Health Care Program Evaluation Plan Health And Social Care Essay

Health Care Program Evaluation Plan Health And Social Care Essay The question of how to treat people who are mentally ill is highly controversial. In the not-so-distant past, people with mental illness were confined in insane asylums, where they lived in conditions of degradation, physical abuse and squalor. Mental health professionals now agree that such treatment was barbaric and that patients should receive supportive care. Opinions differ sharply, however, on what kind of treatment best serves this population of people interests. How mental illness is treated varies in every civilization, culture, century, and religion. Some religions encourage its members to do well even towards mentally ill people. The treatments carried out go from dancing to chants to tortures and exorcisms, and some treatments do more damage to the patient than good. As time passes by, the term mental illness carries with a stigma that affects not only the patient, but also his/her family. With the increasing prominence of the health promotion theory, there exists a shift towards emphasizing wellness, empowerment, and empirically supported treatment. Mentally ill people are treated more humanely at present than when compared to the only several decades ago. Adjustments are being strategized in order to address the increasing demand of mental health education and ensure the implementation of new programs in order to maintain common ground among stakeholders. Drastic changes and the need for mental health reform based on recurrences of violence within communities have played a vital role in stakeholders rethinking mental health issues, particularly what treatments are appropriate. Historically, practices of health promotion can be incorporated into evidence based with the treatment being used in programs that have been implemented for those co-morbid health conditions with mental health problems. Background of the Problem Mental health programs require a set of skills that are accessible and different from traditional programs that have been set in place but have failed the system. Through the use of monograph, a method of research or literature written about a single, specific subject, it can be deduced that the pathways to effective care are often unclear and extremely difficult to negotiate, especially for young people and their families, and for people from backgrounds that are not part of the dominant mainstream culture (National Health Strategy, 2000, p.7). In other words, there exists a disparity between social classes in the effective distribution of health care, that regarding mental health notwithstanding. This socio-economic disparity is no longer a new issue. Even in other instances, especially in the realm of healthcare, care services are not equally distributed among those who need it. It is usual that patients from low socio-economic classes are the less privileged, subjected to public humiliation and unconventional treatment; while those with a secure financial capacity are more likely to receive immediate and humane treatment. Intervention approaches into mental health vary depending on the disorder and severity of symptoms. Integrating programs and new policies in the decision-making intervention is in the forefront objective of the National Institute of Mental Health (NIMH). According to the NHS (2000, p.89), the main actors in the delivery of health care should have a pervasive awareness of the diverse cultural and linguistic backgrounds of the people, as differences in culture and language, among others, can be a hurdle in the design and implementation of a health care program. This is not to say that efforts were not carried out to create programs to address mental health problems. However, some programs are either lacking in content or is not applicable to a particular group of people. Therefore, a program may produce significant results for adult patients, but may fail when applied to younger patients with the same mental illness. As such, the need for holistic and specific programs for mental health is high. Several measures should be taken into consideration first before a particular mental health program is to be designed and implemented. The severity of the illness and its symptoms, as well as the patients capacity to maintain treatment, among others, should be well taken into consideration. Literature Review This literature review has been prepared for evaluation of Mental Health programs, which will focus on the following topics: definition of mental health; mental health issues; treatments and therapy; global mental health policies, and legislation; and the process of evaluating a health care program, particularly that of mental health. Available literature on mental health focuses on programs that are in place and the implementation of new programs through integrating health promotion where a review of literature illustrate how the field of health promotion can be mainstreamed into all aspects of community mental health care, in policies, principles, and practices. It contains an array of clinical cases, historical analyses, assessment models, evidence-based interventions and evaluation tools, and strategies for policy reform. Definition of mental health The World Health Organization (2013) defines mental health as the state of complete physical, mental and social well-being, and not merely the absence of disease. Furthermore, it is defined as a state of well-being