Teses / dissertações: "Mental health facilities – planning"

1

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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2

Avey, Jaedon P. "Discharge planning from urban psychiatric facilities to rural communities using telehealth". Thesis, University of Alaska Anchorage, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3619191.

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Coordinating care is of particular concern in Alaska due to expansive geography, difficulty of travel, and often limited behavioral health care resources. This study explored how individual, organizational, and systemic factors influence clinicians' use of video teleconferencing to conduct "live" discharge plans from urban psychiatric facilities to rural communities.

Semi-structured key informant interviews were conducted, in person and by telephone, with urban clinical staff (n = 10), urban administrative staff (n = 6), and rural outpatient staff (n = 14). Two researchers analyzed the transcribed interviews in a recursive manner using a grounded theory methodology.

Participants described infrequent, but generally positive experiences with live discharge planning: connecting patients to providers, temporarily joining treatment teams, evaluating patients for appropriate placement, engaging patients in their own care, addressing medication issues, and coordinating with family and village resources. Providers recommended hiring interns or dedicated staff, installing equipment "on unit," or using wireless tablets. Rural participants ascribed a greater value to emergency psychiatric consultations at admissions than coordination at discharge.

Continued selective use of live discharge plans is indicated with patient length of stay being an important consideration in determining feasibility. Future implementation should involve dedicated resources and use video teleconferencing to formally enhance other transitional services. Once issues of organizational readiness are addressed, a Knowledge-Attitudes-Behavior framework may be useful for managing providers' underuse. Future research could evaluate rural, village-based intensive case management supported by consultation with the psychiatric hospital via video teleconferencing.

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3

Pilkington, Christopher. "The architecture of the unwanted : crisis in the implementation of the community-scale institution case study: mental health facilities in Massachusetts". Thesis, Massachusetts Institute of Technology, 1985. http://hdl.handle.net/1721.1/88805.

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Thesis (M.S.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 1985.
MICROFICHE COPY AVAILABLE IN ARCHIVES AND ROTCH.
Bibliography: p. [120]
by Christopher Pilkington.
M.S.

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4

Durst, Adrienne. "Art therapy : three models of community-based mental health facilities". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape8/PQDD_0006/MQ43686.pdf.

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5

Lapierre, Sophie. "The logistics of preventive health services using fixed and mobile facilities". Diss., Georgia Institute of Technology, 1995. http://hdl.handle.net/1853/24353.

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6

Thierer, Karen R. "A study of community attitudes toward out-patient mental health facilities". Thesis, Kansas State University, 1986. http://hdl.handle.net/2097/9975.

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7

Deihl, Christine D. "Recruitment and retention of mental health personnel in Pennsylvania". Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1996. http://www.kutztown.edu/library/services/remote_access.asp.

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8

Eldridge, Sarah Marie. "The Barriers To Mental Health Services: How Facility Factors Impact Perceived Barriers To Mental Health Services In Nursing Facilities". Miami University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=miami1409246124.

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9

Dusenberry, Jean Lee. "A Mental Health Care Center for Grady Memorial Hospital". Thesis, Georgia Institute of Technology, 1994. http://hdl.handle.net/1853/24137.

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10

Garcia, Alvarez Angel. "Interstitial space in health care facilities : planning for change & evolution". Thesis, Massachusetts Institute of Technology, 1989. http://hdl.handle.net/1721.1/73765.

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Thesis (M.S.)--Massachusetts Institute of Technology, Dept. of Architecture, 1989.
Includes bibliographical references (v. 2, leaves 287-299).
Hospitals are most useful material for architectural research for they exhibit all the problems encountered in other building types in an acute and easily measurable form. Health Care Facilities house the greatest range of functions within their operations and are subject to continuous changes through their life spans, requiring specific design strategies aimed at flexibility. These functions include offices, training schools, factories, warehouses, residential buildings, restaurants, etc. as well as many specifically clinical departments like operating theatres and pathology laboratories. The range of functions demand first, a wide variety and highly sophisticated services, which amounts to more than 40% of the building volume; and second, a high degree of interdependence and uncertainty in future uses. In this context, there are three overriding requirements in hospitals: fast design, provision for change & growth, and lifecycle economy. Interstitial Space is considered as a solution to these demands and found to be an appropriate design response. The Systems Approach is used as the methodology to analyze and organize the design and construction process within the general frame of systems thinking. Sources of information include all major reports and studies on the concept of Interstitial Space published in US, Canada, and UK; and inputs from professionals of health care planning firms in New York and the Boston area on the general issue of flexibility, and on the Interstitial Space concept in particular. This thesis is organized in three parts, each with three sections. Part one provides a reference to the General Systems Theory, a description of the Systems Approach and the performance concept in buildings. Part two addresses the problem of hospital design: first, it presents the general process of hospital planning; second, it discusses the problem of changes occurring in Health Care Facilities during their life spans; and third, a summary of design strategies for flexibility follows. Within this frame of analysis, part three discusses the Interstitial Space concept. First, the basic arguments leadings to its application; second, the design considerations in light of the different subsystems building up the system; and third, life-cycle cost implications.
by Angel Garcia Alvarez.
M.S.

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11

Gutridge, Kerry. "Assisted self-harm in mental health care facilities : an ethically acceptable approach?" Thesis, University of Bristol, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.601002.

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The aim of the thesis is to establish whether "assisted self-harm" is ethical or moral, when used in adult acute inpatient environments; in other words, whether it is consistent with how people should live their lives and treat others. "Assisted self-harm" refers to management strategies for self-harm which strive to reduce/limit, rather than stop, the behaviour. Strategies include offering advice on safer places to injure or allowing/providing sharp implements. In the project I used an "empirical ethics" approach, combining philosophical analysis with empirical studies to produce normative, not descriptive, conclusions. I conducted individual qualitative interviews with 5 patients and 20 inpatient or home intervention mental health professionals. Two focus groups were conducted: (I) with people from adult community services (n=4); and (2) with people from a specialist service for personality disorder (n=12). The interviews provided descriptive data about people's motivations, reasons and intentions when they self-injure, as well as predictive data about the possible consequences of allowing injury and participant-driven arguments for or against the approach. This data was used to complement theoretical analysis of the key concepts "autonomy", "responsibility" and "harm" and was integrated into my own arguments, to provide recommendations for action. Based on the combined analysis, I argue that "assisted self-harm" is justifiable in the shortterm as a means to reduce long-term harm, provided that five conditions are met. Thus, where the patient: is using self-injury primarily to manage distress; is injuring in a way which is associated with a low probability of physical damage (given the presence of appropriate support, such as advice on technique); possesses sufficient mental acuity after injury to engage with therapy; has an honest and open relationship with staff who are familiar with their history; and is capable of injuring in private, then "assisted self-harm" m.ay be an appropriate and effective approach.

