Dissertations / Theses: 'Regional Mental Health'

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Peláez, Gonzáles Nicole Stephanie. "Instituto Regional de Salud Mental en Ayacucho." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/655453.

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En el Perú, la salud mental es un tema sumamente desatendido. Existe un déficit notable de infraestructura adecuada para el restablecimiento propicio y correcto del equilibrio en la vida de las personas que padecen enfermedades mentales, pues existen solo tres instituciones especializadas en la ciudad de Lima, centralizando la atención y dejando olvidadas poblaciones en las que también existe mucha demanda. Al parecer no se considera el bienestar mental como base y mecanismo de cualquier tipo de sociedad que busca crecimiento en todos los ámbitos. De acuerdo al análisis de las causas, consecuencias y efectos que trae consigo lo antes mencionado, es necesario entender que cada población posee una historia, situación social y formas de vida distintas. Es así como regidos bajo las estadísticas de demanda en salud mental en el Perú, dadas por el Instituto Nacional de Salud Mental “Honorio Delgado Hideyo Noguchi”, se determinó que la ciudad de Ayacucho, en la sierra peruana, es la población con mayor porcentaje de personas con problemas mentales, probablemente provocado por la violencia terrorista que fueron víctimas entre los años 1980 y 2000. Finalmente, el objetivo de esta investigación es proponer un centro especializado llamado “Instituto Regional de Salud Mental” en la ciudad de Ayacucho, que mediante espacios arquitectónicamente adecuados y a la vanguardia con la psiquiatría moderna, relacionan directamente el bienestar mental de los pobladores con las costumbres propias del lugar para así fomentar el desarrollo económico, social y cultural.
In Peru, mental health is a highly neglected issue. There is a notable deficit of adequate infrastructure for the propitious and correct restoration of balance in the lives of people suffering from mental illnesses, since there are only three specialized institutions in Lima city, centralizing attention and leaving forgotten populations in which there is also a lot of demand. It seems that mental wellness is not considered as a main topic and mechanism of any type of society that seeks growth in all areas. According to the analysis of the causes, consequences and effects brought for the above mentioned, it is necessary to understand that each population has a different history, social situation and ways of life. Therefore, under the mental health demand statistics in Peru, given by the National Institute of Mental Health "Honorio Delgado Hideyo Noguchi", it was determined that Ayacucho city, in the peruvian highlands, has the population with the highest percentage of people with mental problems, probably caused by the terrorist violence that they suffered between 1980 and 2000. To conclude, the objective of this research is to propose a specialized center named "Regional Institute of Mental Health" in the city of Ayacucho, which through adequate architectural spaces and treatments of modern psychiatry, relate the mental wellness of citizens with the local customs in order to promote economic, social and cultural development in the region.
Tesis

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Chan, Yuen-yan, and 陳遠欣. "Job satisfaction, stress and mental wellbeing of health care workers in a regional public hospital." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48422502.

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Introduction: Amongst all public servants in Hong Kong, health care workers are one of the groups suffering from highest working pressure. They have long working hours and may have overnight shift duties, including Sundays or even public holidays. This may lead to poor job satisfaction, psychological stress and the recent high resignation rate in public hospitals. The aim of this study is to assess the prevalence of the psychological stress, psychological symptoms and job satisfaction of health care workers, the association between stress, psychological symptoms and job satisfaction; and also the factors associated with job satisfaction in a regional hospital in Hong Kong. Method: Health care workers in a large regional hospital of Hong Kong were surveyed by means of a questionnaire assessing basic demographic data, questions of the General Health Questionnaire (GHQ-12), Perceived Stress Scale (PSS), Warr-Cook and Wall job satisfaction scale (JSS). Four groups of health care workers (doctors, nurses, allied health workers and supporting staffs) were surveyed. Summary of descriptive statistics were calculated for each group to compare the prevalence of job dissatisfaction, perceived stress, and psychological symptoms. Two-stage analysis will be used. The first stage analysis will use ANOVA test to access the association between job satisfaction and different variables. The second stage analysis will use multivariate regression model to further assess the coefficient correlation of significant factors drawn from ANOVA test with job satisfaction. Results: There were 674 eligible questionnaires. About half (47%) of the health care workers reported having perceived stress and a third (33.8%) psychological symptoms. Doctors reported the (76.8%, 95% C.I = 69.43%, 84.17%) highest level of job satisfaction amongst all the health care workers surveyed. Among staff reporting a GHQ score equal to or more than three, supportive staff had significantly higher prevalence (38.7%, 95% C.I.=27.96%, 49.44%) and doctors the lowest prevalence (28.1%, 95% C.I.= 15.11%, 41.09%) of psychological symptom but proportions were compatible with their counterparts in other countries. The mean score for GHQ-12 was 2.41+/- S.D. 3.28. The overall mean perceived stress score was 18.14 with SD +/- 5.0. There was no significant difference when different subgroups were compared. The mean PSS scores of all subgroups were lower than their counterparts in other counties but were quite similar to the mean PSS reported during SARS period. Sixty eight percent of all health care workers surveyed were satisfied with their job (respondents indicating “moderately satisfied”, “very satisfied” and “extremely satisfied” on their overall job satisfaction). Values equal to or above 5 reflect being satisfied. The mean value for Job satisfaction was 4.58 +/-S.D. 1.21. The factors including shift duty, perceived stress, and psychological symptoms were negative correlated with job satisfaction. Factors such as clinical work, doctor and secondary school level were positive correlate with job satisfaction. Conclusion: Prevalence of perceived stress and psychological symptoms among health care workers were high when compared with the general population (14-17.6% for perceived stress and 28.1% for psychological symptom), but not as high as expected. In contrast to popular belief, doctors had the lowest perceived stress level, lowest prevalence of psychological symptom and the highest job satisfaction among different groups of health care workers. This may be related to higher income, social status and, education background that might help to protect them from depression and anxiety. Supportive staffs, who felt neglected by management, were found to have the highest prevalence of psychological symptom and higher stress levels. Nurses got highest prevalence of perceived stress. More attentions and resources should be devoted to these groups to cope with their psychological needs and stress.
published_or_final_version
Public Health
Master
Master of Public Health

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Lima, Damaris Bezerra de [UNESP]. "O espaço fórum como apoio na formação da rede intersetorial regional em saúde mental: desafios e potencialidades." Universidade Estadual Paulista (UNESP), 2013. http://hdl.handle.net/11449/97526.

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O estudo tem por objetivo descrever e analisar o processo de construção do Fórum Permanente Intersetorial de Saúde Mental da região de Ourinhos, como um processo com momentos instituintes e apoio na formação da rede intersetorial regional em saúde mental, visto que a dificuldade na emergência de processos instituintes e na reinvenção de espaços coletivos de discussão das problemáticas comuns a diferentes setores é sentida não só pela Saúde Pública, mas por toda a sociedade. O Fórum foi designado como um espaço coletivo de discussão, que objetiva refletir sobre as ações em saúde mental e levantar propostas visando à consolidação de uma rede intersetorial. Pressupõe uma gestão compartilhada e democrática, em que as redes, os vínculos e a corresponsabilização podem ser consolidados, valorizando o protagonismo nas práticas em saúde mental e na efetivação de uma política regional. A possibilidade de formular, concretizar e implantar políticas regionais de saúde mental desta forma, articulando diferentes saberes e setores, pode propiciar um espaço coletivo em que a responsabilidade seja de fato compartilhada, por meio de análises, decisões e avaliações construídas coletivamente, resultando em mais e melhor produção de vida e reafirmando pressupostos éticos no fazer em saúde mental. Neste trabalho, utilizou-se a metodologia qualitativa com registros em diário de pesquisa designada como uma pesquisa-intervenção. Dentro de uma abordagem qualitativa, a pesquisa foi desenvolvida de forma descritiva a partir da inspiração da análise institucional
This study aims to describe and analyze the process along the construction of the Permanent Intersectoral Forum of Mental Health of the Ourinhos Region, as a process with moments instituting as well as support in the formation of the regional intersectoral network in mental health, once the difficulty in emerging instituting processes and in reinventing collective spaces for the discussion of those problematics which are common to different sectors is not only felt in Public Health but in society as a whole. The Forum has been designated as a collective space for discussion, aiming to reflect on the actions in mental health and to raise propositions targeting the consolidation of an intersectoral network. It presupposes a shared and democratic management in which the networks, bonds and shared liability can be consolidated, valuing the protagonism in the practices in mental health as well as in the accomplishment of a regional politics. The possibility of formulating, materializing and implementing regional politics in mental health in this way, by articulating different knowledges and sectors can provide a collective space in which responsibility can actually be shared, by means of analysis, decisions and evaluations that are constructed collectively, resulting in more and better production of life and reaffirming ethical premises in getting mental health done. The qualitative methodology for research has been used in this work, together with entries in a research journal, designated here as an intervention-research. Within a qualitative approach, the research has been carried out by parameters of a descriptive form, from an inspiration in institutional analysis

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Lima, Damaris Bezerra de. "O espaço fórum como apoio na formação da rede intersetorial regional em saúde mental : desafios e potencialidades /." Assis, 2013. http://hdl.handle.net/11449/97526.

