Essay about Autism - 1740 Words

Autism 1. Definition Autism- is a developmental disability significantly affecting verbal and nonverbal communication and social interaction, generally evident before the age of 3, that adversely affects a child’s educational performance. Other characteristics often associated with autism are engagement in repetitive activities and stereotyped movements, resistance to environmental change or change in daily routines, and unusual responses to sensory experiences. 2. Common Characteristics Inability to use speech for communication Withdrawal from people Unusual bodily movements and peculiar mannerisms Abnormal responses to one or more types of sensory stimuli, sound or touch Lack of appropriate play Preoccupation with hands (flapping)†¦show more content†¦Autistic infants often show little or no interest in other people and lack typical social behaviors. For example, they may not smile at their mothers voice or make eye contact with caregivers. Autistic children fail to develop normal relationships with their parents, brothers or sisters, and other children. Often they seem unaware of the needs and feelings of other people, and may not respond if another person is hurt or in distress. They also fail to make friends. Children with autism usually play alone. Often they engage in repetitious activities, such as arranging objects in meaningless patterns, flipping a light switch on and off, or staring at rotating objects. Some engage in repetitious body movements, such as spinning, flapping their arms, swaying, rocking, snapping their fingers, and clapping or flapping their hands. In some cases these movements may be harmful, involving repeated biting of their wrists or banging their head. Children with autism frequently become upset at minor changes in their surroundings and daily routines. Autistic children also have difficulties with language. Some never learn to speak or develop very limited speech. An autistic child may say quot;youquot; when he means quot;Iquot; and produce incorrectly formed sentences. Autistic children may also demonstrate echolalia, mechanically repeating words or phrases that other people say. About 75 percent of autistic children areShow MoreRelatedAutism Between Autism And Autism756 Words   |  4 PagesMany people believe that autism is its own disorder that children are diagnosed with. However, autism is actually a term used for a wide range of disorders. Autism s clinical name is Autism Spectrum Disorder. The term spectrum is used because of the range of symptoms, intensity, and behaviors autism effects. There are also many different types of autism. There is classic autism which is associated with being non-verbal and anti-social. Another form of autism is Asperger Syndrome which is associatedRead MoreAutism And Childhood Of Autism Essay1382 Words   |  6 Pagesexplored of all youth psychiatric disorders, Autism continues to be a captivating condition. The conception and description of the disorder has evolved significantly over time leaving some philosophies once held with principle to later verify to be unproven. Scientists and clinicians have provided the highe st influences to the understanding of the illness, however, history does illustrate countless teachings and initial interpretations of a possible genesis of autism to be uncertain. The socio-politicalRead MoreAutism Between Autism And Autism2229 Words   |  9 Pagesand love. The Centers for Disease Control and Prevention estimates that 1 in 68 children are diagnosed with autism spectrum disorders in the United States alone, including almost five times more boys than girls (2015). Autism is a neurobiological developmental disability that has swiftly become the fastest-growing developmental disability, as the rate of diagnosis continues to rise. Autism encompasses an entire spectrum of disorders, meaning that symptoms and severity can vary greatly from childRead MoreAutism On Children : Autism1066 Words   |  5 PagesPamela Sulger 27 November 2016 Autism in Children Autism according to Merriam-Webster Dictionary is defined as â€Å"a variable developmental disorder that appears by age three and is characterized by impairment of the ability to form normal social relationships, to commutate with others, and by stereotyped behavior patterns.† Autism was believed to be a psychiatric or emotional illness, and doctors told mothers that they were the cause. They were wrong. The cause for autism is still a mystery, howeverRead MoreAutism And The National Autism1994 Words   |  8 PagesAutism has become an increasingly important public health concern as the number of yearly diagnoses of the disorder has increased since the late 20th century. The National Institute of Health estimates that 1 in 88 children in the United States are classified as having an Autism Spectrum Disorder (ASD) (NINDS, 2009), a genetic neurodevelopmental disorder that impairs children s ability to learn and causes issues with social interaction and communication. Symptoms of ASD include delays in speechRead MoreAutism : Children With Autism2199 Words   |  9 PagesRunning head: AUTISM 1 AUTISM 10 Autism Name: Institution: Autism Introduction Autism is a disorder that is encompassed in the autism spectrum (ASDs) (Landa, 2007). Autism spectrum disorders describe the brain development disorders and encompass Asperger syndrome, autism, and pervasive developmental disorder not otherwise specified (PDD-NOS) disorders. Features of the ASDs includes sensory and cognition problems, difficulty in communicating with other people, and repetitiveRead MoreAutism And The Autism Spectrum Essay984 Words   |  4 PagesAutism is a developmental disorder, which is characterized by a dyad of difficulties in a) communication and social interaction and b) restricted interests and imagination (American Psychiatric Association, 2013). Individuals on the Autism Spectrum might find it challenging to understand what other people think or what the reasons for their behaviours are, as their ‘theory of mind’ may not be well developed (Schuwerk, Vuori Sodian, 2015). It is possible that this is why they might behave in sociallyRead MoreT he Link Between Autism And Autism1580 Words   |  7 PagesIntroduction There have been several controversies regarding the cause of autism over the years. For example, the main cause was assumed by some to be bad parenting. Today, however, there is general agreement that the symptoms of autism, with the exception of those of abandoned children, are a behavioral response by young children to an organic disease affecting their brains. In fact, it is now generally understood that autism is a complex developmental syndrome representing a heterogeneous group ofRead MoreAutism Spectrum Disorder ( Autism )900 Words   |  4 Pages Autism Disorder Mohamed Ayoub Community College of Aurora Autism Spectrum Disorder We are living in a time where a remarkable and advanced medical treatments exist. However, scientists and medical professionals are constantly faced with diseases and disorders that contemporary humanity needs a cure and treatment. Amongst the disorders that affecting our young people today is the autism spectrum disorder. It is a â€Å"complex and life long behavioral disorder marked by impairment in socialRead MoreAutism : What Causes Autism? Essay1112 Words   |  5 Pages What is Autism? How is Autism classified? What causes Autism? Why do Autism happen? There are some many questions about Autism, and what it is. Many of those questions are still unknown. Everyday researchers are exploring reasons for these questions. However, Autism was introduced in the 1940s autism was first described in the 1940s. Leo Kanner in the United States and Hans Asperger in Austria independently published papers describing children with severe social and communicative impairments. Both

