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Josephson, Dean Jaik Rea. "Creating accessible counselling services for lesbians and gays." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq23358.pdf.
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Lim, Roslyn Beth. "Career Counselling Services: Client Expectations and Provider Perceptions." Thesis, Queensland University of Technology, 2005. https://eprints.qut.edu.au/16048/1/Roslyn_Beth_Lim_Thesis.pdf.
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The career counselling services industry is currently being challenged by a unique set of conditions which has resulted in calls for a greater client orientation in the delivery of career services. The current study takes up this challenge by using marketing concepts to explore the relationship between the expectations (desired) people in career transition have of a career counselling service and the perceptions career counselling service providers have of client expectations. In the process, it also examines variables (career transition group membership, career decision-making self-efficacy, age, gender, and previous experience with a career counselling service) that may impact on the expectations people in career transition have of a career counselling service.
The study used a three-phased mixed method approach to gather expectation and perception data. In Phase 1, focus group interviews were conducted with participants from three career transition groups - Year 12 students, final year university students, and adults in midcareer transition. A series of one-to-one interviews with three groups of career counsellors (those in schools, tertiary institutions, and private practice) was undertaken in Phase 2. Phase 3 consisted of a questionnaire, which was administered to broader populations of people in career transition and career counsellors.
The people in career transition subject group completed a three-part questionnaire consisting of the Expectations About Career Counselling measure (developed by the researcher), the Career Decision-Making Self-Efficacy-Short Form (an existing measure), and demographic questions. Career counsellors completed a two-part questionnaire, which included the Expectations About Career Counselling (EACC) and demographic questions. The people in career transition subject group were asked to respond to the EACC according to what they wanted from a career counselling service. Career counsellors were asked to respond to the same measure as if they were one of their clients attending their first career counselling interview.
In the development of the EACC, an existing measure (the Expectations About Counselling-Brief Form; Tinsley, 1982), was modified using career counselling expectation themes derived from the analysis of data collected in Phases 1 and 2. Factor analysis of the data obtained from the EACC identified four clear factors. These factors were named Career Counsellor Responsibility, Client Responsibility, Quality Outcome and Realism.
The findings from Phase 3 indicated that people in career transition had high to very high expectations for the EACC subscales Career Counsellor Responsibility and Quality Outcome, moderate expectations for Realism, and moderate to high expectations for Client Responsibility. Significant differences were found based on transition group membership, gender, age, and previous experience with a career counselling service. In addition, it was found that people in career transition had moderate to high career decision-making self-efficacy and that respondents with higher self-efficacy scores also had higher expectations of a career counselling service. The findings also indicated that there was a significant difference or gap between the expectations of people in career transition and the perceptions of career counsellors concerning client expectations of career counselling. Career counsellors perceived that clients were less committed and more unrealistic about the career counselling process and the counsellor's role than was indicated by the results from the people in career transition subject group.
Recommendations based on the findings of this research study were made for career counsellors, professional associations, education and training organisations, education institutions and systems and government policy makers. Specifically, the recommendations addressed the importance of acknowledging, clarifying, and managing client expectations, providing interventions to educate people in career transition about the career decision-making process and the role of the career counsellor, and the implementation of processes to promote ongoing professional development in the career counselling services industry.
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Lim, Roslyn Beth. "Career Counselling Services: Client Expectations and Provider Perceptions." Queensland University of Technology, 2005. http://eprints.qut.edu.au/16048/.
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The career counselling services industry is currently being challenged by a unique set of conditions which has resulted in calls for a greater client orientation in the delivery of career services. The current study takes up this challenge by using marketing concepts to explore the relationship between the expectations (desired) people in career transition have of a career counselling service and the perceptions career counselling service providers have of client expectations. In the process, it also examines variables (career transition group membership, career decision-making self-efficacy, age, gender, and previous experience with a career counselling service) that may impact on the expectations people in career transition have of a career counselling service. The study used a three-phased mixed method approach to gather expectation and perception data. In Phase 1, focus group interviews were conducted with participants from three career transition groups - Year 12 students, final year university students, and adults in midcareer transition. A series of one-to-one interviews with three groups of career counsellors (those in schools, tertiary institutions, and private practice) was undertaken in Phase 2. Phase 3 consisted of a questionnaire, which was administered to broader populations of people in career transition and career counsellors. The people in career transition subject group completed a three-part questionnaire consisting of the Expectations About Career Counselling measure (developed by the researcher), the Career Decision-Making Self-Efficacy-Short Form (an existing measure), and demographic questions. Career counsellors completed a two-part questionnaire, which included the Expectations About Career Counselling (EACC) and demographic questions. The people in career transition subject group were asked to respond to the EACC according to what they wanted from a career counselling service. Career counsellors were asked to respond to the same measure as if they were one of their clients attending their first career counselling interview. In the development of the EACC, an existing measure (the Expectations About Counselling-Brief Form; Tinsley, 1982), was modified using career counselling expectation themes derived from the analysis of data collected in Phases 1 and 2. Factor analysis of the data obtained from the EACC identified four clear factors. These factors were named Career Counsellor Responsibility, Client Responsibility, Quality Outcome and Realism. The findings from Phase 3 indicated that people in career transition had high to very high expectations for the EACC subscales Career Counsellor Responsibility and Quality Outcome, moderate expectations for Realism, and moderate to high expectations for Client Responsibility. Significant differences were found based on transition group membership, gender, age, and previous experience with a career counselling service. In addition, it was found that people in career transition had moderate to high career decision-making self-efficacy and that respondents with higher self-efficacy scores also had higher expectations of a career counselling service. The findings also indicated that there was a significant difference or gap between the expectations of people in career transition and the perceptions of career counsellors concerning client expectations of career counselling. Career counsellors perceived that clients were less committed and more unrealistic about the career counselling process and the counsellor's role than was indicated by the results from the people in career transition subject group. Recommendations based on the findings of this research study were made for career counsellors, professional associations, education and training organisations, education institutions and systems and government policy makers. Specifically, the recommendations addressed the importance of acknowledging, clarifying, and managing client expectations, providing interventions to educate people in career transition about the career decision-making process and the role of the career counsellor, and the implementation of processes to promote ongoing professional development in the career counselling services industry.
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Cheeseman, Mark John. "Is staff counselling an effective intervention in employee distress? : an investigation of two employee counselling services in the National Health Service." Thesis, University of Sheffield, 1996. http://etheses.whiterose.ac.uk/10200/.
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A number of broad questions were addressed (a) Is counselling effective?, (b) Are post-counselling gains maintained at follow-up? (c) Does the sgape of change across counselling sessions adhere to the 'dose-effect' model?, (d) Do measures of distress and interpersonal problems differ in the extent of pre-post change? and (e) Are there any within-group differences in the extent of pre-post change on measures?, (f) A further aim of the study was to collect qualitative accounts of the intervention from clients, to build up a 'picture' of clients experiences of service use: To obtain a consumers point of view. The study took place at two sites, one in London, the second in the Midlands. A prepost-follow-up design was adopted. In addition, measures were completed for each session of counselling. Finally, clients also completed an evaluation questionnaire. Hypotheses were, generally, supported by analyses. There were substantial pre-post reductions on measures of distress and interpersonal problems, which were maintained at follow-up. Significant reductions on measures across sessions of counselling were observed, with change curves adhering to the 'dose-effect' model. Qualitative analyses built-up a picture of the rationale for service use and the costs and benefits that clients perceived from counselling. Discussion focused on a number of issues: The first, the difference between the reported study and the bulk of psychotherapeutic studies, secondly, the methodological and practical issues that arose during the study and, thirdly, the need to approach applied counselling research from a new perspective, that is less dependent on the techniques developed by efficacy studies.
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Düsterwald, Gillian. "Understanding doctors' knowledge and attitudes concerning genetics and genetic services in South Africa." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16487.