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12

Lucey, Paula Ann. "Leadership Style and Organizational Citizenship Behavior in Community-Based Mental Health Facilities". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4006.

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A dramatic and historic evolution has occurred as mental health care has shifted from institutional-based care to community-based care. Framed by the social exchange theory, the purpose of this study was to identify the correlation of the leadership style of supervisors in residential care facilities with the organizational citizenship behavior of the residential care workers. The research questions focused on the correlation between the leadership styles and organizational citizenship behavior (OCB) with a secondary focus specifically on transformational leadership. Residential care workers in 3 states working in 65 facilities within a single organization completed 2 surveys: the Multifactor Leadership Questionnaire and the Organizational Citizenship Behavior Checklist. Forty-nine completed surveys were returned. The transactional leadership style was correlated to OCB in 2 defining subfactors: contingency reward r(42)=.424, p < .001 and management by exception/active r(42)=.417, p <.001. The transformational leadership style was correlated to OCB in 4 defining subfactors: idealized behaviors r(42)=.388, p <.001, instrumental motivation r(42)=.417, p <.001, idealized influence r(42)=.395, p <.001, and individual consideration r(42)=.371, p <.005. These findings have not been previously reported in mental health residential care settings. The generalizability of this study is limited by sample size and scope, because the employees come from facilities within a single corporate organization. Residential care is part of the overall positive social change in care of the mentally ill, by offering the mentally ill the opportunity of an enhanced, community-based life. This study begins the process of ensuring that sufficient evidence-based knowledge and scholarly practitioners are available to lead work that benefits this vulnerable population; additional study is recommended.

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13

Farrally, Vicki Lea. "An analysis of need assessment in the mental health context". Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24659.

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Need assessment methods grew out of the Community Mental Health Centre movement. Developed during a time of rapid expansion of service, there was a focus on providing services matched to the unique needs of a community. In the following years need assessment further developed as a technology and a search began for a "best model'. This paper argues that a "best model' is illusionary, a "best fit' being a more desirable goal. As fiscal constraints have reduced the resources available to consumption Ministries such as Health, need assessment has been increasingly used an allocative tool. Users of the tool, it is argued, must therefore choose their model with care and an understanding of the values and concepts inherent in each model is seen as necessary for intelligent choice. Finally, an examination of the British Columbia mental health context offers an analysis of some of the factors which have and will affect the use of need assessment in this Province
Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate

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14

Abd, Hamid Zuhairi. "Framework for strategic system planning for facilities management in the health sector". Thesis, University of Salford, 2005. http://usir.salford.ac.uk/42993/.

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Facilities Management (FM) is commonly defined as managing physical workplace and property, which have a direct link with design and construction activities in one aspect, and managing services and performance of resources in the organisation as another. Aspects of FM are inter-related and share information from project brief until the design life of the building. Information plays a major role in integrating FM stakeholders. This thesis highlights the importance of strategic IT in facilitating the implementation of strategic FM in the health sector. In the health sector FM department must be innovative in utilising IT technology to deliver value-for-money services. The current uptake of IT in the Facilities Directorate (NHS Trusts) is at an operational level, while the strategic FM demands the implementation of strategic IT in FM. The gap between the current operational IT and the need for it to be considered strategically has made this research important. Facilities Directorate should be ready to implement changes in managing its information systems to meet client's demand. The effective use of information for the maintenance and operation of hospitals, hospital development, benchmarking, performance measurement, managing finance and human resources, requires strategic information systems (IS). This thesis introduces a Strategic System Planning framework for FM (SSPfFM) in the health sector to capture the strategic information on FM that facilitates the implementation of strategic FM. Case study research methodology was adopted in support of this research. SSPfFM is derived from a pilot study conducted at Central Manchester and Manchester Children's University Hospitals (CMMC), NHS Trust. It is further validated with other three case studies and by survey questionnaire. This research has identified; gain top management commitment, align Information System development with FM business needs, establish technology path and policies on IT in FM, and forecast Information System requirements in FM as the main components of SSPfFM that focuses on short, medium and long-term strategies of FM in the health sector.

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15

Finn, Michael P. "Perceptions of discharge planning needs : A study of discharge planning in the mental health setting". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1995. https://ro.ecu.edu.au/theses/1158.

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Major mental disorder, with prolonged periods of dysfunction that require long term care, is an issue of concern amongst mental health professionals. Although substantial effort and resources are devoted towards returning mentally ill individuals to the community, one of the most distinctive and consistent features of the persistently mentally ill (PMI) is their high rate of readmission to hospital. Existing studies into discharge planning revealed that no research had been undertaken to determine if this is the case in Western Australia. This study sought to investigate perceptions of discharge planning held by patients, carers, nurses and allied health workers involved in discharge preparation in a major metropolitan psychiatric hospital operated by the Health Department of Western Australia. Eighty one subjects were selected from the four principal groups involved in care in this mental health setting, consisting of patients ( n = 21 ), carers ( n = 20 ), nurses ( n = 22 ) and allied health workers ( n = 18 ). Perceptions of discharge planning of these subjects were evaluated and compared using the Discharge Priorities Rating Scale. Farran, Carr & Maxson's model of goal congruence in discharge planning was used to guide this study. Significant differences were found to exist in the perceptions of discharge planning between patients, carers, nurses and allied health workers. Differences in perceptions are seen to have a detrimental effect on the discharge planning process, resu1ting in unnecessary and frequent readmission to hospital and the perpetuation of institutional dependency. Whilst the results of this study can only be applied to similar institutions, the findings are relevant for the persistently mentally ill who have patterns of frequent readmissions across the public and private mental health service settings. The results obtained indicate that nurses can facilitate effective discharge planning practices by adopting a more assertive role in the hea1th care team, in communicating patients' and their carers' concerns and promoting a more collaborative approach to care.

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16

Chow, Wai-ling. "Planning for priority groups : a case study of mentally handicapped in Hong Kong /". [Hong Kong] : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B14802338.

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17

Crews, Joseph MacNeal. "The planning and design of mental health treatment centres". Thesis, University of Greenwich, 1999. http://gala.gre.ac.uk/8730/.

