Body-Focused Repetitive Behavior Disorder Overview

Body-Focused Repetitive Behavior Disorder Overview More in OCD Related Conditions Causes Symptoms and Diagnosis Treatment Types Living With OCD In a small, little-noticed subcategory of the Other Specified Obsessive-Compulsive and Related Disorder (DSM-5, 300.3; ICD-10, F42) diagnosis in the Diagnostic and Statistical Manual of Mental Disorders â€" Fifth Edition (DSM-5), lies body-focused repetitive behavior disorder. Although they are not each specifically indexed in the DSM-5, these oft-overlooked behavioral difficulties can cause a great deal of distress and functional impairment in the lives of those who struggle with them. Body-focused repetitive behaviors (BFRBs) include any repetitive self-grooming behavior that involves biting, pulling, picking, or scraping one’s own hair, skin, or nails that results in damage to the body and have been met with multiple attempts to stop or decrease the behavior. Like their more formally recognized relatives trichotillomania and excoriation disorder, BFRBs which rise to clinical significance must cause notable distress or impairment in the individual’s daily functioning and cannot be better accounted for by a stereotypic movement disorder or non-suicidal self-injurious behavior. Types of Body-Focused Repetitive Behavior Disorder  BFRBs include, but are not limited to: Trichotillomania: Recurrent hair-pulling, resulting in hair loss. Data suggest that trichotillomania occurs in approximately 1% - 3% of the population.Excoriation Disorder: recurrent skin picking, resulting in skin lesions. Studies suggest  that pathological skin picking affects 1.4% - 5.4% of the U.S. adult population, 75% of whom are female.Onychophagia: Destruction of fingernails or toenails by means of habitual biting. Estimated to occur in approximately 28% - 45% of the population, this behavior may lead to complications such as visible damage to the skin and nails, skin infections, and dental problems including periodontal disease, malocclusion, crowding or rotation and attrition of the incisors.Onychotillomania: Destruction of the fingernails or toenails by means of chronic picking, pulling, and manicuring. Although little empirical data is available on this problem, a number of case reports have been published in both the psychological and dermatological literature.  Complica tions of this disorder are similar to onychophagia.  Lip Biting (Lip Bite Keratosis): The repetitive biting of the skin of one’s own lips.Cheek Biting (Cheek Keratosis): The recurrent destruction of one’s oral mucosa by means of biting with one’s own teeth, typically involving the area of the middle, inner cheek. Estimated to occur in approximately 3% of U.S. adults, complications of lip biting and cheek biting behavior include ulcerations, sores, and infections of the oral tissue as well as the development of keratosis â€" a callous-like formation.Tongue Chewing:  Chronic chewing on the tongue, most frequently the sides of the tongue, is a common oral problem. Complications of the behavior include soreness and keratinization, pigmentation, and hyperkeratosis. Although there has been little study of this problem, it has been noted in the dental literature. Misunderstandings One of the greatest misunderstandings regarding BFRBs is the underlying psychopathology. Contrary to early literature on these behaviors suggesting that they are self-mutilative, recent research suggests they are not related to intentional self-injury. Although  the function of the behavior varies, it is often experienced as self-soothing or assistive in the  regulation  of emotions or nervous system arousal. Most individuals who engage in these behaviors are responding to a physically felt urge (comparable to a premonitory urge to tic) which is relieved by the behavior, or, they are attempting to correct, fix, or otherwise improve some self-perceived aspect of the target area (e.g., the appearance, tactile sensation, etc. For example, to pick a scab with the intent of promoting smoother appearance and faster healing).   Individuals usually do not intend to inflict pain or cause bodily harm. In fact, they are upset by the resulting damage to the skin, hair, or nails, and make repeated efforts to decrease or stop the behavior.   Treatment of Body-Focused Repetitive Behavior Disorder Evidence-based treatment  for BFRBs, as evidenced by the study of trichotillomania and excoriation disorder, includes a specific cognitive-behavioral therapy (CBT), habit reversal training (HRT). HRT  includes awareness training (i.e., self-monitoring), the identification of behavior triggers, stimulus control (modifying the environment to decrease the  likelihood of picking behavior), and competing response training (identifying a substitution behavior that is incompatible with skin picking). Acceptance and Commitment Therapy (ACT)  and  Dialectical Behavior Therapy (DBT)  skills training have also been shown to be effective as adjunctive strategies to HRT. How Habit Reversal Training Works

