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Dissertations / Theses on the topic 'Mental health'
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1
Oates, Jennifer. "Mental health and subjective wellbeing in UK mental health nurses." Thesis, City, University of London, 2016. http://openaccess.city.ac.uk/15973/.
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This study explores the subjective wellbeing and subjective experience of mental health problems in UK mental health nurses using a mixed methods approach. It aimed to understand the relationships between mental health nurses' own mental health and their subjective wellbeing, and to explore the ways in which mental health nurses managed their own mental health and wellbeing and how they negotiated for and use their experiences both within and outside of their work. The mixed methods design had two phases. In phase one an online survey was sent to mental health nurses via their national professional bodies, the Royal College of Nursing and the Mental Health Nurses Association. The survey comprised three measures of subjective wellbeing, questions about personal and familial mental health history and questions about the impact of these experiences on mental health nursing work. 237 survey responses were included in the final statistical analysis. In the second phase 27 semi structured interviews were undertaken with a purposive sample of survey respondents who had both subjective experience of mental health problems and high subjective wellbeing. A major finding of the study was that mental health nurses critically appraised their experience of delivering and receiving mental health care from the expert perspectives of both being a nurse and having their own experience of mental ill health. Personal experience of mental illness was found to influence nursing practice in a number of ways: first, through overt disclosure and negotiation of professional boundaries; second, through the ‘use of the self as a tool’, the emotional labour of nursing; third, through the formation and development of professional nursing identity. This was in the context of a broader canvas of life experiences which participants considered to influence the development of their nursing identity, the use of self and self disclosure in their work. Mental health nurses in this study had a relatively low subjective wellbeing. Low subjective wellbeing was associated with having current mental health problems, and with having past experience of mental health problem. Personal experience of living with someone with mental health problems was associated with relatively higher subjective wellbeing. This study has implications for occupational health and human resources policy within healthcare organisations. The findings suggest that mental health nurses who present to primary care or occupational health services should be offered care and treatment commensurate with their expertise and experience. Employers’ ‘staff happiness strategies’ and occupational health promotion activities should address work life balance and what nurses could do outside of their work to be well, as well as addressing the effects that team and management changes have on staff wellbeing.
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Wood, Susan. "Mental health literacy and mental health in at-risk populations." Thesis, University of Warwick, 2016. http://wrap.warwick.ac.uk/88088/.
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This thesis explores mental health literacy (MHL) and mental health difficulties in at-risk populations. Young people, particularly males, are vulnerable to the onset of mental health difficulties, failing to access support and increased risk of suicide. Supporting people with mental health difficulties and improving prognosis is an important area of public health concern. Chapter one is a systematic review of gender differences in MHL of young people (ages 12-25 years). 14 studies were identified and critically assessed. The nature of gender differences in MHL of young people is complex but most consistently reported in depression. Females tended to have higher levels of MHL than males. The implications for public health interventions and future research are discussed. Methodological components of MHL research, such as the use of case vignettes are also considered. Chapter two is a qualitative research study of male professional footballers’ lived experiences of mental health difficulties and help-seeking using interpretative phenomenological analysis. One superordinate theme emerged from the data; Survival. This is discussed through six subordinate themes and alongside existing literature pertaining to identity, transition, personality and emotional development. The clinical implications of the findings are discussed, as well as suggestions for future research. Chapter three is a reflective paper considering the use of Cognitive Analytic Therapy as a tool for reflexivity in qualitative research. The opportunities and limitations of this approach are considered, alongside reflections on the research process.
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Jaishankar, Gayatri, Matthew Tolliver, and Kristina Dulaney. "Perinatal Mental Health." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/8874.
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Rice, Judy A. "Mental Health Clinicians." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7616.
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Rice, Judy A. "Mental Health Clinicians." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7617.
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Morelen, Diana. "Perinatal Mental Health." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7711.
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Morelen, Diana M. "Infant Mental Health." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/2728.
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Aschan, Lisa. "Health inequalities and mental health service use in mental-physical comorbidity." Thesis, King's College London (University of London), 2015. https://kclpure.kcl.ac.uk/portal/en/theses/health-inequalities-and-mental-health-service-use-in-mentalphysical-comorbidity(6f2c678e-1d94-40c0-9622-333539e46c4b).html.
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Although mental and physical health are likely to share common social causes, most mental-physical comorbidity research has focused on immediate mechanisms between mental and physical illness. This thesis takes a social epidemiological approach to mental-physical comorbidity, where social disadvantage and the disproportionate availability of resources are central. The amplified burden of comorbidity in terms of poor health and functioning may have implications for the relationship between comorbidity and mental health service use (MHSU). Whilst much research examines the impact of comorbidity on physical health services, MHSU is under-researched. Furthermore, comorbidity inequalities may be perpetuated through processes of cumulative disadvantage. For example, barriers to social participation may deplete resources over time, thus leading to worse health outcomes and more adverse social circumstances. This project therefore aims to: 1. Estimate the prevalence of comorbidity, and describe inequalities in mental-physical comorbidity by key socio-demographic and socioeconomic factors 2. Describe and explain the association between comorbidity and mental health service utilisation and quality 3. Describe the trajectories of social functioning by comorbidity Analyses make use of survey data from the South East London Community Health Survey (SELCoH) phases 1 (N=1698) and 2 (N=1052) (73% response among those approached at follow-up). Statistical methods used include weighted cross-sectional and longitudinal regression analyses. The results indicate that comorbidity is associated with distinct socio-economic inequalities (most consistently by household income), increased MHSU over time, and persistent social exclusion. This suggests that comorbidity reflects a process of cumulative disadvantage, which has important implications for comorbidity and health inequality research, and local services and policy makers. Altering the downward spiralling trajectories of health and social disadvantage among those with mental-physical comorbidity may be addressed through integrated care models, while interventions aimed at reducing social inequalities may effectively 3 prevent comorbidity and interrupt its downward spiralling course of disadvantage.
