Sexual Health for Learning Disabilities

Sexual Health for Learning Disabilities Sexual Health For People With Learning Disabilities This leaflet is about people with learning disabilities and their sexual health. While there is considerable legislation concerned with disability from the 1970 Social Services Act to the 1995 Disability Discrimination Act and beyond, it is not always clear that the needs of this user group are being addressed in appropriate ways. This is because there is a lack of research into how this user group live their lives and how they feel about life and sexuality. Legislation and Anti-Oppressive Practice Under the terms of the NHS and Community Care Act of 1990 social services have a duty to make an assessment of need to any person in their area who may have need of their services. With regard to people with physical or learning disabilities the department also has a duty to find out about such people in their area and to offer an assessment of need even if that has not been requested. The social worker must take account of the 1998 Human Rights Act when dealing with anyone. It is illegal for social workers to discriminate against people or hinder their access to services on any basis. A social workers should act in the best interests of their clients, the service users, and engage in anti-discriminatory and anti-oppressive practice. Anti-oppressive practice can involve the social worker attempting to take care over the way in which he/she uses language. In order to fully engage in such practice a social worker would need to take care that in dealing with service users who may have difficulty in communicating their needs the social worker does not end up imposing their own agenda on the service user. When it comes to people with learning disabilities here is a need for different models and levels of participation depending on the service user’s circumstances. Participation empowers some service users while others may not be able to be truly involved at any recognisable level without the intervention of a third person – an advocate. The agency for mental health MIND suggests that many people with learning or mental health difficulties should have an advocate who is impartial and who can inform them what is available in terms of services and support and who will promote their best interests as service users. Those who are able to engage with the process often go on to promote the rights of other service users. The service user movement has been a driving force in the struggle for people with mental health problems or learning difficulties’ entitlement to live as ordinary a way of life as they can (Carr, 2004). People with learning difficulties may have multiple and complex needs, nevertheless under the 1998 Human Rights Act, they are entitled to be treated with dignity and local authorities have a duty to abide by the requirements of this Act (Moore, 2002). Nevertheless there are areas where the Act is sometimes ignored and this is most apparent when it comes to the sexual health of people with learning disabilities. Learning Disabilities and Sexual Health There has been very little research into the lives of people with learning disabilities. The first of its kind was a government survey of 2,898 people which was carried out between June 2003 and October 2004. The report dealt with people with learning disabilities (to what extent they were learning disabled is not always defined) between the ages of 16 and 91. The report found the following: 45% of the people interviewed were under the age of 30 6% were from minority ethnic communities. 92% of all people with learning difficulties who took part in the study were single and 7% of these had children but only half that number looked after their children themselves. 7% either lived alone or with a partner. There is an even greater dearth of information when it comes to the sexual health of people with learning difficulties. In fact media reports suggest that many people with learning difficulties are actively discouraged from engaging in what most people regard as a healthy sex life. There have even been instances where family members have tried to have girls with learning disabilities sterilised so that they could not bear children. A (2006) report from the University of Ulster Out of the Shadows, found that the sexual health of people with learning disabilities was all too often ignored. This is because family members and professionals do not want to acknowledge that this user group has such needs. The report found that: People with learning disabilities want to have relationships and express fears of being lonely. But the feel over-protected by professionals and family carers. Consequently there are few opportunities to develop relationships and meet new people. Some family carers want their child to have the same rights as everyone else. But they feel embarrassed to talk about sex with their children and are concerned for their safety. Feeling unsupported and isolated stops them from raising these issues in the home. Professionals and front line staff are aware that the issues around sex and sexuality are not being addressed. However they are inhibited by being under resourced, under trained, and at times restricted by a lack of clear guidelines and policies to support them (http://news.ulster.ac.uk/releases/2006/2892.html). Clearly insufficient attention is being paid to what this group of service users actually want. People are embarrassed by the fact that people with learning difficulties may have the same hopes, fears, and aspirations as everyone else. Clearly there is a need for more research and for education so that a greater understanding of people with learning disabilities and their needs is actually met. Further information on people with learning disabilities and their needs can be found at the following websites: http://www.lancaster.ac.uk/fass/ihr/index.htm website concerned with the inclusion of adults and young people with learning disabilities in all areas of life. http://www.inspiredservices.org.uk/ website about community living, when it may be necessary and how it is meant to empower people. http://www.ndt.org.uk/ website that campaigns for inclusion of people with learning disabilities at all levels of ordinary life http://www.dh.gov.uk/en/Publicationsandstatistics/Surveys/Othersurveys/Generalsurveys/DH_4081207.Government survey Elder Abuse The agency called Age Concern is concerned that the rights of older people often get overlooked. This is particularly the case where the person is either unable or unwilling to speak for themselves. Thus Age Concern maintains that older people need advocates (a disinterested third party) to put their case when the rights of an older person are being ignored or overlooked. Since