Sexual Assault in the Army

Sexual Assault in the Army â€Å"The Invisible War† Sexual Assault  against Women in the Army In 2012 a documentary entitled â€Å"The Invisible War† dealing with sexual assault against women raised attention to an issue that has been rarely spoken about. As an issue, it has been gaining attention in recent years however, and even President Obama (Office of the Press Secretary, 2014) describes it as a â€Å"profound injustice† in a speech he made in January. Sexual assault in the army affects a certain category of the American population that is abused. This paper will focus mainly on veteran women, explaining the causes behind their victimization, the measures the U.S officials have been trying to implement to limit such incidents, and finally it will provide some real study cases. The Report to the President of the United States on Sexual Assault Prevention and Response (Depatment of Defense., 2014) came as a response to president Obama’s request to the defense department to improve their policies against sexual assault in the military system. It defines sexual assault as â€Å"[intentional] sexual contact characterized by use of force, threats, intimidation, or abuse of authority or when the victim does not or cannot consent† (2014). Based on this definition, the rapport states that the number of victims of sexual assault between 2013 and 2014 are as follows: 4,3% for women and 0,9% for men. It also shows that despite the increase in 2012 concerning the number of sexual assault cases against women in the army, there is a decline from 6,1% to 4,3% in 2014 (same as 2010). In simpler terms, women are 5 times more likely to get sexually assaulted than men in the army. These figures imply an aggressiveness against women in particular considering that veteran women make up only 14,5% of the active-duty force (Statistics on Women in the Military, 2011). Some would explain this behavior through the feminist theory; that sexual violence against women is a way for men to reinforce their power, hence label it as a gender issue (Peterson Bailey, 1992; Hagan Peterson, 1995; Baron Straus, 1987). In chapter eight of Crime and Inequality (Hagan Peterson, 1995), the writers explore different surveys and experiments made to prove the relationship between gender inequality and violence against women, especially rape. They argue that such violence is intended to â€Å"keep women in their place† (1995). Clark and Lewis (1997) also argue that in societies where women are regarded as possessions of men, it is more likely that men would exercise their power by forcing and threatening women into sexual activities (cited in Baron Straus, 1987). Although this theory does not relate to women in the army in particular, but it tries to establish the relationship between the socioeconomic inequality between men and women from one hand, and the sexual abuse women suffer from. (Hagan Peterson, 1995). â€Å"The central argument is that rape is rooted in male domination of sociopolitical and economic activities (Williams and Holmes 1981). Thus, rape is expected to be more common where women hold little political or economic power [†¦] and the occupational status of women is inferiorâ€Å" (Peterson Bailey, 1992). In Addition to the view that men assault women sexually to reinforce their power, sexual assault might be attributed to some other causes. One of the main factors which are associated with high risk of rape, in particular, is the work place environment. Veteran women share their sleeping quarters with male soldiers which provide an environment in which the assailant has an easier access. Women also may experience pressure and may be obliged to hear demeaning comments or gestures (Sadler, Booth, Cook, Doebbeling, 2003). According to Pauline Jelinek (2012) in her article â€Å"military alcohol abuse ‘culture’ is now a ‘crisis’.† It is known that drinking alcohol and consuming drugs within the ranks of the military is a ‘culture’, and is considered as an escape from what they experience in the war. However, this has numerous drawbacks such as sexual aggression against veteran women. In fact, it is reported that half of perpetrators in the military are under the influence of alcohol or drugs at the time of (Sadler, Booth, Cook, Doebbeling, 2003). Man’s tendency to act violently is another factor associated with high rate of rape. This is proven by a meta-analysis of sex difference in physical aggression. It shows that men are more likely to act violently and that 62 per cent of those who are injured by a partner are women (Archer, 2000). This is explained by what Melissa M. McDonald, Carlos David Navarrete and Mark Van Vugt (2012) call â€Å"The male warrior hypothesis.† They argue that men are programmed to act aggressively â€Å"to gain access to mates, territory and increased status.† This tendency to act violently can be interpreted as one major cause of sexual assault. Furthermore, women’s silence increases the rate of rape. This is attributed to barriers to justice where women feel that they are at risk of retaliation by the assailants. In fact, offenders usually outrank the victims and consequently, women are obliged to make a choice between their military career or seeking justice. What is worse is that commanders not only fail to enforce the protection of those women but also they put the blame on women for ruining the careers of â€Å"good soldiers† claiming that this is not â€Å"a big deal† and â€Å"not worth causing conflict in the unit† (Stalsburg, 2011). Despite the existence of sexual crimes in the military, a great number of methods and victim assistance programs have been actually implemented by the American army to prevent the occurrence of such cases. â€Å"Bystander Intervention Training† provided by the Department of Defence is one of the methods that encourages and shows all the service members how â€Å"to intervene safely when they see situations at risk for sexual assault† (U.S. Commission on Civil Rights, 2013). Another training that only commanders receive is â€Å"The command training and efforts to address sexual assault† (2013). It teaches commanders to assume an effectual responsibility by adopting certain rules and initiating some directions. It trains therefore high ranked officers to prevent the setting up of â€Å"environments that foster sexual harassment†(2013). As far as the military response to victims is concerned, two major reporting options are available for military members to opt for. The first, the unrestricted reporting option, implies â€Å"criminal investigation in which command and law enforcement are provided with details of the incidents† (U.S. Commission on Civil Rights, 2013). The restricted reporting option, on the other hand, provides help for victims in terms of â€Å"medical and healthcare,† but it does not imply an official investigation. This option is made specifically for women who prefer not to reveal the harasser’s identity or to call legally for their rights. In addition to these methods, â€Å"every military installation has a Sexual Assault Response Coordinator (SARC) and at least one Victim Advocate [who is] responsible for connecting victims with appropriate resources and services† (U.S. Commission on Civil Rights, 2013). Although several measures have been adopted in the military, most women being raped prefer to be silent and not to uncover the truth. Even though America have the most powerful army in the world, it has in its ranks a secret –an invisible story- that many women won’t dare to reveal. However, in 2012 these women decided to break this silence and speak out in an investigative and a documentary film entitled â€Å"The Invisible War† (2012) which evolved around the sexual assault and harassment in the US military. This film aided these women to uncover the truth, tell their stories and share their experiences. One of these women is ‘Kori Cioca’ who was serving â€Å"in the US coast guard and was stationed in Michigan† and was raped by one of the commander officers back in 2005 (Stebner, 2013). During the aggression and while calling for help, her assaulter hit her and broke her jaw. She didn’t have the courage to report this incident because of the threats she received and the fear of losing her job (Stebner, 2013). In her article â€Å"the Invisible War: New Film Exposes Rape, Sexual Assault Epidemic in U.S Military† Amy Goodman (2012) interviewed Ms. Cioca where she told her horrible story about the aggression. In fact, her superior began by harassing her verbally but she refused these sexual suggestions. She said â€Å"he didn’t rape me because I was pretty or that he wanted to have sex with me; he raped me because he hated me, and he wanted to show me that I wasn’t as great as I thought I was.