Politics And Regulatory Guidelines For Mental Health Care

Politics And Regulatory Guidelines In 2008, legislation on mental health care changed. Coinsurance for mental health services decreased from a staggering 50% co-payment for outpatient mental health services to the usual 20% co-payment for other medical services (Touhy Jett, 2011). Mental health services are now covered under the Medicare Part B services, which is regulated by the Centers for Medicare and Medicaid services. Dementia has a large psychological component, which requires mental health services. The passage of this legislation will significantly improve access of care for the outpatient dementia patient (Touhy Jett, 2011). Access to inpatient care is limited to a lifetime maximum of 190 days (Touhy Jett, 2011). Dementia is a chronic disorder and will require more than 190 days of treatment in the advanced stage of the disease process. Many dementia patients may eventually be institutionalized. Long term care facilities are very expensive. Patients without long term car e insurance or another type of insurance to supplement Medicare may become financially burdened. The Affordable Care Act has enacted several programs to benefit geriatric patients without the financial means to support themselves in a long term care setting or home health care. The following are programs provided by the Medicaid program: Home and Community-Based Services State Plan Option, Community First Choice, State Balancing Incentive Payments Program, Money Follows the Person (MFP),Show MoreRelatedA Time Of Rapid Industrialization1713 Words   |  7 PagesAmerica’s golden paint, or industrialization, was hiding all the economic and social problems on the inside. Although the Gilded Age brought along great advances in industrialization, it brought many new problems that were never experienced before. The politics of this time period came up short when it came to dealing with the economic and social issues it faced. 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SomeRead MoreHealthcare Information Management Essay examples3076 Words   |  13 PagesJennifer Bartus HCA352 Legal and Ethical Aspects of Health Information Management Olympia Boyce-Taylor August 18, 2013 HEALTHCARE INFORMATION MANAGEMENT There are various legal and ethical aspects of Health Information Management. Government regulations in healthcare continue to make drastic changes. In Healthcare, lawsuits become more and more complex and issues increase. It is important for Health Information managers to have knowledge of healthcareRead MoreCivil Rights for the Disabled: The Rehabilitation Act of 19732309 Words   |  10 Pagesservices to those with mental retardation and mental illness. This act was made to assist vocationally disabled civilians and disabled veterans by providing funds through a federal-state matching formula (DiNitto, 2003). Federal and state governments shared the cost of the vocational rehabilitation program on a fifty-fifty basis (DiNitto, 2003). 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Prepare to discuss your timeline with your Learning Team or in class. Format all references consistent with APA guidelines. Copyright  © 2013 Penn Nursing Science, University of Pennsylvania School of Nursing http://www.nursing.upenn.edu/nhhc/Pages/AmericanNursingIntroduction.aspx http://www.nursing.upenn.edu/nhhc/Welcome%20Page%20Content/American%20NursingRead MoreAgeism in Healthcare6728 Words   |  27 Pagesand living situations, and their overall health status (Jacobsen, Kent, Lee Mather, 2011). Economic factors are key as they directly pertain to the likelihood of reliance on publically-funded healthcare programs, while â€Å"the marital status and living arrangements of the elderly are closely tied to levels of social support, economic well-being, and the availability of caregivers† (Jacobsen et al., 2011, p. 4). The importance of this population’s general health status is, of course, self-explanatory

The Forbidden Game The Chase Chapter 11 Free Essays

The kitchen was empty. A trickle of water ran out of the faucet, and there was an odd, sharp smell. Sitting grotesquely in the middle of the green linoleum floor was a paper doll. We will write a custom essay sample on The Forbidden Game: The Chase Chapter 11 or any similar topic only for you Order Now It was folded to allow it to sit, and one arm was twisted up to give it a mockingly casual air. As if Audrey were saying: â€Å"Here I am. Where have you been?† It was obscene. Tom’s hands were on Jenny’s shoulders, trying to calm her. She wrenched away from him and picked the macabre little figure up. It was the doll Audrey had used in the Game, her playing piece in the paper house. Audrey herself had drawn the face, had colored in the hair and clothes with Joey’s crayons. Jenny hadn’t seen it since she’d packed it up with the rest of the Game in the white box. She realized suddenly that it hadn’t been in Angela’s toolshed None of the dolls had. The waxy face looked up at Jenny with a terrible cunning smile. A U of bright pink. As if this doll knew what had happened to the real Audrey, and was glad about it. â€Å"Oh, God-God,† Jenny was gasping, almost sobbing. The doll crumpled in her hand. Everything in the kitchen was wavering. â€Å"I don’t believe it,† Michael said, pushing past the others. â€Å"Where is she?† He stared at Jenny, grabbed her arm. â€Å"Where is she?† Tom grabbed Michael. â€Å"Let go of her.† â€Å"Where’s Audrey?† â€Å"I said, let go of her!† Dee’s voice rang out dangerously. â€Å"Cool off, both of you!† â€Å"But how did she get out of the kitchen?† Michael said wildly. â€Å"We were right around the corner-we didn’t hear anything. Nothing could have happened to her. We were right there.† Dee was kneeling on the floor, running her fingers across the linoleum. â€Å"It’s darker here-see? This whole area is darker. And it smells burned.