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Bodine, Megan N. "Validation of the Mental Health Recovery Measure as a Clinical Assessment." University of Toledo / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1372776438.
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Ozbey, Gunes Tanya. "A Rasch Analysis of the Mental Health and Recovery Measure: Reliability and Validity." University of Toledo / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1353004225.
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Casteleijn, Jacoba Magdalena Francina. "Development of an outcome measure for occupational therapists in mental health care settings." Thesis, University of Pretoria, 2010. http://hdl.handle.net/2263/28019.
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It is the responsibility of professions to provide evidence of the demonstrable value and quality of service delivery. Occupational therapists in mental health care settings find it difficult to produce convincing evidence of the demonstrable value and their contribution to health care. Currently no effective outcome measure for occupational therapists in mental health practices exists for the South African context . The development of an outcomes measuring system is much needed in these crucial times of cost-cutting, rendering quality of care with the minimum resources and the quest for evidence of the effect of intervention. The purpose of this study was to fill the outcome measurement gap by developing a system that is clinically tested and user-friendly for occupational therapists in mental health care settings. Such a system had to represent the outcomes in the occupational therapy programmes, meet the needs of the therapist in terms of purpose of the tool, be easily administered and be standardised. It was also important that the outcome measure was grounded in the theoretical framework that guides intervention programmes, namely Vona du Toit’s Model of Creative Ability. This theoretical framework is widely used in South African mental health care settings and was found suitable to be transformed into a rating scale for the outcome measure. A participatory approach combined with a mixed method exploratory design, specifically the instrument development model, was selected to guide the study. The development of the outcome measure happened in three phases. Domains for the outcome measure emerged after participation from occupational therapy clinicians and mental health care users in Phase 1. The operationalisation of the domains and the development of the rating scale happened during Phase 2. The third phase was the piloting of the outcome measure to identify issues to be optimised for the final implementation of the outcome measure. Eight domains with 52 representative items emerged from Phase 1. The domains were Process skills, Communication and Interaction skills, Lifeskills, Role performance, Balanced lifestyle, Motivation, Self-esteem and Affect. Clinicians were satisfied that these domains represented the service that they deliver and compared well with the mental health care users’ need for occupational therapy. The involvement of mental health care users in confirming relevant domains for the outcome measure ensured a client-centred approach in the research process. The outcome measure, named as the Activity Participation Outcome Measure (APOM), has a unique feature of generating reports and spider graphs for every mental health care user. The APOM was piloted in three mental health care settings. In spite of good intentions from clinicians to apply the measure, it was clear that measuring outcomes is neither a priority, nor a routine task in clinical settings. The preliminary investigation into the psychometric properties yielded positive results. However, the sample sizes for the validity and reliability samples were not optimal and further data collection needs to continue for confirmation. It is recommended that investigations into the psychometric properties of the instrument continue to eventually market it as a valid and reliable outcome measure for occupational therapists in mental health care settings.Thesis (PhD)--University of Pretoria, 2011.
Occupational Therapy
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Hoy, Janet M. "Outcomes and Incomes: Implementing a Mental Health Recovery Measure in a Medical Model World." online version, 2008. http://rave.ohiolink.edu/etdc/view.cgi?acc%5Fnum=case1207019285.
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Wennström, Erik. "The Camberwell Assessment of Need as an Outcome Measure in Community Mental Health Care." Doctoral thesis, Uppsala University, Department of Neuroscience, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-8439.
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The aim of this thesis was to critically examine the current use of the Camberwell Assessment of Need (CAN) in outcome assessment for service evaluation. A further aim was to propose a metric for assessing the adequacy of community mental health services in meeting ongoing needs over longer stretches of time.
We made four prospective follow-up studies of CAN assessments of patients with severe mental illness in community-based mental health care.
A factor analysis (n=741) gave support for a three-factor model, comprising only 60% of the CAN items. Need assessments (n= 92) in 1997 and 2003 were compared at both the summed total and the underlying item levels of the CAN. The mean total scores did not change, yet there were significant changes in the underlying items. Changes in mean number of needs between 1997 and 1999 were measured (n=262) with both total scores, summed over all CAN items, and with sub-total scores, summed over two sets of items reflecting the social services and the psychiatric services respectively. As indicated by the sub-total scores, all significant changes occurred within the psychiatric services, a result not possible to discern from the total scores. The Met Needs Index (MNI), defined by us as the aggregate measure of beneficial outcome, indicated that needs in general were met during 71% of the intervals between the annuals assessments from 1997 through 2004. However, the variation among particular items was large.
In conclusion, the summary scores typically used as outcome measures are likely to conceal meaningful variation at the item level. Nevertheless, sub-total scores, being more transparent, might be more useful in outcome assessment. The MNI is a continuous, normally distributed metric, estimable over any number of consecutive assessments, which seems suitable for assessing the achieved benefit of services for patients with long-term ongoing needs.
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Wennström, Erik. "The Camberwell assessment of need as an outcome measure in community mental health care /." Uppsala : Acta Universitatis Upsaliensis : Universitetsbiblioteket [distributör], 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-8439.
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Davis, Sharon H. "Outcomes of the Implementation of the Mental Health Recovery Measure in the DeKalb Community Service Board Population." Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/iph_theses/91.
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The relationship between mental health and public health has been debated for decades. But when services are delivered through publically funded mental health clinics, it clearly becomes a public health endeavor. One of the latest trends in mental health service delivery is the recovery concept. Developed in the 1990’s, the recovery concept represents a paradigm shift where successful treatment is defined by self-awareness, self-care, and self-fulfillment. Furthermore, patients are encouraged to assess their own progress in the recovery process. There are currently nine unique assessment tools to measure recovery progress, including the Mental Health Recovery Measure (MHRM), which was used in this study. The current study followed the implementation of the recovery model in the DeKalb Community Service Board (DeKalb CSB). DeKalb CSB has 12 locations that serve 10,000 patients with mental illness, substance abuse, and developmental disabilities each year. Only patients with primary diagnoses of mental health or substance abuse disorders were considered for this study. Implementation of the MHRM began in December 2008 and included all DeKalb CSB patients, however only new DeKalb CSB patients were considered for this study. During 13 months of data collection 960 clients completed 2 assessments and 196 completed 3 assessments. A new consumer is defined as someone who has just completed the intake process and has no record of previous service at DeKalb CSB. The current study examined trends in MHRM data in the DeKalb CSB population; and offered recommendations for future implementation.
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SILVER, KRISTIN E. "Toward the Development of a Quantitative Measure of Women’s Public Same-Gender Eroticism." University of Akron / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=akron1595000557194299.
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Wiese, Lisa Kirk. "Development and testing of a measure of Alzheimer's disease knowledge in a rural Appalachian community." Thesis, Florida Atlantic University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3585017.
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Rural West Virginia has a very high percentage of older adults. The age-related disease of Alzheimer’s threatens the health of older Appalachians, yet research on Alzheimer’s disease (AD) in this population is scarce. In order to improve screening rates for cognitive impairment, Appalachians need to understand their vulnerability. The first step would be to assess their knowledge about AD but a suitable AD knowledge test has not been developed. The purpose of this study was to test the reliability and validity of a new measure of knowledge about AD that is culturally congruent, and to examine factors that may predict AD knowledge in this rural population. A correlational descriptive study was conducted with 240 participants from four samples of older adults in south central rural Appalachian West Virginia using surveys and face-to-face interviews. Results from tests for stability, reliability including Rasch modeling, discrimination and point biserial indices, and concurrent, divergent, and construct validity were favorable. Findings were that although more diversity in test item difficulty is needed, the test discriminated well between persons with higher and lower levels of education [F(2, 226) = 170.51, p = .001]. Using multiple regression, the predictors of AD knowledge included caregiver status, miles from a healthcare provider, gender, and education; (R2=.05, F(4,187) = 2.65, p =. 04). Only years of education accounted for a significant proportion of unique variance in predicting the total BKAD score (t = 2.14, p =. 03). Implications include the need for further tool refinement, testing for health literacy, coordination with recent statewide efforts to educate the public regarding AD, and community based participatory research in designing culturally effective education programs that will ultimately increase screening and detection of Alzheimer’s disease in rural populations.