† This statement can be interpreted in favor of the feminist view of sexual assault discussed earlier. As for the victim, she thought about committing suicide but she changed her mind when she knew that she’s pregnant. Until now, although she feels traumatized and fights everyday to win her right back, she remains hopeful and confident that one day justice will take its course. To sum up, sexual assault against women has been an ‘invisible war’, a blight in the most honorable institution like the U.S. military. Its causes go back to different factors; human nature in general and the environment of the army in particular. The U.S officials and mainly the department of defense have been implementing different measures in the different levels of the armed forces to eliminate this problem. However, what the story of Kori Cioca reveal can imply the limits of such measures and the commitment to stop this sexual aggressiveness against women. References: Archer, J. (2000). Sex Differences in Aggression Between Heterosexual Partners:. Psychological Bulletin, 126(5), 651-680. Retrieved December 2014, from: http://www.batteredmen.com/ArcherSexDifferencesMeta-AnalyticReviewf2000.pdf Baron, L., Straus, M. A. (1987, December). Four Theories of Rape: A Macrosociological Analysis. Social Problems, 34(5). Depatment of Defense. (2014, November 25). Report to the President of the United States on Sexual Assault Prevention and Response. Retrieved December 2014, from The United States Department of Defense: Sexual Assault Prevention and Response.: http://sapr.mil/public/docs/reports/FY14_POTUS/FY14_DoD_Report_to_POTUS_Full_Report.pdf Goodman, A. (2012, janaury 30). The Invisible War: New Film Exposes Rape, Sexual Assault Epidemic in U.S. Military. Retrieved December 2014, from Democracy Now: http://www.democracynow.org/2012/1/30/the_invisible_war_new_film_exposes Hagan, J., Peterson, R. (Eds.). (1995). Crime and Inequality. Stanford, California.: Stanford University Press. Jelinek, P. (2012, september 9). Military Alcohol Abuse Culture Is Now A Crisis, Report Finds. Retrieved December 2014, from: http://www.huffingtonpost.com/2012/09/18/military-alcohol-abuse-drug-drinking_n_1893360.html McDonald, M. M., Navarrete, C. D., Vugt, M. V. (2012, January 23). Evolution and the psychology of intergroup conflict: the male warrior hypothesis. PHILOSOPHICAL TRANSACTIONS B. Retrieved December 2014, from: http://rstb.royalsocietypublishing.org/content/367/1589/670 Office of the Press Secretary. (2014, January 22). Remarks by the President and Vice President at an Event for the Council on Women and Girls. Retrieved from The White House: http://www.whitehouse.gov/the-press-office/2014/01/22/remarks-president-and-vice-president-event-council-women-and-girls Peterson, R. D., Bailey, W. C. (1992, Mai). Rape and Diemnsions of Gender Socioeconomic Inequality in The U.S Metropilitician Area. Journal of Research in Crime and Delinquency, 29(2), 162-177. Sadler, A. G., Booth, B. M., Cook, B. L., Doebbeling, B. N. (2003). Factors Associated With Women’s Risk of Rape in the Military Environment. AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, 43, 262–273. Retrieved December 2014, from: http://www.arlingtonwestsantamonica.org/docs/Sadler_Military_Environment.pdf Statistics on Women in the Military. (2011, September 30). Retrieved December 14, 2014, from The Womens Memorial: http://www.womensmemorial.org/PDFs/StatsonWIM.pdf Stebner, B. (2013, february 13). The Invisible War: Former Coast Guard recruit tells of how horrific rape at hands of commanding officer made her contemplate suicide. Retrieved December 2014, from Mail Online: http://www.dailymail.co.uk/news/article-2277917/Kori-Cioca-tells-Katie-Couric-horrific-rape-contemplated-suicide.html THE INVISIBLE WAR. (2012). Retrieved december 2014, from the invisible war: http://invisiblewarmovie.com/index.php U.S. Commission on Civil Rights. (2013, September). 2013 Statutory Enforcement Report: Sexual Assault in the Military. Retrieved December 2014, from United States Commission on Civil Rights : http://www.usccr.gov/pubs/09242013_Statutory_Enforcement_Report_Sexual_Assault_in_the_Military.pdf

Integrated design: Electric lawn mower Essay

INTRODUCTION Quality must be part of the design of a product not something that has to be based from an inspection done after the design. Quality means satisfying the requirements and needs of the customer. The focus of quality is to identify the customer requirements and to translate this into design constraints. QFD also takes into account what are the limits of hardware design based on existing or available resource or technology. All these requirements must be satisfied in order to produce a quality design. STATEMENT OF THE PROBLEM The purpose of this document is to apply the Quality Function Deployment (QFD) into the planning stage of a lawn mower design. This document seeks to answer the extension lead requirements of a lawn mower. The end result is the design concept of how to implement the lawn mower extension lead based on customer requirements and hardware constraints. DESIGN Identification of Requirements Using the data provided, the following customer and hardware requirements are generated. The design will then focus on satisfying these requirements. The customer requirements are the following: †¢ Electric Lawn Mower – Powered electrical energy instead of combustible fuel such as gasoline. †¢ Variable Length Flexible Lead – Since the size of the household that will use the electric lawn mower is variable, there is no definite fixed length of the flexible lead. The hardware constraints: †¢ The use of extension lead would render the to overcome the lack of length fixed mower lead the suppressor and earth breaker will not work efficiently, causing the disruption of power to the mower. Design Analysis The initial main requirement of the design is to make an electric lawn mower. One of the main obstacles of the design is the variable length flexible lead. The hardware requirement of inefficiency in the suppressor and earth breaker when using extension lead makes the extension lead not an option anymore. This leads into two possible solutions. 1. Use of the longest possible customer length requirement, to satisfy all needs. 2. Use of re-chargeable battery to remove the constraints of the need for variable length flexible lead to power the electric lawn mower. The length can be fixed just enough for charging the batteries. Analyzing the first requirement, to satisfy all the length requirements of flexible lead using the longest possible lead requirement seems to be the most cost effective solution. The problem is, this would also mean that the lawn mower will have to carry the weight added by the lengthy flexible lead. And to satisfy all requirements, this means that the flexible lead had to be considerable long. Considering the current requirements of a lawn mower, the flexible lead had to be relatively larger than average home extension wires. Just imagine how much weight this would produce. Therefore as a designer, this is not a good option. Analyzing the second requirement, which is now the remaining solution, we should be able to contrast the negative effects with the negative effects of the first solution. This therefore boils down to the weight issue. The lawn mower requires a considerable amount of power to run, therefore the battery has to be able to sustain sufficient operating time. The most viable battery would still be the lead-acid, otherwise it would be very effective, one standard automotive battery would surely not be enough. Looking at the power requirements, this should be calculated in detail based on the power requirements of the lawn mower. Since the power requirement of the lawn mower is not yet available at this level of conceptual design, we can make some estimate. Assuming the lawn mower consumes 3000 Watts of power, more than double for the average vacuum cleaner. Two hours of lawn mower operation is probably sufficient for as long as it can be recharge. At 12 V Lead-Acid battery, and 2 two-hours of operation would required the following ampere-hour requirements. Japanese standard car batteries could deliver up to 150*Ah, thus we can calculate the number of batteries So we need roughly four batteries. The weight of four batteries is still acceptable therefore this is a better solution compared to having the longest possible flexible lead. CONCLUSION The final solution presented based on QFD analysis of customer requirements yielded with a battery packed electric lawn mower. The battery is able to solve the flex lead requirement by just fixing the length to a relatively short distance enough for re-charging.

