Implemenattion of Human Resource Management Practices in Eagle Hill Sc Essay

Implemenattion of Human Resource Management Practices in Eagle Hill School - Essay Example The strategic human resource management practices that can be used in Eagle hill school are staff recruitment, employee training and development and employee compensation. Staff recruitment is the act of getting new people to work for an organization, company or an institution either on a contract basis or on a permanent basis. It incorporates the search for employees, interviewing of the employees and allocating them jobs. It is important for Eagle hill school to recruit new staff to boost their service delivery to the public. In addition, recruitment helps to replace retired employees, dead employees, sacked employees or those employees that have gotten new jobs in different places (Whitmore 2002). In order to employ new staff, the human resource management in Eagle hill school should ensure that the proper steps and stages are followed. These steps include; job advertisement, reception and analysis of applications, shortlisting of candidates and attending of interviews. Job advertisement is a vital step in the recruitment process by any institution. This is because advertisements are meant to inform the public of the availability of a certain job offer. In order to reach the correct target people, the Eagle hill school should decide on the medium of advertisements. This can be in form of print media, radio, notices, cards etc (Gamble 2010). In the adverts, the institution must specify the type of people required and the qualifications. For instance, Eagle school can advertise for employees with knowledge in training in the disability sector. Apart from the academic qualifications, Eagle hill school should include special qualities and traits that the applicants must possess (Jones 2007). The adverts should also include the dates for submission of the request. After the deadline for submission, the received  documents are to be analyzed.  

What are mitigating factors in learning math in saudi arabia Assignment

What are mitigating factors in learning math in saudi arabia - Assignment Example The discussion of the results basically focused on elaboration of the behavioral patterns of students in relation to motivation in undertaking math as a subject. MRP6: This was the last section of the paper; it focused on a discussion of the purpose of the research followed by the conclusion section that basically provided summarized information of the entire research. Adler, N. E., & Stewart, J. 2009: Recommended reading for the research; provides pertinent information regarding motivation among human beings. This reference has noted that many human beings have a natural tendency of avoiding work. The DOS Based VBPro: This is the content analysis software that was used to facilitate the analysis of the data collected in this research. The rational for selecting this software for the research is based on the fact that it is easily applicable in analyzing qualitative data. Manipulative in learning: This is one factor that arised in the course of data analysis; manipulative method as a form of learning entails a scenario whereby student utilizes certain items i.e. calculators, toothpicks and markers to support hand-in learning. In my research, this is one factor that appeared to among the motivating factors used among students to learn math. School Quiz Logic Puzzles: This is another issue that emerged as I analyzed my data. It is a tool that was applied in most Saudi Schools to improve the performance of students in mathematics. Logic puzzles are basically brain games where a student is subjected to a scenario where he has to apply logic in order to solve a problem. Qualitative Techniques: This is the procedures that were used to collect and analyze data that guided my research. The rationale for selecting qualitative technique as my research designed was based on the fact that it facilitated asking and answering questions such as: Why? Where? How?

The Raj Rajaratnam's Conspiracy And Securities Fraud Essay - 19

The Raj Rajaratnam's Conspiracy And Securities Fraud - Essay Example Rajaratnam had a continuous pattern of using insider trading to make millions of dollars in profits. Typically insider trading occurs as one time tips that a person exploits. A smart insider trader will not abuse his knowledge to earn money to stay off the radar of the Securities and Exchange Commission (SEC). Greed was the primary factor that led to the demise of Raj Rajaratnam. Information asymmetry in the financial market is a posing great risk. This risk is characteristic of insider trading activities. These activities and underground operations are tailored towards benefiting a few in the society. Considering the Galleon insider trading saga, the parties that were set to benefit from illegal activities are few. Investors and more especially the hedgers should have common information regarding market share movements of companies (Jones, 1996, pg. 143). However, a few individuals through cooperation and collaboration sought to take advantage of crucial information only available to them. Of course, an inside job is a context upon which the participants to these fraudulent activities thrived and thereby succeeded in their quest to reap huge profits by taking advantage of company performance in the financial market (Girgenti, 2010, pg. 88). Kamal Ahmed among other senior employees of companies listed in the investigations offered crucial information on payment. Such an activity is risky for the financial markets because information symmetry is expected to influence the decisions of investors. Acts of corruption and bribery are therefore integrated into the insider trading activity allowing for the few involved to take advantage of the entire shareholding and investing community. The losses of many are the profits of a few. Due to the high secrecy that insider trading activities require, it seems obvious that successful businessmen and prominent people may be the major participants in such activities.

