"The purpose of this study was to collect and compile data for prognostic purposes in determining which clients probably will not continue in treatment until--in the opinion of the agency--'services are completed.' It was hoped that this guide would be helpful in selecting those clients to whom to offer further service. Also, it might be useful in modifying agency policies and procedures to better meet the needs of those people who cannot use the services as presently offered"--Introduction. / Typescript. / "May, 1958." / "Submitted to the Graduate Council of Florida State University in partial fulfillment of the requirements for the degree of Master of Social Work." / Advisor: David L. Levine, Professor Directing Study. / Includes bibliographical references.

Thesis (Ph.D.)--University of Melbourne, School of Social Work and Department of Psychiatry, 2001. / Typescript (photocopy). Includes bibliographical references (leaves 262-311).

Under-utilisation of mental health services is widespread globally and within Australia, especially among culturally and linguistically diverse (CALD) communities. Improving service access is a priority, as is the need to deliver culturally competent services to the CALD communities. Having migrated to Australia in waves for approximately 150 years from China and South East Asia for various social, political and economic reasons, the Chinese population in Sydney is now the fastest growing non-English speaking ethnic group. There is a need to better understand the impact of culture on the emotional experiences of these Chinese in Australia. How do Chinese make sense of their depressive episodes? To address this question, this study explored the ways participants reach out for medical and/or non-medical help. Lay concepts of illness underpin these decisions and were thus unveiled. Mixed-method research design provided the opportunity to bring together multiple vantage points of investigation: population mental health, transcultural psychiatry and medical anthropology. A study combining quantitative survey and qualitative focus groups was undertaken in metropolitan Sydney. Narratives on symptoms, explanatory models and help-seeking strategies were articulated by focus group informants. Surveys covered demographics, symptom-recognition, previous depressive experiences and professional help sought. Depression measurement tools were cross-culturally validated. Self-ratings of ethnic identities and the Suinn-Lew Self-Identity Acculturation Scale were used to quantify Chinese participants' acculturation level. This allowed comparisons between 'low-acculturated' Chinese', highly-acculturated' Chinese and Australians. Survey results showed comparable levels of symptom-recognition in all subgroups. Focus group discussions provided rich data on informants' help-seeking strategies. Highly acculturated Chinese closely resembled the Australians in many study variables, yet qualitative data suggested cultural gaps beyond language barriers in influencing service use. Participants believed that trustful relationships could work as the bridge to link services with those in need. The implications for Australia's mental health policy include recognising the importance of rapport-building and the existence of cultural gaps. The study indicated professionals can benefit from acquiring information about the mental health beliefs both of individual clients and the wider ethnic communities in which they belong, and respecting the cultural differences between helper and helped as the first step towards cultural competency.

Under-utilisation of mental health services is widespread globally and within Australia, especially among culturally and linguistically diverse (CALD) communities. Improving service access is a priority, as is the need to deliver culturally competent services to the CALD communities. Having migrated to Australia in waves for approximately 150 years from China and South East Asia for various social, political and economic reasons, the Chinese population in Sydney is now the fastest growing non-English speaking ethnic group. There is a need to better understand the impact of culture on the emotional experiences of these Chinese in Australia. How do Chinese make sense of their depressive episodes? To address this question, this study explored the ways participants reach out for medical and/or non-medical help. Lay concepts of illness underpin these decisions and were thus unveiled. Mixed-method research design provided the opportunity to bring together multiple vantage points of investigation: population mental health, transcultural psychiatry and medical anthropology. A study combining quantitative survey and qualitative focus groups was undertaken in metropolitan Sydney. Narratives on symptoms, explanatory models and help-seeking strategies were articulated by focus group informants. Surveys covered demographics, symptom-recognition, previous depressive experiences and professional help sought. Depression measurement tools were cross-culturally validated. Self-ratings of ethnic identities and the Suinn-Lew Self-Identity Acculturation Scale were used to quantify Chinese participants' acculturation level. This allowed comparisons between 'low-acculturated' Chinese', highly-acculturated' Chinese and Australians. Survey results showed comparable levels of symptom-recognition in all subgroups. Focus group discussions provided rich data on informants' help-seeking strategies. Highly acculturated Chinese closely resembled the Australians in many study variables, yet qualitative data suggested cultural gaps beyond language barriers in influencing service use. Participants believed that trustful relationships could work as the bridge to link services with those in need. The implications for Australia's mental health policy include recognising the importance of rapport-building and the existence of cultural gaps. The study indicated professionals can benefit from acquiring information about the mental health beliefs both of individual clients and the wider ethnic communities in which they belong, and respecting the cultural differences between helper and helped as the first step towards cultural competency.

