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1

Bridge, Laurie. "Contributing Factors of Substance Abuse: Mental Illness, Mental Illness Treatment andHealth Insurance." Youngstown State University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1516979553258238.

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2

Sia, Lavina Si Xuan. "Suboptimal sleep among persons with a mental illness in Australia." Thesis, Sia, Lavina Si Xuan (2019) Suboptimal sleep among persons with a mental illness in Australia. Masters by Coursework thesis, Murdoch University, 2019. https://researchrepository.murdoch.edu.au/id/eprint/60869/.

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Background: Persons with a mental illness commonly report experiencing suboptimal sleep and several sociodemographic factors have been shown to be associated with suboptimal sleep. However, there is a lack of research exploring these in a representative sample of Australian adults, especially those with a mental illness. The present study aimed to (i) describe the prevalence of suboptimal sleep in a representative sample of Australian adults, categorised according to recently published sleep duration and quality guidelines (Hirshkowitz et al., 2015; Ohayon et al., 2017), and whether prevalence rates varied between persons with and without a mental illness; and (ii) examine associations between suboptimal sleep and sociodemographic factors and explore variations in such, according to mental health status. Method: A cross-sectional study was done using data from the National Social Survey (n = 1265) with a representative sample of Australian adults. Multivariable logistic regression analyses were used to investigate associations between various sociodemographic factors and suboptimal sleep parameters. Results: Findings showed that suboptimal sleep, in both duration and quality, affects a considerable proportion of Australian adults (5%-20%), and a significantly higher proportion of those with a mental illness (6%-39%). Consistent with previous research, sociodemographic characteristics associated with a greater likelihood of suboptimal sleep in persons without a mental illness include age, gender, marital status, employment, educational attainment, and Aboriginal and/or Torres Strait Islander status. For persons with a mental illness, males (OR = 3.82; p < 0.001), adults aged 18 to 65 (aged 18-24: OR =12.15, p < 0.05; aged 24-65: OR = 3.00; p < 0.001), and individuals with an unpaid employment (OR = 3.75; p < 0.05), were more likely to report experiencing suboptimal sleep. Conclusion: Understanding the prevalence of suboptimal sleep and sociodemographic variables associated with suboptimal sleep in persons with a mental illness can have both broader public health and clinical implications for assessment, screening and early intervention of subgroups that are more likely to report suboptimal sleep, given the bidirectional relationship between sleep and mental health. Keywords: Sleep; Prevalence rates; Mental illness; Sociodemographic characteristics
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3

Horn, Assar. "Low dose lithium treatment in patients with mental illness." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-66798.

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4

Nevarez, Natalie. "TREATMENT OF MENTAL ILLNESS CO-OCCURRING WITH INTELLECTUAL DISABILITIES." CSUSB ScholarWorks, 2016. https://scholarworks.lib.csusb.edu/etd/357.

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Past literature has showed that there have been several misdiagnosis of mental illness due to client’s delays in speech or introspection caused by an intellectual disability. It is believed that the intellectual disability is either interfering with the proper mental health diagnosis or a mental health diagnosis is unnecessarily being added to an intellectual disability. The study used a qualitative design that asked four psychiatrists on how they are treating their clients with an intellectual disability in addition to their mental illness. The interview guide asks about the difficulty in diagnosing individuals with a mental illness and a co-occurring intellectual disability. The proportion of clients also having an intellectual disability and co-occurring mental illness ranged from 5 to 20%. The problems that psychiatrists are running into are the fact that patients are not being correctly diagnosed before the age of 18 and are not able to get the resources that are needed, such as Inland Regional services.
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5

Mashamaite, Phuti Granny. "An exploration of the treatment of mental illness by indigenous healers in Moletjie, Capricorn District, Limpopo Province." Thesis, University of Limpopo, 2015. http://hdl.handle.net/10386/1533.

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Анотація:
Thesis (M. A. (Clinical Psychology)) -- University of Limpopo, 2015
Culture affects the way people conceptualise and make meaning in their daily experiences, and in turn influence their decisions to seek solutions to their predicaments. Therefore the definition, causes and treatment of illnesses appear to be perceived in a socio-cultural context. A qualitative study was conducted among the indigenous healers of Moletjie (Capricorn District), Limpopo Province, (South Africa) to explore the treatment of mental illness. Indigenous healers were selected using the purposive sampling after the African Religion/ Culture & Health Forum was consulted and the names of indigenous healers who are members were obtained. 5 males and 5 females were interviewed. Data were collected using semi-structured interviews and analyzed using the content analysis method. The following psychological themes emerged from the study: indigenous healers’ notions of mental illness; perceived causes of mental illness; the process of assessment using the divination bones (ditaola); general treatment practices; treatment approaches to psychotic patients; continuous assessment during the treatment process; constant observation of patients during the treatment process; and, treatment procedures that are executed on discharge of the patient. The findings revealed that there are multiple causalities of mental illness and were accounted for by African traditional beliefs. The study revealed that 90% of the indigenous healers admit patients in their homestead during the healing process but the duration differs. The results further revealed that there are two major treatment modalities employed: namely, the use of herbs and ritual performance. The findings emphasize that treatment of mental illness is mainly determined by the perceived causes which emanate from cultural ideologies.
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6

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

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The meaning of caregiving for a relative with mental illness has been explored in many research studies: however, there is a lack of studies on the caregiving experience within the Egyptian culture. This study aimed at getting closer to Egyptian families caring for a relative with mental illness in Australia in order to reveal how these families live and cope with mental illness, their attitudes, their beliefs and practices and how the experience affected them. Qualitative hermeneutic phenomenology informed by the work of Heidegger was used. Seven participants from Egyptian background, caring for a relative with mental illness participated and all interviews were audio-taped. Interviews were conducted in the Arabic language and were then translated and transcribed into English. All interviews were compared and five common themes were identified. Why did it happen?: How do I protect my loved ones?: What has it done to me?: What has it done to us?: and How do I survive? Findings of the study have the potential to raise health care professionals’ awareness of the needs of Egyptian families, their beliefs, values and coping with mental illness. Strengths and limitations of the study are also presented to inform future research
Doctor of Philosophy (PhD)
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7

Ngobe, Anastasia Julia. "Swati traditional healers'conceptualisation of causes and treatment of mental illness." Thesis, University of Limpopo, 2015. http://hdl.handle.net/10386/1281.