The Increasing demand on the UK’s construction industry Free Essays

Britain’s construction activities have risen considerably over the last decade and according to industry forecasts, the next five years will see more large projects commencing and highlighting once again the need for skilled labour in the UK. The government already has many construction plans underway which all lead to an 11% predicted increase (Olympic shortfall 18/11/07) in construction output between now and 2011. Some of the major projects that contribute to the rising demands include a surge in schools construction, increased spending on transport and projects for the London Olympics. We will write a custom essay sample on The Increasing demand on the UK’s construction industry or any similar topic only for you Order Now The government has invested in a reported à ¯Ã‚ ¿Ã‚ ½4.7bn (Financial Times Limited 2007 17/11/07) to rebiuld or renew every secondary school in the country. This is a massive project and dwarfs the construction of the London olympics in comparison. ConstructionSkills is one of a series of employer-led sector skills bodies established by government to help produce enough skilled workers to meet the high demand. ConstructionSkills says that employment in the industry will need to rise by almost a sixth to 2.8m by 2011, compared with 2.4m in 2005 and 87,600 new recruits will be needed by the industry â€Å"each year between 2007 and 2011 in order to meet demand†.(ConstructionSkills 2007) Infrustructure activity is also increasing with construction underway for the redevelopment of King’s Cross and Crossrail and the expansion and refurbishment of the Birmingham New Street and Nottingham railway stations. Other infrastructure developments include work on the Manchester Metro Link, the M6 toll road, the M25. Also the Scottish Executive’s (Financial Times Limited 2007 17/11/07) planned à ¯Ã‚ ¿Ã‚ ½3bn capital investment programme in strategic road and rail projects and expansion of ports at Harwich, Felixstowe and Great Yarmouth. Aside from all these major developments, there is still as high demand as ever for more residential housing. It is reported (UK home supply way below demand 17/11/07) that Britain is now so short of new houses that an extra 39,000 need to be built each year just to keep up with the UK’s population growth. The huge shortage of skilled labour in the UK is undoubtedly a major factor and could undermine the success of the 2012 Olympics in London. Reports made through the Research by the sector skills councils has revealed the Olympics needs around 13,000 construction workers and 1,500 electricians and plumbers a year between now and 2012 (Olympic shortfall 18/11/07). The new Heathrow terminal 5 is another project that highlights the severe skills shortage in the construction sector. The new T5 is estimated to cost à ¯Ã‚ ¿Ã‚ ½4bn and is one of Europe’s biggest projects at the moment. Terminal 5 will have roads and rail links built for it and will have over a hundred aircraft stands as well as the tallest control tower in the country. All these projects are desperately in need of skilled labour and huge investments are being made by the government and big companies to provide training schemes for people to help overcome these demands. The construction of the Heathrow terminal 5 has influenced BAA, the company that manages Heathrow to collaborate with the learning and Skills Council (LSC) to set up the Heathrow Construction Centre to train young people in carpentry, joinery and bricklaying. Many young people are now applying to the training centre with the influence of high salary opportunities being advertised for a wide range of jobs. David Boyer, a representative of LSC says â€Å"the key is finding something that they want to do and that employers will pay for†¦and construction fits the bill perfectly.† (David Bower 2007) CSV, the UK’s largest volunteering and training charity is another organisation that has many Construction Training Centres around the country. Its main aim is to take on young people from the age of 16 and train them up in a construction field that interests them. The Training Centre on Hornsey Road is CSV Springboard Islington Trust’s training facility and is helping to meet the demand from employer training needs arising as a result of the Kings Cross re-generation programme or the Olympics. The Islington training centre has three sectors in the area and alone provides learning for over 600 students (Sky-high salaries for airport construction workers 18/11/07). The main issue with the construction industry in the UK at the moment is that activity continues to rise at a rapid pace and with all the training schemes at the minute, not enough skilled craftsman and professional workman are coming out of it to keep up with the demand. There is a reported large number of craftsmen in the UK that don’t have the qualifications that are required to work on the Olympic sites etc. Organisations such as Summit Skills are committed to helping provide the necessary qualifications to people with the skills but who have not finished an NVQ level 3 for instance. Students doing a construction course at schools or colleges will commonly do a full NVQ which includes gaining technical certificates and national vocational qualifications. Some of the courses involve training on-site to acquire the appropriate