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Dissertations / Theses on the topic 'Health and social services (HSSC)'
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1
Atkin, Karl Michael. "The production of health and social care." Thesis, University of York, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.297066.
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Mykhalovskiy, Eric. "Knowing health care / governing health care exploring health services research as social practice /." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0018/NQ56249.pdf.
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Swannack, Robyn Danielle. "Deaf Futures: Challenges in Accessing Health Care Services." Master's thesis, Faculty of Humanities, 2019. http://hdl.handle.net/11427/31279.
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The purpose of this research is to explore the structural forces that limit the access to health care services for Deaf people. Literature has acknowledged the disconnection between the Deaf and hearing worlds, particularly in health care. Much of the existing literature exploring these fields have failed to include input from the Deaf community members. As such, hearing perspectives dominate the research and hence also in the lives of Deaf individuals. The narrative presented indicates that hearing people need to be made more aware of Deaf people’s own perspectives and respect the policy of self-representation so that laws and regulations do not negatively affects Deaf people’s lives. Using ethnographic methods, including narratives, participant observation, informal and semi-structured interviews, and photo-elicitation interviews, this study highlights the structural violence experienced in accessing health care by six Deaf people in Cape Town, South Africa. The findings confirm previous studies’ assertions that the dominant biomedical view towards deafness negatively affects Deaf people overall, particularly because of lack of communication access to health care.
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Cuesta, C. de la. "Marketing the service : basic social process in health visiting." Thesis, University of Liverpool, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.316547.
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The present study was undertaken to provide an understanding of the processes underlying health visiting practice. The research strategy selected was grounded theory (Glaser and Strauss 1967, Strauss 1987, Strauss and Corbin 1990). A total of 21 female health visitors from a District Health Authority in the North West of England participated in the study. Data was collected by means of 20 formal interviews and 41 days of participant observation in four different health centres. To recognize the basic social process in any interaction is one of the major aspects of grounded theory. This requires the identification of the "Phenomenon" which motivates the development of a process and the conditions under which it operates. The basic problem or phenomenon in health visiting uncovered in the data was "Securing Life Trajectories". This forms the core of the health visitor's work. The general set of conditions that influence health visiting work was identified as "Working Between Two Worlds". This is used to describe the health visitor's position between the policy agenda and the client's agenda. The process revealed in the data that health visitors use to respond to this overall problem was "Marketing Health Visiting". This refers to the different tactics that they use to introduce the policy agenda into the client's domain. During this process the policy agenda is adjusted to fit the client's circumstances. Three major strategies are identified in this process: 1) Promoting the service, 2) Adjusting delivery and 3) Tailoring the content. This study found that "Marketing Health Visiting" is a gradual process in which the health visitor wins grounds as time passes. As marketing strategies are implemented the conditions influencing the interaction change. Hence it moves from taking place in what is labelled in this study as "Dissociated Context", to a "Convergent Context" and finally to a "Shared Context". The final consequence of implementing marketing strategies is that of constructing "A Common Agenda" with clients. This agenda is basically the personalisation and contextualization of health visiting services. To build this common agenda it is of crucial importance that the client should see and feel the need for the health visiting service as well as the development of trust between the professional and the client. Hence the relationship that is developed between them acts as an enabling factor for reaching mutual collaboration. The discussion of the study focuses on its significance within the actual debate on health visiting about introducing new ways of practice. The health visitor's overall role is examined and the importance of developing relationships with clients is also highlighted.
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Ali, Shaun Kevin. "Quebec's health and social services in transition : managing change." Thesis, McGill University, 2006. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=100737.
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Purpose. To explore the experiences of healthcare managers at a reformed CSSS (Centres de sante et de services sociaux) in Montreal, Quebec and to document the provincial reforms. The objective is to understand the managers' experiences during a period of transition.Method. This study consists of two methods: a document review of relevant policies and reforms of Quebec's health and social services. Secondly, qualitative interview methods were used to explore the experiences of seven managers within a CSSS and their attitudes towards the reform.
Results. Managers described the following: a new window of opportunity, importance of leadership in the reform process, distorted communication, environment of trust, and culture of the organisation.
Conclusion. Quebec's health and social services is an ongoing discourse. Distorted communication creates an atmosphere of uncertainty which hinders the reform process. Implications include the need for further research in understanding healthcare professionals and other actors in the reform process.
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Caraher, Martin. "Social class as illness : nurses' perceptions of the relationship between social class and health promotion." Thesis, London South Bank University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.323905.
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Veenstra, Gerry. "Social capital and regional health governance in Saskatchewan, Canada /." *McMaster only, 1998.
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Wehye, Aubrey Nuah. "Homeless population: utilization of health care services in Atlanta." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1989. http://digitalcommons.auctr.edu/dissertations/993.
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Sims, Anita. "Deprivation and health : social inequality and equity of access to health care services." Thesis, Sheffield Hallam University, 2003. http://shura.shu.ac.uk/20366/.
