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Sample Essay on the effectiveness of lean manufacturing and outsourcing among international business organizations in the electronic industry

Analysis on the Effectiveness of Lean Manufacturing and Outsourcing among International Business Organizations in the Electronics Industry     Introduction and Problem Statement             Globalization has been the current characteristics among business organizations. Geographic boundaries as well as time have been successfully overcome through innovations and advancements in technology as a result of globalization. Profit-seeking organizations across the world are continuously expanding operations in order to extend the reach of marketing and promotion agenda all in the effort to increase the share in consumer base. Business operations at present are capable of delivering the needs and demands of the consumers and clients both in the local and international markets through incessant business reengineering processes. Aggressive market competition across the world is evident among the existing industries in terms of the information management, physical resources allocation, human capital reserves, financial strategies, procurement and logistics concerns, supply chains, sales and marketing objectives, performance goals, social and corporate responsibilities, and levels of customer satisfaction.               The emergence of a global community has been the result of internationalization trends and initiatives among varying political beliefs, cultural orientations, economic characteristics, and environmental consciousness (Kim and Weaver, 2003). According to Steeple (2000) profit accumulation among business organizations has undergone a shift from the national level to the supranational global setting where information and capital resources flow more ceaseless and relentless. As people become more and more conveniently connected, produced goods and services are likewise becoming more and more available in every possible market place in different localities marked with more frequent international travels and the commonness of virtual communication (Porter, 2004). Moreover, the acquisition of basic knowledge, resources, investments, technology, and ethical beliefs became more fluent across different locations where sharing has been the normal and best practice (Lazarus, 1998).                 The end result of the popularity of globalization principles as well as practices led to varying emotional appeals and implications among different individuals as its definitions are associated with various meanings. Changes in the social settings have been witnessed which piloted diverse perceptions, attitudes and beliefs regarding globalization impacts within the continuum of the positive and the negative extremities.  People have different emotive inclinations when asked regarding the concept and impact of globalization. There are those who believe in the in the benefits that globalization brings to existing social communities such as the inevitable and irreversible progress and development of the economy while others welcomed it with hostility as brought about by fears on worse social inequalities within and between existing nations and organizations. But nevertheless, it can not be denied that globalization initiated the trends towards greater international movements in terms of commodity, money, information, and people along with the growth and improvements of technology, organizations, legal systems, and infrastructures.                 According to (1998) the literal meaning of globalization rests on the social changes that characterize it particularly when it comes to forms and channels of social interconnection between people along with other cultural, economic, political, and social activities. In this regard, the contextual meanings of globalization range from (1) the communication and social contacts between distant places that creates mutual understanding, (2) freer trade practices across different market economies between and among commercial industries, and (3) exploitative aspects such as prevarication of legal policies and regulations as well as moral norms and principles ( 1998). In this respect, globalization characterizes the new world order in terms of more liberal principles and practices, increased innovation in technologies, and large-scale transnational integration (, 2002).         Within the context of the electronics manufacturing industry, globalization trends resulted to excessive competition between and among business organizations that cater to the needs and demands on electronics products and services. The multi-level and large-scale operations among electronics manufacturing companies led to the formation of new business strategies that concern the entirety of the traditional business processes. The search for continuous and sustainable developments, increased customer satisfaction, and faster return on investments as well as the issues and considerations regarding shorter product life cycle, innovation, unpredictable economic trends, and more sophisticated customer specifications necessitated the call for extensive reformulation of business goals and performance objectives in order to endure the demands of the existing market economies along with aims to gain competitive advantage over industry competitors.   At present, business organizations that belong to the international electronics manufacturing industry deal with the implications of globalization through intensive reforms and reengineering initiatives on business processes. The aggressive competition that characterize internationally operating electronics manufacturing companies led to the utilization of various business operation strategies that will best serve the intentions of the business organizations. These include the implementation and application of contemporary operations management schemes and techniques that can improve the efficiency and effectiveness of the manufacturing and production processes. Due to globalization trends and the need to produce and manufacture at voluminous levels, quality control issues as well as effective resource utilization plan systems confronts modern operations management approaches. Among the popularly applied operations strategies within the international electronics manufacturing industry include the use of lean manufacturing and outsourcing principles and practices.   Simply put, lean manufacturing quality control system was designed to minimize if not eliminate the material wastes associated with production. The system involves enhancement on the value system of the manufacturing processes in order to create more efficient production practices through minimal waste of resources, labor, and time. Lean manufacturing are most utilized by large-scale manufacturing companies which are concerned with mass production operations (1999). On the other hand, outsourcing is a strategic operation approach that involves the mediation and support of another company in completing business operations through singed contract agreements. Also known as contract manufacturing, outsourcing aims to deliver quality products to customers that at the same time enables the reduction of the amount of incurred expenditures from material purchasing and labor costs. It is a strategic alliance between two companies committed to the execution of collaborative models and techniques (1998).   In this light, this academic research activity aims to compare and contrast the level of effectiveness of lean manufacturing and outsourcing among mass production operations of large-scale and transnational business organizations. More specifically, the research study is geared towards the provision of comprehensive and holistic assessment and evaluation of lean manufacturing and outsourcing practices within the context of business organizations belonging to the international electronics manufacturing industry. The entirety of the research paper focuses on the discussions that will determine which of the two operations approaches is most appropriate within the context of the international electronics manufacturing industry. The research argues that full implementation of the lean manufacturing value system is more effective than the principles and practices of outsourcing in the electronics manufacturing industry.                Literature Review A lot of factors have influenced the ever-increasing pressures that resulted to intense competition in the global manufacturing industry. New trends in the business operations strategies, more interactive business relations among different market players as well as the customers’ increased involvement in maintaining the quality of products and services continue to demand efficient and productive measures among service providers. Companies were able to answer and meet the specifications of their customer-base by utilizing the current technological advancements in the past decades. Innovations in computer features, networking strategies, and telecommunication products facilitated business organizations to invest on market researches, company development, and effective re-engineering measures to create quality products and provide efficient services. As a result, outsourcing strategies have been widely accepted in order to reduce expenses, improve productivity, operations management, and delivery, and concentrate on upgrading the company’s technological expertise.   In today’s fast and technological modern world, the challenge that the Information Man faces is time’s nature of putting things in order and in place in the best and most effective way. Life has changed since the invention of the computer which dictated man to deal with things in the most efficient way possible. In the world of big international business industries where transactions and other business operations are governed by law, cultural differences and mutual trust, efficiency counts largely as a common entrepreneurial aim. In this study, it is interesting to know how big business organizations who depend highly on efficient delivery and distribution procedures gain their success in a competitive market environment.     Competitive Advantage and Customer Satisfaction Most companies find it impossible to create any kind of sustainable competitive advantage based on product alone as successful companies sought and found a precise understanding of how it could create a customer-cantered competitive advantage ( 2001). Along with the changing business world, customers change as well, becoming more demanding and knowledgeable than before. In this light, reliance to the internal resources of the organization will not do if environmental considerations of the company are not likewise taken into account. These include the significant market characteristics that directly and indirectly influence and dictate the strategic business implementation and sound decision-making from the options available. The forecast of subsequent political, economic, and social implications that change will result to also needs to be identified and enumerated to ensure the success and development of the organization as well as the welfare of the general public.   Ma (2004) focused his study on the creation of integrative framework that provides understanding on the determinants of competitive advantage in the global setting. He conducted article reviews that discussed competitive advantage in the aspects of international management and strategic management. The resulting framework collaborated four general categories of factors such as (a) creation and innovation, (b) competition, (c) cooperation, and (d) co-option with the three generic types of competitive advantages in the international setting which include (a) ownership-based, (b) access-based, and (c) proficiency-based. The framework aims to provide an enhanced understanding of global competition and the inherent means of gaining advantage among competitors.   Companies employ detailed business plans and strategies in order to gain several benefits from its competitors such as increased profits and enhanced customer relations as company objectives (2002). The application of strategies directed towards the achievement of these objectives naturally requires the allocation of financial resources. However, while the company is capable of providing a budget, the outcomes should be able to recover these allocations in order to prevent capital losses. Thus, the company employs strategies and creates objectives that are compatible to the capacity of the company and what it intends to achieve.   (1996) emphasized the idea to take advantage of the competitive situation not just by being better in how that product gets sold, serviced, and marketed at the customer interface. It requires that companies create breakthroughs in how they interact with customers, and design a way of interacting that makes an indelible impression on customers, one that so utterly distinguishes them from others that it becomes a brand in itself (p. 14). Organizations that capitalize on customers' active participation in organizational activities can gain competitive advantage through greater sales volume, enhanced operating efficiencies, positive word-of-mouth publicity, reduced marketing expenses, and enhanced customer loyalty (1990). As such, business firms invest on researches that will define their target customer groups that they believed they could serve best.   As such, business initiate efforts in order to have a regular customer base because customers dictate profits and how the customer is treated will reflect on whether the customers will remain loyal with the company or not. Gaining customer loyalty is also a key corporate challenge today especially in this increasingly competitive and crowded marketplace because of the eventual profitability it will provide (1997). At present, business firms invest on researches that will define their target customer groups that they believed they could serve best. Every business person is determined to know what kind of work they would and would not do for their customers and, in turn, they carefully learn how to fulfill the needs of each kind of customer in their target markets.   However, Earl (1998) emphasized the relevance of the search for global efficiency, local responsiveness, transfer learning and external alliances through proper information management in a particular business organization. The search for global efficiency implies that the organization must be able to coordinate and consolidate its activity within each relevant function to achieve available immediate economic opportunities. There should be a collection of comparative performance information from different locations around the world to support decisions on how effectively allocate resources and source requirements which may be facilitated by building a global data network.   Achieving local responsiveness implies limits to standardization wherein the expectation is that organizations will want to identify some level of standard/core product, but also provide a variety of optional features which may be present or absent in the delivered product depending on local, legal, or market conditions. The co-ordination required for transfer of learning would seem to be along functional dimensions, across multiple locations involved in research and development, marketing, service, and so on. Meanwhile, inter-organizational information systems can provide new opportunities through vertical and horizontal information exchange for organizations to extend its economies of scope through external alliances between companies with different skills and cultures (Earl, 1998).   Finally, in business industries where transactions and other business operations are governed by law, cultural differences and mutual trust, efficiency counts largely as a common entrepreneurial aim. Suppliers are vital parts of the manufacturing business from whom a business organization agrees to get components or raw materials for their products. Good relationships between the supplier and the manufacturer should be maintained in order so as to ensure adequate and timely flow of materials and products to the consumers. Rather than going after every potential source of revenue, companies eliminate useless assets that do not add value for customers’ satisfaction. Business organizations implement bureaucratic policies and procedures for the benefit of the staff, customers and the company in general. In this light, every business person is determined to know what kind of work they would and would not do for their customers and, in turn, they carefully learn how to fulfill the needs of each kind of customer in their target markets.   As it appears comprehensive strategy the most important key to the successful implementation of customer relationship management. As such, customers should also feel that the companies and businesses they support and patronize give due importance, essentiality and vitality to their operations (Cohen & Moore, 2000). In order to bring out exceptional customer services within the company operations, the management must realize that, either directly or indirectly, the achievement of its goals contributes much to the customers’ general experience with the company. Employing fine-tuned organizational restructuring through effective incorporation of people, process and technology is probably the most efficient strategy in customer relationship management (CRM) implementation. These include the planning, organizing, directing and controlling procedures, which are all geared towards the customers to ensure the balance between enhanced company processes and renewed objectives (Lowenstein, 1997).     