Thursday, March 26, 2020

Looking At The Transracial Adoption Process Social Work Essay Example

Looking At The Transracial Adoption Process Social Work Essay This paper summarizes the theoretical conditions environing Transracial acceptance and provides an account of the current and past inclinations as it pertains to Transracial acceptances. The subjects discussed includes transracial acceptance from foster attention, political issues affecting transracial acceptance, judicial issues affecting transracial acceptance, and ends that need to be met by authorities actions. Method of analysis include information aggregation and a reappraisal of literature. Consequences of the analysis shows that society s insensitivenesss may be straight related to the inability of transracial acceptance being every bit successful as antecedently hoped. The paper draws attending to the construction and guidelines of the Foster attention system. The subject of failings does necessitate extra analysis and counteractive steps by legislative and judicial subdivisions of the authorities. Further survey shows that the current policy constructions needs to be reeval uated. The research evaluated certain cardinal commissariats and concludes that the MultiEthnic Placement Act needs to be re-assessed once more so that farther success can be obtained. It is hence recommended that extra analysis be conducted so that this analysis can be farther defined. Introduction Foster attention besides known as resource attention is when a child ( s ) is removed from the place of their biological parent ( s ) and placed into the place and attention of a province certified supplier ( s ) known as a resource/foster parent. Foster/resource attention is intended to be provided on an temporary footing and the services provided to the households are administered through each province s local section of Social Services, who under the counsel of the Child Protection Services ( CPS ) of that province has removed the kid ( ren ) from the attention and place of their biological parent ( s ) after cogent evidence of either physical or mental maltreatment and/or disregard has been documented. We will write a custom essay sample on Looking At The Transracial Adoption Process Social Work specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Looking At The Transracial Adoption Process Social Work specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Looking At The Transracial Adoption Process Social Work specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Foster attention is non the solution to the job, and as such, it is suppose to be a short-run step with surrogate attention working with the households of the bush leagues in their attention in order to better the life conditions of the place so that the kid ( ren ) can be returned to their place. When this is non an option, kids are so either placed in what is known as a affinity plan or they are placed up for acceptance after the rights of the parents have been terminated with the apprehension that reunion of the household ( before expiration of the rights ) are the topmost of import option before any other options are to be considered. So, why does it look that a job may be with respects to transracial acceptance as it relates to further attention parents of a race different from that of the kid ( ren ) in their attention? The issue that is traveling to be addressed within this survey will be to concentrate on the topic of interracial acceptances within the Foster attention system and exterior of the Foster attention system and how political and judicial figures have in the past and presently manage this sensitive state of affairs. Besides being discussed is whether the Multiethnic Placement Act enacted during President Clinton s disposal continue to be effectual and if so, how? Background What is Transracial Adoption? Transracial acceptance is the puting a kid who is of one race or cultural group with adoptive parents of another race or cultural group ( Adoptive Families, 2010 ) . Transracial acceptance has existed in U.S. history prior to the 1950s ; nevertheless, after the 1950s with the innovation of the modern twenty-four hours birth control ( prophylactic ) pill, lawful abortion rights, etc. , the demand for parents to follow interracially became more predominate. Transracial acceptance from the Foster Care system Transracial acceptance from the Foster attention system is a more desirable pick than to stay in the Foster ( resource ) attention plan ; nevertheless, there do be unwritten regulations which guides the acceptance procedure. Children are staying in surrogate attention longer than necessary or until they age out due to what is known as race matching , which is the thought procedure that a kid should merely be allowed to be adopted by those of the same cultural background as themselves, therefore a Caucasic kid could merely be adopted by a Caucasic couple/individual and a Latino kid could merely be adopted by a Latino couple/individual. There are those who believe that transracial acceptance from foster attention allows for kids within the system the chance to