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The major aims of this research were to investigate and analyse the connections between social deprivation, health inequality and equity of access to health care. Local and national case studies were used to illustrate inequity of access and to explore and assess policies and procedures that attempted to address such inequities at a local level. The available data sources, their limitations and scope were reviewed and described. In depth examinations and critical reviews were made of concepts and tools to measure deprivation and equity. A case study using the (then) new 1991 Census variable, limiting long term illness in a policy context together is described together with validation via a local survey in Shirebrook in North Derbyshire. The use of techniques for operationalising equity as extended to GP allocations is examined in some action research undertaken in North Derbyshire. Social class variations and their influence on place of death amongst cancer patients are examined, quantifying and describing apparent inequity in patterns of access to place of final care for cancer patients in both a local and national context. This work described, analysed and interpreted the connection between social class and access to hospice, home, and hospital deaths.
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Ohaeri, Frances Ahunna. "Parental satisfaction with child mental health services." CSUSB ScholarWorks, 2008. https://scholarworks.lib.csusb.edu/etd-project/3343.
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The purpose of this study was to identify to what degree specific factors influence the level of satisfaction experienced by foster parents whose foster children are recieving mental health services from agencies that they have been referred to by a Coming of Age Foster Family Agency.
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Soto, Sally Alejandra. "Utilization of Mental Health Services Among Hispanics." CSUSB ScholarWorks, 2016. https://scholarworks.lib.csusb.edu/etd/359.
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ABSTRACT
In the United States, Hispanics have the same prevalence of mental illness as any other group however researchers have found that they are less likely to seek mental health services. This population’s lack of mental health utilization is due to various barriers hindering the population’s need for help, a substantial for social work practitioners. To better understand the factors that lead up to that, the current study explored and identified perceptions toward seeking and receiving mental health services among Hispanic members. Using a qualitative data collection, ten participants were interviewed to elicit their perceptions about mental health services ranging from what they believed addressed their lack of seeking services and what they thought about services. Data analysis revealed five core themes among the participants’ responses: Closeness to Family as a reason for people not seeking professional help. Another theme found was environment as a reason for Mental Illness making them feel that there is no need to seek services since they can simply remove the environmental stressor and the illness will seize to exist. Existing support systems were found such as involvement in church as a form of therapy, they talked about their faith providing them a form of support for stressors. Shared culture was a theme that was found to be a necessity for therapy, they felt they did not seek services because they felt mental health practitioners would not validate their culture. The final theme was access and that theme encompassed : not knowing mental health services existed in their community, to lack of Spanish speaking clinicians. The recognition of these themes could potentially guide social work practitioners’ when they are trying to engage the Hispanic community to receive mental health services. Social workers can be aware of the obstacles toward engaging this population into professional therapy, by having an understanding of what they believe about therapy and helping to alleviate or use some of those perceptions as a form of engagement and validating existing strengths that the population has causing them to feel professional services are not needed.
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Godenzi, Alberto, Michele Broemmelsiek, Larry 1941 Snyder, and J. Bryan Hehir. "Is there a future for Catholic health and social services?:." The Church in the 21st Century Center at Boston College, 2014. http://hdl.handle.net/2345/bc-ir:104056.
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Listen to panelists discuss the key challenges ahead for the future of the ministries of Catholic Health and Social Services and the tensions between best practices in service delivery and adherence to Church teaching
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Greene, Joseph Harrison. "Development of a social service program for college health services." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1869.
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The initial development of a social services program in a college health setting is presented, with discussion regarding causes, methods, and outcomes. Both empirical and anecdotal data which were influential in the initial formation of the program are reviewed, in the context of an examination of the research literature relating to this area. The actual development and implementation of the program is followed through its first year of existence. Outcomes are presented in the form of qualitative data analysis and case studies. Discussion of the results and recommendations for both future research and improvements to the program are presented.
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Aulton, Katharine Thirza. "Co-producing public services : the case of health and social care services for older people." Thesis, University of Edinburgh, 2017. http://hdl.handle.net/1842/25986.
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This thesis develops our understanding of the roles and processes underlying the co-production of public services. The co-production concept encapsulates the joint contribution made by service users and service providers to the delivery of services, acknowledging the expertise, inputs and role of service users. There has been an expanding stream of literature within the public management field focusing on co-production, recently enhanced through combinatory insights drawn from the service management literature. The thesis builds on this perspective, and addresses a current gap in understanding regarding the processes and roles that underpin the concept of co-production. In particular the research questions consider: the factors that facilitate co-production; the features of co-production that are evident within everyday service interactions; how service users and employees interact within the processes of co-production; and how these impact upon the delivery of public services at an individual level. The research for the thesis is undertaken within the context of community health and social care services for older people, at two locations in Scotland. An interpretivist, constructionist approach is taken to the inductive study which adopts a qualitative case study methodology. The research findings are drawn from semi-structured interviews with managers, older people and employees delivering services, together with observations of meetings and service interactions. Extant research has often conflated the roles of employees and public service organisations, and equal attention is rarely paid to the co-productive roles of service users and employees. The study makes a theoretical contribution by: developing the concept of active co-production; highlighting the complexities of the roles and processes underpinning co-production; revealing the different types of learning occurring within co-production; and developing a model to explicate the processes that combine the expertise of older people and employees, during the delivery of public services. On a practical level the study also highlights how more advanced and ‘active’ forms of co-production have developed, and the impact this has on the delivery of health and social care services for older people in Scotland.