where an individual can realize his potential as a person, adopt measures in coping with lifes stressors, work productively while staying emotionally well, and contribute to the development of the community with which he belongs to. Mental health issues Mental health treatments Mental illnesses are developed due to various and sometimes interrelated factors, making it difficult to clearly predict the progress of a mentally ill person (SANE, 2010). Sometimes, the symptoms are so confusing that the patient himself is not aware that they are already experiencing a mental disorder. Initial assessment is done to identify whether the patient is suffering from a mental disorder. The diagnosis will be derived from a particular pattern of symptoms that the doctor will have to observe in the patient. Symptoms include (SANE, 2010, in Better Health, 2012): 1) feeling down for a long period of time; 2) insomnia or inability to sleep; and 3) easily distracted and inability to concentrate. From there, the doctor will decide how to best treat the symptoms and then further observe the patient for any other more specific symptoms. In the field of mental health, diagnoses can change several times as the symptoms change, progress, or disappear. Likewise, it can change as more information surfaces from the patient himself through their sessions together. The doctor then should be able to critically delineate the differences between symptoms and suggest a treatment that would best help the patient. In other words, there is no fixed treatment or medication for a single individual with a mental disorder until all the needed criteria appears in the patients behaviors (SANE, 2010, in Better Health, 2012). There are, however, several ways in treating mental health disorders and helping patients cope and recover from mental illness. There are two main types of treatments: psychological treatments and medication. Psychological treatments are carried out on patients with anxiety disorders or depression as it helps reduce stress levels brought about or has resulted to the symptoms experienced by the patient. These treatments, or therapies, are based on how an individual react to, think about, and perceive things (SANE, 2010, in Better Health, 2012). Therapies are also called talking cure (Discovery Health, 2013) because emotional and physical pain is alleviated by talking about it. Medications are provided to patients who have a more serious form of the disorder. There is a specific type of medication for a specific type of disorder, and they are usually highly prescriptive. Sometimes, it is given with a combination of other prescriptive drugs or with psychological therapies. It includes (Better Health, 2012): 1) antidepressants, which is given to patients with depression primarily and, with psychotherapy, to those with phobias, panic disorders, obsessive compulsive disorder (OCD), or eating disorders (bulimia, anorexia); 2) antipsychotic medications, which is used to treat illnesses such as schizophrenia and bipolarism; and 3) mood stabilizing medications, which regulates the occurrence of major depression and high episodes in patients with manic disorder. Care should be extended, however, when using medications for mental health disorders. Although the benefits are high, there are still some harmful side effects that might affect the patient especially when used for a long term at variable doses (SANE, 2010). If available, newer generations of medications are to be given to the patient, as this has lesser side-effects (Better Health, 2012). Apart from these two major types of treatment, the concept of community support as a way to help patients cope and recover from mental illness is fast becoming a choice for professionals and patients alike. Community support efforts include information, accommodation, help with finding suitable work, training and education, psychosocial rehabilitation and mutual support groups (SANE, 2010; and Better Health, 2012). Global mental health policies Kiresuk and Sherman (1968) have identified the rather contrasting two-fold identity of the goals of the mental health enterprise: a) highly philosophical in that theories are formulated in distinct relationships; or b) highly objective and focuses mainly on patient-therapy goals. These goals may be used to calibrate a mental health program to better cater to a wider group of concerned people. Furthermore, understanding the elements interacting between the patient and therapist in various stages of their relationship can aid in designing programs for community mental health. Mental health policies are rules and regulations written by the Government or its corresponding Health Ministry or Department. It includes the goals, priorities, and the main direction stakeholders have to take in order to effectively implement the services enclosed therein. Some of the components of a mental health policy include (WHO, 2005): advocacy, which is the individual and social action on raising public awareness and policy support; promotion, enabling patients to take control of and improve their mental well-being; prevention or the immediate application of measures to promote individual and community well-being and educational and informational campaigns; treatment and the carrying out of relevant care, whether clinical or non-clinical, to reduce the negative impacts of mental illness and improve patients quality of life; and rehabilitation where knowledge and skills learning are provided to mentally