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Garland, Adam D. "The Effectiveness of Utilizing the Treatment Support Measure for Treatment Planning in Youth Mental Health Services." BYU ScholarsArchive, 2017. https://scholarsarchive.byu.edu/etd/6591.
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The use of treatment support tools to enhance client outcomes is not well understood in the youth treatment literature. Adult outcome researchers have found that the use of Clinical Support Tools (CST) leads to improved outcomes with clients identified as at risk for treatment failure. However, the American Psychological Association (APA) has noted that understanding important client factors that influence treatment is critical during the clinical formulation and treatment planning phase of therapy. No studies to date have evaluated the effectiveness of utilizing a CST as a treatment planning tool with youth clients. The purpose of this study was to evaluate the effectiveness of the Treatment Support Measure, a CST, for the purpose of treatment planning rather than as a reaction to clients who became at-risk for treatment failure. Two hundred and eight youth participants and their caregivers from three outpatient community mental health clinics were randomly assigned to a feedback (TSM-FB) or Non-FB condition. All participants completed the Youth Outcome Questionnaire (Y-OQ) at each session. The TSM was administered to clients in the TSM-FB condition during the intake session. Only therapists whose clients were in the TSM-FB condition received TSM and Y-OQ data. A multilevel model was created to evaluate for differences between conditions on the dependent variable. The initial randomization failed to create similar groups at intake and a statistically and clinically significant difference was detected on the Y-OQ at intake. As such, no conclusions can be drawn for hypotheses tied to the primary dependent variable. Premature termination (PT) rates were significantly lower for the TSM-FB condition when defined as attending more than one session. Contrastingly, there was no difference between conditions on PT when defining PT based on the therapist's opinion. A significant minority of therapists (40%) found that the TSM was useful for treatment planning compared to 10% which did not.
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Lynn, Van Alstine Judith. "The factorial validity of the mental health inventory as a measure of subjective well-being in multiple age groups." Thesis, Georgia Institute of Technology, 1987. http://hdl.handle.net/1853/29182.
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Mavranezouli, Ifigeneia. "The derivation of a preference-based measure for people with common mental health problems from the Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM)." Thesis, University of Sheffield, 2014. http://etheses.whiterose.ac.uk/6724/.
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Background: Generic preference-based measures (PBMs), such as the EQ-5D and SF-6D, are widely used for the estimation of Quality Adjusted Life Years in cost-utility analyses of healthcare interventions. However, their relevance in some disease areas, including mental health, has been questioned. Objective of the thesis: To derive a PBM specific to mental health problems from an existing condition-specific measure (CSM) Methods: A systematic literature review was conducted to identify an appropriate CSM for the derivation of a health state classification. Derivation of the new measure was achieved using novel methodology developed for this purpose, due to the high correlation across the items of the original CSM. Selected health states were valued by members of the public. Regression analysis was employed to predict utility values for all states of the health state classification. Psychometric and qualitative assessments evaluated the performance of the new PBM compared with generic PBMs and the original CSM. Results: The Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM) was selected as the basis for the derivation of the new PBM. Application of novel methodology based primarily on Rasch analysis resulted in the development of CORE-6D, a health state classification that consists of a 5-item emotional component and a physical item. Rasch analysis was used to select plausible health states for valuation. A highly predictive regression model was used to attach utility values to all CORE-6D health states. The new PBM has shown promising results regarding its psychometric properties compared with generic PBMs and suffers from little loss of information relative to the original measure, CORE-OM. Further research needs to validate these findings. Conclusion: The CORE-6D preference-based index will enable cost-utility analysis of mental health interventions using existing and prospective CORE-OM datasets. The new methodology for deriving PBMs from existing instruments can be useful for the derivation of PBMs from other instruments with highly correlated dimensions.
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Marino, Casadi "Khaki." "The Development and Validation of the Social Recovery Measure." PDXScholar, 2016. http://pdxscholar.library.pdx.edu/open_access_etds/2925.
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Mental health recovery is a complex phenomenon involving clinical, functional, physical, and social dimensions. The social dimension is understood to involve meaningful relationships and integration with supportive individuals and a wider community. While the recovery model developed from a movement led by consumers and survivors of the mental health system to promote hope, self-determination, and social inclusion, the clinical aspects of recovery have dominated mental health research and practice. The under-investigated area of social recovery calls for psychometrically sound measurement instruments. The purpose of the current study was to develop and validate the Social Recovery Measure (SRM). The study was grounded in disability and mad theories which locate disability at the intersection of the person and the environment. The SRM is a 19-item self-administered instrument scored on a 5-point Likert scale that consists of two domains: Self and Community.
Items for the SRM were developed through focus groups and interviews with 41 individuals in recovery from mental health challenges and the preliminary measure was administered to a purposive, nonprobability sample of 228 individuals in recovery. A confirmatory factor analysis (CFA) was conducted and a re-specified model resulted in good model fit. The SRM exhibited excellent internal consistency with a Cronbach's coefficient alpha of .951 and demonstrated excellent test-retest reliability, content validity, and construct validity.
Social recovery is highly relevant for social work given the discipline's commitment to disenfranchised populations and investment in creating enabling environments. The SRM has utility for use in evidence based practice and evaluation. The SRM can be used to further research in social recovery, test underlying theory bases, and explore the differential effects of the multiple dimensions of recovery. There is a need to better understand social recovery which this measure can facilitate.
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Gandy, Megan E. "Assessing LGBTQ youth cultural competency in direct-care behavioral health workers: Development and validation of a measure." VCU Scholars Compass, 2015. http://scholarscompass.vcu.edu/etd/3741.
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Direct-care workers can provide an array of service types to children, adolescents, and their families in behavioral health treatment. They may also work in a variety of settings (e.g., group homes, inpatient units/hospitals, residential treatment, treatment foster care, day treatment, in-home treatment, etc.). Direct-care workers typically are involved in the supervision of youth and in the implementation of a treatment plan developed by the youth’s treatment team. For youth who are lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) and are receiving behavioral health services, such workers form a critical part of their therapeutic experience. However, little is known about these workers’ competencies related to working with LGBTQ youth. This study begins to fill that gap by developing and testing a measure that assessed LGBTQ cultural competencies related to behavioral health practice with youth and a measure that was relevant to the roles and responsibilities of direct-care (e.g., paraprofessional, front-line) workers.
In order for direct-care workers to use LGBTQ cultural competency in their practice, more understanding is needed about their current level of LGBTQ-related cultural competency. The LGBTQ Youth Cultural Competency scale (abbreviated as LGBTQY-CC) provides a means to measure those competencies. An exploratory factor analysis found that the new scale consists of one primary factor which represents knowledge, attitudes, skill, and awareness of LGBTQ cultural competency. Cronbach’s alpha, correlations with other measures for concurrent validity, and correlation with a measure of social desirability all resulted in evidence that the LGBTQY-CC has good validity.
Analyses examined how the new measure was related to constructs associated with training and competency in direct-care workers. Multiple regression analyses showed that higher levels of LGBTQ cultural competency (as measured by the LGBTQY-CC) were significantly related to age (younger), political ideology (more liberal), more social contact with LGBTQ individuals, and degree of religious belief about LGBTQ being a sin. A model including these factors explained 60% of the variance in LGBTQY-CC scores.
The LGBTQY-CC was created with the long-term goal of creating training interventions for direct-care workers to improve their practice with LGBTQ youth. The measure could be used to assess training participants’ knowledge, attitudes, skills, and awareness and to evaluate the effectiveness of varying types and styles of training programs. Federal and state regulatory bodies have begun to require service providers to identify how they will address disparities faced by LGBTQ individuals, so service providers need to demonstrate how they are improving access to and quality of care for LGBTQ individuals. Therefore, the LGBTQY-CC may provide a means to gather data on efforts made by service providers to improve their behavioral health workforce’s capacity to serve LGBTQ youth.
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Arnold, Cassidy C. "EVALUATION OF A COMMUNITY MENTAL HEALTH CENTER’S ASSESSMENT CLINIC: DEVELOPMENT OF A NOVEL ASSESSMENT EVALUATION TOOL." VCU Scholars Compass, 2011. http://scholarscompass.vcu.edu/etd/2597.