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Ryan, J. Gregory. "Psychologist-clergy collaboration an evaluation of services offered by Catholic Social Services of Lincoln, Nebraska /." Online full text .pdf document, available to Fuller patrons only, 2002. http://www.tren.com.
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Brown, Amber M. "Utilization of Mental Health Services Amongst African-American Women." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 2017. http://digitalcommons.auctr.edu/cauetds/91.
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This thesis examines mental health utilization amongst African-American women. The study specifically investigated the factors that may predict help seeking behaviors: depression, stigma, African acculturation, mistrust, and religious commitment. The study also examined the role demographics has on African-American women utilizing mental health services. The study examined the following demographics, income, age, marital status, and education status. The sample size consisted 40 African American women, with ages ranging from 18 to 65. The results indicated that age and depression may impact African-American women seeking mental health services. The results showed that stigma, African acculturation, mistrust, religious commitment, income, marital status and education have no statistical significance in predicting African-American women utilizing mental health services.
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Anderson, Lela Ann. "What factors influence client participation in mental health services." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2216.
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The purpose of the study is to develop a foundation of knowledge that could improve the current policies and procedures with regards to their implementation within the mental health services provided by the Children's Bureau.
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Meredith, Sandra K. "Accessing Disabled Student Services| Students' perspectives." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527731.
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The purpose of the study was to explore the perceptions of university students with disabilities and the factors that contribute to or deter them from accessing Disabled Student Services. The sample was based on availability and convenience and consisted of 36 students. A self-administered survey was used.
The results indicated that students tended to seek services to access accommodations and to learn more about services that can help them succeed. They tended to delay seeking services in order to have a fresh start in college and due to their fear of stigma. Individuals with mental health disabilities were less likely than other students to report self-determination and support and more likely to experience stigma.
Social workers can play a vital role in assisting students with disabilities in identifying their specific barriers and in assisting them to access programs and services in a postsecondary education setting.
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Chandola, Tarani. "Social inequality in coronary heart disease outcomes." Thesis, University of Oxford, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.285007.
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Cortez, Ashley Maxine. "BELIEFS ABOUT MENTAL HEALTH SERVICES AMONG EMERGING ADULT LATINOS." CSUSB ScholarWorks, 2016. https://scholarworks.lib.csusb.edu/etd/312.
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Latino populations continue to utilize mental health services at lower rates than their non-Latino counterparts. This is concerning for several reasons. Mental illness, is extremely prevalent in the general population. The population of Latinos (particularly younger individuals) in the United States is rapidly increasing. Acculturation has been found to negatively impact mental health issues in Latino populations. And finally, emerging adult’s unmet mental health needs / issues place them at risk for failing to adapt to adult roles, impacting their lives in many ways. This mixed methods study implores primarily quantitative design and includes two qualitative questions to explore the beliefs about mental health services among emerging adult (18-25) Latinos. Data for this study was derived from a survey, which was developed by adapting current qualitative research focused on Latino mental health and barriers to service. Additionally, questions were created by adapting the Community Attitudes Toward the Mentally Ill to explore stigma towards mental health services and illness. Forty-three completed surveys were analyzed; the findings are presented within this thesis.
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Kuronen, Marjo L. A. "The social organisation of motherhood : advice giving in maternity and child health care in Scotland and Finland." Thesis, University of Stirling, 1999. http://hdl.handle.net/1893/2302.
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This study is a qualitative, cross-cultural research on advice giving for mothers in maternity and child health services in Scotland and Finland. It has been accomplished through local case studies using ethnographic methods. The main objective is to analyse how in these service systems motherhood, women's daily life, and their responsibilities for children's welfare and health are defined and organised, and how these definitions vary across social and cultural contexts. Methodologically, referring to the feminist methodology by Dorothy E. Smith, it is emphasised that beginning from the local and particular, from the everyday practices of health professionals, can provide more general understanding of the social relations that organise motherhood in the two societies. Empirical results of the study are presented under six substantial themes: The first theme discusses different professional groups as service providers and the relationships between them. Second theme concentrates on the clinic and the home as the physical settings of service provision and their professional and cultural meanings. Third section discusses the relationship and interaction between health professionals and their clients. Next two themes are related to the standards of motherhood: expectations for proper motherhood, child care, and family relations of the mothers. The last theme analyses possible conflicts between women's everyday experience and professional expertise in motherhood. The general conclusions drawn from the research suggest that motherhood is socially organised at four different but interrelated levels, named in this study as interactional level, institutional level, welfare state level, and socio-cultural leveL. Advice giving for mothers in maternity and child health care is related to family policy measures, social class and gender systems, historical and cultural tradition, customs, and ways of thinking in a certain society. This complexity underlines the relevance of qualitative approach in comparative research.
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Rodriguez, Adriana. "Stakeholder Views on Children’s Mental Health Services." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/2891.
