Dissertations / Theses: 'Older people Mental health services Victoria'

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Griffiths, Hayley. "Self-stigmatization and ageism amongst older people accessing mental health services." Thesis, University of Hertfordshire, 2009. http://hdl.handle.net/2299/3472.

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The aim of this novel piece of research was to explore experiences of self-stigma amongst a group of older people (aged 65+) currently using mental health services. In order to try and identify possible contributing factors to internalized stigma it was also decided to gather information on optimism and a baseline measure of distress. These scores were all compared with the individual’s likeliness to continue to use the mental health services as it was hypothesized that higher levels of self-stigma would be linked with a lower likelihood to continue to use services. Fourteen participants (age range 65-92) from three different geographical areas agreed to take part having been approached by a mental health professional known to them. Interviews were then arranged directly with each participant, with each interview being made up of three questionnaire measures to rate levels of distress, optimism and experiences of mental health stigma, a Likelihood to Continue to Use Services rating scale, and a repertory grid. The repertory grids had been specifically designed to explore the construct systems of the participants in relation to their age. The main finding was that experiences of mental health stigma were minimal, but that participants showed some signs of internalizing ageist attitudes. However, neither of these variables was correlated with a likelihood to continue to use services, suggesting that it is factors other than mental health stigma and age stigma and selfstigmatization that impact on an older person’s decision to continue to engage with mental health services or not. The small sample size also meant that power was lacking from the findings, indicating that further research needs to be carried out. This study has opened up a research area which needs further ongoing investigation in order to fully explore the clinical implications of self-stigma in relation to age and mental health problems. Areas of potential future research are offered and briefly explored.

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Choi, Po-yee Doris. "Mental health condition and the utilization of community services among the elderly in Hong Kong." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31970965.

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Currin, James B. "Historical Changes in Elderly Cohorts' Attitudes toward Mental Health Services." Thesis, University of North Texas, 2001. https://digital.library.unt.edu/ark:/67531/metadc2908/.

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Older adults' attitudes toward mental health services have received little research attention. Overall, older adults are thought to hold relatively negative attitudes. In this study, Analysis 1 investigated historical shifts in attitudes toward mental health services among three independent samples of older adults, separated by 14-year and 9-year intervals (1977 sample, N = 90; 1991 sample, N = 101; 2000 sample, N = 99). Analysis 2 compared two samples of older and younger adults, each separated by a 9-year interval (Older Adults: 1991 sample, N = 93; 2000 sample, N = 91 and Younger Adults: 1991 sample, N = 131; 2000 sample, N = 147). Participants completed a questionnaire containing five, internally consistent scales assessing multiple dimensions of mental health attitudes (Openness, Biases, Range of Knowledge, Breadth, Help Seeking Attitudes). Analyses suggested that the 1991 and 2000 samples of older adults had more positive attitudes than did the 1977 sample. However, a sustained trend for more positive attitudes beyond 1991 was not seen. In fact, no differences existed between 1991 and 2000 samples with exception of two. Older and younger adults together had lower Biases and Breadth scores in 2000 than in 1991. Age effects, gender effects, and interactions were also examined. Possible historical influences were discussed along with implications for the delivery of mental health care to future cohorts of older adults.

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Husband, Hilary J. "The assessment of mental capacity in older people with known or suspected cognitive impairment." Thesis, University of East Anglia, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273497.

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Byrd, Edwina Haith. "An analysis of functional status and utilization behavior in long-term care for the elderly /." The Ohio State University, 1985. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487259125218917.

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Omagari, Lynda Lee. "Depression among the elderly." CSUSB ScholarWorks, 2008. https://scholarworks.lib.csusb.edu/etd-project/3336.

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This study will examine depression among the elderly in an assisted living facility. The main problem in depression in the elderly is the lack of diagnosis and treatment. Left untreated it affects the elderly person's overall well-being and may eventually lead to their mortality.

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蔡寶儀 and Po-yee Doris Choi. "Mental health condition and the utilization of community services among the elderly in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31970965.

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Prina, Alberto Matthew. "An investigation of common mental disorders and health services in later life." Thesis, University of Cambridge, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.607821.

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Hackworth, Naomi. "Development and application of a methodology for the evaluation of a health complaints process." Australasian Digital Thesis Program, 2007. http://adt.lib.swin.edu.au/public/adt-VSWT20070928.092053/index.html.

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Thesis (DPsych (Health Psychology)) - Faculty of Life and Social Sciences, Swinburne University of Technology, 2007.
Submitted as a requirement for the degree of Professional Doctorate in Health Psychology, Faculty of Life and Social Sciences, Swinburne University of Technology - 2007. Typescript. Includes bibliographical references (p. 189-210).

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Katz, Robert A. "Evaluating a mental health needs assessment technique on a sample of the elderly population of the New River Valley." Thesis, Virginia Tech, 1988. http://hdl.handle.net/10919/44072.

