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Dissertations / Theses on the topic 'People with mental disabilities'

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Published: 4 June 2021

Last updated: 1 August 2024

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1

Ling, Kam-har Karen. "An evaluative study of employment services for the mentally handicapped : the experimental project of supported employment /." [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13236374.

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2

Trustam, Emma. "Exploring recovery in people with learning disabilities." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12767/.

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A literature review examines how mental health difficulties may differ for people with learning disabilities (PwLD) and the general population; with respect to their vulnerability to mental ill-health and the definition, presentation and treatment of mental health problems. Factors which have been found to positively impact on the mental health of PwLD are then explored. The review considers methodological limitations and gaps in our understanding, highlighting a need for further research focusing on mental health recovery for individuals with learning disabilities. Section B presents a study exploring what recovery means for people with learning disabilities and mental health difficulties. Interviews were conducted with nine individuals and Interpretative Phenomenological Analysis used. A model was developed which described participants’ entry to the therapeutic service and their progression towards recovery. The model firstly describes how participants felt entering the service, their Mental Health/Therapy Experience, and explains how these experiences were validated and the recovery process enabled through the therapeutic alliance. Once enabled, the second dimension of the model is detailed, that of the Client Recovery Experience which extends across three phases of recovery. The first phase, Feeling Better describes elements perceived as integral to improved mental health. The second phase, Recovery Ongoing identifies that more input is required. Thirdly, Attainability?: Reality, Ideals and Fantasy, reveals PwLD’s perceptions of recovery and the techniques used in striving to achieve this. Salient features of recovery specific to PwLD are recognised as important to clinical practice, and results suggest there is a need to openly discuss LD identity, and address idealisations surrounding a non-LD one. This would involve setting realistic goals and managing expectations accordingly and focussing on social integration as a way of enabling ongoing recovery.

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3

Allen, David. "Challenging behaviour in people with learning disabilities." Thesis, University of Surrey, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.388791.

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4

Lai, Wai-man. "An exploratory study on upward mobility for sheltered workers : a myth or reality? /." Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B20131057.

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5

Park, Deborah Carter. "An imprisoned text reading the Canadian Mental-Handicap Asylum /." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1995. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ39298.pdf.

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6

Siu, Ngok-yun. "Community attitude towards people with mental handicaps in Hong Kong /." Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk:8888/cgi-bin/hkuto%5Ftoc%5Fpdf?B23340058.

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7

Patchareewun, Khumnirdpetch Morreau Lanny E. "A service delivery system for persons with mental retardation in Thailand." Normal, Ill. Illinois State University, 1990. http://wwwlib.umi.com/cr/ilstu/fullcit?p9101117.

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Thesis (Ed. D.)--Illinois State University, 1990.
Title from title page screen, viewed November 8, 2005. Dissertation Committee: Lanny E. Morreau (chair), John Ming-Gon Lian, Paul J. Baker, Ramesh B. Chaudhari, Pamela H. Wheeler, Alan C. Repp. Includes bibliographical references (leaves 90-100) and abstract. Also available in print.

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8

Noll, Steven. "From far more different angles institutions for the mentally retarded in the South, 1900-1940 /." Gainesville, FL, 1991. http://www.archive.org/details/fromfarmorediffe00noll.

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9

Esbensen, Anna Johanna. "Depression in individuals with mental retardation an evaluation of cognitive theories /." Connect to this title online, 2004. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1085591280.

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Thesis (Ph. D.)--Ohio State University, 2004.
Title from first page of PDF file. Document formatted into pages; contains xiv, 185 p.; also includes graphics. Includes bibliographical references (p. 134-145). Available online via OhioLINK's ETD Center

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10

Kent, Penny. "Measuring quality of life : developing a questionnaire to measure satisfaction with lifestyle of people with an intellectual disability /." Title page, contents and summary only, 1990. http://web4.library.adelaide.edu.au/theses/09ARM/09armk37.pdf.

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11

Tremblay, Gene. "Assessing employer attitudes toward hiring individuals with mental disabilities." Online version, 2001. http://www.uwstout.edu/lib/thesis/2001/2001tremblayg.pdf.

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12

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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13

Klotz, Jani. "Denying intimacy the role of reason and institutional order in the lives of people with an intellectual disability /." Connect to full text, 2001. http://hdl.handle.net/2123/513.

