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Caregivers perceptions of permanency planning for adults with developmental disabilitiesClaytor, Joanne Sue 01 January 2000 (has links)
No description available.
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Korean Americans and barriers to the use of mental health servicesSteiner, Kimberly Joy 01 January 2005 (has links)
Based on data concerning Korean Americans affected by mental health problems, it is apparent that current methods of providing mental health services are not adequate. The purpose of this study was to examine the perceptions of various mental disorders and barriers keeping Korean Americans from utilizing mental health services.
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Implante coclear : quem são seus usuários /Mesquita, Sonia Tebet. January 2000 (has links)
Orientador: José Walter Canôas / Resumo: A deficiência auditiva, em função da sua alta incidência, tem recebido da comunidade científica uma atenção especial na criação de dispositivos que viabilizem a (re)habilitação de seus portadores. Como uma alternativa para os portadores de deficiência auditiva neurossensorial profunda bilateral, surgiu o Implante Coclear - que envolve ato cirúrgico para a implantação de eletrodos na cóclea - que permite ao deficiente auditivo, uma audição útil, que viabilize ou melhore sua comunicação. Esta pesquisa refere-se aos usuários do Implante coclear, implantados no Centro de Pesquisas Audiológicas (CPA) do Hospital de Reabilitação de Anomalias Craniofaciais (HRAC) da Universidade de São Paulo (USP). Até junho de 2000, eram 163. O objetivo deste trabalho é traçar um perfil desse universo, chegando às repercussões do Implante Coclear (IC) na vida de seus usuários, por meio de uma amostra de 34 usuários. O que se constatou foi uma concentração de pacientes procedentes da região sudeste - mais especificamente Estado de São Paulo - pertencentes às classes menos favorecidas, que têm como expectativa inicial o Implante Coclear (IC). As demais categorias apresentam diferenças que, no entanto, não transparecem nas repercussões do IC na vida de seus usuários. As repercussões pesquisadas foram em nível de satisfação, mudanças na vida diária - no caso de crianças, mudança na vida dos pais também - e preocupações com relação ao IC. A maioria dos sujeitos da amostra (97.0%) esta satisfeita com o IC e concorda que, em virtude dele, ocorreram mudanças em suas vidas - a maioria positiva - sem, no entanto, descartar as preocupações decorrentes do uso do IC, que giram em torno dos dispositivos interno e externos (fragilidade e manutenção, em virtude dos custos). A realidade constatada é objeto de intervenção da Assistente Social, que...(Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The hearing loss, due to its high incidence has received special attention from the scientific community in the development and improvement of devices adressed to the hearing impaired people. The Cochlear Implant -surgery envolving electrode implantation inside the cochlea -an alternative to those who have bilateral profound sensorineural hearing loss. It provides to the hearing impaired people a useful hearing which improves their communication. This research is about Cochlear Implant (CI) users, who underwent surgery in the Centro de Pesquisas Audiológicas (CPA) from the Hospital de Reabilitação de Anomalias Craniofaciais (HRAC) of University of São Paulo. Until June/2000 totalized 163 cases. The aim of this study is to delineate the profile of those patients (the total) and to get to the CI repercussions in their lives, a sample of 34 cases was analysed. It was verified that there is a concentration of patients coming from the Southeast region - more specifically, from São Paulo state - belonging to the lowers classes and have the CI as a initial expectation. The others verified categories show differences that neverthless, do not appear in the CI repercussions in the users lives. The researched repercussions were related to satisfaction, changes in the daily life - with the children, changes in the parents lives too - and concerns about the CI. The majority of the subjects from the sample (97.0%) is satisfied with the CI and report positive changes in their lives without dismissing their concerns resulting from the CI use, that is about the external and internal devices (its fragility and maintenance, due the cost). The established reality is the object of the social worker intervention. This study, is an attempt to enlarge the knowledge about ...(Complete abstract, click electronic access below) / Mestre
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The need for social work intervention for the elderly patients and their family membersAbo, Yasuyo 01 January 2005 (has links)
Contends that poor discharge planning for elderly patients in American hospitals is the result of reduced lengths of stay which do not give medical social workers adequate time to assess patients' needs. A survey methodology was used to assess social service and community resource needs of hospitalized elderly patients and their family members at Riverside Community Hospital in California. Argues that the results of the survey can be used to improve discharge planning and lead to a more client-centered practice in hospitals.
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A systematic paradigm for the (mental) health professionWolpert, Adrienne (Adi) 31 January 2005 (has links)
Historically the trend in health care has been the domain of health care
professionals such as doctors, nurses and other professionals from the medical
fraternity. This created the separation between the mind and body, due to the
diagnostic and treatment origins being segregated. This thesis addresses the idea
that psychological processes have significant impacts on our physical health {and
visa versa). It establishes the notion that health care needs to be understood
holistically, from a broader systemic perspective, expanding the working model of
health.