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Identification of evidence-based treatments (EBTs) has been an important development; however recently, some shortcomings of the approach have been highlighted. These complexities have led to a surge in transportability research in mental health services science with goals of identifying needed strategies to encourage the adoption of innovations. The mental health system ecological (MHSE) model is an approach necessary to assist with closing this gap effectively as it integrates mental health contexts: client-level, provider-level, intervention-specific, service delivery, organizational, and service system characteristics. The aim of this study is to use the MHSE model to examine perspectives of mental health stakeholders on their needs. Data consists of qualitative transcripts from parent, therapist, and administrator interviews/focus groups. Mixed methods were used to develop and analyze codes according to the MHSE model. Results suggested that stakeholder groups mentioned needs relevant to the group of interest and thus have implications for future dissemination efforts.
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Easterling, Calvin Henry. "The Developmentally Disabled Elderly in Canada: Access to Health Care and Social Services." Thesis, University of North Texas, 1992. https://digital.library.unt.edu/ark:/67531/metadc332746/.
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The accessibility, predictors, and use of health care and social services among developmentally disabled elderly adults in Canada were examined using a nationally representative social survey. The first research hypothesis is that the independent variables will contribute significantly to the prediction of the dependent variables. A second hypothesis is that the slope of any given independent variable will not equal zero. The results of this research show that the illness (need) variables are the most predictive correlate of the utilization of health care and social services. The predisposing variables have secondary explanatory power, with the enabling variables accounting for the least amount of variance. The hypotheses were tested by step-wise multiple regression analysis using SPSS-X.
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Harley, Judith Ann. "Mental Health Consumers' Perspectives on Traditional Mental Health Services Versus Peer-Run Services: A Qualitative Study." Ashland University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ashland1352125523.
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Winchester, Robert Stine 1924. "Improving mental health services to the elderly in southeastern Arizona." Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/277309.
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The State of Arizona is under pressure to expand mental health services. Task Forces have been formed to look at several special population groups. This paper is designed to support a Governor's Task Force on the mental health needs of the elderly. Based on a literature review, it is clear that older persons experience significant rates of mental illness. However, current mental health services for the elderly are minimal and their needs for these services remain hidden because of myths and prejudices that are held by health and mental health professionals and the elderly themselves. The need for mental health services for the elderly is defined. Barriers to meeting that need are identified and recommendations for state and local action to improve mental health services for the elderly are presented.
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Buckley, L. C. "Going through changes : a single point of access for health and social care." Thesis, Coventry University, 2013. http://curve.coventry.ac.uk/open/items/7345dede-9192-4dad-827e-9b4ddd4503fa/1.
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Background: Integrated working between health and social care services within England has been encouraged by Government policy in the last decade, and has been argued to provide a seamless, joined up experience for service users (Department of Health 2011). One way of integrating care is through the use of a single point of access to health and social care services. A single point of access to services has been trialled in mental health and learning disability services to improve access, and following on from policy (e.g. Department of Health 2007) and support from literature (Rogers, Entwistle & Pencheon 1998; Lovell & Richards 2000; Raine, Carter, Sensky & Black 2005) a single point of access to health and social care for older adults has been implemented in parts of the UK. This thesis examines the implementation of one such single point of access. Objectives: The aim of the study was to examine the single point of access and whether it had any impact upon integrated working within a county in England, UK. Methods: An ethnographic approach was taken, using a combination of methods including interviews, focus groups and observations. This was complemented by a grounded theory approach to analysis. Findings: The single point of access had an adverse effect upon integration. The poor management of change and lack of communication led to issues within the single point of access such as failure of IT systems and duplication. Staff became frustrated and disengaged from the process, and consequently reported feeling disempowered, retreating back to their professional 'tribes'. Conclusion: Firm conclusions about the efficacy of a single point of access with regard to its effect upon integrated working could not be reached. However, the findings suggest that clear communication, continued change management and recognition of professional culture are decisive factors when attempting to integrate health and social care. Further research into the impact of a single point of access upon integration as well as outcomes for service users is recommended.
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Wagstaff, Christopher. "Experiences of disengagement from mental health services : an interpretative study." Thesis, University of Birmingham, 2016. http://etheses.bham.ac.uk//id/eprint/6980/.
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Whilst there is evidence of a range of effective treatments available for people with severe mental health problems (SMHP), people frequently disengage from mental health services (MHS). This thesis investigates experiences of disengagement of people with SMHP and comprises two studies: 1) semi-structured interviews to elicit the experiences of people with SMHP and a history of disengagement from MHS; and 2) building on those findings, focus groups with staff from assertive outreach teams (specialising in providing care for people with SMHP and a history of disengagement). The participants were those perceived as the most disengaged from MHS yet they were willing to engage with the research. Interpretative phenomenological analysis was used to develop themes for individual participants and then across the participants. Disengagement from MHS was part of a wider experience of a limited connection to social structures, including an ambivalent and complex relationship with MHS. There was a sense of sadness in all aspects of the participants’ experience but they had developed strategies to reinforce personal resilience and to reassert personal identity. The findings of this thesis can be employed to better understand the context of disengagement from MHS and consequently better inform future engagement with this client group.
