The film Frankenstein Essay Example | Topics and Well Written Essays - 500 words

The film Frankenstein - Essay Example Finally Frankenstein manages to put life into his imagination. The reborn dead body played by Robert monster was first quite and pleasant but Fritz torments monster and so his criminal brain begins to catapult into a fully criminal behavior. Fed up by the criminal behavior of monster Frankenstein leaves him with his mentor Dr.Waldman. The monster escapes from Dr.Waldman and comes to village to take revenge on Frankenstein. Before escaping monster kills both Fritz and Waldman since Fritz was torturing him with fire and whips and Waldman was about to dissect him to dispose. After escaping from the castle the monster went to Elizabeth's bedroom seeing him she screams and he flees. The manhunt is on for the monster and is found in the mountains. He over powers Frankenstein and ties him to a windmill. The windmill is seta fire and eventually it falls on the monster and he burns to ground. Frankenstein is shown carried. The movie was really close to what Mary Shelly has written in her novel. The direction was so appropriate that it brought the darker side of the story to the silver screen. Shelly was trying to make it clear in the novel that science should not tamper with life. The movie miserably fails to make shelly's point clear.

Financial Market in Abu Dhabi Essay Example | Topics and Well Written Essays - 1000 words

Financial Market in Abu Dhabi - Essay Example The global environments where the strategies have been implemented to develop the financial markets have changed drastically because of the overall financial crisis. But the GCC (i.e. the Corporation Council of the Arab States in the Gulf Region) has a chance to succeed in developing the financial markets and consequently promoting their competitiveness. Economic condition in the GCC market is supported by the region’s wealth due to their high oil and gas supplies. The past few years of financial turmoil have also pointed out the challenges and the necessity to a bigger and more effective and mature financial markets. There are a large number of structural factors which will determine the development prospect related to the financial markets in the Gulf region in the next few years (Deutsche Bank AG, 2012). ... Abu Dhabi: Leading in the Middle East region in respect of the Investors Confidence Abu Dhabi is viewed as an access point for most of the investors because of its location, the economic policies which are business friendly in nature and also the advances in different sectors. According to the investors, they are confident that the financial market of this country is one of the best options where they can make investments. United Arab Emirates is leading the Middle East region in terms of gaining the investor’s confidence. Abu Dhabi has become one of the top destinations for making investment. It will continue to expand because of its positive experience, excellent performances and the attraction of the new investors in investing in its financial market. Abu Dhabi Financial Market United Arab Emirates previously had an informal stock market from the year 1986 with more than ninety listed companies listed in this stock market and traded from here. But the trading was restricted to shares of only 32 to 36 companies because the shares of most of the companies were held by government or high net worth individuals. The informal market of United Arab Emirates existed before the establishment of the Abu Dhabi Stock Exchange (ADX) in Abu Dhabi and Dubai Financial Market (DFM) in Dubai in the year 2000. Abu Dhabi Securities Exchange was established on 15th November 2000 by the Local Law No. (3) 2000. It was established as one of the legal entities with autonomous status. Abu Dhabi Securities Exchange has the legal authority of establishing branches and centers outside the Emirates of Abu Dhabi. Currently, ADX has its operations in Ras al Khaimah, Sharjah and Zaayed City and

Affirmative Action Essay Example | Topics and Well Written Essays - 750 words - 2

Affirmative Action - Essay Example With this decision, the Supreme Court overturned its previous rulings in the precedents by transferring the full burden of proof to the worker. In other words, the employee should prove that he was dismissed primarily and solely because of his age (the protection of the law applies to employees above 40 years old). In this case, the Court has made it more difficult for employees to pursue age discrimination cases successfully. Employers possess all the records and information on the employee’s history, with the capability of concealing them entirely, since employers would not need to lift a finger to prove their case. The employee, on the other hand, would rarely be in possession of the documentary data needed to prove an allegation of discrimination. After all, discrimination exists in the mind of the decision-maker, and with only testamentary accounts to back up his claim, the employee is put at a distinct disadvantage to the employer. Furthermore, the employer possesses much greater resources than the worker, and risks very little in accommodating the employee back into his payroll should he lose the case, while the worker’s entire livelihood and subsistence is at stake. The tenets of social justice thus imposes upon the court to even the odds by imposing the burden of evidence on the employer when the minimum requirement is proven by the worker. The economic recession is increasingly taking a toll on the nation’s workforce as more and more business find it necessary to resort to layoffs in an effort to downsize. It has been observed, however, that employers have resorted to a â€Å"last one in, first one out† policy when it comes to selecting those workers who have to go. Instead of letting the older employees – who receive higher salaries because of their seniority in the company – go, companies elect instead to separate those who are in