Pelvic Floor Literature review Example | Topics and Well Written Essays - 2000 words

Pelvic Floor - Literature review Example This study shall discuss the importance of pelvic floor exercises for the antenatal mother. It shall consider literature on this topic on the benefits of pelvic floor exercises. It shall also discuss possible recommendations for the use of pelvic floor exercises in the future practice. This study is being carried out in order to establish a clear and comprehensive understanding of the current subject matter. Discussion In a paper by Reilly, et.al., (2003) the authors set out to establish whether the supervised pelvic floor exercises during the prenatal period would decrease postpartum stress incontinence in primigravida mothers with bladder neck mobility. Their study was carried out as a single blind and randomized controlled trial in the prenatal clinic in a UK NHS Trust Hospital. It covered about 260 primigravida mothers seeking prenatal care in the clinic at about 20 weeks gestation with bladder neck mobility (Reilly, et.al., 2003). The study called for the respondents to attend s upervised pelvic floor exercises as assisted by a physiotherapist on a monthly basis from 20 weeks of pregnancy. The control group did not undergo any pelvic floor exercises. The study revealed that, as compared to the control group, less postpartum stress incontinence was reported by women who underwent supervised pelvic floor exercises. ... In another study Morkved and colleagues (2003) set forth that urinary incontinence is a major health issue which often decreases the quality of people’s lives. Risk factors for this condition include pregnancy and vaginal delivery. Their study set out to establish whether intensive pelvic floor muscle training during pregnancy could prevent urinary incontinence. The authors carried out their study as a single-blind randomized controlled trial at the Trondheim University Hospital with about 300 nulliparous women who were assigned to undergo either pelvic floor exercises muscle training program or no pelvic floor training at all (Morkved, et.al., 2003). The study revealed that there were fewer women in the training group who experienced urinary incontinence at 36 weeks of pregnancy and 3 months after their delivery. The study established that the intensive pelvic floor exercises assisted in preventing urinary incontinence among women during and after pregnancy. In a study by Oli veira, et.al., (2007) the authors set out to assess the impact of pelvic floor muscle training among 46 pregnant women. The authors divided the women into 2 groups, the exercise and the control group. The assessment of the pelvic floor muscle was carried out through the digital vaginal palpation via the strength scale. The study revealed that the pelvic muscle strength became stronger for women in both groups during the pregnancy period; however it proved to be stronger among women in the exercise group (Oliveira, et.al., 2007). The authors concluded that through pelvic muscle floor training, an increase in the pelvic floor muscle pressure and strength at pregnancy was made possible. This is an important development for pregnant women because stronger pelvic muscles help ease the delivery

Healing with technology Essay Example for Free

Healing with technology Essay Spinal Dynamics will aim to capture at least 10% of total spinal implants market by fourth year of operation. Spinal Dynamics plans to become Canada’s largest spinal orthopedic implant company by 2011. The Company plans to pursue vigorously and at an accelerated rate the development, production and marketing of artificial disc implant . The goal would be apart from being superior to other products it should be affordable for the masses in Canada thus contributing to human welfare by application of technology in the field of biomedical sciences. The company Spinal Dynamics is being formed for the purpose of engaging in development, production and marketing of artificial disc implants, in Canada with early and profitable operation as the prime goal. B. DESCRIPTION OF THE INDUSTRY The boom is gradually shifting from the sectors of finance and information technology towards the biomedical sector specifically the medical device industry. The major reason being increased medical treatment costs, and an urge towards better quality of life. Hip and knee replacements have become very common in spite of the high surgical costs involved. On the same lines spinal surgeries are becoming more prevalent especially because of high economic costs being incurred due to low back pain ailments. According to the statistics, patients suffering from back pain consume more that $90 billion annually in health-care expenses, with approximately $26 billion of that amount directly attributable to treating the back pain. Due to this reason a number of spinal implant companies have mushroomed throughout the U. S and Europe. The main problem in this industry is long development periods and high risks . The long drawn approval process especially in U. S due to FDA regulations is one of the reasons a lot of money is being invented in research , development and testing of the product. However medical law suites might become a big liability for the product if the device fails even once. C. CRITICAL SUCCESS FACTORS: Competencies Capabilities: 1) Legal and regulatory factors: The medical device industry is classified as class 3 , high risk implant so its obvious that a lot of investment