Thesis (M Social Work (Social Work))--Stellenbosch University, 2008. / South Africa is experiencing a serious HIV/AIDS (Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome) epidemic, with millions of its people living with the disease and dying from related diseases. As there is no cure as yet, counselling as a form of intervention is one of the most powerful ways to address the psychosocial aspects of HIV/AIDS. The motivation for this study was the lack of research concerning skills needed by counsellors in counselling HIV/AIDS patients who are on antiretroviral treatment (ART) or are about to commence antiretroviral treatment. To add to the knowledge that is lacking, the study was approached by means of both quantitative and qualitative research methods. The purpose of the research was explorative and descriptive. The discussion on the literature that was studied provides an overview of the implications of HIV/AIDS for the individual and the family, and of the psychosocial implications, in addition to describing antiretroviral treatment and the nature of HIV and adherence counselling processes and skills. A sample of 16 adherence counsellors who were between the ages of 27 and 57 years was interviewed. These adherence counsellors were employed by Sothemba Aids Action, placed at the different ART sites, trained at the Aids, Training, Information and Counselling Centre (ATTIC) and have gained one or more years’ experience in HIV/AIDS counselling. A semi-structured questionnaire was used as research instrument. It contained both open- and closed-ended questions. All the interviews took place at the clinics where the counsellors were employed or worked. The results of the study showed that an equal number of respondents from two different ethnic groups were interviewed; all the participants had received high school education; and a few obtained tertiary level qualifications. They all received training in basic counselling skills and adherence counselling skills. A few indicated additional training in Voluntary Counselling and Testing (VCT), as well as Prevention of Mother-to-child Transmission Counselling (PMTC). A minority of counsellors indicated making use of a translator and that their experience was that the message was always misinterpreted. All the adherence counsellors indicated a need for further training involving social problems and counselling of children at different ages and stages of development. It was also found that the adherence counsellors lack skills in counselling intervention processes and in intervention. All the adherence counsellors raised concerns regarding their working conditions and salaries. In light of the above it is recommended that patients be counselled in their preferred language, that all counsellors receive the same training in counselling and in the additional areas where they experience a shortcoming. Data on HIV/AIDS and adherence counselling, including the views of counsellors and patients are limited. It is recommended that more research be done on HIV/AIDS and adherence counselling, including the different disciplines that are involved and the views of patients about services rendered to them by those in the different disciplines, and counsellors.

Thesis (M Social Work (Social Work))--University of Stellenbosch, 2009. / An exploratory research design together with a quantitative research approach were chosen to determine whether military social workers possess the necessary knowledge, skills and values to mentor Officers Commanding (OCs) in the South African Military Health Service (SAMHS). The motivation for this study was based on questions the researcher asked as to whether there was a link between the methods in social work intervention processes, supervision and mentoring processes. During the preliminary investigation, the researcher found that no prior research under this specific subject was undertaken. The researcher also determined from her role as consultant to Officers Commanding in the SAMHS, that whereas military social workers received supervision upon joining the South African National Defence Force (SANDF), OCs, received no formal mentoring. It was also found that although a mentoring policy in the Department of Defence (DOD) existed, no evidence existed that a mentoring programme was implemented in the SAMHS. The goal of the study is therefore to provide military social workers with a framework of a mentoring process for Officers Commanding in the SAMHS. The literature study firstly focused on describing the military social work environment in which the military social worker is employed, as well as theoretical frameworks that guide the military social worker’s task. Although more than one theoretical framework was discussed, the main focus was on the systems theory and ecological perspective. The work environment of the OC was also included, as well as the challenges of their functions, tasks and roles in the SAMHS. Primarily, the literature study explored the knowledge, skills and values of the military social worker and the mentoring process. The sample that was selected for this study was 46 military social workers that represented all the chief military social workers in specialist posts and those with a higher ranking from Captain to Colonel. A quantitative investigation was undertaken by means of a questionnaire which was completed in groups in the respective provinces. The results of the investigation largely confirmed the findings of the literature study namely that military social workers do fit the requirements to mentor. These requirements to mentor were evident in the results of the knowledge, skills and values of military social workers and their understanding of the parallels between the methods in social work, supervision and the mentoring process. The results gave an indication of the knowledge, skills and values of military social workers to mentor Officers Commanding in the SAMHS, and the framework of the mentoring process and how it relates to the casework, group work and supervision processes in social work. The recommendations demonstrated that a central body should be identified to coordinate and plan a mentoring programme in the SAMHS. The recommendations also include that the Directorate Social Work should provide clear guidelines on how military social workers should implement the DOD Mentoring policy, and ensure that military social workers are trained in staff development methods and its processes. The recommendations included further research: both quantitative and qualitative research by means of questionnaires and interviews with OCs, as well as monitoring and evaluation of the mentoring process. This information will benefit military social workers in their training as mentors. In implementing these recommendations, military social workers will be able to contribute significantly to the development of Officers Commanding in the SAMHS and the profession of social work.