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Orientador: Silvio Yasui
Banca: Simone Mainieri Paulon
Banca: Cristina Amélia Luzio
Resumo: O estudo tem por objetivo descrever e analisar o processo de construção do Fórum Permanente Intersetorial de Saúde Mental da região de Ourinhos, como um processo com momentos instituintes e apoio na formação da rede intersetorial regional em saúde mental, visto que a dificuldade na emergência de processos instituintes e na reinvenção de espaços coletivos de discussão das problemáticas comuns a diferentes setores é sentida não só pela Saúde Pública, mas por toda a sociedade. O Fórum foi designado como um espaço coletivo de discussão, que objetiva refletir sobre as ações em saúde mental e levantar propostas visando à consolidação de uma rede intersetorial. Pressupõe uma gestão compartilhada e democrática, em que as redes, os vínculos e a corresponsabilização podem ser consolidados, valorizando o protagonismo nas práticas em saúde mental e na efetivação de uma política regional. A possibilidade de formular, concretizar e implantar políticas regionais de saúde mental desta forma, articulando diferentes saberes e setores, pode propiciar um espaço coletivo em que a responsabilidade seja de fato compartilhada, por meio de análises, decisões e avaliações construídas coletivamente, resultando em mais e melhor produção de vida e reafirmando pressupostos éticos no fazer em saúde mental. Neste trabalho, utilizou-se a metodologia qualitativa com registros em diário de pesquisa designada como uma pesquisa-intervenção. Dentro de uma abordagem qualitativa, a pesquisa foi desenvolvida de forma descritiva a partir da inspiração da análise institucional
Abstract: This study aims to describe and analyze the process along the construction of the Permanent Intersectoral Forum of Mental Health of the Ourinhos Region, as a process with moments instituting as well as support in the formation of the regional intersectoral network in mental health, once the difficulty in emerging instituting processes and in reinventing collective spaces for the discussion of those problematics which are common to different sectors is not only felt in Public Health but in society as a whole. The Forum has been designated as a collective space for discussion, aiming to reflect on the actions in mental health and to raise propositions targeting the consolidation of an intersectoral network. It presupposes a shared and democratic management in which the networks, bonds and shared liability can be consolidated, valuing the protagonism in the practices in mental health as well as in the accomplishment of a regional politics. The possibility of formulating, materializing and implementing regional politics in mental health in this way, by articulating different knowledges and sectors can provide a collective space in which responsibility can actually be shared, by means of analysis, decisions and evaluations that are constructed collectively, resulting in more and better production of life and reaffirming ethical premises in getting mental health done. The qualitative methodology for research has been used in this work, together with entries in a research journal, designated here as an intervention-research. Within a qualitative approach, the research has been carried out by parameters of a descriptive form, from an inspiration in institutional analysis
Mestre

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Korman, Nancy Lincoln. "Managing change : the development of mental handicap services in South East Thames Regional Health Authority, 1978-88." Thesis, London School of Economics and Political Science (University of London), 1991. http://etheses.lse.ac.uk/1105/.

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This dissertation is an examination of the planning and management issues involved in the implementation of a regional health authority decision to close a mental handicap hospital and reprovide services in seven districts which had used the hospital. Several features made this project worthy of attention: it was among the earliest hospital closures; it involved a very large number of districts and therefore was a complex situation which nonetheless was fairly typical of long-stay hospitals in the London area; all residents, regardless of degree of disability, were to be given the chance of living in the community: local authorities were also involved along with health authorities, and this project could illustrate new principles of joint planning. The project further lent itself to a consideration of the adequacy and accuracy of the academic literature on planning and related activities. The research focussed on three areas. The first set of issues related to the approaches to planning used by regional officers who had responsibility for seeing the project through to completion. The Darenth project tested the new NHS planning system which was based on a rational planning model, and found that it could not deliver what was wanted from it. Regional officers created new types of working relationships with districts which allowed progress to be made. The second set of issues concerned the management of the rundown of the hospital. Aspects of the rundown discussed are: retention and redeployment of staff; physical contraction of the hospital; impact on residents; financing the rundown. The third set of issues related to joint planning. One of the purposes behind the introduction of joint planning into the NHS was creation of a mechanism to bring about a more appropriate balance of social and health care for people who were currently long-stay patients. But it was not joint planning with local authorities which got these residents out into the community. This study documents some of the reasons why government policy intentions could not be met. The main findings of this study point to the inadequacy of a model of planning which is based solely on rational process. Policy and implementation interact over time, as ideas and personalities change, as objectives are redefined in light of current circumstances, and as recognition is given to the competition for dominance of objectives of different participants in the planning process.

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Leibe, Mary. "Creating Healthy Urban Environments: Commercial Landscaping, Preference and Public Health." ScholarWorks@UNO, 2016. http://scholarworks.uno.edu/td/2262.

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Landscape development[1] can provide many benefits, including the reduction of stormwater runoff and the creation of habitats for wildlife. It can also provide health benefits. Researchers, such as Roger Ulrich and Rita Berto have demonstrated that views of trees and other vegetation are associated with lower blood pressure and reduced recovery times in hospitals and that environments with more natural elements may lessen mental fatigue (R. Ulrich 1984) and (Berto 2005). As rebuilding in New Orleans continues 11 years after Hurricane Katrina, landscape development has been limited or lacking, especially in the redevelopment of commercial properties. Two prominent reasons for this deficiency are a lack of funding and, until August of 2015, the absence of a comprehensive landscape ordinance. The purpose of the research presented here is to determine the degree to which community residents express a preference for healthier commercial environments. As part of my research, I measured community perceptions of four potential redevelopment concepts for a blighted strip shopping center utilizing attention restoration theory (ART), which postulates that certain environmental qualities contribute to reductions in mental fatigue. I found that commercial environments with the most quality landscaping[2] are those that neighborhood residents most prefer and are most conducive to better health. Keywords: mental fatigue, attention restoration theory, perceived restoration scale, commercial landscape quantity, public health, healthy urban environment [1] Refer to operational definitions (pages 4-6). [2] Refer to operational definitions (pages 4-6).

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Harrison, Daniel Sam. "Exploring the Relationship of Urban Form and Mental Health in the 500 Largest Cities of the United States." DigitalCommons@CalPoly, 2017. https://digitalcommons.calpoly.edu/theses/1767.

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Sustainable development efforts frequently focus on understanding and promoting the factors that influence health and wellbeing. Urban environments have received attention in recent years as spaces which can increase psychological distress. Despite hypothesized reports of urban environments being less conducive to good mental health then natural environments, few studies have investigated the effects of urban form characteristics (size, density, nuisances, transportation, and housing characteristics) and mental health measures at the city level. Using 2014 data from the 500 largest cities in the United States, this thesis evaluates the relationship between urban form and aggregate self-report scores of poor mental health. Results suggest that elements of the built environment have a direct influence on mental health status. The aim of this study is to test the association of urban form characteristics and psychological distress using a cross-sectional analysis of individual health survey responses. Mental health data were collected for a study of Center for Disease Control health characteristics in the 500 largest cities in the United States. Urban form data was collected from both United States Census and GIS datasets such as the Center for Neighborhood Technology’s Housing and Transportation Affordability Index (H+T Index). Linear regression analysis and factor analyses were used to estimate the relationship between psychological distress and urban form characteristics. Results suggest that urban density is negatively associated with mental health status at city level. This finding is logical and confirms earlier research. While measures of housing cost and diversity were slightly negatively associated with mental health, measures of transportation cost and employment access were slightly positively associated.

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Akinola, Olubusayo Ruth. "Mental Health Professionals' Attitude and Perception of their Role in Tackling Substance Abuse and Related Disorders in Nigeria." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/488.

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Mental health professionals (MHPs) play a pivotal role in enhancing treatment outcomes for drug-using populations and minimizing their harm to the public. In response to a gap in the literature, this study sought to (a) assess MHPs' attitudes about the use and abuse of substances and their perception of their role in tackling substance abuse and related disorders in Nigeria, (b) identify predictors of perception, and (c) explore regional variations in attitude. Based on the validated drug and drug users' problems perception questionnaire and the substance abuse attitude survey, a cross-sectional survey was conducted in a randomized sample of 292 MHPs practicing in neuropsychiatric hospitals and in the mental health departments of teaching hospitals from 4 geopolitical zones of Nigeria. A response rate of 81.1% was achieved. MHPs' attitude about substance use tended towards the non-permissive, stereotypical, and moralistic spectrum, and its role perception was distinctly defined. Educational attainment (O.R = 0.50, p = 0.030), work-motivation (O.R = 0.55, p < 0.0001), and role-support (O.R = 1.48, p < 0.0001) significantly predicted MHPs' role perception. The Kruskal-Wallis test showed that there were significant regional variations in the attitudes of multidisciplinary MHPs, H (3) 18.727, p < 0.0001. Step-down follow up analysis revealed that the distribution of attitude total score vary significantly between the south-southern and southwestern region (p< 0.001), the northeastern and southeastern region of the country (p < 0.028). To foster the rehabilitation of this population and its reintegration into mainstream society, a holistic approach toward the standardization of drug treatment is needed. It should take into account the cultural, religious, and ethnic differences predominating in different regions.

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Chow, Lily Lucia. "Criminalization of the mentally ill : a study of psychiatric services within the Lower Mainland Regional Correctional Centre, Health Care Centre." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/29687.

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This paper examines the plight of the incarcerated mentally ill. After a consideration of the historical factors which have contributed to the current philosophy and pattern of services throughout North America, and specifically in British Columbia, the paper reports on a qualitative study using participant observation, informal and formal interviews, and Strauss' Constant Comparative Methods which was undertaken to identify the needs of the mentally ill individuals who are serving a term of imprisonment in the Health Care Centre of the Lower Mainland Regional Correctional Centre. Altogether there were eighteen formal participants. They included six mentally ill offenders, six correctional personnel, and six health care professionals. A critical analysis of the major findings -alienation, lack of organizational commitment, and the incongruencies between our social policies and practices - provided the basis for program recommendations. The challenge lies in the building of a vision that values humane treatment for the marginal members of our society.
Arts, Faculty of
Social Work, School of
Graduate

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Hudgins, Cathy Mills. "Region as a Cultural Context in Family Therapy." Diss., Virginia Tech, 2008. http://hdl.handle.net/10919/26521.

