Keep the Kids Entertained This Summer

School’s out in just a few more weeks. Are you geared up for three stable months home with the youngsters? Here are some thoughts to preserve them entertained – and also you sane – all summer season lengthy.

Enroll your kiddos in a network summer season pastime application. Most cities have at the least one, and that they run everywhere from every week to a month. Drop the youngsters of at nine, and get 4 hours to your self for house responsibilities, errands, or lunch with the ladies even as your offspring play outside, create crafts tasks, and move on educational area trips. The fee is only a couple hundred bucks, however the cost is priceless.
Take benefit of your nearby library. Whether you’ve got babies or teenagers, your region public library gives a selection of packages and activities to assist them socialize and increase their minds inside the air-conditioned hallowed halls of “that place with all of the books.” Reading challenges will guarantee you some peace and pretty at the same time as they are trying to get via extra books than their sibling/cousin/excellent buddy and win the prize. And don’t forget to test out adult programs on the library, too!
Surprise the own family with inexpensive day trips. If you’re something like me, you live close to a ton of historic or otherwise exciting sights that you’ve never visited. Check out the county museum or the hollow-in-the wall art gallery down on Main Street. Hop within the vehicle and head to the closest town or cultural middle for a matinee theatre performance.

There are likely dozens of activities and points of interest for your region that you in no way consider due to the fact, hey, you stay there, but they’re really worth sorting out with the youngsters – and they could make for a amusing and inexpensive date, too!

Outdoor Recreation Items

Every summertime we ferreted the inflatable pool out of the shed and set it up within the back lawn inside the solar. Then we stuffed it with water, put it inside the solar and let the children play in it. The kids loved it. One heard testimonies of children drowning in inches of water, so one always saved an eye fixed on them. What it did do, was construct a confidence in them about being inside the water. They got their heads wet, went underwater and opened their eyes, and generally simply loved themselves.

Later this led to them wanting to learn how to swim. The school provided swimming classes, however most mother and father can inspire their youngsters to swim with the aid of stepping into the pool with them and displaying them how, protecting them, encouraging them to kick, and so on, all of which builds up confidence and enjoyment.

Some kids hate getting their faces moist, and dunking their entire head inside the water is distress certainly. Help them to now not be afraid, by way of encouraging them early directly to revel in the water.

After the stupid days of iciness, catching a chunk of loose Vitamin D from the sunshine in summer season is another consideration. Our skin absorbs daylight and our metabolism turns this into vitamin D, assisting to construct calcium within the bloodstream and so forming robust bones. (It is still advocated that you use a UV barrier cream whilst you are exterior – and put on a hat as nicely)

There are many one-of-a-kind varieties of out of doors leisure gadgets. A lot of out of doors recreational items assist youngsters to develop their motor abilties. Of direction, there is additionally a extensive variety of outdoor recreational gadgets for humans of all ages to revel in, they may be not at all limited to youngsters.

Where can you go to experience your self in summer with these objects? A vicinity to begin might be ‘indoorwaterparks dot internet’. It is a directory of waterparks in the USA, listed by nation.

There is something for all of us in out of doors pastime. From infants to grandparents. Everyone can revel in their day out, specially if care is taken to prepare nicely ahead.

Many exceptional organizations manufacturer out of doors leisure objects. (Most of these are inflatables). For example there may be Poolmaster, Swimline, Sunsmart, International Leisure, Coleman, Sevylor, Excalibur, Sportstuff, Banzai and Intex. Skamper manufactures ramps for animals which assist them get out of the water. Zoggs makes a speciality of ear plugs, nose clips and goggles.

The Use of Software Programs to Manage Business Contacts

Organizations and organizations encounter numerous issues. On the off chance that they can take care of these issues, at that point it prompts the change of their present state, in this manner accomplishing achievement. One of these issues is to oversee business contacts. They think that its difficult to deal with and deal with the rundown of individuals that are pertinent and critical for their business. That is the reason distinctive projects and virtual products are created to enable organizations and organizations to adapt to this confounding issue. The most vital thing to comprehend is that there are two unique sorts of programming projects: one that is downloaded as a PC program and another that seems to be “in the cloud”. Presently you might ask yourself, “sounds awesome, however what the hell is the cloud?” and that is a decent inquiry. It essentially implies that you don’t have to introduce any product or have an IT professional enable you to associate it to any extravagant servers or system your PCs together. Everything, the greater part of your business contacts, are overseen online from a site. You basically login and can get to your data from any gadget anyplace on the planet at whenever. We should observe the significance of programming for overseeing business contacts.

Simple Access to Your Contacts

When you have a product to oversee business gets in touch with, it will be significantly more helpful for you to get to the rundown of your contacts at whenever and even in a hurry. Every one of the communications you have made, for example, telephone calls and messages, will be plainly appeared there. On the off chance that you have been called shockingly by a customer and you couldn’t see, the fundamental data about the customer will be put away so you can reply back with the pertinent data (subsequent to pulling up their records to perceive what you last talked about). The data and information contained in the telephone calls and messages are likewise put away empowering you to better comprehend the topics.

