This study investigated the effects of an individually administered versus a group-administered stress management training program on various measures of stress, job satisfaction, and burnout among mental health workers. A total of 36 subjects, who were employed in Texas community mental health facilities, participated in the study. The subjects were randomly assigned to one of three groups: an experimental group (N = 12) which received training on an individual basis, an experimental group (N = 12) which received training in small groups of four to six subjects, and a control group (N = 12) which did not receive training. Both didactic and experimental modes were utilized during the six-week training program. All experimental subjects practiced relaxation daily and were exposed to a broad range of coping skills for stress management.This study investigated the effects of an individually administered versus a group-administered stress management training program on various measures of stress, job satisfaction, and burnout among mental health workers. A total of 36 subjects, who were employed in Texas community mental health facilities, participated in the study. The subjects were randomly assigned to one of three groups: an experimental group (N = 12) which received training on an individual basis, an experimental group (N = 12) which received training in small groups of four to six subjects, and a control group (N = 12) which did not receive training. Both didactic and experimental modes were utilized during the six-week training program. All experimental subjects practiced relaxation daily and were exposed to a broad range of coping skills for stress management.

Xhosa psychiatric nurses stand unique at the interface between Western mental health care and indigenous healing in South Africa. They stem from a cultural history that is embedded within traditional health care discourses and yet are trained and work within a Western psychiatric model. In embodying the intersection between these two paradigms, they are faced with the challenge of making sense of such an amalgamation. These nurses' views are thus valuable in reflecting this intersection and illustrating many of the central concerns that surround it. This study explicates the views of these nurses toward traditional healers and their potential role in mental health care in South Africa. In addition, it illuminates some of the cultural dynamics at work amongst these subjects as they struggle to make sense of their unique cultural position. Using a questionnaire-based methodology, the views of Xhosa psychiatric nurses in a psychiatric hospital in the Eastern Cape, toward traditional healers and their role in mental-health care, were examined. The findings reveal that the vast majority of these nurses believe in traditional cosmology, involve themselves in traditional ritual practices and regularly visit traditional healers as patients. In suggesting ways in which indigenous healing and Western mental health care can work together, 75% of the nurses were in favour of a general referral system between the hospital and traditional healers, most (77%) agreed that certain patients would be better off being treated by both the hospital and traditional healers than they would if they were only being treated by the hospital alone, and 85% of the subjects agreed that patients who are already seeing traditional healers should check if psychiatric medication might help them. These findings indicate that these nurses operate across two healing systems which are at this point not conceptually compatible. This results in deep cultural tension for the nurses. In being entangled in the dialectical tension created in this context, the nurses manage the incongruencies in three general ways: a) Most, in one form or another, incorporate beliefs from both systems into an integrative model, b) some assimilate their cultural belief system into the Western mental health paradigm, throwing off their beliefs in traditional healing, and c) others remain ambivalent in the dialectic between traditional and Western health care discourses. Although this may suggest that these nurses reside within a cultural milieu that is somewhat unhealthy, at another level, in managing and containing the incompatibility between the two systems, these nurses ensure a space for on-going and healthy critique of the underlying assumptions involved in this health care malaise.

M.Cur. (Psychiatric Nursing) / There is an increase in the readmission rate of African psychiatric patients to psychiatric hospitals as determined by the records. This to a large extent involves those diagnosed as being psychotic of one category to another forming eighty percent of all patients in the admission wards for both the male and the female patients ...