On t.p.: Master of Arts in Social Work (Welfare Programme management) / Thesis (MA(MW))--Stellenbosch University, 2004. / ENGLISH ABSTRACT: Medical social workers working in children's wards are more prone to burnout because of the stressful nature of their work. Because social work requires emotional involvement, it is not uncommon for workers to be emotionally drained and frustrated, which might lead to burnout. Stress amongst social workers is an important issue, as a stressed workforce can negatively affect the quality of service. This study was undertaken with the aim of providing guidelines for handling stress amongst medical social workers working in children's wards, in order to promote job satisfaction and enhance work performance. Chronically ill children who are hospitalised, often suffer from behavioural and emotional problems that require social work intervention, which in turn puts pressure on the social worker. Concurrent stressors on the children and their families may exhaust their normal coping capacity and further complicate the child's adaptation to hospitalisation. The role of the medical social worker is to provide social support to the child and the family in order to promote positive coping in the child during and after hospital treatment. The demands put on the social worker by hospitalised children can cause stress, which could adversely affect their work performance and job satisfaction. Social workers therefore, have to carefully select an appropriate practice framework when dealing with hospitalised children. This entails the selection of appropriate perspectives, theories and models to ensure effective intervention. These frameworks provide structure and directive to social work intervention, and combined with supervision, can promote job satisfaction amongst medical social workers. The study was undertaken amongst medical social workers working in paediatric wards within hospitals in the Cape Metropolitan area. The empirical study focused on an investigation of factors, which might contribute to the experience of burnout amongst the social workers. Work-related stressors playa major role in increasing the likelihood of burnout amongst social workers. If these stressors are not properly dealt with they might lead to burnout amongst medical social workers, which will have a direct bearing on the child's benefit from medical services. A combination of both organisationally based and individually based strategies should be implemented in order to overcome job-related stress and to prevent burnout. / AFRIKAANSE OPSOMMING: Mediese maatskaplike werkers wat in kindersale werk, is meer geneig tot uitbranding as gevolg van die stresvolle aard van hulle werk. Maatskaplike werk vereis emosionele betrokkenheid. Dit is dus nie ongewoon vir maatskaplike werkers om emosioneel gedreineerd en gefrustreerd te voel nie. Laasgenoemde is kenmerke van uitbranding. Oormatige stres by maatskaplike werkers kan 'n negatiewe uitwerking op die kwaliteit van hul dienslewering hê. Hierdie navorsingstudie was onderneem met die oog op die daarstelling van riglyne vir die hantering van stres by mediese maatskaplike werkers, wat in kindersale werk om sodoende werkstevredenheid en -verrigting te bevorder. Kroniese siek kinders wat gehospitaliseer word, presenteer dikwels met gedrags- en emosionele probleme wat uiteraard tydens intervensie addisionele druk op die maatskaplike werker plaas. Gepaardgaande stressors kan daartoe lei dat pasiënte en hul gesinne afwyk van hul normale funksionering wat weer die pasiënt se hanteringsvermoë en aanpassing by die hospitaalopset belemmer. Die rol van die mediese maatskaplike werker is om sosiale ondersteuning aan bogenoemde partye te gee ten einde positiewe hanteringsvermoë tydens en na mediese behandeling, by pasiënte te vestig. Die eise wat deur pasiënte aan maatskaplike werkers gestel word kan stres veroorsaak wat hul werksverrigtinge en tevredenheid negatief kan affekteer. Maatskaplike werkers moet dus versigtig te werk gaan in die keuse van 'n gepaste praktykraamwerk vir intervensie ten opsigte van gehospitaliseerde kinders. 'n Verantwoordbare keuse van perspektiewe, teorieë en modelle lê ten grondslag van effektiewe maatskaplike werk intervensie. Hierdie raamwerke bied struktuur en rigting aan maatskaplike werk intervensie. Laasgenoemde, tesame met Stellenbosch University http://scholar.sun.ac.za superviste kan werkstevredenheid onder mediese maatskaplike werkers bevorder. Stressors wat met werk verband hou, speel 'n groot rol in die toename van uitbranding onder mediese maatskaplike werkers. Indien hierdie stressors nie effektief hanteer word nie, kan dit tot uitbranding by maatskaplike werkers ly wat dan weer die pasiënt se benutting van mediese dienste negatief beïnvloed. Die ondersoekgroep het bestaan uit tien mediese maatskaplike werkers wat werksaam was in paediatriese sale in hospitale binne die Kaapse Metropool. Tydens 'n empiriese ondersoek is gefokus op faktore wat moontlik aanleiding kan gee tot die uitbranding van maatskaplike werkers. Dit word dus aanbeveel dat 'n kombinasie van strategieë van beide die orgarusaste en die persoon geïmplementeer moet word om werksverwante stres te oorkom en dus uitbranding by mediese maatskaplike werkers te voorkom.

