Children become diagnosed with neuropsychiatry diagnostic. The diagnostic of children is critiqued from. The national board of health and welfare because the child psychiatric clinics differ in the reliability of diagnostic. This is a problem both in the same clinic and between clinics. The purpose is to investigate if parents of children with neuropsychiatry diagnostic consider that the diagnostic criteria were met when the child was diagnosed. The method was first a pilot study with surveys and interviews. The study was a telephone survey with parents of diagnosed children. The result indicates that the parents didn’t experience that the diagnostic criteria was met. The discussion suggests that communication between parents, child psychiatry and school needs to improve. / 0761777843

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This study is about the exploration of the concept of community, using the Mamelodi Counselling Clinic as the context for the exploration. The members who got involved in different phases in the running of the clinic, went through the process of defining and redefining the concept. This process was based on their experiences and their coevolved reality of what the concept means. These experiences will be discussed and in the end, a punctuated end product of the coevolved meanings will given. Furthermore, an account will be given as to how the running of the clinic evolved with the changes in meaning. The author's perception of the division between clinical and community psychology was altered as a result of the findings in the study and this will also be discussed. / Psychology / M.A. (Clinical Psychology)

Submitted in full compliance with the requirements for the Masters Degree of Technology: Nursing Department of Postgraduate Nursing Studies, Durban Institute of Technology, 2004. / The aim of this quasi-experimental study was to compare the effectiveness of a Nurse-facilitated cognitive group intervention, a Volunteer-led support group intervention and a standard treatment Control group on mild to moderately depressed Indian women at an urban community psychiatric clinic in KwaZulu-Natal in terms of their levels of depression and self-esteem over a three-month period. Since antidepressants alone are ineffective in the treatment of depression, the study evaluated group interventions as adjunctive treatments. The first intervention involved 15 group sessions based on Gordon’s teachings (1988a and 1988b), whilst the second intervention consisted of 15 craft-making group sessions. A purposive sample of 45 depressed women was selected and randomly allocated to the three groups. Sample selection criteria included a Beck Depression Inventory score between 9 and 29, being aged between 25 and 65 years and using antidepressant medication. For ethical reasons, all participants continued with their “standard” antidepressant treatment throughout the study. The Personal Profile Questionnaire (PPQ), the Beck Depression Inventory Scale (BDI) 1978, the Rosenberg Self-Esteem Scale (RSE) 1965, the Life-Experience Survey (LES) 1977 questionnaire and a question on exercise were used to assess the effectiveness of the group interventions. Pre-test (prior to the introduction of the intervention) and two sequential Post-test scoring (after 6 and 12 weeks of interventions) were undertaken using the above-named instruments. The Kruskal Willis and Friedman’s test were used to detect changes in levels of depression and self-esteem between and within the three groups respectively, at the p = 0.05 levels of significance. The intergroup comparison showed statistically significant improvements in the BDI score of Experimental groups 1 and 2, with p = 0.00. There were no changes in the Control group. The intra-group comparison showed statistical significant improvements during the study within the intervention groups (p = 0.00 in both cases) but not in the Control group. No statistically significant change in the RSE amongst or within the three group was detected. The study has shown that group interventions as an adjunct to antidepressant treatment are beneficial as rehabilitation programmes for depressed women. Furthermore, volunteers and psychiatric nurses with training in using group interventions may be useful in assisting depressed patients to enhance their quality of life. / Lundbeck Pharmaceutical Company

Premature termination is a substantial problem with significant adverse effects for clients, therapists, and treatment organizations. Unfortunately, it is also a relatively common phenomenon within mental healthcare settings. Across varied mental healthcare settings, rates of premature termination have reportedly ranged from 19.7 % to 40 %. Perhaps not surprisingly, the rate of premature termination in training clinics is substantially higher than in community mental health settings and private practice, with 75 to 80 % of clients ending treatment services prematurely. The purpose of this study was to explore the combined effect of intake therapist continuity or discontinuity, and quality of the therapeutic relationship on premature termination. Intake therapist continuity, measures of working alliance, and termination outcome from 524 clients at the University of North Texas Psychology Clinic were utilized for adults receiving individual therapy services between August 2008 and August 2013. Results of the study suggest intake therapist continuity did not predict subjective termination status (X2(2, n = 524) = 1.61, p = 0.45), nor did it predict change in symptomology status (X2(3, n = 453) = 1.14, p = 0.77). Additionally, working alliance predicted subjective termination status (X2(6, n = 212) = 21.17, p < 0.01), but not change in symptomology status (X2(9, n = 208) = 6.27, p = 0.71). The findings of the current study are discussed, as well as suggestions for further research related to client, therapist, treatment, and procedural variables and their impact on premature termination.