Where to Find Free Distance Learning Theology Degrees

Where to Find Free Distance Learning Theology Degrees Discovering Free Distance Learning Theology Programs While it is nearly impossible to find an accredited seminary that offers 100 percent free degrees, there are accredited schools that offer free certificates or enough financial aid and tuition assistance opportunities to make their online BA or MA programs within reach of being free. Related Articles Finding Free Online College Courses Finding Free Online College Courses Colleges With Online Journalism Courses Colleges With Online Journalism Courses Wastewater Treatment Operator Distance Learning Programs Wastewater Treatment Operator Distance Learning Programs The following schools either offer free online courses and certificates (no financial aid required) or online degrees that could become free if you can qualify for certain aid programs. Dimensions of Faith Dimensions of Faith by Gordon-Conwell Theological Seminary offers a free program that includes ten classes done at your own pace. It grants a student a certificate in theology upon completion. Subjects covered include world missions, New Testament, Old Testament, a two-part course on theology, and the History of the Church. There is no cost of any kind attached to the program, and it is completed online through the Ockenga Institute. Students who earn the certificate qualify for a $1000 scholarship to enroll full-time in the seminary. Graduate Certificate in Theological Studies The Graduate Certificate in Theological Studies by Liberty University Online provides an overview of theology and apologetics. It is done at your own pace, but the certificate must be completed within three years. Without financial aid, the total cost of this 12-hour certificate would be about $5,000. However, if your EFC on the FAFSA qualifies you for federal grants (which can be as high as $6,195 for the 2019-2020 year), you can cover the cost. If you are a Virginia resident it's even easier to have this tuition paid by financial aid. NotreDameX Theology Courses NotreDameX offers free theology courses online including Introduction to the Quran: The Scripture of Islam and Jesus in Scripture and Tradition. Each course takes about nine weeks to complete with five to seven hours of work a week. At the end of each course you can receive a Certificate of completion verified by Notre Dame (but with a handling fee of $50 to obtain the Certificate).

Persuasive Essay The Things They Carried Essay

Peter Raimann A. Delcourt English - 057 11/29/16 Persuasive Essay: The Things They Carried Are moral standards in the eye of the beholder? According to one author, â€Å"we’ve seriously lost our way†, going on to state, â€Å"we are like mean adrift at sea without a compass† (Hulme). In literature as in biology, the mantra of form fits function applies and heightens a reader’s appreciation of a writer’s choice and how they contribute to a work of literature. In Tim O’Brien’s collection of short stories, The Things They Carried, the narrative, the experience of reading and the alternating Vietnam and modern day settings not only shape the author’s world view, but reflect upon his own experiences in the 1960’s and 1970’s war. The short stories within this work, â€Å"On the Rainy River† and â€Å"Speaking of Courage†, set at the American-Canadian border and a Vietnamese field of excretions, respectively, establish the overwhelming ambiguity, constant flux and uncertainty that characterizes th e experiences of O’Brien’s protagonist (himself) thus reinforcing the author’s message about the relativity of truth. What they did was morally wrong. In â€Å"On the Rainy River†, a recently drafted, teenaged O’Brien stands at both a literal and moral crossroads, facing a physical division, the river between the U.S. and Canada, that represents a life-determining choice. Raised in a mainstream 20th-century American world, O’Brien desires only to escape from the horrible sentence that is his militaryShow MoreRelated Comparing Thoreau’s Civil Disobedience and Kings Letter From a Birmingham Jail1043 Words   |  5 PagesFrom a Birmingham Jail The two essays, Civil Disobedience, by Henry David Thoreau, and Letter From a Birmingham Jail, by Martin Luther King, Jr., effectively illustrate the authors opinions of justice. Each author has his main point; Thoreau, in dealing with justice as it relates to government, asks for not at once no government, but at once a better government. King contends that injustice anywhere is a threat to justice everywhere. Both essays offer a complete argument for justiceRead MoreBeing An Academic Writer Is More Of Your Attitude Than Your Capabilities931 Words   |  4 Pagesthat your essay is qualified and convincible. About a month ago, I was carrying out my plan of my research project of my writing class. 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Workplace Safety Essay - 5423 Words

