This thesis is concerned with cultural connection and its role in creating cultural permanence when planning for Indigenous children and youth in care. Its goal is to mitigate the current path of disconnection and imbalance for Indigenous children and youth in care and to recommend an ecological, holistic approach to child welfare practice. It comprises a literature review that documents theories and practices to support belonging, cultural permanence, and cultural identity for Indigenous children while supporting meaningful connections with family, culture, and community. This information and analysis will be applied to the care of children and youth being served by Northwest Inter-Nation Family and Community Services Society (NIFCS) in British Columbia. The study’s findings will highlight guidance to assist social workers in centering cultural traditions that promote cultural strengths, resiliency, and a sense of belonging for Indigenous children and youth. This thesis will provide suggestions for interacting with the Indigenous community, parents, relatives, workers, and other delegated agencies. Finally, this thesis will explore how one social worker’s dream influences the direction of her practice to build on cultural strengths and spiritual resiliency. / Graduate / 0452 / 0631 / 0628 / kbennett@nifcs.org

Despite executive function deficits now been examined in relation to the propensity to commit crimes in the general offending population, to date there has been little investigation of this within an intellectually disabled offending sample. The aim of the present study was to undertake a content analysis of the offending patterns and general behavior of Disabilities SA clients with a view to ascertaining whether such an assessment is justified for this offending group. The present study involved content analysis of five participants, currently clients of Disabilities SA. A coding schema was used to assess for evidence of four executive functions: Learning from previous experience; Engaging in logical reasoning; Impulse control; and Understanding the reactions of others. Findings suggest that offenders with intellectual disability have difficulties in all four areas. These findings are discussed in terms of the need for more comprehensive assessment and treatment implications.

Research into the use of information by health care professionals has generally been conducted in countries dominated by the biomedical model. In these contexts, illness is considered to have a scientifically identifiable physical cause, and treatment practices within the formal health care sector are prescribed and managed in accordance with this definition. Yet there are also contexts where other belief systems inform and guide the way that people think about their health. In comparison to the biomedical model, these contexts have contributed very little to our understanding of how health professionals develop their knowledge. This research investigates how primary health care workers (PHCWs) in one such context, Papua New Guinea (PNG), develop their knowledge about the health services they provide. In order to discover and understand the differing views of these PHCWs, 69 semi-structured interviews were conducted in three culturally and geographically diverse regions of PNG. In explaining the diagnostic and treatment practices they use, these participants provided insights into not only how PHCWs engage with information but also how it informs their professional practice. These data were analysed, interpreted and discussed using a framework consisting of four, primary but interconnecting aspects: the context in which information was provided, the interactions with the sources of information, the processes by which information was understood, and the outcomes realized as a result of the information being used. Findings indicated that the majority of participants in this study acknowledged, if not incorporated, information pertaining to biomedicine, Christianity and Indigenous belief systems into their diagnostic and treatment practices. Even when these belief systems clearly contradicted each other, PHCWs did not in general feel the need to make a conscious choice between them. From their comments it would appear that four factors contributed to this ability to incorporate diverse and often conflicting ideas into the way that patients were cared for. First, all of the belief systems were considered legitimate by at least one group of people connected to the community in which the PHCW worked. Second, although varying in degrees of availability and accessibility, members of these groups were able to disseminate information pertaining to the belief system they supported. Third, the PHCW had no particular affiliation with any one of these groups but instead regularly interacted with a range of different people. Lastly, the PHCW worked in situations where health practices were not generally well supervised by their employers and therefore they were relatively free to choose between various diagnostic and treatment practices. The qualitative interpretive approach adopted in this thesis contributes to the field of human information behavior by affirming that conflict is in the eye of the beholder. When a number of belief systems coexist and all are considered legitimate, information about them is freely available, and the recipients actions are neither constrained by their own dogma, nor imposed upon by others, individuals may quite comfortably embrace diverse beliefs. These findings may also contribute to a better understanding of health management practices in developing countries by suggesting that health professionals are not merely personifications of a biomedical model. Instead, the study demonstrates that multiple belief systems can be combined by PHCWs, and that in turn this benefits the formal health care sector through increased treatment options that are both appropriate and effective in such circumstances.

