Dissertations / Theses on the topic 'Mental health personnel'
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Schroering, Joan B. "Gender bias among mental health professionals." Huntington, WV : [Marshall University Libraries], 2003. http://www.marshall.edu/etd/descript.asp?ref=376.
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Deihl, Christine D. "Recruitment and retention of mental health personnel in Pennsylvania." Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1996. http://www.kutztown.edu/library/services/remote_access.asp.
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Hill, Jennifer Marie Westefeld John S. "The experiences of mental health professionals providing services to persons who are dying a phenomenological study /." Iowa City : University of Iowa, 2009. http://ir.uiowa.edu/etd/378.
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Macpherson, Elinor Carol. "Manpower substitution in mental health service delivery." Thesis, University of British Columbia, 1988. http://hdl.handle.net/2429/27988.
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The study developed a model for projecting potential economies from manpower substitution among the four core mental health professions and applied the model to a proposed substitution situation which would substitute psychologists for psychiatrists in the delivery of a proportion of present private practice (fee-for-service) psychiatry services in British Columbia. The model identifies three controlling variables: treatment substitutability (TS), practice privilege constraints (PPC), and relative payment rates (RR). In the model, TS and PPC are conceptualized as determining the estimated substitutable share of costs (SSC%); RR, in combination with the values derived for SSC%, is then used to estimate potential cost savings (CS%). Two conditions were defined for each of the three controlling variables in order to provide a range of possible values for SSC% and CS%. For reasons of data availability, data were obtained from the Manitoba Health Services Commission for private practice psychiatry services for FY 1984 and estimates of SSC% calculated. These estimates were then applied to B.C. Medical Services Commission data for FY 1984, and projected values of CS% calculated. Calculations were made both for all services and for the subset of psychotherapy services, which accounted for 80 percent of the larger set of services. The results of the study indicated considerable possibilities for manpower substitution, ranging from 35 to 70 percent for all services and 40 to 75 percent for psychotherapy services. However, the study also found that while salaried psychologists offered the possibility of substantial cost savings, a
fee-for-service arrangement suggested virtually no potential savings. Projected values of CS% for the salaried alternative were 20 to 40 percent for all services and 15 to 30 percent for psychotherapy services but in the fee-for-service alternative, only 4 to 8 percent for all services and 4 to 7 percent for psychotherapy services. Licensure and market rigidities which might pose barriers to implementation were evaluated and a review of professional training standards (TS), licensure standards (PPC), and funding alternatives (RR) indicated that the projected economies could be achieved with no necessity for modifications in existing arrangements. PPC appear to present almost no barriers to economies from the proposed manpower substitution and those barriers which are presented by TS and RR limitations still allow considerable potential for economies. Thus, the greatest opportunities for intervention in achieving and enhancing the projected, economies appear to be in the exploration of relative payment rates and relative effectiveness of treatment methods (e.g., psychotherapy vs. pharmacotherapy). The study concludes with a discussion of factors lying outside the boundaries of the model but which impinge, nonetheless, upon the feasibility of the proposed substitution and fall, necessarily, to policy makers to address. The existing network of B.C. community mental health centres was suggested as a possible mechanism for the delivery of the substitutable share of private practice psychiatry services.Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate
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Byrne, Mitchell K. "Medication alliance development and implementation of a mental health staff training program for the enhancement of patient medication adherence /." Access electronically, 2008. http://ro.uow.edu.au/theses/2070.
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Thesis (Ph.D.)--University of Wollongong, 2008.Typescript. Computer optical disc inserted in pocket on p. 195 entitled: Medication alliance core skills demonstration. Includes bibliographical references: p. 147-179.
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Kling, Michael Patrick. "Needs Assessment for Mental Health Support Towards Emergency Medical Service (EMS) Personnel." Thesis, Regent University, 2021. http://pqdtopen.proquest.com/#viewpdf?dispub=27961789.
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Understanding and assessing the needs of Emergency Medical Service (EMS) personnel and other first responders is crucial for providing these individuals with the resources needed within their community. The literature discusses how EMS personnel are at risk for psychological impairment due to routine exposure to traumatic events and occupational stressors within EMS organizations. Additionally, the research has supported the importance of positive coping abilities, organizational belongingness, and social support within the lives of EMS personnel to enable them to resiliently handle the occupational stress of their job. This study investigated the occupational needs of EMS providers to determine if they are receiving resources within their organization to cope with occupational stressors. Participants for this study comprised (n=153) paramedics and fire-fighters from the Tidewater EMS Council organization. A needs assessment was conducted to explore correlations between quality of life, resiliency, years of service, level of education, burnout, secondary traumatic stress, interpersonal support, positive and negative religious coping, and the occupational needs of EMS personnel. The results revealed that burnout (r=4.27**) and secondary traumatic stress (r.215*) were important factors for determining occupational turnover among EMS personnel. Furthermore, EMS providers reported occupational needs such as easier access to mental health, improved staff relations, adequate staffing, and improved shift hours are needed within their organization. Future research should explore differences in occupational needs with EMS providers among EMS organizations in metropolitan and rural communities. Keywords: Emergency Medical Services (EMS), Burnout, Occupational Stress, Traumatic Critical Incidents
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Latham, Patricia King. "Factors associated with social support in mental health workers /." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487332636474462.
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Marth, Dean Markward Martha J. "A longitudinal study of differences in staff assaults by responses to residents in a forensic hospital." Diss., Columbia, Mo. : University of Missouri--Columbia, 2009. http://hdl.handle.net/10355/6134.
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Title from PDF of title page (University of Missouri--Columbia, viewed on Feb. 15, 2010). The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Dissertation advisor: Dr. Martha Markward. Vita. Includes bibliographical references.
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Kotze, Lynn Meagan. "The employment patterns of BPsych graduates in the Western Cape." Thesis, Link to online version, 2006. http://hdl.handle.net/10019/563.
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Weber, Kurt Andrew. "An investigative inquiry into mental health professionals' perceptions of psychology's contributions to human and social welfare /." Digital version accessible at:, 1999. http://wwwlib.umi.com/cr/utexas/main.
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Kimmel, Ainslee. "Mental health perceptions of rural community members and firefighting personnel after a wildfire." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, c2012, 2012. http://hdl.handle.net/10133/3285.
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Wildfires in Canada and around the world are increasing in frequency each year from factors such as accumulated fuel load, climate changes, and pine beetle infestation. Due to an increased proportion of individuals living in the wildland–urban interface areas within Canada and due to the increasing need for firefighters to fight the growing number of fires that burn each year, the potential threat for humans is also becoming greater. Conducted on the 2009 West Kelowna, British Columbia wildfires, this descriptive, exploratory, qualitative study incorporates quantitative validity measurements to investigate factors related to individual variations in psychological distress and posttraumatic growth (PTG). The findings revealed that perception of control, social support, compounding stressors (i.e., dual roles, ongoing responsibilities and personal issues), and coping methods (i.e., debriefing, humour, self-care behaviours, and reflection) were precursors to psychological health and resilience. Since wildfires are increasing in Canada as well as on a global scale, understanding how they affect residents and firefighting personnel from a mental health perspective is important to research, as it can lead to identifying more effective interventions, better provision of disaster relief services, and increase individual resilience.xi, 193 leaves ; 29 cm
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Skellon, N. "Factors that impact on military personnel and military veterans accessing mental health services." Thesis, University of Liverpool, 2016. http://livrepository.liverpool.ac.uk/3004658/.
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Chan, Yuen-yan, and 陳遠欣. "Job satisfaction, stress and mental wellbeing of health care workers in a regional public hospital." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48422502.
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Introduction: Amongst all public servants in Hong Kong, health care workers are one of the groups suffering from highest working pressure. They have long working hours and may have overnight shift duties, including Sundays or even public holidays. This may lead to poor job satisfaction, psychological stress and the recent high resignation rate in public hospitals.
The aim of this study is to assess the prevalence of the psychological stress, psychological symptoms and job satisfaction of health care workers, the association between stress, psychological symptoms and job satisfaction; and also the factors associated with job satisfaction in a regional hospital in Hong Kong.
Method: Health care workers in a large regional hospital of Hong Kong were surveyed by means of a questionnaire assessing basic demographic data, questions of the General Health Questionnaire (GHQ-12), Perceived Stress Scale (PSS), Warr-Cook and Wall job satisfaction scale (JSS). Four groups of health care workers (doctors, nurses, allied health workers and supporting staffs) were surveyed. Summary of descriptive statistics were calculated for each group to compare the prevalence of job dissatisfaction, perceived stress, and psychological symptoms. Two-stage analysis will be used. The first stage analysis will use ANOVA test to access the association between job satisfaction and different variables. The second stage analysis will use multivariate regression model to further assess the coefficient correlation of significant factors drawn from ANOVA test with job satisfaction.
