Contemporary issues on NHS

Contemporary issues on NHS A policy is typically defined as a principle or rule to guide decisions and achieve rational outcomes. It is not used normally what is actually done, it is normally referred to as either procedure or protocol. A policy will contain what and the why procedures. A policy can be considered as a statement of intent. Policy may apply to generalized private sector organization and groups and individuals. In another way policy can be defined as a collection of different ideas and methods which is used for the improvement in any field including health care and the other hand, health policy is a practical device or advantageous procedure and positive course of action. Social Policy is a subject area, not a discipline; it borrows from other social science disciplines in order to develop study in the area. The contributory disciplines include sociology, social work, psychology, economics, political science, management, history, philosophy and law. The name social policy is used to apply 1) that policies which are used by the government use for welfare and social protection, 2) to the ways in which welfare is developed in a society and to the academic study of the subject. In the first sense, social policy is particularly concerned with social services and the welfare state. Improvements to social policy are a key element of development and the achievement of human rights. Many social policies are addressed by the third committee of the UN general assembly. Health policy can be defined as the decision, plans and action that are undertaken to achieve specific health care goals within the society. According to the World Health Organization, health policy can achieve several things. It defines the vision of the future. We can define the different categories of the health policies, eg pharmaceutical policy, public health and personal health care policy, tobacco control policy. Before 1990 there was a good collaboration of health and social care policy. Contemporary issues on NHS National Health Services is the United Kingdom health services organization. The short form of National Health Services is NHS. It was stabilised in 1948. It was grown the worlds largest publicly funded services. It is also known as a most efficient, most comprehensive and egalitarian. In the Second World War and difficult scenario NHS was established. The principle of NHS always remains in the core. It was born for good health care and should be available to all. The NHS is the free services for anyone who is resident of the United Kingdom. The NHS only charges some prescription and optical and dental services. NHS is giving the free services more than 60 million people. It covers everything such as antenatal screening routine treatment for coughs and colds to open heart surgery, accident and emergency treatment and it also covers the end of life care. Mainly it is funded from taxation. In United Kingdom they have separate management in England, Wales, Scotland and Northern Ireland; in many respects they are similar. Despite their separate management and funding there is no any discrimination when a resident of one country of the United Kingdom requires treatment in another although a patient will often be returned to their home area when they are fit to be removed? It is the huge organization. In this organization have more than 1.7 million employees and half of them are clinically qualified, including 120000 hospitals doctors 400000 nurses 40000 GPs practises and 25000 ambulance staff. The NHS of the England is the biggest part of the system It is caring more than 51 million people and employing 1.3 million people. The number of patients using the NHS is large. Every 36 hours it is dealing a million in the England, in Scotland 463 in minute and more than 700000 people will visit on NHS dentist and 3000 heart operation, here are 10000 GPs in nationwide. Each GPs look more than 140 patient in a week. NHS is spending big amount of money. When the NHS established the starting budget of the NHS is 9 billion and now the budget of the NHS is 100 billion in year which is increasing by 4% every year. It is spending 60% of the budget to pay the staff, and 20% for the drug suppliers and remaining 20% is spending for the equipment and training costs. 80% of the total cost is distributed by the local trusts. HEALTH AND SOCIAL CARE BILL: TO REFORM THE NHS FROM WHITE PAPER LIBERATING THE NHS We know that the health is wealth. In any country of the world health is the backbone of the country and the main important is government funded health organization. If any policy is taken related to the health it affects the outcomes of the services. In the United Kingdom NHS is only one and which cover the almost 100% of the services. Now the government took a new policy for NHS Which is liberating the NHS. The Health and Social Care Bill was introduced into Parliament on 19 January 2011. The Bill is a crucial part of the Governments vision to modernise the NHS so that it is built around patients, led by health professionals and focused on delivering world-class healthcare outcomes. The Bill takes forward the areas of Equity and Excellence: Liberating the NHS (July 2010) and the subsequent Government response Liberating the NHS: legislative framework and next steps (December 2010), which require primary legislation. It also includes provision to strengthen public health services and reform the Departments arms length bodies. The Bill on health and social care 2011 contains provisions covering five themes: It is strengthening