Dissertations / Theses on the topic 'People with mental disabilities Rehabilitation Victoria'
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1
Cordes, Trudy Lyn Education Faculty of Arts & Social Sciences UNSW. "A conceptual approach to the work, leisure and retirement education of adults with an intellectual disability." Awarded by:University of New South Wales. School of Education, 2005. http://handle.unsw.edu.au/1959.4/32265.
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Work, leisure and retirement are fundamental aspects of life for individuals with an intellectual disability, just as with the general population. Many educational efforts have taught knowledge and skills to persons with an intellectual disability to improve their functioning in the work and leisure domains. More recently, retirement concerns have become particularly salient because so many individuals now live much longer. The present study looked at using a conceptual approach to improve education in these three domains. It employed the principles that instruction works much better when it proceeds from an individual=s existing concepts and that instruction should teach useful concepts that an individual can apply to improve his or her real world functioning. This conceptual approach has not been used much with the education of persons with an intellectual disability. In Study 1, sixty adults with an intellectual disability were interviewed to determine their existing concepts of work, leisure and retirement and their work and leisure histories. Most had solid concepts of work and leisure, but with some gaps, particularly in notions of volunteer work and occupational status. Most reported satisfactory work and leisure lives. Most had a relatively poor concept of retirement at best and had done little or no retirement planning. These data suggested some key targets for an educational program to improve their knowledge and functioning in these domains. In Study 2, these data were used to develop an instructional program that focussed on gaps in knowledge of volunteer work, banking, budgeting and participation in satisfying leisure activities and in retirement planning. This instructional program was delivered over eight weeks to a class consisting of nine adults with an intellectual disability, with some success. This general conceptual approach can be usefully applied to teaching in other important domains with persons with an intellectual disability. They can be taught key concepts which they can use to live their lives more purposely and independently.
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Dorofaeff, Michael John. "Shared status and advocating practices : nurses who work with clients who have a co-existing intellectual disability and mental health problem a thesis submitted to the Victoria University of Wellington in fulfilment of the requirements for the degree of Master of Arts Applied in Nursing /." ResearchArchive@Victoria e-Thesis, 2007. http://hdl.handle.net/10063/141.
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Wein-Senghas, Alicia. "Motivational Interviewing in Vocational Rehabilitation: Why it Matters for People with Disabilities." Antioch University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1619178984086752.
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Ford, Robert Harold. "The efficacy of a supported employment program model on the employment of individuals with mental handicaps." Diss., Virginia Tech, 1990. http://hdl.handle.net/10919/39747.
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The effects of the Supported Work Model program components on the job stabilization and the job maintenance (short term and long term employment, respectively) of individuals with mental handicaps were determined using path analysis. The subjects for this study were 295 consumers receiving supported employment (SE) services from 70 service agencies in Virginia placed in individual job settings between September 1, 1987 and July 1, 1989. The data were abstracted from a national SE data bank maintained by the Rehabilitation Research and Training Center (RR TC) of Virginia Commonwealth University. Separate path models were estimated for consumer job stabilization and consumer job maintenance.
Major contributors to job stabilization were on-the-job training and advocacy support. Transportation availability prior to placement and consumer participation in government benefit programs were identified as statistically significant background characteristics which enhanced job stabilization. Other background characteristics had no effects on job stabilization; however, they did influence the amount of training and advocacy support consumers required. Job maintenance was affected by the amount of on-going follow-along support consumers received as well as their employer's support for working with individuals who have handicaps. Background and job site character istics, as well as training/advocacy support, had no effect on job maintenance, but they did influence the amount of follow-along support consumers received.
These results suggest that the Supported Work Model is a good framework for providing services for individuals with mental handicaps. Service providers can improve consumer employment success by making consumer transportation arrangements prior to placement and by placing consumers with employers who are supportive of individuals with handicaps.Ph. D.
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Pau, Kit-nga. "A study of parental involvement in the rehabilitation process of mentally handicapped adult /." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B22330999.
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Ling, Kam-har Karen, and 凌錦霞. "An evaluative study of employment services for the mentally handicapped: the experimental project ofsupported employment." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1992. http://hub.hku.hk/bib/B31964102.
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Muehlheim, Gina M. "Private and Public Sector Providers' Attitudes About Psychosocial Rehabilitation Interventions." Xavier University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1394729493.
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Annison, John Edward, and mikewood@deakin edu au. "The meaning of home: A comparison of the meaning of home as identified by samples of Victorians with, and without, an intellectual disability." Deakin University. Institute of Disability Studies, 2000. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20050826.102639.
