globalization has been categorized into three phases. The first period of globalization was from 1492 to 1800. During this period, globalization of world resources helped in shrinking the world from large to medium size (Headrick, 2000). The second phase of globalization was from 1800 to 2000 where the world shrunk from medium to small, as a result of globalization of labour and market forces. The third phase of globalization which started from 2000 has seen a drastic shift in the driving forces. It is a comprehensive mix where not only the big players but smaller enterprises are also influencing the globalisation process (Webster, 2005). Most of the parts of first and second globalisations were motivated by American and European economies and countries. But in case of third globalisation phase, it is mostly influenced by individuals and diversified businesses. When the aut hor is saying that the world is flat, he signifies that innovation can take place without emigration. The author has sarcastically explained the idea of cross-cultural businesses and the emergence of new IT hubs such as India. The first part of the article is an eye-opener. It clearly explains the current situation where the Americans and other western countries are no longer the only influencing forces. Today, the western countries are competing with the eastern counterparts. Earlier, even after having required skills and knowledge, employees and workers from developing countries were left out in terms of proper opportunities. With the advent of globalisation, the scenario has changed and so are the available options. In the second phase, the author describes the various forces that helped in flattening the world. In the year 1989 the Berlin Wall came down. According to author and many other eminent writes, this was the first mark of globalisation (Gang, Rivera-Batiz and Yun, 2010) . As the fall of the Berlin wall symbolised economic freedom for Germany in the year 1995, Netscape was announced public.Ã
Sunday, September 8, 2019
Historical Development of Policing Essay Example | Topics and Well Written Essays - 750 words
Historical Development of Policing - Essay Example When the first Europeans arrived in this Promised Land, they found themselves face to face with a place that was not only richly abundant and magnanimously bountiful in terms of resources and opportunities but also replete with inhabitants and natural agencies that were not friendly towards their presence. Hence, early policing in the United States of America was a collective initiative, where every able-bodied person, be it the young or the adults, who could wield a weapon was expected to protect and defend the early communities. The early American immigrants did everything that they could to protect themselves and their families and neighbors. During the colonial times, America adapted to the English style watch system. This adopted watch system became more organized and professional with the passage of time. Shire-reeves soon evolved into sheriffs (Lecture, 2012). The towns were protected by constables who were responsible for organizing and managing an assortment of watchmen (Lec ture, 2012). The watchmen further strengthened the system by recruiting volunteers from the local citizenry. The mayors depended a lot on marshals or constables for managing the local law and order issues and challenges. However, it does need to be mentioned that in the meantime the English were abandoning their watch systems to opt for more professional and specialized means of policing. The night watch system started in Boston in 1631, comprising some constables, night watchmen and citizen volunteers, which was perhaps the first organized policing system in the USA (Lecture, 2012). The 19th century ushered in widespread social and economic changes in the United States. Industrial unrest and riots started to become a common feature all across the United States. During these times the policing system in the cities was under the local municipalities. The city administrators tried to respond to this industrial unrest through the already existing night watch machinery (Gaines & Miller, 2010). However, they soon realized that the old night watch system was inadequate to deal with these emerging social realities. Beginning with New York, very soon many of the American cities started to opt for paid full-time police personnel that were uniformed and armed with weapons and the requisite authority to manage the novel law and order challenges (Gaines & Miller, 2010). This era also saw the emergence of state and federal police agencies (Gaines & Miller, 2010). During the initial decades of the 20th century, the policing system in America evinced a marked shift in the sense that policing began to be perceived as a vocation that required as much of brain and psychological understanding as arms and authority. In that sense it certainly was a progressive era in the American policing. This led to policing becoming more organized and focused, dealing primarily with the law and order issues, instead of a plethora of general civic problems (Gaines & Miller, 2010). The citizenry pushed the political class to make the police force more professional by making laws aimed at discouraging corruption and nepotism in the police system. The twentieth century also witnessed the emergence of police unions dedicated to highlight the rights and privileges requisite to the police force (Gaines & Miller, 2010). The mid-20th century was marked by economic slowdown and large-scale unemployment leading to the
Saturday, September 7, 2019