ill patients to help them achieve a higher and better quality of life despite of their disorder. Mental health policies are the main guiding framework in the design of mental health programs. Each of the components specified above can have its own health program that will help achieve its goals. In fact, mental health programs is to take into consideration both general and specific plans of action required by all stakeholders to undertake in order for the policy to take effect (WHO, 2005). It identifies what actions are to be done, who must do it, what specific timeframe should be followed, what resources are needed, and where can it be found. According to the WHO (2005), 90.9 percent of countries in the Eastern Mediterranean have national mental health programs in place. More than three quarters, or 76.5 percent, of North and South Americas have such mental health programs while only 52.9 percent of Europe does. Community care is the most basic unit to perform and provide healthcare services to citizens. Therefore, their presence is vital in supporting patients with mental disorders at the community level. About 75 percent of North and South American countries have existing community care facilities (WHO, 2005). On a global scale, however, a wider disparity is discovered. Only half of low-income countries have established community centers while 90-97 percent of high-income countries have such community centers. Some examples of these community centers are daycare centers, therapeutic and residential services, crisis residential services, sheltered homes, clubhouses, community mental health services which cater to all age groups (children, adolescents, elderly), and agricultural psychiatric rehabilitation villages, among others (WHO, 2005). Global mental health legislation Mental health legislation should not be confused with health policies. These are legal provisions for the protection of the basic human and civil rights of people with mental disorders (WHO, 2005). Mental health legislation deals not only with how dangerous mentally ill patients are to be restrained and protected, but also with the maintenance of treatment facilities and personnel, training of professionals, and the whole structure of providing mental health services. It also dictates and regulates the procedures in compulsory admissions, discharge procedures, and appeals, among others. Laws on mental health are present in 75 percent of North and South American Countries. This is still low in contrast to 91.8 percent of European countries. Eastern Mediterranean countries have the smallest coverage at only 57.1 percent. Knowing the coverage of mental health laws is vital in understanding how mental health is prioritized on a global scale. The timeliness of the laws needs to be considered as well. More recently existing laws may be more encompassing than older laws in the sense that evaluation processes have already been applied to it. Older laws may not be able on track with the fast changing pace of culture, society, and technology. As such, laws enacted earlier than 1990 may be ineffective because evidence-based treatment methods are not yet available during that time (WHO, 2005). More than half of existing legislation across the globe is enacted between 1990 and 2004. North and South American countries with mental health laws have enacted 58.4 percent their most recent legislatures within this time frame. There still lies the fact, however, that half of the existing legislations were designed and enacted all the way back to the 60s (WHO, 2005). One of the major facets of mental health legislations is the provision of disability benefits for mentally ill patients and their families. In some cases, the disability benefit is incorporated in mental health laws. In others, particularly in countries without specific mental health legislation, the disability benefit is part of a wider scale of health legislation. Half of low-income countries have disability benefit provisions, while a hundred percent of all high-income countries are covered (WHO, 2005). There are, however, less researches delving into the degree of implementation and the spread of coverage of mental health legislations and its accompanying provisions. Moreover, there is a need to identify what services or benefits do particular countries provided for individuals with mental health disorders. As such, these areas need to be researched into more to better accommodate to the needs of individuals and families who need it. Evaluating mental health programs Atkisson, et al (2010) has a conceptual model laying out the three components involved in evaluating a community mental health program. These three components are: a) levels of evaluative activity; b) functional roles of the evaluator; c) and the capability of the program information. This working model may be used in the assessment of the evaluation capability of mental health problems. Proper use of the model could generate a better evaluation strategy. Although outdated, Hagedon, et al. (1976) has written a reliable manual on determining appropriate evaluation strategies and in planning evaluations. Evaluations, as the authors have suggested, should be done in cycles. Monitoring and evaluation should be schedule annually or bi-annually. This allows the program to be constantly updated, making it easily be adopted into a community. Changing cultural and technological elements could pose threats or opportunities to the conduct of the program. Hargreaves, et