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This phenomenological study of the meaning of home from the perspectives of people with and without an intellectual disability sought to identify, (a) any common essence of meaning held by and, (b) the nature of any differences of perception between, the groups. Purposive samples of 18 people with an intellectual disability and 21 non-disabled people were surveyed using a semi-structured interview to ascertain their experiences of home and 'non-homes'. Inductive analysis of the data revealed a shared understanding of the meaning of home at a fundamental level. This shared meaning of home was found to comprise: the ability to exert control over an area; having a personalised space; feeling content with the living situation; a sense of familiarity with the setting; a set of behaviours and routines usually only enacted when at home; common names and uses for rooms; socialising at home with others; the importance of a positive social atmosphere in the home; and, recognition of places as non-homes because they lacked one or more of these attributes. Further analysis revealed the essence of home is its experience as the place where stress is most reduced or minimised for the individual. The study demonstrates that the concept of stress is superordinate to previously identified concepts considered fundamental to home such as privacy, control and non-homes. Major differences between the two samples were largely differences of degree with people who have an intellectual disability reporting the same fundamental attributes of home as people who do not have an intellectual disability, but in a less elaborated form. Principal among these differences of degree was the notion of control over the home and its derivative elements which encompassed the whole dwelling including its setting for people without an intellectual disability but was very restricted for people with an intellectual disability being largely confined to the person's bedroom. Socialising in or from the home was also very limited for people with an intellectual disability in comparison with that experienced by non-disabled informants with the former group conveying an impression of leading significantly socially isolated lives at home. The major implications of this study are related to the meaning of home per se, to residential service provision to people with an intellectual disability, and to future research.
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Poon, Lun-king, and 潘倫經. "Social skills training: effectiveness of the home-based training program for persons with mental handicap." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1992. http://hub.hku.hk/bib/B43893399.
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Friedle, Robert E. "Assessment of learning potential using a modified version of the coloured progressive matrices." Virtual Press, 1986. http://liblink.bsu.edu/uhtbin/catkey/468076.
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An assessment procedure to measure the learning potential of mildly and moderately mentally handicapped adults was investigated in this study. The procedure was developed to overcome the limitations of previously established learning potential assessment procedures by meeting the specific orientation necessary when assessing the mentally handicapped, by avoiding practice and mechanical memory effects, and by requiring the subjects to show the ability to retain and apply new cognitive skills. Thirty institutionalized mentally handicapped adults were matched on IG and then randomly assigned to an assessment or control group. For the assessment group the intervention procedure involved the Coloured Progressive Matrices test as a pretest measure, in four treatment sessions each two to three days apart, and as a posttest measure. Verbal and/or figural aids were provided when an incorrect response was given on a test item during the treatment sessions. The control group was provided the same number of administrations of the test but without the treatment intervention. Significant differences were found between the pre and post test performance levels of the assessment group. The control group showed no significant gains. The learning potential assessment procedure used in this study provided a measure of the learning potential of mentally handicapped institutionalized adults.The results indicate that the mentally handicapped can perform at much higher levels than those assessed by standardly used intellectual measures. Implications are that through the use of this approach a clearer discrimination of intellectual ability within the broad classifications of the mentally handicappped can be gained. Such information could be used to aid in the selection of peers, developmental programming decisions, and provide prescriptive information about the most efficacious modes of learning for an individual.
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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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Yip, Chi-wing Frederick, and 葉志榮. "Factors affecting caregivers in caring for adults with mental handicapliving in hostels." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1994. http://hub.hku.hk/bib/B31250026.
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Robb, Jayci Lynn. "Attitudinal Ableism: A Three-Study Exploration into Attitudinal Barriers Encountered by People with Mental Illness, Substance Use, and Physical Disabilities." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/595795.
