This study departs from previous methodological approaches to study the impact of community mental health services on state mental hospital admission rates. By studying specific types of community mental health services, instead of mental health centers considered as a functional unit, the real service specific impact of community mental health programs on state hospital admission rates was isolated in each of the 67 counties in Florida. Service provision data and rates of state hospital admissions in each county were obtained from the state's Mental Health Program Office for the period from July 1, 1978 to June 30, 1979. / The primary research hypothesis suggested that community-based mental health services that provide the custody and asylum functions of the state hospital, called functional alternatives, can reduce or replace the need for the state hospital. A more general hypothesis examined the impact of all types of community mental health services on state hospital admission rates. Other factors such as total county population, population density, per capita income, and the proximity of each county to the state hospital were also included in the study to explore alternative explanations for state hospital admission rates. / Results of the study provided limited support for the primary hypothesis under certain conditions. In those counties with functional alternative community mental health services (mainly large, urban counties), and a range of other community mental health services, state hospital admission rates were lower. / The findings suggest that counties may utilize the state hospitals to serve different functions (e.g., treatment, custody, etc.) depending on the types of mental health services present in the county as well as the county's population size, social, and economic condition. For example, large, urban counties with comprehensive community mental health services may use the state hospital for individuals who do not respond to community treatment programs. In small, rural counties however, the state hospital may be their only accessible mental health service agency. / Mental health policy implications are developed and areas for further research are identified. / Source: Dissertation Abstracts International, Volume: 46-04, Section: A, page: 1089. / Thesis (Ph.D.)--The Florida State University, 1985.

The purpose of this study was to determine the effects of a short-term model of intervention on diagnosed schizophrenic patients and their caregivers. The author implemented an in-home ten session educational, behavioral and skills training program, which was adapted from existing models. The intervention's effects on the patient's clinical status and social functioning, caregiver attitudes, and family stress were evaluated using a multiple baseline across four cases, as well as pre-, post-, and follow-up data. / Results largely supported the existing literature in that reductions of family stress, which occurred in two cases, were associated with decreases in negative attitudes of the caregiver toward the patient. Also, for all patients, intervention was associated with a clinically significant improvement in symptomatology that was maintained at follow-up. No clear pattern of change was noted in patients' social adjustment. / This study demonstrated that it is feasible to integrate several of the existing models of family-based intervention, and implement it successfully without a large research staff and grant money. It replicates much of the data that suggests short-term interventions seem to be most appropriate with patients with good premorbid functioning. It also added support to research that correlates caregiver attitudes with family stress. Finally, this study expanded the empirical validation of the behavioral, educational and skills training approaches by achieving positive outcomes with patients not recently discharged from an inpatient facility. Among the major limitations noted were the study's unknown generalizability and the possibility of measurement error. In addition to describing and discussing the study in detail, its particular relevance to social work is reviewed, and future directions for research and clinical practice are suggested. / Source: Dissertation Abstracts International, Volume: 48-10, Section: A, page: 2727. / Thesis (Ph.D.)--The Florida State University, 1987.

A descriptive study of the structural characteristics of the employee assistance programs of the Florida State Departments of Highway Safety and Motor Vehicles (HSMV), Law Enforcement (FDLE), and Health and Rehabilitative Services (HRS) was carried out to ascertain which structural characteristics facilitate or hinder implementation of employee assistance programs. / The variables chosen to represent these characteristics were: Resources, complexity, formalization, centralization, autonomy, and training. These variables were gleaned from the literature on the models of change. Zaltman, Duncan, and Holbek (1973) was the particular model of change selected. In the implementation, Zaltman, Duncan, and Holbek found that high formalization, high centralization, and low complexity were needed to facilitate implementation of change. Structured interviews utilizing scales gleaned from The Handbook of Organizational Measurements (Price, 1972) were conducted with EAP representatives from HSMV, FDLE, and HRS. Also interviewed were the Commissioner of FDLE, Secretary of HSMV, and former Secretary of HRS. The current Secretary of HRS was unavailable. One Tallahassee service provider for all three agencies was interviewed for additional data. Policy statements, job descriptions, and organizational charts were secured through EAP representatives or the service provider. / It was found that the Department of Highway Safety and Motor Vehicles EAP is at the implementation state of change characterized by high formalization, high centralization, low complexity. It was also found that high autonomy and high level of training of EAP personnel facilitated implementation of the EAP. / HRS and FDLE are still in the initial phases of change even though HRS has had an EAP for 14 years and FDLE has had an EAP for 5 years. The factors hindering the implementation were mainly environmental. The HRS Secretary changed three times in four years. Also funding has been cut. In addition there is no move at HRS or FDLE toward higher formalization, centralization, or low complexity within the EAP. / Source: Dissertation Abstracts International, Volume: 50-05, Section: A, page: 1440. / Major Professor: C. Aaron McNeece. / Thesis (Ph.D.)--The Florida State University, 1989.

