Digital Commons Network^™

What's Happening: June 17, 1992, Maine Medical Center

What's Happening

No abstract provided.

Lying: A Failure Of Autonomy And Self-Respect, Jane Zembaty

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society - March 19, 1992.

The Withering Of Community Life And The Growth Of Emotional Disorders, Thomas F. Maher

The Journal of Sociology & Social Welfare

The architecture of this essay is as follows: I begin by assaying the communitarian crisis of the modern western world. Second, I offer a brief narrative of the social and cultural variables that foster rootlessness and social disintegration in much of urban industrial life. Third, I state a strong case for how this same process may be systematically undermining the nuclear family as a life-long community, threatening the dependence of children on care-giving adults, and, thereafter, the psychological development of children.

What's Happening: April 8, 1992, Maine Medical Center

What's Happening

No abstract provided.

Perceived Social Support And Burnout Among Nurses Working With Chronically Ill And Dying Pediatric Patients, Jean Johnson

Capstone Research Projects

This study focuses on the prevalence of burnout and its relationship to social support among nurses caring for chronically and terminally ill children. A convenience sample of 30 pediatric nurses were given surveys consisting of a demographic sheet, Maslach Burnout Inventory, Social Support Scale, and open-ended questions. The 14 completed and returned questionnaires were used in this nonexperimental, correlational study. Using the student "t" distribution it was determined that the mean emotional exhaustion burnout subscore was significantly (.05 confidence level) higher in the tested sample than in the normative sample. God/Higher Power and co-workers were rated as the most helpful …

Social Support For Family Caretakers Of The Chronically Mentally Ill, Gina L. Bankes

Psychology Theses & Dissertations

The present study examined the relation between coping style, social support, family member symptom severity, and negative affect. Fifty-one caretakers of chronically mentally ill family members completed a demographic questionnaire, a general appraisal questionnaire, a family member symptom severity questionnaire, the Coping Strategy Indicator, the Social Support Questionnaire, and the Multiple Affect Anxiety Checklist. Caretakers with family members living at home were different than caretakers with family members living away from home (HOME) in several respects. Controlling for HOME, family member symptom severity was related to negative affect, coping strategies were related to negative affect and the Social Support Questionnaire …

What's Happening: March 25, 1992, Maine Medical Center

What's Happening

No abstract provided.

The Manufacture Of Dependency: Shelterization Revisited, Kostas Gounis

New England Journal of Public Policy

Emergency shelters have been the most comprehensive and enduring response to homelessness in the United States, with New York City leading the way since the early 1980s. Shelters have emerged as a hybrid between a degraded type of "public housing" and a new form of "institutionalization." The persistence of shelter dependency, or "shelterization," is an intractable problem that frustrates policymakers and service providers. Popular among certain circles of professional pathologists is the view that shelterization is a form of "adaptation" to the violent, anomic, and generally antisocial environment of the shelter. This explanation of shelter dependency is theoretically flawed and …

The Pendulum Swings: How Changes In Federal And State Policy Have Affected The Status Of Homeless People With Mental Illness In Ohio, Kim Bryant

New England Journal of Public Policy

Public policy in the problem areas of homelessness and mental illness has been reactive, rather than proactive, for the past thirty to forty years. As a result of this approach, federal and state policies have swung, like a pendulum, from one extreme to the other, taking the homeless mentally ill population on a most difficult ride. Public policies concerning these issues must become proactive, even if it means a complete overhauling of federal and state social service systems. Only with proactive policies will mentally ill individuals, and all people, have the housing, food, and health care they need, and the …

Homelessness, Alcohol, And Other Drug Abuse: Research Traditions And Policy Responses, Gerald R. Garrett

New England Journal of Public Policy

Although homeless alcoholics and other drug abusers more often elicit public scorn than sympathy, ironically they enjoy a celebrity status as research subjects. This article provides an overview of research literature on the homeless and their alcohol and drug problems. The evolution of public policies concerning control, rehabilitation, and treatment of homeless substance abusers is also traced with special attention to the interaction between scientific literature and policy responses over the past century. Although homeless populations today are more diverse than their counterparts in earlier decades, the analysis suggests that the policies and programs developed in response to the crisis …

Classification And Its Risks: How Psychiatric Status Contributes To Homelessness Policy, Anne M. Lovell

New England Journal of Public Policy

This article examines the extent to which psychiatric classification in public policy research contributes to the equation of homelessness and mental illness. Surveys that measure psychiatric status of homeless persons are reviewed to understand whether they contribute to biased rates of mental illness among homeless persons. The relationship between psychiatric classification and the concept of need is examined and alternatives to current classification are proposed. Classification is discussed particularly in relation to policies of segmentation for "single" homeless adults.

