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HHS 497 Ashford Challenges of Health and Human Services Delivery Discussion & Responses
Respond to both Discussion 1 and 2. There should be 5 responses total Discussion 1 Challenges of Health and Human Services Delivery Your responses should be a minimum of 100 to 150 words each and should either elaborate on a key point a peer has made or seek to gain additional information. There should be 3 Responses for Discussion 1 1.The instructor (Michael) responded to me (chanel) please respond to the instructors question, 2.Rashida, and 3.Celeste Chanel Week 1 – Discussion Forum 1 Challenges in Health Human Services Delivery The Health Human Service Organizations (HHSO), provide essential social services to the needy people in the community. Such services include health, education, housing, counseling, violence prevention, and financial support among several other services. I will be discussing the challenges faced by HHS organizations, how challenges might impact decision making, how different perspectives shape the organization. The main aim of the HHS organizations is to ensure that the vulnerable populations live healthy, standard, and satisfying lives (Austin, Brody & Packard, 2019). Challenges faced by Health Human Services Metropolitan Health and Human Services (MHHS) is an HHS organization like all other similar organizations aiming to better peoples’ lives. Such organizations face several challenges in an attempt to care for the needy. The following are some of the challenges faced by HHS organizations. Financial shortage: The organization offers a lot of services to the vulnerable populations that need money. The grants from the federal government, community-based fundraising, from other organizations and well-wishers may not be enough to run the programs. Therefore, due to financial constraints, the organization has limited employees that affect the efficiency and effectiveness of the operations. It has to limit its budget, reduce the programs it offers and fail to achieve future goals (Hasenfeld, 2018). Lack of Diversity: Many HHS organizations do not embrace diversity. Lack of diversity brings problems like the language barrier, racism, inequality, discrimination and gender biasness. The result of all these issues is poor communication and unhealthy relationships. Lack of trust among socially divided people becomes a major problem that undermines better performance. For example, in MHHS, most employees are white people, representing 10%, and most of the directors are male, which shows the problem of gender biasness (Brody & Nair, 2016). Language Barrier: Language barrier is a problem in HHS organizations. Vulnerable populations in the community do not come from one tribe or race. It becomes difficult to communicate with clients of different languages without hiring translators or purchasing translator programs. Therefore, meeting clients’ needs becomes hard since service providers cannot understand their clients; neither can customers understand their providers. For example, in MHHS, 10% of the clients speak Spanish, and yet the organization does not have Spanish-speaking staff (Hasenfeld, 2018). Poor record-keeping: Poor record-keeping has affected most HHS organizations. Without clear and consistent records, the organization lacks the way forward since it cannot account for the funds used and for what services. Therefore, poor record-keeping leads to misappropriation of funds, unclear resource allocation, and failure in assisting other unhelped people. How such challenges affect decision making: The problems mentioned above can affect the decision-making process of the organization both politically, socially, economically, and psychologically (Hasenfeld, 2018). Financial instability can lead to the government to close down the organization and withdraw its financial support because the organization is bankrupt and cannot run its errands. This is the political aspect. Socially, the services provided to vulnerable people will cease, and they will suffer in terms of health, financial stability, and homelessness, among other social issues. Psychologically, the suffering and mentally disturbed people may not make better decisions. Finally, from an economic perspective, without finances, no plans will succeed. To conclude, problems affect the shared decision-making process if not solved first (Austin, Brody & Packard, 2019). References Austin, M. J., Brody, R., & Packard, T. R. (2019). Managing the challenges in human service organizations: A casebook. Los Angeles, Calif: SAGE. Brody, R., & Nair, M. D. (2016). Effectively managing and leading human service organizations. Hasenfeld, Y. (2018). Human services as complex organizations. Los Angeles: Sage. Reply Reply to Comment • Michael Chanel, you make a really good point about some of the issues that come up when financial challenges face an organization. How could you help an organization prepare for some of the economic downfalls that are inevitably going to come so that when they do they are able to withstand a lack of funding for a period of time and stay open to the public? Rashida Week 1 Discussion 1 The MHHS case study has a mission to provide services needed to strengthen families and communities. Although the mission is clear, there and many challenges faced within the organization. Lack of financial surplus, leadership transition, and undefined training keep the organization in a state of distress. The lack of financial surplus in certain programs creates a budget strain on the programs that operate with a surplus. The grant-funded programs or programs that gain funds through government funding seem to support the programs that operate in a deficit. The effectiveness of a program can not