This thesis has examined community attitudes toward mental health in Delaware County. The paper also focused upon the community's awareness of, and attitudes toward the Delaware County Child Guidance Clinic. The method employed in this study was survey research.The findings suggested that the attitudes of the sample population concerning the area of mental health were positive. The findings also indicated that generally the respondents were reluctant to suggest professional assistance for problems of mental or emotional health. While the majority of respondents were aware that the Child Guidance Clinic existed, most of the sample were unfamiliar, with specific services which the facility provides. Further, the findings indicated that the individual's level of education was significantly related to that individual's general attitude toward mental health and his awareness of the Child Guidance Clinic.In summary, the results of this study indicated a public whose attitude was positive concerning the area of mental health but who is uninformed about the local facilities provided for the treatment of such disorders. Programs designed to provide public education in this area would be of great assistance.

A Dissertation Submitted to the School of Psychology, University of the Witwatersrand, in partial fulfilment of the requirements for the Degree of Master of Arts in Clinical Psychology, / The idea of psycho-immunity stands as a relatively new field of inquiry focusing on resilience and coping instead of breakdown and pathology. In line with this shift in the literature, the present research has attempted to explore the relationship between the quality of mothering experienced by the child and subsequent patterns of perceived competence revealed by that same child. Black township children were selected as subjects as they are deemed to be a population "at risk" due to the cumulative political and socio-economic exigencies that have affected this community for many years. A total of 72 township children between the ages of 12 -17 were assessed. Both structured and supplementary unstructured instruments were employed in order to measure the quality of the maternal relationship on the one hand, and the child's perception of his/her own competence (or resilience) on the other. Results converged to indicate that for the sample investigated, it was the specific "holding" capacity, availability and involvement of the affectively engaged mother-figure that was most highly correlated with competence of a scholastic nature in early adolescence. Conversely, the intrusive mother who wields power as a parenting style was shown to be more likely to raise a child with a poor sense of social acceptance and competence. These findings provide penetrating insights regarding the potency of the maternal dyad in fostering resilience and competence in off-spring. They offer further understanding of the role of black parenting styles in either promoting or demoting the development of psychologically healthy youths who have the potential to become active participants in a new and more just South Africa. / Andrew Chakane 2018

<p>The purpose of this paper was to investigate how the Child mental Health Service, BUP Ektorp, textually constructs its demarcation, by studying case records from the first evaluations of the patients. The main questions were: In what way are the competitors and their problems represented in the texts, how is the solution justified and explained, and how do these factors relate to each other? The method being used is discourse analysis, influenced by Mörkenstam. The main conclusions are that the demarcation consists of a number of onceptions about the child, the parents, and the therapist. The conceptions, together with the way the problem is being described, justifies the proposed solution, proclaiming termination of the case.</p>

The purpose of this paper was to investigate how the Child mental Health Service, BUP Ektorp, textually constructs its demarcation, by studying case records from the first evaluations of the patients. The main questions were: In what way are the competitors and their problems represented in the texts, how is the solution justified and explained, and how do these factors relate to each other? The method being used is discourse analysis, influenced by Mörkenstam. The main conclusions are that the demarcation consists of a number of onceptions about the child, the parents, and the therapist. The conceptions, together with the way the problem is being described, justifies the proposed solution, proclaiming termination of the case.

Despite the federal government’s $1.5 billion investment between 1993 and 2010 to fund 164 separate community-based systems of care, there has been an extremely limited attempt to measure the impact of system of care. The impetus for this research is the struggle for how the value based concept of system of care is communicated within a community. While child mental health services researchers have published a number of randomized control trials to explore individual level supports for youth served in a system of care community, researchers have struggled to devise a way to measure system of care philosophy diffusion. While system of care is a system level intervention, this study explored the role of the system of care value: family voice as it pertains to direct practice for children and families. The goal was to assess whether specific direct practices regularly associated with system of care (i.e., wraparound or home-based services) lead to greater family voice or if the mere presence of a high-functioning system of care community leads to equal family voice for all receiving community-based services. The primary finding was a relationship between the perception of family functioning and perceived empowerment/self-efficacy. This finding suggests that as functioning improves, so does a caregiver’s perception of their personal empowerment/ self-efficacy. While the framing of this study was to “unpack” the system of care value of family voice, the findings do not support any clear cut explanation for how family voice is promoted or communicated to families. Based on the findings, it appears as if families feel more empowered as their child improves. Additional research needs to be done on the application of family voice within the practice setting to better understand how to best instruct staff to infuse family voice in their daily practice.