commissioning of NHS services It is increasing public voice and democratic accountability. liberating provision of NHS services strengthening public health services Reforming health and care arms-length bodies. Structure of NHS Department of health Strategic health authorities Primary care trusts GPs Dentists Hospitals Patients The Department of Health (DH) is in overall charge of the NHS with cabinet minister reporting as secretary of state for health to the minister. The 10 Strategic Health Authorities (SHAs) are under the department of health which oversee all activities of NHS IN England. The strategic supervision of NHS is controlled by each SHA in its area. The NHS services of Scotland, Wales and Northern Ireland runs separately by the developed administrations. Primary care trusts are divided into primary care and secondary care. Primary care is the front line services. GPs, Dentists are primary care where people contacts first time. Secondary care can be defined as a acute health care and can be either elective or emergency care. Primary care is the centre of the NHS and they cover and control 80% of the NHS budget. These are the local organizations so they know the needs of community and they can make sure the organizations providing health and social care services are working effectively. The PCTs oversee 1800 NHS dentist and 29000 GP. Here are 175 acute NHS trusts and 60 mental health trusts which control the 1600 NHS hospitals and specialists care centres.NHS ambulance trusts provides the emergency ambulance services, in UK there are 11 ambulance trusts. The NHS structure shown below which will be happened after reforming, Independent board 250 + GP consortiums GPs Dentist specialist service Hospitals, community services, mental unit intensive core Patients After reforming the NHS structure there would be the change in the management not in the whole system of the NHS, but changing the management system it directly affect the top to bottom shake of the NHS. which will directly affect the model of care of the NHS. Reasons of reforming the NHS NHS is the great national institution. The main principle of the NHS when it was founded is free at the point of use and available to every one based on need and it is not focused for ability to pay. Most of us believe it can be so much better for both the patient and professionals. So that the government took the bold vision for the NHS future, which is equity and excellence. According to the different surveys and analysis NHS of the United Kingdom is world class. It is giving the facility without cost and it is also employing more than 1.6 million people which mean it is giving a good services. According to the Health secretary Andrew Lansley says that NHS is the world class in some respects but it is not good enough in some areas eg ; rate of mortality, United Kingdom is the 2nd largest mortality rate among the 24 richest country in the world and rates of mortality for some respiratory diseases and the stroke has been the worst in the developed world. Now the NHS has too much bure aucracy, after reforming NHS would be more accountable to the patients and all the staff will free from excessive bureaucracy. In the structure of the NHS there are 10 strategic health authorities, 175 NHS trusts and 60 mental health trusts. After reforming It will increases spending on real terms of the health not in managing. Department of the health says NHS has further to go on managing care more effectively and international evidence prove it. The changes of NHS are The main changes are fundamental changes to structure and the operation which changes the social economic and managerial changes. The main structure of changes is a Englands 175 or so primary care trusts will be wound up in 2013 and their work, commissioning healthcare will pass to groups of GPs called general practise commissioning consortiums (GPCCs). Every GPCCs which will have existing practises will have own budget. The constriums will collect the  £ 80 billion from the total budget of NHS and GPCCs are agreed to contacts with hospital and other. More than 200 GPCCs have been set up. The outcomes or changes will be taken by keeping the patient on the heart of the NHS. The patients will have more choices and control by the easy access of the GPs and hospitals. Patient will have the right of decision making about their treatment and care. It will be focused in clinical outcomes. Success will be measured by the bureaucratic process targets, but the against results that really mat ter to patients such as improving cancer and stroke survival rates. The capacity will be increases or will empower the professionals. Doctor and nurse will have right of professional judgement about the patient treatment. This thing will be supported by controlling the front line staff. If patient want they will have the access information, they can make choices. Patient will have the right of choosing the GP practise, consultant led-team and any provider. Hospitals will require to open their mistake, if something wrong patient must know it. The patient voice will strengthen by local authorities. The targets will be removed with no clinical justification. The quality standard of NICE will inform the commissioning of all NHS care and payment system. The drug companies will be paid by the value of their new medicines, follow of money will be transparent, comprehensive and stable payment system across the NHS to promote high quality care, drive efficiency and support patient choices. T he service provider will get the money according