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Environmentally-constructed, regional culture as defined by geographic place is not generally included in family therapy research and training concerning race, ethnicity, gender, sexual orientation, and other contextual factors. This grounded theory research project explores how practitioners working with families acknowledge, access, and use region as a cultural context in their service delivery, specifically in the New River Valley region of Southwest Virginia. Ecological theory, social construction theory, family systems theory, and cultural competency perspectives were used to frame the research questions, to develop the interview protocol, and to support the analysis of the properties and dimensions of the concepts and categories that emerged from the data analysis. The resulting grounded theory revealed that clinicians working with regionally distinct clients combine a client-centered approach with multiple-layers of regional knowledge and self-awareness.
Ph. D.

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Andersson, Fia. "Primary health care and the challenges of identifying bipolar disorder : A regional comparative study in Sweden." Thesis, Stockholms universitet, Institutionen för folkhälsovetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-191066.

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Bipolar disorder (BD) is a severe psychiatric diagnosis that is difficult to identify. Diagnostic delays are 5-10 years and cause irreversible harm for the patient and burden health care systems. Health deterioration and societal costs may be avoided if BD were diagnosed and treated at an early stage in the disease progression. BD is supposed to be treated by specialised psychiatric health care, yet primary health care (PHC) is an important part of the process as it is often the first contact of care for patients. It would therefore be of interest to investigate the preconditions of PHC in relation to the process of early detection of BD. PHC is organised by regional administration and due to regional inequality in health care it would also be of interest to apply a geographic perspective, investigating potential geographic variation in preconditions. In this study, PHC professionals from two regions were interviewed using semi-structured interviews and data was thematically analysed. Results present mostly similarities but also some differing preconditions in the regional analysis. The study concludes that PHC has an important in the role of early detection of BD, but also for patients who already received a diagnosed.

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Traesel, Elisete Soares. "O ser e o servir nas teias da (des)estabilidade : análise psicodinâmica das vivências de servidores públicos de uma gerência regional do INSS diante dos novos modelos de gestão." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2014. http://hdl.handle.net/10183/98296.

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O objetivo dessa investigação foi conhecer a realidade de um órgão público no contexto da atual reforma gerencial, as vivências dos trabalhadores e suas condições de trabalho, bem como as repercussões destes sobre a saúde mental e qualidade de vida. Foi realizada uma pesquisa mista de abordagem transformativa-sequencial. Aplicou-se o questionário WHOQOL-Bref, que avalia a qualidade de vida e o questionário SRQ-20, que levanta dados acerca da saúde mental, no que se refere aos Transtornos Psíquicos Menores associados a sintomas psicossomáticos. A pesquisa qualitativa foi orientada pela metodologia da PDT – Psicodinâmica do Trabalho que consiste em uma escuta coletiva das vivências dos trabalhadores. Participaram 51 servidores de uma gerência regional do INSS. Além da aplicação dos questionários, foram realizados 12 encontros para escuta coletiva. Constatou-se que os participantes consideram sua qualidade de vida na média de 14 (entre 4 e 20). Na análise das subescalas e questões individuais, há um decréscimo significativo deste escore, indicando que o índice de qualidade de vida geral não é representativo de todos os domínios da mesma. Nas questões relativas ao ambiente físico 88% mostram-se insatisfeitos. O nível de energia também foi considerado insatisfatório, sendo que 56,9 % o valoraram em pouco ou médio. Já para as oportunidades de lazer, o percentual de insatisfação foi de 70,6%. Essa insatisfação manifestada é congruente com os resultados da pesquisa qualitativa. Já o SRQ-20 aponta agravos à saúde mental dos participantes, associados ao ritmo frenético e sem sentido a que estão continuamente submetidos. 72,5% dos participantes encontram-se nervosos, tensos e preocupados, revelando sua insegurança com o futuro e a instabilidade da reforma gerencial. No cômputo geral, para o ponto de corte 7/8 verificou-se positividade ao SRQ-20, sendo que o índice sinalizador de transtornos psíquicos menores foi de 42,9%. A análise das subescalas do SRQ-20 deixou claro que os principais aspectos sugestivos de transtornos psíquicos situam-se na dimensão humor depressivo-ansioso e na dimensão decréscimo de energia vital, sinalizando sobrecarga, esvaziamento do sentido do trabalho, insegurança e desgaste mental e indicando a urgência de ações de prevenção e promoção de saúde neste contexto. A investigação da associação entre os aspectos de qualidade de vida e saúde mental e os aspectos psicodinâmicos do trabalho revelou fatores significativos de adoecimento psíquico. Destaca-se a prevalência de estratégias defensivas individuais de resignação, submissão e isolamento, bem como predomínio do sofrimento patogênico. Alia-se ao acima exposto, a precarização deste contexto de trabalho verificada, em especial, na falta de reconhecimento à importância do servidor público no que se refere aos resultados sociais de seu trabalho associado ao desmoronamento da ética do bem comum que sustenta o sentido do mesmo. Ainda, verificou-se (des)estabilidade evidenciada na descontinuidade da renda e na falta de oportunidades de crescimento e, também, na intensa sobrecarga de trabalho. O orgulho pela profissão, o prazer por garantir os direitos do segurado e o reconhecimento e valorização desse importante papel social, bem como a retomada dos coletivos de trabalho, através da criação de espaços públicos de discussão, conforme propostos pela PDT, podem constituir estratégias de enfrentamento na promoção de relações de trabalho mais saudáveis e emancipatórias.
The goal of this research was to understand the reality of a Brazilian public corporation in the current management reform context, the workers‟ experiences, their working conditions, and its impact on their mental health and on their quality of life. A mixed sequential- transformative research approach was conducted. We used the WHOQOL-Bref questionnaire, that evaluates the quality of life, and the SRQ-20, which seeks data on mental health, with regard to Minor Psychiatric Disorders associated to psychosomatic symptoms. The qualitative research was guided by PDT (in Portuguese) methodology - Psychodynamics of Work, which consists in collective listening to the workers‟ experiences. 51 workers from a regional INSS agency (similar to Social Security Agency), located in Rio Grande do Sul, state of Brazil, participated to this research. Besides applying questionnaires, 12 meetings were held for collective listening. It was found that participants consider their quality of life on average 14 (from 4 to 20). In the analysis of subscales and individual issues, there is a significant decrease of this score, indicating that the rate of overall quality of life does not represent its entire domain. Considering physical environment, 88% of workers were dissatisfied. The energy level was also considered unsatisfactory, having in mind that 56.9% of workers evaluated it as little or medium. For leisure opportunities, the percentage of dissatisfaction was about 70.6%. The dissatisfaction expressed is congruent with the results of qualitative research. The SRQ-20 points out harm to participants‟ mental health, associated to frenetic pace and meaningless activities to which they are continuously subjected. 72.5% of participants were nervous, tense and worried, revealing their insecurity about the future and the instability of the current management reform. Overall, for the cut-off point 7/8 there was positivity to the SRQ-20 and minor psychiatric disorders index was 42.9 %. The analysis of SRQ-20 subscales revealed the main suggestive aspects of mental disorders lie in the anxious-depressive mood and in the decrease of vital energy dimension, indicating overload, loss of work meaning, insecurity and mental fatigue, indicating the urgency of prevention and health promotion actions in this context. The investigation on the association between quality of life aspects and mental health ones and also on psychodynamics of work characteristics revealed significant factors about mental illness. It is possible to highlight the prevalence of individual defensive strategies of resignation, submission and insulation as well as prevalence of pathogenic suffering. We add the above mentioned to the precariousness verified in this work context, in particular, the lack of recognition to the importance of public servants in what regards the social outcomes of their work, associated to the collapse of common good ethics that maintain working sense. Besides, there was (in)stability demonstrated from discontinuity of salary, from lack of growth opportunities and also from the intense workload. The pride in this profession, the pleasure in ensuring people‟s rights and the recognition and appreciation of this important social role, as well as the resumption of work collectives, through the creation of discussion spaces, as proposed by PDT, may create facing strategies for promoting healthier working relationships and emancipatory actions.

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13

Salvalagio, Ana Rosa. "A reforma psiquiátrica e seus rebatimentos sobre as famílias atendidas nos CAPS I da 20ª Regional de Saúde do Paraná." Universidade Estadual do Oeste do Paraná, 2018. http://tede.unioeste.br/handle/tede/4070.