goes into testing and experiments with sufficient evidences to prove its safety in-vivo. There are instances when a device fails and a single lawsuit causes the entire company to close down. Thus its advisable to invest time and money , before taking the implant out to the market 2) Investment of Time Money: As approval process is a long drawn procedure, it is necessary to have well trained quality managers and regulatory system advisors as employees. Sometimes services of external consultants or Regulatory advising companies might be used. 3) In-house surgeons/medical practitioners: As these devices cater to specific ailments and are highly specialized, it is important that we have in-house surgeons to understand the requirements of a product before we begin to design it. Infact the engineers and the surgeons should work hand in hand to come up with a better product. The crucial factors which determines success in biomedical industry 1) Availability of constant flow of Funds: For a new product to be in market, it might take 3-4 yrs, so during this period there should be a constant supply of funds to pay the employees and keep the company running. 2) Excellent marketing strategies : Its important that these products are marketed through right channels, thus its highly imperative that the products are showcased at various trade shows/conferences 3) Understanding the regulatory process: The main aim would be to bring the product soon to the market, by making a full-proof plan before the submission process for approval, as this phase is the lengthiest of all the processes. D. PEST ANALYSIS: Scope of Growth: The medical device industry out here thrives on reverse engineering concept the result is a number of ME TOO products. Infact companies end up investing on buying patents from European and American companies and do not believe in investing money for research and development of such products. There is huge market to be tapped as there is a lot of demand for these products most of which is imported from the Europe and the U. S. This area being the fastest growing market, the projected growth is expected to touch up to $16 billion in 2015 revenues. Source: Millennium Research Group. Spine Care Segments 2015 There is expected to be an increase in surgical treatment options, like facet replacement and dynamic stabilization procedures, which will likely be more acceptable to patients, perhaps doubling the % of patients accepting surgery from 3. 6% to 7% of a much larger, elderly population. As clinical results improve, this market is expected to continue to grow 20% per year and offer a tremendous opportunity to companies with innovative product lines. In 2015, industry experts project lumbar fusions will not grow, but stay at the same 2006 level of 400,000 procedures; dynamic stabilization devices will grow from 25,000 to 250,000 cases; and artificial lumbar and cervical discs grow from 25,000 to 600,000 cases, as these new procedures begin to replace spinal fusion. PART 2: A: BUSINESS OWNERSHIP: Sole proprietorship is a one-person business is registered with the state like a limited liability company (LLC) or corporation. Legally, a sole proprietorship is inseparable from its owner the business and the owner are one and the same. This means the owner of the business reports business income and losses on his or her personal tax return and is personally liable for any business-related obligations, such as debts or court judgments. This accounts 74% of all USA businesses and for 6% of all sales in USA. Advantages: (1) decisions are made by only the owner; (2) simple process to start – just get a business license (3) profits belong to the owner; (4) pride of ownership; (5) lower taxes. Disadvantages: (1) unlimited liability (2) limited life of business (3) difficult to raise capital for business; (4) risk of lost is not shared Partnership: a partnership is simply a business owned by two or more people Just like in a sole proprietorship, the partnerships owners pay taxes on their shares of the business income on their personal tax returns and they are each personally liable for the entire amount of any business debts and claims. 8% of all USA businesses are partnerships and accounts for 4% of all sales in USA Advantages: (1) easy to start (2) not many regulations; (3) not as difficult to raise capital for business; (4) combination of knowledge and skills. Disadvantages: (1) unlimited liability; (2) profits are shared; (3) limited life of the business; (4) disagreements Incorporation: Though forming a corporation is a bit more complicated and costly, but it is well worth the trouble for some small businesses. The main benefit of an LLC or a corporation is that these structures limit the owners personal liability for business debts and court judgments against the business. What sets the corporation apart from all other types of businesses is that a corporation is an independent legal and tax entity, separate from the people who own, control and manage it. Because of this separate status, the owners of a corporation dont use their personal tax returns to pay tax on corporate profits the corporation itself pays these taxes. Owners pay personal income tax only on money they draw from the corporation in the form of salaries, bonuses, and the like. Corporations make sense for business owners who either (1) run a risk of being sued by customers or of piling up a lot of business debts, or (2) have substantial personal assets they want to protect from business creditors. 