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Thesis (Ph. D.)--University of Sydney, 2001.
Title from title screen (viewed Apr. 23, 2008). Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the Dept. of Anthropology, Faculty of Arts. Includes bibliography. Also available in print form.

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14

Graydon, Clare. "Protection or paternalism? : a critical evaluation of Australian legislation relating to sexual acts involving persons with intellectual disability /." Murdoch University Digital Theses Program, 2007. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20090610.84938.

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15

Schwartz-Mitchell, Jennifer L. "The effects of supported employment level on the psychosocial experiences of integrated workers with mental retardation." Morgantown, W. Va. : [West Virginia University Libraries], 2000. http://etd.wvu.edu/templates/showETD.cfm?recnum=1442.

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Thesis (Ph. D.)--West Virginia University, 2000.
Title from document title page. Document formatted into pages; contains v, 133 p. Includes abstract. Includes bibliographical references (p. 95-111).

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16

Li, Ping-ying Eria. "Self-determination of young adults with mild mental handicap : implications for education and vocational preparation /." Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B21451291.

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17

Gold, Elizabeth. "Effects of reinforcement and nonreinforcement on total task presentation with response prompts of increasing assistance in teaching persons with mental retardation /." free to MU campus, to others for purchase, 2002. http://wwwlib.umi.com/cr/mo/fullcit?p3052173.

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18

Cordes, Trudy Lyn Education Faculty of Arts &amp 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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19

Maherali, Zuleikha Ahmed. "Understanding and perceptions of parenting skills of persons with mental handicaps." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28742.

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The purpose of this study was to investigate the understanding and the perceptions of parenting skills of persons with mental handicaps and their perceptions of the quality and the availability of support services. Parenting skills were considered in terms of nutritional and meal planning skills, discipline and behaviour management, home safety and emergency and interaction and social stimulation. Supports were considered of in terms of formal and family services. An open-ended questionnaire was used to interview 25 mentally handicapped mothers. Findings indicated that mothers perceived the process of disciplining and providing a stimulating environment as the most difficult aspect of parenting. In terms of the support services, mothers were generally satisfied with the availability and sources of formal support. However, in terms of the quality of formal support, mothers indicated that such support should be modified to meet their needs. Mothers' perceptions of family support were differentially affected by their marital status. The presence of a spouse in the home and the opportunity to interact with extended family members were two factors which affected the quality of family support. In two-parent families, spousal support enabled the mothers to deal more effectively with their children. Findings also indicated that support from extended families was not available to most mothers.
Education, Faculty of
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20

Young, Sadie. "Personal constructs of intellectually disabled people." Thesis, Manchester Metropolitan University, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.262355.

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The main focus of this thesis is to investigate the mental worlds of intellectually disabled people. It is intended to provide information about how members of this population construe their environments and how recent changes in the philosophy of care have affected their construct systems. Personal construct theory is used as the model that underpins the studies in the thesis and a modified version of repertory grid technique is developed and used to explore physical and social aspects of each subject's environment. After a pilot study was conducted to establish the viability of using modified rep grid techniques with this population, a longitudinal study over a four year period investigated the social constructs of 15 intellectually disabled residents. Eight were still in an institution at the end of the study and seven had moved into the community during that period. A comparison group of eight staff were sampled at the beginning of the longitudinal study. Information is made available concerning the size and complexity of each subject's construct system. It was found that the size and content of the construct systems of intellectually disabled people is limited relative to the comparison group and does not change significantly over four years. construct systems were analysed using two computerbased programs that solved the patterns of interrelationships and a graphic presentation of the network of significant correlations between constructs was completed. It was found that the graphic presentation was adequate for the intellectually disabled respondents but not for the comparison group. No difference was found between the community-based group of intellectually disabled people and those still resident in the hospital after four years. A further study with 17 intellectually disabled people, parents and non-parents, found no difference in their construct systems of children. These results are discussed in the context of the present philosophy and practice of normalisation and social role valorisation.

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21

Killackey, Rita. "The obligation of the church to provide catechesis for those handicapped in mind a study of canon 777, 4 /." Theological Research Exchange Network (TREN), 1999. http://www.tren.com.

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22

Poon, Lun-king. "Social skills training : effectiveness of the home-based training program for persons with mental handicap /." [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13417575.

