Trends in Health care Human Resource Management

“Trends in Health care Human Resource Management”  Please respond to the following:

  1. Assess two effects that cultural competencies overall have on health  care human resources management. Provide specific examples to support  your rationale.
  2. Compare and contrast problem-based learning and team-based learning  education, and determine key strategies for utilizing these two learning  models to help address common health care human resources management  issues.

 

“Management Strategies”  Please respond to the following:

  1. Evaluate two of the five characteristics of a culturally competent  organization, in terms of how well they relate to human resources  management best practice strategies.
  2. Evaluate at least two benefits that arise from an organization’s use  of the electronic health records, in terms of the likelihood that they  may influence related management strategies. Provide specific examples  to support your rationale.
Discussion: Evidence Or Judgment?

This is a group activity. For more information on groups, please see About Group Work.

For this discussion, your instructor will divide the class into groups of four to five students. Place yourself in the role of an employee named Tyler Cahill, whose annual evaluation has just been completed. As you review the annual performance evaluation, you believe that it was partly based on judgment and not evidence. However, you realize there are some gaps in your performance. Up to this point, you felt like you had a good working relationship with your manager.

For your initial post, answer the following questions based on the Annual Performance Evaluation document.

What are some examples in the performance evaluation document that are based on judgment and not evidence? In a forthcoming meeting with your manager, what is your plan to address that you believe part of the evaluation was not based on evidence? How will you explain to your manager why it is important for a manager and employee to agree on performance gaps based on evidence? Use the information from the readings for this module to support your plan.

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Organizational Development Theories and Teamwork

Organizational Development Theories and Teamwork” Please respond to the following:

  • Research an organizational development theory you would use to effect change in a large, multinational company that is experiencing significant growth. Be sure to identify the theory and highlight the points of the theory and why you think it is effective.
  • Watch the video below titled “Team Building” (3 min 14 s).
  • Next, discuss how team-building interventions could be conducted for virtual work teams. Identify unique challenges that would need to be addressed using this approach to performance improvement.

1 paragraph

need in 3 hours

apa format

references

  • Define suppliers and explain their interests and power, especially as related to lead firms. Discuss at least 2 reasons why globalization affected the supply chain. Respond to at least one of your classmates. E

Instructions:

Building Common Ground And Trust Using Evidence

One of the ways management can manage difficult situations, collect relevant information, and build common ground and trust with employees is establishing communication based on evidence rather than judgment.

Using the final project transcripts provided, create a list of the relevant facts that are pertinent to the case. This is information that you would use to determine the outcome of the case—or evidence. Additionally, create a list of judgment comments you find in the transcripts. Judgments are information that could not be used to defend the actions in the case because they are feelings, emotion, or opinion—not fact.

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Family and Gender Communication

Week 4 – Assignment

Family and Gender Communication

As you will recall from Chapter 10 and the Changing Minds article on Genderlect (Links to an external site.), family and gender relationships often reflect a variety of elements that affect how communication is conducted. For this week’s assignment, you will take the opportunity to explore this by choosing from one of the two options below and preparing a two-page paper describing the impact of either family or gender on communication, as well as your own personal communication strengths and growth. For Option 1 use the Week 4 Assignment Option One template Preview the document for formatting and for Option 2 use the Week 4 Assignment Option Two Preview the document template.

· Option 1: Family communication:

· Watch the video,  The Power of Family: Types of Families and Family Development (Links to an external site.)  and reflect on your own family.

· Describe how your family has influenced your communication style.

· Explain how that communication style could influence your strengths and opportunities as a human service professional.

· Option 2: Gender communication:

· Complete the Open Sex Role Inventory test (Links to an external site.) and reflect on the results.

· Describe your own gender beliefs based on the results of the inventory.

· Explain how the results of the inventory, your gender strengths, might influence your communication and practice in human services.

The Family and Gender Communication Assignment:

· Must be two double-spaced pages in length (not including title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.

· Must include a separate title page with the following:

· Title of paper

· Student’s name

· Course name and number

· Instructor’s name

· Date submitted

· Must document all sources in APA style as outlined in the Ashford Writing Center.

· Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.