Victimization And Homelessness: Cause And Effect, Pamela J. Fischer

New England Journal of Public Policy

The literature on the contemporary homeless population is reviewed to examine the association of victimization with homelessness. Although few studies have specifically focused on victimization, findings derived from studies investigating pathways to homelessness, prevalence of health, mental health, and substance-use disorders, and demographic profiles and life histories suggest that victimization both causes homelessness and is an outcome of losing housing. Causal sequences ending in homelessness most frequently involve domestic violence, which mainly affects women, although other types of abuse may extrude individuals from their established housing. Once they become homeless, the risk of violence escalates for people living on the …

Mentally Ill Persons In Emergency And Specialized Shelters: Satisfaction And Distress, Russell K. Schutt, Stephen M. Goldfinger

New England Journal of Public Policy

Emergency and specialized mental health shelters represent different service philosophies and are meant to appeal to different segments of the homeless and homeless mentally ill population. This article describes the different characteristics and needs of users of emergency and specialized mental health shelters for homeless persons in Boston. Service satisfaction is described in relation to these characteristics and needs as well as in terms of shelter type. Implications are identified for social and mental health service policies for the homeless.

Ending Homelessness Among Mentally Disabled People, Steven A. Hitov

New England Journal of Public Policy

This article examines some of the many shortcomings of the mental health system operated by the Massachusetts Department of Mental Health (DMH) and explores the impact of that system on single homeless individuals who suffer from some form of serious or long-term mental disability. To afford that discussion context, however, the article first briefly examines those forces which have, and have not, significantly contributed to the large number of mentally disabled homeless persons. It suggests certain changes, including a shift in departmental focus from hospitals to community services and the creation of a housing subsidy system exclusively for DMH clients, …

Housing, Community Support, And Homelessness: Emerging Policy In Mental Health Systems, Paul J. Carling

New England Journal of Public Policy

This article summarizes the dramatic changes in public policy through which public mental health systems are attempting to meet the housing and community support needs of persons with severe and persistent mental illnesses, including those who are homeless. It traces the historical approach to meeting these needs through defining people principally as patients and providing some combination of psychotropic medications, outpatient therapy, and structured, supervised quasi-institutional settings such as group homes, shelters, and segregated single-room-occupancy, or board-and-care facilities. A transition phase in public policy has emphasized defining these individuals essentially as service recipients who need greater or lesser amounts of …

Public Health Care Delivery In Five U.S. Municipalities: Lessons And Implications, David G. Whiteis, J. Warren Salmon

Henry Ford Hospital Medical Journal

Increasing pressures on private and public hospitals have necessitated a reassessment of urban health care delivery. Patients left unserved by stressed private hospitals have placed a greater burden on public institutions, which themselves are often old, underfunded, and in danger of closure. As policy analysts consider remedies, primary care in community-based settings has reemerged as an important component of planning. We present results of a comparative analysis of five public health care delivery systems (Boston, Dallas, Denver, Milwaukee, and Seattle), reflecting their economic, political, and cultural dynamics. Although significant differences in the relative centralization of care and reliance on community-based …

America's Health Care System: The Reagan Legacy, Terri Combs-Orme, Bernard Guyer

The Journal of Sociology & Social Welfare

Because of the dominance of the private sector in health care in the United States, health conditions are not as susceptible to changes in public policy as they are in other Western countries. however, the elderly and young children are directly affected by the federal government's health care policies and while both groups were the focus of major changes introduced by the Reagan administration, these changes were opposed buy Congress. Nevertheless, changes in health care funding and administrative arrangements have had a negative impact on the needy and, in addition, they have been exacerbated by the Reagan administration's wider social …

What's Happening: January 29, 1992, Maine Medical Center

What's Happening

No abstract provided.

Elder-Caregiving Among University Employees: Responsibilities And Needs, Constance L. Coogle, Edward F. Ansello

Virginia Center on Aging Publications

Although many institutions of higher education often house the researchers who study eldercare, few have documented the need for information and services among their estimated 460,000 employees who face the difficult task of effectively balancing work and eldercare responsibilities. Even fewer have established programs to address this need.