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Currently, Mental Health care is the reflection of numerous discussions and changes that culminated in the Psychiatric Reform process, which aims to gradually replace Psychiatric Hospitals with community-based open services, such as the Psychosocial Care Center (PCC), considered one of the main provisions of Mental Health policy. The family institution was historically moved away from the person with mental disorder, but throughout the historical process and the changes in Mental Health Policy, this was taken as a partner in the care. In this context, the impacts generated by the need for family care for mental disorders are also related to the peculiarity of social policies in Brazil (generally, focalists, precarious and welfarist), and Mental Health, being one of these policies, does not escape its logic. As the PCC is a currently the strategic equipment of the Mental Health Policy, users and their families are key subjects to understand the problem to be researched, namely: To what extent the implementation of the Psychiatric Reform generates impacts on the families served in the PPC I of the 20th Regional of Health of Paraná? What are these impacts? Or, what kind of refuting were produced about the family in the face of the need to care for a member with mental disorder posed by the logic of family and community life in which the Psychiatric Reform is based? In order to respond to this research problem, this research proposal is carried out through the qualitative approach, through exploratory research. To do this, an empirical study is carried out by the research subjects: families of people with mental disorders treated in the PCC I of the municipalities of the 20th Regional Health Center of Paraná (cities of Assis Chateaubriand, Palotina, Guaíra, Marechal Cândido Rondon, and Santa Helena). The purpose of this study is to: seize, understand and analyze the refuting / impacts of the implementation of the Psychiatric Reform on the families served in the PCC I by the referred Health Region. The semi-structured interview is used as a methodology and the data are interpreted collected through the technique of content analysis. The results show that PCC I need to implement actions that address families as caregivers, but also need care. Despite insufficient family-directed activities, family members demonstrate satisfaction with the performance of PCC related to the treatment mental disorder patients. We conclude that the Psychiatric Reform as a process of tensions and contradictions, which permeate capitalist society itself, has its weaknesses; however, it is still a very important proposal for the construction of new forms of care and new relations between Family / User / Services. In spite of this importance, it is clear in the discourses of family members, the role of the family as a private agent of social protection, when assuming the functions of protection that the State should exercise, evidencing a family overloaded with the demands of care. It is hoped that this research allows important reflections for professionals and managers of Mental Health, once the approximation with the reality of the users of the PCC I and their relatives, relevant quantitative and qualitative data on the familiar coexistence was obtained, giving support for new interventions.
Atualmente, a assistência em Saúde Mental é o reflexo de inúmeras discussões e mudanças que culminaram no processo da Reforma Psiquiátrica, que visa à substituição gradativa dos Hospitais Psiquiátricos por serviços abertos de base comunitária, dentre eles o Centro de Atenção Psicossocial (CAPS), os quais são considerados um dos principais dispositivos da política de Saúde Mental. A instituição familiar foi historicamente afastada da pessoa com transtorno mental, mas ao longo do processo histórico e das mudanças na Política de Saúde Mental, essa foi tomada como parceira no cuidado. Nesse contexto, os impactos gerados pela necessidade do cuidado familiar do transtorno mental, relaciona-se também à peculiaridade das políticas sociais no Brasil (geralmente, focalistas, precarizadas e assistencialistas) e à Saúde Mental, sendo uma dessas políticas, não escapa à sua lógica. Frente a essa realidade, como os CAPS são atualmente os equipamentos estratégicos da Política de Saúde Mental, os usuários e suas famílias são sujeitos à chaves para se compreender a problemática que se quer pesquisar, a saber: Em que medida a implementação da Reforma Psiquiátrica gera impactos sobre as famílias atendidas nos CAPS I da 20ª Regional de Saúde do Paraná? Quais são esses impactos? Ou que tipo de rebatimentos foram produzidos sobre a família diante da necessidade do cuidado de um membro com transtorno mental posta pela lógica da convivência familiar e comunitária em que se pauta a Reforma Psiquiátrica? Para responder a tais perguntas de pesquisa, esta proposta investigativa realizou-se por meio da abordagem qualitativa, por meio da pesquisa exploratória. Para tanto, realizou-se um estudo empírico com os sujeitos da pesquisa: famílias de pessoas com transtorno mental atendidas nos CAPS I dos municípios da 20ª Regional de Saúde do Paraná (Assis Chateaubriand, Palotina, Guaíra, Marechal Cândido Rondon e Santa Helena). Objetivou-se, com este estudo, apreender, compreender e analisar os rebatimentos/impactos da implementação da Reforma Psiquiátrica sobre as famílias atendidas nos CAPS I da referida Regional de Saúde. Utilizou-se como metodologia a entrevista semiestruturada, os dados coletados foram analisados e interpretados por meio da técnica de análise de conteúdo. Os resultados obtidos revelaram que os CAPS I precisam implementar ações que atendam às famílias como sujeitos que cuidam, mas que também precisam de cuidado. Apesar da insuficiência de atividades direcionadas para a família, os familiares demostram satisfação com o trabalho que o CAPS realiza com as pessoas com transtorno mental. Conclui-se, com base nos dados, que a Reforma Psiquiátrica, na condição de um processo de tensões e contradições, as quais permeiam a própria sociedade capitalista, apresenta suas fragilidades; entretanto, ela não deixa de ser uma proposta importantíssima para a construção de novas formas de cuidado e novas relações entre Família/Usuário/Serviços. Não obstante, apesar dessa importância, ficou latente nos discursos dos familiares/cuidadores a família como agente privado de proteção social, ao assumir funções de proteção que o Estado deveria exercer, evidenciando-se uma família sobrecarregada com as demandas do cuidado. Espera-se que esta pesquisa possibilite reflexões importantes para os profissionais e gestores da Saúde Mental, uma vez que a aproximação com a realidade dos usuários dos CAPS I e seus familiares, levantou-se dados quantitativos e qualitativos relevantes sobre a convivência familiar, dando suporte para novas intervenções.

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Cuel, Brena Talita. "Caminhos da rede : a experiência de uma regional do SUS na organização da Rede De Atenção Psicossocial (RAPS) a quem faz uso de drogas." Universidade Federal de São Carlos, 2016. https://repositorio.ufscar.br/handle/ufscar/7950.

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The current debate about the "drug problem" in society has been the subject of major political and social actions. Recently, both the Ministry of Health and the Government of the State of São Paulo have provided urgently measures to combat this problem. The Psychosocial Care Network (PSCN) has been deploying as a guideline of these actions, in order to propose a redevelop of the health care services for people with mental disorders and other, who are addicted to alcohol and other drugs, seeking an articulation among territorial services to provide an adequately response to the demands for each region. In this context, it is proposed to know how the implementation of the PSCN in a determined Regional Health of the State of São Paulo has occurred, specifically on the care of the drug users, from the view of the mental health service technician. The methodology of the field in the Social Occupational Therapy is grounded on the discussion of the social role of the technician with special attention to the health technician. The regional in discussion has 26 cities and 29 specialized care services in mental health. 135 questionnaires were applied to the service technicians, an interview was conducted with the regional manager of mental health, eight questionnaires were applied to the municipal managers of mental health and a conversation was held with the technical team of a specialized service, CAPS-ad (Center of Psychosocial Care – Alcohols and Drugs), which is from a city that take part in this Regional. This study has showed that the process of the PSCN implementation is vertical and hierarchical, which hampers an effective articulated network among the technicians, even as the discussion about the intersectoriality and networking. The mental health area displays a restricted speech to its services, acting in a sectored way, away from the concept of networking and intersectionality. As a result, this study also brings the role ambiguous that the technician has, sometimes reproducing a technical and with it keeping the social order; sometimes illustrating the central role in the care of that population. Thus it has reflected ways and possibilities to think of mode of management and technical team, through the improvement of the social networks and the care of the person, individual and collective.
O debate atual acerca do “problema das drogas” na sociedade tem sido tema das principais ações políticas e sociais. Recentemente, tanto o Ministério da Saúde quanto o Governo do Estado de São Paulo têm implantado medidas de caráter de urgência para combater tal problemática. Uma das diretrizes dessas ações tem sido a implantação da Rede de Atenção Psicossocial (RAPS) como forma de propor uma reformulação nos serviços de atenção e cuidado às pessoas com transtornos mentais e que fazem uso de álcool e outras drogas, buscando uma articulação entre serviços territoriais para que possam responder satisfatoriamente às demandas de cada região. Nesse contexto, propõe-se conhecer como tem ocorrido a implantação da RAPS numa determinada Regional de Saúde no estado de São Paulo, especificamente, no que tange ao cuidado aos usuários de drogas, a partir da visão do técnico do serviço de saúde mental. Embasase na metodologia do campo da Terapia Ocupacional Social acerca da discussão sobre o papel social do técnico, com recorte aqui para o técnico do setor de saúde. A regional em tela soma 26 municípios e 29 serviços especializados de cuidado em saúde mental. Foram aplicados 135 questionários com os técnicos dos serviços, realizou-se uma entrevista com o gestor regional de saúde mental, aplicaram-se oito questionários com os gestores municipais de saúde mental e foi realizada uma conversa dialogada junto à equipe técnica de um serviço especializado (um Centro de Atenção Psicossocial Álcool e Drogas - CAPS-ad) de um dos municípios que compõe esta Regional. Tal estudo mostrou que o processo de implantação da RAPS ocorre de maneira vertical e hierárquica, dificultando a efetivação de uma rede articulada entre os técnicos, assim como a discussão sobre intersetorialidade e o trabalho em rede. A área de saúde mental apresenta conteúdo teórico ainda restrito aos seus serviços, atuando de maneira setorizada, distante do conceito de redes e de intersetorialidade. Também, traz como resultados o papel ambíguo que o técnico ocupa, ora sendo reprodutor de uma técnica e, com isso, mantenedor da ordem social; ora desempenhando papel central para o cuidado àquela população. Refletem-se aqui caminhos e possibilidades para se pensar formas de gestão e da equipe técnica, por meio da valorização das redes sociais e do cuidado ao sujeito, individual e coletivo.

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Sasso, Ariane Morassi. "Desenvolvimento de um sistema para a gestão de desempenho dos centros de atenção psicossocial (CAPS) em um departamento regional de saúde." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/82/82131/tde-03102017-161209/.