Supermarkets in United Kingdom Essay Example | Topics and Well Written Essays - 2000 words

Supermarkets in United Kingdom - Essay Example Although the supermarkets claim to provide a wide range of options for their shopping but the prices that they charge on their products and the pressure given to the suppliers has created certain predicaments in the market. The four giants in the UK supermarket are Tesco, Sainsbury’s, Asda and Morrison. In addition to the planning controls by the government for taking care of the pressures felt by the suppliers in the retail industry, it has restricted the expansion plans of the four giants in the market (Grugulis, Bozkurt and Clegg, 2). Despite the recession happening in the country and decrease in the consumer’s spending, the food and retail industries are showing exponential growth; the main credit goes to the four giants in the supermarket industry who are opening numerous stores at an accelerating rate (Neate, 1). The report by Corporate Commission has indicated that Tesco, Sainsbury’s, Asda and Morrison have been successful in getting permission from the co ncerned authorities to expand into other areas by opening up new stores. The report also highlighted the threat the expansion of these large supermarkets posed to the convenience stores, local grocery stores and specialty stores. The study of Clerren et al. revealed that the large supermarkets are doing expansion on such an increasing rate so that they can get more market share as compared to their competitors and it is expected that the trend will continue so because of the support that they are receiving by the UK government (470-471). Grocery Market of UK The IGD research has shown that in the past ten years, the grocery market of UK has been growing at an exponential rate and the number of large supermarkets has risen to an exceptionally high figure (Li, 2). In 2008, the grocery market had reached ?146.3bn from ?93.3bn in the year 1998. Afterwards, the market has seen numerous uncertainties in the form of less consumer spending power, high rate of unemployment, financial crisis and many more. As of 2008, the UK grocery store has been divided into four major sectors i.e. convenience store; hypermarket, superstore and supermarkets; online channel and traditional retail. Among all the sectors, the huge market is of hypermarket, superstore and supermarkets and these comprise of more than 73% of the entire sales of the grocery market, followed by convenience stores’ sector that has 21% of the total sales; however, traditional retail faces stiff competition from the aforementioned two sectors and it has declined to 5% (Michaels, 1). According to the Corporate Watch, the four biggest supermarket chains in the UK market comprise of Tesco, Sainsbury’s, Asda and Morrison and they collectively constitute of about 68% of the complete grocery market (3). Tescopoly has shown that the grocery market share can be distributed as the traditional retail stores and supermarket chains; the market share is divided as 30% of Tesco, 15% of Asda, 14% of Sainsburyâ₠¬â„¢s, and Morrison of 10%. Other supermarket chains that are included in UK grocery market are Marks and Spence, Iceland, Waitrose, Whole Foods Market, Aldi, Lidl and many more (Vasquez-Nicholson, 3). Porter has reported that the disclosed sales figure of the four large supermarket chains in the last financial year are as follows, Tesco ?3.8billion, Asda

Managing Contracts Essay Example | Topics and Well Written Essays - 3000 words

Managing Contracts - Essay Example Contract management is not an exact science (Gray and Larson, 412) and there is no perfect contract management system (412). An effective contract management system acts as an interface between the buyer’s and the supplier’s organization. Individuals or teams applying the contract management system should have requisite technical, contractual, and business knowledge to understand both sides of the arrangement. A contract is a legally binding instrument typically carried out with customers, vendors, partners or employees. It includes negotiating terms and conditions and ensuring their compliance. A contract results when each party, the contractor and the customer, promises the other a valuable benefit. The customer must have all the funds ready for the execution of a project and cannot expect any benefits until the completion of the project. Contract or agreement is the document that enables the initiation and conduct of a project (Hill, 611). Contract is the confirmation of the customer’s request for the project and represents the contractor’s intent to achieve project deliverables and objectives (Hill, 611). Contract is more than a formal agreement between two parties and is a codification of the private law, which governs the relationship between the customer and the service provider (Gray and Larson, 413). Contract can be made with or within an organization. This usually means while one party promises to deliver certain goods, property or services by a specified date and the other party promises to accept the goods, property, or services and pay for them. Failure of one party to keep its promise may result in action by the other for breach of contract (Lock). Since contract management requires time and effort, adequate resources must be allocated to it. The conditions of the contract need to be clearly