always be measured by the amount of funding it has leftover. Programs like the educational assistance program benefiting children with special needs provide a needed service within the community. Will it be ethically responsible to use funds designated for one cause to eliminate the deficit in another area? Unfortunately, funds obtained by a federal or state grant are not easily shifted to accommodate another need. Programs such as financial assistance or transitional housing both operate at a deficit, however, the need for these programs in most communities are consistent. The transition of leadership within an organization can cause a form of work stoppage. The overall vision and mission may remain the same, but the focus could change based on the new leadership. With each focus change often comes the implementation of new programs that require new training and process development. Human service providers often are required to still provide services during moments of transition. A standard operating procedure would aide in the process of serving clients. Moving systematically through the process would enable the human service provider to be well informed of the needs of each client. Celeste MHHS Case Study: For the purposes of this discussion, I chose to use the Metropolitan Health and Human Services Case Study. After reading this case study a few challenges presented themselves when looking at it as a human services professional. One of the things that stuck out to me was the lack of diversity amongst the staff and the nonexistent training on cultural diversity. As a health and human service professional, you should be able to know and understand who you are working with. People’s backgrounds and histories shape who they are. Understanding a person’s culture is essential in effective communication and working with the public. When an organization lacks diversity, it could make it harder to understand anyone that’s different from you. You are not exposed to different perspectives and ideas from different standpoints make it difficult to make decisions that may be best for all who use their services From a psychological standpoint, the organization has large caseloads and the decreases in funds receive could result in case mangers being overworked and underpaid. As a result, this instance could cause a “burnout” for even the best employees. Escalating stress levels could lead to severe exhaustion, depression, and anxiety. This could affect the decision-making process as a person’s focus may shift from what’s best for the people, we serve to what’s best for me? From a political standpoint, the organization is lacking rules, regulations and clearly defined roles amongst them. The case study revealed that the board of directors is often interfering in day to day operations. It also revealed that they have a high turnover rate when it comes to CEO. In making decisions, this affects the entire organization as there is constant changes happening on a higher-level affecting day to day operations. Lastly, the organization is in need of funding. Decision making can be tough when having to decide where to allocate funds and where not too. The decision may have to be made as to what programs to close and which to keep open or which employees to let go as a result of the lack of funding. Furthermore, being heavily reliant on government funding hurts the organization because funds are not promised; especially if the organization is not doing what they are supposed to be doing. Being in the field, I have quickly learned that grants and funding are key for any organization to keep afloat and when using government funding, paperwork and procedures need to be in order to keep funding. All of these things this organization is lacking would hinder any decision-making process. Discussion 2 Self-Reflection Your responses should be a minimum of 100 to 150 words each and should either elaborate on a key point a peer has made or seek to gain additional information. There should be 2 Responses Respond to Ruth and Adrianne Ruth Discussion Forum 2: Health and Human Services or the Human Services Leadership program: The program provides graduates individuals to be prepared on how to advocate for vulnerable populations, with families and communities that are experiencing personal, social or environmental situations. It prepares us with intervention strategies, care coordination, human behavior, conflict resolution and critical thinking. We are also granted writing and resource relocation. How will what you have learned enhance your ability to provide health and human services during your career? During the program, I have learned how to be more open in helping the different vulnerable populations we have in our community. I have gain knowledge in cultural diversity in the workplace. As a human service professional, I have learned how to set boundaries with members and how to help them set goals to meet their needs, building a fast rapport is important with the individual and keeping the communication very open and clear is very important. In recognizing cultural differences and addressing any services needed in order to provide resources that will be useful for the member. The course Communication Skills for Health and Human Services has helped me in building a better communication in my current career. As it helps me emphasize in professional communication with inpatient and outpatient residential facilities where I need to coordinate care for one of our members. This part of my job is very important because coordinating the care for an individual needs’ good communications skills, group/team communication, and empathy interviewing and nonverbal communication. I have learned many techniques and strategies that can help with my