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Castro, Amanda E. "MENTAL HEALTH MEMORIES: A WEB-BASED ARCHIVE FOR MENTAL HEALTH STORIES." CSUSB ScholarWorks, 2017. https://scholarworks.lib.csusb.edu/etd/517.
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The Mental Health Memories project is an online archive created in order to display and preserve the personal histories of those with mental health experiences. The project aims to fill a void in available material culture related to the history of mental health and its preservation. Participants’ contributions include: oral histories, personal items, documents, and audio. Bringing together multimedia sources, the MHMemories website allows for the preservation of these items and stories through the digitization of contributions. This method allows for participants’ items to stay in their possession while also becoming part of the archive. In order to recruit participants, the Mental Health Memories project teamed up with the Psychiatric Stories Archive, based at California State University San Bernardino, and the San Bernardino County Behavioral Health Clubhouse. Three collection days facilitated the gathering of materials. The final product is the MHMemories.org/.com website which showcases the contributions of participants. The Mental Health Memories project helps to illustrate the diversity of mental health experiences.
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Moy, Gretchen Michelle. "The Efficacy of Felony Mental Health Court Combined With Mental Health Probation." Thesis, NSUWorks, 2009. https://nsuworks.nova.edu/cps_stuetd/53.
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The present study examined felony mental health court and mental health probation used in conjunction and whether those on mental health probation had a reduced rate of rearrest and psychiatric hospitalization as compared to participants on regular probation or not on either form of probation. The research explored whether specific variables predicted a reduced rate of hospitalization and arrest among the participants on mental health probation. Results found mental health probationers did not significantly differ from the probationers in their rate of rearrest, and were rearrested more frequently then participants not on probation. Mental health probationers did not differ significantly from regular probationers or those without probation in psychiatric hospitalization frequency. Within the mental health probationers type of crime, presence of a violent crime, age, gender, education level, history of substance abuse, prescription of psychiatric medication, diagnosis, mental retardation and prior psychiatric hospitalizations did not predict arrest. The above variables also did not predict psychiatric hospitalization, with the exception of a history of psychiatric hospitalization which predicted a higher rate of
hospitalization while on mental health probation. Factors influencing these results and limitations of the present study were offered.
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Fowler, Lesley, and n/a. "Meditation and mental health." University of Canberra. Education, 1986. http://erl.canberra.edu.au./public/adt-AUC20060710.130437.
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The claims of the traditional texts and teachers of Buddhist meditation include the enhancement of mental health.
Twenty five meditators sitting a ten day retreat in Vipassana and Metta meditation were measured on a compassion scale and an androgyny index. The androgyny index was used to measure mental health.
Compassion scores for all meditators increased slightly after the
retreat. Experienced meditators had significantly higher scores than
inexperienced meditators.
Regardless of previous experience, meditators with high
compassion scores significantly increased in androgyny after the
retreat. The traditional claims for the enhancement of mental health
are therefore supported by these results.
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Hutson, Serah. "Mental health nursing competency." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ62020.pdf.
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Moreton, Bryan. "Parents' perinatal mental health." Thesis, University of Warwick, 2017. http://wrap.warwick.ac.uk/96314/.
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This thesis was focused on parent’s mental health during the perinatal period. Fear related to childbirth is common in mothers. Chapter one provides a meta-ethnographic synthesis of literature exploring mothers’ experiences of fear related to childbirth. Three meta-themes were identified which showed what it was like for women to experience fear related to childbirth, external factors than influenced their fear (e.g. the media) and internal factors (e.g. coping strategies). This study illustrated the complexity of mothers’ experiences and how fear related to childbirth can impact quality of life. The implications of these findings, and clinical recommendations, are discussed. There is increasing recognition that fathers may experience low mood in the postnatal period. Chapter two explores how fathers talk about paternal postnatal depression (PND). Six fathers who considered themselves to have had paternal PND took part in semi-structured interviews, which were analysed using discourse analysis. The results showed that PND was constructed as something that happens to women rather than men. They highlighted the difficulties men have talking about PND and how masculine identities were used to account for this difficulty. Finally, men constructed themselves as being deficient fathers when they had paternal PND. This study has significant implications for how PND is talked about with men. Chapter three presents a reflective account of conducting the research, which was written from the perspective of a parent. The focus was on the impact that the researcher may have had on the study and the effect that the study had on the researcher. It encompassed the whole process from developing ideas to potential areas of future study. The importance of terminology in mental health was discussed as well as what it is like conducting research on parents as a parent. The chapter ends with reflections on the researcher’s epistemological position.
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Daya, Aarti. "Dissociation and mental health." Thesis, University of Warwick, 2016. http://wrap.warwick.ac.uk/87973/.
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This thesis consists of three papers: a literature review, an empirical paper and a reflective paper. The systematic literature review examines the role of dissociation within eating disorders. Thirty-four articles meeting the inclusion criteria were identified through database searches and manual searches. The findings of these articles were reviewed and critically appraised. The evidence reviewed indicates that dissociation in people with an eating disorder diagnosis may have a number of roles. Individuals with an eating disorder diagnosis may use dissociation as a means of managing certain affective states and dissociation may also act as a means of separating oneself from eating disorder symptomatology. In addition, dissociation may play a role in the development of eating disorders in individuals who have also experienced trauma. Methodological limitations, clinical implications and future research recommendations are considered. There is a need for staff in eating disorder services to be aware of dissociation and to use or develop interventions which take this into consideration. Further research, using a wider variety of methodologies, is needed, in particular to further elucidate the relationship of dissociation to eating disorder symptomatology. The empirical paper is a qualitative exploration of the lived experience of dissociation in individuals with a diagnosis of psychotic disorders. Five participants were interviewed using semi-structured interviews. The transcripts of interviews were analysed using Interpretative Phenomenological Analysis. One super-ordinate theme emerged from the analysis. ‘Emotional impact of unsafe uncertainty’ describes the emotions evoked by dissociative experiences and the uncertainty that surrounds exploration of these experiences for participants. Themes are discussed and considered in relation to clinical implications. Further research is needed to more carefully consider the role of dissociation within psychotic disorders. Finally, the reflective paper discusses the author’s experience of the process of research and exploring experiences of dissociation in individuals with a diagnosis of psychotic disorders. This paper utilises an Acceptance and Commitment Therapy approach to support personal reflection and reflexivity.