the publication of the National Service Framework for Older People in 2000 there has been a directive for more advocacy when it comes to addressing the needs of older people and this move that has been welcomed by Age Concern. Advocacy is about protecting the rights of people as human beings and making sure that their wishes are taken into account when decisions are being made that affect what may happen to them. Advocacy therefore, is meant to empower those people who may have the least power in society. There are those who maintain that there should be specialist advocacy with regard to the problems of age. Service user participation involves rights and responsibilities on behalf of both the service user and a service provider. When it comes to older people who may be confused about what is happening, or who refuse to become involved in the process then a definition of rights and responsibilities is problematic because without equal cooperation it is difficult to find a way of ensuring that these are fulfilled. At the very least it has to be acknowledged that everyone has the right to be protected from abuse and to be treated with respect. The aim of good advocacy is to ensure that older people are aware that the local authority has a duty of care with regard to their needs. Advocates also try to ensure that older people have an understanding of what to ask for and what to expect when it comes to support and services. When this is possible it enables older people to exercise their rights as citizens, however, some elderly people may have no idea what is going on and may be confused by the whole process. In cases like this an advocate would look at the older person’s circumstances and needs, as well as listening to the carer’s input, and would then put forward a case for their care and ask for an assessment. This is not, however, a guarantee that the person will receive residential care, however much a family might want it. A social worker would listen to what the family and perhaps the advocate had to say and would then ask what provisions were currently in place, whether these were provided by social services or by the family. Once they had assessed the situation the information would be given to a care manager who would decide what could be offered (Moore, 2002). In some cases this would be residential care. As people grow older they can develop fears that they did not have before. Many older people, for example, are afraid to leave their homes for fear of being attacked, and numbers of them are also afraid of being attacked in their own home. However, figures from the British Crime Survey 2001, tend to suggest that the likelihood of being a victim of crime decreases with age. Despite this, many elderly people live in fear of being burgled or attacked in their homes by a stranger. Yet the figures support the idea that this fear is largely unfounded the burglary figures for 2001 yield the following information: In 1000 households of people aged between 16 and 24 17.6% had been burgled In 1000 households with residents of 75 and over only 2% were burgled Despite these figures many elderly people are haunted by the fear that they are not safe on the streets and may not be safe in their own home. At the same time some media reports tend to suggest that older people are safer in their own homes than they might be if they went into residential care. Older people may not always be willing to go into residential care but an assessment may be asked for by other family members or by carers who are feeling the strain of looking after a demanding elderly relative. Some older people, however, may have become so frightened in their own homes that they want to go into residential care. Care and Abuse Despite the fact that some elderly people feel that they will be safer in residential accommodation there are factors which suggest this feeling may be misplaced. The marketisation of care, and the growth of private care homes means that there is some evidence which supports the view that the elderly may be more at risk of abuse of their rights and criminal assault in residential settings than in their own home (Ward et al, 1986). The 1990 NHS and Community Care Act, and the introduction of market forces into the care sector has meant that many former council run residences are now privately owned and run for a profit. This is the case even if the person does go into a council run home, they or their family members will be expected to make some contribution to the cost (Kerr et al, 2005).Even if people are in council run homes then they or their families are expected to make at least some contribution to the cost of their care. The shift to a mixed economy of care means that some car ers have little or no personal care about the job they are doing and this can lead to older people being at risk of neglect and abuse. There have been plenty of media reports of neglect and abuse in residential care where older people’s human rights go unacknowledged and mismanagement and a lack of proper supervision can lead to neglect and abuse (Smart, 1997). At a time when they should be receiving more care and attention some older people are being abused by the very people who are meant to be looking after them. It would seem that marketisation has led to a lack of proper control over what goes on in some residential homes and there needs to be some mechanism whereby such places are inspected on a regular basis. Useful resources http://www.elderabuse.org.uk/Media%20and%20Resources/Useful%20downloads/AEA/AP%20Monitoring.pdf http://www.elderabuse.org.uk/ http://www.aoa.gov/eldfam/Elder_Rights/Elder_Abuse/Elder_Abuse.asp Vulnerable Adults There are general guidelines related to social work practice and this is especially the case when it comes to the protection of the weak and vulnerable. All local authorities have a duty to be aware of the number of people in their area who might be considered vulnerable adults. The legislative framework that governs the actions of a social worker working with vulnerable adults is based on the following: 1948 National Assistance Act Part 3 Local Authority Social Services Act 1970 The Chronically Sick and Disabled Persons’ Act 1970 National Health and Community Care Act 1990 Depending on the age of the vulnerable adult they are dealing with then the social worker will also have to bear in mind: Section 45 of the Health Service and Public Health Act 1968 Section 117 of the Mental Health Act of 1983 General understanding of the 1998 Human Rights Act The National Services Framework for Older People Social workers should also be conversant with the terms of the 1995 Disability Discrimination Act before they make any assessment of a vulnerable adult. A lot of the problems that vulnerable adults experience, particularly