Thesis (MPhil)--Stellenbosch University, 2004. / ENGLISH ABSTRACT: Close, personal relationships with adults are seen to contribute positively to the development of young people. Whilst mentoring has been established in other parts of the world, it is a relatively new concept in South Africa. The purpose of this study is to establish guidelines for the development of youth mentoring programmes. The literature study deals with the human development of youth during adolescence. Those factors, both within the family as well as in the environment, that affect the development of young people, are discussed. The phases of the mentoring process is also described. The Hearts of Men mentoring programme is used as an example of a youth mentoring programme that is based in the community. An exploratory and descriptive study was undertaken in order to describe the development of youth during adolescence. An empirical study was undertaken based on the literature review. A sample comprised of 18 young people participating in the Hearts of Men mentoring programme in the Strand was involved in the study. With the help of the empirical study the perception of the young people with regard to the mentor and mentee roles was examined. The findings of the study reveal that the young people in the Hearts of Men programme have a positive experience of the mentoring process and have an understanding of the mentor and mentee roles. In order to establish youth mentoring programmes, organisations must possess the knowledge of and skills in the mentoring process and must have an understanding of the human development of young people as well as of theories relating to their development. / AFRIKAANSE OPSOMMING: Persoonlike verhoudings met volwasse persone word beskou as 'n positiewe bydraende faktor tot die ontwikkeling van jongmense. Terwyl mentorprogramme redelik gevestig is in ander dele van die wêreld, is dit 'n relatiewe nuwe konsep in Suid Afrika. Die doel van hierdie studie is om riglyne daar te stel vir die ontwikkeling van jeug mentorprogramme. Die literatuurstudie het gehandel oor die menslike ontwikkeling van jongmense gedurende adolessensie. Faktore binne die gesin, sowel as die omgewing, wat 'n invloed het op die ontwikkeling van die adolessent is bespreek. Die fases van die mentorproses is ook beskryf. Die Hearts of Men program is gebruik as 'n voorbeeld van 'n gemeenskapsgebaseerde jeug mentorprogram. 'n Verkennende-beskrywende studie is onderneem om die ontwikkeling van die adolessent gedurende adolessensie te beskryf. 'n Empiriese studie gegrond op die literatuurstudie is gedoen. 'n Steekproef, bestaande uit agtien jong deelnemers aan die Hearts of Men mentorprogram in die Strand, is by die ondersoek betrek. Met behulp van die empiriese ondersoek is die persepsies van die jong persone rakende die rol van die mentor en mentee in die mentorprogram ondersoek. Die bevindinge van die ondersoek toon dat die deelnemers aan die Hearts of Men mentorprogram 'n positiewe ervaring van die mentorproses ondervind, en dat hulle begrip toon ten opsigte van die rol van die mentor en mentee in die mentorprogram. Ten einde jeug mentorprogramme te implementeer, moet organisasies oor die kennis en vaardighede beskik rakende die mentorproses. Organisasies moet ook begrip toon rakende menslike ontwikkeling van jongmense, en kennis hê oor teorieë wat op hulle ontwikkeling betrekking het.

Thesis (MA)--Stellenbosch University, 2004. / ENGLISH ABSTRACT: This research investigates guidelines for a supervision programme for social workers in the service of the Provincial Administration Western Cape, Department of Social Services and Poverty Alleviation. In practice social work supervision is done at the organizations to develop young social workers' knowledge, skills and attitudes. This will enable them to develop professionally and to work independently. At the Department of Social Services and Poverty Alleviation supervision is also done with newly appointed social workers to empower them to work independently. Supervision in social work is 'n specialized method that enquires specific knowledge and skills. Effective and structured supervision's aim is to better the service rendering to the client. The Department of Social Services' vision and mission is also aimed at the best service rendering to their clients. The Department of Social Services and Poverty Alleviation has the problem that there is no guidelines to structure the supervision process. There for this research is aimed at the necessacity of guidelines for the practicing of social work supervision to get the results of better service rendering to the clients. To give the guidelines, there was a focus in this research report that includes 'n thorough literature study that describes the Department of Social Services and Poverty Alleviation's structure and the way supervision has been done up till this moment. The nature of supervision is also looked at in a theoretical way to broaden the knowledge of how supervision is supposed to be done. The empirical research involved the use of both qualitative an quantitative methods to explore the theoretical part of the research. An explo The fmdings of this study can be used as guidelines in the development of a supervision programme for social workers in the service of the Department of Social Services and Poverty Alleviation. / AFRIKAANSE OPSOMMING: Hierdie navorsing ondersoek riglyne vir 'n supervisieprogram vir maatskaplike werkers in diens van die Provinsiale Administrasie Wes-Kaap, Department Maatskaplike Dienste en Armoedeverligting. Maatskaplikewerk-supervisie word in die praktyk by organisasies beoefen ten einde jong maatskaplike werkers se kennis, vaardighede en houdings te ontwikkel om die maatskaplike werkers instaat te stel om