be provided with a lasting and loving place which is particularly true for older kids who would otherwise stay in the Foster attention plan until they aged out or make the age of 18. It is in the best involvement of all kids within the surrogate attention plan that will non be reunified with their biological household to hold the chance to go a portion of a devoted and fostering household who will supply that kid with stableness regardless of the race or ethnicity of the kid being adopted or the household making the acceptance. Based on the Foster attention statistics published by the Child Welfare Information Gateway in 2009 based on determination of the most recent national statistics from the twelvemonth 2006 of the estimated 510,000 kids in Foster attention on September 30, 2006, 23 per centum had a end of acceptance ( US Dept. of Health A ; Human Services, 2009 ) and of the estimated 289,000 kids who exited foster attention during FY 2006, 17 per centum were adopted ( US Dept. of Health A ; Human Services, 2009 ) demoing that a good place and great parents are being provided where otherwise the kids within Foster attention would non happen places and would digest the cost that are associated with being in Foster attention on a long-run footing. Cause for Government intercession MultiEthnic Placement Act ( MEPA ) The MultiEthnic Placement Act of 1994 was put into action in order to take barriers which could forestall kids within the public assistance system ( surrogate attention ) from being provided with a safe and lasting place, well-being, and to guarantee that any Foster attention and acceptance arrangements are non denied based on race or national beginning. Concerns exist that African American kids who are in surrogate attention expecting acceptance and who are finally placed in a transracial places will hold experiences that are damaging to those kids s well being, self-pride, and their cultural individuality. Others stress that more accent should be placed on turn toing ways in which to maintain those kids from holding to be removed from their biological households in the first topographic point and that if those attempts are non successful in forestalling the remotion that more accent should be placed on reunion of the kids with their biological households in order to extinguish the demand for acceptance. In order to bridge the spread between both sides, MEPA was implemented in order to cut down the sum of clip kids had to pass in Foster attention before they were released to be adopted after reunion with the biological household was no longer an option, it was put into action in order to forestall favoritism with respects to how kids are placed in surrogate places and in adoptive places so that these arrangements are non based on national beginning or race, and in conclusion MEPA kind to better the recruiting demands for Foster and adoptive households so that the demands of the kids being brought into attention could be met. MEPA and is it effectual? After the MultiEthnic Placement Act of 1994 was implemented it was so amended in 1996 in order to extinguish some of the ambiguity of the original enacted jurisprudence of 1994 ; nevertheless, in 1998 the act once more received unfavorable judgment because of the continued favoritism within the surrogate attention plan with respects to transracial acceptance. Social/Case workers are charged with working to take the mute regulation of race fiting from the kid public assistance plan and should be seeking to make what is in the best involvement of the kid with respects to placement determinations, nevertheless, this may non needfully ever be the instance as some workers seek to put kids, particularly minority kids within places that support that kid s racial individuality, which means those kids are placed in adoptive places with kids of the same cultural background as themselves which is non needfully a job except when it affects kids, particularly older kids, holding to stay in surrog ate attention because of the inability of the worker to happen an adoptive household of the same cultural background. Issues Political issues affecting Transracial Adoption The issue of transracial acceptance serves as a hot political subject for many grounds and particularly as it relates to how much control each province should hold when it comes to count that affect an person s pick as it pertains to their household life. The provinces attempt at control of an person s household life particularly with respects to transracial relationships can be seen with the 1984 instance of 466 U.S. 429 Palmore v. Sidoti, where a white twosome with one kid together divorced and the female parent was awarded detention of that kid. Later both female parent and male parent remarried to other people ; nevertheless, the female parent married a black adult male which lead to the male parent registering a request in the State of Florida to hold the female parent s rights revoked based on her holding married another race. Florida s Supreme Court ruled in favour of the male parent saying that even though race dealingss have been bettering in the United States, the