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Wowra, Scott Andrew. "Ethics and mental health." [Gainesville, Fla.] : University of Florida, 2005. http://purl.fcla.edu/fcla/etd/UFE0011429.
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Moser, Michele R. "Infant Mental Health 101." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/5002.
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Weehuizen, Rifka Maria. "Mental capital the economic significance of mental health /." Maastricht : Maastricht : Universitaire Pers Maastricht ; University Library, Universiteit Maastricht [host], 2008. http://arno.unimaas.nl/show.cgi?fid=11650.
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Metz, Cara L. "The effects of mental health and physical health on job satisfaction in the mental health field." University of Cincinnati / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1337715058.
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Skinner, Laura. "Negotiating uncertainty : mental health professionals’ experiences of the Mental Health Act assessment process." Thesis, University of Leicester, 2006. http://hdl.handle.net/2381/8972.
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White, Bradley Patrick. "Mental Health and Mental Health Treatment Experiences of Transgender and Gender Diverse Persons:." Thesis, Boston College, 2021. http://hdl.handle.net/2345/bc-ir:109141.
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Thesis advisor: Susan Kelly-WeederBackground: Stigma, discrimination, and victimization are common occurrences in the lives of TGGD persons (e.g. non-binary, genderqueer, agender, and other non-cisgender identities) in the U.S., including occurrences in healthcare settings. Additionally, TGGD people in the U.S. experience numerous disparities related to physical health, mental health, substance use, and health risk behaviors. Suicide prevalence data provide the strongest and most urgent indication that healthcare organizations, and mental health providers specifically, are not optimally meeting the needs of this marginalized, at-risk population. TGGD persons have experiences of stigma and discrimination in healthcare settings, and these experiences are directly associated with provider behaviors, staff cultural competence, and institutional policies/practices. Minority Stress Theory suggests that experiences of stigma are directly linked to health outcomes and health disparities. It also suggests disparities may be mitigated by one’s internal coping skills and by level of support available from affirming others. Purpose: This dissertation’s research sought to better understand the relationship between stigma/discrimination and sexual/gender minority (SGM) population health and to better understand the experiences of TGGD persons who receive mental health services in the United States. Therefore, this dissertation begins to address this critical need and fill the gap in science. Three discrete manuscripts are proposed to fully explicate three concepts: 1) How state-level policies may affect SGM mental health (a secondary data analysis); 2) A comprehensive understanding of TGGD persons’ mental healthcare experiences (an integrative review); and 3) TGGD persons’ inpatient mental healthcare experiences (a qualitative study). Methods: First, we conducted a secondary data analysis examining state-level inclusivity for SGM populations, and relationships with indicators of mental health and health risk behaviors in those states; we sought to determine whether and to what extent there is a relationship between states’ SGM policies and practices, and the mental health and health risk behaviors of those states’ SGM residents. Second, we conducted an integrative review examining the mental health treatment experiences of TGGD adults; we sought to synthesize and characterize the existing health literature regarding the mental health experiences of TGGD adults. Third, we conducted a qualitative descriptive study examining the inpatient mental health and substance disorder treatment experiences of TGGD adults; we sought to better understand the inpatient mental health and/or substance treatment experiences of TGGD persons and to identify and characterize facilitators of/barriers to gender-affirming care in inpatient mental health and/or substance treatment settings. Results: In Chapter Two of this dissertation, an ecological secondary analysis of the BRFSS data set showed statistically significant relationships between LGBTQ persons’ state of residence and self-reported mental health symptoms and risk behaviors of the LGBTQ persons who live there. Restrictive state policy environments were shown to function as a distal stress factor and inclusive state policy environments were shown to function as a resilience factor. In Chapter Three of this dissertation, integrative review results suggest that TGGD persons experience incidents of stigma and discrimination in mental health treatment settings. In Chapter Four of this dissertation, participants reported both stigmatizing aspects and welcoming/affirming aspects of inpatient mental health/substance treatment experiences. Conclusions: This dissertation explored the mental health of TGGD persons through a Minority Stress Theory conceptual framework, including potential distal stress factors, proximal stress factors, and resiliency factors. This program of research has made substantial and meaningful contributions towards an enhanced understanding of TGGD mental health experiences, sources of TGGD stigma, and sources of coping/resiliency. In each chapter, findings suggested the presence of MST concepts of distal stress factors, proximal stress factors, and resiliency factors. Nursing remains underrepresented in health literature, and dissertation results highlight ample opportunities to advance TGGD population health through nursing practice, nursing education, nursing scholarship, and nursing policy
Thesis (PhD) — Boston College, 2021
Submitted to: Boston College. Connell School of Nursing
Discipline: Nursing
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Phillips, Elena [Verfasser]. "E-mental health – using digital technologies to advance mental health care / Elena Phillips." Hamburg : Staats- und Universitätsbibliothek Hamburg Carl von Ossietzky, 2021. http://d-nb.info/1235243931/34.
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Stone, Kevin Mark Christopher. "Decisions on risk and mental health hospital admission by approved mental health professionals." Thesis, University of Bristol, 2017. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.702420.