The second chapter of this thesis addresses the power of the mind and the
connection between the mind and body. It establishes the importance of beliefs
and perceptions and the huge effect this has on people and their lives. How we
choose to perceive a situation will give that situation meaning. The meanings that
we give to events usually depict how we will see and respond to that event,
sometimes more than the actual event itself.
It explains the importance of the mind (psychological issues) as well as the body
(physiological issues) when understanding and dealing with health and wellbeing.
The following chapter discusses the historical developments of physical and mental
health; from Hippocrates and Descartes to a modern holistic approach and attitude.
Behaviour Medicine6, explicitly recognises that mind and body are intimately
interconnected and that an appreciation of these interconnections and their
scientific study is an interdisciplinary field, uniting the behavioural sciences with the
biomedical sciences; in the hope that the cross fertilization will yield a more
comprehensive picture of health and illness.
The 'biopsychosocial model'7 provides a theoretical framework, explaining how an
awareness of biological, psychological and social process are all important in
understanding disease and recovery, supported by systemic principles. The
scientific research and practical implications of psychoneuroimmunology8 (PNI) takes this biopsychosocial model one-step further. It describes how thoughts,
perceptions and emotions have interchangeable influences with brain chemistry,
which in turn influences the body and neurological systems1 particularly immune
system functioning.
The concept that we all have an inner ability /intelligence to heal ourselves is also
detailed. Miller (1997: 350) discusses this notion, stating that we all have "a healer
within." He states that this inner healer can be awakened in order to participate in
"our deep healing.11 He claims, "This vital essence has been with us since birth ...
Its function is to maintain homeostasis (internal balance). As humans, we can1
through our ability to change our images and beliefs, enhance, or inhibit the power
of this inner healer."
The concepts discussed thus far in the thesis are then demonstrated practically.
The relationship between stress and health is examined and practical ways to
maintain a healthier lifestyle is detailed. The researcher then introduces a South
African company that is currently working in the field with the concepts of mindbody
medicine and psychoneuroimmunology.
This led the researcher to find a philosophical container in which to hold the holistic
mind body theories and concepts. Anderson & Carter (2003: 222) states, "Social
work distinguishes itself by exploring the 'person-environment fit'. This is an area
in social work where constructivism may prove supportive. Such an emphasis
increases the likelihood that diverse voices and points of view are integrated in
social work theory and practice."
Therefore/ a constructive epistemology/ philosophy in which meaning is intimately
connected with experience, is expanded upon. The mind/body theory and concepts
are then linked to Constructivism and Personal Construct Theory (by George Kelly).
Constructivism postulates that we all create and interpret our own meaning
systems, which become our subjective realities. The link to mind body medicine is
pertinent in that both constructivism and mind body medicine share similar
ideologies about how realities are construed, and how this in turn effects treatment
of disease and maintenance of wellbeing. Cybernetic complementarities then expand our understanding of the mind and body
connection in a monolistic framework, where mind and body are recursive partial
arcs of a holistic health care system.
Constructivism therefore integrates eastern and western concepts, cementing all
the concepts used in this thesis, in a holistic manner. It also helps us to
understand how some of the mind body techniques may be working within the mind
body realm. Given the unique needs of a changing and developing society, as
found in South Africa, there is a need to be creative and find alternative ways to
cope with our societal stresses and daily occurrences.
This is where the researcher feels that the social work profession needs to be
involved in working and contributing to our health care services. The development
of medical social work is detailed and the latest social work definition discussed. It
is reveals how contents of the definition of social work are relevant and are a
pertinent fit with mind-body approaches to health and wellbeing. The researcher
debates the role of social workers in this field of health care. It is then proposed, in
the detailed discussion, that social workers practising in this field should be known
as Health Care Social Workers.
This field of holistic health care has many proposed strengths and implication, for
both Health Care Social Workers and other health care professionals. It will
naturally also present challenges that need to be considered and contemplated.
The final chapter of this thesis examine these strengths and challenges and their
therapeutic implications. The researcher concludes by demonstrating that the
literature study on holistic mind and body approaches matches her objectives from
the first chapter. / Social work / M.A. (Social Science with specialisation in Mental Health)
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An investigation of burnout amongst medical social workers working in children's wardsLukelelo, Nomvuyo 04 1900 (has links)
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.