Drs. Constance Coogle and Edward Ansello have recently completed an exhaustive survey of VCU employees (N = 11,430) to determine the extent to which they provide care to disabled parents or spouses.[1] A longer, more detailed survey was sent to those who indicated that they were eldercaregivers to measure their perceived …

Barriers Of Mental Health Professionals In "Willingness To Treat" Aids And Hiv Seropositive Clients, Wendy Jean Kellogg

Theses Digitization Project

AIDS-related stigma and mental health professionals.

The Present And Future Of Prevention: In Honor Of George W. Albee, Marc Kessler, Stephen E. Goldston, Justin M. Joffe

Mental Health Law & Policy Faculty Publications

No abstract provided.

The Circular Causality And Possible Alleviation Of Pms Symptomology, Linda Whitchurch

Theses

This research was an attempt to investigate the appropriateness of including Premenstrual Syndrome into the revised third edition of the Diagnostic Statistics Manual. The researcher asked 10 women, who felt they were suffering from Premenstrual Syndrome, to compare their normal food intake with a balanced diet and minimal use of stimulants and the ambiguities of the syndrome became apparent. The women who took part in this study of Premenstrual Syndrome and the management of its symptomotology enlightened the author, not only to the multidimensional etiology of the syndrome, but more importantly, to the lack of validation they experienced as women …

Alcoholism In The Elderly, Jo Ann Koehler

Theses

The purposes of this study were to examine the problem of alcohol abuse in the elderly, to look at the physician's understanding, detection, and treatment of this subject, and to gain knowledge regarding the older adult's view of this problem, and the willingness of these adults to discuss it openly with health professionals.

The methodology employed in this research project was qualitative. Information was obtained from both physicians and older adults through brief questionnaires. The sample consisted of 61 physicians and 47 older adults.

Findings suggest that physicians may be deficient in the knowledge needed to detect and treat alcohol …

List: Planned Parenthood Of Northeast Florida, Inc. 1992 Board Of Directors

Saffy Collection - All Textual Materials

A list of the 1992 board of directors and officers.

A Proud Heritage : 100 Years Of Nursing Education, Virginia Commonwealth University

VCU University History Books

In the late 1980s, nursing alumni, faculty, and students began planning for the one hundredth anniversary observance of the founding of the Virginia Commonwealth University School of Nursing. The school traces its rich heritage back to the organization of the Virginia Hospital Training School for Nurses which opened in 1893. Betsy A. Bampton (MCV Class of 1960) undertook the writing of a school history published as the centennial celebration was set to begin. In this abundantly illustrated work, Bampton and her collaborators chronicle the development and growth of the eight diverse schools and programs that formed the foundation of the …

A Survey Of Certain Food And Alcohol Related Behaviors And Selected Psychosocial Characteristics Of Adult Female Survivors Of Child Sexual Abuse, Kristine Kay Ama

Dissertations and Theses @ UNI

The purpose of this study was to describe certain food and alcohol related behaviors and selected psychosocial characteristics of adult female survivors of child sexual abuse. Respondents answered items regarding eating behaviors, alcohol use, psychosocial characteristics, and demographic information. Results of this study are based on the responses to 45 surveys gathered from support groups located throughout Eastern Iowa.

The offenders with the highest reported percentages included in the survey were fathers, strangers, male cousins, stepfathers, brothers, and uncles. Sexual abuse was found to occur most often between the age ranges of 6-10 and 11-15.

The demographic information regarding relationship …

Human Services Training In Tribal Colleges, Richard H. Dana, Rodger Hornby

Regional Research Institute for Human Services

Tribal colleges are providing interdisciplinary education and professional training for human services occupations at the undergraduate level. These programs also promote cultural competence as a result of required courses in tribal languages, history, culture and law. The Sinte Gelska University program is described as an example of the role of tribal college education in emphasizing cultural identity using a culture-specific instructional style and teaching method. These programs in tribal colleges will augment the availability of competent service to native Americans.

What's Happening: December 4, 1991, Maine Medical Center

What's Happening

No abstract provided.

An Emerging View Of Mastery, Excellence, And Leadership In Occupational Therapy Practice., Janice P Burke, Elizabeth Depoy

Department of Occupational Therapy Faculty Papers

The recent focus on clinical reasoning in occupational therapy, specifically on how therapists solve complex problems, has stimulated interest in how master clinicians think in practice. By gaining insight into how clinicians think and what they think about when they identify and solve problems, we may be able to identify clinical reasoning patterns and processes that occupational therapy students and novice therapists need to experience in order to progress in their practice or to emerge as leaders in their field. Observation of the way in which clinical masters and leaders view challenges and solve problems as manifested in their clinical …

What's Happening: October 9, 1991, Maine Medical Center

What's Happening

No abstract provided.