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Performance Management And Employee Services

Performance Management And Employee Services

Teams have been a part of organizations for many years, with the functions and purposes changing as the needs of the organization have changed. A common emotion for individuals is to have an individual approach to their work rather than a collective effort. With this in mind, answer the following questions:

  • How do teams bring value to an organization?
  • How are high-performing teams built?
    • When a team is working well together and the project is proceeding as planned, what can happen to derail even the high-performing teams?
  • Building Teams And Resolving Conflict

Teams have been a part of organizations for many years, with the functions and purposes changing as the needs of the organization have changed. A common emotion for individuals is to have an individual approach to their work rather than a collective effort. With this in mind, answer the following questions:

  • How do teams bring value to an organization?
  • How are high-performing teams built?
  • When a team is working well together and the project is proceeding as planned, what can happen to derail even the high-performing teams?

 

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Choose one sexual dysfunction disorder and one paraphilic disorder.

Choose one sexual dysfunction disorder and one paraphilic disorder.

Create a 6- to 9-slide PowerPoint presentation discussing the disorders. Include the following in your presentation:

  1. A title slide
  2. A description of each selected disorder.
  3. Symptoms listed in the DSM for each disorder.
  4. Treatment approaches for each disorder.
  5. A reference slide

Include at least two scholarly references in your presentation.

Include speaker notes below each content-related slide that represent what would be said if giving the presentation in person. Expand upon the information included in the slide and do not simply restate it. Please ensure the speaker notes include a minimum of 50 words. (Need 11/27 by 9pm cst

(Need 12/1 by 9pm cst) worksheet are attached

 

Complete the Sexual Development Worksheet.

Refer to Chapter 11 of the text for help in completing this assignment.

https://viewer.gcu.edu/Jh8DzF

Complete the Sexual Therapy Worksheet.

Refer to “Couples Therapy,” from the Encyclopedia of Women’s Health (2004) andMarital Therapy,” from the Encyclopedia of Applied Psychology (2004) for help in completing this assignment

PCN-530 Topic 6: Sexual Development Worksheet

Directions: In the table below, list at least two aspects of sexual development that are relevant to each stage of development. An example has been provided for you. Be sure to cite the information you include in the table.

Life Stage

Sexual Development
Ex.

In Utero

Male fetuses have erections – Ultrasounds have shown signs of sexual arousal in utero (Rathus, Nevid, & Fischner-Rathus, 2017, p. 344)
Infancy
Early childhood
Preadolescence
Adolescence
Adulthood

References

Rathus, S. A., Nevid, J. S., & Fichner-Rathus, L. (2017). Human Sexuality in a Changing World (10th ed.) Hoboken, NJ: Pearson Higher Education.

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inferential statistics

Purpose of Assignment 

The purpose of this assignment is for students to synthesize the concepts learned throughout the course. This assignment will provide students an opportunity to build critical thinking skills, develop businesses and organizations, and solve problems requiring data by compiling all pertinent information into one report.

Resources: Microsoft Excel®, Signature Assignment DatabasesSignature Assignment OptionsPart 3: Inferential Statistics

Scenario: Upon successful completion of the MBA program, imagine you work in the analytics department for a consulting company. Your assignment is to analyze one of the following databases:

  • Manufacturing
  • Hospital
  • Consumer Food
  • Financial

Select one of the databases based on the information in the Signature Assignment Options.

Provide a 1,600-word detailed, four part, statistical report with the following sections:

  • Part 1 – Preliminary Analysis
  • Part 2 – Examination of Descriptive Statistics
  • Part 3 – Examination of Inferential Statistics
  • Part 4 – Conclusion/Recommendations

Part 1 – Preliminary Analysis

Generally, as a statistics consultant, you will be given a problem and data. At times, you may have to gather additional data. For this assignment, assume all the data is already gathered for you.

State the objective:

  • What are the questions you are trying to address?

Describe the population in the study clearly and in sufficient detail:

  • What is the sample?

Discuss the types of data and variables:

  • Are the data quantitative or qualitative?
  • What are levels of measurement for the data?

Part 2 – Descriptive Statistics

Examine the given data.

Present the descriptive statistics (mean, median, mode, range, standard deviation, variance, CV, and five-number summary).

Identify any outliers in the data.

Present any graphs or charts you think are appropriate for the data.

Note: Ideally, we want to assess the conditions of normality too. However, for the purpose of this exercise, assume data is drawn from normal populations.

Part 3 – Inferential Statistics

Use the Part 3: Inferential Statistics document.