The Theory Of Government Spending And Fiscal Policy

The ISLM model uses many of the same ideas that Keynes did to show change in output in equilibrium. Using ISLM, both monetary and fiscal policy can be effective, depending on the slopes of both IS and LM curves. As the General Theory suggests, government spending and fiscal policy can be very effective when the IS schedule is steep and the LM curve is flat. When this happens, there is a low interest elasticity of investment, which leads to less crowding out because investment is not very sensitive to changes in interest rates. Monetarist school of thought preserves Keynes idea that there is a natural rate of unemployment in the long run. In the short run they both believe that unemployment rate can go below the natural rate.†¦show more content†¦Economist Hyman Minsky created the financial instability hypothesis in response to the efficient market hypothesis that Keynes created in the 1970s. Keynes develop developed a basic theory of investment, crediting investment with being the â€Å"driving variable that operates through a multiplier to establish total income† (Wray, 2015, p. 4) Minsky looks to Keynes investment theory of the business cycle and as an extension, adds his financial theory of investment that allowed him to analyze the capital economy that exists today. Minsky thought that investment finance plays a large role in the economy and that it cannot be overlooked. He believes that government intervention is absolutely essential, as can be seen throughout history. Before Big Gove rnment and Big Banks, recessions in the economy were severe, frequent, and lengthy. Upon their introduction recession have become milder and less frequent. Central banks act as a lender of last resort. Policies were introduced to act as stabilizers and kept the economy from ever getting back to the point where it was during the great depression. (Rezende, 2015) In his financial instability hypothesis, Minsky argues that when the economy appears to be stable, expectations go up and there is increased optimism, which eventually leads to instability. Essentially, stability in the economy leads to instability. This occurs because with this increase in optimism, people’s behaviors change and create financial bubbles, whichShow MoreRelatedInsight From Theory And History1638 Words   |  7 Pages1 Insights from Theory and History When referring to the subject of International Political Economy the main focus of study in this field looks at analyzing and finding reasons for the problems that arise or are affected from the interaction of international political decision, international economics, international trade, as well as different social systems and societal groups. 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But all the policies can be broadly categorized as being either ‘Public Expenditure’ or ‘Public Revenue’. It can be said that the fiscal policy is a direct government intervention in the economic processes of an economy. The fiscal policyRead MoreFiscal Policy And Monetary Policy862 Words   |  4 PagesFiscal Policy vs Monetary Policy Fiscal policy is a way for the government to control the economy financially. The Federal Government sometimes partakes in actions to stimulate the economy. Fiscal Policy focuses on changing government spending, controlling inflation, encouraging economic growth, and to reach full employment. Monetary policy is a policy the Federal Reserve Board enforces which consists of changes in the money supply which influences the interest rates in the economy. This can help

Essay The Individuals with Disabilities Education Act (IDEA)

On December 3, 2004, President Bush signed the Individuals with Disabilities Education Improvement Act of 2004. This Act is also known as Public Law 108-446. The Individuals with Disabilities Education Act (IDEA) is the law that secures special education services for children with disabilities from the time they are born until they graduate from high school. The law was re-authorized by Congress in 2004. This re-authorization has driven a series of changes in the way special education services are executed. These changes are continuing today and they affect special education and related services across the United States. There are several different purposes of IDEA. The first is to ensure that all children with disabilities have a free†¦show more content†¦There are more purposes, but those will have to wait for another day. While all children can be referred for evaluation for special education, not all are found to be eligible. The student will be tested in all areas related to the child’s assumed disability by the multidisciplinary educational team. In order to be eligible for special education services, the child’s assume disability has to impact the child’s ability to learn. Parents represent the child’s interests. They need to stay informed and involved in their child’s education. IDEA of 2004 strengthened the role, as well as the responsibility, of parents and ensures that they and their families have opportunities to participate in their child’s education. IDEA also protects the rights of parents by ensuring that they can be members of the IEP teams. Parents can be involved in the evaluations and placements of their children and have a say in what happens. Not only are the students and parents affected, but also the teachers. In order for teachers to be highly qualified, they must have a bachelor’s degree and must prove their knowledge in the core curriculum that they are teaching. 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Cell Washing - 1153 Words

Name: Ranessa Dockery I.D #: 27100017 Course: Immunohematology Lab Instructor: Sala Randall Date: January 22, 2013 Lab #: 1 Title: Cell Washing Aim: To demonstrate quality assurance techniques in performing cell washing. Principle: Cell washing is a common procedure performed in the laboratory. This is a series of careful steps taken to wash red blood cells normally three times intermittently with centrifugation and decanting (Harmening 2012). The procedure serves to remove unbound immunoglobulins, Wharton’s jelly (from cord blood), hemolysed cells and also fibrin. The principle of the centrifuge entails centrifugal filtering of components due to centrifugal force applied and also centrifugal sedimentation†¦show more content†¦The water was discarded. * Steps 3 to 6 were repeated twice. * The final pellet was re-suspended until a cherry red color (similar to 2-5% standards) was obtained. Results: It was observed that the more the sample was washed, the clearer the supernatant appeared and the smaller the pellet became. The final pellet was re-suspended until a cherry red color was observed. The colors and volume of the 2% and 5% standards were also observed and compared to that of the sample since the aim was to achieve a 2-5% suspension. The 2% standard was of a paler red than the 5%. The final suspension of the sample was observed to be between the two standards, however, closer to the color of the 5% standard after further comparison while the volume was equal to that of the 5% standard. Discussion: In cell washing 0.85% NaCl was used to wash the cell each time. This solution was made prior to the lab exercise, and not overnight or days ahead, to ensure that the concentration remained the same as required and no evaporation could take place to alter / increase the such, as this