Results:
There were 674 eligible questionnaires. About half (47%) of the health care workers reported having perceived stress and a third (33.8%) psychological symptoms.
Doctors reported the (76.8%, 95% C.I = 69.43%, 84.17%) highest level of job satisfaction amongst all the health care workers surveyed. Among staff reporting a GHQ score equal to or more than three, supportive staff had significantly higher prevalence (38.7%, 95% C.I.=27.96%, 49.44%) and doctors the lowest prevalence (28.1%, 95% C.I.= 15.11%, 41.09%) of psychological symptom but proportions were compatible with their counterparts in other countries. The mean score for GHQ-12 was 2.41+/- S.D. 3.28.
The overall mean perceived stress score was 18.14 with SD +/- 5.0. There was no significant difference when different subgroups were compared. The mean PSS scores of all subgroups were lower than their counterparts in other counties but were quite similar to the mean PSS reported during SARS period. Sixty eight percent of all health care workers surveyed were satisfied with their job (respondents indicating “moderately satisfied”, “very satisfied” and “extremely satisfied” on their overall job satisfaction). Values equal to or above 5 reflect being satisfied. The mean value for Job satisfaction was 4.58 +/-S.D. 1.21. The factors including shift duty, perceived stress, and psychological symptoms were negative correlated with job satisfaction. Factors such as clinical work, doctor and secondary school level were positive correlate with job satisfaction.
Conclusion:
Prevalence of perceived stress and psychological symptoms among health care workers were high when compared with the general population (14-17.6% for perceived stress and 28.1% for psychological symptom), but not as high as expected. In contrast to popular belief, doctors had the lowest perceived stress level, lowest prevalence of psychological symptom and the highest job satisfaction among different groups of health care workers. This may be related to higher income, social status and, education background that might help to protect them from depression and anxiety.
Supportive staffs, who felt neglected by management, were found to have the highest prevalence of psychological symptom and higher stress levels. Nurses got highest prevalence of perceived stress. More attentions and resources should be devoted to these groups to cope with their psychological needs and stress.published_or_final_version
Public Health
Master
Master of Public Health
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Antunes, Sonia Marina Martins de Oliveira. "O processo de desospitalização da reforma psiquiatrica em Andradas-MG." [s.n.], 2004. http://repositorio.unicamp.br/jspui/handle/REPOSIP/310716.
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Orientador: Marcos de Souza QueirozDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-05T09:14:30Z (GMT). No. of bitstreams: 1 Antunes_SoniaMarinaMartinsdeOliveira_M.pdf: 9310867 bytes, checksum: bf1870a4d8bcd4af8ac83f4d2be55fac (MD5) Previous issue date: 2005
Resumo: o presente estudo consisteem analisar o processo de desospitalização,no interior da reforma psiquiátrica,emparticular,as representaçõessociais dos profissionaisde saúde envolvidos com a assistência ao doente mental. Remete a uma análise histórica e conjuntural, partindo-se da hipótese de que se faz necessário repensar a intervenção institucionalcomo wn dos fatoresdeterminantesno curso e prognósticoda doença mental. Envolve também a postura dos profissionais de saúde, o trabalho interdisciplinare os fatores que permeiam estas práticas, pelos preceitos do novo paradigma de desinstitucionalização e da atenção em saúde mental. Optamos por wn estudo de abordagem qualitativa, concentrada na compreensão das representações sociais evidenciadasna instituiçãosobre a assistênciaem saúde mental e os desafios impostos aos profissionais de saúde, que se empenham em promover a desospitaJi7.açãodo doente mental.Focalizamoso cotidianoinstitucionaldo CAPS(Centro de AtençãoPsicossocial), wn serviço municipalizadode SaúdeMentalem Andradas-MG,utilizando-separa a coleta de dados entrevistassemi-estruturadascomtodos osprofissionaisde saúde que compõema equipe multiprofissionalda instituiçãoe aceitaramemparticiparda pesquisa.Os resultados encontrados,a partirda análisedos dados,pontuamque a lógicamanicomialainda permeia as práticas cotidianas do CAPS e o tratamento do doente mental insere-se dentro da concepçãohegemônica da Medicina,onde os profissionaisde saúde tomam o diagnóstico psiquiátricocomo referênciapara suas intervenções,além do baixo grau de conhecimento, que os profissionaisapresentaramsobre o processo da reforma psiquiátrica.No entanto, apesar do baixo investimentogovernamentalpara a área de saúde mental do município, a redução do número de intemaçõespsiquiátricas,nos últimos tempos, apontam para uma direção favorável a desospitalização,onde a equipe consegue conduzir casos bastante complexos valendo-se apenas dos recursos existentes.Para os profissionais do CAPS - Andradas-MG, a finalidade primordial do programa refere-se à promoção da saúde do indivíduo, em adoecimentopsíquico, e identificaçãode mecanismosque apontem para a conquistade wna melhor qualidadede vida
Abstract: The present study consists of an analysis of out hospitalization at the center of psychiatric reforrn, in particular,the social ramificationson the healthcare professionals involved in the care of the mentally addresses a historicaland "complete" analysis, beginning with the hypothesisthat it is necessary to rethink institutionalintervention as one of the detennining factorsin the courseand prognosticationof mental illness. It also involvesthe posture ofhea1thcareprofessionals,interdisciplinarywork, and the factors that permeate these practices,by the principIe of the new paradigm of out institutionalization and care in mental health. A study with the qualitative approach was selected, concentratingon the socialmanifestationsshownin the institutionrelatingto mental health care and the challengesimposed on healthcareprofessionals,which concem themselves with promoting the out hospitalization of the mentallyill. A case study was performed, focusing on the institutionalquotidian of CAPS (The Center for Psycho-Social Care), a municipalMental Hea1thservicein Andradas,Minas Gerais,collectingdata through semistructured interviews with alI of the healthcare professionals tha! make up the multidisciplinaryteam in the institution. The results encountered, beginning with the analysisof the data, point out that "asylumlogic" stillpermeatesthe day to day practicesat CAPSand the treatmentofthe menta11yillmakesup a part ofthe hegemonicconceptionof Medicine,in whichhea1thcareprofessionalsreach a psychiatricdiagnosisas a referencefor their intervention; in addition to this that the professionals demonstrate a low leveI of knowledge regarding the process of psychiatricreformo Nevertheless, the low leveI of municipal govemment investmentin the area of mentalhea1thand the recent reduction in the number of psychiatrists,point in a favorabledirectionto out hospitalizationin which the team managesto deal withvery complexcasesmakingthe most ofthe scarce resources available. For the professionalsof CAPS - Andradas, the primary ends of the program focuses on the promotion of the health of the individual in psychiatric illnesses, and identificationof the mechanismsthat aid in the conquestof a better qualityof life Abstract: The present study consists of an analysis of out hospitalization at the center of psychiatric reforrn, in particular,the social ramificationson the healthcare professionals involved in the care of the mentallyi11.1taddressesa historicaland "complete" analysis, beginning with the hypothesisthat it is necessary to rethink institutionalintervention as one of the detennining factorsin the courseand prognosticationof mental illness. It also involvesthe posture ofhea1thcareprofessionals,interdisciplinarywork, and the factors that permeate these practices,by the principIe of the new paradigm of out institutionalization and care in mental health. A study with the qualitative approach was selected, concentratingon the socialmanifestationsshownin the institutionrelatingto mental health care and the challengesimposed on healthcareprofessionals,which concem themselves with promoting the out hospitalization of the mentallyill. A case study was performed, focusing on the institutionalquotidian of CAPS (The Center for Psycho-Social Care), a municipalMental Hea1thservicein Andradas,Minas Gerais,collectingdata through semistructured interviews with alI of the healthcare professionals tha! make up the multidisciplinaryteam in the institution. The results encountered, beginning with the analysisof the data, point out that "asylumlogic" stillpermeatesthe day to day practicesat CAPSand the treatmentofthe menta11yillmakesup a part ofthe hegemonicconceptionof Medicine,in whichhea1thcareprofessionalsreach a psychiatricdiagnosisas a referencefor their intervention; in addition to this that the professionals demonstrate a low leveI of knowledge regarding the process of psychiatricreformo Nevertheless, the low leveI of municipal govemment investmentin the area of mentalhea1thand the recent reduction in the number of psychiatrists,point in a favorabledirectionto out hospitalizationin which the team managesto deal withvery complexcasesmakingthe most ofthe scarce resources available. For the professionalsof CAPS - Andradas, the primary ends of the program focuses on the promotion of the health of the individual in psychiatric illnesses, and identificationof the mechanismsthat aid in the conquestof a better qualityof life
Mestrado
Enfermagem e Trabalho
Mestre em Enfermagem
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Lombo, Nocawa Philomina. "Mental health care practitioners' perceptions of mental illness within the isiXhosa cultural context." Thesis, Nelson Mandela Metropolitan University, 2010. http://hdl.handle.net/10948/1179.