kid would still endure from societal stigmatisation if she was to stay in the detention of a female parent who was married to a black adult male. A judicial opinion of taking a kid from its female parent detention based entirely on the female parent engagement with another race lead to the State of Florida Supreme Court s opinion being nem con overturned by the U.S. Supreme Court, even though State Supreme Court determinations are normally concluding ( Van Horn, Baumer, Gormley ( 2001 ) . The U.S. Supreme Court justice ruled that the opinion by the State of Florida Supreme Court was and is a misdemeanor of the 14th Amendment which seeks to extinguish all signifiers of racial favoritism that could be imposed by the U.S. Government. The U.S. Supreme Court farther went on to province that it is the responsibility of the State of Florida Suprem e Court to protect kids from being harassed by race nescient persons but that it is was still unconstitutional to protect kids by integrating favoritism and intolerance into jurisprudence. If this is the kind of reaction and determinations that have to be made from a political point of view what does it state for the instance of utilizing race with acceptance arrangement and why those instances are so ill-defined. Judicial issues affecting Transracial Adoption What does it intend when Foster attention refer to what is in the best involvement of the kid ? It is supposed to intend that it is the guiding rules, whereas, any and all determinations made by the judicial system ( tribunals ) with respects to finding how to maintain the kids who are presently in attention safe and how to guarantee that their demands ( the kids s demands and non the parent s ) are being met and that besides includes who is and who will be physically responsible for the safety of the kids that they ( Judgess ) are judicially responsible to and for. Each province refers to the phrase what is in the best involvement of the kid in their ain manner by implementing their ain set of political orientations which help to regulate how the judicial procedure with respects to its Foster and acceptance plan will be handled. It is still hard for each province s judicial system to qualify and place precisely what is in the best involvement of the kid because of its biased/subjective mode. Goals to run into by governmental actions The ends that each local Foster attention and acceptance office should concentrate on, is once more, what is in the best involvement of the kids and if reunion is non an option so the focal point must instantly be redirected to looking for adoptive places for the kids in attention. The primary concentration of governmental actions as it relates to the importance of the kids in the Foster attention plan waiting for acceptance should be focused on the adoptive guiding rule, ordinances, and processs. . Another end that needs to be met by governmental actions is the alterations or revisions needed by the MultiEthnic Placement Act of 1994 so that the consideration of race becomes a factor ; nevertheless, it should non be the lone factor when a kid is being placed in a prospective adoptive place and when transracial acceptance is the option being kind, the adoptive parents must be advised as to how transracial parenting issues have to be addressed for the benefit of the kid or kids they are following or sing following and station adoptive services should be provided to assist the transracial households meet the demands of their adoptive kid ( ren ) . Adoptive services provided by the provinces foster/adoption attention plans that arise from foster attention should actively seek possible households who meet the demands of the kids in Foster attention, particularly those households holding the same cultural background, where the race or ethnicity of kids presently in Foster attention a re 40 % Caucasic, 31 % Afro-american, 20 % Hispanic, and 1 % Asiatic ; 8 % other . ( Caughman, S. , 2010 ) The last end that needs to be met by governmental actions would be to back up the attempts of the kid ( ren ) by leting for the kids to stay with their biological household, a service that provide drawn-out support, every bit good as, fiscal services to those households and the kids staying in the affinity plan. Realization Problems What are the realisation jobs being faced by transracial acceptance as it relates to further attention in the United States? Has the involvement of our foster/adoption attention changed from the demands of our kids to the demands of the perspective adoptive parents? The demands of our kids within the surrogate attention plan and those within the acceptance plan will non be served until we as a society can admit that race has an of import affect. One job that can be seen with transracial acceptance is that it is non turn toing the demands of the older kids who remain in the Foster attention plan and alternatively seems to be giving penchant to those who seek merely to follow babies or yearling age kids who become available after expiration rights have been dissolved. Transracial acceptance demands to be redefined and to see if what is presently go