would have adverse effects on the cells. This concentration was chosen since it was isotonic to the concentration of the red blood cells. Since both solutions were isotonic no particle movement occurred and the cells were not altered inShow MoreRelated7.06 Immune System Lab Report Essay1191 Words   |  5 Pagesï » ¿Nicole Perry 7.06 Immune System Lab Report Thoroughly washing your hands can be one of the best ways to prevent the spread of pathogens that cause illnesses. Our bodies have several lines of defense to fight infections. It is very important to do what we can do to avoid the pathogens from entering our system in the first place. Our hands pick up microscopic pathogens from objects that were touched by people who may not have washed their hands very well. When we forget to wash our hands or don’tRead MoreMrsa1450 Words   |  6 Pagesthat can prevent the spread of MRSA (Gould 2002). Washing hands is not kid’s stuff – not in the era of MRSA. Once entrenched MRSA can be extremely difficult to treat. If it gets into the blood stream it can be lethal (Belkum, Verbrugh 2001). Simor and Andrew (2001) also emphasise that hand washing is the most important control practice. It is essential because personal contact is the primary mode of MRSA transmission. Therefore good hand washing technique is vital to ens ure that the decontaminationRead MorePrevention And Prevention Of Infectious Diseases1280 Words   |  6 PagesProduct Overview Washing your hands with soap and water is one of the most important things you can do to prevent the risk of spreading diseases. Germs that cause colds, eye infections, and other illnesses can spread to the hands by sneezing, coughing, or rubbing the eyes and then can be transferred to other family members or friends (â€Å"CDC,† n.d.). To kill infection-causing germs, the Centers for Disease Control and Prevention recommends people wash for 15 to 20 seconds with soap, and water. 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Practical Demonkeeping Chapter 16-18 Free Essays

16 HOWARD Howard Phillips, the owner of H.P.’s Cafe, had just settled down in the study of his stone cottage when he looked out the window and saw something moving through the trees. We will write a custom essay sample on Practical Demonkeeping Chapter 16-18 or any similar topic only for you Order Now Howard had spent most of his adult life trying to prove three theories he had formulated in college: one, that before man had walked the Earth there had been a powerful race of intelligent beings who had achieved a high level of civilization, then for some unknown reason had disappeared; two, that the remnants of their civilization still existed underground or under the ocean, and through extreme cunning and guile had escaped detection by man; and three, that they were planning to return as masters of the planet in a very unfriendly way. What lurked in the woods outside Howard Phillips’s cottage was the first physical evidence of his theories that he had ever encountered. He was at once elated and terrified. Like the child who is delighted by the idea of Santa Claus, then cries and cowers behind its mother when confronted with the corpulent red-suited reality of a department-store Santa, Howard Phillips was not fully prepared for a physical manifestation of what he had long believed extant. He was a scholar, not an adventurer. He preferred his experiences to come secondhand, through books. Howard’s idea of adventure was trying whole wheat toast with his daily ham and eggs instead of the usual white bread. He stared out the window at the creature moving in the moonlight. It was very much like the creatures he had read about in ancient manuscripts: bipedal like a man, but with long, apelike arms; reptilian. Howard could see scales reflecting in the moonlight. The one inconsistency that bothered him was its size. In the manuscripts, these creatures, who were said to be kept as slaves by the Old Ones, had always been small in stature, no more than a few feet tall. This one was enormous – four, maybe five meters tall. The creature stopped for moment, then turned slowly and looked directly at Howard’s window. Howard resisted the urge to dive to the floor and so stood staring straight into the eyes of the nightmare. The creature’s eyes were the size of car headlamps and they glowed a faint orange around slotted, feline pupils. Long, pointed scales lay back against its head, giving the impression of ears. They stood there, staring at each other, the creature and the man, neither moving, until Howard could bear it no longer. He grabbed the curtains and pulled them shut, almost ripping them from the rod in the process. Outside he could hear the sound of laughter. When he dared to peak through the gap in the curtains, the creature was gone. Why hadn’t he been more scientific in his observation? Why hadn’t he run for his camera? For all his work at putting together clues from arcane grimoirs to prove the existence of the Old Ones, people had labeled him a crackpot. One photograph would have convinced them. But he had missed his chance. Or had he? Suddenly it occurred to Howard that the creature had seen him. Why should the Old Ones be so careful not to be discovered for so long, then walk in the moonlight as if out for a Sunday stroll? Perhaps it had not moved on at all but was circling the house to do away with the witness. First he thought of weapons. He had none in the house. Many of the old books in his library had spells for protection, but he had no idea where to start looking. Besides, the verge of panic was not the ideal mental state in which to do research. He might still be able to bolt to his old Jaguar and escape. Then again, he might bolt into the claws of the creature. All these thoughts passed through his mind in a second. The phone. He snatched the phone from his desk and dialed. It seemed forever for the dial to spin, but finally there was a ring and a woman’s voice at the other end. â€Å"Nine-one-one, emergency,† she said. â€Å"Yes, I wish to report a lurker in the woods.† â€Å"What is your name, sir?† â€Å"Howard Phillips.† â€Å"And what is the address you are calling from?† â€Å"Five-oh-nine Cambridge Street, in Pine Cove.† â€Å"Are you in any immediate danger?† â€Å"Well, yes, that is why I called.† â€Å"You say you have a prowler. Is he attempting to enter the house?† â€Å"Not yet.† â€Å"You have seen the prowler?† â€Å"Yes, outside my window, in the woods.† â€Å"Can you describe him?† â€Å"He is an abomination of such abysmal hideousness that the mere recollection of this monstrosity perambulating in the dark outside my domicile fills me with the preternatural chill of the charnel house.† â€Å"That would be about how tall?† Howard paused to think. Obviously the law enforcement system was not prepared to deal with perversions from the transcosmic gulfs of the nethermost craters of the underworld. Yet he needed assistance. â€Å"The fiend stands two meters,† he said. â€Å"Could you see what he was wearing?† Again Howard considered the truth and rejected it. â€Å"Jeans, I believe. And a leather jacket.† â€Å"Could you tell if he was armed?† â€Å"Armed? I should say so. The beast is armed with monstrous claws and a toothed maw of the most villainous predator.† â€Å"Calm down, sir. I am dispatching a unit to your home. Make sure the doors are locked. Stay calm, I’ll stay on the line until the officers arrive.† â€Å"How long will that be?† â€Å"About twenty minutes.