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Includes bibliographical referencesThe burgeoning knowledge in genetics implies that genetic services (including clinical and counselling) will be in increasing demand in the future. This study investigated South African doctors' genetic education, knowledge and attitudes towards genetic services and examined whether these factors affect referral to genetic services. Several studies have indicated that health professionals have poor understanding of genetics and genetic conditions, and this lack of insight extends to knowledge of genetic services and how and when to access them, so that those who would benefit from services might not gain access to them because they are not referred by their doctors (Delikurt et al., 2015). METHODS: A questionnaire was developed based on published research and questions relating to the aims of the project. Forty-one questions were asked, covering referral patterns, demographics, education, knowledge and attitudes to genetic services and genetic counselling. The sample population consisted of 140 GPs attending a family practitioners' conference. Fifty-one responses were received. Results were analysed using descriptive statistics and content analysis of open-ended questions. RESULTS: Results show that 52.9% of general practitioners have referred to genetics in the past, 92.2% think they will refer in future and only 49% know how to access genetic services. Doctors who knew how to access genetic services were more likely to have previously referred patients to these services. Almost half the doctors who had not used genetic services previously felt that genetic services were difficult to access and several attributed this to their lack of knowledge. Doctors who had the most education were more likely to have previously referred patients to genetic services. Doctors indicated that they would like more education on basic genetics, common genetic conditions and genetic services via forums such as conferences, CME activities and online resources. More than half of the doctors rated themselves as "not confident" in their genetic knowledge. Down syndrome was the most commonly seen genetic condition in practice, followed by cystic fibrosis and breast cancer. More than 80% of respondents did not know about direct-to-consumer testing, but 46% thought they might be approached to interpret the results of a direct-to-consumer test in future. Doctors showed poor understanding of the ethics of testing minors for genetic conditions. Genetic services and genetic counselling were seen as indispensable by 66.7% and 74.5% of doctors respectively. CONCLUSIONS: Overall, doctors' knowledge of genetics seems poor and most of them indicate they would like more education on basic genetic concepts, referral guidelines for genetic services and how to access genetic services, which agrees with the amount of education being the most important factor relating to previous referral to genetic services. This study will provide guidance for awareness and education programmes, and inform the future development of genetic services in South Africa.
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Abu-Rasain, Mohammed Hassan M. "Loneliness and peer counselling : an exploratory study in Saudi Arabia." Thesis, University of Hull, 1999. http://hydra.hull.ac.uk/resources/hull:3872.
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The first aim of the research was to determine the extent of loneliness among Saudi adolescents and its relationship to psychological and demographic factors. The phenomenon was assessed by means of quantitative and qualitative methods to explore the "meanings" of loneliness. Results indicated a high level of loneliness amongst adolescents in Saudi Arabia. Those with high level of loneliness were found to have fewer friends and scored statistically significantly higher on other psychological measures, particularly depression and anxiety,and lower on self-esteem. An implication of this finding was the need to provide adolescents with a support programme to meet their needs at this critical stage of their development.The argument throughout this study was that the existent counselling/pastoral provision was inadequate to provide adolescents in secondary school with appropriate psychological and personal support.The second aim of the study was to test the applicability of a peer counselling/support programme to prevent loneliness among young people. Implementation of this programme was carried out with comprehensive evaluation, which focused on the peer counsellors and the populations they served. Findings were encouraging in relation to both parties.Those young people who participated as peer helpers reported gains in personal development and said that their participation had benefitted their general lives; clients also reported high satisfaction with the service. Students reported high levels on two areas of social support as measured by Social Provisions Scale, namely guidance and reliable alliance, although a reduction on level of loneliness was not achieved. Additionally, formal record of the school counsellors showed less behavioural and educational problems within the school.Recommendations were made for the introduction of peer counselling programmes in Saudi school system.
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Glasheen, Kevin John. "Can synchronous online counselling increase uptake of counselling services in secondary schools and what can promote or inhibit implementation?" Thesis, Queensland University of Technology, 2014. https://eprints.qut.edu.au/79629/1/Kevin_Glasheen_Thesis.pdf.
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This research showed that online counselling has the potential to increase the help-seeking of secondary school students - especially those who suffer from high levels of psychological distress. An investigation of why school counsellors are currently reluctant to provide an online counselling service identified a number of barriers to implementing such a potentially vital service. Response to focus groups and surveys completed by students and school counsellors indicated that more distressed students prefer to use online counselling and they would use it for sensitive topics. School counsellors remain concerned about effectiveness, ethical, legal and privacy issues as well as potential misuse of the service. Recommendations for implementation are made.
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Al-Tai, Zaid S. "A model for guidance and counselling services in Salahaddin University, Iraq." Thesis, Cardiff University, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.257165.
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Goss, Abigail. "Attitudes of support workers in learning disability services towards counselling psychology." Thesis, City, University of London, 2016. http://openaccess.city.ac.uk/16817/.
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The following portfolio seeks to view counselling psychology and people with learning disabilities from a pluralistic standpoint. The focus of the research is to understand the attitudes of support workers towards counselling psychology and this particular client group. It attempts to investigate through mixed methods the likelihood of support workers considering a referral for counselling and the factors that affect this while understanding the views and opinions of support staff. In addition, the portfolio includes a publishable paper based on this research which focuses on the role of counselling psychology in improving access to counselling for people with learning disabilities. Finally, a case study presents therapeutic work with someone who has a learning disability underpinned by a pluralistic framework.
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Bowes, J. Ann Y. "Defending against experiencing : an exploration of the threat to the essential passion and professionalism of academia." Thesis, University of Bristol, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.274664.
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Hill, Andrea Frances. "A study of factors which influence the initial engagement of clients in counselling in an agency offering marriage counselling services." Master's thesis, University of Cape Town, 1987. http://hdl.handle.net/11427/16393.
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Includes bibliography.The problem of initially engaging clients in counselling, at an agency offering marriage counselling services, is complex. It is often difficult to motivate the couple to come together to the first interview. Many clients book appointments which they do not keep, and others attend only one interview. The aim of this .study was to identify specific factors likely to influence the initial engagement of clients with marital problems in an agency setting. A literature survey was done and four groups of factors likely to influence the initial engagement of clients in counselling were identified. These factors are: client factors, including demographic, problem related and expectation related factors, actuarial factors, including waiting time for the first appointment, agency hours and agency fees, interactional factors, including agency-client interaction in the initial telephone contact and in the first interview, and counsellor factors.
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Lawrence, Estelle. "School-based HIV counselling and testing: providing a youth friendly service." University of the Western Cape, 2012. http://hdl.handle.net/11394/2159.
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Philosophiae Doctor - PhDHIV counselling and testing (HCT) is an essential element in the response to the HIV epidemic. Thereare still major gaps in research about the best ways to provide HCT, especially to young people. School-based HCT is a model which has been suggested for providing HCT to young people in a youth friendly manner. This study was aimed at producing recommendations for providing a youth friendly school-based HCT service using the World Health Organisation (WHO) framework for youth friendly health services. It was conducted in six secondary schools in Cape Town, where a mobile HCT service is provided by a nongovernmental organisation (NGO). It was an exploratory descriptive study, using a mixed-methods approach. Twelve focus group discussions (FGDs) were held with learners to explore their needs with regards to school-based HCT. An evaluation (which consisted of observation of the HCT site, service provider interviews and direct observation of the HCT counselling process) was done to determine whether the mobile school-based HCT service was youth friendly. A learner survey was conducted with 529 learners to investigate the factors that influence the uptake of HCT and to explore learners’ behaviours and experiences under test conditions. In the FGDs, learners said that they wanted HCT to be provided in schools on condition that their fears and expressed needs were taken into account. They wanted their concerns regarding privacy and confidentiality addressed; they wanted to be provided with information regarding the benefits and procedure of HCT before testing took place; they wanted service providers to be competent to work with young people, and they wanted to be assured that those who tested positive were followed up and supported. On evaluation of the mobile school-based HCT service, it was evident that the service did not meet all the needs of the learners nor did it have all the characteristics of a youth friendly health service. The model of ‘mass testing’ used by the NGO did not fulfil learners’ expressed need for privacy with regards to HCT. Service providers were friendly and on-judgemental but had not been trained to work with young people (especially marginalised groups e.g. young men who have sex with men). The information needs of learners were not addressed, and learners were not involved in the provision of the HCT service. Learners who tested positive were not assisted in accessing care and support. The learner survey revealed a high uptake of HCT (71% of learners) at schools with learners who do not identify themselves as Black, with female learners and older learners being more likely to have had an HIV test. Factors that influenced uptake of HCT were complex, with learners reporting many different motivators and barriers to testing. Of concern was the low risk perception of learners with regards to HIV infection and the fact that learners who tested HIV positive were not being linked up with treatment and care. Based on the findings of the study, recommendations were made for proving youth friendly school based HCT. A multisectoral approach, with learner and community involvement, was suggested in order to provide a service which is equitable, accessible, acceptable, appropriate and effective.
