Dissertations / Theses on the topic 'Mentally ill Rehabilitation Victoria'
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Yeung, Yee-yu. "An assessment of the implementation of social rehabilitation for the mentally ill." [Hong Kong : University of Hong Kong], 1993. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13552983.
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Bromet, Elizabeth S. "The relationship between vocational rehabilitation services, demographic variables and outcomes among individuals with psychiatric disabilities." Connect to this title online, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1116127984.
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Thesis (Ph. D.)--Ohio State University, 2005.Title from first page of PDF file. Document formatted into pages; contains xv, 171 p.; also includes graphics Includes bibliographical references (p. 155-171). Available online via OhioLINK's ETD Center
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Yeung, Yee-yu, and 楊義裕. "An assessment of the implementation of social rehabilitation for the mentally ill." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1993. http://hub.hku.hk/bib/B31964382.
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Titone, John Christopher. "Predicting vocational rehabilitation outcome among clients with a psychiatric disability." Diss., The University of Arizona, 1988. http://hdl.handle.net/10150/184413.
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Individuals with a psychiatric disability have had the poorest vocational outcomes of all the disabled populations when comparing rehabilitation success rates. The purpose of this study was to explore the relationships between selected background, social, and service variables and vocational rehabilitation outcome in order to identify potential indicators of success or failure. Data was gathered from records in the Tucson, Arizona offices of the state-federal vocational rehabilitation program. The sample included 210 White and Hispanic subjects with a psychiatric disability. Their records had been closed in the years 1983 through 1987. The independent variables were the background variables of Age, Age of Onset, Ethnicity, and Educational Level, the social variables of Living Situation, Ability To Get Along With Others, and Employment History, and the service variables of Training and Support. The dependent variable was Employment Status as determined by the vocational rehabilitation program: Successful subjects, coded a Status 26, were closed having been employed at least 60 days; unsuccessful subjects, coded a Status 08, 28, or 30, left the program unemployed. The study followed a correlational design using a regression approach. Logistic Regression Analysis with forward selection was the strategy employed to identify the best predictive model. A chi-square test of independence was used to further study variables that showed some predictive potential. An effort was made to control for the presence of one or more additional disabilities. The results indicated that the variables most highly related to Employment Outcome, in the order of their importance, were Training, Employment History, and Ability To Get Along With Others. Ability To Get Along With Others disappeared as a key indicator when the sample was divided into single and multiple disability groups. However, the findings suggest that Ability To Get Along With Others and Support Services may contribute to the effect of the two more powerful variables. It is also cautiously suggested that Training that is job-related and skill-building in nature may be more useful than formal education for this population.
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Sam, Noluthando. "Experiences of professional nurses related to caring for chronic mentally ill patients at rural primary healthcare clinics." Thesis, Nelson Mandela Metropolitan University, 2014.
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Since the deinstitutionalisation of chronic mentally ill patients, there has been an increase in the number of relapsed chronic mentally ill patients who become acutely mentally ill and need to be re-admitted for acute care in psychiatric institutions. Professional nurses working at rural primary healthcare clinics find it difficult to care for these individuals because they lack the necessary knowledge and skills. Chronic mentally ill patients who have been admitted to acute care facilities are stabilised by rendering care, treatment and rehabilitation and then released into the care of the professional nurses working at rural primary healthcare clinics. These patients live in the community and have to make use of the primary healthcare clinics nearest to their homes to provide them with their prescribed medication and care. Furthermore the patients’ mental conditions do not always remain stable, possibly because of a knowledge deficit, at times about their mental status. Patients may become non-compliant, resulting in the recurrence of symptoms, and thus need to be re-admitted to the acute care facility. However, the problem leading to re-admission is not clear for all admissions. It may be that patients do not make use of the primary healthcare clinics. It also seems that the professional nurses in the primary healthcare clinics are unfamiliar in dealing with chronic mentally ill patients living in rural communities. The aim of this study was therefore, to explore and describe the experiences of these professional nurses in caring for chronic mentally ill patients living in a rural community. The researcher used qualitative, explorative, descriptive, and contextual research design. The research population consisted of professional nurses working at primary healthcare clinics. Non-probability purposive sampling was used to identify participants for inclusion in the study. Data collection was conducted using one-on-one, semi structured interviews, observations and field notes and interviews were tape-recorded and transcribed. Data analysis was conducted using Tesh’s method of content analysis to identify themes and sub-themes. A literature control was done to compare the findings to the current published research. Trustworthiness was ensured by using Gubas’s model (1985) of trustworthiness. A pilot study, conducted by interviewing a small sample prior to the start of the main study, determined whether the sampling and interviewing techniques of the researcher as well as the research questions were adequate for data collection. The researcher ensured that the study was of a high ethical standard by taking into consideration values that guide the principles of autonomy, beneficence, non-maleficence and justice. The findings of the study was categorised into three main themes and 13 sub-themes. The main themes were as follow: Professional nurses experience problems when they have to take care of psychiatric patients attending rural primary healthcare clinics. This theme had six sub-themes which were discussed in details in chapter three. The second theme was that professional nurses experience that psychiatric patients in rural communities experience problems which affected their well-being. This second theme has got five sub-themes which were discussed further in chapter three. The last theme was that professional nurses have positive experiences when caring for psychiatric patients in rural communities. This theme has got two sub-themes as well discussed further in chapter three.
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Taylor, Amanda Christine. "Employment specialists' competencies as predictors of employment outcomes." Thesis, Connect to resource online, 2010. http://hdl.handle.net/1805/2141.
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Thesis (Ph.D.)--Purdue University, 2010.Title from screen (viewed on May 25, 2010). Department of Psychology, Indiana University-Purdue University Indianapolis (IUPUI). Advisor(s): Gary R. Bond, John McGrew, Kevin Rand, Dennis Devine. Includes vita. Includes bibliographical references (leaves 73-85).
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Li, Nai-fu Sam, and 李乃富. "A study of the supported employment service for mentally ill persons." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1995. http://hub.hku.hk/bib/B31250087.
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Li, Nai-fu Sam. "A study of the supported employment service for mentally ill persons /." Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19470848.
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Kukla, Marina Elizabeth. "THE RELATIONSHIP BETWEEN EMPLOYMENT STATUS AND NONVOCATIONAL OUTCOMES FOR PERSONS WITH SEVERE MENTAL ILLNESS ENROLLED IN VOCATIONAL PROGRAMS: A LONGITUDINAL STUDY." Thesis, Connect to resource online, 2010. http://hdl.handle.net/1805/2117.
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Thesis (Ph.D.)--Purdue University, 2010.Title from screen (viewed on April 1, 2010). Department of Psychology, Indiana University-Purdue University Indianapolis (IUPUI). Advisor(s): Gary R. Bond. Includes vitae. Includes bibliographical references (leaves 68-77).
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Larivière, Nadine. "Adjustment to community residential settings among severely and chronically mentally ill older adults." Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=31253.