coordination discharge plans. The remaining questions I will bring; developing a good service plan and safety/support plan for a member. How to deal with the difficult members, specially those who are high risk, what will be the approach to take? Where can I find tools that can help me build a better relationship with a member but at the same time keeping our boundaries. Establishing a bigger scope on care coordination tools that I will utilize to make my job easier. Adrianne What have you learned so far in the Health and Human Services or the Human Services Leadership Program? I have learned many things about people of many age groups, male and female and how to get along with people of various nationalities and different cultures. I have learned many things about how a person’s learning environment can make or shape their person’s inner being. I have learned many things about people who are in poverty stricken communities where access to clean drinking water, food, housing, job resources and obtaining a higher level of education; or one at all is non-existence. Mostly, I have learned never to take anything for granted; especially life because tomorrow is not promise to anyone. How will what you have learned enhance your your ability to provide health and human services during your career? I will use the knowledge and understanding I have gained from this course about being in a leadership role to help assist in implementing programs that provide resources to assist in meeting the needs of older Americans, people with disabilities, and people with behavioral challenges. According to the (ACL) Administration for Community Living: “Older adults and people of all ages with disabilities should be able to live where they choose, with the people they choose, and with the ability to participate fully in their communities.” My goal is to work with and invest in the research of more community service programs like; The Salvation Army, Red Cross, Adult Day Care centers, and Cap programs to make sure this “principle” is a reality for all Americans who are in need of these type of services. I would like to bring the: Aging, Independence, and Disability Program Data Portal to my home state of Illinois. Currently they are located in the states of Wisconsin, Maine, Ohio, Idaho,South Carolina and Texas. This program works with data files and surveys and includes populations and ideals taking from the Census Bureau for comparison purposes. I am currently seeking employment from the US. Census Bureau. Describe what stands out for you the the most? What stands out for me the most is, I have learned the value of independence and how to take on a leadership role in helpings others to find value, hope, and joy as they get and maintain a life of independence and freedom by helping to implement programs so they can have access to these resources. How will what you have learned impact how you make decisions as an health and human services provider? I will no-longer rush to make hasty decisions about something I am unsure about. I have learned to ask questions of things I do not understand. Or do an independent research of my own. Mistakes will happen, but the best thing I can ask myself is what did I learn from them. I will learn and re-learn the laws and regulations that keep changing often of this field and make sure I obey them to the fullest when implementing services to the community. What remaining questions do you have as you enter your field of choice? Will technology become so widely used that robotic devices will take over the jobs of health and Human Service Workers? Other questions I have I think I will have to ask as we go continue in these next five weeks of study. References: Https://www.census.gov/ (Links to an external site.) HTTP://USA.gov/ Discussion 1 Challenges of Health and Human Services Delivery Prior to beginning work on this discussion forum, read or view the following resources: • Metropolitan Health and Human Services (MHHS) Case Study Overview and Challenges of Clinical Decision Making in Mental Health Practice Social Justice and Public Policy Advocacy A Visual Overview of Health Care Delivery in the United States Can Reflective Multicriteria Be the New Paradigm for Healthcare Decision-Making? The • EVIDEM Journey Between the Patient and Politics—A Ready-To-Use Simulation for Human Service • • Practitioners Shared Decision Making (Links to an external site.) HHS A to Z Index (Links to an external site.) • • • • Throughout your program you have explored a variety of methods through which health and human services have been delivered in communities. Either use the MHHS Case Study or a community organization of your choice and describe challenges that a health and human services professional would face. Explore how these challenges might impact decision making in the organization. Ensure you include a variety of perspectives (e.g., social, economic, psychological, political, etc.) Your initial post should contain a minimum of 400 words. Discussion 2 Self-Reflection Prior to beginning work on this discussion forum, read the MHHS Case Study the web page HHS A to Z Index (Links to an external site.). and review Use this forum to reflect on what you have learned so far in the Health and Human Services or the Human Services Leadership program. How will what you have learned enhance your ability to provide health and human services during your career? Describe what stands out for you the most. How will what you have learned impact how you make decisions as a health and human services provider? What remaining questions do you have as you enter your field of choice? Your initial post should contain a minimum of 300 words. My career of choice is Guidance Counselor See attachments Please answer both separately