Kirk Patrick, Kirk Samuda, Analog ; Digital Signals Essay Example for Free
Kirk Patrick, Kirk Samuda, Analog ; Digital Signals Essay Understanding the nature of digital signals, binary, and other multi-level signal types do require an explanation of the two most prominent telecommunications types that exist, and examples of how they are applicable to specific devices, the binary is association and its function. (Please note that the majority of the information below are extracts from various websites, used to validate and support a theoretical premise; on which an understanding of multilevel signals exist. ) Analog and Digital Signals The term analog comes from the word analogous meaning something is similar to something else. It is used to describe devices that turn the movement or condition of a natural event into similar electronic or mechanical signals. For example a non-digital watch contains a movement that is constantly active in order to display time, which is also constantly active. Our time is measured in ranges of hours, minutes, seconds, months, years, etc. The display of a watch constantly tracks time within these ranges. In effect the data represented on a watch may have any number of values within a fairly large range. The watchs movement is analogous to the movement of time. In this respect the data produced is analog data. Digital signals, on the other hand, are distinctively different. Digital signals dont have large ranges, nor do they reflect constant activity. Digital signals have very few values. Each signal is unique from a previous digital value and unique from one to come. In effect, a digital signal is a snapshot of a condition and does not represent continual movement. Binary Association Every electronic signal is broken down into binary language, classified as ââ¬Ë0ââ¬â¢ and ââ¬Ë1ââ¬â¢. The most obvious example of digital data is that communicated on-board a computer. Since a computers memory is simply a series of switches that can either be on or off, digital data directly represents one of these two conditions. We typically represent this on and off status with 1s and 0s where 1 represents an on bit and 0 represents off. The nature of analog is to closely capture the essence of natural phenomenon, with its action and subtlety. Digital data can only attempt to capture natural phenomenon by sampling it at distinct intervals, creating a digital representation composed of 1s and 0s. Obviously, if the interval between samples is too large, the digital representation less accurately represents the phenomenon. If the sampling occurs at too short of an interval, then an inordinate amount of digital resources may be utilized to capture the phenomenon. The changes involved may not be significant enough to warrant so frequent a sampling for accuracys sake. To digitally represent sound authentically, a sample must be taken over 44, 500 times per second. When copying an analog signal from one generation to another, deterioration of the original signal occurs. A prime example is when we copy a videotape. Since video recorders are analog machines, copying a tape several times results in the accumulation of unwanted analog values called noise. Eventually these signals become so evident, that the original analog signal is compromised and the video dub suffers from intense graininess and poor audio sound. Our technology is limited in the transmission and duplication of analog signals because of the infinite number of values that are allowable. Digital signals, however, have basically two values. It is much easier to work with two values rather than an infinite number. Consequently our current level of technology allows us to maintain the original quality of a digital signal. With a value of on or off. Advantages and Disadvantages The main advantage of digital modulation over analog modulation is that in digital modulation, all input and output are in binary form. Anything that isnt a 1 or a 0 is rejected by the modulator. This filters out a lot of noise that analog modulation lets through, which may not be related to the intended message. Advantages Noise immunity Multiplexing(Time domain) Regeneration Simple to evaluate and measure Disadvantages Requires more bandwidth Additional encoding (A/D) and decoding (D/A) circuitry Digital modulation can easily detect and correct noise. Whereas analog modulation has little complexity digital modulation is preferred over analog because it is by far more secure. Digital modulation can easily detect and correct noise irregularities. Analog modulation though complex is minute when compared to digital modulation. Digital modulated signal can travel a longer distance compared to analog modulation. Analog signals have a great advantage over digital signals in that they have a much higher density that can present more refined information. Disadvantages of the system include the tendency to create unwanted variations in the information transmission such as noise, which can occur in random patterns. When a signal is copied and potentially re-copied, each subsequent version exhibits more of the random patterns, making information transmission harder and ultimately causes signal loss. In order to avoid these disadvantages, or at least mitigate their effects, the concept ofà modulation can be used. The base signal is modified in some way to help retain the information as it is transmitted. An example of this is when the amplitude of a waveform is altered in what is known as amplitude modulation. Other options for retaining an electric signal over different generations are by using increased shielding or different cable types twisted together.