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This research thesis was developed as a planning and design reference for mental health treatment centres. This text is intended to assist planners, designers, and health practitioners to optimize patient health and comfort by providing suitable environments to facilitate care and treatment. This thesis examines and provides guidance on security issues, environmental design, the cognitive environment, and site development. Sample facility plans are also provided to demonstrate the design principles advocated. The foreword examines the historical background of mental health treatment facilities in relation to the context of care. The continuing problem of the alienating and dehumanizing effects of psychiatric hospitals on patients is also addressed. Security requirements are investigated in relation to patients' rights and personal needs. This text also examines related fire safety requirements and design measures to minimize the risks of suicides, self injuries, and assaults. Environmental design issues, including lighting, color, acoustics, construction materials, air quality, and spatial relationships, are examined in relation to mental and physical health. Cognitive issues such as wayfinding, mental maps, symbolism, and perceptions of physical environments and architectural design are explored in relation to mental health treatment facilities. Earlier research suggests that patients have difficulty making the cognitive adjustment to typical mental health treatment facilities, and this can negatively effect their therapy and potential recovery. An illustrated questionnaire was developed to help determine the types of facilities patients can relate to and experience relative comfort. This questionnaire was used to examine perceptions of buildings and designs in relation to the provision of comfortable and healthy environments. The survey revealed that patients, health care providers, and students shared similar perceptions of the built environment, and that buildings possessing features generally associated with domestic buildings (houses) were considered more comfortable than other building types. In particular, buildings with pitched roofs and brick exteriors were considered most suggestive of comfort. Horizontal windows were preferred to more common vertically oriented windows. This effect was more pronounced when windows framed a pleasant natural view. Curved interior forms were also found to be suggestive of comfort. Past, current, and emerging patterns of site and facility development are reviewed in association with their environmental context. The role of nature in the healing process, from ancient Greece to recent discoveries, is also examined. The final chapter of this thesis is a demonstration of design principles with annotated drawings of a hypothetical inpatient unit and outpatient clinic. These drawings are provided to demonstrate an integration of thesis findings and design principles. These drawings are not a definitive design or prototype, because every site and building program are different and require their own design solution.

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18

Lam, Ching-hang Christine. "A meditative environment : for the mentally I /". Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25951725.

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Thesis (M. Arch.)--University of Hong Kong, 1998.
Includes special report study entitled: Psychology for the architecture : perception of space and behavioural pattern. Includes bibliographical references.

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19

Omuson, Victoria. "Planning a Smoking Cessation Program in a Mental Health Hospital". ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1506.

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The incidence of smoking among mentally ill people is very high. Smokers have a 50%, rate of mental illness diagnosis compared with 23% rate for general population. To address this problem, the purpose of this project was to plan a smoking cessation program for patients in a mental health facility. The theoretical foundation for this project was based on the theory of planned behavior, which identifies the predictive nature of smoking and the benefits that can be derived from implementing a systematic approach for change. The project question examined the effectiveness of smoking cessation program using educational support, pharmacological strategies, and bi-weekly meetings to help patients in a mental health hospital to decrease smoking behavior. The project design was based on use of smoking questionnaires, the Hooked on Nicotine Checklist (HONC), effective pharmacological strategies, educational support, and counseling treatments to evaluate symptoms of dependency. The key results of this project included the creation of a plan that could foster reduction in illness, improved quality of life, and reduced costs related to the onset of major illness in this vulnerable population. This data collection process focused on a qualitative design in which selected professionals were asked to review the materials and answer questions. This project could increase awareness of the issue of smoking; in addition, this project could equip nurses with the tools to deliver evidence based interventions for tobacco dependence that may significantly reduce tobacco use. This project has the implications for positive social change through its potential to improve the health of people with mental illnesses. It also creates a safe and healthy environment in mental health facilities for patients who do not smoke.

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20

Walker, Ryan Christopher. "Planning supported housing for people with serious mental health issues". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ52031.pdf.

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21

De, Santis-Collis Christine Marie. "Relationship Between Mental Health Facilities' Pre-Intake Practices and Children's First Appointment Attendance Rates". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3937.

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Between 20% and 57% of patients at community mental health centers miss their first mental health appointment, resulting in wasted resources and longer wait times for other patients. To date, only one peer-reviewed quantitative study examined the relationship between appointment reminder practices and children's and adolescents' first appointment attendance rates for community mental health centers. The purpose of this quantitative study was to examine the relationship between first appointment wait times, electronic appointment reminders, phone appointment reminders, and first appointment attendance for U.S. community mental health centers, along with the potential moderating effects of age, ethnicity, and gender. Blumer's symbolic interaction theory served as the theoretical framework. Secondary data on was collected from 12 Texas-based community mental health centers covering 5,260 patients. Binary logistic regression uncovered the following key study findings: (a) wait time and message type significantly predicted appointment attendance; (b) e-mail appointment and text reminders were significantly more effective than were phone reminders; and (c) age, gender, and ethnicity moderated the relationship between wait time and message type, and first appointment attendance. The implications for positive social change include improving our understanding of the optimal appointment reminder tactics that increase children's and adolescents' mental health appointment attendance rates, improve operating efficiency of community health centers, and increase the likelihood that children and adolescents will receive needed mental health services.

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22

D'Antonio, Pamela L. "Deinstitutionalization and its implications on mental health emergency services in Berks County". Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1993. http://www.kutztown.edu/library/services/remote_access.asp.

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Thesis (M.P.A.)--Kutztown University of Pennsylvania, 1993.
Source: Masters Abstracts International, Volume: 45-06, page: 2937. Abstract precedes thesis title page as [2] preliminary leaves. Typescript. Includes bibliographical references (leaves 59-61).

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23

Mello, Elizabeth. "The geographic distribution of mental health facilities in areas of high and low crime in Iowa". Thesis, University of Iowa, 2016. https://ir.uiowa.edu/etd/5570.

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Areas of high crime often have an increased need for mental health services for the victims and perpetrators of violent crime. Access to these types of services can vary significantly throughout the US, and geographic proximity is one barrier that an individual in need of treatment must overcome, which is especially difficult in rural areas. The long term goal of this study was to inform communities on gaps in the need for mental health services as they relate to crime rates in the state of Iowa. The objective is to measure the association between crime and mental health service geographic proximity at the census block level using ESRI CrimeRisk index scores and US Census data. Geographic proximity to mental health care facilities in Iowa was defined as the ratio of the number facilities within a 5, 10, and 30 miles radius of the center of all block groups in Iowa to the population size of that block group. There are disparities in crime and geographic proximity to mental health facilities. While more than 70% of Iowa’s block groups have a total crime index score below the national average, about 18% have total crime levels above the national average and some are very high at six or seven times the national average. There are also disparities in geographic proximity to mental health facilities, as much of the state has low geographic proximity to provider within 5 or 10 miles of their home and moderate geographic proximity within 30 miles of their home. Relative ratios produced by negative binomial models using a variety of different crime type index scores (total crime, murder, rape, assault) and predicting the facility-to-population ratio within a specified distance of block groups (5, 10, and 30 miles), showed that overall, the ratio of facilities-to-population increases as crime increases. For example, when predicting the facility-to-population ratio at 5 miles using the murder index scores, there was a relative ratio of 1.93 (CL= 1.76, 2.12), or a near doubling (93% increase) of the number of facilities when increasing each crime category Rurality is an effect measure modifier for the association between crime index scores and the facility-to-population ratio. The relative ratios tended to be highest in urban block groups and lower in isolated rural block groups. Additionally, the facilities-to-population relative ratios tend to be lower overall in areas of high violent crime like rape and murder, compared to areas of lower violent crime. From the geographically weight regression model, there was a large range in crime index scores and geographic proximity to mental health facilities in Iowa. The facility-to population relative ratios show that, despite that increases in crime in Iowa are associated with an increase in available mental health providers, increases are not equitable throughout the state and often depend on how rural an area is. The relative ratios also show that some types of violent crime, notably rape and assault, have smaller increases in geographic proximity to mental health facilities than other types of crime, which is concerning given the high rates of victimization and trauma associated with those crimes. By using model selection and geographically weighted regression, we can see that the model fit varies over space as does crime’s association with provider access, giving more resolution to these conclusions.