if they have mental health problems, are due to the fact that many professionals (particularly medical professionals) still work with the medical model of disability. This model holds that a person’s problems and vulnerabilities are rooted in their pathology i.e. they are part of that person’s make up. The problem with this model is that there is a tendency to hold the person responsible for whatever their problems may be (Oliver, 1996). A more favorable model for the service user is the social model. This model looks at factors that are external to the service user such as environmental factors and any other social factors that may give rise to ill health or vulnerability. Who Are Vulnerable Adults? Vulnerable adults might be those people who need care because for one reason or another they cannot look after themselves. This might include the following: Older people People with mental health difficulties People with physical disabilities People with learning disabilities Substance Misusers Homeless People In an abusive relationship According to media and Government reports, older people are often subject to abuse by the people who are meant to be caring for them. The same thing happens to people with the sort of physical disabilities that prevent them caring for themselves, people with mental health difficulties and people with learning disabilities. In some cases women are more vulnerable and more at risk than men as in some cases they face the risk of sexual assault by carers, particularly if they are not family members. Government concerns over the abuse of vulnerable adults led to the setting up of the POVA the Protection of Vulnerable Adults Scheme in England and Wales. The scheme is implemented with regard to care homes for vulnerable adults, checking the backgrounds of people who work with vulnerable adults, either in a care home or in the person’s own home. The problem is that until a crime is committed there is no actual legislation that deals with the protection of vulnerable adults. Some local authorities have produced guidelines for multi-agency working in case of the abuse of vulnerable adults. Harm and Abuse of Vulnerable Adults Vulnerable adults can be abused or harmed in a number of ways, some of which are criminal. Non-criminal abuse might include not paying sufficient attention to their needs, denying them their human rights by not treating them as a person of equal human worth. Abuse can also occur by default when a carer neglects to take proper care of someone who is vulnerable by leaving them in an unclean state or leaving a confused person to wander without supervision. The more criminal aspects of the abuse of vulnerable adults can include stealing from them, misappropriating money from their accounts and physical or sexual assault. Sometimes it is as a result of harm that a vulnerable adult comes to the attention of social services and it is then the social worker’s job to assess the needs of that person. When a social worker makes an assessment of need, even if the person in need is recognized as a vulnerable adult, they can only provide services if certain criteria are satisfied. Those people who have a score lower than 4,5 or 6 may only be entitled to information and advice (Moore, 2002). This means that a lot of vulnerable adults are left out in the cold and it is sometimes the case that they become involved with mental health services by being sectioned under the 1983 Mental Health Act. Here an ASW or Approved Social Worker can recommend to a mental health team that a person be sectioned or forcibly detained for a period of 28 days if they are regarded as being at risk or posing a risk to others. Vulnerable adults are another group who may at sometime need the services of an advocate to put forward their concerns. It is also the case that unless and until there is some legislation in place for the protection of vulnerable adults this abuse and neglect will continue. Useful resources Disability Discrimination Act 1995 http://www.drc-gb.org/thelaw/thedda.asp http://www.after16.org.uk/pages/law5.html http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4085855 Moore, S. 2002 3rd Edition Social Welfare Alive Cheltenham, Nelson Thornes Mental Health Local authorities now have a duty to act in ways that are conversant with the 1998 Human Rights Act and this means that social workers have a duty to help people with mental health difficulties to deal with any problems they encounter. Some research tends to suggest that over the last fifteen years those who use mental health services have been treated in a prejudicial way. This is largely a result of the fact Government discourse is phrased in such a way that this group is seen mostly in terms of the risks they may pose to the rest of society. Some social workers have a lot of power when it comes to people who are assessed as having mental health problems. In Britain we have what are known as Approved Social Workers, these social workers are often involved in sectioning a person – that is to say a person can be detained for twenty eight days without their consent for assessment of their mental capabilities. This can be problematic because if a service user is being aggressive it is not always easy to tell whether this is just in response to whatever is going on at that moment or whether the person actually does have a mental health problem or a psychosis. Hannigan and Cutliffe (2002) argue that the medical model of health is the most prevalent in the mental health sector. Under the terms of the 1983 Mental Health Act this often results in medical treatments that may involve, for example, the use of drugs or electro-convulsive therapy without the person’s consent. What is most worrying about this is that it can be used as a threat against vulnerable adults who may not need this kind of treatment but who may be irritating the professionals with whom they come into contact. This is especially the case if the adult concerned has a tendency to be a bit aggressive. Professionals may often assume that this person is displaying psychosis when they are simply displaying an exaggerated form of annoyance at what is going on. Current legal definitions of what constitutes a mental disorder (and the guidelines with which many professionals work) are not necessarily the same as psychiatric definitions of what constitutes mental illness. With recent changes to the Mental Health Act this situation becomes even more worrying because it widens the net to include other definitions of mental illness, definitions which could just as well be a result of social misfortune as something inherently wrong with a person. Some research tends to suggest that the mental health system is racist and that black and white youths who may behave in a similar manner are