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Howe, Evan Cecil. "Health Care Utilization by the Homeless Services Population." Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1247001049.
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Foster, Juliet L. "The social representations of mental illness held by clients of the mental health services." Thesis, University of Cambridge, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.270929.
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Mitchell, Penelope Fay. "Mental health care roles and capacities of non-medical primary health and social care services : an organisational systems analysis /." Connect to thesis, 2007. http://eprints.unimelb.edu.au/archive/00003854.
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Jurgens, Eloise H. "Southern Appalachian Settlement Schools as Early Initiators of Integrated Services." Digital Commons @ East Tennessee State University, 1996. https://dc.etsu.edu/etd/2747.
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This historical-descriptive study examined Southern Appalachian settlement schools as early initiators of integrated health and social services with education from the 1900s through the 1970s. Three schools were studied: Hindman Settlement School (KY), Pine Mountain Settlement School (KY) and Crossnore School, Inc. (NC). The purpose of the study was to determine the type and extent of services provided, the relationship of the settlement schools with their respective county public school system, and the transfer, if any, of integrated services from the settlement schools to public schools as the public schools took over educational responsibilities once offered by the settlement schools. The conclusions of this study were that extensive integrated services were offered, changing in type over time, the relationship of the settlement schools with their respective county public school systems was, for the most part, cooperative and sometimes collaborative, and there was no transfer of integrated services from the settlement schools to the public schools. Instead, the settlement schools became an integrated service to the public schools. An additional finding was that Pine Mountain Settlement School engaged in a primitive form of privatization with the Harlan County Board of Education. Further, all three settlement schools, through the wide range of services offered, were builders of communities.
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Dixon, Decia N. "Perceptions of school based mental health services by directors and supervisors of student services." [Tampa, Fla.] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0002079.
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Zermeno, Andrea, and Maria Alejandra Perez. "Mental Health Services for Single Homeless Mothers with Children." CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/829.
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Single mothers with young children living in poverty often experience various disadvantages, especially when they have mental health issues. They are a vulnerable population and face challenges such as poverty, homelessness, and low paying jobs. Homeless mothers and their children often have difficulty in finding means to survive and obtaining basic needs. The purpose of this study was to explore the quality and availability of mental health resources to homeless mother and their children. Ten participants were chosen outside of a homeless shelter in the City of Riverside. The study was a qualitative design conducted through face-to-face interviews.
This study found that most participants in the study have utilized mental health services in their life and most found the services adequate. However, when asked what services they needed the most, more than half of the participants stated needing housing, employment, and food. Less than half of the participants stated needing more mental health services like therapy or rehabilitation services. The study also revealed that half of the participants utilized mental health services for their children and another half have not. With regards to working with a social worker, only four of the ten participants have done so and said they were helpful. Although one stated it was a failure, the remaining five have never worked with a social worker or cannot recall doing so. As a social worker, it can be recommended to actively provide housing and employment resources for their clients that are in need of basic necessities to survive. Another recommendation is for the social worker to acquire their clients’ perception of their needs and working from there to obtain those needs.
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Vaughan, Glenys. "Ethnic origin and the use of social services : the experience of a hospital social service department." Thesis, McGill University, 1990. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=59620.
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The importance of ethnic origin as a factor in delivery of social services has been recognised internationally as relevant at different levels of organization. This study examined 500 dossiers, a random sample of clients referred in 1985 to one hospital social service department in Montreal. Age, gender, status of children, referring hospital service, problems experienced and involvement with community social service agencies were found to be related to ethnic origin, using the Kruskal-Wallis and Pearson chi-squared test. After accounting for differences between ethnic groups in age, type of problem and referring hospital service by the use of logit analysis, ethnic origin significantly affected the changes of involvement with Social Service Centres and Departments of Youth Protection. Among the implications of the results for social services in Montreal were the need for the following: recognition that some ethnic minorities have very different social service needs than the larger ethnic groups; development of skills in cross-cultural social service provision because of the clientele's varied ethnic background; consideration of the impact, desirability and viability of ethnic/socioculturally specific agencies and services. The urgent need for further research is emphasised.
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White, Susan J. Baldwin. "Performing social work : an ethnographic study of talk and text in a metropolitan social services department." Thesis, University of Salford, 1997. http://usir.salford.ac.uk/14744/.
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The central theme of this ethnographic study is captured in the word play in the title. It is, essentially, an analysis of the social work in social work. With a primary focus on the collegial discourse taking place between 'child care' social workers and managers in a social services department in the North West of England, I have undertaken an analysis of naturally occurring talk, interview data, formal policy and procedure, and written records of action taken (case files and minutes) and action to be taken (e.g. court reports, strategic planning documents). My analytic focus has been upon on the routines and linguistic practices through which `caseness' is accomplished. I argue that, although professional accounts are artfully produced against certain (situated) background expectancies, the 'materials' invoked in such accounts are not entirely local phenomena. That is to say, competent accounts are both locally accomplished and contingent upon available vocabularies. In a search for analytic adequacy, I have drawn particularly upon the temporal and rhetorical 'turns' in the human sciences. Using an unashamedly eclectic approach, I argue that 'imported' materials, such as bureaucratic time, remain malleable and, thus, may be invoked strategically and artfully by social workers in their (narrative) constructions of events and 'cases' and, indeed, themselves - allowing them to reference risk, deviance or normality, for example. However, the possibilities are far from infinite, and the liturgical nature of many encounters ensures that what is most remarkable about organizational life is not its instability, but its predictability.