† â€Å"Young woman, in twenty minutes I shall be little more than a shredded memory!† Howard hung up the phone. It had to be escape, then. He took his greatcoat and car keys from the foyer and stood leaning against the front door. Slowly he slipped the lock and grabbed the door handle. â€Å"On three, then,† he said to himself. â€Å"One.† He turned the door handle. â€Å"Two.† He bent, preparing to run. â€Å"Three!† He didn’t move. â€Å"All right, then. Steel yourself, Howard.† He started the count again. â€Å"One.† Perhaps the beast was not outside. â€Å"Two.† If it was a slave creature, it wasn’t dangerous at all. â€Å"Three!† He did not move. Howard repeated the process of counting, over and over, each time measuring the fear in his heart against the danger that lurked outside. Finally, disgusted with his own cowardliness, he threw the door open, and bolted into the dark. 17 BILLY Billy Winston was on the final stretch of the nightly audit at the Rooms-R-Us Motel. His fingers danced across the calculator like a spastic Fred Astaire. The sooner he finished, the sooner he could log onto the computer and become Roxanne. Only thirty-seven of the motel’s one hundred rooms were rented tonight, so he was going to finish early. He couldn’t wait. He needed Roxanne’s ego boost after being ditched by The Breeze the night before. He hit the total button with a flourish, as if he had just played the final note of a piano concerto, then wrote the figure into the ledger and slammed the book. Billy was alone in the motel. The only sound was the hum of the fluorescent lights. From the windows by his desk he had a 180-degree view of the highway and the parking lot, but there was nothing to see. At that time of night a car or two passed every half hour or so. Just as well. He didn’t like distractions while he was being Roxanne. Billy pushed a stool up to the front counter behind the computer. He typed in his access code and logged on. WITKSAS: HOW’S YOUR DOG, SWEETIE? SEND: PNCVCAL The Rooms-R-Us Motel chain maintained a computer network for making reservations at their motels all over the world. From any location a desk clerk could contact any of the two hundred motels in the chain by simply entering a seven-letter code. Billy had just sent a message to the night auditor in Wichita, Kansas. He started at the green phosphorescent screen, waiting for an answer. PNCVCAL: ROXANNE! MY DOG IS LONELY. HELP ME, BABY. WITKSAS Wichita was on line. Billy punched up a reply. WITKSAS: MAYBE HE NEEDS A LITTLE DISCIPLINE. I COULD SMOTHER HIM IF YOU WANT. SEND: PNCVCAL There was a pause while Billy waited. PNCVCAL: YOU WANT TO HOLD HIS POOR FUZZY FACE BETWEEN YOUR MELONS UNTIL HE BEGS? IS THAT IT? WITKSAS Billy thought for a moment. This was why they loved him. He couldn’t just throw them an answer they could get from any sleazebeast. Roxanne was a goddess. WITKSAS: YES. AND BEAT HIM SOFTLY ON THE EARS. BAD DOG. BAD DOG. SEND: PNCVCAL Again Billy waited for the response. A message appeared on the screen. WHERE ARE YOU DARLING? I MISS YOU. TULSOKL. It was his lover from Tulsa. Roxanne could handle two or three at once, but she wasn’t in the mood for it right now. She was feeling a little crampy. Billy adjusted his crotch, his panties were riding up a bit. He typed two messages. WITKSAS: GO PET YOUR DOGGIE FOR A WHILE. AUNTIE ROXANNE WILL CHECK ON YOU IN A WHILE. SEND: PNCVCAL TULSOKL: TOOK AN EVENING OFF TO SHOP FOR SOMETHING LACY TO WEAR FOR YOU. I HOPE YOU DON’T FIND IT TOO SHOCKING. SEND: PNCVCAL While he was waiting for a response from Oklahoma, Billy dug into his gym bag for his red high heels. He liked to hook the stiletto heels into the rungs of the stool while he talked to his lovers. When he glanced up, he thought he saw something moving out in the parking lot. Probably just a guest getting something from the car. PNCVCAL: YOU SWEET LITTLE THING, YOU COULD NEVER SHOCK ME. TELL ME WHAT YOU BOUGHT. TULSOKL Billy started to type in a modest description of a lace teddy he had seen in a catalog. To the guy in Tulsa, Roxanne was a shy little flower; to Wichita she was a dominatrix. The desk clerk in Seattle saw her as a leather-clad biker chick. The old man in Arizona thought she was a struggling single mother of two, barely making it on a desk clerk’s salary. He always wanted to send her money. There were ten of them in all. Roxanne gave them what they needed. They loved her. Billy heard the double doors of the lobby open, but he did not look up. He finished typing his message and pressed the SEND button. â€Å"Can I help you,† he said mechanically, still not looking up. â€Å"You betcha,† a voice said. Two huge reptilian hands clacked down on the counter about four feet on each side of Billy. He looked up into the open mouth of the demon coming at his face. Billy pushed back from the keyboard. His heel caught in the rung of the stool and he went over backward as the giant maw snapped shut above him. Billy let loose a long, sirenlike scream and began scrambling on his hands and knees behind the counter toward the back office. Looking back over his shoulder, he saw the demon crawling over the counter after him. Once in the office, Billy leapt to his feet and slammed the door. As he turned to run out the back door, he heard the door fly open and slam against the wall. The back door of the office led into a long corridor of rooms. Billy pounded on the doors as he passed. No one opened a door, but there were angry shouts from inside the rooms. Billy turned and saw the demon filling the far end of the corridor. It was in a crouch, moving down the corridor on all fours, crawling awkward and batlike in the confined space. Billy dug in his pocket for his pass key, found it, and ran down the hallway and around the corner. Making the corner, he twisted his ankle. White pain shot up his leg, and he cried out. He limped to the closest door. The images of women in horror movies who twisted their ankles and feebly fell into the clutches of the monster raced through his head. Damn high heels. He fumbled the key into the lock while looking back down the hallway. The door opened and Billy fell into the room just as the monster rounded the corner behind him. He kicked the stiletto heel off his good foot, vaulted up and hopped across the empty room to the sliding glass door. The safety bar was set. He fell to his knees and began clawing at it. The only light in the room was coming from the hallway, and suddenly that was eclipsed. The monster was working its way through the doorway. â€Å"What the fuck are you!† Billy screamed. The monster stopped just inside the room. Even crouching over, its shoulders hit the ceiling. Billy cowered by the sliding door, still clawing under the curtains at the safety bar. The monster looked around the room, its huge head turning back and forth like a searchlight. To Billy’s amazement, it reached around and turned on the lights. It seemed to be studying the bed. â€Å"Does that have Magic Fingers?† it said. â€Å"What!† Billy said. It came out a scream. â€Å"That bed has Magic Fingers, right?† Billy pulled the safety bar loose and hurled it at the monster. The heavy steel bar hit the monster in the face and rattled to the floor. The monster showed no reaction. Billy reached for the latch on the door and started to pull it open. The monster scuttled forward, reached over Billy’s head, and pushed the door shut with one clawed finger. Billy yanked on the door but it was held fast. He collapsed under the monster with a long, agonizing wail. â€Å"Give me a quarter,† the monster said. Billy looked up into the huge lizard face. The monster’s grin was nearly two feet wide. â€Å"Give me a quarter!