al. (1977) states that addressing issues in a programs information system and adequately assessing outcome studies eventually act on the programs processes and integrity, as well as the stakeholders welfare. An effective mental health program should have a similarly effective system of collating and analyzing feedback, which may be used to further improve the program. The evaluation plan describes in detail how a program will be monitored and evaluated. The intention of using the results for program development and decision-making should also be made clear (Centers for Disease Control and Prevention, 2011). A program evaluation must be carried out with a clear purpose in mind. In fact, in designing a plan for program evaluation, the expectations to be derived from the conduct of the evaluation should be already considered. However, the evaluation design and the actual implementation should not be carried out by just anybody. The evaluation should be done by someone knowledgeable of the processes of evaluation and must also have an understanding of the program being evaluated. Otherwise, the evaluation process might not be able to achieve its objectives. The evaluation design should be able to identify the specific group or group of people for which the program is intended for and would have access to. The methods to be used should be able to capture the needs of the stakeholders while maintaining excellence in the delivery of health care. The Minnesota Department of Health (2010), identified six reasons on why there is a need to monitor and evaluate the processes of a program: 1) to determine whether the objectives of the program is being achieved in the short-term; 2) to improve how the program is being implemented; 3) to provide a degree of liability to the funding agencies and the community with which the program is intended for; 4) to increase the stakeholders awareness of the program and encourage support; 5) to contribution to the current pool of knowledge and practices in the scientific undertaking of public health interventions; and lastly, 5) to inform and influence the decisions of the higher policy-making body, e.g., the government. A scientifically-sound evaluation has similarly scientifically-sound program objectives. According to Wilburn and Wilburn (n.d.), program objectives should be S-M-A-R-T: specific, measureable, achievable, realistic, and time-specific. It is ideal that an evaluation design is all-encompassing; however, as was said in the introduction, that it has to be specific to be able to fit the needs of the stakeholders better. Measureable concepts should be incorporated into each objective to aid in the attainment of quantifiable variables. It should also be realistic, not idealistic, and should follow a practical timeframe. The right questions should be able to answer the questions what, how, and why it matters (Centers for Disease Control and Prevention, 2011). The evaluation design should be able to: 1) state the need for the implementation of the program and its relation to the intended effects (clarify the purpose and anticipated outcomes); 2) lay down the processes in the program implementation and identify whether it works well with the overall evaluation design; 3) clarify with short-term information if changes need to be done in the existing processes of the program; and 4) provide a rationale about the programs importance and impact to the field of mental health. The evaluation must apply not only to the program per se, but also to how the application of changes will affect the programs intended outcomes. There are other variables to be considered for evaluation. One is the nature of the stakeholders. Is the program able to capture the stakeholders and address their needs? Are they the right ones with whom to apply the program? Identifying the right stakeholders for the implementation of the program is vital in ensuring that the message is carried across. As such, the location where the program was implemented should also be evaluated. Cultural, social, and political issues must be considered as these could have an effect in the distribution of the program. Likewise, time should also be evaluated. This pertains not only to the timeframe or schedule of implementation of the program activities, but also on the timeliness of the program implementation. The last thing that should be subjected to evaluation is the output. Is it what the program intends to achieve? What went wrong? All the information from the monitoring and evaluation will be collated and considered as vital feedback. Feedback needs to be gathered to be used in the further development and improvement of the programs design. After the step-by-step process of evaluation is completed, the results will be integrated into the original mental health program. Recommendations for future researchers will be produced, such as the conduct of a second evaluation on the same program after it had been subjected to changes as a result of the initial evaluation. The design and methodological processes to be followed in the evaluation of a mental health program will be discussed in detail in the succeeding paragraphs. Goals and Objectives This research study primarily aims to identify a method that will be used to effectively evaluate mental health programs. Specifically, this research aims to: Identify the socio-demographic characteristics of the patients and families using the mental health program; Identify their information needs; Determine