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Анотація:
Thesis (M.A. (Psychology)) --University of Limpopo, 2015
The role of indigenous healers in managing various conditions of ill-health has been studied and debated. Studies have revealed that the majority of the population in South Africa use traditional health care to treat various mental conditions. Studies have also revealed that traditional medicine plays an important role in primary health care in many countries. The aim of the study was to explore Swati traditional healers’ conceptualization of the causes and treatment methods of mental illness in Kanyamazane Township in Mpumalanga Province, South Africa. A phenomenological research method was used in the present study. Ten (10) traditional healers, six (6) female and four (4) male, who were selected through purposive sampling method participated in the study. Semi structured personal interviews were conducted with the traditional healers. The interviews were conducted in siSwati and later translated to English. The main themes that emerged were grouped under the following 3 main topics: conceptualisation and types of mental illness; causes of mental illness; and, treatment of mental illness. The traditional healers identified and described a number of mental illnesses that could be identified by their behavioural symptoms and thought disruptions. These include: depressive conditions, addictions, psychotic illnesses, adjustment disorders and genetic mental illnesses. Mental illness was perceived to be caused by a number of factors that, among others, include the following: supernatural powers such as witchcraft, spirit possession, intrusion of objects, evil mechanisation, improper use of traditional medicine, disregarding ancestors and cultural customs as well invitation by ancestors to become a traditional healer, substance abuse, genetic predisposition, life stressors, social conditions, and injuries to the head, Cleansing the patient of evil spirits through washing, steaming, induced vomiting, casting out evil and herbal medication were some of the methods that were found to be commonly used to treat mental illness. The study found that the theory underlying traditional healing is essentially similar, and that traditional healers utilise a culturally coherent and holistic approach in dealing with health and illness.
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8

Ngobe, A. J. "Swati traditional healers'conceptualisation of causes and treatment of mental illness." Thesis, University of Limpopo, 2015. http://hdl.handle.net/10386/1348.

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Анотація:
Thesis ( M.A. (Psychology)) --University of Limpopo, 2015
The role of indigenous healers in managing various conditions of ill-health has been studied and debated. Studies have revealed that the majority of the population in South Africa use traditional health care to treat various mental conditions. Studies have also revealed that traditional medicine plays an important role in primary health care in many countries. The aim of the study was to explore Swati traditional healers’ conceptualization of the causes and treatment methods of mental illness in Kanyamazane Township in Mpumalanga Province, South Africa. A phenomenological research method was used in the present study. Ten (10) traditional healers, six (6) female and four (4) male, who were selected through purposive sampling method participated in the study. Semi structured personal interviews were conducted with the traditional healers. The interviews were conducted in siSwati and later translated to English. The main themes that emerged were grouped under the following 3 main topics: conceptualisation and types of mental illness; causes of mental illness; and, treatment of mental illness. The traditional healers identified and described a number of mental illnesses that could be identified by their behavioural symptoms and thought disruptions. These include: depressive conditions, addictions, psychotic illnesses, adjustment disorders and genetic mental illnesses. Mental illness was perceived to be caused by a number of factors that, among others, include the following: supernatural powers such as witchcraft, spirit possession, intrusion of objects, evil mechanisation, improper use of traditional medicine, disregarding ancestors and cultural customs as well invitation by ancestors to become a traditional healer, substance abuse, genetic predisposition, life stressors, social conditions, and injuries to the head, Cleansing the patient of evil spirits through washing, steaming, induced vomiting, casting out evil and herbal medication were some of the methods that were found to be commonly used to treat mental illness. The study found that the theory underlying traditional healing is essentially similar, and that traditional healers utilise a culturally coherent and holistic approach in dealing with health and illness.
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9

Haruna, Mohammed Awaisu. "Managing the treatment of mental illness in a Nigerian hospital." Thesis, Lancaster University, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.337582.

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10

Starkey, Thomas Wayne Jr. "Retirees' Attitudes Toward Mental Illness Treatment: A Life-Course Perspective." Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc28479/.

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This purpose of this dissertation was to examine the attitudes of retirees toward mental illness treatment. Secondary data from the Survey Research Center at the University of North Texas was utilized for this study. The focus was on the influence that gender, income, education, race/ethnicity, personal experience, fear, goodwill, and social control might have had on retirees' attitudes toward mental illness treatment. An n = 225 was selected out of the existing data to serve as the sample population. Binary logistic regression was utilized to analyze the data. Results indicated that the obtained significant findings were consistent with existing literature.
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11

Ferens, Christine L. "Treatment of Patients with a Mental Illness in Emergency Services." Thesis, Capella University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10936352.

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The purpose of this action research study was to examine the effects of the stigma of mental illness towards individuals with mental illness on services provided by medical professionals, specifically, registered nurses who work in an emergency department (ED). There have been numerous studies on how attitudes towards mental illness can be present in health care professionals; however, none that focused specifically on the attitudes of ED nurses. Nurses working in the ED are often the first health care professional a patient with mental illness sees and their attitude can influence the rest of the ED visit. The Opening Minds Scale for Health Care Workers (Modgill, Patten, Knaak, Kassam, & Szeto, 2014. “Opening Minds Stigma Scale for Health Care Providers (OMS-HC): Examination of Psychometric Properties and Responsiveness”) and the Caring Nurse Patient Interaction Short Form (Cossette, Cote, Pepin, Ricard, & D’Aoust, 2006. “A Dimensional Structure of Nurse-Patient Interactions from a Caring Perspective: Refinement of the Caring Nurse-Patient Interaction Scale (CNPI-Short Scale)”) were used to measure attitude towards stigma and the perception of the care a nurse gives a patient. Thirty-four nurses from two emergency departments participated in the research with the expectation of there being high levels of stigma which would in turn affect the care given to the patients with mental illness. Descriptive statistics, multiple regression and ANOVA were used to find low to moderate levels of stigma of mental illness, and these nurses had a perception of providing excellent care to their patients. This is in contrast to other studies finding moderate to high levels of stigma in general among health care professionals. This information can be useful in exploring and then using any policies and procedures present in the research sites for the benefit of other emergency departments. Additional research is planned to further review these sites and other emergency departments within the hospital network to ascertain if these results hold true, and if so, identify the dynamics involved.

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12

Valiente, Maria del Carmen. "Assessment of adherence of a social skills training intervention for serious mental illnesses." Diss., The University of Arizona, 1993. http://hdl.handle.net/10150/186141.