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Substance Abuse Among the Elderly: What Works in TreatmentMorelli, Sophia 01 June 2015 (has links)
Social workers are trained during the course of their education to work with the elderly and to understand the various dynamics of aging. These professionals also receive education on substance abuse and how to assess clients as well as link them to appropriate supportive services. How can social workers be more inclined to effectively treat the elderly substance abuser? What are, if any, special considerations a social worker should be aware of when working with the geriatric population? What treatment modalities seem to be more effective with the elderly client? This study utilized a qualitative analysis consisting of interviews with eight clinicians who specialize in the area of addiction treatment amongst the aging population. The purpose of this study was to gain insight and knowledge that can be used to promote social worker awareness of elderly substance abuse as well as the identification of effective addiction treatment methods in the field of gerontological social work. The findings of this study will impact future social work practice, policy and research in the areas of education, treatment, and advocacy for the aging and substance abuse populations. Keywords: gerontology, substance abuse, aging, polypharmacy, interventions
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Social support for the diabetic patientsSham, Suk-ying, Tammy., 岑淑英. January 1998 (has links)
published_or_final_version / Social Work and Social Administration / Master / Master of Social Sciences
|
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A systematic paradigm for the (mental) health professionWolpert, Adrienne (Adi) 31 January 2005 (has links)
Historically the trend in health care has been the domain of health care
professionals such as doctors, nurses and other professionals from the medical
fraternity. This created the separation between the mind and body, due to the
diagnostic and treatment origins being segregated. This thesis addresses the idea
that psychological processes have significant impacts on our physical health {and
visa versa). It establishes the notion that health care needs to be understood
holistically, from a broader systemic perspective, expanding the working model of
health.
The second chapter of this thesis addresses the power of the mind and the
connection between the mind and body. It establishes the importance of beliefs
and perceptions and the huge effect this has on people and their lives. How we
choose to perceive a situation will give that situation meaning. The meanings that
we give to events usually depict how we will see and respond to that event,
sometimes more than the actual event itself.
It explains the importance of the mind (psychological issues) as well as the body
(physiological issues) when understanding and dealing with health and wellbeing.
The following chapter discusses the historical developments of physical and mental
health; from Hippocrates and Descartes to a modern holistic approach and attitude.
Behaviour Medicine6, explicitly recognises that mind and body are intimately
interconnected and that an appreciation of these interconnections and their
scientific study is an interdisciplinary field, uniting the behavioural sciences with the
biomedical sciences; in the hope that the cross fertilization will yield a more
comprehensive picture of health and illness.
The 'biopsychosocial model'7 provides a theoretical framework, explaining how an
awareness of biological, psychological and social process are all important in
understanding disease and recovery, supported by systemic principles. The
scientific research and practical implications of psychoneuroimmunology8 (PNI) takes this biopsychosocial model one-step further. It describes how thoughts,
perceptions and emotions have interchangeable influences with brain chemistry,
which in turn influences the body and neurological systems1 particularly immune
system functioning.
The concept that we all have an inner ability /intelligence to heal ourselves is also
detailed. Miller (1997: 350) discusses this notion, stating that we all have "a healer
within." He states that this inner healer can be awakened in order to participate in
"our deep healing.11 He claims, "This vital essence has been with us since birth ...
Its function is to maintain homeostasis (internal balance). As humans, we can1
through our ability to change our images and beliefs, enhance, or inhibit the power
of this inner healer."
The concepts discussed thus far in the thesis are then demonstrated practically.
The relationship between stress and health is examined and practical ways to
maintain a healthier lifestyle is detailed. The researcher then introduces a South
African company that is currently working in the field with the concepts of mindbody
medicine and psychoneuroimmunology.
This led the researcher to find a philosophical container in which to hold the holistic
mind body theories and concepts. Anderson & Carter (2003: 222) states, "Social
work distinguishes itself by exploring the 'person-environment fit'. This is an area
in social work where constructivism may prove supportive. Such an emphasis
increases the likelihood that diverse voices and points of view are integrated in
social work theory and practice."
Therefore/ a constructive epistemology/ philosophy in which meaning is intimately
connected with experience, is expanded upon. The mind/body theory and concepts
are then linked to Constructivism and Personal Construct Theory (by George Kelly).
Constructivism postulates that we all create and interpret our own meaning
systems, which become our subjective realities. The link to mind body medicine is
pertinent in that both constructivism and mind body medicine share similar
ideologies about how realities are construed, and how this in turn effects treatment
of disease and maintenance of wellbeing. Cybernetic complementarities then expand our understanding of the mind and body
connection in a monolistic framework, where mind and body are recursive partial
arcs of a holistic health care system.
