Rozprawy doktorskie: „Mental health policy”

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Green, Susan Elizabeth. "Mental health policy implementation : a case study". Thesis, University of Birmingham, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368414.

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Keane, A. M. "Mental health policy in Scotland, 1908-1960". Thesis, University of Edinburgh, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.381871.

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Law, Wai-yu Irene. "Mental health policy in Hong Kong : an analysis of the policy on the provision of community care for ex-mental patients /". [Hong Kong : University of Hong Kong], 1994. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13762114.

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Yankovskyy, Shelly. "Mental health policy and services in Tampa, Florida". [Tampa, Fla.] : University of South Florida, 2005. http://purl.fcla.edu/fcla/etd/SFE0001176.

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Prior, Pauline Mary. "Mental health policy in Northern Ireland 1921-1991". Thesis, University of York, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.306559.

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Duffy, Marina. "The impact of Ireland’s current Mental Health Policy on the profile of community mental Health Services". Master's thesis, Faculdade de Ciências Médicas, 2013. http://hdl.handle.net/10362/10861.

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RESUMO: Em 2006, foi aprovada uma nova política governamental para a saúde mental intitulada “Uma Visão para a Mudança”, a qual está neste momento no sétimo ano de implementação. A política descreve um enquadramento para o desenvolvimento e promoção da saúde mental positiva para toda a Comunidade e para a prestação de serviços acessíveis, baseados na comunidade, serviços especializados para pessoas com doença mental. A implementação da política e o tornar a “Vision for Change” uma realidade têm sido problemáticos, com críticas consideráveis por parte dos intervenientes, relativas à lenta e desconexa implementação. Este estudo fornece informação sobre as características dos serviços de três importantes tipos de instituições de saúde mental comunitária a nível nacional, nomeadamente Hospitais de Dia, Centros de Dia e residências comunitárias operantes 24 horas. A pesquisa analisa objetivos e funções, perfis dos pacientes, atividades terapêuticas, a eficácia das redes de comunicação e beneficia da perspectiva dos funcionários sobre o que mudou no terreno ao longo dos últimos sete anos. As questões identificadas a partir das características dos três serviços dizem respeito a todos. Os participantes indicaram que o ethos da recuperação parece ter alcançado um papel mais central no tratamento do paciente na comunidade mas reconheceram que o desafio de integrar os princípios de recuperação na prática clínica se mantém presente. Parece ser reconhecida a importância da planificação do cuidado individual nos serviços comunitários e os entrevistados indicaram que existe um empenho para garantir o envolvimento do usuário do serviço. Há diferenças entre os „pontos de vista do pessoal‟ e os „pontos de vista dos representantes‟ sobre uma série de aspetos da prestação de serviços. Este é o primeiro estudo irlandês deste género a examinar a prestação de serviços das três principais instituições comunitárias de saúde mental num só estudo. Estes serviços representam um enorme investimento em recursos, quer a nível monetário, quer humano. O estudo examinou os desafios e as questões fundamentais que lhe são aplicáveis e que têm impacto nestes três tipos de prestação de serviços. Também forneceu informações sobre os elementos de mudança positiva, os quais se começam a focar lentamente na prestação do serviço, assim como na importância da centralidade do utilizador do serviço e na promoção de um ethos da recuperação.----------ABSTRACT: In 2006, a new Government policy for mental health “A Vision for Change” was endorsed and is currently in the seventh year of implementation. The policy describes a comprehensive framework for building and fostering positive mental health across the entire community and for providing accessible, community based, specialist services for people with mental illness. The implementation of the policy and turning “Vision for Change” into reality has been problematic with considerable criticism from stakeholders concerning slow and disjointed implementation. This study provides information on three key community mental health service settings, namely Day Hospitals, Day Centres and 24 Hour Community Residences at a national level. The research looks at aims and functions, patient profiles, therapeutic activities, effectiveness of key communication networks and gains an insight from staff on what has changed on the ground over the past seven years. Issues identified from the three service settings pertain to all. Participants indicated that the recovery ethos appears to have moved to a more central role in patient care in the community but acknowledged that the challenge of integrating recovery principles in clinical practice remains present. The importance of individual care planning appears to be recognised in community services and respondents indicated that efforts are being made to ensure service user involvement. There were differences between „staff views‟ and „advocate views‟ on a number of aspects of service provision. This is the first Irish study of its kind to examine service provision across the three main community mental health settings in one study. These services represent a huge investment in resources both on a monetary and human level. This study has examined the challenges and key issues which are applicable and impacting on all three types of service provision. It has also provided information on the elements of positive change, which are slowly embedding themselves in service provision such as the importance of the centricity of the service user and the promotion of a recovery ethos.

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Walton, Kellana C. "Public Mental Health Spending, Services and Policy in Hamilton County, Ohio". University of Cincinnati / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1342104465.

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Player, Candice Teri-Lowe. "Essays in Ethics and Health Policy". Thesis, Harvard University, 2013. http://dissertations.umi.com/gsas.harvard:10979.

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In 1999 New York enacted Kendra's Law, in memory of Kendra Webdale, a young woman who was pushed to her death in front of an oncoming train by a man with untreated schizophrenia. Under Kendra's Law a court can order a person with a mental illness to participate in an "assisted outpatient treatment" (AOT) program. Kendra's Law includes a number of procedural due process protections including the right to a hearing and the right to counsel. Still critics argue that people with mental illnesses are routinely ordered to participate in the AOT program based on no more than "a bare recital of the statutory criteria." The first essay in this dissertation, Outpatient Commitment and Procedural Due Process, reports the findings from a study on procedural due process and assisted outpatient treatment hearings under Kendra's Law. Findings from this study suggest that despite the shift from a medical model of civil commitment to a judicial model in the late 1970s, by and large judges continue to accord great deference to clinical testimony. A second paper, Rethinking Kendra's Law, addresses the ethical dilemmas that arise when courts impose AOT over the patient's objection. The third paper of this dissertation, Public Assistance, Drug Testing and the Law, addresses the Fourth Amendment questions that arise when states condition public assistance benefits on passing a suspicionless drug test. To date eight states—including Florida, Georgia and Missouri—condition public assistance benefits on passing a drug test. Proposals to condition public assistance on passing a drug test have also appeared in Congress. However, without a genuine threat to public health or public safety, proposals to condition public assistance on passing a drug test without individualized suspicion of drug use are unreasonable under the Fourth Amendment. Even if the Supreme Court were to recognize special needs beyond a genuine threat to public health or public safety, policies that result in withholding public assistance benefits from people who abuse illegal drugs are likely to make many social problems much worse.