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The main aim of this study was to determine the effects on Seriously Mentally Ill (SMI) of implementing a set of highly structured social skills training (SST) modules and to examine some SST adherence factors. The SST modules were designed by Liberman and co-workers to train social and independent living skills to SMIs. Patients' and case managers' interviews were used to assess the efficacy of the SST. A random control group design was used, 56 patients and 7 group leaders participated. This study found that SST modules are viable and clinically practical in a community mental health setting. Internal locus of control, difficulty with adherence, and satisfaction with SST format were significant contributors to SST adherence, which in turn facilitated positive patient outcomes. The results indicate that SMI patients in reasonable remission of their most acute symptoms can indeed adhere to SST and were able to benefit from SST. Issues related to SST dissemination are discussed. The long term goal of this study is to design a clinically efficacious and cost effective comprehensive treatment for SMIs that would enhance the quality care of SMIs.
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13

Surace, Francisco I. "Determined Wellness| The Influence of Mental Illness Models Upon Treatment Outcome Expectancies and Treatment Engagement." Thesis, University of Massachusetts Boston, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10262696.

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Multiple campaigns geared towards reducing public and self-stigma associated with depression, and increasing help-seeking behaviors have been launched in the past two decades. There has been an increase in promoting psychoeducation on the biological bases of mental illness. Recent international studies have documented that this increase in public knowledge has not reduced stigma. Indeed, growing evidence suggests that biological models, in comparison to other causal models of mental illness, decrease people’s sense of self-efficacy and self-control, and decrease positive expectancies of treatments and prognosis–among those with and without mental illness. Individuals who have come in contact with health services, however, hold more positive and realistic expectancies of treatments than those who have not. Therefore, adequate education about mental illness and its treatment by providers is key at improving treatment expectancies and engagement. Results documented that biological explanations increased biological causes and reduced endorsement of social and psychological causes, led to decreases in endorsement of non-professional help, and increased endorsement of positive outcome expectancies for attending psychotherapy. Second, psychosocial explanations increased endorsement of social causes, increased likelihood in engaging in psychotherapy, and increased endorsement of positive outcome expectancies for attending psychotherapy and taking psychiatric medications. Third, biopsychosocial conditions produced increases in endorsement of taking psychiatric medications and increased endorsement of positive outcome expectancies for attending psychotherapy. Fourth, control condition increased endorsement of taking psychiatric medications and increased endorsement of positive outcome expectancies for attending psychotherapy. There was no interaction effect of self-stigma for attending psychotherapy or taking psychiatric medications; however, main effects of time suggest that self-stigma for attending psychotherapy and taking psychiatric medication reduced across time. Moreover, after treatment education there were no interactions between time and condition. However, main effects of time showed increased likelihood taking psychiatric medications and decreased likelihood seeking non-professional help, increases positive outcome expectancies of treatment, and decrease in self-stigma for seeking treatment. The findings of the current study suggest that biologically based psychoeducation of depression may hinder patients. It is most optimal to include and highlight the effect of psychosocial factors of depression through psychoeducation campaigns.

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14

Hulsey, Teresa. "Emerging Adults Delay Mental Illness Treatment: Another Manifestation of Experiential Avoidance?" Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc984198/.

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Emerging adulthood is a term coined to recognize 18 to 25 year-olds who engage in self-exploration while not yet fully identifying as adults. Many emerging adult college students experience stress, anxiety, and depression. Although many colleges provide affordable and available mental health resources for students, many students who need help appear to not utilize these services. Gaining greater understanding of underlying processes that influence psychological treatment-seeking behavior is imperative. The current study sought to explore the role experiential avoidance (EA) plays as a treatment-seeking barrier in the context of emerging adulthood. Undergraduate students completed online measures of emerging adulthood dimensions, psychological symptoms, EA, self-stigma of, perceived public stigma of, intentions to, and attitudes and beliefs towards seeking treatment, treatment seeking behavior, and a demographics questionnaire. Binomial hierarchical logistic regressions and correlational analyses examined the relationship of EA and treatment-seeking behaviors, accounting for known barriers and emerging adult characteristics. After controlling for demographic variables, results indicated that EA was significantly positively correlated with self-stigma (r = .187), p < .001), perceived public stigma (r = .178, p < .001), intentions (r - .207, p < .001), psychological symptoms (r = .713, p < .001), and attitudes and beliefs (r = .009, p = .003). These and other findings are discussed further, along with the study limitations and implications, as well as possible future directions for work in this area.
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15

Lekera, Ivy J. "Living with mental illness: A descriptive study of individual adult experiences of living with mental illness in Zomba, Malawi." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1997. https://ro.ecu.edu.au/theses/913.

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The purpose of this study was to examine the experiences of mental illness in the adult Malawian context. Using the interpretive paradigm, content analysis was used to uncover the lived experiences of mental illness. This study was based on the philosophy that meaning of a phenomenon is best understood if studied within its specific context and within Parse's theoretical framework. Two to four per cent of the global population share the experience of mental illness, however, little is known of individual experiences within the Malawian context. Much of the literature has focused on the physiological aspects, causes, and therapies involved in managing mental illness. Given the less than optimal availability of literature on the topic, this descriptive study was conducted in Zomba, Malawi. A convenience sample of 10 adult outpatients (six women and four men) with schizophrenia or bipolar affective disorders were interviewed to elicit descriptions of experiences of their conditions. The participants' mental conditions were considered stable at the time they were attending the community mental health services. As a result of their experiences, the researcher categorised the participants' descriptions as follows; view of the self, view of their illness, other peoples' views, stigmatisation and discrimination, loss, suffering and distress, fear, gender issues, and coping strategies. The findings showed that this study made a contribution to nursing knowledge that is relevant to the understanding of mental illness. It is possible that this knowledge may also form the basis for recommendations in nursing care and counselling services for the mentally ill persons in Malawi.
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16

Gleason, Jennifer Renee. "Mental Disorder: Ameliorating Stigmatization and Reconceptualizing Treatment." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1555566426100197.

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17

Coates, Rosanne Margaret. "Mental illness, towards an understanding of the experience of treatment and diagnosis." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0021/MQ54526.pdf.

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18

Stinson, Jill D. "Predictors of Sex Offender Treatment Attrition in Offenders With Serious Mental Illness." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7975.

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19

Kruger, Qunessa. "Treatment of mental health illness by Afrikaans speaking church leaders in Polokwane Limpopo Province." Thesis, University of Limpopo (Turfloop Campus), 2012. http://hdl.handle.net/10386/1016.