† Jenny could see it now, a circle of darker green several feet in diameter. Tom was still gripping Michael, but his voice was quiet. â€Å"You didn’t see that thing on the beach-that void, Mike. It didn’t make any noise at all. That’s how she got out of the kitchen.† ‘†In the midst of the word she was trying to say,/ In the midst of her laughter and glee,'† Zachary quoted, behind them. Jenny turned sharply to see him standing there. With his thin, intense face and his dark-circled eyes, he looked like a prophet of doom. But when his gray eyes met Jenny’s, she knew he cared. He was still holding the poem. The last of the cloudiness in Jenny’s head vanished. Tears and hysterics weren’t going to help Audrey. They weren’t going to help anyone. She looked down at the crumpled paper doll in her hand. It was her fault. Audrey had fallen into a black hole, and it was Jenny’s fault, just as Summer’s death had been. But Audrey wasn’t dead yet. â€Å"I’ll find her,† Jenny said softly to the paper thing she held. â€Å"I’ll find her, and then I’ll rip you to pieces. I’m going to win this Game.† It went on smiling its cunning waxy smile, bland and malevolent. Michael was sniffling and rubbing his nose. Dee was investigating the floor like an ebony huntress. â€Å"It’s like the marks a UFO might leave,† she said. â€Å"When it lands, I mean. A perfect circle.† â€Å"Or a fairy ring,† Michael said thickly. â€Å"She was so scared of that kind of stuff-legend stuff, you know?† Tom patted him on the back. â€Å"The Erlking,† Jenny said grimly. She reached across Tom to grip the sleeve of Michael’s sweatshirt. â€Å"But we got her back from him last time, MichaeL We’ll get here back now.† Dee stood in one fluid, graceful motion. â€Å"I think we’d all better stay together from now on,† she said. Zach had moved up behind Jenny. The five of them were together, standing in one connected knot in the center of the kitchen. Jenny felt herself draw strength from all the others. â€Å"We can sleep in the living room,† Michael said. â€Å"On the floor. We can push the furniture back.† They raided the bedrooms for blankets and mattresses and found sleeping bags in the closet. In the bathroom Jenny stripped off her golden dress and put on an old sweatsuit of Michael’s. She jammed the shimmering material in the laundry hamper, never wanting to see it again. It scared her to be alone even for a minute. But we haven’t had another clue, she thought. He can’t do anything else without another clue. It wouldn’t be fair. â€Å"It wouldn’t be sporting,† she said through her teeth to the wall. It had suddenly occurred to her that Julian might be able to hear her. To see her, even-he’d watched her from the shadows for years. It was a disturbing thought, to know that no place was private, but right now Jenny hoped he was listening. â€Å"It’s no Game at all if we don’t have a chance,† she told the wall softly but fiercely. In the living room she sat down on a mattress next to Tom. He put an arm around her, and she rested against him, glad of his warmth and solidity. If there was one tiny comfort in all of this, it was that Tom was with her again. She snuggled into his arm and shut her eyes. This was where she could forget about Julian-forget about everything dark and terrible. Tom’s strong warm hand clasped hers, held tightly. Then she felt the pressure released and sensed the change in Tom’s body. Tension flooding in. He was holding her hand up, looking at it. No, not at her hand. At the ring. The golden band which had felt like ice on her’ finger earlier that night had warmed to her bodj temperature. She hadn’t even noticed it for hours. Now, horrified, she snatched her hand back from Tom’s. She tried to pull the ring off. It wouldn’t come. Soap, she thought. She pulled frantically, twisting the circlet, reddening her finger. Soap or butter orIt was no good. She knew without even trying. The ring was on to stay. She could do anything she liked, but it wouldn’t come off until Julian wanted it to. If she could have gotten it off, she might have been able to change tie words inside-and Julian would never risk that He’d said that speaking and writing words made them true. He would never take the chance that Jenny might change the words and change her fate. â€Å"We’re going to win the Game,† she said to the shuttered darkness in Tom’s eyes. â€Å"When we win, I’m free of my promise.† She said it almost pleadingly-but Tom’s face remained closed. He’d gone away again, leaving a polite stranger in nil place. â€Å"We’d better get to sleep,† he said and turned to his own pile of blankets. Jenny was left sitting there, feeling the inscription on the inside of the ring as if the letters were burning their way into her skin. Nothing is as frightening as waking up and not knowing who you are, not knowing it’s you waking. It happened to Jenny Sunday morning. She opened her eyes and didn’t know which direction was which. She didn’t know her place in the world, where she was in time and space. Then she remembered. Michael’s living room. They were there because of Julian. She sat up so suddenly that it made her dizzy, and she frantically looked for the others. They were all there. Michael was curled almost in a ball under his blanket; Dee was sprawled lazily on the couch like a sleeping lioness. Zach was on his back on the floor, his blond ponytail streaming on his pillow. Tom was beside him, face turned toward Jenny, one hand stretched toward her. As if he’d reached out in his sleep, unaware of it. Jenny took a moment to look at him. He looked different asleep, very young and vulnerable. At times she loved him so much it was like a physical ache, a pain in her chest. Dee yawned and stretched, sitting up. â€Å"Everybody here?