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23

Skehan, Terry. "An examination of the effectiveness of training staff to offer leisure choices to people with intellectual disabilities who are non-verbal /." [St. Lucia, Qld.], 2003. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17717.pdf.

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24

Fong, Lisa. "Attitudes toward people with intellectual disabilities among adults of Korean descent in the United States an exploratory study /." Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file, 108 p, 2007. http://proquest.umi.com/pqdweb?did=1407507061&sid=4&Fmt=2&clientId=8331&RQT=309&VName=PQD.

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25

Schmidt, George A. "Ministry with the mentally retarded." Theological Research Exchange Network (TREN), 1990. http://www.tren.com.

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26

Frawley, Patsie. "Participation in government disability advisory bodies in Australia : an intellectual disability perspective /." Access full text, 2008. http://www.lib.latrobe.edu.au/thesis/public/adt-LTU20090122.114029/index.html.

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Thesis (Ph.D.) -- La Trobe University, 2008.
Research. "A thesis submitted in total fulfilment of the requirements for the degree of Doctor of Philosophy [to the] School of Social Work and Social Policy, Faculty of Health Sciences, La Trobe University, Bundoora". Includes bibliographical references (leaves 302-318)

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27

Greenbaum, Ben. "The challenges of the church in ministering to the mentally disabled." Online full text .pdf document, available to Fuller patrons only, 2003. http://www.tren.com.

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28

Young, Janet Louise. "Deinstitutionalisation and changes in life circumstances of adults with intellectual disability in Queensland /." [St. Lucia, Qld.], 2001. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16161.pdf.

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29

Anderson, Kecia C. "Parent/guardian attitudes toward mainstreaming children with severe mental disabilities." Online version, 1998. http://www.uwstout.edu/lib/thesis/1998/1998andersonk.pdf.

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30

Siu, Ngok-yun, and 簫岳殷. "Community attitude towards people with mental handicaps in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31242285.

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31

Corbett, Allan Francis. "Not so good, not so bad : an ethnographic study of the lives of former residents of Exon House following deinstitutionalization /." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ34172.pdf.

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32

Sandler, Louis. "Goodness-of-fit and the viability for behavioral support plans : survey of direct care adult residential staff /." view abstract or download file of text, 2001. http://wwwlib.umi.com/cr/uoregon/fullcit?p3024530.

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Thesis (Ph. D.)--University of Oregon, 2001.
Typescript. Includes vita and abstract. Includes bibliographical references (leaves 184-193). Also available for download via the World Wide Web; free to University of Oregon users.

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33

Wiltz, James. "Identifying factors associated with friendship in individuals with mental retardation." Connect to resource, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1122928929.

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Thesis (Ph. D.)--Ohio State University, 2005.
Title from first page of PDF file. Document formatted into pages; contains x, 159 p.; also includes graphics. Includes bibliographical references (p. 148-159). Available online via OhioLINK's ETD Center

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34

McCauley, Karen. "Constructing Life Narratives: How Novels and Policy Discourses Represent and Respond to Life Stories About People with Mental Disabilities." Thesis, Laurentian University of Sudbury, 2011. https://zone.biblio.laurentian.ca/dspace/handle/10219/483.

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This dissertation explores how an interdisciplinary analysis may contribute insight into how literary and policy discourses construct the life experiences of people who have mental disabilities that impair their ability to communicate their own life stories. Chapter One explains why a more comprehensive understanding of the cultural construction of mental disability may be achieved by exploring interdisciplinary relationships between social work, disability studies and literary theory. Subsequent chapters examine theoretical assumptions and frameworks associated with these contributing disciplines in greater detail, across systematic and interpretive analytic approaches. In addition, key concepts and questions relevant to constructing a vocabulary that facilitates collaboration between the contributing disciplines are considered. This literature review informs a methodology for undertaking an interpretive discourse analysis of pertinent policy and novels that depict disability within the context of Ontario's 'Institutional Cycle'. Specifically, the research attempts to answer the following questions: What is the relationship between the representation of mental disability in literary narratives and public policy discourses about mental disability; and, how may an interdisciplinary analysis of literary and policy discourses inform policy planning and the provision of services for people with mental disabilities in Ontario? Chapters 6-8 analyze the literary and policy data across Establishment, Reform and Dismantlement phases of the Institutional Cycle to arrive at a set of findings and recommendations that explain relationships between policy and novels across the phases of the Cycle. Finally, key themes for consideration in policy planning for people with mental disabilities are identified as priorities for action in an emerging 'post-institutional' era, in Ontario.

