Justice-involved youth have been shown to have higher rates of mental health concerns and trauma exposure than youth in the general population (e.g., Wood et al., 2002). An increased understanding of these mental health concerns is crucial as incarcerated youth already have worse long-term health outcomes (Barnert et al., 2017). However, while the mental health needs in terms of specific mental health diagnoses of justice-involved youth are well-documented (e.g., Teplin et al., 2002), there is a lack of research on the mental health services that are provided to justice-involved youth in institutional settings. Further, there is no known research on youth perceptions of the mental health services they received while incarcerated, which could be used to inform future research and practice to improve services. Thus, this study aimed to fill this gap by examining through a mixed-methods approach how justice-involved youth perceive the mental health care they received while incarcerated, as well as by exploring themes of areas of improvement that youth indicate as recommendations for better mental health support in youth justice institutional settings. Two-hundred and one (201) individuals who were formerly incarcerated as youth (age 24 or younger) participated in this study. Overall, participants indicated slightly greater than average satisfaction with the mental health care they received. Kruskal-Wallis tests were used to examine differences in satisfaction between groups. Significant differences in satisfaction among facility types that youth were incarcerated in and among racial groups were found. There were no significant differences based on gender or ethnicity. Multiple regression analyses were performed to examine the relationship between Type-T (risk-taking/thrill-seeking) personality and satisfaction of mental health services while incarcerated, while controlling for covariates (gender, race, ethnicity, facility type, mental health diagnoses, and mental health services). Type-T was not found to be a significant predictor of satisfaction. Some mental health diagnoses (e.g., post-traumatic stress disorder, autism spectrum disorder, schizophrenia/psychotic disorder, substance use disorder), some racial groups (e.g., Arab American/Middle Eastern compared to White), and some facility types (e.g., juvenile detention compared to prisons) were found to be significant predictors of satisfaction. Thematic analysis was also performed on qualitative information obtained from both the surveys and interviews. Themes identified for positive aspects of mental health care experiences include Impact of Services, Relationships, Access, Service Quality, and No Positives. Themes identified for negative aspects of mental health care experiences include Access, Service Quality, Lack of Comfort, Ineffectiveness, Low Social Support, Physical Environment, All Negative, and No Negatives. Themes identified for recommendations include Access, Service Quality, Physical Setting and Environment, and Social Support. Results from this study have the potential to be used to inform experimental evaluations of changes to mental health services for incarcerated youth based on the strengths, identified needs, and recommendations of current mental health care from this study. Such studies could be aimed at improving services for incarcerated youth and developing best practices for mental health services for this population. / Psychological Studies in Education

Trots lagstiftning kring patienters delaktighet i vården ses en tydlig brist på delaktighet vid vårdplanering hos patienter inom psykiatrisk vård. Syftet med det här arbetet var att sammanställa kunskap genom en metasyntes för att nå en djupare förståelse av patienters upplevelser av delaktighet vid vårdplanering i den psykiatriska vården. Detta genom frågeställningarna vad beskriver patienter främjar respektive hindrar delaktighet vid vårdplanering i den psykiatriska vården. Tio artiklar svarade mot vårt syfte och inkluderades. Analysen av dessa resulterade i att tre teman identifierades: 1.“Det yttre lagret: Vårdplanen som ett värdefullt stödverktyg eller en meningslös upprepning” 2. Det mellersta lagret: “Att navigera oenigheter för en känsla av att äga innehållet”, och 3. Det inre lagret: “En vilja att ses som expert men en samtidigt upplevd maktlöshet”. De tre identifierade lagren syntetiserades i syfte att få en djupare förståelse och ny kunskap av patienters upplevelser av delaktighet i vårdplaneringsprocessen. Syntesen visar på tre lager som har en bestämd ordning där kärnan i syntesen och de tre identifierade lagren utgår från individen, som är expert.