D. Tech. Graphic Design / This study offers an artistic engagement with the lived, working environment of the mental healthcare providers in a ward of a psychiatric hospital. First encounters with this environment strongly suggested that the environment was not optimally aligned with the purpose and function of such an environment. The main aim of this study was to investigate, develop and establish an enhanced sense/state of wellbeing amongst mental healthcare providers at a Psychiatric Hospital by creating and introducing colour landscape images in/into their working environment.

The objective of this study was to explore clients' perceptions and expectations of therapeutic interaction with nurses at Escoval House Community Psychiatric Clinic in Durban. Following the shift of psychiatric care from institutionalised care to community based psychiatric care, it was anticipated that the findings of the study would help to sensitise the primary health care nurses and community psychiatric nurses on how clients perceive the way nurses interact with them. This would help the nurses to ensure satisfactory interactions that would be therapeutic and enhances clients' recovery and well -being. The study utilized Human Relations Counselling Model in exploring the clients' perceptions. An exploratory descriptive survey was used to conduct the study, The study combined both qualitative and quantitative methods for the purpose of triangulation. Ten participants were involved in a focus group and one-hundred and sixty clients participated by filling in questionnaires. Simple random sampling method was used to select participants for both the focus group interview and those who filled in the questionnaires. Data from the focus group was analysed manually using content analysis. Data was presented by participants' direct quotes. Data from the questionnaires was analysed using Statistical Package for Social Sciences (SPSS). For the quantitative data analysis, frequencies and percentages were used to analyse the data. Findings of the study were presented in tables and graphs. Although previous studies on clients' satisfaction have reported clients' satisfaction with mental health service delivery, the findings of this study have revealed that gaps still exist in quality of care delivered to these clients. Findings show that there were mixed perceptions on the way nurse interact with clients during clients' monthly attendances. / Thesis (M.N.)-University of Natal, Durban, 2003.

This study is about the exploration of the concept of community, using the Mamelodi Counselling Clinic as the context for the exploration. The members who got involved in different phases in the running of the clinic, went through the process of defining and redefining the concept. This process was based on their experiences and their coevolved reality of what the concept means. These experiences will be discussed and in the end, a punctuated end product of the coevolved meanings will given. Furthermore, an account will be given as to how the running of the clinic evolved with the changes in meaning. The author's perception of the division between clinical and community psychology was altered as a result of the findings in the study and this will also be discussed. / Psychology / M.A. (Clinical Psychology)

M.Cur. / In a changing South-Africa new challenges regarding multiculturality emerge. In psychiatric nursing the psychiatric nurse also faces new challenges. During a cultural discussion, the personnel of a private psychiatric clinic realised that culture has numerous different meanings. (that numerous different meanings may be attached to culture). Culture has an interesting nature and certain expectations exist around culture. I have described this discussion in order to present a qualitative, descriptive, singular case study, within the paradigm of the Theory for Health promotion in Nursing. The data was processed according to the recommendations of Tesch (in Creswell, 1994:155). The discussion is presented according to certain themes. No guidelines have been set, but I have made certain recommendations that may be utilised in training of psychiatric nurses as well as in practise and research in the field of psychiatric nursing. The discussion was important because the participants were able to develop a sensitivity toward culture. This lead to the promotion of co-operation, productivity, and mutual understanding and respect within the context. The importance of the description of the discussion lies in the information that has been generated. This information will be available and will be incorporated as part of the body of knowledge in psychiatric nursing.

Thesis (MA) -- University of Stellenbosch, 2002. / ENGLISH ABSTRACT: no abstract available / AFRIKAANSE OPSOMMING: Hierdie navorsing ondersoek die behoefte van Sielkunde as professie om meer sosiaal relevante en gepaste dienste vir al die mense van Suid-Afrika te lewer. Dit bespreek die kritiek teen tradisionele sielkunde en die dringende behoefte vir 'n meer kontekstuele benadering om the negatiewe sielkundige verskynsels in the samelewing te begryp en verklaar. Die waarde van Gemeenskapsielkunde om voorkomende, kuratiewe en bevorderende geestesgesondheidsdienste aan gemeenskappe te lewer, word ook ondersoek. Verskeie modelle van gemeenskapsielkunde en die voorgestelde integrasie van geestesgesondheidsdienste by Primere Gesondheid word bespreek. Die plasing van 'n voorligtingsielkunde internskap binne 'n gemeenskapsomgewing, naamlik, die Don en Pat Bilton Kliniek, Jamestown, word beskryf en qeevalueer.