Supply Chain and Logistics Management             Supply chain management (SCM) is a modern management concept, the goal of which is to improve the efficiency and effectiveness of a company’s entire supply chain operations. The supply chain runs from raw material suppliers at one end, right through all the intermediate processing stages, to the customer at the other. The term supply chain management has been used to denote the integration of logistics and physical distribution activities by wholesalers and retailers and manufacturers' efforts to effectively integrate purchasing and supply with other functions in the firm. The focus of SCM, or logistics management as it is often called, is on adding value and eliminating inefficiencies at each stage of a company’s supply chain.   SCM is a strategy based on using a company’s supply processes as a competitive tool. Logistics is part of the supply chain process that plans, implements, and controls the efficient, effective flow and storage of goods, services, and related information from product manufacturing to delivery and consumption in order to meet customers' requirements (Hyland, 2002). The chain, itself, is a connected series of companies and organizations, resources, and activities involved in the creation and delivery of value in the form of both finished products and services to end customers. The strategy involves integrating all decisions that affect the design and flow of purchased items/materials/services into and through the value chain to finished products and service in a way that makes the company competitive.  (2002, p. 12) explains that “The fundamental goal of SCM is to get the right product to the right customer at the right time at the right place and at the right price.”    The supply chain is traditionally characterized as a stable system in which components and goods move smoothly from supplier to assembly customers. In addition, supply chain refers to the suppliers, distributors, wholesalers and retailers that involved in manufacturing a product and getting it to consumers ( 1995). Supply chain is also defined as a network of independent or semi-independent corporation bodies collectively accountable for procurement, developing and or manufacturing and distribution scheme connected with one or more groups of related products (1996).  With the advent of technological innovations, logistical decisions about delivery operations, stockholding, warehousing and economies of scale get more complex solutions in today’s business environment.             SCM is the management of upstream and downstream relationships with suppliers and customers to deliver superior customer values at less cost. Its focus is on the management of relationships in order to achieve a more profitable outcome for all parties in the chain (2005) which results to a collaborative-based strategy to link inter-organizational business operations to achieve a shared market opportunity. The goal of an integrated supply chain is to enhance end-customer value and at the same time, identify cost-efficiency targets throughout the whole supply chain. Evidently, the scope is not restricted to a single value chain in one company, but also covers a number of value chains within a value system that makes up the inter-organizational supply chain for the end-customer.   According to (2004), supply chain management is considered as one of the most important strategic aspects of any business enterprise where decisions about coordinating of production of goods and services, store inventory, list of suppliers, and cost-effective and timely distribution are made. Supply chain management strategies design and manage the processes, assets and flows of material and information to answer the needs and demands of the customers and clients.               According to (2001), the SCM concept as a management philosophy has the following characteristics:   l          A systems approach to reviewing the supply chain as a whole, and to managing the total flow of goods inventory from the supplier to the ultimate customer. l          A strategic orientation toward co-operative efforts to synchronies convergence of intra-firm and inter-firm operational and strategic capabilities into a unified whole. l          A customer focuses to create unique and individualized sources of customer value, leading to customer satisfaction.   The goal of an integrated supply chain is primarily to enhance the value for end-customers but adding customer value through supply chain management is not that straightforward, because it includes different dimensions or perspectives.               The development of e-business provided an innovation way for enhancing the SCM process. E-business tools helps companies reach a wider range of customers and reduce costs by cutting transaction time as well as overhead through optimized communication and information sharing. If a firm intends to outperform in its industry, scope of supply chain integration needs to move towards inter-supply chain strategic competencies with objective directing to web-enabled/electric strategic collaboration. To improve its long-run competitiveness, e-supply chain interoperability is one of the prerequisites among manufacturers and suppliers (2004).                  In this regard, since business organizations want to initiate a management system and strategy that could maintain the companies’ capability, strength and competitiveness, it is important for the management to be open to changes that may be encountered in order to cope and adapt to the latest development that are happening within and outside their environment. (1998, p. 3) claimed that the latest emphasis in supply chain management focus on forecasting particularly in the areas of scheduling and logistics. Saran (1998) supported the claim stating that, "Forecast horizons can impact a host of functional areas in the supply chain" (pp. 23-28).  As such, an accurate sales forecast can have numerous advantageous results in the process of SCM since effective forecasts provide the company with more accurate data, improve efficiencies in product distribution, reduce supply chain inventories, and enhance customer service (1999).               The major objective of change management is the introduction of innovative means and systems in the work organization. Hence, businesses must normally undergo change in order to evolve to a higher level of for instance, stability, management or production. In general, forecasting helps businesses serve their customers more efficiently, without the constant fear of excess inventory. Furthermore, the companies also determine appropriate cost management strategies as external purchases of products and services account for more than 50 percent of total costs (1999). Without sacrificing quality, services must create a reliable, cost effective supply chain or operational system to be competitive in the marketplace. Technology has increased the reliability of cost management systems through the use of computer packages designed for specific companies.   Moreover, “Partnership” and “Collaboration” are also the key aspects of SCM. (1999) stated that collaboration and strategic alliance allows supply chain members (e.g. OEMs and EMS providers) to share business information plan together for the business and marketing strategies. Once strategic alliance is established, supply chain members can work for common goals and at the same time, share the risk of the business. Information should not be limited to historical or sales data, but should also include production planning and even future activities like promotion and sales forecasting. These allow supply chain members to develop effective logistics strategies. The full adoption of SCM is the practical tool to increase the company competitiveness, it helps manufacturers and suppliers to enhance their partnership and improve the logistics and supply chain performance by integrating, synchronizing and collaborating the complex links in its supply chain. As such it is important to explore the avenues of business operations in order to identify the means of providing company needs and supplies in the specified time required at the lowest cost possible.     Outsourcing In the manufacturing industry, companies from all over have integrated outsourcing into various business operations. As such, research investigations have published documents noting significant aspects on the concept and activities that comprise the measure of the practice of outsourcing examining how companies apply it and why they should apply it. However, many critics have pointed out the downsides of outsourcing which resulted to opposing arguments and claims.   (2003) investigated the role of relational norms in the governance of relationships between the US manufacturer and an independent distributor in the export market across four industry sectors in which the use of foreign distributors is the norm: (a) heavy equipment and machinery, (b) appliances, (c) medical equipment, and (d) electronics. The study addressed the following:   ·        the manufacturer’s use of relational norms to enhance its competitiveness in the export market examining both the direct and the indirect effects of relational norms; ·        the manufacturer’s use of relational norms as affected by (a) cultural distance, and (b) a manufacturer’s relative dependence on its foreign distributor; and ·        the influence of hostility of the legal and institutional environment on the relative dependence of a manufacturer on its foreign distributor.   It particularly contributed to the understanding of governance structures in international distribution channels by considering relationships between organizations that operate in different cultural and legal/political environments and the uniqueness of relationship building in the international context in order to acquire competence in managing international channel partners ( (2003).   Similarly,  (2002) focused their research on (a) international purchasing and provided (b) new accounts on the relationship of environmental volatility with opportunism in cross-cultural exchange relations at the same time (c) highlighting the importance of exporter cultural sensitivity in cultivating importer commitment among importing distributors purchasing directly from overseas manufacturers. These importers belong to five industry sectors, namely: (1) textile and textile products, (2) pulp, paper, and paper products, (3) chemicals and chemical products, (4) machinery and equipment (except electrical), and (5) electrical machinery and apparatus. The study presented (d) the significance of commitment in building successful cross-border interorganization relationships, (e) the drivers of interorganization commitment in an international context, and (f) the effects of current levels of commitment on performance attained one year later.   Meanwhile, (2001) determined the advantages of maintaining good business relations among OEMs and EMS providers and the factors that should be considered in maximizing the potential of the partnership focusing on the aspect of efficient transfer. The study indicated that the growth of a refined partnership between OEM and EMS can yield rewards for both parties wherein one successful transfer can lead to additional transfers. In the said successive transfers, the financial commitment needed to overcome the outsourcing learning curve is greatly reduced. Moreover, well-established relationships between OEMs and EMS providers both increase the efficiency of transfers and reduce risks for the OEM and EMS. The continuous expansion of OEMs utilization of their EMS partners’ resources, likewise expand their expectations. The authors also pointed out that it is critical to establish a well-defined process of transfer to meet these expectations as customer-focused EMS providers proactively support these transfer processes. However, their research activity indicated that success depends on securing a strong commitment from both the OEM and EMS to enable them to focus on their strengths and help each other succeed ( 2001).    The commissioned research activity by Group Sense (International) Ltd, Philips Electronics Hong Kong Ltd and Vetch Holdings Ltd (2004) regarding the initiatives of electronics companies in Hong Kong to shift from being OEM to ODOM investigated the use of knowledge management tools that enhance electronics manufacturers’ product design capabilities and speed up ODOM developments. The research activity found out that:   <li class="MsoNormal" style="text-align: justify; line-height: 200%"> pro-active selling and higher profit margins are major driving forces for developing ODOM business; </li> <li class="MsoNormal" style="text-align: justify; line-height: 200%"> marketing knowledge and intuition were critical success factors when shifting from OEM to ODOM; </li> <li class="MsoNormal" style="text-align: justify; line-height: 200%"> difficulty of identifying market need was the major barrier for company transform from OEM to ODOM; </li> <li class="MsoNormal" style="text-align: justify; line-height: 200%"> there is no absolute single roadmap that leads to ODOM; </li> <li class="MsoNormal" style="text-align: justify; line-height: 200%"> a project-based product development team structure is most common; and</li> <li class="MsoNormal" style="text-align: justify; line-height: 200%"> most innovations were generated from customers’ or suppliers’ ideas.</li>    (2003) studied how research on outsourcing and development can be utilized in order to decrease the expenditures of the company along with the factors that lead to outsourcing initiatives of companies. The companies under investigation were examined in their decisions and options to outsource or to retain the production process within the company. Moreover, the researchers likewise looked into the considerations of companies when it comes to contract agreements to outsource specific company operations using performance as criterion of selection. It was found out that companies decide and select outsourcing partners through the performances of the contracted firm that improve and develop the company. Furthermore, there are company personnel who still choose outsourcing strategy despite the fact that information may leak within the industry through the facilitation of the contracted firm. Moreover, the design of contracts was likewise created in order to encourage leakage within the industry due to the fact that issues on leakage can not be directly monitored or verified. Collaboration in research and development initiatives between the company and the contracted firm may also prove detrimental particularly when the assessments that were undertaken did not consider the external environment of the company especially the impact of the outsourcing strategy to issues on market entry within the industry. lastly, the researchers found out that is best for contract agents and companies to preserve the privacy of data and information regarding the production process in order to foster intensive research and development activities among other companies for the sustained welfare of the industry they belong to.      Moreover, the subsequent risks involve in the fast-paced innovations of technological products fuelled by outsourcing strategies among electronics manufacturing companies resulted to difficulty in providing market forecasts that estimate the bulk of demands of the consumer market. The research study conducted by (2002) provided analysis of the forecast data obtained from a local contract manufacturer in order to better understand forecast variability and its existence in the electronics manufacturing industry. They found out that (a) cases of unmet demands that are pushed in the next production period can distort forecasts and result in unrealistic expectations highlighting the (b) difficulties in creating good production plans and materials requirements from very variable forecasts due to backlog, and the (c) importance of strong communication paths between the CAM and OEM in order to maximize the potential of the relationship for both parties (2002).   Meanwhile, (2002) found out that there is an existing issues and problems that confront the electronic manufacturers and their suppliers regarding industrial collaborations and the implications of outsourcing to the entirety of the electronics industry. Economic recession ahs been identified to contribute to problems and issues in utilizing outsourcing made worse by the effects of electronic transformation trends on the sides of both the manufacturers and the suppliers. These are based on the perspective of the manufacturing companies that form contract agreements with suppliers. As large manufacturers continue to exhaust the capacities of top suppliers in the industry, medium-sized electronics suppliers are continuously facing difficulty in finding corporations and companies that will need their services. It is likewise difficult for small electronics supplier companies to find niche markets in order to fully participate in the industrial activities in the international electronics market. In identifying the advantages, and disadvantages of the existing manufacturer-supplier relationship within the electronics industry,(2002) was able to suggest means of improving the current outsourcing strategies in the industry within the aspects of selection of contract companies, possible conflicts between the involved contract partners, effect of the strategy to customer satisfaction, and the growing business concentration migration among exiting suppliers in the electronics industry.             LEAN Manufacturing LEAN production is based on the Toyota Production System which, when properly implemented, can dramatically improve productivity by as much as 95 percent when compared with traditional production systems. It was developed by Tahiti Ohio, Toyota’s production executive, in order to provide solution to Japan’s s system of high-variety production and meet the demands of the customers. Lean was designed specifically as an application to the mass-production system of Toyota because the company can not manufacture identical products in bulk. Lean manufacturing aims to minimize waste called mud so as to increase the value of the products and the production process. The wastes or mud include all the produced good that fall short behind the company’s quality standards as influenced and dictated by the elements of time, process, and raw materials (1999).     Among the solutions provided by the lean manufacturing system include (1) cost reduction in the production and manufacturing system of companies, (2) creative and innovative initiatives on the part of the employees in order to contribute to the success of the company, (3) control systems in the execution of the production plans and projects, (4) performance quality in terms of clear instructions, specifically defined objectives, as well as communicated and centered goals, (5) decrease in training expenditures, (6) implementation of alternative operations management framework, and (7) continuous and sustained development of the business organization (www.qiuality-control-plan.com). The lean machine is likewise known in the ease of its use and installation as well as its cost effectiveness in dealing with wastes in most quality systems thereby saving time and money for the software. It can integrate information, reports, graphs, and other tools that work together to simplify and deliver information for improved business operations which minimize the time spent on other software programs (www.theleanmachine.com).   Since production systems are dependent primarily on existing economies of scale, expensive costs incurred by the company in the production process are distributed evenly throughout the production stages because costly production are highly sensitive to depreciations in the market (Sullivan, 2002). With the trends and pressures towards globalization among the members of the manufacturing industry, companies are seeking means and ways to eradicate useless outputs in production that decrease the value and quality of the products and services offered to the customers. Manufacturing companies are constantly finding ways of reducing expenditures, in order to effectively compete with other companies and to eventually make profit.  The use of lean manufacturing in the production systems of manufacturing companies have been gaining popularity and reputation for the advantages and benefits it offers in the industry (Phelps, 2004; Black, 1995). These include:   1.      The various manufacturing techniques and concepts that have been incorporated to lean manufacturing system, 2.      Applicability of the lean manufacturing system to different types and sizes of production companies,    3.      Superior-quality product outputs that are produced within schedule and offered at the lowest possible cost, and 4.      Flexible and efficient production standards resulting to increased product variation.   According to Black (1995) manufacturing companies are frequently faced with constraints in the production line in terms of existing manufacturing machines. Normally, companies are equipped with machines that are huge in order to meet the demands of the customers. Problems incorporated to production machines such as costly set-up expenditures and lack of versatility was provided solution through the lean manufacturing approach. In lean manufacturing, the use of flexible or versatile production machines is encouraged in order to increase their functionality to different manufacturing designs and objectives.  Lean machines are most of the time characterized with not very huge mechanical infrastructures within the plant or operation house and are normally used for different types of product manufacturing thereby reducing the length of the cycle time. The reduction of cycle time aims to immediately deliver the customized products to the customers within a shorter period of time at high standards (Black, 1995).   Noah (2006) indicated that the utilization of lean manufacturing versatile machines and its integration with computerized manufacturing processes enabled flexible design, process planning, machining, quality control, inspection, and inventory among manufacturing companies. It has likewise introduced better financial controls and operations management techniques in its emphasis on waste eradication in the production processes. The lean manufacturing concept highlights the importance of avoiding overproduction as well as inclusion of unnecessary materials to the ordered products along with problem in idle time, logistics, inventory, warehousing, performance of the labor force, and production products that are below quality standards. The production concept of lean manufacturing involves assessment and evaluation of the entire production operation of companies in order to recommend means of improving the existing production systems. The system’s drive toward effective reduction of waste is likewise highly acclaimed for its environmental contributions thereby supporting sustainable developments.   Meanwhile, according to Tin ham (2001) lean manufacturing systems contribute to cost reduction efforts of companies in terms of supply chain and logistics concerns. The extreme competition in the global market environment necessitates the creation of production systems that will enhance the manufacturing as well as marketing capacities of companies. Through lean production approaches, manufacturing companies are provided with smooth supply chain and logistics process through the support and integration of information technologies, open communication with partner companies, and feasible production plans and targets. Mattresses (2001) likewise incorporated lean manufacturing approaches to the concept of “pull system” in which the rate of customer demand dictates the time completion of each production project.     Lean likewise contribute to the competitive concerns of the companies that use it since it provides solution to issues on cost and product quality which serve as the primary avenues of aggressive competition in the global market environment. Continuous competition in the market requires lean manufacturers to pursue innovative efforts of contributing to quality management approaches and practices (Chin, 2003). Among the additional enumerated benefits and advantages of lean manufacturing approach according to Sousa (2003) include:   1.      improved production management approaches and practices, 2.      improved product quality, 3.      increased cycle time, 4.      increased customer satisfaction, 5.      improved supplier performance, 6.      stronger employee relations, and 7.      increased return on investments.   Noah (2006) further indicated that lean manufacturing systems highlights improvements in existing quality control systems of manufacturing companies since it enables a shift in quality control perspectives from inspection-oriented approach to defect-prevention practices which makes possible inspection at every stage of the production system. Through the lean manufacturing approach, companies are capable of inspecting the step by step procedures of production which includes evaluation during material purchase, delivery, inventory, and supply processing as compared to the traditional and conventional inspection practices that are undertaken at the beginning, during, and at the end of the production process (Noah, 2006).      But despite the promised production improvement and competitiveness to manufacturing companies, the lean manufacturing approaches are still merely evaluated by companies due to independent apprehensions with regards to its production principles. As a result, manufacturing companies are utilizing the lean concept as measures of performance in their production processes instead of full integration in their operations. Manufacturing systems like mass production, Just-in-Time, and custom manufacturing are characterized with specifically trained employees as compared to the lean manufacturing demand towards multi-tasking. This is one of the primary reasons why lean manufacturing approach proved some difficulty in terms of application. Issues and problems regarding turnover, retirement and other factors that may result to absenteeism from work is highly detrimental to production system following the principles of lean manufacturing (Elliot, 2004),     Another consideration in the application of lean manufacturing approaches to the company’s production system involves its objective towards zero inventory at all levels and stages of the manufacturing process. But such objective towards zero inventories may be impossible for large production houses in which inventory and warehousing contribute to the smooth production procedures and the eventual reduction of lead times and in increasing profitability (2004). While customer satisfaction defines existing indictors of competition in the global market, the overhead cost that could result from such initiative will be added to price of the finished products which could be detrimental to targeted sales (Owen, 2000).     Research Design and Methodology     Data Analysis and Interpretation     Conclusion and Opportunities

Sample Essay on the effectiveness of lean manufacturing and outsourcing among international business organizations in the electronic industry

Analysis on the Effectiveness of Lean Manufacturing and Outsourcing among International Business Organizations in the Electronics Industry...

Sample Most Effective Rahabilitation Method of Chemically Dependent Offender Populations Essay

Most Effective Rehabilitation Method of Chemically Dependent Offender Populations   Outline: (flow of discussion) –Plan – refer to abstract Title page Table of contents Introduction Background Objectives Statement of problem Significance of study Scope and limitations Review of related literature Methodology Results and findings Analysis, discussion and interpretation Conclusion, summary and recommendation References           Chapter 1 Introduction               Several problems are being faced by many societies nowadays, given by the fact that the society is continually changing. The changes the society encounter leads to the modification of the lifestyle of many individuals, most especially the younger generation, who become easily influenced and swayed by a number of factors that surround them. Changes in the society are evident in terms of economy, politics, education, industry, and in technology, which depends upon the use and the need of a particular society. Such changes can be perceived as advantages in terms of its use in globalization and internationalization, such that particular nations become associated with a number of countries worldwide to expand their businesses through different strategies and approaches. Such changes also enhance and develop the skills of many individuals to learn the universal language and become globally competitive in different aspects of learning and knowledge. The sciences also become much more developed and improved, thus, improving the lives of many through its various practical, advanced, and revolutionizing applications. In this regard, changes in the mentioned fields can be seen to bring success and prestige to individuals and societies. However, these changes not only bring about success, prestige, and development to the members of society, but disadvantages and problems as well. Unlike the previously mentioned advantages brought about by the changes in the society, problems and challenges effect chaos and discord among individuals and families. Along with the success and development of societies are the problems its face, including the upsurge cases of drug and alcohol addiction, crimes, graft and corruption, unsafe working and living conditions, poverty, unemployment, illnesses, and deaths. From this, it can be seen that along with the development of societies are its drawbacks that may become part of its consequences.             In relation to all these challenges in the society is one of the gravest problems, which is chemical dependency. The issue of chemical dependency is associated to certain concepts, including habit, disorder, disease, abuse, substance, effects, and criminality. Because it is associated with such concepts, it is generally thought of connoting negative impressions and impacts. Generally, the concept of chemical dependency is associated with terms such as alcoholism, drug addiction, and substance use and abuse. Nevertheless, this concept is defined as a disease, disorder or illness that is characterized by addiction to a mood-altering chemical, including drugs and alcohol, thus, transcending age, gender, race, religion, or economic status (“Chemical Dependence or Dependency”, 2004). It can become a progressive, chronic, and fatal disease if untreated, that is why treatments and preventions are given importance and emphasis, especially with the younger generation. In addition, the concept of chemical dependency is commonly associated with criminality and mental disorders, which are considered the effects of becoming chemically dependent individuals. In this sense, such individuals are termed as Chemically Dependent Criminal Offenders or COCO, who commit grave violations against other individuals, the community, and the State due to the strong influence of alcohol or drugs. Nowadays, given the changes that take place in the society, most criminal offenders are comprised by adolescents or the younger generation, who become as such due to the influence of drugs or alcohol. According to the Juvenile Rehabilitation Association or JAR, 82% juvenile offenders use chemical substances. The most common major problems among the youth today include substance abuse and drug related crimes. In this regard, several governments come up with ways on reducing criminality and juvenile delinquency through different rehabilitation programs and treatments that would improve the situation of the chemical dependent adolescents in order to improve the society as a whole. However, despite the number of chemical dependence rehabilitation programs, not all are considered to be effective, as many criminal offenders presently convicted were influenced by drugs or alcohol during their crime. As reported, 3 in 4 violent offenders in prison committed their crime offenses under the influence of drugs, with a percentage of 72% (Mumble and Kornberg, 2007). In addition, more than half of the prisoners in the United States indicated symptoms consistent with drug dependence or abuse, having a percentage of 53%, and such dependence was associated with a range of symptoms, including behavioral, cognitive, and physiological problems (Mumble and Kornberg, 2007). These data indicate that despite the efforts of governments to help the society alleviate the impacts of drug and alcohol dependence, crimes attributed to chemical dependence continue to increase. With this problem at hand, this research study aims to examine the most effective rehabilitation method or technique for the chemical dependent offender population. This research study will be divided into five chapters in order to provide ease and consistency on the discussion of the topic. The first part will be discussing the problem uncovered by the researcher and provide ample background on the topic. The chapter will constitute an introduction to the whole research study, the statement of the problem in order to present the basis of the study, a discussion on the scope of its study, as well as its effects to individuals and its significance to the society as a whole. The second chapter will be discussing the relevance of the research study in the existing literature. It shall provide studies on the different drug and alcohol rehabilitation methods currently used, their process, duration and development, and the elements that foresee substance exploit problems. In addition, the study shall also provide an ample assessment of offenders with chemical dependency problems, the evaluation processes and tools presently in use for testing, the chemical dependency treatment effects of the offenders, the constructive dependency treatment results, and its impacts to the individuals being treated and to the society. After the presentation of the existing related literature, the researcher shall provide a synthesis of the whole chapter in relation to the study. The third part of the research study shall be discussing the methods and procedures used in the study. The chapter shall comprise of the presentation of the utilized techniques for data collection and research methodology. Similarly, it will also contain a discussion on the used techniques in data analysis as well as the tools used to acquire the said data. The fourth chapter will be an analysis of the collected and tabulated data. Computations and correlations will be made in order to uncover relationships and to address the statement of the problem noted in the first chapter. The last chapter shall comprise of three sections, namely, the summary of the findings, the conclusion of the study, and the recommendations. With these three portions, this chapter will be able to highlight the implication of the findings in relation to the data obtained.           Background of the Study             Given the problem at hand, House Bill 3900 (sec 26 - 28) indicates the enhancement, implementation and examination of the Chemical Dependency Disposition Alternative or CODA, which gives courts with a verdict alternative for chemically dependent youth. Drug treatment is the primary responsibility of the CODA, thus, becoming responsible for providing immediate solutions to the factors that contribute to the problems that the youth in the society are facing today. According to a particular study, adolescents are the recurrent patients in abuse treatment programs of the government (Brown, 1990). Although they have less duration of substance abuse, their bigger participation with alcohol and marijuana can probably make them become poly-drug addicts and have illegal records. Because of this, the call for the guidance of their family and various academic institutions becomes crucial. In addition to this is the Juvenile Justice Act, which was created for juveniles who are chemically dependent to ensure that they would benefit from treatment. Under this Act and the mentioned House Bill, the court may order an examination to determine if the juvenile is chemically dependent and amenable to treatment, and may also order a second examination if so requested by the state (“House Bill Report SUB 1337”, 2001). Moreover, with persistent action, the government also came up with other laws, such as the ‘Social Host’ Laws in the United States, which would allow police to enter private homes to break up underage drinking parties and impose fines on adults who allow gatherings to take place (“Social Host Laws Proliferate in U.S.”, 2007). In this regard, this law becomes a preventive measure that would restrict juvenile drinking, which can be causes for committing crimes and damage to the community. With the help of these laws and regulations, the importance of preventing chemical dependence and crimes can be promoted.             Despite such restrictions and regulations, increase in the incidences and cases of crimes related to chemical dependency can still be observed in the society. In the event of chemical dependency of juveniles and adults, it would be very helpful to determine and consider the possible and necessary treatments that they can undergo to provide them with a safe and decent life and well-being, which reinforces their right as an individual in the society. With this, several types of chemical dependency treatment programs are recognized, which can help chemical dependents, most especially chemical dependent offenders to start anew. There are five types of chemical dependency treatment programs, and most of theses originated from adult treatment programs. The first program is through Therapeutic Communities, wherein a patient lives in a drug-free residence. Its main principle is to treat drug abuse as social and not medical in nature. The duration of this treatment is from three to 15 months, depending on the cooperation and recovery of the patient. Its completion rate is only 10 to 18% of the total patient population (Hengelo, 1996). The second type of chemical dependency treatment program is the Residential Settings, wherein the patient is placed in a boarding school that usually has an inpatient non-hospital based treatment program. Through the program that caters residential settings, the substance abuser is made to believe that he or she can still be a prolific member of the society, given the natural residential features of the boarding school. The duration of this program is usually 7 to 90 days, depending on the program principles. In relation to this is the hospital-based or the inpatient medical treatment, such as the Short-Term Residential Programs that offer relatively brief residential or inpatient medical treatment based on a modified 12-step approach. This residential or inpatient medical treatment model consists of a 3 to 6 week hospital-based inpatient treatment phase followed by extended outpatient therapy and participation in self-help groups (“Types of Treatment”, 2005). In addition, inpatient medical treatments take place either in medical and general psychiatric settings, and offer a higher level of medical supervision (“Treatment”, 2007), such as the provision of medicines and other medical-related facilities. The third type of chemical dependency treatment program is the Outpatient Treatment, which is a less limiting type of treatment program among the rest. It lets the patient live with their families and communities, thus, giving them the immediate opportunity to exercise newly attained skills or behavioral transformation learned from the program. Specifically, Outpatient Treatments are classified into two, namely, Intensive Outpatient and Regular or Normal Outpatient Treatment Programs. Intensive Outpatient Treatment broadens the continuum of care model, which attempts to match the specific needs or levels of treatment that the patient needs in particular (Roadster, 1999). On the other hand, the Regular or Normal Outpatient Treatment offers general health care services to the patient. The fourth type is the Community Monitoring, wherein the patient may be presently using a substance, along with monitoring. Monitoring can be done through routine analyses and counseling with a probation officer or a social worker. In this program, the patients are considered to undergo a house arrest, to be imposed on curfew, or be electronically monitored by their district officers. The last type of chemical dependency treatment program is the Self-Help and other community based groups, which involve the contribution and assistance of community groups in the treatment of substance abusers. This program is often considered as an effective aftercare because it gives positive role models and emotional supports from the elder members of the program. Identification of such treatment or rehabilitation programs enables recognition of advantages in determining the best rehabilitation program.             Primarily, knowing the best chemical dependency rehabilitation program would enable increase knowledge in the treatment of substance abusers. Many researchers would be able to engage in further research and observation that would entail the advancement and the development of the recognized most effective rehabilitation program. Thus, in this case, the recognized most effective rehabilitation program would be further developed and enhanced to help many chemical dependents with their treatment. Second, recognizing the best chemical dependency rehabilitation program would improve the services and facilities of rehabilitation centers, which would help further address the needs and the problems of substance users and abusers. It has been reported that most clients valued visiting rehabilitation center facilities beforehand, for these facilities play a very important role in helping the chemical dependent with his or her recovery, such that they influence life-changing experiences and understanding of the nature of chemical dependency of clients (Wilkinson and Mistral, 2006). It has been reported by the Smash's National Survey on Drug Use and Health that there were about 1.5 million youths needing alcohol treatment, and 1.4 million youths needing illicit drug use treatment (“The NCU Report: Substance Use Treatment Need among Adolescents, 2003-2004”, 2006) ), and with no available data on how many were treated from rehabilitation centers. In this sense, improving the facilities and services of rehabilitation centers may provide an increase in the number or percentages of treated chemical dependents.             Third advantage that can be recognized is the fact that recognizing the best rehabilitation program available would support the community and the local and the national government with its endeavors of promoting peace and order in the country, which would encourage safety, development, and progression. In this regard, having a safe and peaceful society can promote development and improvement in the country, such that many individuals and establishments would gain the trust of other businesses and in turn, promote its economic prosperity. With fewer crimes due to the influence of drugs and alcohol, more business establishments and firms would have the chance to function effectively in the society, through having increased transactions and negotiations from foreign investors, who would bring success, profit and advancement to a number of companies.             Fourth and last recognized advantage of recognizing the most effective chemical dependent rehabilitation program is providing additional knowledge with the families of chemical dependents that would give them the confidence and the hope that their loved one will be able to be treated from its condition. If this research study would become successful in so doing, the determined most effective rehabilitation program can be recommended to the government and other health-related institutions and organizations to further provide assistance to chemical dependent offenders.  With these reasons, determination of the most effective chemical dependent rehabilitation program would be able to help many individuals in terms of treatment and acceptance in the society.   Objectives of the Study             This research study will be done to help increase knowledge and information regarding the rehabilitation methods for chemically dependent offenders and the effectiveness of a number of rehabilitation methods for their treatment. Hence, this research study will be conducted to determine which of the rehabilitation methods for chemically dependent offender populations is the most effective. The specific research objectives for this study can be summarized as follows:   1)     To find out causes of addiction and chemical dependency in the target population; 2)     To determine the effects of chemical dependency to individuals and to the society; 3)     To determine the different drug and alcohol rehabilitation methods currently used, including its process, duration and development; 4)     To identify the elements that foresee substance exploit problems or the problems that lead to chemical dependency; 5)     To provide an ample assessment of offenders with chemical dependency problems; 6)     To evaluate processes and tools presently used for testing; 7)     To determine alternative treatment methods available for chemical dependents; 8)     To determine the chemical dependent treatment effects of the offenders; 9)     To identify the constructive dependency treatment results in offenders; 10)  To recognize the impacts of such actions to the society; and 11)  To give recommendations to the readers, to the government, and to the society   Statement of the Problem             The increase in the number of chemically dependent criminal offenders in the society of the United States leads to the recognition of a number of chemical dependent rehabilitation programs. Due to the perceived significant and essential role played by chemical dependency rehabilitation programs in the treatment of drug and alcohol dependents, it is important to recognize the different rehabilitation and treatment methods that would help in the recovery of substance dependents and in the alleviation of the number of criminal cases related to substance use in the U.S. society. This study intends to examine the most effective rehabilitation program for chemical dependent offender population in the United States. Specifically, the study intends to answer the following queries:   <li class="MsoNormal" style="text-align: justify; line-height: 200%"> What could be the most recommended chemical dependent rehabilitation program for offenders?</li> <li class="MsoNormal" style="text-align: justify; line-height: 200%"> What are the risks to be taken note of in undergoing such rehabilitation program?</li> <li class="MsoNormal" style="text-align: justify; line-height: 200%"> What are the barriers to be considered in allowing a criminal offender in undergoing the treatment program?</li> <li class="MsoNormal" style="text-align: justify; line-height: 200%"> Are there other alternative treatment programs available that could present the same effects and treatment for offenders?</li> <li class="MsoNormal" style="text-align: justify; line-height: 200%"> What are strengths, weaknesses, opportunities, and threats that can be attributed to undergoing such programs?</li>   Hypothesis             The study intends to test the following hypothesis:             “The most effective chemical dependency treatment program must be adopted and implemented to treat the chemical dependent populations.”   Significance of the Study             This research study will be a significant in knowing the perceived best and most effective chemical dependent treatment programs for offender population, which could be suggested to the government and to the families of the substance dependent. It will be significant in the development of more scientific and research-based approaches in addressing the different problems regarding the relationship of substance abuse and the increase in criminal cases in the U.S. society. In addition, this research study can also be significant in providing wider knowledge and alternatives for the government and the families of the substance abusers regarding other available treatment and therapies for the chemical dependent offenders. Moreover, this study can be significant in the endeavor for the improvement and development of the services and facilities of different rehabilitation or treatment programs that would further cater to the needs of the chemical dependent offender population in the society of the United States.   Scope and Limitations             The research study intends to examine the most effective rehabilitation or treatment program for the chemical dependent population. For this study, primary research will be conducted using anonymous questionnaires that will be sent to the general population in _________ of legal age. The questionnaires will be used to collect quantitative data. Qualitative data would be gathered using secondary research based on related literatures.               In relation to the previous discussion, limitations and other key assumptions were also considered, and are as follows: <ul style="margin-top: 0in; margin-bottom: 0in" type="disc"> <li class="MsoNormal" style="text-align: justify; line-height: 200%"> Are the results of the research study valid?</li> <li class="MsoNormal" style="text-align: justify; line-height: 200%"> Was the data relevant to the research questions?</li> <li class="MsoNormal" style="text-align: justify; line-height: 200%"> Were the data collection methods appropriate for the research objectives?</li> <li class="MsoNormal" style="text-align: justify; line-height: 200%"> Was the data collection comprehensive enough?</li> <li class="MsoNormal" style="text-align: justify; line-height: 200%"> Were the data appropriately analyzed, with the findings adequately supported?</li> </ul>   Obstacles of the Research Study             Despite the aim and the perceived significance of this research study, a number of obstacles or problems could be encountered. Essentially, there are a small number of sensible and pragmatic barriers in this research study or dissertation. The main practical apprehension is the expensiveness of purchasing journals online. This is a practical concern because monetary costs are one of the main important factors that will keep this study going. Another practical obstacle is the availability of resources regarding the rehabilitation programs for chemical dependent offenders. There are limited studies that are related to the focus of this study. Limited local references can affect the development of this research study. On the other hand, in terms of empirical obstacles, there might not be sufficient statistics to show what program is the most effective in treating offenders with substance abuse. In simple terms, there could be difficulty in obtaining relevant and sufficient statistics from financial service institutions. This is where secondary research will come to play. The surveys and interviews to be conducted with families and social institutions are intended to make bridges that will lead to the acquisition of important references. Overall, resources and cooperation are the two major obstacles in the study. In addition, another difficulty that can be recognized is in the process of the model to be used in the research study, which is the input-process-output-model. Difficulty would rely on the different issues that the study might be able to face. In this regard, the information required should be arranged conveniently for a more effective and efficient analysis. The effective execution of the process will be the main importance and concern of the research study because it will determine the quality of the output.   Ethical Considerations and Standards             The position of the researcher in the research study is crucial because he or she will be the one to conduct the whole process of the research study. This particular research study has a political influence in nature because many laws and regulations under the judicial and community sectors govern rehabilitation programs of chemical dependent offenders. The role of the researcher is to attain the necessary information needed in the study as much as possible, and to create connections with important people who will be helpful in assisting the progress of the study. In relation to the role of the researcher is his or her responsibility to deem ethical considerations that will be applied in accomplishing the research study. Given the sensitive situation being experienced by the families of chemical dependent offenders and the social institutions handling their cases, most of the target respondents would be hesitant to share their views because of certain factors they are afraid of or uncomfortable with. As an ethical stance, confidentiality of the identity and participation of the respondents will be ensured throughout the research. Furthermore, important but confidential information that respondents do not want to talk about or give away would also be respected, especially in the process of an interview. As part of the ethical consideration of this research study, complete information, such as the goal and aim of the study would be provided to the respondents thus, respecting their right to be informed. Racial discrimination would not be observed in this study, for all races would be considered sources of relevant data. With regards to the accomplishment of the paper, strict compliance with citing references is to observed in order to avoid plagiarism of literatures to be used.               Chapter 2 Review of Related Literature               This part of the paper will review the related literatures conducted on the area of study. By doing this, the research may be guided consequently by primarily discovering where the research is coming from, what and how much have been studied regarding the topic, and what it is yet to discuss. Aside from providing the background of the study, this chapter will provide its readers the necessary backbone and support for the research study to stand credible and reliable. In addition, by appraisal or evaluation of past researches related to the study, a historical perspective may be given. The researcher will be able to gain new insights on how much venture has been explored before, which will enable reflection, comparison, learning, and producing a stronger and more efficient study. This chapter will also present the research study a rich source of data, both new and old, which will augment and enrich the study. This part of the research study will also accentuate how it will contribute to the field of study it has chosen and further improve it.   Causes of Addiction and Chemical Dependency             According to the United States census in 2000, adolescents make up the largest generation in American history (Clemens, 2004). However, with such dominance, substance use among them becomes prevalent. In 2002, more than 11% of youth, having an age range of 12-17 years were current drug users, with drugs including marijuana, cocaine, heroin, hallucinogens, inhalants, tranquilizers, and stimulants, while 28.5% were alcoholics (Clemens, 2004). With such prevalence, it can be perceived that several causes might be attributed to such large occurrence in adolescents. In this regard, it would be helpful to determine the several causes of substance use and abuse to further understand the concept of chemical dependence. Primarily, Chenier (2001) summarized the causes or factors that may trigger drug or alcohol addiction among juveniles or adolescents, and in so doing, it would be helpful to adopt a medical, psychological, sociological, economic, legal, criminological, pharmacological, and philosophical approach. The author stressed that chemical dependence may be attributed to a genetic component, to an addictive personality type, to critical environmental circumstances, and to a physiological connection. In this sense, as previously stated, no one is excluded from the list of individuals who may be able to become chemical dependents. However, Chenier (2001) pointed out that the male gender, the unemployed, the aboriginal peoples, and the street youth are the ones having a higher chance of becoming dependent on such substances. In support of this, several other authors have attempted to explain the causes of chemical dependence among the youth. As cited in the work of Alvarez-Niemeyer, Nun-Gutierrez and Rodriguez-Credo (2006), authors like Petridis, Flay and Miller in 1995 proposed a conceptual model that includes three kinds of influences, namely, cultural and attitudinal, social and interpersonal, and individual baggage. Another study cited is the study done by Castro-Sari nana in 2001, which identified a total of 50 factors that relate to teenage chemical abuse. These factors were classified into three groups by using an epidemiological model. The model includes a predisposing environment, the drug itself, and the individual. The third study cited was done by Medina-Mora et. al in 1995 who suggested that easy access to drugs and other substances, drug users among family or peers, peer approval, a perception of low risk, and an unpleasant mood state are also linked to cause chemical dependency in the younger generation. From this aspect, it can be seen that personal and social factors contribute to the tendency of individuals to become chemical dependents. In addition, Sanchez-Huascar et. al. 2002 pointed out that domestic violence and sexual abuse could also be considered as causes of chemical dependence. Along with that, Bryant et. al 2000 considered school-related factors such as academic failure, absenteeism, peer drug use, and psychological distress can be linked to teenage chemical dependence. This particular study cited placed an emphasis on a related study done by Sanchez-Huascar et. al in 2002, stressing that teenagers who engage in misconduct and had low school performance scores had higher chemical dependence and tendency compared to teenagers who are highly motivated and focused with their studies. In support of such claims, a number more authors have considered the influence of family factors such as faulty and triangulated communication, inter-parental conflicts, affection-deprived family environment, ineffective problem-solving patterns, low familial satisfaction levels, type of religious practice, family disintegration, and low levels of parental monitoring are also attributed as causes of chemical dependence (as cited in Alvarez-Niemeyer, Nun-Gutierrez, and Rodriguez-Credo, 2006). As such, it can be seen that in the social point of view, the school and the family of the younger generation, or the immediate sub-society of the younger generation, determine their tendency to become chemically dependent. In summary, the perceived causes of chemical dependence in the younger generation may be grouped into three. First cause involves the genetic or the hereditary influence one has from being a chemical dependent, which determines his or her ability to become more susceptible of developing a tendency to become a substance user. A particular study supports this claim, with the emphasis on the influence of the brain chemical dopamine that mediates intercellular communication, and with which substance use may be determined by variants of genes that regulate it (Droves, 2002). Second cause involves the individual per se, and his or her preferences, control, choice, physiology, attitude, and mood towards the use of drugs or alcohol. One possible cause of addiction or chemical dependence involves the loss of control in one’s self, which could determine their ‘gusto’ over alcohol or drugs. Likewise, their preference over the use and abuse of substances also depends on how they handle taking them. Last cause involves the social network or the community from where the individual functions, and includes the influences given by one’s family, peers, school, and culture. In this regard, it can be perceived that this involves one’s exposure to drugs and alcohol, thus, determining his or her extent in becoming chemical dependent. However, it does not follow that the more exposure to such substances leads to chemical dependency. In this sense, the preferences and the choice of an individual in terms of using drugs and alcohol become the decisive factor. From this, it can be understood that the range of problems and causes determine the extent of chemical dependency one will be able to experience and go through.   Effects of Chemical Dependency             It is a given fact that chemical dependency has several known negative effects that may create havoc within the individual or the chemical dependent and within his or her community and the larger society. Determining such effects leads to knowing the mechanism of chemical dependency and addiction, which would later be crucial in understanding the larger picture. As previously defined, chemical dependency is a progressive and chronic disease that is due to addiction or craving of a particular chemical or drug. Fairly similar is the concept of addiction, which is defined as a disease or complex phenomenon with important psychological and social causes and consequences, and involves a biological process, involving a repeated exposure to a drug over time (Starr, 2002). With these similar definitions, it can be perceived that the two concepts are both considered a disease that affects the biological and physiological functions of an individual. However, aside from seeing addiction and chemical dependence as a disease, the society also perceive them as more than mere drug use, but as a behavior exhibiting a compulsive pattern of drug-seeking and drug-taking that takes place at the expense of most of their other activities (Bridge and Robinson, 2003). This definition helps many understand that the concept of chemical dependence affects the individual and social behavior of a person, thus, it is perceived rooted at one’s biological and physiological processes. As such, the mechanism of addiction or chemical dependence can be stressed out, thus, helping individuals understand the concept and the situation of chemical dependent offenders.             The mechanism of addiction or chemical dependence relates to the biological and physiological function of the human body, and determines one’s pleasure responses towards a chemical or substance. Usually, chemical dependents take drugs or alcohol to attain ‘highs’ and escape social, mental and physical stresses. However, they also take drugs and alcohol to avoid withdrawal ‘lows’. This process can be explained using the Opponent Process Theory, which explains that a pleasant dose of drug or chemical activates a dose-dependent a-process in the brain reward circuit system that in turn, triggers the activation of a negative or opponent b-process. This b-process helps restore homeostasis in the brain and brings it back to its normal state. The summation of the actions of the two processes creates the final subjectively experienced state by the person, resulting to the A-state or the pleasant state, caused by the a-process, and the B-state or the negative state that is caused by the b-process (Bridge and Robinson, 2003). During repeated drug use, the dopamine system is being induced, which is a brain neurotransmitter that mediates the communication among brain cells in certain brain regions, and play a role in the pleasant or rewarding effects of substances, such as drugs and alcohol (Droves, 2002), thus, creating changes in the function of the brain. The neurological, chemical, and physical structure changes in the function of the brain results from the repeated exposure of an individual to addictive substances, thus, creating the chemical conditions that produce changes in the behavior of the person, in terms dependence, tolerance, sensitization, and craving (Starr, 2002). From these explanations, it can be understood that the changes in the behavior and responses of chemical dependents depend on the changes brought about by their continued and prolonged exposure to various chemicals or substances. The changes in their physiological and behavioral response determine their actions towards themselves, their family, and their society.             Several effects are recognized in relation to chemical dependency or substance addiction. Primarily, the sensitization of individuals is affected with the increase of drug or alcohol use. Sensitization refers to the increase in a drug effect with repeated drug administration, depending on the biological system of the person that mediates different drug effects and adapt in different ways to repeated drug exposure. Sensitization can be seen in two ways, either affecting the individual’s psychomotor activities or one’s motivation. Psychomotor changes in the individual may include increase or decrease in arousal, attention and motor behavior, producing heightened movement, exploration, and approach. In terms of behavioral or motivational sensitization, changes are exhibited in the physical structure of neurons, changing the patterns of synaptic connectivity within brain regions thus, alter the information processing of the brain (Bridge and Robinson, 2003). In simple terms, a known effect of chemical dependence is the changes in terms of the physical and behavioral aspects of the person that may affect his or her actions toward his or her family and community.             The second known effect is the development of tolerance to both the pleasurable and aversive effects of substance use, which supports the development or maintenance of an addiction. The development of tolerance of substances in substance users requires the individual to consume increasing drug amounts to achieve the desired pleasurable or rewarding effects (Droves, 2002). With the development of such tolerance, the rate of substance use greatly increases, thus, enabling the individual to become more drug or alcohol dependent. In this regard, a substance user is able to attain pleasure or reward from the use of the substance through continued use in high doses. With this, the substance dependent would be more reliant on the substances, thus, making him or her lose control of his or her behavior.             The third effect of chemical dependence is the prevalence of a variety of physical, mental, and behavioral disorders, such as AIDS, HIV, tuberculosis, hepatitis, and other reproductive related diseases in both genders. The unsafe use of intravenous drugs is both directly and indirectly responsible for more than one-third of all AIDS deaths in the United States, including the increasing transmission of tuberculosis and hepatitis B and C. With this, addiction or chemical dependence and HIV infection is one of the major public health challenges in the country. In addition, chemical dependence, particularly alcoholism causes liver disease and other neurological and pathological diseases that are fatal (Starr, 2002). Becoming an alcohol or drug addict leads to the tendency of using other substances or drugs, such as nicotine that is present in tobaccos and cigarettes. In this regard, the use of many and various substances presents the tendency of acquiring a number of different diseases, thus, shortening the life expectancy rate of chemical dependents. Another point to consider is the damage produced by alcohol and other substances to fetal and neonatal development, being contributory to the causes of birth defects and neonatal morbidity. In this regard, the issue of the increasing number of female chemical dependents must be addressed, as having physical diseases attributed to alcohol and drug use significantly similar to males (Blame, 1990). Documented prenatal substance exposure presented effects on fetal and child development, thus, affecting 20% of newborn children in America and causes one in every ten cases of mental retardation (Starr, 2002). In addition, the increase in alcohol intake, particularly in women makes them sexually aggressive and promiscuous (Blame, 1990), thus, increasing the incidences of rape, early pregnancy, single parenthood, and abortion in the society. In this regard, the issue of chemical dependence cannot only be regarded as a medical or behavioral issue, but as a moral issue as well.             Fourth known effect of substance abuse and dependence brings impaired judgment, depression, hopelessness and desperation on the part of the addict, leading him or her to suffer from mental disorders that would lead the person to commit suicide or inflict injuries (Muslins, 1999). These incidents lead to the substantial increase of use of the healthcare system, and particularly of expensive emergency rooms and trauma care services in hospitals and healthcare centers, as 60% of all emergency room visits are related to drug and alcohol problems. In addition, substance use causes close to half of all fatalities in motor vehicular accidents, with more than 100,000 American citizens dying (Starr, 2002). With this, it can be perceived that the influence of the use of either alcohol or drugs impairs the ability of individuals to control not only their mental behavior but their physical and motor skills as well.                     Another evident effect of substance or chemical dependence is the break up and deterioration of family ties, which causes child abuse and family violence. A study cited in Starr in 2002 reports that 78% of female victims who survived domestic violence attacks reported that their attacker had been using drugs or alcohol. Moreover, substance use also leads an individual to commit rape and sexual assault, thus, committing violations and crimes against other individuals and the society. It leads to the abuse and neglect of children, and in some instances, fathers even sexually abuse their children due to the influence of drugs or alcohol, leading to a rough estimate of ten million children affected because of such causes. Substance use and abuse also leads to high rates of divorce and broken families, causing at least three-fourths of cases where children are removed from their families and placed in foster care (Starr, 2002). With this, it can be understood that due to chemical dependence, most children are deprived of their rights to live peacefully and rightfully, thus, affecting not only their lifestyle, but their perception and view of life as well. This event influences them to either disregard or give importance to the value of having a family and of becoming influenced by substance use.                 Muslins (1999) reports that due to chemical dependence, important social, occupational, or recreational activities are being abandoned, and this increases the costs of U.S. employers annually. A study cited in the work of Starr in 2002 estimated that addiction costs U.S. businesses a total of $200 billion yearly, due to lost workdays, premature deaths of workers including on-the-job accidents, and half treatment costs such as fetal alcohol syndrome and AIDS. This leads to the increase in costs of the U.S. society, due to the loss of productivity, increase in direct financial burdens on government programs, and even social deterioration. A study done analyzes economic data stating that alcohol and drug abuse cost the U.S. society a total of $246 billion (Starr, 2002). In this regard, it can be perceived that chemical dependence not only affect the individual user but the whole society as well. It provides the individual with diseases and mental disorders, which cause him or her to commit crimes and other violations towards other individuals and towards the society. Furthermore, due to chemical dependence, children and families are not able to obtain their rights in the society that would allow them to live peacefully and rightfully in their communities.   Chemical Dependence Rehabilitation Methods Currently Used             As previously discussed, there are five types of chemical dependency treatment programs or methods used today, namely, Therapeutic Communities, Residential Settings, Outpatient Treatment, Community Monitoring, and Self-Help. These five treatment programs are general treatment or rehabilitation programs helping many substance or chemical dependents to overcome their condition, thus, enabling them to function effectively and normally in the society. Historically, formalized testing in the field of addiction began in the late 1970s with the National Board of Medical Examiners, which developed examination modules for medical students. Following this is the California Society for the Treatment of Alcoholism and Other Drug Dependencies, which established an examination for demonstrating expertise in addiction in 1983. In 1986, the American Society of Addiction Medicine began the development of a related national chemical dependence examination, which led to the development of other procedures that developed and improved training standards in relation to substance abuse academic medical training. These training standards provided a model for the development and improvement of substance abuse training programs, assisted fellowship applicants in the evaluation of their training needs, and helped in the establishment of certifiable specialty training for the field (Burns et. al., 1991). With the development and improvement of such standards and fields, the problems and the causes of chemical dependence were identified and given importance in terms of treatment and recovery. As such, specific models and treatment programs are being used today.             Specifically, the AA model is one of the most popular chemical dependence treatment programs being used today, including a twelve-step program for any self-defeating or compulsive behavior, such as Cocaine Anonymous, Debtors Anonymous, Dual Disorders Anonymous, Ethics Anonymous, Gamblers Anonymous, Nicotine Anonymous, Overeaters Anonymous, Sex and Love Addicts Anonymous, Survivors of Incest Anonymous, and Workaholics Anonymous. The AA model characterizes or perceives addiction as a progressive, chronic, and deadly disease that leaves the substance dependent or addict “powerless” and experiencing a “loss of control” in the ability to desist a drug of choice. It requires a commitment to total abstinence, the embrace of spirituality, and life-long participation in AA or other twelve-step programs, because it sees an addiction as something that is treatable but never entirely curable. Another treatment program is termed as SOS, which stands for Secular Organizations for Sobriety that was founded by James Christopher in 1986. The program is a non-religious, abstinence-based self-empowerment program that uses the principles of cognitive therapy and visceral synchronization. In views addiction as having three components, namely, a physiological need, a learned habit, and a denial of the need and the habit. The third known treatment method in the United States is the RR or Rational Recovery program that employs an addictive voice recognition technique or the AVERT, which is based on the experiences of former addicts. It views chemical dependence as personal matters that have nothing to do with acquiring, maintaining, or ending an addiction, but develops a thinking skill that aids addicts to recognize and resist the internal “voice” that pressures them to use chemicals for their pleasure. Fourth treatment program is the SMART or Self Management and Recovery Training, which assists its members in maintaining abstinence from various substances, through a continuum of recovery that focuses on the quality of life. It achieves its goals through scientific practice and knowledge, abstinence from addictive chemicals, nurturance of emotional independence and self-reliance, and assistance in giving dependence on support groups (Leman ski, 2000). These and other treatment or rehabilitation programs are being used by the families of chemical dependents in the United States to ensure treatment and recovery of their chemical dependent relatives.   Alternative Rehabilitation or Treatment Methods             Most of the chemical dependency rehabilitation and treatment organizations use the AA model or approach in administering treatment of substance dependents. As a matter of fact, more than 93% of U.S. treatment centers are still locked into the AA approach (Leman ski, 2000). However, despite the success of the use of such an approach, which lasted for more than 60 years, many criticisms have been made regarding the approach that made many researchers to come up with the use of alternative methods for chemical dependency treatments. The major criticism for the AA model and other twelve-step programs is that the treatment is not scientifically-based, but instead is based on religion, spirituality and talk-therapy (Leman ski, 2000). Nowadays, more and more medical practitioners are open to using alternative methods that can be regarded as cost-effective and less conventional.             One alternative method is the use of acupuncture. Acupuncture is a traditional Chinese medical technique that involves the insertion of stainless steel needles into different points in the body. These needles are inserted at particular points in the body, called acupuncture points, in order to balance the opposing forces of yin and yang. This technique unblocks the chi, or the energy that permeates all things in nature, and is believed to flow through the body along 14 main pathways termed as meridians. It is said that when yin and yang are in harmony, the chi flows freely within the body and the person is said to be healthy. However, the presence of sickness and disease obstructs the flow of the chi, thus, needing acupuncture to restore smooth flow of the chi within the body (Carroll, 2005). In addition, the idea behind acupuncture is that the presence of a disease entails the loss of balance between the yin and the yang energies, thus, disrupting the function of the whole biological system. The treatment of the disease through the activity of needles, pressure, and heat on the sensitive parts of the body may treat the patters of disharmony (“Acupuncture”, 2007). Through the extent of the use of acupuncture in both Eastern and Western countries, several ailments are said to be treated through therapy, including allergies, arthritis, kidney problems, constipation, depression and anxiety, headaches, colds, dizziness, fatigue, flu, paralysis, sexual dysfunction, stress, stroke, smoking, and high blood pressure (Carroll, 2005). In the perspective of chemical dependency, becoming substance dependent is considered the disease in this sense, thus, blocking the chi of the user. In addition, substance or chemical dependency is said to be a symptom of a system or society that is out of balance, and the lack of that balance leads to the lack of calm inner tone, which results to aggressiveness, and causing crimes in the society. The use of acupuncture as an alternative treatment of chemical dependence helps the user in stimulating his or her yin points or positive points, in order to restore inner calm tone. Acupuncture detoxification works by releasing blockages of energy or chi and correcting imbalances of energy flow, which involves homeostatic action in the autonomic nervous system, various neurotransmitters, and elements in the pituitary actions and responses in the brain (Serrano, 2007). In this sense, the use of acupuncture as a treatment alternative presents positive effects for the use of the needles in the body would eventually lead to the release of more positive energies in the body that would stimulate the smooth process of the biological functions of the body. Proper stimulation of the nerves and blood circulation in the body improves the flow of nutrients in its parts, thus, improving the distribution of minerals and nutrients in the body, essential in its vital functions. This improvement thus improves also the disposition of the substance user, and eventually, improves his or her way of thinking that would lead the individual to realize the importance of his or her life in the society.             Another alternative treatment for substance dependence is through hypnotherapy. Hypnotherapy involves psychological therapy and counseling, and is a treatment of emotional and psychological disorders, unwanted habits and undesirable feelings, using psychological techniques. Through hypnotherapy, therapeutic mental suggestions are introduced into the mind of the client in a relaxed and receptive state, in order to find meaningful alternatives to their present unsatisfactory ways of thinking, feeling or behaving (Broom, 2007). It helps clients overcome their anxiety, insomnia, stress, panic attacks, phobias and addiction, which are considered the altered state of the consciousness of the individual. During hypnotherapy, the person is in his or her relaxed state, wherein the breathing, heart rate, metabolism, and brain waves slow down, thus, becoming more receptive to suggestion and able to exert control over normal involuntary processes (Young, 2007). During this relaxed and highly receptive state, the chemical dependent can overcome his or her substance addiction through enhancing imagery techniques. A specific study points out that a reward center is present deep within the brain, where emotion-laden memories of past positive drinking or drug-taking experiences become associated with cues. Exposure to cues activates the reward center of the brain, leading to craving during abstinence. However, through hypnotherapy, experiences are changed to positive ones, thus, reducing craving, through using suggestions, reframes, metaphors, and positive imaging. A study that proves this is the study done by Walberg in 1948, who treated alcoholism by using hypnosis to enhance dream imagery (as cited in Potter, 2004). Aside from aiding in the treatment of addictions, hypnotherapy is also helpful in treating the symptoms of Post Acute Withdrawal that occurs in acute withdrawal from an addictive drug. A study done by Whitehouse et. al in 1996 reports that stress levels were lowered through hypnosis, thus, making it an alternative treatment for chemical dependency (as cited in Potter, 2004).             The third type of alternative treatment for chemical dependency is homeopathy, which involves providing an extremely small dose of substances that produces characteristics symptoms of illnesses in healthy people when given in larger doses, thus, being termed as an approach with a belief that “like cures like”.  Similar to acupuncture, a key premise in homeopathy is the belief that every individual has an energy termed a vital force or self-healing response, and the disruption of such energy causes health problems (“Questions and Answers about Homeopathy”, 2007). This type of alternative strategy was discovered by a German physician, Samuel Hahnemann, who proved that same substances, in large amounts could cause disorders within the body; however, in minute doses could cure the same disorders. In the general Western medicine, strong drugs can help cure illnesses, and symptoms are caused by the illness. However, a positive outcome cannot occur with the increasing dose of medicines, and oftentimes lead to chemical dependency and masked symptoms. On the other hand, in homeopathy, the symptoms of the illness become indicative of the desire of the body to fight the illness and the type of substances required to produce a positive response by the body’s own natural healing forces of recovery (Better, 2007). Although this might be a good alternative for curing chemical dependency, it has been reported that research studies on homeopathy have been contradictory in their findings, such that some analyses concluded that there are no strong evidences that support it being effective for any clinical condition, while some positive effects were not readily explained in scientific terms (“Questions and Answers about Homeopathy”, 2007). With this, it can be understood that although homeopathy is suitable in treating chemical dependency due to its use of minute amounts of substances in the belief that it would lead to the same effects, not enough findings and studies have been able to support its effectiveness as an alternative treatment method. For this matter, it would be best if other more studies and supports should be done, before considering it an alternative treatment process for chemical dependency.              Another type of alternative treatment for chemical dependency is termed as NLP that stands for neuron-linguistic programming therapy, which is a method, set of techniques, or personal development system about human communication, perception and subjective experiences. It teaches that a specific individual can develop successful habits by intensifying helpful behaviors and reducing negative ones, and such change can be done by carefully reproducing the behaviors and beliefs of successful people, through the process of modeling. This approach or method aids individuals in terms of self-help, personal influence, and business communication. This approach is related to the treatment of substance or chemical dependency because this approach recognizes the notion that experiences are processed by the sensory systems of the brain, and the processing of that information in the brain lead one to see images and hear sounds and voices along with the creation of feelings. Processing of such information lead to the creation of representations, thus are being activated during any type of activity. The organization and arrangement of such images create impacts on the behavior of individuals. NLP techniques interrupt the maladaptive patterns in the brain, and replace them with more positive and creative thought patterns that would affect the behavior of the person. NLP techniques involve modeling, or adopting a specific behavior or belief of successful individuals, the meta-model or widening the map of the world of the person through language patterns, the Milton model, a form of hypnotherapy that uses language patterns to contact the hidden resources of one’s personality, and the representational system (“Neuron-linguistic Programming”, 2007). …             However, despite the large number of treatment programs available for chemical dependency recovery, its selection can be confusing to a family in the middle of a crisis. For this reason, the National Council on Alcoholism and Other Drug Dependencies and various community programs can provide a summary of local treatment resources. Moreover, these programs can suggest levels of care based on interviews with family members and the addicted family member, which in this case is the chemical dependent offender. Nevertheless, a more accurate recommendation would only be made after the patient has been assessed by healthcare professionals. A number of treatment programs provide free assessments and give out recommendations regarding the required level of treatment (Landry, 1994).   Assessment Used for Chemical Dependent Offenders             The treatment of chemical dependents involves first the evaluation and assessment, treatment planning, medical and psychiatric management, psychosocial rehabilitation, and continuing care (Landry, 1994). It is important to assess and evaluate first the condition of the chemical dependent to be able to administer an effective treatment program suitable for his or her condition. A number of evaluation and assessment phases must be undergone by the chemical dependent to ensure that all stages of his or her condition would be properly examined. Primarily, screenings would be done to help determine whether the individual has a substance disorder and whether further evaluation is recommended. After this evaluation, the diagnostic evaluation is done, which documents the presence of a substance use disorder and describes that disorder, thus, providing health professionals with useful and relevant information regarding the problem of the offender. An intake evaluation is also done to trace the medical history of the patient, and becomes the basis for the decision in admitting the patient or to make a referral to other treatment programs (Landry, 1994).             Specifically, in treatment settings, patients are provided with medical assessments to determine their current medical problem. Medical assessments include detection of addiction-related problems, such as withdrawal, AIDS, hepatitis, or other diseases. The patient undergoes a physical examination, a thorough drug history, x-ray, electrocardiogram, urinalysis, blood tests, and other drug screening tests. Another form of assessment done is the nursing assessment, which takes place during detoxification in inpatient settings. Daily nursing assessment involves the patient’s response to drug cessation, to medication, interactions with other patients and staff, and early response to treatment. Third assessment done is the psychiatric assessment, which is used to confirm the presence and severity of substance use disorders. This type of assessment is a question-and-answer type of assessment, with self-report tests, structured interviews, and personality tests (Landry, 1994). The next assessment done is the nutritional assessment, which is necessary because during active addiction, nutritional needs are unmet. For this reason, the nutritional needs of the chemical dependent is being evaluated to determine other diseases that may have been caused by his or her condition, thus, requiring additional treatment and care. Nutritionist and other healthcare professionals use structured interviews and laboratory tests to determine the presence and severity of nutritional problems. The fifth assessment to be utilized is the family assessment, where family therapy specialists interview the patient and other family members of the chemical dependent to obtain a clearer understanding of the addict’s family dynamics, effects of addiction on the family, and the effect of family structure on the individual’s addiction. This type of assessment provides information on the expected level of support and understanding of the family of the addict for the treatment and recovery. The next type of assessment done is the social and emotional assessment, which recognizes the fact that different social and emotional problems may have contributed to the drug or alcohol use of the individual. These problems or issues must be identified for a more effective prevention and recovery. In this regard, the social and emotional strengths and weaknesses of the chemical dependent, which would be helpful in administering treatment that would involve the enhancement of poor skills and the encouragement of the use of such skills for personal growth. Another type of assessment that must be done is the recreation, stress, and leisure assessment that involves participation in various activities and exercises that promote pleasure, and this includes sports, hobbies and games. This form of assessment recognizes the fact that during the course of addiction or chemical dependence, the addicts seize to participate in recreational and leisure activities, thus, with this form of assessment, the chemical dependent would be able to enjoy his or her life through interactive and social activities. The next type or form of assessment is the legal assessment, which helps the chemical dependent to address problems such as court appearances that would contribute to the severity of stress and anxiety, thus, reducing the effectiveness of treatment. The last type of assessment to be done is the vocational assessment, which would help the chemical dependent obtain and maintain their jobs or employment. Through this assessment, the chemical dependent is monitored to help them return to their jobs, thus, making them realize their importance to the society and to their community. This form of assessment examines and evaluates the individual skills, interests, job history and addiction-related occupational problems of the chemical dependent, thus, determining the areas that need to be addressed during the treatment and recovery period (Landry, 1994).                Aside from the use of such assessment methods is the frequently used form of assessment, which is with the help of counselors or through counseling orientations. These counseling orientations are usually facilitated by psychiatrists, who use a clinical model in determining problems related to chemical or substance dependence. This form of assessment can be used effectively because it is scientifically and research-based, thus, facilitating a scientific approach concerning the treatment of chemical dependents. Counseling orientations use a clinical model that helps the patient and the clinician to understand or treat a clinical problem (as cited in Johnson et. al., 1994), where in this case addiction or chemical dependency is treated as a clinical problem. This specific type of clinical assessment uses an instrument to measure substance abuse through the Powerless-Empowerment Scale, which is a substance abuse counseling assessment method that involve the degree of responsibility of clients should assume for their recovery and how much power they have to overcome their addictions (Johnson et. al., 1994). With such assessment methods, chemical dependent offenders are able to have an idea on the extent of their addiction and on the extent of their treatment. Furthermore, assessments are important in the effective administration of treatment of chemical dependent offenders.   Testing Chemical Dependent Populations             After proper and effective assessment is done, drug testing is appropriate. This should be observed in order to assist the chemical dependent and his or her treatment on rehabilitative and punitive interventions, to reduce drug consumption by the increase in the access to treatment services, to obtain balanced punishment, justice, protection, and offender rehabilitation, and to provide needed information regarding policing and treatment policies and strategies (Matrix Research and Consultancy and NACRE, 2007). These must be taken note of in order to observe effective drug testing strategies and methods that would enable the further improvement and development of treatment methods for chemical or substance dependency.         Types of drug testing includes pre-employment drug testing and the Post-incident drug testing, which are commonly done in businesses, and the random drug testing, which is the most controversial type, as being used primarily for controlling illicit substance use in the society. This is done most especially in determining the extent of substance use of chemically dependent populations, such as in rehabilitation centers, prisons, different government agencies, and in schools.               Drug and alcohol tests are divided into two general classifications, one is through giving a sample of bodily fluids or hair and the other one is with on-site screens. The commonly used method for drug testing is through urinalysis, where a specific individual provides a sample of urine, and the amount of substance is detected either through a test card or through laboratory tests. Tests done in the laboratory may include gas chromatography or mass spectrometry and high-performance liquid chromatography or immunoassay analysis. Another way of detecting the amount of substances in the biological system of chemical dependents is through hair drug testing. This is an accurate test, as the hair can go back normally in 3 months, thus, would clearly show the use of drugs by the individual. Substances are contained in the hair shaft, and with longer strands of hair, the more the drug history of the individual can be easily detected. The third type of drug testing methods is through saliva drug screen or the oral fluid-based drug screen, where substance detection occurs after a few days. This is being used, as this type of drug test cannot be adulterated or cheated. Saliva testing can be compared to the accuracy obtained using blood samples. The last type of drug screen is in using sweat, where sweat test patches are attached to the skin of the chemical dependent for 10 to 14 days. This type of drug test is very applicable with the detection of substances for child protective services, parole departments, and other government agencies concerned with the use of drugs over long periods, and when urine samples are not applicable (“Drug Test, 2007). After gathering relevant data from the use of the different drug test methods, samples would be taken to the laboratory for additional confirmatory tests in order to determine the positivist or the negativity of the samples. This would in turn, confirm and indicate the amount of substances present in the biological systems belonging to the chemical dependent population.             With such drug test methods, the extent of chemical dependency among the target populations would be effectively and efficiently examined. The mentioned tests are not enough to confirm the presence of substances in the system of the chemical dependent. Rather, confirmatory must still be done in order to strongly indicate the presence or absence of substances.   Chemical Dependency Treatment Works              Given the above information, it would be necessary to take note if the chemical dependency treatment methods and strategies are essential and effective in the treatment and recovery of the target population. This is necessary to know the most used chemical dependency treatment used by most rehabilitation centers, and to become the basis of this research paper’s conclusion and recommendation. In addition, it would also be essential to take note of the effectiveness and efficiency of chemical dependency treatment programs to enable further investigation, study, and development that would cater to the needs of the chemical dependent populations in this study.             It has been reported that despite the number of chemical dependency treatment programs available, there are relatively few outcome studies of treatment programs for chemically dependent adolescents. A cited study in Macmenamin and Ralph (1996) indicated that relapse rates from treatment programs range from 35 to 70%, and that there is minimal information indicating the type of program used, (whether inpatient or outpatient), and whether it is effective or not. Another study indicated that adolescent chemical dependency programs that employed counselors with longer tenure, larger number of volunteers, increased delivery of mental relaxation techniques, and more practical problem solving were attributed to higher completion of treatment. However, this study did not indicate the success rate of such a program. In the comparison of different races in the American society, a specific study of American Indian and European American adolescents found out that following a four to six week inpatient treatment program, 27% of European Americans, and all American Indians continued using alcohol. On the other hand, 46% of American Indians and 41% of European Americans never used marijuana or hashish. This indicates that behavioral changes attributed to the recovery of chemical dependents from drug and alcohol use is not much written, while more literature indicating that chemical dependent populations are under treatment (as cited in Macmenamin and Ralph, 1996). With this data, it can be perceived that the success of the treatment programs were not indicated in most studies related to chemical dependency, and that most of the literatures being recovered indicate that many continue to use alcohol or drugs after being subjected to treatment. From this, it can be hypothesized that either the chemical dependency treatment program or method used in the recovery of the patient is not effective, or the chemical dependency treatment used does not suit the needs of the patient. However, despite such records, some studies indicate the effectiveness and the success rates of such chemical dependency treatment methods.             Starr (2002) reports that most studies on chemical dependency show that treatment programs on average have an effectiveness rate of 30 to 60%, if measured in terms of the number of people who remain totally abstinent for one year or longer, and where individual treatment programs may achieve higher abstinence rates. In addition, according to the Partnership for Recovery, which is a coalition of top treatment centers, success rates ranges from 51 to 75%, while the Hazel den Foundation boasts a 77% rate of keeping people clean and sober at the end of one year, having 54% being completely abstinent from substance use, and the rest having had just one episode of use during that time. Nevertheless, although addiction treatment is perceived to be not universally successful, its success rate can still be compared to the success rate of treating other diseases, including hypertension, diabetes, and asthma. Thus, as a specific study reported, addiction treatment ranked in the top 10% of medical treatments reviewed for savings in money and lives (as cited in Starr, 2002).             Another possible measure indicating the effectiveness and success of the chemical dependency treatment programs is through taking note of the lives of the treated patients after undergoing the treatment program. A study indicates that after undergoing the treatment recovery program and the discharge of the patients, significant changes in the patients’ behavior were observed. Macmenamin and Ralph (1996) reports that before admission of chemically dependent adolescents in the treatment program, 75.9% of students were enrolled in regular high school, 12% in a continuation school, 2.8% in independent study, and 6.5% were not in school. However, after the treatment program, 37% were enrolled in regular high school, 9.3% in a continuation school, 26.9% in independent study, and 9.3% were not in school, which included graduates. This study also pointed out that among their respondents, 2 out of 81 students did worse in school after discharge, while 64 out of 81 students improved. In addition, 40 out of 108 students were working before admission, while 58 out of 108 were working after discharge, resulting to an increase number of graduates and improved lives after discharge and treatment. Moreover, the behavior of the adolescents also improved, indicated by the improvement of their relationship with their family after their discharge, having 82 out of 107 parents having improved relationships, while only 5 out of 107 parents who had worse relationships (as cited in Macmenamin and Ralph, 1996). With this data, it can be perceived that although the success rate of chemical dependency treatment programs are not always indicated in figures, it can still be regarded as an effective and efficient tool that improves the lives of the patients. However, such studies failed to indicate the most effective chemical dependency treatment programs being used and implemented in different rehabilitation and treatment centers and institutions.                                            Chapter 3 Methodology               This part discusses the research methods available for the study and what is applicable for it to use. Likewise, the chapter presents how the research study was implemented and how it came up with relevant findings. Moreover, this chapter also presents the various procedures and strategies in identifying the sources for the needed information to know the relative preferences of the chosen respondents in terms of the treatment of chemically dependent populations. It specifies the research design that was followed, the process of data gathering, and the data analysis method that would be used.   Research Method             Three kinds of research methods can be used in doing research studies, namely, correlation, experimental, and descriptive method. The correlation method is used with regards to ethical and practical problems with experiments. In addition, inferring causality from correlation is not actually impossible but very difficult, so this mode of study is widely acceptable, cheap and usually ethical. Nonetheless, there exist some “third variable” issues and measurement problems in the use of this type of method. In essence, this type of research method refers to studies in which the purpose is to discover relationships between variables through the use of correlation statistics.             Another type of research method is the experimental method, which is the only method that can be used to establish cause-and-effect relationships (Creswell, 1994). That is, this type of research method is the only method that can be used to explain the bases of behavior and mental processes. In this method, the subjects are split into two or more groups, where one group is called the experimental group and gets the treatment that the researcher believes will cause something to happen. This treatment is formally called the independent variable. The experimental and control groups are compared on some variable that is presumed to reflect the effects of the treatment or outcome. This is formally referred to as the dependent variable.             The third and final approach is the descriptive research method, which uses observations and surveys. In this method, it is possible that the study would be cheap and quick. It could also suggest anticipated hypotheses. Nonetheless, it would be very hard to rule out alternative explanations and especially infer causations. Thus, this study will use the descriptive approach to utilize observations in the study.             The research study started by conducting an exploratory type of research in the aim to identify the variables needed. The research study included personal interviews and self-administered questionnaires. In addition, a set of articles and other literature were used in the process of building constructs and identifying variables. After identifying constructs and variables, a questionnaire was made and distributed to respondents from different chemical dependency treatment centers and rehabilitation institutions. Particularly, the method utilized in this research study is termed the research onion process, which will be used in order to ensure that the researcher will be able to obtain the necessary data to examine which rehabilitation program is the most effective treatment for chemically dependent offenders.   Research Onion Process             In order to come up with the most suitable research approaches and strategies for the study, the research onion process was utilized. The process was termed as such because the conduction of the research is like peeling the layers of an onion, in order to come to the central issue of how to collect the necessary data needed to answer the research questions and objectives. In this research process, important layers should be first peeled away, before arriving at the core of the process. With the said process, an outline on what measures to be applied are most appropriate would be made. In addition, it is not unusual for a researcher to first think of his research understanding by considering whether one should for example, administer a questionnaire or conduct interviews; this is why thoughts of this question should belong to the center of the research onion (Saunders, 2003). That is, in order to come to the central issue of how to collect the data needed to answer one’s research questions, there are important layers of the onion that needed to be peeled away. The first layer raises the question of the research philosophy to adopt, particularly of positivism. With this research philosophy, a researcher prefers to work with an observable social reality in order to come up with law-like generalizations similar to those produced by the physical and natural scientists (Remedy et. al., 1998). In this tradition, the researcher becomes an objective analyst, coolly making detached interpretations about those data that have been collected in an apparently value-free manner (Saunders et al, 2003). In addition, the emphasis is on a highly structured methodology to facilitate replication (Gill and Johnson, 1997) and on quantifiable observations that lend themselves to statistical analysis (Saunders et al, 2003). The assumption is that the researcher is independent of and neither affects nor is affected by the subject of the research (Remedy et. al., 1998; Saunders et al, 2003). The second layer considers the subject of the research approach that flows from the research philosophy. Specifically, this research study adopts a deductive research approach, which moves from general ideas or theories to specific particular situations. An example of the application of this kind of research approach is knowing the number of definitions of the word ‘professional’ from a number of professional associations. The definition can be obtained by using a questionnaire, interviews, or group discussions, and through selecting a sample on the basis of age, gender, occupation, etc. The data obtained can then be collated and results presented. This research approach is relatively easy and a systematic way of testing established ideas on a range of people (Neville, 2005). In addition, this approach has five sequential stages, namely, deducing a hypothesis, expressing the hypothesis in operational terms, testing this operational hypothesis, examining the specific outcome of the inquiry to either confirm the theory or indicate the need for its modification, and modifying the theory in the light of the findings, if necessary (Robson, 1993). The third layer examines the research strategy that is most applicable, and adopts the case study research strategy. This type of research strategy uses a particular case study or situation, which will be the basis for the collection of data, analysis of information, and report of results. Through this case study, the research would be able to understand as to why the situation happened, and the important aspects that should be given attention in the future. This research strategy also helps in generation and testing of hypotheses (“Case Study”, 2007). The fourth layer refers to the time horizon a researcher applies to his or her research, which in this research study is referred to as the cross sectional time horizon. It has been reported that in the cross-sectional type of research, data needed in the research study are collected from the respondents at a single point in time or during a single, relatively brief timeframe. Particularly, the data are collected from multiple groups or types of people, such as from males and females, from people belonging to different socioeconomic classes, from multiple age groups, and from people with different skills and accomplishments. The advantage of using such a research approach is that the needed data can be collected from different respondents in a relatively short timeframe (“Cross-Sectional Research”, 2006). The fifth and final layer is the data collection methods that are to be used in the research study. The data collection method used in this research study would be useful in obtaining the secondary data needed, particularly the data from the target population or respondents.   Research Design             It has been previously mentioned that the second layer of the research onion process refers to the subject of the research approach, and identifies the deductive research approach as a means of obtaining the necessary data. Furthermore, the deductive approach has a number of important characteristics. Primarily, this approach is a search to explain causal relationships between variables, which consequently lead to the development of a hypothesis. Second, it involves the collection of a quantitative data and/or qualitative data, and these data are important to test a hypothesis that has been previously developed. The third characteristic of a deductive approach is that it controls to allow the testing of hypothesis. However, one must remember that with this approach, it is important that the researcher is independent of what is being observed – that is, the researcher should be objective and not subjective. In this sense, the principle of scientific strictness will be pursued, as this approach emphasizes scientific principles (Saunders et. al., 2003). Another important aspect to take note of is that the concepts are operationalisation, which will enable facts to be measured quantitatively. Finally, the deductive approach is a generalization, and to be able to do so, a sufficient numerical size of samples is needed (Saunders et. al., 2003). However, along with the guide of the sequential stages in adopting the deductive research approach, effectively and properly obtaining data from respondents involve both a qualitative and quantitative research, using exploratory methods in describing the variables, such that the data situation and other facts collected were explained and correlated with other data. This form of research design is useful when conducting a study where data are immeasurable, such as feelings, beliefs, and thoughts (Mays and Pope, 2000). In addition, this descriptive study focuses on the conditions set and the nature that surrounds the data, and not on the correlation with other collected facts. Specifically, the qualitative method permits a flexible and iterative approach, while the quantitative research method permits specification of dependent and independent variables and allows for longitudinal measures of subsequent performance of the research subject. During data collection, the choice and design of methods are constantly modified, based on ongoing analysis. This allows investigation of important new issues and questions as they arise, and allows the investigators to drop unproductive areas of research from the original research plan. The value of qualitative research can best be understood by examining its characteristics. One of the primary advantages of qualitative research is that it is more open to the adjusting and refining of research ideas as an inquiry proceeds. In addition, the researcher does not attempt to manipulate the research setting, as an experimental research study, but rather seeks to understand naturally occurring phenomena in their naturally occurring states. In comparison, the quantitative method is compatible with the study because it allows the research problem to be conducted in a very specific and set terms (Cooper and Schindler, 1998). Besides, the quantitative research plainly and distinctively specifies both the independent and the dependent variables under investigation. It resolutely follows the original set of research goals, arriving at more objective conclusions, testing hypothesis, determining the issues of causality, and eliminating or reducing subjectivity of judgment (Kelley and Pothered, 1996). In addition, this method allows for longitudinal measures of subsequent performance of research subjects (Mated, 2002). Finally, it provides achieving high levels of reliability of collected data due to, namely, controlled observations, laboratory experiments, mass surveys, or other forms of research manipulations. This study should be based on surveys and statistical treatments, such that the quantitative approach suits well with it.                   To find out causes of addiction and chemical dependency in the target population; 12) To identify the elements that foresee substance exploit problems or the problems that lead to chemical dependency; 13) To determine the effects of chemical dependency to individuals and to the society; 14) To determine the different drug and alcohol rehabilitation methods currently used, including its process, duration and development; 15) To provide an ample assessment of offenders with chemical dependency problems; 16) To evaluate processes and tools presently used for testing; 17) To determine alternative rehabilitation methods available for chemical dependents; 18) To determine the chemical dependent treatment effects of the offenders; 19) To identify the constructive dependency treatment results in offenders; Chapter 4 and 5  To recognize the impacts of such actions to the society; Conclusion and Recon   Issues  (1) Fortunately, although no cure exists, medical treatment can enable recipients to live normal, healthy, and productive lives. Treatment is cheap compared to many other common medical procedures and is highly cost-effective. (2) Now consider this: For the vast majority of victims of this disease, effective treatment is inaccessible. Most health insurance plans either do not cover it or put a variety of limits on coverage that do not apply to other diseases. Unless they can pay out of pocket, victims cannot get the treatment they need. To make matters worse, they are often told that their condition is not a real disease, or that it is their fault, or that suffering from it makes them a criminal. The disease is drug and alcohol addiction, and the facts are real. Ubiquitous benefit caps on insurance coverage of substance abuse treatment put effective recovery out of reach for most addicts. In this Note, I assess the nature of this problem and some possible ways to address it. The general principle that I advocate is substance abuse treatment parity, which means that insurance plans should provide coverage for addiction treatment that is equivalent to that provided for analogous conditions. In some cases, failure to provide such parity should be considered illegal disability discrimination on the part of employers and insurers. Moreover, new laws should be adopted to require insurance parity explicitly. In Part I, I review the current status of insurance coverage of addiction treatment and assess the scope of the shortfall and possible reasons behind it. In Part II, I set forth the case for insurance parity, including the nature and costs of the disease of addiction and the efficacy and cost-effectiveness of treatment, and consider some counterarguments. In Part III, I analyze the requirements of the Americans with Disabilities Act (ADA) as they pertain to insurance parity, drawing on the precedents set by recent challenges to other types of insurance discrimination. I conclude that the ADA should be interpreted to require parity in some cases, but that the potential effectiveness of this litigation strategy is limited--new reforms are necessary. In Part IV, I consider the strengths and weaknesses of current legislative proposals to accomplish insurance parity, and focus especially on the Substance Abuse Treatment Parity Act. Finally, in Part V, I offer my conclusions and recommendations for legal change and advocacy.     Sample Questionnaire 1   Personal Information of Respondent Please provide necessary answers on the space provided after each item. On items with choices, please mark the corresponding answer in line with the respondent’s preference.   Name: _____________________________               Date: _________   Gender: Female ______           Male: ______   Rehabilitation Institution: ___________________________ Location: ________________________________________   Age Range: Below 20 _____          20 to 25 _____            26 to 30 _____            31 to 35 _____   36 to 40 _____          41 to 45 _____            46 to 50 _____            Over 50 _____   Race: Native American _____            European American _____       African American _____                       Asian _____                 Others (pls. specify)___________   Religion: Christian _____            Muslim _____              Catholic _____ Buddhism _____ Hindu _____                Protestant_____           Others _____   Marital Status: Single _____                Married _____             Divorced/Widowed _____       Children (if any): _____   Educational Background: High School Education _____   University Education _____ Masterly Studies _____                        Doctorate Studies _____ Vocational_______   Occupation: (A) Student (pls. specify) _____________ (B) White Collar Job – doctor, lawyer, nurse, accountant, etc (C)  Blue Collar Job – construction, domestic helper, plumber, factory worker, etc (D) Unemployed   Substance/Chemical Used upon Arrest (A) Alcohol (B) Drugs (pls. specify what kind) _____________________ (C) Others (pls. specify)   Type of Chemical Dependency Treatment Currently In: __________________   Duration: (A) Once a week (B) Twice a week (C) Thrice a week (D) Daily (E) Monthly (F) Occasionally (G) Full In-house Treatment             1. Regular             2. Intensive (H) Outpatient Treatment             1. Regular             2. Intensive   Stage of Treatment (A) Newly Enrolled (B) Regularly attending sessions (C) Near recovery       Sample Questionnaire 2   All items are responded to using a 5-point Liker-type scale with the following points: 1 for Strongly Agree; 2 for Agree; 3 for Uncertain; 4 for Disagree; and 5 for Strongly Disagree. Please mark the corresponding space for the points.   1. Do you recognize the fact that you are a chemical dependent individual?         ⁮ 1 Strongly            ⁮ 2 Agree         ⁮ 3 Uncertain       ⁮ 4 Disagree       ⁮ 5 Strongly                    Agree                                                                                                     Disagree   2. Do you recognize that your situation affects your behavior entirely?         ⁮ 1 Strongly            ⁮ 2 Agree         ⁮ 3 Uncertain       ⁮ 4 Disagree       ⁮ 5 Strongly                    Agree                                                                                                     Disagree   3. Do you believe that your chemical dependency has given you any advantages?        ⁮ 1 Strongly             ⁮ 2 Agree         ⁮ 3 Uncertain       ⁮ 4 Disagree       ⁮ 5 Strongly                    Agree                                                                                                     Disagree   4. I perceive drugs or excessive use alcohol a tool for the disruption of my future.        ⁮ 1 Strongly             ⁮ 2 Agree         ⁮ 3 Uncertain       ⁮ 4 Disagree       ⁮ 5 Strongly                    Agree                                                                                                     Disagree 5. Do you realize the negative effects of your situation to your family and friends?        ⁮ 1 Strongly             ⁮ 2 Agree         ⁮ 3 Uncertain       ⁮ 4 Disagree       ⁮ 5 Strongly                    Agree                                                                                                     Disagree   6. Are you satisfied with the extent of treatment provided to you?       ⁮ 1 Strongly              ⁮ 2 Agree         ⁮ 3 Uncertain       ⁮ 4 Disagree       ⁮ 5 Strongly                    Agree                                                                                                     Disagree   7. Do you believe that the currently administered treatment is suitable to your condition?      ⁮ 1 Strongly               ⁮ 2 Agree         ⁮ 3 Uncertain       ⁮ 4 Disagree       ⁮ 5 Strongly                    Agree                                                                                                     Disagree   8. Has your attention been completely diverted from the use of alcohol/drugs?      ⁮ 1 Strongly               ⁮ 2 Agree         ⁮ 3 Uncertain       ⁮ 4 Disagree       ⁮ 5 Strongly                    Agree                                                                                                     Disagree   9. Has your condition improved from the time you entered the institution?      ⁮ 1 Strongly               ⁮ 2 Agree         ⁮ 3 Uncertain       ⁮ 4 Disagree       ⁮ 5 Strongly                    Agree                                                                                                     Disagree   10. With the extent of your knowledge, do you perceive another type of chemical dependency treatment more applicable to your condition?      ⁮ 1 Strongly               ⁮ 2 Agree         ⁮ 3 Uncertain       ⁮ 4 Disagree       ⁮ 5 Strongly                    Agree                                                                                                     Disagree 11. Are the activities facilitated in this institution successful in treating your addiction?      ⁮ 1 Strongly               ⁮ 2 Agree         ⁮ 3 Uncertain       ⁮ 4 Disagree       ⁮ 5 Strongly                    Agree                                                                                                     Disagree

Sample Most Effective Rahabilitation Method of Chemically Dependent Offender Populations Essay

Most Effective Rehabilitation Method of Chemically Dependent Offender Populations Outline: (flow of discussion) –Plan – refer to ab...