Develop a graphical representation showing the indicators of morbidity and mortality for the leading health indicator, access to health services, ( which is measured by the number of people with insurance as well as the number of people who have access to a primary healthcare provider who caters to their health needs regularly).

List a minimum of five indicators and provide a rationale for each.

Cite any gaps in programs to address the indicators.

Format your assignment as one of the following:

• Concept/mind map
• Matrix
• Chart

Due 5/9/19 @ 6 PM EST

Respond to at least two colleagues’ posts and provide an additional strategy your colleague might implement to effectively use Bernard’s Discrimination Model.

Response to Nicole K.

Three Roles in Bernard’s Discrimination Model

The three roles in Bernard’s discrimination model include; teacher role, consultant role and counselor role (Bernard, 1997). When a supervisor assumes the teacher role, this is when the supervisor informs the student of what it the most necessary to know in order to be competent in practice (Bernard, 1997). The consultant role is when the supervisor is there as a resource and encourages the student to trust his/her skills and take control of his/her learning (Bernard, 1997). Lastly, the counselor role is when the supervisor asks for the student to reflect on his/her experience and using those “ah-ha” moments to enhance the students’ professional practice (Bernard, 1997).

When to Introduce the Topic of Vicarious Trauma

If I were a supervisor, I would introduce the topic of vicarious trauma (VT) early on in our professional time together. The earlier I educate the student/trainee on the dangers of this work, the more chance we can utilize prevention strategies or talk about self-awareness. I am pretty straight forward when it comes to addressing serious or potentially serious effects of this practice, especially if I were a supervisor. Part of a supervisory role is to make sure the staff that is under you is getting the care they deserve to provide appropriate services to the clientele. I would introduce VT directly within 2-3 supervisions with the student. After the initial supervision, I would evaluate the experience/professional level of the student and be more willing to address VT and its’ effects.

Besides being upfront/direct about VT, I could use the supervisory process to educate the student about VT. I would watch the student interact with client(s) (intervention skills) and then discuss how the client made sense of the session (conceptualization) to determine risk factors of VT (Bernard, 1997). To determine the sensitivity of the student and his/her background I would use personalization skills to better understand if he/she is at risk for VT with certain individuals of similar culture or just based on sensitivity in general (Bernard, 1997). Lastly, I would utilize professional behavior skills to understand where the student is in terms of ethics and professional development (Bernard, 1997). Using these skills would help me understand his/her ethics and observe differences that may result in the presence of VT.

Introduce VT in Three Roles

In the teacher role, I would introduce VT directly because it is necessary to have knowledge on this risk in the field. In the counselor role I would introduce VT, I would insert comments appropriately in hopes that the student would begin the dialogue him/herself with me or to learn about it on his/her own. In the consultant role, I would take a very backseat driver type of approach. As a consultant, you allow for the student to stumble upon things on his/her own and use you as a resource. This may be the most organic way to discuss VT because the student brings it to the attention of the supervisor, but personally I would take the teacher role approach in my own practice.

References

Bernard, J. M. (1997). The discrimination model. In C. E. Watkins, Jr. (Ed.), Handbook of

psychotherapy supervision (pp. 310–327). Hoboken, NJ: Wiley.

**************************************************************************************************************************************

Response to Lorraine

Explain how and at what point you would introduce the topic of vicarious trauma to a trainee/supervisee.

I would immediately introduce the topic of vicarious trauma to a trainee or supervisee. In fact I would want my trainee or supervisee to have training on vicarious trauma. I would have the information available and strongly encourage my trainee/supervisee to follow through with ongoing therapy and vicarious trauma training on a regular basis.

Explain how you would educate a supervisee through the supervisory process.

I would educate my supervisee through the supervisory process by acclimating the supervisee to the role of a supervisor and explaining the overall expectation of the relationship.

Explain the strategy you would use to introduce the topic of vicarious trauma with a new supervisee in Bernard’s three roles.