  • Create (formulate) hypotheses
  • Run formal hypothesis tests
  • Make decisions. Your decisions should be stated in non-technical terms.

Hint: A final conclusion saying “reject the null hypothesis” by itself without explanation is basically worthless to those who hired you. Similarly, stating the conclusion is false or rejected is not sufficient.

Part 4 – Conclusion and Recommendations

Include the following:

  • What are your conclusions?
  • What do you infer from the statistical analysis?
  • State the interpretations in non-technical terms. What information might lead to a different conclusion?
  • Are there any variables missing?
  • What additional information would be valuable to help draw a more certain conclusion?

Format your assignment consistent with APA format.

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Sickle Cell

Write a 4 paged paper APA FORMAT on Sickle Cell mainly focusing within the pediatric population!

Please include:

1. a definition of the disease/disorder

2. cause

3. treatment

4. nursing implication (if you were caring for this patient)

5. prognosis

6. references APA format

7. print font size at least 12

8. a picture, for example- asthma a picture of a nebulized, eczema a picture of rash, cystic fibrous chest physiotherapy vest, etc….

Please provide a plagiarism report! DO NOT PLAGIARIZE

Four Pages

APA Format

Diabetes Freedom boost your metabolism and promote optimal blood sugar balance. It can be used alone or with any of the other products in this group designed to support your body during stress and help sustain metabolic balance by promoting stress gland health, balanced stress response, sustained energy and adrenal hormone production, and enhanced stress resilience.

Diabetes Freedom is the all-natural dietary supplement designed with herbs and clinically approved ingredients to control the Diabetic level in your bloodstream. It efficiently reduces the glucose level in your blood and enhances the functioning of the pancreas in body. This helps in breaking down the glucose accumulated in bloodstream over time. It also maximizes the natural mechanism of your body to improvise the insulin functioning which is essential for minimizing the Diabetic count.

Diabetes Freedom works to increase the energy level of your body and boosts your physical strength by converting the fat cells into workable energy. It also uses essential antioxidants to treat diabetes from its root cause and helps you to combat against the ravages of high Diabetic level in bloodstream.

https://sinkswimchicago.com/diabetes-freedom/

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Summarize your evaluation of the alignment between what Caterpillar Inc. is currently doing and their mission, vision, or values statement

Create a 10 to 12 slide presentation (excluding title and reference list) for Caterpillar Inc. leadership in which you summarize your key findings, propose recommendations, and provide rationale for your recommendations.

Respond to the following prompts:

  • Summarize your evaluation of the alignment between what Caterpillar Inc. is currently doing and their mission, vision, or values statement. Would you propose any changes to Caterpillar Inc.’s mission, vision or values statements? Why or why not? (Refer to Wk 1, Bullet #4.)
  • Summarize your assessment of whether Caterpillar Inc. is leveraging the appropriate value and cost drivers for their business strategy. Would you propose any changes? Why or why not? (Refer to Wk 2, Bullet #3.)
  • Summarize your analysis of the strengths and weaknesses of Caterpillar Inc’s competitive advantages. Based on your analysis would you propose any changes? Why or why not? (Refer to Wk 2, Bullet #4.)
  • Summarize your assessment of whether Caterpillar Inc. is using the appropriate measures to verify its strategic effectiveness. Based on your analysis would you propose any changes? Why or why not? (Refer to Wk 3, Bullet #1.)
  • Summarize your evaluation of Caterpillar Inc.’s competitive position and how they have responded to shifts in the external and internal environments. Would you propose any changes in how Caterpillar Inc. responds to shifts in the external and internal environments? Why or why not? (Refer to Wk 3, Bullet #5.)
  • Summarize your evaluation of how mergers and acquisitions in the past 5 years have contributed to Caterpillar Inc.’s performance. Would you propose that Caterpillar Inc. pursue mergers and acquisitions in the future? Why or why not? (Wk 4, Bullet #2.)
  • Summarize your assessment of Caterpillar Inc.’s global strategy. Based on your assessment would you propose any changes? Why or why not? (Refer to Wk 4, Bullet #3.)
  • Use at least two scholarly sources. Be sure to use Rothaermel, F. T. (2018). Strategic management: Concepts (4th ed). New York, NY: McGraw-Hill as one of the two scholarly sources.  Use the APA formatting for the title page, headings, in-text citations, and reference list.
  • Submit your assignment.