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The Mental Health Act 1983 was amended in 2007 and introduced the new role of the multidisciplinary Approved Mental Health Professional (AMHP) , who may be a nurse, psychologist, occupational therapist or social worker. The AMHP replaced the Approved Social Worker. Using a social constructionist perspective, this study has explored the decision-making of ten social work and ten nursing AMHPs in England. The purpose was to see if the decision making relating to management and assessment of risk varies according to the professional background of the AMHP. The study used an experimental vignette with each participant of audio-visual material containing mock health and social care records undertaken within a semi-structured interview. This study found that there was no difference in detention rates across the two groups studied in this research and found variance across the whole sample relating to the risks that were identified in the vignette. The findings suggest that there are differences in the way individual AMHPs reach decisions and in the factors that contribute towards that decision. Assumptions about discipline-related differences in social work and nurse decision-making have been challenged in this study. There is evidence to suggest that experience working in mental health was what AMHPs felt was the most significant factor contributing to their perception of risk. Overall, AMHPs expressed a good level of confidence in their practice as AMHPs. This study also highlighted that the majority of participants have felt afraid during a Mental Health Act assessment, and it illuminated how intuition and feelings have a role in how detention decisions are reached. The conclusion of this study gives rise to the need for further investigative research.
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Gleeson, Cassandra B. "Beginning Teachers' Perceived Competence to Support Students' Mental Health: Developing Mental Health Literacy." Thesis, Griffith University, 2020. http://hdl.handle.net/10072/397592.
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Mental health issues are prevalent in society and the issue of adolescent mental health is becoming increasingly scrutinised. It is estimated that, during adolescence, one in five young people within Australia will experience a mental health problem (Mission Australia, 2017). As Australia’s young people spend the vast majority of their time within a school environment, educators have a unique opportunity to recognise and help support young people with mental health concerns.
The purpose of this study was to explore beginning teachers’ perceptions of their understanding and skills when responding to issues of student mental health. The study further sought to determine the level of perceived competence and mental health literacy among teachers in their first five years of teaching. The conceptual lenses that underpinned the investigation were teacher perceived efficacy and the influence of the environment on a person’s development. These concepts draw on Bandura’s social cognitive theory and Bronfenbrenner’s ecological systems theory. The research focused on one school environment as a single intrinsic case study, generating qualitative data. The school principal, a school psychologist, and five beginning teachers within their first 5 years of teaching were interviewed, and relevant school and government mental health and wellbeing documents were analysed.
Three major findings from this research were identified. The first finding encompasses beginning teachers’ perceptions of their role, including responding to concerns and events, referring students appropriately, and responding to the complexities that can develop in the classroom as a consequence of poor student wellbeing. The second finding involves teacher-level challenges, including difficulty accessing information, a lack of specific pre-service teacher training, and the impact on teacher wellbeing. The third finding centres upon school-level challenges, including limitations in school structure and resources, community mental health restrictions, and the need for mental health training for teachers.
Recommendations are made concerning key changes and strategies to be initiated by secondary schools, initial teacher education providers, and federal and state governments. These include further resourcing in schools and initial teacher education programs to provide teachers with a greater knowledge base on student mental health. Further recommendations draw upon the need for community health and schools to work together to provide appropriate professional development to improve teacher capacity and self-efficacy. Recommendations offered for the school site include improving the communication channels between school leadership and teachers so that teachers – including beginning teachers – are able to support their students’ mental health; providing a mental wellbeing induction program; and developing wellbeing mentors for beginning teachers.Thesis (Masters)
Master of Education and Professional Studies Research (MEdProfStRes)
School Educ & Professional St
Arts, Education and Law
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Dominguez, Alva M. "SCHOOL-BASED MENTAL HEALTH REFERRALS’ REPRESENTATION OF ACTUAL MENTAL HEALTH DISORDERS AMONG ADOLESCENTS." CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/894.
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Increasingly, health providers are recognizing the importance of providing behavioral and mental health services to children and adolescents. As a result, school districts are adopting the School-Based Mental Health Program approach to provide mental health services to their students. The purpose of this study is to test if there is a disparity between children being referred due to externalizing behavior versus internalizing behaviors. The data was collected from archival sources, and it was analyzed utilizing the SPSS software for a quantitative and descriptive study. The findings indicated that students experiencing Internalizing and/or Externalizing behaviors are almost equally receiving services. This study found that most of the referrals were made by school counselors, only a few by parents and even less by students themselves. For this reason, the study’s recommendation is for social workers to engage in providing training for parents and students in identifying mental health issues before they become a significant problem.
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Oliver, Natikca. "Mental Health Worker Retention at African American and Caucasian-Owned Mental Health Agencies." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/499.
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The purpose of this study was to determine which factor(s), including job satisfaction, employee-employer relationship, organizational climate, and ethnicity predict retention of mental health professionals employed by African American and Caucasian privately owned mental health agencies. Due to high turnover in the private sector in mental health in central Virginia, many agencies are closing after 5 years of business. The importance of this study was to determine which factor(s) can assist in reducing turnover in the mental health field and to determine which factor(s) assist in maintaining mental health professionals in order for the agency to remain operable. The variables were evaluated through 4 valid and reliable self-report surveys to determine their prediction of employee retention. The study used Vroom's expectancy theory as the theoretical framework, which focuses on the importance of rewards and incentives in the workplace. The study's research questions determined the predictive validity of the variables on employee retention among 46 African-Americans and 15 Caucasian mental health employees. The results from multiple linear regression indicated that job satisfaction was the only significant predictor of employee retention. The implications from this finding suggest that mental health professionals need a sense of job satisfaction from their agency in order to remain at their current agency. From the findings, social change can occur when African American and Caucasian privately owned mental health agencies increase retention and are able to continue to provide continued mental health services.
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Blount, Michelle. "Mental Health Courts: Mental Illness, Diversion Programs and Recidivism." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7217.
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Many large urban juvenile probation departments have begun to utilize mental health courts to meet the demands of the increasing number of individuals who have mental health issues that end up in the juvenile justice system. Diversion programs are designed to keep youth in the community and out of the juvenile justice system, but it is not clear whether these programs keep individuals from re-offending. Therefore, this study was conducted to determine whether diversion programs used in the mental health courts are helping to decrease recidivism for juveniles identified with mental illness. This study was also aimed at identifying how mental illnesses affect successful completion of programming. The theory of therapeutic jurisprudence was used as the theoretical foundation to help guide this quantitative, quasi-experimental study and answer the research questions. The data utilized was from a large urban juvenile probation department, which uses the mental health court as a diversion program. Data was collected from 2009 to 2017 on both youth who participated in the program and those who chose not to participate in the program. Chi-square and logistic regression were used to analyze the data. Based on the chi-square, recidivism rates were significantly impacted by participation in the mental health court. The data presented demonstrated mental health court is effective at reducing recidivism. The potential is there for positive social change in the treatment of youth with mental illness both in the community and the juvenile justice system.