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Whelan, Blanche M. "The impact of counselling services at a small community college, multiple perspectives." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape3/PQDD_0033/MQ62440.pdf.
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Yao, Shui-chun Tiffany, and 姚穗珍. "Counselling and guidance services in Hong Kong primary schools: a case study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1995. http://hub.hku.hk/bib/B31958357.
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Najmi, Setareh. "A Qualitative Exploration of International Students’ Experience of Counselling Services at University." Thèse, Université d'Ottawa / University of Ottawa, 2013. http://hdl.handle.net/10393/24305.
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This phenomenological qualitative study aimed to forefront international students’ experiences of receiving counselling services in a university setting. Three international students, recruited from two universities in eastern Canada using criterion sampling, were interviewed. Semi-structured interviews were audio-recorded and transcribed for analysis. In this phenomenological qualitative study, within- and between-person analyses were conducted for three transcribed interviews, from which eight main themes emerged: (a) openness towards seeking counselling, (b) hesitancy towards seeking counselling, (c) helpful aspects of counselling, (d) hindering aspects of counselling, (e) positive aspects of therapeutic relationship, (f) hindrances to therapeutic relationship, (g) counsellor’s cultural awareness, and (h) counsellor’s limited cultural awareness. The themes can be understood, and are explicated along four dimensions: seeking counselling, perceptions of counselling effectiveness, therapeutic relationship, and culture in counselling. The results from this study provide insight into international students’ counselling needs, expectations, and experiences. Special attention is given to the perceived expression of in-session counsellor cultural awareness and discussed using the integrated etic-emic framework. Implications for counsellors and university counselling services, limitations of the study, and recommendations for future research are provided.
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Yao, Shui-chun Tiffany. "Counselling and guidance services in Hong Kong primary schools : a case study /." Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B14778488.
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Skirton, Heather. "A longitudinal study of genetic counselling for families - needs, expectations and outcomes." Thesis, University of Exeter, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.312415.
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A longitudinal study of 43 families referred to a Clinical Genetic Service was undertaken to ascertain the needs and expectations of the service, from the client's perspective. Previous studies have mainly focussed on changes in knowledge or reproductive patterns as outcomes for genetic counselling. Clients were interviewed before contact with the genetic service, after the consultation, and six months later. At each interview, psychological questionnaires to assess Need for Cognitive Closure (Webster & Kruglanski, 1994), anxiety (Spielberger et aI, 1970) and the impact of the genetic condition on the family (Horowitz et aI, 1979) were used. Statistical analyses of these tools revealed that the Need for Closure is a stable entity, and that genetic counselling does not significantly influence anxiety in the client. A grounded theory approach was used to analyse the data, and the theory presented includes the client's need for certainty, the client's prior lay knowledge, and assimilation of scientific information into the family knowledge base. Clients had little prior knowledge of genetics, but had constructed lay explanations for the inheritance of the condition in their family. Scientific information was tested against the family history for validity, and where there was apparent conflict, the scientific explanation was sometimes rejected. Results of this study indicate that the majority of families are not seeking information for reproductive decision-making, but as a; means of obtaining certainty, via a diagnosis, a prognosis, or a test result. Clients defined the most important outcomes as alterations in their psychological ability to deal with the situation in their family. In this cohort, certainty was seen as helpful in enabling the client to cope, and failure to obtain certainty influenced the outcome adversely. Implications for clinical practice include the need to address the client's need for certainty, to explore the family's lay explanations as part of the genetic counselling process, and to relate explanations directly to the family experience.
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Yeung, Nam-ying Daphne, and 楊枬英. "A study on the use of pre-marital counselling services in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31250749.
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Yeung, Nam-ying Daphne. "A study on the use of pre-marital counselling services in Hong Kong /." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B22330951.
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Casey, Kathleen Barbara. "HIV counselling, mental health and psychosocial care in Thailand." School of Psychology - Faculty of Health and Behavioural Sciences, 2007. http://ro.uow.edu.au/theses/73.
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Rationale: International research has demonstrated that in order to retain a skilled and healthy cadre of willing health-workers there is a need to monitor and develop strategies to mitigate adverse impact of this work and improve the quality and effectiveness of client and patient mental health care. Aims: (i) Monitor and evaluate Thailand’s national HIV mental health and psychosocial care program. (ii) Measure the impact of HIV mental and psychological care on health care providers. (iii) Examine the relationship between occupation-related psychological morbidity and the recruitment, training, clinical supervision and work-practices of HIV mental health service providers. (iv) Develop, implement and evaluate a training curriculum that addresses the demands of the HIV client population in Thailand. Method: In Study 1, 826 government hospitals, 1000 government health centres, and 1135 non-government organisations and private providers participated in: semi-structured, key informant interviews; focussed group discussions; and criterion-referenced appraisals of health policy and service delivery. Study 2, a small exploratory, qualitative study, utilised a schema of five key stressors commonly associated with HIV care to analyse responses gained from HIV counsellors and employed semi-structured interviews and focussed discussion groups. Study 3, a cross-sectional study, explored the relationship between training, work practices, Locus of Control of Behaviour and the self-reporting of signs and symptoms of psychological distress. 803 HIV counsellors completed a series of questionnaires including the Thai version of the General Health Questionnaire (GHQ-28), the Locus of Control of Behaviour Questionnaire and the Thai HIV Counsellors Survey (THCS). Study 4 involved the development, delivery and evaluation of a series of short courses designed to train 79 health workers to provide HIV counselling. The training was evaluated by pre and post knowledge examinations and anonymous evaluations. Results: Study 1 found that policy and legislation failed to adequately guide the practitioner in a number of key areas including: testing and counselling of minors; testing without informed consent; confidentiality of medical records and disclosure of HIV status; and “duty of care” in terms of threatened suicide or harm to others. Furthermore, it was found that epidemiological data had not been adequately considered in terms of providing specific psychological support services, and developing counselling curriculum, and that the conduct of Thai based psychological and operations research had been limited. Whilst there was good national coverage of HIV testing counselling services, psychological services to address HIV issues across the disease continuum were limited and frequently provided by individuals without adequate training. There does not appear to be any systematic mechanism for monitoring and evaluating HIV mental health and psychosocial care. This study also revealed that Thailand is limited in its ability to provide adequate HIV field-experienced, trained mental health care personnel who can teach in the necessary languages that would enable sharing of the Thai health sector experience within the region. Study 2: The respondents identified a number of workplace stressors including: fear of contagion; client-professional boundary issues; difficulties with being identified as working in the sphere of a highly stigmatised disease; the experience of multiple losses, in a context of perceived inadequate training; role expansion; and perceived lack of recognition and reward. Participants also identified a number of work and socio-cultural influences which were perceived to mitigate the impact of the work. Study 3: Failure to take up counselling duties after training was primarily associated with counsellors having too many competing non-counselling duties (31.2%; n=108), and being deployed to other workplaces in a non-counselling capacity (22.8%,n=79). Over 81% (n=441) of respondents who indicated that they were continuing to work as counsellors reported signs and symptoms of psychological disturbance on the GHQ-28 screening at a level that warranted further mental health assessment. There was a significant positive correlation between GHQ-28 “caseness” and Locus of Control of Behaviour scores (r =.118; p<.001). Decisions to leave counselling were positively associated with self reported psychological disturbance (r =.324; p<.001) and the perception that their work was not helpful to clients (r =.108; p<.001). Study 4: The results clearly showed that the curriculum, and method of training resulted in both perceived and measured change in knowledge and skills and were reported to have resulted in improvements in the trainees’ perceived self confidence to meet the demands of their clients. Conclusion: The studies identified the many challenges inherent in providing effective HIV counselling, mental health and psychosocial services in Thailand. This research suggests that delivering HIV psychosocial care services in Thailand has potentially an adverse impact on: the health and well being of care providers; the quality of care received by clients and patients; and ultimately on the ability of the health system to retain its skilled personnel.