    Resources:

  • Center for Writing Excellence
  • Reference and Citation Generator
  • Grammar and Writing Guides
  • Copyright 2019 by University of Phoenix. All rights reserved.

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QUALITY, ETHICAL, AND IT CONTROLS; COURSE INTEGRATION AND REFLECTION

Golden Age Hospital (GAH)

Assignment Expectations

As stated in the course and modular outcomes, you are expected to demonstrate critical thinking and a solid analytical and theoretical knowledge of all previous courses in the program.

Furthermore, emphasis should be inputted on applying what you already know to the task of developing an individual project that reflects synthesis, integration, and real-life application (action plans).

As the environment is of a real-life project team, you will be assessed as to how well you present your work to your company and peers (writing and presentations).

Feedback and comments from your instructor and peers should be implemented and early recommendations adjusted accordingly.

General Background

  1. The Mission Viejo Medical Center (in the city of Mission Viejo, California) comprises two geographically adjacent institutions:
    1. Mission Hospital Regional Medical Center: Mission Hospital Regional Medical Center, and
    2. Children’s Hospital at Mission (CHM): Children’s Hospital at Mission (CHM)https://www.choc.org/choc-childrens-mission-hospital/
  2. The two hospitals serve — within less than a 10-mile radius — the populations of the following nine municipalities: Aliso Viejo, Ladera Ranch, Laguna Hills, Laguna Niguel, Laguna Woods, Lake Forest, Mission Viejo, Rancho Santa Margarita, and San Juan Capistrano.
  3. Retirement Communities:
    1. The city of Laguna Woods (https://www.cityoflagunawoods.org/), is home to “Leisure World” (http://www.lagunawoodsvillage.com/), a retirement community of over 23,000 senior (55 years and above) residents.
    2. The city of Mission Viejo is home to “Casta Del Sol,” a retirement community of more than 3,000 senior (55 years and above) residents.
  4. Following the example and success of integrating a special CHOC – children’s hospital within the Mission Viejo Hospital, it is suggested for the purpose of MHA599 only, that an additional newhospital wing be built, catering to the special needs of the senior population, to be named: “Golden Age Hospital (GAH)”.
  5. The “MHA599 Consulting Team (MHA599CT)” has been tasked to research and develop a project feasibility plan for the future GAH.

The Project

  1. Note: You do not need to be a physician or health care provider to complete this assignment. Address it through management lenses.
  2. As independent members of MHA599CT, you will each undertake this task and prepare said plan, following the modular guidelines and assignments.
  3. Each module will focus on different topics, building on your previous studies and based on the background materials of the courses taken in both the MBA and MSHA disciplines.
  4. The assignments for each module will be prepared and presented to the MHA599CT management (your course instructor) as follows:
    1. Case – developing and writing a segment of the plan.
    2. SLP – preparing a boardroom PowerPoint Presentation (PPT) based on the case paper.
    3. Discussion – preparing an executive summary based on the case paper, to be posted on the TD platform. Members of the Team (all students) will comment on their peers’ postings and be able to share information and data for their own plan (see guidelines in the TD platform).
  5. The Case Assignments are the crux of the coursework, whereas the SLP and TD are its derivatives. Case papers should be at least 4-5 content pages long.
  6. You will prepare and submit the sectional/modular case papers for each module, adding the preceding ones as you go (like chapters in a book); that is, in Module 2 you will combine and submit Case 1 and Case 2, and so on.
  7. You will make amends to each case paper per the feedback you will get from your instructor.
  8. Finally, at the end of the course, you will need to aggregate all chapters into one comprehensive paper, as follows:
    1. Title page – to be submitted in Module 1.
    2. Background – to be submitted in Module 1.
    3. Market Research and Segmentation – to be submitted in Module 1.
    4. Organizational Structures and Functions – to be submitted in Module 2.
    5. Finance and Budgeting – to be submitted in Module 3.
    6. Quality, Ethical, and IT Controls – to be submitted in Module 4.
    7. Conclusions and Recommendations – to be submitted in and for all modules.