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Анотація:
Thesis (M.A. (Clinical Psychology)) --Univesity of Limpopo, 2013
South Africa has a growing rate of mental health care users. Because of the lack of health resources and personal beliefs many of these mental health care users consult with their church leaders. The treatment of mental illness by clergy in South Africa is largely undocumented. The aim of the study was to explore and describe the treatment of mental illness by Afrikaans speaking church leaders in Polokwane, Limpopo Province. To gain a deeper understanding of the views held by the Afrikaans-speaking church leaders, a qualitative approach was utilized. Ten participants agreed to participate in the study. The results tend to suggest that most of the respondents use a combination of supportive therapy and teachings from scripture to treat some mental illnesses, and that they feel positive towards collaboration with other mental health care professionals. Lastly the results indicated that most respondents emphasized the importance of homophily in referral criteria. Key Concepts Mental illness; Christian church; Afrikaans speaking; church leader; treatment
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20

Degenhardt, Louisa Psychology Faculty of Science UNSW. "Comorbidity between substance use and mental health in Australia: Relationships of alcohol, tobacco and cannabis use with other substance use and mental disorders." Awarded by:University of New South Wales. School of Psychology, 2001. http://handle.unsw.edu.au/1959.4/18247.

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Research into the comorbidity (or co-occurrence) of mental disorders is a relatively recent phenomenon. Much of this research has been conducted in clinical samples, which are prone to a range of biases that mean that the patterns observed are not representative of the general population. Although population-level research has previously been carried out, this thesis provides the first examination of comorbidity in the Australian population. This thesis examined the comorbidity of substance use and mental disorders among Australian adults. The major empirical work involved an examination of the patterns of homotypic comorbidity (other substance use disorders) and heterotypic comorbidity (mood disorders, anxiety disorders, and psychosis) of alcohol, tobacco and cannabis in the 1997 Australian National Survey of Mental Health and Well-Being (NSMHWB). These drugs were chosen as they are the most commonly used psychoactive substances in the Australian population. The NSMHWB involved a structured diagnostic interview of mental disorders with a representative sample of Australian adults. Three questions were addressed using this data: (1) What patterns of comorbidity exist between tobacco, alcohol and cannabis use, and other substance use and mental disorders?; (2) Are these patterns of comorbidity explained by common factors?; and (3) Does comorbidity affect the likelihood that mental health treatment has been sought? Similar patterns of homotypic comorbidity were observed for all three substances, and they were not explained by the other factors examined (gender, age, education, relationship status, employment and neuroticism). Cannabis dependence was the most strongly associated with other substance use disorders. Heterotypic comorbidity differed between alcohol, tobacco and cannabis use. Tobacco use predicted increased rates of all three groups of mental disorders (mood, anxiety and psychotic disorders). In the case of alcohol, only alcohol dependence was related to increased rates of all groups of mental disorders; alcohol use and abuse were not associated with heterotypic comorbidity. Any level of cannabis involvement was related to a similarly increased risk of mood and anxiety disorders. Cannabis use was linearly related to the risk of screening positively for psychosis. Common factors did not change the patterns of heterotypic comorbidity of tobacco and alcohol use. However, alcohol, tobacco and other drug use appeared to explain the higher rates of mood and anxiety disorders among cannabis users. Treatment seeking was much more likely among alcohol, tobacco and cannabis users when they had comorbid mental disorders. It was moderately increased when they had comorbid substance use disorders. The second piece of empirical work provided a more detailed examination of comorbid substance use problems among persons with psychosis. This topic was selected due to the limited epidemiological research on this issue, and the relatively large burden of disability that psychosis places upon the individual and the community. NSMHWB data were used to examine the prevalence of comorbid substance use disorders among persons who were likely to have met criteria for psychosis (as assessed by a screener used in the NSMHWB). Multiple regression analyses were used to test possible explanations for the higher rates of substance use disorders observed among persons reporting higher numbers of psychotic symptoms. The odds of alcohol dependence and regular tobacco use increased 1.5 times, and the odds of cannabis dependence increased twice, with each additional psychotic symptom reported, after adjusting for other substance use disorders, other mental disorders and demographic characteristics. Given the debate about the reasons for the association between cannabis use and psychosis, the final study used mathematical modelling to test four hypotheses about relationships between cannabis use and psychosis. Specifically, it examined trends in psychosis that would be predicted given the marked increases in the prevalence of cannabis use that have occurred in Australia over the past thirty years. The results suggested that a causal relationship - in which cannabis use caused psychosis among persons who would not otherwise have developed the disorder - is unlikely to explain the association. There was a better fit to the data provided by the other hypotheses examined, namely, that (a) cannabis use precipitates psychosis among vulnerable individuals; (b) cannabis use increases the risk of relapse among persons with psychosis; and (c) persons with psychosis are more likely to become regular cannabis users (without any effect upon the disorder). This thesis has demonstrated that in Australian adults there is significant comorbidity between alcohol, tobacco and cannabis use and other substance use and mental disorders. These patterns differ across the three substances. Some types of heterotypic comorbidity (e.g. between cannabis use and mood/anxiety disorders) are explained by common factors. The limited range of common factors tested here did not explain homotypic comorbidity. This thesis also suggested that mathematical modelling is a useful approach to consider when examining the plausibility of different relationships between risk factors and mental disorders. A number of hypotheses regarding comorbidity could not be tested using NSMHWB data, such as common genetic and other environmental factors. These can best be tested in research with samples of twins, and using longitudinal designs that assess a wide range of social and environmental factors. The findings of this thesis also have implications for treatment, because persons with comorbid disorders are more likely to seek treatment. There is an absence of validated treatments for persons with comorbid substance use and mental disorders, and more research is needed on this issue.
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21

Bowersox, Nicholas W. "Treatment Attrition and Relapse Readmission in Psychiatric Inpatients: Predictors of Treatment Engagement and Psychiatric Relapse." [Milwaukee, Wis.] : e-Publications@Marquette, 2009. http://epublications.marquette.edu/dissertations_mu/18.

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22

Samuriwo, Kuwandandishe Priscilla. "An exploration of methods used by Shona speaking traditional health practitioners in the prevention of mental illness." Thesis, University of Limpopo, 2018. http://hdl.handle.net/10386/2054.