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Employees must be responsible to ensure they are taking all the precautions to protect themselves and their fellow workers. Safety training is a major concern in today’s workplace for both employers and employees in which action have been taken to overcome this problem. This research of workplace safety training was conducted by the following: using internet to browse different safety training websites, books, magazines, and library, also a personal interview. This information will give us a clear understanding of why safety training is important in a workplace and to ensure safety is being followed. Discussion of findings Workplace injury statistics This research will indicate the statistics of injuries in the workplace by showing how blue collar jobs have more injuries than white collar workers, injuries between men and women. 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SCOPE The objectiveRead MoreWorkplace Occupational Health And Safety2046 Words   |  9 PagesIntroduction Since late 19th century, workplace occupational health and safety has drawn more and more attention in Canada with relative legislations becoming stronger and more comprehensive. Effective OHS programs could help business save considerable cost on worker’s injury or illness. OHS becomes even more significant in some open-to-public workplaces, such as schools, which not only relating to staffs’ health and safety, but also thousands of students’. George Brown College who has four campus

Short Story Sixth Grade Self By Julie Orrigner - 972 Words

The short story that is being analyzed is titled, â€Å"Note to Sixth Grade Self† written by Julie Orrigner. The central idea of this short story is a grown woman reflecting the troubles she faced in the time that she spent in the sixth grade. The main focus was the author trying to illustrate the struggles she experienced as an adolescent girl growing up in a world where she felt she was outnumbered by the popular students and the girls that were more pristine than she. This story beautifully illustrates the challenges many women face growing up and the insecurities that people face as they develop as humans. The author faced troubles being viewed as an awkward social outcast; the story is written in a way that illustrates the thoughts process and anxiety that a typical sixth grader would feel in a position where he or she feels out of place. One of the themes that is present in the short story is the constant feeling of anxiety that the girl is facing in her every day battle in the eight hour school day. She is constantly acknowledging the presence of the popular kids and the mannerisms they have in the battlefield known as school and how she should try to go and adapt them. In the introduction of the story the narrator immediately explains the struggles she deals with just in the realm of figuring out with whom to eat, â€Å"Dont even bother trying to sit with Patricia and Cara. Instead, try to sit with Sasha and Toni Sue. If they won’t let you, try to sit with Andrea Shaw. And

The Opening of Glass Menagerie Essay - 1000 Words

The Opening of Glass Menagerie The opening of Glass Menagerie is key in establishing themes, relationships, dramatic conventions character symbolism and style. Discuss. The opening of the play ‘Glass Menagerie’ let the audience know about various elements of the play such as themes, relationships, characters and dramatic conventions. This was done by detailed description of the setting and the narrator, Tom informing the audience. The main themes of the play could be found in the opening. The fact that the play was about memory had been made clear in the beginning with the line, â€Å"the scene is memory†¦Ã¢â‚¬  Once again confirmed very clearly by Tom who said, â€Å"the play is memory.† The audience could easily interpret that†¦show more content†¦Amanda was the obvious case of denying it. When Laura told her â€Å"I don’t believe we’re going to receive any† gentleman callers she frantically yelled â€Å"not one gentleman caller? It can’t be true!† Escaping was another main theme of the play which was introduced in the beginning. This theme was mostly related to Tom who always wanted to escape from Amanda and his hopeless, tedious and meaningless life. Tom addressed the audience in the beginning of the play standing near the fire-escape. The fire-escape was used to enter the apartment but to Tom, it was more than that. His frequent outing to the movies, which was his means of escaping from Amanda and his depressing life, was all done through the fire-escape. However, the audience were made aware of the fact that his escape in the end was not so delightful as the thought of leaving Laura haunted him after he left her. â€Å"Oh Laura, Laura, I tried to leave you behind me, but I am more faithful than I intended to be.† Maybe Williams was trying to say such thing, as a true escape did not exist in the first place. 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This represents the connection between the imaginary world of the Wingfield’s and the world of reality. Each character seems to be able to find their escape in their own, personal way. For Tom, the fire escape is theRead MoreGlass Menagerie Essay1390 Words   |  6 PagesGlass Menagerie Written Responses Topic: Discuss how a theme is developed in the play through two characters. Provide 3 pieces of evidence to support the theme as it applies to each character. â€Å" The Glass Menagerie †, a memory play by Tennessee Williams, not only depicts the depressing andRead MoreEssay Tennessee Williams Life and The Glass Menagerie1643 Words   |  7 Pages Tennessee Williamsamp;#8217; Life and The Glass Menagerie The Glass Menagerie first opened on March 31, 1945. It was the first big success of Tennessee Williamsamp;#8217; career. It is in many ways about the life of Tennessee Williams himself, as well as a play of fiction that he wrote. He says in the beginning, amp;#8220;I give you truth in the pleasant disguise of illusion; (1147). The characters Tom, Laura, and Amanda are very much like Williams, his sister Rose, and his mother Edwina. WeRead MoreThe Glass Menagerie By Tennessee Williams1540 Words   |  7 PagesIt is easy to read through â€Å"The Glass Menagerie† by Tennessee Williams and quickly dismiss it has a play of a nagging mother, disheartened son, and socially incapable, whimsical sister. The three seem completely caught up in their own narrow mindedness they are blind to the reality around them. While these may all be true, the characters exhibit far more complications than the surface analysis proves. In Tennessee Williams play, the characters are full of complexiti es and contradictions. One of