their attitudes and perception towards the mental health program; and Determine the strengths and weaknesses of the program through a professionals perspective. Theoretical Framework The main reason for conducting a program evaluation is to determine the efficiency of a program, particularly in terms of whether physical and financial resources are being used wisely, the programs performance and objectives are working with the design, and is following the processes set for it (Lindeman, 2010). Based on the literature review gathered for this research, mental health program evaluations mostly focus on how the program could better adapt to certain situations. Certain social conditions call for a more customized program, given that the current specifications of a program may not be suitable for another individual or group of individuals. Therefore, interventions must be carried out to ascertain the effectiveness of a mental health program. By using a program theory, the evaluation of the program may be guided accordingly. The program theory is only recently integrated into the field of public health, as it is mainly used in social science research. The program theory, by definition, is a conceptual plan, with some details about what the program is and how it is expected to work (Issel, 2009). The program theory has two main components: 1) process theory; and 2) effect theory. Process theory is concerned with the program per se, while the effect theory is concerned with the use of interventions. Similar programs, like in the realm of public health and its programs against obesity, consider evaluation as a very important process. It follows the same way of formulation of objectives and the creation of sound evaluation plan. Evaluation Model Design This research will follow a multi-design evaluation. It will make use of the responsive evaluation, followed by the participatory/collaborative form of evaluation, and then the utilization-focused evaluation. The use of a multi-design evaluation allows the researcher to better make use of the information that will be gathered for evaluation. The first design is the Responsive Evaluation type of evaluation model and approach, which is concerned with identifying how the program would look like to different people. This design must take into consideration what stakeholders need to satisfy their thirst for information. In relation to responsive evaluation design, the participatory/collaborative form of evaluation may be used to further identify how the stakeholders view the program and what they could suggest be done to improve it. Their information needs will then be enumerated and considered. Once the information needs are identified, this will undergo utilization-focused evaluation. This allows stakeholders to take part in the evaluation process, which will be used ultimately in the decision-making phase of the evaluation. The information will also be integrated into the program itself so as to better calibrate it to fit the specific needs of the stakeholders. The model below shows how these evaluation designs will be utilized to be able to evaluate a mental health program better. INPUT OUTPUT PROCESS STAKEHOLDERS How does the program look like to different people? PARTICIPATORY/COLLABORATIVE What are the information needs of those closest to the program? CONSUMERS EXPERT INFORMATION NEEDS What are the information needs of stakeholders, and how will they use the findings? Figure 1. The Multi-Design Evaluation Model The study aims to create a viable evaluation model to use in evaluating mental health programs. For this research, both primary and secondary research will be utilized. The primary research will be conducted with the use of a survey questionnaire and interview for research instrument to gather both quantitative and qualitative information. Respondents will be identified and the questionnaire will be distributed to them. Interviews will be scheduled accordingly. Quantitative methods will be employed as this is a flexible and iterative approach in researching information. Consecutively, the research will also make use of qualitative information which will be used to locate and develop theories that would explicate the relationship of one variable with another. As such, behavior, attitudes, opinions, and beliefs on the subject matter at hand will be identified and quantified easier. Secondary research will also be carried out as well. Statistics and results from previous studies will be incorporated into this research and then compared with the results of this study. Evaluation Methods Respondents of the Study Following the evaluation designs stated above, this research will identify stakeholders to help in evaluating the program. Consumers and professionals will be asked to assess the program and their attitudes and perceptions toward it will be gauged. It is vital to determine and identify the respondents to be used for this study. The consumers may be the direct beneficiaries of the program to their close relatives who have personally observed how the program was implemented. Their personal experience on the program implementation would paint a picture of the applicability and fit of the program to various demographic. On the other hand, the professionals will be third-party experts who are knowledgeable in the field. These may be psychiatrists, psychologists, or program implementers. Their expertise on the field would contribute to the identification of whats lacking or missing in