Enhanced Customer Service

As you have moment access to all contact data, exercises, criticisms, and inquiries of clients, you will have the capacity to react quicker, making your clients inspired by your productivity. This can help your organization to hold your present customers and furthermore to acquire. You’ll doubtlessly perceive how programming programs that oversee business contacts enhance the client administration of your organization.

Spare Time via Searching for Information

One reason why you have to utilize programming that oversee business contacts is to end up more productive and in addition sorted out. The product that you can utilize has different alternatives and instruments that can extraordinarily enable you to arrange data about customers, discussions with customers, exercises in deals and advertising, and support for clients. In actuality, this will enhance the general profitability of your organization’s day by day routine and spare you bunches of time!

Lessen Expenses

Since your organization can oversee business contacts with the utilization of programming, you will have the capacity to make clients fulfilled and even surpass their necessities. This will prompt the decrease of uses expected to advance consumer loyalty and additionally the time it takes for your workers to browse messages and discover more about every customer.

Special Education Or Summer Recreation Program

Under the Individuals with Disabilities Education Act (IDEA), extended faculty 12 months needs to receive to a toddler, in the event that they require it to obtain a free suitable public schooling (FAPE). A court case Reusch vs Fountain got here up with several elements that want to be saved in thoughts, when determining if a toddler wishes ESY offerings. These factors are; regression and recoupment, nature and severity of your toddler’s incapacity, abilties which might be simply being learned (rising skills), whether the kid’s behavior interferes with their mastering, and any unique occasions that relate for your baby.

Here are a few things to maintain in mind approximately ESY and a pastime software:

1. Some faculty districts are now not providing ESY, as is required through IDEA. Instead they’re imparting to pay for non-public summer time activity programs. If your toddler needs ESY, and has a number of the above elements, they’re to acquire it out of your faculty district, freed from fee, although you may should fight for it.

2. Most summer pastime packages do now not offer instructional remediation. If they do, check it out carefully! The software may not learn via a certified unique schooling instructor, so it can no longer be appropriate for your infant. Academic remediation is a good motive to ask for ESY, in case your child desires it.

Three. Even if the summer season undertaking application is for youngsters with a incapacity, it could now not be appropriate for all children. Check out the daily schedule, speak to the group of workers, test on body of workers-baby ratio. Find out if quite a few sitting is required. This can be irrelevant for a kid with ADHD or autism.

Four. Be careful when signing up your baby for a summer undertaking program, if your infant has behavioral difficulty. Years ago, my daughter attended a special pastime camp whose personnel became not trained in handling irrelevant conduct. Ask plenty of questions, see if a fine behavioral machine may be put in place on your toddler. Also discuss how workforce will deal with irrelevant behavior.

Five. Summer activity programs have a tendency to be unstructured. Some youngsters with disabilities do no longer do nicely in an unstructured environment, so be cautious. Again, ask a variety of questions, test on the schedule and so on.

6. If your baby wishes life skills or practical schooling, ESY can offer that education. If your child wishes it, carry it up at their annual IEP assembly, and make certain that it is in writing.

By keeping this stuff in thoughts, you may be able to make the precise selection in your toddler about extended school year offerings or a exercise program.

Managing Business Data – Putting Information to Work

So you consider yourself an extremist business person. The person with the huge dreams, the vision, breathing flame and brimstone, enthusiastically driving troops starting with one wander then onto the next! Wake up, buddy. Your work area is flooding with new reports, the hard drive on your PC can take no more information and your quirky superstar IT administrator has given you such an intricate deals refresh, even Einstein would discover it a challenge….

Have you noticed the incongruity of life? How regularly have you wished you had more data on which to base pivotal business choices, yet can’t manage the information you as of now have. Overseeing business information is a BIG test, an undertaking of Herculean extents. In any case, not surprisingly, we will make it less demanding for you.

Business information comes in unending assortment! Regardless of whether it’s casual market knowledge gathered by a venturesome deals official, a gut feel for something in light of past understanding, or hard information conveniently organized into spreadsheets of a gazillion megabytes – it’s all worth nothing unless dealt with the correct way. We mean the information ought to be in the correct shape, opportune place in the correct hands at the perfect time! You’re believing that is a unimaginable dream? Try not to wager against it, we say.

We should begin toward the start. What do we mean by the expression “overseeing business information”? How about we avoid the language this time, and come to the heart of the matter. Overseeing business information basically alludes to arranging and controlling it such that it progresses toward becoming “data” – that which is equipped for creating understanding. Consider information the crude fixing, data as the handled item.