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Kofman, Olga Loraine. "Deinstitutionalization and Its Discontents: American Mental Health Policy Reform". Scholarship @ Claremont, 2012. http://scholarship.claremont.edu/cmc_theses/342.

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In 1963, President John F. Kennedy signed the Mental Retardation and Community Mental Health Centers Construction Act, establishing the beginnings of deinstitutionalization in the United States. By some counts, this Act was a stupendous policy success—by others, a dismal failure. 50 years later, no cohesive national mental health care policy has emerged to deal with increased rates of mental illness among the homeless and the incarcerated. However, California has made enormous strides to create a state policy which provides adequate services to the mildly, moderately, and severely mentally ill as well as adequate funding for those services through Proposition 63, the Mental Health Services Act, passed in 2004. This paper reviews mental health policy history from Colonial America to the present, paying special attention to JFK's deinstitutionalization in 1963 and the discontents that followed. It takes a special look at California's mental health care policy history and the strides the state has made to better serve the mentally ill.

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Au, Chak-kwong. "The making of mental health policy in Hong Kong : problems in need assessment /". [Hong Kong : University of Hong Kong], 1986. http://sunzi.lib.hku.hk/hkuto/record.jsp?B12323172.

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Law, Wai-yu Irene, i 羅惠如. "Mental health policy in Hong Kong: an analysis of the policy on the provision of community care for ex-mental patients". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1994. http://hub.hku.hk/bib/B31964540.

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Barker, Lindsay Ann. "Values and process in the formulation of mental health policy". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1991. http://hub.hku.hk/bib/B31963869.

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Wang, Jin-Yong. "Mental health policy and service delivery in Taiwan and England". Thesis, University of York, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.507435.

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Mavrommatis, Michael. "Lay ideas about 'madness' and mental health policy in Greece". Thesis, University of Essex, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.435585.

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Arroyo, Tiffany L. "Laura's law| A policy analysis". Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1586845.

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The purpose of this project was to analyze Assembly Bill 1421, known as Laura's Law, from a social work perspective of recovery-oriented care. Gil's framework was used to assess primary and secondary data from journal articles, government publications, and law reviews. A review of the literature was conducted to understand the historical background of coercive mental health treatment. Coercive treatment has been a pervasive problem generated from public fear and misconceptions about the association between mental illness and danger. Laura's Law was established as a result of the murder of 19 year-old Laura Wilcox by an individual with serious mental illness. The law's primary stated objective was to provide preventative mental health services to those identified as most in need before tragedy struck. Significant shortcomings were discovered within the analysis and alternatives to this policy are suggested as well as the implications for social work policy and practice.

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Rogers, Helen Joy. "Partnership working : a case study of adult mental health services". Thesis, University of Birmingham, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.289711.

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Hanafiah, Ainul Nadhirah. "Multi-stakeholder study of the Malaysian mental health policy implementation within urban populations". Thesis, University of Cambridge, 2019. https://www.repository.cam.ac.uk/handle/1810/286591.

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Global studies investigating scaling-up of mental health services have highlighted mental health policy development and implementation as a priority area, especially in low- and middle-income countries. This research aimed to investigate Malaysia's National Mental Health Policy (NMHP) development and implementation and explore the barriers and facilitators to mental health care from multi-stakeholder point of view. This study, consisting of two main parts, adopted the situation analysis model from the Global Mental Health Lancet 2011 Series. Part One details the current mental health plans and development of the NMHP with data obtained via semi-structured interview, consultation observation, and government documents analysis. Part Two investigates key stakeholder perceptions and/or experiences gained through semi-structured interviews with 54 participants across five main stakeholder groups: policymakers, service providers, NGOs, service users, and caregivers. These were analysed using content analysis and the Framework Method respectively. Six categories of types of mental health plans emerged: (1) 'action plans', (2) 'education and training', (3) 'operational', (4) 'community psychiatry', (5) 'promotion', and (6) 'NGO'. Further, stakeholders identified seven key areas in relation to mental health care: (1) 'barriers to mental health care', (2) 'suggestions for improvement', (3) 'awareness and knowledge on mental health', (4) 'facilitators to mental health care', (5) 'impact of mental illness', (6) 'duty of care', and (7) 'cultural spiritual or ethnic influence'. Findings indicate the extent to which the NMHP objectives and goals were achieved between 2009 and 2016. Issues around attitude, resources, and awareness are most pressing to address. Facilitating factors, as well as suggestions for improvements, were uncovered too. Further important considerations in providing care in Malaysia revolve around raising awareness and knowledge, cultural appropriateness, and the roles of family, friends and even NGOs. This study concludes with proposed needs- and asset-based recommendations for future national mental health policy development.

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Hennessy, Rachel A. "Deinstitutionalisation of the welfare state: the case of mental health care". Thesis, Virginia Polytechnic Institute and State University, 1986. http://hdl.handle.net/10919/94465.

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Au, Chak-kwong, i 區澤光. "The making of mental health policy in Hong Kong: problems in need assessment". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1986. http://hub.hku.hk/bib/B31974661.

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Macdonald, Mary Ellen 1969. "Hearing (unheard) voices : aboriginal experiences of mental health policy in Montreal". Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=84525.

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The focus of this dissertation is the mental health experiences of Aboriginal people in Montreal as they interface with health policy, and lack thereof, for this population.
Drawing on anthropological fieldwork from Montreal, Eastern Quebec, and Ontario, this thesis endeavours to unravel the jurisdictional tapestry that Aboriginal clients must negotiate when seeking services in Montreal. Using an ethnographic methodology, this project provides an understanding of the ordering of health services for Aboriginal clients from street-level to policy offices.
This thesis draws on three theoretical areas (theories of illness, aboriginality, and public policy) to explicate four themes that emerge from the data. Analysis moves along a continuum between the illness experience and the macro-social determinants of politics and bureaucracy that impact the health of the individual as well as support and organize systems of care.
Discussion of Theme #1 (evolution of mental health and wellness categories in health theory, policy and practice) and Theme #2 ( the culture concept in health policy) demonstrates that despite the progressive evolution of concepts in health theory and policy, Aboriginal people generally do not find services in Montreal that provide culturally-sensitive, holistic care. Discussion of Theme #3 (barriers to wellness created by jurisdiction) argues that jurisdictional barriers prevent clients' access to even the most basic and rudimentary services and that such barriers can actually disable and increase distress. Discussion of Theme #4 ( Aboriginal-specific services) looks at the pros and cons of creating an Aboriginal-specific health centre in Montreal.
Together, these four themes show that understanding Aboriginal people in Montreal requires contextualizing their embodied experience within the colonial history and institutional racism which characterizes many healthcare interactions, and clarifying the bureaucracy that complicates the search for well-being. Montreal's Aboriginal problematic is located in a system characterized by entrenched bureaucracy, jurisdictional complexity and injustice, these elements mapping onto Aboriginal reality with serious repercussions for individual identity and well-being.
Hearing the voices of Aboriginal people in Montreal as they seek out care for mental health problems requires the resolution of jurisdictional and policy clashes that currently silence their suffering. This thesis endeavours to advance this crucial social agenda.