the program. Sampling Method The researcher will use two sampling strategies: random and purposive. The purposive type of sampling allows for a more flexible way of choosing respondents, given that the classifications needed are not entirely that applicable to a general group of people. Likewise, this is easier to carry out by the researcher without compromising the results of the study. Psychologists, psychiatrists, and program implementers will be purposively identified based on their availability on the subject matter at hand. On the other hand, the program consumers will be identified randomly. A list of the program beneficiaries will be retrieved from authorities. Then, random sampling will be used to identify who among the beneficiaries will be interviewed. If ever the patient beneficiary will be unavailable for interview, their immediate family members will be contacted in their place. Research Instrument To gather pertinent information from the respondents, the researcher will create a questionnaire, one set for each of the respondents. The instrument will include socio-demographic characteristics, identification of attitudes and perceptions towards the program, suggestions for improvement, among others. The major objective of using a survey questionnaire is to gather both quantitative and qualitative information from the respondents. The research instrument will use a combination of open and closed questions. Closed questions will be used at the most, especially in identifying the socio-demographic characteristics of the respondents. Through the use of closed questions, the choices will be limited within the scope of the study; thus, allowing the researcher to easily encode the answers. Moreover, using closed-ended questions would help keep the results in line with the researchs problem statement and objectives. As such, open-ended questions will nonetheless be used. Using this type of questions will allow the researcher to gather qualitative data. For example, their experiences on how the mental health program was implemented on them are better off detailed than limited to a set of questions. Themes are captured as they emerge from the respondents accounts. The attitudes of the respondents toward the mental health program will be gauged with the use of a five-point Likert scale. The Likert scale is a rating scale that allows the respondents to indicate his/her level of agreement or disagreement towards a particular event, situation, or part of the program. The equivalent weights that would correspond to the degree of agreement or disagreement are as follows: RANGE INTERPRETATION 4.50 5.00 Strongly agree 3.50 4.49 Agree 2.50 3.49 Uncertain 1.50 2.49 Disagree 1.00 1.49 Strongly disagree To test its reliability, the one-shot research administered survey instrument will be pre-tested to a group of individuals. The instrument will then be revised as per the comments and suggestions derived from the pre-testing. The survey questionnaire is chosen as a research instrument since they are easy to construct. Likewise, questionnaires may be easily reproduced and can be delivered to the respondents by mail or by hand. Data Collection For this research, data will be gathered; information will be collated from previously published studies from local and international universities. The researcher will then summarize the secondary information, make a conclusion and a generalization, if applicable, and then provide recommendations which may be useful for this research. The researc

Compare and contrast David Landes’ and Andre Gunder Frank’s explanations of economic development and underdevelopment Essay

Prompt: Compare and contrast David Landes’ and Andre Gunder Frank’s explanations of economic development and underdevelopment. How do these authors explain the development of Japan in the 19th century? This paper will analyze the arguments on development and underdevelopment from the point of view of David Landes and Andre Gunder Frank. At the very beginning of Frank’s essay, he clarifies three characteristics of countries, developed, underdeveloped and undeveloped. Meaning of developed country is obvious but Frank states that there are misconceptions about the other two terms. Undeveloped basically refers to countries that is not yet start developing or did not manage to develop whereas underdeveloped means not completely developed but still developing. Some of underdeveloped countries are dealing with the issue of disparities in income and cultural differences among the society. This situation leads to existence of social classes and this is called ‘dual society’. Main reason of this problem is while the capitalists are growing economically, the other part remains isolated thus they are less developed. According to Frank, Japan grew rapidly after the Meiji Restoration. Industrialization period was very successful in Japan even though they do not have adequate resource. Reason of this growth is Japan is not satellized during the Tokugawa and Meiji period. As a result development of Japan was greater than other satellized countries such as Russia and South American countries. On the other hand David Landes suggested some ideas that caused Japanese development. Landes thinks that society plays an important role on development. They were highly motivated to work for their country and they believed that their country would develop such as European countries. Thus they inspired by their success and carried themselves country to the same level.