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Ellis, Katherine Rebecca. "Social cognition in genetic syndromes." Thesis, University of Birmingham, 2018. http://etheses.bham.ac.uk//id/eprint/8401/.
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The distinct profiles of sociability and the development of social cognitive abilities was investigated in Cornelia de Lange (CdLS), Fragile X (FXS) and Rubinstein-Taybi (RTS) syndromes. An observational study demonstrated differences in the quality of broad social interaction skills and behaviours during a semi-structured social interaction with an examiner between individuals with CdLS, FXS and RTS. Individuals with FXS and RTS showed lower quality of eye contact, and individuals with FXS showed less person-focused attention, than those with CdLS. Associations between specific behaviours with age and autism spectrum disorder (ASD) symptomatology differed across groups. A second study assessing participant's performance on two scaled batteries of tasks assessing early (intentionality abilities) and later developing (ToM abilities) social cognitive abilities indicated that these groups do not develop these abilities in the same order as typically developing children. Different strengths and weaknesses observed between groups highlighted factors that may lead to disrupted social cognitive development in these groups. A third study showed that intentionality abilities predicted social enjoyment and social motivation, whereas ToM abilities predicted social enjoyment and ASD symptomatology in all groups. These fmdings were synthesised with previous literature to develop a preliminary model of sociability in CdLS, FXS and RTS.
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Aristizabal, Gilberto. "The utilization of health care services in a regional health unit of Cauca Valley, Colombia : a behavioral model /." The Ohio State University, 1988. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487596307357324.
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Friedman, Nicole Lisa. "Impactful Care: Addressing Social Determinants of Health Across Health Systems." PDXScholar, 2019. https://pdxscholar.library.pdx.edu/open_access_etds/5073.
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There is emerging evidence that addressing health-related social needs through enhanced clinical-community linkages can improve health outcomes and reduce costs. Unmet health-related social needs, such as food insecurity, inadequate or unstable housing, and lack of access to transportation may increase the risk of developing chronic conditions, reduce an individual's ability to manage these conditions, increase health care costs, and lead to avoidable health care utilization. In response, work on social needs is happening across large health systems in the United States, but the pace of progress is slow and accountability is diffuse.
The goal of this applied research project is to examine Kaiser Permanente Northwest's patient navigator program as a case study for how health systems can transform into organizations that bridge clinical, social and behavioral health and redefine what it means to be a prevention-oriented delivery system. Kaiser Permanente Northwest (KPNW) provides high quality, patient-centered care to over 550,000 medical members and 240,000 dental members in Oregon and Southwest Washington. In conjunction with the Care Management Institute, KPNW created a patient navigator administered, social needs screening tool called "Your Current Life Situation" (YCLS). This thesis focuses on the data collected from this screening tool with an emphasis on operations management, workflows, and the technical tools that have been supported to do this work. The analysis also uses semi-structured qualitative interviews from patient navigators, physicians, social workers, community organizations and members to better understand the experience of social needs screening in clinical practice and its impact on members and community partners as they receive referrals for services outside the health care delivery system. Through using anthropological theory and methods, I seek to help health systems think and act differently by elevating the voice and experience of the community and translating vulnerable populations' needs into a language that can be integrated into multiple systems of care.
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Slevin, Oliver D'Alton. "Communicating with the elderly : social and educational influences in nurse-patient interactions." Thesis, Queen's University Belfast, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.303006.
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Magill, Isabel. "A social history of tuberculosis in Belfast and its environs 1850-1950." Thesis, University of Ulster, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.386069.
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Silver, Richard. "The Right to English health and social services in Quebec : a legal and political analysis." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0015/MQ46796.pdf.
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Khoury, Dalia. "Considerations in the provision of mental health services toward Arabs." VCU Scholars Compass, 2016. http://scholarscompass.vcu.edu/etd/4110.
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Existing evidence suggests that disparities exist in the use of mental health services by Arabs in the U.S. While there are likely many factors that contribute, lack of cultural competence of mental health providers is one potentially important barrier for mental health service use among racial/ethnic minorities, including Arabs. The primary purpose of this study was to identify and examine factors related to the development and existence of cultural competence toward Arabs. Variables measuring demographics, professional characteristics, familiarity with Arabs, prior experience and knowledge of Arabs, and readiness for change were tested with a randomly selected sample of mental health providers in Northern Virginia.