Module 1 – Assignment – Market Research and Segmentation

  1. The External Environment – Data Gathering
    1. Overall health status
    2. Unique illnesses
    3. Other
    4. Types of institutions and clinics serving seniors (their size per population served)
    5. Types of special services provided for seniors and catering to their needs.
    6. Length-of-stay of seniors at various hospitals.
    7. Other
    8. Can be obtained from but not limited to: http://www.city-data.com/
    9. Input the nine municipalities (one by one) in the search box.
    10. Scroll through the various data sets, and glean the relevant information: Population, Gender, Age, Household income, Race, Other.
    11. Consolidate all nine city data sets into one table, total where appropriate
    12. Search the Web and gather relevant general information regarding hospitals for seniors and direct data pertaining to the external environment of the proposed GAH
    13. The proposed points below are just “starter points” for you to expound upon and add to as you see fit.
    14. Common medical conditions of seniors:
    15. Medical institutions for seniors:
    16. Local (Mission Viejo area) City demographics:
  2. Based on the data gathered and the general picture you have obtained, we will now focus on direct market research and segmentation of the senior community in the Mission Viejo area.
  3. In order to do so, you will need to define/address the following points:
    1. Who are your target market subjects?
    2. Where are they located?
    3. What special needs do they require?
    4. What special medical/health services do they wish to get?
    5. What type of physician specialization would they like to have?
    6. Locations: Do they prefer a single medical center (MC) hospital location, or do they prefer a medical center (MC) hospital and a community clinic (CC)?
    7. Other.
  4. Survey Questionnaire:
    1. Complete the following proposed survey table – column A, that you plan to use in order to obtain the preferences and perceptions of the seniors of your target segment, assume n=500. (Click the link to access the GAH Project tables.)
    2. Your instructor will comment on your table and fill out column B (the average response score of the 500 subjects) in his feedback to you, on the basis of which you will be able to further develop your project plan.

Module 2 – Assignment – Organizational Structures and Functions

  1. Based on the data gathered, the general picture you have obtained, and the results of the survey (as returned to you by your instructor), you will now focus on the organizational structure and functions for the proposed GAH and Community Clinic.
  2. In order to do so, you will need to define/address the following points:
    1. Note what common services or functions they can share (e.g., blood bank and laboratory services, shared operating rooms, pharmacy, etc.)
    2. Explain the organizational relationships between the structure blocks.
    3. How (if appropriate) will you integrate the services of physicians whose specialty is in geriatric treatment within the GAH /CC?
    4. Address the management aspects, not the clinical ones.
    5. You can choose and explain one of the organizational forms detailed in the following article: Cuellara, A. E. & Gertlerb, P.J. (2006). Strategic integration of hospitals and physicians. Journal of Health Economics. Volume 25, Issue 1, January 2006, Pages 1-28. http://faculty.haas.berkeley.edu/gertler/working_papers/hospital_vi_5_10_02.pdf
    6. Define the mission statement for the GAH and Community Clinic.
    7. Prepare a simple organizational diagram, depicting the organizational structure (blocks) of the existing Mission Hospital (MVH), Children’s Hospital (CHOC), and the proposed Golden Age Hospital (GAH), and the community clinic (CC)
    8. What is the recommended hospital size (number of beds)?
    9. What major services/treatments will be offered based on your survey results at the GAH and the CC? At least six detailed services/treatments are required.
    10. Physician–Hospital integration:
  3. Conclusions and Recommendations.

Module 3 – Assignment – Finance and Budgeting

  1. Based on your proposed organization and structure for the GAH and the Community Clinic, we will now focus on financing and budgeting issues.
  2. In order to do so, we will need to define the following requirements and assumptions:
    1. Cost of facility construction, initial medical equipment, and instrumentation, will not be calculated – as they will be fully paid by the state as a grant.
    2. All senior patients will be above the age of 65, and will have only the Federal Medicare health insurance. Research the major constructs of Medicare health coverage as defined by the “Medicare Prospective Payment System.”
    3. The hospital and clinic will be financially balanced, that is, income from Medicare payments will cover in full all operating costs.
  3. “Medicare Prospective Payment System”
    1. The hospital is reimbursed by the government per procedure and/or treatment by a predefined sum and not by the actual expenses performed for and on a particular patient.
    2. For example – a patient requiring open heart surgery will utilize the services of physicians, nurses, OR, laboratory, pharmacy, and occupies a hospital bed on average for six days. If a certain patient is discharged after four days, the hospital will still be paid the six-day amount. Hence, the incentive to operate efficiently and effectively, enabling the hospital to “save money.”
  4. Based on the services you have decided to provide – at least six, complete the table (GAH Project):
    1. Input services/treatments in column A.
    2. Input estimated and rounded Medicare reimbursement to GAH (in thousands of dollars) for each treatment in column B (assign for each a figure between $10,000 to $60,000).
    3. Your instructor has inputted the projected number of procedures/treatments performed annually at GAH in column C.
    4. Calculate the total income for GAH by multiplying columns B*C in column D.
    5. Your instructor has inputted the GAH Projected Performance percentage, relative to the Federal standard (100%) in column E.
    6. Calculate the total GAH gain or loss by D-(D*E) in column F.
  5. Assume a $250,000 annual miscellaneous expense.
  6. Prepare (based on the table), a forecast of profit or loss for GAH for the first year of operation.
  7. Conclusions and Recommendations.
  8. Your instructor will comment on your table in his feedback to you, on the basis of which you will be able to further develop your project plan.

