Thesis (M.A.)--University of Michigan. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Thesis (Ph. D.)--University of Chicago, the School of Social Service Administration, August 1999. / Includes bibliographical references. Also available on the Internet.

Thesis (Ed. D.)--Illinois State University, 1993. / Title from title page screen, viewed March 8, 2006. Dissertation Committee: Ming-Gon John Lian (chair), E. Paula Crowley, Tom Caldwell, Jeffrey Hecht, Larry Kennedy, Elliott Lessen. Includes bibliographical references (leaves 89-105) and abstract. Also available in print.

Thesis (Ph. D.)--University of Texas at Austin, 2005. / Vita. Includes bibliographical references.

Thesis (Ph.D. Philosophy)--University of Waikato, 2006. / Includes bibliographical references (leaves 199-207) Also available via the World Wide Web.

No description available.

This study presents a detailed account of Bridging Therapy - an innovative intervention aimed at providing relatively comprehensive psychiatric nursing care for mentally ill patients. Starting at hospitalisation, Bridging Therapy continues as planned nursing care based on detailed assessment of the patient's short- and longer-term needs both before and after discharge to the community, delivered where possible by the same nurse, or by members of the same nursing team. Bridging Therapy thus presents a remedial model for current fragmented patterns of nursing care, based on an eclectic approach to psychotherapy and nursing process known as the "flexible integrative approach" (FIA).The study recognises problems caused by lack of patient outcome measures in psychiatric nursing; and approaches this by developing an appropriate assessment instrument, the Behaviour Adjustment Inventory (BAI), which is initially tested in concurrent use with a well-validated psychometric instrument (the GHQ); with a second well-validated instrument (the EPI) acting as an initial screening device. The BAI assesses patients' initial status on admission and subsequent responses to Bridging Therapy on a five-point scale, used in conjunction with detailed clinical criteria of behaviour and attitude change. Clinical evaluation of patients in the contrasted contexts of Sheffield and Cairo is described. In each context, experimental (Bridging Therapy) and control (non-Bridging Therapy) groups are studied (Sheffield total N = 22: Cairo total N = 18). Assessment of initial condition was carried out on admission to hospital; recovery status on discharge, and at the close of therapeutic follow-up in the community. Results indicate similar levels of recovery for Sheffield and Cairo groups, with a more pronounced tendency to recovery in the experimental (Bridging Therapy) groups; however, this difference does not reach statistical significance. Psychometric findings are augmented by qualitative descriptions of the implementation process. Two detailed nursing studies from each context are presented. The investigation highlights the complexity of the research problem, including important transcultural considerations; identifies multifactorial issues governing patient care; and supports further research into Bridging Therapy as a potential remedy for current gaps in psychiatric nursing care, both in Britain and Egypt. Relevant materials concerning historical/structural aspects of mental health care and varieties of psychotherapy (Chapters 1 through 3) are included because of their contextual importance both to British and Egyptian workers.

During the research an attempt was made to gain an understanding of the perceived value of work in psychosocial rehabilitation with the Sate patient at Komani Hospital. The respondents' motivation to work and what they gain from working, was investigated, as well as the experience of the nonworking respondents and their motivation not to work. To achieve this, ten respondents who were working and ten respondents who were not working, were interviewed. This study involves only a limited number of State patients at Komani Hospital and therefore findings cannot be generalised and also because the study was done at one Hospital only. A literature study was undertaken during which it was evident that work as part of vocational rehabilitation contributed to the well being of the mentally disabled person. It was also stated in the literature that the disabled person must be actively involved in his/her own rehabilitation planning and that the person must make conscious decisions to move away from the "sick" role and participate in his/her rehabilitation process. Interview schedules were developed. Response received from the twenty participants was analysed. The overall findings of the study showed that the majority of respondents who were working, were motivated by money. The fact that the respondents work from Hospital and therefore disrupt the Hospital routine, work with abled co-workers and feeling needed by the factory where they are employed. also emphasised the respondents' motivation to keep on working. The findings of the study with the non-working group showed that some respondents want to work, but there are not enough work opportunities available in and from Hospital. The non-working respondents are not interested in working at the occupational therapy department because the pay patients get for work done at the department is too little, and therefore they reject the work there. Some respondents do not want to work. whether work is available or not. The non-working group is largely dependent on staff and co-patients for an income, or tobacco. The predominant activity of the non-working group of respondents during the day, as well as that of the majority of the working group respondents during weekends was sleeping, talking to friends, and smoking. The research findings, conclusions and recommendations could contribute to a better understanding of patients and the value of work for the patient in a Psychiatric Hospital.

This study was designed to assess the community identification of discharged mental patients in community boarding homes-specifically, those patients discharged from the Riverview Mental Hospital and placed directly into Vancouver City boarding homes as part of a cooperative programme between the Social Service Department of the Riverview Hospital and the Medical Section of the City Social Service Department. Community identification was defined in terms of three factors: physical presence in a geographic area; quality and quantity of social participation; and, relative opportunity for decision-making and independent functioning. Quantitative measurement of the latter two factors was attained through administering the Chapin Leisure Participation and Enjoyment Scale and the Vine-land Social Maturity Scale respectively. A qualitative measurement was attained by administering two questionnaires designed by the researchers--one to the boarding home operators, the other to the patients in the boarding homes The design of the study was initially that of a retrospective nature, comparing current data to data of previous performance obtained from hospital files. As this latter source proved inadequate, a longitudinal design was proposed, and a pretest of the research instruments was implemented with a boarding home sample and a comparative hospital sample. The findings of the study thus pertain to the qualitative responses of the former patients in community boarding homes, and to qualitative comparisons of the responses of the community and hospital samples. The qualitative responses were generally of a positive nature indicating a satisfaction with community placement and an enjoyment of community life. The quantitative responses indicated a decrease of social participation, occupational activity and socialization skills following placement into the community boarding homes, but an increase in the skill of self-direction and competency of locomotion. A comparison of the interviewers' ratings and the patients' ratings of significant impediments to social functioning indicated that the latter perceived this in financial terms while the former perceived it in psychological terms. Conclusions of this study, necessarily limited because of its preliminary nature, relate primarily to the concept of community identification and to the difficulty of defining this concept in concrete terms. As the findings indicated that autonomy and independent decision-making were most closely related to subjective feelings of community identity, and that this increase in autonomy was related to increased feelings of dignity and self-worth, it was suggested that greater autonomy was the principal factor in the community identification of this population, and that this indicated a positive evaluation of the boarding home placement programme in that it led to the enhancement of the patients' feelings of dignity and self-worth. Recommendations for improvement of the programme include psychiatrically trained staff to supervise the patients, new regulations concerning finances, and provision of more activities and facilities designed to enhance the patients' feelings of self-worth. / Arts, Faculty of / Social Work, School of / Graduate

This study is concerned with identifying the effects of religious participation in the therapeutic treatment of the mentally ill.