Diss. (sammanfattning) Linköping : Univ., 2004. / Härtill 4 uppsatser.

Thesis (M.S.)--University of Michigan, 1994.

Thesis (M.S.)--University of Michigan, 1994.

The purpose of this study is to test the utility of Talcott Parsons' AGIL Model, i.e., Adaptation, Goal Attainment, Integration, and Latency (Pattern Maintenance) in evaluating the program effectiveness of a community mental health center (CMHC). The model provided a conceptual framework for the selection of appropriate variables. The dependent variable in this study is the overall evaluation of the CMHC as measured through the perception of community leaders. Fourteen hypotheses were constructed to identify and test the relationship among the AGIL criteria and the use of a selected set of independent variables. Data for this study were collected from primary and secondary sources. Secondary data were obtained from the Texas Department of Mental Health and Mental Retardation in Austin and the CMHC center in Eton. Primary data were collected through personal interviews of general community leaders and influential persons in health-related activities in the community. The selected independent variables included the scope of leadership, the attitude towards this community, socio-economic status, knowledge of the CMHC, and the commitment and involvement in the CMHC. Data indicated that Parsons' criteria for evaluating the CMHC's program were comprehensive and related to each other both positively and negatively. Among the selected independent variables, the type of leader was found to be the best predictor of program evaluation of this CMHC. Overall, generalized community leaders were more defensive and favorable to the CMHC's program compared with the specialinterest leaders. The leaders also differed in their emphasis of the AGIL criteria. The generalized community leaders were conservative in emphasizeing the evaluative criteria of adaptation, integration, and pattern maintenance; the special-interest leaders gave more emphasis to the goal attainment function of CMHC. It was concluded that Parsons' AGIL model was useful for evaluating a CMHC. The variant direction of relationship among AGIL criteria indicated differences in the perception of community leaders in the evaluation of the CMHC.

This study is about the exploration of the concept of community, using the Mamelodi Counselling Clinic as the context for the exploration. The members who got involved in different phases in the running of the clinic, went through the process of defining and redefining the concept. This process was based on their experiences and their coevolved reality of what the concept means. These experiences will be discussed and in the end, a punctuated end product of the coevolved meanings will given. Furthermore, an account will be given as to how the running of the clinic evolved with the changes in meaning. The author's perception of the division between clinical and community psychology was altered as a result of the findings in the study and this will also be discussed. / Psychology / M.A. (Clinical Psychology)