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This study sought to explore the perceptions of mental health care practitioners’ perceptions on mental illness within the isiXhosa cultural context. A qualitative exploratory descriptive and contextual design was used for the study. A non-probability purposive sampling method was used to select eight participants from Komani Hospital in Queenstown. Data was collected through semi-structured interviews. The services of an Independent Interviewer were used to avoid any bias as interviews took place where the researcher is employed. All interviews were transcribed verbatim and the data collected was analyzed according to Tesch’s eight steps of data analysis as described in Cresswell (1994:155). The researcher utilized services of an Independent Coder who verified the identified major themes. Four major themes emerged from the analysis of the interview: Mental health care practitioner’s perceptions of mental illness, perception of the causes of mental illness within the isiXhosa cultural context, mental health care practitioners’ views in the management and treatment of mental illness and suggestions put forward to improve the services to mental health care users. The major findings of this study were the lack of knowledge of culture of mental health care users. It is recommended that it would be proper if there could be co-operation between mental health care practitioners and traditional healers by working together as a team.
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Meyer, Deborah J. "Technology's relationship to issues connected to retention a focus on rural mental health practitioners /." Ohio : Ohio University, 2003. http://www.ohiolink.edu/etd/view.cgi?ohiou1082491212.
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Burdett, Howard. "The mental health and social wellbeing of UK ex-service personnel : the resettlement process." Thesis, King's College London (University of London), 2014. https://kclpure.kcl.ac.uk/portal/en/theses/the-mental-health-and-social-wellbeing-of-uk-exservice-personnel(aecf42ef-03bb-4aa5-9084-c19d831aeb90).html.
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The King’s Centre for Military Health Research has collected data on a cohort of approximately 10,000 UK Service personnel from 2003-2008, some of whom (n = 2,253) have left the military over the period in which data collection has occurred. This thesis focuses on those individuals previously in regular (i.e. full-time) service who have left the Armed Forces. At the point of leaving, personnel undertake a number of activities intended to facilitate their transition into civilian life and employment; this is termed "resettlement". Concern is often raised about the ex-Service community’s mental health, homelessness, re-entry into the civilian workforce, and general reintegration into civilian society. Working with this cohort data, this thesis investigated the demographics of Service personnel undertaking resettlement; their transition outcomes in terms of mental health, employment, housing situation, social network, and other markers of social exclusion; the relationships between these outcomes; and the effects of resettlement. Primarily, this thesis shows that resettlement provision has an effect on transition as a result of two relationships – it is associated with higher likelihood of employment, and independently with better mental health. Through these relationships, resettlement has indirect effects on every other domain of transition. Additionally, I have demonstrated that unsuccessful transition is related to pre-enlistment adversity, and lacking a long-term partner. Military factors play relatively little role in post-Service outcomes, although the method by which the individual leaves Service can affect their transition; those who leave in an abrupt, unplanned manner (including those with medical discharges) are more at risk. Outcomes improve with time after the individual has left service. Overall, this thesis shows that ex-Service personnel do not generally have difficulty transitioning to civilian life, and this transition is facilitated by undertaking resettlement. Nonetheless, some groups are at greater risk of poor transition outcomes.
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Eberts, Stephanie E. "School Mental Health Professionals' Experiences of Hurricane Katrina Evacuees: A Phenomenological Approach." Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/cps_diss/52.
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Abstract The need for increased training in the area of trauma and crisis intervention has been the subject of discussion in the literature (Mathai, 2002) and in the creation of new training standards (Council for Accreditation of Counseling and Related Educational Programs [CACREP], 2009). With an increasing number of challenges facing children today, school mental health professionals are positioned to be among the first to intervene on their behalf (Campbell & Dahir, 1997; Paisley & McMahon, 2002). In order for interventions to be successful, school mental health professionals must be able to recognize the signs of trauma (Canada, Heath, Money, Annadale, Fischer & Young, 2007), educate the important adults in children’s lives (Capuzzi & Gross, 2004) , and act in a holistic manner to accommodate the mental health needs of their students (Pederson & Carey, 2003). When Hurricane Katrina struck the Gulf Coast of the United States, approximately 200,000 students were forced to enroll in schools in other states (Department of Homeland Security, 2008). This study examined 12 school mental health professionals’ experiences with these evacuated students. Using Creswell’s (2007) phenomenological framework for understanding the school mental health professionals’ lived experiences, this study sought to illuminate issues related to training and supporting school mental health professionals so that they are equipped to support students in crisis. The results of this study fall under six themes: Systemic Factors in Perception of Job Efficacy, Culture and Community, Retelling of Story and Sequence, Role of the School Mental Health Professional in their work with Evacuated Students, Training and Preparation, and Lessons Learned. Implications for these themes are discussed.
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Soyland, A. J. "An analysis of mental health professionals' discourse : the role of the clinical psychologist /." Title page, contents and abstract only, 1988. http://web4.library.adelaide.edu.au/theses/09ARM/09arms7311.pdf.
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McAllister, Margaret. "Enriching values : an educational criticism approach role of assessment in teaching mental health." Thesis, Queensland University of Technology, 1997.
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This study focused on exploring student assessment approaches utilised by various teachers of mental health. Classrooms of three (3) teachers were selected to become
the subject of case studies that were described and analysed using an educational criticism method. The following evolved as major research questions:
What are the teacher's assessment values?
What effect does assessment have on enriching the learning process?
A qualitative approach was considered appropriate to address these questions because the nature of the enquiry was understanding rather than proof. Methods of
inquiry used for the study were
a) observation,
b) interviews with teachers and their
students, and
c) educational criticism as a medium for describing, analysing and presenting findings.
The case studies, each focussing in some way on mental health, produced rich descriptions of particular situations and prompted detailed analytical criticism from the researcher. Different themes about assessment of students in
psychiatric/mental health courses were uncovered and included:
• When assessment is reframed to mean pedagogy, instead of the more familiar notion as technique, it becomes part of teaching rather than an addition to it. In this way, the role of the teacher in promoting learning is enhanced and revalued. In relation to assessment, a teacher needs to have
technical expertise but more important are the creative ways a teacher invites students to think about and share approaches to assessment and practise the particular learning being assessed.
• Students who are learning the knowledge and practice of a discipline need guidance and support from their teachers. Furthermore, teachers have a commitment to the profession and to the community to graduate safe, effective practitioners. Therefore, assessment performs a dual role: in guiding and in judging.
Teachers are pressed with a fundamental tension between a desire to do justice to the content of a curriculum and to provide activities and pace that make it possible for students to engage with the subject matter, feel compassion for the people with whom they aim to work and develop
commitment to the profession. Some teachers recognise the inequalities that exist between teachers and students, and take effective action to reduce these inequalities without
surrendering the teacher's responsibility to assess students.
Some students prefer a passive role within the classroom but teachers can help overcome this resistance to active participation by easing students into the new role, by modelling approaches to learning and assessment, and by
providing regular, consistent, constructive formative assessment throughout the everyday classroom experience.
These themes were subsequently distilled into metaphors of teaching that reclaim the craft of teaching and assessment, remind teachers of the holistic role assessment can play within the classroom and may be used to guide future teacher action. These metaphors were teaching as a dance, a choir, and a journey. Woven into all of these images, is an understanding of assessment that appreciates assessment as a way of judging student progress: as a well performed dance and choir, or a successful journey. In order to diagnose specific areas in need of improvement, each these
events may be reduced to their component parts. Students may be assisted to achieve proficiency in component parts by listening to teacher's feedback.
However, a dance, choir, or journey can never be understood completely by examining one of their parts. So too, one cannot assess mastery of the subject matter simply by adding the sum of each assessment part. Mastery is decided when the dancer completes the dance, the singer performs in the choir, and the journey is complete. Metaphors such as these offer teachers insight into concepts like assessment by illuminating complexities and suggesting improved approaches to education.
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Shrewsbury, Jeffrey. "Perceptions of job satisfaction in an ICF/MR environment." Huntington, WV : [Marshall University Libraries], 2002. http://www.marshall.edu/etd/descript.asp?ref=72.