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24

Olwit, Connie. "Stigma towards people with mental illness: a cross-sectional study among nursing staff in health facilities in Amolatar district, Uganda". Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16709.

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Includes bibliographical references
Introduction: Mental health of Ugandans could be improved through mainstreaming the services into primary care systems. Nurses constitute a high percentage of the workforce in health; therefore they can significantly contribute towards several experiences by patients with mental illness. Stigma towards mental illness and individuals living with mental illness is among the major hindrances to effective mental health service delivery amongst healthcare workers. Therefore it is important for stigma to be explored among general nurses as mental health services are being integrated into the primary health care. The aim of this study was to explore stigma among general nurses towards mental illness and individuals living with mental illness. Methods: This was a cross-sectional quantitative study. Self-administered questionnaires were distributed to nurses working in Amolatar district health facilities that measured knowledge, attitudes and behaviour towards individuals living with mental illness, in addition to their familiarity with a person with mental illness. Descriptive statistics were used to determine the extent to which stigma was reported in this population. Bivariate and multivariate analyses were done using linear and logistic regressions to identify the predictors of the knowledge, attitudes and behaviours of nurses regarding mental illness and individuals living with mental illness. Results: Sixty-three general nurses participated in the study. Most of the participants identified schizophrenia as an SMI, however 79% considered stress to be mental illness and only a quarter of respondents scored above 80% on knowledge about mental illness. Most of the participants believed that psychotherapy was the most effective treatment for mental disorders. The nurses were benevolent (mean 3.06, s.d 0.29) and showed acceptance towards mental health services and individuals living with mental illness in the community (mean 3.56, s.d 0.30) however the nurses tended towards authoritarianism (mean 3.74, s.d 0.34) and social restrictiveness (mean 2.98, s.d 0.27). Level of contact with individuals living with mental illness predicted community mental health ideology and authoritarianism. No demographic variables were associated with level of knowledge using MAKS score and intended behaviour using RIBS tool. Conclusion: This study has provided some of the first data on stigma among primary health care nurses towards people with mental illness in Uganda and has added to knowledge of stigma towards people with mental illness by health care providers in LAMIC. Many of the findings were positive and bode well for the planned integration of mental health in primary health care. The negative findings of this study have shown that there are many areas for improvement which could be tackled by interventions such as public and community education, and in-service training regarding causes and management of mental disorders. Further research could be done to understand more about the negative attitudes found in many LAMIC.

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25

Hathaway, Stefani 1977. "Religious involvement, attitudes toward seeking professional psychological help, and preferences for alternative mental health settings". Diss., Columbia, Mo. : University of Missouri-Columbia, 2005. http://hdl.handle.net/10355/4138.

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Thesis (Ph. D.)--University of Missouri-Columbia, 2005.
The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file viewed on (November 8, 2006) Vita. Includes bibliographical references.

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26

Tam, Chiu-wan. "Community response to mental health facility : a study of objections to the setting up of a halfway house in Sun Chui Estate, Shatin /". [Hong Kong : University of Hong Kong], 1986. http://sunzi.lib.hku.hk/hkuto/record.jsp?B12325909.

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27

Smith, Lourett. "Guidelines for a therapeutic programme to address the mental health needs of adolescents being treated in a psychiatric hospital". Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1010963.

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It is estimated that about 10 million children and adolescents worldwide, annually suffer from psychiatric disorders. They often require hospital treatment because they are not coping with their psychiatric condition at home or there is a lack of supervision. Suicide amongst adolescents who are experiencing a crisis is a bleak reality. In-patient treatment provides the necessary structure and supervision in order to secure a stable environment which is vital for treating adolescents. Treatment usually includes a therapeutic programme provided by members of the multi-professional team. Since there is at present no adolescent in-patient treatment facility in the Nelson Mandela Bay to provide psychiatric care to adolescents who are experiencing a mental problem, these patients are admitted to psychiatric hospitals which cater only for the needs of adult patients or they are referred to facilities in other provinces. The goals and objectives of this study are firstly, to explore and describe the perceptions of mental health professionals working in psychiatric hospitals regarding what should be included in a therapeutic programme for adolescents and secondly, to develop guidelines for treating adolescents that can be implemented in psychiatric hospitals in the Nelson Mandela Bay. The study followed a qualitative, exploratory, descriptive, contextual design. The research population included various professionals who provide services at psychiatric hospitals in the Nelson Mandela Bay. Purposive sampling was utilized. Semi-structured interviews were conducted to collect information-rich data and field notes were kept. The interviews were transcribed and Tesch’s eight steps of data analysis were followed to create meaning from the data collected. Themes were identified and grouped together to form new categories. An independent coder assisted with the coding process to ensure the trustworthiness of the findings. Literature was reviewed in order to identify research that was done previously regarding adolescent psychiatric in-patient programmes in order to bridge the gaps that were identified. The researcher ensured the validity of the study by conforming to Lincoln and Guba’s model of trustworthiness which consists of the following four constructs, namely, credibility, transferability, dependability and confirmability. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as beneficence, justice and fidelity.

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28

Jacobs, Yuche Andy. "The experiences of facility-based counsellors who provide a psychosocial intervention for mental illness in primary healthcare facilities in the Western Cape". Master's thesis, University of Cape Town, 2020. http://hdl.handle.net/11427/32498.