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High quality assessment services are the linchpin connecting youth with mental health problems to diagnosis-specific, evidence-based treatments. The effort to improve assessment services is in its early days and faces a number of substantial challenges. This study was an initial effort to address these challenges through the development of a standardized, multi-dimensional Assessment Instrument evaluation tool—the Strength of Measure (SoM)—based on operationally defined criteria supported by decades of psychometric research. The SoM and other criteria addressing assessment practices were piloted with data from 32 consecutive assessment reports from a community mental health center’s Assessment Clinic. Results indicate that none of the Assessment Instruments used by the Assessment Clinic met the “Adequate” level of support on each of the SoM dimension. Additional results address Reason for Referral, Primary Axis I Diagnosis, Informants, and Method of Assessment. Implications and directions for future research are discussed.
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Hammond-Rowley, Sara. "The teddy bear's picnic : a study comparing 5 year old children's responses to a new narrative measure, with parent and teacher rated psychological problems and global concern." Thesis, Bangor University, 1999. https://research.bangor.ac.uk/portal/en/theses/the-teddy-bears-picnic--a-study-comparing-5-year-old-childrens-responses-to-a-new-narrative-measure-with-parent-and-teacher-rated-psychological-problems-and-global-concern(f4403ed4-ab23-4ed7-95fd-76ab0def0af7).html.
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This study explored the reliability and discriminant validity of a new narrative measure, the Teddy Bear's Picnic (Mueller, 1996), in a small non-clinical community sample of 5 year olds (n=35). The measure is designed for use with young children, and reveals internally represented psychosocial themes through the use of a story telling technique. The Teddy Bear's Picnic measure consists of nine incomplete story stems which are administered to children individually, using a range of age appropriate toys and props. Each story is based on an imaginative scenario involving a family of toy bears. Children are presented with the stories in a specific order, each of which poses an unresolved hypothetical conflict; following which they are asked to complete the unfinished story in response to the prompt "what happens next? " Concurrent parent and teacher measures were gathered as part of a larger ongoing study in the same community. Parents and teachers were asked to complete a brief 25 item rating scale, the Strengths and Difficulties Questionnaire (SDQ: Goodman, 1997), and one categorical question asking them to rate level of concern about the child's behaviour (based on the work of Stallard, 1995). The study aimed to examine the associations between coded thematic material generated from the Teddy Bear's Picnic, and parent and teacher rated behaviour problems and global concern about behaviour. Associations were all in the expected direction, but not statistically significant. Inter-rater reliability was acceptable for total positive theme scores (r = . 91, p < . 001), and approached acceptability for negative total theme scores(r = . 58, p < . 05). Problems were particularly apparent in the use of TBP composite total scores. Internal consistency of total theme scores and factor based subscale scores (derived from Mueller, 1996), revealed low alpha coefficients (alpha = . 42 -. 59). Discriminant function analysis demonstrated that in this study, the TBP was unable to correctly classify children into parent and teacher rated groupings, based on both measures. Further studies would benefit from larger samples than were available to Mueller (1996) and the present study. However, the measure appears promising as a method for eliciting psychologically relevant themes from young children, but findings suggest that further work is required in developing its psychometric properties.
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MacBeth, Angus M. "The Narrative Compassion Scale : development and validation of an interview measure of compassion and recovery in complex mental health difficulties." Thesis, University of Glasgow, 2011. http://theses.gla.ac.uk/2875/.
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Objectives: The ability to regulate affect in the face of stress has implications for recovery and chronicity in complex mental health problems such as schizophrenia and borderline personality disorder. In addition to adaptive integrating and maladaptive sealing over recovery styles it may be possible to delineate a further maladaptive recovery style of “ruminative preoccupation”. In addition, the capacity to compassionately relate to self and others may be linked to an recovery trajectories. The current study presents data on the utility of a Narrative Compassion Scale for recovery in a mixed clinical sample of individuals with diagnoses of psychotic disorder (with or without interpersonal violence) and Borderline Personality Disorder Design: A cross-sectional mixed methods design was used with a within subjects condition and three between subjects groups Methods: Forty-Three individuals were interviewed and transcripts coded with the Narrative Compassion Scale (NCS). Self-report measures of compassion, attachment, interpersonal problems and symptoms were completed. Symptomatology was also measured. Results: Three recovery styles were identified. Compassion was strongly positively correlated with Integration; and negatively correlated with Sealing Over. NCS compassion was unrelated to self-reported compassion, symptoms, interpersonal problems or attachment. Differential patterns of recovery emerged between clinical groups, with lower preoccupation and higher sealing-over in the psychosis with history of interpersonal violence group. Conclusions: The NCS is a promising narrative measure of recovery and compassionate responding. Implications are discussed in terms of a transdiagnostic understanding of recovery processes.
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Tseliou, Foteini. "The use of routine administrative datasets and record-linkage to measure population mental health of young people in Northern Ireland." Thesis, Queen's University Belfast, 2017. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.728683.
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The lifetime burden of mental ill-health, has been recognised as a major public health issue. Inconsistencies in assessment and diverse methodologies have led to a lack of comparability. This PhD thesis attempts to assess secondary administrative datasets in measuring mental health at a population level in Northern Ireland. At first, this thesis focuses on the linkage between the Child Health System (CHS) dataset and nation-wide prescription data, using the Health and Care Number. Through this, the interplay between perinatal factors and later psychotropic medication uptake is investigated. The second source of data that was assessed was information drawn from the Census returns, stored within either the Northern Ireland Longitudinal Study (NILS) or the Northern Ireland Mortality Study (NIMS). Two separate studies were run, with the first focusing on the effect of childhood residential mobility on mental health and the second investigating the burden of caregiving in mental health and mortality rates with specific reference to differences among different age groups of caregivers. Finally, an investigation was conducted on the potential use of the Northern Ireland Health Survey for the purposes of measuring population mental ill-health, comparing self-reported psychotropic medication uptake and GHQ-12 scores. This thesis highlights the potential utility and associated caveats of administrative datasets and record linkage methodologies in the measurement of population mental ill-health and its association with potential risk factors across the life course.
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Charles, Jennifer L. K. "Measuring mental health provider stigma: The development of a valid and reliable self-assessment instrument." VCU Scholars Compass, 2015. http://scholarscompass.vcu.edu/etd/3706.
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Provider-based stigma is defined as the negative attitudes, beliefs, and behaviors of mental health providers toward clients they serve. Often unintentional and unknowingly conveyed, this phenomenon has been indicated in previous research (e.g. Lauber, Nordt, Braunschweig, & Rössler, 2006; Nordt, Rössler, & Lauber, 2006; Hugo, 2001; Schulze, 2007). Other instruments crafted to measure provider stigma have utilized theory in their development, without incorporating the voice of the client (e.g. Wilkins & Abell, 2010; Kennedy, Abell, & Mennicke 2014). To better address the social injustice posed by provider stigma, the profession requires a valid and reliable measure, guided by theory, which also reflects the client and family experience. This study attempts to do so, referencing the five themes of the experience-based model (Charles, 2013) to guide item development. These themes include: blame & shame; disinterest, annoyance, and/or irritation; degradation & dehumanization; poor prognosis/fostering dependence; coercion/lack of ‘real’ choice.
The measure’s item pool was generated following Nunnally and Bernstein’s (1994) domain sampling method, in reflection of the experience-based model, and reviewed by a series of focus groups. The electronically hosted survey was distributed to a purposive sample of mental health service providers employed at Virginia’s public mental health agencies. Using a final sample of N = 220, factor analysis indicated a four factor solution, accounting for 32.454% of the items’ variance. Refinement resulted in a scale of 20-items demonstrating adequate internal consistency, measured by Cronbach’s alpha = 0.817. The four factors of the Mental Health Provider Self-Assessment of Stigma Scale (MHPSASS) were labeled: Irritation & Impatience (eight items); Choice & Capacity (five items); Adherence & Dependence (four items); Devalue & Depersonalize (three items). Hypothesized relationships were found between provider self-rating of burnout and MHPSASS score (Pearson’s r = 0.235, p = 0.001) as well as social desirability level and MHPSASS score (r = -0.169, p = 0.015), supporting the MHPSASS’ construct validity.