18% of all USA businesses are corporations and accounts for 90% of all sales in USA. Advantages: (1) easy to raise capital (2) limited liability; (3) unlimited life of business; (4) Can hire specialized skills and knowledge; (5) shared risks. Disadvantages: (1) difficult to start; (2) less direct control; (3) double taxation: corporate tax and individual tax (4) limited activity. Franchising: Franchises are in which individual businessmen or people buy a well established business, but a certain percentage goes back to the corporation. Franchises must adhere to the corporate regulations. (McDonalds, Krispy Cream, Starbucks). Acquisition/Mergers: In this two companies merge together(merger) or a big company acquires a small innovative company giving rise to an acquisition. The best option to go with would be setting up a corporation or a LLC rather to start. The limited liability company or LLC is a relatively new form of doing business which is now recognized in most states. The LLC has grown in popularity because it combines the best features of a corporation and a partnership. Like a corporation, the owners (called members) of the LLC are not personally responsible for the debts of the LLC. Like a partnership, there is no dual taxation and the earnings of the business are taxed directly to the members. The LLC is also preferable in many ways to the S corporation, which also avoids personal liability and dual taxation. The LLC is not subject to most of the limitations which are imposed on corporations by applicable law. For example, while an corporation is not allowed to have more than one type or class of stock ownership and is not allowed to have more than 75 shareholders, the LLC is not subject to such limitations. Overall, the LLC simply allows more flexibility in the structure, operation and management of the business than does the S corporation. LLCs are similar to corporations because they also provide limited personal liability for business debts and claims. But when it comes to taxes, LLCs are more like partnerships: the owners of an LLC pay taxes on their shares of the business income on their personal tax returns.

Categories of drivers Essay Example for Free

Categories of drivers Essay Since the start of road transportation, there have been drivers of the varied kind. The modes of transportation changed from horses or horse driven carts to cars but these set of drivers have always remained since then. Drivers of automobiles can be categorized into three categories teenage drivers, old drivers which mainly comprises of senior citizens and drunk or substance abusive drivers. The safety on the road of a person is basically depended on the kind of driving one does. A person’s skill to drive depends upon a certain set of factors due which he gets categorized. Teenage drivers who use automobiles are mostly adrenalin driven and have a habit of being impatient on roads. Teenagers with attitude problems can indulge in major road mishaps and can cause severe damage to themselves along with the innocent car drivers on the road. A teenager cultivates his driving skills by looking at his parents or guardians and later on the pressure of his per group plays a massive factor in driving. It has been estimated about sixty five percent of passengers have had fatal injuries due to the reckless driving of an immature teenager. The habit of risk taking or trying to create impressions on their peer groups more often than not result in deadly crashes. If apart from impulsive behavior, a teenager also does any kind of alcoholic or drug abuse, then the combination of impulsive behavior with substance abuse not only makes them dangerous on the road, but also they risk of having the worst kind of crashes possible on road. As we age our reflexes and our ability to make life saving maneuvers also go down. This is a problem with all the old aged drivers in the world. These old drivers in their experience have a perfect mentality to drive safe, but because of ageing lots of occurrences physically take place like loss of good vision, or their loss of their ability for quick response time. These drivers won’t commit mistakes on purpose and would have a thinking of driving at lower speeds with an intention of attaining maximum safety. How much ever these drivers have good intentions, any physical bustle can cause them to crash anytime which sometimes makes a risky commodity on the road. The worst kind of a driver however is a driver who abuses alcohol or any substance and then drives a set of wheels. These are the kind of drivers who irrespective of their age which can comprise from being a teenager to being a senior citizen have the ability to kill and get killed depending on the amount of alcohol or drug they have consumed. These drivers knowing that they are not in right condition risk everyone’s life around and are equivalent of a deadly weapon on the road, as it become highly unpredictable about when they would crash and cost someone their lives. The following evidence will show the risk taken by these drivers and the amount of crashes that can take place because of their carelessness: ‘Nearly half a million people are injured in alcohol-related crashes each year. More than 15,786 of them die. Thats one death every 33 minutes. In 2000 in Kansas, 2,469 people were injured in alcohol-related crashes. Thats more than six persons injured each day’ (Courtesy: Kansas Department of Transportation, â€Å"Types of drivers†. Retrieved on November 24, 2008 from http://www. ksdot. org/burTrafficSaf/sns/Presentation/types. asp) It can only be understood that a safe and a good driver should always maintain patience while driving, as a small move from any of the three categories discussed above can cause them their lives for no fault of their own. Reference: 1) Kansas Department of Transportation, â€Å"Types of drivers†. http://www. ksdot. org/burTrafficSaf/sns/Presentation/types. asp