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Background: Despite the movement in global mental health that advocates for task-sharing, few studies have investigated the experiences of facility-based counsellors (FBCs) who provide a psychosocial intervention for mental illness in primary healthcare. Project MIND, a cluster-randomized controlled trial at 24 primary healthcare facilities in the Western Cape, trained FBCs to deliver a threesession evidence-based intervention for patients with a common mental disorder. Therefore, project MIND presents an opportunity to address a gap in the literature by exploring the experiences and needs of FBCs delivering a psychosocial intervention. Aims & Objectives: The overall aim of this study is to explore the experiences of FBCs working on Project MIND in the dedicated (training and adding a counsellor to the chronic disease team) and designated (training and using existing counsellor from the chronic disease team) intervention arms. Specific objectives included: (1) exploring the barriers and challenges that FBCs experienced while delivering a psychosocial intervention; (2) exploring FBCs' perceptions of regular structured supervision, debriefing and in-service training for improving micro-counselling skills; and (3) eliciting suggestions from the FBCs for future scale up of counselling services in primary healthcare settings. Methods: A qualitative study was conducted among FBCs delivering the project MIND psychosocial intervention (N=18). All interviews were conducted by an independent qualitative interviewer in a private room at the primary healthcare facilities. Interviews were audio-recorded and transcribed verbatim. NVivo 12 was used to store data and facilitate analysis using the Framework Approach. Results: Findings of the study were grouped according to four main themes. The first theme focused on FBCs' perceptions of the benefits of the project MIND training. Several perceived benefits were reported such as having a better understanding about mental illness particularly depression, enhanced counselling skills and transferability of skills to other daily duties in the healthcare facility. Role-playing stood out as a key training component to assess counselling readiness. The second theme focused on barriers and facilitators related to the implementation of the project MIND intervention. Designated FBCs reported competing task demands as a barrier to implementing the MIND intervention compared to designated FBCs. Further, most designated counsellors reported feeling marginalized in the facility due to their lowly status. Other barriers reported which impacted on their motivation to implement the MIND intervention by both dedicated and designated FBCs were low remuneration, a lack of counselling space, and a lack of privacy and confidentiality. Regarding facilitators to implementing the MIND intervention, experiencing first-hand how well patients were able to solve some of their problems using the problem-solving method and taking responsibility for their health motivated FBCs to implement the MIND intervention. In addition, the MIND intervention aided FCBs with solving their own problems which enhanced their belief in the effectiveness of the intervention. The third theme dealt with how FBCs perceive the clinical supervision and debriefing provided by project MIND. Regular structured supervision, debriefing and in-service training delivered by a registered psychological counsellor, a novel approach, was perceived as beneficial to all FBCs as it provided them with a means to reassess and improve their counselling skills. Further, role-playing was reported as an effective method for rehearsing their counselling skills and enhancing quality of intervention delivery. Fidelity feedback through audio-recorded counselling sessions was highlighted as feasible. Considerations around space, location (distance), a lack of privacy, and scheduling were mentioned. The fourth and final theme focused on FBCs' recommendations for improving the project MIND training, supervision and debriefing model, and implementation. FBCs recommended that more time should be allocated for role-playing and skills rehearsal exercises during training to test their counselling skills and readiness. There were some suggestions that the amount of training hours per day should be reduced as it might aid FBCs to remain focused and retain information. Regarding supervision, a few FBCs recommended incorporating occasional peer group supervision and debriefing to benefit from shared experienced. Other recommendations were adding content related to substance use to the intervention and including management in training. Conclusion: Regular structured supervision, debriefing and in-service training provided by a Registered Counsellor are both feasible and beneficial for improving micro-counselling skills and the quality of intervention delivery among FBCs delivering a psychosocial intervention. Considerations for scaling up FBC-led psychosocial interventions should involve addressing barriers such as limited counselling space, remuneration, and marginalization.

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Dusenberry, William. "Integrating depth psychology in adolescent court-mandated treatment facilities| Increasing treatment efficacy and client engagement". Thesis, Pacifica Graduate Institute, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10258220.

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Therapeutic treatment facilities that support adolescents in the criminal justice system in reforming delinquent behaviors are being used across the country as an intervention alternative to more punitive correctional facilities. Cognitive behavioral therapeutic techniques are the current primary treatment method used in such facilities, which has left them void of any depth psychological or psychodynamic modalities. Although cognitive behavioral therapy provides useful tools in supporting a patient’s emotional awareness and affect regulation, it falls short in tending to the whole of an individual’s psychic needs and drives. Using hermeneutic and heuristic methodologies, this thesis focuses on how a combination of depth psychological tools and psychodynamic conceptualizations of the adolescent psyche could increase treatment efficacy and client engagement. Using depth psychological and psychodynamic literature as well as this author’s own professional experience in the field, this thesis examines the benefits of depth psychological methods in adolescent court-mandated treatment facilities.

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Johnson, Eric. "Probation Officer Perspectives on Integrating Mental Health Assessment Results in Case Planning". Thesis, Capella University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10937164.

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In the United States, recidivism rates among juvenile offenders continue to grow year after year, despite decades of research to understand the problem, including more recent efforts by the courts to focus on alternatives to incarceration. More contemporary research efforts have suggested that targeting specific risk factors, particularly mental health issues, in juvenile offenders is an effective method for not only reducing recidivism, but the successful completion of probation programs. In virtually all juvenile justice systems across the country, offenders are given a mental health assessment when entering the system, although utilizing the results is neither mandate not nor consistently applied in many cases. This study sought to understand, from the perspective of probation officers in one county in Arizona, why the assessments are not more widely and consistently used. Specifically, this study sought to answer the following research question: How do probation officers for juveniles describe the barriers to implementation of mental health assessments in case planning? This study used a generic qualitative methodology, interviewing current juvenile probation officers. Interviews were recorded, transcribed, analyzed, and ultimately identified three primary themes: lack of training, overwhelming caseloads, and an overall problem with the perceived value of the assessments. Subsequently, these themes are indicators of barriers that probation officers face in their jobs when it comes to implementing mental health assessment results in case planning. Ultimately, this study provided new insight into why juvenile probation officers do not more consistently utilize mental health assessment results and offers implications for future research to expand the population, scope, and understanding of this research topic.

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Tse, Siu-keung, e 謝肇強. "Attitudes towards the mentally ill, mental illness and the location for mental health facilities: a Hong Kong study on secondary schoolstudents". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B19470228.

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Conradie, Hendrik Francois. "Evaluation of the Western Cape Provincial Government’s land provision programme for new state health facilities". Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/6458.