professioneel te ontwikkel en onafhanklik te werk. By die Departement Maatskaplike Dienste en Armoedeverligting word nuwe maatskaplike werkers ook onderwerp aan supervisie ten einde hulle te bemagtig om onafhanklik hul werk te verrig. Maatskaplikewerk-supervisie is 'n gespesialiseerde metode wat spesifieke kennis en vaardighede vereis. Effektiewe, gestruktureerde supervisie het ten doel beter dienslewering aan die kliëntsisteem. Die Departement Maatskaplike Dienste se visie, missie en beginsels is daarop gerig om die kliëntsisteem van die beste dienste te voorsien. Die Departement Maatskaplike Dienste en Armoedeverligting se dilemma lê juis hierin dat daar nie 'n handleiding met riglyne bestaan ten einde gestruktureerde supervisie te doen nie. Hierdie navorsing is gerig op die noodsaaklikheid van riglyne vir die beoefening van maatskaplikewerk-supervisie ten einde kliëntediens te verbeter. Ten einde riglyne daar te stel, fokus die literatuurstudie op 'n bespreking van die struktuur van die Departement Maatskaplike Dienste en Armoedeverligting en die wyse waarop maatskaplikewerk-supervisie binne hierdie struktuur verrig word. Die aard van supervisie word ook teoreties bespreek ten einde teoretiese kennis uit te brei oor hoe supervisie behoort gedoen te word. Die teoretiese deel van die verslag word uitgebrei in die empiriese ondersoek, deur ontleding en bespreking van die resultate van die ondersoek. 'n Verkennende studie is benut en beide kwalitatiewe en kwantitatiewe metodes is gebruik om die inligting van respondente te bekom. Die bevindinge en resultate van die ondersoek is geanaliseer en vergelyk met die literatuur en sekere aanbevelings is gemaak. Die bevindinge van hiedie studie kan as riglyn gebruik word vir die samestelling van 'n supervisieprogram vir maatskaplike werkers in diens van die Departement Maatskaplike Dienste en Armoedeverligting.

Thesis (MSocialWork)--Stellenbosch University, 2004. / ENGLISH ABSTRACT: The aim of this study is to develop a theoretical and practical framework which can be utilised as a guideline for performance appraisal of occupational social workers employed by local authorities within the Cape Metropole. The study was preceded by a comprehensive literature study whereby the term performance appraisal was explained, the necessity and purpose of performance evaluation, were identified. Furthermore, the characteristics of performance appraisal in social work have been described. These characteristics serve as a basis for this study. An empirical study was then undertaken, which entailed an exploratory study to achieve the aim of this study. The social workers, who are employed by the local authorities within the Cape Metropole, were included in the study. The study was conducted by means of a group administrative questionnaire. Occupational social work is regarded as a relatively new area of specialisation in social work and very little has been written about it. Therefore a brief overview of occupational social work is provided, with specific reference to the U.S.A., Europe and South Africa. Furthermore emphasis is placed on the structural and functional characteristics of an organisation that influences occupational social work. The nature and scope of the social worker's service rendering, as well as the knowledge and skills that is required to render effective services, is discussed. The evaluation of work performance of social workers, the frequency thereof and the persons involved therein, were investigated to determine the nature and scope of the performance appraisal systems that are implemented. Performance appraisal requires the participation of both the supervisor and the social worker. The nature of communication during performance evaluation was identified and the manner in which communication should take place were also obtained. Social workers' opinions in terms of the manner in which they should be allowed to participate during supervision and performance appraisal were also obtained. Social workers' opinions of the valuable aspects of performance appraisal were explored to determine the value of performance evaluation for them. Hence it could be deduced that they experience performance appraisal as valuable and that they have insight into the fact that performance appraisal could contribute to their professional development. The social workers' opinions in terms of the type of principles that should be implemented during performance appraisal were also explored and the outcome of the study showed that the same principles as identified in the literature, are also viewed as important to them. The respondents' opinions in terms of the importance of guidelines for performance evaluation and that it should be conducted in terms of a specific process has been explored, and the results of the study showed that the respondents were positive about the use of guidelines for performance appraisal, which should amongst others include the utilisation of an educational model, evaluation and program. In conclusion, the responses from the occupational social workers of local authorities in the Cape Metropole are discussed and compared with relevant literature. This serves as basis for the recommendations that are made and can be utilised to establish guidelines for performance appraisal for social workers at local authorities within the Cape Metropole. The most important recommendation is that management of local government should utilise the results of this study to establish guidelines for performance appraisal for their occupational social workers. / AFRIKAANSE OPSOMMING: Die doel van hierdie studie is om 'n teoretiese en praktiese raamwerk daar te stel wat as riglyn benut kan word vir prestasiebeoordeling van bedryfs-maatskaplike werkers by plaaslike owerhede binne die Kaapse Metropool. 