This research investigated an issue that has implications for early breastfeeding cessation and impaired mother-child bonding. It focused on child abuse survivors' perceptions and reactions surrounding breastfeeding and bonding, the necessity of trust before disclosing abuse, and the transition to self-efficacy. It also provided recommendations for health professionals' practice.

Submitted by JÚLIO HEBER SILVA (julioheber@yahoo.com.br) on 2016-12-01T17:34:41Z No. of bitstreams: 2 Dissertação - Eurides Santos Pinho - 2015.pdf: 1983126 bytes, checksum: 484a5897cce2dd43b87b7b8891405725 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Jaqueline Silva (jtas29@gmail.com) on 2016-12-02T11:51:31Z (GMT) No. of bitstreams: 2 Dissertação - Eurides Santos Pinho - 2015.pdf: 1983126 bytes, checksum: 484a5897cce2dd43b87b7b8891405725 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2016-12-02T11:51:31Z (GMT). No. of bitstreams: 2 Dissertação - Eurides Santos Pinho - 2015.pdf: 1983126 bytes, checksum: 484a5897cce2dd43b87b7b8891405725 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2015-12-15 / Comprehending the ongoing (re)building process of the substitutive psychosocial model to the nursing home care model for people suffering from mental disorders, it is worthwhile to know the healthcare dynamic of a substitutive service, in order to identify any issues within the team, which could interfere with the quality of care they provide. The aim of this study was to identify the working process of professionals at a Type III Psychosocial Care Center (PCC). This is an interventional study using a qualitative approach, that is based on the problem-based method, known as Arco de Maguerez. It consists of five stages: reality observation, key points, theorizing, problem-solving hypothesis, and application to reality. The development of the study was based on lightweight technology sources mediated by group technique. In the first stage, strong and weak points of the service were identified, followed by a discussion of issues related to the patient, family, teamwork, territory, and management. From this, the strengths and weaknesses of the staff and service were discussed. Following this, the participants emphasized the importance for discussion on the difficulty of integration and coordination of the Psychosocial Care Network. In the next step, problems regarding key points in question were expressed and this guided the active search in the literature for theorizing, which would guide in developing possible solution options. Therefore, permanent health education to perform the matricial and approaches to disclose the PCC territory were debated, and subsequently strategies were developed and applied to reality. Through the research process, the strengths of the team that would help them to overcome their shortcomings were identified. While some restraining forces that precluded this movement were also identified. In this context, the awareness-making process and the participants’ willingness to embrace change were evident throughout the study. This highlights the acceptance of the proposal of the interventional research that is based on the problematization of the service. It is evident that the spaces validity for the exchange of practices and knowledge, reflection-action-reflection, are imperative to the production of knowledge, which supports professionals for the qualification of care in mental health. / Entendendo o processo contínuo de (re)construção do modelo psicossocial substitutivo ao modelo de assistência asilar a pessoas com sofrimento ou transtornos mentais, considera-se fundamental conhecer a dinâmica assistencial de um serviço substitutivo, com vistas a delinear junto à equipe situações problemas que interferem na qualidade do cuidado que oferecem. A pesquisa teve o objetivo de conhecer os processos de trabalho dos profissionais de um Centro de Atenção Psicossocial tipo III. Estudo do tipo de intervenção, de abordagem qualitativa, direcionada pela metodologia problematizadora do Arco de Maguerez, que compreende cinco etapas sucessivas: Observação da Realidade, Pontos-chave, Teorização, Hipóteses de Soluções e Aplicação à Realidade. Seu desenvolvimento foi norteado utilizando-se essencialmente recursos das tecnologias leves, mediadas por técnicas grupais. Na etapa inicial, foram elencados pontos frágeis e fortes do serviço, seguidos da discussão de questões relativas ao usuário, família, equipe, território e gestão. A partir desse momento discutiram-se os entraves e pontos propulsores da equipe e do serviço. Na sequência, os participantes elegeram como ponto prioritário de discussão a dificuldade de integração e articulação da Rede de Atenção Psicossocial. A etapa seguinte privilegiou-se a problematização dos pontoschaves em questão, que orientaram a busca ativa na literatura para a teorização que orientaria as possíveis hipóteses de soluções. Assim, a educação permanente em saúde para realizar o matriciamento e formas de divulgação do CAPS no território foi debatida e, posteriormente, estratégias de ações foram aplicadas à realidade. No caminhar do processo de pesquisa, constataram-se forças propulsoras da equipe para o enfrentamento de suas dificuldades e também algumas forças restritivas que impediam este movimento. Neste contexto, os processos de tomada de consciência e de mudança dos participantes ficaram evidentes ao longo do estudo, salientandose a aceitação da proposta da pesquisa intervencionista, fundamentada na problematização do cotidiano do serviço. É perceptível a validez dos espaços de trocas de práticas e saberes, reflexão-ação-reflexão, para a produção de conhecimento que subsidiem os profissionais para a qualificação do cuidado em Saúde Mental.