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Gunn, Robin. "Mental Health Nurses' Perceptions| Making a Career Choice and Remaining in Mental Health Nursing." Thesis, William Carey University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10605386.
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Mental health nursing is a distinct specialty in the nursing profession. However, research has consistently shown the field of mental health nursing is not a popular career choice. In addition, the mental health nursing field is facing a significant shortage of nurses. Understanding what attracts and retains nurses to this nursing specialty is needed to aid in recruitment and retention and to ensure there will be enough qualified mental health nurses in the future to provide care for those needing mental health care services. The purpose of this study was to explore mental health perceptions of the career choice and identify what factors and/influences, if any, encouraged the decisions to choose mental health nursing or to remain employed in mental health nursing. A qualitative research design using a descriptive online survey and individual interviews was used to explore mental health nurses' perceptions of the career choice of mental health nursing. Findings from the survey and interviews revealed themes as to why mental health nurses chose a career in and stay in mental health nursing, what factors influenced these decisions, and the image of mental health nursing. Recommendations for future studies in mental health nursing included replicating the study with a larger sample size and a variety of mental health facilities, an analysis of the current U.S. mental health nursing workforce, and how nursing school experiences affect students' perceptions of mental health nursing.
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Senior, Jane. "The development of prison mental health services based on a community mental health model." Thesis, University of Manchester, 2005. http://www.manchester.ac.uk/escholar/uk-ac-man-scw:85467.
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Setati, Tsholofelo. "Mental Health Consequences of Unemployment: Mental Health, Somatic Symptoms, Depressive Affect and Positive Affect." Master's thesis, Faculty of Commerce, 2021. http://hdl.handle.net/11427/33018.
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In this dissertation, we endeavoured to investigate the relationship between mental health and labour market changes in South Africa. We started by understanding the relationship between the aggregate CESD-10 and labour market status and then explored whether this aggregate relationship holds true for each of the three mental health factors that make up the CESD-10 score. Using data from the National Income Dynamics Study, waves 1-5, we documented increasing mental health symptoms with employed to other states of unemployment. This follows for somatic symptoms, depressed affect and positive affect, but the source driving the effects differs between factors and with the CESD-10 as well. We found that those who are NEA suffer to a greater extent in positive affect than in the other two factors relative to the employed. For those who are unemployed (discouraged), we see they also experience the strongest detrimental effect to their positive affect relative to the employed. However, they experience lower depressed affect scores relative to the employed. Those who are unemployed (strict), meanwhile, experience greater depressed affect scores out of the three factors when compared to the employed. As such, we expect to see an average increase in depressive symptoms classifications among those moving from employed to NEA statuses. We can also expect an average increase in depressed affect disorder classifications among those moving from employed to NEA labour force status. Likewise, we can expect higher positive affect across the five waves among those moving from a employed to NEA status. We find that, after controlling for observed individual characteristics and utilizing the panel structure of the data by allowing for individual specific fixed effects, negative labour market shifts have a significant negative impact on mental health. The sub-group analysis shows that this has a particularly adverse effect on black people and males.
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Yaya, Getinet Ayano. "Adverse mental health and educational outcomes in offspring of parents with mental health problems." Thesis, Curtin University, 2021. http://hdl.handle.net/20.500.11937/87665.
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This thesis investigated the risk of psychiatric disorders and symptoms and adverse educational outcomes in offspring of parents with mental health problems. The data for this thesis came from both primary (longitudinal birth cohort data) and secondary (published studies). Findings suggested that, after adjusting for potential confounders, parental mental health problems were associated with increased risk of a wide range of mental health problems in the offspring during childhood, adolescence, and young adulthood.
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Wenger, Tara Renee Brenneman. "Health Information Technology Adoption by Mental Health Organizations." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1523481704831465.
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Cohen, Tina S. "Death and the pub : a discourse analysis of men's talk about mental health, mental illness and mental health sevices." Thesis, University of Surrey, 2012. http://epubs.surrey.ac.uk/804776/.
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Despite the prediction that religion would wane in the 21st century, evidence suggests otherwise. It is important therefore for mental health professionals to understand the role of religion in the lives of their clients and to appreciate its impact on mental health. Research suggests a moderate inverse relationship between religion and depression and anxiety with some cross-cultural support. The relationship is however complex and context needs to be taken into account. The effect of culture and the importance of intrinsic religiosity are discussed. Much research is conducted in the US in the field of psychiatry, suggesting a gap in the British psychological literature. Some implications for clinical practice are discussed. The interplay between religion, culture and wellbeing is discussed
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Montgomery, Natalie D. "Tensions Along the Path Towards Mental Health Literacy for New Immigrant Mothers: Perspectives on Mental Health and Mental Illness." Thèse, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/30728.
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New immigrants to Canada are identified as a vulnerable population in mental health and, as a result, organizations are signaling the need to enhance their mental health supports. The research uses focus groups and questions based on the messaging of a Canadian school mental health program to understand how new immigrant mothers interpret and develop key aspects of their mental health literacy and how they attain parent empowerment. A thematic assessment of the knowledge, interpretation, action and decision-making of the study participants (n=7), all recent immigrants to Canada and mothers of high school students, shows that new immigrant mothers are prepared to follow a path towards mental health literacy. At the same time, however, there are barriers that can block progression towards mental health literacy for this audience. These findings are supported by three umbrella themes: the first main theme “home as haven” espouses maternal roles in mental health maintenance such as protector and communicator, the second main theme “knowledge versus suspicions of mental health and mental illness” represents informed views and support of mental illness and myths and illusions of mental illness, and the third main theme, “additional barriers to mental health literacy” includes the hardships of immigration and fear of knowledge. The study concludes that new immigrant mothers appreciate the importance of fostering mental health understanding and discussion with their children at the same time that they encounter obstacles to the advancement of their mental health literacy. This study is relevant to the field of communication in that it demonstrates the experience of new immigrant mothers as a secondary audience in mental health programming. As the caregivers of their children, they are in position to enforce the messages and health maintenance behaviours of a school-based mental health program aimed at adolescents.