Module 4 – Assignment – Quality, Ethical, and IT Controls

  1. Based on your proposed organization and structure for the GAH and the Community Clinic, we will now focus on additional aspects pertaining to:
  2. Quality control and Accreditation:
    1. Define at least five core organizational competencies and functions for the new organization, and define a goal/objective for them.
    2. Propose a control method/score board to be implemented in the new organization to ensure that said core competencies and functions are meeting their goals and objectives.
    3. Assume that the new Hospital will seek JCAHO accreditation. What major competencies will this require from management and staff?
  3. Ethical Issues – HIPAA
    1. The Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II) required the Department of Health and Human Services (HHS) to establish national standards for electronic health care transactions and national identifiers for providers, health plans, and employers. It also addressed the security and privacy of health data. As the industry adopts these standards for the efficiency and effectiveness of the nation’s healthcare system, the use of electronic data interchange will improve.
    2. Review CMS (2016). HIPAA basics for providers: Security, and breach notification rules. Retrieved from: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/HIPAAPrivacyandSecurity.pdf
  4. IT Systems
    1. Based on your proposed project’s organizational structure and the geographical locations of Mission Hospital, Golden Age Hospital and the Community Clinic, recommend the major components of an IT system that can best provide for the communication needs within and between the organization units.
    2. Identify and define your requirements from the system subject to the ethical requirements of HIPAA (see above).
  5. Conclusions and Recommendations – Final for complete project.
  6. Final paper
    1. Combine all chapters of the project paper as you have developed them over the past modules into one comprehensive paper.
    2. Note: If you need any clarification on the assignment, communicate with your instructor at any time throughout the modules.

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Positive Behavioral Intervention and Support (PBIS)

Running Head: SCHOOL COUNSELORS ROLE IN PBIS 1

SCHOOL COUSELORS ROLE IN PBIS

School Counselors Role in PBIS

Abstract

Positive Behavioral Intervention and Support (PBIS) is a framework that is used in schools to encourage good behavior among the students. PBIS is learned by students just like other core curriculum (e.g. history or science). Administrators, special education teachers, general education teachers, and school counselors are all part of the team in implementing this framework in their schools

Introduction

Positive Behavior Intervention and Support (PBIS) is a program that aims at promoting positive behavior among students. It involves the application of a tiered system that supports change and improvement among students (Padden, 2009). Spencer (2013), states that school disciplinary issues emerge in the process of learning for all students. Several researches show that suspension and expulsion rates are on the increase due to school disciplinary issues. Expulsion and suspension rates are high among male black male students and students of whom English is not their first language. According to research conducted by civil rights group; rates of suspension and expulsion among Africa-American students is 18%. From this sample, 35% of the students had been suspended once, 46% suspended twice, and 39% of them expelled (Vincent et al.). The rates of disciplinary issues increase gradually between the first 1st and fifth grades. The increase is significant throughout middle school and is at an apex in the ninth grade. Once 10th and 12th grades, student disciplinary rates decrease. Multiple researchers attribute this decline of school disciplinary rates after the 10th grade due to massive school dropout rates (Vincent et al., 2009).