<p>The dissertation includes two independent chapters which investigated the experiences of individuals with disabilities in connection with societal attitudes regarding disability. The first article is a systematized review which analyzes and synthesizes the existing literature on implicit and explicit disability attitudes across multiple domains (e.g., educational; occupational; healthcare). Chapter 1 identifies common themes across the existing literature and identifies potential predictors and buffers of negative disability attitudes. The article concludes with a call to counseling psychologists to address negative disability attitudes utilizing the roles and themes of the field. Finally, suggestions are made regarding the development and implementation of interventions to help address negative disability attitudes and the subsequent harmful effects. </p><p>The second article is an empirical study that examines factors related to the persistence intentions of individuals with disabilities to address the high attrition rates of this population within postsecondary environments. A moderated mediation model is proposed to address four hypotheses. First, I hypothesized academic self-efficacy would mediate the relationship between stereotype threat and persistence intentions. Second, coping self-efficacy would mediate the relationship between stereotype threat and persistence intentions. Third, social self-efficacy would mediate the relationship between stereotype threat and persistence intentions. Fourth, I hypothesized that endorsing a growth mindset would buffer against the negative indirect relationship between stereotype threat and persistence intentions which operate through academic self-efficacy. Data were collected from postsecondary students who identified as having one or multiple diagnosed disabilities at a large public university in the Midwest. The study results supported my first hypothesis that academic self-efficacy would significantly mediate the relationship between stereotype threat and persistence intentions. Additionally, the results revealed that high levels of perceived stereotype threat were associated with lower levels of coping self-efficacy and social self-efficacy, as the researcher anticipated. However, our second and third hypotheses were rejected due to these mediating factors not significantly influencing a participants’ intentions to persist within the academic environment. Finally, the results suggested that one’s mindset of intelligence was a positive main effect predictor of academic self-efficacy. However, contrary to our fourth hypothesis, mindset of intelligence did not significantly moderate the negative indirect relation between stereotype threat and persistence intentions that operate through academic self-efficacy.</p>

Much of the current academic literature on the practice of homeschooling has revolved around the individual academic, social, and psychosocial outcomes of homeschooled youth. As such, the relational and systemic implications of homeschooling have been neglected in the current body of research, thus leaving the practice’s long-term outcomes on family and relational functionality up to heuristic assumption by homeschooling families and the general public. The current study sought to address this gap in the literature by introducing a family systems perspective to the assessment of homeschooling families and homeschooler’s relational functionality. Comparisons between homeschooled (<i>n</i> = 145) and non-homeschooled (<i>n</i> = 147) adults found that, after controlling for demographic differences, homeschooled adults reported that their families had higher levels of unbalanced Enmeshment and Rigidity, along with lower levels of unbalanced Disengagement, than non-homeschooled participants within the Circumplex Model of Marital and Family Functioning. Homeschoolers also displayed greater levels of Differentiation-of-Self in the domains of Emotional Reactivity and I-Position taking than non-homeschoolers. These results, however, were found to be closely connected to homeschooled participants’ reports of how many years they were homeschooled, the degree of structure in their homeschooling environment, as well as the strength of several different common rationales they believe motivated their family to choose to homeschool, with certain factors emerging as significant predictors of whether homeschoolers reported a more functional family environment and higher Differentiation-of-Self. The clinical and research implications, limitations, and future directions for studies of this kind, are discussed.

