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Journal Of Sociology & Social Welfare Vol. 18, No. 2 (June 1991)

The Journal of Sociology & Social Welfare

SPECIAL ISSUE ON MENTAL HEALTH SERVICES: AN INTERNATIONAL PERSPECTIVE

• FOREWORD
• MENTAL HEALTH SERVICES: AN INTERNATIONAL PERSPECTIVE - Thomas R. Holmes and Merl C. Hokenstad
• THE DEVELOPMENT OF MENTAL HEALTH SERVICES IN SUB-SAHARAN AFRICA: THE CASE OF RWANDA - Froduald Gatarayiha, Franz Baro, Morton 0. Wagenfeld,
• & Rene Stockman
• MENTAL HEALTH SERVICES IN INDIA - S. Rajkumar
• MENTAL HEALTH SERVICES IN MEXICO - Teresa Lartigue and Juan Vives
• MENTAL HEALTH SERVICES IN EGYPT - A. Okasha
• MENTAL HEALTH POLICY AND PROGRAMS IN ISRAEL: TRENDS AND PROBLEMS OF A DEVELOPING SYSTEM - Uri Aviram
• MENTAL HEALTH SERVICES IN HONG KONG: HISTORY, MODERN …

Mental Health Services In India, S. Rajkumar

The Journal of Sociology & Social Welfare

India has a population of over 800 million of which about 20 million are suffering from a mental illness. In terms of numbers of patients alone, mental health planners are presented with quite a challenge. How the challenge is being met is the topic of this article. Governmental efforts need to be augmented by voluntary agencies and private practitioners for optimal mental health care. Despite deficiencies, India is a pace setter for many developing countries. It has the political will to initiate needed changes. Aftercare services for the mentally ill should be a top future priority.

Mental Health Services In Mexico, Teresa Lartigue, Juan Vives

The Journal of Sociology & Social Welfare

The history of mental health services in Mexico is traced from the time of the Spanish conquest to modern times. The present structure of mental health services is outlined as it relates to the overall social services and health\care system in Mexico. Inpatient, aftercare, partial hospitalization, and outpatient service are outlined and described. Levels of service and distribution of facilities and staff by region are given. Methods of intervention are described from traditional healers, to highly specialized modern psychiatry, to innovative community self-management programs. Key issues in the future are financial resources, distribution of services and staff, and ways to …

Mental Health Services In Egypt, A. Okasha

The Journal of Sociology & Social Welfare

This paper begins with a historical perspective on mental health care from ancient Egypt to modern times. Current mental health services are described including epidemiological information, the structure of services, and methods of service delivery. Contrasts are made between urban and rural community care systems. The changing demographics of institutional care are analyzed in detail and future plans for psychiatric services are discussed. The recent development of comprehensive interdisciplinary model of service and the founding of a training center for this model is described.

Mental Health Policy And Programs In Israel: Trends And Problems Of A Developing System, Uri Aviram

The Journal of Sociology & Social Welfare

Israel has an ancient history blended together with a relatively brief independent identity. An introductory section provides a backdrop for understanding mental health policies and programs in the context of the cultural and historical background of Israel's people. The second section portrays the nature of the mental health delivery system. The final section focuses on three interrelated issues: the limited development of community mental health services, the dominance of the mental hospital in the provision of mental health services, and the medicalization of mental health services.

Ua12/2/1 Magazine, Wku Student Affairs

WKU Administration Documents

Special magazine edition of the College Heights Herald:

• Poore, Chris. Silent Escape – Amy Deputy, Bulimia

Self-Empowerment Among Adults With Severe Physical Disability: A Case Study, Nancy A. Brooks

The Journal of Sociology & Social Welfare

An independent living residential setting for severely physically disabled adults was studied through overt observation methods for twenty-two months. The purpose was observation of residents' council actions and expressions of group interests. The council displayed several phases of political structure and behavior. These phases were related to staff and administrative considerations as well as the residents emerging demonstrations of self-empowerment at the group level. The capacity for selfadvocacy emerges as a dynamic enterprise which is clearly related to the structure and interests of the service agency.

Police Evidence And Court Outcomes For Drunk Driving Cases, Dale E. Berger

CGU Faculty Publications and Research

From police arrest records and case narratives, we collected information on the evidence reported from each of four phases of a drunk-driving arrest.