to their services performance, payment should reflect outcome not just activity and provider an incentive for better quality. The NHS fundamental structure is controlled by the department of health, after reforming there would be one independent and accountable NHS commissioning board, and NHS will be the under control of this commissioning board. This board will allocate the NHS resources lead on the achievement of health outcomes. This board will promote and improves the patient involvement and choices. Another duty of this board will promotes equality and tackle inequalities. Day by day the minister power will be limited for the decision of NHS. The changes will be shaking top to bottom of NHS structure. Benefits of NHS reforms It is the big institution of health. After reforming there should be some changes with the facility of the NHS. GPs could more than double their income to  £ 300000 per year this is the direct impact of the NHS reforms. It also cuts the bureaucracy. NHS foundation trusts are given significantly greater financial freedom and power. It increases the quality of primary medical services. Now the NHS budget is increasing 4% per year after reforming it will increase just 0.1% per year. Model of care Model of care is directly impact to the patients and it affects the whole output of the organization. I have already described the model of care in changes of NHS. when the people born in the world at first he is known only male and female at that time there is no any discrimination like that way United Kingdom National Health Service believes in the universality. In NHS there is no any discrimination for the treatment of the patient, it is only believe for the medical requirement, it doesnt separate the richest and poorest of the people. It gives the treatment free of the cost. If the people of the different country which have more than 1 year resident permit he is also can take the benefit of the NHS. While starting the NHS at that time people have no right of choices, but now a days they have right of taking decision of their care. Day by day patients are increasing and also the NHS also increasing employees which gives the good services for the patient which is the positive point of the model of care. We know that NHS is employing the large number of employees. Now a day United Kingdom government is focusing the reforms of the NHS, many arguments were taken about the patient of care; I thought its better to describe the different arguments here. British Medical Association is the leading association of the medical staff in the UK, but the British Medical Association said against the reforms of the NHS. According to the BMA: more than 150 organizations and 80 percent budget of the NHS will go to the GPs hand. Financially and managerial power is given to GPs which increases the bureaucracy. This proposal is unmanaged damaging and unjustified. This damages the patients care. There are different surveys says after reforming its affect a patient care. According to the Unison after the cutting of the staff its directly increase the workload for the nurses and doctor and other staff. The survey said that 88% think that during first year of the coalition government their workload has increased, and 65% said that rise of hitting patient care and saf ety. Around 67% of nurses said that increasing the workload direct impact on their health, and 69% said their job is not suitable or bad for family life. This will direct affect the model of care. Beside these arguments I thought that after reforming the NHS the model of care would be better. Equality and excellence liberating of the NHS Says patient are always in the core and after reforming patient will have many choices, they will have their decision for owns care, and they can tell no decision without me, which is not in the todays model of care. Managerial cost will be saved which will be used to empower the technical and professional things, these things increases the model of care better. Conclusion Health is the backbone of the any country without healthy people country cannot be developed. Health and social care policy is directly related to the health of the people. So that government should think about how to take the policy, policy should not be taken without justification. I have already mentioned that policy is the key role of the development. Now the Government took the new policy about the National Health Services (NHS). in the history of the NHS government took many policies related to the health but this policy would be the biggest policy which will change the fundamental or it will shake the top to bottom of the NHS. in my opinion government should take the policy step by step not like big shake up. The implementation of this policy is very costly. British Medical Association already rejects this policy and many people are against of this. Health and social care policy and model of care are interrelated; this means how the patient will be treated, if the policy is fa iled then what would be the condition of the country. This policy cuts the thousands of jobs which will increase the unemployment, this policy increase the price competition allowing hospitals to undercut one another to attract patients, poses a risk to standard of care. some surveys said doctor will be the account after implementing this policy. Health is wealth This is the universal truth so that government should not play the life of the people. According to health secretary Andrew lansley this policy equity and excellence liberating NHS will make the NHS bright future.