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Thesis (MPA)--University of Stellenbosch, 2011.
ENGLISH ABSTRACT: The research was undertaken during 2009/2010 and focused on the Western Cape Department of Transport & Public Works (DPW) programme for the provision of land for the construction of new state health facilities (hospitals, community health centres, clinics) in the province. The purpose of the study was to determine whether the Department has instituted proper policy to deliver the required land, and whether this policy is implemented successfully. The study was thus, in essence, an evaluation of a government policy programme. The following are the overall findings and conclusions, per chapter: •Chapter 1 provides an introduction, with reference to the main research question and related questions. •In Chapter 2 important theory on policy evaluation is presented, and a Policy Documentation Template (PDT) developed, capturing the essential principles and elements for effective public policy documents. •In Chapter 3 important selected sections of the existing conceptual/theoretical body of knowledge on policy implementation are explored and analysed by the researcher, leading to identification of critical implementation principles/lessons as well as the Policy Implementation Monitor (PIM). •In Chapter 4 the DPW‟s set of policy documentation related to land provision for new state health facilities is studied, described, analysed, and compared with the PDT. It is found that an effective and enforceable annual operational plan does not exist, rendering successful policy implementation and monitoring impossible. •In Chapter 5 the implementation of the policy documents is described, and critically analysed. The PIM and lessons learnt from policy implementation theory are applied to DPW‟s implementation practice. Serious shortcomings are found in the implementation of the land provision programme – especially regarding ineffective cooperation between the Provincial Departments of Public Works and Health – resulting in delayed delivery of land for new state health facilities. •Chapter 6 contains the researcher‟s conclusions and policy recommendations. The researcher produces the following recommendations for consideration by the Minister, to address the problems in the DPW land provision policy programme: A. Appointment of a policy think tank (group of independent expert professional individuals with high-order management skills) with the following tasks: •Facilitate the establishment of a Health Facilities Partnership Contract (HFPC) between DPW and the Provincial Department of Health by 31 March 2011. •Ensure that the HFPC contains the essential elements on functioning of the partnership, and includes the mutually agreed new state health facility projects, of which construction must start over the next three financial years (2011/12 – 2013/14); also initiate an electronic management cockpit to be used by the Minister for real-time (24 hr) monitoring of progress with the priority land/facility projects. •Document a broad policy and strategic framework for innovative asset management approaches and models that will maximise revenue streams for DPW, and increase the value of the asset base of the Western Cape Provincial Government; this policy framework should include reference to inner city renewal in Cape Town, as well as asset-based urban regeneration and economic development in other larger towns of the Western Cape (e.g. George, Mossel Bay, Oudtshoorn, Hermanus, Paarl/Wellington, etc.). •Make recommendations regarding updating of the asset register of DPW, including reference to effecting and conclusion of the transfer of various real estate properties that have not been transferred to DPW yet, and regarding sophisticated information/communication technology (ICT) solutions that will modernise DPW‟s asset management to international best practice standards. B. The „policy think tank‟ (Ministerial advisory group) should have experts from outside DPW as members, but will have to engage with the DPW top management (Head of Department; Chief Director of Property Management; Director of Property Development) in a partnership context in order to have the HFPC established.
AFRIKAANSE OPSOMMING: Die navorsing is onderneem gedurende 2009/2010 en fokus op die Wes-Kaap Departement van Vervoer & Openbare Werke program vir die voorsiening van grond vir die konstruksie van nuwe staatsgesondheidsfasiliteite (hospitale, gemeenskap gesondheidsentrums, klinieke) in die provinsie. Die doel van die studie was om vas te stel of die Department behoorlike beleid ingestel het om die vereiste grond te lewer, en of hierdie beleid suksesvol geimplementeer word. Die studie was dus, in wese, 'n evaluering van 'n regeringsbeleidsprogram. Die volgende oorhoofse bevindinge en gevolgtrekkings word gemaak, per hoofstuk: •Hoofstuk 1 beslaan die inleiding, met verwysing na die hoof navorsingsvraag en verwante vrae. •In Hoofstuk 2 word belangrike teorie oor beleidsevaluering voorgehou, en 'n Beleid Dokumentasie Patroonplaat (BDP) word ontwikkel, wat die wesenlike beginsels en elemente vir effektiewe openbare beleidsdokumente bevat. •In Hoofstuk 3 word belangrike geselekteerde dele van die bestaande konseptuele/teoretiese kennispoel oor beleidsimplementering ondersoek en ontleed deur die navorser, wat lei na die identifikasie van kritiese implementering beginsels/lesse, asook die Beleid Implementering Monitor (BIM). •In Hoofstuk 4 word die Departement se stel beleidsdokumente rakende grondvoorsiening vir nuwe staatsgesondheidsfasiliteite bestudeer, beskryf, ontleed en vergelyk met die BDP. Dit word bevind dat geen effektiewe en afdwingbare jaarlikse operasionele plan bestaan nie, wat suksesvolle beleidsimplementering en monitering onmoontlik maak. •In Hoofstuk 5 word die implementering van die beleidsdokumente beskryf en krities ontleed. Die BIM en lesse uit die beleidsimplementering teorie word toegepas op die Departement se implementeringspraktyk. Ernstige tekortkominge word gevind in die implementering van die grondvoorsiening program – veral rakende die oneffektiewe samewerking tussen die Departemente van Openbare Werke en Gesondheid – met vertraagde lewering van grond vir nuwe staatsgesondheidfasiliteite die gevolg. •Hoofstuk 6 bevat die navorser se gevolgtrekkings en beleidsaanbevelings. Die navorser produseer die volgende aanbevelings vir oorweging deur die Minister, om die probleme in die Departement se grondvoorsiening beleidsprogram aan te spreek: A. Aanwysing van 'n beleid denkgroep ('n groep onafhanklike deskundige individue met hoë orde bestuursvaardighede) met die volgende take: •Fasiliteer die vestiging van 'n Gesondheidsfasiliteite Vennootskap Kontrak (GFVK) tussen die provinsiale Departemente van Openbare Werke en Gesondheid, teen 31 Maart 2011. •Verseker dat die GFVK die wesenlike elemente bevat betreffende funksionering van die vennootskap, asook die wedersyds ooreengekome projekte vir nuwe staatsgesondheidfasiliteite waarvan konstruksie 'n aanvang moet neem oor die volgende drie finansiële jare (2011/12 – 2013/14); inisieer ook 'n elektroniese bestuurskajuit vir gebruik van die Minister in die konstante (24 uur) monitering van vordering met die prioriteit grond/fasiliteite projekte. •Dokumenteer die breë beleid en strategiese raamwerk vir innoverende batebestuur benaderings en modelle, wat die inkomste strome vir die Departemente sal optimaliseer, en die waarde van die bate basis van die Wes-Kaap Provinsiale Regering sal vergroot; hierdie beleidsraamwerk moet verwysing na middestad-vernuwing in Kaapstad insluit, asook bate-gefundeerde stedelike en ekonomiese ontwikkeling in ander groter dorpe in die Wes-Kaap (soos George, Mosselbaai, Oudtshoorn, Hermanus, Paarl/Wellington, ens.). •Doen aanbevelings rakende die opdatering van die bate register van die Departement, insluitende verwysing na die uitvoer en afhandeling van die oordragte van verskeie vaste eiendomme wat nog nie oorgedra is na die Departement nie, asook rakende gesofistikeerde informasie/kommunikasie tegnologie (IKT) oplossings wat die Departement se batebestuur sal moderniseer tot internasionale beste-praktyk standaard. B. Die „beleid denkgroep‟ (Ministeriele adviesgroep) moet deskundiges van buite die Departement as lede hê, maar sal in gesprek moet tree met die Departement se topbestuur (Hoof van Departement; Hoof Direkteur van Eiendomsbestuur; Direkteur van Eiendomsontwikkeling) in 'n vennootskapskonteks, sodat die GFVK tot stand kan kom.

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Chow, Wai-ling, e 周惠玲. "Planning for priority groups: a case study ofmentally handicapped in Hong Kong". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1995. http://hub.hku.hk/bib/B31258815.