Personality Characteristics Of Adult Children Of Substance Abusers, Julie Siri

Theses Digitization Project

No abstract provided.

Psychosocial Correlates Of Fire Disaster Among Children And Adolescents, Russell T. Jones, David Paul Ribbe, Phillippe Belton Cunningham

FMHI Publications

No abstract provided.

Reliability Of Delayed Self-Reports In Disaster Research, Fran H. Norris, Krzysztof Kaniasty

FMHI Publications

No abstract provided.

Mmpi Profiles Of Sexual Perpetrators, Steven G. Vaupel

Masters Theses

The purpose of this study was to compare MMPI scores of 60 men referred for assessment and/or counseling at community mental health facilities. No MMPI protocols were excluded due to elevated validity configurations (70T or above). Forty of the referrals were referred for suspected child sexual abuse. Twenty of the referrals admitted (Admitter) to sexually abusing a child at the time of referral and twenty did not admit (Nonadmitter) to sexually abusing a child when referred. A control group of the remaining twenty subjects were referred for various offenses, none of which included sexual offenses against children. Significant differences were …

The Validity Of Studies That Test The Effectiveness Of Psychotherapy, Ian K. Isaacs

Masters Theses

This thesis is a review of the validity of studies on the effectiveness of psychotherapy. Ten randomly selected studies are examined to determine if the validity of the study was affected by threats to statistical conclusion, internal, construct, and external validity. All of the studies examined were published after 1985. The results indicate that validity of the research on the effectiveness of psychotherapy is affected by some threats to validity: History, Testing, and Selection bias, (ie. internal validity). In addition, external validity was affected by the lack of use of appropriate control group, lack of a description of the therapy …

The Selection And Implementation Of A Drug And Alcohol Intervention Program/Model For Grand Coulee Dam Junior High School, Grand Coulee, Washington, Scott L. Ramsey

All Graduate Projects

The purpose of this study was to plan and implement an intervention program to combat adolescent substance abuse at Grand Coulee Dam Junior High School, Grand Coulee, Washington. This study presented a review of the research and literature related to drug and alcohol intervention models and has documented the steps and procedures taken by the Grand Coulee Dam Junior High School Core Team to implement the intervention model selected.

Psychological Sequela Of Hurricane Hugo: An Application Of The Conservation Of Resources Model Of Stress, Darlene L. Shaw

FMHI Publications

No abstract provided.

The Relationship Between Knowledge, Attitudes, And Behavioral Intentions Regarding Mental Illness With A Focus On Schizophrenia, Kellie Kae Boeckmann

Dissertations and Theses @ UNI

The purpose of this study was to assess subjects' knowledge about schizophrenia in relation to their attitudes regarding the mentally ill. The variables' relationship with behavioral intentions toward persons with schizophrenia was also evaluated. A behavioral intentions scale, developed for use in this study, was completed by subjects in a preliminary study designed to establish the instruments' reliability. The research strategy employed in the principal study involved the use of three questionnaires: (a) the Knowledge of Mental Illness-- Schizophrenia Scale (Wahl, 1987); (b) Scales for Measuring Beliefs About the Mentally Ill (Dear & Taylor, 1982); and (c) the Behavioral Intentions …

The Effects Of Wellness Activity Choices On Urban Employees' Psychological Mood States And Job Satisfaction, Ruth Porter Holland

Theses and Dissertations in Urban Services - Urban Education

This ex-post-facto study was designed to examine the effects of varied levels of physical activity participation choices on employees' mood states and job satisfaction. A six (group) x two (sex) x three (times) ANCOVA method analyzed the relationship of three independent variables (group, sex and repeated exercise sessions) to ten dependent psychological measures (seven mood states and three job satisfaction components). Comparisons by group, sex, and time were made to determine whether four treatment groups of male and female employees who made choices to participate in varied levels of physical activity over an eight week period differed significantly from two …

Applying The Matching Law In A Sheltered Workshop, Kristin Elizabeth Skousgard

Masters Theses

This study assessed the validity of the matching law in an applied setting. It manipulated extraneous reinforcement and measured the rate of rocking in a 24-year-old developmentally disabled man. The resulting data were compared to that predicted by the matching law.