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Анотація:
Thesis (M. A. (Clinical Psychology)) --University of Limpopo, 2018
Studies by the World Health Organisation have shown that mental illness is an international health concern across the globe, with one in four people (25%) suffering from mental disorders in both developed and developing countries. In many African countries traditional health practitioners are the health care providers of choice for individuals, families and communities. The aim of this study was to explore methods used by Shona speaking traditional health practitioners in the prevention of mental illness in Bulawayo, Zimbabwe. A qualitative research design was used in the present study. Ten Shona speaking traditional health practitioners (male=9; female=1) were selected through purposive sampling and requested to participate in the study. Data was collected using semi-structured interviews and analysed through thematic content analysis. It was found that traditional healers tend to commonly understand and conceptualise mental illness in terms of the causes instead attaching nosological labels to these conditions. The findings of the study also show that most of the traditional health practitioners interviewed had similar methods of preventing mental illness both in families and individuals. Culture was found to be central in shaping how the traditional health practitioners understand and prevent mental illness. Ancestors were found to be pivotal in specifically determining the methods to prevent mental illness for each client. The study is concluded by recommending closer collaboration between the dominant Western health care system and traditional healing in order to improve mental health care provision in Zimbabwe.
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23

Love, Patrick K. "Examining the Clinical Utility of Research Domain Criteria in an Outpatient Sample." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1157643/.

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This study examined the clinical utility of the recently released National Institute of Mental Health's (NIMH) research domain criteria (RDoC) by replicating and extending earlier work by using a demographically novel sample. Information retrieval and natural language processing of archival clinical records was used to achieve two main objectives: (1) estimate how well the RDoC domains match language used by clinicians by creating domain scores and (2) examine the differences between the DSM's and RDoC's ability to predict treatment outcome using these domain scores and DSM diagnoses. The social systems RDoC category was found to be the strongest predictor of treatment outcome across all diagnostic measures.
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24

Costello, Brenna D. "Integrated treatment facility an alternative care setting for adult patients with mental illness /." Connect to this title online, 2007. http://etd.lib.clemson.edu/documents/1181669363/.

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25

Olson, Paul O. "Experiences of mental illness, treatment and recovery in schizophrenia : an existential-phenomenological exploration." Thesis, Middlesex University, 2016. http://eprints.mdx.ac.uk/21226/.

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Анотація:
This study explores in depth the narratives and experience of recovery from a convenience sample of seven participants with a schizophrenia diagnosis, but now remitted (Andreasen et al, 2005). Three lifeworlds (phases) emerged using hermeneutic phenomenology: (A) Losing existential grounding; (B) Being-within-the-system (i.e. hospitalised); and (C) Outside schizophrenia. Outside has a double meaning as it both emerges from the narratives and also is an important base for existential exploration: what else needs to happen except psychiatry? Each lifeworld had a different meaning and different behaviours connected to it. Two necessary transitions were identified: First, accepting help; and second, an existential construction or re- construction depending on where in your life course you become affected. Psychotherapy was useful, but not necessary for remission and recovery.
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26

Pearsall, Robert. "Improving healthy living in adults with serious mental illness." Thesis, University of Oxford, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.669927.

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27

Walter, Charles Thomas. "Historical Context, Institutional Change, Organizational Structure, and the Mental Illness Career." Diss., Virginia Tech, 2013. http://hdl.handle.net/10919/52867.

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This dissertation demonstrates how patients' mental illness treatment careers depend on the change and/or stability among differing levels of social structure. Theorists of the mental illness career tend to ignore the role that higher levels of social structural change have on individuals' mental illness career. Researchers using an organizational perspective tend to focus on the organizational environment but ignore the treatment process from the individual's point of view. Both perspectives neglect what the nation-state's broader socio-political and economic circumstances could imply for people seeking treatment for mental disorders. Organizational theory and theories of the mental illness career are independent theoretical streams that remain separate. This dissertation connects these independent theoretical streams by developing a unifying theoretical framework based on historical analysis. This historical analysis covers three phases of treatment beginning at the end of World War II to the present. This framework identifies mechanisms through which changes in larger levels of social structure can change the experience and career of mental patients. This new perspective challenges current conceptions of the mental illness career as static by accounting for the various levels of social structure that play a part in the mental illness treatment career. Taken together, the inclusion of differing levels of social structure and the subsequent reciprocal relationship between these levels of analysis produce a narrative that explains why and how stability and change within the mental health sector shape the mental illness treatment career.
Ph. D.
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28

Henderson, Anthony Roy. "Consumer perspectives of recovery from the effects of a severe mental illness : a grounded theory study." University of Western Australia. School of Psychiatry and Clinical Neurosciences, 2007. http://theses.library.uwa.edu.au/adt-WU2007.0220.

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Interest in the ability of people to recover from a severe mental illness has a long history. During the 1980s, however, there was a paradigm shift away research driven by clinicians immersed in the quantitative, objective microcosm of anatomy and physiology towards understanding recovery from a consumer perspective. Even so the experiences of consumers has remained relatively unexplored, with the lion's share of research emanating from the United States of America. At the time of writing the proposal for this study in 2000, there was not even one Australian study of a mental health consumer perspective of recovery from severe mental illness reported in the literature. The principal aim of conducting this research was to address this need. The author, therefore, undertook this grounded theory study to: (a) explore what recovery from the effects of a severe mental illness meant to the consumers in Western Australia; (b) identify what consumers of mental health services in Western Australia wanted in their lives; and thus (c) develop a substantive theory of recovery. Fifteen participants diagnosed with either an affective disorder or schizophrenia were each interviewed and the resultant data were analysed using the constant comparative method. Comparative analysis is a long-held method of analysing data in sociology. Analysis is achieved by asking questions such as what, when, where, how, of the data and comparing similarities and differences with the various concepts within and across sets of data. The findings revealed that the basic social psychological problem (BSPP) for participants was LOSS. In order to address this problem, participants engaged in the basic social process (BSP) of OVERCOMING LOSS. The BSP is a title given to the central theme that emerges from the data and illustrates that a social process occurs overtime. The BSP emerged as a process comprising three phases: First Recuperation, second Moving Forward and third Getting Back. The analysis further revealed that the participants viewed recovery as either
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29

Ferron, Joëlle C. Strom-Gottfried Kim. "Psychological mechanisms to treatment adherence among people with severe mental illness validating treatment motivation and working alliance measures /." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2007. http://dc.lib.unc.edu/u?/etd,1473.

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Анотація:
Thesis (Ph. D.)--University of North Carolina at Chapel Hill, 2007.
Title from electronic title page (viewed Apr. 25, 2008). "... in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the School of Social Work." Discipline: Social Work; Department/School: Social Work.
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30

Flores, Guadalupe Leon Gomez. "Dually diagnosed mental health clients: A comparative study of those receiving treatment in a dual diagnosis program and those receiving only mental health treatment." CSUSB ScholarWorks, 1997. https://scholarworks.lib.csusb.edu/etd-project/1297.

