The older person’s component of the population has increased rapidly in recent years due to developments in medicine, technology and other areas of life. Growing older implies a gradual decline in the physical, mental and social functioning of an individual. Older people consequently have to rely on others for assistance, and, in some instances, they are looked after in residential care facilities. These facilities should be sensitive to older person’s culture, religion, ethnicity, privacy, dignity and independence. The aim of this study was to explore older person’s experiences in an economically deprived residential care facility in order to understand what their needs are and how these needs can be met so as to enhance older person’s subjective well–being. Socio–ecological theory and the BBB (Being, Belonging and Becoming) model were used to assess the extent to which the facility promoted the well–being of the residents of the facility. A qualitative research study was undertaken to determine the older person’s experiences of the residential care facility. A purposive sample of eight participants - three black and five white with ages ranging from 65 to 75 - was used in the focus group discussions. Another method, the Mmogo–methodTM, made use of a sample of 23 participants - eight black and 15 white with ages ranging from 65 to 75. The focus group discussions yielded insight into the older person’s experiences of the facility while in the Mmogo–methodTM, a visually projective method, the participants made visual representations of their experiences thereby revealing the deeper meanings of the experiences. The data, both textual and visual, obtained from the focus group discussions and the Mmogo–methodTM, were analysed using thematic content analysis. The trustworthiness of the study was ensured through crystallisation. The study revealed that the older persons in the facility experienced a lack of autonomy, isolation and discrimination. It also appeared that they wanted more contact with people outside the facility. Some of the older persons engaged actively with their environment while others adopted a more passive stance. The study suggests that older persons should be given the opportunity to take decisions regarding certain aspects of their lives. Also, interventions aimed at dealing with personal loss and relational deficiencies and at promoting respect for diversity should be planned and implemented in order to improve the subjective well–being of older persons in residential care facilities. / Thesis (M.A. (Research Psychology))--North-West University, Potchefstroom Campus, 2012.

The older person’s component of the population has increased rapidly in recent years due to developments in medicine, technology and other areas of life. Growing older implies a gradual decline in the physical, mental and social functioning of an individual. Older people consequently have to rely on others for assistance, and, in some instances, they are looked after in residential care facilities. These facilities should be sensitive to older person’s culture, religion, ethnicity, privacy, dignity and independence. The aim of this study was to explore older person’s experiences in an economically deprived residential care facility in order to understand what their needs are and how these needs can be met so as to enhance older person’s subjective well–being. Socio–ecological theory and the BBB (Being, Belonging and Becoming) model were used to assess the extent to which the facility promoted the well–being of the residents of the facility. A qualitative research study was undertaken to determine the older person’s experiences of the residential care facility. A purposive sample of eight participants - three black and five white with ages ranging from 65 to 75 - was used in the focus group discussions. Another method, the Mmogo–methodTM, made use of a sample of 23 participants - eight black and 15 white with ages ranging from 65 to 75. The focus group discussions yielded insight into the older person’s experiences of the facility while in the Mmogo–methodTM, a visually projective method, the participants made visual representations of their experiences thereby revealing the deeper meanings of the experiences. The data, both textual and visual, obtained from the focus group discussions and the Mmogo–methodTM, were analysed using thematic content analysis. The trustworthiness of the study was ensured through crystallisation. The study revealed that the older persons in the facility experienced a lack of autonomy, isolation and discrimination. It also appeared that they wanted more contact with people outside the facility. Some of the older persons engaged actively with their environment while others adopted a more passive stance. The study suggests that older persons should be given the opportunity to take decisions regarding certain aspects of their lives. Also, interventions aimed at dealing with personal loss and relational deficiencies and at promoting respect for diversity should be planned and implemented in order to improve the subjective well–being of older persons in residential care facilities. / Thesis (M.A. (Research Psychology))--North-West University, Potchefstroom Campus, 2012.

Objectives: Poor knowledge of eye health, concerns about the cost of spectacles, mistrust of optometrists and limited geographical access in socio-economically deprived areas are barriers to accessing regular eye examinations and result in low uptake and subsequent late presentation to ophthalmology clinics. Personal Medical Services (PMS) were introduced in the late 1990s to provide locally negotiated solutions to problems associated with inequalities in access to primary care. An equivalent approach to delivery of optometric services could address inequalities in the uptake of eye examinations. Study design: One-way and multiway sensitivity analyses. Methods: Variations in assumptions were included in the models for equipment and accommodation costs, uptake and length of appointments. The sensitivity analyses thresholds were cost-per-person tested below the GOS1 fee paid by the NHS and achieving break-even between income and expenditure, assuming no cross-subsidy from profits from sales of optical appliances. Results: Cost per test ranged from £24.01 to £64.80 and subsidy required varied from £14,490 to £108,046. Unused capacity utilised for local enhanced service schemes such as glaucoma referral refinement reduced the subsidy needed. Conclusions: In order to support the financial viability of primary eye care in socio-economically deprived communities, income is required from additional subsidies or from sources other than eye examinations, such as ophthalmic or other optometric community services. This would require a significant shift of activity from secondary to primary care locations. The subsidy required could also be justified by the utility gain from earlier detection of preventable sight loss. / Yorkshire Eye Research, NHS Leeds and RNIB

This dissertation profiles the way in which primary school children from socio-economically deprived communities in South Africa, specifically Heideveld and Eersterust, identify with music. The purpose of the study is to investigate how these children do, think, feel and talk about music and to explore the implications thereof for music therapist working in these specific or similar South African communities. The sentence completion responses of the children conveyed two ways in which they view identifying with music. The first is identifying with music and the second is using music as a tool through which one can identify with others. The way in which the children identify with music or through music in music therapy sessions, influences the therapeutic relationship as well as clinical interventions of the music therapist. Therefore, music therapists need to be sensitive to the way in which clients identify with music. / Dissertation (MMus (Music Therapy))--University of Pretoria, 2005. / Music / MMus (Music Therapy) / Unrestricted