oning is a consequence of switching our focal point from run intoing the demands of our kids to run intoing the demands of those grownups wishing to go parents. There is a important demand to happen ways in which to supply our kids who are in surrogate attention with the sort of fostering that will enable our kids to turn and lend to the society in which they live as productive grownups. In order for our kids to be comfy with their heritage after acceptance, the adoptive parents must be willing to confront the worlds as they pertain to race in the United States and they must be willing to let and supply for their adopted kid to hold chances for relationships and fond regards with the community in which they are a portion, which can be accomplished besides by supplying the kid with a supportive environment, positive experiences with their civilization and a diverse manner of life so that the kid ( ren ) can experience a comfort with the universe in which they are a portion. Decision The findings is that oppositions of transracial acceptance believe that surrogate kids being placed for acceptance should be of the same cultural group ( race ) which will supply the kid ( ren ) with the ability to hold a life full of cultural profusion and racial heritage. Those in favour of transracial acceptance believe that it does non count with respects to the cultural background of the adoptive households every bit long as the household is loving and can run into the demands of the kid being adopted and that race should non be a factor. It, nevertheless, is critical that the focal point of acceptance from foster attention be focused on the involvement of the kids who are in demand of a lasting place and it should non be focused on functioning the involvement of the adoptive household, the societal worker, nor the political sphere charged with looking out for the best involvement of those being served .the kids. Biography Caughman, S. ( 2010 ) . Resources for Parents Adopting from Foster Care. Retrieved August 18, 2010, from hypertext transfer protocol: //www.adoptivefamilies.com/foster/ Supreme Court of the United States. ( 1984 ) . Palmore v. Sidoti 466 U.S. 429. Retrieved from hypertext transfer protocol: //scholar.google.com/scholar_case? case=5853206159663402042 A ; hl=en A ; as_sdt=2 A ; as_vis=1 A ; oi=scholarr Transracial/Transcultural Adoption. ( 2010 ) . Retrieved August 18, 2010, from hypertext transfer protocol: //transracial.adoption.com/ U.S. Department of Health and Human Services, Administration for Children A ; Families. ( 2009 ) . Foster Care Statistics. Retrieved from hypertext transfer protocol: //www.childwelfare.gov/pubs/factsheets/foster.cfm U.S. Department of Health and Human Services, Administration for Children A ; Families. ( 2009 ) . A Guide to The Multiethnic Placement Act of 1994. As Amended by the Interethnic Adoption Provisions of 1996. Retrieved from hypertext transfer protocol: //www.acf.hhs.gov/programs/cb/pubs/mepa94/ Van Horn, C.E. , Baumer, D.C. , A ; Gormley Jr. , W.T. ( 2001 ) . Politics and Public Policy ( 3rd Ed. ) . Washing, DC: CQ Press.

Friday, March 6, 2020

Physician-Patient Relationship Essays

Physician-Patient Relationship Essays Physician-Patient Relationship Essay Physician-Patient Relationship Essay Physician-Patient Relationship Name: Course: Date: Physician-Patient Relationship A doctor patient relationship is considered as a fundamental aspect in healthcare practice. It is termed as the confidence accrued by a patient because of the competence of the physician. The establishment of an appropriate and healthy relationship is based on trust between the two parties, the patient and the physician. Both the physician and the patient have responsibilities in such relationships, which ensure the success of treatment of the patient. Physician’s rights The physician is usually viewed as higher in hierarchy in comparison to the patient because of the professional credentials and knowledge s/he possesses. This provides the physician with the ability to provide the patient with vital and relevant information as to the variety of necessary procedures and other important health related information. The responsibilities of the physician usually translate to observing the best interest of the patient towards achieving high quality treatment and care (Veatch, 2009). The physician has the right to provide the patient with the needed information pertaining to their health. This ensures that the physician is able to achieve his or her obligation in ensuring maximum care for the patient. Physician’s Responsibilities The physician is usually tasked with soliciting for the patient’s cooperation to provide the patient with the highest level of care. This is achieved by ensuring the presence of confidentiality with the patients as a means of maximizing patient care. In addition, this is achieved through the development of understanding and confidence or trust between the patient and the physician through communication between the two parties. Communication entails providing the patient with precise answers to questions asked and any other relevant information