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Nos últimos 40 anos, o modelo de atenção em saúde mental sofreu profundas modificações, sendo que desde a década de 70 diversos movimentos sociais e profissionais impulsionaram a Reforma Psiquiátrica e o processo de desinstitucionalização. Este, pregava o fim do modelo asilar vigente, responsável pela exclusão e cronificação de doentes, para dar lugar a criação de um novo modelo guiado por serviços extra-hospitalares e mais humanitários, tendo como principal representante os Centros de Atenção Psicossocial (CAPS). Esses serviços foram considerados a porta de entrada da rede de atenção à saúde mental e tem como responsabilidade estabelecer iniciativas conjuntas de levantamento de dados relevantes sobre os principais problemas e necessidades de saúde mental no território. Para tanto, necessitam de uma forma de coletar, armazenar e disponibilizar esses dados, de modo a gerar informações que possam auxiliar no processo de gestão e tomada de decisão, para garantir a qualidade do cuidado prestado. A entrada de dados e obtenção dessas informações poderiam ser feitas por meio de um sistema eletrônico, no entanto, percebe-se a ausência de sistema de armazenamento e manipulação de dados com informações técnicas e gerenciais acerca da saúde mental no Sistema Único de Saúde (SUS) e a carência de instrumentos de avaliação e de indicadores para aferir a efetividade do serviço prestado, inclusive no Departamento Regional de Saúde XIII do Estado de São Paulo (DRS XIII), que é o foco desse projeto. Dessa maneira, torna-se necessário o desenvolvimento de um sistema informatizado, que auxilie os CAPS dessa região nessa coleta e armazenamento de dados e na geração de indicadores e relatórios que se mostrem eficazes para a melhoria do serviço como um todo. Dessa forma, no presente projeto, como resultados foram descritos os fluxos de atendimento pelo qual é submetido o paciente em cada CAPS do DRS XIII, foram analisados alguns instrumentos de coleta de dados utilizados pelos mesmos, como o projeto terapêutico e a entrevista psicossocial e ainda, visando melhorar futuramente o armazenamento de dados no sistema, foram feitas sugestões para representação de conceitos na área de saúde mental por meio de arquétipos no padrão openEHR. Além disso, o sistema web foi desenvolvido e está em fase de testes.
In the last 40 years, the mental health care system has undergone profound changes, and since the 70s, various social and professional movements boosted the psychiatric reform and the deinstitutionalization process. This, preached the end of the current asylum model, responsible for the exclusion and chronicity of patients, and made way for a new model driven by more humanitarian outpatient services, wherein the main representatives were the Community Mental Health Services (Centros de Atenção Psicossocial, CAPS). These services are considered the entrance to the mental health network and they have the responsibility for establishing joint initiatives for data collection on key issues and on mental health needs in the territory. To achieve this, they need a way to collect, store and make this data available in order to generate information that can assist in the management and in the decision making process, ensuring the quality of care provided. The data entry and the obtainment of this information could be made through an electronic system, however, we can notice the absence of a system to store and manipulate technical and managerial information about mental health in the Unified Health System (Sistema Único de Saúde, SUS). In addition, there is a lack of assessment tools and indicators to measure the effectiveness of the services, including in the XIII Regional Health Department of the São Paulo State (Departamento Regional de Saúde XIII, DRS XIII), which is the focus of this project. In this way, it becomes necessary to develop a computerized system, which would help CAPS from that region in the data collection and storage of relevant information and in the generation of indicators and reports that may be effective to improve the network as a whole. In this dissertation, as an initial process for the creation of the system, the study of the flow of care a patient is subjected in each CAPS from the DRS XIII is described. Besides that, is also described the study of data collection instruments used by them, such as the therapeutic project and psychosocial interview. Finally, aiming to improve future data storage in the system, suggestions are made for the representation of concepts in the mental health area through archetypes in the openEHR standard.

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Flogstam, Johanna, and Jensen Lina Wernström. ""Jag tror vi behöver bli mer tränade i att prata om livet och döden och universum" : En kvalitativ studie om betydelsen av den existentiella hälsan inom kommunalt och regionalt folkhälsoarbete bland barn och unga." Thesis, Högskolan Kristianstad, Fakulteten för hälsovetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-22219.

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Inledning: Den psykiska ohälsoutvecklingen bland barn och unga är idag ett allvarligt folkhälsoproblem. Evidens påvisar att den existentiella hälsan har betydelse för psykisk hälsa och välbefinnande. Snacka om livet (SOL) är ett projekt som utformats för att främja barn och ungas existentiella hälsa. Ett fortsatt arbete med projektet är beroende av att det skapas förutsättningar för områdets implementering och att politiken och beslutsfattare prioriterar området. Syfte: Att undersöka upplevelsen av den existentiella hälsan inom Skånes kommunala och regionala sektorsövergripande folkhälsoarbete i främjandet av barn och ungas psykiska hälsa. Metod: Studien hade en kvalitativ ansats med tio deltagare med ledande befattning inom kommun och region. Informanterna selekterades utifrån ett strategiskt urval. Intervjuerna genomfördes med semistrukturerad metod och med ett genomgående etiskt beaktande. Empirin analyserades utifrån kvalitativ innehållsanalys. Resultat: I resultatet framkom att området är nytt, viktigt och aktuellt i relation till den psykiska ohälsan bland barn och unga. Begreppet upplevdes i viss mån komplext och tabubelagt men beskrevs även ha stora vinster för individ och samhälle. Den existentiella hälsan uppfattades kunna stärka och rusta barn och unga. En förutsättning för områdets implementering menades bland annat vara att begreppet inkluderas i folkhälsoarbetet. Konklusion: Studien har kunnat bidra med ytterligare evidens och kunskap till detta relativt nya och outforskade område. Den existentiella hälsan är en resurs i såväl det förebyggande som främjande folkhälsoarbetet. Studien har identifierat att health literacy kan vara ett viktigt verktyg för områdets integrering inom folkhälsan. Begreppet behöver tydliggöras, medvetandegöras och få utrymme i det folkhälsovetenskapliga perspektivet.
Introduction: The development of mental illness among children and adolescents is a serious public health problem today. Evidence shows that spiritual health is important for mental health and well-being. Snacka om livet (SOL) is a project designed to promote the existential health of children and adolescents. Continued work on the project depends on creating the conditions for the area’s implementation and on policymakers prioritizing the area. Purpose: To investigate the experience of existential health within Skåne's municipal and regional cross-sectoral public health work in the promotion of children and young people's mental health. Methods: The study had a qualitative approach with ten participants with senior positions within the municipality and region. The informants were selected based on a strategic selection. The interviews were conducted with a semi-structured method and with thorough ethical considerations. The empirics were analyzed based on qualitative content analysis. Results: The results showed that the area is new, important and of current interest in relation to mental illness among children and adolescents. The concept was to some extent perceived as complex and taboo but was also described as having great benefits for individuals and society. Spiritual health was perceived to strengthen and equip children and adolescents. A prerequisite for the area’s implementation was meant, among other things, to include the concept in public health work. Conclusion: The study has been able to contribute additional evidence and knowledge to this relatively new and unexplored area. Spiritual health is a resource in both prevention and promotion of public health work. The study has identified that health literacy can be an important tool for the area's integration into public health. The concept needs to be clarified, made aware and given space in the public health perspective.

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Gnanadev, Appannagari M. D. "Expanding a gang tattoo removal program for San Bernardino County." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1738.

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This thesis covers the background and history of cultural attitudes towards body art, scarification and tattoos, the history of street gangs and their influence and impact on Southern California communities, and an in-depth program analysis of the "Gang Tattoo Removal Program" established at the Arrowhead Regional Medical Center (ARMC).

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Jennifer, Gedeon. "Assessing the Social and Mental Health Services Provided to Middle-Eastern Newcomers in the Resettlement Process in the National Capital Region." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32330.

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This is a qualitative case study based on a literature review, an analysis of the websites of two social service organizations, and interviews with 16 social service providers (counselors, physicians, community leaders) who work with newcomers from conflict affected countries in the Middle East. This study explores the social and mental health services provided to newcomers in the National Capital Region, and identifies the internal and external obstacles associated with the resettlement process and reception of mental health treatment options. Social environments, gender roles, pre-migration experiences and cultural implications play a role in the resettlement process and the ability to live in the host country. The mental health services offered acknowledge the cultural differences between the immigrant population and the host country’s population; there is evidence that mental health services in Canada are incorporating the cultural differences into the therapy methods. While this has begun, there are still many difficulties associated to stigma, language barriers, misunderstandings of social norms and institutions, and structural issues linked to that fact that the federal government funds many of these mental health services.

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Krasniqi, Miranda, and Ayche Rufat. "Förbättrat inflytande för brukare med psykisk ohälsa : en kvalitativ studie om samverkan mellan regionala och kommunala organisationer." Thesis, Högskolan Kristianstad, Fakulteten för hälsovetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-22159.

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Psykisk ohälsa är idag ett av de största folkhälsoproblemen i Sverige. Syftet med studien var att inom socialpsykiatrin undersöka samverkan, personcentrering och brukarinflytande för brukare med psykisk ohälsa. Syftet var också att kartlägga hur COVID-19 pandemin har påverkat organisationernas planerade insatser för brukarinflytande. Kvalitativ ansats användes för att intervjua olika professioner för att undersöka hur deras samverkan bidrog till brukarinflytande. Sammanlagt intervjuades 8 personer. Resultatet visade två kategorier: samverkan är nödvändig för arbete med brukarinflytande och personcentrering samt COVID-19 pandemin har begränsat organisationernas planerade insatser för brukarinflytande. Resultatet visade att brukarinflytande var en viktig del av arbetet som bidrog till att brukarna alltid var i centrum med att vara en del av utformningen av insatserna. Genom brukarnas delaktighet och inflytande kunde den psykiska ohälsan motverkas och bidra till välmående. De slutsatser som kan dras av studien var att samverkan var svår men samtidigt väldigt viktigt. Det behövdes samarbete med många aktörer för att samverkan skulle vara lyckat och naturlig del av arbetsprocessen för personcentrering och brukarinflytande.

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Drew, David, and Jessica Banks. "RELIGION AND SPIRITUALITY IN CLINICAL PRACTICE: AN EXPLORATION OF RELUCTANCE AMONG PRACTITIONERS." CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/858.