Homelessness in the youth population is associated with elevated rates of mental illness, substance abuse, and suicidality compared to the housed population in the United States (Berdahl, Hoyt, and Whitbeck, 2005; Hodgson, Shelton, Van den Bree, 2014; Hughes et al., 2010). With a survival-focused perspective, exacerbating issues, stigmatization, and transience housing; homeless youth require special consideration to meet their diverse health needs. When barriers impede homeless youth's access to necessary health resources, their health concerns are left untreated and impound until emergency services are required. This review of literature is focused on identifying and synthesizing barriers and facilitators for homeless youth to access and utilize mental health care services. When untreated mental illness reaches a crisis point, it becomes more expensive to treat (Taylor, Stuttaford, and Vostanis, 2006). For youth experiencing homelessness, various factors influence their decisions to wait until a crisis to reach out to emergency services. Within the literature, barriers and facilitators were bracketed into personal, social, and structural factors. These factors ranged from financial concerns, communication with health care providers and between health care service locations, stigmatization, lack of awareness, and administrative requirements. While further research is required, evidence from the literature shows promise in developing and altering interventions and communication to meet homeless youth's mental health and substance abuse needs.

No description available.

This dissertation demonstrates how patients' mental illness treatment careers depend on the change and/or stability among differing levels of social structure. Theorists of the mental illness career tend to ignore the role that higher levels of social structural change have on individuals' mental illness career. Researchers using an organizational perspective tend to focus on the organizational environment but ignore the treatment process from the individual's point of view. Both perspectives neglect what the nation-state's broader socio-political and economic circumstances could imply for people seeking treatment for mental disorders. Organizational theory and theories of the mental illness career are independent theoretical streams that remain separate. This dissertation connects these independent theoretical streams by developing a unifying theoretical framework based on historical analysis. This historical analysis covers three phases of treatment beginning at the end of World War II to the present. This framework identifies mechanisms through which changes in larger levels of social structure can change the experience and career of mental patients. This new perspective challenges current conceptions of the mental illness career as static by accounting for the various levels of social structure that play a part in the mental illness treatment career. Taken together, the inclusion of differing levels of social structure and the subsequent reciprocal relationship between these levels of analysis produce a narrative that explains why and how stability and change within the mental health sector shape the mental illness treatment career. / Ph. D.

No / The First World War (1914–18) was a period of dramatic and rapid change for both staff and patients in asylums across the UK. Many British asylums were requisitioned by the army from 1915 for use as wartime hospitals, leading to mass evacuation of over 10,000 patients. Using contemporary resources, this article will review the impact of this and other significant changes that took place in wartime, which included variations in working practices, staff shortages, food rationing and a significant rise in the asylum death rate. Contributing factors will be considered with analysis and discussion of eye-witness, historical, documentary, parliamentary and meteorological evidence.

A one sample pre-post design was used simultaneously with three work groups to study the effects of a health team development intervention on interdisciplinary (ID) team processes. Effects were measured by participant questionnaires, managerial diagnostic and follow-up interviews, and by direct observation of team meetings. The intervention, as conducted by internal facilitators, was published in Improving the Coordination of Care: A Program for Health Team Development by Rubin, Plovnick, and Fry. Positive changes were found in members' perceptions of their team's general effectiveness, their leader's approachability, and the value of their meetings. No changes were found in member participation and influence, however, when pre-post differences were compared using the Dunn-Bonferroni approach to multiple t-tests on nine Mean Factor Difference Scores of the Group Behavior Inventory. Structured observation data showed increases in proportional frequencies of Interpretative statements, Alternatives suggested, and Decisions made during teams' meetings. Questions asked and Information given categories on the Team Observation Protocol data showed decreases. No change occurred on the two seldom-used categories, affective statements about Client and Team. Pre-intevention diagnostic interviews had shown that senior management's and team facilitators' expectations were congruent with the goals, roles and procedural areas targeted for change by the team development program. However, Follow-up interviews corroborated prior organization development research. That is, a comprehensive organizational diagnosis of teamwork problems was needed prior to the selection and implementation of team development with ID teams. Especially sensitive areas for management-consultant negotiation in future efforts to implement HTD should include the use of internal or external third party facilitators, the selection of teams, role of team leaders, and the adaptation of materials and activities to suit ID team tasks. Where conflict exists between senior management and team leaders, other interventions may be needed before team development can be expected to affect positively, ID team members' participation and involvement. Recommendations were made for structural changes to strengthen ID teamwork at the training center. The absence of an empirically-derived theory of ID team performance effectiveness continues to be a barrier to the demonstration of intervention effects and to education for teamwork. Research is needed to describe empirically relations between problem-solving processes in ID team meetings and treatment decisions. Research is also needed to delineate team-role competencies required by members and leaders as prerequisites to establishing indicators of ID team performance effectiveness. / Ed. D.