Gender and Development Essay -- Gender Roles, Same Sex

Gender-role development is one of the most important areas of human development. The moment a women finds out she is pregnant she is often anxious to find out the sex of her child. The definitions of the terms "sex" and "gender" need to be understood. The term "sex" denotes the actual physical makeup of individuals that define them as male or female. Sex is determined by genetic makeup, internal reproductive organs, the organization of the brain, and external genitalia. The behavior of individuals as males or females, the types of roles they assume, and their personality characteristics, may be just as important as a person's biological framework. In order to differentiate between biological features one may take into consideration behaviors and social roles to establish "gender." Sex and gender are often intertwined, and certain social expectations can be attributed to ones biological sex. The sex of a newborn sets the agenda for a whole array of developmental experiences that will influence the person throughout his or her life. Overall, the sex differences between boys and girls in the first year of life are minimal. Boys may be a bit more active or fussier and girls more physically mature and less prone to physical problems, but that may be the extent of the significant differences. Mothers have a tendency to ignore more of their son's emotional outbursts in comparison to their daughters' outbursts. Boys may be rough-housed or played with in a more aggressive manor as well. This goes in line with stereotyping males as more hardy or tough and girls as gentle and soft. A parent can influence their child into these gender roles by the way they discipline. They may be harder on a boy than a girl for the exact same behavior. ... ...in the acquisition of gender difference in behavior and attitudes play a role in gender socialization (Lau, 1996). Gender role socialization according to a study done cross-culturally found that it could be narrowly defined by the type of sex-typed behaviors such as play activities and toys. In summary, gender identity is a learned behavior that starts at a very young age and can hinder or enhance a child's development. Gender plays a role in how a person defines themselves and grows as a person depending on their safety and security in being male or female and what that means to them and what they are taught at a young age. Bottom line is that men and women are different, and as a society and as parents being a boy or girl does not meet we have to fit into a certain box, as people are unique in of themselves, and that is what we can enhance and nurture to develop. Gender and Development Essay -- Gender Roles, Same Sex Gender-role development is one of the most important areas of human development. The moment a women finds out she is pregnant she is often anxious to find out the sex of her child. The definitions of the terms "sex" and "gender" need to be understood. The term "sex" denotes the actual physical makeup of individuals that define them as male or female. Sex is determined by genetic makeup, internal reproductive organs, the organization of the brain, and external genitalia. The behavior of individuals as males or females, the types of roles they assume, and their personality characteristics, may be just as important as a person's biological framework. In order to differentiate between biological features one may take into consideration behaviors and social roles to establish "gender." Sex and gender are often intertwined, and certain social expectations can be attributed to ones biological sex. The sex of a newborn sets the agenda for a whole array of developmental experiences that will influence the person throughout his or her life. Overall, the sex differences between boys and girls in the first year of life are minimal. Boys may be a bit more active or fussier and girls more physically mature and less prone to physical problems, but that may be the extent of the significant differences. Mothers have a tendency to ignore more of their son's emotional outbursts in comparison to their daughters' outbursts. Boys may be rough-housed or played with in a more aggressive manor as well. This goes in line with stereotyping males as more hardy or tough and girls as gentle and soft. A parent can influence their child into these gender roles by the way they discipline. They may be harder on a boy than a girl for the exact same behavior. ... ...in the acquisition of gender difference in behavior and attitudes play a role in gender socialization (Lau, 1996). Gender role socialization according to a study done cross-culturally found that it could be narrowly defined by the type of sex-typed behaviors such as play activities and toys. In summary, gender identity is a learned behavior that starts at a very young age and can hinder or enhance a child's development. Gender plays a role in how a person defines themselves and grows as a person depending on their safety and security in being male or female and what that means to them and what they are taught at a young age. Bottom line is that men and women are different, and as a society and as parents being a boy or girl does not meet we have to fit into a certain box, as people are unique in of themselves, and that is what we can enhance and nurture to develop.

Men of Power in “The Jungle”