† she said, instantly alert and oriented. â€Å"Then let’s kick Michael and make him get us some breakfast. We’re guests.† Tom pulled his hand away when he woke up, and avoided Jenny’s eyes. â€Å"Do you really think we can get away with it?† Michael asked doubtfully. â€Å"We’ve got to,† Jenny said. â€Å"What else are we going to say to them? ‘I’m sorry; your daughter’s been kidnapped, but don’t worry because we’re going to get her back’?† â€Å"It’ll be all right as long as we get the housekeeper,† Dee said. â€Å"I’ll talk to her while you go upstairs.† â€Å"Then we’ll go by your place,† Jenny said, â€Å"and you can tell your parents you’re staying with me. And Zach can tell his parents he’s staying with Tom, and Tom-â€Å" â€Å"But the question is: will they buy it?† Michael said. â€Å"I mean, we’re not talking about just one night, here. It could be days before we find that base.† â€Å"We’ll tell them we’ve got a school project,† Jenny said, â€Å"and it may take a few nights of working on it. We’ll make them buy it. We have to.† She and Dee and Zach went in Dee’s jeep, while Tom and Michael followed in the RX-7. Tom hadn’t said a word to her all morning, and Jenny tried to hide her left hand whenever she could. She felt as if the ring were a badge of shame. They’d decided to go everywhere together from now on. Nobody was ever to be alone, and whenever possible all five of them were to be in the same place. They pulled up in tandem to Audrey’s house, and Dee and Jenny knocked on the door while the boys watched from the sidewalk. â€Å"Hi, Gabrielle,† Dee said to the housekeeper who answered. â€Å"Are Mr. and Mrs. Myers here? Oh, too bad. Well, could you tell them that Audrey’s going to spend a couple nights with Jenny and me at Jenny’s?† Meanwhile, Jenny speedily headed up the stairs of the stately house and came back a few minutes later with an armful of clothes. â€Å"Audrey just asked me to pick up a few things for her,† she said brightly to Gabrielle, and then she and Dee made a fast retreat, â€Å"Whew!† Dee said when they were back in the jeep. Jenny blinked away tears. Handling Audrey’s clothes had brought the sense of guilt back. But it had to be done. Audrey would never go anywhere overnight without a few different outfits. â€Å"We probably should have taken her car,† Dee said. â€Å"She takes that everywhere, too.† â€Å"Maybe later,† said Jenny. â€Å"I picked up her keys while I was in her bedroom.† â€Å"Next victim,† Zachary said from the back seat. Tom disposed of his parents quickly; he and Michael came out of his Spanish-style house with a bundle of clothes each. â€Å"And a few textbooks,† Michael said. â€Å"For authenticity.† Jenny’s mother was at church. Jenny shouted her message to her father, who was bent over the pool, wrestling with the floating cleaner. â€Å"Gonna stay with Dee for a few days, Dad! We’re working on a big physiology project!† â€Å"Call us occasionally to let us know you’re alive,† her father said, pushing his glasses up by hunching his shoulder and not releasing his grip on the pool cleaner. Jenny gave him one quick frightened glance before she realized it was a joke. Mr. Thornton complained a lot about being the father of a teenager with an active social schedule. She surprised him by running up and kissing his sweaty cheek. â€Å"I will, Daddy. I love you.† Then she ran away again. It was at Zach’s house that they ran into trouble. They were giddy with their previous successes, and not prepared when they pulled up to the mock Tudor house on Quail Run. Jenny went into the garage with Zach while the others talked to Jenny’s aunt Lily. â€Å"You keep your textbooks out here?† â€Å"The art ones. And I figure we might as well bring a flashlight.† He took one off a hook on the wall. Jenny looked around the studio Zach had made in the garage. Being here made her think about Julian, about the time in the paper house when he had impersonated Zach. Flustered, she stared at a print on the wall. It was a giant mural print showing school cafeteria tables stacked in a glorious pyramid, four high and four deep, almost blocking the exit. Zach had taken it last year after she and Tom and Dee and he had stacked the tables one night. They’d left the tables that way for the VGHS staff to find the next morning. Jenny tried to concentrate on the fun of that night, her mind adding color to the gray tones of the picture, but a soft assault on all her senses had begun. She kept seeing Zach’s face in her mind, watching it turn to Julian’s. Feeling the softness of Julian’s hair under her fingers. â€Å"You okay, Jenny? You look kind of red.† â€Å"Oh, no, no, I’m fine.† More flustered than ever, she added hastily, â€Å"So what have you done lately? You haven’t shown me any new prints for a while,† Zach’s shoulders hunched slightly, and he looked away. â€Å"I’ve been busy with other things,† he said. Jenny blinked. That was a new one. Zach too busy for his photos? But she had to make conversation; she was afraid to let the silence go on. â€Å"What’s this?† she said, touching a textbook that lay open on the desk. â€Å"Magritte,† Zach said succinctly. â€Å"Magritte? He was a painter, right?† â€Å"A Belgian surrealist.† Suddenly focused, Zach picked up the textbook. He looked at it almost fiercely, his features sharp. â€Å"Look at this,† he said, opening it to a new page. â€Å"I was thinking about doing something that would catch the same mood. I just wish†¦Ã¢â‚¬  His voice trailed off. Jenny looked and saw an extremely weird picture. It showed a brown pipe, the kind Audrey’s father smoked, with the words This is not a pipe under it. Jenny stared at it, feeling stupid. Beside her, Zach was tense, waiting for her response. â€Å"But-it is a pipe,† she said timidly, tapping her finger on the brown bowl. Zach’s gray eyes were still on the book. â€Å"No, it isn’t.† â€Å"Yes, it is.† â€Å"No, it isn’t. A picture of a pipe is not a pipe.