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Dissertations / Theses on the topic 'Social work with the terminally ill'

Author: Grafiati

Published: 4 June 2021

Last updated: 28 July 2024

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1

Ng, Lai-nga. "An exploratory study on an interventive approach to work with the spouse of patients with terminal illness /." [Hong Kong : University of Hong Kong], 1987. http://sunzi.lib.hku.hk/hkuto/record.jsp?B1234168X.

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2

Choy, Yin-san Catherine. "An exploratory study on anticipatory grieving : case studies of spouses of terminally ill patients /." [Hong Kong : University of Hong Kong], 1987. http://sunzi.lib.hku.hk/hkuto/record.jsp?B12341575.

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3

Choy, Yin-san Catherine, and 蔡妍珊. "An exploratory study on anticipatory grieving: case studies of spouses of terminally ill patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1987. http://hub.hku.hk/bib/B31247799.

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4

Ng, Lai-nga, and 吳麗雅. "An exploratory study on an interventive approach to work with the spouse of patients with terminal illness." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1987. http://hub.hku.hk/bib/B31247957.

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5

Comben, Carole R. "Swampy territory : the role of the palliative care social worker in safeguarding children of adults who are receiving specialist palliative care." Thesis, University of Stirling, 2010. http://hdl.handle.net/1893/3062.

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There is minimal research into families where a person who is receiving palliative care has dependent children. In particular, there is a lack of information about the work that palliative care social workers undertake with such families. This study examines the role of the palliative care social worker in safeguarding and promoting the welfare of children of adults receiving specialist palliative care. This is a qualitative study involving the collection of information from a total of 57 palliative care social workers in three ways: focus groups, survey and semi-structured interviews. The analysis demonstrates that palliative care social workers understand the term 'safeguarding children' to mean more than child protection alone. The analysis also focuses on the process of referral, institutional barriers, supports for their work with children, and inter-agency collaboration. An equally important aspect of the analysis, and one generally neglected in psycho-social studies, relates to the socio-economic context of the palliative care social workers' work, including the effects of the immigration status of families on children. In the main, concerns about the present and future care of children come to the attention of palliative care social workers via members of the multidisciplinary team in which they are based. The numbers are reported to be relatively small in contrast to the total number of referrals received. The extent to which support to children is provided varies considerably; some palliative care agencies do not encourage palliative care social workers to work directly with children prior to bereavement and others restrict direct work with children post-bereavement. The main emphasis for all workers, however, is on support to the parents to help them understand their children's needs during the terminal phase of the illness. The well-being of children at this time of emotional stress is included in the palliative care social workers' definition of 'safeguarding children'. In addition, the wide-ranging examination of the palliative care social workers' involvement with the families illustrates the extent of the dedication involved in an under-resourced and little understood area of their work. Whilst palliative care social workers reported receiving basic training on child protection within their agency, with some themselves providing this training, further training on safeguarding children is not always available or known about. The amount and type of professional supervision and support is also varied, particularly in relation to child-care matters; not all have access to supervision from another social work professional. There are a small number of examples given in the study where children are considered to be at risk in some way. Children cared for by lone parents are recognised as being especially vulnerable, particularly if future care plans are not in place before the death of the parent. Also identified as vulnerable are children of parents whose immigration status is in question as their future location may be in doubt, placing children and the surviving parent under additional stress. One of the major difficulties for palliative care social workers is securing support services from local authority children's services. Whilst there are examples of collaboration and co-operation, the findings in this study echo those of others which examine the relationship between adult and children's services. In this study, palliative care social workers speak of frustration and disappointment in the responses they receive, and they are concerned that the needs of children of dying parents are not understood. This study contributes to the debate about the focus of children in care services for adults and how staff may be supported in their task of safeguarding and promoting the welfare of children. This study also adds to the limited existing knowledge about palliative care social work practice.

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6

Friedman, Mark David. "The holocaust survivor's experience of death and dying : a model for social work assessment and intervention." Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=29554.

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This paper investigates whether or not the experience of survivors of the Holocaust through the dying process follow the stages and tasks of dying as defined in the theoretical literature and the ramifications this has for the social worker serving these individuals and their families. The methodology employed was a library search to overlay the literature on death and dying upon the literature concerning Holocaust survivors. The study concludes that, for the most part, there is little congruence between the theories of dying and the coping mechanisms of the Holocaust survivor and that a different model of death and dying is required for this population. In order to provide a preliminary model and guide workers who might encounter terminally ill survivors and their families as patients and clients, approaches for engagement, assessment, and intervention are proposed and analyzed.