Constructivism therefore integrates eastern and western concepts, cementing all
the concepts used in this thesis, in a holistic manner. It also helps us to
understand how some of the mind body techniques may be working within the mind
body realm. Given the unique needs of a changing and developing society, as
found in South Africa, there is a need to be creative and find alternative ways to
cope with our societal stresses and daily occurrences.
This is where the researcher feels that the social work profession needs to be
involved in working and contributing to our health care services. The development
of medical social work is detailed and the latest social work definition discussed. It
is reveals how contents of the definition of social work are relevant and are a
pertinent fit with mind-body approaches to health and wellbeing. The researcher
debates the role of social workers in this field of health care. It is then proposed, in
the detailed discussion, that social workers practising in this field should be known
as Health Care Social Workers.
This field of holistic health care has many proposed strengths and implication, for
both Health Care Social Workers and other health care professionals. It will
naturally also present challenges that need to be considered and contemplated.
The final chapter of this thesis examine these strengths and challenges and their
therapeutic implications. The researcher concludes by demonstrating that the
literature study on holistic mind and body approaches matches her objectives from
the first chapter. / Social work / M.A. (Social Science with specialisation in Mental Health)
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Implante coclear: quem são seus usuáriosMesquita, Sonia Tebet [UNESP] January 2000 (has links) (PDF)
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mesquita_st_me_fran.pdf: 838474 bytes, checksum: 4d5f2aef31c9f6c219d82ca618e65057 (MD5) / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / A deficiência auditiva, em função da sua alta incidência, tem recebido da comunidade científica uma atenção especial na criação de dispositivos que viabilizem a (re)habilitação de seus portadores. Como uma alternativa para os portadores de deficiência auditiva neurossensorial profunda bilateral, surgiu o Implante Coclear - que envolve ato cirúrgico para a implantação de eletrodos na cóclea - que permite ao deficiente auditivo, uma audição útil, que viabilize ou melhore sua comunicação. Esta pesquisa refere-se aos usuários do Implante coclear, implantados no Centro de Pesquisas Audiológicas (CPA) do Hospital de Reabilitação de Anomalias Craniofaciais (HRAC) da Universidade de São Paulo (USP). Até junho de 2000, eram 163. O objetivo deste trabalho é traçar um perfil desse universo, chegando às repercussões do Implante Coclear (IC) na vida de seus usuários, por meio de uma amostra de 34 usuários. O que se constatou foi uma concentração de pacientes procedentes da região sudeste - mais especificamente Estado de São Paulo - pertencentes às classes menos favorecidas, que têm como expectativa inicial o Implante Coclear (IC). As demais categorias apresentam diferenças que, no entanto, não transparecem nas repercussões do IC na vida de seus usuários. As repercussões pesquisadas foram em nível de satisfação, mudanças na vida diária - no caso de crianças, mudança na vida dos pais também - e preocupações com relação ao IC. A maioria dos sujeitos da amostra (97.0%) esta satisfeita com o IC e concorda que, em virtude dele, ocorreram mudanças em suas vidas - a maioria positiva - sem, no entanto, descartar as preocupações decorrentes do uso do IC, que giram em torno dos dispositivos interno e externos (fragilidade e manutenção, em virtude dos custos). A realidade constatada é objeto de intervenção da Assistente Social, que... / The hearing loss, due to its high incidence has received special attention from the scientific community in the development and improvement of devices adressed to the hearing impaired people. The Cochlear Implant -surgery envolving electrode implantation inside the cochlea -an alternative to those who have bilateral profound sensorineural hearing loss. It provides to the hearing impaired people a useful hearing which improves their communication. This research is about Cochlear Implant (CI) users, who underwent surgery in the Centro de Pesquisas Audiológicas (CPA) from the Hospital de Reabilitação de Anomalias Craniofaciais (HRAC) of University of São Paulo. Until June/2000 totalized 163 cases. The aim of this study is to delineate the profile of those patients (the total) and to get to the CI repercussions in their lives, a sample of 34 cases was analysed. It was verified that there is a concentration of patients coming from the Southeast region - more specifically, from São Paulo state - belonging to the lowers classes and have the CI as a initial expectation. The others verified categories show differences that neverthless, do not appear in the CI repercussions in the users lives. The researched repercussions were related to satisfaction, changes in the daily life - with the children, changes in the parents lives too - and concerns about the CI. The majority of the subjects from the sample (97.0%) is satisfied with the CI and report positive changes in their lives without dismissing their concerns resulting from the CI use, that is about the external and internal devices (its fragility and maintenance, due the cost). The established reality is the object of the social worker intervention. This study, is an attempt to enlarge the knowledge about ...(Complete abstract, click electronic access below)
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