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31

Prince, Pamela N. (Pamela Namorada) Carleton University Dissertation Psychology. "Perceived stigma and community integration among people with serious mental illness served by assertive community treatment teams." Ottawa, 1999.

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32

Verwey, Lucy. "An exploration of Muslims' perceptions and experiences of mental health, illness and treatment services." Thesis, Australian Catholic University, 2018. https://acuresearchbank.acu.edu.au/download/8f17fccc15bc05764ed2961ec8e142108be0ec2962e063f14d2ba148ea7c6288/1903109/VERWEY_2018_An%20exploration_of_Muslims_perceptions.pdf.

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This research involves an exploration of Muslims’ attitudes, perceptions and experiences of mental health and accessing professional treatment services. It utilised a mixed-methods design consisting of in-depth interviews and a survey. The face-to-face interviews were conducted with practising Muslims in Australia (n = 20), Indonesia (n = 8) and Jordan (n= 6). The online survey was based on the main themes which emerged from the interviews and was completed by Australian Muslim participants (N = 200). Grounded theory was employed as the underlying approach for the qualitative data collection and analysis. The results revealed three main findings. First, that Islam was central to the participants’ lives functioning as a sacred lens and sacred compass. The lens and compass provided a way for them to connect with Islamic beliefs, values and perspectives each day. This was relevant to their mental health, approaches to coping, and perspectives of effective treatment. Second, that the participants adopted distinct help seeking pathways which involved a range of religious and cultural influences. Third, the participants highlighted a need for religiously and culturally appropriate treatment for Muslim clients. In view of providing religiously and culturally appropriate treatment, key areas were identified in order to engage Muslim clients. This consisted of an underpinning knowledge of basic beliefs and practices, understanding relevant religious coping responses, and understanding the role of culture, community and family. The findings highlighted the importance of practitioners building a therapeutic relationship through trust and respect with their Muslim clients. Overall, the findings draw attention to the need for theorists, researchers and clinicians to incorporate religious perspectives of mental health and its treatment, particularly when working with Muslim clients.
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33

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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34

Spicer, Rebecca Keeler. "Barriers to Mental Health Treatment Among Chronically Homeless Women: A Phenomenological Inquiry." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4333.

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Homeless women demonstrate higher rates of mental illness than homeless men. The combination of complex life circumstances, stigmas related to mental illness, and homelessness may cause homeless women with mental illnesses to face unique barriers that prevent them from accessing necessary mental health services. The purpose of this phenomenological study was to expand the body of literature on homeless women's experiences with the mental health system and to understand the barriers to treatment services. Guided by Young's critical social theory of gender, this study was designed to develop a better understanding of the support that may be in place to help women overcome service access barriers related to social issues of race, class, sexuality, and gender. Study participants included 10 chronically homeless adult women in the Southeastern United States who were diagnosed with a mental illness. In-person semistructured, open-ended, phenomenological interview questions were used to explore the research questions. Thematic analysis revealed 5 main themes: (a) reasons for homelessness, (b) reasons women stay homeless, (c) mental health experiences and issues, (d) experiences with being homeless, and (e) services and supports. There were 3 subthemes associated with services and supports: (a) the shelter experience, (b) services that are needed, and (c) professionals should know. Understanding women's unique backgrounds and histories may help service providers and policy makers develop ways to make mental health services more accessible to the homeless women who need them.
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35

Stevens, Andy. "The institutional care and treatment of people categorized as mentally defective before and after the Second World War : the Royal Eastern Counties Institution." Thesis, University of Essex, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.265261.

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36

Gqibitole, Camagwini. "A hermeneutic phenominological study of the understanding and treatment of Amafufunyana by traditional healers." Thesis, University of Fort Hare, 2017. http://hdl.handle.net/10353/5521.

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Traditional healers have a different understanding of psychological illnesses to the western paradigm as well as a different way of diagnosing and treating psychological illnesses. Aims and Objectives. This study’s aim is to examine how traditional healers understand the causes of mental illness mainly focusing on amafufunyana and how this understanding informs treatments methods. Method. This has been done based on hermeneutic phenomenology by drawing from the lived experience of traditional healers through a focus group interview. Results. Upon analysis of the data it becomes clear that traditional healers understand the aetiology of amafufunyana to be supernatural forces. Amafufunyana present in overt and covert symptoms and the diagnostic process entails connecting with the ancestors for their guidance and confirmation of diagnosis, as well as guidance on which imithi to use. The treatment process is congruent with the diagnostic process as it also entails guidance from the ancestors on which imithi to use. Other valuable aspects of traditional healing were brought forward while conducting this study. The aspect of protection from the ancestors was emphasised. It became evident in the analysis of this study that the rituals that are performed in order to appease the ancestors facilitate the connection to the ancestors and through maintaining this connect one can be protected from an array of illnesses and misfortunes. Recommendations. It is recommended that recommended that more studies are conducted with traditional healers in order to give them an opportunity to elaborate on their lived experience of healing, as it was observed that a majority of literature speak on behalf of traditional healers.
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37

Ward, Max O. "Exploring 'dual diagnosis' treatment motivation." Thesis, Canterbury Christ Church University, 2011. http://create.canterbury.ac.uk/10459/.

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Section A reviews the clinical and risk implications of dual diagnosis along with the treatment context. The value of gathering firsthand accounts of service users to inform the planning and delivery of healthcare is touched on. The second part of the paper centres on theories of motivation and how they might be applied to help explain low rates of dual diagnosis treatment uptake and engagement. Finally, gaps in the literature are highlighted with recommendations for further research. Section B There is an emerging evidence base to support the use of integrated approaches that treat co-existing mental health and substance use disorders simultaneously. However, low rates of treatment uptake and engagement remain a concern. To address this, it would seem important to understand dual diagnosis treatment motivation and engagement, an area that has received little attention from the research community. The aim of this study was to explore service users’ and clinicians' understandings of how treatment motivation and its relationship with treatment engagement relate specifically to people with dual diagnosis. Transcripts from semi-structured interviews with four service users and four clinicians were analysed using narrative methodology. The study suggests that the factors underpinning treatment motivation and engagement among people viewed as having dual diagnosis are similar to those thought to be associated with addictions and mental health disorders generally although their relative influence and interaction effect might be different. It is suggested that negative perceptions of services, difficulties with trust, and therapeutic relationship are particularly important issues among dual diagnosis populations. Clinical and theoretical implications of the study are discussed in relation to the literature as well as recommendations for future research. Section C: Critical Appraisal. This paper provides a general overview of narrative research, including strengths and limitations as they relate to this study. With reference to the literature, clinical and theoretical implications are elaborated along with recommendations for future research. The author’s critical self-reflections regarding the process of initiating, carrying out and completing the study are highlighted. Following this, there is a section on the ethical considerations of the study. Finally, the measures taken to ensure the quality of the study and maximise internal consistency are presented.
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38

Libertin, Maria Nicole. "A Pediatrician's Role in Diagnosis and Treatment of Teenage Depression." NEOMED College of Graduate Studies / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ne2gs1621946482337814.