Terms Comparison Paper Essay Example for Free

Terms Comparison Paper Essay Within the world of health care economics, the United States â€Å"for-profit† health care system, strife with inflated costs and barriers to access, is in a process of reform. Rising insurance premiums, capitation, and market competition that discourage the consumption of unnecessary services currently reward providers for their focus on acute, episodic treatments, rather than encouraging improved health outcomes or disease prevention. The supplier-induced market has forced medical providers to base treatment recommendations on economic necessity. Complex billing and insurance operations have caused administrative costs to skyrocket. The Affordable Care Act (ACA) aims to correct these inefficiencies by reducing personal health care costs, improving community health, and increasing access to quality care. The following discussion will examine the interplay of capital resources, Meaningful Use, and financial incentives within the world of health care economics and system reform. Capital Resources Capital resources refer to assets used by a health care organization that facilitate the delivery of services. As the United States’ health care system evolves from an institution dependent on the acquisition of revenues from hospital admissions and procedures to one focused on managing health and wellness, the careful utilization and deployment of capital resources is critical to economic growth. Computer programs are a beneficial capital resource that supports the practice of medicine, such as computerized order entry or clinical decision support systems. For example, a computerized order entry system reduces the duplication of diagnostic testing while clinical decision support systems help providers manage chronic conditions. Industry experts agree the adoption of health care information technology (HIT) is necessary for improving quality and efficiency, although, as of 2006, only 12% of physicians and 11% of hospitals invested in technological improvements to their capital resources (Congress, 2008). Meaningful Use Meaningful Use refers to standards of quality demonstrated when using electronic health records (EHR) to deliver services. Traditionally, quality improvement initiatives evaluated services on a case-by-case basis; for example, was a procedure performed properly, were there complications, was  the patient satisfied, and was the provider properly trained? The ACA’s movement towards health care reform expands the focus on reducing individual errors to addressing system performance and community health. Through data capture and sharing, health care organizations gain the ability to use this information to analyze and advance clinical processes. For instance, through the aggregation of real-time patient data early warning systems can reduce medical emergencies, transitions to intensive care, and mortality rates. Even though the ACA does not mandate the adoption and Meaningful Use of EHRs, after 2015, all Medicare providers not participating in the EHR incentive program may be sub ject to financial penalties (Impact, 2012). Financial Incentives Financial incentives refer to monetary rewards and penalties offered to health providers for creating a stronger primary care system that expands access, provides improved quality, and delivers better health results. Under the current fee-for-service system, providers do not receive payments for time spent with a patient discussing medical histories, alternative treatment options, concerns, between visit follow-ups, or even care coordination and management; instead, reimbursements occur through procedures, such as surgeries or diagnostic testing. Under ACA, primary care physicians receive a temporary increase in both Medicare and Medicaid payments. Financial incentives are also available for providers who encourage their patients to obtain preventative care services and for patients, through the elimination of coinsurance, deductibles, and copayments for approved preventative services and tests, such as blood pressure and cancer screenings. Moreover, the ACA Medicaid expansion will p rovide over 32 million people with health coverage, resulting in improved health and less uncompensated care (Abrams, Nuzum, Mika, Lawlor, 2011). Discussion Within the world of health care economics, access to health care services becomes restricted through a fee-for-service model that authorizes third-party payers to prioritize reimbursements for the delivery of acute, episodic treatment over preventative care and wellness. As purchasers, patients have little ability to evaluate the quality of services received or  negotiate fair prices. The ACA serves as an advocate, shifting the focus of the health care system from personal health to community health. As part of this initiative, providers receive financial rewards for investing in technological improvements, such as EHR adoption. Through the development of a national HIT infrastructure, capital resource investments enable data capture and sharing. When combined with Meaningful Use incentives, providers receive encouragement to create real-time monitoring solutions to improve health and reduce costs. Together, the ACA offers a path where primary care providers have the means to devel op a stronger health care system that provides expanded access, improved quality, and increased wellness. Conclusion The United States â€Å"for-profit† health care system, conflicted with inflated costs and barriers to access, is in a process of reform. The ACA aims to correct these market failures by reducing costs, improving health, and increasing access to quality care. The change in focus from reducing clinical errors to addressing system performance and community health is an essential aim of the ACA. Through the adoption of HIT, health care providers strengthen their capital resources and increase their ability to deliver quality, cost-effective care. Once adopted, Meaningful Use incentivizes the use of community health data to establish real-time monitoring programs that detect the need for medical intervention. The ACA offers several economic initiatives to encourage providers to evolve from a for-profit mentality to one focused on health and wellness. The economics behind health care reform will redefine health care demands and the types of services delivered. Over time, the focus on preventative care and wellness will reduce the demand for costly treatments, lowering national health care costs. References Congress of the United States, Congressional Budget Office. (2008). Evidence on the costs and benefits of health information technology (2976). Retrieved from website: http://www.cbo.gov/sites/default/files/cbofiles/ftpdocs/91xx/doc9168/05-20-healthit.pdf Impact Advisors. (2012). Meaningful use stage 2: Understanding timing and penalties. Retrieved from website: http://www.impact-advisors.com/assets/news/document/ IA_Primer_on_MU_Stage_2_Timing_and_Penalties.pdf Abrams, M., Nuzum, R., Mika, S., Lawlor, G. (2011). Realizing health reform’s potential. The Commonwealth Fund. Retrieved from http://www.commonwealthfund.org/~/media/Files/ Publications/Issue%20Brief/2011/Jan/1466_Abrams_how_ACA_will_strengthen_primary_care_reform_brief_v3.pdf