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Lawrence, Michelle. "Exploring attitudes of University students towards seeking psychological counselling." Thesis, University of the Western Cape, 2009. http://hdl.handle.net/11394/3327.
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Magister Psychologiae - MPsychStudent counselling services, typically located within a holistic developmental approach, aim to render comprehensive student services to service users in relation to their psychological, social,educational and spiritual well-being. However, a number of cognitive and affective barriers reportedly reduce the likelihood of young people at universities seeking professional psychological help for personal-emotional problems. Accordingly, the aim of this study, which is located within the Theory of Reasoned Action, was to explore students’ attitudes towards utilising student counselling services, as well as their interpretations of the influence of age, gender and education on their attitudes and self-rated knowledge regarding seeking psychological help. The study thereby attempts to provide an understanding of the factors that influence help-seeking behaviours in university students. The research sample consisted of twenty nine students from the Cape Peninsula University of Technology. The data was collected through focus group discussions, which were conducted using an open-ended and participantcentred approach to the discussion. The qualitative approach of the study was informed by the theory of social phenomenology. Data gathered from the focus group discussions was thematically analysed. The results suggest that attitudes have a potentially important influence on intentions to seek out psychological counselling. Findings show that students feel shame and guilt when they are struggling psychologically and as a result avoid seeking psychological intervention for fear of being negatively stigmatised. The study revealed that education around mental health disorders and the management thereof was crucial in order for them to be demystified and de-stigmatised, and to facilitate openness in the sharing of these problems, and society’s understanding and acceptance of people experiencing psychological disorders. Results also indicate that there is a shift taking place in these attitudes, and suggest ways in which this change can be further facilitated, such as the utilisation of peer helpers who could play a key role in facilitating and reinforcing help seeking behaviour. The outcomes of the study may further contribute to informing universities’ goal to provide accessible, quality and effective development and support services to its students.
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Kasler, Jonathan H. "Career counselling for young adults with learning disabilities : falling through the cracks." Thesis, Loughborough University, 2001. https://dspace.lboro.ac.uk/2134/6782.
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The subject of this thesis, career choice for young adults with (specific) learning disabilities, deals with two main issues. The first concerns the decision-making difficulties of young adults with learning disabilities as compared with their nondisabled peers. The second and major part of this thesis, deals with the development and validation of a self-report screening method for identifying those are likely to be at risk of being learning disabled. The primary purpose of this device is to provide career counsellors and other professionals, who generally receive only superficial training in the area of specific learning disabilities, with a tool for identifying individuals likely to have learning disabilities. It is important to emphasise from the outset that screening is not diagnosis. Even a very good screening tool can at best identify those at high risk for LDS. Also screening may identify problem areas but no information is available regarding aetiology or source of the problems. Finally screening is necessary because a large section of the population has been identified as potentially containing large numbers of LDS (Singleton et al. 1998). However, before beginning the research, a thorough review of the issues of definition that plague the field is undertaken. While the issues raised cannot be resolved in this thesis, they form a necessary background to the research done. In principle, learning disabilities are understood to be characterised by poor automisation of learning skills due to neurological malfunction, contrasted by at least average intelligence. Therefore the goal of screening is to identify the presence of these difficulties, while explanation of their causes remains the proper area of expertise of diagnosticians who bear the onus of showing evidence of neurological malfunction. The present research, then, is three-phased. First, the Career Decision Difficulties (CDD) questionnaire (Gati et al. 1996) is applied to establish empirical support for the hypothesis that young adults with specific learning disabilities have greater difficulties making career decisions than their non-disabled peers do and to identify problem areas of particular difficulty for these young adults. The second phase of the research is based on the assumption that the majority of adults with specific learning disabilities have not been diagnosed and are unaware of the reasons for study problems that they encounter. Against this background, a parsimonious and easily administered screening device is needed. The second part of the thesis focuses on the development and validation of a self-report model - the Strengths and Weaknesses Academic Profile (SWAP) - and a questionnaire based on it, and their use as a counselling tool. The questionnaire based on the SWAP model was administered to a sample of about 500 young adults in Israel studying in preacademic schemes, of which 117 were previously diagnosed as learning disabled. The data was then analysed for validation. Finally, the results were normed on a larger sample of just over 900. The third phase was undertaken in order to address outstanding issues of validation resulting from the inherent methodological weakness of the Israeli research, a further sample was tested in Sheffield, UK. Unlike the Israeli sample, the non-diagnosed were tested to reveal any hidden dyslexics and they were subsequently removed from the control group. I present here an epidemiological sample validating a research tool in a real life scenario. In order to check the construct validity of this tool, a stricter research definition of LD was adopted, and the same process was undertaken using a well-defined sample known to be dyslexic and non-dyslexic. In conclusion, the results of this empirical demonstration show that the SWAP model predicts to a satisfactory degree those individuals who are at high risk of dyslexia. This thesis combines the strengths of an experimental qualitative approach with those of a quantitative empirical approach. In the main sample, the Israeli sample, scores were normed and converted into percentiles. Preliminary data regarding the predictive success of the use of SWAP for referral for diagnosis is presented. In addition, several case studies are included as examples of the use of SWAP as a counselling tool.
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Van, Wyk Sherine. "Locating a counselling internship within a community setting." Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/49732.
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Thesis (MA) -- University of Stellenbosch, 2002.ENGLISH ABSTRACT: no abstract available
AFRIKAANSE OPSOMMING: Hierdie navorsing ondersoek die behoefte van Sielkunde as professie om meer sosiaal relevante en gepaste dienste vir al die mense van Suid-Afrika te lewer. Dit bespreek die kritiek teen tradisionele sielkunde en die dringende behoefte vir 'n meer kontekstuele benadering om the negatiewe sielkundige verskynsels in the samelewing te begryp en verklaar. Die waarde van Gemeenskapsielkunde om voorkomende, kuratiewe en bevorderende geestesgesondheidsdienste aan gemeenskappe te lewer, word ook ondersoek. Verskeie modelle van gemeenskapsielkunde en die voorgestelde integrasie van geestesgesondheidsdienste by Primere Gesondheid word bespreek. Die plasing van 'n voorligtingsielkunde internskap binne 'n gemeenskapsomgewing, naamlik, die Don en Pat Bilton Kliniek, Jamestown, word beskryf en qeevalueer.
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Torrance, Nicola. "Advice on risk of cancer : an evaluation of breast cancer genetic risk counselling services." Thesis, University of Aberdeen, 2005. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU197480.