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Tengland, Per-Anders. "Mental health : a philosophical analysis /." Linköping : Tema, Univ, 1998. http://www.bibl.liu.se/liupubl/disp/disp98/arts177s.htm.
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Faisal, Saman. "Mental Health Impact of Disasters." Digital Archive @ GSU, 2008. http://digitalarchive.gsu.edu/iph_theses/56.
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It is very important to study the mental health impact of disasters to provide adequate mental health services when there is an increased demand of mental health services and a concurrent deterioration of mental healthcare capacity after disasters. This study examined the mental health impact of 9/11 attacks among the individuals living close to the disaster area and compared them to the individuals living farther from the disaster area. New York (NY) state and Washington DC were selected as the disaster areas and Illinois (IL) was selected to study individuals living farther from the disaster area. The study also assessed the effects of mental health on risky behaviors such as cigarette smoking and alcohol consumption and how they vary based on age, gender and proximity to the disaster. Ten year Behavior Risk Factor Surveillance System (BRFSS) data from 1996-2005 was obtained for NY, DC and IL. Significant increase in mental distress was observed in NY and DC but not in IL. Increased use of alcohol was found among DC and NY residents but the increase in IL was not significant. Logistic regression showed that increase in alcohol consumption was not associated with mental health. An overall decrease in cigarette smoking was observed and there was no impact of disaster on smoking rates. Mental distress was much higher among the female respondents as compared to the male respondents. Mental distress was highest among 35- 49 year old respondents as compared to other age groups. In future longitudinal studies should be conducted in order to establish the causal relationship of mental health and risk behaviors such as smoking and alcohol consumption after disasters. Most of the interventions regarding post-disaster mental health focus on PTSD but other mental disorders should also be addressed.
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Bell, Edith M. "Physical activity and mental health." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10195658.
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The study investigated the relationship of physical activity (domain, frequency, amount, and intensity) on mental health (depression, stress, and anxiety) in the general population. Two hundred and fifty-three individuals eighteen or older completed either an online or paper survey for the study. Pearson Correlation, T-tests, and multiple regression were used in the data analysis. Results indicated vigorous activity correlated negatively with stress (r = -.16 p < .01) and anxiety, ( r = -.15 p < .01). Amount of activity correlated negatively with anxiety, r = -.15 p < .05. Leisure time activity, frequency of activity, and amount of activity were significant predictors of stress among females, R2 = .07, p < .05 and anxiety among males, R2 = .09, p < .05 (vigorous for men and moderate for female). Males were found to participate in significantly more vigorous leisure activity than females, t = 2.50, p < .01. Given the limited research on factors of physical activity, results of the study offer useful information for future research into the complexities of physical activity and its effects on mental health.
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Albrecht, Opal. "Addressing graduate student mental health." Kansas State University, 2014. http://hdl.handle.net/2097/17381.
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Master of ScienceDepartment of Special Education, Counseling and Student Affairs
Christy Craft
It is estimated that nearly twenty-five percent of graduate students experience symptoms of depression, anxiety, or seasonal affective disorder (Kernan, Bogart, & Wheat, 2011). Graduate students are defined as being unique, vulnerable, and at risk for experiencing a variety of challenges (Hyun, Quinn, Madon, & Lustig, 2006). Several of these challenges can result in high levels of stress (Oswalt & Riddock, 2007). Failing to cope with this stress can lead to increased stress levels, more severe mental health concerns or illness, and potentially dropping out (Hamaideh, 2011). Graduate students are not completing programs at the rate that they should, in fact attrition rates are estimated to be as high as fifty percent for some graduate programs (Kent, 2013). Understanding the effect mental health has on a student’s ability to persist through a graduate program is crucial to understanding the graduate student experience. It is suggested that higher education institutions begin to acknowledge the stress graduate students endure, the transitional struggles they encounter, and the barriers graduate students overcome to seek help. Based on the literature and personal experience, it is proposed that higher education institutions focus on preventative measures when combating the mental health challenges graduate students experience. This report provides a summary of the best strategies to consider when focusing on graduate student mental health. These strategies include the creation of an office devoted to providing graduate students with the support services they deserve.
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Pilecka, Izabela. "Nutrition, neurodevelopment and mental health." Thesis, King's College London (University of London), 2016. https://kclpure.kcl.ac.uk/portal/en/theses/nutrition-neurodevelopment-and-mental-health(aef2ac73-1610-41bf-9941-5e7bd44f3666).html.