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Little is known about the impact of deinstitutionalization on severely and chronically mentally ill older adults. The primary purpose of this study was to describe the adjustment process of 33 adults, aged 65 years and over, with severe and chronic psychiatric disorders, who were transferred from a psychiatric hospital to community housing facilities between 1995 and 1998. Data was collected at five periods in times, twice prior to discharge and three times following relocation. Global functioning, social behaviors, functioning in activities of daily living, cognitive status, perceived quality of life, housing conditions and rehospitalizations rates were assessed. Results showed that participants remained stable over time in general functioning, regardless of baseline functioning. Only five subjects were readmitted for short hospitalizations. Eighty-nine percent preferred to live in the community. Relocating these participants to a smaller supervised community facility did not lead to significant deterioration in their functioning and improved their quality of life.
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Wong, Lai-ngor Jenny, and 黃麗娥. "A study on the conceptualization and programming of a community-based day training centre in psychiatric rehabilitation." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1993. http://hub.hku.hk/bib/B31977534.
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Crocker, Ann Petro. "Exploring the perceived value of work as part of psychosocial rehabilitation of the state patient : Komani Hospital, Queenstown." Thesis, Rhodes University, 2002. http://hdl.handle.net/10962/d1007464.
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During the research an attempt was made to gain an understanding of the perceived value of work in psychosocial rehabilitation with the Sate patient at Komani Hospital. The respondents' motivation to work and what they gain from working, was investigated, as well as the experience of the nonworking respondents and their motivation not to work. To achieve this, ten respondents who were working and ten respondents who were not working, were interviewed. This study involves only a limited number of State patients at Komani Hospital and therefore findings cannot be generalised and also because the study was done at one Hospital only. A literature study was undertaken during which it was evident that work as part of vocational rehabilitation contributed to the well being of the mentally disabled person. It was also stated in the literature that the disabled person must be actively involved in his/her own rehabilitation planning and that the person must make conscious decisions to move away from the "sick" role and participate in his/her rehabilitation process. Interview schedules were developed. Response received from the twenty participants was analysed. The overall findings of the study showed that the majority of respondents who were working, were motivated by money. The fact that the respondents work from Hospital and therefore disrupt the Hospital routine, work with abled co-workers and feeling needed by the factory where they are employed. also emphasised the respondents' motivation to keep on working. The findings of the study with the non-working group showed that some respondents want to work, but there are not enough work opportunities available in and from Hospital. The non-working respondents are not interested in working at the occupational therapy department because the pay patients get for work done at the department is too little, and therefore they reject the work there. Some respondents do not want to work. whether work is available or not. The non-working group is largely dependent on staff and co-patients for an income, or tobacco. The predominant activity of the non-working group of respondents during the day, as well as that of the majority of the working group respondents during weekends was sleeping, talking to friends, and smoking. The research findings, conclusions and recommendations could contribute to a better understanding of patients and the value of work for the patient in a Psychiatric Hospital.
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Robinson, Hermona Cozella. "Vocational rehabilitation for persons with dual diagnosis an examination of outcomes for minority and non-minority clients /." Connect to this title online, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1117396642.
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Thesis (Ph. D.)--Ohio State University, 2005.Title from first page of PDF file. Document formatted into pages; contains xi, 135 p. Includes bibliographical references (p. 125-132). Available online via OhioLINK's ETD Center
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Mak, Ki-yan Daniel. "The importance of an aftercare worker in the rehabilitation of psychiatric patients discharged from half-way houses in Hong Kong." [Hong Kong : University of Hong Kong], 1993. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13745098.
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Hamm, Kimberly C. "Community management : the implications of residential living and case management of the severely mentally ill." Virtual Press, 1989. http://liblink.bsu.edu/uhtbin/catkey/722154.
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Research in community management of the severely mentally ill has been scarce. Two primary components of community care in particular need evaluation, residential arrangements and styles of "case management." The purpose of this study was to evaluate the interaction of two types of residential arrangements (single- and double-occupancy) and two types of case management ("assertive" and "limited") in a 2 X 2 design. Participants were individuals with a severe mental illness served by CMHS, Inc. Individuals were matched on DSM-III-R diagnoses and sex: 8 had roommates and received assertive case management, 5 had roommates and limited case management, 5 lived alone and received assertive case management, and 5 lived alone with limited case management. Data were obtained from three independent sources: (1) each client was interviewed using the Denver Community Mental Health Questionnaire (DCMHQ) and the Inventory of Socially Supportive Behaviors (ISSB) on four separate occasions over three consecutive months; (2) frequency of client contact with family members over the same time interval was tracked by case managers; and (3) concurrent attendance in day treatment sessions, diagnosis, number of previous hospitalizations, and approximate number of months of previous hospitalization were obtained from community mental health center records. DCMHQ scores for acute symptoms and interpersonal conflict were combined into an index called problems, while ISSB scores measured social support received. Monthly follow-ups for three consecutive months were used to obtain stable estimates of problems and support. Significant positive correlations were found between family involvement and problems, family involvement and residential arrangements, social support and problems, group attendance percentage and age, problems and social support, and a marginal relationship between residence and social support. Statistically significant negative correlations were found between case management and problems, social support and number of previous hospitalizations, group attendance percentage and problems, and residence and age. In multiple regression involving all predictors, the variables other than roommating and case management, (i.e., average family involvement, number of previous hospitalizations, program attendance, and age, considered together) predicted both problems reported and support received, while as second and third steps in the regression analysis case management and residence did not significantly predict problems or social support. In other words, once chronicity (i.e., number of previous hospitalizations), family contact, age, and group attendance were controlled, case management and residence both vanished as predictors. Future studies should consider these factors, and other aspects of the natural context, when evaluating community interventions for the mentally ill in a more controlled experimental design. With respect to developing new research for community adjustment, recommendations for more controlled studies were made and two new community intervention procedures were described.Department of Psychological Science
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Shasha, Nontembeko Grycelda. "Strategies to facilitate community-based health care for severely and persistently mentally ill persons." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/3755.
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The goal of mental health delivery system is to allow the individual with severe and persistent mental illness to live and function effectively in the community and to ensure that the consumers and their families have access to accurate information that promotes learning, self-monitoring and accountability (Stuart & Laraia, 2005:710). In community-based health care, the persons living with severe and persistent mental illness (SPMI) are in their natural environment in the context of the family and the community. The goals of care are focused around maximizing the person living with SPMI’s quality of life (Hunt, 2001:15-16). In South Africa, an integrated package of essential Primary Health Care (PHC) services has been made available to the entire population in order to provide the solid foundation of a single unified health care service (Department of Health, 2000:4). The assessment of health care needs of persons living with SPMI is a dynamic on-going process that is used to collect information, recognise changes, analyse needs and plan health care to provide baseline information to help evaluate the physiological and psychological normality and functional capacity of persons with SPMI (Hunt, 2001:100). There is insufficient information from the Department of Health to either satisfy the enquiry of whether the health care needs of persons living with SPMI are being met comprehensively or whether the practitioners rendering community-based health care are knowledgeable and comply with PHC norms and standards developed by this Department. The researcher is interested in understanding how the persons living with SPMI and their families experience the community-based health care provided by PHC nurses. The purpose of this research study is to develop strategies that would assist the PHC nurses in the selected rural areas of the Eastern Cape to facilitate community-based health care and to render a health care service relevant to the health care needs of the persons living with SPMI and their families. To achieve the objective of the study, the research design was based on a qualitative, exploratory, descriptive, contextual research approach. Phase one includes describing and selecting the research population and the sampling process prior to conducting the field work which comprises individual interviews with persons living with SPMI and their families as well as PHC nurses. According to Dickoff, James and Weidenbach (1968:422) and Chinn and Kramer (1995:78), this strategy involves identifying concepts from fieldwork and creating conceptual meaning to provide a foundation for developing strategies to facilitate community-based care for persons living with mental illness. Phase two of the research design will focus on development of conceptual framework in order to allow better understanding of the phenomenon of interest, as the major concepts will be simplified by connecting all related concepts together by means of statements. This was done by making use of the themes identified during data analysis and the literature sources used throughout this research process. The evaluation criteria of Chinn and Kramer (2008:237-248) were used to evaluate the strategies. It is therefore concluded that the researcher succeeded in achieving the purpose of this study because strategies which were understandable, clear, applicable and relevant to the nursing practice have been developed for use by Department of Health and Primary Health Care to facilitate the multifaceted role of the PHC nurses.