Recession Cause Changes In The Auditing Profession Finance Essay - Free Essay Example

Sample details Pages: 5 Words: 1553 Downloads: 10 Date added: 2017/06/26 Category Finance Essay Type Analytical essay Did you like this example? The financial meltdown of 2007 was a calamity to the world economy. The meltdown initiated a period of severe instability to the global financial system which resulted in the failure of several financials giants and billions of dollars from stimulus packages issued by governments around the world. However, the collapse of the housing market was the epicenter of the financial meltdown. It created a domino effect which in turn shook the economic stability of the United States severely affecting financial markets, banks, corporations, small businesses, and ultimately consumers. Causes of the current financial recession: The financial collapse in 2007 was triggered due to the collapse of the housing market. The housing bubble in the United States started in the mid 90s. (Baker, 2008) In the years prior to the collapse, low interest rates were pushed by the Fed in an effort to increase homeownership in the United States. This led to a rapid and continuous increase in the demand as well as the prices of residential properties. Given the circumstances, Wall Street investment banks grouped the loans and offered them as mortgage backed securities to investors. Mortgage backed securities represented the right to the debt obligation on residential properties. Under the conditions at the time, it was blindly assumed that real estate values would continuously rise and when such is the case, where the value of an asset is assumed to be constantly increasing, the concept of risk associated with that asset diminishes. Therefore, lenders increased their issuance of loans to the general public. Subprime and adju stable rate mortgages, arms, were loans given to less than qualified buyers and their riskiness was almost always ignored. The extension of credit through subprime and adjustable rate mortgages resulted in millions of defaults around the country. The adverse affects of this process were made widely apparent when mortgage backed securities began to collapse as a result of widespread mortgage defaults. As the demand in the housing market was increasing rapidly, construction companies saw the need to accommodate prospective homeowners. This led to a home building frenzy which eventually led to a highly saturated market. Furthermore, when housing sales began diminishing, a large number of newly built homes were left empty and even more were left in progress as construction halted due to unprofitability. It is widely believed by many people that the main causes of this crisis were greed and market failure. However, the governments lack of appropriate policy making also contributed significantly to this crisis. Homes are often the most valuable asset of a family. Thus, it had always been an objective of the government to increase home ownership in the United States. Therefore, in an effort to support people, who otherwise were not worthy candidates for homeownership, the government pushed to lower lending standards. To keep recession away, the Federal Reserve lowered the Federal funds rate 11 times -ÂÂ  from 6.5% in May 2000 to 1.75% in December 2001 -ÂÂ  creating a flood of liquidity in the economy. (Manoj, Oct 2010) Down the road, these policies eventually led to the issuance of subprime and arm loans. Furthermore, later, as the demand for houses decreased, investors were the first to pull out causing another shock to the already stagnant market. (Christie, April 2007) Don’t waste time! Our writers will create an original "Recession Cause Changes In The Auditing Profession Finance Essay" essay for you Create order Did the auditing profession contribute to the financial meltdown? The purpose of auditing is to provide investors as well as other users of financial statements with complete and accurate financial information. This objective is achieved through analyzing and assessing a corporations financial information and issuing a statement based upon the gathered evidence. In achieving this object, it is essential to thoroughly examine a corporations major sources of revenue and their reliability. Furthermore, it is quintessential to determine whether or not a corporations business practices are ethical and lawful. Failure to follow these procedures can also be looked upon as a failure on the part of auditors to perform their job correctly. Therefore, taking into account the purpose of auditing, it is not farfetched to say that the auditing profession did indeed contribute to the financial meltdown, because of its failure to detect the highly risky business practices of many banks and corporations as well as failing to catch the material misstatements on th eir financial statements. Furthermore, during the financial crisis, auditors were placed under a lot of scrutiny by people for failing to perform their jobs correctly. For example, an audit of a mortgage company should have began with looking at their products and services, speaking to brokers and underwriters in detail, checking the creditworthiness of borrowers, examining all related paperwork, and assessing the risk of recovering the loans. An in depth analysis of the business process of such companies should have alerted auditors about the red flags of a possible failure. In many instances, lenders were practicing predatory lending, in which consumers were mislead into signing contracts of which they knew not the details of. In consistency with the objectives of auditing, it was the responsibility of auditors to discover and report such unethical acts in their reports. However, hundreds of firms continued to practice this method of lending so that they may sell the loans t o banks on Wall Street. The lack of specialized auditors for the financial industry was also another reason for the failure to detect the misstatements on financial reports. Due to the fact that many banks were performing operations with risky and highly complex financial tools such as derivatives, it was difficult for auditors to detect fraud and report accurately on these operations. Fannie Mae paid Deloitte $49.3 million in fees in 2007. The firm was hired