The Issue Of Underage Drinking Social Work Essay

The Issue Of Underage Drinking Social Work Essay The issue and prevalence of young people (under 18) drinking alcohol in recent years has become a matter of increasing public concern, with current trends amongst the worst in Europe (Gunning et al 2010). Drinking during childhood, particularly heavy drinking is associated with a range of problems including physical and mental health problems, alcohol-related accidents, violence, and anti-social behaviour (Gunning et al 2010). Young bodies are still growing, and alcohol can harm their development; regular drinking can lead to cancer, liver disease, and heart disorders in later life (Bateman 2011). Deaths from liver disease have risen vastly in the 25-34 age groups over the last 10 years; thought to be a consequence of increased drinking starting from an earlier age (Thomson et al 2008). In England in 2007/2008, more than 7600 children under 17 were admitted to hospital as a result of drinking alcohol (Gunning et al 2010). It is believed that young people who start drinking alcohol at an early age, drink more, and drink more often than those who delay the onset of drinking until they are older. They are also more likely to develop alcohol abuse/dependence problems in adolescence and adulthood; dependence is also likely to occur from a much younger age (Gunning et al 2010). A recent survey carried out in 2010 by the National Centre for Social Research (NatCen) to determine the smoking, drinking and drug use of secondary school pupils aged 11 to 15; (7,674 pupils in 247 schools through the use of questionnaires) interestingly found that the proportion of young people who have drunk alcohol had decreased in comparison with earlier findings from 28 per cent in 2001 to 21 per cent in 2006 (DH 2008). However it must be stated that although there had been a marked decrease in the number of young people who had drunk alcohol; many of the 11 to 15 year olds who do drink were described to be consuming larger amounts of alcohol, more often, to deliberately get drunk (Bateman 2011). This study also conveyed that 18% of pupils had drunk alcohol recently, is equivalent to around 540,000 young people (Gunning et al 2010); suggesting that more still needs to be done to reverse these prominent trends, as despite the marked decrease alcohol misuse in young people is sti ll a serious problem that is affecting the health of the youth today and greatly impacting the wider community, in that alcohol misuse carries a financial burden; and has been estimated to cost nearly  £11,000 million each year, in terms of health, social welfare and criminal justice resources (Waller et al 2002). Collecting this type of data can prove difficult, as drug and alcohol misuse are of a sensitive nature and often individuals do not wish to share this information candidly when questioned. It is particularly difficult to obtain from young people (under the age of 18), as this often has to be carried out within a school environment, via questionnaires. The extent to which honest reporting occurs is again complex, as young people will often exaggerate to peers, and conceal from parents (Gunning et al 2010). Honesty is not the only factor affecting accuracy of responses in young people, precision of estimates and the recall of the amount of alcohol drunk can also be problematic, given that pupils patterns of behaviour between the ages of 11 and 15 may be described as experimental and sporadic opposed to habitual and regular (Gunning et al 2010). The National Treatment Agency (NTA) has recently stated that young peoples substance misuse is a relatively new area of academic study and so r esearch on effective treatment interventions are inconsistent (NTA 2010). It is widely acknowledged that alcohol misuse in youth is inextricably linked to a number of factors; including the influence of parents/family, peers, environment, culture and socio-economic status (Templeton et al 2006). According to the Acheson report (1999), dependency upon alcohol is significantly correlated with socio-economic position, suggesting that the problem is one that is beyond the chemical impact of the substance itself (Nacro Youth Crime Section 1999) coinciding with more recent National statistics and research studies that indicate, as well as sex and age, socio-economic status, ethnicity and geographical area of residence are among the factors linked to levels and patterns of harmful alcohol consumption (Waller et al 2002). In order to target the issue of alcohol misuse within young people, these factors needed to be taken into account and have since been the guide by which policies regarding youth and alcohol are implemented (DH 2008); therefore providing alcohol education in schools; beginning in the primary phase, well before patterns of regular drinking become established, designed to educate and advise young people on sensible drinking patterns and the dangerous effects it may have upon them (DH 2008). Parents and carers also have a responsibility