Essay on Who is White - 1706 Words

Considered the greatest nation in the world, the United States is recognized with high esteem for each system it holds. Its political system is powerful; other nations look to the United States to intervene in world issues and politics. Its economic system is also highly relied on. Although the power of the dollar is weakening, the dollar is still seen as a conversion unit around the world. Other nations look to the United States for assistance with their militaries, land development, organization of government, etc. One important aspect of the United States power is its people. Its power does not rely on the population of those living here but on the diversity of this nation. Our government’s race relations are fundamental to the†¦show more content†¦Whites will be a numerical racial minority†¦Ã¢â‚¬  Because of the constant increase in the numbers of other races, sociologists deem it likely to have an effect on the white majority. However, Yancey disa grees with this theory, similar to what was said in class. Yancey says that these assessments are wrong not â€Å"because of incorrect assessments of the growth of racial minorities,† but because the definition of ‘white’ is not stable. The definition changes when more people start to associate themselves as white. Instead of marking ‘Black/African American’ or ‘Hispanic/Latino’ on surveys and exams, people are marking ‘White.† For example, we learned in class that the United States has a population of 244 million whites. Out of the 244 million counted, 44 million were Hispanics. For a racial group to be accepted into the white majority there has to be some process of assimilation. The ability of a minority group to assimilate determines the degree of acceptance experienced by that minority group. The more they are accepted, the easier it is to be accepted. When a minority group transcends and assimilates, instead o f developing a majority group identity, â€Å"they develop an identity that supersedes the racial identities within a given country.† In the case of African Americans, they are unable to assimilate. Yancey’s reasons for this are that, first, the contributions blacks have made already make them a major part of the dominantShow MoreRelatedWho Is The White Collar Workplace?1777 Words   |  8 Pagesthe past. Thompson refutes this statement by addressing the minority that did write for personal success and pleasure by saying, â€Å"The one exception was the white-collar workplace, where jobs in the twentieth century increasingly required more memo and report writing† (Thompson 48-49). In his quote, Thompson acknowledges the minority of writers who would strive to better themselves, but the numbers are now increasing. He uses this as a prime example because it directly correlates to his claim that humansRead MoreJohn White As A Person Who Not Many People1501 Word s   |  7 PagesJohn White, a person who not many people are familiar with. This English born man did so many important things in his lifetime, but just never got recognized. Little is known about John during his early years in England; however, used his abilities to upgrade his station in life, contribute to the art world and journey across the ocean during the Age of Discovery. John White was born roughly between 1540-1550 in the English midlands or Cornwall, which is a southwestern peninsula that is surroundedRead MoreJohn White As A Person Who Not Many People1500 Words   |  6 PagesJohn white, a person who not many people are familiar with. This English born man did so many important things in his lifetime, but just never got recognized. Little is known about John during his early years in England; however, used his abilities to upgrade his station in life, contribute to the art world and journey across the ocean during the Age of Discovery. John White was born roughly between 1540-1550 in the English midlands or Cornwall, which is a southwestern peninsula that is surroundedRead MoreIn Pat Barker’S â€Å"For The White Person Who Wants To Know1364 Words   |  6 PagesIn Pat Barker’s â€Å"For the White Person Who Wants to Know How to Be My Friend,† Pat describes the challenges that she faces when making friends as a person of color. Pat describes how instead of seeing her as a unique individual, people immediately label her as black, and overcompensate their actions and words around her. The friends that Pat associates with are acutely aware of their differences, like tastes in music and food, and feel the need to either explain themselves, or put on a performanceRead MoreComing of Age in The Man Who was Almost a Man by Richard White Dave562 Words   |  3 PagesThe Man Who Was Almost a Man What does it mean for someone to become a man? How does one get the key or password to becoming a man? Some believe that becoming a man is just referring to a coming of age, and it somewhat is, however there is more. In the short story â€Å"The Man Who Was Almost a