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Atlas, Robin Michelle. "Treatment of mentally ill juvenile offenders in the criminal justice system." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2927.
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Mentally ill juveniles who are incarcerated in correctional facilities receive minimal or no treatment services. The research in this thesis determines that mentally ill juvenile offenders receive inadequate treatment. It also determined that juvenile correctional officers as well as others in the criminal justice system are not trained properly to deal with mentally ill juveniles.
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Ho, Wing Nan Winnie. "Recovery model among Chinese people with schizophrenia." HKBU Institutional Repository, 2008. http://repository.hkbu.edu.hk/etd_ra/987.
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Henderson, Anthony Roy. "Consumer perspectives of recovery from the effects of a severe mental illness : a grounded theory study." University of Western Australia. School of Psychiatry and Clinical Neurosciences, 2007. http://theses.library.uwa.edu.au/adt-WU2007.0220.
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Interest in the ability of people to recover from a severe mental illness has a long history. During the 1980s, however, there was a paradigm shift away research driven by clinicians immersed in the quantitative, objective microcosm of anatomy and physiology towards understanding recovery from a consumer perspective. Even so the experiences of consumers has remained relatively unexplored, with the lion's share of research emanating from the United States of America. At the time of writing the proposal for this study in 2000, there was not even one Australian study of a mental health consumer perspective of recovery from severe mental illness reported in the literature. The principal aim of conducting this research was to address this need. The author, therefore, undertook this grounded theory study to: (a) explore what recovery from the effects of a severe mental illness meant to the consumers in Western Australia; (b) identify what consumers of mental health services in Western Australia wanted in their lives; and thus (c) develop a substantive theory of recovery. Fifteen participants diagnosed with either an affective disorder or schizophrenia were each interviewed and the resultant data were analysed using the constant comparative method. Comparative analysis is a long-held method of analysing data in sociology. Analysis is achieved by asking questions such as what, when, where, how, of the data and comparing similarities and differences with the various concepts within and across sets of data. The findings revealed that the basic social psychological problem (BSPP) for participants was LOSS. In order to address this problem, participants engaged in the basic social process (BSP) of OVERCOMING LOSS. The BSP is a title given to the central theme that emerges from the data and illustrates that a social process occurs overtime. The BSP emerged as a process comprising three phases: First Recuperation, second Moving Forward and third Getting Back. The analysis further revealed that the participants viewed recovery as either
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Law, Wai-yu Irene, and 羅惠如. "Mental health policy in Hong Kong: an analysis of the policy on the provision of community care for ex-mental patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1994. http://hub.hku.hk/bib/B31964540.
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Van, Aken Rosalie R. "Life at a rural psychiatric hostel : The experience of a group of male residents." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1995. https://ro.ecu.edu.au/theses/1461.
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The study reported in this thesis describes and analyses the experience of 15 men with long term mental illness, living and/or working at a rural farm and hostel complex. The research was set in the context of recent studies and literature focussing on the transfer of care of people with mental illness from large psychiatric hospitals to community based care and the consequent quality of life issues. A phenomenological approach was chosen as the most appropriate for the study, in order to understand the meaning of the residents' experience. Data was obtained from three sources: in-depth interviews with 2 key informants, 50 hours participant observation involving 15 residents and 8 staff and focussed or semi-structured interviews with 10 participants. The Ethnograph computer program was utilised to facilitate and expedite analysis of the resulting large volume of data.
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Spearman, Sophia H. "Use of a task analysis to increase and maintain apartment cleaning with adults diagnosed with schizophrenia." Scholarly Commons, 2007. https://scholarlycommons.pacific.edu/uop_etds/657.
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The purpose of this study was to assess the utility of task analyses and self-recording procedures in increasing and maintaining apartment -cleaning behaviors with adults diagnosed with schizophrenia in an independent living environment. A task analysis was used to define the specific behaviors needed to clean the participants apartments, and to prompt the cleaning behavior. Also, participant-made task analyses and self-recording procedures were used in an effort to maintain these behaviors. Six participants diagnosed with schizophrenia, who also demonstrated a need for improvement in apartment cleanliness, were chosen for this study. A multiple baseline design across participants was used for this study. Results indicated that, for the three participants that completed the study, their cleaning behavior improved from baseline to the introduction of the intervention, and maintained during the 4-month maintenance period. Self-recording and cleaning were not correlated, and consequently self-recording did not prove to be self-reinforcing.
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MARSHALL, CATHERINE ANN. "STRESS REDUCTION THROUGH SKILLS TRAINING IN FAMILIES OF THE SEVERELY PSYCHIATRICALLY DISABLED: A REHABILITATION PSYCHOLOGY APPROACH (CHRONICALLY MENTALLY ILL)." Diss., The University of Arizona, 1985. http://hdl.handle.net/10150/187912.
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Families are now often the primary caretakers of severely psychiatrically disabled relatives, also referred to as the chronically mentally ill (CMI). As a result, families report experiencing stressors such as a lack of psychosocial resources, disturbance in family routine, and increased financial problems--in addition to feelings of guilt and embarrassment. Research has indicated that the families need education, support, and training in coping skills. La Frontera Center, Inc. (LFC), a comprehensive community mental health agency in Tucson, Arizona, provided both education and support to families of the severely psychiatrically disabled. The education essentially involved providing families with knowledge regarding schizophrenia; support was available through a task-oriented self-help group. The purpose of the present research was to develop a complementary coping skills training program, and investigate its effectiveness. The research was conducted through two separate studies. The first study compared subjects who received the skills training, and education, with subjects who received education only. The second study utilized members from the LFC support/advocacy group who had previously attended the education class. One-half of these subjects received the skills training, while continuing involvement with the support group, and were compared to subjects who were involved with support only. In each study, subjects were randomly assigned to either the treatment or comparison group. Both designs involved repeated measures, with data analyzed according to an analysis of covariance statistical procedure. Though the hypotheses were not supported statistically in the first study, a number of results were statistically significant in the second study, and did support the hypotheses, including treatment subjects experiencing decreased anxiety, decreased depression, decreased conflict within the family, and increased social functioning and use of community resources.
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Wong, Oi-ling, and 王愛玲. "Supervision and teamwork in halfway houses for the ex-mentally ill: from institutional care to communitycare." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1995. http://hub.hku.hk/bib/B31977972.
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Hunter, Robert A. (Robert Allan). "Evaluation of the Preparation for Adult Living Training Program for Severely Emotionally Disturbed Adolescents in a Residential Treatment Center." Thesis, University of North Texas, 1993. https://digital.library.unt.edu/ark:/67531/metadc278755/.