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Professional and public awareness of the hereditary links between family history and breast cancer have resulted in increasing numbers of referrals to regional genetics centres. In a bid to cope with this increasing demand, the appointment of non-medical genetic counsellors with a background in nursing or science, has become commonplace, despite little or no evidence of their effectiveness or acceptability. The aim was to investigate whether genetic nurse counsellors are as effective as current models of service for familial breast cancer counselling, and to explore factors influencing cost-effectiveness. Two randomised controlled trials of equivalence were conducted concurrently in two regional genetics centres. Women who were referred with concerns about a family history of breast cancer were invited to participate and were randomly allocated to genetic counselling delivered by a genetic nurse counsellor (intervention) or a clinical geneticist (control). The primary outcome was patient anxiety, measured using the short form of the STAL the HADS and the mental health and role emotional domains of the SF-36. Acceptability to referring GPs and patients was also assessed. A parallel economic evaluation was conducted. 289 Grampian patients (193 intervention, 96 control) and 297 Wales patients (197 intervention and 100 control) returned a baseline questionnaire and attended. Analysis suggested equivalence in all anxiety scores. No statistically significant differences were detected in other outcomes. The differences in the cost per counselling episode was £10.23 less, 95% (CI-£1.69 to £22.15) for the nurse-based care in the Grampian trial and £10.89 more for nurse-based care in Wales. Care based on nurses was "equivalent" to conventional cancer genetics services across a range of outcomes, and both trial locations. Nurse counselling has the potential to be cost-saving, although the differential costs are sensitive to the grade of doctor (notionally) and the extent of the consultant supervision required by the nurse.
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Nguyen, Hai Thuong Bhuiyan Shafi Ullah. "Determinants related to the utilization of voluntary counselling and HIV testing services in Vietnam /." Abstract, 2006. http://mulinet3.li.mahidol.ac.th/thesis/2549/cd387/4838006.pdf.
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Leung, Timothy Tin-ming. "History of Counseling Services in Hong Kong." Thesis, University of North Texas, 1988. https://digital.library.unt.edu/ark:/67531/metadc331420/.
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The purpose of this study was to trace the development of the counseling movement in Hong Kong from its beginning to the present and to examine future directions confronting those who work in the counseling field in Hong Kong.
Originating from social unrest in 1966 and 1967, the counseling movement began as an attempt to meet the society's developmental needs of self-expression and direction. Although not a formal program, the first known counseling service in Hong Kong was offered by Ben Fong in 1967 at the Yang Memorial Social Service Center. In 1969 the Hong Kong Federation of Youth Groups established the first formal counseling service in Hong Kong.
Institutions of higher education and foreigners played a major role in the development of early counseling services in Hong Kong. In 197 0, Peter Whyte, an Australian, organized a counseling service at the University Hong Kong. In 1971, Ken Locke, an American, established a counseling service at the Hong Kong Baptist College. Counseling services grew rapidly in the early 1970s, and a 1975 survey identified fifty-five agencies which reported providing counseling services.
In the mid-1970s, helping professionals were struggling with the issue of "What is counseling?" A significant developmental step was the establishment of a master's degree program in counseling at the Chinese University of Hong Kong in 1977. The first professional counseling organization, the Association of Psychological and Educational Counselors of Asia-Hong Kong Branch, was organized in 1979 and the first counseling journal was published in 1980. In 1984, the Education Department of the Hong Kong Government established guidance services in secondary schools.
The challenge for the counselors of Hong Kong in the 1990s relates to two foreseeable changes in the Hong Kong community, the Chinese recovery of the sovereignty of Hong Kong in 1997 and the aging of the population.
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Van, Niekerk Zaidah. "A Rape Crisis Cape Town Trust counselling skills course :a qualitative evaluation." Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_9929_1183988333.
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Rape Crisis Cape Town Trust is an organisation that trains and supervises a team of women counsellors who provide a counselling service to women rape survivors. The aim of this study was to explore the experiences of the counsellors and the counselling co-ordinator regarding their perceptions on whether the training provided by the personal growth and counselling skills course is adequate in dealing with rape and its complexities.
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Maama, Lineo Bernadette. "Factors affecting AIDS orphans' from accessing voluntary counselling and testing (VCT)." Thesis, Nelson Mandela Metropolitan University, 2009. http://hdl.handle.net/10948/1046.
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The study seeks to explore and identify factors that prevent AIDS orphans in presenting themselves for Voluntary Counselling and Testing (VCT). Socio-cultural factors, notably, stigma and the resultant discrimination by community members, have been presented by many researchers as the main aetiological factors that hinder the use of VCT by AIDS orphans. It is on the basis of this that this study was conducted to identify factors that hinder AIDS orphans from accessing VCT. The study used a qualitative approach following an explorative and descriptive, contextual research design and was conducted at Ubuntu Education Fund, Port Elizabeth. Purposive sampling was used to determine a sample of AIDS orphans. Participants of the study had to be orphaned as a result of AIDS, isiXhosa-speaking, between 12-17 years, living in the care of a primary care-giver and had not presented themselves for VCT. Data was collected by means of semi-structured interviews. Semi-structured interviews are suitable in cases where the researcher is interested in an issue that is complex or personal (De Vos, Strydom, Fouche and Deloport, 2005). Data was analyzed according to the framework provided by Tesch (1990) as described in Creswell (2003). The major findings of this study were that people are locked in a ‘poverty-of-the mind cycle’, in respect of HIV and AIDS, and this is exacerbated by educational impoverishment and general poverty. The recommendations that emanated from this study are made from policy and service delivery perspectives. It is recommended that in order for AIDS orphans to access VCT they should be developed and empowered through sustainable programmes that enhance their capacities to the outmost realization of their potential. It is also recommended that health and other professionals should encourage AIDS orphans and community members to present themselves for VCT and thus curb the spread of HIV and AIDS.
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Montgomery, Anna. "Counselling in Swedish Community Pharmacies : Understanding the Process of a Pharmaceutical Care Service." Doctoral thesis, Uppsala universitet, Institutionen för farmaci, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-108973.
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Community pharmacy practice is moving towards patient care and away from the mere dispensing of medicines. In this movement, which is guided by the philosophy of Pharmaceutical care (PC), new counselling services emerge. The purpose of the thesis was to add knowledge about the real-world provision of PC services by studying a defined PC service in Swedish pharmacies. Specific aims of this thesis were to investigate the experiences of professionals working with or close to the service and to describe the content of consultations, counselling behaviour and patterns of follow-up. Further aims were to characterise patients receiving the service and describe their perceived outcomes, in relation to standard service. Data were collected via focus groups, telephone interviews, observations, a patient medication record database and a cross-sectional survey. The practitioners reported greater use of their pharmaceutical knowledge and provision of more thorough patient support. Perceived barriers in delivering the service included difficulties in documenting and getting commitment from colleagues, managers and prescribers. Doctors working close to PC pharmacies held varying opinions about the service. Consultations dealt with issues potentially improving the outcomes of medical treatment, but the level of patient centredness varied and was limited by the practitioners’ focus on the computer screen. The rate of follow-up evaluations was modest, but was higher at pharmacies with a high volume of patients receiving the service. PC patients were mostly elderly and female, using about 10 prescription drugs. In comparison to patients receiving standard service, they were more worried, vulnerable and information-seeking. At the same time, their feelings of safety following the pharmacy visit were more pronounced than those of patients receiving standard service. They also felt better prepared for doctor visits. In order for community pharmacy to better meet patients’ needs and optimise PC services, increased attention should be given to implementation strategies, interprofessional collaboration and educational efforts focusing on patient centredness.
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Thompson, Maria. "Engaging Asian faith communities and counselling psychology perspectives in the development of older adult services." Thesis, University of Wolverhampton, 2010. http://hdl.handle.net/2436/123591.