by Fannie Mae in 2005 because its predecessor KPMG missed accounting errors that cost the housing finance company $9 billion in previously reported profit. (Berr, Sept 2008) The necessity for diligent auditors to perform their work with greater accuracy was evident in the years before the financial collapse. Shareholders lost large percentages of their investments and suffered greatly; it could have been possible for these shareholders investment to be safer if auditors would have been able to spot red flags related to the c ollapse. Will the recession cause changes in the auditing profession? The failure of several major banks, insurance companies, and mortgage companies, among others during this recession has left a lasting impression on the auditing profession. Due to the failure of many auditors to detect fraud and material misstatements on the financial statements of many firms, it is more than likely that the auditing profession will have to undergo more stringent policies and procedures. There is no doubt that stricter policies must be implemented to prevent any future financial crises. Enforcing auditors to focus more on governance as part of their audit would improve the audits effectiveness because it would allow auditors to gain insight on the activities of the board of directors as well as any relevant committees. Furthermore, this will also give insight on the different employee positions and what their rights and responsibilities are. By focusing on governance, auditors will also get a better understanding of the firms environment and be able to determin e the nature of the controls as well as that of the personnel. In addition, implementation of stringent guidelines for internal auditors would significantly reduce the risk of fraud and material misstatements. It would allow for a more ethical business environment because internal auditors would be present throughout the fiscal year and would be able to provide the board of directors with thorough assessments. An important change required in the auditing profession is to make the guidelines on when to use and not to use auditing specialists. In recent years, during the peak of the financial crisis, many auditors failed to detect risks associated with complex financial instruments used by corporations. Requiring the use of competent and diligent audit specialist will ensure the quality of the audit performed. On the other side of the spectrum, however, one can also argue that the blame for the financial crisis solely lies upon auditors. Auditors jobs are not to predict the f uture but instead their job is to make sure that corporations have provided reliable information on their financial statements. (ACCA, Oct 2010) Conclusion The financial crisis of 2007 was one of the worst economic disasters since the Great Depression. In the turmoil, hundreds of banks defaulted; financial giants, such as: Merryl Lynch, Lehman Brothers, and Bear Stearns went bankrupt or were bought out. The housing and mortgage crisis played out to be the originator of the domino affect which resulted in severe calamity across the financial world. Even with billions of dollars worth of government funding, many toxic assets were still left untouched and on the books of lenders. The auditing profession contributed to the financial crisis through a lack of following the proper procedures and failing to detect the risks that were present in these firms. It is up to the auditor to issue an opinion on the financial statements of firms and one could argue that the auditors failed to give an appropriate opinion. More stringent rules and regulations will help auditors be able to perform their jobs with greater competence. In the aftermath of t he financial crisis, the global economy has still not fully recovered. Furthermore, many economists believe that a double dip recession could be headed our way. Enforcing stricter auditing policies would definitely help mitigate possible threats to our financial stability and to our economy.

This essay is about the revolution of cell phones both...

The Cell Phone Revolution Since the beginning of the industrial revolution, the world has become a smaller place. The time used to travel to far distances has diminished; with the growth of new technologies, traveling and communicating have become simple daily tasks for many people. Through the growth of global communication, people have become closer to others across the globe, and business has gone world wide. One invention that came along with the technological revolution is the cell phone. Cell phones allow us to be reachable anywhere at anytime, letting us communicate even during travel. As time becomes more valuable for people, the importance of accessibility to communication also increases. With cell phones, the communication and†¦show more content†¦in Bermant). Although many of these new technologies are possible and useful because of the cell phone, there are some downsides that come with this device. One downside is the danger of cell phones usage while operating mechanical vehicles such as cars. Because cell phones let us be so mobile, they also let us talk in situations where we are doing something else. While a person is in the middle of a discussion, he can be distracted from anything else he is doing. According to study published in the New England Journal of Medicine, the chances of getting into an accident while on a cell phone are increased by four hundred percent (qtd. in Hua). Another study that was done by scientists in the transport research laboratory suggested that driving while using a cell phone is more hazardous then driving under the influence of alcohol at the permitted blood alcohol content level. The study says that a person on the cell phone reacts half a second slower than an alert driver (qtd. in Wrolstad). Conside ring the results of the research, more legislation is needed for cell phone usage, possibly banning or limiting the usage of cell phones during situations calling for a persons full attention. Another disadvantage of cell phones is the radiation they cause. Every cell phone creates an electro magnetic field (EMF) when it is connecting to the local antenna. This EMF radiation can range from 1.55 SAR (specific absorption rate of radio frequency