'n Omvattende literatuurstudie is ten aanvang van die studie gedoen en hiertydens is die noodsaaklikheid en doel van prestasiebeoordeling in maatskaplike werk geïdentifiseer. Verder is die eienskappe wat prestasiebeoordeling in maatskaplike werk kenmerk, beskryf. Hierdie kenmerke dien as onderbou vir die studie. Na die literatuurstudie is 'n empiriese studie onderneem wat behels het dat 'n verkennende studie gedoen is. Die bedryfs-maatskaplike werkers in diens van die plaaslike owerhede binne die Kaapse Metropool is by die ondersoek betrek. Groepgeadministreerde vraelyste is as ondersoekmetode gebruik. Bedryfs-maatskaplike werk word beskou as 'n relatief jong spesialiteitsveld van maatskaplike werk en daar is nog min daaroor geskryf. Daarom word 'n beknopte historiese oorsig van bedryfs-maatskaplike werk gegee met spesifieke verwysing na die VSA, Europa en Suid-Afrika. Verder is daar klem gelê op die strukturele en funksionele eienskappe van organisasies wat bedryfs-maatskaplike werk beïnvloed. Die aard van die dienslewering van die bedryfs-maatskaplike werkers, sowel as die kennis en vaardighede waaroor hulle behoort te beskik, word ook bespreek. Die evaluering van die maatskaplike werkers se werkverrigting, die frekwensie daarvan en die persone daarby betrokke is ondersoek om die aard en omvang van die implementering van 'n stelsel van prestasiebeoordeling te bepaal. Prestasiebeoordeling vereis dat die supervisor en die maatskaplike werker aan prestasiebeoordeling moet deelneem. Die bedryfs-maatskaplike werkers se menings ten opsigte van die redes waarom werkverrigting nie geëvalueer word nie, is ook vasgestel. Die aard van kommunikasie wat tydens die implementering van prestasiebeoordeling gebruik word, is derhalwe geïdentifiseer, en die wyse waarop kommunikasie behoort uitgevoer te word is ondersoek. Die wyse waarop die maatskaplike werkers geleentheid tot deelname aan supervisie en prestasiebeoordeling behoort te verkry, is ook bepaal. Die waarde wat prestasiebeoordeling vir die maatskaplike werker inhou, is ondersoek deur die bedryfs-maatskaplike werkers se menings oor die aspekte wat tydens prestasiebeoordeling vir hulle waarde inhou, vas te stel. Hieruit kan afgelei word dat die bedryfs-maatskaplike werkers prestasiebeoordeling as waardevol beskou en insig openbaar in die feit dat prestasiebeoordeling tot verbeterde werkverrigting en tot hulle professionele ontwikkeling kan bydra. Die respondente se opinie oor die soort beginsels in prestasiebeoordeling is ondersoek en die resultate van die studie was dat dieselfde beginsels as wat in die literatuur geïdentifiseer word, ook deur hulle as belangrik beskou is. Die bedryfs-maatskaplike werkers se menings ten opsigte van die noodsaaklikheid van riglyne vir prestasiebeoordeling en dat dit volgens 'n proses behoort te geskied, is ook vasgestel. Daar is bevind dat die maatskaplike werkers positief ingestel is ten opsigte van die gebruik van 'n stelsel wat die benutting van 'n onderrigmodel, -evaluering en -program insluit en wat sal geskied volgens bepaalde riglyne vir prestasiebeoordeling. Ten slotte word die response van die bedryfs-maatskaplike werkers van die plaaslike owerhede binne die Kaapse Metropool bespreek en vergelyk met relevante literatuur. Dit dien as basis vir die aanbevelings wat gemaak word. Hierdie aanbevelings kan benut word om riglyne daar te stel vir prestasiebeoordeling van bedryfs-maatskaplike werkers by plaaslike owerhede binne die Kaapse Metropool. Die vernaamste aanbeveling is dat die Plaaslike Owerheid die resultate van die studie moet benut om riglyne vir prestasiebeoordeling van bedryfs-maatskaplike werkers saam te stel.

Thesis (MSocialWork)--Stellenbosch University, 2004. / ENGLISH ABSTRACT: The research originated from the researcher's interest in the effect of high-risk pregnancy, premature birth and infancy on the emotional well-being of parents. The research undertaken particularly focused on exploring the psychosocial experiences of parents with a premature infant. The study aimed at investigating various social work intervention strategies that can be applied to address the problematic factors parents with a premature infant are confronted with. The purpose of this research is to provide a theoretical knowledge basis, in order to set guidelines for social work intervention, to ensure effective service rendering to parents with premature infants. The research report includes a review of the literature discussing premature labour and birth, the premature infant and the psychosocial experiences of parents. Social work in health care, kangaroo care, crisis intervention, family therapy and grief counselling are also discussed to create a theoretical knowledge basis in order to serve as a guideline for social workers, to ensure effective and efficient social work service rendering to parents with a premature infant. The empirical research involved the use of both qualitative and quantitative methods to explore the psychosocial experiences of parents and the effectiveness of social work intervention. The population admitted in the Military hospital during the period 2001 to 2003 consisted of +- 60 cases. To enable the researcher to conduct the research study 50% of the overall population was used which resulted in a sample of 20 respondents consulted in the period 2002 to 2003. The respondents were invited to a group meeting where questionnaires, which included open-ended and closed questions, were used to collect the data. The results obtained were analyzed and compared to relevant literature in order to assess the reliability of the research. Conclusions were drawn and recommendations were offered from the findings of the study. The fmdings of this study serve as a guideline for professionals, specifically