qualifications. The government has also addressed the issue for the need of more skilled labour by introducing new courses at schools and colleges. In 2008, a new diploma in construction and the built environment will be introduced. However many specialist diplomas and GCSE’s will not be available until 2013. The other opportunities that are given to young people to work in construction are through the apprenticeship or scholarship schemes. Such schemes are usually offered directly from companies. It’s often the best route for young people who do not have the appropriate background. The apprenticeship programme was introduced to the UK in 1994 (as modern apprenticeships). Apprenticeships give the student the opportunity to study at college to receive the required qualifications and do work based on the site on a part time basis. Apprentices earn while being in education and for most young people it is a very attractive prospect. It also gives a higher rate of employment for those that do it as the companies, for the majority of the time offer the person a full time job after they have completed their apprenticeship. But in the last couple of years, the numbers of apprenticeships have reduced as the interest for them has increased. With over 50,000 applications for 10,000 places (Ol ympic shortfall 18/11/07), the traditional apprenticeship route cannot meet growing demand. However, to help overcome this problem, there are many colleges today that are involved with big construction companies making it easier for students to find the apprenticeship that interest them. In apprenticeships, the students are usually required to stay in education until they achieve a full NVQ before they are offered a full time job but a scholarship on the other hand requires the student to attend university either part time or full time in order to gain higher qualifications such as a degree to make them eligible for high skilled work afterwards. Scholarships are also offered usually directly from a company and offers to support the student financially by paying the tuition fees to the university and the company will often offer a the student work placement between their time at university to give them the required experience in the job. Although there is many efforts being done to overcome the shortage of skilled labour in the UK, it is still evident that yet more needs to be done to reduce the gap between the demand for skilled labour and the amount of trained personnel coming up every year. In the next five years, there is going to be an increase in activity for the UK construction industry and it is estimated that 87,600 new recruits (Financial Times Limited 2007 17/11/07) will be needed by the industry every year to cope with the work needed. I believe that in order to tackle this problem for the shortage of skilled labour in the UK, more efforts must be made concentrating on the source of the problem, the training of personal to meet the levels required by the industry. It is a fact that yet not enough programmes are being opened to help encourage young people to look for a career in construction and to educate and train them to the required levels. At the moment, the government is concentrating on opening new training centres in London because of the increasing work being made by the construction of the East London Olympic sites. However, training centres should be opened in more cities around the UK in the next few years to help train up as many people in as short time as possible to help overcome the shortage of required labour. I think that more training programmes should be done on development sites such as the Heathrow construction centres helping to train young people. I believe that such programmes help to train and educate a person on the job and give them the required skills in a short period of time. Other steps that can be taken is to introduce more specialized construction courses at schools and colleges to help encourage young people to choose a career in the construction field. At the moment, a successful example is the Construction and Built Environment Diploma which around 4000 people take every year (Construction Digital 17/11/07) Another step that can be taken is to encourage more construction companies to introduce more apprenticeships and scholarships to young people. This will attract more people to join the construction industry and will produce more high skilled labour to meet demands of the modern day. If the UK construction industry remains to be in the situation it is now with a huge shortage of skilled labour then the only solution left will be to bring in even more migrant workers from east European countries, such as Ukraine, Poland and Lithuania, to fill gaps on building sites. This will in effect reduce the building standards and safety on the site just so companies can give out low wages and save costs. In reality, this is very likey to happen but the government will only apply it in a worst case scenerio to overcome the problem. Although it might not be possible to finish all these huge projects in the UK without aquiring the help from migrant workers, we could however train as many people as we can so that less workers from abroad are needed, making the UK construction industry stronger and more successful. How to cite The Increasing demand on the UK’s construction industry, Papers