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The purpose of this study was to evaluate the effectiveness of the Quality of Life~Contribution Model (QOLC) developed by Murrell and Norris (19S3) as a mental health needs assessment technique for the rural elderly. In this field survey method, measures of mental health areas and program targets within each mental health area are compared and prioritized according to their relative contributions to a subjective index of quality-of-life (QOL).

An inâ home survey of 60 older adults was conducted. Needs were defined in terms of problems, services, and community support and were measured across the following mental health areas: 1) Depression; 2) Organic Brain Syndrome; 3) Alcohol and Drug Abuse; 4) Anxiety; 5) Caregiver Problems; 6) Schizophrenia; and 7) Health Habits. The utility of the QOLC model was evaluated via the descriptive conclusions generated by multiple regression analysis of the sample survey data, with QOL as the dependent variable and the different need measures and mental health areas as the independent variables. A cost analysis was also completed comparing the net total cost of the QOLC with the hypothesized net total cost of a more traditional mental health needs assessment (consisting of a key informant plus a service use statistics component). The results suggest that although the QOLC mental health needs assessment costs more than simpler needs assessment techniques, it can yield important information that can prevent wasteful spending on increased direct mental health services and can also be used to determine the criteria that should be used to segment the target population.
Master of Science

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Rait, Greta. "The adaptation and performance of screening instruments for depression and cognitive impairment for use with older African-Caribbean and South Asian populations in the United Kingdom." Thesis, University of Manchester, 2001. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.673820.

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Soref, Erez. "A program evaluation the partial hospitalization mental health program for older adults at Central Dupage Hospital, Winfield, Illinois /." Online full text .pdf document, available to Fuller patrons only, 2002. http://www.tren.com.

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李珠璣 and Chu-kee Angel Lee. "Prevalence of and factors associated with depression among community elderly people using the mobile health clinic." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31971143.

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Goss, Anita Judith. "The psychometric assessment of competence in ambulatory, well elderly." Diss., The University of Arizona, 1990. http://hdl.handle.net/10150/185014.

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The purpose of this study was twofold: to test the Competence Model for Normal Aging and to generate valid and reliable indices of mental health outcomes in elderly clients. A correlational descriptive design accommodated the psychometric assessment of the instruments with a causal modeling methodology. The relationship between competence and self-esteem was the primary focus. Theoretical model testing was used to test the causal relationships between competence and three estimates of cognition: causal attributions, self-efficacy, and value. Associated demographic variables, age, and gender, were included in the model. Well elders (n = 137) living independently in Tucson participated in the study by completing 9 instruments within a 40-minute testing period. The mean age of the group was 73 (sd = 7.9). A quarter of the sample was at least 80 years old. All participants were caucasian, with more than twice the number of females than males. Most participants were married or widowed. The instruments met validity and reliability criteria in varying degrees. Hypothesis 1 was supported in both the separate success and failure models and the total sample theoretical model. Self-efficacy (β = .48) and value (β = .27) predicted competence (R² = .42). The social subscale of competence was strongly predicted by the same variables (β = .53, β = .26; R² = .39). The same predictors were evident in the total sample theoretical model (β = .52; β = .25; R² = .38). Hypothesis 2 was partially supported. Self-efficacy predicted total competence (β = .49; R² = .30) and the social dimension of competence (β = .59; R² = .32). Hypothesis 2 was minimally supported in the total sample theoretical model by self-efficacy (β = .29) predicting the social component of competence (R² = .44). Hypothesis 3 was most strongly supported. Competence predicted self-esteem under multiple conditions (βs averaged .43). The associated demographic and gender variables made minimal contributions to the model, except under failure conditions. Not being married and being a male negatively impacted upon competence (β = -.21; β = -.39; R² = .31). Both theoretical and empirical model results have similar explained variances. The theoretical model provided key information regarding the process of self-esteem, and the empirical model provided a guide for clinicians to measure mental health outcomes.

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Tsui, Hoi-ching Natalie, and 徐凱晴. "Quality of life and psychosocial health of Hong Kong elderly: a population-based survey." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46942506.

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Brophy, Lisa Mary. "Using the emancipatory values of social work as a guide to the investigation : what processes and principles represent good practice with people on community treatment orders ? /." Connect to thesis, 2009. http://repository.unimelb.edu.au/10187/5760.