social workers in the medical setting, to be able to render an effective service to parents with a premature infant. / AFRIKAANSE OPSOMMING: Die oorsprong van hierdie navorsing het ontstaan na aanleiding van die navorser se belangstelling rakende die effek wat hoë-risiko swangerskap, premature kraam en die premature baba op die emosionele welstand van die ouer het. Die navorsingsondersoek fokus spesifiek daarop om die psigo-sosiale ondervindinge van ouers te verken. Die studie poog ook daarin om verskeie maatskaplike intervensiestrategieë te ondersoek wat aangewend kan word om die problematiese faktore waarmee ouers gekonfronteer word aan te spreek. Die doel van die navorsing is om 'n teoretiese kennisbasis daar te stel wat as riglyne benut kan word vir die implementering van maatskaplikewerk-intervensie ten einde 'n effektiewe diens aan ouers met premature babas te kan lewer. Die navorsingsverslag bied 'n oorsig van die literatuur waarin premature kraam, die premature baba en die psigo-sosiale ondervindinge van ouers in diepte bespreek word. Verskeie maatskaplike intervensiestrategieë word ook bespreek met verwysing na maatskaplike werk in die gesondheidsektor, kangaroosorg, krisisingryping, gesinsterapie en rouberading. Die empiriese studie sluit in die benutting van beide die kwalitatiewe en kwantitatiewe metodes ten einde die psigososiale ondervindings van ouers met premature babas te verken asook die effektiwiteit van maatskaplikewerk-intervensie te ondersoek. Die totaal ouers met premature babas opgeneem in die Militêre hospitaal vir die tydperk 2001 tot 2003 het +- 60 gevalle beloop. Ten einde dit dus vir die navorser moontlik te maak om die navorsingstudie te kan onderneem is 50% van die populasie betrek in die navorsingstudie waaruit 'n steekproef van 20 respondente saamgestel is met wie gekonsulteer is in die periode 2002 tot 2003. Die respondente is genooi na 'n groepvergadering waartydens vraelyste uitgedeel is om data te bekom. Oop en geslote vrae is ingesluit in die vraelyste. Die resultate en bevindinge verkry is geanaliseer en vergelyk met die literatuur om die betroubaarheid van die navorsing te toets. Gevolgtrekkinge is gemaak en aanbevelings daarop gebaseer is na aanleiding van die bevindinge van die studie aangebied. Die bevindinge van hierdie studie kan aangewend word as 'n riglyn vir professionele persone met spesifieke verwysing na maatskaplike werkers in die gesondheid sektor, om 'n effektiewe diens te kan lewer aan ouers met premature babas.

Thesis (MA)--Stellenbosch University, 2005. / ENGLISH ABSTRACT: During the researcher's work at the South African National Council for Alcohol and Drug Dependence (SANCA), based at the Paarl-office, it was obvious that adolescent substance abuse was growing into a huge governmental concern. During the first half of 2004 the average age of patients at drug rehabilitation centres who used crystal methamphetamine (streetname: "tik-tik") as their primary substance of abuse were between the ages of 15-19 years. Crystal methamphetamine is the latest drug that has taken the Western Cape by storm. It is obvious that the root of the problem is not being addressed since the number of adolescents abusing drugs seems to increase rather than decrease. The goal and aims of the study focuses on the factors contributing to adolescent substance abuse, parenting styles and -roles that contribute to adolescent substance abuse, and providing guidelines to social workers regarding the role of the family in the prevention of adolescent substance abuse. Adolescents have to deal with the new changes that occur, together with aspects such as, peer pressure, negative self-image, irresponsibility by the community and parents, poor parent-child relationships as well as socio-cultural variables that often lead tot substance abuse. Parents were found to be the role-models for their children and their parents' values, attitudes and behaviour regarding alcohol and/or drugs influence the values, attitudes and behaviour of their children. Therefore it seems that parents are primarily responsible for the prevention of adolescent substance abuse and the research study aims at providing facilitation skills on prevention strategies to social workers in order to successfully starting prevention of adolescent substance abuse. The quality of a family-system seems to have an important influence on adolescents in their growing up years, since adolescents experience a variety of changes and have to learn how to handle and accept these changes. During the literature study it was found that a negative family environment and negative experiences contribute to negative behaviour of adolescents, because the family is the primary unit where children learn their values, attitudes and processes that regulate their actions throughout their lives. A paradigm shift should be facilitated by social workers on maintaining healthy family relationships regarding the prevention of adolescent substance abuse. Supportive family-centred services therefore provide the best in adolescents' positive development, as well as identifying the most important needs of adolescents. / AFRIKAANSE OPSOMMING: Die navorser was gedurende die navorsingstudie as 'n maatskaplike werker by Die Suid Afrikaanse Nasionale Raad vir Alkohol en Dwelmafhanklikheid (SANRA) te Paarl aangestel. Na aanleiding van die werkslading kon die navorser tot die gevolgtrekking kom dat adolessente se middelemisbruik groot bekommernis vir die staat beteken. Gedurende die eerste helfte van 2004 was die gemiddelde ouderdom van pasiënte in dwelmrehabilitasiesentrums wie crystal methamphetime (straat naam: "tik-tik") as hul primêre middel van misbruik aangedui het, tussen die ouderdomme van 15-19 jaar. Na aanleiding van statistieke is dit duidelik