Friday, September 6, 2019
Compare and Contrast the Reasons Essay Example for Free
Compare and Contrast the Reasons Essay Suppose you are taking a course on 19th-century America, and the instructor hands out the following essay assignment: Compare and contrast the reasons why the North and South fought the Civil War. You turn on the computer and type out the following: The North and South fought the Civil War for many reasons, some of which were the same and some different. This weak thesis restates the question without providing any additional information. You will expand on this new information in the body of the essay, but it is important that the reader know where you are heading. A reader of this weak thesis might think, What reasons? How are they the same? How are they different? Ask yourself these same questions and begin to compare Northern and Southern attitudes (perhaps you first think, The South believed slavery was right, and the North thought slavery was wrong). Now, push your comparison toward an interpretationââ¬âwhy did one side think slavery was right and the other side think it was wrong? You look again at the evidence, and you decide that you are going to argue that the North believed slavery was immoral while the South believed it upheld the Southern way of life. You write: While both sides fought the Civil War over the issue of slavery, the North fought for moral reasons while the South fought to preserve its own institutions. Now you have a working thesis! Included in this working thesis is a reason for the war and some idea of how the two sides disagreed over this reason. As you write the essay, you will probably begin to characterize these differences more precisely, and your working thesis may start to seem too vague. Maybe you decide that both sides fought for moral reasons, and that they just focused on different moral issues. You end up revising the working thesis into a final thesis that really captures the argument in your paper: While both Northerners and Southerners believed they fought against tyranny and oppression, Northerners focused on the oppression of slaves while Southerners defended their own right to self-government. Compare this to the original weak thesis. This final thesis presents a way of interpreting evidence that illuminates the significance of the question. Keep in mind that this is one of many possible interpretations of the Civil Warââ¬âit is not the one and only right answer to the question. There isnt one right answer; there are only strong and weak thesis statements and strong and weak uses of evidence. Lets look at another example. Suppose your literature professor hands out the following assignment in a class on the American novel: Write an analysis of some aspect of Mark Twains novel Huckleberry Finn. This will be easy, you think. I loved Huckleberry Finn! You grab a pad of paper and write: Mark Twains Huckleberry Finn is a great American novel. Why is this thesis weak? Think about what the reader would expect from the essay that follows: you will most likely provide a general, appreciative summary of Twains novel. The question did not ask you to summarize; it asked you to analyze. Your professor is probably not interested in your opinion of the novel; instead, she wants you to think about whyits such a great novelââ¬âwhat do Hucks adventures tell us about life, about America, about coming of age, about race relations, etc.? First, the question asks you to pick an aspect of the novel that you think is important to its structure or meaningââ¬âfor example, the role of storytelling, the contrasting scenes between the shore and the river, or the relationships between adults and children. Now you write: In Huckleberry Finn, Mark Twain develops a contrast between life on the river and life on the shore. Heres a working thesis with potential: you have highlighted an important aspect of the novel for investigation; however, its still not clear what your analysis will reveal. Your reader is intrigued, but is still thinking, So what? Whats the point of this contrast? What does it signify? Perhaps you are not sure yet, either. Thats fineââ¬âbegin to work on comparing scenes from the book and see what you discover. Free write, make lists, jot down Hucks actions and reactions. Eventually you will be able to clarify for yourself, and then for the reader, why this contrast matters. After examining the evidence and considering your own insights, you write: Through its contrasting river and shore scenes, Twains Huckleberry Finn suggests that to find the true expression of American democratic ideals, one must leave civilized society and go back to nature. This final thesis statement presents an interpretation of a literary work based on an analysis of its content. Of course, for the essay itself to be successful, you must now present evidence from the novel that will convince the reader of your interpretation.