treated differently and black youths are more likely to be assessed as having a mental health problem. The disproportionate use of compulsory sections of the Mental Health Act 1983 for black people, and the links between mental health and the criminal justice system, suggest that the basic rights of many black service users are under threat. A holistic model would emphasise basic human rights and require great caution in the use of statutory powers in mental health services. Black service users rights would be safeguarded through anti-discriminatory procedures, accessible appeals and complaints systems, and accurate monitoring. Safeguards include quality assurance systems based on service users views. These should incorporate indicators of service outcomes based on improvements to black service users quality of life (Ferns, P. 2000 no pagination) Increased use of sectioning under the Mental Health Act could be regarded as a form of blackmail in mental health – just another way of saying you behave the way I say you will behave or this is what will happen to you. The police also have greater powers under the 1983 Act. Section 136 gives them the right to detain people in a safe place for 72 hours if they are considered to be a risk to themselves or others, even if they haven’t been aggressive or done anything else that would warrant being detained. This is a frightening state of affairs because it means that anyone who upsets authority in some way could be at risk of losing their liberty without charge and without trial. The mental health charity Mind say that actual psychosis is far less prevalent in Britain than some figures would have us believe and that the 1983 Act is in danger of being used as a means of social control rather than the protection of the public and of vulnerable adults. Clearly there are many issues around Mental Health that are extremely worrying. If you are homeless you are automatically seen as having mental health problems and some literature also refers to women who have experienced domestic violence in these terms. Mental health issues and social blackmail it would seem are very closely related. Useful resources http://www.communitycare.co.uk/articles/article.asp?liarticleid=7951 Full ref. in bibliography http://www.esrcsocietytoday.ac.uk/ESRCInfoCentre http://www.lho.org.uk/HIL/Disease_Groups/MentalHealth_Inequalities.htm London Health http://www.mind.org.uk/Information/Factsheets/Statistics/Statistics+3.htm http://www.mind.org.uk/Information/Factsheets/Statistics/Statistics+3.htm http://www.nacro.org.uk/about/Youth justice are we getting it right.pdf

Csr Work by Coca-Cola

Coca-Cola India Wins Golden Peacock Global Award for Corporate Social Responsibility Coca-Cola India was awarded the prestigious 2008 Golden Peacock Global Award for Corporate Social Responsibility on Feb. 15 during a global conference in Vilamoura, Portugal. Dr. Ola Ullsten, former prime minister of Sweden, presented the award to Deepak Jolly, Vice-President, Public Affairs & Communication, Coca-Cola India, on behalf of the Company.The Golden Peacock Global CSR Award showcases the â€Å"human face of business† by recognizing the continuing commitment of companies â€Å"to behave ethically and contribute to economic development while improving the quality of life of the workforce, their families and the local community and society at large. † A distinguished jury chaired by Dr. Ola Ullsten, former prime minister of Sweden, selected this year’s Golden Peacock award winners. Presenting the award to the Company, Dr.Ola Ullsten, said, â€Å"Golden Peacock Awards hav e been instituted by World Council for Corporate Governance, UK to create competitiveness in the area of Corporate Social Responsibility. We are hopeful that Coca-Cola India’s effort in promoting sustainable communities sets an example for other organizations to follow. † Her Excellency Ms. Nilima Mitra Ambassador of India in Portugal said that she was very impressed with the manner in which Coca Cola is fulfilling its CSR in India in water management and conservation especially the intervention to ensure potable water to 1000 primary schools in India.Commenting on the Coca-Cola India winning the award, Atul Singh, President & CEO, Coca-Cola India, said, â€Å"Coca-Cola India has always placed high value on good citizenship and has undertaken several initiatives for community development and inclusive growth. We are gratified to receive this global award and are humbled at being recognized for the little contributions that we have been able to make to preserve and prot ect the environment and towards community development. We are also establishing the Coca-Cola India Foundation which will further strive to make a positive impact on local communities.The Company remains committed to work with stakeholders and communities across the country in its bid to contribute to mutual growth and development. † The award recognizes Coca-Cola India’s water conservation/management and community development initiatives. The Company has installed 320 Rain Water Harvesting (RWH) structures in 17 states and has restored several traditional water bodies like the Sarai Bawari and Kale Hanuman ki Bawari in Jaipur and check dams across the country.Additionally, the Company recently set a target to reach a â€Å"net-zero† balance with respect to groundwater usage by 2009 and launched the â€Å"Elixir of life† project to provide drinking water to nearly 30,000 children in 100 primary and panchayat schools in and around Chennai. The Company plans to provide clean drinking water in 1,000 schools by 2010. Coca-Cola India also promotes sustainable packaging through PET recycling and has undertaken several projects in the areas of primary health, primary education and infrastructure for local communities.The Company has undertaken these Citizenship initiatives in partnership with government, NGOs, educational institutions and local communities. In 2006, the World Environment Foundation (WEF) honored Coca-Cola India with the Golden Peacock Environment Management Special Commendation Award for its world-class environment practices. Dr. Olla Ullsten, former Prime Minister of Sweden and Chairman of the Awards jury presenting the Golden Peacock Global Award for Corporate Social Responsibility to Deepak Jolly, Vice President, Public Affairs & Communication, Coca-Cola India.Local community using water from the rejuvenated Sarai Bawari at Amer, near Jaipur, RajasthanA photo of the drinking water project in 100 schools, launched by the Company in Chennai, which will benefit nearly 30,000 children on completion Kaladera Community Recognizes Coca-Cola’s Community Initiatives Rakesh Pathak, Unit HR Manager, Kaladera plant & Sunil Sharma being felicitated by Chhittarmal Hatwal, Sarpanch (head) of Kaladera at the