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Zonke, Lulama Henrietta. "The newly qualified professional nurses' proficiency in utilizing psychiatric nursing skills in mental health institution and community health care facilities". Thesis, University of Fort Hare, 2012. http://hdl.handle.net/10353/d1001098.

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The aim of this study was to determine the ability and proficiency of the newly qualified professional nurses in utilising psychiatric nursing skills at Chris Hani District Psychiatric Health Care Services in the Eastern Cape, South Africa. The research method was a qualitative, phenomenological approach. A purposive sample of newly qualified professional nurses and supervisors participated in the study. The data were collected through interviews and focus group discussions, using semi – structured interview guides. Interviews responses were recorded on the interview guide. Data were analysed using the computer software Atlas ti and manually. Positive and negative themes were identified. Ethical considerations were ensured by means of privacy, anonymity and confidentiality. Ethical clearance was obtained from the University of Fort Hare and permission from the Provincial Department of Health and Chris Hani District Health and Mental Health Institution at Queenstown was sought. The findings revealed that newly qualified professional nurses performed well, according to the perception of their supervisors. Newly qualified professional nurses were faced with challenges such as shortage of resources, mental illness not considered as a priority and lack of skills development. The study also revealed that newly qualified professional nurses focussed on the curative aspect of ailments, rather than preventive care. However community health workers (CHW) focussed on the preventive aspect of care. Limitations and recommendations based on the findings of the study are presented.

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Fortune, Tracy. "Establishing an occupational milieu in aged mental health units an occupational ethnography /". Connect to full text, 2002. http://hdl.handle.net/2123/5458.

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Thesis (Ph. D.)--University of Sydney, 2003.
Title from title screen (viewed Oct. 26, 2009) Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the Discipline of Surgery, Faculty of Health Sciences. Degree awarded 2003; thesis submitted 2002. Includes bibliography. Also available in print form.

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Kebede, Tigist Zerihun. "Family planning for women with severe mental illness in rural Ethiopia: a qualitative study". Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/25064.

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Background: Family planning is a crucial issue for all women of reproductive age, but in women with severe mental illness (SMI) there may be particular challenges and concerns. As primary care-based mental health care is expanded in low- and middle-income countries (LMICs), there is an opportunity to improve family planning services for women with SMI. However, research exploring unmet family planning needs of women with SMI in such settings is scarce. Aim: To explore the family planning experiences, unmet needs and preferences of women with SMI who reside in a predominantly rural area of Ethiopia Methods: A qualitative study design was used. Women with SMI who were participating in the ongoing population-based cohort study in Butajira were selected purposively on the basis of responses to a quantitative survey of current family planning utilization. In-depth interviews were conducted with 16 women with SMI who were of reproductive age until theoretical saturation was achieved. Audio files were transcribed in Amharic, translated into English and analysed using a Framework Approach using Open Code qualitative data analysis software. Results: The findings were grouped into four main themes. The first theme focused on the broader context of intimate relationships and sexual life of women with SMI. Sexual violence, assault and exploitation were reported by several respondents, underlining the vulnerability of women with SMI. Lack of control over sexual contact was associated with unwanted pregnancies. The second theme (childbearing and SMI) was around attitudes towards childbearing in women with SMI. Respondents described negative views from community members and some health professionals about the capacity of a woman with SMI to give birth and bring up a child. In most cases, it was assumed that a woman with SMI should not have a child at all. In the third theme (family planning for women with SMI), respondents spoke of their low access to information about family planning and systematic exclusion from existing services. In the fourth theme (preferred family planning services), the respondents had concerns about the ability of primary care workers to understand their specific family planning needs, but also valued proximity of the service and privacy. The importance of addressing health worker and community attitudes was emphasized. Conclusion: This study has provided in-depth perspectives from women with SMI about the broader context of their family planning experience, needs, barriers and how integrated primary care services could better meet their needs. Empowerment of women with SMI to access information and services needs to be an important focus of future efforts to improve the reproductive experiences of this vulnerable group.

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Connell, Bettye Rose. "'Elopement' opportunities among dementia patients in nursing homes : architectural considerations". Diss., Georgia Institute of Technology, 1992. http://hdl.handle.net/1853/23363.

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Tse, Siu-keung. "Attitudes towards the mentally ill, mental illness and the location for mental health facilities : a Hong Kong study on secondary school students /". Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19470228.

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Mangwana, Thobeka Cikizwa. "An examination of the response of the Cape Mental Health Society to the mental health needs of blacks in the Western Cape". Master's thesis, University of Cape Town, 1989. http://hdl.handle.net/11427/17159.

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Includes bibliography.
This study examined the response of the Cape Mental Health Society to the mental health problems of Blacks in the Western Cape. This response has been examined against the organisational and the community contexts in which such services are provided. Environmental constraints which surround service provision were examined at macro- and micro-level. The macro-level covered the unfavourable political, social and economic aspects as experienced by both the organisation and its clientele. The micro-level covered those aspects which impinge on service delivery but are within the scope of the organisation. It is agreed that these aspects affect the nature of the response of the organisation to mental health needs of blacks negatively. The study emphasizes the need to define mental health within the South African context from a psychiatric and socio-political perspective as such a definition allows for appropriate service provision. Data was collected from primary and secondary sources. Interviewing was used as a technique for collecting primary data. Structured and unstructured interviews were carried out with people from various disciplines, community members, and present and prospective service consumers. The exploratory-descriptive approach was used. The problems and needs of clients were quantified in terms of the organisation's waiting lists and other criteria. Services rendered by the Society were quantified in terms of clients being served and the number of projects and programmes undertaken to meet different mental health needs. Ideas have been developed about mental health services amongst the black communities and their cultural perception of mental health needs. The findings emphasize inadequacy of the response of the Cape Mental Health Society to mental health needs of blacks. The present facilities are insufficient and inappropriate to mental health needs of blacks. They are characterised by inaccessibility, inefficiency and ineffectiveness where they do exist. A marked inequality in the provision of services to the two population groups, that is, Coloureds and Blacks, has been identified. A framework for developing mental health services for blacks in the Western Cape has been recommended. This framework proposed various steps which can be taken in such development.

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Lima, Clarissa Sucupira Andrade. "The use of formal methods for decision making in the planning phase of healthcare facilities". Thesis, Available online, Georgia Institute of Technology, 2007, 2007. http://etd.gatech.edu/theses/available/etd-04042007-211547/.

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Mahoney, Michelle A. "Educational Facilities: Designing for Everyday Stress in Public, Primary School Environments". University of Cincinnati / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1428048435.

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Balakrishnan, Ashwin Sriram. "Children of Moses's experiment : youth, mental health, and hip-hop in the South Bronx". Thesis, Massachusetts Institute of Technology, 2014. http://hdl.handle.net/1721.1/90087.

