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The subject of this study is the trainee-committee, a group of mentally handicapped adults attending an Adult Training Centre who meet regularly to discuss aspects of centre life. The frequency of representative groups of trainees was established by a survey of all ATCs in England and Wales. An 83% response rate revealed that over one fifth of centres had one of the following types of committee: trainee only (no staff taking part); staff majority (one or two trainees sitting in on a staff meeting); and trainee majority (a group of trainees with one or two members of staff in attendance). The third, 'trainee majority', category was by far the most common. The growth in committees is a recent development with an acceleration in the two years prior to the survey. A follow-up study, one year later, found this trend to be continuing. Further detail of committees was obtained in the second stage of the research in which 12 committees were examined. At each centre, the staff member most involved with the committee completed a questionnaire concerning the committee performance and his/her attitudes towards it. Trainee committee members and non-members were also interviewed and an illustrated, five point scale was used as the response medium. Trainee and staff responses to the same items were compared. This stage of the research revealed that the approach adopted towards the committees examined lacked structure and objectiveness. The staff involved did not appear to have considered the individual skills required for committee membership or the factors which impinge on committee activity. Training for membership, though recognised as valuable, rarely took place. Staff, trainee committee members and non-members, generally viewed the committee as a valuable component of centre life. Recommendations for committee practice were drawn up following this stage of research. In the third stage of the study, the effects of committee initiation and activity were investigated. An experimental committee was established according to the recommendations previously formulated and pre-training took place prior to committee initiation (in 12 hourly sessions). The nine committee members were assessed on the Self-Advocacy Assessment Battery (SAAB) (12 individual and 2 group related measures) prior to training and six months later. The committee met weekly in this period and its activities were directed, and monitored, by the experimenter. Assessments were also made, at the same intervals, of a committee which had existed for 3 years, and to which the members of the experimental committee had been matched on the Scale for Assessing Coping Skills. The activities of this committee were partially monitored. A matched control group with no previous committee experience, or experience throughout the study, was similarly assessed. A case study of each committee, and analysis of the verbal recordings of meetings, are given in the thesis. Little difference was found between the three groups at the first assessment. Significant improvements were noted for the experimental committee at the second assessment on the measures of knowledge of committee terminology, reporting information and assessing opinion. Locus of control was found to have become significantly more internal at the second assessment. Improvements were also indicated for the experimental committee in the measure of recognition of vocal expression, decision making and in the group problem solving and decision making measures. Little change was found in selfconcept, recognition of facial expression, the Rosenzweig Picture-Frustration study, the staff and parental measures of frequency of independent action and in staff ratings of committee ability. The performance of the existing committee and control group varied little between assessments. The recommendations for committee practice were amended following this final stage of the research and the Self-Advocacy Manual was in draft form at the end of the study. The results are discussed in terms of the value of trainee-committees as a means of self-advocacy for mentally handicapped people. * Whilst the majority of individuals attending Adult Training Centres fall within the category of severe mental handicap, it should be pointed out that the majority of individuals taking part in this study would be in the upper-severe to mild mental handicap range of ability.

Specialized partial hospitalization programs have been used to treat a variety of mental health problems however, there has been little research done on the relationship between clinical improvement and perceived helpfulness in such programs. In this study, improvement and perceived helpfulness data collected on 923 clients who attended a partial hospitalization program for acutely disturbed improvement data set consisted of intake and discharge scores on eight scales. Three scales provided affective improvement data, three provided problem resolution information, one provided goal attainment information, and one measured improvement in functionality. Preliminary results indicated that three of the scales would have to be omitted from further analysis. The perceived helpfulness data set was made up of the clients' weekly ratings of helpfulness of 19 therapeutic experience in the partial hospitalization program. These two sets were analyzed using a canonical correlation analysis and were found to be significantly correlated (p<.001). Based on the-respective canonical variate loadings, the improvement composite was interpreted as global improvement and the perceived helpfulness composite was interpreted as general perceived helpfulness. It was viewed as somewhat surprising that no clear pattern of perceived helpfulness emerged nor wasindividuals were analyzed in a post hoc fashion. The improvement clearly of one type. A second analysis was performed to assess the ability of the Day Therapy Appropriateness Scale (DTAS) to predict improvement in therapy in an acute partial hospitalization program. A stepwise multiple regression analysis was performed on data from 304 clients to see if there was a significant (a<.01) relationship between their scores on the DTAS and a linear composite of a set of five improvement variables. The result of this analysis was not significant which supports work previously done with the DTAS.

Thesis (MHlthSc(OccTh))--University of South Australia, 1999

Thesis (M.A.)--University of North Carolina Wilmington, 2008. / Title from PDF title page (October 20, 2008) Includes bibliographical references (p. 32-34)

Thesis (doctoral)--Universität Giessen.

Thesis (M.A.)--Western Washington University, 2008.

Thesis (Ed.D.)--Teachers College, Columbia University, 1970. / Typescript; issued also on microfilm. Sponsor: Elizabeth M. Maloney. Dissertation Committee: Charles Kadushin. Includes bibliographical references.

Thesis (Ph. D.)--Drexel University, 2004. / Includes abstract and vita. Includes bibliographical references (leaves 86-93).

Thesis (Ph. D.)--University of Rhode Island, 2003. / Typescript. Includes bibliographical references (leaves 61-68).