Epidemiological trends in mental disorders are shown against a background governed by medical aid health policy. The study quantitatively analyzed a dataset of mental disorders for South Africa’s leading medical aid scheme. South Africa’s leading medical aid scheme has been in operation for almost three decades. This degree of longevity allows for a reliable longitudinal analysis of diagnostic trends. Through consent of the Scheme, a database was provided, which lists mental disorder diagnoses over seven years from 2008 to mid-way through 2015. Data from this source were analyzed and interpreted. Data fields provided and made use of from the raw medical scheme database are: Date of admission (Year, Month); Patient gender; Database population per year; Patient diagnosis (DEG Description); Total per DEG Description. Each diagnosis (mental disorder) is presented in the following ways: 1. Bar charts showing the volume of specific mental illnesses each year. 2. Bar charts showing fluctuations of occurrence of a specific mental illness over time. 3. Frequency of specific mental illnesses over time, relative to the entire database population. 4. Male:Female ratio per mental disorder. 5. Female Outpatient vs. Inpatient volumes across each mental disorder and across all years (2008 – 2015).v 6. Male Outpatient vs. Inpatient volumes across each mental disorder and across all years (2008 – 2015). 7. Total number of patients per mental disorder across time (2008 – 2015). 8. Frequency polygons showing the fluctuation of a selected mental disorder over time as compared to other selected mental disorders. It is found that there are changes in prevalence rates of mental disorders over time and that these fluctuations are attributed to an economic factor within medical aid scheme cost-driven policy. The effect of cost-driven policy is that members diagnosed with a mental disorder may not be granted provision of adequate treatment because diagnosis is in part, determined by economic structures. Costs for mental illness treatment programmes are curtailed by keeping patient numbers significantly low, by radically over-diagnosing certain mental illnesses treated with comparably cheaper pharmaceuticals or by drastically curbing time spent in a mental health facility. Some members of the medical aid scheme have been deliberately misdiagnosed. Alternatively, those, correctly diagnosed, do not receive the treatment required of such an illness. The scenario then is of thousands of mentally ill people, who are not treated effectively. Members continue to pay fees, paying under the illusion that medical cover ensures effective treatment / Psychology / M.A. Psychology

Det finns mycket forskning som handlar om barns läsinlärning, men inte om barns egen högläsning. Syftet med den här studien var att se om högläsning för ett djur kunde öka motivationen för läsning hos barn med lässvårigheter. Studien hade 2 deltagande barnmed lässvårighetersamt 3 deltagande föräldrar som rekryterades av logoped som är verksam hos Lära med djur, den förening där läsinterventionen genomfördes. Metoden var single subject design (A-B-A) där varje barn utgjorde sin egen kontroll. Studien var indelad i tre olika faser. Under baslinjen (A) läste barnet högt i hemmiljön. Under interventionen (B) läste barnet högt för ett djur vid fem tillfällen. Under uppföljningen (A) läste barnet hemma igen. All högläsning videoinspelades och föräldrarna intervjuades 3 gånger, en gång i respektive fas. Viss förändring hos barnen kundekonstateras på områdena aktiv lästid och antal avbrott under läsningen. Intervjuerna med föräldrarna visade på att interventionen med djur förefaller ha haft en positiv påverkan på åtminstone ett av barnens läsmotivation. Båda föräldraparen valde att låta sina barn fortsätta läsa hos Lära med djur efter studiens avslut. Sammantaget visade resultaten att läsning med djur kan ha en viss effekt på barnets läsning, men vidare studier krävs på området. / There is a lot of studies done about children’s learning to read but not a lot about themselves reading aloud. The purpose of this study was to see if reading aloud to an animal can increase the reading motivation in children with reading difficulties. The study had 2 participating children with reading difficulties and 3 participating parents who were recruited by a speech and language pathologist who works at Lära med djur, the association where the reading intervention took place. The method was a single subject design (A-B-A) where each child constituted as their own control. The study was divided into three different phases. During the baseline (A), the child read aloud in the home environment. During the intervention (B), the child read aloud to an animal on five occasions. During the follow-up (A), the child read at home again. All readings were videotaped. The parents were interviewed three times, one time in each of the phases. The children showed some change in the areas of active reading time, the correct number of words read and the number of interruptions during reading. The interviews with the parents showed that the intervention with animals seemed to have had a positive effect on foremost one of the childrens’ motivation for reading. Both parent couples said that they chose to let their child continue to read at Lära med djur atthe end of the study. Overall, the resultsshowed that reading with animals can have a certain effect on the child's reading, but further studies are required in this area.

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Denna studie syftar till att öka förståelsen för hur boendestödjarna beskriver sitt vardagsarbete med brukarnas återhämtning på två boenden med särskild service inom Socialpsykiatriska utförarenheten i Skärholmens Stadsdelsförvaltning. Vi har intervjuat åtta boendestödjare. Valet av respondenter har gjorts utifrån ett kvoturval, fyra boendestödjare från Frösätra samt fyra från Solholmen. Vi har gjort semi-strukturerade intervjuer med samtliga boendestödjarna och utformat en intervjuguide. Intervjuguiden berör fenomen hur personalen på boendena beskriver begreppet återhämtning, hur de arbetar med återhämtning, hur återhämtning nås samt hur personal beskriver sin roll. Resultatet av studien påvisar att återhämtning innebär att den enskilde har möjligheten att återhämta sig från det kaotiska tillståndet samt att den enskilde tar makten över sitt liv. Återhämtning innebär utveckling och att den enskilde är självständig trots att en del av symptomen är varaktiga. Arbetet med återhämtning handlar om att lita på den enskildes förmåga och inte ge upp hoppet. Att se människan bakom symtomen och sjukdomen och därefter lyfta fram det friska. Återhämtning nås genom att den enskilde själv medverkar i sin egen återhämtning, är aktiv och villig att åstadkomma en förändring. / This study aims to increase understanding of how housing supporters describe their everyday work with the users' recovery at two sheltered housing, in Social Psychiatry perform purity of Skärholmens District Administration. We interviewed eight housing supporters. The selection of respondents was made based on a quota sample, four housing supporters from Frösätra and four from Solholmen. We did semi-structured interviews with all housing supporters and designed an interview guide. The interview guide affects phenomena such as how staff describes the concept of recovery and work on recovery. How the recovery is accessed and how staff describes their role. The results of this study demonstrated that recovery means that the individual has the ability to recover from the chaotic state, and that the individual will take charge of their lives. Recovery involves the development that the individual is autonomous although some symptoms are lasting. The work of recovery is about trusting the individual capacity and to not give up hope, to see the person behind the symptoms and the disease and highlight the healthy. Recovery achieved by the individual themselves take part in their own recovery, are active and want to make a change.