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Thesis: M.C.P., Massachusetts Institute of Technology, Department of Urban Studies and Planning, 2014.
Cataloged from PDF version of thesis.
Includes bibliographical references (pages 84-87).
Urban youth have developed ways to overcome trauma and promote wellness in their lives through the art and culture of hip-hop. This paper asks, "how is hip-hop music and culture being used as a tool for mental health promotion amongst urban youth, and are these methods effective?" In recent years, mental health professionals and social workers have begun to realize the therapeutic powers of hip-hop. Due to the diverse nature of hip-hop culture, many fields of thought intersect with the subject, such as psychology, music therapy, urban history, and youth development. This paper draws from literature on these topics and from interviews with leaders in many of these fields in order to develop a theoretical understanding of how hip-hop can be used therapeutically with urban youth. Using these theoretical discussions as a compass, this paper then delves into a hip-hop therapy program in the Bronx, NY called Beats, Rhymes, and Life (BRL). Interviews with youth, social workers, and youth workers at this program elucidate the strengths and challenges of the hip-hop therapy model. The piece concludes with specific lessons for practitioners of hip-hop therapy, and broader takeaways for urban planners and policymakers concerned with improving under resourced urban communities.
by Ashwin Sriram Balakrishnan.
M.C.P.

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Salisbury, T. T. "Improving care in longer term mental health facilities : international differences in quality and service user experiences of care". Thesis, University College London (University of London), 2013. http://discovery.ucl.ac.uk/1380946/.

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Background Although mental health problems are highly prevalent across the world, relatively little is spent on mental health care and a large number of individuals with mental health problems go untreated. The World Health Organization has pressed for countries to increase mental health expenditure and deinstitutionalisation of care in the hope of improved care. However, there is limited evidence regarding the relationships between national characteristics of mental health care provision and quality of care. Aim The aim of this study was to evaluate, in a European sample, the association between national mental health expenditure and the deinstitutionalisation of care and 1) the quality of longer term psychiatric and social care and; 2) service user ratings of care. Method Facility managers were interviewed using the Quality Indicator for Rehabilitative Care (QuIRC). Service users in each facility provided ratings of autonomy, life satisfaction, experience of care and therapeutic milieu. Mental health expenditure and deinstitutionalisation were measured using national mental health budgets and a novel quantitative tool, respectively. Multilevel models were developed to evaluate relationships between expenditure, deinstitutionalisation, quality of care and service user ratings of care. Results Increased mental health expenditure and deinstitutionalisation were significantly, positively associated with all QuIRC domains, except social interface. Increased expenditure and deinstitutionalisation were also significantly associated with more positive service user ratings of autonomy and experience of care. No associations with service user ratings of life satisfaction or therapeutic milieu were found. Conclusions Results suggest that financial investment in and deinstitutionalisation of longer term mental health care are integral to the provision of higher quality care. Lack of available data on country-level variables and the cross-sectional nature of the study design limit generalisability. Future work should include a variety of national, facility and service user variables in order to build more robust models with improved generalisability.

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King, Tracey L. "The impact of a nurse-driven evidence-based discharge planning protocol on organizational efficiency and patient satisfaction in patients with cardiac implants". Orlando, Fla. : University of Central Florida, 2008. http://purl.fcla.edu/fcla/etd/CFE0002188.

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Del, Villar Katrine. "Capacity, voluntariness and mental illness: Using mental health advance directives to promote autonomy". Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/206025/8/Katrine_Del%20Villar_Thesis.pdf.

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This thesis conducts a comparative study of how advance directives for treatment for mental illness are regulated in Australia. It considers whether the legal prerequisites for making a mental health advance directive – capacity and voluntariness – are effective in promoting autonomy in decision-making by people with mental illness. It concludes that they are overly focussed on rationality and external controlling factors, and proposes reform of the current legal framework to also recognise the impact of internal controlling factors (such as delusional false beliefs, serious mood distortions and disorders of valuation) on decision-making.

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Miller, Marleen L. "The lived experience of pet visitation among residents of long term care facilities". Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1020155.

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Moving into an institutional environment may cause feelings of anxiety, depression, grief or loss in the increasing number of elderly residents in long term care facilities. The lived experience of pet visitation was explored as a possible remedy. This study is significant because findings provide information about intervention strategies to assist residents in comfort and adjustment.Five themes, identified in ten interviews of residents in three midwest long term care facilities, illustrated that pet interaction: (a) contributed a sense of responsibility, environmental control, (b) afforded unconditional caring, companionship, (c) provided a connection with family and home. (d) furnished a sense of identity in the facility community, and (e) provided a sense of being protected within the facility. Evidence supports that pet visitation is a beneficial experience to the residents in long term care facilities. Study results are available for facility administrators as encouragement and justification to establish pet visitation programs.
School of Nursing

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Brown, Amber M. "Utilization of Mental Health Services Amongst African-American Women". DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 2017. http://digitalcommons.auctr.edu/cauetds/91.

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This thesis examines mental health utilization amongst African-American women. The study specifically investigated the factors that may predict help seeking behaviors: depression, stigma, African acculturation, mistrust, and religious commitment. The study also examined the role demographics has on African-American women utilizing mental health services. The study examined the following demographics, income, age, marital status, and education status. The sample size consisted 40 African American women, with ages ranging from 18 to 65. The results indicated that age and depression may impact African-American women seeking mental health services. The results showed that stigma, African acculturation, mistrust, religious commitment, income, marital status and education have no statistical significance in predicting African-American women utilizing mental health services.

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Bino, Maria-Antonella. "Hospitalisation forcée et droits du malade mental : etude de droit international et de droit comparé /". Genève : Schulthess, 2006. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=014937138&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.

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Fortune, Tracy. "Establishing an occupational milieu in aged mental health units : an occupational ethnography". Phd thesis, Faculty of Health Sciences, 2003. http://hdl.handle.net/2123/5458.

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Barley, Kim Wayne. "The development of a marketing plan for an emergency medical service". Thesis, Port Elizabeth Technikon, 2002. http://hdl.handle.net/10948/120.

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The research problem addressed in this study was to develop a comprehensive marketing plan that would help an emergency medical service (EMS) in the Nelson Mandela Metropolitan Municipality (NMMM), capture a significant market share and gain a competitive advantage over competitors. To achieve this object, a literature study to determine the key components of a marketing plan was undertaken and used as a theoretical model in developing an actual marketing plan. In addition to the literature study, an empirical study was conducted to identify the key issues critical to the development of a marketing plan for the EMS. The survey method used, based on the key components gained from the literature study, consisted of an in-depth scan of the macro-environment and thorough market investigation of the target industry. The investigation involved the general management and senior personnel from the local emergency medical industry, medical aid schemes and private hospitals and clinics delimited in the study. The results of the above literature study were finally combined with the results of the empirical study and a marketing plan for an emergency medical service was developed. This study concludes with recommendations applicable for the implementation of the actual marketing plan.

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