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Philadelphia, William A. "Persons with serious mental illness and employment." Auburn, Ala., 2007. http://repo.lib.auburn.edu/07M%20Dissertations/PHILADELPHIA_WILLIAM_39.pdf.
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Ojelade, Ifetayo Iyajoke. "Use of Indigenous African Healing Practices as a Mental Health Intervention." Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/cps_diss/36.
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The purpose of this qualitative study was to describe the ways in which Orìsà priests and their clients conceptualize issues and concerns described by Western based approaches as mental health problems. The two research questions guiding this inquiry included: (a) how do Orìsà priests and their clients conceptualize issues and concerns associated with mental health problems in Western psychology and (b) what methods and techniques do Orìsà priests and their clients use to address issues or concerns associated with mental health problems in Western psychology? This study was grounded in African-centered theory by providing a cultural lens to guide the research design, data collection, and analysis. Data were collected during semi-structured individual interviews with four Orisa priests in a three phase model, for a total of 12 interviews. The study also included three focus groups (six informants per group), who did not participate in the individual interviews. Each group met for two sessions, for a total of six focus groups. Bracketing of assumptions by research team members and use of a reflexive journal was used to ensure credibility and dependability of the data (Creswell, 1998). Data analysis consisted of a recursive process divided into multiple steps, to help strengthen methodological rigor and verification of study procedures. The three part process included codebook development, code application, and data analysis. Three major themes emerged from the data. The first theme, The Conceptualization of Mental Health Problems as Spiritual Matters included one subtheme, Transgenerational Transmission. The second theme, Origins of Mental Health Problems, included three subthemes (Western Socialization, Spiritual Forces, and Ifa as a Healing System). The final theme, Addressing Mental Health Problems, included three subthemes (The Divination Process, Referrals, and Western Therapy). Results of this study indicate that respondents primarily conceptualize mental health problems as spiritual matters and seek to address these problems with the help of an Orìsà priest. In addition, some respondents sought the services of a Western trained therapist for the same issue. Practice and research implications are discussed.
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Hugo, Charmaine June. "Mental health literacy and attitudes of human resource practitioners in South Africa." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53498.
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Thesis (MA)--University of Stellenbosch, 2003.ENGLISH ABSTRACT: Background: South African companies need to contend with numerous transformation and development issues since the country's re-entry into the international marketplace. One component that is receiving increasing attention is the wellbeing of employees in the drive to remain competitive within the global economy. This study argues that mental illness is a component of employee wellbeing that has been ignored, even though these conditions are highly prevalent and costly to businesses. The lack of recognition, research and information about mental illness in the workplace raises questions about the knowledge and orientation of human resource (HR) practitioners. This study therefore aimed to investigate and describe the mental health literacy and attitudes ofHR practitioners in South Africa. Methodology: This study had a descriptive purpose and employed a sample survey research design to distribute a mail questionnaire to a randomly selected sample of human resource practitioners registered with the South African Board for Personnel Practice (SABPP). The measuring instrument comprised mental health literacy and attitudes scales that have been extensively researched and reported to have sound psychometric properties. Three vignettes portraying mental disorders selected for their relevance to the business world (i.e., depression, panic disorder and alcohol abuse) were used as aids to achieving the research aim. A standard statistical package (SPSS 10.0) was utilised to determine descriptive and inferential statistics with an accepted 5% level of significance. Results: A response rate of 31% was achieved yielding an equal distribution of responses across the study vignettes. HR practitioners who acted as respondents to this study were found to be illiterate regarding mental illness and to hold subtle negative attitudes towards the mentally ill. Less than 10% could recognise mental illness as opposed to the majority who regarded the behaviour in the vignettes as normal responses. Whereas just over a third could correctly name the diagnosis described in the vignettes, only 7% were able to identify panic disorder. Most respondents believed that psychosocial stress factors caused mental illness, while only 29% where of the opinion that biological factors had a role in the aetiology of mental illness. Respondents favoured psychological and lifestyle treatment strategies and opposed medical treatments, irrespective of the type of mental illness presented with. Although as a group respondents showed mainly positive attitudes towards the mentally ill, evidence was found that the commonly held myths of danger/violence and the irresponsible/ childlike nature of the mentally ill were adhered to. Conclusions: The HR field should take cognisance of the reality of mental illness. Urgent steps need to be taken to adequately equip HR practitioners and students with both evidencebased knowledge and a positive orientation to enable the effective management of these conditions in the workplace. Attention should be given to addressing common mistruths and misconceptions, and to creating an awareness of the significant role that the HR practitioner can play in timeously recognising and appropriately dealing with employee mental health problems so that companies can benefit by the optimal utilisation of human resources.
AFRIKAANSE OPSOMMING: Agtergrond: Suid-Afrikaanse maatskappye het te doen met verskeie transformasie- en ontwikkelings aangeleenthede sedert die land se terugkeer na die internasionale mark. Die welstand van werkers is 'n aspek wat toenemend aandag verkry met hierdie strewe om mededingend te bly in die globale ekonomie. Hierdie studie argumenteer dat geestessiekte as 'n komponent van werkerwelstand geïgnoreer word, alhoewel dit algemeen voorkom en besighede heelwat geld kos. Die beperkte herkenning, navorsing en inligting oor geestessiekte in die werkplek lei tot vrae omtrent die kennis en inslag van Menslike Hulpbron- (MR) praktisyns. Derhalwe, ondersoek en beskryf hierdie studie die kennis en houding jeens geestesgesondheid van MH-praktisyns in Suid-Afrika. Metodologie: Hierdie studie se doel is beskrywend van aard en maak gebruik van 'n steekproef opname navorsingsontwerp. 'n Vraelys is gepos aan 'n ewekansig gesellekteerde steekproef van MH-praktisyns wat geregistreer is by die Suid-Afrikaanse Raad vir Personeelpraktyk. Die meetinstrument bestaan uit geestesgesondheid kennis- en houdingskale wat ekstensief nagevors is en wat beskryf is om goeie psigometriese eienskappe te besit. Drie gevaUestudies van geestessteurings relevant tot die besigheidswêreld (depressie, panieksteuring en alkoholmisbruik) is gebruik as hulpmiddels om die navorsingsdoeiwit te bereik. Standaard statistiese sagteware (SPSS 10.0) is gebruik om beskrywende en afleidende statistiek te bepaal met 'n aangenome 5% vlak van betekenisvolheid. Bevindings: Altesaam 31% van vraelyste is beantwoord en dit was eweredig verdeel tussen die verskillende gevallestudies. MH-praktisyns wat deelgeneem het aan hierdie studie het swak kennis omtrent geestessiekte en subtiele negatiewe houdings ten opsigte van persone met geestesiekte getoon. Minder as 10% kon geestessiekte identifiseer teenoor die meerderheid wat die gedrag in die gevallestudies as normaal beskou het. Net oor 'n derde kon die diagnose korrek benoem en slegs 7% kon panieksteuring korrek identifiseer. Meeste van die respondente het geglo dat psigososiale stresfaktore geestessiekte veroorsaak, terwyl net 29% van mening was dat biologiese faktore 'n rol speel in die etiologie van geestessiekte. Respondente het psigologiese en lewensstyl behandelingsmodaliteite verkies bo mediese behandeling en dit was onafhanklik van die tipe geestessteuring wat voorgekom het. Alhoewel die respondente as 'n groep hoofsaaklik 'n positiewe houding getoon het ten opsigte van persone met geestessiekte, was daar bewyse dat algemene mites ondersteun is en dat persone met geestessiekte beskou is as gevaarlik/aggressief en as onverantwoordeliklkinderlik. Gevolgtrekkings: Die MH veld moet die realiteit van geestessiekte aanvaar. Dringende stappe moet geneem word om MH-praktisyns en studente te voorsien van uitkomsgebaseerde kennis en 'n positiewe houding sodat effektiewe hantering van hierdie toestande kan plaasvind in die werkplek. Algemene onwaarhede en miskonsepsies moet aangespreek word en die bewustheid van die betekenisvolle rol van die MH-praktisyn moet benadruk word. Geestesgesondheidsprobleme van die werker moet betyds herken word en toepaslik gehanteer word sodat maatskappye voordeel kan trek uit die optimale gebruik van menslike hulpbronne.
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Banker, Karen Lee. "Morale and the mental health worker: Burnout in the Department of Behavioral Health." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1885.
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Ross, Jane Daun. "Mental health nurse prescribing : using a constructivist approach to investigate the nurse patient relationship." Thesis, University of Aberdeen, 2013. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=196346.