community event Coca-Cola India was recently acknowledged for the various citizenship initiatives in & around Kaladera in Jaipur, Rajasthan.Rakesh Pathak, Unit HR Manager, Kaladera plant and Sunil Sharma, who’s been associated with the company for a long time, were felicitated by the villagers of Dabar Basti in Kaladera. As part of public-private partnership, Coca-Cola installed a new bore well recently in the area to provide water in the houses of villagers. Chhittarmal Hatwal, Sarpanch (head) of Kaladera presented a Safa (head gear) to Rakesh Pathak & Sunil Sharma as a mark of gratitude to the company. â€Å"We are deeply honored by the recognition of the people of Kaladera† said Rakesh Pathak. Coca-Cola India has always placed very high value on citizenship and has taken various initiatives to conserve water the area. â€Å" Coca-Cola India has worked with the government, local bodies & the entire community of Kaladera in the area of water conservation. This includes restoration of Sarai Bawari & Kale Hanuman ki Bawari – historical step wells (over 400 years old), providing water to the people of the community. The company has constructed over 140 recharge shafts in the area. Rain water harvesting projects have been set up in various schools, government bodies & the community areas. No other company has ever come forward & worked towards the welfare of the Kaladera Community except Coca-Cola. We appreciate the efforts taken by Coca-Cola for the conservation of water in Kaladera. † Chhittarmal Hatwal, Sarpanch (head) of Kaladera. In addition, Coca-Cola India has undertaken an annual scholarship program for the students in the nearby villages for the f ifth consecutive year. Amongst various educational initiatives, Coca-Cola also supports ’Aap Ki Beti’ (your daughter) program to provide education to a girl child.Community Recognition to Coca-Cola India Certificate of appreciation given by Cultural Council, Kaladera Community in Rajasthan Coca-Cola India was recently acknowledged for the various citizenship initiatives in & around Kaladera in Jaipur, Rajasthan. Sunil Sharma, who’s been associated with Coca-Cola India, received the certificate of appreciation on behalf of the company from the Cultural Council of the Kaladera community during the celebration of Holi, the festival of colors & joy. I’m deeply honored by the recognition of the people of Kaladera† said Sunil Sharma with his face painted in the colors of festivity. â€Å"Coca-Cola India has always placed very high value on citizenship and has taken various initiatives to conserve water the area. â€Å" Coca-Cola India has worked with th e government, local bodies & the entire community of Kaladera in the area of water conservation. This includes restoration of Sarai Bawari & Kale Hanuman ki Bawari – historical step wells (over 400 years old), providing water to the people of the community.The company has constructed over 140 recharge shafts in the area. Rain water harvesting projects have been set up in various schools, government bodies & the community areas. Sitaram Sanwaria, President, Cultural council, Kaladera Community and a local resident, presenting the certification of appreciation to Sunil Sharma, as a token of appreciation to Coca-Cola India for its community efforts during Holi celebrations, a festival of colors where people play with colors and have fun & enjoyment.The festival aims at bringing the society together & strengthen the social fabric of the country â€Å"No other company has ever come forward & worked towards the welfare of the Kaladera Community except Coca-Cola. We appreciate the efforts taken by Coca-Cola for the conservation of water in Kaladera. † said Bhura Mal Sharma, a 65 year old farmer. â€Å"The Rain water systems installed by Coca-Cola ensure that the rain water goes back into the ground which is very beneficial to the farmers and if we get good rains this year the results will speak for themselves. Said Shri Hanuman Sahaya 70-year-old farmer. In addition, Coca-Cola India has undertaken an annual scholarship program for the students in the nearby villages for the fifth consecutive year. Amongst various educational initiatives, Coca-Cola also supports ’Aap Ki Beti’ (your daughter) program to provide education to a girl child. â€Å"The roads, hospitals, medical camps, hand pumps etc. all indicate that Coca-Cola cares for Kaladera. We are confident that the company will carry on need based developmental programs in future also. aid Shri Bhagwan Sahai ji, a local social worker and leader. The presence of a company like Coca-Cola in the area is a blessing for the local people of Kaladera. † added Shiv Sahay, a 60 year old farmer and a civil contractor. â€Å"The certificate of appreciation that we to Mr. Sunil Sharma is a token of thanks for the relentless efforts of Coca-Cola for the welfare of the community†, said Sitaram Sanwaria, President, Cultural council, Kaladera Community. â€Å"There is no better ways to be recognized for your dedicated community efforts than by the people of the community themselves.Getting such a recognition at Holi, which is a festival of colors and binds people together shows the confidence that the community has in us†, concluded Sunil Sharma. Coca-Cola wins Bhagidari Award- Fourth time in a row Coca-Cola India won the Delhi Government's Bhagidari Award for the 4th consecutive year for its efforts in Water Conservation and Community Development. The award was presented on the second day of the two day Bhagidari Utsav at Pragati Maidan, New Delhi on February 3, 2007 by the Hon'ble Chief Minister of Delhi, Smt.Ms. Sheila Dikshit. We took this opportunity to also present the Water Calendar 2007 to the Hon'ble CM. The Bhagidari Utsav is an annual event to celebrate the success of ‘Bhagidari' – A public -private-community partnership program launched by the Delhi government a few years ago. Hon'ble CM visiting the Company stall at the Bhagidari Utsav 2007 Among the highlights of the Utsav was an exhibition cum display by some of the partners of the Delhi government, where each partner showcased its initiatives to make Delhi a ‘better' place.In recognition of Coca-Cola's efforts in Water Conservation and PET Recycling, we were given two stalls to outline our initiatives in these areas. Ms. Dikshit was one of the first to visit our PET Recycling stall and after being briefed on our PET Recycling program, she urged the Company to spread the awareness on PET Recycling not just amongst the visitors to the Bhagidari Utsav but also among people at large. Our Water Conservation stall was visited both by the Hon'ble Chief Minister Ms. Sheila Dikshit as well as by the Hon'ble Mr. A. K. Walia, Minister for Finance, Planning, P.W. D ; Urban Development, and Delhi Government, who were briefed about the various programs undertaken