Background Mental health stigma-reducing and awareness trainings encourage trainees to talk about mental health with the hope that increased discussions will lead to reduced stigma and increased access to mental health services. This survey study aimed to examine the current levels of confidence among participants, or “first aiders” who completed the Youth Mental Health First Aid (YMHFA) training in their ability to demonstrate the skills that were taught in the training. Additionally, this study examined the difference in levels of confidence between the YMHFA instructors and first aiders in the ability of the first aiders to demonstrate the skills that were taught in the training. We examined differences in levels of confidence among first aiders according to their socio-demographic and personal characteristics. Finally, we explored the ways in which first aiders who completed the course used their knowledge and skills after the training. Methods Seven hundred fifty-seven first aider participants were surveyed post-training and 129 first aider participants were surveyed at follow-up. Fourteen YMHFA instructors were surveyed. Results The data indicated that there was a significant decrease in confidence among first aiders between post-training and follow-up. With the exception of age, there were no statistically significant differences in levels of confidence among first aiders according to the following sociodemographic and personal characteristics: a.) gender; b.) race; c.) reason for attendance; d.) role of use. Survey data also indicated the various ways in which first aiders are currently using their training. Conclusions First aiders’ confidence declined after follow-up even though they reported various ways in which they are using their training. Instructors reported positive perceptions of the training and reported a high level of confidence in the ability of their trained first aiders to demonstrate the taught skills.

This study is, in part, a product of the efforts of the Kitimat-Stikine Regional District Health Care Research Project (1975). During the course of this project interviews with representatives of local health care organizations were held in order to inventory the kinds and numbers of health care services in the Kitimat-Stikine Regional District. In assessing the roles of health care organizations in Kitimat and Terrace, British Columbia it became apparent that a number of community mental health organizations in these two centres were experiencing varying degrees of success and/or frustrations in attempting to meet their organizational goals. In attempting to analyse these experiences it became evident that they were frequently described in terms of the activities and decisions of other organizations. It was also considered that individual organizations had unique characteristics of an internal nature which were also seen to affect the relative success they had in meeting their goals. The question then arose as to the possibility of analysing community mental health services in Kitimat and Terrace in terms of the interrelationships of the organizations which were providing these services. This was seen to be a reasonable approach to the problem of analysis in that the specific intent of the research project from which this study emanated was to provide an inventory of local health care services. In considering the methodology for the analysis of these inter-organizational relationships a review of the literature showed that there had been three basic approaches to organizational research used to analyse organizational behaviour. These approaches were, in order of their development, analysis of an organization as a single unit in terms of its internal characteristics; analysis of an organization in terms of its relationships with other organizations and, analysis, as a unit, of a group of organizations which have recurrent interactions with one another. It was determined that each of these forms of analysis could be utilized in the context of the community mental health organizations located in Kitimat and Terrace. This approach has important implications from a planning point of view in that it affords analyses of benefit to planners and administrators of individual organizations within the context of their own organization's internal framework and within the context of the overall activities of other organizations with which they interact. Further more, it provides an advantageous perspective to authorities in central planning organizations as they attempt to coordinate activities of organizations under their jurisdiction. Five specific variables were selected to facilitate the analysis of inter-organizational relationships at each of the three levels. These variables were: resources; power, organizational autonomy; domain consensus; and inter-organizational coordination. The analyses showed that each of the three levels offer unique opportunities to view the interrelationships between and/or among organizations. It was also illustrated that the third level of analysis was an abstract concept that required further development before it could be clearly differentiated from the other levels. The five variables selected to analyse the interrelationships at each level exhibited varying degrees of relevance to the analysis. The main observation was that, although there was some overlap in their application to specific issues which were discussed, the five variables were able to satisfactorily address any factors which were seen to affect inter-organizational relationships at each of the three levels. Overall, the three level approach to analysis of organizational exchange relationships was suggested to be an appropriate method for central planning agencies to better coordinate the activities of organizations under their jurisdiction. / Medicine, Faculty of / Population and Public Health (SPPH), School of / Unknown

No description available.