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The three studies presented in this dissertation generated new insight about the attitudinal ableism experienced by people with mental illness, substance use, and physical disabilities. First, the purpose of study one was to synthesize existing evidence about the implicit (unconscious) biases toward people with mental illness. Extensive academic database searches were performed and 19 articles were selected for review. Main findings from the review indicated that 63% of the participant samples showed an implicit bias against people with mental illness. Further, the implicit biases were positively correlated with explicit desires for social distance in two studies and were not improved by interventions or prior contact in six studies. Second, the purpose of study two was to investigate potential mediators in the pathway between perceived stigma and internalized stigma among people with substance use disorders. A total of 125 individuals completed the survey packet. Results indicated that overall social support (particularly affectionate social support) and maladaptive coping behaviors were significant mediators of the pathway. Personality characteristics, overall coping behaviors, adaptive coping behaviors, emotional/informational social support, and tangible social support were not significant mediators. Third, the purpose of study three was to validate and expand upon existing research on the microaggressions perceived by people with physical disabilities. The third study was also an initial exploration into the applicability of Glick and Fiske's (1996) theory of ambivalent sexism in conceptualizing ableist microaggressions. Specifically, Glick and Fiske's (1996) theory was used as a framework for conceptualizing ableist microaggressions as examples of ambivalent ableism, characterized by hostility and benevolence toward people with disabilities. Twelve individuals with visible, physical disabilities were interviewed about their microaggressive experiences and the personal impacts of being targets of ableism. Participants' experiences were coded and categorized as representing hostile ableism, benevolent ableism, or impact on the target. Hostile microaggressive experiences included othering, victimizing, and desexualizing; benevolent microaggressive experiences included helping and infantilizing; and impacts on the target included passing/covering and internalizing. Finally, implications related to research, education, and practice for each of the three studies were discussed in the concluding chapter of this dissertation.
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Lai, Wai-man, and 黎偉民. "An exploratory study on upward mobility for sheltered workers: a myth or reality?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B43893892.
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Pang, Fung-cheung Irene. "A study on parental attitudes towards sexual behaviours of persons with mild or moderate grade mental retardation at Aberdeen Rehabilitation Centre /." [Hong Kong : University of Hong Kong], 1991. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13115625.
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Ware, Sonya M. "Exploring vocational rehabilitation outcomes of African Americans with emotional and behavioral disabilities a national investigation /." Connect to resource, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1127238552.
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Thesis (Ph. D.)--Ohio State University, 2005.Title from first page of PDF file. Document formatted into pages; contains x, 134 p. Includes bibliographical references (p. 125-134). Available online via OhioLINK's ETD Center
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Pau, Kit-nga, and 鮑潔雅. "A study of parental involvement in the rehabilitation process of mentally handicapped adult." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31250713.
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Chow, Lok-ming Dorothy, and 周樂明. "A study of a football team with people with mental handicap with participation from corporate volunteers." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B45014462.
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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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Clay, Cris Thomas. "A sensory analysis of self-injurious behavior." Scholarly Commons, 1986. https://scholarlycommons.pacific.edu/uop_etds/2125.
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Showfety, Michael S. "A case study of group home development for persons with mental retardation: entry approaches and neighborhood opposition." Diss., Virginia Polytechnic Institute and State University, 1986. http://hdl.handle.net/10919/74215.
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Normalization of persons with mental retardation has been a national goal for the past twenty-five years, and deinstitutionalization is the driving force to the attainment of this goal. Small group homes, or community based facilities, are viewed as a viable alternative to institutionalization. The sponsors of group homes have encountered neighborhood opposition to such an extent that specialized approaches for neighborhood entry have been developed. However, the efficacy of these entry approaches has received little empirical attention.
The purpose of this study was to investigate entry approaches employed by sponsors of group homes in their attempts to locate in local communities. Structured personal interviews were conducted with sponsoring agency officials, managers of the group homes, area housing authorities, and persons residing in neighborhoods where group homes for persons with mental retardation were located during the months of May, June, and July, 1985.
Individual case studies regarding seven group homes established in a large county in the state of North Carolina have been presented. Grouped data have also been reported in the attempt to investigate the efficacy of entry approaches the literature is currently advocating.Ed. D.
22
Anderson, Linda Adele. "Feedback as a strategy for increasing the participation of consumers in the design, implementation, and evaluation of outpatient treatment programs for the chronic mentally disabled." Scholarly Commons, 1987. https://scholarlycommons.pacific.edu/uop_etds/2133.
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Utilizing clients in decision-making, advocacy, and service delivery roles within the treatment environment is one means of providing the chronic mentally disabled with opportunities for participatory social roles, choice and control. However, client deficiencies of skill, experience, and motivation are suggested to be barriers to the successful accomplishment .of this purpose. Strategies are needed to overcome these barriers. Feedback has been shown to be an effective, low-cost tool for increasing accomplishment in work settings.
The primary purpose of this study was to investigate the effectiveness of feedback in increasing the independent participation of a mental health consumer advisory group. This was investigated utilizing a multiple baseline design across the three behaviors required to fulfill the group's functions. A structured agenda, including all necessary tasks was also introduced for each of the three behaviors.