A Summary and Review of Upton Sinclair's The Jungle Upton's Sinclair's book portrayed a wide variety of characters to convey his messages. Only one character can be considered a major character, Jurgis Rudkus. The book revolves around Jurgis' life in Packingtown. The supporting characters, transitioned in and out of the story with great frequency. When Jurgis initially arrives in Packingtown from his native Lithuania he can best be described as being large and powerful. He believes in the work ethic to a point of naivete. His sole answer to any setback: â€Å"I will work harder. † Eventually Jurgis learns that no laborer can make enough to be the sole provider for his family. His only recourse is to send his wife and children out to work. Soon Jurgis begins to discover certain injustices that the meat packers employ to exploit their workers. Workers are worn out by a â€Å"speed-up† system, they are not compensated for illnesses or injury incurred from their work, and they are literally paid by the hour, anything less than a hour does not get compensated. Jurgis, frustrated with the current conditions in the meat packing industry, that uses the men the same way they use swine (every part), joins a Union, as does Marjia, and various other members of his family. Investing money into a home and life into his job gets a Jurgis no where. Positions of power tend to go only to the corrupted characters. Bribes and kickbacks come as commonly as unemployment and job insecurity. He finally realizes that even a physically strong man, willing to work hard, can be beaten by the system; indeed, the system must defeat and discard him as part of its â€Å"progress† through exploitation of people for profits. Eventually his luck runs out and Jurgis is injured upon his the killing beds at the meat packing plant. His foot swells and he has no other recourse but to lay in bed and wait until his foot heals. Ironically, he is free to enjoy the company of his son only when he is laid off from work. In just a few years after immigrating to the country, he is brutalized by circumstances to the point of ruin. His once mighty stature has been reduced to rubble, and looks seedy and wretched. He acts dull and beats young Stanislovas into going to work. After two months of waiting, with bills pilling up, Jurgis goes back to work to find his job filled by another man. Due to his large house payment and the need to eat, Jurgis takes the worst possible job in Packing town, the Glue factory. By this time he has taken to the bottle and has started to move father and farther away from his family. The children have all been put to work, as well as his wife, Ona and his Grandfather-in-law Deda Antonias. To make matters even worse, Jurgis finds out that Ona has been forced have sex with her Boss. This totally enrages Jurgis, he runs to the Packing house to find the boss, Connor, and then beats him savagely. After his arrest he must serve on month in jail. During his stay in jail he meets Jack Duane, and becomes somewhat good friends with him. Within the month his family is in shambles. The children now, for the most part, live on their own, various family member are dead, Ona is about to deliver a child, everyone has lost their jobs, and the house that they struggled so hard for has vanished away. By the time he finds Ona she is in mid child birth and in need of medical assistance. Due to his current lack of funds, Jurgis finds a Dutch lady to deliver his child for $1. 25. Even with the help of the Dutch lady Ona and the child dies. After Ona's death in premature childbirth, their son's dies in an accidental drowning while his father is at work. Jurgis then takes to the country as a tramp. Through his journey in the country he gets somewhat rejuvenated, and returns to his old stature. He works when he needs to, and travels and sleeps when he wants. By winter it becomes obvious to him that he can not survive out in the country for the duration of the winter, and is forced to seek work in the city he left behind. He becomes a bum, and drinks extremely heavily. While begging and wandering through the streets he, falls into a bit of luck and meets a young man named Frederick (â€Å"Freddie†) Jones. Freddie, being the son of rich Old Man Jones, takes Jurgis back to his home, giving Jurgis $100 and the privilege of dining and drinking with him. Eventually when the young man falls asleep, the butler throws Jurgis out. With the hundred dollars firmly in his possession Jurgis decides that the only place he could probably get change for the bill would be at a bar. Jurgis goes into the bar when no one is looking, and asks the bartender to give him change for the bill. The bartender makes him buy a drink, and then hands him a handful of change. Jurgis becomes enraged, and pounces on the man. Jurgis gets arrested again for battery and lands in jail. With the assistance of Jack Duane he drifts into crime and the corrupt world of politics. Jurgis make himself available now as an assistant to a robber or to a political boss rigging elections. Ironically, under these evil conditions, he discovers a new confidence and a talent for management. With a bit of luck and some help from newly acquired acquaintances Jurgis gets a cushy job in the meat packing factory. To keep this job, all Jurgis had to do was get the Democratic ticket elected, making the common man think that it was the best choice. During the 1904 meat packer's strike, he gets a golden opportunity to become a scab and then a typical boss, driving his workers and taking bribes. A chance encounter with Connor proves to be Jurgis' moral salvation. Jurgis gets arrested again for furiously beating his wife's seducer and realizes that he must jump bail. He has proven himself capable once more of moral fury, and he realizes bitterly which side he is really on. Cold and looking for a place to sleep, Jurgis stumbles into a Socialist meeting. He is profoundly moved by an orator who describes the life of the working class and how workers can take active measures to improve society. It dawns on Jurgis that he is entitled to join this movement. â€Å"A new man had been born. † He is no longer an isolated victim of circumstances; â€Å"he would have friends and allies. † Finally Jurgis reunites with Marjia, a doped up prostitute supporting the remains of his family. They have definitely become two different types of people. Her the victim, and him the fighter, still struggling for justice. With the idea, that he might be able to once again support his family Jurgis goes out in search of a job. Apparently by luck, he finds a job in a hotel, run by socialists. By the end of the book Upton Sinclair, through Jurgis and various other characters, makes various speeches, and arguments for the use of Socialism with opposition to capitalism. Personal conflict was not the key theme of this book, but rather social conflict within the corporate structures. There is, however, some conflict among various characters. The