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Shin, Chang-Sik. "Mental health policy making in South Korea : structural and cultural influences". Thesis, University of Nottingham, 2004. http://eprints.nottingham.ac.uk/11756/.

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This study focuses on the way in which rapid structural changes (such as economic development, urbanisation and other demographic factors, and the economic crisis of 1997) have raised issues that are seen to require a social policy response in the mental health care arena under Confucian governance in South Korea. These structural changes happened over a couple of hundred years in Western Europe but have taken place over only the past 40 years in Korea. The main thrust of the study is on the extent to which the decisions about policy responses to perceived social problems, especially the increasing number of people with mental health problems, are structurally driven or the extent to which they are informed and shaped by Korean politics and culture. The industrial and economic base of Korea grew dramatically until the late 1990s. This facilitated the development of social policies - particularly in areas such as education, health and housing, which support economic growth. However, although the structure of the family changed to be closer to its structure in the West, it could be argued that evidence pointing to a broader ‘Westernisation’ of Korean society was premature. Confucianism may have been a factor in Korea's development, but it may yet prove a hindrance to any further moves to modernity and equalisation of life chances amongst its citizens. Since the economic crisis of 1997, Korea has experienced a rapid expansion of social welfare provision following a series of reforms. These reforms have gone beyond the functional minima necessary to deal with social problems caused by the economic crisis. However, the government has tended to stress the greater role played by family members, particularly women, in providing care to their elderly relatives, and the desirability of multigenerational households over nuclear families. A similar emphasis on the caring roles of the family and community is also seen in the Korean state's renewed public emphasis on the country's Confucian cultural tradition. As a result of this, there has been a tension between the increased emphasis given to the role of the informal carer within mental health policy as the Korean government has introduced a community-based scheme which assumes that families want to care and those with mental health problems want to be cared for by their families. Accordingly, the main burden of care falls upon women. This still tends to be ignored by policy makers. Despite the country's rapid demographic, economic and social changes, there has been a widening gap between the population's expectations and needs and health and social service provision in the mental health arena. Neither long-term care services nor personal social services are well developed for those with long-term mental health problems. In addition there is a marked disparity between the acute services, which are predominantly provided by private sector organisations in a highly competitive market and broadly achieve high standards, and public primary care and rudimentary residential services in the mental health arena. In this context, it could be argued that Korean mental health policy is concerned with maintaining social order rather than care and treatment of those with mental health problems.

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Petersen, Inge. "From policy to praxis : rethinking comprehensive integrated primary mental health care". Doctoral thesis, University of Cape Town, 2001. http://hdl.handle.net/11427/7895.

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Bibliography: p. 222-256.
In this dissertation I have provided an academic interrogation of the gap between policy principles for comprehensive integrated primary mental health care in South Africa, and the implementation theoreof. I argue, theoreically, that the current add-on approach, which emphasizes care for patients with serious mental illness, will not achieve the vision for comprehensive integrated primary mental health care in South Africa. I suggest that this trajectory is a product of the reformist approach to the implementation of primary health care, and suggest that what is needed is a shift towards a comprehensive discourse of care at the primary level. My research aimed at developing an understanding of how such a shift could be achieved.

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Elzarka, Mohamed. "Mental Health in Bosnia and Herzegovina: Situational Assessment and Policy Recommendations". University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1554214413881192.

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Hurford, Grace. "Power and politics in UK mental health services". Thesis, Nottingham Trent University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.369239.

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Rosenberg, Sebastian Pascal. "Is Anybody Getting Better? Accountability for Mental Health in Australia". Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/16055.

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Aim This thesis investigates the extent to which Australia has developed accountability for mental health. Background Accountability for change was a core element of the first National Mental Health Policy in 1992. Weaknesses in extant systems of accountability were acknowledged and undertakings given to develop better systems. This thesis considers the extent to which these undertakings have been fulfilled. Does Australia have the robust system of accountability for mental health? Is it possible to discern the impact of care and drive quality improvement through effective benchmarking? Can you tell if people are getting better? Method This thesis provides an evaluation from three dimensions: 1. Policy Accountability - The study period was a time of unprecedented attention to mental health. Can these changes be monitored and reported in a way that drives systemic improvement? 2. Structural Accountability - Six of Australia’s nine governments have established a mental health commission. This thesis tracks their evolution, genesis and prospects. 3. Program Accountability - To June 2015 the Better Access Program has funded 53 million services, costing taxpayers $5.2bn or $15m per week. This thesis presents several articles in relation to this Program and the need for more multi-disciplinary approaches. Results This evaluation will demonstrate that accountability for mental health in Australia remains weak. Discussion This thesis then describes core elements of a better approach. Resources are too scarce to waste. Existing data collections must be traded for a more focused and strategic process. Mental health commissions need evaluation. Old models of program funding need to shift to foster collaboration. The importance of regional benchmarking has emerged. Existing systems are not fit for purpose. It is difficult to justify calls for increased expenditure in mental health. This thesis aims to record Australia’s efforts at accountability for mental health so far, and then chart a course for a more effective approach.

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Cancino, Ramon Samera. "Health services utilization of adult dual eligible patients with mental health illness, 2011". Thesis, Boston University, 2014. https://hdl.handle.net/2144/21129.

