Mental and Social Health Commons^™

Understanding And Building Resilience With Art: A Socio-Ecological Approach, Meagan Shand

Theses: Doctorates and Masters

Resilience is a widely researched phenomenon, it means different things to different people and is perceived and measured according to the theoretical lens being applied. The following thesis reviews the theoretical development of resilience that has led to contemporary understandings, to establish a platform for the research topic - understanding and building resilience with Art. Narrative research methods are combined with art processes to illuminate the stories of eight culturally diverse women participating in a community based mental health art program, in Western Australia. Fifteen resilience themes emerged from the collective experience, and are presented in a socio-ecological framework to …

Principles Of Practice In Mental Health Assessment With Aboriginal Australians, Yolonda Adams, Neil M. Drew, Roz Walker

Research outputs 2014 to 2021

In this chapter, concepts and history of assessment and testing in the context of Aboriginal and Torres Strait Islander social and emotional wellbeing and mental health are discussed. Importantly, recently revised diagnostic guidelines and the National Practice Standards for the Mental Health Workforce 20131 and their appropriateness for meeting the distinctive needs of Aboriginal people are reviewed. Various assessment tools and measures that have been validated or proved appropriate for use with particular Aboriginal populations, i.e. youth, women and older people, are described. We conclude that practitioners need to be critically reflective in their role in assessment, and position themselves …

Learning From The Experts: Qualitative Study Of The Lived Experience Of Mental Illness, Zdenka Bartova

Theses: Doctorates and Masters

Severe mental illness has a profound effect on the affected individuals yet it does not necessarily prevent them from leading a meaningful and fulfilling life, and therefore recovering. Recovery has received a great interest in clinical and consumer research yet little is known about how those individuals who do not primarily identify with recovery respond to the concept and come to accept it as something that is personally meaningful. Using a qualitative approach following the principles of Gadamer’s (1975) hermeneutics, the present study explored people’s subjective experience of mental illness with the aim of identifying factors related to their views …

Papanicoloau Smear Uptake Among Substance-Using Mothers In Western Australia, Sadie Geraghty, Sara J. Bayes, Renate Mclaurin, Angela O'Connor

Research outputs 2013

Background: Papanicoloau (Pap) smear screening has helped to reduce cervical cancer rates significantly through the detection of premalignant cells (Bray et al, 2005). Uptake among women who use alcohol and other drugs (AOD) is known to be low (Chau et al, 2002) so they are at increased risk of being under-represented in the adequately screened population. AOD-using women experience disproportionately increased morbidity and mortality from cervical dysplasia and cancer (Nogara et al, 2013). Pregnancy may provide the midwife an opportunity to offer this vital screening test.

Objective: The audit investigated Pap smear uptake and results among AOD-using pregnant women.

Setting: …

Internet-Based Photoaging Within Australian Pharmacies To Promote Smoking Cessation: Randomized Controlled Trial, Oksana Burford, Moyez Jiwa, Owen B. Carter, Richard Parsons, Delia Hendrie

Research outputs 2013

Background: Tobacco smoking leads to death or disability and a drain on national resources. The literature suggests that cigarette smoking continues to be a major modifiable risk factor for a variety of diseases and that smokers aged 18-30 years are relatively resistant to antismoking messages due to their widely held belief that they will not be lifelong smokers. Objective: To conduct a randomized controlled trial (RCT) of a computer-generated photoaging intervention to promote smoking cessation among young adult smokers within a community pharmacy setting. Methods: A trial was designed with 80% power based on the effect size observed in a …

Framing Anorexia : A Play Script And Multidimensional Investigation Of Anorexia : A Play And Critical Essay, Louise Helfgott

Theses: Doctorates and Masters

This thesis explores anorexia nervosa in young people. It comprises two components: a play script, "Frames", about 16-year-old Elizabeth who is combating the disorder, her troubled friend Ben, and their families, and a critical essay that reviews qualitative and quantitative literature about anorexia and contextualises the play in relation to selected narratives, plays and films. In my field research, I interviewed a number of professionals working in the field of anorexia and the essay also discusses their views and insights.