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Across the United States, an overwhelming majority of the population claim that religion and spirituality beliefs shape their worldview and assist in coping with life stressors. Yet, the literature has shown that mental health practitioners reported discomfort integrating religion and spiritually in clinical practice. The purpose of this study was to explore whether license-holding mental health professionals in Southern California develop reluctance toward addressing religion/spirituality with their clients. Through snowball sampling, 52 clinicians composed of social workers, counselors, marriage and family therapists, nurses, psychologists, and psychiatrists were recruited across Southern California (N =52). The participants were measured descriptively based on (a) confidence in their ability to integrate client beliefs into treatment and (b) their comfort discussing topics related to RS with their clients. Results revealed an overall level of reluctance ranging from 15 percent (for comfortability) to 25 percent (for ability) among the study participants. Licensed clinical social workers reported slightly lower reluctance level than other licensed professionals. Implications of the findings were discussed.

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Ogaranko, Christine E. "Consumer participation in mental health planning : the development of the Winnipeg Regional Mental Health Council's role within a regionalized health care system." 2000. http://hdl.handle.net/1993/23068.

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Chen, Hung-Hua, and 陳虹樺. "A Cross-regional Comparison of Environmental Restorative Perceptions and Mental Health." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/7dq29n.

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碩士
國立東華大學
觀光暨休閒遊憩學系
106
Making contact with nature has a restorative effect on human both physically and psychologically and improves people’s mental health. Studies have shown that different types of landscapes and environments have different restorative effects and mental health perceptions. People who are frequently exposed to natural environment have better environmental restorative perception and mental health. There is a distinctive difference in the urban and rural settings between the east and west coasts of Taiwan, as there are obviously more natural resources on the east coast. However, there is only a small number of studies focusing on the comparison between cross-regional variables in terms of restorative effects and mental health. For this, it is the purpose of this study to investigate the difference between visitors to Hualien and Taitung county on the east coast and to the rest of Taiwan, and to shed some light on how environmental restorative perceptions have influence on the mental health in general. An in-side questionnaire survey was conducted on tourists and covered 3 areas, namely the Huisun National Forest Park on the west coast and the Chinan National Forest Recreation Area and Liyu Lake on the east coast. The survey was conducted in 2013, 2016 and 2017. 936 copies of questionnaire were distributed and 760 valid copies were retrieved with a retrieval rate of 81.1％. The tourists were grouped into those from the east coast and those from the west coast based on the zip code provided in the questionnaire. The data collected were analyzed using factor analysis, reliability analysis, multivariate analysis of variance (MANOVA), analysis of covariance (ANCOVA) and regression analysis. The results are presented below: (1) the environmental restorative perception consisted of freedom from restraints, attractions and escape from daily chores for the factor analysis, whereas the mental health covered physical and psychological rhythms, driving performance, restoration of focus and psychological comfort; (2) the dimensional reliability ranged from 0.76 to 0.85 for the environmental restorative perception scale with the attraction at the highest. For the mental health scale, the dimensional reliability fell between 0.72 and 0.91 with the physical and psychological rhythms at the highest. Both of the scales above provided acceptable validity and reliability for the purpose of the study; (3) the MANOVA carried out on the statistical variables of the socioeconomic context revealed significant difference in environmental restorative perception in terms of age, marriage status and occupation, whereas gender, age, marriage status, occupation and residence exhibited significant difference in mental health. Visitors who are 41 years old or older, married, have a full-time job and homemakers had better environmental restorative perception and mental health; gender and age displayed significant difference only in mental health. Female visitors performed better than male ones in the categories of physical and psychological rhythms restoration of focus and those from west coast performed better than those from east coast in physical and psychological rhythms; (4) when the variables of marriage status, age and occupation remained stationery, it was found that residence had no significant effect on environmental restorative perception. When marriage status, age and occupation remained unchanged, the residence had different effect on physical and psychological rhythms for mental health and west coast visitors had better mental health. By controlling the gender variable, it was clear that the residence had different effect on driving performance and physical and psychological rhythms and east coast visitors did better than west coast ones in terms of the driving performance. On the other hand, the effect was more significant in west coast visitors that in east coast visitors in terms of physical and psychological rhythms; (5) by defining the three environmental restorative perception dimensions at independent variables, the multiple regression analysis for mental health indicated that all four multiple regression models used came out significant with R2 ranging from 0.039 to 0.308. The three environmental restorative perception dimensions had the greatest explanatory power of multiple regression models on psychological comfort, since all three environmental restorative perception dimensions were significant. It is suggested that the regulatory authority promote the health effects from the natural environment for visitors of various socioeconomic backgrounds as this is not only beneficial to human health both physically and psychologically, but also serves as a basis for cross-regional tourism promotion and leisure travels. A possible topic for future studies on cross-regional mental health research can be,for example, adding the variables of personal socioeconomic background into the multiple regression models to predict mental health. The finding may shed further insights on the research of this line.

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Packham, Brooke Elise. "Effectiveness of Dialectical Behaviour Therapy Group Skills Training for Borderline Personality Disorder in Regional Community Mental Health." Thesis, 2022. https://hdl.handle.net/2440/136552.

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Borderline Personality Disorder (BPD) is a complex psychiatric disorder characterised by significant and pervasive impairment in personality and interpersonal functioning. Dialectical Behaviour Therapy (DBT) has been extensively empirically evaluated as an efficacious treatment for BPD. However, the complete DBT protocol has demonstrated constraints which limit its feasibility in public mental health settings, particularly in rural areas where budget and workforce resources are most limited. Recent research has prioritised ‘pared-down’ treatment approaches for BPD, identifying the minimum essential elements of effective care, offering greater feasibility for implementation in challenging real-world service environments. Study One provides a systematic review of DBT ‘dismantling’ studies, offering critical appraisal of five studies comparing standard DBT to standalone DBT skills training and/or individual DBT-only. Findings indicated few or no clinically or statistically significant differences between DBT conditions, and suggest that these approaches may be similarly effective in reducing suicidality and self-harm, and may reduce general psychological distress. Overall, the reviewed studies provide modest, preliminary evidence for the use of DBT skills training as a standalone treatment for BPD in real-world clinical settings. The effectiveness of standalone DBT skills training as a treatment for BPD when implemented within community mental health services in regional South Australia is examined. Study Two, a randomised controlled trial (RCT) of 34 women with BPD, is presented in two parts. Part I examined outcomes of symptomology, quality of life and satisfaction with services, compared to pre-intervention levels relative to treatment as usual. A statistically significant improvement in BPD-related symptoms was identified, along with increased self-perceived quality of life in the domains of social relationships and environment. No statistically significant change in quality of life for the domains of psychological or physical health was reported. While participants reported strong satisfaction with services, there was no statistically significant difference between groups. Part II examined impacts on health services usage compared to pre-intervention levels relative to treatment as usual. Results indicated a statistically significant reduction in health services usage for the DBT skills training group participants in the period following the intervention, with significantly fewer emergency mental health presentations, mental health admissions and total days of admission. There was no statistically significant difference between the intervention and control groups for these outcomes. In Study Three, a pre-post comparison of 12 men with BPD examined outcomes of symptomology, quality of life and client satisfaction with services. A statistically significant improvement in BPD-related symptoms was identified, as was increased self-perceived quality of life in the domain of social relationships. No statistically significant change in quality of life for the domains of psychological or physical health or environment was identified. Participants reported a high level of satisfaction with services. The results support the effectiveness of group DBT skills training as a treatment for BPD in community mental health settings. These findings are of particular import for rural areas, offering a practical approach to BPD which can be integrated within existing services, without need for increased funding or workforce resources.
Thesis (Ph.D.) -- University of Adelaide, School of Psychology, 2022

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Chiang, Hung-Chi, and 江弘基. "Help-receiving Experiences of Reported Suicide Attempters: Field Observation of Nantou Regional Mental Health Service Center." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/16534252477729284401.

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博士
國立臺灣大學
健康政策與管理研究所
101
Purpose: This doctoral dissertation aimed at understanding the help-receiving experiences of reported suicide attempters while passively facing community outreach postvention services. It is the researcher’s hope that, by looking deeply into the interaction between involuntary suicide attempters and service providers, the social context behind the suicide prevention strategy be further clarified. Methods and materials: In-depth interviews with 30 reported suicide attempters, including their families were carried out, between 2003 and 2005, with the assistance of community outreach nurses in the Nantou Regional Mental Health Service Center. Before the interviews began, the researcher spent six months on participation observation in outpatient clinics and outreach visits to familiarize with suicidal patients and clients. Details regarding the operation of the center were also collected as background information. Results: According to the analysis of transcripts of interviews and the comparison with case records, the researcher found that after the suicide attempters were reported and outreached, they became the involuntary clients. The rejection/acceptance of the postvention services were related to the ways they looked at their suicide attempts and the affiliation of the outreach helpers. The turning point of attitude change was determined by the personality and helping style of the helpers. Traditional models of help-seeking behaviors, which are based on the concept of active help-seeking and compliance to professional advises, do not apply in the case of the passive, help-receiving suicidal attempters. Due to the stigma attached to both suicidal behaviors and mental illness/health services, the reported suicide attempters’ trust and acceptance towards community outreach services cannot be guaranteed by the professional/institutional identity of the psychiatric outreach nurses; most of the time, it became barriers to receiving assistance. The severity of emotional distress and the negative consequences of not seeking help, as emphasized in healthcare utilization studies, also cannot explain why the involuntary helpees changed their minds. For those who finally accepted referral mental health care, looking for specific professionals for different needs is crucial during their journey of receiving help for recovery. This finding fits the model of entry point in healthcare research. As for the issue of timing to seek help, this study points out many blind-spots related to lay delay and system delay of the suicide prevention system. Conclusions: Psychiatry/medical model dominated the strategy development and services provision of suicide prevention efforts made by the Nantou Regional Mental Health Service Center. From the help-receiving experiences of the suicide attempters, it is clear that the mental illness perception cannot facilitate help-seeking/receiving behaviors, especially in the initial stage of outreach intervention. The mal-adaption responses to this setback triggered the pro-action approach adopted later by the center. The psychiatric nurses step forward and further and went beyond psychiatric wards, professional identities, and rigid administrative procedures. The result was a successful interaction model between involuntary suicide attempters and innovative outreach helper. It shows an alternative to risk-approach, which over-relies on unexplainable, and often frustrating, mortality and morbidity.