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Thesis (M.S.H.P.)
BACKGROUND: Dual eligible (DE) patients qualify for Medicare and Medicaid. There are approximately nine million DE patients in the United States, and healthcare costs for this population totaled 319.5 billion dollars in 2011. Behavioral health illness (BHI) is a risk factor for increased healthcare service utilization. The healthcare utilization of adult DE patients <65 years of age with BHI has been studied sparsely. This study sought to describe the adult DE patient population <65 years of age at an urban academic safety net health center and compare hospital and emergency department (ED) utilization of those with and without BHI. METHODS: The study was a secondary analysis of hospital administrative data. Inclusion criteria were patients with Medicare and Medicaid between ages 18 and 65 years, who utilized Boston Medical Center between 1/1/2011 and 1/1/2012. The independent variable was diagnosis of BHI, and the dependent variables were hospital admission and ED utilization. Chi-square and Wilcoxon rank-sum tests were used for descriptive statistics on categorical and continuous variables, respectively. Greedy propensity-score matching without replacement with a caliper distance of half of a standard deviation was used to control for confounding factors. Rate ratios (RR) and confidence intervals (CI) were determined after matching and after adjusting for those variables that remained significantly different after matching. RESULTS: Pre-propensity-score matched data showed significant differences in age, sex, race/ethnicity, marital status, education, employment, physical comorbidities, and Charlson Comorbidity Index score. Post-propensity-score matched analysis found significant differences in sex, Hispanic race, and other education and employment status. As compared to those patients without BHI, patients with BHI had RR 2.07 (CI: 1.81- 2.38) (p<.0001) of hospital admission and a RR 1.61 (CI:1.46-1.77) (p<.0001) of ED utilization. After adjustment, RR for hospital admission and ED utilization remained significantly different and even increased slightly, RR 2.14 (CI: 1.87-2.46) (p<.0001) and RR 1.64 (CI:1.49-1.81) (p<.0001), respectively. CONCLUSION: As compared to DE patients without BHI, those with BHI had significantly more hospital admission and ED utilization, even after controlling for confounding factors. Results suggest interventions for decreasing healthcare services utilization in this population should focus on those DE patients with mental health illness.
2031-01-01

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Malins, Gillian Leigh. "Mental health consumers' experiences of becoming evaluation researchers". Access electronically, 2005. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20060307.113753/index.html.

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FETZER, KATIE C. "A Sociopolitical View of Mental Health: An Exploration of the Lived Experiences of Policymakers Regarding their Perspectives Surrounding Mental Health Policy Construction". ScholarWorks@UNO, 2018. https://scholarworks.uno.edu/td/2533.

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A substantial gap exists between those who are considered experts on mental health (e.g., academics, mental health professionals) and those in charge of constructing mental health policies (e.g., legislators, Senators). This gap is in areas of both knowledge and professional relations. Mental health professionals are not adequately trained to engage in policy advocacy and reform efforts and have little to no policy advocacy training (Smith, Reynolds, & Rovnak, 2009). Policymakers lack necessary knowledge related to mental health for effective mental health policy construction (Corrigan, Druss, & Perlick, 2014; Lee, Smith, & Henry, 2013). As a result of this gap, mental health policies are ineffective, and many mental health professionals lack understanding and experience in the area of policy advocacy (Smith et al., 2009; Tanenbaum, 2005). This qualitative study aimed to contribute to filling this gap by exploring the perspectives of policymakers with the purpose of gaining a better understanding of the mental health policy construction and reform process. The purpose of this qualitative study was to explore the perspectives and lived experiences of state-level, practicing policymakers regarding their decision-making processes related to mental health policy construction in efforts to reveal a clearer understanding of how to participate in effective policy reform.A phenomenological qualitative research design and Interpretative Phenomenological Analysis (IPA) approach was used to explore the lived experiences and perspectives of a total of eight state-level practicing policymakers surrounding the mental health policy construction process. After securing IRB approval, all eight participants participated in face-to-face individual, semi-structured interviews. The interviews were audio recorded and ranged from 45 to 90 minutes. Data was then analyzed using IPA data analysis methods. The final data analysis product included three super ordinate themes and related themes and subthemes.

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Moulding, Nicole. "Disciplining the feminine: the reproduction of gender contradictions in mental health care /". Title page, table of contents and abstract only, 2004. http://web4.library.adelaide.edu.au/theses/09PH/09phm9263.pdf.

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Reiserer, Nikita. "Treatment Recommendations for Juvenile Offenders Following Mental Health Overview". Thesis, The Chicago School of Professional Psychology, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3645895.

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Investigation of the variations in aspirant juvenile probation officers' recommendations for a juvenile offender who may suffer from a mental health disorder was the purpose of this study. Two hypotheses were developed to test this purpose: a) there was a significant difference between the recommendations of mental health evaluations and b) there was a significant difference in the recommendations for a mental health evaluation prior to and after the mental health overview administered among two groups. A survey was administered to 13 undergraduate students with an aspiration to be juvenile probation officers. The survey consisted of a pretest and posttest questionnaire following a case vignette where a juvenile offender meeting the criteria for conduct disorder was described to measure if the mental health overview would increase the participant's likelihood of recommending a mental health evaluation. A Chi Square and McNemar Test were completed. The statistical analyses and implications are discussed.

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Biro, Victoria Dawn. "Inpatient mental health professionals' perceptions of the discharge planning process". Access electronically, 2004. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20050215.132606/index.html.

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McLean, Joanne Findlay. "Utilisation and influence of research in Scottish national mental health policy making". Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/33303.

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This thesis explores in which ways and why research informs and influences the public policy making process, and the extent to which existing theories and models add to our understanding of this. Since the late 1990s, the UK government has aspired to evidence-based policy making, particularly policy that is informed by research on what works. In practice, there are many barriers to this aspiration and the instrumental research use of 'what works' knowledge seems relatively rare. Existing research utilisation models offer some insights into why this is the case but they are not well supported by empirical evidence and they tend to underplay the complexities of the policy making process. Additional insights are provided by the literature on the policy process, but this does not pay much attention to research use. This thesis thus combines these perspectives. The thesis is guided by a conceptual framework that combines insights from the advocacy coalition framework (ACF), the stages heuristic, the research utilisation typology, practical rationality and the epistemic communities framework. Two qualitative case studies of Scottish national mental health policy making are considered using this conceptual framework: a suicide prevention policy and a review of mental health law. Data analysis combines 23 in-depth interviews and extensive document review. The ACF is used as a heuristic device to focus on aspects of the policy sub-system that are key to understanding research use. The findings demonstrate that despite limited research evidence on what works in mental health, research was used in the agenda setting and formulation stages of the policy making process, enriching the process and influencing policy sub-system dynamics. Five types of research use are identified; they do not occur in isolation but are layered and interlinked, and are at times contingent on one another. Research use is found to be bound up with the ways in which those involved in the policy making process work with others who share or oppose their policy beliefs, using similar or different knowledge bases. Research influenced policy beliefs, which in turn influenced policy making behaviour. Discussion of research enabled the inclusion, consideration and appreciation of new and different policy positions. It empowered weaker coalitions as well as cementing coalition dominance. It influenced policy direction and encouraged innovation and policy learning. The findings indicate that the current common usage of three categories of research use (instrumental, conceptual and political) may be too crude; real benefit was gained from applying Weiss' original seven research use types. Combining Weiss' research utilisation typology with the ACF deepened understanding of how research influences the policy making process. The findings only partially support the ACF hypotheses concerning research use, and they highlight weaknesses in a number of the ACF's assumptions and definitions. In terms of policy implications, the findings indicate a need to broaden governments' view of research use from an almost exclusive focus on the problem-solving use of 'what works' research knowledge to a wider appreciation of the ways in which research contributes to and enhances policy making.