SeniorServ Practice Free Essays

Mohammad ChowhanAmerican Public UniversitySeniorServ, Adult Day Health CareSecuring Home, Health HeartAnaheim, CaliforniaInstructor: Dr. Carter-Mccummings, JewelMarch 22, 2018Abstract. I chose my practicum site because of several reasons. We will write a custom essay sample on SeniorServ Practice or any similar topic only for you Order Now Selecting SeniorServ practicum has numerous benefits to facilitate selecting public health career. As an intern, I have the opportunity to experience the type of work that could be performed in the position, to determine if my skills match the work that is essential and to evaluate whether that work is what I could see myself accomplishment day in and day out in a enjoyable career. One of the fastest growing areas of health care is elder care. As people age and find themselves with increased health issues, the need for dependent care often tops their list as they plan for the years ahead. More and more seniors are choosing to stay in their homes as long as possible and that can put a burden on the primary caregivers who may not have the time or the ability to provide the necessary care. Providing a healthy, interactive environment for the dependent adult can give the caregivers relief from constant care for their loved one. There are many opportunities in the adult day care area. Maybe one of these is a perfect match for me. SeniorServ Adult Health Day Care is a non-profit, client centered, day program for older adults living in the Orange County Area. Most of our participants vary in levels of dependency from mild to severe and often have a chronic illness. SeniorServ’s main goal is to keep families and their loved ones united within their respective communities and homes for as long as possible through an integrated care program which includes daily activities, Physical ; occupational therapies, nursing and personal care services. SeniorServ Adult Health Day Care operate smoothly is challenging and rewarding. There are opportunities in planning events, transportation, scheduling, finance, public relations/ presentations, fundraising, supervision, crisis management and recruitment as well as meaningful daily interaction with the program participants we serve. Each brings its own reward.IntroductionFor 50 years SeniorServ has been the largest nonprofit senior nutrition and supportive service provider in Orange County, serving nearly  one million meals  to over  10,000 at-risk older adults annually. We deliver programs and services that reduce hunger and improve wellness for seniors so that they may live independently in the homes and communities they love. The organization was originally incorporated in 1967 as Feedback Foundation. In 2006 Feedback Foundation and Senior Meals and Services merged creating SeniorServ,  providing the capacity for meeting the growing and diverse needs of older adults in our community. SeniorServ leverages its 22,000 square foot commercial kitchen and warehouse to process all our foods while providing social enterprise opportunities to the community at large.SeniorServ is proud to celebrate 50 years of programs and services that diminish hunger and loneliness for penurious seniors. Although a lot has changed since our humble beginnings in 1967, one thing that has remained is our commitment to helping older adults stay in their homes, preserve their dignity, and maintain their independence. With your support, we can give support – bringing them healthy meals, providing friendship, and, often, offering the only human contact they have all week long. Home-delivered meals, Case Management, Adult Day Services, health related rehabilitation. Friendly Visitors, Care Circles, and Care Coordination work at keeping seniors in Orange County living in the homes and communities they love. Good nutrition is the basis of good health. Meals on Wheels and Senior Center lunches throughout the county deliver healthy nutrition. Adult Day Health Care safeguards health through supervision, and therapies. Care Coordination reduces health risks after hospitalization. Compassionate care in our Adult Day Health Centers, friends and activities at Adult Day Services, companionship from a Friendly Visitor and support from a Care Circle are just a few ways SeniorServ makes sure older adults are happy, connected and feeling loved. MissionTo nourish the wellness, purpose, and dignity of seniors and their families in our community.Values of SeniorServCompassion: We are caring ; compassionate in all we do. Integrity: We are always honest and ethical. Respect: We treat every person with dignity and respect. Excellence: We deliver on our mission with excellence and professionalism. Communication: We listen and speak openly with each other. Innovation: We create an environment where innovation and possibilities thrive. Indispensable GoalsCollaborate with other elder advocates and seniors focused organizations to develop a strategy for the enactment of federal and state legislation that is of benefit to California older adults. Ensure that basic, essential in-home and in