by the Company to spread awareness and to conserve water. The dignitaries were very appreciative of our efforts. We had showcased a device called ‘Drip Gauge' for the first time in the country at the stall. Drip Gauge is a simple but effective tool to sensitize people to save water. A 3-D Rain Water Harvesting (RWH) model demonstrating the utility, functioning and commissioning of Rain Water Harvesting projects at individual households ; residential colonies was also on display.In addition, people were apprised of simple methods to Reduce, Reuse, Recycle and Recharge water in their daily lives. Our stalls evoked tremendous response from all stakeholders and nearly 3000 people vis ited our stalls during the event. Of these, nearly 2500 participated in the two quiz contests that we ran at the stalls. Several Resident Welfare Associations and NGOs also approached us seeking our guidance and help for RWH and PET Recycling programs in their colonies. St. Agnes College (Mangalore University) Wins The First Jimmy ; Rosalynn Carter Partnership Award in India from left) President Jimmy Carter, Ms Rosalynn Carter, Dr Sue Sehgal, Founder ; President Jimmy ; Rosalynn Carter Foundation, Sister Carmel Rita from St Agnes College and other members of the College. President Jimmy Carter ; Ms Rosalynn Carter personally presented the Jimmy and Rosalynn Carter Partnership Award for Campus-Community Collaboration to St. Agnes College (Mangalore University) for the exemplary work done by them in the field of ‘Watershed Management & Development'. The award has been brought into India by Coca-Cola India in association with Federation of Indian Chambers of Commerce ; Industry (FICCI).?The coveted award serves as one of the highest recognition for academic-service learning to educational institutions for outstanding ‘Campus Community' Learning programs. St Agnes received a special handcrafted golden globe trophy, a citation ; a cash prize of US $ 10,000. The 2nd and 3rd runner's up i. e. Punjab University for its Literacy Program & Aligarh Muslim University for its Pulse Polio Immunization Program also received a citation and a cash prize of US $ 3000 and US$ 2000 respectively.The winner was selected by the Foundation based on the combined merits of each program out of scores of applications received for the award. Speaking on the occasion, President Jimmy Carter said,†This will be the first presentation of this award outside the United States, and it is particularly significant to me that India is the next country to embrace this recognition of service. Many years ago my mother, who was a nurse and Peace Corps volunteer, ministered to Indian citizens.That experience touched her deeply, and the emotion she felt, and also the love for India has filtered through to me through her recollections. † Also present at the Award Ceremony were Shri Kapil Sibal, Honorable Minister for Science & Technology & Earth Sciences, Government of India & Aparna Sen, noted film actor, director. According to Atul Singh, President & CEO, Coca-Cola India, â€Å"President Carter and Coca-Cola share a strong belief in the benefit of working for the local communities. As an example our Company is actively spearheading water sustainability and conservation programs in India.We have so far commissioned more than 220 rain water harvesting structures in 17 Indian states both at bottling plants and in the local communities. We are constantly trying to benefit the communities where we operate. â€Å" Carter Partnership Awards celebrate schools, communities, and businesses working together to make a difference in the lives of people in need. The A ward aims to be a powerful motivator for the academic community to develop community service programs in their curriculum and encourages the student community to inculcate values of selfless service and empathy towards the community.Other members present at the function included, Mr. S K Poddar, President FICCI, Dr Sue Sehgal, Founder & President, Jimmy & Rosalynn Carter Partnership Foundation, Shri Farookh Abdullah, eminent parliamentarian, Naveen Jindal (Member of Parliament) & other well known personalities. Cola-Cola India wins the Bhagidari award from the Delhi government for its efforts in community development The Company has already executed nearly 200 rain water harvesting structures across 17 states Coca-Cola India has plans to undertake 40 new rain water harvesting projects during the current yearThe company is also working with local communities in various states on projects like Paper & PET recycling, education and clean environment projects Coca-Cola India won the â₠¬ËœBhagidari award' on February 25, 2006, in New Delhi, for its contribution in water conservation & environment management programmes and for its contribution to community development, from the Delhi Government. This is the third year in a row that the company has won this award. Mr. Atul Singh, President & CEO, Coca-Cola India received the award from the Hon’ble Chief Minister of Delhi, Ms.Sheila Dikshit on behalf of the company at a function during the Bhagidari Utsav at the Pragati Maidan in New Delhi. Coca-Cola India is supporting several rain water harvesting projects spread across 17 states with nearly 200 rain water harvesting structures. The company plans to take up another 40 such projects by the end of the year. The company is currently engaged in such projects in the states of Andhra Pradesh, Assam, Bihar, Delhi, Gujarat, Goa, Jammu & Kashmir, Jharkhand, Kerala, Karnataka, Madhya Pradesh, Maharashtra, Orissa, Rajasthan, Tamil Nadu, Uttar Pradesh and West Bengal.I n addition to this, the company has also undertaken various projects in the areas of Paper & PET recycling and Education & clean environment in partnership with local communities in different states. On receiving the award, Mr. Atul Singh, President & CEO, Coca-Cola India, said, Water is a subject that is loaded with urgency and even emotion. It is a critical global challenge and it will take a wide variety of efforts, most of them at a local level to overcome the problem.At Coca-Cola we have undertaken numerous projects across the country in partnership with local communities for their development and we continue to look for areas where private-public partnerships can bring about good results. We are honoured to get this award and we are thankful to the government and to the residents of the state for giving us an opportunity to partner them in some truly path breaking community development initiatives. The Coca-Cola Company has always placed high value on good citizenship. At th e heart of business is a mission statement called the Coca-Cola Promise.It says, quite simply, that The Coca-Cola Company exists to benefit and refresh everyone who is touched by our business†. This basic