pertaining to the welfare of the patient. This provides the patient with an illustration that the physician is capable and willing to safeguard and ensure confidentiality on matters discussed (Perry, American Medical Association, 2001). Professional Practice Responsibilities: The physician is tasked with observing the provided ethical, moral and legal standards in providing treatment to the patient. The physician is tasked with an opportunity to include the patient in the development of an appropriate and suitable treatment plan as a means of maximizing patient care. This is based on information and advice provided by a physician for the best health interests of the patient. Another important responsibility is the consideration of ethical, moral and legal obligations or standards applicable in healthcare. This ensures that the physician is able to provide the patient with the appropriate level of standards of healthcare by ensuring a relatively high level of professionalism in providing treatment to the patient (Soden, 2003). Patients Rights The patient possesses the right to seek information pertaining to the various treatment options presented. The rights of the patient also involve the involvement in the development of the various treatment plans necessary for maximum care. The patient is tasked with engagement with the physician into a partnership that is active and seeks to ensure that the interests of the physician and the patient towards the health of the patient are achieved. It is arrived by providing the physician with the interests and health concerns towards effective treatment. It is usually termed as an indication of the existence of trust and confidence in the professional competence of the patient. Patients Responsibilities The patient is responsible for seeking clarification through questions about the possible methods of treatment and their varied levels of effectiveness towards successful treatment of the patient (Veatch, 2009). The patient in collaboration with the physician is also tasked with the development of treatment plans and goals for success in treatment. The relationship between a patient and a physician is usually based on several basic elements. They include respect, open and honest communication, trust and compassion. These four elements usually give definition as to the success of the relationship between the patient and the physician. An open discussion is maintained by the physician and the patient as a means of ensuring the achievement of the goals and objectives of successful treatment using the selected methods for treatment by the patient and physician (Soden, 2003). Right of Minors The rights of minor patients are usually determined by their parents or guardians. The guardian of a hospitalized minor is usually tasked with ensuring that the physician is able to provide the highest level of treatment. In addition, the child through the parent is tasked with inquiry, knowing, and understanding the child’s ailment. This provides the parent or legal guardian with the right of involvement in decision-making processes and formulation of the best treatment plans for the minor. A parent or legal guardian is termed as an agency of the minor as the minor has not attained an age of consent. Parents and legal guardians of minors are usually responsible for providing consent for treatment plans, and procedures after understanding the diagnosis provided by a physician. This is also based on understanding the possible outcomes provided in a single treatment option. This results in the necessity for a pain management strategy developed by the physician and the parent. It is aimed at ensuring that the minor is at comfort during the period of hospitalization and in all treatment related procedures (Perry, American Medical Association, 2001). Parents and legal guardians of minors on behalf of the minor have the right to request and review information provided pertaining to the progress of treatment of the minor. This is usually a means of evaluating the level of care given and its effectiveness towards the treatment of the ailing minor. This warrants them with the right of contacting the responsible authority or healthcare team as to their concerns on the treatment progress and approaches used for effective treatment of the minor (Veatch, 2009). In conclusion, the patient usually provides information that is aimed at ensuring his or her welfare. This is based on the establishment of a rapport between the patient and the physician that is based on trust and confidence in the physician’s ability to provide solutions to ailment through an appropriate medical procedure. It is usually an indication of the essence of trust in relationships between a physician and patient for success of the treatment process. Reference Perry, A., American Medical Association. (2001). American Medical Association guide to talking to your doctor. New York: Wiley. Soden, K. (2003). The art of medicine: What every doctor and patient should know. Philadelphia: Mosby. Veatch, R. M. (2009). Patient, heal thyself: How the new medicine puts the patient in charge. Oxford: Oxford University Press.