facility support services, both medical and non-medical are available to older senior adults.Develop a patient-centered community case management model for chronic care and successful transitions along the care continuum including transitions from and to hospitals, other care facilities, and homes. Explore and implement best practices for integrated assessment and treatment mental health, substance abuse, and cognitive decline, including access to a geriatric treatment progress.Enhance awareness of the importance of nutrition, exercise, brain fitness, socialization, and spirituality in the aging well process.Service Delivered in SeniorServAdult Day Health Care (ADHC) is designed for individuals with physical and mental impairments under SeniorServ. This center provides supportive therapies to enable individuals and their loved ones to maintain as much as daily independence as possible. Nursing and MedicalPersonal Care Physical TherapyOccupational TherapySpeech and Cognitive TherapySocial ServicesDietary ; Nutritional ServicesStimulating Exercise HallTransportationRespite for CaregiversWeekly Public Health Awareness Discussion SessionsCollaborations with Other Organizations ; AgenciesSeniorServ has deep collaboration with other organizations and agencies for effective implications. Agencies and organizations are as follows:Alignment HealthcareKaiser PermanenteSCANSt, Joseph HealthActive Care LivingSilveradoLocations of SeniorServAnaheim Health Day Care CenterSanta Ana/ Tustin Health Day Care CenterBuena Part Senior CenterPreceptor’s CredentialsMr. Giovanni Corzo, vice president home Care Services, Overseas SeniorServ’s direct care services. Chair of the OneCare Connect Member Advisory Committee (OCCMAC). He represents California MediConnect Plan member (Medicare-Medicaid).Important Public Health Issues Being Addressed in Practicum SiteChronic Health Conditions: More than 80% of elderlies have at least heart disease, stroke, diabetes, high blood pressure and cancer. Cognitive Health: The most mutual cognitive health issue facing the elderly is dementia, the loss of those cognitive functions. The most generic form of dementia is Alzheimer’s disease, though there is no cure for dementia, a treatment plan medications to manage this disease is helpful, like different activities, puzzle-based exercises. SeniorServ has fully fledged sections under physical therapy, occupational therapy and aids for above purpose. Mental Health: A common mental disorder among seniors is depression. Unfortunately, this mental disorder, often undiagnosed undertreat. But social and other activities-based exercises are very helpful to ease. Promoting lifestyle of healthy living such as betterment of living condition and social support from family, friends or supporting groups can help treat depression. SeniorServ has daily activities including † Lets color it† , Mà ºsica and health awareness sessions. Physical Injuries: The leading cause of injury among elderlies is increasing, due to age, bones cause to shrink and muscle to lose strength flexibility, senior are most vulnerable. These problems are handled at SeniorServ through education, increased physical activities and practical modification. Malnutrition: Malnutrition in older adults leads to health complications, such as a weakened immune system and muscle weakness. Registered Dietitian and nutrition staff SeniorServ are doing their job to work on healthy breakfast lunch at regular basis.Sensory Impairments: Sensory impairments, such as vision and hearing, are extremly common for elders. Regading eyes and ears, nursing center take care on daily basis.Bladder Control Constipation: Incontinence and constpation are common cmplications in senior adults. Center manages elders’ food according to their digestive condition. Nursing staff and caregivers are always ready to manage elders’ needs. My Contributions at SeniorServHelped Physical Therapy and Occupational Therapy staff during therapy sessions.Helped caregivers and nutritional staff during their serving and preparation time.Assisted Activity director during daily tasks and lead small groups.Be part of team who prepared health literature for awareness. I lead small group sessions on public health awareness topics as: Fast Food: Good or Bad Nutrition and Diet Engineered Food for Health Role of Genes in spreading diseases Alcoho, Tobacco and other legal Illegal Drugs Benefits of Spices, Herbs Minerals Relationship of Practicum Activities to Student’s Academic WorkMy specialty in public health is a reason that I chose SeniorServ for my practicum.Active Living Every Day (ALED) at SeniorServ uses facilitated group-based problem-solving methods to integrate physical activity into everyday living.Enhance Fitness Program is highly adaptable exercise program offering levels that are challenging enough for active older adults and levels that are safe enough for the unfit or near frail.Healthy Moves for Aging Well is a simple and safe in-door physical activity intervention developed and tested by Partners in Care to enhance the activity level of frail, high-risk sedentary