† For a moment she got it-then it slipped away. It made her head hurt, but it also gave her a vaguely excited feeling. Mystical. â€Å"The image isn’t reality,† Zach said quietly but with force. â€Å"Even though we’re used to thinking that way a lot of the time. We show a kid a picture of a dog and say This is a doggie’-but it’s not. It’s just an image.† He glanced at her sideways and added, â€Å"A paper house is not a house.† â€Å"Unless you have somebody who can make an image into reality,† Jenny said, giving him a meaningful glance back. â€Å"Maybe he’s an artist, in a way,† Zach said. He flipped to another page. â€Å"See this? It’s a famous painting.† It was another extremely weird picture, but it took you a moment to see the weirdness. It showed a window in a room, and through the window a pretty landscape. Hills and trees and clouds. Only-it was odd, but under the window were three metal things like the legs of a stand. The legs of an easel, Jenny realized suddenly. There was actually an easel with a canvas on it in front of the window, but the painting on the canvas blended in so exactly with the landscape behind it that it was almost invisible. It left you wondering: Where was the artist who had left the easel? And who could have painted a picture that blended in so exactly with reality, anyway? â€Å"It’s bizarre,† Jenny said. â€Å"I like it.† She smiled at Zach, feeling as if they had a secret. She saw his expression change, and then he looked away, his gray eyes distant. â€Å"It’s important to know the difference between image and reality,† he said softly. He glanced at her sideways again, as if considering whether to tell her another secret. Considering whether she could be trusted. Then he said almost casually, â€Å"You know, I used to think that imaginary worlds were safer than the real one. Then I saw a real imaginary world. And it was-† He stopped. Jenny was startled at his expression. She put her hand on his arm. â€Å"I know.† He looked at her. â€Å"Remember how we used to play in the orchard when we were kids? It didn’t seem important then to know the difference between what’s real and what isn’t. But it’s important now, It’s important to me.† Oh. All at once, Jenny understood. No wonder Zach had been so moody lately. His photography, his art-it wasn’t safe anymore. It had been contaminated by their experience in the Shadow World. For the first time in his life Zach was having to face squarely up to reality. â€Å"That’s why you haven’t done any new prints,† she said. â€Å"Isn’t it, Zach? It’s-it’s artist’s block.† He hunched one shoulder again. â€Å"I just haven’t seen anything I wanted to photograph. I used to see things all the time and want to shoot them-but lately I just don’t care.† â€Å"I’m sorry, Zach.† But I’m glad you told me, Jenny thought. She felt very close to her cousin just then. She went on in a low voice, â€Å"Maybe when this is all over-â€Å" She was cut off by the bang of a door. The quiet moment was shattered. Zach’s father stood in the doorway. He said hello briefly to Jenny, then turned to Zach. â€Å"So here you are,† he said. â€Å"What’s this about you taking off without telling anyone last night?† Jenny had never been sure she liked her uncle Bill. He was a big man, and he had large hairy hands. His face always seemed rather flushed. Zach’s voice was cool and bloodless. â€Å"I just went to spend the night somewhere. Is that a crime?† â€Å"It is when you don’t tell your mother or me.† â€Å"I left a note.† Mr. Taylor’s face got more flushed. â€Å"I’m not talking about a note. I don’t know what’s going on with you anymore. You used to spend most of your time holed up out here†-he gestured around the garage-â€Å"and now you’re gone all the time. Your mother says you think you’re going to spend another night away from home.† â€Å"I’ve got a project to do-â€Å" â€Å"Then you can do it right here. You’re not staying out overnight on a school night. If you think that, you’ve got another think coming.† Jenny’s stomach had a falling-elevator feeling. She opened her mouth, trying to think of something, anything to say. But she could see by her uncle’s face that it wouldn’t do any good. He was as stubborn as Zach; stubborner. The door banged again as he left. Jenny whirled in dismay. â€Å"What are we going to do?† â€Å"Nothing.† Face turned from her, Zach slapped the art book shut and put it back on the pressed-wood shelf. â€Å"But, Zach, we have to-â€Å" â€Å"Look, if you argue with him, he’ll just get madder -and he might start calling around. Do you want him to talk to your parents?† He turned back, and his thin face was calm, although Jenny thought his eyes looked a little sore. â€Å"Don’t rock the boat, Jenny. Maybe he’ll let me come tomorrow.† â€Å"But for tonight-â€Å" â€Å"I’ll be okay. You just-just watch out for yourself, all right?† He moved when Jenny tried to put a hand on his arm and added, â€Å"Tell everybody else what happened, will you? I think I’ll just stay here a while. Do some work.† Jenny’s hand dropped. â€Å"Okay, Zach,† she said softly. She blinked. â€Å"Goodbye. I mean-see you later.† She turned and went quickly out of the garage. â€Å"Now what?† Dee said when they were back at the apartment. They were all quiet, their triumph deflated. â€Å"Now we order some pizza and wait,† Michael said. â€Å"Mid think,† Jenny said. â€Å"*We have to figure out where that base is.† Jenny woke up with a start and thought, iypnopompic hallucination? I think I’m awake, but I’m still dreaming. Mian was leaning over her. â€Å"Tom!† she cried, turning to see him lying on the floor beside her, his breathing deep and even. Her cry didn’t wake him. â€Å"Don’t bother. It’s only a dream. Come in the other room, where we can have a little privacy.