Few plays deal with anorexia in an in-depth manner to explore the onset and development of the illness. "Frames" addresses …

Pediatric Medical Traumatic Stress : The Impact On Children, Parents And Staff, Sarah Mcgarry

Theses: Doctorates and Masters

Burns are one of the most painful and traumatising injuries an individual can sustain and constitute a serious global health threat to children. Despite the magnitude of this public health problem, little research has examined the psychological burden of these injuries. This study used a mixed-methods approach to investigate the effect of paediatric medical trauma on children who have sustained a burn, their parents and the healthcare professionals caring for these patients. The paediatric medical traumatic stress model provided a theoretical framework for this study.

Firstly, this study aimed to gain an understanding of the lived experience of children who …

Scripting Therapeutic Screen Stories : Animating The Healing Potential Of Film Narratives, Andrew Levett

Theses : Honours

Beyond entertainment, animated narratives can potentially induce psychological healing, termed “individuation.” Stories exist in many forms, like literature, film and conversation, as well as in the human mind, or “psyche.” These “self-narratives” use life experience to shape consciousness. Therefore, effective storytelling based on archetypal myths can restructure the psyche. Film narratives communicate meaning through symbols, termed “textual cues”, while screenwriters employ specific templates, which organise story information into familiar structures. These guide audiences towards predetermined meaning. Through bibliotherapy, which is the use of literature for therapeutic purposes, audiences project their unconscious content onto narrative components that resonate with it. Ego-consciousness …

The Stigmatisation Of Alcohol And Other Drug Services, Kim Eaton

Theses : Honours

People who are dependent on alcohol and other drugs (AOD) are often stigmatised. Evidence suggests that the people who provide AOD users with health and welfare supports also feel the stigma experienced by users. However, the literature supporting this proposition consists of inadvertent findings and findings generalised from other populations. A systematic review of the limited research into stigma experienced by people working in the AOD field was conducted. This involved a multi-phase database, journal and website search, with additional hand searching of relevant referenced articles. Overall, 146 relevant studies were found, 38 of which were applicable to this review, …

Improving Functional Outcomes For Children And Adolescents With Anxiety Related Disorders Through Occupational Thrapy : A Narrative Review ; Perceptions Of The Role Of Occupational Therapy In Community Child And Adolescent Mental Health Services (Camhs), Paula J. Anderson

Theses : Honours

Background/Aim: Children and adolescents experiencing anxiety find it challenging to maintain optimal occupational performance, thus the specific role of occupational therapy in the management of anxiety requires investigation. This narrative review examines the current available literature surrounding the use of occupational therapy approaches for children and adolescents experiencing anxiety.

Methods: Academic journals as well as a variety of sources were considered, due to the paucity of literature surrounding this topic. Articles were included if they discussed the occupational therapy role in treatment of children experiencing anxiety symptoms, including anxiety related disorders such as post traumatic stress disorder (PTSD) and obsessive …

An Analysis Of Treatment Retention And Attrition In An Australian Therapeutic Community For Substance Abuse Treatment, Mark Robert Porter

Theses: Doctorates and Masters

Research undertaken in the last three decades has consistently reported that the length of time spent in inpatient and outpatient alcohol and other drug (AOD) treatment programs predicts treatment success (De Leon, Melnick, Kressel, & Jainchill, 1994; Hubbard, Craddock, & Anderson, 2003; Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999). However, treatment attrition rates are high and present a major problem for improving treatment outcomes. Various factors that have been reportedly associated with increased AOD treatment attrition rates include being female, younger clients, clients using methamphetamines, and clients with elevated psychopathology scores. The aim of this thesis is to improve understanding …

Improving Evaluations Of Anti-Bullying Programs In Schools, Thérèse Shaw

Theses: Doctorates and Masters

Bullying at school is associated with negative social, psychological and academic outcomes for both the victimised student and the perpetrator. As a consequence, national strategies to address bullying have been implemented in numerous countries, and education sectors and schools have increasingly directed resources to the problem. To ensure resources are allocated to programs and strategies that will prevent and successfully respond to bullying in schools, and therefore prevent harm to students, evidence of program effectiveness is required. Evaluations of anti-bullying programs in schools have had mixed results and there is a lack of robust evidence as to their impact. Several …