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The purpose of this study was to determine the effectiveness of the Preparation for Adult Living skills training program by measuring the learning gains and learning outcomes of students participating in the training. The quasi-experimental posttest control group design was used. A treatment sample of twelve students received the Preparation for Adult Living training. A nontreatment sample was selected by matching the characteristics of educational and reading level and the gender of twelve students with no previous independent living skills training with those of the treatment sample. Students in the treatment sample were tested for learning gains using the Preparation for Adult Living Test. Both the treatment and nontreatment sample were tested using the post-training Preparation for Adult Living Scale to determine the level of their learning outcomes. The Preparation for Adult Living Test results were analyzed using the t-test for correlated samples of pretests and posttests. The t-test for independent samples was used to analyze the Preparation for Adult Living Scale results to determine the students' learning outcomes. A Pearson r correlation coefficient was calculated for Preparation for Adult Living Scale scores to determine if a relationship existed between employment and the life coping skills of the treatment sample. The findings indicated that no learning gains were made during the training, but that the training had an impact on the students' post-training life-coping skills. A strong relationship was found between the specific life-coping and employment skills of the treatment sample. Investigation of the reliability and validity of the Preparation for Adult Living Test and Scale instruments was recommended.
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彭蓓欣 and Pui-yan Helen Pang. "An exploratory study of mental health services in Guangzhou." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1991. http://hub.hku.hk/bib/B31249048.
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Martin, Robyn M. "An identification of the core variables that assist people diagnosed with mental illness in a time of transition." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2000. https://ro.ecu.edu.au/theses/1376.
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This study has sought to identify the core variables or factors that are utilised by people with a diagnosis of mental illness in a time of transition. The specific transition involved study participants exiting a non government community mental health agency. The variables of interest are those that assist individuals to cope during this time of change and transition. The specific transition involves participants leaving or exiting from a non government mental health agency that provides community based, psychosocial support. The study topic is located in the context of a formalised mental health system in the process of changing from predominantly hospital to community based care options. The major variable that has been found to assist people in this process is that of narrating about the experience of transition. The other core variables found to assist in the process of transition are undertaking meaningful activity: having sufficient support systems: having access to adequately supportive social networks: possessing minimal mental health risk factors: ability to self manage mental health factors; possessing adequate self esteem and confidence. Narrating is a process undertaken by an individual which describes past and present experiences: hopes, desires and goals and beliefs about self, others and the environment occupied by the individual. The narrative constructed is materialised in action taken by the individual or externalised versions of the narrative shared and enacted with others. Four other categories have been identified in addition to the core category of narrating. These categories have been found to be relevant and pertinent to all participants in varying degrees and descriptions. In addition, these categories are found to be related to the types of consequences that flow from the process of narrating. In addition to the identification of core variables that assist the process of transition, consideration has been given to context in which participants operate and contemporary theoretical advances in the mental health field.
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Mak, Ki-yan Daniel, and 麥基恩. "The importance of an aftercare worker in the rehabilitation of psychiatric patients discharged from half-way houses in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1993. http://hub.hku.hk/bib/B31981549.
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Lam, Ding-fung, and 林定楓. "An evaluation research on the referral procedures of halfway houses for patients of Kwai Chung Hospital." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1994. http://hub.hku.hk/bib/B31249796.
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Wong, Lai-ngor Jenny. "A study on the conceptualization and programming of a community-based day training centre in psychiatric rehabilitation." [Hong Kong : University of Hong Kong], 1993. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13744975.
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Nyalugwe, Gina Nyampachila. "A Human Rights based approach to the psychiatric treatment of mental illness among prisoners in Uganda." Diss., University of Pretoria, 2011. http://hdl.handle.net/2263/18630.
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Reports of people with mental disorders without access to treatment are a major occurrence in prisons outside and within Africa. An estimated 450 000 000 people worldwide suffer from mental or behavioural disorders. The disproportionately high rate of mental disorders in prisons is due to several factors. The factors include the widespread misconception that all persons with mental disorders are a danger to the public; the general intolerance of many societies to difficult or disturbing behaviour, the failure to promote treatment, care and rehabilitation, and above all the lack of or poor access to mental health services in many countries.
Many of these disorders may be present before admission to prison and may be further exacerbated by the stress of imprisonment. However mental disorders may develop during imprisonment itself as a consequence of prevailing conditions.Thesis (LLM (Human Rights and Democratisation in Africa)) -- University of Pretoria, 2011.
http://www.chr.up.ac.za/
nf2012
Centre for Human Rights
LLM
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Leung, Wai-chun, and 梁惠珍. "Community attitudes and responses toward psychiatric halfway house in Shatin." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1991. http://hub.hku.hk/bib/B31248950.
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Law, Ka-ping, and 羅家平. "The effects of Tai Chi on balance, affects, subjective well-being, perceived health status, and self-efficiacy of people with severemental illness." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B4501453X.
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Solomons, Warren Stanley. "The mentally retarded offender in a forensic setting: a South African study." Thesis, Rhodes University, 2004. http://hdl.handle.net/10962/d1002572.
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This study examined, within the South African context, the prevalence of mental retardation in a forensic observation setting, and the impediments of and successes to forensic rehabilitation. The results of the study indicated that a significant amount of forensic observation patients (25.16%) are ultimately diagnosed as being mentally retarded, with 39.24 percent of such offenders being found unfit to plead. Further 32.91 percent of the same sample was found to be not responsible for their actions. A link was also drawn between the mentally retarded offender and violent offenses. The advantages and disadvantages of a current rehabilitative process are discussed in light of alternate community-based forms of rehabilitation that are being implemented in other countries, for example the United States of America, with a view towards investigated their usefulness and adaptability to South African circumstances. The findings of the study have implications for mental health professionals working within forensic settings concerning the future management of mentally retarded offenders, particularly within the rehabilitative process .
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Lam, Ching-hang Christine, and 林靜衡. "A meditative environment: for the mentallyI." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31983947.
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Fregonezi, Eliane Hetzel. "Adquirindo uma nova cidadania: estudo do preparo do doente mental para viver na comunidade." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-14012011-091457/.