Man† by Richard white, Dave, the main character is a young boy trying to become a man and is searching for the key. However, there are certain ways to do things in society, and there are ways to not, and bothRead MoreIn A White Heron , the author, Sarah Orne Jewett, describes a young girl who interacts with a900 Words   |  4 PagesIn A White Heron , the author, Sarah Orne Jewett, describes a young girl who interacts with a number of elements that cause her to discover who she is and what she stands for. Sylvia, being only nine years old and coming from a large family from the demanding city life , is moved to her grandmother’s remote farm where she finds herself to be comfortably isolated from the rest o f the world. This, in fact, suits her lack of social ability, and so she finds herself becoming one with nature: both theRead MoreBlack Man Who Was Suspected As The Killer Of A White Off Duty Police Officer Essay1726 Words   |  7 PagesTroy Davis, a black man who was suspected as the killer of a white off-duty police officer, was executed in 2011 with insufficient evidence in the state of Georgia (Bedau). There was no physical evidence or weapon presented in the prosecution and so they had to base their judgement all from eyewitness (Bedau). His execution raised an â€Å"international outcry† due to seven out of nine eyewitnesses contradicted their trial testimony and many of them confessed that they felt pressured or threatened byRead MoreThe Civil Rights Movement : A Black Man Who Looked White Named Homer Plessy1994 Words   |  8 Pages The Civil Rights Movement African Americans were never treated the same as other Americans. One day a black man who looked white named Homer Plessy got sick of sitting in a Jim Crow car so he decided to purchase a first class ticket in the white’s only section on the train. Plessy told the conductor that he was 1/8 black and he refused to move from the car. Removed from the train Plessy was in jail overnight and was released on a 500 dollar bond. Homer Plessy protested that his 13th and his 14thRead MoreClassic Coming of Age Stories in A White Heron by Sarah Orne Jewett and The Man Who Was Almost A Man by Richard Wright935 Words   |  4 Pagesshifting from innocence to gaining experiences. The two coming of age stories that we read in class were â€Å"A White Heron† by Sarah Orne Jewett and â€Å"The Man Who Was Almost A Man† by Richard Wright. Both being coming of age stories, they have similar features but were different in the sense that one protagonist seemed to have made a shift i nto adulthood whereas one did not. Starting of with â€Å"A White Heron†, the story starts with a mellow, quiet mood. Sylvia is walking in the woods with her companion, herRead MoreWhite Privilege By Marilyn Frye936 Words   |  4 PagesWhite privilege is the societal privileges that specifically benefit white people. White privilege is why white people can get pulled over by the police and escape a ticket with just a smile and apology. White privilege is also why whites are in charge of a company and they see a black person, they bypass the application. Whites carry a certain privilege not available to people of color. Marilyn Frye describes how whiteness is a form social and political power. In Marilyn Frye’s article On Being

Breast Cancer Genes Essay - 3402 Words

The Questions Surrounding the Breast Cancer Genes The process of unraveling the mysteries of the human genome creates enormous possibilities in the world of science. Knowing where on our chromosomes a specific gene lies allows scientists to look inside the human body with more intensity than any X-ray could ever achieve. By analyzing the genetic make-up of human beings, scientists can track diseases back to their most fundamental stages. In recent years, scientists have discovered two genes that play a role in the development of various kinds of cancer in both men and women. With the additional ability to test individuals for their possession of deformed copies of these genes, many ethical questions have been raised. Although the†¦show more content†¦This measure is effective in destroying harmful mutations before divisions can cause the mutation to spread and harm vital organs. Furthermore, while normal cells have a finite life span, such that after approximately 50 to 60 divisions they become senescent, cancer cells conti nue growing indefinitely, and are thus called immortal. There are two key ways in which cancerous tumors form. Within the human genome, the two primary gene classes which control cell growth are proto-oncogenes which encourage cell growth, and tumor suppressers which inhibit it. Proto-oncogenes can lead to cancerous growths if mutations in the gene cause it to produce too much growth-stimulatory protein, or a hyper-active form of it. Tumor suppresser genes can also lead to cancerous cell reproduction when mutations make the gene incapable of putting the breaks on reproduction. Normal activity of a