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Background: The interpersonal relationship between nurses and clients is seen as the central element or core activity of mental health nursing. Without this relationship therapeutic alliance cannot take place. Concern has been expressed that nurse prescribing could have a negative impact on the nurse patient relationship and result in the nurse sacrificing nursing skills for the prescribing role. Aim: The aim of this study was to explore the nurse patient relationship in the mental health setting when the nurse is a prescriber. In order to do this a comprehensive literature review was undertaken and views of participants were explored and relationships described. Methodology and methods: Nurse prescribers were sent questionnaires to gather demographic data and basic qualitative data. Focus groups and interviews were undertaken within a large NHS Foundation Trust. A constructivist approach was used with 57 participants including nurse prescribers, pharmacist prescribers, nurse managers, clients and doctors. A discussion guide and an iterative approach were used to clarify findings. Data analysis was guided by a Framework approach. Findings: The majority of clients preferred to have their nurse prescribe for them. Trust was highly valued within the pre-established relationship and clients found nurses easier to talk to about their medication than doctors. Nurse prescribers placed high importance on being able to reduce and discontinue medication for the client, terming this ‘un-prescribing’. Nurse prescribers were uncomfortable with the concept of power, preferring to use the term ‘empowerment’. All groups of participants were unanimous that nurse prescribers continued to provide care and that they had not moved from a traditional ‘caring’ role to a ‘medical’ curing role and importance was placed on the therapeutic alliance between nurse prescribers and clients. Conclusion: Rather than detracting from the nurse patient relationship, results from this study suggest that nurse prescribing enables the mental health nurse prescriber to provide more holistic care than previously. The action of ‘un-prescribing’ may indicate a new culture around mental health nurse prescribing
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Banwell, Lizzy. "What happens to the mental health of United Kingdom personnel when they return home from Afghanistan?" Thesis, King's College London (University of London), 2012. https://kclpure.kcl.ac.uk/portal/en/theses/what-happens-to-the-mental-health-of-united-kingdom-personnel-when-they-return-home-from-afghanistan(6b18af0b-0043-4ced-8c74-cc71ceea4d64).html.
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Introduction: The rates of mental illness in United Kingdom military personnel have largely been stable since operations began in Iraq in 2003. However data is often gathered at one time point so cannot measure change over time and the one longitudinal study (Fear et al., 2010) which has examined this issue found a significant increase in PTSD symptoms over time. This highlighted the need for measurement of poor mental health symptomatology at more than one time point. The current research aimed to: a.compare rates of mental ill health among military personnel upon completion of deployment and at follow up; and b. to identify any factors associated with maladjustment. Method: 2580 personnel completed the baseline questionnaire and 586 consented to follow up. 296 provided follow up questionnaire responses, via internet,post, or site visit. Two follow up groups were compared; those assessed between three weeks to four months post homecoming; and those assessed between four to eight months post homecoming. Results: Symptoms of poor mental health increased from baseline to follow up, with no difference between follow up groups. There was a significant rise in PTSD symptomatology and the prevalence of functional impairment. Greater unit cohesion, leadership satisfaction and positive family relationships were predictive of better mental health. Stigmatising beliefs regarding seeking mental health treatment were associated with poor mental health. Conclusions: Bolstering modifiable areas of support, such as peer and family relationships, may help to buffer adverse deployment effects. Delivering the anti-stigma message to family, peers and commanders may help increase awareness of, and reduce stigma towards, help seeking for mental health difficulties. Continued follow up research is needed to monitor if symptoms of poor mental health continue to rise and reach clinical significance.
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Nystrom, Nancy M. "Oppression by mental health providers : a report by gay men and lesbians about their treatment /." Thesis, Connect to this title online; UW restricted, 1997. http://hdl.handle.net/1773/11164.
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Santos, Palmira Fortunato dos. "Avaliação dos serviços de saúde mental em Moçambique." Master's thesis, Faculdade de Ciências Médicas. Universidade Nova de Lisboa, 2011. http://hdl.handle.net/10362/7708.
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RESUMO: O instrumento de avaliação de sistemas de saúde mental da organização mundial de saúde (WHO-AIMS)foi usado para a recolha de informações sobre o Programa Nacional de Saúde Mental de Moçambique. O
presente estudo tem como objectivo melhorar o Programa Nacional de Saúde Mental e fornecer um ponto de partida para a monitorização das mudanças. Os resultados do estudo permitirão a Moçambique fortalecer a sua capacidade para desenvolver planos de saúde mental baseados em informações com
pontos de partida e metas bem definidos. O relatório será também útil para a monitorização do progresso da implementação de reformas nas políticas de saúde mental, na disponibilização de serviços de base
comunitária, e no envolvimento dos utentes, seus familiares e outros actores na promoção, prevenção,cuidados e reabilitação em saúde mental.
Tendo em conta os antecedentes históricos da saúde mental em Moçambique, a realidade actual clama por reformas profundas voltadas para uma intervenção mais humanizada e com enfoque nos cuidados primários. É nesse contexto que o estudo realizado apresenta resultados relacionados com as políticas,
legislação, estratégias e planos de acção e financiamento para a saúde mental; serviços de saúde mental;cuidados primários; recursos humanos e ligação com outros sectores chave.
A saúde mental foi avaliada desde o sistema de gestão até ao nível comunitário. Relativamente aos órgãos de gestão, a principal constatação é que existem instrumentos legais para sustentar as iniciativas desta área e influenciar os meios políticos em prol da saúde mental. Todavia, o caminho a percorrer ainda é
longo uma vez que não está ainda aprovada nenhuma lei de saúde mental e os financiamentos para a área não permitem a implementação das reformas necessárias.
Os serviços ao nível clínico debatem-se com a problemática dos recursos humanos (constituídos principalmente por técnicos de psiquiatria) e disponibilidade de psicofármacos. O modelo biopsicossocial
ainda não é implementado integralmente uma vez que são poucos os serviços que oferecem apoio psicossocial (que inclui a reabilitação e reintegração) para além da intervenção farmacológica. Esta pode
ser considerada uma das principais causas de recaídas identificadas em todas as províncias.
Há uma necessidade urgente de se realizarem pesquisas e levantamentos epidemiológicos que possam servir de suporte para a advocacia em saúde mental com vista a melhoria dos cuidados a prestar aos
pacientes e comunidade. Os instrumentos de recolha de informação de rotina não são adequados limitando a fidelidade dos dados recolhidos e a possibilidade de uma gestão dos serviços de saúde mental que responda as reais necessidades da população.
Em suma, os resultados aqui apresentados mostram que Moçambique tem uma base que pode ser considerada uma mais valia para a reforma do sistema de saúde mental. Existem, ainda que escassos, recursos como humanos, infra-estruturas e legislação para a prestação dos serviços clínicos. É preciso
investir na saúde mental para que os recursos existentes sejam melhorados e expandidos, apostando na criação de equipas multidisciplinares e qualificação das equipas de gestão e equipas clínicas. --------ABSTRACT: The World Health Organization Assessment Instrument for Mental Health Services (WHO-AIMS) was used
to collect information about the National Mental Health Program of Mozambique. The present study aims to improve the National Mental Health Program and provide a starting point for monitoring change. The study results will allow Mozambique to strengthen its capacity to develop mental health plans based on information with starting points and well-defined goals. The report will also be useful for monitoring the progress of implementation of reforms in mental health policies, the provision of community-based
services, and involvement of users, their families and other stakeholders in the promotion, prevention, care and rehabilitation in mental health.
Given the historical background of mental health in Mozambique, the current situation calls for reforms aimed at a more humane intervention focused on primary care. In this context, the study presents results
related to policies, legislation, strategies and action plans and funding for mental health; mental health services; primary care; human resources and liaison with other key sectors. Mental health was assessed from the management system to the community level. With regard to the management, the main observation is that there are legal instruments to support the initiatives in this area and to influence the political means on behalf of mental health. However, the pathway is still long as it is not yet approved any Mental Health Law and the funding for the area do not allow the
implementation of necessary reforms.
Services at the clinical level are struggling with the issue of human resources (consisting primarily of psychiatrist technicians) and availability of psychotropic drugs. The biopsychosocial model is not yet fully implemented since there are few services providing psychosocial support (including rehabilitation and reintegration) in addition to pharmacological intervention. This can be considered a major cause of
relapse identified in all provinces.
There is an urgent need to conduct research and epidemiological surveys which could provide support for advocacy in mental health in order to improve the mental health car for the patients and community. The
routine data collection instruments are not appropriate limiting the fidelity of the data collected and the possibility of a management of mental health services that meets the real needs of the population.