Family Systems And Mental Health Issues: A Resilience Approach, Lynne Cohen, Catherine Ferguson, Craig Harms, Julie Ann Pooley, Stuart Tomlinson

Research outputs 2011

In many cases the consumers of mental health information and support are the families of mental health sufferers. The aim of the project was to understand resilience in people who live with or support a family member with a diagnosed or undiagnosed mental illness. Participants were 15 carers (one male, 14 female). Semi-structured interviews were transcribed and analysed using content analysis. Eight recurring themes emerged which indicated the challenges the carers faced and provided indications of the positive and negative personal, family and social factors that impacted on their lives. These themes were 'Getting to CLAN WA', 'Accessing help including …

Parental And Carer Responses To Angelman Syndrome And Prader-Willi Syndrome, Allyson K. Thomson

Theses: Doctorates and Masters

The research project undertaken as part of this thesis was designed to assess family stress levels and the use of coping strategies among the carers of people with an intellectual disability caused by Angelman syndrome (AS) or Prader-Willi syndrome (PWS). Both syndromes are genomic imprinting disorders that arise from disruptions in genes located within human chromosome 15q11-q13. Although the disease phenotypes are quite distinct, the genetic mechanisms involved are common to both syndromes but involve paternally-derived mutations in PWS as opposed to maternal mutations in AS. Previous investigations in Western Australia (WA) indicated that people with AS and PWS experience …

Experiences And Perceptions Of How Community-Based Interventions Can Promote Young Adults' Resilience To Suicide Within Rural/Regional Communities, Tracy Evans

Theses : Honours

In the literature, both statistics and studies have noted that suicide in rural/regional young adults' is an important concern. Recent research suggests, that to facilitate a primary approach to suicide prevention in young people, there is a need to promote the protective construct of resilience at a community level, highlighting strategies such as connectedness, and decreasing the stigma related to mental illness and health-seeking behaviour (Commonwealth Department of Health & Aged Care, 2005; Injury Control Council of Western Australia, 2006). However, there is a need to investigate and identify the links or mediating factors that promote individual resilience within a …

To What Extent Is The Spirit Of Motivational Interviewing Present In The Experience Of Alcoholics Anonymous Members?, Mark Williams

Theses : Honours

More people tum to Alcoholics Anonymous (AA) in an attempt to recover from alcohol dependence than any other intervention. AA has historical links with confrontational approaches to alcohol treatment, and motivational interviewing (MI) was conceived by Miller in the 1980's as an alternative to these confrontational approaches. There are divided opinions on whether AA is confrontational; therefore, the primary aim of this qualitative study was to gain an insight into how the spirit of AA is experienced by its members. Ten members of AA were interviewed using a semi-structured interview schedule. Thematic analysis from a constructionist perspective was utilised in …

A Quest Through Chaos: My Narrative Of Illness And Recovery, Katie Ellis

Research outputs pre 2011

Narrative is vital, as the ill person works out their changing identity, and position in the world of health, continuing when they are no longer ill, but remain marked by their experience. 2 Following the tradition of illness auto ethnographers (Frank, The Wounded Storyteller; Ettore; Rier), this article critically examines the role of narrative throughout recovery from serious illness or trauma by connecting the (my) autobiographical to the social, political and cultural. The focus then shifts to the recent emergence of illness narrative blogging to consider their cultural significance before exploring stigma and resistance to the telling of illness narratives …

The Impact Of Centre Based Respite On Occupational Performance For People With Dementia, Kristy Ness

Theses : Honours

Dementia affects occupational performance by restricting one's ability to carry out valued roles and activities. Centre based respite has been described as one intervention to maintain or improve occupational performance and prevent or delay institutionalisation for people with dementia. The purpose of this study was to explore the impact of centre based respite on occupational performance components as outlined by the Occupational Performance Model (Australia) for people with dementia. Five spousal caregivers, recruited through Alzheimer's Australia WA, participated in semi-structured interviews. Data was analysed using framework analysis techniques. Findings revealed centre based respite attendance can positively influence marital relationships, mood, …