dat die kern van die probleem nie aangespreek word nie, aangesien die hoeveelheid adolessente wie middele misbruik toeneem anders as om af te neem. Die doel en doelstellings van die studie fokus op die faktore wat bydra tot adolessente se middelemisbruik, ouerskapstyle en -rolle wat bydra tot adolessente se middelemisbruik, en die bied van riglyne aan maatskaplike werkers rakende die rol van die gesin tot die voorkoming van adolessente se middelemisbruik. Adolessente moet leer om die nuwe veranderinge in hullewens te hanteer, tesame met aspekte soos groepsdruk, negatiewe selfbeeld, onverantwoordelikheid deur die gemeenskap, swak ouer-kind verhoudings en sosio-kulturele veranderlikes wat telkens tot middelemisbruik bydra. Daar is gevind dat ouers die rolmodelle vir hul adolessente moet wees en dat ouerlike waardes, houdings en gedrag rakende alkohol en/of dwelms die waardes, houdings en gedrag van hul adolessente beïnvloed. Daarom blyk dit dat die primêre verantwoordelikheid op die ouers berus tot die voorkoming van adolessente se middelemisbruik en die navorsingstudie poog om die fasilitering van voorkomingstrategieë aan maatskaplike werkers te bied ten einde die voorkoming van adolessente se middiemisbruik aan te spreek. Die kwaliteit van die gesinsisteem het 'n belangrike invloed op adolessente in hul grootwordjare, aangesien adolessente 'n verskeidenheid veranderinge ervaar en moet leer hoe om die veranderinge te hanteer en te aanvaar. Gedurende die literatuurstudie is bevind dat 'n negatiewe gesinsomgewing en negatiewe ervarings bydra tot negatiewe gedrag van adolessente, omdat die gesin die primêre eenheid is waar adolessente hul waardes, houdings en prosesse aanleer wat hul aksies gedurende hullewens reguleer. 'n Paradigmaverskuiwing moet vervolgens deur maatskaplike werkers gefasiliteer word tot die handhawing van gesonde gesinsverhoudings ten opsigte van adolessente se middelemisbruik. Ondersteunende gesinsgesentreerde dienste bied vervolgens die beste opsie vir adolessente se positiewe ontwikkeling, sowel as om die mees belangrikste behoeftes van adolessente te identifiseer.

Thesis (MA)--Stellenbosch University, 2005. / ENGLISH ABSTRACT: An exploratory study was conducted to determine the psychosocial stressors of women living with HIV/AlDS. The study also included the utilisation of group work by social workers to support HIV positive women. The exploratory study was also conducted to determine HIV positive women's experiences in a support group. The researcher's interest in group work, as well as her involvement with a support group with HIV positive women, is the motivation for the study. The aim of the study is to provide an explanation of the psychosocial stressors that HIV positive women experience and also to capture their experiences regarding the support group they attend. Nine psychosocial stressors, namely anger, fear, loss, grieve, guilt, denial and disclosure, depression, suicidal behaviour and anxiety, were included in the literature study. The advantages, disadvantages and components of group work, as well as comparisons of effective and ineffective groups, were highlighted. The research also focused on planning a group for women with HIV/AlDS, with special attention given to the needs assessment, the purpose of the group, the group composition and the structure of the group. The value of group work with HIV positive women was investigated. The universum was HIV positive women at the Walvis Bay Multi-Purpose Centre. The qualitative research method that was used took the form of structured interviews. The results of this study generally confirmed the findings of the literature study. Recommendations include ways in which social workers can assist HIV positive women not only on an individual basis but also especially in a group setting, and recommendations concerning future research. The importance of future research with HIV positive women was especially recommended. / AFRIKAANSE OPSOMMING: 'n Verkennende studie is onderneem om die psigososiale stresfaktore wat HIV positiewe vroue ondervind, te bepaal. Die studie het ook maatskaplike werkers se gebruik van groepwerk om HIV positiewe vroue te ondersteun, ondersoek. Die navorsing is voorts onderneem om HIV positiewe vroue se ervarings van 'n ondersteunersgroep te bepaal. Die navorser se belangstelling in groepwerk, en haar betrokkenheid by 'n ondersteunersgroep vir HIV positiewe vroue, was die motivering om die studie te onderneem. Die doel met die studie is om die psigososiale stresfaktore wat HIV positiewe vroue ondervind, te beskryf en te verduidelik, en ook om sommige van die ervarings wat sulke vroue in 'n ondersteunersgroep ondervind, te boekstaaf. Nege psigososiale stresfaktore, naamlik woede, vrees, verlies, droefheid, skuldgevoel, ontkenning en onthulling, depressie, selfmoordgedrag en angs, is in die literatuurstudie bestudeer. Die komponente en voor- en nadele van groepwerk, asook 'n vergelyking van effektiewe en oneffektiewe groepe is ook ingesluit. Die beplanning van 'n groep vir HIV positiewe vroue is benadruk, met spesiale verwysing na die behoeftebepaling, en die doel, die samestelling en die struktuur van die groep. Die waarde van groepwerk vir HIV positiewe vroue is ook ondersoek. Die universum is HIV positiewe vroue by die Walvisbaai Multi-Purpose Centre. Die kwalitatiewe navorsingsmetode wat gebruik is, is gestruktureerde onderhoude. Die resultate van die studie het in die algemeen die bevindinge van die literatuurstudie onderskryf. Aanbevelings sluit in wyses waarop maatskaplike werkers HIV positiewe vroue nie alleen op 'n individuele basis nie, maar ook in groepsverband kan ondersteun, asook moontlike gebiede vir verdere navorsing. Die belang van verdere navorsing met HIV positiewe vroue word veraI beklemtoon.

