Mestrado em Psiquiatria e Saúde Mental / Master Degree Course in Psychiatry and Mental Health

Thesis (M.A. (Clinical Psychology) -- University of Limpopo, 2012 / The aim of this study was to profile the characteristics of children with mental retardation presenting at the Clinical Psychology Unit of Polokwane/Mankweng Hospital Complex over a period of five years. A descriptive methodological approach was chosen as a study design for the purpose of data collection and subsequent data analysis. Using the archival data method, the clinical files of all children presenting with mental retardation at this facility were retrieved and studied. A total of 326 (male = 169; female = 157) files covering the period under review were retrieved. The Statistical Package for Social Sciences (SPSS) was used to analyse the data. Categorical data were analysed by using frequency tables, descriptive statistics and crosstabulations. The study showed that 314 cases (96.3%) were reflected as Black, whilst the remaining 12 cases (3.7%) were reflected as White (2.15%); Indian (1.23%); and Other (0.30%). Several clinical methods that included clinical interviews, psychometric tests, clinical observations and collateral information sources were used by the psychologists for the purpose of making a diagnosis. The study further revealed that a huge number of cases (35.6%) were diagnosed with mental retardation. It was also found that 45.4% of the cases were diagnosed to have comorbid clinical conditions such as epilepsy, Down’s syndrome, visual problems etc. The majority of the persons were referred to the Clinical Psychology Unit to be assessed for school placement (50%) and disability grant (38.7%).With regard to interventions, psychologists who saw these persons tended to frequently refer them to special schools and other health professionals. Psychotherapy was the least utilised intervention method used by the psychologists. The findings of the present study reinforce the importance of and value of high quality management and treatment of mental retardation and related comorbid conditions. Based on these findings, it is recommended that more efforts be made to strengthen the working relationship between Polokwane/Mankweng Hospital Complex and the respective special schools where these persons that are diagnosed with mental retardation are referred to. It is further recommended that consideration be given to strengthening the relationship between Polokwane/Mankweng Hospital Complex and the social security agency so as to obviate any potential problems that could be associated with the allocation of the disability grants to persons with mental retardation.

This research describes the design and evaluation of an internet-based universal program for use in schools with adolescent students to prevent common mental disorders and promote mental health. The research began in response to investigations that showed that rates of mental illness in Australian children, teenagers and adults were high, that these illnesses caused significant burden to individuals and society, and that there were insufficient services to treat. When current interventions are unable to alleviate disease burden it is important to focus on prevention. Mental health prevention should target youth before disorders cause disability and restriction of life choices. A review of the mental health prevention literature supported a universal cognitive behavioural approach in schools. Internet delivery was used to maintain content integrity, enable access to people living in regional and remote areas, and to appeal to young people. Internet delivery makes universal prevention cost effective and feasible. The Intervention Mapping approach was used to direct the design of the program. A feasibility study was conducted to gain opinions from students and teaching staff. Changes were made in light of results from this study and 463 students were then exposed to the program in an effectiveness trial. The effectiveness trial was a before-after design with no control group. Results from this trial provided evidence that the program was acceptable and effective for use by teachers in the intervention schools. Also student behaviour and mood changed in beneficial ways after program administration. Specifically, student reported significantly increased knowledge about stress and coping, use of help-seeking behaviours, and life satisfaction, and significantly decreased use of avoidance behaviours, total difficulties and psychological distress. The study design allows causal inferences to be surmised concerning exposure to the intervention and changes in behaviour and mood, but further evidence is needed before firm conclusions about effectiveness can be posited and generalizations made concerning different populations, settings and times. In conclusion, this thesis provides evidence that a computerised, cognitive behavioural mental health prevention program delivered to adolescent school students by teachers can potentially change student coping behaviours and mood in beneficial ways.

Thesis(Ph.D.)--Case Western Reserve University, 2010 / Title from PDF (viewed on 2010-01-28) Department of Social Welfare Includes abstract Includes bibliographical references and appendices Available online via the OhioLINK ETD Center

Thesis ( Ph.D.) -- University of Texas at Arlington, 2008.

Thesis (Ph. D.)--University of Hong Kong, 2010. / Includes bibliographical references (p. 138-148). Also available in print.

Thesis (M.P.A.)--Kutztown University of Pennsylvania, 1997. / Source: Masters Abstracts International, Volume: 45-06, page: 2943. Abstract precedes thesis as 1 preliminary leaf. Typescript. Includes bibliographical references (leaves 66-67).

Thesis (M. Soc. Sc.)--University of Hong Kong, 1986.

Thesis (M.A.)--York University, 2001. Graduate Programme in Sociology. / Typescript. Includes bibliographical references (leaves 120-134). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pMQ67741.

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