While inclusion of a task as an agenda item was found to be sufficient to assure a high level of participation, consistency of this high level was increased with feedback. As the study progressed, the percentage of consumer generated tasks on the agenda increased.
Results suggest that while this mental health consumer
group initially lacked the skills and knowledge to specify the tasks required to fulfill its functions when the tasks were specified, the group generally performed them with a high level of independent participation. This study also suggests that, with experience, skills and knowledge increased resulting in increased consumer group independence in specifying the tasks required to structure the agenda and fulfill its roles.
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Dracobly, Joseph Daniel. "Progressing from identification and functional analysis of precursor behavior to treatment of self-injury." Thesis, University of North Texas, 2009. https://digital.library.unt.edu/ark:/67531/metadc12117/.
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An evaluation of the utility of assessing and treating severe problem behavior through precursor functional analysis was completed. Ongoing measurement of problem behavior in two settings in the participant's natural environment was conducted for the duration of the study. A precursor to self-injurious behavior was identified using descriptive assessment and conditional probability analyses. A precursor functional analysis was then conducted. Subsequently, a treatment, in which precursor behavior produced the maintaining variable identified in the precursor functional analysis, was implemented in the natural environment. Treatment resulted in increases in the precursor behavior and decreases in self-injury in both the treatment setting and the second setting in which observations occurred. Implications of the assessment and treatment procedures are discussed.
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Chiu, Sin-leung, and 趙善良. "Living in the community: an exploratory studyof independent living skills training for the mentally handicappedpeople." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1989. http://hub.hku.hk/bib/B31248391.
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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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Khanabhadi, Mahboba, and Yasmin Khanabhadi. "Återhämtning från psykisk ohälsa : En kvalitativ undersökning om återhämtning inom Socialpsykiatriska utförarenheten i Skärholmens Stadsdelsförvaltning." Thesis, Ersta Sköndal högskola, Institutionen för socialvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-3997.
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Denna studie syftar till att öka förståelsen för hur boendestödjarna beskriver sitt vardagsarbete med brukarnas återhämtning på två boenden med särskild service inom Socialpsykiatriska utförarenheten i Skärholmens Stadsdelsförvaltning. Vi har intervjuat åtta boendestödjare. Valet av respondenter har gjorts utifrån ett kvoturval, fyra boendestödjare från Frösätra samt fyra från Solholmen. Vi har gjort semi-strukturerade intervjuer med samtliga boendestödjarna och utformat en intervjuguide. Intervjuguiden berör fenomen hur personalen på boendena beskriver begreppet återhämtning, hur de arbetar med återhämtning, hur återhämtning nås samt hur personal beskriver sin roll. Resultatet av studien påvisar att återhämtning innebär att den enskilde har möjligheten att återhämta sig från det kaotiska tillståndet samt att den enskilde tar makten över sitt liv. Återhämtning innebär utveckling och att den enskilde är självständig trots att en del av symptomen är varaktiga. Arbetet med återhämtning handlar om att lita på den enskildes förmåga och inte ge upp hoppet. Att se människan bakom symtomen och sjukdomen och därefter lyfta fram det friska. Återhämtning nås genom att den enskilde själv medverkar i sin egen återhämtning, är aktiv och villig att åstadkomma en förändring.This study aims to increase understanding of how housing supporters describe their everyday work with the users' recovery at two sheltered housing, in Social Psychiatry perform purity of Skärholmens District Administration. We interviewed eight housing supporters. The selection of respondents was made based on a quota sample, four housing supporters from Frösätra and four from Solholmen. We did semi-structured interviews with all housing supporters and designed an interview guide. The interview guide affects phenomena such as how staff describes the concept of recovery and work on recovery. How the recovery is accessed and how staff describes their role. The results of this study demonstrated that recovery means that the individual has the ability to recover from the chaotic state, and that the individual will take charge of their lives. Recovery involves the development that the individual is autonomous although some symptoms are lasting. The work of recovery is about trusting the individual capacity and to not give up hope, to see the person behind the symptoms and the disease and highlight the healthy. Recovery achieved by the individual themselves take part in their own recovery, are active and want to make a change.
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"Rehabilitation living for mentally handicapped." 2001. http://library.cuhk.edu.hk/record=b5892323.
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Wong Kin Ming Robert."Architecture Department, Chinese University of Hong Kong, Master of Architecture Programme 2000-2001, design report."
Includes bibliographical references (p. 95-96).