Discrimination And Empowerment Mental Health Social Work Essay

Discrimination And Empowerment Mental Health Social Work Essay This essay will firstly define what discrimination is and what it means to discriminate. Examples will be used to demonstrate what discrimination may look like. A definition of empowerment will also be used. The essay will then critically explore theory and ideas around power and how power manifests between groups. This part of the essay will touch on the idea of othering. The essay will move on to focus on mental health, race and racism. The essay will use the idea that mental illness is a social construct and look at how mental illness can be open to influences of racism from society (Bailey 2004). The essay will make links to institutional racism in mental health and psychiatry. In a basic sense to discriminate means to: differentiate or to recognise a distinction (Oxford Dictionaries 2012). In this basic sense it is a part of daily life to discriminate. For example, a baby will often discriminate between a stranger and their caregiver. Discrimination becomes a problem when the difference or recognised distinction is used for the basis of unfair treatment or exclusion (Thompson 2012). Anti-discriminatory practice in social work concerns itself with discrimination that has negative outcomes; whether this is negative discrimination or positive discrimination. Both are equally as damaging. Thompson (1998) defines discrimination as a process where individuals are divided into particular social groups with an uneven distribution of power, resources, opportunities and even rights. Discrimination is not always intentional (Thompson 2009) and there are various types of discrimination (EHRC 2012). Discrimination can be direct, indirect, based on perception or on association (EHRC 2012). The Equality Act 2010 is legislation that protects individuals and groups against discrimination. The Equality Act 2010 brought together several pieces of legislation to protect several protected characteristics: age, disability, gender reassignment, marriage and civil partnership, race, religion or belief, sex and sexual orientation. Discrimination does not just occur on a personal level, according to Thompson (2012), discrimination occurs on three levels; personal, cultural and structure. This will be explored more later on. Empowerment is a term that often comes in to play when examining discrimination; therefore it is important to have an understanding of both. Empowerment is the capacity of individuals or groups to take control of their circumstance and use their power to help themselves and others to maximise the quality of their lives (Adams 2008: xvi). Empowerment is then not an absence of discrimination and power but an individuals capacity to own or share that power and take control. Therefore empowerment is an anti-oppressive practice not an anti-discriminatory one. They are linked but not the same. Social workers act as mediators between service users and the state. Social workers are in a role that can potentially empower or oppress (Thompson 1997). For this reason Thompson (1997: 11) argues that good practice must be anti-discriminatory practice, no matter how high the standards of practice are in other respects (Thompson 2012). Thompson (1997) reminds the reader many times throughout his book that If youre not part of the solution you are part of the problem. I choose to include this because it reinforces that social workers need to challenge discrimination and take action against it. Discrimination is political, sociological and psychological (Thompson 2012). To accept and tolerate it and to not to challenge it does indeed make social workers part of the problem. Discrimination has links with power which the essay will move on to explain next. As defined by the Oxford Dictionary (2012) power is the ability or capacity to do something; the capacity or ability to act in a particular way to direct or influence the behaviour of others or the course of events; or physical strength or force exerted by someone. From this definition power could be seen as a coercive force or authoritarian. However, some theorists would argue that there is more to power than just coercion and authority. Parsons (1969 cited Rogers 2008) took a different view on power. He saw power as a way of maintaining social order instead of a force for individual gain (Rogers 2008). Parsons (1969 cited Rogers 2008) believed that to be able to enforce coercive action and justify it, there needs to be a collective interest from the social system as a whole (Rogers 2008). Lukes (1974) would disagree with Parsons definition on power. Lukes argues that power is less abstract (Rogers 2008) and that exercising power is the decision to exert control. Lukes (1974:74) illustrates this point as: A exercises power over B when A effects B in a manner contrary to Bs interests. Dominelli (2008) focuses more on the idea of competing power; which group has more power than the other. This splits people to either be in the dominant group or the minority. A dominant group tends to be deemed superior, and with superiority comes privilege (Dominelli 