The results were important in three ways: (1) extraneous reinforcement systematically affected rocking in an applied setting in the manner predicted by the matching law, (2) a clinically undesirable behavior decreased in frequency, and (3) this decrease occurred in the absence of direct intervention on the target behavior. Thus, to a slight degree, scientific, practical and humanitarian goals were …

The Effects Of Problem-Solving Skills Training With Chronic Schizophrenic Patients, Asiah Mayang

Masters Theses

Problem-solving skills were taught to aggressive and frequently secluded chronic schizophrenic inpatients of a psychiatric hospital. A pre-intervention/post-intervention experimental-control group design was utilized. Eighteen patients were randomly assigned to three groups: six were assigned to the “treatment group” and received problem-solving skills training involving instructions, modeling, feedback, role-playing and social reinforcement; six were assigned to the “interaction” group, involving social interactions with the trainer only; and six were assigned to the “control” group, involving no treatment or interaction with the trainer. Improved problem-solving skills on both familiar and novel video-taped skits were observed for the treatment group, but not for …

Solitary Aerobic Exercise As A Treatment Of Unipolar Depressive Disorders In Women, Lisa Ann Romano-Neal

Masters Theses

The effects of solitary aerobic exercise on depressive symptoms were tested on four women diagnosed with unipolar depressive disorders. A multiple baseline design was employed. The subjects individually participated in uniform one hour aerobic workouts three times a week for five to eight weeks. Heart rate measures were monitored through the utilization of the physical working capacity test with the Monark 818E Professional Ergometer. Predicted volume oxygen uptake (VO2 max) measures at post-treatment did not increase in two of the four subjects when compared to pre-treatment VO2 max measures. The mean percentage of depressed adjectives endorsed showed minimal reductions on …

Differential Perception And Adolescent Drinking In The United States: Preliminary Considerations, John B. Harms, James L. Wolk

The Journal of Sociology & Social Welfare

This paper addresses adolescent drinking from a perspective very similar to Sutherland's differential association theory. Drinking occurs when positive perceptions of drinking outweigh or outnumber negative ones. Our research focuses on images of drinking communicated by rationalized sources organized specifically to shape perceptions of drinking. We call these organizations "agencies" and assess their impact on perceptions of drinking. It is our contention that the political economic context of the United States in which these agencies function is such that positive images of drinking outnumber and outweigh negative ones, and that this is an important factor contributing to adolescent drinking.

Assessment Of Maternal Substance Abuse And Neonatal Exposure, Carol Jean Dauenhauer Giese

Loma Linda University Electronic Theses, Dissertations & Projects

Infants born to adolescent and young adult mothers who abuse substances, are at high risk for chemical dependency and its sequelae. There is a need to identify such infants and their mothers so that intervention will be available to them. The purpose of this study was to develop a systematic approach to evaluate mothers and infants for potential drug use and improve the quality of the nurses decisions.

This research project involves two sub-projects. In Part A, a Substance Abuse Assessment Tool (SAAT) was developed. The hospital nurses used the SAAT March 1, 1990, through April 12, 1990. The incidence …

Comparison Of Behaviors Of Suspected Sexually Abused And Nonsexually Abused Preschool Children Using Anatomical Dolls, Rita Kenyon-Jump

Masters Theses

Using anatomical dolls, the play behaviors of nine sexually abused preschool children (five males, four females), ranging in age from 3-5 years, were compared with nine preschool children with whom there was no suspicion of sexual abuse and who were matched on the basis of age, gender, race, family status, and socioeconomic status. There was no significant difference between the two groups on explicit sexual behavior (vaginal, oral, and anal intercourse with thrusting motions between the dolls or between the child and dolls and masturbation by the child). The groups were significantly (t (8) = 2.19, p < .05 ) different when behaviors with suspicious sexual implication were combined with explicit sexual behaviors. There were no differences between the groups on measures of aggression, anxiety, and nonsexual behavior. The occurrence of the suspicious sexual behaviors is discussed and reviews of previous doll research and physical evidence of child sexual abuse are provided.