Introduction --- p.1
Social Issues --- p.2
Rehabilitation Services Development in Hong Kong --- p.3
White Paper on Rehabilitation --- p.4
Rehabilitation Programme Plan (RPP) --- p.5
Policy Objectives of Rehabilitation Services --- p.5
Public Expenditure on Rehabilitation Services --- p.6
Future Development of Rehabilitation Services in Hong Kong --- p.7
Classification of disability --- p.8
Estimate Number of People with Disabilities in Hong Kong --- p.8
Reasons for Choosing Mentally Handicapped as Target Group --- p.9
Information of Mentally Handicapped --- p.11
Definition of Mentally Handicapped --- p.12
Population of mentally handicapped in Hong Kong --- p.13
Assessment for Mentally Handicapped --- p.13
Stimulation for the mentally handicapped --- p.14
Psychological Treatment and Development --- p.16
Strengths of Mentally Handicapped --- p.18
Facilities for mentally handicapped in Hong Kong --- p.19
Existing service facilities for mentally handicapped --- p.20
Chapter 1) --- Special School --- p.21
Choi Jun School --- p.24
"Lok Kan School, The Caritas" --- p.26
Chapter 2) --- Vocational Training Council --- p.28
Chapter 3) --- Skill Centre --- p.29
Chapter 4) --- Sheltered Workshop --- p.30
"Shek Kip Mei Sheltered Workshop, Po Leung Kuk" --- p.32
Chapter 5) --- Day Activity Centre --- p.34
Chapter 6) --- Hostel --- p.35
"Grace Hostel, Evangelical Lutheran Church Social Service" --- p.36
Rehabilitation Complex in Hong Kong - Pinehill Village --- p.38
Planning Policy on Facilities for Mentally Handicapped --- p.40
Appraisal to Existing Facilities for Mentally Handicapped --- p.42
Design Guidelines for Mentally Handicapped --- p.45
Methodology --- p.46
Objectives of Design Guidelines --- p.46
Design Guideline 1: Planning of Rehabilitation Complex in Public Housing Estate --- p.47
Design Guideline 2: Eliminating Isolation from Community - Bringing Mentally Handicapped to Community --- p.48
Design Guideline 3: Bringing General Public to Rehabilitation Complex --- p.50
Design Guideline 4: Planning Enhancing Integration and Public Acceptance to Mentally Handicapped --- p.52
Design Guideline 5: Architectural Treatment for Mentally Handicapped Facilities --- p.54
Contributions --- p.54
Programme --- p.55
Potential Sites Study --- p.59
Criteria of Selecting the Site --- p.60
Potential Site 1: Fanling Area 49A --- p.60
Potential Site 2: Diamond Hill --- p.64
Preliminary Schematic Study --- p.67
Scheme 1 ： Integrating Shopping Arcade & Rehabilitation Complex Together --- p.68
Scheme 2： Separating Rehabilitation Complex & Shopping Arcade as Individuals --- p.71
Site Design Arrangement --- p.73
Proposed Site Arrangement --- p.74
Architectural Design --- p.78
Functional Arrangement --- p.79
Schedule of Accommodation --- p.79
Chapter 1) --- Shops Run by Mentally Handicapped --- p.80
Chapter 2) --- Sheltered Workshops --- p.82
Chapter 3) --- Dormitory --- p.84
Building Form & Structural System --- p.86
Elevation Study --- p.87
Colour Scheme --- p.88
Photo Collections --- p.89
Conclusion --- p.91
Appendix --- p.93
"List of Special Schools, Government Department & NGOs" --- p.94
Bibliography --- p.95
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Thomson, Stacey T. "Predicting support needs for people with psychiatric and intellectual disabilities." 2008. http://hdl.handle.net/2440/56183.
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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
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Thomson, Stacey T. "Predicting support needs for people with psychiatric and intellectual disabilities." Thesis, 2008. http://hdl.handle.net/2440/56183.
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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
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Greene, Susan Beth. "An investigation of relationships between customer demographics, case service variables, and successful vocational rehabilitation outcomes for transition-age adults with autism." Thesis, 2006. http://hdl.handle.net/2152/2699.
Full text
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Walland, Emma Jane. "The lived experience of people with brain injury living in long term care facilities: specific implications for social isolation." Thesis, 2017. https://hdl.handle.net/10539/23800.