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Zeng, Ma Li, and 曾瑪俐. "Job Stress and Mindfulness, physical and Mental Health of Nurses Evidence from a Regional Teaching Hospital." Thesis, 2019. http://ndltd.ncl.edu.tw/cgi-bin/gs32/gsweb.cgi/login?o=dnclcdr&s=id=%22107CGU05528030%22.&searchmode=basic.

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Weng, Chic-erh, and 翁芝爾. "Exploring the Influence of Workplace Violence on Physical and Mental Health among Nurses of a Regional Teaching Hospital." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/r8ew7y.

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碩士
國立臺灣大學
健康政策與管理研究所
106
Workplace violence, as a major type of psychosocial work hazards, has been known to impost significant physical and mental health risks on workers. This issue has gained growing attentions in the field of occupational health management in Taiwan. This study was designed to examine the prevalence of workplace violence in nursing staff and to understand its impacts on physical and mental health as well as burnout status. A cross-sectional questionnaire survey was conducted among female nurses of a regional hospital which is located in the Northern Taiwan. Recruited through convenience sampling methods, a total of 288 female nurses participated and completed questionnaires. SPSS 22 software was used for data analysis. The findings of the research are listed as below: (1) The 12-month prevalence of workplace violence among nurses were 60.1% for verbal violence, 29.2% for psychological violence, 17.4% for physical violence and 6.9% for sexual harassment; the prevalence of workplace violence in any of the above types was 63.9%; among them, the percentages of nurses who had ever filed complaints were in the range of 12.9% and 23.7%, depending on the type of violence.(2) As high as 80% of nurses correctly answered the questions which were to assess their knowledge regarding workplace violence, indicating that nurses’ attitude is Neutral to Positive.(3)The prevalences of high personal burnout, high client-related burnout, poor self-rated health, and poor mental health were 68.7%, 40.6%, 12.2%, and 58.0%, respectively. (4)Average daily working hours ≧ 8.5 hours and heavy psychological workloads were found to associated with poor self-rated health and poor mental health, while night and rotating shifts were found to associate with high client-related burnout.(5) In terms of job characteristics, nurses with medium levels of psychological job demands and low levels of workplace justice were found to be at higher risk of workplace violence. (6) Nurses who had experienced any type of workplace violence were found to have increased risks for poor self-rated health (OR=2.624), poor mental health (OR=2.029) and high personal burnout (OR=2.717), as compared to nurses without experiences of workplace violence. The risks of poor performance are significantly higher than those who never suffer from workplace violence. Findings of this study suggested that reasonable working hour arrangement should be ensured and reporting mechanism for workplace violence should be established. To improve occupational health, the research also suggests the hospital administration to monitor workplace violence and its potential impacts on employees’ health.

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Tsai, Yi-Ying, and 蔡依瑩. "The Relationship Among Job Stress,Leisure Participation and Physical and Mental Health for Physicians of Armed Forces Regional Teaching Hospitals." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/2ys73z.

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碩士
義守大學
管理學院管理碩士在職專班
102
The aim of this study has been to examine the status and relations between job stress and leisure participation on the physicians’ physical and mental health of the six Armed Forces regional teaching hospitals. This research primarily focuses on the following factors affecting the above-mentioned physicians when facing job stress and leisure participation: 1.Medical malpractice issues. 2. Preparation for hospital accreditation process. 3.Changes in mood. 4.Casual relaxation response. 5. Accompanied by a sense of leisure. This study is devoted to creating a framework to help those Armed Forces regional teaching hospital physicians’ arranging appropriate leisure participation. By using questionnaire and analyzing collected information via the statistical software SPSS, it demonstrated that:  *There is a significant positive correlation in related work stress and leisure participation.  *There is a significant negative correlation in the working pressure and physical and mental health. The results offered by this research can serve as a roadmap for both the Armed Forces regional teaching hospital physicians and the National Defense Medical Bureau when conducting programs to design and implement measures for pressure relief on one hand, such as the establishment of medical mediators system. And on the other hand, arranging appropriate leisure participation for those physicians, further to maintain or improve their health.

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WU, JIA-KAI, and 吳家凱. "A Research on Hospital Employees' Organizational Change Awareness and Mental Health: A Case Study of a Regional Hospital in Hsinchu City." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/494e2s.

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碩士
中華大學
行政管理學系
107
This study explores the "organizational change awareness" and "psychological health" of employees in Hsinchu Hospital and focuses on employees. Based on relevant literatures and analysis, this study revised the "organizational change awareness" and "psychological health" scales as research tools. This study used questionnaires to collect 341 valid questionnaires. Statistical analysis based on the data obtained from the questionnaires. The findings are as follows. 1.In the part of organizational change awareness, the differences in organizational change awareness among hospital employees with different demographic variables were partially established. 2.In the mental health section, the differences in mental health among hospital staff with different demographic variables were partially established. 3.The organizational change awareness of hospital staff has a low correlation with mental health. . Finally, based on the research results of "organizational change awareness" and "mental health", some suggestions are made for reference.

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Lee, Chung-Cheng, and 李忠政. "Impact of Type D personality on perceived job stress and physical-mental health among doctors and nurses in a regional teaching hospital." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/17678007597212809921.

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碩士
高雄醫學大學
醫務管理學研究所碩士在職專班
100
Objective: The purpose of the study was to investigate the impact of the Type D personality on perceived job stress and physical-mental health among doctors and nurses in a regional teaching hospital. Methods: A sample of 333 healthcare professionals (86 doctors and 247 nurses) of a regional teaching hospital in Kaohsiung was eligible for the study.We adopted cross-sectional research design. The Type D Scale-14,Taiwanese version-revised self-report to measure Type D personality, the Questionnaire of Medical Workers’ Stress (QMWS) , and the Chinese Health Questionnaire-12 (CHQ-12）were used in the study. A conceptual model was analysed via structural equation modeling. Results: The model fits the data well. Absolute fit test was Chi-square=9.7 d.f.=6， p= .14. Relative fit tests were GFI= .99，AGFI= .97， CFI= .99，TLI= .99，RMSEA= .04.The structural equation model showed that Type D personality directly influenced perceived job stress (Beta= .38，p< .001) and physical-mental health (Beta= .53，p< .001) . Perceived job stress directly influenced physical-mental health (Beta= .14，p= .027) . In other words, Type D personality had indirect influence on physical-mental health via perceived job stress too. Conclusions: Type D personality had an obvious impact on perceived job stress and physical-mental health. Type D subjects had higher level of perceived job stress and poorer physical-mental health. The result can be a helpful reference for further investigation to workplace health management.

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Benetti, Chiara. "Le rapport d’usagers de maisons d’hébergement en santé mentale à leur environnement immédiat : une étude socio-écologique." Thèse, 2017. http://hdl.handle.net/1866/20014.

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Kruss, Julie L. ""Country women are resilient but....” : family planning access in rural Victoria." Thesis, 2012. https://vuir.vu.edu.au/21315/.

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Most women use family planning services during their reproductive lifetime, but many lack ready access to such services, particularly in a rural area. The aim of this study was to document and thus develop an understanding of the facilitators and barriers to accessing three types of family planning services (emergency contraception, termination of pregnancy, and options counselling) within a particular rural area of Victoria, Australia, and how these might affect women’s psychosocial health and their ability to make timely decisions about continuation of a pregnancy.

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Baril, Andrée-Ann. "Dysfonctions cérébrales et changements neuroanatomiques dans l’apnée obstructive du sommeil chez les personnes âgées." Thèse, 2018. http://hdl.handle.net/1866/21195.

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Lima, Ana Sofia Santos. "Poderá a doença crónica contribuir para a depressão? Estudo caso-controlo." Master's thesis, 2020. http://hdl.handle.net/10316/97598.