The implementation of PBIS provides a systematic program with the following key elements: practices, systems, results and data consumption. The student results are a pillar of any PBIS program, inclusive of their success in academics and their behavior in a safe school environment. The practices involve the use of rewards, contingencies, and curricula that in the long run impact student behavior. Systems include an emphasis on sustained changes in school, policy, and staffing that affect what is done and what should be done. Data consumed includes behavioral indicators and school safety (Padden, 2009).

The purpose of this paper is to investigate the role of school and counselors in the implementation of PBIS. The field of counseling has made a tremendous transformation in schools due to its application in assessing the needs of a student and assisting amicably. Use of counselors who have actively contributed in the design and implementation of PBIS is very significant in the field of school counseling.

Purpose Statement and Research Questions

School counselors have a shared experience in the implementation of PBIS fully in schools. Their programs in school counseling are geared at the supporting of students in their schools. By requiring understanding of their roles and how their activities impact the student outcomes and professional effectiveness, we can shed light on how the PBIS program is transforming schools.

Therefore, the aim of this study is to examine the role of school counselors in PBIS implementation in schools by addressing the following questions.

1. What is the role of school counselors in the implementation of PBIS?

2. What student outcomes have schools achieved through the implementation of PBIS?

3. What changes to the school climate have counselors realized as a result of PBIS implementation?

4. In what ways has the implementation of the PBIS affected the professional effectiveness of school counselors?

Theoretical framework

For the full comprehension of the philosophy that supports the Positive Behavior Interventions and Support, one must have a look at the concept of behaviorism and the principle behind its theories. It is believed that in a school where students who behave well turn out to be excellent performers academically. PBIS relies on one of the principles of Skinner’s four main principles of radical behaviorism–the analytic concept. Moore (2011), states that Skinner terms this concept as the “reinforcer” and gives an explanation of the same as a consequence that escalates the probability of a response. PBIS concurs with the concept in that via tiered interventions; one can be given a “reinforcer” to entice them to exhibit a specific behavior.

Positive Behavior Intervention and Support, is based upon the behavioral theory that problems in behavior continue to occur since it is steadily followed by children acquiring positive things or escape negative things. In focusing on the behavioral outcomes of behavior, one can understand the functions of behavior, rendering the problem behavior less effective and make the excellent behavior more functional (Martens, K., & Andreen, 2013).

For example, it has been found that many schools in America are insensitive to the needs of immigrant groups. These immigrants find themselves in a distinctive psychosocial transition, which exceeds their home country and their host country (Witenstein & Saito 2015).

Literature review

The literature review includes the role of school counselors and the advent of Positive Behavior Intervention and Support.

The role of school counselors

There has been a metamorphosis in the field of counseling in the past 15 years. The role of school counselors has shifted tremendously to being advocates and change agents rather than being just gatekeepers (Hepp, 2013). This step depicts how schools implementing PBIS may impact the school counseling field.

The several changes that are parallel with the American education system gives a path in the definition of the current role of school counselors. Bryan & Holcomb (2001) indicated that there has been an evolution of the role of school counselors from being vocational counselors for guidance and counseling to being implementers of the PBIS program. This program is so comprehensive that it needs the effort of multiple school counselors for it to be a success.

The field of school and counselors has been seen as being reactive rather than proactive (Bryan & Holcomb, 2001). Bryan & Holcomb indicatesthat in the 1970s, developing the individual student took center stage in the concept of guidance and counseling. School counselors, being part of the school-based mental health team, can affect their roles through systemic support. The work in conjunction with school psychologists and social workers offers almost unlimited mental health services to students (Gruman & Hoelzen, 2011).

The development of this field of guidance and counseling can be best comprehended by having a look at the profession’s institutional, organizational and political theories (Hatch, 2008). Hatch has investigated how the field has struggled through history to be an integral part of the education mission. Hatch highlights that school counselors ought to define themselves and show their impact on student achievement professionally. He challenges them to be advocates of systematic change, to come up with policies that can improve services offered to the students and their professional practice. This could render them to legitimacy, and they are more likely to be involved in the decision-making process.

The Positive Behavior Support Intervention and Support

Research has shown that “lack of discipline” is a challenge that faces American schools. It has also depicted that use of punishment alone without the reinforcement of pro-social behavior is ineffective and results in vandalism and dropout rates (Goodman, 2013). PBIS is a process for creation of a conducive school environment for achieving social and academic goals. This program uses practices, strategies and plans that are evidence-based to improve academic performance and safety and establish a positive culture in schools (Carr et al. 2005). This model has been implemented in thousands of schools in over 40 states; this has dramatically reduced the disciplinary interventions. PBIS enhances the current systems and practices in schools consequently changing the culture for the better.