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There is increasing awareness for the potential effects of nutrition on mental health. Specifically, researchers are interested in the benefits of omega-3 polyunsaturated fatty acids (n-3 PUFA) and vitamin D on brain development and psychological well-being. The main objective of this thesis is to examine evidence for the relationship between nutritional intake, neurodevelopment, psychotic and depressive symptoms. This thesis consists of a series of studies designed to test several hypotheses. A review and meta-analysis tested the hypothesis that maternal fish oil intake/omega 3 supplementation during pregnancy is associated with better cognitive performance in offspring. Next, we used data from the Swedish Women's Lifestyle and Health Study, to test the hypothesis that low UV exposure is associated with more positive psychotic symptoms and with more severe depressive symptoms. For the purpose of this study we use UV exposure data as a primary index for vitamin D. Firstly, the results of meta-analysis showed that for the measure of overall cognitive ability the standardised difference in means (SMD) was estimated to 0.10 (95% CI, -0.01 to 0.20; p=0.07) and for memory functions the SMD was 0.21 (95% CI, 0.01 to 0.41; p=0.04). The observational studies showed better overall cognitive ability with pooled OR of 1.92 (95% CI, 1.61 to 2.30; p<0.001) and for the domain of language and verbal skills the OR was 1.93 (95% CI, 1.37 to 2.73; p<0.001) among children of mothers consuming 2 to 3 fish servings per week during pregnancy. Maternal intake of fish oil during pregnancy is associated with improved cognitive abilities in the offspring. Secondly, the association between sun exposure and psychotic experiences was evaluated by quantile regression models. 34 279 women were included in the analysis. Women who reported no sunbathing holidays and two or more weeks of sunbathing holidays scored higher on the Community Assessment of Psychic Experience (CAPE) scale than women exposed to one week of sunbathing holidays across the entire distribution, when adjusting for age and education. Similarly, compared with women who reported a history of a single sunburn, the women with none or two or more sunburns showed higher scores on the CAPE scale with more women in the right part of the distribution. Thirdly, women who reported a history of two or more sunburns showed positive association with depressive symptoms, compared to history of a single sunburn, when adjusting for age and education. The findings suggest that in a population based cohort of middle aged women, both low and high sun exposure is associated with increased level of positive psychotic experiences and high sun exposure is associated with an occurrence of depressive symptoms.
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Williams, Stacey L. "LGBTQ Mental Health and Practice." Digital Commons @ East Tennessee State University, 2019. https://youtu.be/wiCoDgasv4Q.
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Nassir, Atheer J. "Medication Management in Mental Health." Thesis, The University of Sydney, 2015. http://hdl.handle.net/2123/15467.
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Despite advances in clinical and mechanistic understanding, pharmacotherapy used in the management of some people with psychosis remains suboptimal – the unjustified use of poly antipsychotic prescribing (PAP) is a salient example. The aim of this thesis was to investigate the current antipsychotics prescribing trends in the hospital and community settings and to capture data on polypharmacy (PAP), and how these overlap with medicines for more general somatic medical conditions. To achieve these objectives, 4 sub-studies were designed and conducted. Olanzapine was the most commonly used oral antipsychotic across hospital and community settings. For patients receiving long-acting (depot) injectable (LAI) antipsychotics, risperidone long-acting injectable (RLAI) was most commonly prescribed. PAP was found to be more prevalent in the hospital setting rather than in the community, 33.8% vs. 16.9%, respectively. However, when prescribers were asked to estimate the prevalence of PAP among the patients they cared for, their responses varied widely with the highest reported PAP being up to 80%. Generally, clinicians who reported treating 30% and more of their patients with PAP were found to be more likely to have less number of years of experience in the mental health sector, treat more adult inpatients, and reported perceiving PAP as a practice that is supported to some extent by evidence from the literature. However, it was also found in this thesis that PAP was significantly associated to cardiometabolic unwanted effects, which may explain to some extent the minimal support that PAP receives in literature. In conclusion, the incidence of poly antipsychotic prescribing was found to be relatively high in both hospital and community settings with common sets of co-prescribed agents. Similar trends are evident in literature with a general sense that most poly antipsychotic prescribing is not supported by guidelines or evidence of efficacy and safety.
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Pusateri, Cassandra G. "Mental Health Services in Appalachia." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/3160.
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Moser, Michele R., H. Taylor, and T. Chusac. "Infant Mental Health and Violence." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/4985.
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Craig, Dale Marie. "Perspectives of Mental Health Treatment." CSUSB ScholarWorks, 2016. https://scholarworks.lib.csusb.edu/etd/367.
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This study looks at the perceptions of mental health treatment that the general public may have. This study consisted of a sample size of 106 respondents to a survey that was placed on social media web sites. The positivist paradigm was used to assess the general public’s perceptions about mental health treatment and mentally ill persons. Descriptive analyses were used to discover the relationship of possible negative perceptions toward mental health treatment the general public may have on a mentally ill person. Findings of the survey showed no significant relationships of negative public perceptions that would adversely affect a mentally ill person from seeking mental health treatment.
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Simons, Lucy. "Community mental health nurses' perspectives on the treatment of people with common mental health problems." Thesis, University of Southampton, 2006. https://eprints.soton.ac.uk/57942/.
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The study was in two parts. In Part 1 the thematic content analysis of the nurses’ individual accounts of their trial experience revealed how the CMHNs’ aimed to be an agent of change in the nurse-patient encounters and how the trial setting contrasted with everyday practice. Following this, detailed micro-analysis of the narratives of nurse-patient encounters found that the nurses’ goal to be an agent of change was not always borne out when the construction of their accounts was examined. In Part 2 the thematic content analysis of group discussions about CMHN role illuminated the tensions in CMHNs’ everyday practice and their perceived role with people with CMHPs outside of the experimental setting. Overall, the treatment of people with CMHPs was exceptional in that the nurses interpreted their trial experience in the way it contrasted with their everyday practice. Further, in line with the results of the randomised controlled trial, CMHNs did not think that people with CMHPs should be treated by specialist nurses within community mental health services. The nurses suggested a range of methods in which individual, community and primary care resources could be augmented to support people with the aim of preventing referral to specialist services. The integration of the key findings from both parts of the study demonstrated how the nurses used and valued a range of types and sources of knowledge, both in their practice and when forming their views about CMHPs and service organisation. These knowledge sources were not those valued in contemporary healthcare. The dominant evidence-based practice movement champions research evidence of effectiveness above other forms of knowledge. Broadening the understanding of evidence and narrowing the claims of evidence-based practice is suggested to permit all forms of knowledge to be valued in healthcare decision-making
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Storms, Starr 1948. "An assessment of the mental health of mental health care workers in the public sector." Thesis, The University of Arizona, 1993. http://hdl.handle.net/10150/291732.