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Langmead, Ruth. "The National Disability Insurance Scheme (NDIS) and mental health: A policy analysis". Thesis, Langmead, Ruth (2018) The National Disability Insurance Scheme (NDIS) and mental health: A policy analysis. Masters by Coursework thesis, Murdoch University, 2018. https://researchrepository.murdoch.edu.au/id/eprint/45888/.

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The National Disability Insurance Scheme (NDIS) is a landmark policy commitment made by the Australian Government in 2013. The NDIS has established market mechanisms to support the delivery of services that, according to the National Disability Insurance Agency, offer participants both choice and control. The NDIS is also remarkable as being the first disability policy that has included mental health (referred to as psychosocial disability). There is a large financial commitment to delivering the NDIS, with a projected $22 billion investment by 2020 when full national roll-out is achieved; it is therefore necessary to analyse if the policy is effective in delivering the outcomes it promises. The aetiology of impairment in mental health conditions is largely positioned within the social, economic, systemic and political environments, the primary impact of which can be observed as stigma. This aetiology of impairment necessitates that policy promising to offer a better life to people living with mental health conditions, must have ecological frameworks central to policy mechanisms. It is imperative to understand what the NDIS policy foundations are to analyse if it is a viable alternative to current service delivery for people living with mental health conditions. A policy analysis is presented in two parts; firstly, a discourse analysis is undertaken that provides an historical context to the problem and further identifies the theoretical assumptions embedded in the policy foundations. Secondly, an analysis of the effectiveness of the NDIS in achieving its desired outcomes for psychosocial disability is measured against economic and social criteria. It is identified that the NDIS is a policy founded on strong neoliberal ideologies and whilst an ecological perspective is occasionally cited within policy material it is not supported within a market driven service delivery model. Due to the NDIS rollout being in its infancy there is a dearth of research around its effectiveness, this policy analysis identifies that there is a critical need for such research. Future research must specifically focus on outcomes for people with mental health conditions to advise on the need for ecological frameworks as an economically efficient and socially inclusive alternative.

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Bindman, Jonathan Paul. "Researching mental health policy : four epidemiological studies and a critical evaluation of the place of epidemiological methods in mental health services research". Thesis, King's College London (University of London), 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.423200.

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Hubbard, Andrew. "Risk and Confinement: Geographies of Mental Illness". Thesis, Griffith University, 2009. http://hdl.handle.net/10072/367560.

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This thesis examines the role of risk in framing confinement and spatial control in contemporary mental health policy. It argues that geographers’ focus on ‘post-asylum’ geographies has meant that the continued role of confinement in mental health has not been sufficiently examined. While deinstitutionalisation resulted in a change to the spatial configuration of care for people with mental illness it did not mean that confinement of people with mental illness ceased. Indeed, as the thesis shows, there has been a renewed emphasis on confinement in a number of jurisdictions. The thesis argues that the concept and language of risk has been used in mental health policy to support this renewed focus on confinement. The thesis a) provides evidence for the continued and/or resurgent significance of confinement, b) explains how this resurgence relates to the increasing framing of mental health policy by risk and c) explains what this means in relation to the spatiality of social control of people with mental illness. The methodological approach is shaped by an emphasis on understanding the historical context of the use of risk in public policy. There are two key aspects of the methodology. First, the importance of ‘the history of the present’; this is a concern to understand the historical conditions of existence upon which contemporary practices exist. Second, a discursive analysis of public policy broadly framed around critical discourse analysis. The continued role of confinement and how it relates to risk in contemporary mental health systems is examined in two case studies, one England and Wales, the other Queensland, Australia. The thesis demonstrates that there has been a renewed focus on confinement in these jurisdictions, driven by a policy concern to exert greater control over risk and uncertainty. It rejects the argument proposed by Castel (1991), and other governmentality theorists, including Deleuze (1992) and Rose (2002), that moves towards decentralised control have been shaped by governance through the abstract factors of risk. In both of the case studies risk was used largely in an individualised sense, in which risk was identified as being embodied in particular individuals, rather than in an aggregative sense. The thesis concludes that the concept of risk has primarily been used to support the continuation of spatially fixed modes of control over people with mental illness, rather than to facilitate decentred forms of control of people with mental illness.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
Griffith School of Environment
Science, Environment, Engineering and Technology
Full Text

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Vanderbloemen, Laura. "Smoking during pregnancy and child mental health and wellbeing : evidence, policy and practice". Thesis, University of York, 2013. http://etheses.whiterose.ac.uk/5656/.

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Aim: The aim of this thesis was to further understand the link between maternal smoking during pregnancy and mental health outcomes among children. The thesis comprises (a) a longitudinal epidemiological analysis of smoking during pregnancy and child mental health outcomes using cohort data for UK children from before birth to 7 years of age (b) an exploration of what policy documents, official guidance and qualitative studies tell us about how the epidemiological risks of smoking in pregnancy are reflected in public policy and discourse. Methods: Existing epidemiological evidence was reviewed prior to the quantitative analyses. The data analysed are from the Millennium Cohort Study. Data for 13,161 mothers and children, analysed longitudinally, were used to link exposure to maternal smoking during pregnancy to child mental health outcomes (hyperactivity and aggressive behaviour) at 3, 5 and 7 years of age. Additionally a review of official and lay health guidance in two countries (United Kingdom and United States) was conducted to ascertain the extent to which the potential link between maternal smoking during pregnancy and increased risk of child mental health problems is reflected in ante-natal care policy and practice in these countries. Similarly, a review of qualitative studies was conducted to ascertain the extent to which the risk of child mental health problems is reflected in women's perceptions of the risks of smoking during pregnancy. Results: During the past 10 years high-quality studies (and studies of lower quality) have consistently observed an association between prenatal smoking exposure and child mental health problems, though a few well designed recent studies have provided conflicting findings, and further disentangling of exposure and potential confounding factors is needed. Prenatal smoking, socioeconomic position, genetics, family environment, parental mental health and other chemical and environmental exposures, including other endocrine disrupting chemicals, should be explored together, and in more depth, to understand the associations that have been observed between maternal smoking during pregnancy and child mental health during the past 20 years. The original and significant contribution of this thesis is a confirmation of the link between smoking in pregnancy and the development of disruptive behaviour problems in children in a large population-based sample from the United Kingdom. In terms of policy and discourse, ante-natal care packets could be modified to include information about these risks for pregnant women. Conclusions: Child mental health, prenatal smoking and the economic well- being of families are interlinked–so policies aimed at helping pregnant women to quit smoking, as well as those to help them out of disadvantage are likely to have positive effects on both the exposure (prenatal smoking) and the outcome (child mental health).