for whether their children drink, at all, and if they do, how much and how frequently they drink. However, for parents to feel confident when talking to their children about alcohol and to empower them to set appropriate boundaries they need guidance from the appropriate services (DH 2008). In terms of government strategies, to target the issue of alcohol misuse in young people; the coalitions programme for government published in May 2010, outlines proposals designed to restrict the supply of alcohol to young people, less than 18 years of age, by increasing the control given to councils to close outlets that persistently sell alcohol to children; and to increase the maximum fines for under-age alcohol sales. Additionally, there will be a ban on the sales of alcohol at below cost price (Gunning et al 2010), and a review of alcohol pricing and taxation, both policies expected to have particular impact on young drinkers (Gunning et al 2010). Whilst these policies are currently weighted towards prevention, and adopting preventative strategies, recent statistics suggest that the majority of young people accessing services and interventions have problems with alcohol (37%) and cannabis (53%) (NTA 2010), thus suggesting that more needs to be done in the preventative stages of alcohol awareness in children; as evidence suggests that the problem is clearly still on-going. The choice and effectiveness of treatment approaches is typically dependent on a range of factors, such as the individual characteristics of the client for example motivation, family life, social circumstances and environment; in addition to the particular drug or drugs that are being used (Crow Reeves 1994). The National Treatment Agency (NTA) defines young peoples treatment as: à ¢Ã¢â€š ¬Ã‚ ¦ care planned medical, psychosocial or specialist harm reduction interventions aimed at alleviating current harm caused by a young persons substance misuse (NTA 2010). Young people with drug related needs are supported by interventions and services within a four-tiered model of drug and alcohol interventions which consists of a General Frontline service delivery for young people and their families (first port of call) (tier 1), open-access services (such as drop in) (tier 2), Drug treatment within the community (Shared care) (tier 3) and residential drug treatment (specialist services) (tier 4) (NTA 2006). Young drug and alcohol users are believed to differ from adults as they will typically not have used drugs for a prolonged period of time, in order to have developed a dependency to a substance; and as a result affecting the type of treatment generally provided to young people (Frontier Economics 2010). Young people are most likely to require psychosocial, harm reduction and family interventions, opposed to treatment for addiction, which most adults but only a small minority of young people require (Frontier Economics 2010). Psychosocial interventions are known as non-pharmacological interventions typically involving structured counselling, motivational enhancement, case management, and care-coordination, psychotherapy, and relapse prevention. The intention is to encourage behavioural and emotional change, with the support of lifestyle adjustments and the enhancement of coping skills (Frontier economics 2011). The most common form of therapy offered for substance misuse is some form of counselling; this may take the form of counselling for the drug problem itself, for example thoughts about using, coping strategies for reducing or counselling concerning the surrounding issues that impact on drug use (Lewis et al 2009). Counselling is a flexible approach and can be used to respond to a wide variety of circumstances surrounding misuse (Rounsaville Carroll 1992). It is possible to identify two general approaches to counselling in use in community drug services, the first being, counselling to tackle the personal problems, underlying drug misuse and the second being that of support and advice to help manage the consequences of drug misuse (Bryant- Jeffries 2001). The vast majority of young people accessing specialist treatment need and receive counselling, sometimes alongside their families to address the underlying causes and consequences of substance misuse. Such psychosocial interventions are the most common form of support accessed by under-18s (Frontier Economics 2011). The National Institute for Health and Clinical Excellence (NICE) coincides with the idea of the counselling theory, and has recommended that offering brief, one-to-one advice on the harmful effects of alcohol use, and how to reduce the risks and find sources of support, is an effective approach for tackling harmful drinking amongst children and young people (NICE 2007). The most common counselling approach to drug treatment has been cognitive behavioural approaches. The cognitive behavioural approach relies greatly on getting the user to focus on identifying problems and solutions. Cognitive behavioural counselling can be used to promote abstinence or gradual control of drug use, with an emphasis on teaching cognitive and behavioural techniques to resist drug use and related behaviours. The cognitive element of CBT is concerned with getting users to identify the reasons why they misuse, and in particular getting them to identify maladaptive thought patterns that lead them to engage in destructive behaviour (Jarvis 1995). The behavioural aspect of CBT is about helping people to look at the signs that