As a measure of provider-based stigma, the MHPSASS displays adequate reliability and validity. Future studies are indicated, including replication. Limitations include agency response rate, unknowable individual level-response rate, social desirability, and the potentially burdensome length of the survey package.
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Jacyna, N. "Assessing the impact of parental mental health on child physical health : validation of a measure of carer burden within carers of children with chronic kidney disease." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11137/.
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Section A provides an overview of the literature investigating the relationship between parental mental health and child physical health within populations of children with chronic childhood illness. Evidence for whether this relationship definitively exists, as well as the potential pathways through which this relationship could operate, is evaluated. Carers of children with Chronic Kidney Disease (CKD) can experience burden and psychological distress, which has been shown to impact on the child's physical health. Section B is an empirical study aiming to assess the validity and reliability of the Paediatric Renal Carer Burden Scale (PR-CBS) , a 51 item psychometric measure designed to assess carer burden in carers of children with CKD. Factor analysis indicated retention of 21 items representing 5 factors; Illness worries (8 items), Impact on self (5 items), Impact on child (3 items), Responsibility (3 items) and Institutional burden (2 items). Together they explain 53% of the total variance. Internal reliability for both the full scale and sub-scales were acceptable. Convergent validity was demonstrated using the Hospital Anxiety and Depression Scale and Caregiver Strain Questionnaire and the scale was reported by respondents as being acceptable to complete. The PR-CBS has been shown to be a valid and reliable scale and as such is a clinically relevant tool with which to identify burdened carers and provide additional psycho-social support so as to ensure best outcomes for both carer and child. Section C provides a critical evaluation of the research process and reflections from the researcher on learning throughout the process of the study as well as clinical implications and future research directions.
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Abu, Raiya Hisham. "A Psychological Measure of Islamic Religiousness evidence for relevance, reliability and validity /." Bowling Green, Ohio : Bowling Green State University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1158091753.
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Campbell, Megan Michelle. "The adaptation of the 'Clinical Outcomes in Routine Evaluation-Outcome Measure' (CORE-OM) from English into a valid Xhosa measure of distress." Thesis, Rhodes University, 2013. http://hdl.handle.net/10962/d1001538.
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In South Africa access to mental healthcare resources is restricted for a number of reasons including language barriers that prevent suitable communication between mental healthcare professionals and African language speaking South Africans. The translation of psychometric tools into African languages has been identified as one method in improving access to psychological services for African language speakers. The Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM) has demonstrated its clinical utility within the United Kingdom (UK) National Healthcare Service (NHS) as a standardised psychotherapy outcome measure that evaluates the degree of psychological distress individuals present with at the start of psychotherapy treatment, and the degree of change that has been effected at the termination of therapy. A measure like the CORE-OM holds valuable clinical utility for the South African context. This thesis argues that the availability of a valid Xhosa version of the CORE-OM would allow for improved access to psychotherapy resources for Xhosa speaking individuals, and allow for the evaluation of the effectiveness of psychotherapy interventions conducted in Xhosa. The CORE-OM developers have provided a translation design and set of guidelines to standardise the translation of the CORE-OM into different languages. However this thesis argues that these guidelines are incomplete. Instead International Test Commission (ITC) guidelines are recommended as a culturally sensitive method to supplement current CORE-OM translation guidelines, in order to generate a valid Xhosa measure of distress. A mixed methods approach is applied which first investigates the construct equivalence and bias of the CORE-OM English version within a South African student population sample, both qualitatively and quantitatively, in order to establish the degree of adaptation required to generate a valid Xhosa version of distress. Next the CORE-OM English version is translated into Xhosa using the five-stage translation design prescribed by the CORE System Trust, supplemented by ITC guidelines. All changes made to the CORE-OM during translation into Xhosa are documented. The CORE-OM Xhosa version is then investigated for reliability and validity. This investigation reveals low internal reliability within the subjective wellbeing domain indicating that these items are less meaningful as depictions of distress within the Xhosa language. A reduced version of the CORE-OM demonstrates strong psychometric properties as a valid Xhosa measure of distress.
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Tenbarge, Brittany A. "The Relationship between the Wellness Management and Recovery Program and Physical Health." University of Toledo / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1321586339.
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Van, Rooy Sinette Gertruida. "Validation of a scale to measure psychosocial well-being in an African context / Sinette G. van Rooy." Thesis, North-West University, 2007. http://hdl.handle.net/10394/1902.
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Barton, Alison L. "A New Measure of Helicopter Parenting: Does It Make a Difference If Students Solicit It?" Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/3426.
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Hijazi, Zeinab. "Development of population-specific function assessment intrument in Lebanon." Master's thesis, Faculdade de Ciências Médicas, 2013. http://hdl.handle.net/10362/12160.
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RESUMO: Contexto: O funcionamento tem sido reconhecido como um dos principais indicadores de resultados para
avaliar se as pessoas beneficiam das intervenções destinadas a melhorar a sua saúde mental. O funcionamento
refere-se à forma como um indivíduo consegue responder às suas tarefas e solicitações, dos seus familiares e da sua comunidade, de acordo com os requisitos do local e a cultura em que vive (eg, tarefa de
cozinhar e limpar para as mulheres em algumas culturas ). O funcionamento é altamente dependente da cultura
- por isso, tem sido recomendado o desenvolvimento de medidas de funcionamento específicas de cada cultura. Desenvolver localmente os instrumentos de medida evita problemas de adequação, associados com a
adaptação de instrumentos ocidentais. Embora os instrumentos criados desta forma sejam específicos de um meio cultural, eles são simultaneamente "transculturais", no sentido em que cada um se refere às tarefas mais
importantes para a população local . Esta abordagem mostrou-se útil para investigadores e agências de ajuda
(eg, ONGs) que trabalham em países não-ocidentais .
Este estudo descreve o trabalho da agência International Medical Corps (IMC) na criação e validação de um questionário de funcionamento específico nas dimensões cultura e gênero, no Líbano, destinado a avaliar eventuais melhorias em pessoas que receberam intervenções de para problemas de saúde mental, a nível dos cuidados primários de saúde.
Método: O instrumento foi desenvolvido usando um método que é uma alternativa à abordagem existente de adaptação de instrumentos ocidentais a outras culturas e situações; esta abordagem é rápida e exequível, tendo já demonstrado ser útil no desenvolvimento de instrumentos válidos e fidedignos.
Inicialmente, foi solicitado que as pessoas identificassem, de uma lista livre, as tarefas mais importantes para cuidar de si próprias, da sua família e da sua comunidade; as tarefas identificadas foram posteriormente usadas como base para um instrumento de avaliação de funcionamento culturalmente válido.
A partir daqui, foram desenvolvidos questionários específicos da comunidade em questão, posteriormente testados no terreno nas vertentes da validade (de conteúdo, facial e de constructo) e da fiabilidade (teste-reste e inter-entrevistadores).
Resultados. O estudo resultou na criação e validação de um questionário de funcionamento específico de cultura e gênero capaz de medir efectivamente a capacidade de execução de tarefas importantes do quotidiano,como parte da avaliação de resultados levada a cabo por profissionais da CSP previamente treinados na
identificação, suporte e encaminhamento de pessoas com problemas de saúde mental no Líbano. Conclusão. Neste trabalho descreve-se o desenvolvimento de um questionário de funcionamento específico de cultura e gênero, orientado para a avaliação de resultados, num contexto mais lato de um sistema abrangente de avaliação e monitorização de um serviço comunitário. --------------ABSTRACT: Background. Functioning has been recognized as one of the most important key outcomes to assess whether
people benefit from interventions aimed to improve their mental health. Functioning refers to how well na individual can complete the tasks and demands for themselves, their family, and their community which are required by them depending on the setting and the culture they live in (e.g. task of cooking and cleaning for women in some cultures). Functioning is highly dependent on culture. Therefore, it has been recommended to develop culture-specific measures of function. Developing instruments locally avoids the problems of limited local relevance and appropriateness associate with adapting western instruments. Although each
instrument created in this way is culturally bound, they are “cross cultural” in the sense that each refers to the tasks most important to local people. This approach proves useful for both researchers and aid agencies working in non-western countries.
