Perinatal drug abuse is becoming a profound issue facing the health and wellbeing of neonates. The community serviced by the project site, which lies within the boundaries of an Indian Reservation, suffers from perinatal drug abuse at a higher rate than state and federal averages. The purpose of this project was to provide the project site with a policy to consistently screen for perinatal drug abuse. Lave's theory of situational learning and the Sanford Way model for quality improvement framed this project. To guide policy development, data were compiled through a systematic review of current literature, national and state guidelines, state law, local tribal government, and community stakeholders. Data included: (a) studies completed in the past 10 years specifically targeting drug abuse in child-bearing aged women, with intentional exclusion of tobacco and alcohol studies; (b) prevalence of illicit drug abuse in child bearing aged women at a local, state, and national levels; and (c) local, state, and national guidelines, as well as state law, for perinatal drug abuse intervention and screening. In addition, interviews and meetings with local stakeholders were completed and their feedback was incorporated into the development of the perinatal drug abuse screening and intervention policy. To evaluate policy effectiveness, it is proposed that perinatal drug screens ordered at the project site be monitored for six months prior to and after implementation of the new policy. The desired outcome will be that providers consistently intervene with perinatal drug abuse in a non-biased fashion. This quality improvement project will create a positive social change by allowing non-biased intervention with perinatal drug abuse using evidence-based practice and by promoting nursing-driven policy development.

Thesis (M. Ed. (Educational Management)) --University of Limpopo, 2011

No description available.

Progress in the study and treatment of Dissociative Identity Disorder (DID) has been hampered by ideological debate regarding its validity. This is particularly the case when patient's suffering from DID also report ritualistic abuse. Part of the difficulty has been that past studies have not established independent checks to assess whether alters are artefacts introduced by therapeutic bias. This study addressed this issue by using independent judges to test the validity of a patient being treated for DID who claimed ritualistic abuse. The judges were 16 clinicians with an average of 21 years experience in their respective disciplines. The study also examined the development and treatment of alter personalities through a detailed examination of case material. The patient had been in continuous therapy with the author and treatment had been conducted using the self psychology model. The study involved three phases.

Thesis (M. P. A.)--University of Hong Kong, 2007. / Title proper from title frame. Also available in printed format.

Thesis (Ph. D.)--University of Hong Kong, 2006.

Thesis (Ph. D.)--University of Oregon, 2006. / Typescript. Includes vita and abstract. Includes bibliographical references (leaves 71-80). Also available for download via the World Wide Web; free to University of Oregon users.

Often, a sexually abused child’s disclosure is the only evidence of the abuse. However, most victims do not disclose until adulthood, if ever. This study explores situational correlates of child sexual abuse disclosure. An archival data set comprised of 1120 cases of child sexual abuse was analyzed. Questions asked include whether or not any variable differentiates between the type of disclosure a child makes, the identity of the recipient of the disclosure, whether or not a child will recant, and if a child does recant, in what timeframe this occurs. Variables included victim characteristics (gender, ethnicity, age, family income) and abuse characteristics (relationship to the perpetrator, nature of the abuse, threat involved, frequency of abuse, and duration of abuse.) T-tests, chi-square analyses, and log linear modeling were used in the analysis of the data. Although statistical limitations were an issue, age and threat were found to be influential in the disclosure process.

This two-study dissertation aimed to develop a comprehensive understanding of mental health need identification, service referral process, availability of services, and type of mental health services in Ontario for children who have experienced maltreatment with a specific focus on childhood sexual abuse (CSA). The first study was descriptive and involved an email questionnaire completed by Directors of Service in each of the 53 Ontario Children’s Aid Societies (CAS). While the primary purpose of study 1 was to inform the sample for study 2, it also provided information about the identification of mental health needs and the referral process to mental health services for children who have experienced maltreatment. Based on the finding that the majority of mental health service referrals are made to community-based psychologists (80%), study 2 was designed to assess the availability, type, and empirical support of treatments provided by Ontario psychologists and psychological associates to children who have experienced CSA. Through the first provincial census of child and adolescent psychology clinicians registered with the College of Psychologists of Ontario, this study addressed the following questions: (1) What are the demographic, work setting, and treatment provision characteristics of these clinicians? (2) Within this population, what is the proportion and distribution of clinicians who provide treatment to children who have experienced CSA?; (3) To what extent do these treatment services map onto empirically-supported treatments (ESTs) for children who have experienced CSA?; and (4) How do clinicians’ demographic, work setting, treatment provision characteristics, and attitudes toward ESTs predict their approach to intervention? Results indicated that clinicians who worked with children who have experienced CSA differed significantly from other clinicians in terms of age, work setting, self-reported theoretical orientation, and clients’ primary presenting problems. Moreover, clinician age, self-reported theoretical orientation, time devoted to clinical training activities, and general attitudes toward ESTs predicted the use of ESTs among clinicians who work with children who have experienced CSA. Limitations and implications for future research are addressed within each study.

The purpose of this qualitative study was to describe, with the intention of understanding, the lived experiences and meanings given to these experiences, of adult women who were verbally abused as children. Existing studies in the area of verbal abuse have often examined verbal abuse as part of psychological and/or emotional abuse or in conjunction with physical and sexual abuse. In order to more fully understand the phenomenon of childhood verbal abuse and to add to previous research, this study focused exclusively on verbal abuse using a phenomenological research approach. Three adult women who experienced childhood verbal abuse, but who are coping successfully despite negative childhood experiences, were interviewed in three separate in-depth conversations; these were augmented with observations, fieldnotes and other documents. After multiple readings of the transcripts, stories of the three women were told. Further analysis consisted of a guided existential reflection based on lived time, lived body, lived space and lived relation to aid in the process of questioning, reflecting, writing, and coming to a deeper understanding of the ways these women have experienced childhood verbal abuse. The findings from this study add to the understanding of childhood verbal abuse and perhaps will have the added benefit of bringing increased awareness of how detrimental this form of abuse can be to an individuals self-concept. Results suggest that although verbal abuse experienced in childhood can have negative consequences, individuals can cope and survive to become stronger and more resilient. Future research focusing on the body/mind connection and age-related factors would be useful.