Thursday, September 5, 2019
Youth Mental Health Issues Facing Australians Essay
Youth Mental Health Issues Facing Australians Essay Introduction: the problem Mental and substance use disorders are among the most important health issues facing Australians. They are a key health issue for young people in their teenage years and early 20s and, if these disorders persist, the constraints, distress and disability they cause can last for decades (McGorry et al., 2007). Associated with mental disorders among youth are high rates of enduring disability, including school failure, impaired or unstable employment, and poor family and social functioning. These problems lead to spirals of dysfunction and disadvantage that are difficult to reverse. (McGorry et al., 2007). As over 75% of mental disorders commence before the age of 25 years, reducing the economic, geographical, attitudinal and service organisation barriers for adolescents and young adults is an essential first step in addressing mental health problems (Hickie and McGorry, 2007). In Australia, rates of mental illness among young people is higher than for any other population group and represented the major burden of disease for young people with depression making the greatest contribution to this burden. In addition, youth suicide and self-harm have both steadily increased during the 1990s (Williams et al., 2005). 60% of all health-related disability costs in 1534-year-olds are attributable to mental health problems, and of the total disability years lived in Australia, 27% is attributable to mental disorders. Although most common mental disorders commence before 18 years of age, people aged 2544 years and 4564 years are more than twice as likely as those aged under 25 years to receive an active treatment when seen in general practice (Hickie et al., 2005). Research has indicated that some mental health problems can be prevented through appropriate early intervention, and that the impact of existing mental illness can be mitigated through the early provision of appropriate services (Mental Health Policy and Planning Unit, ACT, 2006). It has been estimated that up to 60% of cases of alcohol or other substance misuse could be prevented by earlier treatment of common mental health problems (Hickie et al., 2005). Despite the enthusiastic efforts of many clinicians around Australia, progress in service reform has plateaued, remains piecemeal and is frustratingly slow in contrast to what has been achieved in other countries, many of which began by emulating Australia. In addition, the specialist mental health system is seriously under-funded (McGorry and Yung, 2003). While Australias national health spending continues to grow past $72 billion the total recurrent mental health spending has consistently remained below 7% of this figure (Hickie et al., 2005). The need for coordinated national health and welfare services for people with mental health and substance misuse problems has been recognised by all Australian governments, but insufficient investment, lack of accountability, divided systems of government and changing health care demands resulted in a very patchy set of reforms (Hickie and McGorry, 2007; Vimpani, 2005). Statistics regarding the problem Close to one in five people in Australia were affected by a mental health problem within a 12-month period, according to the National Survey of Mental Health and Wellbeing. Young adults were particularly affected, with more than one-quarter of Australians aged 18 to 24 years suffering from at least one mental disorder over a 12-month period (Mental Health Policy and Planning Unit, ACT, 2006). In Australia, the prevalence of mental health problems among children aged 412 years lies between 7% and 14%, rises to 19% among adolescents aged 1317 years, and increases again to 27% among young adults aged 1824. Therefore, up to one in four young people in Australia are likely to be suffering from a mental health problem, with substance misuse or dependency, depression or anxiety disorder, or some combination of these the most common issues (McGorry et al., 2007). It is therefore more likely that mental health problems will develop between the ages of 12 and 26 than in any other stage of life (Orygen Youth Health, 2009). This situation also exists among Australian Indigenous communities, where the continuing grief and trauma resulting from the loss of traditional lands and cultural practices as a result of colonization, past policies of child removal and the destruction of traditional governance arrangements within Aboriginal communities, are an ever-present cultural reality that plays out in some of the worst developmental health and well-being outcomes in advanced industrial society (Vimpani, 2005). Risk taking by young people Studies show that psychosocial issues form a great burden of disease for young people, including intentional and unintentional injuries, mental disorders, tobacco, alcohol and other substance misuse, and unprotected sexual intercourse (Tylee et al., 2007). The pathways to substance misuse in young people involve complex interplay between individual biological and psychological vulnerability, familial factors and broader societal influences. The impact on family and society is often painful, destructive and expensive (Vimpani, 2005). In 2005, nearly half of all deaths of young men and a third of young women aged 1534 years in NSW were due to suicide, transport accidents or accidental drug overdoses (418 persons; ABS, 2008b). In 2007, amongst young men in the age group 15-24 in NSW, the average age for first consumption of alcohol was around 15, and amongst women of the same age group, the average age for first use of alcohol was around 17 years. In addition to its potential direct health consequences, risky or high risk drinking can increase the likelihood of a person falling, or being involved in an accident or violence (ABS, 2008a). 