2008). As a result the other group is deemed inferior, the minority and disadvantaged. It is this compound of dominance and oppression that discrimination derives from (Rogers 2008). It is a groups perceived superiorly over another group (Thompson 2012) that justifies coercive action, control and discrimination. When people form oppressive relationships the tendency is to make a strategic decision that excludes a particular group or individuals from accessing power and resources (Dominelli 2002). Othering can be experienced as multiple; multiple oppression. People can be othered simultaneously due to a number of social divisions (Domenelli 2002), for example, being a black woman who experiences mental health issues. Social workers need to recognise power and its links to discrimination. Not to could further oppress (Thompson 2012). It can feel uncomfortable to be in the privileged position; whether this is as a white person or a man and so on. The privileged group need to engage in the fight for equality (Corneau and Stergiopoulos 2012). White people need to engage with the fight against racism and accept responsibility for racism as it is a problem of white society and therefore involves white people (Strawbridge cited Corneau and Stergiopoulos 2012). This explanation can be applied to any other groups that are considered to be the other. Rogers and Pilgrim (2006: 15) suggest that superiority is a social construction: a product of human activity. Dominelli (2002) goes further to say that oppression itself is a social construct as oppressive relations are not pre-determined but they are reproduced between social interactions and routines. Language is often used as a key part of social interaction and is also a very powerful tool. This relates heavily to social work as social workers are responsible for writing reports/care plans/assessments. Depending on how social workers word written pieces of work can indeed paint a very different picture of the service user they are working with. I was once told that words are the bullets of prejudice, this illustrates that labels and language can be powerful, damaging, potentially discriminatory and oppressive. Although labels can be damaging they are a part of social interaction. Labels help us to construct our social world and we use them to find similarities and differences to process the world around us (Moncrieffe and Eyben 2007). Although the process of labelling is fundamental to human behaviour and interaction (Moncrieffe and Eyben 2007:19) social workers need to be aware of when these labels have the potential to be damaging, oppressive and rein forcers of discrimination. Social workers need to reflect and consider what labels they give people and what impacts this may have. Labels can be used to change or sustain power relations which can have an impact on prejudice and on achieving equality (Moncrieffe and Eyben 2007). This essay will use the themes discussed so far to focus in on mental health as an area of practice and critically explore institutionalised racism within mental health practice and psychiatry. To begin I will briefly return to Thompsons (2012) PCS analysis in relation to mental health and race. The P level is our own individual attitudes and feelings (Thompson 2012). Although it is important to examine our own beliefs we do not live in a moral and political vacuum (Coppock and Dunn 2010: 8). For this reason Thompson (2012) also refers to the cultural (C) and structural (S). P is embedded in C and C and P in S which builds up interlocking layers of discrimination; personal, cultural and structural. The C level is where we learn our norms and values. Individuals learn these values and norms through the process of socialisation which occurs through social institutions such as the family, religion and the media (Haralambos and Holborn 2008). These institutions can produce ideas about what is considered normal or right (Coppock and Dunn 2010). From this it is not surprising that there is an attitude in society that people who experience mental health issues are violent and a danger to society; even though there is no relationship between mental health and violence (Rogers and Pilgrim 2006). However, the general media uses terms like psycho (Ward 2012) or crazed gunman (Perrie 2011) in relation to acts of violence creates prejudice. This prejudice can then be used to discriminate. For example, a community may not want a mental home to open near them as the mental people will cause a threat to their community. The S level is the level of institutional oppression and discrimination. Ideas that Thompson (2012: 34) refers to as being sewn in to the fabric of society. Western psychiatry is laden with cultural values and assumptions that are based on western culture (Coppock and Dunn 2010). This suggests that western and white is normality and anything that deviates from this is abnormal (Corneau and Stergiopoulos 2012), or as previously discussed; other. It is the C and S level which the essay will focus on more. Institutional racism explains how institutional structures, systems and the process embedded in society and structures that promote