The initial step to overseeing business information is to accumulate and sort out it. In past times worth remembering you most likely utilized an ordering or documenting framework, now you utilize databases. Database administration programming causes you organize the crude information into perfect little tables, which makes ensuing access and refreshing simpler, as well as empowers de-duplication. Databases are magnificent things – you can question, sort and even perform estimations utilizing them. There’s not really a region where a database can’t be put to great utilize – stock records, client information, deals and income numbers….even climate data! The immense thing about overseeing business information utilizing these devices is that they help to associate data that may originate from various sources – for instance, a solitary generation work number can be utilized to connect input crude material, work in advance and additionally things prepared for dispatch.

Obviously, the structure of the database is immeasurably critical, and that is the reason one needs unique ability to hit the nail on the head. Luckily, there are a lot of devices accessible to help you. Visit PrimaSoft’s site to see a few cases.

Pathological Eating Disorders and Poly-Behavioral Addiction

When considering that pathological eating disorders and their related diseases now afflict more people globally than malnutrition, some experts in the medical field are presently purporting that the world’s number one health problem is no longer heart disease or cancer, but obesity. According to the World Health Organization (June, 2005), “obesity has reached epidemic proportions globally, with more than 1 billion adults overweight – at least 300 million of them clinically obese – and is a major contributor to the global burden of chronic disease and disability. Often coexisting in developing countries with under-nutrition, obesity is a complex condition, with serious social and psychological dimensions, affecting virtually all ages and socioeconomic groups.” The U.S. Centers for Disease Control and Prevention (June, 2005), reports that “during the past 20 years, obesity among adults has risen significantly in the United States. The latest data from the National Center for Health Statistics show that 30 percent of U.S. adults 20 years of age and older – over 60 million people – are obese. This increase is not limited to adults. The percentage of young people who are overweight has more than tripled since 1980. Among children and teens aged 6-19 years, 16 percent (over 9 million young people) are considered overweight.”

Morbid obesity is a condition that is described as being 100lbs. or more above ideal weight, or having a Body Mass Index (BMI) equal to or greater than 30. Being obese alone puts one at a much greater risk of suffering from a combination of several other metabolic factors such as having high blood pressure, being insulin resistant, and/ or having abnormal cholesterol levels that are all related to a poor diet and a lack of exercise. The sum is greater than the parts. Each metabolic problem is a risk for other diseases separately, but together they multiply the chances of life-threatening illness such as heart disease, cancer, diabetes, and stroke, etc. Up to 30.5% of our Nations’ adults suffer from morbid obesity, and two thirds or 66% of adults are overweight measured by having a Body Mass Index (BMI) greater than 25. Considering that the U.S. population is now over 290,000,000, some estimate that up to 73,000,000 Americans could benefit from some type of education awareness and/ or treatment for a pathological eating disorder or food addiction. Typically, eating patterns are considered pathological problems when issues concerning weight and/ or eating habits, (e.g., overeating, under eating, binging, purging, and/ or obsessing over diets and calories, etc.) become the focus of a persons’ life, causing them to feel shame, guilt, and embarrassment with related symptoms of depression and anxiety that cause significant maladaptive social and/ or occupational impairment in functioning.

We must consider that some people develop dependencies on certain life-functioning activities such as eating that can be just as life threatening as drug addiction and just as socially and psychologically damaging as alcoholism. Some do suffer from hormonal or metabolic disorders, but most obese individuals simply consume more calories than they burn due to an out of control overeating Food Addiction. Hyper-obesity resulting from gross, habitual overeating is considered to be more like the problems found in those ingrained personality disorders that involve loss of control over appetite of some kind (Orford, 1985). Binge-eating Disorder episodes are characterized in part by a feeling that one cannot stop or control how much or what one is eating (DSM-IV-TR, 2000). Lienard and Vamecq (2004) have proposed an “auto-addictive” hypothesis for pathological eating disorders. They report that, “eating disorders are associated with abnormal levels of endorphins and share clinical similarities with psychoactive drug abuse. The key role of endorphins has recently been demonstrated in animals with regard to certain aspects of normal, pathological and experimental eating habits (food restriction combined with stress, loco-motor hyperactivity).” They report that the “pathological management of eating disorders may lead to two extreme situations: the absence of ingestion (anorexia) and excessive ingestion (bulimia).”

Co-morbidity & Mortality

Addictions and other mental disorders as a rule do not develop in isolation. The National Co-morbidity Survey (NCS) that sampled the entire U.S. population in 1994, found that among non-institutionalized American male and female adolescents and adults (ages 15-54), roughly 50% had a diagnosable Axis I mental disorder at some time in their lives. This survey’s results indicated that 35% of males will at some time in their lives have abused substances to the point of qualifying for a mental disorder diagnosis, and nearly 25% of women will have qualified for a serious mood disorder (mostly major depression). A significant finding of note from the NCS study was the widespread occurrence of co-morbidity among diagnosed disorders. It specifically found that 56% of the respondents with a history of at least one disorder also had two or more additional disorders. These persons with a history of three or more co-morbid disorders were estimated to be one-sixth of the U.S. population, or some 43 million people (Kessler, 1994).