† Jenny, who was wearing her own sweatsuit tonight instead of Michael’s, pulled her blanket up higher. Like some Victorian girl in a lacy nightgown. â€Å"You’re crazy,† she told him with dream-calmness. â€Å"If I go in there, you’ll kidnap me.† â€Å"I won’t. I promise.† His teeth gleamed at her briefly, wolflike. â€Å"Remember Perthro?† The rune of gambling, Jenny thought, seeing in her mind’s eye the lines he’d sketched in the air on the night of the prom. The rune of fair play, of sticking to the rules. Meaning he kept his promises, she supposed. Or that he would keep this. Or that he said he would. But he might give me a clue about the base, Jenny thought She and the others hadn’t had much luck figuring it out for themselves. And it was a dream, anyway. She got up and followed him to Michael’s bedroom, where the clock radio said 4:33 a.m. â€Å"Where’s Audrey?† she demanded as he turned to face her. If this had been reality, she would have been frightened of him, maybe too frightened to speak. But it was a dream, and everything she did was governed by dream-logic. â€Å"Safe.† â€Å"But where is she?† â€Å"That would be telling.† His eyes swept over her and he smiled. â€Å"I have to say it; you look equally good in grunge and high fashion.† It wasn’t a dream. The way he disturbed and excited Jenny was too real. By Michael’s bedside lamp she could see his eyes, which at the prom had been shadowed by his mask. She had finally figured out what color they were. It was the blue you see when you’re washing your face in the shower and your fingers press on your closed lids. You see filaments of brightness etched against the black, more vibrant than electric blue. A color that isn’t really in the wavelengths of light that the human eye can perceive. The color Jenny had seen in afterimage when the computer flashed, Jenny looked away, simultaneously holding out her hand to him. â€Å"I want this off, please. Just until the Game is over, take the ring off.† He took her hand instead, stroking her palm with his thumb. â€Å"Is it making Tommy nervous?† â€Å"No-I don’t know. I don’t like it.† She looked at him again, trying to pull her hand away. His fingers were cooler than Tom’s, but just as strong. â€Å"I hate you, you know,† she said earnestly. She couldn’t see why he never seemed to understand this. â€Å"You make me hate you.† â€Å"Is that what you’re feeling? Hate?† Jenny was trembling. Stubbornly she nodded. Very gently he reeled her in by the captive hand, drawing her to him. She’d been wrong. He wasn’t as strong as Tom; he was stronger. Fight or scream? Jenny thought. But he was so close now. She could feel the movement of his breathing. Her heart was beating in the base of her throat. She could feel her eyes widen as she looked up at him. His expression made her stomach flutter. â€Å"What are you going to do?† â€Å"I’m going to kiss you †¦Ã¢â‚¬  Oh, was that all? â€Å"†¦ until you faint.† Then shadows seemed to fill all the corners of the room and close in about her. But some part of her mind still had strength. She didn’t faint, although her legs went weak again. She pushed him away. â€Å"You’re evil,† she whispered. â€Å"How do you think I could ever love something evil? Unless I’m evil, too†¦.† She was beginning to wonder about this. But he laughed. â€Å"There is no good and evil, only black and white. But either black or white on its own is boring, Jenny. If you mix them you get so many colors-so many colors†¦ .† She turned away. She heard him pick something up, one of Michael’s books. â€Å"Here,† he said. â€Å"Have you read this one?† It was a poem, â€Å"The Human Condition† by Howard Nemerov. Jenny’s eyes skimmed over it, not really understanding any of it. It muddled her. â€Å"It’s about world and thought,† Julian explained. â€Å"World being the world, you see, and thought being-everything else. Image. As opposed to reality.† He smiled at her. â€Å"That’s a hint, incidentally.† Jenny was still muddled. She couldn’t seem to focus on the poem, and she was strangely tired. Like the old hypnotist’s saying, her eyes were heavy. Her whole body felt warm and heavy. Julian put his arms around her, supporting her, â€Å"You’d better wake up now.† â€Å"You mean I’d better go to sleep.† â€Å"I mean wake up. If you don’t want to be late.† She felt his lips on her forehead and realized her eyes were shut. She had to open them †¦ she had to open her eyes†¦ But she was drifting, somewhere dark and silent and warm. Just drifting †¦ floating †¦ Some time later Jenny forced her eyes open. Blinked. She was lying on Michael’s living room floor. It had been a dream after all. But beside her was an open book, facedown. Contemporary Poetry. Jenny picked it up and saw the poem Julian had shown her. Now that she was awake and thinking clearly, the poem made more sense; it was even vaguely exciting, But she didn’t have time to appreciate it; her eye fixed on certain words and her heart began to pound. Once I saw world and thought exactly meet, But only in a picture by Magritte. †¦ The poem went on about the picture of a picture by Magritte-the one Zach had shown Jenny. The one of a painting that stood in front of an open window, matching the landscape outside exactly. Fitting in like a puzzle piece, standing alone in an empty room. Magritte, Jenny thought. Oh, God! An empty room. Dropping the book, she seized Tom’s shoulder. â€Å"Tom! Tom, get up! Dee! Michael! It’s Zach!† How to cite The Forbidden Game: The Chase Chapter 11, Essay examples

Execution of Organizations Strategic Plan †MyAssignmenthelp.com