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This research explores good practice with people on CTOs - via a case study of one area mental health service in Victoria. The emancipatory values of Social Work were used to guide the investigation, thereby ensuring the involvement of consumers and their families or carers. Critical Social Work theory provided an important theoretical base for the research, and both critical theory and pragmatism supported the methodology. A mixed methods approach was undertaken. This included a cluster analysis of 164 people on CTOs. Three clusters emerged from the exploratory cluster analysis. These clusters, labelled ‘connected’, ‘young males’ and ‘chaotic’ are discussed in relation to their particular characteristics. The results from the cluster analysis were used to inform the recruitment of four people on CTOs who were the central focus of case studies that represented the different clusters. Semi-structured group interviews were also undertaken to enhance the triangulation of data collection and analysis. This resulted in 29 semi-structured interviews with multiple informants, including consumers, family/carers, case managers, doctors, Mental Health Review Board members and senior managers. The data analysis was guided by a general inductive approach that was supported by the use of NVivo 7.
Five principles, and the processes required to enable them, emerged from the qualitative data: 1) use and develop direct practice skills, 2) take a human rights perspective, 3) focus on goals and desired outcomes, 4) aim for quality of service delivery, and, 5) enhance and enable the role of key stakeholders. These principles are discussed and then applied to the case studies in order to consider their potential relevance to practice within a diverse community of CTO recipients. The application of the principles identified two further findings: 1) that the principles are interdependent, and 2) the relevance of the principles varies depending on the characteristics of the consumer. The two most important findings to emerge from this thesis are that: 1) people on CTOs, their family/carers, and service providers are a diverse community of people who have a range of problems, needs and preferences in relation to either being on a CTO or supporting someone on a CTO; and 2) the implementation of CTOs is influenced by social and structural issues that need to be considered in developing any recognition or understanding about what represents good practice. Recommendations relating to each of the principles are made, along with identification of future research questions. A particular focus is whether application of the principles will enable improvements in practice on a range of measures, including reducing the use of CTOs, and the experience of coercion by consumers.

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Williams, Caroline Myferi. "The referral journey : an examination of key patient, carer and GP factors affecting the referral of patients with a dementia to mental health services for older people." Thesis, University of Surrey, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.310721.

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Baba, Miyako. "Elderly caregivers' underutilization of respite services." CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1597.

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Marquis, Ruth. "The meaning of quality in living service environments: An analysis of the experiences of people with disabilities, elderly people and service workers." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1998. https://ro.ecu.edu.au/theses/976.

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The purpose of the study was to examine the experiences of both people with disabilities and elderly people and to identify their perceptions of quality as it relates to living in a service or being supported by a service to live in the community. The study was naturalistic in design and used a phenomenological approach and inductive analysis. It involved immersion in living services for a two year period, in-depth interviews with people living and working in services and participant observation. Fifty service users between the ages of twenty-one and ninety-six, and twenty-six service workers between the ages of twenty-six and fifty-four were informants in the study. The study comprised of three phases, the first phase involved repeated in-depth interviews with service users in two disability and two aged care living services to examine the experiences of people living in services and their perceptions of quality. As a result of the consistency with which relationships with key staff members emerged in the context of quality experiences, selected service workers who were named by service users were also interviewed. The findings in this phase indicated that relationships experienced by service users in their encounters with service workers were more significant in service users' evaluation of quality than tangible acts of physical and environmental care. Relational experiences of people living in services were variable. Some informants experienced consistent validation and socio-emotional support, whilst others experienced role distancing and negative communication experiences. Service workers who were interviewed as a result of being identified by service users in the context of quality, attached importance to the relational domain in the acts and behaviours of providing a service. They also attached personal meaning to their roles as service workers and shared the view that their role as service worker was underpinned by an ethos of communality. The second phase of the study involved accessing another five disability and five aged care services to collect further data to support or refute the findings from phase one. As a result a large data bank was established to confirm the consistency with which relational experiences in living services were linked to perceptions of quality by both service users and service providers. Acts and behaviours which were consistently present in the context of quality were also identified and the need for emotional support in the living context was further confirmed. The third phase of the study involved an in-depth analysis and identification of commonly experienced categories of relationships between service users and workers. Relationships were categorised into ethical and technical living service experiences and exemplars used to illustrate findings. Data analysis indicated that service experiences lie on a continuum, with mutually supportive relationships between service users and workers at one end, and physical and psychological abuse at the other. Experiences were variable in singular service contexts. This highlighted the individual nature of service relationships between service users and workers and the need to articulate human service as relationship. It also highlighted the inadequacies of using standard measures to evaluate quality in living services.

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Harris, Brandy Danielle Quadagno Jill S. "Determinants of resident mental health in Florida's assisted living communities." 2006. http://etd.lib.fsu.edu/theses/available/07042006-215630.

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Thesis (Ph. D.)--Florida State University, 2006.
Advisor: Jill Quadagno, Florida State University, College of Social Sciences, Dept. of Sociology. Title and description from dissertation home page (viewed Sept. 20, 2006). Document formatted into pages; contains viii, 126 pages. Includes bibliographical references.

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McDermott, Shannon Cumming School of Social Science &amp International Studies UNSW. "Self neglect and squalor among older people: the ethics of intervention." 2007. http://handle.unsw.edu.au/1959.4/40780.