McGinnis and Foege, (1994) report that, “the most prominent contributors to mortality in the United States in 1990 were tobacco (an estimated 400,000 deaths), diet and activity patterns (300,000), alcohol (100,000), microbial agents (90,000), toxic agents (60,000), firearms (35,000), sexual behavior (30,000), motor vehicles (25,000), and illicit use of drugs (20,000). Acknowledging that the leading cause of preventable morbidity and mortality was risky behavior lifestyles, the U.S. Prevention Services Task Force set out to research behavioral counseling interventions in health care settings (Williams & Wilkins, 1996).

Poor Prognosis

We have come to realize today more than any other time in history that the treatment of lifestyle diseases and addictions are often a difficult and frustrating task for all concerned. Repeated failures abound with all of the addictions, even with utilizing the most effective treatment strategies. But why do 47% of patients treated in private treatment programs (for example) relapse within the first year following treatment (Gorski,T., 2001)? Have addiction specialists become conditioned to accept failure as the norm? There are many reasons for this poor prognosis. Some would proclaim that addictions are psychosomatically- induced and maintained in a semi-balanced force field of driving and restraining multidimensional forces. Others would say that failures are due simply to a lack of self-motivation or will power. Most would agree that lifestyle behavioral addictions are serious health risks that deserve our attention, but could it possibly be that patients with multiple addictions are being under diagnosed (with a single dependence) simply due to a lack of diagnostic tools and resources that are incapable of resolving the complexity of assessing and treating a patient with multiple addictions?

Diagnostic Delineation

Thus far, the DSM-IV-TR has not delineated a diagnosis for the complexity of multiple behavioral and substance addictions. It has reserved the Poly-substance Dependence diagnosis for a person who is repeatedly using at least three groups of substances during the same 12-month period, but the criteria for this diagnosis do not involve any behavioral addiction symptoms. In the Psychological Factors Affecting Medical Condition’s section (DSM-IV-TR, 2000); maladaptive health behaviors (e.g., overeating, unsafe sexual practices, excessive alcohol and drug use, etc.) may be listed on Axis I only if they are significantly affecting the course of treatment of a medical or mental condition.

Since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning, it is no wonder that repeated rehabilitation failures and low success rates are the norm instead of the exception in the addictions field, when the latest DSM-IV-TR does not even include a diagnosis for multiple addictive behavioral disorders. Treatment clinics need to have a treatment planning system and referral network that is equipped to thoroughly assess multiple addictive and mental health disorders and related treatment needs and comprehensively provide education/ awareness, prevention strategy groups, and/ or specific addictions treatment services for individuals diagnosed with multiple addictions. Written treatment goals and objectives should be specified for each separate addiction and dimension of an individuals’ life, and the desired performance outcome or completion criteria should be specifically stated, behaviorally based (a visible activity), and measurable.

New Proposed Diagnosis

To assist in resolving the limited DSM-IV-TRs’ diagnostic capability, a multidimensional diagnosis of “Poly-behavioral Addiction,” is proposed for more accurate diagnosis leading to more effective treatment planning. This diagnosis encompasses the broadest category of addictive disorders that would include an individual manifesting a combination of substance abuse addictions, and other obsessively-compulsive behavioral addictive behavioral patterns to pathological gambling, religion, and/ or sex / pornography, etc.). Behavioral addictions are just as damaging – psychologically and socially as alcohol and drug abuse. They are comparative to other life-style diseases such as diabetes, hypertension, and heart disease in their behavioral manifestations, their etiologies, and their resistance to treatments. They are progressive disorders that involve obsessive thinking and compulsive behaviors. They are also characterized by a preoccupation with a continuous or periodic loss of control, and continuous irrational behavior in spite of adverse consequences.

Poly-behavioral addiction would be described as a state of periodic or chronic physical, mental, emotional, cultural, sexual and/ or spiritual/ religious intoxication. These various types of intoxication are produced by repeated obsessive thoughts and compulsive practices involved in pathological relationships to any mood-altering substance, person, organization, belief system, and/ or activity. The individual has an overpowering desire, need or compulsion with the presence of a tendency to intensify their adherence to these practices, and evidence of phenomena of tolerance, abstinence and withdrawal, in which there is always physical and/ or psychic dependence on the effects of this pathological relationship. In addition, there is a 12 – month period in which an individual is pathologically involved with three or more behavioral and/ or substance use addictions simultaneously, but the criteria are not met for dependence for any one addiction in particular (Slobodzien, J., 2005). In essence, Poly-behavioral addiction is the synergistically integrated chronic dependence on multiple physiologically addictive substances and behaviors (e.g., using/ abusing substances – nicotine, alcohol, & drugs, and/or acting impulsively or obsessively compulsive in regards to gambling, food binging, sex, and/ or religion, etc.) simultaneously.