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39

Holland, Kate E., and n/a. "Conformity and resistance: Discursive struggles in the Australian mental health field." University of Canberra. Communication, 2007. http://erl.canberra.edu.au./public/adt-AUC20081022.153830.

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This research explores areas of contention in the mental heath field in Australia through a qualitative analysis of voices and practices that can broadly be seen as talking with and talking back to psychiatry. The thesis is informed by key shifts in thinking that underpin postpsychiatry and analyses a set of materials through an interpretive lens of reading psychiatry against the grain (Bracken & Thomas, 2005; Lewis, 2006). In particular, it examines a failed ethics application to conduct research with people diagnosed with a mental illness, an anti-stigma campaign, the practices of some prominent mental health organisations in Australia, a conversation with two members of an emerging consumer/survivor network in Australia, and a television documentary and online discussion forum about an antidepressant medication. The research draws from discourse analytic methods and concepts from social movement framing research to identify factors shaping conformity and resistance to psychiatric doxa in the Australian mental health field. The research identifies the discursive repertoires that characterise the mental health field as a "game" in which competing perspectives vie for recognition. In relation to research ethics committees, the thesis argues that deference to clinical expertise is a potential barrier to cultural studies of psychiatry and a more inclusive agenda in mental heath research and practice. Some practices for ethics committees to consider when reviewing research that involves people who may have been diagnosed with a mental illness are proposed. The research also identifies problematic features of anti-stigma campaigns that direct their efforts toward protecting and promoting the discourse of biomedical psychiatry. A critique of this type of campaign is offered in relation to perspectives from postpsychiatry and social constructionism. On the basis of this research, it is argued that organisations that champion "mental health literacy" are limited in their ability to give voice to the goals and priorities of those who are calling for a more open, reflexive and democratic debate in mental health. The central argument of this thesis is that elevating first-person and postpsychiatry perspectives is necessary in order to interrogate and address the dominance of the medical model in psychiatry and its consequences.
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40

Strack, Kristen M. "Empowerment and meaning within the context of coercive treatment of individuals with serious mental illness /." Full text available from ProQuest UM Digital Dissertations, 2008. http://0-proquest.umi.com.umiss.lib.olemiss.edu/pqdweb?index=0&did=1850461011&SrchMode=1&sid=1&Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1279309028&clientId=22256.

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Thesis (Ph.D.)--University of Mississippi, 2008.
Typescript. Vita. "August 2008." Major professor: Stefan E. Schulenburg Includes bibliographical references (leaves 61-74). Also available online via ProQuest to authorized users.
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41

Schoeberlein, Robert William. "Mental Illness in Maryland public perception, discourse, and treatment, from the colonial period to 1964 /." College Park, Md. : University of Maryland, 2006. http://hdl.handle.net/1903/3487.

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Анотація:
Thesis (Ph. D.) -- University of Maryland, College Park, 2006.
Thesis research directed by: American Studies. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
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42

Rudachuk, Judith A. L. "Hospitalization of people with serious mental illness in Assertive Community Treatment, ACT, a survival analysis." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ63360.pdf.

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43

Stinson, Jill D. "Predictors of Treatment Noncompletion in a Sample of Inpatient Sex Offenders With Serious Mental Illness." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/7872.

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Objective: Very little is known regarding noncompletion of sex offender treatment among sex offenders with serious psychiatric illness. The purpose of the study was to identify factors predictive of treatment noncompletion in a forensic psychiatric sample of 156 adult male sex offenders. Methods: All data were coded from archival client medical records. Variables of interest, including indicators of historical risk and clinical diagnosesmade by hospital psychiatrists, were entered into both a linear regression equation with percentage of groups attended over two years as a continuous variable and a logistic regression equation for predicting more or less than 50% sex offender treatment group attendance. Results: Significant predictors of treatment noncompletion included number of arrests, recent physical aggression, length of admission, and diagnoses of borderline personality disorder, psychosis, and intellectual impairments. Conclusions: The resulting predictors indicate a combination of relevant variables for psychiatric sex offenders, combining both criminal risk and clinical risk indicators. Suggested reasons for these findings and implications for predicting treatment noncompletion by psychiatric sex offenders are discussed.
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44

Mostafanejad, Karola. "Young adults' experience of living with a mental illness in rural Western Australia: a grounded theory approach." Thesis, Curtin University, 2005. http://hdl.handle.net/20.500.11937/79.

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Анотація:
It is estimated that one in five Australians are affected by a mental disorder, and the associated burden of living with a mental illness will become one of the greatest health care issues during the next 20 years. Since the 1960s, the care of people with mental disorders has been transferred to community settings including to rural areas of Australia through the process of deinstitutionalisation. However, research on young adults living with a mental illness in rural communities is limited, and the multidimensional experience of this group of young adults has not been previously explored. This study, guided by grounded theory methodology, explored young adults' experience of living with a mental illness in rural Western Australia. This thesis presents the findings of interviews with nine participants aged between 18 and 30 and places the findings within the context of relevant scientific literature. The constant comparative method used in grounded theory analysis identified that the basic social psychological problem experienced by all participants was "being shut out". The problem of being shut out consisted of two aspects: "being excluded" and "withdrawing from society". In order to manage the problem of being shut out, participants engaged in the basic social psychological process of "seeking normality". In seeking normality participants moved from a state of being shut out to one whereby they sought to take part in ordinary social activities taken for granted by other members of society. The process of seeking normality consisted of three phases: "floundering", "taking charge", and "moving forward. Phase one of the process occurred primarily in the period prior to experiencing a turning point, which changed the participants' willingness to take control of their life and to take effective steps in reducing their isolation.Participants' experience of being shut out was not related to the duration of their illness but to their experience of seeking normality and the three conditions identified as influencing that experience. The findings, while supporting existing scientific literature, also present a new insight into young adults' experience of living with a mental illness in rural Western Australia. The findings of this study highlight the importance of health professionals' understanding young adults' experience of being shut out and to incorporate the increased knowledge and understanding into their clinical practice. Finally, the findings have implications on public education, healthcare services and healthcare policy in relation to young adults living with a mental illness.
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45

Mostafanejad, Karola. "Young adults' experience of living with a mental illness in rural Western Australia : a grounded theory approach /." Curtin University of Technology, School of Nursing and Midwifery, 2005. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=16160.