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7

Chan, Chi-ho. "A clinical data mining study of the psychosocial status of Chinese cancer patients in palliative care." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38165570.

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8

Maree, Lutricia Elzette. "Social workers in private practice in the Western Cape : attitudes and responses towards persons living with HIV-infection and AIDS." Master's thesis, University of Cape Town, 1993. http://hdl.handle.net/11427/14228.

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Includes bibliography.
The Acquired Immune Deficiency Syndrome (AIDS) has increasingly become a serious public health threat, reaching pandemic proportions. Against this background, the role of health care professionals is becoming progressively more important due to the multi-faceted impact of the disease on the lives of HIV-infected and AIDS-patients. The psychosocial impact of the disease compels social workers to contribute their services. The skills of clinical social workers however distinguish them from their counterparts in generic settings in that it enables them to create a therapeutic milieu conducive to the successful treatment of the AIDS-patient. Social workers in private practice may however be regarded as being in an even better position to deal with AIDS-patients due to the autonomous nature of their work environment. Several studies have been done both locally and abroad, on the role that knowledge, attitudes and behaviour of health care professionals play with regard to the treatment of the AIDS-patient. No such studies have however focussed on social workers in private practice as a population. Al though this population have sets of skills most appropriate for the treatment of these patients, the question however recurs as to whether they are adequately equipped regarding AIDS-education, and if they do perhaps share similar feelings of fear, stigma and attitudes of discrimination towards these patients as have surfaced in the studies mentioned above. This study therefore has as its main objectives the following: To establish whether social workers in private practice feel adequately equipped to deal with issues of HIV, AIDS and human sexuality; and to determine the degree of correlation among attitudes to AIDS-patients, homosexuals, terminally ill patients and sexuality, and other variables such as experience, gender and knowledge on the subject of AIDS.

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9

Chan, Chi-ho, and 陳智豪. "A clinical data mining study of the psychosocial status of Chinese cancer patients in palliative care." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B3857312X.

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10

Feris, Reinett Freya. "The psychosocial stressors of women with HIV/AIDS involved in a support group (in Walvis Bay)." Thesis, Stellenbosch : Stellenbosch University, 2005. http://hdl.handle.net/10019.1/50513.

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Thesis (MA)--Stellenbosch University, 2005.
ENGLISH ABSTRACT: An exploratory study was conducted to determine the psychosocial stressors of women living with HIV/AlDS. The study also included the utilisation of group work by social workers to support HIV positive women. The exploratory study was also conducted to determine HIV positive women's experiences in a support group. The researcher's interest in group work, as well as her involvement with a support group with HIV positive women, is the motivation for the study. The aim of the study is to provide an explanation of the psychosocial stressors that HIV positive women experience and also to capture their experiences regarding the support group they attend. Nine psychosocial stressors, namely anger, fear, loss, grieve, guilt, denial and disclosure, depression, suicidal behaviour and anxiety, were included in the literature study. The advantages, disadvantages and components of group work, as well as comparisons of effective and ineffective groups, were highlighted. The research also focused on planning a group for women with HIV/AlDS, with special attention given to the needs assessment, the purpose of the group, the group composition and the structure of the group. The value of group work with HIV positive women was investigated. The universum was HIV positive women at the Walvis Bay Multi-Purpose Centre. The qualitative research method that was used took the form of structured interviews. The results of this study generally confirmed the findings of the literature study. Recommendations include ways in which social workers can assist HIV positive women not only on an individual basis but also especially in a group setting, and recommendations concerning future research. The importance of future research with HIV positive women was especially recommended.
AFRIKAANSE OPSOMMING: 'n Verkennende studie is onderneem om die psigososiale stresfaktore wat HIV positiewe vroue ondervind, te bepaal. Die studie het ook maatskaplike werkers se gebruik van groepwerk om HIV positiewe vroue te ondersteun, ondersoek. Die navorsing is voorts onderneem om HIV positiewe vroue se ervarings van 'n ondersteunersgroep te bepaal. Die navorser se belangstelling in groepwerk, en haar betrokkenheid by 'n ondersteunersgroep vir HIV positiewe vroue, was die motivering om die studie te onderneem. Die doel met die studie is om die psigososiale stresfaktore wat HIV positiewe vroue ondervind, te beskryf en te verduidelik, en ook om sommige van die ervarings wat sulke vroue in 'n ondersteunersgroep ondervind, te boekstaaf. Nege psigososiale stresfaktore, naamlik woede, vrees, verlies, droefheid, skuldgevoel, ontkenning en onthulling, depressie, selfmoordgedrag en angs, is in die literatuurstudie bestudeer. Die komponente en voor- en nadele van groepwerk, asook 'n vergelyking van effektiewe en oneffektiewe groepe is ook ingesluit. Die beplanning van 'n groep vir HIV positiewe vroue is benadruk, met spesiale verwysing na die behoeftebepaling, en die doel, die samestelling en die struktuur van die groep. Die waarde van groepwerk vir HIV positiewe vroue is ook ondersoek. Die universum is HIV positiewe vroue by die Walvisbaai Multi-Purpose Centre. Die kwalitatiewe navorsingsmetode wat gebruik is, is gestruktureerde onderhoude. Die resultate van die studie het in die algemeen die bevindinge van die literatuurstudie onderskryf. Aanbevelings sluit in wyses waarop maatskaplike werkers HIV positiewe vroue nie alleen op 'n individuele basis nie, maar ook in groepsverband kan ondersteun, asook moontlike gebiede vir verdere navorsing. Die belang van verdere navorsing met HIV positiewe vroue word veraI beklemtoon.