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A assistência ao doente mental deve ser fundamentalmente humanista e o profissional de saúde deve deixar de considerar apenas a doença, passando a cuidar do doente, da pessoa que está sofrendo. Além da dimensão física, a pessoa deve ser atendida também em seu componente social, psíquico e emocional. O deslocamento do doente mental do lugar onde ele é visto como incapaz, desacreditado e excluído para o lugar de inclusão social não ocorre pela simples mudança de espaço físico. É na articulação dos detalhes do cotidiano, na maneira de agir e lidar com os objetos, espaço e tempo que se imprime a particularidade no mundo compartilhado. É esta apropriação que irá ordenar para o sujeito a realidade compartilhada, possibilitando a inclusão na sociedade. Os objetivos deste estudo foram: conhecer como tem sido realizado o preparo dos pacientes institucionalizados para saírem do hospital para morarem nas residências terapêuticas; e também, conhecer como o paciente institucionalizado percebe o seu preparo para sair do hospital a fim de viver nas residências terapêuticas. Tratou-se de um estudo descritivo-exploratório, com uma proposta de trabalho teórico-metodológica para abordagem qualitativa. A obtenção dos dados foi centralizada em um setor denominado Vila Terapêutica do Hospital Santa Tereza de Ribeirão Preto. Participaram da pesquisa todos os profissionais da equipe multidisciplinar, que prestavam cuidados aos pacientes institucionalizados, no setor Vila Terapêutica, e que quiseram participar da pesquisa, sendo eles onze que aceitaram; e também, todos os moradores que estavam sob os cuidados da equipe multidisciplinar da equipe descrita, e que moravam na Vila Terapêutica e que aceitaram participar da pesquisa, sendo um total de seis. De acordo com a apresentação e discussão dos dados coletados, percebemos que embora o hospital tenha projetos e propostas de mudanças, ainda possui muitas características manicomiais. A estrutura não favorece a reinserção social. Não aparece a proposta de reinserção na fala dos profissionais, e sim, a noção de \"convencer\" através de visitas, os moradores a morarem em residências terapêuticas. Nota-se que quando abordado os profissionais sobre a questão de como tem sido realizado o preparo dos moradores da Vila Terapêutica para saírem do hospital para morarem nas residências, ficou muito ressaltado que realizavam visitas às moradias na cidade, porém, não deram ênfase a outros espaços sociais. É importante oportunizar mais espaços de socialização, de recuperação de potencialidades, de inclusão, (muitas vezes desprezadas), reabrindo a comunicação do morador na família e no seu ambiente social, trazendo a ele possivelmente um sentido mais significativo de existência.Assistance to the mentally ill should be fundamentally humanist and the health professional must cease to consider only the disease but take care of the sick, of the person who is suffering. Besides the physical dimension, the person must be addressed also in its social component, psychological and emotional. The transfer of the mentally ill where he is seen as incapable, discredited and excluded, to the place of social inclusion does not occur by mere change of physical space. It is the articulation of the details of daily life in the way of acting and dealing with objects, space and time that stamps the particularity in the shared world. It is this ownership that will sort to the subject the shared reality, enabling the inclusion in society. The objectives of this study were: to understand how the preparation of the institution\'s inpatients has been made to leave the hospital and go live in therapeutic homes; and also understand how the institution\'s inpatient perceives his preparation to leave the hospital and go live in therapeutic homes. This was a descriptive-exploratory study with a theoretical-methodological work for qualitative approach. The data obtained was centralized in a sector known as \"Santa Tereza Hospital\'s Therapeutic Village\" of Ribeirão Preto. Participated in the research all professionals of the multidisciplinary team that provided care for the hospital\'s inpatients at the Therapeutic Village, and who also wanted to participate, of which eleven agreed; also, all residents who were under the care of the described multidisciplinary team, and who lived in the Therapeutic Village that agreed to participate in the research, being a total of six. According to the presentation and discussion of the data collected, it was realized that although the hospital has projects and proposals for changes, it still has many characteristics of a mental institution. The structure doesn\'t favor social reintegration. On the professionals\' dialogue the proposal for reintegration doesn\'t appear, but the notion of \"convincing\" through visits, the villagers to go live in therapeutic homes. It is noticed that, when the professionals are approached on the question of how the preparation of the residents of the Therapeutic Village is performed to leave the hospital and go to live in the homes, it stood out that the visits were carried out at homes in the city, but no emphasis was given on other social locations. It is important to give the opportunity to expand socialization locations, recovery potentialities, inclusion, (often neglected), reopening the communication of the resident in the family and in his social environment, possibly bringing to him a more meaningful sense of living.
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Smith, Michelle. "The role of Lorikeet Clubhouse in psychiatric rehabilitation." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2001. https://ro.ecu.edu.au/theses/1063.
Full textAbstract:
Previous studies have suggested that participation in psychosocial support groups such as the Foundation House (Clubhouse) model have psychological benefits for patients with major mental disorders. In this research, 47 members of the Lorikeet Clubhouse in Shenton Park, WA completed the Brief Symptom Inventory, the Level of Expressed Emotion Scale and the Coping Scale for Adults to investigate whether differences existed between active and inactive Clubhouse members. Analyses of variance found no group differences on these measures, although trends in the data suggest that Clubhouse participation have a protective effect for members who report high levels of expressed emotion (EE) in their home. These conclusions are tentative due to the small sample size. Members perceived the Clubhouse to have lower levels of EE than their home environments, however these measures were correlated.
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Yeung, Pin-mui Maggie, and 楊冰梅. "A case management model in the halfway house services of the Mental Health Association of Hong Kong: apreliminary study of effectiveness." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B45014620.
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Higgins, Jane Marie. "Card games and containment : forensic psychiatric patients' experiences of a student-led initiative." Thesis, Rhodes University, 2014. http://hdl.handle.net/10962/d1013314.
Full textAbstract:
Despite South African forensic psychiatric institutions operating well over capacity, the urgent need for rehabilitation guidelines is neglected through lack of research in this area. This is further compounded by the constrained financial and professional resources available to the sector. The Fort England Hospital Buddy Programme (FEHBP) is a voluntary social and activity-based initiative involving 2 hourly visits between students and male forensic psychiatric patient volunteers. Through the use of Interpretative Phenomenological Analysis (Smith, 1996), the participants’ experience of the programme was further contextualised within their lives pre and post admission. While further exploration through research is required, it appeared that within institutional confines the FEHBP acted in a substitutionary and surrogacy capacity, as a space for the development of social competence. While participants appeared to experience a sense of protectiveness from the programme, the limitations and restrictions are acknowledged as an increased number and variety of social network links would be required for a more sustainable sense of subjective wellbeing to develop. The FEHBP demonstrates the use of non-professional (community involved) interventions within a forensic psychiatric context.
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Briney, Glenna Denise. "Long term effects of day treatment programs for adults with severe and persistent mental illness: Effectiveness measured in rates of recidivism." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2731.
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The purpose of this study was to compare and measure the long term effectiveness of the rehabilitative day treatment program at San Bernardino County's Department of Mental Health. This current study was completed in 2005 and is a follow up study tracking the long term effectiveness of the program.
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Brooks, Margaret J. P. "Beyond the divide: women's experiences in rural Victorian psychiatric rehabilitation services." Thesis, 2003. https://vuir.vu.edu.au/18145/.
Full textAbstract:
The objective of this study was to give voice to women experiencing
psychiatric rehabilitation services in rural Victoria. A critical analysis of the
literature revealed a landscape of marginalisation and alienation for women
experiencing a mental illness in a rural area. This study used a
phenomenological method to explore the meanings of women's experiences.
The understanding of meaning was developed through a dual perspective
with women experiencing rural psychiatric rehabilitation and workers who
delivered these services. The research centred on the voices of the women but
encouraged a personal and collective reflective approach with workers.
As the researcher I also took a reflexive approach which highlighted the
methodology as an evolving and ongoing process and demonstrated the
integral nature of the researcher in the research process. A chapter on locating
the researcher was included as part this reflective process.
The analysis of the collective stories produced a rich diversity of material was drawn together thematically to include:
• Reflections of struggle;
• Long way from anywhere:
• The rural dimension;
• Construction of a caring relationship, and,
• Interlinking care.