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Monaghan, Karen R. "Mind the gap| The integration of physical and mental healthcare in federally qualified health centers". Thesis, University of Massachusetts Boston, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3706472.

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In the United States, approximately 50 percent of people experience mental illness during their lifetimes (Cunningham, 2009). However, previous studies estimate that up to 80 percent of people living with a mental illness do not access services (Mackenzie et al., 2007). While there are numerous explanations for such disparity, this study posited that stigma associated with mental illness is a significant contributory factor.

In an attempt to address the gap between prevalence of mental illness and access to services, the Patient Protection and Affordable Care Act (PPACA), 2010 (US Government Printing Office, (a) 2011) mandated that Federally Qualified Health Centers (FQHCs) integrate physical and mental healthcare. This research employed case study methods to examine the implementation of this federal policy in FQHCs, focusing on what role, if any, stigma plays in such implementation. Analyzing data obtained from in-depth interviews and direct observations at two case study sites, as well as key informant interviews, and background information, this research explores the following questions: Does stigma impact the implementation of mental health policy and affect access to treatment in FQHCs for people living with mental illness? And, if stigma does impact mental health policy implementation and access to mental healthcare in FQHCs, how does this occur?

Study findings include: multiple definitions of and approaches for integrating physical and mental healthcare; mental healthcare being subsumed into, rather than integrated with, the medical model; and institutional stigma persisting in the agencies studied, resulting in the reinforcement of exclusionary policies and practices and limited access to mental healthcare for FQHC patients.

Empirical findings inform a new theoretical framework that identifies the role of institutional stigma in mental health policy development and implementation in FQHCs. Policy recommendations include: the adoption of non-stigmatizing practices in FQHCs; the inclusion of a single clear definition of integration within enabling legislation; restructuring of mental healthcare funding streams to facilitate agencies' access to resources; and federally mandated reporting of mental health outcomes to improve FQHC accountability. These recommendations aim to promote the equitable implementation of integration policy within FQHCs and increase access to mental healthcare for those persons in need.

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Smith, Sarah. "De)pathologizing Discourse: The Problematization of Trans and Gender-Nonconforming Mental Health in Ontario". Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/38072.

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The trans and gender-nonconforming (TGNC) community has a complex relationship with psychiatry. The need for access to transition-related medical services is complicated by an increasing amount of activism that refuses the pathologization of TGNC identities through the diagnosis of Gender Dysphoria and the rejection of the biomedical model of mental illness more broadly. TGNC activists have mobilized concepts from critical disability studies and Mad studies, namely the biomedical and social models of mental illness, to describe their aversion to, and proposals against pathologization. However, this binary relationship between the biomedical and social models is problematic, as it is increasingly evident that conceptualizing TGNC mental health within this binary does not account for the complex reality of the lives of trans and gender-nonconforming people who must navigate between fighting pathologization without sacrificing access to publicly funded transition-related medical procedures, counselling services, and disability benefits. Consequently, in this thesis, I seek to trouble the binary relationship between the biomedical and the social, pointing to the shortcomings of mainstream disability discourses within TGNC mental health policies and practices in Ontario, using Foucault’s notion of biopower and Pamela Moss’ perching model to trace both the consequences of, and alternatives to, these limiting conceptualizations.

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Thibault, Kathleen. "Smoke and mirrors : reflections of policy and practice for those with a mental illness and who are in conflict with the law". Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=84095.

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This study examined the use of language in the development and implementation of mental health policy. It focused on the current discourse of mental health reform in Ontario as it related to individuals with a mental illness and who are in conflict with the law. Using a qualitative design, informed by critical inquiry and a postmodern perspective, the researcher explored administrative perceptions of the accomplishments and challenges faced at different levels of the mental health and criminal justices systems in Ontario. The participants' understandings of the provincial mental health reform policy, Making it Happen, and the extent they felt that their organizations and related policies were able to create positive change in the lives of service users were also examined. While the language of mental health policy encompasses an empowerment, community integration approach to providing services, findings indicated that a biomedical-model, public safety discourse appear to inform both policy and practice. A number of questions and apparent inconsistencies in the manner in which the mental health and criminal justice systems deal with the needs of this population were also identified. This thesis concludes with recommendations for future research.

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Killea, Anita M. "Addressing school mental health in a texas public school district| An action research study". Thesis, Union Institute and University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3601242.

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According to the Centers for Disease Control (2013), every year an estimated 13 to 20% of children in the United States suffer from mental health disorders. School mental health services developed to address the learning barriers experienced by these children achieve variable rates of success (Adelman & Taylor, 2011; Center for School Mental Health, 2011). Reasons for this variability include lack of integration of these initiatives into comprehensive school reform efforts (Adelman & Taylor, 2011), lack of inclusion of school mental health staff in the school improvement planning process (Nastasi, Varjas & Moore, 2004), and lack of consideration of the local school context in their selection and implementation (Ringeisen, Hendersen & Hoagwood, 2003). A group of 15 school teachers and mental health staff of a small Texas school district conducted this action research study about the status of its school mental health services. Individual interviews of the participants served as the initial basis for group meetings during which participants identified weaknesses in their mental health services, prioritized issues to be addressed, and developed an action plan to be presented to school administrators, and the Board of Education. Consistent with the findings of other research studies on school mental health (Center for School Mental Health, 2011), the three main areas of concern identified by the group included poor role clarification among school personnel responsible for mental health functions, lack of teacher training about mental health disorders and related classroom management strategies, and unclear policies and procedures. The process and outcome of the study support the use of participant action research as a method to aid in the development of locally relevant school mental health programs.