Question: Discuss about the Execution of Organizations Strategic Plan. Answer: Introduction The organizational change depends on the changes of the people associated with the organization. The organizational change usually takes place when the employees understand the potential value of the changing scenario. The leaders play the significant role in managing people during the organizational change (Vernizzi, Zanoni and Russ 2015). The study will explore the revolutionary change led by Sergio Marchionne in Fiat and Chrysler. Sergio Marchionne has the dual citizenships in Italy and Canada. Having degrees in philosophy, MBA, and law, he started working as an account and he was appointed in the printing and chemical industry. He became the CEO of Fiat in 2004 without having the proper experiments in the automobile industry. The massive success in Fiat and Chrysler is much remarkable since the time he was appointed as the CEO. His major motif was to help the managers instead of making decisions. He is much responsible towards his job and associates. He took the training and deve lopment process, proper communication and coaching plan for helping the managers to achieve the objective. The study will thus disclose the information regarding these change levers in fiat and Chrysler. There are five significant levers that drive change within the organizations. The first lever is communication plan, which signifies the establishment of the high frequency messages among all departments of the organization (Zanoni, Vernizzi and D'anna 2014). The maintenance of the transparent communication with the sequential process would be helpful to drive the change in a significant way. Second, sponsorship roadmap, which focuses on three major components, such as proactive and visible participation, establishment of coalition of support with each level, and direct communication with the employees. Third is coaching plan, which takes places between the supervisor and the employees (Maielli 2015). If necessary, the supervisor will provide the proper coaching to the employees in order to make them adaptive towards change. Sergio Marchionne has been following this lever of change to help the managers. Fourth is the training plan that is an intervention of building capabilities and skills. The training process makes the employees more competent to cope with the upcoming changes. The final lever is resistance management plan that determines a natural reaction (Hornstein 2015). The resistance to change can be sometimes the obstacles for ensuring the successful change. At the initial stage of joining Fiat, Sergio Marchionne observed that the company was under the unprofitable management style. He even found out that the managers were much reluctant to perform their responsibilities and they were quite dependent on the decision of the CEO. After identifying the situation, he decided to communicate with the managers (Ameri and Awad 2016). He even recognized that the traditional career progression to senior management position is based on the engineering. He then decided to introduce the talent management to make the managers aware of their responsibilities. Ensuring the personal interest of the managers, he started engaging them towards the organizational functionalities. Even in case of Chrysler, it has been found that the company had undergone bankruptcy in the year of 2009. The changes in the management style, leadership attributes, and hierarchy level made him succeed in accomplishing the business goals in Chrysler (Navaretti, Ottaviano and Trent inaglia 2014). The change program failed due to the reluctant nature of the managers to take the responsibilities. They are much inclined towards the upward decisions of the CEO. However, identifying such issues, Sergio Marchionne started establishing the communication transparency and hired young engineers in Chrysler. It was noted that these people needed to provide the details to the upper management. In fact, Sergio Marchionne had paid attention on building the capacity of the workers by providing them the proper training and development session. Eventually, the management style and the work functionalities started changing (Bertoldi et al., 2015). It was quite difficult at the initial stage to manage the entire workforce with the whole new concept of leadership attributes and new management style. It has been observed that Sergio Marchionne has taken the soft approaches of communicating with the managers and the other supervisors to make the proactive move in their capacity building. They were invited to provide the unique ideas that can be beneficial for the company. On the other hand, the hard approach was to provide the proper training to the associated engineers (Krug, Wright and Kroll 2014). Sergio Marchionne did not have the proper experience in automobile industry. However, the movement he took to engage more young engineers and provide them the proper training was much commendable. Recommendations It is to be indicated that Sergio Marchionne is looking forward to earn more profit to the business. The change management planning is based on such objective. However, it is even important to ensure some of the major recommendation for the future success of the company. First, the Sergio Marchionne needs to reject the idea about the continuous expansion of the Jeep car of Chrysler in different countries. The continuous expansion affects the brand value in a significant way that may reduce the profit revenue of the company. Second, Sergio Marchionne should concentrate more on the strategic decision making process to ensure more profitability for the future. Accomplishing such goals would be much beneficial for the future prospects. Third, allocating the resources in a significant way is also much necessary. Paying attention to these recommendations would ensure more profitability in the future. Conclusion Sergio Marchionne, the efficient CEO recognized the ineffective management settings of Fiat and Chrysler. The CEO observed that the major reason behind such failure is the inefficient coordination between the managers and the employees. It was noticed that the managers were much dependent on the