An Investigation Of Three Strategies To Enhance Generalization Of Conversational Skills, Janice Ann Cain

Masters Theses

The purpose of the present study was to investigate the effects of three strategies to enhance generalization of taught conversational skills: (1) multiple and varied scenarios, (2) multiple conversational partners, and (3) homework assignments. A multiple baseline across behaviors design tested whether the initial training package produced generalization to the probe sessions and whether the addition of homework would produce greater generalization to the probe sessions compared to that observed during the initial training. Four adults, one male and three female, ranging in age from 20-64 years served as subjects. Skills were taught using a combination of coaching, modeling, behavioral …

Improving Active Treatment Through Performance Management, Carman E. Stark

Masters Theses

The primary purpose of this project was to evaluate a performance management program using a goal setting and feedback system implemented by unit supervisors in a large psychiatric hospital. The focus of the research study was to improve active treatment for mental health patients by increasing levels of staff-patient interaction. Behaviors o f self-recording by staff and instructions and goal setting by the unit supervisor were targeted. Feedback was provided by the unit supervisor in the form of publicly posted graphs indicating percent of completed assigned activities. The four phases used in the data summary include: (1) baseline, (2) goal …

Progressive Muscle Relaxation As An Adjunctive Treatment For Moderate Asthmatics, Kellye Hutton Slaggert

Masters Theses

This study examined the effects of parent assisted progressive muscle relaxation (PMR) training on moderate asthmatics. Three children between the ages of 7 and 12 participated in the study. After 3 weeks of PMR training and daily practice, the parents became involved in prompting their children to use PMR when an attack appeared likely.

The findings from this study suggest that parental prompting of PMR was instrumental in decreasing the frequency of attacks, increasing peak expiratory flow rates (PEFR) values, and decreasing the severity of attacks for 2 of the 3 subjects. The long term implications for using PMR as …

Death Preparation: The Construct And A Proposed Predictor Of Death And Death Anxiety, Robert A. Papazian

All-Inclusive List of Electronic Theses and Dissertations

In previous studies, death preparation has often been narrowly defined as involving formal and informal educational opportunities (e.g., Bailey, 1976; Miles, 1980; Watts, 1977). In the present study this construct was defined as the quantity (aggregate) and quality (resolution) of experiences, cognitions, and affective processes in response to anticipatory, perceived, analog, and actual loss. A 132 item questionnaire was developed to assess experiential, cognitive, and affective preparation. Quantitative measures of exposure to death-related events as well as the qualitative measure of subjective adjustment to potential loss were evaluated. Reliability and validity for the construct were established and its relationship with …

The Relationships Of Body-Image Attitudes To Sexual Functioning And Experiences In A Normal College Population, Jill D. Hangen

Psychology Theses & Dissertations

This study examined the relationships of body-image attitudes and sexual attitudes, experiences, and functioning in a college population. Sixty-five males and 120 females completed a variety of established self-report measures assessing the constructs under study, as well as two new measures developed in this study. The new measures included (1) The Sexual Experiences and Problems Survey for self-assessment of difficulties in sexual functioning, and (2) The Body Exposure in Sexual Activities Questionnaire to measure self-consciousness and avoidance of body exposure in sexual contexts. Analyses were performed in the data of those predominantly heterosexual subjects who reported a history of sexual …

Psychological Effects Of Disaster On Children And Their Families: Hurricane Hugo And The Loma Prieta Earthquake, Judith A. Boore, Gina Earle, Lewis Aptekar

FMHI Publications

No abstract provided.

Effects Of Program Implementation On Adolescent Drug Use Behavior The Midwestern Prevention Project (Mpp), C. Anderson Johnson, Mary Ann Pentz, Elizabeth A. Trebow, William B. Hansen, David P. Mackinnon, James H. Dwyer, Brian R. Flay, Stacey Daniels, Calvin Cormack

CGU Faculty Publications and Research

This study evaluated the relationship between level of program implementation and change in adolescent drug use behavior in the Midwestern Prevention Project (MPP), a school- and community-based program for drug abuse prevention. Trained teachers implemented the program with transition year students. Implementation was measured by teacher self-report and validated by research staff reports. Adolescent drug use was measured by student self-report; an expired air measure of smoking was used to increase the accuracy of self-reported drug use. Regression analyses were used to evaluate adherence; exposure, or amount of implementation; and reinvention. Results showed that all schools assigned to the program …