New Proposed Theory

The Addictions Recovery Measurement System’s (ARMS) theory is a nonlinear, dynamical, non-hierarchical model that focuses on interactions between multiple risk factors and situational determinants similar to catastrophe and chaos theories in predicting and explaining addictive behaviors and relapse. Multiple influences trigger and operate within high-risk situations and influence the global multidimensional functioning of an individual. The process of relapse incorporates the interaction between background factors (e.g., family history, social support, years of possible dependence, and co-morbid psychopathology), physiological states (e.g., physical withdrawal), cognitive processes (e.g., self-efficacy, cravings, motivation, the abstinence violation effect, outcome expectancies), and coping skills (Brownell et al., 1986; Marlatt & Gordon, 1985). To put it simply, small changes in an individual’s behavior can result in large qualitative changes at the global level and patterns at the global level of a system emerge solely from numerous little interactions.

The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension.

The ARMS acknowledges the complexity and unpredictable nature of lifestyle addictions following the commitment of an individual to accept assistance with changing their lifestyles. The Stages of Change model (Prochaska & DiClemente, 1984) is supported as a model of motivation, incorporating five stages of readiness to change: pre-contemplation, contemplation, preparation, action, and maintenance. The ARMS theory supports the constructs of self-efficacy and social networking as outcome predictors of future behavior across a wide variety of lifestyle risk factors (Bandura, 1977). The Relapse Prevention cognitive-behavioral approach (Marlatt, 1985) with the goal of identifying and preventing high-risk situations for relapse is also supported within the ARMS theory.

The ARMS continues to promote Twelve Step Recovery Groups such as Food Addicts and Alcoholics Anonymous along with spiritual and religious recovery activities as a necessary means to maintain outcome effectiveness. The beneficial effects of AA may be attributable in part to the replacement of the participant’s social network of drinking friends with a fellowship of AA members who can provide motivation and support for maintaining abstinence (Humphreys, K.; Mankowski, E.S, 1999) and (Morgenstern, J.; Labouvie, E.; McCrady, B.S.; Kahler, C.W.; and Frey, R.M., 1997). In addition, AA’s approach often results in the development of coping skills, many of which are similar to those taught in more structured psychosocial treatment settings, thereby leading to reductions in alcohol consumption (NIAAA, June 2005).

Treatment Progress Dimensions

The American Society of Addiction Medicine’s (2003), “Patient Placement Criteria for the Treatment of Substance-Related Disorders, 3rd Edition”, has set the standard in the field of addiction treatment for recognizing the totality of the individual in his or her life situation. This includes the internal interconnection of multiple dimensions from biomedical to spiritual, as well as external relationships of the individual to the family and larger social groups. Life-style addictions may affect many domains of an individual’s functioning and frequently require multi-modal treatment. Real progress however, requires appropriate interventions and motivating strategies for every dimension of an individual’s life.

The Addictions Recovery Measurement System (ARMS) has identified the following seven treatment progress areas (dimensions) in an effort to: (1) assist clinicians with identifying additional motivational techniques that can increase an individual’s awareness to make progress: (2) measure within treatment progress, and (3) measure after treatment outcome effectiveness:

PD- 1. Abstinence/ Relapse: Progress Dimension

PD- 2. Bio-medical/ Physical: Progress Dimension

PD- 3. Mental/ Emotional: Progress Dimension

PD- 4. Social/ Cultural: Progress Dimension

PD- 5. Educational/ Occupational: Progress Dimension

PD- 6. Attitude/ Behavioral: Progress Dimension

PD- 7. Spirituality/ Religious: Progress Dimension

Considering that addictions involve unbalanced life-styles operating within semi-stable equilibrium force fields, the ARMS philosophy promotes that positive treatment effectiveness and successful outcomes are the result of a synergistic relationship with “The Higher Power,” that spiritually elevates and connects an individuals’ multiple life functioning dimensions by reducing chaos and increasing resilience to bring an individual harmony, wellness, and productivity.

Addictions Recovery Measurement – Subsystems

Since chronic lifestyle diseases and disorders such as diabetes, hypertension, alcoholism, drug and behavioral addictions cannot be cured, but only managed – how should we effectively manage poly-behavioral addiction?

The Addiction Recovery Measurement System (ARMS) is proposed utilizing a multidimensional integrative assessment, treatment planning, treatment progress, and treatment outcome measurement tracking system that facilitates rapid and accurate recognition and evaluation of an individual’s comprehensive life-functioning progress dimensions. The “ARMS”- systematically, methodically, interactively, & spiritually combines the following five versatile subsystems that may be utilized individually or incorporated together:

1) The Prognostication System – composed of twelve screening instruments developed to evaluate an individual’s total life-functioning dimensions for a comprehensive bio-psychosocial assessment for an objective 5-Axis diagnosis with a point-based Global Assessment of Functioning score;

2) The Target Intervention System – that includes the Target Intervention Measure (TIM) and Target Progress Reports (A) & (B), for individualized goal-specific treatment planning;

3) The Progress Point System – a standardized performance-based motivational recovery point system utilized to produce in-treatment progress reports on six life-functioning individual dimensions;

4) The Multidimensional Tracking System – with its Tracking Team Surveys (A) & (B), along with the ARMS Discharge criteria guidelines utilizes a multidisciplinary tracking team to assist with discharge planning; and

5) The Treatment Outcome Measurement System – that utilizes the following two measurement instruments: (a) The Treatment Outcome Measure (TOM); and (b) the Global Assessment of Progress (GAP), to assist with aftercare treatment planning.