Through this thesis I argue that women are marginalised and alienated by social cultural conditions of their lives which impacts on their mental illness
and rural experiences. However, women are not a homogenous group and a
diversity of experiences exists which demonstrates women's active capacity to
mediate their environment. As active participants in their psychiatric
rehabilitation care the women were able to shift their identity from one of
powerlessness and lack of control towards regaining control and managing
their illness and environment. The thesis is a story of transformation as the
women progressively moved forward in their journey.
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"Overcoming quality assurance obstacles in vocational rehabilitation services for the mentally ill." CALIFORNIA STATE UNIVERSITY, DOMINGUEZ HILLS, 2008. http://pqdtopen.proquest.com/#viewpdf?dispub=1449532.
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Ukasoanya, Grace Chidinma Ugwuezi. "Relationship between demographics, services and employment outcome among youth with psychiatric disabilities in the state-federal rehabilitation program." Diss., 2006.
Find full textAbstract:
Thesis (Ph. D.)--Michigan State University. Dept. of Counseling, Educational Psychology, and Special Education, 2006.Title from PDF t.p. (viewed on Nov. 17, 2008) Includes bibliographical references (p. 122-140). Also issued in print.
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Naidoo, Rishidevi. "The management of mentally ill detainees in the correctional system : a comparative study." Thesis, 2021. http://hdl.handle.net/10500/27299.
Full textAbstract:
There are approximately 5 million mentally ill detainees across the globe and a further
1 million who suffer from a severe mental illness. Various research has shown that
the prevalence of mental illness within the corrections system is more substantive
than that of the general population. On average, there is an upsurge by 1 million
mentally ill detainees globally per year. Approximately all detainees detained in a
correctional facility encounter depression or stress symptoms, however low rates of
identification and treatment prevail. Further to this, the quality of the treatment
provided to mentally ill offenders is questionable.
The aim of the research study is to explore the prevalence of mental illness amongst
detainees in South Africa, Nigeria, Germany, and the United States of America. The
study investigates the availability of legislation in all four countries using the various
international guidelines as a benchmark, the provisioning of rehabilitation
programmes, and the challenges in providing rehabilitation, mental health care, and
treatment to the mentally ill. Furthermore, the study sets out to ascertain whether the
treatment and conditions in detention facilities meet international standards.
Whilst considering that not all mentally ill offenders will need specialist psychiatric
treatment, differing levels of care should be available on a continuous basis by
personnel who are adequately proficient in reducing mental harm and in promoting
mental health among offenders.
Recommendations include the need to conduct wider-scale national studies to make
for easier comparisons and for benchmarking purposes. The availability of mental
health legislation in itself is not a panacea for reducing mental health illness, but
having to put this into practice is of paramount importance. The corrections system is
at the end of the value chain and does not have a choice of closing their doors to
offenders. They therefore need to partner with various government departments
(criminal justice system, social systems, education systems, and community structures amongst others), to find an integration point to share knowledge and
insight into the challenges facing corrections and for the Criminal Justice System to
acknowledge that severely mentally ill individuals should never be sent to corrections.Daar is ongeveer 5 miljoen sielsieke aangehoudenes wêreldwyd en ʼn verdere 1 miljoen wat aan ʼn ernstige geestesversteuring ly. Navorsing toon dat die voorkoms van geestesversteuring in die korrektiewe stelsel meer substantief as by die algemene bevolking is. Daar is jaarliks ʼn gemiddelde styging van 1 miljoen sielsieke aangehoudenes wêreldwyd. Feitlik alle aangehoudenes in ʼn korrektiewe fasiliteit ervaar simptome van depressie of stres, maar die syfers ten opsigte van identifisering en behandeling is laag. Die gehalte van die behandeling wat sielsieke oortreders ontvang, is boonop twyfelagtig. Die oogmerk van hierdie navorsing was om die voorkoms van geestesversteuring onder aangehoudenes in Suid-Afrika, Nigerië, Duitsland en die Verenigde State van Amerika te ondersoek. Die studie het ondersoek ingestel na die beskikbaarheid van wetgewing in al vier die lande, met behulp van die verskillende internasionale riglyne as ʼn maatstaf, die voorsiening van rehabilitasieprogramme en die uitdagings wat met die voorsiening van rehabilitasie, geestesgesondheidsorg en behandeling van die geestesiekes gepaardgaan. Die studie het ook ten doel gehad om te bepaal of die behandeling en toestande in aanhoudingsfasiliteite aan internasionale standaarde voldoen. Met inagneming daarvan dat nie alle sielsieke gevangenes spesialis- psigiatriese behandeling benodig nie, moet verskillende vlakke van sorg deurlopend beskikbaar gestel word deur bekwame personeel wat oor die vermoë beskik om geesteskade te verminder en om gevangenes se geestesgesondheid te bevorder. Aanbevelings sluit die behoefte in om studies op ʼn groter skaal landswyd uit te voer vir doeleindes van makliker vergelykings en vir normstelling. Hoewel die beskikbaarheid van wetgewing oor geestesgesondheid nie opsigself ʼn wondermiddel is vir die vermindering van geestesversteuring nie, is dit uiters noodsaaklik dat die wetgewing in plek moet wees. Die korrektiewe stelsel is aan die einde van die waardeketting, dus is dit nie ʼn opsie om hul deure vir oortreders te sluit nie. Hulle moet dus met verskeie staatsdepartemente (onder andere, strafregsplegingstelsel, maatskaplike stelsels, opvoedingstelsels en gemeenskapstrukture) saamspan om ʼn integrasiepunt te vind om kennis en insig rakende die uitdagings wat die korrektiewe stelsel in die gesig staar te deel, en sodat die strafregsplegingstelsel sal erken dat individue met ernstige geestesversteurings nooit na korrektiewe fasiliteite gestuur moet word nie.