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Smark, Ciorstan. "Pound foolish accounting's role in deinstitutionalisation /". Access electronically, 2002. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20060404.123052/index.html.

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Craig, Pauline M. "An exploration of primary care policy and practice for reducing inequalities in mental health". Thesis, Connect to e-thesis, 2008. http://theses.gla.ac.uk/287/.

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Thesis (Ph.D.) - University of Glasgow, 2007.
Ph.D. thesis submitted to the Faculty of Medicine, Public Health and Community-Based Sciences, 2007. Includes bibliographical references. Print version also available.

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Valdez, Karla. "Taking a closer look at the mental health services act of 2004| A policy analysis". Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1590186.

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The purpose of this policy analysis was to analyze the Mental Health Services Act (MHSA) of 2004 using research articles and state and governmental documents. The analysis explored the expansion of mental health services and the challenges of implementation. The programs that were developed to meet the specific needs of the MHSA included early intervention, prevention, curriculum development, education, training, and community services. A thorough examination of the act provided an understanding of how the funds are distributed and how the MHSA will continue to support specialized mental health program services. The information presented in this policy analysis focused on children and youth and in detailing the services they received through the MHSA.

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Nuttall, L. D. "Personality disorder : no longer a diagnosis of exclusion? : law, policy and practice in Scotland". Thesis, University of Stirling, 2013. http://hdl.handle.net/1893/17417.

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Personality disorder has been and continues to be a contested diagnosis. Those who attract this form of diagnosis have been particularly vulnerable to the effects of stigma and have tended to be excluded from service provision. This thesis provides an examination of how recent developments in law, policy and practice have impacted upon the status of personality disorder as a diagnosis of exclusion in Scotland. The theoretical framework that provides this thesis with its structure is derived from the post-empiricist approach proposed by Derek Layder. This approach seeks to contextualise emergent inductive findings within a broader historical and contemporary analysis. In the case of this research the broader context consists of the interplay between mental health law, policy and practice in the field of mental health and the diagnosis of personality disorder more specifically. The empirical enquiry at the core of this thesis is based upon an analysis of the views, beliefs and expectations of front-line staff (psychiatrists and social workers qualified as mental health officers) involved in the process of assessment and service provision. In addition to front-line staff (n = 27) a range of key informants who were in a position to shed light on the strategic imperatives underpinning recent developments in law and policy were also interviewed. This analysis is contextualised within a review of key developments in law and policy that have particular significance for anyone who may attract a diagnosis of personality disorder. Despite the ostensibly inclusive approach towards those who may attract a diagnosis of personality disorder evident within the Mental Health (Care and Treatment) (Scotland) Act 2003, the reality is a highly selective and very limited inclusion of those who attract this form of diagnosis. The effective inclusion of those who may attract a diagnosis of personality disorder has been obstructed by several key impediments: 1: an insufficiently robust policy framework to drive forward the process of inclusion; 2: residual ambivalence towards the legitimacy of the diagnosis of personality disorder itself and the legitimacy of the claims made upon services by those who may attract a diagnosis of personality disorder; 3: insufficient and inadequately focused resources; 4: service structures that have not been redesigned sufficiently to engage successfully with service users who may attract a diagnosis of personality disorder. As a consequence of these impediments to inclusion, the majority of those who may attract a diagnosis of personality disorder in Scotland are likely to continue to face high levels of marginalisation and exclusion.

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Kleintjes, Sharon Rose. "Participation of people with psychosocial disability in mental health policy development in South Africa". Doctoral thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/6886.

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This study addressed the following question: What are the barriers and strategies to support the participation of South Africans with psychosocial disability in mental health policy development in South Africa? A systematic literature review (objective 1) addressed the question: ""What supports people with psychosocial disability to participate in national mental health policy development?"" The WHO Checklist for Mental Health Legislation, the WHO Checklist for Mental Health Policy and Plan, and domain 4 of the World Health Organisation Assessment Instrument for Mental Health Systems (WHO-AIMS) were completed, and 96 semi-structured interviews with key stakeholders were conducted, to assess current stakeholder, mental health legislation and policy support for the participation of people with psychosocial disability in South Africa (Objective 2). Nvivo-7 software was used to analysis qualitative data, using a framework analysis approach to data analysis and interpretation. These interviews were also used to ascertain the views of 56 of the 96 South African stakeholders' involved in mental health services, on environmental barriers to the participation of people with psychosocial disability in mental health policy development in South Africa (objective 3). The remaining 40 interviews with people with psychosocial disability documented their lived experience of barriers to their participation in policy development, and highlighted their priorities for policy development (Objective 4). Eleven key informants involved in leadership roles in peer led organisations for people with psychosocial disability in Africa were interviewed to inform understanding of opportunities for supporting people with psychosocial disability to participate in mental health policy development (Objective 5). The findings of objectives 1-5 were triangulated to inform the development of a conceptual framework for supporting South Africans with psychosocial disability to participate in mental health policy development (objective 6). The framework proposes the need for social transformation to overcome barriers to the inclusion of people with psychosocial disability in society, including as policy participants, support for self-directed agency, and opportunity for meaningful participation in policy development.

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Richardson, Theresa Marianne Rupke. "The century of the child : the mental hygiene movement and social policy in the United States and Canada". Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/27518.

