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Thesis (MA)--Stellenbosch University, 2000. / ENGLISH ABSTRACT: This study was aimed at evaluating the effectiveness of a play therapy training programme for youth facilitators of a returned exile children's group. The effectiveness was evaluated qualitatively by using participant observation to determine whether the facilitators were able to assess the difficulties of these children and implement the techniques of play therapy to address these difficulties. Literature was used as a general guideline to determine the criteria needed for lay play therapists dealing with specifically traumatized children. It was found that most facilitators experienced difficulty in assessing aggression, withdrawal, nightmares excessive shyness and thumb sucking as symptoms of difficult behaviour. They were, however, able to recognize more explicit symptoms like fearful behaviour and excessive clinging behaviour accurately. The majority used drawings and observations rather than interviews and history taking as assessment strategies. Mutual storytelling, painting and unstructured play were the primary means of intervention used. It was concluded that although difficulty with assessing age appropriate behaviour was present, the facilitators succeeded in using non-threatening therapeutic techniques to address difficult behaviours in children. In the classification of Overall Communication the facilitators performed quite well. They excelled at listening, understanding and empathy skills. The programme thus succeeded in providing necessary skills, but can be improved structurally to make these skills more accessible. / AFRIKAANSE OPSOMMING: Die doel van hierdie studie was om die doeltreffendheid van 'n opleidingsprogram in spelterapie vir jeugdiges as fasiliteerdes van kindergroepe vir teruggekeerde bannelinge te evalueer. Deelnemende waarneming is as kwalitatiewe maatstaf gebruik om die doeltreffendheid van die program te meet. Daar word gekyk na die fasiliteerder se vermoë om die kinders se probleemareas te identifiseer en om spelterapietegnieke te implementeer wat hierdie probleme aanspreek. Verder word relevante literatuur gebruik as kriteria vir leke-spelterapeute wat werk met spesifieke getraumatiseerde kinders. Die resultate van die onderhawige studie wys dat fasiliteerders dit moeilik gevind het om simptome soos aggressie, onttrekkingsgedrag, nagmerries, uitermatige skaamheid en duimsuig te identifiseer as probleemareas. Hulle het dit wel moontlik gevind om meer voor die handliggende simptome soos vreesbevange gedrag en oormatige klouerigheid akkuraat te herken. Die meerderheid fasiliteerders het gebruik gemaak van tekeninge en waarnemings vir identifisering van probleemareas eerder as onderhoudsvoering en die insameling van agtergrondsgeskiedenis. Die spelterapietegnieke wat die meeste gebruik was, is die gesamentlike vertel van stories, verf en ongestruktureerde spel. Ten slotte is gevind dat, alhoewel die fasiliteerders gesukkel het om ouderdomsgepaste gedrag te identifiseer, hulle daarin geslaag het om nie-bedreigende terapeutiese tegnieke aan te wend om sodoende probleemgedrag aan te spreek. In die klassifikasie van Oorkoepelende Kommunikasie, het die fasiliteerders uitgeblink in veral luister- begrips- en empatievaardighede. Die program slaag dus daarin om vaardighede beskikbaar te stel, maar sou struktureel verbeter kan word om hierdie vaardighede meer toeganklik te maak.

This research evaluated the importance of select competencies in the area of human behavior, important to home-based caregivers employed independently and/or within a service agency in the State of Alaska. Data were gathered from respondents working in home-based care (N=76), and from those working in a related field (N=38). Data were collected on a forty-three (43) item instrument, using a five-point Likert type scale. The instrument was validated by a consensus of panelists using the Delphi technique. The reliability of the instrument was determined to be +0.893, using the Hoyt-Stunkard method. Analysis of variance tests were completed for each of the forty-three (43) competencies and for two work status characteristics to determine differences between responses of those working in home-based care and those working in a related field. Factor analysis, using the R-mode, provided for clustering of competencies and constituted the major analysis procedure for the study. The purpose of the study was to provide curriculum planning direction for postsecondary training in human behavior-related competencies for home-based caregivers. The results of the study indicated the presence of five (5) clusters of content considered basic to training curriculum for all home-based caregivers. The clusters included: One Family systems (8 competencies); Two - Nutrition and food management (6 competencies); Three - Human development (13 competencies); Four Home safety and accessibility (9 competencies); and Five Organization and interpersonal skills (8 competencies). Overall competency means ranged from 2.986 to 4.522. Significance tests showed thirteen (13) rejected hypotheses for the forty-three (43) competencies. The mean scores for twelve (12) of those rejected were slightly higher for those working in home-based care than for those working in a related field. The results of the study present direction for postsecondary vocational curriculum development in human behavior-related competencies important to home-based caregivers. / Graduation date: 1993

Caregiving for two parents affected by chronic dementia was the original impetus for this study. My negative experiences led to a quest for insight and solutions through volunteer, professional and academic pursuits. It culminated in this exploration of caregivers' experiences and their decision-making to expose the educational support they need. Caregivers tend to be family members, and overwhelmingly women. Studies from various disciplines confirm that caregivers need educational support to make decisions. Yet, little is known about what type of educational support they need and how it is to be provided. Caregivers' voices are seldom included in research and they are frequently blamed for the problems they confront. This qualitative study honours caregivers' voices. Through in-depth semi-structured interviews, the perspectives of five women form my primary source of data. Personal documentation, archival materials, and interviews with experts in the field supplement these data. To analyze the data two complementary analytic approaches are used: categorization and contextualization. A categorization approach organizes the data into conceptual themes. These themes include activities of multitasking, being locked into a state of heightened alert, interpreting the disease, and managing care. These activities reveal physical and psychological suffering. Contextualization approaches situate the dilemmas the women face in particular contexts. These dilemmas highlight their lack of authority. The analyses indicate that the women engage in a wide range of decision-making and that they need both similar and specific types of educational support. These types of support include (1) lessening their burdens and their frustrations of decision-making; (2) facilitating ethical decision-making; (3) providing information about medical treatments; and (4) assisting with the access to and with the assessment of suitable resources. Overall, caregiving is a ve