Kukhona abantu abacishe babengu 5 miliyoni abagula ngengqondo abavalelwe kuwo wonke umhlaba, kanti kukhona abanye abangu 1 miliyoni abahlushwa yisifo sengqondo. Ucwaningo lukhombise ukuthi ubukhona besifo sengqondo kwinqubo yezamajele bukhulu kakhulu ukudlula kwisizwe sonkana ngokunabile. Ngokwesilingniso, kukhona ukwenyuka kwabantu abagula ngengqondo abavalelwe abangu 1 miliyoni kuwo wonke umhlaba ngonyaka. Cishe bonke abantu abavalelwe ezindawo zamajele babanokuxineka kwengqondo noma izimpawu zingcindezi, kodwa izinga lokuphawulwa kwabo kanye nokuthola ukwelashwa liphansi. Kanti futhi okunye, iqophelo lokwelashwa elihlinzekwa abantu abonile abagula ngengqondo alilihle. Inhloso yalesi sifundo socwaningo, bekuwukuphenya ngobukhona bokugula ngengqondo kubantu abavalelwe eNingizimu Afrika, eNigeria, eGermany nase-United States of America. Ucwaningo luphenyisise ngobukhona bemithetho kuwo womane amazwe ngokusebenzisa imikhombandlela kazwelonke njenge-benchmark, ukuhlinzekwa kwezinhlelo zokwelapha kanye nezinselele ezikhona ngokuhlinzeka ngokwelapha, unakekelo lwezempilo yengqondo kanye nokwelashwa kwabagula ngengqondo. Kanti futhi okunye, ucwaningo belufuna ukuqinisekisa ukuthi ngabe ukwelashwa nezimo ezikhona ezindaweni zokuvalelwa emajele kuhlangabezana namazinga amazwe omhlaba. Ngisho noma kubonelelwa ukuthi akuyibo bonke ababoshiwe abagula ngengqondo abadinga ukwelashwa ngokwengqondo kwezinga le-psychiatric, kodwa amazinga ehlukene onakekelo, kumele atholakale ngokuqhubekela phambili okunikezwa ngabantu abanolwazi nekhono ngokufanele ekuphunguleni ukulimala kwengqondo kanye nokuqhubekisela phambili impilo yezengqondo kwababoshiwe Izincomo zibandakanya isidingo sokwenza ucwaningo olunabile kumazwe ukwenzela ukuthi kubelula ukuqhathanisa kanye nenhloso yokwenza i-benchmarking. Ubukhona bemithetho yonakekelo lwempilo yengqondo akusona isixazululo sakho konke ngokuphungula ukugula ngengqondo, kodwa ukuba nemithetho esebenzayo kubaluleke kakhulu. Inqubo yezamajele isekugcineni, kanti ayinalo ukhetho lokuvala iminyango kubantu ababoshiwe. Ngakho-ke izikhungo zababoshiwe kumele zisebenzisane neminyango ehlukene kahulumeni (inqubo yezobulingiswa yamajele, izinqubo zenhlalakahle yabantu, izinqubo zemfundo kanye nezakhiwo zemiphakathi, phakathi kokunye) ukuthola indawo ehlangene yokwabelana ngolwazi mayelana nezinselele amajele abhekane nazo kanye nenqubo yezobulungisa yamajele ukwamukela ukuthi abantu abagula kakhulu ngengqondo akumele bathunyelwe emajele.
Go na le bagolegwa ba ka bago 5 milione bao ba lwalago ka monaganong lefaseng ka bophara le ba bangwe ba 1 milione ba ba nago ba lwalago kudu ka monaganong. Dinyakisiso di bontshitse gore go ata ga malwetsi a monagano ka gare ga tshepediso ya ditshokollo go bohlokwa kudu go feta ka gare ga setshaba ka kakaretso. Ka kakaretso, go na le koketsego ya bagolegwa bao ba lwalago ka monaganong ba 1 milione lefaseng ka bophara ka ngwaga. Ba e ka bago bagolegwa ka moka bao ba golegilwego lefelong la tshokollo ba itemogela kgatelelo ya monagano goba dika tsa kgatelelo, eupsa dikelo tsa boitshupo le boitshwaro le kalafo di fase. Go feta mo, boleng bja kalafo ye e fiwago basenyi ba ba lwalago ka monaganong bo a belaetsa. Maikemisetso a dinyakisiso tse e be e le go utolla go ata ga bolwetsi bja monagano gare ga bagolegwa ka Afrika Borwa, Nigeria, Germany le United States of America. Dinyakisiso di nyakisisitse go hwetsagala ga melao dinageng ka moka tse nne go somiswa ditlhahli tsa go fapafapana tsa boditshabatshaba bjalo ka motheo, kabelo ya mananeo a tsosoloso le ditlhohlo tsa go abela tshokollo, tlhokomelo ya maphelo a monagano le kalafo go bao ba lwalago ka monaganong. Go feta moo, dinyakisiso di ile tsa ikemisetsa go netefatsa gore kalafo le maemo a dikgolego a fihlelela maemo a boditshabatshaba. Ge re ntse re nagana gore ga se bagolegwa fela ka moka bao ba lwalago ka monaganong ba tla hloka kalafo ye e kgethegilelego ya malwetsi a monagano, tlhokomelo ye e fapanego e swanetse go hwetsagala ka mo go tswelago pele ke bahlankedi ba ba nago le bokgoni bjo bo lekanego bja go fokotsa dikotsi tsa monagano le go tswetsa pele maphelo a monagano gare ga bagolegwa. Ditigelo di akaretsa tlhokego ya go dira dinyakisiso tse di tseneletsego tsa setshaba go dira dipapiso tse bonolo le bakeng sa merero ya go bea maemo. Go hwetsagala ga molao wa maphelo a monagano ka bowona ga se pheko ya go fokotsa malwetsi a mongano, eupsa go somisa molao wo ke selo se bohlokwa kudu. Tshepediso ya ditshokollo e mafelelong a tatelano ya tshepediso gomme ga e na kgetho ya go tswalelela basenyi ka ntle. Ka gona ba hloka go somisana le dikgoro tsa go fapafapana tsa mmuso (tshepediso ya toka go bosenyi, ditshepediso tsa leago, ditshepediso tsa thuto le dikarolo tsa setshaba, gare ga tse dingwe) go humana ntlha ya kopanyo go abelana tsebo le temoso ditlhohlong tse di lebanego le ditshokollo bakeng sa tshepediso ya toka go bosenyi go amogela gore batho bao ba lwalago kudu ka monaganong le gatee ga ba swanela go romelwa ditshokollong.
Criminology and Security Science
Ph. D. (Criminal Justice)
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Mavundla, Thandisizwe Redford. "A model of facilitative communication for support of general hospital nurses, nursing mentally ill people." Thesis, 2012. http://hdl.handle.net/10210/5980.
Full textAbstract:
D.Cur.The impressive growth in the extent and range of psychiatric services provided by general hospitals in South Africa, creates stress among nurses employed in these settings which manifests its self in the negative attitudes displayed towards mentally ill people, refusal of dual diagnosis patients transferred from medical surgical units and poor intra-institutional relationships between nurses in medical-surgical units and those who are in the psychiatric unit. This has led to the research study aimed at describing a model for support to assist general hospital nurses mobilize appropriate resources in the process of nursing mentally ill people. The research methodology followed the research model in nursing proposed by Botes (1995). A theory generative, qualitative, explorative, descriptive and contextual design was followed. The research methods were dealt with in four steps of theory generation in the following manner: Step 1: Concept analysis: This step was dealt with in two phases which are concept identification and concept definition. During concept identification, a qualitative research strategy which is explorative, descriptive and contextual was used. This was attained through field research conducted in an urban general hospital. A sample of twelve professional was selected from a population of 800 professional nurses employed in a general hospital using a purposive sampling technique. This sample size was determined by saturation of data in themes. Both semi-structured individual phenomenological interviews and observations were used as methods of data collection. The field work was conducted without any preset theoretical framework of reference by using "bracketing" and "intuiting". Giorgi's (1986) method of descriptive data analysis was used. After data analysis, the results were reflected within the Nursing for the Whole Person Theory. Four themes emerged from the results of the study which were:1) the experience with the perception of the mentally ill people, 2) the experience with interpersonal communication patterns, 3) nurses' experience of violence and lastly, 4) the experience of inappropriate patient behaviours. It became clear that the experience of nursing mentally ill people was negative and affected the social, psychological and the physical dimensions of nurses. The results were validated through literature control. The major concept of model was identified as "facilitation of communication". The concept was analysed thoroughly by looking at the dictionary and subject usage. The defining attributes were identified and synthesised through a definition. The other related concepts were identified and classified using a survey list of Dickoff, James & Wiedenbach (1968:430). Step 2: Step 2 dealt with the creation of interrelationship statements between concepts identified in step 1, so that concepts were able to stand in relation to one another. Step 3: dealt with the description of the model using strategies proposed Chin & Kramer (1991). Step 4: dealt with the description of guidelines for model operationalization in practice, education and research. The evaluation of model operationalization will be carried out in future research. To ensure valid results, a model trustworthiness proposed by Guba (Lincoln & Guba, 1985) was used. The following criteria for trustworthiness was applied in all the steps of theory generation: truth value, applicability, consistency and neutrality.