National Movement

With the end of the Cold War, the threat of a world nuclear war has diminished considerably. It may be hard to imagine that in the end, comedians may be exploiting the humor in the fact that it wasn’t nuclear warheads, but “French fries” that annihilated the human race. On a more serious note, lifestyle diseases and addictions are the leading cause of preventable morbidity and mortality, yet brief preventive behavioral assessments and counseling interventions are under-utilized in health care settings (Whitlock, 2002).

The U.S. Preventive Services Task Force concluded that effective behavioral counseling interventions that address personal health practices hold greater promise for improving overall health than many secondary preventive measures, such as routine screening for early disease (USPSTF, 1996). Common health-promoting behaviors include healthy diet, regular physical exercise, smoking cessation, appropriate alcohol/ medication use, and responsible sexual practices to include use of condoms and contraceptives.

350 national organizations and 250 State public health, mental health, substance abuse, and environmental agencies support the U.S. Department of Health and Human Services, “Healthy People 2010” program. This national initiative recommends that primary care clinicians utilize clinical preventive assessments and brief behavioral counseling for early detection, prevention, and treatment of lifestyle disease and addiction indicators for all patients’ upon every healthcare visit.

Partnerships and coordination among service providers, government departments, and community organizations in providing treatment programs are a necessity in addressing the multi-task solution to poly-behavioral addiction. I encourage you to support the mental health and addiction programs in America, and hope that the (ARMS) resources can assist you to personally fight the War on pathological eating disorders within poly-behavioral addiction.

For more info see:

Poly-Behavioral Addiction and the Addictions Recovery Measurement System,

By James Slobodzien, Psy.D., CSAC at:

[http://www.geocities.com/drslbdzn/Behavioral-Addictions.html]

Food Addicts Anonymous: http://www.foodaddictsanonymous.org/

Alcoholics Anonymous: http://www.alcoholics-anonymous.org/

References

American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition,

Text Revision. Washington, DC, American Psychiatric Association, 2000, p. 787 & p. 731.

American Society of Addiction Medicine’s (2003), “Patient Placement Criteria for the

Treatment of Substance-Related Disorders, 3rd Edition,. Retrieved, June 18, 2005, from:

http://www.asam.org/

Bandura, A. (1977), Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review,

84, 191-215.

Brownell, K. D., Marlatt, G. A., Lichtenstein, E., & Wilson, G. T. (1986). Understanding and preventing relapse. American Psychologist, 41, 765-782.

Centers for Disease Control and Prevention (CDC). Retrieved June 18, 2005, from: http://www.cdc.gov/nccdphp/dnpa/obesity/

Gorski, T. (2001), Relapse Prevention In The Managed Care Environment. GORSKI-CENAPS Web

Healthy People 2010. Retrieved June 20, 2005, from: http://www.healthypeople.gov/

Publications. Retrieved June 20, 2005, from: http://www.tgorski.com

Lienard, J. & Vamecq, J. (2004), Presse Med, Oct 23;33(18 Suppl):33-40.

Marlatt, G. A. (1985). Relapse prevention: Theoretical rationale and overview of the model. In G. A.

Marlatt & J. R. Gordon (Eds.), Relapse prevention (pp. 250-280). New York: Guilford Press.

McGinnis JM, Foege WH (1994). Actual causes of death in the United States. US Department of Health and Human Services, Washington, DC 20201

Humphreys, K.; Mankowski, E.S.; Moos, R.H.; and Finney, J.W (1999). Do enhanced friendship networks and active coping mediate the effect of self-help groups on substance abuse? Ann Behav Med 21(1):54-60.

Kessler, R.C., McGonagle, K.A., Zhao, S., Nelson, C.B., Hughes, M., Eshleman, S., Wittchen, H. H,-U, & Kendler, K.S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United

States: Results from the national co morbidity survey. Arch. Gen. Psychiat., 51, 8-19.

Morgenstern, J.; Labouvie, E.; McCrady, B.S.; Kahler, C.W.; and Frey, R.M (1997). Affiliation with Alcoholics Anonymous after treatment: A study of its therapeutic effects and mechanisms of action. J Consult Clin Psychol 65(5):768-777.

Orford, J. (1985). Excessive appetites: A psychological view of addiction. New York: Wiley.

Prochaska, J. O., & DiClemente, C. C. (1984). The transtheoretical approach: Crossing the boundaries of therapy. Malabar, FL: Krieger.

Slobodzien, J. (2005). Poly-behavioral Addiction and the Addictions Recovery Measurement System (ARMS), Booklocker.com, Inc., p. 5.