racial inequality (Jones 1997). It is considered to be the collective failure of an organisation to provide an appropriate and professional service to people because of their colour, culture or ethnic origin (MacPherson 1999). Jones (cited Marlow and Loveday 2000: 30) goes further than this definition to also include laws, customs, and practices which systematically reflect and produce racial inequalities. Institutional racism is believed to be a more subtle and covert type of racism (Bhui 2002) and often said to be unintentional (Griffith et al 2007). BME groups are differently represented in psychiatry (Sashidharan 2001). People of African-Caribbean heritage are over represented yet people of Asian heritage underrepresented in mental health settings (Sashidharan 2001). As BME groups deviate from the white norms they appear to receive either too much attention or too little (Sashidharan 2001). This would suggest that the systems which operate within psychiatry are institutionally racist. Both race and mental illness are social constructs (Thompson 1997; Bailey 2004). Thompson (1997) argues that despite the lack in biological evidence for the explanation of racial categories it is still a widely common way of thinking. Bailey (2004) argues that mental illness has always been a social construct therefore open to racism and other forms of discrimination. The declassification of homosexuality in the Diagnostic and Statistical Manual of Mental Disorders (DSM) illustrates Baileys (2004) point. Race immediately brings up issues around power and the relationship between what is seen as natural and social (Westwood 2002). Historically it was viewed that inequalities around race had a natural explanation (Westwood 2002). Race could be traced back to anthological tradition (Rogers 2006; Craig et al 2012) and colonial discourse with the belief that white identity is superior (Westwood 2002) and that black people are lacking civilisation, savages and a subhuman species (Bailey 2004: 408-409). According to Bailey (2004: 408) the effects of racism on psychiatry can be directly linked to the early stereotypes about black people arising from pseudoscientific racism. It is this pseudoscience racism (science which lacks scientific method or evidence) that underpins racism in mental health services today (Bailey 2004). Racism has many different sides and is a multidimensional form of oppression and discrimination (Corneau and Stergiopoulos 2012; Thompson 2012). Racism is widely known to be the cause of disparities in health and mental health (McKenzie in Bhui 2002; Griffith et al 2007; Craig et al 2012). BME individuals find themselves navigating their way through a system that works from the dominant discourse of the medical model (Corneau and Stergiopoulos 2012). This allows a small amount of room for different and alternative frameworks to challenge racism which is already ingrained in the system. To illustrate this point I will use an example from my practice. I work with a black woman who experiences mental health issues. She has spiritual beliefs and usually openly takes about her beliefs at home. She fears one resident as he is very religious and she feels that he has special powers. I supported her to an appointment with her psychiatrist as she had begun to feel mentally unwell. He did not enquire about any social, cultural or structural factors that may impact on her mental health. I tried to advocate the experiences she had shared with me and reiterated what she was saying. However, he advised her that the tugging she experienced in her stomach was physical and to see a doctor and increased her anti-psychotic medication. Her spiritual experiences were not validated, he individualised the cause of her illness and used a medical intervention. Western psychiatry tends to separate the mind from the body and spirit (Bailey 2004). According to Bailey (2004) many BME service users find this approach unhelpful and irrelevant to their experiences of mental distress. This is because for many BME the mind, body and spirit work in union and the feelings and behaviours behind this is woven into peoples wider existence (Bailey 2004). Kortmann (2010) believes that these types of clinical intervention are often ineffective due to service users non-western origin and tend to quit treatments earlier. For example, some African cultures can believe that seizures are cause by evil spirits (Kortmann 2010) and therefore do not take medication prescribed as they do not believe it to be an illness. Westwood (2002) writes that the negative impact of racism can have a significant impact on an individuals mental health. However in a recent piece of research Ayalon and Gum (2011) concluded that black older adults experienced the highest amount of discriminatory events but there was a weaker association with this and experiences of mental health issues. To account for this it was concluded that BME groups experienced more events of discrimination over their life course and as a result have become more resilient to it (Ayalon and Gum 2011). Some writers argue that to construct institutional racism as the explanation to the disparities in mental