Full textAbstract:
A research report submitted in partial fulfilment of the
requirements for the degree of Master of Arts in Social
and Psychological Research
to the Department of Psychology,
School of Human and Community Development,
The University of the Witwatersrand,
Johannesburg, South Africa,
2017Introduction. The provision of appropriate long term care facilities for people with acquired brain injury is a portentous issue internationally. There is a global lack of long term care facilities for people with acquired brain injury and they are often placed in facilities for the physically disabled or the elderly. It is unclear whether these facilities are suitable and what effect they may have on well-being and social isolation. Aim. This interpretive phenomenological study explored how adults with acquired brain injury experience living in such long term care facilities. Additionally, it described how such living arrangements impact on social isolation, a particularly devastating psychosocial consequence of acquired brain injury. Method. One-on-one, semi-structured interviews were conducted with seven adults who had acquired a brain injury. Each participant had been living in a long term care facility for at least one year. They were asked questions related to their general lived experience as well as specific questions to explore their experience of social isolation. Findings. Thematic content analysis of the interview data led to the following five categories of themes: overall evaluations (guarded approval, and disapproval); general lived experience (autonomy, choice, freedom, burden, boredom, and basic needs); social isolation (loneliness, companionship, and belonging); sources of isolation (living with the disabled, different disability, age differences, pets, and facility setup); and sources of well-being (positivity, and meaning). The main findings were that the general lived experience of people with ABI was mainly negative. The facilities generally met only basic needs and seldom met higher level psychological needs. Social isolation was commonly reported among residents with ABI in long term care facilities and was linked to age differences and having a brain injury in a facility geared for people with other disabilities. The findings were understood in relation to Bronfenbrenner’s ecological systems theory and Maslow’s hierarchy of needs. Conclusions. The findings of this study contribute towards filling a theoretical gap in understanding the lived experience of people with ABI in long term care facilities and how this contributes to social isolation. The findings have potential value to family members of people with acquired brain injury considering various living arrangement options. They can also be useful for long term care facilities housing people with brain injury to make changes that may result in greater well-being of their residents.
MT 2018
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"Dance-movement therapy in a black rehabilitation ward : an exploratory study." Thesis, 2014. http://hdl.handle.net/10210/12868.
Full text
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"Possibilities for ex-mental illness: mid-way home cum activity center." 2000. http://library.cuhk.edu.hk/record=b5890585.
Full textAbstract:
Yip Kin Sun."Architecture Department, Chinese University of Hong Kong, Master of Architecture Programme 1999-2000, design report."
Includes bibliographical references.
Chapter 1.0 --- Statement
Chapter 1.1 --- Personal Statement --- p.2
Chapter 1.2 --- Mission Statement --- p.3
Chapter 2.0 --- Methodology --- p.3
Chapter 3.0 --- Existing State
Chapter 3.1 --- Mental hitstory of Hong Kong 1841-2000+ --- p.4-6
Chapter 3.2 --- Trace of rehabilitation in community-base --- p.7
Chapter 3.3 --- Deinstitutionalization --- p.8
Chapter 4.0 --- Solid-base in community:
Chapter 4.0 --- Hin Keng House --- p.9-10
Tuen Mun Long Stay Care Home --- p.11-12
Jockey Club Farm House --- p.13
New Life Farm --- p.14
Kwun Tong Amity Centre --- p.15-16
"Department of Psychiatric Rehabilitation, Kwai Chung Hospital" --- p.17-18
Chapter 5.0 --- Define the problems & arguments --- p.19
Chapter 6.0 --- End Users' life routine --- p.20
Chapter 7.0 --- Subject body Attributes --- p.21-23
Chapter 7.1 --- Definition of subject body
Chapter 7.2 --- Subject users
Chapter 7.3 --- Subject location
Chapter 7.4 --- Subject size
Chapter 7.5 --- Subject appearance
Chapter 7.6 --- "Subject impact to ""community"""
Chapter 8.0 --- Site Selection Criteria --- p.24
Chapter 8.1 --- Possible bases：
"Tai Wai, Chik Fai Street"
Lung Hang Estate unused area within the estate
Pok Hong Estate an unused area east of Shan Ha Wai (Tsang Tai UK) --- p.25-27
Chapter 9.0 --- "Site analysis (Tai Wai, Chik Fai Street)" --- p.28
Chapter 10.0 --- Programs
Chapter 10.1 --- Subject body --- p.28
Chapter 10.2 --- Design consideration --- p.29-34
Chapter 10.3 --- Schedule of Accommodation --- p.35-36
Chapter 11.0 --- Design Approach
Chapter 11.1 --- Design Concept --- p.37
Chapter 11.11 --- Design Concept of Mid-way home --- p.38-39
Chapter 11.12 --- Design Concept of Activity Center --- p.39-40
Chapter 12.0 --- Compliance with Building Planning Regulation --- p.40-44
Chapter 13.0 --- Building Services --- p.44
Chapter 14.0 --- Review comments and self-epilogue --- p.45
Chapter Appendix --- Workshop questionnaire
Bibliography
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McGiffin, Jed N. "Psychological Adjustment to Disability: Heterogeneous Trajectories of Resilience and Depression Following Physical Impairment or Amputation." Thesis, 2020. https://doi.org/10.7916/d8-24by-d053.