This study describes International Medical Corps’ (IMC) work in Lebanon to create and validate a culture and gender specific functioning questionnaire to assess improvements in people who received treatment interventions for mental health problems at the primary health care (PHC) level.
Method. The measure was developed using a method that is an alternative to the existing approach of adapting western function instruments to other cultures and situations; an approach which has been demonstrated as rapid, feasible and which can yield valid and reliable instruments.
Function was assessed by first asking local people what tasks are important to care for themselves, their family and their community using free listing, then using these tasks as the basis for a culturally valid function
assessment instrument. Community specific function questionnaires based on these tasks were then created, and field-tested for validity using content, face and construct validity methods, and also field tested for reliability using inter-rater and test retest reliability methods.
Results. The study resulted in the creation and validation of a culture and gender specific functioning questionnaire
that would effectively measure the ability to do tasks important to daily existence, as part of assessing client level outcomes where PHC providers were trained in the identification, management and referral of people with mental health problems in Lebanon.
Conclusion. The paper describes a successful pilot for developing culture and gender specific functioning questionnaires that evaluate client level outcomes as part of a more comprehensive system for monitoring
and evaluation of community based case management supports and services.
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Eblin, Joshua J. "Development and Preliminary Validation of a Brief Behavioral Measure of Problems in Thought Organization and Perception." University of Toledo / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1333480027.
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McClatchey, Kirstie. "Developing guidance to inform a clinically meaningful and feasible suicide risk assessment measure for use in emergency departments." Thesis, Edinburgh Napier University, 2018. http://researchrepository.napier.ac.uk/Output/1256366.
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Introduction: Over 800,000 people die by suicide each year, and despite being a global public health issue, limited research exists exploring suicide risk assessment practices in emergency departments. The current thesis investigated emergency department suicide risk assessment practices and clinician experiences in Scotland, to develop guidance to inform the development of a clinically meaningful and feasible suicide risk assessment for these settings which is theoretically underpinned. Methods: A mixed-method triangulation approach was utilised. Two systematic reviews were conducted to update the risk and protective factor literature. This was followed by a national survey of suicide risk assessment practices in emergency departments. Fifty-one clinicians across 17 emergency departments participated, and six clinicians participated in follow-up semi-structured interviews to investigate their experiences, which were analysed using thematic analysis. Findings of the thesis were triangulated using the ‘following-a-thread' method, to develop guidance for informing the development of future risk assessment for use in emergency departments. Results: The systematic reviews identified emerging risk and protective factors including, sexual orientation and internet usage. The survey identified substantial variation in practice between emergency department clinicians. Only 35 (68.6%) participants reported using a suicide risk assessment tool. Importantly, variation was found not only across clinicians and departments, but also within departments, with clinicians based within the same department reporting differing risk assessment practices, indicating both inter- and intra-department suicide risk assessment practice differences. The qualitative analysis of clinician experience established four major themes (current experiences; components of suicide risk assessment; clinical decision-making; suicide risk assessment needs). Triangulation of findings developed recommendations for suicide risk assessment tools and training for emergency departments. Discussion: The risk and protective factor literature has evolved due to societal changes, and there is substantial variation in suicide risk assessment practices, both across and within emergency departments. Clinicians also find suicide risk assessment challenging. There is a need for consistent training, appropriate and helpful guidelines, and the improvement of risk assessment tools to improve practice. It is recommended that suicide risk assessment tools are developed to align to clinicians' needs, while taking into account research from the health domain and from related psychological research domains.
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Nakayama, Bruna Tássia Souza. "O direito à saúde mental das pessoas sob medida de segurança na perspectiva dos aplicadores da lei." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-24012017-153724/.
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O direito humano à saúde mental deve ser compreendido como uma transdisciplina integradora de saberes relativos à condição humana, merecendo tratamento especial e visibilidade. O antigo modelo assistencial psiquiátrico - excludente e violatório - difundido pelo mundo, entrou em processo de desconstrução, e segue sendo alvo de ferrenhas críticas em função de sua improdutividade e anacronismo. Há consciência crescente sobre a importância da luta pela preservação dos direitos à singularidade, à subjetividade e à diferença no tratamento das pessoas com transtornos mentais. No que diz respeito às pessoas com transtorno mental que cometeram delitos, o estigma e a complexidade são multiplicados. O Código Penal prevê a substituição da pena pela medida de segurança, que se dará (preferencialmente) sem retirar o cidadão da comunidade, com tratamento em ambulatórios ou nos CAPS. A Lei 10.216/2001 representa instrumento de defesa dos direitos humanos das pessoas com transtorno mental, redirecionando a atenção em saúde mental, assimilando os princípios e objetivos da Reforma Psiquiátrica de forma a promover a integralidade e a humanização dos serviços prestados. Contudo, a realidade não consolida o cumprimento geral previsto neste instrumento, fazendo com que estas pessoas sejam frequentemente vítimas de violações de seus direitos humanos. Com base nisto, este estudo buscou identificar como os aplicadores da lei compreendem o direito à saúde mental das pessoas com transtornos mentais que cometeram delitos. Os dados foram coletados por meio de entrevistas semi-estruturadas com operadores do direito que participam do processo de execução e cumprimento de medidas de segurança e analisados por meio de análise de conteúdo. Foram entrevistados 12 operadores do direito distribuídos entre advogados, juízes, promotores de justiça, defensores públicos e delegados. Após a exploração do material e sua respectiva codificação foram obtidas cinco categorias: Informante-chave e a percepção prática da aplicabilidade da Lei 10.216; a Lei 10.216, sua representatividade e os direitos das pessoas com transtornos mentais que cometeram delitos; o acompanhamento e a comunicação do poder judiciário durante o cumprimento da medida de segurança; Dificuldades no acesso ao direito à saúde mental pelas pessoas com transtorno mental que cometeram delitos; e Efetividade do CAPS e dos Hospitais de Custódia na assistência às pessoas com transtorno mental que cometeram delitos, que foram discutidas com o subsídio da literatura científica sobre o objeto de pesquisa, culminado nas considerações finais, que apontaram que a horizontalidade e participação da sociedade e das instituições que a compõem enquanto poder público e Estado se fazem extremamente necessárias, e que há necessidade de uma reestruturação urgente, que permita que as pessoas com transtornos mentais possam protagonizar a garantia de seus direitos e tratamentos, ou corre-se um risco ainda maior de que os casos dos \"loucos e criminosos\" fiquem reduzidos a um número de processo na justiça e a uma patologia nos serviços de saúde e de reclusão, fazendo parte de um modo produtivo de atender demandas, e não de uma forma eficaz de gerar recuperação, ressocialização e exercício da cidadaniaThe human right to mental health should be understood as an integrative transdiscipline of knowledge concerning the human condition, deserving special treatment and visibility. The former psychiatric care model - exclusionary and violating - spread throughout the world, came into deconstruction and remains the subject of criticism due to its lack of productivity and anachronism. There is a growing awareness about the importance of the fight for the preservation of the rights to singularity, subjectivity and the difference in the treatment of people with mental disorders. With regard to people with mental disorders who have committed crimes, stigma and complexity are multiplied. The Penal Code provides for the replacement of the penalty by security measure, which will (preferably) be implemented without removing the community citizen, through treatment at clinics or in CAPS. Law 10.216/2001 created a defense instrument of the human rights of people with mental disorders, redirecting attention to mental health, assimilating the principles and objectives of the Psychiatric Reform to promote the comprehensiveness and humanization of services. However, reality does not consolidate the general compliance provided herein, making these people often victims of violations of their human rights. On this basis, this study aimed to identify how law enforcers include the right to mental health of people with mental disorders who have committed crimes. Data were collected through semi-structured interviews with legal professionals involved in the process of implementation and enforcement of safety measures and analyzed using content analysis. 12 operators were interviewed, among lawyers, judges, prosecutors, public defenders and delegates. After exploration of the material and its respective coding five categories were obtained: Key informant and the applicability of Law 10.216; Law 10.216, its representativeness and the rights of people with mental disorders who have committed offenses; monitoring and communication of the judiciary during the enforcement of security measure; Difficulties in the access to the right to mental health for people with mental disorders who have committed offenses; and Effectiveness of CAPS and Custody Hospitals in assistance to people with mental disorders who have committed crimes, which were discussed in the light of scientific literature on the subject of research, culminating in the final considerations which pointed out that the horizontality and participation of society and institutions that make up as government and state are made extremely necessary, and that there is a need for urgent restructuring, which allow people with mental disorders to assure their rights and treatments, or there is a risk for this people to remain as a number of a proceedings in court and a pathology in health services and in prison as part of a productive way to meet demands, and not an effective way to generate recovery, rehabilitation and the exercise of citizenship
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Collett, Tess Janeen. "Measurement Implementation in Youth Psychotherapy: An Examination of Barriers and Facilitators of Y-OQ and TSM Implementation." BYU ScholarsArchive, 2019. https://scholarsarchive.byu.edu/etd/8588.