71% of persons aged 14-19 and 89.4% of persons aged 20-29 were current drinkers. 27.6% of persons aged 14-19 (40.5% at the age of 20-29) were at risk of short term harm, while 10% (14.7% at the age of 20-29) were at risk of long term harm. Around 90% of Australian youth (aged 1824 years) have drinking patterns that place them at high risk of acute harm (Lubmen et al., 2007). On aver age, 25 percent of hospitalisations of 15-24 year olds occur as a result of alcohol consumption (Prime Minister of Australia, 2008). Almost one-quarter (23%) of people aged 1524 years in Australia reported using illicit drugs during the last 12 months, around twice as high as the proportion of people aged 25 years and over (11%). Marijuana/cannabis was the most common drug used by 1524 year olds (18%), followed by ecstasy (9%), and meth/amphetamines and pharmaceuticals (both 4%). Barriers to provision and use of health services Primary-care health services are sometimes still not available. They may be inaccessible for a variety of reasons such as cost, lack of convenience or lack of publicity and visibility. Health services might not be acceptable to young people, however, even if available and accessible. Fear about lack of confidentiality (particularly from parents) is a major reason for young peoples reluctance to seek help, as well as possible stigma, fear of difficult questions. In addition, health professionals might not be trained in communicating with young people. If and when young people seek help, some may be unhappy with the consultation and determine not to go back. To ensure prevention and early intervention efforts, clinicians and public-health workers are increasingly recognising the pressing need to overcome the many barriers that hinder the provision and use of health services by young people, and to transform the negative image of health facilities to one of welcoming user-friendly setti ngs (Tylee et al., 2007). Spending in the area remains poor, and service access and tenure are actively withheld in most specialist mental health and substance misuse service systems until high levels of risk or danger are reached, or severe illness, sustained disability and chronicity are entrenched. Thus, just when mental health services are most needed by young people and their families, they are often inaccessible or unacceptable in design, style and quality. Moreover, numerous young people with distressing and disabling mental health difficulties struggle to find age-appropriate assistance. Young people with moderately severe non-psychotic disorders (eg, depression, anxiety disorders and personality disorders), and those with comorbid substance use and mental health issues, are particularly vulnerable. For many of these young people, if they survive (and many do not), their difficulties eventually become chronic and disabling (McGorry et al., 2007). Another barrier is related to the manners in which young people seek help when they have a mental problem. The most recent national survey data for Australia show that only 29% of children and adolescents with a mental health problem had been in contact with a professional service of any type in a 12-month period. Some subgroups, such as young males, young Indigenous Australians and migrants may be even less likely to voluntarily seek professional help when needed. If young people want to talk to anyone, it is generally someone they know and trust and when they do seek professional help, it is from the more familiar sources family doctors and school-based counsellors. However, many young people at high risk of mental health problems do not have links to work, school, or even a family doctor (Rickwood, Deane and Wilson, 2007). Furthermore, mental disorders are not well recognized by the public. The initial Australian survey of mental health literacy showed that many people cannot give the correct psychiatric label to a disorder portrayed in a depression or schizophrenia vignette. There is also a gap in beliefs about treatment between the public and mental-health professionals: the biggest gap is in beliefs about medication for both depression and schizophrenia, and admission to a psychiatric ward for schizophrenia (Jorm et al., 2006). Existing resources: Knowledge, policy and programs Existing knowledge: Manners of interventions Prevention and early intervention programs are normally classified into four types: universal programs are presented to all regardless of symptoms; selective programs target children and adolescents who are at risk of developing a disorder by virtue of particular risk factors, such as being children of a depressed parent; indicated programs are delivered to students with early or mild symptoms of a disorder; and treatment programs are provided for those diagnosed with the disorder (Neil Christensen, 2007). Universal prevention programs target all young people in the community regardless of their level of risk, and include economic measures, social marketing, and regulatory control and law enforcement initiatives, as well as a range of psychosocial programs (Lubmen et al., 2007). In addition, interventions can be divided between promotion and prevention programs. Mental health promotion refers to activity designed to enhance emotional wellbeing, or increase public understanding of mental health issues and reduce the stigma surrounding mental illness. Prevention of mental illness may focus on at risk groups or sectors of the whole population. (Mental Health Policy and Planning Unit, ACT, 2006). Source: Mental Health Policy and Planning Unit, ACT (2006). Finally, collaborative care is typically described as a multifaceted intervention involving combinations of distinct professionals working collaboratively within the primary