upward decision instead of performing their responsibilities. Sergio Marchionne arranged the talent management process to ensure the changes in the management style and leadership. Making the hard and soft approaches towards the change management aspect is considerably the effective initiatives for the betterment of the future of the company. However, it is also necessary to keep the focus on the change resistance that can be the major obstacles for the future prospects. References Ameri, A. and Awad, T.Z., 2016. The Roles of the Project Management Office In The Execution of the Organizations Strategic Plan. Bertoldi, B., Giachino, C., Bernard, S. and Prudenza, V., 2015. Fiat-Chrysler deal: looking for a good returns from M A.Journal of Business Strategy,36(4), pp.23-33. Hornstein, H.A., 2015. The integration of project management and organizational change management is now a necessity.International Journal of Project Management,33(2), pp.291-298. Krug, J.A., Wright, P. and Kroll, M.J., 2014. Top management turnover following mergers and acquisitions: solid research to date but still much to be learned.The Academy of Management Perspectives,28(2), pp.147-163.. Maielli, G., 2015. Explaining organizational paths through the concept of hegemony: Evidence from the Italian car industry. Navaretti, G.B., Ottaviano, G. and Trentinaglia, M.T., 2014.Fiat Chrysler and the future of industry(No. 434). Centre for Economic Performance, LSE. Vernizzi, S., Zanoni, A.B. and Russ, M., 2015. Strategic Inertia vs. Strategic Change: The Role of Human Capital in.Quantitative Multidisciplinary Approaches in Human Capital and Asset Management, p.123. Zanoni, A.B., Vernizzi, S. and D'anna, E.P., 2014. What about Strategic Options? Lessons from Fiat's Turnaround.International Journal of Business and Social Science,5(6).

Ted bundy1 Essay Example For Students

Ted bundy1 Essay Ted Bundy is one of the worst serial killers in history. His Antisocial personality and psychoticcharacter made him feared across the country. After all was said and done Ted left behind a trailof bloody slayings that included the deaths of 36 young women and spanned through four states. The biggest question in many people’s mind was how could someone as intelligent, highlyaccomplished, and praised as Bundy do such a thing?Theodore Robert Bundy was born November 24th, 1946 in Burlinton, Vermont. Hismother Eleanor Louise Cowell was 22 when she had him. Ted’s mom never told him muchabout his father except that he was in the armed forces and they had only dated a few times. Tedwas left in foster care for two months while his mom and parents decided what to do with him. In 1946 an illegitimate child was extremely looked down upon by society. Once they decided tokeep Ted his grandparents told everyone he was their adopted son. Ted knew who his biologicalmom was, but outsider s were told that she was his sister. Ted adored his grandfather, he was theonly man Ted really respected. His grandfather was also particularly fond of Ted. Ted would goon camping and fishing trips with his grandfather. Ted thought he was just a great guy, but thefamily thought different. They would describe his grandfather as an ill-tempered tyrant. He wasracist, intolerant, and a perfectionist. He expected everyone to meet his demands. Hisgrandfather was also verbally abusive toward other family members and physically abusivetoward his wife. He also physically mistreated animals including the family pet. Ted’sgrandmother suffered from depression. It got so bad that she was eventually treated withelectroshock therapy. She also suffered from agoraphobia and never left the house. Could thisbe the reason Ted turned out how he did?The older Ted got, the more it became more difficult to hide his family’s identity and hissecret mother. With this his mother moved to Washingt on, where she met and married JohnBundy. At the time Ted was four years old. He was adopted by John and his new parents hadfour children together. From the beginning Ted did well in school. His teachers complimentedhim on his good grades. Ted was active in Boy Scouts and attended church regularly. He alsoheld a part-time job and made excellent grades. Ted didn’t date much in high school and wasdescribed as being shy. It was around this time Ted began sneaking out of the house and peepinginto windows. He became a â€Å"Peeping Tom.† 1He reported as a child he had become fascinatedby sexual violence. He was warned about the effects of pornography and stated the it â€Å"brings outa hatred that is just too terrible to describe.†He also began shoplifting for expensive items andtold his mom that they were gifts. He was picked up at least twice by juvenile authorities forsuspicion of auto theft and burglary, but nothing came of it. We will write a custom essay on Ted bundy1 specifically for you for only $16.38 $13.9/page Order now Ted participated in many respectable behaviors that helped make it so unbelievable toaccept his guiltiness. He caught a purse snatcher and was given a commendation from the policedepartment. He also saved a drowning toddler once by diving into a lake after him. Ted alsoworked for a suicide prevention hotline talking others out of killing themselves. He wroterape-prevention books and became active in politics gaining the attention of important, highlyknown people. Ted worked many low paying jobs to pay for college. He was a busboy at ahotel, a messenger, and clerks at various stores. He left most jobs after only a few months. Some employers said he was a good worker while others gave him less than favorableIt is likely that Ted killed his first victim while in his teens. A young schoolmatedisappeared at this time. He is said to have begun his serial killings in his late twenties in 1974. However many people believe that he started earlier than