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Studies have shown a concerning and disproportionate amount of treatment failure and premature termination in youth populations. Routine measurement feedback has been proposed as a means to prevent treatment failure and premature termination for adults and may also improve youth mental health services. However, studies examining helpfulness of measurement feedback systems in youth populations have demonstrated a lack of effects more likely due to poor measurement implementation than to the measurement feedback system itself. Because contexts within the service settings are such crucial factors in whether an innovation is successfully implemented, examining barriers and facilitators in said contexts is a necessary step towards improving implementation for the ultimate purpose of improving youth mental health services. The present study explored barriers and facilitators to the implementation of the Youth Outcome Questionnaire (Y-OQ) and Treatment Support Measure (TSM) in youth routine clinical care. Thirteen staff of varying job titles, experiences, education and opinions towards measures were interviewed using consensual qualitative research (CQR) methods. Results were similar to previous studies, indicating multilevel barriers and facilitators to measurement implementation such as at the organization, staff, client and measure level. Using CQR data analysis, domains, categories and subcategories along with level of frequency are displayed and discussed in further detail. In addition to barriers and facilitators, interviewees provided recommendations for how to improve implementation of measures within their organization. Researchers provide recommendations of continued communication, re-assessment of barriers and facilitators over time and shared responsibility between stakeholders and professionals invested in improving youth mental health services.
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Perry, Tina. "Comparing self and clinician ratings on measures of mental health : a review of the literature and an assessment of the feasibility and utility of using the CORE-OM (Clinical Outcomes in Routine Evaluation – Outcome Measure) in secure hospitals." Thesis, University of Sheffield, 2010. http://etheses.whiterose.ac.uk/1047/.
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Chaves, Rosana Cristina Souza Passos Fragoso Modesto. "O infrator penal com transtornos mentais e as garantias do direito à saúde." Universidade Catolica de Salvador, 2015. http://ri.ucsal.br:8080/jspui/handle/123456730/146.
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O trabalho que se segue propõe uma reflexão acerca dos direitos conferidos aos indivíduos com transtorno mental que praticam uma infração penal. A pesquisa foi realizada com viés transdisciplinar e procura investigar de que maneira a justiça prevê penalidades a essas pessoas e sua aplicabilidade. No Brasil, pessoas com doença mental ou desenvolvimento mental incompleto ou retardado têm sido autoras de crimes consumados ou tentados. Em muitos casos, os crimes são praticados contra familiares ou pessoas mais próximas, sem motivo aparente. Sob um olhar mais apurado, percebe-se que a violência cometida se traduz em um apelo por ajuda ou um pedido de socorro. Quando os seus crimes são levados ao conhecimento da Justiça e é constatada a sua inimputabilidade, o sujeito que o cometeu é isento de pena, sendo-lhe aplicada a medida de segurança, que consiste em internação em Hospital de Custódia e Tratamento Psiquiátrico (HCTP) para tratamento. Desse modo, busca-se entender o fenômeno da loucura sob a perspectiva da reforma psiquiátrica, o que exige um levantamento acerca da legislação atinente ao tema, considerando aspectos jurídicos, políticos, sociais e culturais da questão, sem os quais não se pode compreender as mudanças de comportamento e de olhar que se estabeleceram ao longo dos anos. O presente trabalho tem por objetivo fazer uma análise do direito fundamental social à saúde e à convivência familiar, assegurados pelo Estado, às pessoas que sofrem de transtornos mentais e que, nessa condição, cometem delitos. Nesses casos, lhes é aplicada medida de segurança, seja de internação em Hospital de Custódia e Tratamento Psiquiátrico (HCTP) ou tratamento ambulatorial, casos em que o crime é punível com reclusão ou com detenção, respectivamente.
The work that follows proposes a reflection on the rights of individuals with mental disorders who practice a criminal offense. The survey was conducted with transdisciplinary bias and investigates how the justice provides penalties for these people and their applicability . In Brazil , people with mental illness or incomplete or retarded mental development have been authors of completed or attempted crimes. In many cases, crimes are committed against family members or people close for no apparent reason. Under a closer look, one realizes that committed violence translates into a cry for help or a cry for help. When their crimes are brought to the attention of Justice and is found its unaccountability, the guy who committed it is exempt from punishment and shall be applied to security measures, consisting of admission to Hospital Custody and Psychiatric Treatment (CPTH) for treatment. Thus, we seek to understand the phenomenon of madness from the perspective of psychiatric reform , which requires a survey about the relevant legislation to the subject, considering legal, political, social and cultural issue, without which one can not understand the behavioral changes and look that settled over the years . This study aims to analyze the fundamental social right to health and family life, guaranteed by the state, people suffering from mental disorders and that, as such, commit crimes. In such cases, they are a security measure applied, is admission to the Hospital of Custody and Psychiatric Treatment (CPTH) or outpatient treatment, where the crime is punishable by imprisonment or detention, respectively.
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Noda, Katsuko, and 勝子 野田. "ある地域における児童・生徒の精神健康度の分析 : クレペリン検査の客観的指標 を用いて." 名古屋大学大学院教育発達科学研究科, 2000. http://hdl.handle.net/2237/3025.
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Labouliere, Christa D. "The role of acquired capability as a differentially-specific risk factor for disordered eating and problematic alcohol use in female college students: A measure development and validation study." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4714.
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Traditional college students are members of an age bracket noted for high levels of risky behavior, and research has shown that certain risky behaviors, such as disordered eating and problematic alcohol use, are particularly common among undergraduates. It is well established that certain events in the learning history predispose vulnerable persons to engage in maladaptive risky behaviors. What is less clear is why some persons facing these events go on to develop maladaptive behavior while others do not, or why people facing similar events develop different varieties of maladaptive behaviors. Current research has focused extensively on risk factors that are common across dysregulated behaviors (e.g., affect dysregulation, impulsivity, etc.); however, few studies have yet explored which risk factors differentiate risk for different maladaptive behaviors. Likely, certain mediating factors, such as beliefs about one's capability to tolerate the aversive aspects of a specific behavior, may differentiate groups at-risk for engaging in different maladaptive behaviors. Being able to determine specific risk factors for maladaptive behaviors would have obvious predictive value for targeted prevention and intervention efforts. Nevertheless, current research in the fields of risky behavior has relatively neglected the exploration of these specific risk factors, leading to theoretical, measurement, and application gaps in the literatures surrounding these problematic areas.
This study aspires to address some of those gaps, by extending the construct of acquired capability (i.e., the role of exposure and habituation to certain events in the learning history that predict the development of the ability to engage in risky behaviors despite emotional or physical discomfort) from the field of self-harm to other risky behaviors. Acquired capability as a differentially-specific risk factor has been widely validated in the field of self-harm, but has been relatively unexplored in the fields of disordered eating and problematic alcohol. As such, this study aims to develop a measure of acquired capability for disordered eating and problematic alcohol use, then validate this measure by exploring associations between acquired capability-enhancing events in the learning history, acquired capability-related beliefs, and actual risk behaviors, over and above the contributions of other common risk factors (e.g., affect dysregulation, sensation seeking) in a sample of female college undergraduates.