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This mixed methods study investigates how counselling psychology perspectives can collaborate with the Sikh community in the development of Older Adult Psychology Services. 73 Sikh participants, aged 45-65 years contributed in English and Punjabi through interview, questionnaire or focus group at multiple community sites across 3 metropolitan boroughs in Sandwell. Qualitative data from validated scenarios and personal experience were analysed by a thematic approach informed by Interpretive Phenomenological Analysis. Master themes were identified for religion, quality of life and service development. The SF12v2 (Ware et al., 2005) is a measure of health and well-being which showed just below average population norms for physical and mental health components of well-being for the Sikh Community. The God Locus of Health Control Scale (Wallston et al., 1999) demonstrated religion‟s importance, and how karma is integral to Sikhs‟ understanding and management of health. 80.6% (N=31) prefer older adult service providers to account for their religious beliefs and counselling psychologists are recommended to address this request in their engagement with this community. Preferences in the modes of delivery, types of psychological intervention and aids to service uptake are provided with recommendations for clinical practice, training and future research.
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Cawley, C. "Understanding the role of HIV testing and counselling services in HIV prevention in rural Tanzania." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2015. http://researchonline.lshtm.ac.uk/2373946/.
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This thesis aims to describe the uptake and coverage of HIV testing and counselling (HTC) services in a community cohort study in rural Tanzania between 2003 and 2010, and to investigate the impact of HTC on changes in sexual risk behaviour and HIV incidence. Paper A uses data from three HTC services (community outreach HTC (CO-HTC), walk-in HTC (WI-HTC) and antenatal HTC) linked to the community cohort data to compare the characteristics of services users, and found that while WI-HTC was most likely attract HIV-positive individuals, the overall proportion of infected persons diagnosed was greatest at CO-HTC. Rates of repeat testing are important to understand given potential HIV treatment as prevention approaches. Paper B found that small proportions of cohort participants repeat tested between 2003 and 2010, although this improved over time. Paper C presents a quantitative analysis of the impact of CO-HTC on changes in sexual behaviour and HIV incidence, and found moderate associations between HTC use and reductions in some risk behaviours among HIV-negative participants, but no impacts among HIV-positive individuals or reductions in HIV incidence, possibly as a result of small sample sizes and a declining background incidence in the study area. Paper D presents findings from a qualitative study exploring the effectiveness of HIV prevention counselling messages, which showed that relationship dynamics constrained the extent to which HIV-negative women felt able to control their HIVrelated risk, and imbalanced client-counsellor interactions limited communication during counselling sessions. Overall, the findings from the thesis reveal that provision of different HTC models increased the uptake of services, but the proportions of individuals repeat testing were low and there was limited evidence for an impact of HTC on sexual risk reduction. Future research should explore the effectiveness of different HTC modalities in encouraging repeat testing among high risk HIV-negative individuals, influencing sexual behaviour change and linking HIV-positive people to care and treatment.
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Brown, Georgina. "The working alliance in online counselling for crisis intervention and youth." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, c2012, 2012. http://hdl.handle.net/10133/3297.
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The Internet is becoming a more realistic means of accessing support, especially for those who are unable to or are uncomfortable with accessing supports in person. One population that experiences barriers to accessing face-to-face support is youth, and online counselling is an option available for youth to overcome these barriers (King, Bambling, Lloyd, et al., 2006). Online counselling can occur through e-mail and chat services; however, due to the text-based nature of these services, their effectiveness is criticized for having a lack of verbal and nonverbal communication (Cook & Doyle, 2002). Research, however, has suggested that it is possibly this lack of verbal and nonverbal cues that make online counselling effective. Research has also suggested that the effectiveness of counselling can be measured by the working alliance (Fletcher-Tomenius & Vossler, 2009; Hanley, 2009). This study explored if an effective working alliance can be established in online counselling mediums with youth who are in crisis. A quantitative research approach was taken, in which 91 youth completed an online survey that asked how they felt towards online support services. The results of this study suggest that youth respond positively to the lack of verbal and nonverbal cues; youth appear to enjoy an increase sense of anonymity that is created within online support services, which can contribute to open communication. In addition, the results suggest that an effective working alliance is established in online counselling services, as it was found that youth typical felt happy and satisfied with the services they received.x, 135 leaves ; 29 cm
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Gallagher, Rebecca. "The relationship between client work and personal and professional development in Counselling Psychology training." Thesis, London Metropolitan University, 2014. http://repository.londonmet.ac.uk/708/.
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Personal and professional development activities are a central component of Counselling Psychology training due to regulatory requirements and the high value Counselling Psychology places on the therapist’s "self". Most research on the facilitation of personal and professional development focuses on specific training activities such as personal therapy and personal development groups. However, it is widely acknowledged that personal and professional development are also facilitated by aspects of training and life that are not designed for their facilitation. This research explores the relationship between trainee Counselling Psychologists’ personal and professional development and their client work. Interpretive Phenomenological Analysis (IPA) was used to analyse semi-structured interviews with six final year trainee Counselling Psychologists. Two main findings were identified: firstly, participants were unable to discuss their personal and professional development in relation to client work specifically; personal and professional development were facilitated by the relevance of specific experiences to individuals’ needs and preferences rather than activities having a direct facilitative effect themselves. Secondly, participants did not engage in active personal development work, and this was not explicitly discussed or structured in training. These findings imply that trainees may not develop optimally: as personal and professional development are highly individualised and complex processes, research and training that focuses on specific training activities may fail to interrogate the complexity of why and how personal and professional development are facilitated. Regulatory and ethical implications are discussed alongside existing literature to suggest the beginnings of a personal development curriculum for Counselling Psychology training.
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Jonas, Nozimanga Minah. "The impact of trauma counselling debriefing on debriefers in the context of the South African Police Service (SAPS) helping professions, Limpompo Province." Pretoria : [s.n.], 2003. http://upetd.up.ac.za/thesis/available/etd-02162004-144802.
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Taylor, Vicki. "Talking clients into tests : the interactional accomplishment and management of unsolicited 'offers' in HIV pre-test counselling interviews." Thesis, Goldsmiths College (University of London), 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325354.
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Taegtmeyer, Miriam. "Approaches to the successful scale up of HIV voluntary counselling and testing services in Kenya 2001-2005." Thesis, University of Liverpool, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.479051.
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Wilk, Katarzyna. "Bridging the gap : a collective case study of counsellors' and international students' experiences of working together." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/bridging-the-gap-a-collective-case-study-of-counsellors-and-international-students-experiences-of-working-together(3a65f4b4-190e-44b6-b3dc-ff5f15076a1f).html.
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This research aimed to explore the dynamics of counsellors working cross-culturally with diverse clients in the context of counselling international students at Higher Education Institutes. A particular emphasis on exploring challenges of working cross-culturally with such a diverse group and the solutions to meet those challenges was investigated. Current trends in globalisation of education and the increasing numbers of foreign students entering universities create both problems and opportunities for how to meet the needs of this growing student population. Higher risk factors for distress and crisis are present for international students due to having additional pressures of adapting to a novel environment, establishing support networks, and overcoming culture shock in addition to the more common academic and financial stressors of college and university. The methodology of choice is a collective instrumental case study design that operates within a critical theory paradigm to develop an in-depth understanding of how different cases provide insight into working with diverse clients. Five British counsellors and five international students were recruited within the UK using purposeful convenience sampling through adverts and the professional networks of the researcher. Counsellors were interviewed within a single focus group and international students were interviewed individually in order to understand the researched phenomenon from both counsellor and client perspectives. Thematic Analysis was chosen to generate two separate streams of themes from both counsellor and international student groups in relation to identified challenges and solutions of working together. A second level of overarching themes was produced from comparing and contrasting responses across all participants. The findings highlight a rich heterogeneity within both groups of participants, showcasing the perspectives on both sides of the therapeutic encounter. Counsellors and students held similar and different perspectives on what they identified as challenges of working together -counsellors' vocalised a higher number of relational challenges and students' identified greater institutional barriers. Novice international students experienced increased challenges compared with seasoned international students suggesting that development of risk factors within this sub-group is a high priority to take into consideration when addressing international student needs. Viewing diversity as a positive resource was a shared solution discussed in both participant groups that relied on counsellors demonstrating liberal value systems. Both groups identified the need for institutional support to be increased with students requesting a more proactive community outreach. A dominant finding in terms of recommendations for working with diversity included the use of the pluralistic approach noting that there is no one right answer or model to work with diversity within people and that flexibility to adapt to each client was essential. The findings are not presented as definitive generalisable truths due to the small sample size, but provide contribution to a case-based understanding of how to provide support for diverse groups of students within Higher Education Institutions in order to reduce risk and increase well-being among the international student population.