The effects of a short-term semi-structured group on individual adjustment to divorce were examined. The 10-week group treatment program was adapted from Fisher's Divorce and Personal Growth Seminars. Single case design and group comparison methodologies as well as qualitative data were employed in the analysis. Twelve subjects who participated in two groups were studied. Psychosocial wellbeing was measured by repeated administrations of Hudson's Generalized Contentment Scale, the Index of Self Esteem, and the Index of Peer Relations, in a baseline, treatment and posttreatment phases. Pre- and posttest measures of divorce adjustment were obtained by administering the Fisher Divorce adjustment Scale. ANOVA showed that both groups had significantly improved in divorce adjustment and in psychosocial wellbeing scores between the pretest and posttest measures. All subjects improved on divorce adjustment, and 8 of 11 subjects improved on psychosocial wellbeing. However, broad variations in the rate of improvement were observed among individuals. Single case analysis was done by visual inspection of plotted scores. Qualitative data from the subjects' history and from notes taken by the researcher during the study, were used to interpret the differences observed among the individual subjects. / The presence of factors such as multiple stressors, life events, social support, who initiated the separation, and the passage of time, were judged to have an effect in the divorce adjustment process of individual cases. The use of the group as a therapeutic modality for the crisis of divorce and implications for social work practice and research are discussed. / Source: Dissertation Abstracts International, Volume: 49-09, Section: A, page: 2813. / Major Professor: Dianne Harrison Montgomery. / Thesis (Ph.D.)--The Florida State University, 1988.

Source: Dissertation Abstracts International, Volume: 37-07, Section: A, page: 4625. / Thesis (Ph.D.)--The Florida State University, 1976.

Thesis (M.S.)--Boston University

Thesis (M.S.)--Boston University

Thesis (M.S.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / 2031-01-01

<p> Esta investigaci&oacute;n gir&oacute; en torno al objetivo de analizar de qu&eacute; forma el constructo y contenido de desarrollo ha discurrido en la pol&iacute;tica social para vislumbrar su impacto en t&eacute;rminos de justicia social y equidad en Puerto Rico durante el periodo de 1993 al 2000. En adici&oacute;n, se dispuso el dilucidar algunos lineamientos conceptuales que pudieran guiar la generaci&oacute;n de una pol&iacute;tica social a partir de la justicia social y equidad, permitiendo puntualizar en algunas implicaciones que esto representa para el Trabajo Social. Tal tarea heur&iacute;stica, estuvo demarcada por el fen&oacute;meno del predominio de un [macro]concepto de desarrollo econ&oacute;mico que, consider&aacute;ndose equivalente al desarrollo en un sentido amplio, se configur&oacute; a partir del modelo neoliberal y de sistema de mercado capitalista e impacto la pol&iacute;tica social. </p><p> A nivel conceptual, se recurri&oacute; a una articulaci&oacute;n te&oacute;rica cr&iacute;tica e interpretativa a partir de la perspectiva de la complejidad y el posestructuralismo. Se configur&oacute; un m&eacute;todo investigativo cualitativo con exploraci&oacute;n mediante una fase. El dise&ntilde;o de investigaci&oacute;n fue el m&eacute;todo hist&oacute;rico discursivo cr&iacute;tico [MHDC] de Reisigl y Wodak (2016). Por otro lado, la estrategia de recopilaci&oacute;n de informaci&oacute;n se llev&oacute; a cabo mediante la sistem&aacute;tica colecci&oacute;n y registro de datos e informaci&oacute;n contextual relevante. El procedimiento para el an&aacute;lisis de la informaci&oacute;n sigui&oacute; las ocho (8) fases del MHDC. Las consideraciones &eacute;ticas de las estrategias de investigaci&oacute;n del presente documento se esbozaron desde las normas legales y &eacute;ticas aplicables a nivel institucional y seg&uacute;n la profesi&oacute;n del Trabajo Social en Puerto Rico. </p><p> Los resultados sobresalientes del estudio fueron: 1) Necesidad de recurrir a una tensi&oacute;n de la pol&iacute;tica social mediante un giro ontoepistemol&oacute;gico para la generaci&oacute;n de pol&iacute;ticas sociales a la luz de epistemolog&iacute;as locales, posicionadas y situadas. 2) Concebir la pol&iacute;tica social desde la complejidad para impulsar la asociatividad e integraci&oacute;n de la mirada a los fen&oacute;menos y dimensiones que le impactan o configuran. 3) Promover una &ldquo;segunda alfabetizaci&oacute;n&rdquo; mediante una educaci&oacute;n cr&iacute;tica que sea desnaturalizadora, disruptiva y propositiva, puesto que este proceso consiste en un conjunto de gu&iacute;as que devienen del cuestionamiento del contenido en las l&oacute;gicas dominantes. </p><p>

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