Full textAbstract:
Adjustment to disability is a foundational concept within rehabilitation psychology and constitutes an important public health problem given the adverse outcomes associated with maladjustment. While the disability literature has highlighted depressive elevations in response to functional impairment, resilience and alternative patterns of psychological adjustment have received substantially less empirical inquiry. This dissertation is comprised of three papers, the first two of which are longitudinal studies utilizing distinct samples of individuals with acquired disabilities: a population-sample of physically impaired older adults, and a convenience sample of individuals with newly acquired amputations. The third paper summarizes current data science and statistical findings regarding disability adjustment for patients and their providers. The two longitudinal studies share a common statistical methodology, latent growth mixture modeling (LGMM), allowing for the identification of distinct subgroups (classes) of individuals who share similar symptom profiles over time. LGMM is well-poised to resolve fundamental questions about whether psychological functioning after disability is best described by a population-level archetypal response (i.e., distress and depression that remits over time), or alternatively, whether the data suggest a variety of definable subgroups with distinct psychological trajectories. Results of empirical papers 1 and 2 provide strong empirical evidence that the process of disability adjustment is heterogeneous, with multiple pathways of symptom development and remission. The third paper demonstrates how findings from current rehabilitation science can be utilized to inform psychoeducational materials for practitioners and their patients with recent limb loss. This chapter addresses gaps in dissemination of knowledge by describing various patterns of psychological outcomes encountered by individuals following amputation surgery, as supported by Study 2 and the broader resilience literature.
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Mook, Abigail C. "Utility of consumer-rated fidelity of evidence-based supported employment." Thesis, 2012. http://hdl.handle.net/1805/2780.
Full textAbstract:
Indiana University-Purdue University Indianapolis (IUPUI)There is a lack of existing research that investigates the feasibility of using consumers to evaluate the fidelity of evidence-based practices, including supported employment which is an intervention that helps people with severe mental illnesses to obtain competitive employment. Fidelity refers to the extent that the SE program adheres to the Individual Placement and Support (IPS) model of supported employment. The present study was a concordance study that investigated whether or not consumers’ self reports of IPS fidelity information agreed with administrative charts and employment specialists. Additionally, it was hypothesized that consumers’ program satisfaction ratings would be positively correlated with their self reported IPS fidelity scores. An additional purpose of this study was to examine what types of supported employment fidelity items consumers were able to report on. Participants included a volunteer sample of 30 consumers and 5 employment specialists from one IPS program in Indiana. Consumers in the IPS program were interviewed by telephone using a survey that included questions related to their program’s fidelity as well as their satisfaction with the program. Questions were based off of items from the IPS Fidelity Scale and were categorized into the following subscales: work incentives counseling, job search, engagement, organization, staffing, and job support. Similar questions were asked in an employment specialist survey and a chart review. All three sources (consumers, charts, and employment specialists) indicated high IPS fidelity responses on the researcher developed surveys. However, there was a low level of agreement between the sources at both the subscale level and item level. Although there was an overall low level of agreement between sources, there were several items that had a moderate or higher degree of agreement. Additionally, the present study did find a positive correlation between the consumer fidelity score percentage and consumer IPS program satisfaction ratings, supporting the researcher’s hypothesis. Among the items that consumers had difficulty answering were several tapping program level policies such as zero exclusion. Reasons for the discrepancy in agreement between sources as well as clinical implications of the findings are discussed.
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Ngcanga, Nosipho Margaret. "The feasability of implementing community based care for moderately mentally-retarded persons in a specific centre in Port Elizabeth." Diss., 1999. http://hdl.handle.net/10500/17566.