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Lehl, S. "Healthcare practitioners' and patients' perspectives of a weight management service and the place of psychological support within this." Thesis, University of Wolverhampton, 2016. http://hdl.handle.net/2436/617877.
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Both the NHS and Public Health are keen to identify how best to manage long term health condition’s as a result from obesity and vice-versa. There is evidence to support the efficacy of psychological support in weight management programmes. This study explored the perceived importance of psychological support within weight management services; perspectives of both client and healthcare practitioners, in view of considering the implications for the role of a counselling psychologist. There were nine interviews conducted with five healthcare practitioners and four clients. The professionals’ disciplines included: physiologist, dietician, health psychologist, programme manager, and a medical consultant. Of the four patients, two had accessed psychology services as part of their weight management programme and two had not. Data was analysed using thematic analysis. Five overarching themes were identified. Tension (pivotal central theme) this connected to: Lifestyle; Quality of Life (QoL); Service Delivery Model; and Professional and Personal beliefs and values. The findings highlighted that perceived importance of psychological support was influenced by an individuals’ background and experiences by both groups. The implications for the role of a counselling psychologist was to provide training to health professionals as well as raising clients’ awareness of the role of counselling and psychological support within such programmes. Further research is needed to understand better the potential of psychological support within weight management services to help contain UK obesity.
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Komanyane, Lorato. "Factors influencing the utilization of voluntary counselling and testing services amongst employees of the Lobatse Town Council in Botswana." Thesis, Nelson Mandela Metropolitan University, 2007. http://hdl.handle.net/10948/535.
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In this study both qualitative and quantitative methods were used to find out to what extent the Lobatse Town Council employees used Voluntary Counseling and Testing (VCT) HIV and AIDS services, the reasons for using or not using the services, the preferred service providers reasons for choosing a service provider. Lastly recommendations were made on how the uptake HIV and AIDS VCT services could increased amongst the employees. A sample of 200 respondents was selected from the employees of the Lobatse Town Council, and it was established that 65.5 percent of the respondents had used VCT. Females had a higher testing participation rates than males, white collar respondents had a higher testing participation than the blue collar respondents. There was a higher rate amongst the married than the single respondents and the older ages of 30 and above than the young ages of 29 years and under. In the study it was also established that the majority of the respondents considered voluntary counselling and testing for HIV and AIDS as being important. However there were some groups that were more positive than others regarding the importance of testing. More females than males were positive regarding the importance of testing, and also amongst the employment categories the white collar respondents were more positive than the blue collar respondents regarding the importance of HIV and AIDS testing. Furthermore it was established that the most important reason for testing amongst the employees that did test for HIV and AIDS was that they felt that they needed to undergo testing before they tested. The respondents that did not test for HIV and AIDS indicated that the most important reason for not testing was that they were scared the results could not be kept confidential. The research also showed that the most preferred service provider was Tebelopele. Tebelopele was the most used and preferred service provider amongst both gender and age groups, all marital groups and the blue collar group in the employment categories. However, for the white collar group the most preferred service provider was the private practitioners. The most common reason for choosing a service provider was confidentiality and privacy. Lastly, the research makes recommendations on what needs to be done to increase the uptake of VCT HIV and AIDS testing amongst the Lobatse Town Council employees. One of the recommendations is that there was a need to educate the employees of the Lobatse Town Council and that the education should be specific for each group. For example from the group discussion the participants felt that the reason to why males did not want to utilise HIV and AIDS VCT was because they lacked knowledge on the importance of testing. Also the respondents indicated that there was a need to remove stigma and discrimination through removing confidentiality attached to HIV and AIDS. It was also, recommended that the Lobatse Town Council formulate and implements a workplace policy on HIV and AIDS
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Musemwa, Shingisai. "Factors influencing university students' use of HIV voluntary counselling and testing services : an analysis using the health belief model." Thesis, Nelson Mandela Metropolitan University, 2011. http://hdl.handle.net/10948/1448.
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Human Immune Virus (HI)V /Acquired Immune Deficiency Syndrome (AIDS) has emerged as the most devastating epidemic that the world has experienced. Voluntary counselling and testing (VCT) has proven to be an effective way of preventing and controlling HIV. South African universities provide free VCT services on their campuses; however, these facilities are underused. The study’s objectives were to use the components of the health belief model (HBM) to explore and describe the factors that influenced the decision made by university students who have gone for VCT. The sample consisted of five male students. Data was collected through one-on-one in depth interviews, which were recorded. Data was analysed using thematic analysis, and the components of the HBM were used as codes for the data. Themes were generated for each component. The results indicated that perceived severity, perceived benefits and cues to action played a role in influencing the participants’ decision to go for VCT. In addition, results show that perceived susceptibility had little influence on their decision to go for VCT. Even though participants acknowledged barriers to VCT, they reported that the perceived benefits for VCT outweighed the barriers, and the decision to go for VCT was made. Participants suggested that to increase uptake of VCT on their campus, the university could improve current VCT campaigns, introduce rewards for VCT and introduce couples VCT.
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Futter, Merle. "Predictive testing and clinical genetic counselling services for Huntington disease in the Western Cape : an evaluation over eleven years." Doctoral thesis, University of Cape Town, 2007. http://hdl.handle.net/11427/3094.
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Hutchings, Myra. "A study to evaluate the effectiveness of a counselling service for people with physical disabilities and their carers within a social services physical disabilities team." Thesis, University of Essex, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.410791.
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Schröder-Groenewald, Annelene. "Pastoral counselling of the paramedic in the working environment / Annelene Schröder." Thesis, North-West University, 2012. http://hdl.handle.net/10394/9833.
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Paramedics are exposed to high levels of stress and trauma in their working environment. Research has its focus on the coping mechanisms and trauma incidents escalating into Posttraumatic Stress Disorder. This study examines the paramedics’ working environment in relation to the help available, and suggests a pastoral counselling method which may be utilized as an effective method of assisting in the coping process and prevention of PTSD. Emergency Medical Services as a helping profession is mainly concerned with the welfare of their patients. This study has its focus on helping the helper, with the main focus on assisting the paramedic to cope with his working environment. Implications of the research include kerugmatik counselling and narrative therapy, incorporated in a pastoral counselling method to assist the paramedic with the healing process. The main findings were that stress and coping of the paramedic in his working environment was a reality which was often overlooked, as these paramedics had their focus on caring for their patients. In most cases there is help available, but the paramedic is hesitant to seek it out. Paramedics are mostly self-reliant in their coping mechanisms as their understanding and relationship with God and with the church had been damaged. The researcher followed the four tasks of practical theology as theoretical framework, as explained by Osmer:
Descriptive-empirical Task – Priestly listening
Interpretive Task – Sagely wisdom
Normative Task – Prophetic discernment
Pragmatic Task – Servant LeadershipThesis (MA (Pastoral Studies))--North-West University, Potchefstroom Campus, 2013.
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Kwong, Sau-yee Cecilia. "A study of the applicability of service quality for casework counselling in Hong Kong : myth or reality? /." Hong Kong : University of Hong Kong, 1996. http://sunzi.lib.hku.hk/hkuto/record.jsp?B17507819.
