The purpose of this study was to assess the utility of task analyses and self-recording procedures in increasing and maintaining apartment -cleaning behaviors with adults diagnosed with schizophrenia in an independent living environment. A task analysis was used to define the specific behaviors needed to clean the participants apartments, and to prompt the cleaning behavior. Also, participant-made task analyses and self-recording procedures were used in an effort to maintain these behaviors. Six participants diagnosed with schizophrenia, who also demonstrated a need for improvement in apartment cleanliness, were chosen for this study. A multiple baseline design across participants was used for this study. Results indicated that, for the three participants that completed the study, their cleaning behavior improved from baseline to the introduction of the intervention, and maintained during the 4-month maintenance period. Self-recording and cleaning were not correlated, and consequently self-recording did not prove to be self-reinforcing.

Yip Kin Sun. / "Architecture Department, Chinese University of Hong Kong, Master of Architecture Programme 1999-2000, design report." / Includes bibliographical references. / Chapter 1.0 --- Statement / Chapter 1.1 --- Personal Statement --- p.2 / Chapter 1.2 --- Mission Statement --- p.3 / Chapter 2.0 --- Methodology --- p.3 / Chapter 3.0 --- Existing State / Chapter 3.1 --- Mental hitstory of Hong Kong 1841-2000+ --- p.4-6 / Chapter 3.2 --- Trace of rehabilitation in community-base --- p.7 / Chapter 3.3 --- Deinstitutionalization --- p.8 / Chapter 4.0 --- Solid-base in community: / Chapter 4.0 --- Hin Keng House --- p.9-10 / Tuen Mun Long Stay Care Home --- p.11-12 / Jockey Club Farm House --- p.13 / New Life Farm --- p.14 / Kwun Tong Amity Centre --- p.15-16 / "Department of Psychiatric Rehabilitation, Kwai Chung Hospital" --- p.17-18 / Chapter 5.0 --- Define the problems & arguments --- p.19 / Chapter 6.0 --- End Users' life routine --- p.20 / Chapter 7.0 --- Subject body Attributes --- p.21-23 / Chapter 7.1 --- Definition of subject body / Chapter 7.2 --- Subject users / Chapter 7.3 --- Subject location / Chapter 7.4 --- Subject size / Chapter 7.5 --- Subject appearance / Chapter 7.6 --- "Subject impact to ""community""" / Chapter 8.0 --- Site Selection Criteria --- p.24 / Chapter 8.1 --- Possible bases： / "Tai Wai, Chik Fai Street" / Lung Hang Estate unused area within the estate / Pok Hong Estate an unused area east of Shan Ha Wai (Tsang Tai UK) --- p.25-27 / Chapter 9.0 --- "Site analysis (Tai Wai, Chik Fai Street)" --- p.28 / Chapter 10.0 --- Programs / Chapter 10.1 --- Subject body --- p.28 / Chapter 10.2 --- Design consideration --- p.29-34 / Chapter 10.3 --- Schedule of Accommodation --- p.35-36 / Chapter 11.0 --- Design Approach / Chapter 11.1 --- Design Concept --- p.37 / Chapter 11.11 --- Design Concept of Mid-way home --- p.38-39 / Chapter 11.12 --- Design Concept of Activity Center --- p.39-40 / Chapter 12.0 --- Compliance with Building Planning Regulation --- p.40-44 / Chapter 13.0 --- Building Services --- p.44 / Chapter 14.0 --- Review comments and self-epilogue --- p.45 / Chapter Appendix --- Workshop questionnaire / Bibliography

published_or_final_version / Social Work / Master / Master of Social Sciences

published_or_final_version / Social Work / Master / Master of Social Work

The problem with which this study is concerned is that of ascertaining the effects of intensive Remotivation Techniques on institutionalized geriatric mental patients in terms of their ward behavior, self-concept, and visual-motor perceptions and to compare these with the effects of a similar group experience that does not emphasize patient-staff or patient-patient interactions, and a third group which acts a a control. The investigation is designed to answer or obtain information concerning the following questions: (1) Do institutionalized geriatric mental patients in a state mental hospital manifest measurable changes in terms of their (A) ward behavior as defined as raw scores on the Hospital tment Scale (including interpersonal communication and interpersonal relations; self care and social responsibility; level of participation in ward activities, recreation and work therapy; total score), (B) self-concept as defined as Goodenough raw scores on the Draw-a-Person Test, and (C) awareness of environment as defined as Pascal and Suttell raw scores on the Bender Visual-Motor Gestalt Test, as a result of experiencing the social and verbal interactions of intensive Remotivation Techniques? (2) Is the Remotivation Technique more effective in producing these changes than a similar group experience that does not emphasize social and verbal interactions?

published_or_final_version / Mental Health / Master / Master of Social Sciences

The purpose of this study was to design and implement the two phases of a three-phased approach to the integration of the psychiatric component into the PHC system in the Eastern Cape. The study included an educational approach in which the PHC nurses were trained to diagnose, treat and rehabilitate psychiatric patients. Case studies and surveys were used to collect data. A sample of six clinics in which twenty registered nurses were trained was conveniently selected. Nurses had to volunteer so that 50% of the registered nurses would take part in the study. Each clinic was seen as a case in which a record review and questionnaires were used to collect data. The data revealed that, given the training in the diagnosis, treatment and rehabilitation, nurses could provide the first line of psychiatric care efficiently if there is a backup support from a team of consultants at the secondary health services and a support and supervision from an advanced psychiatric nurse. / Thesis (Ph.D.)-University of Natal, Durban, 1996.