proto-oncogene can thus be cancerous if the tumor suppresor genes are rendered incapable of carrying out their function of regulation. With this classification, it is easy to see how one might use gene therapy and recombinant DNA techniques to introduce into the system a fully-functioning tumor suppresser gene. Presumably, if cells are reproducing at a normal rate and are merely incapable of beingShow MoreRelated Breast Cancer Susceptibility Gen es BRCA1 and BRCA2 Essay2987 Words   |  12 PagesBreast cancer is the most common cancer that affects women in the United States. There are at least two majors genes (BRCA1 and BRCA2) that when they mutate can cause breast cancer. These genes can be passed from parent to child, increasing the risk of developing cancer in those child that have parent carrying these genes. BRCA1 and BRCA2 genes are located on chromosome 17 and chromosome 13 respectively. There is a 90% chance of developing breast cancer for a woman that has these mutated genes. InRead MoreAllelic Variation in BRCA Genes Could Be the Key to Understanding Familial Breast Cancer798 Words   |  4 PagesVariation in BRCA Genes Could Be the Key to Understanding Familial Breast Cancer Introduction Breast cancer is an uncontrollable division of cells within the breast tissue that affects about 12% of women in their lifetime. Cancer can be caused by sporadic mutations influenced by environment or by genetic disposition. Several genes play a role in cell division: Oncogenes are responsible for directing mitosis, and tumor suppression genes prevent the expression of genes involved in cell divisionRead MoreTaking a Look at Breast Cancer1758 Words   |  7 PagesIntroduction Breast cancer is the most common cause of cancer-related death among females in the world. It is known for â€Å"have both a genetic and non-genetic etiology† (Milne et al., 2010). It involves a combination of several factors- such as â€Å"genetic, environmental and behavioral risk factors†- that are unique to each individual (Nickels et al., 2013). This type of cancer is represented by a malignant tumor manifested in breast cells such as the line duct and line lobules cells, just to name a fewRead MoreBreast Cancer : Cancer And Cancer946 Words   |  4 PagesFebruary , 2016 Breast Cancer It is commonly known that Breast Cancer is one of the most insidious diseases that mankind has had to deal with. With the discovery of the BRCA1( BReast Cancer gene one) and BRCA2 (BReast Cancer gene two) genes, breast cancer can be detected with a great amount of certainty on a genetic level in some women and men. 40,000 women and men die of breast cancer each year. Knowing this it is very important to try to detect the mutation in the gene as early as possibleRead MoreTaking a Look at Breast Cancer1760 Words   |  7 PagesAccording to the Cancer Facts and Figures 2014 by the American Cancer Society, an estimated number of 232,670 women in the United States will be diagnosed with breast cancer, and about 2,360 new cases are expected in men. Breast cancer will possibly cause death to more than 40,000 female patients and 400 male patients in 2014. Excluding skin cancer, breast cancer is the most common cancer that American women are diagnosed with. Additionally, breast cancer rank s second in the most deadly cancers among womenRead MoreTwentieth Century is the Cancer Century1801 Words   |  7 Pagestwentieth century has often been called the cancer century. This is because more than a hundred types of cancer have been discovered in this century, and secondly, because enormous medical efforts have been made to fight all kinds of cancer throughout the world. In the early decades of the twentieth century, cancer was considered to be a fatal disease. Although some cancers are still fatal, medical therapy has developed significantly over the years so that most cancers can be treated and cured. After decadesRead MoreIn The 21St Century, The Advancement In Medical Technology1143 Words   |  5 Pagesscreening for breast cancer is one of the most widely tested for the disease in the U.S. (Gail and Mai, 2010:666). Other pop culture factors have increased the awareness of this type of DNA counseling. In 2013 actress Angelina Jolie wrote a piece for the New York Times where she very publicly discussed her experience with BRCA testing and her decision to have a preventative mastectomy and reconstructive breast surgery as a form of prevention. With her mother dying of breast and ovarian cancer, Jolie wasRead MoreBreast Cancer : The Most Common Cancer Essay1642 Words   |  7 PagesBreast cancer is the most common cancer in women in the world. Though the unknown nature of breast cancer etiology is still on debate, there are numerous risk factors that influence the development of the disease including genetic, environmental, hormonal, sociobiological and physiological influences. The impact of breast cancer is deep in women diagnosed with the disease and their families with