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Анотація:
It is estimated that one in five Australians are affected by a mental disorder, and the associated burden of living with a mental illness will become one of the greatest health care issues during the next 20 years. Since the 1960s, the care of people with mental disorders has been transferred to community settings including to rural areas of Australia through the process of deinstitutionalisation. However, research on young adults living with a mental illness in rural communities is limited, and the multidimensional experience of this group of young adults has not been previously explored. This study, guided by grounded theory methodology, explored young adults' experience of living with a mental illness in rural Western Australia. This thesis presents the findings of interviews with nine participants aged between 18 and 30 and places the findings within the context of relevant scientific literature. The constant comparative method used in grounded theory analysis identified that the basic social psychological problem experienced by all participants was "being shut out". The problem of being shut out consisted of two aspects: "being excluded" and "withdrawing from society". In order to manage the problem of being shut out, participants engaged in the basic social psychological process of "seeking normality". In seeking normality participants moved from a state of being shut out to one whereby they sought to take part in ordinary social activities taken for granted by other members of society. The process of seeking normality consisted of three phases: "floundering", "taking charge", and "moving forward. Phase one of the process occurred primarily in the period prior to experiencing a turning point, which changed the participants' willingness to take control of their life and to take effective steps in reducing their isolation.
Participants' experience of being shut out was not related to the duration of their illness but to their experience of seeking normality and the three conditions identified as influencing that experience. The findings, while supporting existing scientific literature, also present a new insight into young adults' experience of living with a mental illness in rural Western Australia. The findings of this study highlight the importance of health professionals' understanding young adults' experience of being shut out and to incorporate the increased knowledge and understanding into their clinical practice. Finally, the findings have implications on public education, healthcare services and healthcare policy in relation to young adults living with a mental illness.
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46

Martin, Michael. "Detection and Treatment of Mental Illness Among Prison Inmates: A Validation of Mental Health Screening at Intake to Correctional Service of Canada." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/36479.

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Mental health screening is frequently recommended to facilitate earlier detection of mental illness in prisons. For this goal to be achieved: (1) the screening process must be accurate; (2) appropriate follow-up treatment must be provided; (3) the treatment must lead to improved outcomes. The current thesis aimed to evaluate mental health screening in relation to these three criteria by studying 13, 281 prisoners admitted to Correctional Service of Canada. Screening achieved comparable accuracy to tools that have been studied internationally and many inmates received at least some treatment. However, interruptions in treatment were frequent and long-term treatment was rare. There was weak evidence that treatment led to reduced rates of institutional incidents of suicide, self-harm, victimization and violence. While screening remains widely endorsed, further study of its impacts is needed to maximize its value. This could include considering alternatives to screening itself, or as follow-up for those who screen positive.
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47

Nyalugwe, Gina Nyampachila. "A Human Rights based approach to the psychiatric treatment of mental illness among prisoners in Uganda." Diss., University of Pretoria, 2011. http://hdl.handle.net/2263/18630.

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Анотація:
Reports of people with mental disorders without access to treatment are a major occurrence in prisons outside and within Africa. An estimated 450 000 000 people worldwide suffer from mental or behavioural disorders. The disproportionately high rate of mental disorders in prisons is due to several factors. The factors include the widespread misconception that all persons with mental disorders are a danger to the public; the general intolerance of many societies to difficult or disturbing behaviour, the failure to promote treatment, care and rehabilitation, and above all the lack of or poor access to mental health services in many countries. Many of these disorders may be present before admission to prison and may be further exacerbated by the stress of imprisonment. However mental disorders may develop during imprisonment itself as a consequence of prevailing conditions.
Thesis (LLM (Human Rights and Democratisation in Africa)) -- University of Pretoria, 2011.
http://www.chr.up.ac.za/
nf2012
Centre for Human Rights
LLM
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48

van, Wormer Rupert Talmage. "Risk Factors for Homelessness Among Community Mental Health Patients with Severe Mental Illness." PDXScholar, 2012. https://pdxscholar.library.pdx.edu/open_access_etds/653.

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The purpose of this study was to identify risk factors associated with homelessness, assess the relationship between housing status and consumption of costly publicly funded resources, to identify characteristics associated with service retention, and to evaluate whether length of treatment is associated with better outcomes. The target population was homeless and formerly homeless adults with SMI enrolled in community mental health services at the Downtown Emergency Service Center SAGE mental health program located in Seattle. The sample consisted of 380 SAGE patients who had continuous enrollment in 2005. These patients formed the cohort for the study. Agency records for these patients were reviewed for a 3-year period (2005-2007). The study utilized a non-experimental retrospective cohort study design. Multiple logistic regression, hierarchical multiple regression, two-way repeated measures ANOVA, and Cochran's Q test were used to analyze the data. Homelessness was associated with African American race, substance use, lower income, and younger age. Patients who were homeless spent more time in jail and required more mental health staff time compared with patients with stable housing. Patients with schizophrenia were more likely to retain services and African American patients were less likely to retain services. Overall, patients who remained enrolled in services from Year 1 to Year 3 had improved housing stability, fewer days of incarceration, and required less staff support. The overrepresentation of African Americans among patients who experienced homelessness suggests that racism could be a factor contributing to homelessness for this racial group. Further research is needed to assess the relationship between race and homelessness.
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49

Kausar, Malka Yasmeen. "The Happy Pill: Is anti-depressant medication more effective than alternative methods or simply more cost effective for patients?" Scholarship @ Claremont, 2019. https://scholarship.claremont.edu/cmc_theses/2179.

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Анотація:
On average 322 million people worldwide are affected by depression. It is one of the leading causes of death in the United States and is often paired with anxiety. Although there are several ways to treat both depression and anxiety, the most popular way is through the use of anti-depressant medication. Typical alternative methods are talk therapy and acupuncture, which brings me to my question: Are anti-depressants truly the most effective way to treat depression or are they ultimately the most cost effective for patients suffering from the mental illness because they are the type of treatment most covered by insurance companies?
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Galon, Patricia Ann. "COMPARISON OF HEALTH CARE CONTEXT, COERCION, AND COMPLIANCE IN PERSONS WITH SEVERE AND PERSISTENT MENTAL ILLNESS." University of Akron / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=akron1144851107.

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