Submitted by GILSON GABRIEL DA SILVA FIRMINO null (gasifir@gmail.com) on 2016-03-13T03:35:30Z No. of bitstreams: 1 GILSON FIRMINO mestrado final.pdf: 920002 bytes, checksum: 1ca4a09013c6f6f14fdab0e552c9d35b (MD5) / Approved for entry into archive by Felipe Augusto Arakaki (arakaki@reitoria.unesp.br) on 2016-03-14T21:53:45Z (GMT) No. of bitstreams: 1 firmino_ggs_me_assis.pdf: 920002 bytes, checksum: 1ca4a09013c6f6f14fdab0e552c9d35b (MD5) / Made available in DSpace on 2016-03-14T21:53:45Z (GMT). No. of bitstreams: 1 firmino_ggs_me_assis.pdf: 920002 bytes, checksum: 1ca4a09013c6f6f14fdab0e552c9d35b (MD5) Previous issue date: 2016-01-29 / Não recebi financiamento / Esse trabalho intenciona cartografar planos de cuidado em saúde mental no município de Campinas através de um estudo de caso de intensa complexidade inserido na rede de saúde mental. A construção do caminho de pesquisa se efetivou em consonância com as Políticas Públicas de Saúde do SUS, a Reforma Psiquiátrica Brasileira e a Estratégia de Atenção Psicossocial. Utilizamos como metodologia de pesquisa qualitativa a cartografia como método de pesquisa-intervenção na perspectiva da estratégia metodológica do caso-guia nômade, ambos com referencial teórico advindos da Filosofia da Diferença. Nessa trilha, visamos acompanhar os processos e planos de produção das paisagens do cuidado em saúde mental conectadas ao caso estudado. O campo de pesquisa se localizou em estabelecimentos de saúde mental gerenciados pela instituição Serviço de Saúde Dr. Cândido Ferreira e Promotoria Pública, onde foram realizadas entrevistas para a produção das narrativas, somadas a outras fontes de referência do caso. A experiência desse estudo permitiu dar visibilidade ao modo como se agencia um caso de alta complexidade nas redes de saúde mental do município. Produziu múltiplas reflexões, estendendo suas problematizações acerca do cuidado em saúde mental na interface com outras áreas de conhecimento. Também forneceu alguns elementos de práticas clínicas para pensar outros casos complexos e, em seu limite, questionar as próprias práticas clínicas, borrando suas fronteiras e transmutando seus territórios de ação. / This study seeks to map mental health care plans in the municipality of Campinas through a case of intense complexity. Research methods employed were consistent with SUS public health policies, the Brazilian Psychiatric Reform, and the strategy of Psychosocial Attention. We used mapping as a qualitative research-intervention method under the context of a nomadic guide-case, both under the theory of the Philosophy of Difference .We sought to follow processes and plans of productions in mental health care connected with the studied case. The research was developed at the mental health care facilities managed by the Dr. Cândido Ferreira Health Service and General Attorney São Paulo, where interviews were conducted and other sources related to the studied case were also obtained. This study made more visible how the network of health care services in Campinas deals with a case of high complexity. It resulted in multiple reflections, including how mental health care strategies interact with of other areas of knowledge. It also provided insights into strategies of clinical practices potentially useful for other complex cases, as well as a critical evaluation of the clinical practices themselves.

No abstract available. / Dissertation (LLM)--University of Pretoria, 2012. / gm2014 / Centre for Human Rights / unrestricted

See the attached abstract below