fear and anxiety over the eventual outcome of the disease manifesting itself through behavioral changesRead MoreBrca1 And Brc a2 : Factors That Affect The Risk Of Breast Cancer1589 Words   |  7 Pagesmutation in the AT, or ATM, gene on chromosome 11 also is associated with breast cancer, and it may be much more common in the general population than BRCA1 or BRCA2 mutations. Seven percent of familial breast cancer may be associated with the AT gene mutation (Radford and Zehnbauer, 1996, cited in McCain, 1997). It is not known whether the AT mutation increases the risk of breast cancer for men. Ataxia teleangiectasia is an autosomal recessive neurologic syndrome. The cancer incidence among those peopleRead MoreBreast Cancer : Cancer And Cancer1372 Words   |  6 PagesBreast Cancer Disease Overview Breast cancer is a disease in which certain cells in the breast become abnormal and multiply uncontrollably to form a tumor. Breast cancer is the second most commonly diagnosed cancer in women. (Only skin cancer is more common.) About one in eight women in the United States will develop invasive breast cancer in her lifetime. Researchers estimate that more than 230,000 new cases of invasive breast cancer will be diagnosed in U.S. women in 2015. Cancers occur when a

K217 Ena Free Essays

string(272) " adults is twice that of healthy older adults \(Beekman AT, 2002\), the relationship between depression and disability is a two way street with depression there being a link between physical disabilities and depressive symptoms in older adults \(Gill TM,Kurland B 2003\)\." K217 EMA Report Gary Table of Contents Page 1. Table of Contents Page 2. Introduction Page 3. We will write a custom essay sample on K217 Ena or any similar topic only for you Order Now Context Page 4. Discussion Page 8. Conclusions and Recommendations Page 9. References Introduction This is a report on Gary a 52 year old male service user who lives within the county of Conway. Due to a serious car accident some time ago he has lost the use of both his legs and he does not work and relies on disability benefits for his income, Gary lives alone and has some care provided by his daughter and the rest by a support worker. This report has been commissioned by Gary with the help of his support worker as he is interested in taking up some retraining so he can move towards getting back into the job market and becoming more independent. His daughter and son in law are apposed to the idea as they think Gary is getting on in years and she would not be able to attend the address to get Gary ready for work before 9. 30 am as she needs to get her children to school. His daughter also has reservations about the Gary’s ex-work colleague as he has a reputation of being quite demanding of his employees and pays only a basic wage. In this report we are going to look into all the options that are open to Gary as in regard to him getting extra care so that he is able to push towards his goal of retraining for work. The key issues that we need to address as regard to Gary are can we get him the extra care that would make him more independent and give him the mobility to let him attend further education and training to put him back in the work place. This report is being compiled for Social Workers that are based within the Adult Social Services within Conwy County Council. Context With Gary’s situation a number of significant events have happened which have led to his current situation, he lost the use of his legs sometime ago and lives alone after getting divorced some 15 years ago. Gary is suffering from depression and is taking medication for this, his daughter and son-in-law are relied on for most of his care and a support worker attends each day to give him a bath. Since the onset of his depression Gary has withdrawn from doing the activities that he used to enjoy and he is very much cutting himself off from the world. He enjoyed used to enjoy using his personal computer to research local and family history. The root of Gary’s problem I believe is that he has become depressed due to his isolation from the real world and with his current lack of care and mobility he is almost ‘stuck in a rut’ and needs to be removed from this situation and given more self worth. Gary needs a more active place in society and the more help that he can be given the more he will feel like he has a purpose in society, his family have reservations about the course of action that Gary wishes to pursue due to their limitations as regard to the time of day that his daughter can attend to get him ready and also the reputation of the old work friend that is offering him future employment. Adult Social Services have a number of goals for people who are disabled they include Maintaining independence, opportunities to contribute to the community, feeling valued, access to social contact and community, keeping active and alert (http://www. york. ac. uk/inst/spru/pubs/pdf/newvision. pdf) all