Whitlock, E.P. (1996). Evaluating Primary Care Behavioral Counseling Interventions: An Evidence-based Approach. Am J Prev Med 2002;22(4): 267-84.Williams & Wilkins. U.S. Preventive Services Task Force. Guide to Clinical Preventive Services. 2nd ed. Alexandria, VA.

U.S. Department of Health and Human Services. Healthy People 2010 (Conference Edition). Washington, DC: U.S. Government Printing Office; 2000.

World Health Organization, (WHO). Retrieved June 18, 2005, from: http://www.who.int/topics/obesity/en/

Mangosteen Juice Nutrition Supplements Can Improve Weight Loss

Mangosteen Juice Nutrition Supplements can make a difference when you’re attempting to lose weight. For a lot of people, Dec 31st and Jan 1st could amount to two things: A life altering year or another wearisome and disappointing year ahead. This is because at the end of each year and at the beginning of a new one, most people obligate themselves to creating new resolutions that will take them through the year.

This is because at the end of every year and at the beginning of a new one, most people entrust themselves to creating new resolutions that will take them through the year. The goals can be diverse ; for some, it can be a resolution to become financially free, for others, it could be a decision to stop drinking and smoking and for yet another group of people, it could be a decision to settle down and find that special “someone” to spend the rest of their lives with. But for many people, there is usually one comprehensive goal and that is to lose weight and get rid of all the excess fat they have on their bodies. This specific resolution is more common among women who often would fancy to have a slimmer body.

This pretty impressive resolution is what gets many women to lose the extra fat they have had for quite a while. But while losing weight and following some good exercise regimens , many women -and men- forget that they need a lot of added nutrients as they lose nutrients during their workout sessions.

Apart from drinking lots of water, which often keeps us all in great shape, there are certain nutrients that any person willing to lose weight must have. This is important as people often tend to think that they can easily use the weight loss pills in conjunction with their normal regimens and they will be fine nutritionly.

One of the worst nightmares of any physical fitness trainer is to find that their student or client is suffering from a lack of nutrition. This often results in their deficient in some nutrition and open to harms by bacteria on their immune system. So, the top bet is to obtain nutrition supplements in line with the normal weight loss regime or procedure. Often , taking vitamin supplements are enough to reload the body with the nutrient it needs. Taking just the weight loss formula, pills or whatever it is you are subscribing to is not okay without taking any from of nutrition supplement.

Often, taking vitamin supplements are enough to replenish the body with the nutrient it needs. Taking just the weight loss formula, pills or whatever it is you are subscribing to is not okay without taking any from of nutrition supplement.

It is even worse for those who endure gastric bypass to lose weight. Up to now, there have been changeable results stemming from this procedure. But research has shown that many obese people who undergo gastric bypass may lose weight but may suffer nutritionly as a consequence of the reduced food quantity they have to eat. Once in a while too, people who experience gastric bypass have been known to suffer from an unusual condition known as Wernicke encephalipathy.

This is usually caused by a lack in vitaminB1 also known as thiamine. This often causes the patient to continually throw up, and lose coordination. To stem this and diminish the occurrence of this, patients are usually given nutrition supplements in the form of vitamins to complement the amount of vitamins already in the body. So, if you know you will be embarking on any weight loss program, make sure that you get sufficient nutrition supplements to get the best benefit possible.

Keeping Kids Busy in the Summer

The first aspect mother and father need to think about inside the yr for his or her kids in the 12 months is what they’ll do inside the summer season. Children have six months of summer season vacation every year, and it’s always a conflict for mother and father who paintings because they’ve all at once were given to find some thing for their kids to do. For parents who already use a infant minder it would be beneficial to truely e-book the kids in for longer with them, losing them off within the morning and selecting them up after work. Child minders are usually better for youngsters than nurseries, as they are not overprotected with the aid of the employees, and may do extra things like exit for a stroll for the day, and discover ways to take care of different kids from a young age.

Schools frequently run summer training for children that make a contribution to their studying but also are more fun than college usually is. Circus classes and obstacle guides are among a number of the sports kids will take part in via summer season faculty, and they’ll love each second due to the fact they’re doing some thing they have never executed before. Giving a child those opportunities is crucial, as when they are older they won’t have as lots possibility to do something like what they could do through summer time faculty instructions.

Indoor play centres will also be running summer season lessons and events, as they recognise that dad and mom need somewhere for their youngsters to move or in the future they may be too worn-out to do whatever with them. Some centres will alter the arrangement of their device to provide kids some thing more for the summer season, as at some stage in the rest of the year they may not get half of as a great deal enterprise as they do in the summer time.

Some mother and father can not come up with the money for to take time without work from work to look after their children all through the summer time, and these instructions provide an appropriate manner for them to maintain them busy at the same time as now not leaving them on their own in the house for weeks on cease. It’s healthful for kids to have a wreck from constantly doing things at college, but via the summer season they nonetheless need to be stimulated and retain their gaining knowledge of, as their our bodies and minds are constantly growing.