Thesis (Ed. D.)--State University of New York at Binghamton, School of Education, 2008. / Includes bibliographical references.

Thesis (Ph. D.)--Lund University, 1995. / Summary in Swedish. Errata sheet inserted. Includes bibliographical references.

Thesis (Ph. D.)--Lund University, 1995. / Summary in Swedish. Errata sheet inserted. Includes bibliographical references.

The upward trend in the prevalence of childhood mental disorders observed in the UK over the previous two decades, together with UK’s poor performance in recent international comparisons of child well-being, has brought childhood social and emotional well-being (SEW) to the forefront of policy. Key to tackling this issue is to understand what causes SEW in childhood, what interventions are successful in improving it, and what are its late-life consequences. This thesis furthers the literature in each of these areas. Firstly, we examine whether foetal (or in-utero) exposure to influenza hampers the development of childhood SEW. To do so, we examine the use of an instrumental variables approach, whereby the severity of the 1957 Asian Flu epidemic in the local authority of birth is used as an instrument for whether mothers self-report contracting influenza during pregnancy. We establish that exposure has little effect on childhood SEW, but that it results in a 60% increase in the risk of being stillborn, suggesting an increasing focus on influenza vaccination during pregnancy is needed. Secondly, we investigate the long-term effectiveness of school-based interventions to improve SEW. In order to overcome the absence of long follow-up in trial datasets, we develop a new modelling approach which involves the matching of trial participants to individuals in birth cohort datasets. An application of this method found that a Promoting Alternative Thinking Strategies (PATHS) intervention implemented in Greater Manchester schools led to a statistically significant improvement in childhood SEW, and had a positive, although statistically insignificant, effect on health across the life-course. Finally, we address the paucity of studies examining the effects of childhood SEW on late-life health and labour market outcomes. To do so, we develop a method for generating predictions of the effects of childhood characteristics beyond the currently available follow-up periods in birth cohort datasets, adapting an existing mediation analysis framework. Applying this method, we establish that a one-standard deviation improvement in childhood SEW leads to an increase of up to 0.18 accumulated quality-adjusted-life-years in late-life, and an increase in pre-tax labour income in late-life of up to £23,850. Both of these effects are primarily driven by large positive effects of childhood SEW on educational attainment, employment, income and health in mid-life. Childhood SEW is a predictor of important outcomes throughout the lifecourse. More research is needed to identify its causes and interventions to successfully improve it.

Expressed emotion (EE), the affective attitudes and behaviors of one toward another, can affect caregivers’ behaviors toward their child. Research examining associations between EE and child/family outcomes is mixed; these associations may be affected by other influences such as the presence of a chronic disease or parent mental health. In this study of families living in an urban area, we examined associations between EE and child outcomes (anxiety/depressive symptoms) and family functioning, with parent anxiety as a covariate. We evaluated child asthma status as a moderator as the presence of a chronic illness may strengthen the association between EE and child/family outcomes. Ninety-four children (mean±SD age=8.83±2.03 years, 48.9% female, 92.6% African American; 47 with asthma) and their parents (81.3% annual household income less than $25,000) completed an observational study including interviews and questionnaires. Measures included the Multidimensional Anxiety Scale for Children (MASC), Children’s Depressive Symptoms Inventory (CDI), Self-Report Family Inventory (SFI), Generalized Anxiety Disorder scale (GAD-7), and Five-Minute Speech Sample (FMSS) coded for EE. To examine study aims, regression analyses were conducted using PROCESS macro version 3.4. Asthma status (yes/no) was examined as a moderator. EE was associated with child anxiety symptoms, controlling for parent anxiety symptoms (F(1,70) =7.67, p=0.007). Criticism was also positively associated with asthma control (F(1,39)=4.33, p=.04, R2=.08). Asthma status did not moderate any of the associations. Results suggested that high levels of caregiver EE were associated with child anxiety symptoms, but asthma status did not moderate associations. It is possible that regardless of additional family demands related to asthma, EE is associated with child anxiety. Further examination into other systemic stressors (e.g., poverty, access to care) that may moderate these associations is warranted, as well as the impact that minimizing parent anxiety might have on overall EE.