these apply to Gary and Adult Social services need to move forward with Gary to give him a greater quality of life and move him towards the goals hat he wish to obtain there are a number of options that are available to them. There are a number of perspectives that could be considered when looking at the situation of Gary, we can look at through the eyes of the Social Model of Disability (K217 Book2), Sigma (Goffman 1968) , empowerment (K217 Book 3). When looking at Gary’s situation I am applying the Social Model of disability which was created by disabled people themselves. This was primarily created as a result of the response that society has given to disabled people and also a reflection of the experience that disabled people have come across in the health and welfare system which as given them a feeling of being socially isolated and oppressed. The second perspective that I am going to apply to this report is empowerment, this gives the service user greater control of the services that they receive, being involved in the planning of services and developing good practice. (Barnes and Bowl, 2001) Discussion In the case study that this report is based upon Gary has been in a serious car accident that has deprived him of the use of his legs and this now means that he can only get around with the use of a wheelchair. This situation has had a knock on effect of him have a low sense of self-worth and a lack of pride in his situation, he suffers from depression and is taking medication for this. Radar (the disability network) and Depression Alliance commissioned a report (http://www. depressionalliance. org/PDF/depression-disability-and-employment-report. df) that looked into depression as a disability and how we can improve the way we look at depression and the changes we can make to help reduce job, long term economic inactivity and isolation. Of the 566 people who answered 95% were living with depression and a quarter (148) people had a long term physical health condition. 77% of the people reported that they had not received any support with employment. Gary is living with a type of disab ility which is difficult, most disabled people are not depressed and do not stay depressed. The prevalence of depression among disabled adults is twice that of healthy older adults (Beekman AT, 2002), the relationship between depression and disability is a two way street with depression there being a link between physical disabilities and depressive symptoms in older adults (Gill TM,Kurland B 2003). You read "K217 Ena" in category "Essay examples" There is clear evidence that Gary has on the onset of depression that can be linked to the impact of the loss of his legs in his car accident and with him now socially isolated and without employment these have now added to the problems over a period of time. In a report by Tania Burchardt called †Enduring economic exclusion’ Disabled people,income and work’ the study found out that disabled people now make up a large and growing proportion of people who are of working age, it now stands between 12 and 16% (Enduring economic exclusion Page. 4) One telling statistic is the problems that disabled people have getting work, and that one third of those disabled people who find employment are out of work once again the following year. In the report by Tania Burchardt the income statistics show that half of all disabled people have incomes below the general population indicator of poverty after it was factored in about the additional cost that disabled people incur due to their health. Gary wants to gain access to retraining so he can move towards gaining employment once again after he becomes qualified in the sector that he wishes, to do this he is going to need some extra help from the local Conway Council to get to his goals. Conway Adult Social Services have a number of options that they promote that may be of assistance to Gary, they already give him care to help him get bathed and his daughter and son-in-law take up the care duties in the morning. Conwy can provide Homecare that can help with a range of things such as help getting up, getting dressed, preparing meals, doing laundry and shopping where appropriate (http://www. conwy. gov. uk/upload/public/attachments/466/Microsoft_Word__CCO_Leaflet_eng. df) . Gary would need to be assessed as to the level of care that he would be entitled to also considered as to the possibility of equipment or adaptions that could be made to the home to help him live more independently and safely in his home. Though Gary is set on this course of action his daughter and son-in-law have reservations about his age and the amount of care that she could give her father due to her own family commitments. His daughters view point about his age and the fact that any new employer might demand to much from him is really being based on his disability and not solely based on is age (K217, Book 2). There should be no denial