care setting. Collaborative care not only improves depression outcomes in months, but has been found to show benefits for up to 5 years (Hickie and McGorry, 2007). The importance of early intervention In the last two decades research demonstrated the high importance of early intervention to promote youth mental health and cope with mental disorders and substance misuse. Early intervention is required to minimise the impact of mental illness on a young persons learning, growth and development, thus improving the health outcome of those affected by mental illness. (Orygen Youth Health, 2009). It was found that the duration of untreated psychosis (DUP) could be dramatically reduced by providing community education and mobile detection teams in an experimental study (McGorry, Killackey Yung, 2007; McGorry et al., 2007). On the other hand, delayed treatment and prolonged duration of untreated psychosis is correlated with poorer response to treatment and worse outcomes. Thus, first-episode psychosis should be viewed as a psychiatric emergency and immediate treatment sought as a matter of urgency (McGorry and Yung, 2003). The existing evidence also highlights the importance of prevention and early intervention programs on substance abuse. Such programs focus on delaying the age of onset of drug experimentation; reducing the number of young people who progress to regular or problem use; and encouraging current users to minimise or reduce risky patterns of use. Universal school-based drug education programs have been found to be effective in preventing and delaying the onset of drug use and reducing drug consumption (Lubmen et al., 2007). Early andeffective intervention, targeting young people aged 1225 years, is a community priority. A robust focus on young peoples mental health has the capacity to generate greater personal, social and economic benefits than similar intervention in other age groups, and is therefore one of the best buys for future reforms (McGorry et al., 2007). Importance of other players During the early phases of a mental disorder, members of a persons social network (including parents, peers and GPs) can play an important role in providing support and encouraging appropriate help-seeking. For mental-health problems, young people tend to seek help from friends and family rather than health services. In developing countries, young people are even less willing to seek professional help for more sensitive matters (Tylee et al., 2007). As friends and family are often consulted first by young people, they constitute and important part of the pathway to professional mental health services (Rickwood, Deane and Wilson, 2007). In a survey with young Australians and their parents, it was found that the most common response was to listen, talk or support the person, followed by listen, talk orsupport family and encourage professional help-seeking. Counsellor and GP/doctor/medical were the most frequently mentioned types of professional help that would be encouraged, but when young people were asked open ended questions about how they would help a peer, only a minority mentioned that they would encourage professional help. Among parents, encouraging professional help was a common response both in open-ended and direct questions (Jorm, Wright and Morgan, 2007). General practice is essential to young peoples mental health and is often the point of initial contact with professional services. However, there is a need to improve the ability of GPs to recognise mental health problems in young people As well asensuring privacy and clearly explaining confidentiality. Finally, GPs can provide reassurance that it is common to feel distress at times, and that symptoms can be a normal response to stressful events (Rickwood et al., 2007). Schools For the small percentage of youth who do receive service, this typically occurs in a school setting. School-based mental health (SBMH) programs and services not only enhance access to services for youth, but also reduce stigma for help seeking, increase opportunities to promote generalization and enhance capacity for mental health promotion and problem prevention efforts (Paternite, 2005). There is compelling evidence of the effectiveness of a range of school-based interventions in primary and secondary schools for children and young people at risk of substance abuse (Vimpani, 2005). One study found that participation in a school-based intervention beginning in preschool was associated with a wide range of positive outcomes, including less depressive symptoms (Reynolds et al., 2009). Best elements for SBMH include: (a) schoolfamilycommunity agency partnerships, (b) commitment to a full continuum of mental health education, mental health promotion, assessment, problem prevention, early intervention, and treatment, and (c) services for all youth, including those in general and special education. A strong connection between schools and other community agencies and programs also assists in moving a community toward a system of care, and promotes opportunities for developing more comprehensive and responsive programs and services (Paternite, 2005). Government policy There are a number of examples of governmental policy and program to enhance youth mental health. The new Medicare-based scheme now includes a suite of measures designed to increase access to appropriate and affordable forms of evidence-based psychological care. Unfortunately, it largely reverts to traditional individual fee-for-service structures. There are no requirements for geographical distribution of services, despite the evidence of gross mal-distribution of mental health specialist services in Australia and the proven contribution of lack of mental health services to increased suicide rates in rural and regional communities (Hickie and McGorry, 2007). Transformation