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Edmund, Ampeire. "The utilisation of HIV services on campus by the students of the University of the Western Cape." Thesis, University of the Western Cape, 2009. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7383_1299041199.
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This qualitative study was conducted from June to November 2009, using designed questionnaires for sixty three (63) registered students and five (5) HIV program staff .The main reason for this study was to understand the underlying factors for why students may utilize or may not utilize the available HIV services on campus. The willingness of students to express their views was a positive finding in this study. Majority students who answered the questionnaires were quite aware of these HIV services. They also agreed that services provided are good. The study also found out that females utilized these services more than males and majority of students learnt of the HIV services from the HIV programs pamphlets and website thus indicating that the HIV program at UWC is function. However the research study also found out that the though students are aware of these services few utilize them and majority are females thus leaves a question why males do not utilize.
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Kamau, Judith Wanene. "The effectiveness of learner support services to distance learners in a primary education diploma : a case study in Botswana." Thesis, University of Pretoria, 2012. http://hdl.handle.net/2263/24076.
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This study was motivated by my desire to understand participants’ perceptions about the effectiveness of learner support services and their contribution to distance learners’ progress and programme completion in the DPE programme in Botswana. The investigation was carried out to find out why despite the provision of learner support services, there were low completion rates and high incomplete rates in the final year (2002/2003 cohort) of the DPE programme. The study also intended to understand the strengths and weaknesses of learner support services and make recommendations for improvement. A qualitative case study research design was applied. Group and individual interviews were conducted with participants. Data were analysed using Atlas ti computer software which simplified the management of the large corpus of data generated during the fieldwork. The study found that there was need for sustained learner-tutor and learner-learner interaction and regular communication with the supporting institution during the learning process. This would require planning and aligning learner support services to identified learner needs, access to learning resources including the existence and application of effective monitoring and supervision mechanisms for academic, counselling and administrative support in order to ensure commitment and accountability of learner support providers. In order to reduce isolation which is created by the physical separation between learners and service providers, the study recommended a structure for the provision of decentralized learner support services that are as close as possible to where distance learners live and work for ease of access. The study further found that there is need for policy guidelines and management structures to facilitate the provision of effective learner support services for the benefit of distance learners.Thesis (PhD)--University of Pretoria, 2012.
Education Management and Policy Studies
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Hauraki, Jennifer. "A model minority?: Chinese youth and mental health services in New Zealand." Thesis, University of Auckland, 2005. http://hdl.handle.net/2292/1876.
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The 'model minority' label given to Chinese populations in New Zealand and other Western countries have made it difficult to truly comprehend the difficulties faced by some Chinese ethnic minorities. Despite comparable rates and types of mental health problems to their European counterparts, identifiable barriers have led to Chinese ethnic minorities underutilising mental health services. The present study investigated the mental health service utilisation in native- and foreign-born Chinese youth in New Zealand, paying particular attention to barriers to service utilisation and viable solutions for these difficulties. It consisted of three individual projects and explored the views of Chinese community and mental health professionals and Chinese university students, comparing their perspectives to university students of other ethnicities. Findings showed that despite a willingness to seek help from their family and mental health professionals (e.g., psychologists, school counsellors), respondents identified a myriad of obstacles to the help seeking of Chinese youth. These included physical barriers (e.g., financial and transport constraints), personal barriers (e.g., stigma, problems accepting their difficulties), service barriers (e.g., paucity of knowledge regarding mental health problems and available services) and family barriers (e.g., obstruction from family members). Family and service barriers distinguished the difficulties faced by Chinese in comparison to European youth, particularly with regards to the adherence of professionals to stereotypes of Chinese youth, a unique finding of this study. In order to reduce such barriers, the Chinese university students and professionals advocated for greater education regarding mental health problems and services in the Chinese community, education for Chinese parents regarding adolescent issues, an increase in the number of practicing Chinese professionals that is coupled with improved cross-cultural training for non-Chinese professionals, as well as individual assessment and treatment approaches with Chinese youth and their families.Whole document restricted, but available by request, use the feedback form to request access.
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Kwong, Sau-yee Cecilia, and 鄺鏽儀. "A study of the applicability of service quality for casework counselling in Hong Kong: myth or reality?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B31964941.
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Akpabio, Alma. "Attitude, perceptions and behaviour towards family planning amongst women attending PMTCT services at Oshakati Intermediate Hospital, Namibia." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_9300_1362391815.
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Background: About 22.4 million people were living with HIV/AIDS in 2008 out of which women constitute approximately 57%. Namibia is one of the highly affected countries with a national HIV prevalence of 17.8% among women attending antenatal clinics. Antiretroviral medications have become available in Namibia since 2002 and presently all district hospitals and some health centres provide ARVs to those in need. Namibia is rated as one of the few countries in sub-Sahara Africa with a high coverage of ART, with 80% of those in need of ART receiving the treatment. An increasing trend has been observed whereby HIV+ women on ARV are becoming pregnant. Little is known about the attitude, knowledge and behavior of these women towards family planning and use of contraceptives and what barriers they may be facing in accessing these services.Aim: To determine the factors affecting the utilization of family planning services by HIV+ pregnant women receiving PMTCT services. Methodology: The study was a cross sectional study using both quantitative and qualitative methods to assess the critical elements of knowledge, attitude and perceptions of the study participants towards family planning services. The study also assessed the health system and other factors that impact on the use of contraceptives by HIV+ women. It was conducted in northern Namibia at Oshakati Health centre among randomly selected pregnant HIV+ women attending for PMTCT services.Results: Among the 113 respondents, who participated in the study, 97.3% knew at least one method of family planning but only 53.6% actually used any method of contraception prior to current pregnancy. Among the 46.4% who did not use any contraception, the reasons often cited for non-use were because they wanted a baby (52%), spouse objection (10%), being afraid of the effects (14%) and other reasons such as belief, culture and distance to travel to the health facility. 88% of the respondents indicated a willingness to use contraceptives after current pregnancy and expressed general satisfaction with services at the health centre while asking for more information on family planning services.Conclusion: HIV+ women have high awareness on some contraceptives but use of contraceptives is not as high as many of them have a desire to have children for self esteem and leave a legacy for the future. Knowledge of the risks of pregnancy on HIV+ woman may be limited and there is a need to improve educational intervention in this regard as well as integrate family planning services into all HIV/AIDS services.
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Barker, Kimberley. "A grounded theory study of the role of interpersonal processes in community sexual offending group work programmes from a counselling psychology perspective." Thesis, London Metropolitan University, 2015. http://repository.londonmet.ac.uk/1101/.
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The effectiveness of Sexual Offending Treatment programmes has generally been measured through evaluating intervention content and reoffending rates. In response to the growing call to explore the role of therapeutic process in facilitating meaningful change on these programmes, this thesis considers how interpersonal dynamics may influence programme effectiveness from the perspective of the group member. This offers the opportunity to consider the impact of how we work, rather than what we do. The critical literature review uses a pluralistic framework to present relevant existing research and identify gaps in practice-based knowledge in the field of sexual offending intervention from a Counselling Psychology perspective. While the literature suggests interpersonal ingredients important to this process, it offers little information regarding where, when and how these qualities are effective. Furthermore, little is understood about the impact of relational dynamics between the facilitators and group members in creating a facilitative environment. This reveals broad gaps in research relating to a neglect of the client’s experience of these interactions and how they are conceptualised in their change process. This research therefore uses a social constructivist grounded theory method to generate data exploring these process issues. The results highlight the value of facilitators fostering a dynamic and balanced core interpersonal process that is sensitive to the unique context of these group interventions. This offers a foundation for group member engagement and effective group functioning relevant to subjective change. The implications for theory and practice are discussed, highlighting how a Counselling Psychology presence in this field has the potential to enhance practice. The study is concluded with reflections of the study’s limitations and areas in need of further research.