Mason Robbins Essays - Activism, Civil Rights Movement,

Mason Robbins 5/7/18 Period 1 John Lewis (1) Early life I was born in Troy, Alabama, I am the third son of Willie Mae (nee Carter) and Eddie Lewis.My parents were sharecroppers.I grew up in Pike County, Alabama.I have several siblings, including my brothers Edward, Grant, Freddie, Sammy, Adolph, and William, and my sisters Ethel, Rosa, and Ora. At the age of six I had seen only two white people in my life.I was educated at the Pike County Training High School, Brundidge, Alabama, and also American Baptist Theological Seminary and at Fisk University, both in Nashville, Tennessee, where I became a leader in the Nashville sit-ins. While a student, I was invited to attend nonviolence workshops held in the basement of Clark Memorial United Methodist Church by the Rev. James Lawson and Rev. Kelly Miller Smith. There many of my fellow students and I became dedicated adherents to the discipline and philosophy of nonviolence, which I still practice today. (2) greatest accomplishments and how I played a role in them In 1957, I left Alabama to attend the American Baptist Theological Seminary in Nashville, Tennessee. There, I learned about nonviolent protest and helped to organize sit-ins at segregated lunch counters.I was arrested during these demonstrations, which upset my mother, but I was committed to the Civil Rights Movement and went on to participate in the Freedom Rides of 1961. Freedom Riders challenged the segregated facilities they encountered at interstate bus terminals in the South, which had been deemed illegal by the Supreme Court. It was dangerous work that resulted in arrests and beatings for many involved, including myself.In 1963, I became chairman of the Student Nonviolent Coordinating Committee. That same year, as one of the Big Six leaders of the Civil Rights Movement, I helped plan the March on Washington. Ithe youngest speaker at the eventhad to alter his speech in order to please other organizers, but still delivered a powerful oration that declared, We all recognize the f act that if any radical social, political and economic changes are to take place in our society, the people, the masses, must bring them about.As you can see I did a lot to help african americans get their rights and it is my proudest accomplishment (3)best strategy for change and am I willing to work with white people I would not mind working with anyone as long as they have the same ideals as me and want the best for all races then I don't care if they are white,asian,mexican,or anything else.I think the best strategy to obtain the rights we want is through non-violence.I am proud to call myself a freedom rider and what that means is that I participated in Freedom Rides, bus trips through the American South in 1961 to protest segregated bus terminals. Freedom Riders tried to use "whites-only" restrooms and lunch counters at bus stations in Alabama, South Carolina and other Southern states.I have been arrested approximately 40 times now and that makes me sad but at the same time it shows me that our actions are being noticed by the white people. (4)Is violence ever justified? The use of violence is never justified.So many black boys and girls are getting killed because they are hurting the white people and causing riots against the police,this needs to stop immediately.The police want to show a perception of us being angry and violent people,and that's exactly what they get when we kill and start riots.I believe that the best way to protest is through non-violence because when we get media coverage the best thing for us would be to make us look like the victim.If the white people see us eating at a diner and the police are beating us and screaming at us it makes the police look bad but if we revolt against the police then it makes the police look like the victim.Non-violence is the best way for all things and we violence is never justified.