encourage them to misuse drugs and to help them develop alternative ways of behaving (Jarvis 1995). NICE has recommended cognitive behavioural therapy (CBT) as an effective intervention for treating young peoples substance misuse (NICE 2007). Providing CBT in a group setting may help young people to role-play and practice coping with high-risk experiences. The group setting allows young people to share similar problems, develop social skills, model, rehearse and gain peer feedback (NICE 2007). NICE also recommends that brief interventions using motivational interview techniques can be used as one-off interventions, or to facilitate engagement with more structured specialist substance misuse treatment (NICE 2007). Implying that individuals with social networks supportive of drinking will benefit especially from a programme that encourages attendance at AA meetings, because it is the most effective means of eliminating heavy drinking friends and acquaintances from the social network (Connors, Tonigan and Miller, 2001). Although NICE states that a group setting is beneficial in helping young people overcome their alcohol abuse it may in fact be criticised, as young people, especially troubled young people may be overwhelmed by group influences, either in treatment among peers who are also recovering from chemical dependence or else after leaving treatment, in the form of familiar drug-using groups (Peele 1987). And so the most successful types of counselling approach used for young people needs to take into account their age, as being amongst adults with alcohol issues would not be beneficial to a young person as adults are often described as dependent requiring more intensive forms of treatment; young people will have often not reached this stage of dependence and so these adult influences may cause further negative impacts on the impressionable young (Geldard 2010). Type of personality needs to be taken into account in order to discover which counselling approach would be most appropriate and succ essful for them as an individual, as some individuals may respond best to a one-to-one approach, being able to fully open up to one person (the counsellor). Whereas some may find it easier to speak within a group setting with peers, learning from others experiences. Counselling is often described as a flexible approach (Rounsaville Carroll, 1992) and therefore can be adopted to meet the needs of individual cases and respond to a wide variety of circumstances surrounding misuse; in addition utilising a flexible approach suggests that it allows for the young person to access this service around other commitments such as school, so as to not jeopardise other important aspects and influences within their sphere of activity, flexibility of counselling will also allow for the involvement of the family, with evidence to suggest that family involvement enhances assessment and intervention and increases motivation in treatment (Kaufman, 1992). As young people are often depicted as not yet i ndependent, family interventions are believed especially important in addressing the basis of their drug and alcohol involvement; (Kaufman, 1992). Also important is helping the family initiate and support the persons involvement in an appropriate treatment program (Kaufman, 1992). Within individual treatment, compared to group therapy it is believed that much more time can be spent on issues that are unique to the individual involved, a trait that needs to be evident when working with young people (Rounsaville Carroll 1992). Motivational interviewing has a number of similarities with cognitive behavioural techniques but has a somewhat different emphasis in that the role of the counsellor is less directive and the responsibility is very much on the client to identify ways of changing (Bryant -Jeffries 2001). It aims, through the counselling relationship, to engage clients in a process of change and assumes that an individuals level of motivation can be influenced by the interaction between the client and the therapist. Motivational interviewing assumes that behaviour is a prospect that can be worked on and developed (Bryant Jeffries 2001). It is concerned essentially with working with clients to address the confluence of factors that drug misusers consistently feel about changing their behaviour and hopefully encouraging them towards reducing or abstaining (Jarvis 1995). The theoretical basis of this approach is Prochaska and Di Clementes transtheoretical model of behaviour change or, as it is most frequently referred to, the stages of change model (Turnbull 2000). The stage of change model is a social cognition model; focusing upon readiness to change a potentially destructive form of health behaviour i.e. drug misuse. The model has been applied to other health behaviours such as eating disorders as well as to substance misuse (Wilson Schlam 2004). It refers to a five or six stage process that people go through in their thoughts about their readiness to change. A study of alcohol users found that the number of clients motivated to change was increased by 77% when motivational interviewing was used (Miller Sanchez 19 99). Motivational interviewing is believed to increases the effectiveness of more extensive psychosocial treatments; often the chosen method of treatment used in young people (NTA 2010). Motivational interviewing although successful, in adult treatment programmes, may not be the best choice of treatment to use when young people are concerned. As