E-Help: Community Perspectives On Help-Seeking Using Electronic Forms Of Communication, Jacqueline D. Myles-Pallister

Theses : Honours

The provision of mental health services using telephones, the Internet, and mobile phones (e-help), has been widely recommended as part of a solution to closing the gap between high prevalence of mental illness and low rates of service uptake. However, little is known about how potential users of these services view them. To address this gap, three focus groups (N = 17, age 17 - 69 years) were conducted to explore general community perspectives on using e-help. Interpretative phenomenological analysis identified three themes with related subthemes: (1) awareness; (2) trust and feeling safe when seeking and using e-help; (3) it …

Falls, Depression And Antidepressants In Later Life: A Large Primary Care Appraisal, Ngaire Kerse, Leon Flicker, Jon J. Pfaff, Brian Draper, Nicola T. Lautenschlager, Moira Sim, John Snowdon, Osvaldo P Almeida

Research outputs pre 2011

Background: Depression and falls are common and co-exist for older people. Safe management of each of these conditions is important to quality of life.

Methods: A cross-sectional survey was used to examine medication use associated with injurious and non-injurious falls in 21,900 community-dwelling adults, aged 60 years or over from 383 Australian general practices recruited for the DEPS-GP Project. Falls and injury from falls, medication use, depressive symptoms (Primary Health Questionnaire (PHQ-9)), clinical morbidity, suicidal ideation and intent, health status (SF-12 Health Survey), demographic and lifestyle information was reported in a standardised survey.

Findings: Respondents were 71.8 years (sd 7.7) …

Review Of The Social And Emotional Wellbeing Of Indigenous Australian Peoples, Darren Garvey

Research outputs pre 2011

The first case of diabetes among Indigenous people was recorded in Adelaide in 1923. Records prior to this time showed that Indigenous people were fit, lean, and did not suffer from any form of metabolic condition, which were largely believed to be a characteristic of European populations. The earliest detailed studies investigating the development of diabetes in Indigenous populations were not undertaken, however, until the early 1960s. These and subsequent studies found a significant correlation between the development of a ‘westernised’ lifestyle and the levels of type 2 diabetes in the Indigenous population.

Since that time, type 2 diabetes has …

The Relationship Between Nicotine Dependence And Symptoms Of Anxiety, Depression And Stress In A Therapeutic Community For Alcohol And Other Drug Rehabilitation, Thomas Hopkins

Theses : Honours

Smoking tobacco is the largest single risk factor for premature death in developed countries. It is also associated with the greatest economic cost of all drugs in Australian society. In addition to the health and economic consequences associated with smoking, it has also been associated with mental health problems. Smoking has been associated with anxiety, depression and stress, as well as more pervasive disorders such as panic disorder and agoraphobia. It is not clear whether smoking contributes to mental health problems or individuals with mental health problems smoke to alleviate symptoms. It may be there are genetic factors that contribute …

The Benefits Of Pet Ownership For Single Adults In Midlife, Lauren Mcgillivray

Theses : Honours

Pets are shown to enhance quality of life through support and companionship. Midlife is a time where pets may be most valuable, since it is a time that involves critical changes to intimate relationships, roles and status. In this article a critical review of the literature on midlife development and demographic trends was carried out. Further, the psychological literature on human-pet relationships was reviewed and integrated with midlife research. Evidence for the psychological and physical benefits of pets is examined and the implications and potential benefits for middle aged adults are discussed. Findings suggest that pets may help to reduce …

Optimising School Nurse Involvement In Youth Based Tobacco Control Programs: Presented To The Western Australian Health Promotion Foundation, Child Health Promotion Research Unit, Edith Cowan University

Research outputs pre 2011

A significant proportion of youth smoke regularly, placing them at risk of addiction to cigarette smoking. It is known that adolescence is a critical period for the establishment of adult drug use behaviours. The key focus for this research program is the investigation of interventions addressing adolescent smoking cessation, with a particular emphasis on School Nurse involvement.

