Interventions and Strategies for Teenage Pregnancy

Interventions and Strategies for Teenage Pregnancy Matthew Love Families: Teenage Pregnancy One social problem associated with the family is teen pregnancy. Teen pregnancy rates have fallen in recent years; The birth rate for U.S. teenagers aged 15-19 fell 8% from 2014 to 2015, to 22.3 births per 1,000 females aged 15-19, falling below the record low set in 2014. The rate for this group has declined 46% since 2007 and 64% since 1991. (Hamilton 2016). However, the percentage of women age 15-19 in the US is still higher than all industrialized nations in the world (Shah 2014). Rates are higher among black and Hispanic teens, with 4 in 10 becoming pregnant by 20 years of age, as compared with 2 in 10 white teens (Secura et. al. 2014) Individuals affected by teen pregnancy include the parents of the child, as well as the child. According to (Shah 2014) the child is susceptible to low birth weight and premature birth. Those two factors are important for the health and growth of the child (Shah 2014). Fathers are also much more likely to be shut out of raising the child because they are unable to support the child financially (Furstenberg 2016). The children are also more likely to be less successful themselves in school (Secura et. al. 2014). There is also an impact on the economy. Teen pregnancy accounts for close to $10 billion in healthcare costs (Shah 2014). For the teen mothers and fathers, they are at risk of not completing high school at much higher rates (Shah 2014). The Centers for Disease Control (CDC) considers teenage pregnancy a winnable battle, and the goal of the CDC is to reduce the teenage pregnancy rate by 20% (Secura et. al. 2014). Currently, policies in place to help reduce to teen pregnancy are directed through the public education system. In 2010 President Barak Obama started the teen pregnancy prevention initiative (Schalet 2014). The change in this policy from previous policies, is that it no longer required abstinence only education. This policy called for evidence based information to be taught (Schalet 2014). Abstinence only education has been shown to not be effective in delaying sexual activity (Schalet 2014). It can also withhold important information on STDs, risky sexual behavior, and the use of contraception (Schalet 2014). There are also issues with evidence based education in that it tends to be more broad, and does not include complex factors like race, income inequality, and gender differences (Schalet 2014). One specific program aimed at reducing teen pregnancy is called Positive Prevention Plus. The program is funded by the Office if Adolescent Health, and the program teaches both abstinence, communication, and birth control. While the program has not seen significant improvements in teen pregnancy, it has shown improvements in delaying sexual activity. It has also shown improvements in teens using birth control (LaChausse 2016). According to research by Secura et. al. one of the most effective ways to avoid teen pregnancy is long-acting reversible contraception. The issues with long-acting reversible contraception (LARC) are access and cost. Only 5% of teens reported using LARC methods (Secura et. al. 2014). In a study of LARC methods and those that used them The observed rates of pregnancy, birth, and abortion were substantially lower than national rates among all U.S. teens, particularly when compared with sexually experienced U.S. teens (Secura et. al. 2014) Works Cited Shah, M. K., Gee, R. E., Theall, K. P. (2014). Partner support and impact on birth outcomes among teen pregnancies in the United States. Journal of Pediatric and Adolescent Gynecology, 27(1), 14-19. http://doi.org/10.1016/j.jpag.2013.08.002 Secura, Gina M., Madden, Tessa, McNicholas, Colleen, Mullersman, Jennifer, Buckel, Christina M., Zhao, Qiuhong, Peipert, Jeffrey F. (2014) Provision of No-Cost, Long-Acting Contraception and Teenage Pregnancy. New England Journal of Medicine, 14, 1316-1323, http://www.nejm.org/doi/full/10.1056/NEJMoa1400506 New England Journal of Medicine October 2, 2014 371(14):1316 Furstenberg, F. (2016). Reconsidering Teenage Pregnancy and Parenthood. Societies, 6(4), 33. http://www.mdpi.com/2075-4698/6/4/33/htm LaChausse, R. G. (2016). A Clustered Randomized Controlled Trial of the Positive Prevention PLUS Adolescent Pregnancy Prevention Program. American Journal of Public Health, 106(Suppl 1), S91-S96. http://doi.org/10.2105/AJPH.2016.303414 Hamilton, B. E., Mathews, T. J. (2016). Continued declines in teen births in the United States, 2015. NCHS data brief, 259, 1-8.

