Families in communities remain vulnerable and, apart from poverty, face a host of other crises and challenges on a daily basis. Amongst the challenges that families face, children are affected most. Services targeting families with very young children therefore are imperative. This study was aimed at exploring the impact of family preservation and family reunification services on families in South Africa, with a focus on the Eastern Cape Province. To answer the research questions of this study, the research adopted a mixed methods design known as methodological triangulation. The study incorporated two sets of participants, Social Workers and heads of families that benefit from family preservation and family reunification services. The total sample for the study included 260 participants; 220 of the participants were heads of families and 40 of the participants were Social Workers. Questionnaires were administered to 200 heads of families and 20 Social Workers selected by means of the random sampling technique. In addition, 20 heads of families and 20 Social Workers who participated in in-depth interviews were purposively selected. The quantitative data were analysed by means of the Statistical Package for the Social Sciences (SPSS) and qualitative data were categorised with the use of themes and subthemes

Orientador: Saíde Jorge Calil / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Engenharia Elétrica e de Computação / Made available in DSpace on 2018-08-19T04:09:17Z (GMT). No. of bitstreams: 1 MestasValero_CiroAbel_D.pdf: 5578854 bytes, checksum: ef0008f918bebca4404d3c0f415efebd (MD5) Previous issue date: 2011 / Resumo: As transições epidemiológicas e demográficas das populações condicionam o aumento da demanda dos serviços de saúde hospitalares e no futuro provocarão a crise do modelo hospitalar de saúde. Os sistemas de saúde viram no home care ou serviços de saúde domiciliar uma resposta ideal para oferecer mais serviços de saúde. Ao deslocar o atendimento de saúde desde os hospitais para as casas dos pacientes, transladam-se também dispositivos médicos e seus correspondentes riscos, os que devem ser gerenciados. As organizações de home care já vêm gerindo seus riscos, como parte do cumprimento das normas sanitárias ou seus programas de segurança e qualidade. É necessário medir quanto de gestão de risco já se tem implementado nas instituições de saúde. Esta tese tem como objetivo propor uma metodologia que mensure a implementação atual dos três elementos de gestão de risco. A metodologia proposta pondera e considera por igual à implementação de itens dos princípios, estrutura e processos de gestão de risco. Por outro lado, a metodologia compara os itens de gestão de risco pertinente com os itens implementados, considerando a especificidade e singularidade de cada organização, bem como considera os fatores objetivos e subjetivos da gestão de risco. Finalmente se propõe uma classificação das organizações de saúde, de acordo com seu nível de implementação de gestão de risco. Os resultados da aplicação desta metodologia em quatro simulações e num estudo de caso real, mostram que esta proposta pode ser aplicada em qualquer organização de saúde que precise acompanhar sua gestão de risco / Abstract: The epidemiological and demographic transitions of the populations, influence the increasing demand for hospital health services and eventually will cause the crisis of the current health model.The health systems sighted in the home health care services an ideal solution to offer more health services. When moving the health care, from hospitals to the patient's houses, also moved medical devices and their associated risks, those that must be managed. Home care organizations are already managing their risks, as part of compliance of health rules or safety and quality programs. It is necessary to measure how risk management has already been implemented in healthcare institutions. This research aims propose a methodology that measures the current implementation of the three elements of risk management. The proposed methodology considers and weighs the same as for implementing the principles, structure and processes items of risk management. On the other hand, the methodologies compare the relevant risk management items with the implemented items, considering the specificity and uniqueness of each organization, and consider the objective and subjective factors of risk management. Finally it proposes a classification of health organizations, according to their risk management implementation level. The results of applying this methodology in four simulations and a real study case show that this proposal can be applied in any health organization that needs monitoring their risk management / Doutorado / Engenharia Biomedica / Doutor em Engenharia Elétrica