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35

Hall, Jeanna Kay. "All God's children an inclusive Sunday school program for children with mental disabilities /." Theological Research Exchange Network (TREN), 2005. http://www.tren.com/search.cfm?p062-0252.

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36

DiGiammarino, Marie Morreau Lanny E. "Functional music skills of persons with mental retardation." Normal, Ill. Illinois State University, 1989. http://wwwlib.umi.com/cr/ilstu/fullcit?p9014745.

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Thesis (Ed. D.)--Illinois State University, 1989.
Title from title page screen, viewed October 21, 2005. Dissertation Committee: Lanny Morreau (chair), Ming-Gon Lian, Mack Bowen, Ramesh Chaudhari, Alan Repp. Includes bibliographical references (leaves 107-112) and abstract. Also available in print.

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37

Bedinger, Susan Angenendt. "Effects of placement in an intermediate care facility for the mentally retarded." Gainesville, FL, 1985. http://www.archive.org/details/effectsofplaceme00bedi.

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38

Seaman, Leanne. "An evaluation of interpersonal competence in relation to criminal victimisation among people with an intellectual disability /." Adelaide, S. Aust. : The author, 1991. http://web4.library.adelaide.edu.au/theses/09SPS/09spss438.pdf.

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39

Dracobly, Joseph Daniel Smith Richard G. "Progressing from identification and functional analysis of precursor behavior to treatment of self-injury." [Denton, Tex.] : University of North Texas, 2009. http://digital.library.unt.edu/ark:/67531/metadc12117.

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40

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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41

Orlemann, Richard Kerr. "An overview of services for people with mental retardation in Pennsylvania." Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1993. http://www.kutztown.edu/library/services/remote_access.asp.

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Thesis (M.P.A.)--Kutztown University of Pennsylvania, 1993.
Source: Masters Abstracts International, Volume: 45-06, page: 2955. Abstract precedes thesis title page as [2] preliminary leaves. Typescript. Includes bibliographical references (leaves 54-55).

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42

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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43

Schoech, Katherine Elaine. "Clinicians' Perceptions of Trauma Treatment for People with Intellectual Disabilities." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4171.

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People with intellectual disabilities (ID) experience trauma and posttraumatic stress disorder (PTSD) in similar ways as individuals in the general population. The purpose of this phenomenological study was to explore and describe clinicians perceptions of trauma treatment for people with ID. Theories of trauma, PTSD, and stigma were part of the conceptual framework from which interview questions were developed. Purposive and snowball sampling were used to recruit 8 participants in the Denver, Colorado area. Four participants had experience working with people with ID, and 4 participants did not have this experience. Participants sat for semi structured open-ended recorded interviews, which were used to gather data for interpretation. Eight essential themes were identified: (a) chosen field, (b) lack of training, (c) stigma and stereotypes, (d) they're just folks like us, (e) preying on their vulnerabilities, (f) PTSD and trauma symptoms are the same with people with ID, (g) EMDR and the adaptive information processing theory, and (h) mindfulness interventions. The participants dispelled myths such as people with ID do not experience trauma and PTSD, and people with ID cannot participate in trauma therapy such as EMDR. Participants who had experience working with people with ID wanted more training on adaptations for treatment interventions, and participants without this experience welcomed advanced training on trauma treatment for people with ID. This study adds to the research on trauma treatment for people with ID and may affect social change by inspiring more conversations among clinicians on appropriate trauma treatment for people with ID. Clinicians with experience can build stronger relationships with community mental health centers, and continue to educate, clients, families, direct care providers, and agency personnel on trauma-informed care.

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44

Levine, Phyllis. "Gender differences in long-term postschool outcomes for youth with mild mental retardation, learning disabilities and no disabilities : myth or reality? /." Thesis, Connect to this title online; UW restricted, 1993. http://hdl.handle.net/1773/7616.