Esta investigación nace de una preocupación personal por la situación de la primera infancia en nuestra ciudad, se inicia explicando qué significa ser niño, sus necesidades y desarrollo, para luego hacer referencia a los nuevos equipamientos que surgen para contenerlos y como es que los programas educativos juegan un papel determinante en su crecimiento. Tiene como finalidad centrar la base teórica para la proyección de un Centro de Desarrollo Infantil en el AA.HH. Parque Metropolitano ubicado al sur del distrito de Villa El Salvador, zona que se ha originado por invasiones no planificadas que no siguen la trama originaria y carecen de equipamientos adecuados. Un Centro de Desarrollo Infantil(CDI) es un equipamiento que brinda y promueve el cuidado integral (educación, salud, alimentación, descanso, recreación, etc.) de la primera infancia, para ello contempla ambientes de uso comunitario como parte de su programa puesto que estos servicios le permiten vincularse con la comunidad, adquiriendo así un valor simbólico en el barrio. Son equipamientos que se ubican en zonas urbanas en desarrollo y a través de su programa van generando un cambio social. / This research has born from a personal concern for the situation of early childhood in our city, it begins explaining what it means to be a child, their needs and development, then refer to new equipment that arises to contain them and how educational programs play a decisive role in the growth of children. Its purpose is to focus the theoretical basis for the projection of a Child Development Center in the AA.HH. Parque Metropolitano located to the south of the district of Villa El Salvador, an area that has been originated by unplanned invasions that do not follow the original urban plot and lack of adequate equipment. A Child Development Center (CDI) is an equipment that provides and promotes comprehensive care (education, health, nutrition, rest, recreation, etc.) of early childhood, for that, it provides community services as part of its program because these services allows it to bond with the community and acquire a symbolic value in the neighborhood. They are equipments that are located in urban areas under development and through their program they generate a social change. / Tesis

1 Abstract This work concentrates on transformation of social services, in other words, it focuses on the possibilities of disabled clients in the transition from institutional care to support provided within a community. The aim of the thesis is a deeper insight into the organization, which already deals with the above described transformation and evaluation of the positives or negatives of this process. This work has also an ambition to be at the same time a tool for those who are preparing for the transformation process and may have concerns or inadequate expectation from the planned changes. This text also evaluates the impact of transformation on the quality of life of the handicapped and the degree of gaining of independence by a subjective view of the client, five years after the beginning of the changes, and completion of the perception of these impacts by the guardian and the staff of the organization. The theoretical part of the text defines the concept of transformation, describes the transformation from the perspective of social services and describes the process of change in eight fundamental steps. It also summarizes the facts and figures of the current state, an overview of strategic documents for the transformation of social services, the possibilities of financial support for...

This dissertation presents in the form of two distinct chapters conceptually related in nature. The first chapter integrates literature from various fields such as indigenous, womanist, and feminist lenses to propose nine principles when working with Muslim women. The purpose of the second chapter is to examine Muslim women’s experiences in therapy at university counseling centers. The study explores women’s experiences from a social determinants of health perspective and a narrative inquiry method—namely, how intrapersonal, interpersonal, institutional, community, and policy factors inform women’s experiences. Qualitative analysis from interviews with six women suggests Muslim women navigate multiple systems which inform their beliefs about health and their experiences in therapy.