M.Ed. / Over the past decade, the HIV/AIDS pandemic has had a devastating effect on many communities and families in South Africa. Many families have already lost, and many more will lose, primary caregivers to the disease. This could have a serious impact on the living conditions and emotional wellbeing of families, and especially of children and adolescents. As an intern educational psychologist working in the Eldorado Park community, the researcher became aware of the difficulties and needs experienced by families that are affected by HIV/AIDS. This study therefore aims to identify the needs of families affected by HIV/AIDS, in order to assist the educational psychologist by making recommendations for weaving a circle of care to support them, within an asset-based approach. To accomplish this, the study utilised a participatory research approach within a critical theoretical paradigm and case study design. Purposeful selection was employed and as the study is concerned with HIV/AIDS which requires the utmost confidentiality, the families were identified with the help of home-based care workers. The researcher interviewed three families and eight home-based care workers in the Eldorado Park community. Detailed data analysis and interpretation of the needs highlighted during these interviews revealed a number of common themes, which are indicative of the needs of families affected by HIV/AIDS in the Eldorado Park area. These families expressed a need for awareness, love and understanding from their communities. They also wish to have greater understanding and support from schools, as well as expressing the need for opportunities to share their experiences and raise community awareness by speaking at schools and churches, and through support groups. Families furthermore require assistance with the great economic difficulties they face, largely due to illness and unemployment. A need to gain greater access to medical care, social grants and burial societies, was expressed. Difficulties with transport and documentation seemed to create a major barrier in this regard. The need for psychological and spiritual counselling as well as legal advice was highlighted. The study provides recommendations and a practical asset map to assist the educational psychologist in weaving a circle of care for families affected by HIV/AIDS. / Mrs. Helen Krige Dr. Elzette Fritz

Magister Artium (Psychology) - MA(Psych) / The Human Immuno-deficiency Virus (HIV) that leads to Acquired Immuno-Deficiency Syndrome (AIDS) is considered to be spreading at a high rate in South Africa. Research indicates that this disease is highly prevalent among people 15 and 49. It is estimated that one in five adults in South Africa is HIV positive. Community or home-based care nurses manage the treatment of sufferers at their homes while under the care of their family members, friends, spouses and significant others. The present study explored the experiences and coping strategies of HIV/AIDS primary caregivers. / South Africa

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The purpose of this study was to examine tenant participation in self-sufficiency programs in Hampton Public Housing and to explore relationships that might exist between participation in programs, demographic factors, and housing values. A theoretical framework was developed based on the human needs theory and an adaptation of the home values test. Programs offered to the Pine Chapel community of Hampton, Virginia were ranked by HUD administrators to determine programs most likely to assist residents in achieving self-sufficiency. Higher ranked programs were related to education for adults and children. Data was collected from 42 residents. The sample consisted, primarily of black female single parents between 19 and 25 years old. Chi Square analysis was performed to test three hypotheses. Marital status, number of dependents, and household type were found to be significantly related to level of program participation. Findings indicate that households most likely to be involved in higher-level programs were married-couple households, households with two dependents, or dual-parent and multi-generational households. Most respondents had lower-level housing values. However, marital status was significantly related to housing values. Households most likely to have higher level housing values were those where respondents were separated, widowed, or divorced. No significant relationship was found between the level of program participation and the level of housing values. Conclusions reached were that households with two adults present may have offered more opportunities for respondents’ participation in educational programs. Most participant households included children and their program involvement often centered around children. / Master of Science

The purpose of this study was to identify to what degree specific factors influence the level of satisfaction experienced by foster parents whose foster children are recieving mental health services from agencies that they have been referred to by a Coming of Age Foster Family Agency.

Families of children with a mental disorder typically have many stressors due to their children's behavioral functioning. These families do not always choose to receive community-based services that are intended to decrease the stressors within the families and prevent the children from being placed out of the families' homes. This study investigated the relationship between clients' functioning during their initial assessment provided by the Victor Community Support Services (VCSS), compared to their functioning when they were discharged from VCSS based on the families utilization of community-based services.