Practicing a Presentation - Advanced Business English

Practicing a Presentation - Advanced Business English Mike: Anne, can I run the new presentation by you?Anne: Certainly, Id love to hear some of the new concepts. Mike: OK, here goes ... On behalf of myself and Sport Outfitters, Id like to welcome you. My names Mike Andersen. This morning, Id like to outline our new campaign concepts that have been recently developed.Anne: Excuse me, who was invited to this conference? Mike: Our sales representatives from our branch offices were asked to come. I think a number of upper-management representatives were also invited.Anne: Thats good. Our marketing approach is going to be completely revamped. Mike: And thats why we need everyone to be informed. So, Ill continue. Youll be given the background and Ill talk you through the results of some of our recent market studies.Anne: How many surveys were completed? Mike: I think about 100,000 were returned to the company. Our marketing team was very pleased with the response.Anne: OK, continue... Mike: The presentation has been divided into three parts. First, our past approach. Secondly, present changes that will be made. Thirdly, future forecasts ...Anne: That sounds good. Mike: If you have any questions, please dont hesitate to ask. At the end of this presentation, a short advertisement will be shown to give you an idea of where we are going.Anne: Good job Mike. I hope your graphics are being put together by Bob. Mike: Of course they are, you know hes the best! Multiple Choice Comprehension Questions 1. Why does Mike want to speak to Anne? to practice his presentationto get her opinion on the new campaignto show her some pictures 2. Besides sales representatives, who will be attending the conference? marketing staffsome representatives from upper managementmachine workers 3. What is going to be completely changed? the surveysthe product linethe marketing approach 4. How many surveys were completed and returned to the company? 10,000100,0001,000,000 5. Who are the graphics going to be done by? MikeBobAnne Answer Key Answers are in  bold. 1. Why does Mike want to speak to Anne? to practice his presentationto get her opinion on the new campaignto show her some pictures 2. Besides sales representatives, who will be attending the conference? marketing staffsome representatives from upper managementmachine workers 3. What is going to be completely changed? the surveysthe product linethe marketing approach 4. How many surveys were completed and returned to the company? 10,000100,0001,000,000 5. Who are the graphics going to be done by? MikeBobAnne More Business Resources Business English for ESL LearnersSample Business MeetingHow to Write a Business Report for English  Learners

5 Simple Ways to Building a Great Reputation at Work

5 Simple Ways to Building a Great Reputation at Work Your good reputation is something you should start to cultivate right out of the gate in your first job, and continue to build and protect throughout your career. The better your reputation, the easier it will be for you to move up and keep going in the direction of your dreams. Here are  5 simple ways to building a great reputation at work so you can continue to cultivate your reputation and move up in the world.1. Earn before you askYou know you’re going to do good work and be an asset. You also know you’re going to need to ask for a favor now and then- some PTO, an extra privilege. Have a bit of patience and wait to ask for these perks until you’ve really proven yourself. Show your reliability and don’t ask for anything until you’ve earned it. Down the line, you’ll find you have much more leeway.2. Take initiativeTackle that big project without being asked to do so first. You won’t always get specific assignments, and you certainl y won’t get graded feedback. Think beyond your immediate to-do list and figure out what you could do to help the company- and yourself grow. Sometimes this is as simple as cleaning out the supply closet and earning a few brownie points.3. Be tactfulEven when you’re right, it’s best to couch your opinions with a bit of politicking and humility. Wait to bluster around until you’ve earned that position with battle-tested experience. At the beginning at least, be tactful and try not to come off as an insufferable know-it-all.4. Keep work first with work friendsSome of your best adulthood friends will be friends you make in the workplace. But keep in mind that, at least while you work together, these are professional relationships first and foremost. Even if the company seems totally close-knit, don’t leap into intimate secret telling too quickly. Let it happen naturally. Keep your cards a bit closer to your chest until you’re on more solid groun d.5. Get it doneAsking for help and getting clarifying instructions from your supervisor is a great idea, particularly in your first few weeks, and particularly when you’re still learning the ropes. But after a certain amount of time, you need to learn when to just figure it out and get it done, rather than running to your boss. Remember, they hired you to do the job, not so they could hold your hand.