According to Bernard (1997), “Some supervisors adopt a teacher role whenever the trainee seems to be struggling with interventions, a consultant role when conceptualization is the issue, or a counselor role when personalization is the issue” (p.313). I would encourage the supervisee to utilize training as a benefit in the role of a teacher. In the role of a counselor I would educate the supervisee on trauma and its effects on clinicians and how vt training can be utilized as a preventative method in remaining safe from vt. In the consulting role I would encourage my supervisee to examine various types of trauma he/she has encountered and analyze the potential for vt to occur.

Bernard, J. M. (1997). The discrimination model. In C. E. Watkins, Jr. (Ed.), Handbook of psychotherapy supervision (pp. 310–327). Hoboken, NJ: Wiley.>Handbook of Psychotherapy Supervision. 1st Edition by Watkins, C. E., Jr. Copyright 1997 by John Wiley and Sons. Reprinted by permission of John Wiley and Sons via the Copyright Clearance Center.

Reference

Bernard, J. M. (1997). The discrimination model. In C. E. Watkins, Jr. (Ed.), Handbook of psychotherapy supervision (pp. 310–327). Hoboken, NJ: Wiley.

you can start in all of the essays

the first one as soon as I get the class topics I will send it to you

Thank you.

1. A title page is not required for project submissions. Because evaluators do not see student names when reviewing student work, it is important that students not include any personal identifiers in their project submissions

2. Save your document as a PDF file. In Microsoft Word, you can use the Save As option to select PDF as your file format.

3. If your project requires a video, you should post the video to a free video hosting site like www.youtube.com, www.photobucket.com, or one of the other free webhosting websites. The following website maintains a list of video hosting sites; http://www.videohostings.com/. In the written materials that you submit as part of the assignment, you should include the title of the video and a link for the faculty member to use to grade your submission.

4. Upload the PDF file in your course.

5. Your assignment will not be returned to you, so keep a copy for your files

Discussion Forum 2

Topic: We all had the unfortunate experience of seeing how computers can, at times, make life’s journey abit more difficult. This is especially true in knowledge centric workplaces. Describe an example of a very poorly implemented database that you’ve encountered (or read about) that illustrates the potential for really messing things up. Include, in your description, an analysis of what might have caused the problems and potential solutions to them. Be sure to provide supporting evidence, with citations from the literature. As with the first discussion topic, it is not enough for you to simply create a own posting. You must read the postings of the other members of the class and comment on each of them. Please see Discussion Forum of the class syllabus for additional details on content.

Reply 1:-

Database: A database is an accumulation of data that is sorted out so that it very well may be effectively gotten to, oversaw and refreshed. Information is sorted out into lines, segments, and tables, and it is recorded to make it simpler to discover important data. All the association enormous or little has a database to store every one of the information of the clients, items, deals in the database. The database is planned by the necessities and size of the association.

There are numerous basic strides to think about when you assemble a database, the poor database might be because of numerous reasons like poor structure/arranging, disregarding standardization, poor naming guidelines, absence of documentation, absence of testing, one table to hold all the area esteems, not utilizing put away systems and a lot more lead to a poor database (Navathe, 2010). In the event that an association has a poor database, at that point it is hard to change the entire database to another standard one. Its time and financially savvy. Poor database configuration has made numerous issues for some associations.

The issues and answers for the ineffectively actualized databases are:

Configuration/arranging: The initial step is to structure database as per the association needs, and it is a first noteworthy advance, and it should be done all around cautiously and ought to consider every one of the issues that may emerge and as per that the database ought to be planned with the goal that any issue can be taken consideration off. Poor structure may prompt numerous issues and again returning and fixing takes significantly additional time and cash. Accordingly the structure ought to be in all respects painstakingly arranged and planned.

Normalization: Normalization is the way toward separating tables into structures, where every segment or line completely speak to just a single thing. The guidelines of standardization when not pursued, regularly lead to mistakes for which bunches of time and information is squandered for amendment of the reason, prompting the foundations of the plan. There will dependably be a distinction in the format of the database planned by the designers (Harrington, 2016). Normalizing the information is basic to great execution, and simplicity of improvement. The standard structures are advantageous, and once we get a hand on them, it’s anything but difficult to utilize.