Thesis (M Social Work)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: Mental health is a fundamental aspect of social functioning which affects a significant portion of the population. The movement toward deinstitutionalization became the core focus of mental health policies such as the White Paper (1997) and the Mental Health Care Act (17 of 2002) post-apartheid. However, this process was implemented at a rapid rate, with poor corresponding development of necessary outpatient and community-based facilities and services. Social, cultural, and economic conditions have significant and measurable effects on both individual health status and the delivery of health care. As a result, there is a growing recognition of the need for social work services within the mental health outpatient and community-based care context. Research regarding the role of the social worker within mental health care, particularly within a South African context is poor and therefore a research gap with regard to examining the views of social workers on their role in mental health outpatient and community-based services exists. The overall objective of the study was to, in light of the above, examine the views of social workers on their role in mental health outpatient and community-based care. A combination of both qualitative and quantitative research approaches was employed for the study, with a stronger emphasis on the use of qualitative data. A combination of exploratory and descriptive research designs was utilized as the framework for the implementation of the research approach. This was appropriate for the utilization of both quantitative and qualitative design elements. A purposive sample of twenty social workers was compiled, and data was collected through the means of semi-structured interviews; a pilot study was implemented to test the measurement instrument with two social work participants. Two literature chapters are presented, focusing on the topic of mental health and its related policy, as well as expanding on mental health care and service rendering according to an ecological perspective. These chapters served to achieve established objectives of the study. Chapter four is a presentation of the empirical study. Data which was collected was both relayed and analyzed, in accordance also with the literature study. Data was analyzed, through both quantitative and qualitative analysis and was presented according to identified themes, sub-themes and categories. Relevant tables, figures and participant narratives were used to further substantiate the analysis of data. Chapter five gives an overview of relevant conclusions and recommendations, in terms specifically of the role of the social worker in mental health outpatient and community-based care, in light of the empirical study and data analysis. Five specific roles were identified as being significant for the social worker in mental health care, with regard to their role in therapeutic intervention, working with clients and families in a one-on-one, counseling capacity; supportive services, through linking of clients to necessary resources; advocacy, through fighting for, and protecting the rights of clients and related vulnerable groups within mental health; relational role, recognizing the importance of social and interpersonal aspects on the functioning of mentally ill clients; and finally their role as a holistic worker within a multidisciplinary team, incorporating key aspects of the ecological perspective into assessments and interventions. / AFRIKAANSE OPSOMMING: Geestesgesondheid is ʼn fundamentele aspek van maatskaplikefunksionering wat ʼn beduidende gedeelte van die bevolking affekteer. Die beweging na deïnstitusionalisering het die kern fokus van verwysings na geestesgesondheidsbeleide soos vervat in die Witskrif (1997) en die Wet op Geestesgesondheidsorg (17 van 2002) geword. Hierdie proses is teen ʼn vinnige tempo geïmplementeer, wat die ooreenstemmende ontwikkeling tussen dienste aan buitepasiënte en gemeenskapsgebaseerde fasiliteite en dienste benadeel het. Maatskaplike, kulturele en ekonomiese toestande het ʼn groot en meetbare uitwerking op beide individue se gesondheidstatus en die lewering van gesondheidsorg. As gevolg hiervan, is daar ʼn groeiende erkenning van die behoefte aan maatskaplike dienste in die geestesgesondheidsorg van buitepasiënte en binne ʼn gemeenskapsgebaseerde konteks. Navorsing oor die rol van die maatskaplike werker in die geestesgesondheidsorg, veral binne ʼn Suid-Afrikaanse konteks is onvoldoende. ʼn Gaping bestaan veral in navorsing oormaatskaplike werkers se rol in geestesgesondheidsorg met betrekking tot buitepasiënte en die gemeenskapsgebaseerde dienste. Die oorkoepelende doel van die studie was om, in die lig van die bogenoemde, ondersoek te doen oor die sienings van maatskaplike werkers met betrekking tot hul rol in geestesgesondheidsorg van buitepasiënte en gemeenskapsgebaseerde dienste. ʼn Kombinasie van beide kwalitatiewe en kwantitatiewe navorsingsbenaderings is gebruik vir die studie, met ʼn sterker klem op kwalitatiewe navorsing. ʼn Kombinasie van verkennende en beskrywende navorsingsontwerpe is gebruik as ʼn raamwerk vir die implementering van die navorsing benadering. 'n Doelgerigte steekproef, bestaande uit twintig maatskaplike werkers is saamgestel, en data is ingesamel deur middel van semi-gestruktureerde onderhoude met behulp van ʼn onderhoudskedule. Loodsonderhoude met twee deelnemende maatskaplike werkers is gevoer ten einde die onderhoudskedule te toets. Twee literatuurhoofstukke word aangebied, wat fokus op die onderwerp van geestesgesondheid en verwante beleide, sowel as geestesgesondheidsorg en -dienslewering volgens ʼn ekologiese perspektief. Hierdie hoofstukke dien as fondasie om die doelwitte van die studie te bereik. Hoofstuk vier dien as ʼn verslag oor die empiriese studie. Die data wat ingesamel is, is op grond van die literatuurstudie ontleed. Data is geanaliseer deur middel van beide kwantitatiewe en kwalitatiewe analise en is aangebied volgens geïdentifiseerde temas, sub-temas en kategorieë. Toepaslike tabelle, figure en narratiewe is gebruik om die analisering van data te substansieer. Hoofstuk vyf bied relevante gevolgtrekkings en aanbevelings aan in terme van spesifiek die rol van die maatskaplike werker in geestesgesondheidsorg met betrekking tot buitepasiënte en gemeenskapsgebaseerde dienste. Vyf spesifieke rolle is geïdentifiseer as belangrik vir die maatskaplike werker in geestesgesondheidsorg: maatskaplike werkers se rol in die terapeutiese intervensie met betrekking totberading van individue en gesinne; ʼn ondersteunende rol wat kliënte met die nodige hulpbronne in verbinding bring; ʼn voorspraakrol, deur te beding vir die beskerming van die regte van kliënte en verwante kwesbare groepe in geestesgesondheidsorg; ʼn verhoudingsrol in die erkenning van die belangrikheid van sosiale en interpersoonlike aspekte in die funksionering van geestesgesondheidskliënte; en die rol as ʼn holistiese werker binne ʼn multidissiplinêre span, waarin belangrike aspekte van die ekologiese perspektief in assessering en intervensie geïnkorporeer word.