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45

Endrawes, Gihane, University of Western Sydney, College of Social and Health Sciences, and of Nursing Family and Community Health School. "Egyptian families caring for a relative with mental illness in Australia." THESIS_CSHS_NFC_Endrawes_G.xml, 2003. http://handle.uws.edu.au:8081/1959.7/713.

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The meaning of caregiving for a relative with mental illness has been explored in many research studies: however, there is a lack of studies on the caregiving experience within the Egyptian culture. This study aimed at getting closer to Egyptian families caring for a relative with mental illness in Australia in order to reveal how these families live and cope with mental illness, their attitudes, their beliefs and practices and how the experience affected them. Qualitative hermeneutic phenomenology informed by the work of Heidegger was used. Seven participants from Egyptian background, caring for a relative with mental illness participated and all interviews were audio-taped. Interviews were conducted in the Arabic language and were then translated and transcribed into English. All interviews were compared and five common themes were identified. Why did it happen?: How do I protect my loved ones?: What has it done to me?: What has it done to us?: and How do I survive? Findings of the study have the potential to raise health care professionals’ awareness of the needs of Egyptian families, their beliefs, values and coping with mental illness. Strengths and limitations of the study are also presented to inform future research
Doctor of Philosophy (PhD)

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46

Lumley, Vicki Ann. "An assessment of assertion skills among adults with mild mental retardation." Morgantown, W. Va. : [West Virginia University Libraries], 2001. http://etd.wvu.edu/templates/showETD.cfm?recnum=2121.

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Thesis (Ed. D.)--West Virginia University, 2001.
Title from document title page. Document formatted into pages; contains xiii, 175 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 76-84).

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47

Shek, Wai-keung. "Using technology to support development of daily arithmetic skills to students with mental retardation." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31972147.

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48

Johns, Stephen R. McCarty Toni. "Comparisons of teacher and employer perceptions of the importance of selected work-related behaviors for individuals with moderate cognitive disabilities." Normal, Ill. Illinois State University, 1998. http://wwwlib.umi.com/cr/ilstu/fullcit?p9835910.

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Thesis (Ed. D.)--Illinois State University, 1998.
Title from title page screen, viewed July 3, 2006. Dissertation Committee: Toni McCarty (chair), Lanny Morreau, Patricia Klass, Jim Thompson. Includes bibliographical references (leaves 106-121) and abstract. Also available in print.

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49

Rucker, Randall W. "Religious education and curriculum for the mentally disabled adult in the local church especially for churches with limited resources /." Theological Research Exchange Network (TREN), 1993. http://www.tren.com.

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50

Watts, Graeme H. "Intellectual disability and spirituality." Thesis, The University of Sydney, 2006. https://hdl.handle.net/2123/27915.

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Intellectual disability, and in particular profound intellectual disability, has an impact on all aspects of a quality of life including that of spiritual development. Some insight into this influence can be gained from a historical review of the attitudes in general towards people with an intellectual disability. Such a review may be especially pertinent when inferences can be drawn from a religious context. References from the Bible through to contemporary sources present, at best, a mixed record. Contemporary responses from the church have taken the form of policies and guidelines, as well as theological argument, encouraging the inclusion of people with intellectual disability in many aspects of church life. Such policies support programs both within and outside the church. In spite of such initiatives there remains a sense of unease regarding the spiritual status of persons with a disability and, in particular, those with an intellectual disability. A field research study addressed the specific issue of the portrayal of disability in the Bible. Given that for many, the Bible is a significant reference source, and for some, literally conveying the word of God, it is a matter for some concern that a majority of Biblical references to disability were perceived as being unfavourable. Calls for a theology of disability are countered by a preference to find a place for disability in an inclusive theology. An acceptance of disability as an integral part of the human state has been supported by reflections on image Dei leading to the concept of a Disabled God. A long-standing scholastic tradition in the church has begun to respond to the influence which may be exerted by non-verbal, nonrational symbolism. That such means of communication may have an influence on the spiritual lives of people with an intellectual disability, is no more evident than in participation in the sacraments, more particularly in the Eucharist. A field research project focussed on possible modifications to the Eucharist such that participation by persons with an intellectual disability may be enhanced. Through omission of content, together with substantial editing and rewarding, a service order was developed with the text supported by auditory, sensory and symbolic input. For persons with a profound intellectual disability, their presence and participation in the Eucharist epitomizes the hope of their spiritual journey.

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