Absence of Documentation: Again the documentation is the principal significant thing for any division either be a database group or a testing group documentation and a sufficiently clarified and kept up documentation is required. Each progression from the names to the relations ought to be considered and if in any circumstance any point isn’t comprehended by any colleague they can experience the documentation. Poor documentation prompts poor plan and later it would require investment to fix if any circumstance emerges (Morris, 2016).

Poor naming Conventions: The table name depicts the element it holds, as the table begins being expanded, the names begin deteriorating, prompting complex structures, at last making the database incomprehensible. That is the reason there are explicit rules which are significant dependent on the database plan, which will make the database clear, hence reducing the multifaceted nature of the table. In the event that these rules are not pursued, the table will wind up garbled, muddled, aimless, prompting information misfortune and disparity. Every one of the reasons like poor structure/arranging, disregarding standardization, poor naming gauges, absence of documentation, absence of testing, one table to hold all the space esteems, not utilizing put away methods and a lot more lead to a poor database.

This database is where every one of the information is spared, and any issue to the database can influence the entire association, and along these lines the database ought to be structured, arranged, reported, tried every one of the means ought to be given significance. In the event that it’s taking longer, at that point additionally we have to think of the best structure with the goal that we don’t dawdle later on fixing the issues which we neglected while planning.

Reply 2:-

Database access is a center component of generally applications. In view of our experience, it appears that for at any rate 80% of all applications we see, straightforward database execution tuning can accelerate applications significantly. Fortunately, there isn’t a great deal of advanced science required until you get actually profound in the engine of database tuning. When you’re prepared to take database tuning to the following dimension, there are numerous extraordinary apparatuses around for you to consider (Hoffer, 2009).

Above all else, ensure that the host that is serving your database procedure has adequate assets accessible. This incorporates CPU, memory, and plate space.

Is your database server healthy?

When your database is dwelling on sound equipment you should investigate which applications are really getting to the database. In the event that one of your applications or administrations experiences terrible database execution, don’t bounce to the end that you know which application or administration is in charge of the awful execution.

In the event that an individual administration is having terrible database execution, you should investigate the administration’s correspondence with the database. Which questions are executed? How frequently are the questions executed per demand? What number of columns do they return?

Who is accessing the database?

See how regularly questions are called per demand. Perhaps you can lessen the quantity of real database inquiries by improving the database store of your administration. Question everything. Is there any motivation behind why a solitary inquiry ought to be executed more than once per demand? On the off chance that there is, perhaps you can open some potential execution by applying savvy reserving procedures ((Hoffer, 2009).

Understand the load and individual response time of each service instance

Regardless of whether the manner in which you inquiry your database is superbly fine, you may even now experience mediocre database execution. On the off chance that this is your circumstance, it’s a great opportunity to watch that your application’s database association is effectively estimated.

We will in general disregard the physical requirements looked by our virtualized foundation. Regardless, there are physical requirements: links come up short and switches break. Tragically, the hole among works and doesn’t work normally shifts. This is the reason you should watch out for your system measurements. In the event that issues all of a sudden show up after months or even long periods of working faultlessly, odds are that your foundation is experiencing a non-virtual, physical issue. Check your switches, check your links, and check your system interfaces (Abadi and Boncz, 2013) , . It’s ideal to do this as ahead of schedule as conceivable after the main sign that there might be an issue since this might be the point in time when you can fix an issue before it impacts your business.

Note:-

Hi

Its a Discussion and two replies for above question

i need everything in separate documents as 1st document should be discussion , 2nd document should be reply 1 and 3rd document should be reply 2.make sure no turnitin and no plagiarism please dont copy it from any source write in your own words.

make sure you write everything in own words

Please dont copy from any source we have a turnitin.

And send me three documents in different folder.

send me files according to attached pic