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The mental and emotional well-being of mental health care professionals can be jeopardized by burnout, a syndrome similar to depression and other affective disorders in its symptomology and effects. A questionnaire designed to assess mental health and burnout was developed using various assessment tools from the mental health care community to obtain information about health habits, stressors, coping skills, personal history, and length of service. Forty-seven workers at a public mental health facility responded to the questionnaire. The results of this study suggest that approximately 20% of mental health care-givers are experiencing high degrees of burnout and mental disease. Neither personal history or long-term service appears to contribute to the burnout. Workers new to the field seem to be at greatest jeopardy. Control coping mechanisms were found to be more effective than escape coping mechanisms in combating stress and mental illness.
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Morris, Desiree Lin. "MENTAL HEALTH INTERVENTION: DOES AN EXPEDITED PROCESS INCREASE ACCESS TO MENTAL HEALTH SERVICES FOR CHILDREN?" CSUSB ScholarWorks, 2018. https://scholarworks.lib.csusb.edu/etd/640.
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Child maltreatment negatively impacts physical, emotional, and the health and well-being of a person, often with lifelong implications. The importance of this study derives from the very necessity of mental health services for children who have suffered trauma. Children’s Assessment Centers (CAC) assess and refer children who have experienced abuse to a therapist in the community. This study examines the use of an enhanced referral process used to connect some CAC clients more quickly to therapeutic services in the community. The study examined whether children who received this expedited referral service were more likely than children who received the standard referral process to see a therapist within three months. The study used data provided by one CAC in California. The CAC provided information on clients who received either the expedited or standard referral process within a 3-month period in 2017. The researcher then contacted the clients’ caregivers to ask whether the child saw a therapist within 3-months of the child’s referral from the CAC. The study used a Chi-square test to analyze whether children who received an expedited referral to mental health services were more likely than children who received the standard referral to receive mental health services within three months. Results indicated no statistically significant difference in access to mental health services for the two groups. However, during data collection, the researcher learned that some children were already engaged in therapy at the time they received the referral, perhaps rendering the referral unnecessary. Implications for social work practice, policy, and research are discussed.
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Nøttestad, Jim Aage. "Deinstitutionalization and mental health changes among people with mental retardation." Doctoral thesis, Norwegian University of Science and Technology, Department of Neuroscience, 2004. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-1952.
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Mitchell, Penelope Fay. "Mental health care roles and capacities of non-medical primary health and social care services : an organisational systems analysis /." Connect to thesis, 2007. http://eprints.unimelb.edu.au/archive/00003854.
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Palmer-Erbs, Jung Victoria Katherine. "Interactive competence and mental health service utilization among the severely mentally ill." Thesis, Boston University, 1992. https://hdl.handle.net/2144/34649.
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Thesis (Ph.D.)--Boston UniversityPLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
The American Psychiatric Association criteria for differential psychiatric diagnoses (DSM III-R) do not exhaust the list of socially problematic behaviors displayed by the mentally ill. The extent to which such behaviors influence a person's "career" as a deinstitutionalized patient is the major topic of this study. Fiscal crises and changing public commitments have reduced support to those with severe mental illness who are deinstitutionalized, increasing the importance of understanding how degrees of competence at activities of daily living and the extent of socially problematic behaviors affect their participation in the community. The concept Interactive Competence was developed on the basis of the writer's clinical experience and a review of the literature on community adjustment of persons with severe mental illness. The concept characterizes the social functioning of persons diagnosed as mentally ill, and includes demonstration of self-care (ADL) skills and self-management skills (trouble in relationships). Secondary analysis was performed on data from a 1984 probability sample of clients in Community Support Programs for seriously mentally ill adults. Factor analysis reduced items in the original instrument, The Uniform Client Data Instrument, to scales measuring Interactive Competence. Only persons with the diagnosis of Schizophrenia or Affective Disorders were studied (n=824 of 1053), excluding diagnoses which were diverse in nature and infrequent in occurrence. Bivariate correlation and regression techniques were used to test the major hypotheses: 1) Schizophrenics demonstrate less Interactive Competence than those with the diagnosis of Affective Disorder; 2) the greater the chronicity (length of time in the social role as a patient from point of first diagnosis) the less Interactive Competence; 3) lower level of Interactive Competence is associated with a lower level of mental health service utilization. Monitoring Interactive Competence self-care (ADL) skills and selfmanagement skills (trouble in relationships) provides new insights about the service utilization of the severely mentally ill and their families. Schizophrenics had less the Interactive Competence than those with Affective Disorders; those with lower scores on Interactive Competence used more services; family involvement influenced clients' use of crisis assistance services and urgent care services.
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Larsson, Hanna, and Lolita Mageramova. "Development of Application for Health Statistics : Targeting Mental Health." Thesis, Högskolan i Halmstad, Akademin för informationsteknologi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-33583.
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Mental illness is an important and growing problem. In Sweden it is estimated that about 22 percent of the female population, and 15 percent of themale, suffer from anxiety [1]. This thesis examines specifically the borderline personality disorder. It is a serious condition that in a prevalence study, was found to affect 5,4 percent ofthe Swedish population. The disorder is linked to self-harming and about 10 percent with the disorder die of suicide [2]. Continuously, the thesis describes the process of the development of a mobileapplication concept that is created to help the user collect and analyze data about their mental state. The thesis first defines the purpose and the limitationsof the project, as well as what goals the project strives for. It continues by examining various fields of interest; by describing mental illness, similar work and the pros and cons of using applications for this purpose. In order to develop an application suitable for the target group, the projectinvestigated areas such as different development tools, the concept of usabilityand the dialectical behavioral therapy, which is a therapy form created specifi-cally for treating the borderline personality disorder. The project’s method is described; how the structure of the project wasset as well as the process of the design and development of the application. Furthermore, the result of the application is outlined, presenting its functions,layout and underlying database. The thesis additionally discusses the problems with mental illness, and thechallenges the project has faced. Issues such as how to handle sensitive data,further development and other other ways to tackle the problem was consideredin the discussion.Lastly, the project is condensed in a summary.