of opportunities or restriction of choice based on assumptions that are made due to his disability. Through the social model disability is understood as an unequal relationship within society and there can be no barriers preventing people from gaining equal access to information, education and employment. There are options that perhaps he has not considered and with him feeling socially isolated due to living alone and his lack of contact with the outside world. Conwy Council Adult Social Services promotes day care or opportunities to meet other people and take part in outings and other activities so Gary would be able to haver a much more active life that would could help with the depression he is suffering. (http://www. conwy. gov. uk/upload/public/attachments/466/Microsoft_Word__CCO_Leaflet_eng. pdf) The principles of good practice (http://www. nderstandingindividualneeds. com/page. php? identity=principles) state that you have to give Gary a choice about the way in which he wishes to move forward and also take into consideration his emotional needs. Social development is about gaining relationships with a variety of people and taking part in an ordinary life and currently Gary is unable to obtain these basic rights. Gregory Beattie talks about how a depressed individual has a lack of socialization and social support groups (Beattie, Gregory,S. 2005) Social Causes of Depression) and Gary has a lacking in both these things as he is unable to access them. If Gary was to obtain the extra help that he is going to need to obtain the goals that he has set himself a consultation with both himself and his family is going to be needed as to ascertain as to realistic goals that can be set. There would be a negative impact on Gary should he set himself unobtainable goals that he then fails to obtain, this would be damaging to the situation. Statistics show that disabled people have a lower overall level of qualifications when compared to that of able bodied people (Employment of disabled people DoEE) 38% of disabled people have no qualifications compared to only 16% of non-disabled people. The report also concluded that of the 2,015 disabled people that were spoken to (26,000 households in total) 64% strongly agreed and 29% agreed that getting a job was important to them so the statistics show that it is important for disabled people to be in employment. 47% of the economically inactive disabled people who see themselves as being able to work would like a paid job. When speaking about Gary’s visions of eventually going back into work his daughter has reservations incase he is taken advantage of by his employer and in the report one in six people (16%) who are economically active stated that they have experienced unfair treatment or discrimination in the work place. When looking at the overall statistics you can see that 42% report that that they have been discriminated by a potential employer and 41% by an employer, these figures speak volumes and during any assessment they will need to be presented to Gary so that he can see the real picture in the job market for disabled people. The option of Direct Payments is one that should be explored with Gary and when he is assessed for the amount of care that he needs the options should be discussed at length, direct payments have both good and bad points and do not fit everyone. As direct payments will mean Gary being responsible for a number of things it also might be advantageous to also consult with his daughter and son-in-law to see if they would be interested in perhaps helping Gary should he need it. Radar the disability network have produced a fact sheet that the family may find useful (http://www. radar. org. uk/wp-content/uploads/2011/06/6_directpayments. pdf) , the fact sheet points out how Gary would become and employer and all the responsibility that comes as well as all the paper work he will be required to keep. He will need to consider if he wishes to have the work load of sorting out all the pay, dismissal, redundancy just to name a few of the obligations that he would have to meet as an employer to a personal assistant. The other option open to Gary is to place the care that he requires in the hands of an agency or self employed to take the burden of work away from himself and organise his care around his specific needs. Bringing Gary into the centre of this assessment into his care will empower him to participate (K217 Book 3) Jones and Meleis describe the concept of empowerment as ‘a social process of recognizing, promoting, and enhancing people’s abilities to meet their own needs,solve their own problems, and mobilize necessary resources to take control of their own lives (Jones PS, Meleis 1993). The empowering of Gary will start a process of helping him assert greater control over the factors that affect his health, in the past it was assumed that service users were supposed to be compliant with the directives that were in