most notable instance occurs when Jurgis batters his wife's Boss Connor, upon two occasions. This is his way to release his rage and anger at the man who abused, seduced, and molested his wife. Jurgis also has a conflicting view on how he looked at the people in the factories. He saw them as weak and lazy people, complaining because they could not handle their jobs. After the death of his wife and child, Jurgis goes on as self-destructive rampage through the city and the country. Not only does Jurgis conflict with others he finds himself in conflict with the legal system, and the factory system. This causes him to make a mental shift to socialism. This also brings up the conflicting types of government, Socialism vs. Capitalism, in a obviously biased portrayal. The most important message of conflict that Upton Sinclair wanted to deliver was his idea that the individual is constantly conflicting with the trusts and work machines that enslave him. The Jungle contains numerous themes which create the perfect atmosphere for Upton Sinclair's tragic book. In 1900 – 1904, industrialized America is a jungle. The only real law is the law of the jungle: might makes right. The main problem is that the economic system fosters greed and ruthless competition as a way of life. Greed prompts people to sell spoiled meat, engage in false advertising, pollute, bribe and be bribed. In such a system, the hired worker lives at a distinct disadvantage. He is trapped, exploited, and cheated by employers who, in competition with other employers, must consider profits more important than people. The worker in early twentieth-century America is brutalized and stultified. Only that part of his personality needed to perform a monotonous task is kept alive; the rest is crushed. Under these conditions, love is reduced to mere bestiality; the tender aspects of marriage and the raising of children are harshly overshadowed by the agonies of the economic struggle; and indeed, marriage itself becomes an economic trap. Big Business has complete control of, but no responsibility for, the well-being of the masses. Big Business ultimately, deviously, controls government and the courts for its own benefit. In order to foster its corruption of politics, Big Business needs and thrives on crime and ultimately works in alliance with the criminal world. Capitalist democracy is therefore a fraud, a contradiction in terms. There can be no true democracy in a society controlled by one class with hereditary economic power. Turn-of-the-century immigrants to America were lured into a trap. They were attracted by promises of economic well-being and political equality; instead, they were sacrificed on the altar of â€Å"progress,† the generation that built industrial society for its native owners. â€Å"Here, precisely as in Russia [1904] . . . rich men owned everything. † American greatness is due to exploitation. If we are the greatest nation the sun has ever shone upon, it would seem to be mainly because we have been able to goad wage earners to [a] pitch of frenzy. † By using the characters in the meat-packing industry, Upton Sinclair is able to portray his Socialistic messages. In the end, Jurgis' life is turned around because the character finds true â€Å"freedom† and happiness in Socialism. The entire book is a large piece of propaganda supporting Socialism. To say that it was only meant to be a piece of propaganda would be ignorant, and foolish upon any readers part. Through his characters, Mr. Sinclair exposes a corrupt and brutal system in which on the law of the jungle reigns true. This belief is maintained by every single character in the piece. The author obvious had strong beliefs and motives for writing this book. Mr. Sinclair used his beliefs on socialism to provided an answer to how America trusts could be broken up. This book, (from American History Class) aided the common man to understand the horrid conditions of the meat packing industry, as did books like Uncle Tom's Cabin by Harriet Beacher Stowe, ironically a white woman fighting for the freedom of slaves in the 19th century.

Providing Constructive Responses Teaches Adolescents

Providing constructive responses teaches adolescents that recovering from a failure is more than being labeled for that failure. As a student it is hard when staying up late to study for a test doesn’t cut it. For an adolescent puberty, school, parents and teacher are a challenges that sometimes they are not prepared for. Simply telling and adolescent they got an F on a test doesn’t teach time management and divestment it teaches resentment and a sense of defeat. Taking the time to go through the mistakes that resulted in an F, give and adolescent a second change to build perseverance that is expected. When I was in eighth grade I wrote a paper, I can’t remember what it was about or what class I wrote it for all I remember is the teacher giving me an D and telling my mom that because I spoke Spanish and English I would not succeed in school. I felt that I was being told no matter what I did because of my race, ethnicity, and culture I was destined to fail. 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As a mentor, the teacher serves as a model for reading and writing, by reading aloud to students, the teacher models language for them. Through shared writing (McKenzie, 1985), the teacher models all aspects of writing, grammar, usage, and spelling. By supporting students with such activities as shared reading, literature discussion circles, and response activitiesRead MoreRepeated-Reading-Based Instructional Strategy and Vocabulary Acquisition: a Case Study of a Heritage Speaker of Chinese9492 Words   |  38 PagesChinese ZhaoHong Han and Cheng-ling Alice Chen Teachers College, Columbia University United States Abstract Repeated reading, a procedure involving repetition of the same text, has received copious attention from first language reading research providing highly converging evidence of its potency for reading fluency, accuracy, and comprehension. In contrast, second language research on repeated reading has been scarce. The very few studies extant have, nevertheless, shown similar, albeit inconclusive