The research program aims to provide capacity building benefits at three levels: to secondary school nurses, to two post-graduate students, as well as school health promotion /smoking prevention/cessation practitioners and researchers. Ultimately this project may add previously underused but well trained, highly credible …

Impact Of Extra-Curricular Activities On Adolescents' Connectedness And Cigarette Smoking: Final Report, Margaret Hall, Greg Hamilton, Therese Shaw, Donna Cross, Tommy Cordin, Leanne Lester, Stacey Waters

Research outputs pre 2011

In Australia, cigarette smoking is still the leading cause of preventable death and yet in the past 10 years, despite efforts that have been made in the classroom and through the media, there have been limited reductions in adolescent smoking. The Extra-curricular Project builds on the work of two other projects conducted by researchers from the Child Health Promotion Research Centre (CHPRC). The Smoking Cessation for Youth Project (SCYP), conducted by the Western Australian Centre for Health Promotion Research, led to the identification of connectedness as a key mediator of cigarette smoking. The role of extra-curricular activities in mediating school …

From Gps To Psychologists: The Patients' Perspective On Help-Seeking And Referral, Zdenka Bartova

Theses : Honours

The experience of living with psychological problems has a profound effect on an individual's life. For those actively seeking help, General Practitioners usually present the first point of contact. General Practitioners thus serve as gatekeepers who either decide to manage the individuals themselves and/or refer them to a mental health professional. The referral decision is part of a complex help-seeking process in which patients have to mediate their own understanding of their problems with that of the practitioner, all within the structural constraints of the current health care system. This literature review discusses constructs of mental illness and the impact …

Why It Is Important To Look At Long-Term Abstinence From Heroin Use: A Review Life Beyond Heroin: An Exploration Of The Motivations For Long-Term Heroin Abstinence, Lucy Dann

Theses : Honours

The phenomenon of achieving long-term abstinence from drug use remains to be thoroughly understood in the alcohol and other drug (AOD) community, particularly in the area of heroin use. This review assesses research in the field of long-term abstinence from drug use and highlights the need to examine long-term abstinence from heroin use. Prochaska and DiClemente's (1986) Stages of Change model of behaviour change is examined as well as literature examining its importance in the AOD field. Studies examining long-term abstinence from alcohol, tobacco, cocaine and heroin use are reviewed from a psychological perspective, focusing on cognitive-behavioural constructs. Findings revealed …

Behavioural Activation Treatment For Depression: A Review Of The Literature ; Effects Of A Brief Behavioural Activation Treatment On Activity Levels And Depression, Debra L. Bailey

Theses : Honours

Behavioural activation (BA) is an emergent psychological treatment for depression rooted in the tradition of behavioural theory. This paper discusses the manner in which BA arose as a result of the seminal Jacobson et al. (1996) study, which dismantled the behavioural and cognitive components of cognitive behavioural therapy (CBT; Beck, Rush, Shaw, & Emery, 1979). Published empirical studies examining the effectiveness of BA are reviewed and considerations for future research are offered. It is concluded that BA shows promise as a parsimonious, effective, and potentially cost-efficient psychological treatment for depression. However, more large-scale research is needed: in samples with low …

Depression, Rumination And Dependency In Relation To Age And Gender, Alison J. Lee

Theses : Honours

Extensive research has been carried out in the field of depression and its relation to age and gender. This article reviews relevant literature in the field of depression, rumination and dependency and the relationships of these to age and gender. It has been shown in numerous studies that depression, rumination and dependency are related and exist in comorbidity with each other. This article also reviews some of the research that has been conducted on age and gender with relation to rumination and dependency. It has been found in relation to rumination, dependency and depression that women are more susceptible than …

A Case Study Investigation Of The Development And Treatment Of Alter Personalities In Dissociative Identity Disorder, Ian Brown

Theses: Doctorates and Masters

Progress in the study and treatment of Dissociative Identity Disorder (DID) has been hampered by ideological debate regarding its validity. This is particularly the case when patient's suffering from DID also report ritualistic abuse. Part of the difficulty has been that past studies have not established independent checks to assess whether alters are artefacts introduced by therapeutic bias. This study addressed this issue by using independent judges to test the validity of a patient being treated for DID who claimed ritualistic abuse. The judges were 16 clinicians with an average of 21 years experience in their respective disciplines. The study …