The sharp increase in the number of older persons (60 years and older) is a distinctive demographic feature of the 20th century. Ageing populations and the unique challenges they pose have obliged countries worldwide to reflect on the problems relating to older persons. In 2002 the United Nations convened the Second World Assembly on Ageing at which the Madrid International Plan of Action on Ageing (MIPAA) was drafted and adopted. This plan sought to meet the challenges associated with ageing populations. In South Africa the elderly population is also increasing dramatically. The fact that older persons are starting to constitute a proportionally larger segment of the total population while they are, at the same time, amongst the poorest people in the country and dependent on others for support and care holds serious implications for South Africa. In post–apartheid South Africa (after 1994) residential care facilities were opened to all South Africans regardless of race or colour. Apart from dealing with diversity, residential care facilities have to manage the long–term care needs of older persons and their lack of the financial or human resources to sustain themselves. Against this background the South African government promulgated legislation in line with the recommendations of the MIPAA. The legislation seeks to lighten the burden placed on residential care facilities while, at the same time, emphasising the importance of enhancing the well–being of older persons. Despite the legislation and the policy frameworks, the circumstances in most residential care facilities in South Africa are challenging and call for action and psychosocial interventions. Given that racial segregation still exists in residential care facilities and the importance of the relational well–being of older persons, it was decided to explore the sense of community of older persons in South Africa who reside in a diverse and economically challenged residential care facility. A purposive sample was drawn of the male and female, and black and white older persons living in the facility. The study used the Mmogo–methodTM, interviews, focus groups, observations and reflective notes to collect qualitative data from the research participants. A possible limitation of the study is that some participants – being older persons – might experience some degree of being cognitively challenged or might struggle to express themselves. To counter this limitation and to ensure the trustworthiness of the findings, a variety of data collection methods were used in order to be able to cross–check the information gathered. Apart from this, specific data collection methods were used that make provision for cognitively challenged older persons. As the study involved older persons as a vulnerable group, special attention was paid to ethical considerations. Ethical approval was granted by the Ethics Committee of the North–West University, Potchefstroom Campus, as part of a larger project, being: “An exploration of enabling contexts (05K14).” The main finding of the study is the low sense of community that the older persons in this particular residential care facility experience. This is supplemented by two themes that emerged throughout the study, being the lack of social interaction between the residents and the residents' need to have a sense of purpose. The occurrence of these two themes is supported by findings in community psychology and sense of community theories, and some of the findings of the study are consistent with findings reported in the literature. The study concludes with recommendations on how the residents' sense of community could be enhanced. / Thesis (M.A. (Research Psychology))--North-West University, Potchefstroom Campus, 2012.

The sharp increase in the number of older persons (60 years and older) is a distinctive demographic feature of the 20th century. Ageing populations and the unique challenges they pose have obliged countries worldwide to reflect on the problems relating to older persons. In 2002 the United Nations convened the Second World Assembly on Ageing at which the Madrid International Plan of Action on Ageing (MIPAA) was drafted and adopted. This plan sought to meet the challenges associated with ageing populations. In South Africa the elderly population is also increasing dramatically. The fact that older persons are starting to constitute a proportionally larger segment of the total population while they are, at the same time, amongst the poorest people in the country and dependent on others for support and care holds serious implications for South Africa. In post–apartheid South Africa (after 1994) residential care facilities were opened to all South Africans regardless of race or colour. Apart from dealing with diversity, residential care facilities have to manage the long–term care needs of older persons and their lack of the financial or human resources to sustain themselves. Against this background the South African government promulgated legislation in line with the recommendations of the MIPAA. The legislation seeks to lighten the burden placed on residential care facilities while, at the same time, emphasising the importance of enhancing the well–being of older persons. Despite the legislation and the policy frameworks, the circumstances in most residential care facilities in South Africa are challenging and call for action and psychosocial interventions. Given that racial segregation still exists in residential care facilities and the importance of the relational well–being of older persons, it was decided to explore the sense of community of older persons in South Africa who reside in a diverse and economically challenged residential care facility. A purposive sample was drawn of the male and female, and black and white older persons living in the facility. The study used the Mmogo–methodTM, interviews, focus groups, observations and reflective notes to collect qualitative data from the research participants. A possible limitation of the study is that some participants – being older persons – might experience some degree of being cognitively challenged or might struggle to express themselves. To counter this limitation and to ensure the trustworthiness of the findings, a variety of data collection methods were used in order to be able to cross–check the information gathered. Apart from this, specific data collection methods were used that make provision for cognitively challenged older persons. As the study involved older persons as a vulnerable group, special attention was paid to ethical considerations. Ethical approval was granted by the Ethics Committee of the North–West University, Potchefstroom Campus, as part of a larger project, being: “An exploration of enabling contexts (05K14).” The main finding of the study is the low sense of community that the older persons in this particular residential care facility experience. This is supplemented by two themes that emerged throughout the study, being the lack of social interaction between the residents and the residents' need to have a sense of purpose. The occurrence of these two themes is supported by findings in community psychology and sense of community theories, and some of the findings of the study are consistent with findings reported in the literature. The study concludes with recommendations on how the residents' sense of community could be enhanced. / Thesis (M.A. (Research Psychology))--North-West University, Potchefstroom Campus, 2012.