Full textAbstract:
The purpose of this study was to investigate the possibility of implementing community based care for moderately mentally retarded persons in a specific centre in the Port Elizabeth area. The objectives of the study were to identify • the needs of the moderately mentally retarded children. • the physical, psychosocial and vocational rehabilitation means of meeting these needs. • how involved the communities, parents and government were in the care of moderately mentally retarded children. A quantitative, exploratmy and descriptive design was used. A sample of 50 moderately mentally retarded children was utilised. Data were collected by means of questionnaires and semi-structured interviews. The major research findings indicate that community care for MMRPs could only be feasible with sufficient resources, expertise and community involvement. All these aspects appeared to be lacking in the centre where this research was conducted raising questions as to benefits which the mentally retarded children and their parents and the community could derive from these services. However recommendations were made on identified shortcomings, problems and needs.Health Science
M.A.(Nursing Science)
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Magenuka, Nkosazana Selina. "The personal and embodied experiences of people living with a spinal cord injury in the or Tambo district municipality in the Eastern Cape." Thesis, 2006. http://hdl.handle.net/10500/2179.
Full textAbstract:
The study was undertaken to deepen understanding of living with a spinal cord injury (SCI) in the rural communities of the Eastern Cape Province, South Africa (RSA). The OR Tambo District Municipality, which was selected for its accessibility to the researcher, is virtually rural, the infrastructure is poorly developed and there is low socio-economic activity in the rural areas of the old Transkei.
In the RSA services for management and rehabilitation of SCIs varies from province to province.
A Heideggerian phenomenological approach was used to interpret the meaning of living with SCI persons in a rural community. The purpose was to describe and interpret what being-in the-world as a spinal cord injured person meant to the particpants. A key assumption in phenomenology is that understanding human beings and their actions is best achieved through examination of human experiences. Experience, including experience with living with SCI, offers itself as a record of human encounters, the interface between persons and their world, and experience can only be understood in terms of background and the social context of the experience (Pateman & Johnson 2000: 51).
Phenomenological interviews with ten people living with SCI explored their experience. The overall goal was to increase awareness of their experiences of living with SCI, and to encourage incorporation of knowledge gained into nursing practice. The central question in the study was `What is it like to live with a spinal cord injury in a rural community? Data were analysed according to Heideggerian hermeneutic phenomenology.
Two main themes were identified, namely reconceptualising being-in-the-world as a person with a disability; and being-with-each-other: experiencing being excluded, objectified and marginalized. The participants engaged in a process of reconstructing their identities following the traumatic loss of sensory and motor functioning. Data reflect the social and economic context in which living with SCI is experienced. The respondents' life experiences were influenced by socio-political, economic and historical factors, namely geographic location, poor infrastructure, poverty, low educational status, and unemployment and the community at large. It was noted that participants experienced difficulties in several areas in their daily life realm; naming, coping with health and disability problems, family interactions and relationships, and non-accessibility of amenities, including their own dwellings. In addition, being a person living with an SCI in the rural communities of the OR Tambo District Municipality carries a high physical and social risk due to lack of resources. The inability to live up to generally expected social roles led to role dissatisfaction. There is an urgent need for social support to overcome the negative societal attitudes experienced. They are forced into isolation with a limited social life and are poorly integrated into the communities in which they live. Most of what the participants raised pointed towards inadequate preparation for the outside world. Therefore, a holistic approach to rehabilitation is recommended, as holism means addressing the physical, social, emotional and cognitive needs. Accordingly, the researcher developed guidelines for facilitating community integration.
In conclusion, understanding how people experience living with SCI in a rural community is an essential prerequisite to the development of appropriate strategies to facilitate community integration.Health Studies
D. Litt et Phil (Health Studies)
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Meiring, Leana. "Community-based support groups for mental health care users : a social constructionist approach." Diss., 2015. http://hdl.handle.net/10500/20085.
Full textAbstract:
High prevalence of mental illness in South African and limited Mental Health Care (MHC) resources call for ways to supplement the overburdened system to meet the rehabilitative and supportive needs of service users as stipulated in the MHC Act no. 17 of 2002. Various psychological, social, and financial difficulties plaguing MHC users require holistic treatment intervention to help them cope with their conditions. This study explored the meaning of a Tshwane District community-based support group for MHC out-patients to help illuminate the value the group had for the members. A Social Constructionist epistemology informed the qualitative research approach. Data were collected by conducting semi-structured interviews and employing a collage-making method. The main themes illuminated by thematic analysis suggest that the group provided the members with a sense of belonging, mental and physical mobilisation and stimulation, a source of support, multiple learning experiences, and contributed to personal transformation and growth.Psychology
M.A. (Social Science (Research Consultation))