In summary, the results presented here show that Mozambique has a groundwork that can be considered an asset for the reform of mental health system. There are, though scarce, human resources, infrastructure and legislation for the provision of clinical services. It’s necessary to invest in mental health so that existing resources are improved and expanded, and to invest on the creation of multidisciplinary teams and qualification of management teams and clinical teams.
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Kachik, Joseph Robert. "Reactions of mental health professionals to the death of clients from acquired immune deficiency syndrome (AIDS)." Morgantown, W. Va. : [West Virginia University Libraries], 1999. http://etd.wvu.edu/templates/showETD.cfm?recnum=1127.
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Thesis (Ph. D.)--West Virginia University, 1999.Title from document title page. Document formatted into pages; contains viii, 178 p. Vita. Includes abstract. Includes bibliographical references (p. 158-168).
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Murphy, Dominic. "Exploring the experiences that helped UK military personnel with mental health difficulties engage in help seeking behaviour." Thesis, Royal Holloway, University of London, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.604342.
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Previous research has demonstrated that only a minority of UK service personnel who experience mental illness engage in help seeking behaviours. Within this population there is compelling evidence that individuals who do not seek help are at increased risk of social exclusion. To date, research has been limited to either describing the barriers to accessing mental health services that are perceived to exist by members of the wider military population, or introducing interventions to address these barriers. However, only modest gains have been noted in the numbers seeking help. The aim of the current study was to understand the experiences that facilitated UK service personnel who had experienced mental illness to engage in help seeking behaviours, or which factors helped them overcome common barriers. This study was set within the UK Armed Forces and recruited participants from service personnel who had been diagnosed with either PTSD or depression and were attending the Defence Mental Health Services. The study employed a qualitative design, used semi-structured interview schedules to collect data, and explored this data using Interpretative Phenomenological Analysis. Eight participants were recruited to the sample. From their data five themes emerged about how participants were able to access help. These were: how they reached a crisis point before accepting the need for help, how they overcame feelings of shame, the importance of having an internal locus of control, finding a psychological explanation for their symptoms and having strong social support. This study suggests that there are three areas that supported individuals to seek help. These were factors that helped individuals recognise they were experiencing psychological difficulties, factors that help normalise their symptoms and factors that increased their sense of having an internal locus of control.
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Mock, Kevan D. "Mental health and business professionals' employment-related perceptions of individuals with psychological disorders." [Huntington, WV : Marshall University Libraries], 2008. http://www.marshall.edu/etd/descript.asp?ref=851.
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Voss, Horrell Sarah Christine. "Primary care physicians' management of depression in pediatric patients patterns of collaboration with mental health professionals /." Laramie, Wyo. : University of Wyoming, 2008. http://proquest.umi.com/pqdweb?did=1771527581&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.
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Shockey, Tracy Lee. "The issues faced by mentally ill gays and lesbians." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2119.
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This project is significant to social work because it addresses a topic that has not been given much attention. This particular population has not been studied much and we know little about the issues that are important to mentally ill gays and lesbians. Even in schools of social work this particular topic is frequently overlooked, and when it is discussed it is usually in relation to another topic.
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Lipusch, James T. "An exploration of influences of staff responses to adolescents on a twenty-four hour treatment milieu with special emphasis on self psychology /." Click here for text online. The Institute of Clinical Social Work Dissertations website, 1989. http://www.icsw.edu/_dissertations/lipusch_1989.pdf.
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Dissertation (Ph.D.) -- The Institute for Clinical Social Work, 1989.A dissertation submitted to the faculty of the Institute of Clinical Social Work in partial fulfillment for the degree of Doctor of Philosophy.
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Martin, Daniel D. "The use of humor in the social construction of role relationships in a behavioral treatment setting." PDXScholar, 1985. https://pdxscholar.library.pdx.edu/open_access_etds/3577.
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This study examined the use of humor between workers and managerial personnel of two different treatment teams within a residential treatment center for emotionally troubled youth. Three primary questions guided the research: (1) What indigenous types of occupational humor will be found within the treatment teams?, (2) How will the use of humor vary between front and back regions of treatment work?, and (3) How does occupational status affect the way in which team members target on another to be the "butt" of jokes and other humorous remarks?
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Finn, Michael P. "Perceptions of discharge planning needs : A study of discharge planning in the mental health setting." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1995. https://ro.ecu.edu.au/theses/1158.
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Major mental disorder, with prolonged periods of dysfunction that require long term care, is an issue of concern amongst mental health professionals. Although substantial effort and resources are devoted towards returning mentally ill individuals to the community, one of the most distinctive and consistent features of the persistently mentally ill (PMI) is their high rate of readmission to hospital. Existing studies into discharge planning revealed that no research had been undertaken to determine if this is the case in Western Australia. This study sought to investigate perceptions of discharge planning held by patients, carers, nurses and allied health workers involved in discharge preparation in a major metropolitan psychiatric hospital operated by the Health Department of Western Australia. Eighty one subjects were selected from the four principal groups involved in care in this mental health setting, consisting of patients ( n = 21 ), carers ( n = 20 ), nurses ( n = 22 ) and allied health workers ( n = 18 ). Perceptions of discharge planning of these subjects were evaluated and compared using the Discharge Priorities Rating Scale. Farran, Carr & Maxson's model of goal congruence in discharge planning was used to guide this study. Significant differences were found to exist in the perceptions of discharge planning between patients, carers, nurses and allied health workers. Differences in perceptions are seen to have a detrimental effect on the discharge planning process, resu1ting in unnecessary and frequent readmission to hospital and the perpetuation of institutional dependency. Whilst the results of this study can only be applied to similar institutions, the findings are relevant for the persistently mentally ill who have patterns of frequent readmissions across the public and private mental health service settings. The results obtained indicate that nurses can facilitate effective discharge planning practices by adopting a more assertive role in the hea1th care team, in communicating patients' and their carers' concerns and promoting a more collaborative approach to care.
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Woods, Ginger Lee. "Post Traumatic Stress Symptoms and Critical Incident Stress Debriefing (CISD) in Emergency Medical Services (EMS) Personnel." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etd/2035.
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EMS personnel were examined for Post Traumatic Stress symptoms and the usefulness of Critical Incident Stress Debriefing (CISD) using the Los Angeles Symptom Checklist (LASC) and a demographics questionnaire. This study revealed that women in this group show higher PTSD symptoms than male coworkers. Level of Training (LOT) of the EMS provider did not demonstrate a significant difference in whether a provider developed PTSD. EMS personnel receiving debriefing actually suffered greater levels of PTSD than those that did not receive debriefing. And 16% of EMS providers in this study suffered from PTSD, while approximately 20% suffered from partial PTSD or PTSS. The results suggest that there are high levels of PTSD within the EMS community, especially in women. This study also suggests that CISD does not help with PTSD symptoms and may actually worsen them.
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Zanatta, Aline Bedin 1988. "A prevalência da síndrome de Burnout em profissionais da saúde trabalhadores de um hospital oncohematológico infantil na cidade de Campinas/SP." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312034.