Business Requirements Document Essay

Business requirements are the critical activities of an enterprise that must be performed to meet the organizational objective(s). The BRD should remain solution independent. In the context of the project scoping for hardware procurement and installation, this is about identifying and documenting the business requirements of customers, employees, and vendors early in the development cycle to guide the design of the future state. Business requirements are captured by analyzing the current business activities and processes of the as-is state (current process) and defining a target state (to-be process) that will deliver the planned business outcomes that contribute to the organizational objectives. Objectives of the BRD: Stakeholders to gain agreement with stakeholders about what will and will not be delivered Vendors to provide a foundation to communicate to a vendor (or in-house provider) what the solution needs to do to satisfy the customer’s and business’ needs Sponsors to provide input into the business case development phase of the project Customers to describe ‘what’ (not ‘how’) the customer/business needs will be met by the proposed solution Business Requirements Document (BRD) describes the high level requirements that senior management would understand, for example, SS relationship: The BRD is the foundation for all subsequent project deliverables, describing what inputs and outputs are associated with each process function. The BRD describes what the system would look like from a business perspective, distinguishing between the business solution and the technical solution. Business requirements often include: business context, scope, and background, including reasons for change key business stakeholders that have specific requirements success factors for a future/target state constraints imposed by the business processes or other systems business process models and analysis defining either ‘as-is’ and ‘to-be’ business processes glossaries of business terms, local terminology or acronyms Data flow diagrams to illustrate how data flows through the information systems (different from flowcharts depicting algorithmic flow of business activities). A broad cross section of the business should be involved in the development of the BRD. Categories of Business Requirements There are five levels of requirements that are typically captured at different stages of the BRD development. These are: Level 0 business requirements High-level statements of the goals, objectives, or needs of an organization. They usually describe opportunities that an organization wants to be realized or problems that they want to be solved. Level 1 User (Stakeholder) requirements Mid-level statements of the needs of a particular stakeholder or group of stakeholders. They usually describe levels of interaction with the intended solution. Often acting as a mid-point between the high-level business requirements and more detailed solution requirements. Level 2 Functional (solution) requirements Usually detailed statements of the behavior and information that the solution will need. Level 3 Quality-of-service (non-functional) requirements Usually detailed statements of the conditions under which the solution must remain effective, qualities that the solution must have, or constraints within which it must operate. Examples include reliability, testability, maintainability, availability requirements. They are also known as characteristics, constraints or the non-functional requirements, and Level 4 Implementation (transition) requirements Usually detailed statements of capabilities or behavior required to enable transition from the current state to the desired future state. Examples include recruitment, role changes, and migration of data from one system to  another. The success of a BRD is dependent on the agreement of the business to the need for change and the expected business outcome(s). The BRD provides the opportunity to review the project charter to ensure that the objective, goals/outcomes, scope, project team, and approvers are accurately reflected. Prerequisites for BRD Important pre-requisites for a successful BRD are set out below: A current environment assessment. This includes a detailed process map of the current environment highlighting areas that will be affected by the project. The detailed â€Å"as is† process maps should include: clearly defined start and end points of the process; level 1 and level 2 requirements and stakeholder process functions; defined areas of rework and redundant business processes to be removed; cycle time, capacity and rework information for each process step as available, and Baseline for critical metrics for the current environment. Critical quality or performance metrics validated with baseline measurements, targets and specifications. These include: data defining and describing current performance such as how the product/service’s characteristics are to be quantified; specifying the target for the product/service performance and the acceptable tolerances, and The allowable tolerance for service levels, for example how often the product/service is allowed outside the specification limits. The target environment assessment, including critical quality or performance metrics validated with baseline measurements, targets and specifications. These include: data defining and describing the expected performance such as how the product/service’s characteristics are to be quantified; specifying the target for the product/service performance and the acceptable tolerances, and The allowable tolerance for service levels, for example how often the product/service is allowed outside the specification limits. A detailed process map of the target environment. The following figure 4 illustrates a useful way of framing a process flow. Example of a process flow Other BRD considerations The BRD contains a number of project details – such as constraints, assumptions and dependencies, business rules, scope, measurements reporting and other topics critical to the project. The following should be considered in the context of the overall project and, where appropriate, clearly documented. Any external constraints (e.g. regulatory, legal or locational constraints). Constraints and assumptions relating to the complexity of business requirements, interdependence with other systems, timing of events, the scalability of technical options, reporting requirements and any service limits that may apply. Constraints and assumptions relating to the user numbers (staff and customers), users’ existing capability and training required, degree of user support required IT skills availability and location. An example of the difference between a constraint and an assumption is: an assumption could be the number of users that an online service will have: 10,000 logged-on users per day and no more than 5,000 at any given time, and A constraint relating to the number of users may be that the system has a maximum capacity of 20,000 logged-on users at a given time. Reference CONCEPTUALISE ICT projects technical guidance Business case development; The Secretary Department of Treasury and Finance 1 Treasury Place Melbourne Victoria 3002. Copyright  © State of Victoria 2012.