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11

Opincariu, Marius. "Counseling the terminally ill patients with cancer in hospital." Online full text .pdf document, available to Fuller patrons only, 2003. http://www.tren.com.

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12

Fulton, Graham, and n/a. "The Perceived needs of the terminally ill." University of Canberra. Education, 1989. http://erl.canberra.edu.au./public/adt-AUC20050217.103844.

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While there is considerable international interest in the development of hospice and palliative care programs, as an alternative form of care for the terminally ill, there is minimal empirical research undertaken on the needs of recipients of these programs. Using a Q-sort, developed by the author, this research examined the relationship between individual patient's ranking of their needs, and the nurse's perception of the needs identified by individual patients in their care. A basic assumption of the study was that patients' needs could be categorised in four groups, namely spiritual, physical, emotional, and social. Consequently, the study also examined whether patients and nurses identified, as most important, needs from one group, more frequently than the other groups. The limited size of the sample placed severe restrictions on the analysis of results derived from this research. However, while no definite conclusions could be drawn from data obtained from the small sample, tentative analysis identified trends that may have proved significant had they continued in a larger sample.

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13

Damm, Kathryn. "Social support and mental health for terminally ill patients and their caregivers." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2008. http://wwwlib.umi.com/cr/ucsd/fullcit?p3307164.

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Thesis (Ph. D.)--University of California, San Diego, 2008.
Title from first page of PDF file (viewed July 9, 2008). Available via ProQuest Digital Dissertations. Vita. Includes bibliographical references (p. 86-103).

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14

Cranfill, Timothy D. "Giving sorrow words turning mourning into dancing : improving the quality of life of terminally ill children, adolescents, and adults through the use of therapeutic videography /." Online full text .pdf document, available to Fuller patrons only, 2004.

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Ministry research project (D. Min.)--Midwestern Baptist Theological Seminary, 2004.
Submitted in partial fulfillment of the requirements for the Doctor of Ministry Degree. Includes bibliographical references (leaves 184-188).

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15

Swift, Thomas Madison. "Psalms for the journey a study using the Psalter to help the dying find peace /." Theological Research Exchange Network (TREN), 2007. http://www.tren.com/search.cfm?p062-0319.

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16

Wilson, Margaret Taylor. "Developing a nurturing model of pastoral care in the hospice setting based on "restored image" in Genesis 1:27 /." Free full text is available to ORU patrons only; click to view:, 2002. http://wwwlib.umi.com/cr/oru/fullcit?p3079970.

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17

Pocock, John Willmer. "Humanity in crisis HIV/AIDS and its impact on the church and community in South Africa /." Pretoria : [s.n.], 2004. http://upetd.up.ac.za/thesis/available/etd-02022004-150059/.

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18

Beene, Jerry Dale. "The living and spiritual experiences of gay men with AIDS : an exploratory study : a project based upon an independent investigation /." View online, 2008. http://hdl.handle.net/10090/5866.