proposition means that the company’s business should refresh the markets, protect, preserve and enhance the environment and strengthen the community. Coca-Cola India provides extensive support for community programs across the country, with a focus on education, health and water conservation. Bhubaneswar Team wins 2005 Pollution Control Excellence Award! The winning Bhubaneswar Team with their trophy The â€Å"Pollution Control Excellence Award† for 2005 has been awarded o HCCBPL Khurda unit, by the Orissa State Pollution Control Board. The award went to the Khurda team for achieving excellence in implementation of pollution control systems in the plant and for their constant efforts for protection of the environment. The Pollution Control Excellence Award is a n annual award given to industries that excel in environment protection. Khurda's multiple initiatives – PET recycling, Vermicomposting and Rain water harvesting, in addition to its Environment practices to prevent/control pollution bagged the unit this award.Khurda beat over 20 shortlisted industries throughout the state for the award. The award was presented on the 23rd Foundation Day Celebration of the State Pollution Control Board, Orissa by S. P. Nanda, Principal Secretary, Dept. of Environment ; Forests Govt. of Orissa on 16th September 2005. The Award was received by the Region – Vice President Mr. T. Krishna Kumar. Speaking on the occasion Mr. L. N. Pattnaik – PCB Chairman lauded the efforts of the company in the field of environment protection. Best Organization Award to Coca-Cola India – giving equal opportunity to differently-abled people.H. E Shri T V Rajeshwar felicitating Mr. Ashutosh Bhardwaj, Area General Manager, Hindustan Coca-Cola Beve rages Pvt. Ltd. Varanasi The State Government of Uttar Pradesh, under the aegis of Directorate, Handicapped Welfare conferred Hindustan Coca-Cola Beverages Pvt. Ltd. , Varanasi with the Best Organization Award for allowing differently-abled people to prosper ; carve a niche for themselves in the professional world. The Award was given by the Governor of the State, H. E. Shri T V Rajeshwar to the Area General Manager, Hindustan Coca-Cola Beverages Pvt.Ltd. Varanasi, Mr. Ashutosh Bhardwaj, in a function organized at Sahkarita Bhawan, Lucknow, to mark the World Disability Day on December 3, 2005. According to Mr. Ashutosh Bhardwaj, it’s a policy at Coca-Cola to give equal status ; provide equal opportunity to the differently-abled people who are in a perfect physical condition. They are especially trained to carry out certain responsibility. Anomalies should not hamper the growth of an individual. At present, twelve differently-abled people are working as Bottle Inspectors (bott le supervisors) in the unit.The Company shared this award with B. C. G. School for the Deaf, Varanasi. Patna Unit wins CSR Award 2004-05! Saurabh Pande, AGM, Patna receives the CSR award Our Patna Unit has been awarded ‘Corporate Social Responsibility Award' for the year 2004 05 by the J. M. Institute of Speech and Hearing, Patna. The award was given to the Patna Unit for the continued support provided towards upliftment of physically challenged children. Since last one-year, the principal focus of Patna Units Citizenship activities has been supporting the physically challenged.The multiple initiatives in this direction include Organizing Sports for Deaf and Dumb, Cultural Programmes, Educational Trip to Plants etc. The Award was presented to the AGM, Patna – Mr. Saurabh Pande, by the Lokayukth of Bihar, Shri Narmadeshwar Pande in a ceremonial function held in Patna on 24-September 2005, the International Deaf ; Dumb Day. Coca-Cola India Receives Bhagidari Award From Th e Delhi Government -Only Corporate to be presented with this award in recognition for its Citizenship Program- Honourable Chief Minister of Delhi, Ms.Sheila Dikshit presented a Commendation Certificate to Coca-Cola India for its contribution in the Bhagidari scheme recognizing the Company's efforts and contribution towards community development programs. The Company received the award at a glittering ceremony during the Bhagidari Utsav at Pragati Maidan in New Delhi. The Utsav was attended by more than 5,000 citizens of the city. Bhagidari celebrates the spirit of collective responsibility between citizens and Government agencies for improving urban infrastructure and environment. On receiving the award, Division President, said, we are honoured to get this recognition.Citizenship at Coca-Cola India is integral to our business and we continue to work with local communities across the country. Coca-Cola India has implemented a host of citizenship projects in Delhi under the Bhagidar i scheme including: Rainwater harvesting projects Clean Delhi Campaign in association with the Government of Delhi PET and Paper recycling projects in schools Tree plantation drives with Department of Environment Vermi-composting The company had earlier also received a special award from the Delhi Government in 2002 for its active participation in the Bhagidari programme.Government Acknowledges Coca-Cola’s Concern for The Disabled Chennai 16th August 2004: Hindustan Coca-Cola Beverages Pvt. Ltd. has been honoured as the ‘BEST PRIVATE COMPANY’ in the State by the Government of Tamil Nadu for its contribution to the communities in providing employment opportunities to physically challenged people. Ms. J. Jayalalitha, Honourable Chief Minister of Tamil Nadu, presented the award to the company at a simple function here on the occasion of the occasion of Independence Day. The Company employs 88 people with hearing and speaking disability, who work as â€Å"Special In spectors† at its Nemam plant near Chennai.They have been trained by the Company to observe the bottles and check for any foreign particles during quality check. Coca-Cola India awarded the Bombay Stock Exchange Award for Social and Corporate Governance 2009 Coca-Cola India has been awarded the Social and Corporate Governance Award for Best Practices in Corporate Social Responsibility 2009. The award which has been instituted by Bombay Stock Exchange Limited, Nasscom Foundation and Times Foundation recognizes and honours organisations for their contribution to society.Coca-Cola India was declared as one of the four winners of the award in recognition of its community development and sustainability initiatives in the four pillars of marketplace, workplace, environment and community. The other winners include prestigious organisations like IT major Infosys, Construction conglomerate Larsen & Toubro and leading bank, The Punjab National Bank. Jury Members of the Bombay Stock Exch ange Social and Corporate Governance Award 2009 at the award presentation ceremony. Harish Mehta, Founder,Nasscom Foundation presenting the Bombay Stock Exchange