No description available.

Thesis (M.P.H.)--University of Michigan, 1946.

Thesis (M.P.H.)--University of Michigan, 1946.

Thesis (M.S.)--University of Michigan, 1993. / Includes bibliographical references.

Sergančiųjų įvairiomis psichikos ligomis nemažėja tiek pasaulyje, tiek Lietuvoje, o aplinkos veiksniai, tokie kaip ekonominis nestabilumas, bedarbystė ir kita, skatina šių sutrikimų didėjimą. Be psichinio funkcionavimo problemų psichikos ligos beveik visada sukelia socialinio funkcionavimo sutrikimus. Sergančiųjų savarankiškumo atstatymui ir jų visavertei integracijai į visuomenę svarbi psichosocialinė reabilitacija, kurios pagrindiniai etapai – intensyvi klinikinė reabilitacija, kol pacientas gydomas ligoninėje, ir socialinių paslaugų teikimas bendruomenės institucijose. Šio darbo tikslas – išanalizuoti ir palyginti žmonių su psichikos sutrikimais reabilitacijos būdus ir galimybes bendruomenėje ir stacionarioje gydymo įstaigoje (Respublikinėje Vilniaus psichiatrijos ligoninėje). Pirmoje darbo dalyje pateikta psichosocialinės reabilitacijos samprata ir svarba, supažindinta su psichiatrijos ligoninėje ir bendruomenėje teikiamomis psichosocialinės reabilitacijos paslaugomis. Tiriamojoje dalyje pateikiami atlikto tyrimo rezultatai. Paaiškėjo, kad asmenys, turintys psichikos sutrikimų, gydydamiesi ligoninėje gauna pakankamai informacijos ir įsitraukia į įvairias reabilitacines užimtumo veiklas pagal saviraiškos poreikius. Tuo tarpu, užimtumo veikloje bendruomenės institucijose dalyvauja ženkliai mažiau tiriamųjų nei ligoninėje. / The number of people with mental trouble has not been decreasing in the whole world as well as in Lithuania. Moreover, the environmental factors such as economical instability, unemployment and other determine the increase of this kind of disorder. Apart from disorder of mental behavior mental diseases almost always evoke disorder of social behavior. Psychosocial aftercare is very important for reestablishment of independency and proper integration of the sick into the society. The main stages of the psychosocial aftercare are intense clinical aftercare while the patient is treated in hospital and social services in community institutions. The goal of the thesis is to analyze and compare different aftercare methods and opportunities in the community and stationary medical institutions (Republican Vilnius psychiatric hospital) for mentally disabled people. The conception and importance of psychosocial aftercare are presented in the first part of the thesis. Moreover, psychosocial aftercare services supplied in psychiatric hospitals and communities are revealed. The second part discloses the results of the research. It has been established that people with mental disability get enough information in hospitals and get involved into different activities of aftercare according to needs of self-expression. On the other hand, less people participate in aftercare activities in community institutions if compared with hospitals.

Magister Psychologiae - MPsych / Substance abuse has been identified internationally and in South Africa as an escalating problem that has harmful effects on the substance user and on society. The cost of treating substance-related disorders places a strain on the allocation of financial resources to treat the problem. When relapse occurs in substance users who have already undergone rehabilitation, it increases the costs of treatment. Waiting lists at treatment centres are also negatively affected for first-time admissions when relapsed substance users are re-admitted. The study aimed to identify relapse indicators by post-discharge follow-up of adult substance users in a registered, non-profit, state-subsidised treatment facility in Cape Town. Marlatt’s Dynamic model of relapse was used to explore the individual and socio-cultural factors which were potentially associated with relapse. A quantitative research design using archival data and purposive sampling was used to identify possible relapse indicators. The participants were ex-patients who had undergone an inpatient treatment programme and who had been followed up post discharge. Ethical clearance was obtained from the University of the Western Cape Higher Degrees Committee. Written permission was granted by the treatment centre who is the original data owner.The majority of participants were male. More than half of the sample reported polysubstance use and, for more than half of them, the age of onset of substance use was between 11 and 15 years. Severe depression was present for more than a third of the participants, whilst the majority of the sample was assessed as being substance dependent. A large proportion of patients had family members who also used substances. The majority of the sample was unemployed and more than half had received previous substance abuse treatment. Significant associations were not established between the identified variables within the groups of factors. Additional studies are required to explore the factors contributing to relapse in this patient population.

No description available.

Magister Artium (Social Work) - MA(SW) / Substance abuse remains a debilitating social issue for many people in South Africa. It generally has a devastating effect on family life, and especially so when adolescents become dependent on substances, as it can have an adverse impact on their development. Interventions with adolescents include dealing with often complex developmental issues, dependence on family, and their support, which requires therapists to have special skills and patience to engage them in often complex treatment outcomes. The parent of a substance abusing adolescent is considered a role player in the aftercare of a substance abuse treatment programme as defined by the Prevention of and Treatment for Substance Abuse Act, 70 of 2008. The role of the parent is defined by their ability to monitor and supervise the adolescent and susceptible they are to adapt their parenting style to the suit the developmental needs of the child. The study sought to explore and describe the dynamics involved with parents and adolescents who have been through such a programme and how that can be utilised to influence their sobriety. This qualitative study, embedded in an exploratory descriptive research design, explored the role of the parent in the aftercare of their adolescent children who participated in a treatment programme for substance abuse. The population for this study included parents of adolescents who participated in a treatment programme for substance abuse and living in Port Elizabeth, Uitenhage and Despatch, in the Eastern Cape Province of South Africa. Purposive sampling was utilised to access 17 participants, and focus group, group and individual interviews were conducted as the data collection methods. The research interviews were transcribed and thematically analysed according to Moustakas (1994), and nine main themes emerged. The findings of the study will inform service providers and organs of State regarding the services needed to ensure continued support for adolescents who have been abusing substances. The main themes relating to the goal of the study were understanding the term ‘aftercare’, reflections on why adolescents were abusing substances, reflecting on experiences while the adolescent was abusing substances, parents’ experiences after the adolescent returned home, expectations of adolescents after treatment, parents’ views of what the adolescent in recovery needs, parental roles and responsibilities in recovery, informal support to the adolescent and his/her parents and descriptions of social workers in aftercare.

Thesis (M.S.)--University of Michigan, 1985.

Magister Psychologiae - MPsych / Substance abuse is a public health concern in South Africa, and Western Cape Province in particular has been identified as having alarming rates of substance abuse. Substance abuse is the cause of some of the most pervasive and costly problems in society. Substance abuse is associated with various social problems such as crime, violence, unemployment, poverty, risky sexual behaviours, the escalation of chronic diseases such as AIDS and TB, and dysfunctional family life – and these problems are often interlinked. Furthermore, substance disorders place a huge strain on the health and welfare system of South Africa. In- and outpatient treatment facilities exist in communities to assist with alleviating the problem of substance abuse. Aftercare facilities are a form of outpatient service for substance abusers who have completed inpatient treatment. The primary aim of aftercare is to assist recovered substance abusers to maintain treatment gains by abstaining from substance use and to facilitate their reintegration with their families and communities. The purpose of the present study was to explore and obtain an in-depth understanding of the experiences of rehabilitated substance abusers in aftercare, following their completion of inpatient treatment. The sampling method for the study was purposive, and the sample consisted of two female and six male participants. Participants' attendance at the aftercare programme was verified with the aftercare coordinator. Semi-structured interviews were conducted and data were analysed using interpretative phenomenological analysis. Results of the study found that, overall, participants had a positive experience of aftercare. Furthermore, results indicated that aftercare played a vital role in assisting participants to maintain treatment gains.