Over the last 30 years there has been a paradigmatic shift in the field of disabilities towards assessing individual support needs in relation to social and environmental context rather than individual deficits. The capacity of existing assessment instruments to assess support needs is limited because most were designed to assess individual deficits and thereby determine eligibility for funding and/or services. Some instruments have been designed to assess support needs but there are several problems associated with these instruments including, suitability for use in only one disability type, susceptibility to rater bias, and failure to account for variations in support needs over time. This thesis attempted to contribute to addressing these deficiencies by examining the characteristics that are most predictive of support needs for people with psychiatric and intellectual disabilities and the methods by which changes in such support needs could be predicted. Two studies were used to address these aims. The first considered samples of people with primary psychiatric disabilities (N= 561) and intellectual disabilities (N =168), who lived in Supported Residential Facilities. These participants were assessed in regards not only to standard demographic and disability characteristics, and also personal characteristics, including functional abilities, and support needs. The data were analysed using ordinal logistic regression to determine which better predicted support needs and, accordingly, which characteristics were most important to include in the assessment of support needs. Analysis showed that personal characteristics, such as functional abilities such as showering/bathing and budgeting explained much more variance in support needs than either demographics or disability characteristics. This suggests that, for support needs assessments to be accurately assessed, they should include evaluations of these personal characteristics even though they may require more time and resources to obtain than demographic and disability data. The second study in this thesis aimed to investigate whether caregivers could predict changes in support needs over six-month periods accurately. Residents in supported accommodation with a primary psychiatric disability (N = 60; although some attrition among those with psychiatric disabilities), or primary intellectual disability (N = 57) and their caregivers were involved in this study. Caregivers were interviewed on three occasions at six-monthly intervals and asked to estimate any changes that they expected to occur in the next six months or that they believed had occurred in the preceding six months. Caregivers were also asked to complete two functional assessments for each resident at the three points in time. The functional assessments were used as the benchmark against which the accuracy of caregivers’ estimates was examined. Analysis found that caregivers were unable to predict accurately prospective changes in overall or specific support needs, nor were they able to report accurately such changes retrospectively. The results of this thesis contribute to the body of knowledge in the relatively new area of support needs assessment in terms of possible predictors of support needs and the assessment of changes in support needs. Recommendations for further research include; investigating some of the personal characteristics found to be predictors of support needs in greater detail and among other disability types, replication of these findings in other samples, and investigating ways to improve caregivers’ capacity to predict changes in support needs accurately. / Thesis (Ph.D.) -- University of Adelaide, School of Psychology, 2008

Over the last 30 years there has been a paradigmatic shift in the field of disabilities towards assessing individual support needs in relation to social and environmental context rather than individual deficits. The capacity of existing assessment instruments to assess support needs is limited because most were designed to assess individual deficits and thereby determine eligibility for funding and/or services. Some instruments have been designed to assess support needs but there are several problems associated with these instruments including, suitability for use in only one disability type, susceptibility to rater bias, and failure to account for variations in support needs over time. This thesis attempted to contribute to addressing these deficiencies by examining the characteristics that are most predictive of support needs for people with psychiatric and intellectual disabilities and the methods by which changes in such support needs could be predicted. Two studies were used to address these aims. The first considered samples of people with primary psychiatric disabilities (N= 561) and intellectual disabilities (N =168), who lived in Supported Residential Facilities. These participants were assessed in regards not only to standard demographic and disability characteristics, and also personal characteristics, including functional abilities, and support needs. The data were analysed using ordinal logistic regression to determine which better predicted support needs and, accordingly, which characteristics were most important to include in the assessment of support needs. Analysis showed that personal characteristics, such as functional abilities such as showering/bathing and budgeting explained much more variance in support needs than either demographics or disability characteristics. This suggests that, for support needs assessments to be accurately assessed, they should include evaluations of these personal characteristics even though they may require more time and resources to obtain than demographic and disability data. The second study in this thesis aimed to investigate whether caregivers could predict changes in support needs over six-month periods accurately. Residents in supported accommodation with a primary psychiatric disability (N = 60; although some attrition among those with psychiatric disabilities), or primary intellectual disability (N = 57) and their caregivers were involved in this study. Caregivers were interviewed on three occasions at six-monthly intervals and asked to estimate any changes that they expected to occur in the next six months or that they believed had occurred in the preceding six months. Caregivers were also asked to complete two functional assessments for each resident at the three points in time. The functional assessments were used as the benchmark against which the accuracy of caregivers’ estimates was examined. Analysis found that caregivers were unable to predict accurately prospective changes in overall or specific support needs, nor were they able to report accurately such changes retrospectively. The results of this thesis contribute to the body of knowledge in the relatively new area of support needs assessment in terms of possible predictors of support needs and the assessment of changes in support needs. Recommendations for further research include; investigating some of the personal characteristics found to be predictors of support needs in greater detail and among other disability types, replication of these findings in other samples, and investigating ways to improve caregivers’ capacity to predict changes in support needs accurately. / Thesis (Ph.D.) -- University of Adelaide, School of Psychology, 2008

Despite South African forensic psychiatric institutions operating well over capacity, the urgent need for rehabilitation guidelines is neglected through lack of research in this area. This is further compounded by the constrained financial and professional resources available to the sector. The Fort England Hospital Buddy Programme (FEHBP) is a voluntary social and activity-based initiative involving 2 hourly visits between students and male forensic psychiatric patient volunteers. Through the use of Interpretative Phenomenological Analysis (Smith, 1996), the participants’ experience of the programme was further contextualised within their lives pre and post admission. While further exploration through research is required, it appeared that within institutional confines the FEHBP acted in a substitutionary and surrogacy capacity, as a space for the development of social competence. While participants appeared to experience a sense of protectiveness from the programme, the limitations and restrictions are acknowledged as an increased number and variety of social network links would be required for a more sustainable sense of subjective wellbeing to develop. The FEHBP demonstrates the use of non-professional (community involved) interventions within a forensic psychiatric context.