In order to assess baseline levels of cultural competence toward Arabs, as well as further define the potential relationships of these variables to cultural competence, a new measure of cultural competence toward Arabs [CC-A] was developed and initially validated through a focus group and pilot test. It was subsequently administered to a group of mental health providers in Northern Virginia to further assess the validity of the underlying constructs being tested and to explore relationships between this measure and other key factors. Factor analyses revealed that a unidimensional construct of cultural competence toward Arabs was being measured.
Bivariate and multivariate analyses examined the way this measure related to these constructs. Regression analyses revealed that higher levels of cultural competence were significantly related to higher readiness for change, higher prior levels of knowledge toward Arabs, a greater degree of familiarity with Arabs, and utilizing books as a source of knowledge about Arabs. A model inclusive of these factors explained 19% of the variance in mean scores on the CC-A.
Implications of these findings for research, clinical practice, and graduate training are discussed. These include consideration of alternative models for cultural competence, an assessment of additional methodologies to measure cultural competence, and the development and implementation of cultural competence interventions.
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Wingate, Deborah. "Accessing Children's Mental Health Services In A Rural Northern California County." CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/819.
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When children are detained and enter the foster care system, social workers screen them to determine if mental health services are needed. Formal referrals to mental health providers are made, however there is a significant wait time between referral and service delivery.
The focus of this study was to explore these barriers to mental health services in an effort to identify approaches that might improve service access. Qualitative face-to-face interviews were conducted with key stakeholders using an Ecological Systems Theory to fashion a hermeneutic dialect and a joint construct toward a shared action plan. Data was collected from the interviews and thematically analyzed.
The project informs service delivery systems of mental health for children and adults, both for micro and macro practice, by highlighting the need for increased collaboration between agencies and growing family engagement and empowerment to reduce stigma. These efforts will improve communication, define expectations, and diminish silos. The project also contributes to child welfare practices and policies for referrals of children’s mental health services by noting the need for an embedded mental health therapist within child welfare to accept referrals for services; the addition of one study site contractual children’s mental health service provider in the rural county that will accept referrals for children and families. In summary, the study identifies strategies to reduce wait time for service delivery, how those services are best accessed, as well as efforts to better engage families in treatment.
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Ramirez, Jessica. "The Relationship Between School-Based Mental Health Services and Academic Achievement." CSUSB ScholarWorks, 2014. https://scholarworks.lib.csusb.edu/etd/95.
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The purpose of this study was to determine if there was a significant relationship between school-based mental health services and academic achievement. The study focused on (N=38) students in elementary and middle school, who participated in services from the 2012-2013 school year. The test scores before and after they received services were gathered from an existing database to determine how effective school-based mental health services were. The results indicated there was not a significant difference in measures of academic achievement before and after school-based mental health services. However, results demonstrated a positive relationship between test scores before and after school-based mental health services. Limitations to study, such as the sample size, are also discussed.
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Dallison, Julie. "RDAs and DRVs : natural constants or social constructs? The case of vitamin C." Thesis, University of Sussex, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.363361.
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American Recommended Dietary Allowances (RDAs) and British Dietary Reference Values (DRVs) are used as the scientific benchmarks in a number of policies and surveys relating to food, nutrition and welfare. In the USA the RDAs have a number of statutory and regulatory involvements, particularly with respect to food assistance programmes and the definition of the poverty level. In the UK, although DRVs have no statutory role, they are the benchmarks against which diets of population groups are assessed or food supplies are determined, and hence they indirectly influence various policy decisions. Although RDAs and DRVs are often presented and used as if they were solely scientific standards, the thesis is premised upon the assumption that they are in fact a mixture of scientific, social and political factors. The thesis examines the way in which RDAs and DRVs are constructed, both the process and the products, by particular reference to the allowances for vitamin C in the USA and UK, and the controversy that surrounded the publication of the tenth edition of the RDAs in the USA in the 1980s. In particular, it focuses on what constitutes scientific evidence in the RDA arena, where and why boundaries are drawn between scientific and non-scientific evidence, and what are the judgements and interpretations included in the process and products of RDA and DRV construction. Research was carried out by means of a critical analysis of the literature to identify the relevant scientific evidence and areas of interpretation and selection. This was followed by in-depth interviews with key individuals who were involved in the most recent RDA and DRV report processes or in the disputed 1985 RDA report, or who have been advocates or critics of these standards over the years. The thesis shows that the science underlying the recommended figures is incomplete and the theoretical methods outlined for determining an RDA/DRV were not followed in practice. Even though the standards could be improved by strengthening the scientific evidence, they will always be subject to value judgements over the question of 'adequacy'. Influencing such judgements and also underlying the 1985 RDA controversy are the conflicting certainties and interests of different cognitive groups within science. With scientific credibility and scientific authority at stake, the boundary between science and non-science moves to suit the interests and beliefs of the different scientific groups. At the same time external groups align themselves with the cognitive evidence which reinforces their own position.
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Daly, Clare Louise. "Mental health services and social inclusion in remote and rural areas of Scotland and Canada : a qualitative comparison." Thesis, University of the Highlands and Islands, 2014. https://pure.uhi.ac.uk/portal/en/studentthesis/mental-health-services-and-social-inclusion-in-remote-and-rural-areas-of-scotland-and-canada(2dba9227-469b-4fd5-be05-acdaae19f92a).html.