PBIS has three tiers: Tier I, Primary Prevention stage; Tier II, Secondary Preventions and Tier III known as the Tertiary stage, which focuses on individual behavior (Crone, Horner, Hawken, 2004). In Tier I, educators expect behavioral changes in approximately 80% of the population, in Tier II, interventions are designed to target students at risk of displaying behavioral problems, and PBIS estimates 10-15% of students lie in this bracket. Tier III interventions are individualized to meet extraordinary needs of students and it focuses on the remaining 5-10% of the students (Goodman, 2013)..

Conclusion and Implications

This study represents the importance of school counselors in schools through the implementation of PBIS. As per this study, schools need to realize the significance to cultivate good behavior in their students.

There are implications for the adoption of PBIS. First, there is the need for school counselors to be trained in the PBIS multi-tiered approach and other evidence-based interventions. Secondly, all school counselors need to understand how to design and maintain PBIS in schools effectively. Future research into the school role in PBIS should quantify discrete skills like the use of evidence-based interventions to generate a robust study as well as examine the differences between when PBIS is implemented in various grades.

References

1. Bryan & Holcomb, N. C., & Henderson, P. (2001). Comprehensive Guidance and Counseling Programs: A Rich History and a Bright Future. Personnel and Guidance Journal, 53, 647-652.

2. Goodman-Scott, E. (2013). MAXIMIZING SCHOOL COUNSELORS’ EFFORTS BY IMPLEMENTING SCHOOL-WIDE POSITIVE BEHAVIORAL INTERVENTIONS AND SUPPORTS: A case study from the field. Professional School Counseling, 17(1), 111-119. Retrieved from http://ezproxy.redlands.edu/docview/1558312811?accountid=14729

3. Gruman, D. H., PhD., & Hoelzen, B., M.A. (2011). Determining responsiveness to school counseling interventions using behavioral observations. Professional School Counseling, 14(3), 183-190. Retrieved from http://ezproxy.redlands.edu/docview/851624487?accountid=14729

4. Hatch, T. A. (2008). Professional Challenges in School Counseling: Organizational, Institutional and Political. Journal of School Counseling, 6(22), n22

5. Hepp, E. C. (2013). Secondary school counselor and principal preferences regarding key school counselor roles (Order No. 3667105). Available from Education Database. (1641140732). Retrieved from http://ezproxy.redlands.edu/docview/1641140732?accountid=14729

6. Horner, R. H., Carr, E. G., Halle, J., McGee, G., Odom, S., & Wolery, M. (2005). The use of single-subject research to identify evidence-based practice in special education. Exceptional Children, 71(2), 165-179.

7. Martens, K., & Andreen, K. (2013). School Counselors’ Involvement with A School-Wide Positive Behavior Support Intervention: Addressing Student Behavior Issues In A Proactive And Positive Manner. Professional School Counseling, 16(5), 313-322. Retrieved from http://ezproxy.redlands.edu/docview/1448006405?accountid=14729

8. Moore, J. (2011). Behaviorism. The Psychological Record, 61, 449-464.Reinke, W. M., Herman, K. C., & Stormont, M. (2013). Classroom-level positive behavior supports in schools implementing SWPBIS: Identifying areas for enhancement. Journal of Positive Behavior Interventions, 15(1), 39-50.

9. Padden, D. H. (2009). Effective school -wide discipline through positive behavior supports: An analysis of current practice (Order No. 3353204). Available from Education Database. (305029028). Retrieved from http://ezproxy.redlands.edu/docview/305029028?accountid=14729

10. Spencer, J. (2013). Effect of positive be havioral interventions and supports on school-wide discipline in a title i intermediate school(Order No. 3603629). Available from Education Database. (1471911616). Retrieved from http://ezproxy.redlands.edu/docview/1471911616?accountid=14729

11. Vincent, C., Horner, R., May, S., (2009). What are the patterns of office discipline referrals across grade levels? Evaluation Brief. December 2009 (1). www.pbis.org.

12. Witensten, A & Saito, L. (2015). Exploring the Educational Implications of the Third Space Framework for transitional Asian Adoptees. University of California Press, CA.

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