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19

Logan, James P. "Lest they be broken in spirit the Church's care for the sick and dying /." Online full text .pdf document, available to Fuller patrons only, 2000. http://www.tren.com.

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20

Rogers, Philip. "Life in death an Orthodox pastoral approach to death and dying /." Theological Research Exchange Network (TREN), 2007. http://www.tren.com/search.cfm?p015-0461.

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21

Bigley, Christine. "Christian support for those in physical crises a guide for establishing a cancer support group in the parish /." Theological Research Exchange Network (TREN), 1993. http://www.tren.com.

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22

Morris, William L. "Dying well a Christian perspective /." Online full text .pdf document, available to Fuller patrons only, 2000. http://www.tren.com.

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23

Turner, Roxanne. "Depression in older persons who are chronically ill." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1990. http://digitalcommons.auctr.edu/dissertations/1471.

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This study explores the severity of depression in older persons who are chronically ill. The study was an attempt to determine if there is a significant relationship between four independent variables—family support, social support, marital status, and gender. The study was conducted while respondents were hospitalized at Clayton General Hospital. The research concluded that most older chronically ill persons were not depressed or were only mildly depressed. Significant factors were gender. Females reported more incidence of depression than males and single respondents reported higher incidences of depression than married persons. Suggestions for identifying depression in older persons were indicated and implications for social work practice for working with this unique population were discussed.

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24

George, David S. "Ministry to the bereaved and dying." Theological Research Exchange Network (TREN) Access this title online, 2004. http://www.tren.com.

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25

Taylor, Roy W. "Equipping laypersons to confront issues of death, dying, and grief." Theological Research Exchange Network (TREN), 1990. http://www.tren.com.

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26

West, Tousha Terrell. "An evaluation study of the homeless chronically mentally ill program." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1997. http://digitalcommons.auctr.edu/dissertations/573.

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This is an summative evaluation of the Homeless Chronically Mentally Ill program which examined the impact of case management and the outcome of the program on participant's substance abuse usage. Twenty-six participants' participated in the study. Participants were evaluated by two scales, the Client Satisfaction Questionnaire and the Reid-Gundlach Social Service Satisfaction Scale. Participants were sampled from those who were admitted into the HCMI program. The result of the study revealed that the majority (73.1) of those surveyed were satisfied overall with the program and 73.1 percent felt they could count on their social worker in times of trouble. This indicates that the HCMI program is meeting its goal to serve those veterans who are homeless and chronically mentally ill in order to help them reconnect into society.

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27

May, Carl R. "'Getting to know them' : an exploratory study of nurses' relationships and work with terminally ill patients in acute medical and surgical wards." Thesis, University of Edinburgh, 1991. http://hdl.handle.net/1842/19115.

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In this study the ways in which a group of experienced staff nurses defined, understood and accounted for their social relationships with terminally ill patients are explored. Two major bodies of social theory - an actor-oriented micro-sociological perspective, grounded in the work of Alfred Schutz and Peter L. Berger; and a macro-perspective derived from the work of Michel Foucault - are drawn on to argue: (1) That social relationships between nurses and patients are rendered problematic by the ways in which nurses defined them as encompassing an interest in the patient as a 'whole' individual. Attention is drawn to the ways in which this individuation is achieved through the production, collation and distribution of knowledge about the patient as a 'public' social actor, and as a 'private' subject. (2) That the problematic status of this social relationship is resolved through its definition as a site of particular forms of work. Here the patient is designated as more than a sick body; beyond material practices directed at palliating the effects of organic disorder, the patient is the focus of attention directed at penetrating and inspecting the sphere of the private subject. (3) That work directed at the patient's subjectivity offers not only a potent mode of surveillance to reveal psychosocial 'needs' and 'problems'. This work also permits work to adjust the patient's subjective view of social reality and so to integrate him or her into an ideal trajectory that leads to an unproblematic death.

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28

Ng, Julie Siew Wan. "Knowing the patient well : learning disability nurses' experiences of caring for terminally ill people with profound learning disabilities in residential care settings." Thesis, University of Greenwich, 2011. http://gala.gre.ac.uk/8049/.