is also occurring in primary care in Australia. GPs are increasing their skills, providing new evidence-based medication and psychological treatments, and beginning to emphasise long term functional outcomes rather than short-term relief of symptoms. Early-intervention paradigms depend on earlier presentation for treatment. Future progress now depends on development of an effective and accessible youth-health and related primary care network. (Hickie et al., 2005). As for substance abuse, The National Campaign Against Drug Abuse (now known as the National Drug Strategy) was established in 1985. It is an inter-governmental and strategic approach based on national and state government cooperation and planning. The campaign has been adopted to bring together research and practice relevant to the treatment and prevention to protect the healthy development of children and youth (Williams et al., 2005). Existing programs There are several existing programs which address youth mental health and substance abuse. Knowing which programs exist may help us in understanding existing resources and knowledge, learning best practices, and recognising what else needs to be done. Australian programs: * The National Youth Mental Health Foundation headspace: providing mental and health wellbeing support, information and services to young people aged 12 to 25 years and their families across Australia. www.headspace.org.au * MindMatters is a national mental health initiative funded by the Australian Government Department of Health and Ageing. It is a professional development program supporting Australian secondary schools in promoting and protecting the mental health, social and emotional wellbeing of all the members of school communities. www.mindmatters.edu.au * Mindframe: a national Australian Governments program aimed at improving media reporting on mental health issues, providing access to accurate information about suicide and mental illness and portraying these issues in the news media and on stage and screen in Australia. www.mindframe-media.info * The Personal Assessment and Crises Evaluation (PACE) clinic provides treatment for young people who are identified as being at ultra high risk. It involves facilitated groups using adult learning principles based on a curriculum addressing adolescent communication, conflict resolution and adolescent development. http://cp.oyh.org.au/ClinicalPrograms/pace * The Gatehouse Project has been developed in Australia as an enhancement program for use in the secondary school environment. It incorporates professional training for teachers and an emotional competence curriculum for students and is designed to make changes in the social and learning environments of the school as well as promoting change at the individual level. www.rch.org.au/gatehouseproject * Pathways to Prevention: a universal, early intervention, developmental prevention project focused on the transition to school in one of the most disadvantaged urban areas in Queensland. * The Positive Parenting Program (Triple P), which has been implemented widely in Australia and elsewhere for parents of preschool children, has also been implemented for parents of primary school-aged children. http://www1.triplep.net * The Family Partnerships training program, now established in several Australian states and already incorporated into maternal and child health and home visitor training, is designed to improve the establishment of an effective respectful partnership between health workers and their clients. Other international programs: * ARC (Availability, Responsiveness and Continuity): an organizational and community intervention model that was designed to support the improvement of social and mental health services for children. The ARC model incorporates intervention components from organizational development, inter-organizational domain development, the diffusion of innovation, and technology transfer that target social, strategic, and technological factors in effective childrens services. * Preparing for the Drug Free Years (PDFY) is a universal prevention programme targeted at parents of pre-adolescents (aged 8 -14 years) that has been subjected to several large-scale dissemination and effectiveness studies across 30 states of the United States and Canada involving 120000 families. Future directions This paper suggests that despite a wealth of knowledge and information on appropriate interventional methods, services to address youth mental health in Australia are not consistently provided and are often under-funded. New evidence is continuously available for professionals; however this knowledge has often failed to filter through to the community and those in need. As Bertolote McGorry (2005) asserted, despite the availability of interventions that can reduce relapses by more than 50%, not all affected individuals have access to them, and when they do, it is not always in a timely and sustained way. The major health problems for young people are largely preventable. Access to primary-health services is seen as an important component of care, including preventive health for young people. Young people need services that are sensitive to their unique stage of biological, cognitive, and psychosocial transition into adulthood, and an impression of how health services can be made more youth-friendly has emerged (Tylee et al., 2007). Existing and new extended community networks, including business, schools, sporting bodies, government sectors, community agencies and the broader community are asked to play their part in mental health promotion and illness prevention. These networks will: * bring together all service sectors and the broader community in closer collaboration in the promotion of mental health; * exchange information about, and increase understanding of existing