Social and Corporate Governance Award 2009 to Deepak Jolly, VP PAC, INSWABU on behalf of Coca-Cola India. According to Mr. Atul Singh, President & CEO, INSWABU, â€Å"It is an honour for Coca-Cola India to receive this award for a well rounded effort in the sphere of corporate governance and social responsibility. This is a just reward for all the initiatives that has been put into restoring the growth and image of the Coca-Cola system in India by more than 25,000 system associates and I congratulate each of one of them for winning this prestigious award.Recognitions like these will further encourage us to strengthen our programs towards making a meaningful difference in the lives of millions of people that we touch daily. † This award comes is the third in a series of corporate responsibility awards won by the Comp any in 2010. Notable among these are the Golden Peacock Global CSR Award for the second consecutive year and the Frost & Sullivan Green Excellence Award for Corporate Leadership. Coca-Cola India was one amongst the

Online Dating sites Essay

You’ve heard of tinder, POF, christianmingle.com, and match.com. These websites claim to find you perfect matches. They say love is right around the corner with their website. These websites make it so you, the searcher, has the opportunity to meet tens of hundreds of women in search for that special person that will steal your heart. These dating sites have become huge in today’s society in meeting new people. Dating sites were a good idea back in the day. However, if you go to google and search the word online personals you will find the online dating scene has evolved. There are roughly 15 million so called dating sites today and that number rises daily. A law suit was filed against Yahoo a few years ago stating the web site deliberately and intentionally created false or non-existing profiles to make matches for their clients to keep them interested in the dating scene. Customers would pay a monthly fee to try and find their match or women of their dreams. Meanwhile, yahoo was making false profiles to make people believe they had finally found that special person or had a potential match and paying a fortune to keep them around. In 1996 Yahoo tried to get the courts to dismiss the complaint on grounds that it was barred by the CDA or Communications Decency Act. This act was the first notable attempt by the United States Congress to regulate pornographic material on the Internet. The courts rejected the argument and stated that yahoo would have to become an information content provider. (Miller, 2014) Another dating site by the name of Match.com had a similar lawsuit filed against them. This company however took it to the next level. The have hired employees who would do something called a date bait. These employees would send bogus emails back and forth with customers and would even go on actual dates with these people. An employee stated, â€Å"They had gone on as many as 300 dates a month.† The employees would do this to keep customers paying for the use of their website. (Miller, 2014) This lawsuit has yet to be resolved and Match.com remains the leading online matchmaker to this day. I had a friend who had just gotten out of a very long relationship and wanted to get back out there  and start dating. Her problem was she had been out of the dating scene for so long she honestly did not know where to even start. She decided she would try out one of these so called dating sites and see if they actually worked. She told me that she did the site for about two weeks. During these two weeks she received hundreds of messages from creepy guys looking to hook up. She told me, â€Å"Half of the guys I messaged weren’t even real people.† What she meant by this was that the people she messaged were automated, not real, and responded to every request they received to try and get money out of you. An article in the Huffington Post stated, â€Å"A model is suing Match.com for 1.5 million dollars.† The model is suing Match.com because the website allowed ove r 200 fake profiles be made using her pictures. The people creating these profiles with her pictures are talking to people and actually getting to know them and then asking them for money for multiple reasons. Some people are actually sending the money and being scammed as the person they are talking to is never heard from again. Online dating has evolved immensely since the 1990’s. It used to be a credible source to meet people and go on actual dates. Now a days, in the 2010’s, any mention of online dating is usually mentioned because someone tried scamming you out of money from Nigeria or some other country. Lawsuits are being filed all of the time on the websites because people are being scammed but the websites are winning because you agree to terms and agreements. What this does is make you, the customer, liable for any actions that partake after signing up for the website. In closing, the world of online dating is a scary one. It is quickly evolving into a large scam. Lawsuits are being filed daily against these sites but there is nothing that can be done as we, the customers, are at fault. People are never who they appear to be online. References Communications Decency Act. (n.d.). Retrieved November 16, 2014, from http://www.princeton.edu/~achaney/tmve/wiki100k/docs/Communications_Decency_Act.html Miller, R., & Miller, R. (2014). 12. In Business law today: Text & summarized cases : Diverse, ethical, online, and global environment (10th ed.). Mason, Ohio: South-Western Cengage Learning. Scherker, A. (2013, November 25). This Model Is Suing Match.com For $1.5 Billion. Retrieved November 16, 2014, from

The Anxiety With A Referral From A General Practitioner

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CBT is proven to be the most effective way to reduce Anxiety and stress a person is suffering from, specialist that can perform CBT use the method to change how the brain reacts to certain situations by change how the brain reacts to a situation (beyondblue, 2016). For example, you might find yourself stuck in catastrophizing thinking patterns. This means thinking the worst, believing something is far worse than it actually is, or anticipating things will go wrong this creates the Anxiety you feel. CBT helps by teaching you to think that more realistically and focus on problem-solving. If you actively avoid situations or things that causeShow MoreRelatedMy Clinical Placement For The University Hospital s Internal Medicine Essay1469 Words   |  6 Pagesservices to general population. The providers are involved in treating complex medical problems, the diagnosis and treatment of both acute and chronic illnesses, gynecological care, urgent care, and minor surgery. 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