seniors living at home. Usefullness, Impact ; Relevance of Selected Practicum on My Planned CareerDuring my stay at SeniorServ, I learned so many new things plus polished my existing skills.I am planning to work for wellness center or advising center that gives awareness in public health, regarding nutrition, healthy activities and social interactions.My Recommendations for the Future Direction of Practicum SiteI recommended them for health awareness discussion among seniors. I started that since in the beginning on weekly basis.I touched topics on nutrition, healthy living, daily fitness exercises.I talked to different senior groups on general health.I recommended to director that talk to individuals and find out their interest and link that help to improve their health.Recommended and be part of leading short talks about health and social issues.Practicum Students should have access to seniors’ personal/medical records. Due to my recommendations, I assist SeniorServ’s nutritional staff. All centers like SeniorServ don’t allow volunteer to physical help in PT OT areas without initial training. Center is ready to do arrangements for practicum/Inter/volunteers to have initial PT OT initial training.Evaluations of Overall Practicum Experience SuggestionsInvolve older adult and youth groups in planning appropriate intergenerational volunteer opportunities for seniors to remain engaged in the community.Integrate a wide range of updated older adult health, recreational, and fitness related activities, such as Pilates and spinning, into existing programsTo enhance the quality of academic learning about elder care issues and policy in various disciplines by integrating meaningful community service into courseworkPracticum DeliverablesFit or Fat (Exercise Program) CopyWeekly Discussion Session Progress Reports (Copy)Mentor/Practicum Agreement (Copy)Leisure ActivitiesDaily Visiting Schedule of Seniors to Nursing Room Brain GamesMonthy Log of Practicum Student at SeniorServ.(Copy)ReferencesHarrigan, B. (2018). Senior Internship. Retrieved March 23,2018 from http://www.natickps.org/cms/One.aspx?portalId=121475pageId=575756Weaver, R. (2017). Health Promotion and Wellness Management. Retrieved March 23, 2018 Fromhttps://academics.rowan.edu/shp/departments/hes/programs/undergraduate/healthPromotion/internshiphpwm.pdfRekdal, A. (2016). How interns shape the culture and tech of 20 Chicago companies. Retrieved March 23, 2018 fromhttps://www.builtinchicago.org/2016/07/20/internship-programs-chicago-tech-companiesNiering, G. (2016). Internship Reflection Papers. Retrieved March 23, 2018 fromhttps://www.conncoll.edu/media/website-media/centers/goodwin-niering/greenlivingdocs/Class-of-2016-Internship-Reflection-Papers-Booklet.pdfKumar, S., Preetha, GS. (2012). Health Promotion: An Effective Tool for Global Health. Retrieved February 21, 2018 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3326808/ American Heart Association (AHA. (2015). Eating Fast Food. Retrieved February 21, 2018 from http://www.heart.org/HEARTORG/HealthyLiving/HealthyEating/DiningOut/Eating-Fast-Food_UCM_301473_Article.jsp#.Wo4G9q6nHIU Center for Disease Control and Prevention (CDC). (2017). A Public Health Action Plan to Prevent Heart Disease and Stroke. Retrieved February 21, 2018 from https://www.cdc.gov/dhdsp/action_plan/pdfs/action_plan_full.pdf National Network of Public Health Institutes (NNPHI). (2017). Three Public Health Training Needs Rise to the Top. Retrieved February 21, 2018 fromhttps://nnphi.org/three-core-competencies-rise-to-the-top-of-the-list-of-public-health-training-needs/ omplete and submit 15 – 25 page reflective paper (12-pt Times New Roman font; double spaced; title page; page numbers-bottom center; APA style, citations at least  7 references)**The format of the final paper may vary based upon the student’s location and activities; however, the following items must be discussed:a. Provide an overview of the practicum agency (organization’s mission, organization’s goals, location, collaboration with other local, national or international public health agencies, preceptor’s credentials)b. Describe current public health issue(s) being addressed during the course of student’s practicum experiencec. Describe contributions the student has made during their involvement in practicum experienced. Summarize the relation of the practicum activities to student’s academic work and/or concentration areae. Summarize the usefulness, impact and relevance the selected practicum on the student’s planned careerf. Provide recommendations for the future direction of practicum agency addressing public health issues on a local, national, and international levelg. Evaluation of overall practicum experience (assessment of overall experience, positive and negative aspects of experience, new skills/knowledge gained, suggestions to faculty for improving future practicum experiences)h. Submit a copy of your deliverables online (Your paper WILL NOT be graded and will receive a zero grade if deliverables are not attached with your  reflection paper). How to cite SeniorServ Practice, Papers