Thesis (Ph. D.)--University of Florida, 1984. / Description based on print version record. Typescript. Vita. Includes bibliographical references (leaves 150-158).

Thesis (D. Min.)--Westminster Theological Seminary, Philadelphia, 1987. / This is an electronic reproduction of TREN, #036-0026. Includes bibliographical references (leaves 153-156).

Thesis--Wisconsin. / Includes bibliographical references (leaves 55-58).

Thesis (M.S.)--University of Wisconsin. School of Nursing, 1973. / eContent provider-neutral record in process. Description based on print version record.

Thesis (Ph. D.)--Drexel University, 2005. / Includes abstract and vita. Includes bibliographical references (leaves 112-126).

Thesis (D. Min.)--Westminster Theological Seminary, Philadelphia, 1987. / Includes bibliographical references (leaves 153-156).

D.Cur. (Psychiatric Nursing Science) / Living with chronic mental illness in Namibia is a challenge. It often means a permanent fight against stigma and a daily struggle to make ends meet. The impact of living with the illness produces enormous subjective sufferings for the individuals, as well as untold psychological and financial burdens for many families. Through the researcher‟s interactions with individuals living with chronic mental illness, it became clear that they are not adequately supported by relatives and other members of the communities in which they live. Sometimes they are deprived access to basic needs namely, shelter, medications, freedom of movement and of expression. There is an exaggerated fear of, as well as a negative attitude towards those living with mental illness. In the Northwest Health Directorate of Namibia, there are no community care facilities for individuals living with chronic mental illness. There are no alternative community aftercare modes for discharged individuals living with chronic mental illness. Post-discharge of the patient from the hospital, there are no follow-ups regarding the social circumstances they find themselves in. As a result, the home-care for someone living with chronic mental illness after hospitalization remains the sole responsibility of the relatives who rarely know how to look after the patient. On many occasions the public has been very ignorant about mental illness, resulting in them having a very negative attitude towards persons living with chronic mental illness. The main purpose of this research was to explore and describe the lived experiences of individuals living with chronic mental illness, and the experience of the family members, community members, and health care workers dealing with individuals living with chronic mental illness. Thereafter, the researcher developed a mental health nursing model, which provides a theoretical frame of reference for the advanced psychiatric mental health nurse practitioner to facilitate constructive interactions through communicating, relating and sharing by discharged individuals living with chronic mental illness in Namibia...

Introduction: Primary Health care refers to care which is based on the needs of population. Mental health care provided within general primary care services is the first level of care within the formal health system. There is no research in King Sabata Dalindyebo, carried out on issues around integration of mental health with primary health care. The present study is initiated to overcome this gap. Aim of the study: The aim of the study was to investigate the level of knowledge, implementation and barriers of integrating mental health care services into primary health care system at King Sabata Dalindyebo clinics, in Mthatha region. Methods: This descriptive cross-sectional study was conducted at King Sabata Dalindyebo Clinics, between January 2010 and December 2011. A 10% random sample of all health professionals from King Sabata Dalindyebo was interviewed concerning their demographic characteristics, education/ qualifications, general and further training in psychiatry, awareness about Mental Health Care Act 17 of 2002 and mental health care services characteristic related to the integration of mental health care services into primary health care system. For data analysis, the means of continuous variables across 2 groups were compared using Student-t test. The proportions (%) of the categorical variable across 2 groups were compared using Chi-square test. Results: A total of 52 health professionals (40.4% males, 59.6 females, 59.6 married, 3 doctors, 49 nurses, mean age 36.9± 8 years range 23 years-52 years), were surveyed. The participants were characterized by low level of qualification in specialization, further training in psychiatry, and by very low awareness about Mental Health Care Act 17 of 2002. Furthermore, there was no implication of expects (Regional psychiatrist, psychologist, social worker) and co-ordination of mental health care services. Working in remote and disadvantaged area, health workers with lower education qualification, absence of a coordinator for mental health care services and absence of workshop on Mental Health Care Act 17 of 2002 were determinants of lower awareness about Mental Health Care Act 17 of 2002. However, there was a good to excellent framework for potential implementation of mental health care services into primary health care system. The government support in infrastructures, drugs availability, transport and equipment was evident. Patients were helped within abroad based ethical, human rights and psycho-social framework. Conclusion: There is a lack of improving human capacity for mental health in terms of continuous training in mental health issues, policies, organisation and development. Globally, the integration of mental health care service in King Sabata Dalindyebo is non-optimal.

No description available.

No description available.