previously stated they are unlikely to have used drugs for a prolonged period of time, to develop dependencies (NTA 2010) and so readiness to change, or to contemplate change may not be something they have even thought about and so a pre-occupation with lifelong abstinence in a young population may not only be unnecessary but unrealistic, and may actually encourage regular relapse episodes (Peele 1987). Young people require guidance and cannot often think about the consequences of their actions, or the harm they are causing themselves by heavy drinking (DfES 2004). It is suggested that therapy should encourage the assumption of values toward work, accomplishment, family, and social institutions that facilitate the maturation process (Peele 1987). Harm Reduction is one of the key public health approaches to drug use in recent years (Riley et al 1999). The harm reduction approach attempts to define and discuss drug use in terms of the harm it can be said to cause, and respectively to look at ways of reducing levels of harm (Riley et al 1999). Harm reduction is a term that defines policies, programmes, services and actions that work to reduce the health and social economic harms to the individual, the family, communities or society that are associated with the use of drugs (Newcomb 1992) without necessarily reducing drug consumption (Wodak 2011). A harm reducing approach to illicit drug use focuses on attracting users to services, in the realisation of the fact that many people who have problems with their drug use are not in touch with services (Wodak 2011). Thus, harm reduction policies and programs are offered to those not willing or able to cease their drug use in the short-run; aiming to make services more accessible to drug users as a first step towards treatment; however, this philosophy remains compatible with an eventual goal of abstention (CAHM 2009); Programs requiring abstinence as an immediate goal cannot therefore be considered harm reduction (CAHM 2009). A goal sequence produced by the Aids and Drug Misuse report (ACMD 1988) provides a clear example of a harm reduction approach to drug use; firstly to discourage sharing, encourage the shift from injecting towards oral use, reduce the overall levels of illicit drug use and finally abstinence (ACMD 1988). Harm reduction accepts that some use of mind-altering substances is inevitable and that some level of drug use in society is normal (CAHM 2009), for young people and alcohol use this is most definitely the case, as most individuals have their first experiences of alcohol during their early teenage years (Marlatt Witkiewitz 2002). Based on the recent evidence young people would benefit from prevention programmes aimed to reduce the amount of harm experienced by young drinkers this may be seen as a more realistic and effective method for educating individuals about the possible consequences associated with alcohol consumption as opposed to abstinence within this particular age group (Marlatt Witkiewitz 2002). This suggests that Harm reduction in this sense is the best approach when looking at young people and alcohol misuse, as abstinence may be described as unlikely within this age group, acknowledging that most adolescents will drink, speaking of the possible harms may be enough to reduce harmful levels of drinking by the young person (Marlatt Witkiewitz 2002). The Life Skills Training Program and the Alcohol Misuse Prevention Study (AMPS) in the United States and the School Health and Alcohol Harm Reduction Project (SHAHRP) in Australia are described as large scale intervention studies that have been systematically designed and evaluated based on a harm reduction philosophy (Marlatt Witkiewitz 2002). The life skills training programmes is said to adopt a cognitive behavioural approach to drug abuse prevention; thus providing education on the effects of drugs, teaching skills for resisting social pressure to use drugs, and promoting the development of self-esteem and social skills (Marlatt Witkiewitz 2002). Whilst SHAHRP combines a harm reduction philosophy with skills training, alcohol education, and activities designed to encourage positive health behaviour change (Marlatt Witkiewitz 2002); Results from a study comparing an intervention group of students who participated in SHAHRP with a control group over a 3-year period, conveyed tha t students in SHAHRP had significantly lower levels of alcohol consumption and alcohol related harms (Marlatt Witkiewitz 2002). In conclusion, harm reduction seems the best approach for young people and alcohol use, it must be stated that they are not as advanced as adults who misuse alcohol thus require harm reduction leading to abstinence. Young people will often eventually mature out of harmful drinking behaviour (Marlatt Witkiewitz 2002) and so harm reduction at such a stage should be an appropriate practice in order to highlight the harmful effects to young people enough so that it reduces overall consumption. We need to be able to convince children that life is worth living and that they are capable, not only of avoiding drugs, but of achieving a worthwhile existence (Peele 1987); presenting them with the values of achievement and positive accomplishments; of friendship and community; of health and self-preservation; of fun and adventure; of responsibility for self and contribution to others; of consciousness and intellectual awareness; and of a commitment to life that goes beyond personal protectiveness and fear (Peele 1987).