† it repeated. Billy dug into his pocket, came out with a handful of change, and timidly held it up to the monster. Still holding the door shut with one hand, the monster reached down with the other and plucked a quarter from Billy’s hand with two claws, using them like chopsticks. â€Å"Thanks,† it said. â€Å"I love Magic Fingers.† The demon let go of the door. â€Å"You can go now,† it said. Before he could think about it, Billy threw the door open and dove through. He was climbing to his feet when something caught him by the leg from behind and dragged him back into the room. â€Å"I was just kidding. You can’t go.† The monster held Billy upside down by his leg while it dropped the quarter into the little metal box on the nightstand. Billy flailed in the air, screaming and clawing at the demon, ripping his fingernails against its scales. The monster took Billy into its arms like a teddy bear and lay back on the bed. Its feet hung off the end and nearly touched the dresser on the opposite wall. Billy could not scream; there was no breath for a scream. The monster let go with one arm and placed one long claw at Billy’s ear. â€Å"Don’t you just love Magic Fingers?† it said. Then it drove the claw though Billy’s brain. 18 RACHEL After Merle died and Rachel observed a respectable period of mourning, which was precisely the same amount of time it took the courts to transfer Merle’s property to her, she sold the Cessna and the trailer, bought herself a Volkswagen van, and on the advice of the women at the shelter, headed for Berkeley. In Berkeley, they insisted, she would find a community of women who could help her stay off the wheel of abuse. They were right. The women in Berkeley welcomed Rachel with open arms. They helped her find a place to live, enrolled her in exercise and self-actualization courses, taught her to defend herself, nurture herself, and most important, to respect herself. She lost weight and grew strong. She thrived. Within a year she took the remainder of her inheritance and bought a lease on a small studio adjacent to the University of California campus and began teaching high-intensity aerobics. She soon gained a reputation as a tough, domineering bitch of an instructor. There was a waiting list to get into her classes. The fat little girl had come into her own as a beautiful and powerful woman. Rachel taught six classes a day, putting herself through the rigors of each workout along with her students. After a few months of that regimen, she fell ill, waking one morning to find that she had just enough strength to call the women in her classes to cancel, and no more. One of her students, a statuesque, gray-haired woman in her forties named Bella, appeared at Rachel’s door a few hours later. Once through the door Bella began giving orders. â€Å"Take off your clothes and get back in bed. I’ll bring you some tea in a moment.† Her voice was deep and strong, yet somehow soothing. Rachel did as she was told. â€Å"I don’t know what you think you’ve done to deserve the punishment you are giving yourself, Rachel,† Bella said, â€Å"but it has to stop.† Bella sat on the edge of Rachel’s bed and watched while Rachel drank the tea. â€Å"Now lie on your stomach and relax.† Bella applied fragrant oil to Rachel’s back and began rubbing, first with long, slow strokes that spread the oil, then gradually digging her fingers into the muscles until Rachel thought she would cry out in pain. When the message was finished, Rachel felt even more exhausted than before. She fell into a deep sleep. When Rachel awoke, Bella repeated the process, forcing Rachel to drink the bitter tea, then kneading her muscles until they ached. Again, Rachel slept. When Rachel awoke the fourth time, Bella again served her the tea, but this time she had Rachel lie on her back to receive her massage. Bella’s hands played gently over her body, lingering between her legs and on her breasts. Through the drugged haze of the tea, Rachel noticed that the older woman was almost naked and had rubbed her own body with the same fragrant oils that she used on Rachel. It didn’t occur to Rachel to resist. Since Bella had come through the door, she had been giving orders and Rachel had obeyed. In the dim light of Rachel’s little apartment they became lovers. It had been two years since Rachel had been with a man. Trading soft caresses with Bella, she didn’t care if she was ever again. When Rachel was back on her feet, Bella introduced her to a group of women who met at Bella’s house once a week to perform ceremonies and rituals. Among these women Rachel learned about a new power she carried within herself, the power of the Goddess. Bella tutored her in the machinations of white magic and soon Rachel was leading the coven in rituals, while Bella looked on like a proud mother. â€Å"Modulate your voice,† Bella told her. â€Å"No matter what you are saying it should sound like a chant to the Goddess. The coven should be taken with the chant. That is the meaning of enchantment, my dear.† Rachel gave up her apartment and moved into Bella’s restored Victorian house near the U.C. campus. For the first time in her life, she felt truly happy. Of course, it didn’t last. One afternoon she came home to find Bella in bed with a bald and bewhiskered professor of music. Rachel was livid. She threatened the professor with a fireplace poker and chased him, half-naked, into the street. He exited clutching his tweed jacket and corduroy slacks in front of him. â€Å"You said you loved me!† Rachel screamed at Bella. â€Å"I do love you, dear.† Bella did not seem the least bit upset. Her voice was deep and modulated like a chant. â€Å"This was about power, not love.† â€Å"If I wasn’t filling your needs, you should have said something.† â€Å"You are the most wonderful lover I have known, dear Rachel. But Dr. Mendenhall holds the mortgage on our house. That loan is interest free, in case you hadn’t noticed.† â€Å"You whore!† â€Å"Aren’t we all, dear?† â€Å"I’m not.† â€Å"You are. I am. The Goddess is. We all have our price. Be it love, or money, or power, Rachel. Why do you think the women in your exercise classes put themselves through so much pain?† â€Å"You’re changing the subject.† â€Å"Answer me,† Bella demanded. â€Å"Why?† â€Å"They want a sound body. They want a strong vessel to carry a strong spirit.† â€Å"They don’t give a rat’s ass about a strong spirit. They want a tight ass so men will want them. They will deny it to the death, but it’s true. The sooner you realize that, the sooner you will realize your own power.† â€Å"You’re sick. This goes against everything you’ve ever taught me.† â€Å"This is the most important thing I ever will teach you, so listen! Know your price, Rachel.† â€Å"No.† â€Å"You think I’m some cheap slut, do you? You think you’re above selling yourself? How much rent have you ever paid here?† â€Å"I offered. You said it didn’t matter. I loved you.† â€Å"That’s your price, then.† â€Å"It’s not. It’s love.† â€Å"Sold!† Bella climbed out of bed and strode across the room, her long gray hair flying behind her. She took her robe from the closet, threw it around herself, and tied the sash. â€Å"Love me for what I am, Rachel. Just as I love you for what you are. Nothing has changed. Dr. Mendenhall will be back, whimpering like a puppy. If it will make you feel better, you can be the one that takes him. Maybe we can do it together.