Paying for Hospital Services Assignment Example | Topics and Well Written Essays - 750 words

Paying for Hospital Services - Assignment Example Here, patients are advantaged in a way that they enjoy the freedom to choose directly on the physician they want and generally benefit from a sufficient access to health care services. In addition, these patients can see their physicians even out of state and they do not have to wait for long to consult a specialist. The disadvantage of FFS is that, they are not quite affordable when compared to other mechanisms. Since it gives providers a strong incentive to offer more and rewarding items, FFS can be a disadvantageous tool for containing costs. Lastly, it is anticipated that the fee application plans must comprise lots of administration costs to view resources required for monitoring, adjustments, and monitoring of schedules (Medicare Payment Advisory Commission, 2010). Per Diem simply involves daily payment of services given by physicians or the hospital. It is beneficial because it encourages physicians to deliver better services. In some cases, the average per diem rate is forthright to implement and calculate since it can be founded on the total historical expenses divided by the entire number of bed-ways for a given group of services, such as maternity care. The average rate in this method can also be adjusted to mirror case-mix and patient characteristics, which may be a significant transition method, since per diem are manageably simple to implement and can be a good starting point when collecting data essential in case-based systems (Office for Oregon Health Policy and Research, 2008). According to the Centers for Medicare and Medicaid (2009), the Diagnosis-Related Groups system classifies patients into groups basing on their economic and medical records, similar hospital resource costs and use. Here, providers are paid at a fixed rate for every discharge depending on the diagnosis, type of discharge, and treatment. For this reason, DRGs possess a

Virtualization for Healthcare Research Paper Example | Topics and Well Written Essays - 5000 words

Virtualization for Healthcare - Research Paper Example 1.0 What is Virtual Healthcare? Virtual healthcare is, in a nutshell, any kind of health care that is accomplished through a means that is not face-to-face interaction. Harrop (2001) defines virtual healthcare as â€Å"asynchronicity, outsourcing and anonymity† (Harrop, 2001, p. 244). Demiris (2005) describes a number of different, broad, categories under which health care virtualization would fall. One is that of health care delivery systems, which is where a team of professionals and caregivers are assembled, for the benefit of the patient, and participate in therapy or health care by videophone. This enables a patient, such as one who is homebound, to participate in meetings regarding the patient’s care virtually, without having to leave his home. Another of the broad groups is that of virtual research teams. Virtual research teams concern health care researchers, and this is where the health care researchers communicate and exchange information with one another thro ugh the Internet or other advanced technology. Virtual disease management is another category cited by Demiris. This is where a patient, who has a chronic illness, interacts with health care professionals in an effort for the health care professionals to intervene and communicate with their health care professional. ... Virtual disease management also has, as one its top goals, education of the patient in self-care (Demiris, 2006, pp. 180-181). Virtual healthcare differs from traditional health care in that the patient does not necessarily meet with his or her health-care provider face to face. As indicated below, this has a number of advantages with regards to costs, yet also has a number of disadvantages when compared against traditional face-to-face healthcare. 2.0 Examples of Virtual Healthcare There are many different examples that may be used to illustrate some of the benefits and uses of virtual health care. One such is the concept of telehome care. This is where a patient accesses, from his or her home, audio and video data between the patient and the health care provider, such as a nurse. This visit is facilitated by such hands-on devices, such as stethoscopes, blood pressure readings, wounds dressing, and auscultation (Shea et al., 2008, p. 136). These different readings are performed by t he patient or the care-giver with the supervision of the nurse, who appears through the patient’s audio or video set, and is also on hand to answer any questions that the patient might have about his or her care (Shea et al., 2008, p. 136). The University of Cyprus, in the Eurasian country of Cyprus, has innovated a virtual health-care system called DITIS, which is a Network for Medical Collaboration (Pitsillides et al., 2008, p. 1). DITIS was originally developed so that the difficulties in communication and continuity of care between a home health multidisciplinary team, and the team and an oncologist, could be addressed (Jossif, 2005, pp. 6-7). DITIS is a team that consists of a variety of different providers and family members, such as a social worker,