Fitness And Nutrition For Health

In the age which we live there is an unprecedented focus on getting and staying healthy. As more and more research points to the effect of fitness and nutrition on our overall health, the findings become more difficult to ignore. There is no doubt that the food that we eat and the physical activity that we perform significantly impact our weight and our body’s overall health and longevity.

When you look at fitness and nutrition and the consequences of ignoring their importance, it is not difficult to see how large a role they play in our health. First and foremost, it is important to understand how powerfully diet can affect us. Natural, whole foods – such as fresh vegetables, fruits, whole grains, and lean proteins – give our bodies the vitamins that it needs to function effectively. We have energy when we eat right. And when we have energy we burn fat. Eating properly allows us to maintain a healthy weight and keep undue stress off of our hearts; it also allows us to keep our blood pressure and cholesterol levels in the healthy range. Most importantly, good nutrition keeps our bodies stocked with antioxidants that fight off a range of illnesses including cancer.

But nutrition does go it alone; fitness and nutrition go hand in hand for achieving good health. When we keep our bodies active through a consistent exercise program, we are adding to our body’s ability to metabolize food and keep weight down. Further, good fitness means strong and limber muscles and a strong cardiovascular system. Exercise also lowers blood pressure and reduces stress levels.

Learning how to pair fitness and nutrition for optimum health means a commitment to a particular lifestyle. It is essential that you revamp your diet to eliminate fatty, high-sodium, and processed food and replace it with fresh, natural – and even organic – choices. But remember, fitness and nutrition work best as a team. Implement a consistent regime of physical activity into your daily schedule including cardiovascular work, stretching, weight training, and even yoga or Pilates.

When you truly understand the importance of fitness and nutrition in your life, you will understand how crucial these lifestyle changes are in order to live a long and healthy life.

Red Manhood Protection From Cold Weather

Now that cold weather is blowing through, winter is definitely here. While even warm weather aficionados can find some things about the cold they like (hot chocolate, roaring fires, an excuse to stay inside and binge watch), it’s equally true that even cold weather fans can find drawbacks. And for men, that includes getting a red manhood from freezing temperatures and bitter icy winds. Finding ways to keep the member sufficiently warm during these winter months is part of good male organ care.

Red manhood

Now, there’s usually nothing wrong with a red manhood. Men who are fair-skinned tend to get a red manhood when it becomes firm, as the blood rushing into the engorged member causes a change in coloration. But sometimes a red manhood can signal a problem, such as being far too cold.

Anyone who has ever jumped into a pool of cold water has witnessed a cold red manhood � and one that is usually shriveled. But when the male organ is exposed to extreme cold temperatures for a prolonged time, it may actually get a little swollen and can experience extreme pain.

In some severe cases, a red manhood may be an indication of frostbite (or frostnip, an early stage condition of frostbite). Frostbite is accompanied by a numbness (lack of feeling or deadened feeling), swelling, blistering and fever, although not all men may experience all of these symptoms. If a man suspects he has a frostbitten member or other body part, he should seek medical attention. Severe frostbite can destroy tissue and in extreme cases may lead to amputation.

Keeping warm

To help fight that winter cold, there are several ways to keep the manhood warm during the winter.

�Don’t go commando. First and foremost, men who habitually walk around without underwear should suspend that habit when venturing out into winter weather. The cold weather can be too dangerous to male organ health, no matter how nice the feeling of freedom may be.

�Stand in front of a fire. Spending a few minutes in front of a fireplace can help warm up a member so it withstands the cold better during its first minutes outside.

�Give the member a rub. Similarly, taking a couple of minutes to rub and massage the manhood before tackling the cold can be beneficial. This will get the blood circulating and help deflect the initial cold.

�Tuck it in. If he is only going to be outside for a few minutes, a guy can try tucking his manhood between his legs for extra warmth. However, since it will pop out relatively quickly, this is a very short term solution.

�Layer up. Doubling up on underwear is strongly advised. Just as a guy may wear a shirt, sweater and coat to combat the cold, so should he consider wearing more than one pair of underwear. The bottom layer should be tight briefs, an athletic supporter or compression shorts, each of which will fit the male organ more snugly.

�Go thermal. It can also help to wear thermal underwear, which may add an extra layer of warmth to the region.

�Investigate wind briefs. Many runners wear wind briefs, specially designed underwear with an extra layer of protection in the midsection.

�Wear a member warmer. A man can invest in an actual knitted member warmer � or simply wear a (clean) sock over the organ when temperatures get frosty.

Taking steps to prevent a red manhood due to cold weather pays off. So does taking steps to ensure overall male organ health, such as regularly applying a top drawer male organ health crme (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin). For best results, a guy should select a crme that is going to �cover all the bases� by including the major vitamins necessary for member health promotion � A, B5, C, D and E. In addition, the crme should include L-arginine, an amino acid which helps manhood blood vessels expand so they can accommodate a greater flow of blood.