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Χοϊδάς, Σταύρος. "Μελέτη του προβλήματος των αναγκαστικών νοσηλειών αρρένων ασθενών στο Κ.Θ.Ψ.Π.Τ. και προτάσεις για την αντιμετώπισή του." Thesis, 1990. http://nemertes.lis.upatras.gr/jspui/handle/10889/3166.
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White, Laura Morgan. "Parents Served by Assertive Community Treatment: A Needs Based Assessment." Thesis, 2013. http://hdl.handle.net/1805/3487.
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Indiana University-Purdue University Indianapolis (IUPUI)Assertive Community Treatment (ACT) represents an effective treatment for individuals with severe mental illness. Though studies estimate that as many as half of all people with severe mental illness are parents, little is known about consumers receiving ACT services who are parents. Thus, the purpose of the present study was to 1) estimate the prevalence of parent ACT consumers, 2) identify current ACT team policies and practices for treating parent consumers, and 3) examine the perspective of parent consumers served by ACT teams. Quantitative and qualitative data were collected and analyzed via two separate studies. In study 1, eighty-two ACT providers from 76 teams across the United States and Canada were surveyed to determine the prevalence of parent ACT consumers, ACT team policies for identifying the parental status of consumers, treatment services available for parent consumers, and provider attitudes about parent consumers. Providers estimated roughly 21.6% of ACT consumers were parents. Less than half of providers (46.3%) reported formally asking about parental status during intake and only 20.7% providers belonged to ACT teams that provide special programs/services designed for parent consumers. The majority of providers (75.6%) reported negative or mixed attitudes about parents with severe mental illness. In study 2, seventeen parents with severe mental illness being served by ACT teams were interviewed about parenting, the relationship between parenting and severe mental illness, parenting needs, and suggestions for improved treatment services for parents. All parents were able to identify at least one positive aspect of parenting and most parents (76.5%) also identified negative aspects of parenting. Loss of custody emerged as a significant parenting problem, with the majority of parents (88.2%) experiencing loss of custody at least once. Given the difficulties of being a parent and having to manage a severe mental illness, parents expressed interest in several parent-focused treatment services, including family therapy, parenting skills, communication skills training, resources/finances for children, and social support groups with peers. When asked about overall satisfaction with ACT services, most participants with adult children (87.5%) reported having no unmet parent-related needs and high satisfaction (4.63 out of 5) with ACT services, whereas parents with young children (77.8%) reported having numerous unmet parenting needs and low satisfaction (3.78 out of 5) with ACT services. Thus, the age of participants’ children was a significant factor, indicating that the ACT treatment model may not be adequately serving parents of young, dependent children. Overall, findings suggest the need for more attention and focus on parent consumers, including formal identification of consumers’ parental status and improved parent-related treatment services and support
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Sokhela, Effie Nobesuthu. "The integration of diagnosis, treatment and rehabilitation of psychiatric patients into primary health care in the Eastern Cape." Thesis, 1996. http://hdl.handle.net/10413/7734.
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The purpose of this study was to design and implement the two phases of a three-phased approach to the integration of the psychiatric component into the PHC system in the Eastern Cape. The study included an educational approach in which the PHC nurses were trained to
diagnose, treat and rehabilitate psychiatric patients. Case studies and surveys were used to collect data. A sample of six clinics in which twenty registered nurses were trained was conveniently selected. Nurses had to volunteer so that 50% of the registered nurses would take part in the study. Each clinic was seen as a case in which a record review and questionnaires were used to collect data. The data revealed that, given the training in the diagnosis, treatment and rehabilitation, nurses could provide the first line of psychiatric care efficiently if there is a backup support from a team of consultants at the secondary health services and a support and supervision from an advanced psychiatric nurse.Thesis (Ph.D.)-University of Natal, Durban, 1996.
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"The changes in ex-mental patients attending a psychiatric rehabilitation program with holistic care." 2004. http://library.cuhk.edu.hk/record=b6073631.
Full textAbstract:
Luk Leung Andrew."April 2004."
Thesis (Ph.D.)--Chinese University of Hong Kong, 2004.
Includes bibliographical references (p. 504-551).
Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Mode of access: World Wide Web.
Abstracts in English and Chinese; questionnaire in Chinese.
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Thomson, Stacey T. "Predicting support needs for people with psychiatric and intellectual disabilities." 2008. http://hdl.handle.net/2440/56183.
Full textAbstract:
Over the last 30 years there has been a paradigmatic shift in the field of disabilities towards assessing individual support needs in relation to social and environmental context rather than individual deficits. The capacity of existing assessment instruments to assess support needs is limited because most were designed to assess individual deficits and thereby determine eligibility for funding and/or services. Some instruments have been designed to assess support needs but there are several problems associated with these instruments including, suitability for use in only one disability type, susceptibility to rater bias, and failure to account for variations in support needs over time. This thesis attempted to contribute to addressing these deficiencies by examining the characteristics that are most predictive of support needs for people with psychiatric and intellectual disabilities and the methods by which changes in such support needs could be predicted. Two studies were used to address these aims. The first considered samples of people with primary psychiatric disabilities (N= 561) and intellectual disabilities (N =168), who lived in Supported Residential Facilities. These participants were assessed in regards not only to standard demographic and disability characteristics, and also personal characteristics, including functional abilities, and support needs. The data were analysed using ordinal logistic regression to determine which better predicted support needs and, accordingly, which characteristics were most important to include in the assessment of support needs. Analysis showed that personal characteristics, such as functional abilities such as showering/bathing and budgeting explained much more variance in support needs than either demographics or disability characteristics. This suggests that, for support needs assessments to be accurately assessed, they should include evaluations of these personal characteristics even though they may require more time and resources to obtain than demographic and disability data. The second study in this thesis aimed to investigate whether caregivers could predict changes in support needs over six-month periods accurately. Residents in supported accommodation with a primary psychiatric disability (N = 60; although some attrition among those with psychiatric disabilities), or primary intellectual disability (N = 57) and their caregivers were involved in this study. Caregivers were interviewed on three occasions at six-monthly intervals and asked to estimate any changes that they expected to occur in the next six months or that they believed had occurred in the preceding six months. Caregivers were also asked to complete two functional assessments for each resident at the three points in time. The functional assessments were used as the benchmark against which the accuracy of caregivers’ estimates was examined. Analysis found that caregivers were unable to predict accurately prospective changes in overall or specific support needs, nor were they able to report accurately such changes retrospectively. The results of this thesis contribute to the body of knowledge in the relatively new area of support needs assessment in terms of possible predictors of support needs and the assessment of changes in support needs. Recommendations for further research include; investigating some of the personal characteristics found to be predictors of support needs in greater detail and among other disability types, replication of these findings in other samples, and investigating ways to improve caregivers’ capacity to predict changes in support needs accurately.Thesis (Ph.D.) -- University of Adelaide, School of Psychology, 2008