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Self neglect among older people refers to situations in which older individuals fail to adequately maintain their environment and to perform essential self care tasks. This concept has been variably addressed in the fields of biomedicine, adult protection, and suicide prevention, yet minimal research has been conducted on this topic in Australia. While the existing literature acknowledges that these situations can pose considerable challenges for professionals, no research has explored the actual experience of these dilemmas in professional practice. This thesis aims to address these gaps by critically exploring how self neglect among older people is understood in the Australian context, investigating the content of ethical dilemmas that arise in these situations, and examining how professionals resolve these ethical dilemmas. A two-part, qualitative methodology was used to address the research aims. In Part One, a five-month period of participant observation was conducted at a community-based organisation that had obtained funding to provide case management to people living in squalor. In Part Two, 18 semi-structured interviews were conducted with professionals who worked with situations of squalor and self neglect in the community. The results from both parts of the research were analysed using NVivo, a software program specifically designed to assist in the analysis of qualitative data. This research uncovered that, unlike the definition of self neglect used in the wider literature on this topic, participants clearly differentiated between personal neglect (self neglect) and environmental neglect (squalor and hoarding). Ethical dilemmas were common in these situations and fully understanding how professionals resolved these dilemmas required that both objective and relational approaches to ethics be used to analyse participant responses. In this way, a pluralistic approach to ethics emerged as the theory best suited to fully explore ethical decision-making in situations where older people were self neglecting or living in squalor. Decisions that resulted in good outcomes were found to be increasingly constrained by changes to services driven by neoliberalism and managerialism. Individual reflection and peer support emerged as important elements that helped professionals to cope with the ethical dilemmas and the practical constraints that were encountered in these situations.

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Seyala, Nazar D. "Older adults' intentions to utilize mental health services : the effects of cohort membership." 2011. http://liblink.bsu.edu/uhtbin/catkey/1660959.

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Older adults have the lowest mental health utilization of any age cohort. This study compared baby boomers, born between 1946 and 1964 versus older adults born in 1944 or earlier, on attitudes and intentions to utilize mental health services. Ajzen’s theory of planned behavior and its related constructs of attitudes, subjective norm, perceived behavioral control, and intentions were used as a theoretical model. The Inventory of Attitudes toward Seeking Mental Health Services (IASMHS) and Beliefs About Psychological Services (BAPS) were used for measuring the constructs in the theory of planned behavior. Gender and previous mental health service utilization were also measured. Participants (n = 401) included current and retired faculty and staff from a mid-sized Midwestern University. Statistical analysis, using MANOVA, found main effects for previous mental health experience and age cohort, but not for gender. Those with previous mental health service experience expressed more positive attitudes, intentions, and perceived behavioral control over receiving mental health services. Contrary to the primary hypothesis, the older adult cohort expressed more positive attitudes, greater intentions, was less affected by the subjective norm, and had more perceived behavioral control than baby boomers. Regression analyses, using gender, previous mental health service use, attitudes, subjective norm, and perceived behavioral control accounted for 55.7% of the variance in intentions for the older adult cohort and 58.2% for baby boomers. For both cohorts, attitudes accounted for the greatest amount of variance. Promoting positive attitudes through reducing environmental and economic barriers and increasing education regarding mental health services is likely to increase mental health service utilization in baby boomers and older adults.
Department of Counseling Psychology and Guidance Services

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Andrews, Ross. "Pneumococcal vaccine for the elderly : impact of a publicly funded program." Phd thesis, 2004. http://hdl.handle.net/1885/148767.

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Williams, Monica May. "Social support and well being: a quantiative study of the effects of friends on the sexual well-being of older adults." Thesis, 2015. http://hdl.handle.net/1805/7962.

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Indiana University-Purdue University Indianapolis (IUPUI)
Social support has been shown to positively impact various aspects of health across the lifespan, including sexual health and well-being. While past research on sexual well-being has tended to focus on the earlier stages of the life course, notably adolescence and young adulthood, this is a largely ignored area of research past the reproductive stage of life. Current research finds that while social support, from partners, family, and friends alike, has generally positive influences on health in mid to late adulthood, these outcomes are varied in regards to sexual well-being. This thesis aims to (1) assess the role of friend support in the sexual well-being of older adults and (2) to explore if physical and mental health are significant mediators of this relationship, using data from Wave II of the National Social Life, Health, and Aging Project (NSHAP). This study found that sixty two percent of older adults are not having sex as much as they would like and 61% feel that their sex life is lacking in quality. Increased feelings of openness with friends was associated with satisfaction with sexual frequency (p=.055). However, a significant association could not be established between satisfaction with quality of sex life and friend support. In addition, physical and mental health status were not found to be significant mediators.

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Dissertations / Theses on the topic 'Older people Mental health services Victoria'

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