activities, and encourage new ones; * develop and strengthen the mental health promoting aspects of existing activities; develop greater mental health promotion skills right across the community; and * encourage an environment that fosters and welcomes new ideas, and supports adaptation and innovation to respond to a new environment (Mental Health Policy and Planning Unit, ACT, 2006). As for substance misuse, despite acknowledgement of the substantial costs associated with alcohol misuse within Australia, there have not been serious attempts to reduce alcohol harm using the major levers of mass-marketing campaigns, accompanied by significant changes to alcohol price and regulatory controls. Young people continue to be given conflicting messages regarding the social acceptability of consuming alcohol (Lubmen et al., 2007). According to the Mental Health Policy and Planning Unit (2006), ideas about the best strategies for supporting the mental health of the community are undergoing great change in Australia and internationally, with a growing focus on preventative approaches. Mental health promotion and prevention are roles for the whole community and all sectors of government. Although Australia has slipped behind in early intervention reform, it is now emerging that the situation can improve and that Australia can again be at the forefront of early intervention work. Here are some proposals as to how this can best be achieved: Guaranteed access to specialist mental health services for a minimum period of 3 years post-diagnosis for all young people aged 1525 with a first-episode of psychosis. New funding is clearly required to support this. Such funding must be quarantined into new structures, programmes and teams. The child versus adult psychiatry service model split is a serious flaw for early intervention and for modern and appropriate developmental psychiatry models. It needs to be transcended by proactive youth-orientated models. Early detection and engagement can be radically improved through such reforms and specialist mental health care can also be delivered in a less salient and stigmatized manner. McGorry et al. (2007) suggested four service levels that are required to fully manage mental illness among young people: Improving community capacity to deal with mental health problems in young people through e-health, provision of information, first aid training and self-care initiatives; Primary care services provided by general practitioners and other frontline service providers, such as school counsellors, community health workers, and non-government agency youth workers; Enhanced primary care services provided by GPs (ideally working in collaboration with specialist mental health service providers in co-located multidisciplinary service centres) as well as team-based virtual networks; Specialist youth-specific (1225 years) mental health services providing comprehensive assessment, treatment and social and vocational recovery services (McGorry et al., 2007). Elements of successful programs (best practices) Revising the vast research on preventing mental disorders and promoting mental health among youth, particularly in Australia, as well as examining some of the successful and effective programs in the field, the following items summarise elements of current best practice: Holistic approaches and community engagement: Adopt holistic approaches which integrate mental health promotion with other aspects of community and individual wellbeing Balance between universal and targeted programmes and their relative cost-effectiveness. Engage young people, the community and youth support services in working together to build the resilience of young people, and encourage early help and help seeking when problems occur Community engagement with the youth, and youth engagement with the community Outreach workers, selected community members and young people themselves are involved in reaching out with health services to young people in the community Promote community-based health facility: including stand-alone units (which are generally run by non-governmental organisations or by private individuals or institutions), and units that are an integral part of a district or municipal health system (that are run by the government). Access to services and information: Make services more accessible to youth by collaborating with schools, GPs, parents etc. Social marketing to reduce stigma and make information more accessible Have more information online for young people with mental health issues, their families and peers. Promote understanding among community members of the benefits that young people will gain by obtaining health services Reduce costs Improve convenience of point of delivery working hours and locations Assure youth-friendly primary-care services Have other players in the community involved in promotion of youth mental health, such as schools, GPs, and community centres Practitioners training Ensure confidentiality and privacy (including discreet entrance) Addressing inequities (including gender inequities) and easing the respect, protection, and fulfilment of human rights Inter-sectoral and inter-organisational collaboration: Enable organisations to work in partnership towards shared goals Lead to multi agency, client centred service delivery and care Research and support: Provide support such as information and training for the community and for mental health carers and consumers to plan and participate in mental health promotion activity Acknowledge formal and informal knowledge Policy: Promoting a whole-of-government response to support optimal development health and well-being outcomes Policies and procedures are in place that ensure health services that are either free or affordable to all young people
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