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Costa, Lucio. "UMA PORTA, VÁRIAS SAÍDAS: análise do processo de reorientação da atenção à saúde mental de pessoas com transtorno mental em conflito com a lei através do Programa de Atenção Integral ao Louco Infrator (PAILI)." Universidade Federal de São Carlos, 2014. https://repositorio.ufscar.br/handle/ufscar/2811.
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A presente dissertação tem como foco central os aspectos da proteção e dos direitos das pessoas com transtorno mental em conflito com a lei. Marcada pelo binômio crime/loucura, esta população vem sendo mantida apartada do novo regramento legal que dispõe sobre as garantias e o modelo de atenção psicossocial no País: a Lei Nº 10.216/2001, mais conhecida como Lei da Reforma Psiquiátrica Brasileira. Essa legislação orienta em suas diretrizes uma terapêutica contrária à lógica de asilamento e de segregação, apontando o processo de desinstitucionalização como o mecanismo que deve pautar as políticas públicas na área. Entretanto, milhares de brasileiros marcados pelo estigma da loucura e da criminalidade permanecem esquecidos em espaços de confinamento penal e internação psiquiátrica. Uma experiência inovadora conduzida pelo estado de Goiás vem mudando esse paradigma: o Programa de Atenção ao Louco Infrator (PAILI). Pautado pelas diretrizes estabelecidas pela Reforma Psiquiátrica Brasileira, o projeto tem alcançado índices de reincidência que o distingue sobremaneira dos demais modelos operados na área, constituindo uma possibilidade real de transformação na perspectiva do lidar com o binômio loucura/crime. A partir de um trabalho de campo orientado por entrevistas, além de pesquisa histórica e diálogo com algumas das principais linhas teóricas na área, procuramos situar o PAILI no contexto da desinstitucionalização psiquiátrica e dos desafios ainda presentes à plena efetivação dos direitos dessa população.
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Sallah, David K. "A study of outcomes measures in forensic mental health." Thesis, Aston University, 1999. http://publications.aston.ac.uk/10724/.
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Outcomes measures, which is the measurement of effectiveness of interventions and services has been propelled onto the health service agenda since the introduction of the internal market in the 1990s. It arose as a result of the escalating cost of inpatient care, the need to identify what interventions work and in what situations, and the desire for effective information by service users enabled by the consumerist agenda introduced by Working for Patients white paper. The research reported in this thesis is an assessment of the readiness of the forensic mental health service to measure outcomes of interventions. The research examines the type, prevalence and scope of use of outcomes measures, and further seeks a consensus of views of key stakeholders on the priority areas for future development. It discusses the theoretical basis for defining health and advocates the argument that the present focus on measuring effectiveness of care is misdirected without the input of users, particularly patients in their care, drawing together the views of the many stakeholders who have an interest in the provision of care in the service. The research further draws on the theory of structuration to demonstrate the degree to which a duality of action, which is necessary for the development, and use of outcomes measures is in place within the service. Consequently, it highlights some of the hurdles that need to be surmounted before effective measurement of health gain can be developed in the field of study. It concludes by advancing the view that outcomes research can enable practitioners to better understand the relationship between the illness of the patient and the efficacy of treatment. This understanding it is argued would contribute to improving dialogue between the health care practitioner and the patient.
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Costa, Maria Izabel Sanches. "Política de saúde mental política de segurança: manicômio judiciário, entre o hospital psiquiátrico e a prisão." Pontifícia Universidade Católica de São Paulo, 2009. http://tede2.pucsp.br/handle/handle/2915.
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This dissertation aims to genealogically analyze the approach of legal and psychiatric discourses in defense of the insane criminal restraint in regard to security measure issues and they internment in Manicômios Judiciários (a Judiciary Mental Health Hospital), currently known as the Hospitals of Custody and Psychiatric Treatment (HCPT). Since the appearance of the psychiatrist in court, the figure of the insane criminal emerged as a freak that needs to be studied, treated and normalized. Thus, the knowledge of criminal psychiatry led health policies to approach the security policies as a way to suppress these dangerous individuals, removing them from the social living, legitimized by the concept of social dangerousness. Indeed, they were taken to the State custody, for the maintenance of order and the social welfare through the execution of the security measure. This work tried to investigate the technical procedures of power that produces a disciplinary control over the body, in regard to gestures, attitudes and behavior of insane criminals. From a study of the different historical phases of Manicômio Judiciário de Franco da Rocha, it was shown that the notion of dangerous individuals, and its proposal for the model of treatment / custody, changes in each current socio-political discourse
Esta dissertação tem por objetivo analisar genealogicamente a aproximação dos discursos jurídico e psiquiátrico, em defesa da contenção do louco criminoso, no que tange à problemática da medida de segurança e à internação nos Manicômios Judiciários, atualmente conhecidos como Hospitais de Custódia e Tratamento Psiquiátrico (HCTP). A partir do aparecimento do psiquiatra nos tribunais, a figura do louco criminoso emergiu como um anormal que necessita ser estudado, tratado e normalizado. Desse modo, o saber da psiquiatria penal levou as políticas de saúde, legitimadas pelo conceito de periculosidade a aproximarem-se das políticas de segurança, como uma forma de reprimir esses indivíduos perigosos, retirando-os do convívio social. Com efeito, eles passam à custódia do Estado, em prol da manutenção da ordem e do bem-estar da sociedade através da imputação da medida de segurança. Neste trabalho, procurou-se investigar os procedimentos técnicos de poder que realizam um controle disciplinar do corpo, em relação aos gestos, atitudes, comportamento dos loucos criminosos. A partir de um estudo das diferentes fases históricas do Manicômio Judiciário de Franco da Rocha, demonstrou-se que tanto a noção de indivíduo perigoso, bem como o modelo tratamento/custódia, modificam-se em cada discurso sócio-político vigente
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Lippy, Robert D. "Development of the seasonal beliefs questionnaire : a measure of cognitions specific to seasonal affective disorder /." Download the thesis in PDF, 2005. http://www.lrc.usuhs.mil/dissertations/pdf/Lippy2005.pdf.
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Cummings, Devon Leeann. "Using Social Cognitive Career Theory to Conceptualize and Develop a Measure of the Barriers to Career Choice for Individuals Who Have Criminal Records." University of Akron / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=akron1226532928.
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Beck, Jonathan S. ""Camouflaging" in Women with Autistic Traits: Measures, Mechanisms, and Mental Health Implications." BYU ScholarsArchive, 2019. https://scholarsarchive.byu.edu/etd/8589.
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Autistic traits are associated with frequent psychological distress and everyday functional challenges. Some individuals with autistic traits “camouflage” these traits during social interactions by effortfully engaging in “typical” social behaviors. Camouflaging seems to be especially common in autistic girls and women. Emerging evidence proposes a role for camouflaging behaviors in poorer mental health and daily functioning. Furthermore, camouflaging efforts may delay receipt of a proper diagnosis and access to appropriate mental health care. Despite their clinical significance, camouflaging efforts remain difficult to quantify, and the mechanisms and impacts of camouflaging are poorly understood. This study aimed to compare multiple methods of quantifying camouflaging, investigate potential mechanisms of camouflaging, and describe mental health implications of camouflaging behaviors.The sample included 66 women (M age = 25:2 years, SD = 6:4; M IQ = 114, SD = 11) who reported social challenges and scored high on a measure of broad autistic traits. A minority (n = 22) had previously received an autism diagnosis. A majority reported significant anxiety, depression, or suicidality. Camouflaging was quantified using three methods: one self-report questionnaire (CAT-Q), and two discrepancy-based methods that contrasted presentation of autistic traits during the ADOS-2 with measures of less-visible autistic traits (AQ, TASIT-S). Analyses showed that the discrepancy-based measures agreed with each other, but not with the self-report measure of camouflaging. Regression analyses showed camouflaging scores were poorly predicted by age, IQ, performance on executive functioning tasks, and self-reported social cognitive abilities. Regression models including clinician-rated and self-reported autistic traits showed that autistic traits on the SRS-2, and camouflaging efforts on the CAT-Q, modestly but significantly predicted psychological distress and functional challenges. Finally, clinician-administered and self-report diagnostic measures demonstrated only fair or poorer agreement with each other in this unique sample that includes women with elevated self-reported camouflaging.Results emphasize the clinical significance of the camouflaging construct, which may predict mental health difficulties in individuals with autistic traits better than conventional autism measures. Quantifying camouflaging remains challenging as various proposed measures disagree with each other. Disagreement on diagnostic classification between measures underscores the importance of comprehensive, multi-method assessment of mental health in women who report difficulties fitting into social situations and who may be camouflaging significant autistic traits.