† â€Å"You’re sick. How could you even suggest such a thing?† â€Å"Rachel, as long as you see men as human beings, we are going to have a problem. They are inferior beings, incapable of love. How could a few moments of animal friction with a subhuman affect us? What we have between us?† â€Å"You sound like a man caught with his pants down.† Bella sighed. â€Å"I don’t want you around the others until you calm down. There’s some money in my jewelry box. Why don’t you take it and go down to Esalen for a week or so. Think this over. You’ll feel better when you get back.† â€Å"What about the others?† Rachel asked. â€Å"How do you think they’ll feel when they find out that all the magic, all the spiritualism you preach, is just so much bullshit?† â€Å"Everything is true. They follow me because they admire my power. This is part of that power. I haven’t betrayed anyone.† â€Å"You’ve betrayed me.† â€Å"If you feel that way, then perhaps you’d better leave.† Bella went into the bathroom and began drawing a bath. Rachel followed her. â€Å"Why should I leave? I could just tell them. I know as much as you do now. I could lead them.† â€Å"Dear Rachel.† Bella was adding oils to her bath and not looking up. â€Å"Didn’t you learn anything from killing your husband? Destruction is a man’s way.† Rachel was stunned. She had told Bella about the accident but not that she had caused it. She had told no one. Bella looked up at her at last. â€Å"You can stay if you wish. I still love you.† â€Å"I’ll go.† â€Å"I’m sorry, Rachel. I thought you were more highly evolved.† Bella slipped out of her robe and into her bath. Rachel stood in the doorway staring down at her. â€Å"I love you,† she said. â€Å"I know you do, dear. Now, go pack your things.† Rachel couldn’t bear the idea of staying in Berkeley. Everywhere she went she encountered reminders of Bella. She loaded up her van and spent a month driving around California, looking for a place where she might fit in. Then, one morning while reading the paper over breakfast, she spotted a column called â€Å"California Facts.† It was a simple list of figures that informed readers of obscure facts such as which California county produces the most pistachios (Sacramento), where one had the best chance of having one’s car stolen (North Hollywood), and tucked amid a mlange of seemingly insignificant demographics, which California town had the highest per capita percentage of divorced women (Pine Cove). Rachel had found her destination. Now, five years later, she was firmly set in the community, respected by the women and feared and lusted after by the men. She had moved slowly, recruiting into her coven only women who sought her out – mostly women who were on the verge of leaving their husbands and who needed something to shore them up during the divorce process. Rachel provided them with the support they required, and in return they gave her their loyalty. Just six months ago she initiated the thirteenth and final member of the coven. At last she was able to perform the rituals that she had worked so hard to learn from Bella. For years they seemed ineffective, and Rachel attributed their failure to not having a full coven. Now she was starting to suspect that the Earth magic they were trying to perform just did not work – that there was no real power to be had. She could lead the coven to attempt anything, and on her command they would do it. That was a power of sorts. She could extract favors from men with no more than a seductive glance and in that, there was a power. But none of it was enough. She wanted the magic to work. She wanted real power. Catch had sensed Rachel’s lust for power in the Head of the Slug that afternoon, recognizing in her what he had seen in his ruthless masters before Travis. That night, while Rachel lay in the dark of her cabin, contemplating her own impotence, the demon came to her. She had locked the door that night, more out of habit than need, as there was very little crime in Pine Cove. Around nine she heard someone try the doorknob and she sat upright in bed. â€Å"Who is it?† As if in answer, the door bent slowly inward and the doorjamb cracked, then splintered away. The door opened, but there was no one behind it. Rachel pulled the quilt up around her chin and scooted up into the corner of the bed. â€Å"Who is it?† A voice growled out of the darkness, â€Å"Don’t be afraid. I will not hurt you.† The moon was bright. If someone was there, she should have been able to see his silhouette in the doorway, but strain as she might, she saw nothing. â€Å"Who are you? What do you want?† â€Å"No – what do you want?† the voice said. Rachel was truly frightened; the voice was coming from an empty spot not two feet away from her bed. â€Å"I asked you first,† she said. â€Å"Who are you?† â€Å"Ooooooooooo, I am the ghost of Christmas past.† Rachel poked herself in the leg with her thumbnail to make sure she was not dreaming. She wasn’t. She found herself speaking to the disembodied voice in spite of herself. â€Å"Christmas is months away.† â€Å"I know. I lied. I’m not the ghost of Christmas past. I saw that in a movie once.† â€Å"Who are you!† Rachel was near hysteria. â€Å"I am all your dreams come true.† Someone must have planted a speaker somewhere in the house. Rachel’s fear turned to anger. She leapt from bed to find the offending device. Two steps out of bed she ran into something and fell to the floor. Something that felt like claws wrapped around her waist. She felt herself being lifted and put back on the bed. Panic seized her. She began to scream as her bladder let go. â€Å"Stop it!† The voice drowned her screams and rattled the windows of the cabin. â€Å"I don’t have time for this.† Rachel cowered on the bed. She was panting and felt herself getting light-headed. She started to sink back into unconsciousness, but something caught her by the hair and yanked her back. Her mind searched for a touchstone in reality. A ghost – it was a ghost. Did she believe in ghosts? Perhaps it was time to start. Maybe it was him, returned for revenge. â€Å"Merle, is that you?† â€Å"Who?† â€Å"I’m sorry, Merle, I had to†¦Ã¢â‚¬  â€Å"Who is Merle?† â€Å"You’re not Merle?† â€Å"Never heard of him.† â€Å"Then, who – what in the hell are you?† â€Å"I am the defeat of your enemies. I am the power you crave. I am, live and direct from hell, the demon Catch! Ta-da!† There was a clicking on the floor like a tap-dancing step. â€Å"You’re an Earth spirit?† â€Å"Er, uh, yes, an Earth spirit. That’s me, Catch, the Earth spirit.† â€Å"But I didn’t think the ritual worked.† â€Å"Ritual?† â€Å"We tried to call you up at the meeting last week, but I didn’t think it worked because I didn’t draw the circle of power with a virgin blade that had been quenched in blood.† â€Å"What did you use?† â€Å"A nail file.† There was a pause. Had she offended the Earth spirit? Here was the first evidence that her magic could work and she had blown it by compromising the materials called for in the ritual. â€Å"I’m sorry,† she said, â€Å"but it’s not easy to find a blade that’s been quenched in blood.† â€Å"It’s okay.† â€Å"If I had known, I†¦Ã¢â‚¬  â€Å"No really, it’s okay.† â€Å"Are you offended, Great Spirit?† â€Å"I am about to bestow the greatest power in the world upon a woman who draws circles in the dirt with nail files. I don’t know. Give me a minute.