Thesis (M Social Work)--Stellenbosch University, 2001. / ENGLISH ABSTRACT: This study attempts to investigate the sources of stress and burnout in the social work profession and specifically in mental health settings. In order to achieve this, a literature study is undertaken which identified the sources of stress and burnout as external and internal stresses. External stresses can be identified as the administrative function of supervision, the educational function of supervision, and the relationship between the supervisor, the social worker and the client, aspects in the social work profession and the organisation. The personality and gender of the social worker are discussed as internal sources of stress. Social workers' experiences of stress and burnout are explored against the background of the socio-economic and political changes after the first democratic election in 1994 in South Africa. The literature review also indicated that there are peculiar stresses in mental health settings due to the clients' mental conditions. An exploratory study was undertaken in which 17 social workers in the Peninsula, working in mental health settings, participated. Information on the research topic was obtained by means of anonymous questionnaires. A group interview was arranged to ensure that all the questionnaires were received. It was found that since the 1994 democratic election, social workers worked under more stressful circumstances due to limited resources, restructuring, decreased manpower, a higher caseload, deinstitutionalisation of mental patients and an increased amount of uncertainty with regard to job security. Aspects in the social work profession that caused the most stress were identified as insufficient salaries and limited opportunities for promotion. The participants revealed uncertainty with regard to their future in the social work profession. Social workers acknowledge the importance of the supportive function of supervision but are also of the opinion that individuals should take responsibility to address burnout. Strategies that can be used by the social worker, the organisation and the supervisor to address burnout, are discussed. On the basis of the results and conclusion of the study, recommendations are made to supervisors, as well as further research. / AFRIKAANSE OPSOMMING: In hierdie studie word ondersoek ingestel na die bronne van stres en uitbranding in die maatskaplikewerkberoep en spesifiek in 'n geestesgesondheidsopset. Ten einde hierin te slaag, word 'n literatuurstudie onderneem en word die bronne van stres en uitbranding geïdentifiseer as eksterne stressors soos byvoorbeeld die administratiewe funksie van supervisie, die onderrrigfunksie van supervisie, die verhouding tussen die supervisor en die maatskaplike werker, die klientsisteem, aspekte in die maatskaplikewerkberoep en die organisasie, en interne stressors waaronder die maatskaplike werker se persoonlikheid en geslag bespreek is. Die sosio-ekonomiese en politieke veranderinge wat ingetree het na die eerste demokratiese verkiesing in 1994 in Suid-Afrika is in ag geneem en maatskaplike werkers se belewing van stres en uitbranding is teen hierdie agtergrond verder ge-eksploreer. Die literatuurstudie dui aan dat eiesoortige stressors in 'n geestesgesondheidsopset bestaan wat hoofsaaklik verband hou met die unieke kliëntsisteem en hul siektestoestand. 'n Verkennende studie is onderneem waartydens maatskaplike werkers in die skiereiland wat in 'n geestesgesondheidsopset werk, betrek is. Inligting is bekom deur middel van anonieme vraelyste. 'n Groeponderhoud het verseker dat al die vraelyste terug ontvang is. Daar is bevind dat maatskaplike werkers onder meer stresvolle omstandighede voor die 1994 verkiesing vanwee beperkte hulpbronne, herstrukturering, verminderde mannekrag, verhoogde gevalleladings, deïnstitusionalisering van pasiënte en groter onsekerheid met betrekking tot werksekuriteit. Aspekte in die maatskaplikewerkberoep wat die meeste stres veroorsaak is onder andere onvoldoende vergoeding en beperkte bevorderingsgeleenthede. Die respondente weerspieël 'n onsekerheid met betrekking tot hul toekoms in die beroep. Maatskaplike werkers erken die belangrikheid van die ondersteuningsfunksie in supervisie, maar is ook van mening dat individue 'n verantwoordelikheid het om self uitbranding aan te spreek. Strategieë wat die maatskaplike werker, die organisasie en die supervisor kan aanwend om uitbranding aan te spreek word derhalwe bespreek. In die lig van die bevindinge van die ondersoek, word aanbevelings aan supervisors gemaak ten opsigte van verdere navorsing.