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Grealish, Annmarie. "The development of the Youth Empowerment Scale." Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/the-development-of-the-youth-empowerment-scale(89eacd8b-691f-4f28-aca8-068c5882595f).html.
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This study developed and validated the Youth Empowerment Scale (YES) for young people with psychosis. This PhD thesis consisted of four phases. Phase 1 conceptualised empowerment from the perspective of young people with psychosis. Phase 1 qualitative findings informed the development of the measurement of empowerment; the Youth empowerment Scale (YES). Phase 2 developed and validated the YES in a non-clinical population. Phase 3 explored the relationship between psychological processes (self-efficacy, control, coping, thinking style, and social support), empowerment, mental health wellbeing and recovery. The YES was then validated again in phase 4 on a clinical population, young people within Child and Adolescents Mental Health Services (CAMHS). This study confirmed that the YES is a valid and reliable measure of empowerment which can be used in future work identifying and supporting empowerment for young people with psychosis.
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Carlota, Rita. "Why using individualized outcome measures in mental health? A thematic comparison of patient-generated items in PQ with CORE-OM and PHQ-9." Master's thesis, Universidade de Évora, 2016. http://hdl.handle.net/10174/18331.
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This study aims to investigate the utility of PQ (Personal Questionnaire) as an individualized measure. PQ is a tool built by the patient, with the purpose of measuring the patient’s changes during the process of therapy. We intend to explore the ability of this tool to add information concerning the patient’s problems when compared to standartized instruments. From a sample of 105 patients, gathered from a clinical population and from a population of drug abuse, 563 items were collected; these were categorized into 65 sub-themes and classified according to their quality. "Addiction" was the most indicated sub-theme by the sample, mentioned in 46 items (17.8%). About 38% of the items were not covered by the CORE-OM and about 71% were not covered by the PHQ-9. A large part of the sample (69%) showed at least a sub-theme not covered by the CORE-OM and practically the whole sample (97%) mentioned at least a sub-theme not represented by PHQ-9; Porquê usar medidas de resultado individualizadas em saúde mental? Uma comparação temática de itens gerados pelo paciente no PQ com o CORE-OM e o PHQ-9
Resumo:
Este estudo pretende investigar a utilidade do PQ (Personal Questionnaire) como medida individualizada. O PQ é um instrumento construido pelo paciente, com a finalidade de medir mudanças do paciente durante o processo de terapia. Pretendemos explorar a capacidade deste instrumento em adicionar informação sobre os problemas dos pacientes quando comparado a instrumentos standartizados. De uma amostra de 105 pacientes, provenientes de uma de população clínica e de uma populaçao de abuso de drogas, recolheram-se 563 itens; estes foram categorizados em 65 subtemas e classificados segundo a sua qualidade. O subtema mais indicado pela amostra foi “Dependência”, mencionado em 46 itens (8.17%). Cerca de 38% dos itens não foram cobertos pelo CORE-OM e cerca de 71% não foram cobertos pelo PHQ-9. Grande parte da amostra (69%) indicou pelo menos um subtema não coberto pelo CORE-OM e praticamente toda a amostra (97%) mencionou pelo menos um subtema não representado pelo PHQ-9.
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Sturidsson, Knut. "Measures in forensic psychiatry : risk monitoring and structured outcome assessment /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-262-0/.
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Gatfield, Pamela Jo'. "Day treatment programs for adults with severe and persistent mental illness: Effectiveness measured in rates of recidivism." CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2299.
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This study measured the effectiveness of rehabilitative day treatment (RDT) programs for persons with severe and persistant mental illness in San Bernardino County. The effectiveness of RDT services was determined by rates of recidivism.
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Zorita, Paz Mendez-Bonito. "Family functioning, life events, and depression: Accounting for contamination of family functioning measures by depression variables, and error of measurement in life events measures." Case Western Reserve University School of Graduate Studies / OhioLINK, 1991. http://rave.ohiolink.edu/etdc/view?acc_num=case1059416374.
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Gordon, Michael Stephen. "An evaluation of self-assessment and proxy measures of depression and anxiety in people with learning disabilities." Thesis, University of Ulster, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.342439.
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Ianovski, Lola Eugenia. "Should recovery practices within mental health services be monitored? If so, how can organisational recovery orientation be measured? A qualitative inquiry." AUT University, 2009. http://hdl.handle.net/10292/953.
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This study is a stakeholder consultation about recovery policies and practices in Aotearoa/ New Zealand. Six consumer advocates and five policymakers were interviewed on whether evaluating mental health services’ adherence to recovery philosophy would be useful in facilitating implementation of national recovery policies and the shape and function of such evaluation. Two focus groups and six individual interviews were conducted and transcribed. Textual data was subjected to software-assisted and manual thematic analyses. One of the key findings is participants’ lack of confidence in the current implementation of the recovery paradigm within the New Zealand mental health sector. Participants generally supported the idea of measuring recovery orientation at organisational level, although for different reasons and with reservations. Evaluating the process of service delivery appeared to be preferable to measuring outcomes.
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Clemens, Camille. "The relationship of measures of job satisfaction to work/nonwork preference, life satisfaction, and mental health in Black and White workers." Diss., The University of Arizona, 1990. http://hdl.handle.net/10150/185022.
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This study examines how the relationship between job satisfaction and measures of life satisfaction, mental health and work/non-work preferences differ for Black and White workers. Subjects consist of 128 employees from a large West Coast veteran's hospital. Results found Black workers' mental health scores were significantly related to income level and their work/non-work preference. For White workers, no significant relationships were found to exist. Also, Black and White workers reported no significant difference in overall level of job satisfaction.
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Granville, Sian Rachel. "A qualitative inquiry of clinicians' relational experiences within a perinatal infant mental health service contextualised with quantitative analysis of outcome measures." Thesis, University of Essex, 2016. http://repository.essex.ac.uk/18665/.
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Literature highlights the perinatal period as a time of increased risk for mothers and infants, particularly those who have additional psychological and social risk factors. Enquiry reports underscore poor outcomes and service engagement for mothers from marginalized social contexts wherein relationships with services can be characterized by avoidance, distrust and silencing. Nuanced understandings of these relational processes are lacking and important to explore in the context of research supporting the therapist-parent relationship as a mechanism of therapeutic change. Within a Perinatal Infant Mental Health Service (PIMHS), this research aimed to explore clinicians’ relational experiences with the mothers and infants they work with, and their reflections on therapeutic change, and contextualize this with analysis of quantitative outcomes for mothers and infants engaged in PIMHS interventions. A qualitative inquiry using semi-structured interviews was undertaken with ten clinician participants and analysed using thematic analysis (TA). Quantitative analysis using Reliable and Clinically Significant Change calculations was conducted for six parent-infant dyads using pre and post-intervention scores on the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) and Mother Object Relationship Scale-Short Form (MORS-SF), alongside descriptive changes according to the Meaning of the Child Interview and safeguarding statuses. TA produced five main themes; ‘the overbearing wider context’, ‘professional positioning’, ‘dyadic/triadic relating’, ‘the self in the work’, and ‘connecting and expanding understanding’. Results highlight the multifaceted nature of experiences of clinicians working within the PIMHS through which wider contextual, inter-professional, dyadic/triadic, and intra-professional factors impact upon the work. Quantitative analyses of outcomes indicated a mixed profile of the extent that parents appeared to benefit from the PIMHS and demonstrated little consistency of change across measures. The discussion raises questions regarding how to measure the impact of the work, and the centrality of inter-disciplinary shared understanding in supporting families. Clinical and research implications are presented in the context of the findings and methodological limitations.
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Kibby, Jason A. "Using School-Relevant Measures to Further Support the Implementation of School-Based Mental Health Programs in Public Schools in Southwest Ohio." Miami University / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=miami1119451521.
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