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published_or_final_version / Social Work and Social Administration / Master / Master of Social Sciences

Training and empirically evaluating caregivers’ implementation of behavior management skills is a particularly challenging task in large residential contexts. A pyramidal training approach provides an efficient and effective way to conduct large-scale competency-based behavior skills training. The purpose of this project was to develop and evaluate a large-scale pyramidal staff training program for behavior management skills. One hundred nine caregivers and 11 behavior service professionals at a large, residential care facility participated in this project. Interobserver agreement was utilized to develop and refine measurements systems to detect caregiver acquisition of skills, behavior service professionals’ ability to score caregiver performance and behavior service professionals’ ability to deliver a specified portion of the curriculum. Pre- and post-test probes were conducted utilizing standard role play scenarios and checklists to evaluate caregiver acquisition of three specific behavior management skills. The results supported the following conclusions: first, interobserver agreement measures were useful to develop a reliable measurement system, to refine some curriculum elements, and to evaluate measurement conducted by behavior service professionals. Second, behavior skills training (BST) resulted in caregiver acquisition of all three behavior management techniques. Third, the pyramidal training approach was effective to teach behavior service professionals to deliver BST and accurately measure the performances of trainees.

M.A. / A number of recent variables have influenced the professionalisation of the child and youth care discipline in South Africa. These variables have had a direct impact on the training of child and youth care practitioners. The first variable is the establishment of the National Qualifications Framework, the National Qualification Authority and the focus on lifelong learning possibilities as well as competency-based training. The second variable is the establishment of the Inter-Ministerial Committee on Young People at Risk (IMC) and the accompanying transformation of the South African child and youth care system. The third variable is the transformation of the Interim Council for Social Work with the associated recognition of Child and Youth Care as an independent discipline. The fourth variable is the ratification of the United Nations Convention on the Rights of the Child by South Africa in 1995 in which certain rights of children are recognised. The fifth variable is the knowledge that South African children have special protection under the South African Constitution. The sixth variable is the Africanisation of the profession in South Africa. These variables have stressed the importance of compiling a competency-based framework for the training of child and youth care practitioners in South Africa that embraces all these variables. Child and Youth Care is a phenomenon that is quite unfamiliar as an independent discipline in South Africa, and therefore the researcher chose a qualitative paradigm that is exploratory, descriptive, contextual and phenomenological to develop a competency-based framework for the training of Child and Youth Care practitioners in South Africa. The empirical research included phenomenological interviews with child and youth care trainers and a focus group interview with child and youth care practitioners. Literature was consulted in two stages, namely at the beginning to pose the problem and at the conclusion of the research to compare and contrast the findings (Cresswell, 1994:24). The four criteria to ensure trustworthiness are credibility, transferability, dependability and confirmability. The criteria to obtain this included the triangulation of various methods of data collection and by confirming results with respondents. Detailed descriptions were done to enhance the study's chance of being replicated in another setting. The services of an external coder were utilised. A detailed protocol for data collection is provided. The categories that emerged from the research were compared with literature and used to compile a competencybased framework for the training of Child and Youth Care Practitioners in South Africa.

Behavioral skills training (BST) is often used to train caregivers to implement various behavior management procedures; however, additional strategies are sometimes required to promote the generalization of skills from a contrived setting to the natural environment. Generalizing skills to the natural environment requires that the caregiver's behavior transfer from control of stimuli in the contrived setting to stimuli in the natural environment, and the skill continues to be performed with high levels of accuracy. The purpose of this study was to assess the extent to which caregivers generalized the use of social reinforcement, in the form of descriptive praise, from the contrived setting to the natural environment. When caregivers failed to respond to opportunities, a progressive prompt delay was used to bring caregivers' responding under the control of relevant client behavior; feedback was used to improve the accuracy with which caregivers implemented reinforcement. Five caregivers in a large residential facility participated in the study; single-opportunity probes were used to assess caregiver's identification of opportunities and accuracy in implementing reinforcement for two defined client behaviors, compliance and appropriate attention-getting behavior. Results of the study suggest that skills failed to generalize from the contrived setting to the natural environment. However, prompting was effective in training caregivers to identify opportunities to provide reinforcement, and feedback improved implementation of reinforcement.

Caregivers in children’s homes are the front-end workers who care for looked-after children daily. Looked-after children in children’s homes constitute a particularly vulnerable group, who are known to reveal mental health problems, which complicate the care-giving role. In conjunction with the lack of training and support, caregivers experience great challenges. This research study explores and describes the training and holistic care-giving needs of caregivers, by applying qualitative needs assessment design, where the responses of 12caregivers are explored and described. Data from the literature and semi-structured interviews and questionnaires was categorised into themes. Overarching findings include altruistic needs, the need for support and to be valued, with the researcher making recommendations and providing a convincing argument for immediate therapeutic support for caregivers. / Social Work / M.Diac. (Play Therapy)