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The purpose of this study is to examine the dynamics between professional knowledge and the power to construct social realities. The focus is on the institutions which contributed to mental hygiene as a protocol for public policies directed toward children. The social history of the child in the twentieth century is juxtaposed with shifts in the configurations of private and public institutions in a sociology of mental illness. The mental hygiene movement created one of the twentieth century's major paradigms. Mental hygiene was conceptualized as the development of a science of promoting mental health and preventing mental illness. The' working premise of the movement was that early life experiences determined adult competence and constituted the root cause of major social problems from crime and dependency to labour unrest and war. The National Committee for Mental Hygiene was established in the United States in 1909 and a second National Committee was established in Canada in 1918. Mental hygienists developed an ideology of child oriented prevention in public health, welfare and educational policies which legitimated public intervention into the private spheres of family relations and child rearing. The idea of mental hygiene was based on a medical model and as such it was part of the new psychiatry and public health movements of the Progressive Era. As a paradigm mental hygiene fostered the identification of children according to scientific standards. Mental hygiene contributed to the transformation of juvenile delinquency into a psychiatry of maladjustment in childhood. As a positivistic approach to public health, mental hygiene research elaborated criteria to determine age related stages of normal psychological and biological progress. Mental hygiene was a product of professional researchers and policy makers. The knowledge base of mental hygiene grew with the expansion of higher education in the United States especially in regard to scientific medicine. The medical model was subsequently applied to research in the behavioural and social sciences. Scientific philanthropy provided funds for research, professional education, and the distribution of knowledge. The accumulation of monetary resources by nineteenth century entrepreneurial capitalists, who applied these funds to further the growth of scientific models, were a sustaining factor in twentieth century mental hygiene. The agents of power described as part of the mental hygiene movement include: 1) the National Committees for Mental Hygiene in the United States and Canada; and, 2) general purpose foundations in Rockefeller related philanthropy and the Commonwealth Fund. By mid-century, the federal, state/provincial and local governments of the United States and Canada had assumed major aspects of the former role of the National Committees and philanthropy in mental health advocacy. The theoretical foundation of mental hygiene evolved in conjunction with the development of the scientific method as applied to preventive medicine, especially in fields related to psychiatry. Mental hygiene was a primary carrier of the medical model into applied disciplines in the social and health sciences. The professionalization of education, social welfare and psychology, as imbued with mental hygiene, translated technological change into revised concepts of public and private spheres in relationship to family and child life. The medicalization of human differences limited the potential for radical revisions in social organization. It justified unequal access to political and economic power on the basis of psychological and biological characteristics. The mental hygiene paradigm served to maintain established social configurations in the face of social change. The function of justifying inequalities was especially important in the United States but less so in Canada for reasons of the timing of nation-building, national history, character, and culture.
Education, Faculty of
Educational Studies (EDST), Department of
Graduate

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47

Millar, Kathryn Rae. "Prevalence and Associated Factors of Antenatal Depression in Post-conflict Rwanda| Implications for Nurse Midwifery Policy and Practice". Thesis, University of California, San Francisco, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10936184.

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Background: In low- and lower-middle-income countries (LLMICs), 16% of pregnant and 20% of postpartum women experience common maternal mental health disorders, far surpassing global rates of 10% and 13%, respectively. Maternal depression is associated with poor perinatal outcomes, including maternal, newborn, and early childhood outcomes. The Edinburgh Postnatal Depression Scale (EPDS) was recently validated in Rwanda, yet maternal depression prevalence and associated factors are unknown.

Objectives: The primary objectives of the study are to describe antenatal depression prevalence and its associated factors.

Methods: This is a secondary analysis of the Preterm Birth Initiative-Rwanda randomized controlled trial of group antenatal care (ANC) data obtained between June 2017 – June 2018. Thirty-four health centers in five districts were selected. At each health center, convenience sampling was used to ascertain EPDS scores from the first five women to present for initial ANC each calendar month. A cut-off EPDS score of ≥13 was used to define maternal depression. Multi-level simple and multiple logistic regressions were used to explore associated factors of antenatal depression. The study obtained informed consent and was approved by the Rwanda National Ethics Committee and the University of California, San Francisco institutional review board.

Results: Twenty-percent of women in the antenatal period screened positive for depression. In the adjusted multi-level multiple logistic regression model, family social support, age, ability to communicate with partner, and perceived stress were significantly associated with antenatal depression.

Conclusions: Antenatal and postpartum depression prevalence in Rwanda exceeds LLMIC averages. The authors recommend universal depression screening and treatment for pregnant and postpartum women.

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Thornton, Melissa L. "Implementation of Traditional Knowledge in Mental Health Policy: Learning from the Cases of the Inuit, the Haida and the Maori". Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23373.

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This paper considers the Aboriginal population in Canada (composed of First Nations, Métis and Inuit peoples) and explores the hypothesis that the degree to which traditional knowledge concepts, specifically in the area of mental health, is impacted by the extent to which a given population has achieved self-government. Additionally, from a public policy standpoint, this study – using a single case comparison methodology – examines the gap between intentions outlined in policy formulation stage guidance documents, indicating that the Canadian federal government intends to incorporate traditional knowledge to a greater degree, and evidence present at the policy implementation and budgeting stage, where it is clear that the application of the guidance does not always result in the stated outcome. By looking at similarities and differences between the case populations, this study will highlight some successes in the field of mental health policy, assess the challenges that policymakers face in the area of Aboriginal health, and offer suggestions to arrive at a place in the future where fundamental mental health disparities have been reduced for Aboriginal people in Canada.

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Zauhar, Sean Russel-Jacque. "Effects of Police-Mental Health Collaborative Services on Calls, Arrests, and Emergency Hospitalizations". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7265.

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With the increasing amount of police calls involving persons experiencing a mental health crisis (PICs), agencies are looking for ways to reduce the overuse of emergency services and criminal confinement. Police-mental health collaborative (PMHC) programs were developed to utilize the expertise of both mental health and law enforcement practitioners to provide immediate linkage to psychiatric services in an effort to prevent unnecessary involvement in the criminal justice system. The theoretical framework for this study was built on the sequential intercept model (SIM) along with the theories of social network and social support. The SIM identifies 5 key points where PICs can be diverted away from the criminal justice system. PMHC programs fall within the first intercept where persons with mental illness can be diverted at their first initial contact with law enforcement. Limited empirical research exists that show PMHC programs are reaching their intended objectives. The purpose of this quantitative study was to determine the effect of PMHC services on the likelihood that PICs will have future mental health calls (MHCs), arrests, and emergency hospitalizations (EHPs). Archival data from 1 midwestern police agency and online public court records was used in the analysis. The study employed OLS and logistic regression techniques, which revealed no statistically significant relationships between the PMHC interventions and the likelihood of future MHCs, arrests, and EHPs. However, significance was achieved for several covariates including transient status, prior history of MHCs, arrests, and EHPs. These findings will contribute to positive social change by informing policymakers and practitioners on best practices in community mental health crisis response.

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Morgan, Matthew Michael. "Policing vulnerability: An examination of police policy, training, and perceptions of practice regarding responding to persons with mental illness". Thesis, Queensland University of Technology, 2021. https://eprints.qut.edu.au/213160/1/Matthew%20Michael_Morgan_Thesis.pdf.

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The thesis is a qualitative study of police policy, training, and perceptions of police practice regarding the provision of ‘fair and just’ police responses to persons with mental illness (PWMI) in crisis. The thesis suggests that police policy guidelines and training practices may not appropriately equip police to recognise, understand, and manage PWMI in a fair and procedurally just manner. In addition, police culture within the organisation, and the organisation’s emphasis on paramilitary ideals is argued to limit and challenge procedurally just policing of PWMI.

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