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Trabalho Final do Mestrado Integrado em Medicina apresentado à Faculdade de Medicina
Introduction: Depression disorders are the leading cause of disability worldwide and are widely known to be more prevalent in patients with chronic pathology. This study aimed to relate the chronic disease and the appearance of depressive disorders throughout the Central region of Portugal and also to conclude about the chronic pathologies that are most associated with subsequent diagnosis of depression.Methods and materials: A case-control retrospective study was carried out, including all the adults from the Portuguese Central region, who, in 2017, were not previously diagnosed with depressive disorder. The most prevalent chronic diseases in 2017 were analysed using computer data from the ARS primary care. The new cases of depressive disorder in 2018 were counted and a statistical analysis was performed calculating the relative risk (RR) of each chronic disease being associated with depression, based on the Chi-square test. The p-value <0.05 was defined as statistically significant.Results: The sample studied included 1.416.532 adults. The incidence rate of depressive disorder in 2018 in the Central region was 1.18%. The chronic diseases that were significantly related to the development of depressive disorder were: "Anxiety/anxiety disorder" (RR=1.59; p<0.001), "Fibromyoma of the uterus" (RR=1.51; p<0.001), "Vertigo syndrome" (RR=1.30; p<0.001), "Cervical spine syndrome" (RR=1.28; p<0.001), "Osteoporosis" (RR=1.27; p<0.001), "Painful shoulder syndrome" (RR=1.25; p<0.001), "Spine syndrome with pain irradiation" (RR=1.22; p<0.001), "Musculoskeletal system disease, other" (RR=1.19; p<0.001), "Goiter" (RR=1.26; p<0.001), "Hypothyroidism/myxedema" (RR=1.26; p<0.001), "Varicose veins in the leg" (RR=1.26; p<0.001) and "Functional alteration of the stomach" (RR=1.19; p<0.001).Discussion: Several relationships between certain chronic diseases and depression previously described in the literature were confirmed, while others were contested or non-significant. This study has presented some limitations, as other risk factors for depressive disorder were not considered, there may have been undercoding or recording errors and the depressive disorder may have been underdiagnosed.Conclusion: This study has established a statistically significant relationship between several chronic diseases frequent in the Central region and the subsequent development of depressive disorder which finding highlights the importance of a quality follow-up by the General and Family Medicine (GFM) practitioner, with particular attention to people with musculoskeletal diseases, anxiety, vertigo syndrome, uterine fibromyomas and thyroid pathology.
Introdução: As perturbações depressivas são a principal causa de incapacidade em todo o mundo e sabe-se que apresentam uma maior prevalência nos doentes com patologia crónica. Este estudo teve como objetivo relacionar a doença crónica e o aparecimento de perturbação depressiva em toda a região Centro de Portugal e concluir acerca das patologias crónicas que mais estão associadas a posterior diagnóstico de depressão.Materiais e métodos: Foi realizado um estudo retrospetivo caso-controlo constituído pelos adultos da Administração Regional de Saúde (ARS) Centro que, em 2017, não apresentavam diagnóstico prévio de perturbação depressiva. Foram analisadas as doenças crónicas ativas em 2017 mais prevalentes através de dados informáticos dos cuidados primários da ARS do Centro. Foram contabilizados os novos casos de perturbação depressiva em 2018 e realizada uma análise estatística calculando o risco relativo (RR) de cada doença crónica se associar a depressão, com base no teste do Qui-quadrado. Foi definido como estatisticamente significativo o valor-p <0,05.Resultados: A amostra estudada foi de 1.416.532 adultos. A taxa de incidência de perturbação depressiva em 2018 na região Centro foi 1,18%, tendo sido superior no sexo feminino e na faixa etária entre os 54 e os 65 anos. As doenças crónicas que significativamente se relacionaram com o desenvolvimento de perturbação depressiva foram: “Distúrbio ansioso/estado de ansiedade” (RR=1,59; p<0,001), “Fibromioma do útero” (RR=1,51; p<0,001), “Síndrome vertiginoso” (RR=1,30; p<0,001), “Síndrome da coluna cervical” (RR=1,28; p<0,001), “Osteoporose” (RR=1,27; p<0,001), “Síndrome do ombro doloroso” (RR=1,25; p<0,001), “Síndrome da coluna com irradiação de dores” (RR=1,22; p<0,001), “Doença do aparelho músculo-esquelético, outra” (RR=1,19; p<0,001), “Bócio” (RR=1,26; p<0,001), “Hipotiroidismo/mixedema” (RR=1,26; p<0,001), “Veias varicosas da perna” (RR=1,26; p<0,001) e “Alteração funcional do estômago” (RR=1,19; p<0,001).Discussão: Foram confirmadas várias relações entre doenças crónicas e o aparecimento de depressão, previamente descritas na literatura, enquanto que outras foram contestadas ou não foram significativas. Este estudo apresentou algumas limitações pois não foram considerados outros fatores de risco para perturbação depressiva, pode ter havido sub-codificação ou erros de registo e a perturbação depressiva pode ter sido subdiagnosticada.Conclusão: Verificou-se uma relação estatisticamente significativa entre várias doenças crónicas frequentes na região Centro e o desenvolvimento posterior de perturbação depressiva, o que realça a importância de um seguimento de qualidade pelo médico de medicina geral e familiar (MGF) com especial atenção a pessoas com certas doenças6crónicas, nomeadamente musculoesqueléticas, perturbações de ansiedade, síndrome vertiginoso, fibromiomas uterinos e patologia tiroideia.

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Chemane, Bonginkosi Reginald. "Evaluation of psychological intervention programs for children with behavoural and emotional problems in schools of industries in the Ukhahlamba Region." Thesis, 2004. http://hdl.handle.net/10530/734.

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A thesis submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy (PhD) in Community Psychology in the Department of Psychology at the University of Zululand, 2004.
The general aim of this study was to determine the effectiveness of the psychological intervention programs in the two schools of industries (SOf's) namely, Mimosadafe and Newcastle Schools of Industries. A third school, Bersig SOI was used for piloting the study and the results were incorporated in the main study findings. Twenty-seven educators, one social worker and one consulting clinical psychologist, and sixty-one learners participated in the study. The major findings of the study were as follows: the psychological intervention programs at SOI's are ineffective; learners are benefiting only partially by being at SOI's. According to educators, learners are benefiting partially because they bunk classes, reconstruction social workers are not supportive, Department of Education is not supportive, no follow up programs for learners post-SOl, emphasis is placed only on structure - not therapeutic programs. Only 15% of educators were found to be adequately trained to teach at SOI. Although psychological intervention programs exist at SOI's, they are not structured and they are only administered on a need-to-basis (reactive rather than proactive/preventive). Intervention strategies used at SOI's are based on individualistic, reactive, traditional mainstream psychology that is based on a disease/medical model. Based on these findings, the current study suggested a change of intervention strategies at these schools into strategies based on community psychological methods of intervention, ft was also suggested that the non-mental health professionals e.g. teachers and house parents should be involved in conducting psychological intervention. To be equal to this challenge these non-professionals should be trained.

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KORNATOVSKÁ, Zuzana. "Dostupnost, organizace a zdravotně - sociální benefity řízených pohybových aktivit u dětí s disabilitou." Doctoral thesis, 2014. http://www.nusl.cz/ntk/nusl-170504.

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The dissertation followed 3 research goals: to compare the availability of controlled physical activities in children with mental, hearing, visual disability in selected regions of the EU countries (South Bohemia-Czech Republic, Plovdiv-Bulgaria, Primorska-Slovenia, West Midlands-UK), then in experimental investigation in South Bohemia to monitor indicators of physical health in samples of children with named disabilities, and in same children to monitorindicators of psychosocial health.Analytical research investigations related to availability of controlled movement activities included children aged 8-15 years with researched disabilities, registered in the school systems of analysed regions of EU countries (N=12073 children, 6355 males, 5718 females). In followed experimental investigation in South Bohemia 180 children participated (90 males, 90 females) aged 8 - 15years, weredividedin samplesaccordingresearched disabilities.Evaluation of the data and their statistic interpretation verified the hypotheses. Research results have shown that children with observed types of disabilities can achieve positive effects in anthropometric indicators of training under the influence of controlled physical activities. Research results present also benefits for the social rehabilitation of children with disability in the problematic of reducing fearful behaviour symptoms and in increasing of independent behaviour.

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Filip, Josef. "Financování vzdělávání žáků se zdravotním postižením ve středních školách." Master's thesis, 2014. http://www.nusl.cz/ntk/nusl-335133.

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The thesis deals with problems of disabled pupils'education financing at secondary schools. Its aim is to create the integral survey about the disabled pupils'schooling, to compare and analyse normative financing of the most expanded educational specialization in accordance with regions. Theoretical part includes national educational concepts and programs directed at handicapped pupils. Besides detailed characterization of the health troubles'single types there are also described institutial schooling and normative financing of handicapped pupils. There are the analysed reports of MŠMT (Ministry of education and youth's psychical education) about handicapped pupils at the research part. Charts and graphs contain datas of pupils in the Czech republic according to health trouble's type, number of pupils at special classrooms and of integrated pupils during 2007-2012. The inseparable component of the research there is survey of pupils'schooling in accordance with the schools'promoters. Conclusion is devoted to detailed comparison of normative financing of the most expanded educational specialization 65-51-E/01 Stravovací a ubytovací služby (The board and accommodational service) in the first place for mental disabled pupils and pupils suffering with developmental disorders of learning and behaviour.

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TAUBROVÁ, Květa. "Náročnost profese sociální práce z pohledu sociálního pracovníka v Dětském centru Jihočeského kraje." Master's thesis, 2019. http://www.nusl.cz/ntk/nusl-393926.

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In the introduction of the diploma thesis there is discussed the question which every social worker knows: Could I have done something different? This is the question which is asked by almost everyone, especially a social worker. Further there is a brief outline of topics which are delineated in the diploma thesis. First chapter describes the institution Children´s Center JK Strakonice. Father there is a list of necessary knowledge which a social work should have for his or her occupation. Also the liabilities of the social worker to the clients are not left out. In this part there can be found also work with specific types of clients. For better understanding of the demands of social work in Children ´s Center JK Strakonice the thesis contains selected life stories of the women clients. These life stories should help to the reader to see the problems from different point of view and help to understand how much is important so that the clients decides himself or herself to solve his or her problems. In the second chapter there are described psychological and ethical dimensions of the profession, burnt out syndrome which is threat for everyone of us, especially for a social worker. In this chapter there are depicted causes of formation and manifestations of burnt out syndrome. The third chapter is also connected with the burnt out syndrome. The focus in this chapter is on prevention and protection. The attention is also paid to the personality of a social worker, his or her abilities to perceive the problem, but also experiences in moral decision-making and hierarchical position of values. The compliance of the principles of psycho hygiene and presence of supervision plays a very significant role. In the conclusion of the diploma thesis there is the summary of performance of a social worker in Children´s Center JK Strakonice. Every social worker should realise his or her responsibility not only to his or her clients, employer and colleagues but especially to himself or herself and his or her conscience. The interdependence of profession and conscience merges with the diploma thesis.

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Dissertations / Theses on the topic 'Regional Mental Health'

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