place from the health care professional’s-the biomedical model. In the empowerment model there is a contact between Gary and the provider who take a joint responsibility in terms of agreed upon outcomes, people within the health care profession are obliged to respect Gary and assist him in making decisions. Multiple studies have shown that people that are more involved with the decisions about the care that they receive and also the management of the conditions that they live have better outcomes than those who are not involved in the process (Wagner EH,Glasgow RE,Davis C, 2001) (Greenfield S, Kaplan SH,Ware JE Jr, 1988). Conclusions and Recommendations In this report we have been looking at the situation that Gary is currently experiencing, he is a disabled person who lost the use of his legs in a car accident some years ago and lives alone now after a divorce. He is looking at the possibility of getting some higher education and hopes to move into employment in the information technology sector, it has already been stated that daughter and son-in-law have reservations about this course of action due doubts about the ex-work colleague of Gary’s that is offering him employment and the problems that this will present to her care giving situation. The report has looked at the links between depression, disability and joblessness and we have shown that there are links between these elements that are making Gary’s life move difficult but also you must take into consideration that fact that Gary is very socially isolated. The report then looked at the option of direct payments and how Gary’s care could be changed so he will have more control and power over his care and become the central focal point so he can move towards a more independent life and obtaining the goals that he is setting for himself. The report looked at all the pro’s and con’s on the direct payment system and all the extra paperwork and responsibility that comes with employing someone and how records must be kept and these funds are public money have to be accounted for. My recommendations are the following, Gary should have his care plan reassessed by Conwy County council Adult social services with the remit of looking at the possibility of changing the level of care that Gary currently is getting and exploring the possibility of Direct Payments as an option. There should also be consultation with his daughter and son-in-law (with the relevant permissions) and have them present to discuss any and all options. Please present all options to Gary as regard to becoming a greater part of the community and providing information on the day care that you and provide and any opportunities to meet other people and take part in outings and other activities that your local authority provides to people within the county. A list of approved providers in the local area should be presented to Gary and also discuss the various support networks that you have for carers and also the options of homecare that you provide including help with getting up,getting dressed, preparing meals and shopping etc. Gary may need the help from the benefits advice centre as regard to making sure he is getting all that he is entitled to and though outside your remit perhaps access to DLA to help with transportation needs. 2789 References http://www. ork. ac. uk/inst/spru/pubs/pdf/newvision. pdf accessed 31/05/2012 The Open University (2010) K217 Adult health,social care and wellbeing, Book 2, Milton Keynes, The Open University Goffman, E. (1968) Stigma: Notes on the Management of Spoiled Identity, Harmondsworth, Penguin The Open University (2010) K217 Adult health,social care and wellbeing, Book 2, Milton Keynes, The Open University Barnes, M. and Bowl, R. (2001) Taking over the Asylum: Empowerment and Mental Health, Basings toke, Palgrave. Meager N,Bates P,Dench S,Honey S,Williams M,(1998) Employment of Disabled People:Assessing the Extent of Participation, Research report RR69, Department of Education and Employment. http://www. depressionalliance. org/PDF/depression-disability-and-employment-report. pdf accessed 31/05/2012 Beekman AT, Penninx DJ,Deeg DJ, de Beurs E, Geerling SW, van Tilburg W (2002) The Impact of depression on the well-being,disability and use of service in older adult: a longitudinal perspective, 105:20-27 Department of Psychiatry, Vrije University Amsterdam. Gill TM,Kurland B (2003) The burden of patterns of disability in activities of daily living among the community-living older persons, 58:70-75, Yale University School of Medicine, Department of Internal Medicine,New Haven, Connecticut. http://www. jrf. org. uk/sites/files/jrf/1859353274. pdf (Enduring economic exclusion) accessed 01/06/2012 http://www. conwy. gov. uk/upload/public/attachments/466/Microsoft_Word__CCO_Leaflet_eng. pdf accessed 01/06/2012 http://www. understandingindividualneeds. com/page. php? identity=principles accessed 02/06/2012 How to cite K217 Ena, Essay examples