This thesis describes an exploratory research project initiated to facilitate curriculum planning for and evaluation of a social work training program in the field of community mental health. The literature concerning community mental health, the historical relationship of social work to this field, and current issues in social work manpower and education was reviewed as part of the thesis project. On the basis of the review, a study was undertaken to determine appropriate priorities for training Master ' s level social worker’s specializing in this field of practice. The researcher's decided that these priorities would be determined in terms of the future professional practice and educational needs of social workers in this field, as reflected in the five variable s of the roles, functions, and tasks they may be performing in ten years and the skills and knowledge they ma y be utilizing in this practice.

In recent years the social service field has incorporated program evaluation. In this time of accountability, funding sources want to to know what they are buying. As they respond to this requirement, agencies often discover that they have been living with archaic record-keeping systems. Systems which are cumbersome, or do not collect needed information have become the focus for change. The context overview includes, first, information about the agency, Salem Area Family Counseling Service (SAFCS), second, about the catchment area from which it draws clients, and third, about the people it serves. The time perspective from which this is written is November, 1977, when the project began.

The present study is concerned with pre-treatment dropouts in an outpatient alcoholism treatment clinic. Previous pre-treatment dropout studies have been made in settings where there is one intake session followed by a treatment program. In the setting of the present study, however, there is an extended intake process, consisting of three (and occasionally four) group intake sessions followed by a session of staffing and then treatment. This study, therefore, differs from previous investigations, in that it considers as "pre-treatment dropouts," those clients who drop out at any point during the intake process, rather than just those clients who do not appear for treatment following an intake session. For purposes of orientation, we begin with a discussion of the problem of alcoholism and the process of intake.

Sixty first year students in the Portland State University School of Social Work were given the Baker--Schulberg Community Mental Health Ideology Scale. The resultant scores are reported for Community Mental Health Training Project (CMHTP) Students, Direct Service Students and Planning Students. The Scores are compared with each other and with the original norming groups for the instrument. CMHTP students were found to have a significantly stronger adherence to the community mental health ideology than other students, but all groups examined were found to be sympathetic to the ideology.

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Various community-based mental health and family agencies offer walk-in counselling services, where clients are provided with immediate access to a single session of brief therapy without appointments or referrals. Several studies have demonstrated the effectiveness of single-session therapy (SST) delivered within walk-in counselling clinics. This type of service delivery model has been found to be helpful for parents, who experience decreased hopelessness and psychological distress by increasing their confidence about their parenting. The purpose of this multiple case study was to investigate how parents perceived their parenting self-efficacy over time following a virtual single-session therapy at a children's mental health centre. Additionally, this study explored how parents perceived their overall experience utilizing this type of service delivery model. Eight mothers participated in a retrospective individual interview. Findings indicate that virtual SST provided parents with greater parental knowledge and concrete collaborative problem-solving strategies that improved parent-child interactions. Further, the emotional support received at the SST reduced parents' distress while increasing hopefulness in the parenting role. In addition, parents valued the accessibility and convenience of the virtual option. Overall, the findings of this study provide evidence that virtual SST can be beneficial for parents and can foster parental self-efficacy.

Background: Although major depression is one of the leading causes of premature death and disability in India, there is little infrastructure to provide mental health services in the rural North Indian state of Uttarakhand. The worldwide burden of depression is 50% higher in women than men, however Indian women experience the double burden of gender disadvantage and poverty which restricts their autonomy and access to social support, and increases their risk for common mental disorders (CMDs). In this low resource setting, community mental health (CMH) models of care may offer the best approach to supporting women with CMDs. Objective: This study partnered with a local NGO in Uttarakhand to examine the factors influencing women’s participation in psychosocial support groups (PSSGs), and the groups’ impact on the women and their communities. PSSGs had been set up in the communities for a minimum of 6 months. Methodology: Focused ethnographic research was conducted over three months in 2016, involving ten focus group discussions (FGDs) with seven unique PSSGs, representing a total of 43 women. FGDs were conducted with PSSGs that had been active a minimum of 6 months. They included both persons with psychosocial disability and their caregivers, primarily divided into separate PSSGs. FGDs were conducted across three different sites, with predominantly Muslim and Hindu populations. Additionally, eight key informant interviews were conducted with community health workers and mental health professionals. Data was translated and transcribed from Hindi to English. Results: The principal barrier to PSSG participation was gender inequality, more specifically, women not being granted permission to leave the home to participate. In terms of impact, the women explained how learning and talking about their own depression and anxiety increased their knowledge and improved their mental health. PSSGs created safe social spaces for women to talk, which increased women’s confidence to speak freely in their community. As a result of the PSSGs, women felt that they had reimagined their roles as community members, shifting from the role of receiver of help to provider. Communities were impacted by the PSSGs as women shared their mental health (MH) knowledge widely, and referred and accompanied community members to MH services. Discussion: These findings are significant because women in PSSGs were able to work together to improve their MH in the context of high gender inequality and mental health stigma. Greater ability to speak out and act collectively may empower women to contribute to household and community decisions, and participate economically, advancing their health and social interests. This research demonstrates how PSSGs can benefit not only the women involved but their community and its mental health. It highlights the importance of understanding models for CMH services that build on local resources and can serve as a model for other underserved communities. / Thesis / Master of Science (MSc)

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