health can add to the debate and effectively alienate BME groups even further (Singh and Burns 2006). Singh and Burn (2006) state that, the accusation of racism within psychiatry will give service users the expectation that they will receive a poorer service and this will encourage service users to disengage with services or offer voluntary admission. What Singh and Burn (2006) are speculating is presented by Livingstone (2012) as self-stigma; the stigma that is present on an individual level rather than on a cultural or social. It is the stigma that is internalised that can prevent people from access services (Livingstone 2012) and thus, actively discriminating against ones self. Therefore, Singh and Burns (2006) argue that individuals to stay away from needed services until it is too late and there are few alternatives but to detain them and enforce treatment. Although Singh and Burn (2006) make a logical point they fail to recognise BME service user experiences of Mental Health Services. Bowl (2007) conducted a qualitative research to gain the views and experiences of South Asian service users as most literature is through the lens of academics and professionals. The experiences of this South Asian group would certainly suggest the presence of institutional racism within Mental health Services. The main areas identified were their dissatisfaction in not being understood in the assessment process due to language barriers and cultural incompetence (Bowl 2007). This misunderstanding led to misdiagnosis and refusal of services (Bowl 2007). Racism is often not the only form of oppression that people face. Disadvantage can occur from several areas (Marlow and Loveday 2000). BME groups experiencing mental health issues are already subjected to multiple oppression. There is not enough words in this essay to explore this further but wanted to acknowledge that forms of oppression are not experienced in isolation of each other. For example, links have been made between individuals lower socio-economic status and experience of mental health issues and how black people can face the added stress of earning less and experiencing higher levels of unemployment (Chakraborty and McKenzie 2002). This begins to illustrate the complexity and how oppression is inextricably intertwined. Institutional racism has been highlight in a number of Inquiries in practice. It was firstly highlighted in the Stephen Lawrence Report in 1999; a black young person who was murdered in a racist attack and yet again in the David Bennett Inquiry in 2003; a black man who died in 1998 after being restrained faced down by several nurses for nearly half an hour. Lord Laming (2003) also identified issues around racism in his Inquiry into the death of Victoria Climbie. There is not enough words to go into any of these inquiries in any detail but they have been included to demonstrate institutional racism in practice in the police, mental health service and social work. It may seem that whilst mental health services operate within the medical model that is catered towards the white majority things will not change. Institutions and systems are indeed difficult to change, however social workers can work with service users to empower, advocate, challenge and expose discrimination in services and bring about social change. Empowerment is complex in general but becomes more complex in relation to race and ethnicity (Thompson 2007). Social workers need to firstly be aware of institutional racism before they are able to challenge it (Thompson 2007). For social workers to challenge institutional racism they need to challenge policies that do not address the needs of BME groups. To do this, social workers need to be aware of the complex power relations and deeply ingrained racist patterns in society (Thompson 2007). In my practice in a mental health setting I have contact with medical professionals and often support services users to appointments. I find that I must hold onto my social work values and not get drawn into the medical model way of working but to remain holistic in my approach. To conclude, this essay has demonstrated that discrimination is far more complex than treating someone differently. It has focused on a more subtle, covert and indirect form of discrimination: institutional racism. The essay has examined the links between discrimination, racism and power and introduced the idea that mental illness and race are both social constructs. It is this subtle and covert form of discrimination that can be damaging. It can be hard to recognise as it is woven into the very fabric of society (Thompson 2012). However, the message in this essay is that social workers need to recognise power relations, how they operate, on what level they operate at and to challenge discrimination (anti-discriminatory practice) and work with service user to empower them to overcome these obstacles (anti-oppressive practice). Social workers must swim against the tide and not collude with these attitudes no matter how deeply ingrained and embedded they are in society. For the social workers that fail to do so will ultimately become part of the problem. Word count: 3281