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Orientador: Sergio Roberto de LuccaDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
Made available in DSpace on 2018-08-22T04:40:24Z (GMT). No. of bitstreams: 1 Zanatta_AlineBedin_M.pdf: 1217008 bytes, checksum: 10e3d7ccdcc57b968f307cfa1189660d (MD5) Previous issue date: 2013
Resumo: O trabalho tem importância fundamental na vida das pessoas, e cada vez mais se investe tempo e esforços em função do mesmo. Porém, da mesma forma que o trabalho confere dignidade e realização pessoal, também pode ser fonte de desgaste, sofrimento físico e mental. As profissões da saúde são particularmente afetadas por diversas situações de estresse e desgaste, por lidarem diariamente com pacientes debilitados, situações de doença, relações interpessoais e hierárquicas nas instituições de trabalho. Esta pesquisa observacional, de corte transversal, teve por objetivo identificar a prevalência da Síndrome de Burnout na equipe de saúde. A investigação foi desenvolvida no Centro Infantil Dr. Domingos A. Boldrini, que é um hospital oncohematológico infantil localizado na cidade de Campinas/SP. O critério para seleção desse hospital foi por sua importância da instituição como referência internacional do tratamento de câncer infantil, bem como verificar a prevalência da síndrome de Burnout na equipe de saúde que trabalha em um contexto específico e singular, que é o cuidado oncohematológico infantil. Para investigar a Síndrome de Burnout, as informações foram coletadas através do Maslach Burnout Inventory (MBI). Para a coleta das informações sociodemográficas, foi aplicado um questionário construído pelos pesquisadores. Os dados obtidos foram inicialmente transportados para uma planilha do programa Excel para Windows 2010 e, então, para o programa estatístico SPSS e SAS, onde foram analisados. Resultados: Verificou-se que a maioria dos profissionais é do sexo feminino, possui companheiro e filhos. Quanto ao nível educacional, observou-se que 47,9% têm o curso técnico de enfermagem, e 32,4% graduação e os demais possuem residência, mestrado e doutorado. Dentre os entrevistados, cerca de 89,9% são contratados pela CLT, de modo que 49,5% trabalham no período diurno e 73,4% trabalham em turnos, além de 49,5% afirmarem possuir um emprego. Aproximadamente 22,3% afirmaram ter tido algum afastamento no período, e 11,7% relacionaram o problema de saúde com o trabalho no hospital. Quando questionados sobre satisfação profissional, cerca de 94,1% estão satisfeitos com sua profissão. A média de idade dos entrevistados foi de 35,9 anos, variando de 20 a 58 anos de idade. A média do tempo de formação foi de 11,6 anos variando de 2 a 36 anos, a média de tempo de profissão foi de 12,7 anos variando de 6 meses a 36 anos. A média do tempo de trabalho na instituição foi de 6,8 anos de trabalho, com o mínimo de 6 meses e máximo de 32 anos de trabalho. Já a média da carga horária semanal foi de 37,1 horas semanais. Verificou-se que nove profissionais estavam com os três domínios sugestivos, ou seja, uma prevalência de 4,8% da síndrome de Burnout, considerando o total da população estudada. Constatou-se que cinco dos técnicos de enfermagem apresentaram os três domínios sugestivos de Burnout (5,3%). Observou-se que dois dos enfermeiros (3,5%) apresentaram os três domínios sugestivos de Burnout. Foram encontrados dois médicos com os três domínios sugestivos de Burnout (5,6%). Espera-se contribuir com o referencial teórico sobre o tema, visando à melhoria das condições de trabalho e à saúde mental dos profissionais
Abstract: The work has fundamental importance in people's lives, and increasingly is invested time and effort on their function. However, the same way that the work gives dignity and personal achievement, it can also be a source of wear, physical and mental suffering. The health personnel are particularly affected by different stress situations for the deal daily with debilitated patients, disease situations, interpersonal relationships and hierarchical institutions work. This observational study, cross-sectional, aimed to identify the prevalence of Burnout syndrome in healthcare team. The research was conducted at the Dr. Dominic A. Boldrini Children's Center, which is a children's oncohematological hospital located in Campinas / SP. The criteria for selecting this hospital were your importance as a reference treatment international of childhood cancer as well as verify the prevalence of Burnout syndrome in the health team that works in a specific and singular context that is oncohematological child care. To investigate the Burnout syndrome the informations were collected through the Maslach Burnout Inventory (MBI) and to collect sociodemographic informations were applied a questionnaire constructed by researchers. It was also described the organization of work at the hospital through interviews and field journal. The data were initially transported to a spreadsheet program Excel for Windows 2010 and then to SPSS and SAS, where they were analyzed. Results: It was found that most professionals are female, have partner and children. Regarding the educational level, 47.9% had nursing technician, 32.4% are graduate and the other have residence, master and doctoral degrees. Workers, 89.9% are employed by CLT, 49.5% work in the daytime, 73.4% work in shifts and 49.5% reported having a job. It was observed that 22.3% reported having some absence in the period and 11.7% related health problem with work in the hospital. When asked about job satisfaction, 94.1% are satisfied with their profession. The average age of respondents was 35.9 years, ranging from 20 to 58 years old. The average training time was 11.6 years, ranging from 2 to 36 years; the average length of employment was 12.7 years ranging from 6 months to 36 years. The average time on the job was 6.8 years of work, with minimum 6 months and maximum of 32 years of work. The average of the weekly workload was 37.1 hours a week. Was verified that nine professionals were with the three domains suggestive, in other words, a prevalence of 4.8% of Burnout syndrome considering the total population. It was found that five of nursing technicians (5.3%) and two of the nurses (3.5%) had the three domains suggestive of Burnout. There were found two doctors with the three domains suggestive of Burnout (5.6%). Finally, we hope to contribute to the theoretical framework on the subject, aiming to improve working conditions and mental health workers
Mestrado
Epidemiologia
Mestra em Saúde Coletiva
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Gilmer, Todd Patrick. "Mixed payments to providers and the use of ambulatory ADM services /." Thesis, Connect to this title online; UW restricted, 1997. http://hdl.handle.net/1773/7388.
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Chehaib, Hiba Chehaib. "Perception of School Staff Regarding the Effectiveness of a Youth Mental Health Program in Schools." Scholar Commons, 2017. http://scholarcommons.usf.edu/etd/6690.
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There is an ongoing debate about how to serve the number of students that are affected by mental health problems. Some schools have moved toward implementing whole school programs. The purpose of these programs is to teach adults who directly interact with school age children, such as parents, family members, caregivers, teachers, school staff, and caring citizens how to respond to an adolescent that is facing a crisis or a mental health challenge. The purpose of this study is to evaluate the perceived effectiveness of such a program. The goals of this study are to (a) determine the short-term outcomes of this initiative from school staff perspective, and (b) determine new directions for improving the program based on school staff’s recommendations. Survey questionnaires will be used to collect data from staff members. Descriptive statistics will be used to inform recommendations for the next steps in the development of the program. Staff surveyed endorsed the satisfaction of the implementation of the mental health program in their schools.
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Vieira, Fernanda de Sousa. "Auxiliares de enfermagem de uma unidade de agudos de um hospital especializado em psiquiatria: sua visão sobre a prática profissional e a clientela atendida." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/59/59137/tde-22082016-103109/.
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Na atualidade, entende-se que o campo do conhecimento da saúde mental é amplamente complexo e intersetorial, abrangendo muitos saberes. Muitos estudos sobre os cuidadores do sujeito com transtorno mental no Brasil, que revelam que apesar da mudança do paradigma no tratamento psiquiátrico - ocorrida na segunda metade do século XX - ainda há violações dos direitos dos pacientes internados, além do sentimento, na equipe de atenção, de certo desamparo e falta de conhecimento sobre o lidar com o paciente. Este trabalho teve como objetivo buscar conhecera visão de auxiliares de enfermagem de um setor de agudos masculino e feminino de um hospital especializado em psiquiatria do interior do estado de são paulo a respeito de seu trabalho. mais especificamente, pretende-se conhecer, a partir de sua própria perspectiva, a trajetória e formação profissional dessas pessoas, o contexto institucional e as práticas cotidianas envolvidas em seu trabalho e suas concepções a respeito da clientela atendida. Foram entrevistados através da \"história de vida temática\" onze auxiliares de enfermagem. Essas entrevistas foram gravadas e transcritas na íntegra, e analisadas qualitativamente. A análise permitiu apontar os seguintes temas: suas trajetórias de vida, influências recíprocas entre a vida pessoal e do trabalho, a formação dos profissionais,o perfil do auxiliar, a rotina de trabalho e seus apoios a visão sobre o paciente psiquiátrico, sua família. Os relatos convergiram para a apresentação da maneira como se configura o trabalho do auxiliar de enfermagem, quanto às suas visões e condições para o trabalho cotidiano Considera-se que é importante promover a criação de espaços de reflexão, discussão e escuta entre os profissionais de saúde mental, dentro dos setting de trabalho, integrando principalmente os que lidam diretamente com o paciente, de modo que nesses espaços se possa conversar sobre questões da prática diária específicas, mas também transcender a elas; relacionando essa prática com repercussões da vida pessoal no trabalho, promovendo apoio ao trabalhador.It\'s well known that the mental health knowledge field is complex and inter sectorial. Many studies about the mental health patient, in Brazil, have revealed that although there was a change in the psychiatric treatment, still there is patients rights violations, and the feeling in the attention group is of certain hopelessness and lack of knowledge in dealing with the patient. This work aims to explore a masculine and feminine acute unit nursing personnel, in a psychiatry specialized hospital in the inner State of São Paulo, from the point of view of their work. More specifically, it\'s intended to know, from their own perspective their professional pathways and education, the institutional context and their everyday practices concerning work and clients. Eleven nursing professionals were interviewed through \"thematic life history\" interview. Those interviews were taped and integrally transcript and analyzed qualitatively. The analysis showed their life pathways, influences of their personal lives on work, professional education, work routine, support on psychiatric patients and the patient\'s family concepts. It\'s considered that it\'s important to promote reflection, discussion and hearing spaces among mental health professionals, in the work setting, with those who deal directly with the patient and the whole team so it\'s possible to discuss on every day practices, transcend to them relating to personal life repercussions, promoting support for work.