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Mental health has become an increasingly importantly focus in the UK policy landscape because of its social and economic impact. However, most research to date has focused on living with mental health issues, or providing mental health services, in urban settings. There is limited understanding of the experiences of rural dwellers with mental health issues or the role of the voluntary sector in terms of its contribution to mental health service provision in rural areas. Thus, this PhD explores the experiences of rural mental health service users and providers in Scotland and Canada, and also considers the contribution of mental health voluntary organisations in helping to overcome the challenges of social exclusion for service users, as identified in previous research. Two theoretical lenses were used to frame the research questions. First, the concept of social inclusion provided a lens to analyse the processes by which service users achieve, or not, a sense of belonging and connection in society (Philo 2000). Second, Putnam's (2000) theory of social capital provided a further analytical lens by which to explore the contribution of rural voluntary organisations. Social capital focuses on the features of populations such as social networks, trust and norms of reciprocity that shape the quality and quantity of social interactions (McKenzie & Harpham 2006). The aims of the research were to: To explore the impact of rural life for mental health service users' daily life and access of services To understand the contribution of rural mental health services to tackling social exclusion for service users The five research questions used in this thesis were: What does it mean to experience mental health problems in remote and rural areas? What are the challenges that service providers face in remote and rural areas? What benefits are there for service users attending voluntary groups in remote and rural areas?
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Buys, David Russell. "The impact of social capital on unusual health outcomes in Dallas and Sumter counties in Alabama an exploration /." Auburn, Ala., 2007. http://repo.lib.auburn.edu/07M%20Theses/BUYS_DAVID_20.pdf.
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Morris, Desiree Lin. "MENTAL HEALTH INTERVENTION: DOES AN EXPEDITED PROCESS INCREASE ACCESS TO MENTAL HEALTH SERVICES FOR CHILDREN?" CSUSB ScholarWorks, 2018. https://scholarworks.lib.csusb.edu/etd/640.
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Child maltreatment negatively impacts physical, emotional, and the health and well-being of a person, often with lifelong implications. The importance of this study derives from the very necessity of mental health services for children who have suffered trauma. Children’s Assessment Centers (CAC) assess and refer children who have experienced abuse to a therapist in the community. This study examines the use of an enhanced referral process used to connect some CAC clients more quickly to therapeutic services in the community. The study examined whether children who received this expedited referral service were more likely than children who received the standard referral process to see a therapist within three months. The study used data provided by one CAC in California. The CAC provided information on clients who received either the expedited or standard referral process within a 3-month period in 2017. The researcher then contacted the clients’ caregivers to ask whether the child saw a therapist within 3-months of the child’s referral from the CAC. The study used a Chi-square test to analyze whether children who received an expedited referral to mental health services were more likely than children who received the standard referral to receive mental health services within three months. Results indicated no statistically significant difference in access to mental health services for the two groups. However, during data collection, the researcher learned that some children were already engaged in therapy at the time they received the referral, perhaps rendering the referral unnecessary. Implications for social work practice, policy, and research are discussed.
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Enriquez, Josue D. "LATINO MENTAL HEALTH: EXPLORING BARRIERS TOWARDS MENTAL HEALTH SERVICES AMONG THE LATINO COMMUNITY WITHIN SAN BERNARDINO." CSUSB ScholarWorks, 2017. https://scholarworks.lib.csusb.edu/etd/536.
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The research presented on this paper examined the impact that the number of barriers have towards the delay in getting treatment among the Latino population. Participants (N=31) at Family Solution Collaborative, answered questions presented to them via a self-administered questionnaire that contained questions that examined types of barriers and how they impact mental health services. An independent sample t-test was conducted assessing generation status and the sum of perceived barriers. A Pearson correlation, design was used, for the purpose of searching for a relationship between the number of years in the U.S. and age with the sum of perceived barriers. Results for all test conducted showed no significance between all variables. In conclusion, although findings for this study did not support past research it is important to address the limitations to continue to develop culturally appropriate programs to help reduce the disparity of Latinos within mental health services.
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Amador, Karina, and Natalie Salas. "MENTAL HEALTH SERVICES IN AN EXCLUSIVE LATINO COMMUNITY VERSUS A DIVERSE COMMUNITY." CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/878.
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This study examined whether Latino immigrants’ community environment influenced perceptions about the meaning of mental health and accessing mental health services. The two environments analyzed in were an exclusively Latino community (primarily Latino members) and a diverse community (composed of different ethnicities including Latinos). The research method used in this study was a qualitative survey design. A semi-structured interview guideline with questions on the meaning of mental health, mental health services access, and community norms on mental health was utilized with 24 respondents. Responses were then analyzed to find themes. Findings from this study found similarities as well as differences in the two groups in seeking mental health services. Differences were more commonly in the details of the responses rather than in the themes of the responses. The finding will help social workers, who provide a large percentage of mental health services, understand the individual, the barriers, and the importance of social environments in seeking mental health services.