Illustration Essay - an in Depth Anaylsis on What Works and What Doesnt

Illustration Essay - an in Depth Anaylsis on What Works and What Doesn't Up in Arms About Illustration Essay? Among other sorts of essays, it is among the simplest to write. If you would like to earn a great essay, you must have great examples. Illustrative essays might incorporate both detailed and fast examples. You may wonder what's a reflective essay and the way it's different from the rest of the kinds of essays. The Key to Successful Illustration Essay A reflective essay could possibly be academic in the aspect a student might be asked to compose a lesson learnt in class and reflect its application in actual life. One particular such assignment that you could wind up facing one or two times throughout grade school and college is the reflection essay. Students should develop decent study habits if they are supposed to reach their entire potential in any course or degree. Many students don't understand the significance of reflective essay and so are not able to compose a reflective paper template that is clear to examiners. If you would like to understand how to compose a reflective essay, we'll tell you many secrets for creating powerful and productive work. People with colorful life experience are inclined to be the finest in the illustrative essay enterprise. Significance of contemporary art a lot of people don't comprehend what modern art actually is. Another illustration may be a student who sought treatment for panic attacks because she felt pressured to keep a high GPA so as to continue to keep her scholarship. There are a lot of strategies to find the info necessary for your essay. You ought to be able to create practical examples in your mind while you search the topic sources. The secret to a fantastic illustration essay is selecting a topic that's uncommon but has plenty of perspective about it that you're able to discuss in the write-up. If you are searching for a proofread illustration essays online free of charge, start ou t with the simple rule of online searching i.e. search engine. Illustration Essay: No Longer a Mystery If you must earn reflection essay, at the beginning you must select an intriguing topic to produce readers interested and involved in your part of work. Your readers will be intrigued by it, and you'll give them a great reason to follow you get through the remaining portion of the essay. You might also opt to bring a couple more parts of evidence to be certain the audience understands your point. If you're thinking that you require someone to compose my essay at the moment, you can merely rely on our honest reviews. Give a quick summary of the experience you're reflecting on in a sense that will leave a reader hungry for what's inside the remainder of the essay. Sometimes, you might be missing some fantastic suggestions for your reflective essay topics. Our professional group of writers knows perfectly what is necessary to write an ideal reflective essay. The initial procedure for creating a great illustration essay is to realize the objective of the topic to be discussed. There are lots of topics as soon as it comes to illustration essays that you can pick from and the majority of them are such they test your writing skill and creativity in place of only being factual. A particular case of illustration utilizes a personal experience or other folks experience that is discovered to be dominant to present a vital illustration essay example. To begin with, it's essential to clarify what an illustration essay is. An illustration essay is a typical assignment that permits the student to create an image on a subject using only written words. It is also known as exemplification paper. Sometimes referred to as the exemplification essay, it explains a general principle or idea by using a number of well-chosen examples. 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Learning Disablilites and Delinquency from our Juveniles

Our society has an expectation of a child’s progression through life. That is, they listen to their parents, go to school, study hard, go to college or a trade school, and work hard until retirement. What happens with the children that are struggling in school? Well, some of them go to prison. In our nation, public school is the primary source of education; society has taken on the responsibility of educating the youth of this nation. Therefore, we only have ourselves to blame when an undereducated or uneducated youth is arrested and is incarcerated. I argue that our failure to properly address the special needs of our diverse learning disabled children leads to poor school performance, and in a high number of cases juvenile delinquency. Unfortunately, the learning disability rate among delinquent youth is between 30% and 50%, this is in contrast to the number of special education students represented in public school, which is 10% nationally. The stark difference in the perce ntage of delinquency and learning disabled when compared to the national average of learning disabled has had significant attention from lawmakers, criminologist, educators, and the public. This is not a recent problem. The beginning of special education, happened in the 1800s, as immigrants flooded this county. With them came cultural norms, which were perceived as amoral in the United States. Since most immigrants populated â€Å"urban slums,† school districts created â€Å"manual training classes† to teach