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Hooton, Darby Nicole. "Relationship Between Vitamin D Deficiency Risk, Depression Symptoms, and Health-Related Quality of Life in Theater Personnel." Ohio University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou155602180054644.
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Michel, Per-Olof. "The Swedish Soldier and General Mental Health Following Service in Peacekeeping Operations." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4825.
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Galeano, Richard. "Understanding the health of operational personnel in an ambulance service: A mixed methods study." Thesis, Queensland University of Technology, 2019. https://eprints.qut.edu.au/134241/2/Richard_Galeano_Thesis%5B1%5D.pdf.
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This mixed methods study was designed to review the health of ambulance operational personnel and to better understand the complex relationship between the organisation of the work and the working and organisational environment in which the work is done. The study found that the physical and mental health of ambulance operational personnel is worse than the Australian population due to the interplay of long working hours, shift work and a perceived lack of support. Ambulance services need to take a lead role in designing health support approaches that may better protect the health and wellbeing of ambulance operational personnel.
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Edwards, Stephen J. "No-suicide contracts, no-suicide agreements and no-suicide assurances : an exploratory study of their nature, utilization and perceived effectiveness." University of Western Australia. Social Work and Social Policy Discipline Group, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0149.
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The research examined mental health practitioners' attitudes towards, satisfaction with and use of suicide prevention contracting (SPC) techniques. Survey respondents comprised consultant psychiatrists, clinical psychologists, occupational therapists, mental health nurses, psychologists, registered medical officers and social workers. A self-report questionnaire was mailed to 1347 potential respondents, together with three follow-up letters sent out at two-week intervals. There was a 31% response rate, producing 420 valid questionnaires. The results of the research re-confirm the historical trajectory of SPC, from its early beginnings as a relationship-based suicide-risk assessment technique to one that is used in contemporary practice by practitioners to meet a range of objectives. The research focused on three SPC techniques in operation in clinical practice: verbal no-suicide assurances, no-suicide agreements, and written no-suicide contracts. Analysis of the data suggests a number of important findings. The first of these is that practitioners perceive different utility among these three techniques. Secondly, the least experienced practitioners were significantly less likely to use no-suicide contracts, despite seeing more suicidality and having more formal training in the use of the technique. Thirdly, a practitioner's gender, and formal training were significant in the perception and application of SPC techniques. Finally, suicidal behaviours and completed suicide was a clinical outcome in some situations irrespective of the use and non-use of SPC. The findings of this research are used to provide an emerging conceptual framework and associated nomenclature that inform clinical decision-making in relation to SPC. In addition, a conceptual model is presented which demonstrates that the potential for injudicious use of SPC techniques is as much precipitated by individual factors as it is by broader environmental factors. Key words: no-suicide contracts, suicide prevention contracts, no-suicide agreements, no-suicide decisions, contingency contracting.
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Wainwright, Verity. "The pathways to offending and mental health needs of ex-armed forces personnel in prison : a mixed methods study." Thesis, University of Manchester, 2017. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.713625.
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Background: Ex-armed forces personnel constitute 3.5% of the prison population in England and Wales but we know little about why some former service personnel end up in prison. Furthermore, understanding what the mental health needs of this group are and how to meet them will inform service delivery and offending prevention strategies. Therefore, this study aimed to assess the mental health needs, and explore the pathways to offending, of ex-armed forces personnel in prison. Methods: A mixed methods design was used. A researcher administered questionnaire collected demographic information; details of pre-service; military experience; circumstances post-armed forces; and a detailed assessment of mental health of 105 male ex-armed forces personnel in prison. Their healthcare and offending records were accessed to record any formal mental health diagnoses and details of previous offending. Two studies made up the qualitative arm of the study: study 1 used semi-structured interviews (n = 20) to explore the pathways to offending of ex-armed forces personnel in prison from their perspective and study 2 employed semi-structured interviews with prisoners (n = 10) and a focus group with professionals (n = 5) to explore the service needs and treatment barriers of former service personnel in prison. Results: Of 105 participants, 40 (38%) screened positively for a current common mental health (CCMH) problem (i.e. depression, anxiety or post-traumatic stress disorder [PTSD]) and a high prevalence of alcohol misuse was assessed (n = 59, 56%). Over half of the sample were serving their first custodial sentence (n = 58, 55%). Violent offences were the most common index offence (n = 34, 32%) and the majority of the sample had previous convictions recorded (n = 70, 71%). Participants considered their pathways to offending as complex and incorporating pre-service, military service and post-service factors. Perceived influences on offending included mental health and substance misuse problems, impulsivity and problem solving difficulties. Prison was considered an opportunity to access help and staff having military awareness was thought to encourage help-seeking. However, stigma and previous negative experiences were perceived to make asking for help difficult and the variability in support across the prison estate was considered a barrier to support by all. Discussion: The findings of this study add to the literature and our knowledge of ex-armed forces personnel in prison. The study found that the mental health needs of the group are largely similar to the general prison population but that potential nuances exist regarding alcohol misuse and PTSD. The pathways to offending of the group are complex and are influenced by a number of factors in veterans' lives. Based on the findings of the study implications and directions for future work are discussed.
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Trautmann, S., L. Goodwin, M. Höfler, F. Jacobi, J. Strehle, P. Zimmermann, and H. U. Wittchen. "Prevalence and severity of mental disorders in military personnel: a standardised comparison with civilians." Cambridge University Press, 2017. https://tud.qucosa.de/id/qucosa%3A70725.
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Aims. Provision and need for mental health services among military personnel are a major concern across nations. Two recent comparisons suggest higher rates of mental disorders in US and UK military personnel compared with civilians. However, these findings may not apply to other nations. Previous studies have focused on the overall effects of military service rather than the separate effects of military service and deployment. This study compared German military personnel with and without a history of deployment to sociodemographically matched civilians regarding prevalence and severity of 12-month DSM-IV mental disorders.
Method. 1439 deployed soldiers (DS), 779 never deployed soldiers (NS) and 1023 civilians were assessed with an adapted version of the Munich Composite International Diagnostic interview across the same timeframe. Data were weighted using propensity score methodology to assure comparability of the three samples.
Results. Compared with adjusted civilians, the prevalence of any 12-month disorder was lower in NS (OR: 0.7, 95% CI: 0.5–0.99) and did not differ in DS. Significant differences between military personnel and civilians regarding prevalence and severity of individual diagnoses were only apparent for alcohol (DS: OR: 0.3, 95% CI: 0.1–0.6; NS: OR: 0.2, 95% CI: 0.1–0.6) and nicotine dependence (DS: OR: 0.5, 95% CI: 0.3–0.6; NS: OR: 0.5, 95% CI: 0.3–0.7) with lower values in both military samples. Elevated rates of panic/agoraphobia (OR: 2.7, 95% CI: 1.4–5.3) and posttraumatic stress disorder (OR: 3.2, 95% CI: 1.3–8.0) were observed in DS with high combat exposure compared with civilians.
Conclusions. Rates and severity of mental disorders in the German military are comparable with civilians for internalising and lower for substance use disorders. A higher risk of some disorders is reduced to DS with high combat exposure. This finding has implications for mental health service provision and the need for targeted interventions. Differences to previous US and UK studies that suggest an overall higher prevalence in military personnel might result from divergent study methods, deployment characteristics, military structures and occupational factors. Some of these factors might yield valuable targets to improve military mental health.
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Snyder, Hal Steven 1959. "AN EVALUATION OF COUNSELING SERVICES FOR FIRE DEPARTMENT PERSONNEL." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/276426.
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Romero, Daniel Hugo. "Attachment, Coping, and Psychiatric Symptoms among Military Veterans and Active Duty Personnel: A Path Analysis Study." Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc1062906/.
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The purpose of this study was to examine the role of attachment processes and coping strategies in the development of psychiatric symptoms among military veterans and active duty personnel. Data were obtained from 268 male and female military veterans and active duty personnel. A path analysis was conducted to estimate the relationships between attachment processes, coping strategies, and psychiatric symptoms. Findings demonstrated that greater levels of attachment anxiety were related to increased levels of avoidant coping and psychiatric symptoms, while higher levels of attachment avoidance were related to avoidant coping and PTSD symptoms, as well as decreased levels of problem-focused coping. Alcohol use was associated with psychiatric symptoms. Avoidant coping, but not problem-focused coping, was associated with psychiatric symptoms and partially mediated the relationship between anxious attachment and psychiatric symptoms. Avoidant coping also fully or partially mediated the relationships of avoidant attachment to depression and PTSD symptoms. The findings of this study increase our knowledge of mechanisms that contribute to psychiatric symptoms among military populations, which in turn can guide treatment planning and interventions.