this. He is said to be the suspect inIn J anuary of 1974, an 18 year old student by the name Joni Lenz was found unconsciousin her bedroom. Ted had beaten her with a metal rod and then inserted it into her genitals. Jonisurvived but was in a coma for several months and had no memory of the event at all. A monthlater Ted had struck again. He had abducted and killed a 21 year old woman named, Lynda AnnHealy. Lynda didn’t show up for work or dinner that day friends and family started to worry. Healy’s parents immediately called the police. Soon after they found blood dripping from LyndaAnnn’s mattress. Police also found a night gown close to the bed with blood all over it. Herclothes and backpack from the night before were also missing. Where was Lynda Ann though?Investigators were puzzled there was no evidence whatsoever that would help lead them toLynda.Six weeks later, a 19 year old college student never arrived at a jazz concert she wasgoing to. The next month a freshman girl disappeared on the way to a movie. Two other womendisappeared over the next two months.Seven girls had vanished through out the states of Utah,Oregon and Washington, within the spring and summer of 1974. All the girls had strikingsimilarities, they were all thin white girls who had parted hair and were wearing slacks at theTed would use fake casts, splints, and crutches to get his victims to help him. He woulduse little things like how he needed help to carry his books or load up his car. In July 1974though, he was able to convince a Janet Ott to help him load a sailboat up at his parent’s house. A couple picnicking near by, remembered a handsome young man approaching Ott. From whatthe couple could hear, the man’s name was Ted. The girl was never seen again. That same dayhe abducted 18 year old Denise Naslund while at a park. Ted had now abducted two people inbroad daylight using his real name. People would not believe that a killer would actually use hisreal name. This lead the press to call t hese cases the â€Å"Ted† cases. In 1974 the first pieces ofbodies were slowly being found. The police began to discover the severity and scope of thekiller.By this time Ted had moved to Utah where he became a dormitory manager at theUniversity of Utah. Here in Utah he killed 16 year old Nancy Wilcox. Three weeks later hekilled 17 year old Melissa Smith. Melissa’s father was the Midvale, Utah’s, Police Chief. Mr. .uab4f6d0b1fa820cc218c8538df0c3435 , .uab4f6d0b1fa820cc218c8538df0c3435 .postImageUrl , .uab4f6d0b1fa820cc218c8538df0c3435 .centered-text-area { min-height: 80px; position: relative; } .uab4f6d0b1fa820cc218c8538df0c3435 , .uab4f6d0b1fa820cc218c8538df0c3435:hover , .uab4f6d0b1fa820cc218c8538df0c3435:visited , .uab4f6d0b1fa820cc218c8538df0c3435:active { border:0!important; } .uab4f6d0b1fa820cc218c8538df0c3435 .clearfix:after { content: ""; display: table; clear: both; } .uab4f6d0b1fa820cc218c8538df0c3435 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .uab4f6d0b1fa820cc218c8538df0c3435:active , .uab4f6d0b1fa820cc218c8538df0c3435:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .uab4f6d0b1fa820cc218c8538df0c3435 .centered-text-area { width: 100%; position: relative ; } .uab4f6d0b1fa820cc218c8538df0c3435 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .uab4f6d0b1fa820cc218c8538df0c3435 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .uab4f6d0b1fa820cc218c8538df0c3435 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .uab4f6d0b1fa820cc218c8538df0c3435:hover .ctaButton { background-color: #34495E!important; } .uab4f6d0b1fa820cc218c8538df0c3435 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .uab4f6d0b1fa820cc218c8538df0c3435 .uab4f6d0b1fa820cc218c8538df0c3435-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .uab4f6d0b1fa820cc218c8538df0c3435:after { content: ""; display: block; clear: both; } READ: The House on Mango Street: Seeking Independence EssaySmith would warn her about the dangers of the world, because of all the wrong he had seenthrough out his career. His worst nightmare came true on October 18 1974, when Melissadisappeared. Ted had killed at least 11 times in Utah and nearby Colorado. Police would soon get there break in the case. Ted would approach 18 year old CarolDaRonch. Ted told her that he had seen someone try to break into her car and he would reallylike it if she would go along with him to the parking lot to see if anything had been stolen. Carolassumed the man was mall security because he seemed so in control of the situation. When theygot to the car Carol told Ted that everything was there. Ted who had told Carol his name wasOfficer Roseland, was not satisfied and wanted to take her to police headquarters. He wantedher to file a complaint. When he led her to a Volkswagen bug, she became suspicious and askedfor identification. Ted pulled out a gold badge quickly and escorted her into the car. Ted droveoff in the opposite direction of the police station. After a short while of being in the car Tedtried to put handcuffs on Carol. Carol screamed and Ted pulled out a handgun and threatened tokill her. Carol soon found herself up against the car while Ted had a crowbar in his hand readyto strike her in the head. She kicked his genitals and managed to break free, she ran towards theroad and caught the attention of a couple, who drove her to the police station. Carol told themwhat happened and gave a description.2Her reports of the events including his attempted use ofhandcuffs and a crowbar would provide significant evidence leadi ng to Ted’s eventual arrest. Afew days later, off Carols coat a blood type was found. It was type O, the same as Ted Bundy’s,In August 1975 Ted was stopped for driving suspiciously. The car would be searchedand Ted was arrested. 3 At the time of arrest. A crowbar, ice pick, ski mask, mask of Bibliography: