Tuesday, December 24, 2019

Relapse Prevention Plan Essay - 1065 Words

Relapse Prevention Plan Margaret Farley Grand Canyon University PCN 501 November 26, 2014 Relapse Prevention Plan Jed, a 38 – year old welder, enrolled in the treatment center after his arrest resulting from drunken driving (DUI/DWI) (National Institute on Alcohol Abuse and Alcoholism, n.d.). His lawyer has advised him to stop drinking and get treatment until his trial date, which is in approximate two months. Jed does not believe that he will serve any jail time, but feels that treatment could help strengthen his court case (National Institute on Alcohol Abuse and Alcoholism, n.d.). In this paper, I will create a relapse prevention plan that will aid Jed as he enters into his treatment program. This paper will also show†¦show more content†¦This would be accompanied by the reconstruction of the current problems, the alcohol and substance use history, life history and retrieval relapse history. Through the reconstruction and presentation of problems, the now and here issues that stand to cause immediate threat to sobriety can be pinpointed and crisis plans developed to resolv e such issues. Step 3: Relapse Education Relapsers have to be familiar with the relapse process and the best ways to manage it. Involving the family and other sponsors is a great idea. The education should strive to emphasize four main messages: First, relapse is an ordinary and a natural process in the recovery out of the chemical dependence. One should not be ashamed of it like in the case of Jed who â€Å"gets jumpy† when he tries to stay away from drinking, feeling â€Å"closed in or like he is suffocating†. He also cannot imagine how to explain to his buddies why he is not joining them in the bars. Secondly, people are not all of a sudden taken drunk. There are gradual warning sign patterns that indicate they are slowly cropping in again. Such signs can only be recognized when one is sober. Thirdly, after they are identified, the recovering individualsShow MoreRelatedThe Anorexia Relapse Prevention Guidelines1129 Words   |  5 PagesThe Anorexia Relapse Prevention Guidelines in Practice: A Case Report Introduction Anorexia Nervosa is a fairly common and very consequence psychiatric disorder that affects a person’s desire to consume nutrients because they believe that they are overweight. Women are more likely then men to develop this specific disorder and teenagers aged 15 to 19 are at the highest risk of anyone (Berends, Van Meijel, Van Elburg, 2012). Individual’s affected by Anorexia Nervosa Disorder will refuse to maintainRead MoreA Client That Is Suffering From A Substance Abuse1340 Words   |  6 PagesRelapse Prevention Plan The purpose of this paper is to assess a client that is suffering from a substance abuse. The assessment will help determine the client’s treatment plan. By assessing the client it will help for a better understanding of the substance abuse and behaviors attach. There will be recommendation and prevention plans to help the clients and his family with their needs to help with the treatment. Client Name and age: Jed, age 38 years old. Family’s situation: Jed has beenRead MoreSubstance Abuse That The Np Should Discuss With Mr. Hr And His Girlfriend?759 Words   |  4 Pages5. Discuss one main issue of substance abuse that the NP should discuss with Mr. HR and his girlfriend?(15pts) Answer: Relapse is defined a person who returns to a certain behavior that he/she had stopped doing that for a certain period. Commonly, these behaviors include to use the alcohol, cigarette and substance abuse. Patients with anxiety and shame have higher chance to get into remission condition because they tend to use these substances to relieve their pain, shame and anxiety. Mr. HR justRead MoreEffectiveness of Relapse Prevention Therapy1009 Words   |  4 PagesEffectiveness of Relapse Prevention Therapy Effectiveness of Relapse Prevention Therapy Relapse prevention therapy involves employing cognitive behavioral techniques to reduce the recurrence of relapse. One approach to relapse prevention is mindfulness-based cognitive therapy (MBCT), which was designed to reduce rates of relapse based on systematic training in mindfulness meditation combined with cognitive behavioral therapy methods. MBCT is an 8-week group therapy intervention that consists ofRead MoreThe Cognitive Therapy And Narrative Therapy Model1640 Words   |  7 PagesCreate a comprehensive relapse prevention plan for Jim. What key aspects of Jim s life might need to be considered when formulating a relapse prevention plan with Jim? Relapse Prevention Plans must be tailored to patient needs. An effective addiction relapse plan must make a firm determination as to what types of habits, activities and connections are needed to replace those previously related with substance use. In Jim’s like many patients in a relapse prevention program will need to writeRead MoreCognitive Behavioral Therapy For Substance Abuse1574 Words   |  7 PagesCognitive-behavioral therapy for substance abuse incorporates a variety of individual and group treatments including motivational interviewing, contingency management, pharmacotherapy, psychoeducational therapy, coping and social skills training, and relapse prevention. Cognitive-behavioral therapy considers substance use disorders as a complex multi-determined problem with a number of influences playing a role in the development or perpetuation of the disorder (Marlatt and Donovan, 2005). Some risk factorsRead MoreStages Of Change Model By Carlo Diclemente And James Prochaska1278 Words   |  6 Pageschange, although that intention to change is only in the thoughtful stage and actual plans to change won’t start occurring until about 6 months’ time. This is the stage were the person weighs the benefits and drawbacks of changing behavior. 3. Preparation. This is the planning stage of change. When a person is in this stage it means that they are going to change their behavior in the next 30 days and have plan for how to do so. 4. Action. This is when a specific change is being implemented. ForRead MoreDrug Taking Confidence Questionnaire : An Assessment Of Relapse And Treatment Essay1363 Words   |  6 PagesThe Drug-Taking Confidence Questionnaire: An Assessment of Relapse and Treatment Efficacy One of the most important constructs associated with the treatment of the addicted population is relapse. While treatment does occur with inpatient facilities, due to the prevalence of relapse with this population, much of treatment occurs in outpatient settings. Consequently, these treatment environments and models actively engage a client’s self-efficacy for continued sobriety. Sklar, Annis, and Turner (1999)Read MoreIndividuals With Substance Use Disorders ( Suds )843 Words   |  4 Pagesare difficult to treat due to the high prevalence of relapse, with an average of 50% relapsing within the first year (Bowen et al., 2014). Research has shown that current relapse prevention therapy is ineffective and other techniques are needed for effective treatment. To decrease the incidence of relapse, Bowen et al. (2014) set out to assess the effectiveness of mindfulness-based relapse prevention (MBRP) compared with standard relapse prevention (RP) and treatment as usual (TAU) in a randomized clinicalRead MoreThis is sample treatment plan and assessment based on a fictional case study.1006 Words   |  5 PagesThe purpose of this interview was to assess the patient s need for addiction treatment by reviewing patient s present and previous usage history, emotional and behavioral stability, and potential for relapse, environment, pertinent medical conditions, and willingness or desire for treatment. An interview and medical records gathered this data. Name: Stan Jacobson Date: May 6, 2005 Age: 25 years old Gender: Male Ethic background: Caucasian Birth date: February 3, 1980 Residence: 161 N. Ray St

Monday, December 16, 2019

The Tried and True Method for Topics for a Personal Essay in Step by Step Detail

The Tried and True Method for Topics for a Personal Essay in Step by Step Detail Here's What I Know About Topics for a Personal Essay Personal essays are just the experience of a person's own life and the way they look at several things. A keen grasp of the topic is essential avoid topics that you haven't experienced in real life and problems you didn't solve. Since there's a world of topics ahead of you, deciding upon the topic that is distinctive and interesting at the exact time, is certainly not a simple undertaking. Hence, it is going to be sort of your own research and a means to express own thoughts. Most Noticeable Topics for a Personal Essay Ask three unique experts what a personal essay is and you will likely get three distinct answers. Another top manner of locating the perfect topic for a narrative essay is to look at the list of items from social websites. Even as brainstorming can yield useful outcome, it could be required to find personal essay help to recogniz e and connect the ideas. Essay writing is a great way that enables the writers to expand their creativity and imagination also. Writing the college application essay is a challenging gig. As mentioned earlier, writing of an essay demands certain abilities and knowledge. Researching the topic permits you to find out more about what fascinates you, and should you pick something you really like, writing the essay will be more enjoyable. A Startling Fact about Topics for a Personal Essay Uncovered Lastly, you have to locate a topic that will somehow link your aims and aspirations with what's extended in the college that you aspire to join. Naturally, students may choose the topic which they've done in the class. Some students find it tough to write about themselves, but others find it simpler to examine their private life, in place of researching an assigned topic. Every student demands help with homework from time to time. Top Choices of Topics for a Personal Essay Since the personal essays reveals and highlights more details regarding the other, the capacity to use anecdotes is essential to earn connection of the ideas. You ought to be proud of them! Writing in the shape of first-person rather than the second person can be good for the students to narrate the events effectively. You don't need to find super technical with legal argumentative essays, but don't forget to do your homework on what the recent laws about your favorite topic actually say. Essay topics based on honesty is a prosperous choice as they can create high interest for those readers. It's important to select debatable argumentative essay topics as you need opposing points you can counter to your own points. Personal experience essay topics are merely numerous to pick from! Top Topics for a Personal Essay Secrets You may be assigned to compose a text about being a superb person essay, which is a topic that each person could relate to. So, once you are sitting down to compose an essay, you will need to keep in mind that you need to express your personality there. Whether you're a novice writer or an experienced one, you always will need to begin with a structured strategy. The author needs to be in a position to check at their very own character or personality through somebody else's eyes. Topics for a Personal Essay Secrets Such approach always pays off because it provides you a distinctive insight into the practice of essay writing that is targeted at achieving excellent outcomes. If you still doubt whether it's possible to deal with this kind of assignment for a definition essay alone, we're delighted to inform you that there's a great solution! To choose which subject you're likely to discuss, it's vital to see the complete collection of good persuasive speech topics from the specific area of study. At precisely the same time, one needs to tackle the topic if it's been identified while considering the requirements. Morality can help men and wo men in locating the right solution for many unsolved difficulties. Picking the subject of your essay provides you with an advantage in the feeling that you are able to write about something you're passionate ambitious. The liberty of choice is something which troubles many narrative essay writers. Ruthless Topics for a Personal Essay Strategies Exploited Recall unpleasant moments which you find very helpful for your private improvement. If you haven't written any narration essays before, you ought to read works of different students to comprehend how to develop a structure, the way to use your private narrative ideas, and what topics you're able to utilize. One of the absolute most important sections of the essay writing process is editing, and editing requires a lot of time. With the aid of ready personal essay examples you're able to receive a very clear picture of the structure, interesting elements and plot twists, which might greatly enhance the caliber of your essay. Deciding upon the essay topic for your private essay is easy as you're well acquainted with the subject. If you are aware of what they wish to and what they are searching for then you may start your essay with a how to tip. Today's tips concentrate on the personal essay. A superior personal essay is dependent on observations. The Upside to Topics for a Personal Essay When you get your completed essay, make certain to tell all your friends what a fantastic service it is and what's the perfect place to purchase cheap essays. Think of what you'd like to explore and define. Verbalizing ideas loudly may help you choose the ideal essay choice. In the same way as any other essay, a definition one has its peculiarities and content requirements that should be met to be successful in the writing. An essay is a small masterpiece that each student should have the ability to create. Even though a personal essay might have quite a loose language, you still ought to avoid slang and cliche s, which might produce the text much weaker. As any other academic assignment, your private essay needs to be flawless in regards to grammar and punctuation. A personal response essay is a bit of writing where you explore and explain your unique thoughts about a particular theme. The best method to learn how to begin a personal essay is to get a crystal clear picture of the primary features it should contain and its key requirements. You might also get in touch with your writer to supply some additional recommendations or request information regarding the order's progress. There is an assortment of strategies about how to begin a personal essay, but the important thing is to create the opening paragraph memorable with vivid description. Many students wish to call it a day after writing a very first draft, but editing is a vital portion of writing a really excellent essay.

Sunday, December 8, 2019

Concept of Uber Model-Free-Samples for Students-Myassignement

Question: Explanation of Uber and the Services they provide. Answer: Introduction Uber Technologies Inc. is recognised as a leading transportation technology company headquartered in San Francisco, California, United States. The company has been discerned to be operating across 633 cities globally. The main form of the development activities conducted by the company has been further seen to be identified with operating Uber Car transportation along with mobile app for food delivery. Uber has been discerned to be driving its own cars, although drivers are free to rent a car for driving with Uber. Uber along with similar companies has been able to challenge the existing business of taxi. The business model of the company has been further discerned to rely on app to arrange rides between riders and cars. The technology implemented by Uber is also able to provide history of rides, automatic billing cycles and along with history of routes (Chokkattu and Crook 2014). The main discussions of the essay have aimed to discuss on the various types of the topics such as the how the company is providing the added efficiency. It has been further able to critically discuss the implementation of the Uber model in the trucking industry. Some of the other depictions of the study has been able to identify other industries in which the Uber model might be useful Discussion The ride sharing service such as Uber has been depicted to be vastly dependent on efficient technology matching which was available for the people who wish to drive with them and available at the time when taxi radio dispatch systems were introduced in 1940s. A common measure of efficiency highlights the time drivers spent on searching for somebody who is looking for a ride and pick them up (Rempel 2014). The examining of the capacity utilization has been measured either by fraction of time drivers have a fare paying passenger in the car and by the total fraction of the miles where the drivers log into system in which passengers are in the car. As per the statements given by several economists it has been discerned that the increased efficiency in terms of the capacity utilization is due to the fact taxi data pertain to the period Uber has been able to make significant inroads in the market which likely to raise the capacity utilization rate for the taxis in compare to the drivers of Uber. Despite of the different caveats, as per the statement given by economist the Uber model may be considered as a more efficient driver passenger matching technology. The company has been further supporting faster matches. Ubers flexible labour supply model along surge pricing system which is closely matched with the demand. The various types of the differences in the utilization has been discerned wi th implications for the resources other than the passengers and drivers (Nistal 2016). Another added benefit of the company has been further discerned with added flexibility of the drivers. Uber drivers are free to work when they want and also able to earn extra incentive in cases the rides are particularly needed during peak demand. The overall efficiency with the ride sharing technology has been directed with the benefits of the riders. The new on demand services for Uber has been able to offer quick response time managed with quick payment interactions which are often seen to be lacking with taxis and other companies are also seen to be left behind with more competition (Berger, Chen and Frey 2017). The UberX drivers has been seen to be having substantially greater amount of utilization rate with the taxi drivers are seen to be similar in nature. Some of the other contributing factors for higher utilization rate and efficiency has been seen with Ubers more efficient driver-passenger matching technology. It has been further seen with the support for the faster matche s, inefficient taxi regulations and labour supply which is seen to be closely matching throughout the day. The medallion system of restricting the total number of riders is meant to make the ride available only to those who wanted to get a ride could not get one. The depiction based on the fixed pricing per kilometre for Uber gas been able to ascertain a fair system for all. It has been also seen that the rating quotient of the company has contributed significantly both for the riders and the drivers. The riders look forward to maintain a cordial relationship with the driver. It has been further seen that the rating system allows to know about the stat of both the riders and passenger which in turn is able to depict efficiency (Doepke and Tertilt 2016). Uber has been further seen to introduce the on-demand service of transportation with the dispatch services launched with the new application for trucking dispatch service known as Uber Freight. The main working of the app has been seen to be based on the same principle of Uber, where the matching of the commercial shipper has been implemented with a truck drivers looking for a job. The freight rides can be booked based on several weeks in advance or on the similar date. The independent truck drivers need to negotiate with the fare of the shippers, the price on the Uber Freight has been further seen to be predetermined and guaranteed. As the driver is able to get appropriate shipment for the payment which is paid within a week (Piazzesi and Schneider 2016). The critical analysis has been further able to depict that distance is one of the strongest factors for determination of the prices and the cargo type and location. Similar to ridesharing services, the company has been able to consider the marketplace dynamics to surge prices overtime to match supply and demand (Noam Scheiber 2017). However, as per the experts this model may not be a revolutionary service. It is similar to the original service as for the private black car industry. This has been further able to make the service more convenient for the drivers and the riders. This particular service has been further seen to include various types of the competitors such as Convo, which has been seen to be backed by Greylock Partners and has raised $18.5 million (Rempel 2014). In general, the truck drivers are seen to be having a dedicated time for shipping around of the loads. In case the company is able to sign adequate number of shippers and the drivers will be able to fade with the job options directly in their phone (Craig 2015). This is different from the Uber service which is used by people in every day. The truck drivers are seen to be able to swipe through the marketplace of loads to decide which one he or she is looking for booking instead of automatic matching. However, the truck service of Uber has been seen with such a long term negative implication for the drivers. Uber freight was created after the company acquired self-driving truck company Otto, is seen to have the foundation for driverless trucks. The main idea here is to generate revenue and shipping network from the various types of trucks dispatched as per to this business. This has been also seen to give the company data and network to create the driverless truck business for future. It has been further discerned that the progression from General Uber drivers to Uber driverless cars wont be easy as driverless cars will lead high amount of attrition rate. However, from operational point of view this is seen as an improving criteria (Uber 2017). The implementation of Uber truck services is mostly from in and in the shipment throughout the Texas. It has been further discerned that the location and date for finding the best load for the site is available in the application. The company is further continuing to add freight updates for everyday in the application so that customers can return soon after suitable transporter is available (Berger, Chen and Frey 2017). It needs to be understood that no particular technology is inherently destructive. This calls for the need of interpreting other areas where Uber service might be appropriate. The Uber service can be implemented in various areas of business which will help customers hire trusted professionals for different types of services such as carpentry, interior designer, wedding photography, salon at home, training and yoga. The customers will be a able to connect to the service professionals across several regions the single application and hire a professional for the designated service (UBER 2016). Of the other areas of the services can be included with laundry service which will offer wash and fold services to pick up laundry and return the same in a clean and folded fashion. The company can offer dry cleaning services seven days a week and especially operating midnight so that business professionals can find it easy to avail the service. As Uber has proposed to enter the freight market similarly can aim for shipping services. This will eliminate the need of going to Post Office or nearby third-party courier service such as FedEx, UPS, or DHL. The users can only take a picture of the item which they would like to send along with the address of the distribution. Uber can further along with the package at doorsteps and send it anywhere across the world (Rogers 2015). The most out of the box concept can implemented by Uber and be seen in healthcare industry. The idea of concierge medicine is discerned as one of the immediately evoking image for people who need to go through overcrowded waiting room to see a doctor. The cost alone has been discerned with getting a personalised care from a doctor to the idea of oncierge medicine out of reach for most people. With the introduction of Uber medical app, the company can eliminate this waiting time among the users. The main feature of the application can allow the individuals to make doctor appointments and also request for prescription just with the touch of a button. This will also allow individuals to gain instant messaging access with the doctor. As an important service which it can offer has been seen in terms of appointing well-trained doctors at the doorstep in less than an hour from placing the request on the application. It has been discerned that several stops parrying their specialities from p aediatric medicine to cardiology. Uber needs to further keep in mind that the services it offers are at a very competitive rate so that the number of users are attracted to opt for it rather going with the traditional services (Osborne 2016). Despite of introducing Uber food delivery company can improve slightly more on the customisation of food genres. It can orient a different app which will provide the options only for those individuals who care a lot about fitness and avoid all the food items which contain cholesterol are trans-fat. In addition to this, Uber also has the option to offer grocery service at doorstep through an app which will be used by large number of customers who dont have time to visit the grocery store. The company can charge an excess for the delivery without compromising on delivery time and packaging of the goods bought from the grocery store (Noam Scheiber 2017). Conclusion The various depictions made in the study has shown that the main criteria for efficiency of the services for Uber has been considered with capacity utilization. It has been further discerned that the most notable factors for the success of present services is due to reasons such as with the support for the faster matches, inefficient taxi regulations and labour supply which is seen to be closely matching throughout the day. It has been further discerned that introduction of new Uber model in the trucking industry although has a lot of potential from operational point of view, however the introduction of self-driving truck after the initiative taken by Otto may not be favourable by many employees currently working for the Uber freight services. Some of the other areas of implementation of such services has been evident with areas such as wash and fold laundry services, doorstep grocery, plumbing, salon and personal fitness trainer. References Berger, T., Chen, C. and Frey, C. B. (2017) Drivers of Disruption? Estimating the Uber Effect, Working Paper, pp. 111. Chokkattu, J. and Crook, J. (2014) A Brief History of Uber, techcrunch.com. Available at: https://techcrunch.com/gallery/abriefhistoryofuber/. Craig (2015) Uber and CMU Announce Strategic Partnership and Advanced Technologies Center | Uber Global, https://newsroom.uber.com. Available at: https://newsroom.uber.com/2015/02/uber-and-cmu-announce-strategic-partnership-and-advanced-technologies-center/. Doepke, M. and Tertilt, M. (2016) Families in Macroeconomics, in Handbook of Macroeconomics, pp. 17891891. doi: 10.1016/bs.hesmac.2016.04.006. Nistal, P. D. (2016) Comparative Study of Uber and Regular Taxi Service Characteristics, 23rd Annual Conference Transportation Science Society of the Philippines. Noam Scheiber (2017) How Uber Uses Psychological Tricks to Push Its Drivers Buttons, New York Times, pp. 119. Available at: https://www.nytimes.com/interactive/2017/04/02/technology/uber-drivers-psychological-tricks.html. Osborne, H. (2016) Uber loses right to classify UK drivers as self-employed, The Guardian. Available at: https://www.theguardian.com/technology/2016/oct/28/uber-uk-tribunal-self-employed-status?utm_source=digg. Piazzesi, M. and Schneider, M. (2016) Housing and Macroeconomics, in Handbook of Macroeconomics, pp. 15471640. doi: 10.1016/bs.hesmac.2016.06.003. Rempel, J. (2014) A review of Uber, the growing alternative to traditional taxi services, AFB Accessworld Magazine, pp. 16. Rogers, B. (2015) The Social Costs of Uber, The University of Chicago Law Review Dialogue, 82(85), pp. 85102. doi: 10.1787/9789264065307-en. Uber (2017) Introducing Uber Movement, Uber Newsroom. Available at: https://newsroom.uber.com/introducing-uber-movement/. UBER (2016) Pittsburgh, your Self-Driving Uber is arriving now, UBER Newsroom. Available at: https://newsroom.uber.com/pittsburgh-self-driving-uber/

Sunday, December 1, 2019

Spend Your Money Wisely Essays - Aid, Humanitarian Aid, Poverty

Spend Your Money Wisely Spend Your Money Wisely The United States has faced a very significant economic growth after the Second World War. At that time, war was finished, and the American soldiers were back to their homes. There were ready to make their future houses and start families. In other words, they started spending money in the market acquiring commodities and services rendered at that time. The country faced a population growth, -as they are refereed to baby boomers- production growth, and as a result an economic growth. Since then the spending attitude of the American individual was rising. Most of the producers have more than enough customers to buy their commodities in the market. The problem is, spending behavior is becoming worse. Who should we blame here? Is it the customers or the producers? To answer this question, I would like to examine the behaviors of consumers, and producers. Buyers in any society tend to spend more money on commodities that are necessary to life. However, the typical American consumer tends to be one of the highest spenders in the world. Most of the United States consumers save around 5% of his income where, on the other hand, Japanese; for example, have 15% or more of their income goes to their saving's accounts. One of the problems that could relate to the spending behavior of the Americans is peer pressure. For example, an individual who buys a product or acquires a service can influence his or her friends to do the same thing. Another problem is self-esteem. Sometimes, people claim that the find their identity by buying more. They follow this equation: BUY MORE = SELF-ESTEEM + IDENTITY. When an individual finds that he/she don't have a specific product, he or she feels that it is important to buy it even if it is not that important thing to have. It is just greed, and to feel that a person can buy a product because others have it. Gr eed can be better seen in children. Children feel happy when they have more of what they want. They can't stop from buying candies, toys, or electronic games. They occupy a large sector of the American consumption. I read a story tow years ago about that child who wanted to but a toy through his father credit card, but his father did not agree to go along with his wishes. What did that child do? He took his father's card and reserved a ticket to Europe and almost done it. However, adults are not free from greed. They tend to work more to earn more and as a result, to buy more. The GDP per capita doubles every ten years, but it seems that saving plans don't change and spending is increasing. At a point some people travel to attraction malls by plane just to shop. There is a fact that the number of schools is decreasing and the number of malls is increasing. A credit card is a vital thing to acquire if it is used right. The idea behind credit cards is to use under emergency circumstan ces. Unfortunately, the majority uses them to satisfy useless needs and ignore the fact that what they bought is not important. It is a kind or block-out that they go through when they find something new. As a result loans accumulate and they end up bankrupt. Marketing has played an important role in selling more of firms' products and services. It has a lot of tricks and strategies that will attract more consumers into the firms' traps. Marketers target ?victims? in different ways such as TV advertising. They convince that a person in no one unless he or she buys the product either by saying that the previous version of the product is out of date, or by showing the importance to acquire such a product to any ones ?life?. It is a fact that an average American receives about one million advertisements before he or she reaches the age of 20. Another way to advertise is through posters and brochures. Just imagine the amount of junk mail that people receive every day. It got to be one of them that grabs the attention of the poor