(1) Problem: Research on internalizing problems in young children is scarce despite evidence that children can have problematic internalizing symptoms as early as preschool years 1-3. In preschoolers, it is difficult to observe internalizing problems directly. While they are not overtly socially disruptive behaviors4, they have negative consequences in their daily lives, can continue in adolescence, and potentially develop into disorders in later years 5-7. Studying internalizing problems in preschoolers is of particular importance in Low- and Middle- Income Countries (LIMC) since there may be a higher prevalence of common risk factors (such as parental psychopathology, violence, and neglect) than in High-Income Countries. According to the World Health Organization, in 2015, Brazil (a LMIC) ranked first in the past-year prevalence of anxiety (9.3%) and fifth in the prevalence of depression (5.8%) 8,9 in people aged 15 years or older. Preschoolers in São Paulo, Brazil, have an estimated six-month prevalence of internalizing problems of 25.4%. There are few estimates in other regions of Brazil, partly due to the lack of validated scales to measure them. In addition, it is unknown if the disparate rates by sex (females have at least twice the rates of males) seen in adolescence and adulthood could be detected at an early age. This dissertation's primary goal is to advance our understanding of internalizing problems in preschoolers in Brazil, a LMIC that is highly affected by psychopathology and associated disability. (2) Methods: First, a systematic literature review on the topic in LMIC was conducted. Second, data from the Preschool Mental Health Survey (the PreK Survey), with a representative sample (n=1,292) of preschoolers aged 4 to 5 years old and their caregivers in the city of Embu das Artes, São Paulo, was used to: (a) do Confirmatory Factor Analysis (CFA) of the internalizing section of a worldwide known assessment tool for problem behaviors in preschoolers (the Child Behavioral Checklist CBCL 1.5-5); and (b) conduct multigroup CFA to examine differences by sex in the structure of internalizing problems. Finally, Generalized Linear Models for complex data were used to assess the risk of internalizing syndromes by parental depression, severe physical or verbal violence, and low-quality time with parents differentially by sex of the preschoolers. (3) Conclusions: From the literature review, a scarcity of research on internalizing problems of preschoolers was found in LMIC. Hence, (a) only a few risk factors, mainly parental psychopathology, have been explored in most LMIC; and (b) the large majority of studies in LMIC in the Americas use the CBCL 1.5-5 or other scales not validated for their study population. From the multigroup CFA, it was concluded that (a) the construct of internalizing problems in the CBCL 1.5-5 is valid in preschool boys and girls in São Paulo, Brazil, and in similar contexts, supporting previous and future studies on the topic; and (b) the main syndromes of internalization are "Anxiety/Depression" and "Emotionally Reactive." From the assessment of risk, it was concluded that (a) the main risk factor for internalizing problems in preschoolers in Brazil is parental depression; (b) externalizing problems are highly correlated with internalizing problems and are the main source of confounding; (c) there were no significant differences by sex in the prevalence of risky exposures, but they were all significantly associated with internalizing problems; (d) there were significant differences by sex in the mean scores of internalizing syndromes, and in the associations of risky exposures and internalizing problems, highlighting the need of a differential approach to primary prevention and treatment in preschool boys and girls.

Student health consists of several professions that together build a team with several professions. The team works to promote students' mental and physical health. The goal for student health is that all participating professions work together to ensure that all students feel involved, valuable and motivated to achieve the official school goals. Depending on how well this teamwork operates, it can either be an enabling or hindering factor for the student's participation in school activities. This study aims to investigate how a student health team can best work to create the sense of context that the school requires both by law and its required values. The study is based on two popular science books about health and unhealthiness in school and a fiction book with a "case description" of two teenage girls from different psychosocial environments feeling mentally ill. The results of the study show that student health teams can function well as there is a clear structure and determination among all participating professions. Some issues the popular science books discussed were the need to focus on health promotion and to provide adequate time for the required preventive work. A further development of this study is recommended to gain an understanding of the individual thoughts in student health and thereby make a comparison with the study that we have done through our interpretation of the literature.

Practicum focusing on the history of the planning and development of children's mental health services in Oregon, with special emphasis on the training of pediatricians and how pediatricians address children's mental health issues. Offers a detailed look at the legislative processes surrounding mental health program development, as the heightened role that referrals play in how treatment is identified and administered.

No description available.