† â€Å"Then you will grant harmony to the hearts of the women in the coven?† â€Å"What the fuck are you talking about?† the voice said. â€Å"That is why we summoned you, O Spirit – to bring us harmony.† â€Å"Oh, yeah, harmony. But there is a condition.† â€Å"Tell me what you require of me, O Spirit.† â€Å"I will return to you later, witch. If I find what I am looking for, I will need you to renounce the Creator and perform a ritual. In return you will be given the command of a power that can rule the Earth. Will you do this?† Rachel could not believe what she was hearing. Accepting that her magic worked was a huge step, yet she was speaking to the evidence. But to be offered the power to rule the world? She wasn’t sure her career in exercise instruction had prepared her for this. â€Å"Speak, woman! Or would you rather spend your life collecting gobs of hair from shower drains and fingernail parings from ashtrays?† â€Å"How do you know about that?† â€Å"I was destroying pagans when Charlemagne was alive. Now, answer; there is a hunger rising in me and I must go.† â€Å"Destroying pagans? I thought the Earth spirits were benevolent.† â€Å"We have our moments. Now, will you renounce the Creator?† â€Å"Renounce the Goddess, I don’t know†¦Ã¢â‚¬  â€Å"Not the Goddess! The Creator!† â€Å"But the Goddess†¦Ã¢â‚¬  â€Å"Wrong. The Creator, the All-Powerful. Help me out here, babe – I’m not allowed to say his name.† â€Å"You mean the Christian God?† â€Å"Bingo! Will you renounce him?† â€Å"I did that a long time ago.† â€Å"Good. Wait here. I will be back.† Rachel searched for a last word, but nothing came. She heard a rustling in the leaves outside and ran to the door. In the moonlight she could see the shapes of cattle standing in the nearby pasture and something moving among them. Something that was growing larger as it moved away toward town. How to cite Practical Demonkeeping Chapter 16-18, Essay examples

Electronic Health Record Management

Question: Discuss EHR system challenges and the supporting roles of HIM professionals in addressing these challenges. Recognize the planning and implementation aspects of EHRs. Provide examples of EHR systems as they may be implemented in various types of health care settings. Answer: Introduction: The field of healthcare is progressing in the area of the electronic health records (EHRs) that helps in improving the safety and quality of the care of the patient and gains much efficiency in the delivery system of the healthcare. Much stress is made on the systems that give support to the decision making in the clinical department as well as the process of care taking for the patients in the creation of health information. Therefore is essential to further look at the information phase and develop a plan which results in the maintaining of the EHR system at a higher level for all the legal and business purposes. Thus the EHR management and the EHR system therefore will continue to function critically in providing care across the healthcare organizations (Evans Dwight C et al (2006). But these days to start developing an EHR system the vendors, healthcare staff and the others ignore to enhance the processes and capabilities in order to enable correct functioning of the system and m ake sure that the electronic version is present in the legal business record rather than the existence of the paper type system. The traditional health and business records management concepts should be applied and evaluated in todays world of the EHRs systems. Hence there must be a good knowledge about the change in the process of management which is necessary for the activities of these healthcare organizations and also help to analyze all the benefits in the use of the EHRs and in the requests for the selection, installation, development, implementation and the proposals to be able to take care of the needs and requirements of the organization. Therefore here the HIM professionals can help to bring the management records techniques to paper practices and also start and guide the organization to shift to the electronic record systems. These HIM professionals can also help in the office visit, documentation, payment and coding of the activities of the organizations. They can also i dentify the negative aspects and recommend the organization as to where there is a need for improvement and how best they can achieve the practice. The HIM professionals can help physician to manage the practice of using paper to plan for electronic systems and also support and implement an electronic atmosphere in an organization (DesRoches, Catherine M., et al (2008). It is very essential to develop a change in the strategy of management by using the EHRs system and this strategy will also recognize the important factors of the relationship in the management process and also help the staff members to perform their duties and to manage the change efficiently. They must try and create a vision for the goal for implementing the process of the EHRs system. These implementations include four stages that are; selection, decision, pre-implementation, implementation and post implementation. These stages give importance to identify the sources to serve the values of the EHRs and also in providing encouragement and direction to the project. The other factors that help in the implementing of the assessing the workflow is to understand the financial issues first then conduct various training sessions that are timed well to meet all the needs of the staff and their requirements. The use of the EHRs system is best explained in a behavioral healthcare (BHC) setting which has a wide range of services from the outpatient substance and the fulltime treatments for the psychiatric treatment. These services also differ in the type of care that is provided for instance they offer a group therapy or a face to face counseling etc. this diversity is the fact that every area has much sensitivity in regards to both treatment approaches and also in the privacy of the clients. However behavioral health organizations have exited from implementing anelectronic health record (EHR) because they feel that the complexity of the care setting involves the use of technology and also the EHRs have traditionally focused on getting information about physical medical conditions and the main context for the BHC field is very limited (McDonald et al (2014). The expense of an EHR has presented additional drawbacks as organizations are sometimes hesitant and unable to raise capital for tech nology. These are, however the challenges that are faced by the healthcare organizations if EHRs are not implemented, especially as behavioral health information becomes more critical for the patients record. References AHIMA e-HIMTM Task Force. "The Strategic Importance of Electronic Health Records Management." Journal of AHIMA 75, no.9 (October 2004) Evans Dwight C.; Nichol, W. Paul; Perlin, Jonathan B. (2006). "Effect of the implementation of an enterprise-wide Electronic Health Record on productivity in the Veterans Health Administration".Health Economics, Policy and Law DesRoches, Catherine M., et al. Electronic Health Records in Ambulatory CareA National Survey of Physicians.New England Journal of Medicine359, no. 1 (July 3, 2008) McDonald, Clement J.; Callaghan, Fiona M.; Weissman, Arlene; Goodwin, Rebecca M.; Mundkur, Mallika; Kuhn, Thomson (November 2014). "Use of Internist's Free Time by Ambulatory Care Electronic Medical Record Systems"