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This thesis reports on a research project guided by the principles of grounded theory. It examines how learning disability nurses care for terminally ill people with profound learning disabilities in two National Health Service residential homes. The aim of the study is to explore the perceived knowledge and skills of this group of nurses. It concerns how they assess, recognise and discover patients’ illnesses and how they provide end of life care needs. A total of 36 learning disability nurses participated in in-depth interviews. Thematic analysis is achieved through analysis of interview transcripts and reflexive journaling (field notes). The analysis of data suggests that the main theme “longitudinal knowing” leads to the production of “knowing the patient well”. “Longitudinal knowing” is the principal process through which the “normal” and the “pathological” continuum is constructed. The observed changes help learning disability nurses to establish a clear demarcation between learning disability-related behaviour and disease-related behaviour. The strategy of “longitudinal knowing” the patient well helps learning disability nurses to understand what their patients are like before the illness, and after the onset of illness. In addition, this thesis reveals that learning disability nurses draw on different types of knowledge. This knowledge includes “intuition”, “commonsense” knowledge and “formal” knowledge. The analysis of data shows that the four types of knowledge derive from “longitudinal knowing”. They help learning disability nurses to understand and assess patient’s changing health conditions. These types of knowledge serve as tools to help learning disability nurses make appropriate nursing decisions about a patient’s health status. In this study, participants sometimes used a mixture of lay and technical language to describe their observed signs and symptoms. The analysis of data shows an area of “uncertainty of knowing”. It concerns an ambiguity about whether the specific signs and symptoms are attributed to the learning disability or to an illness. “Uncertainty of knowing” may be a potential barrier to the delivery of appropriate comfort care. The thesis also reveals an area of “certainty of not knowing”. This refers to moments when participants know for sure where the gaps in knowledge are. The analysis of data shows that participants seek to address this gap by searching for relevant internet resources. They also know that they need educational input in pathophysiology of advance diseases. This helps to reduce the tension created by “uncertainty of knowing” and comfort care. The thesis shows that for all participants, “longitudinal knowing” is fundamental for learning disability nurses in the delivery of appropriate and timely “comfort” end-of-life care.

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Traylor, Cynthia A. "A descriptive study of formerly homeless mentally ill adults knowledge of AIDS." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1992. http://digitalcommons.auctr.edu/dissertations/1482.

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The overall purpose of this study was to determine the level of knowledge of AIDS among formerly homeless mentally ill adults. Two constructs were addressed: (1) level of knowledge of AIDS by age, and (2) level of knowledge by race. A descriptive correlational study was conducted in this research. A questionnaire was administered to 30 individuals who are formerly homeless mentally ill adults living in a residential community. The findings of this research indicate that adults between the ages of 46 and over were more knowledgeable than other age groups; and white participants were more knowledgeable than other ethnic groups.

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30

Wilson, Janon Shunta. "Descriptive study of coping snd adaptive behaviors of families with mentally ill family members." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1994. http://digitalcommons.auctr.edu/dissertations/485.

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The purpose of this study was to see how parents or guardians cope and adapt to their mentally ill relatives. Primarily, the study set out to identify coping and adaptive behavioral skills that will allow the parents of the mentally ill to better cope and adapt. It also set out to identify specific variables strongly associated with the conditions sampled, they were the family structure, isolation, loneliness, shame, anxiety, fear, psychotic behavior, lack of understanding, anger, quilt, sympathy, compassion, ambivalence, community support and educational approach. The literature reviewed for this study revealed a number of studies that were mostly dealing with the coping and adaptive skills that will help parents to deal with their mentally ill relatives. The purpose was to explore the real life situations that families of the mentally ill have to endure while working with their mentally ill relative. Further, to determine other circumstances that contribute to the coping and adaption skills of these families. Forty-seven families participated in the study. The purpose of the survey was to measure the involvement that many families have with their mentally ill relative and how they cope and adapt with their behavior. The finding of the study seem to indicate no significant difference between the variables. However, many of the families could not cope with the behavior of their mentally ill relative. Direction for future research should include longitudinal studies concerning this topic and this population.

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31

Law, Foon-kam, and 羅歡琴. "Participation in parent support group as perceived by parents of children with cancer." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B45011849.

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32

Chapman, Kimberly J. (Kimberly Jane). "The relationships among general coping style, hope, and anticipatory grief in family members of terminally ill individuals with cancer receiving home care." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=22724.

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Family members have been observed to cope with the losses inherent in terminal illness by grieving. Little is known, however, about the factors which influence their grieving before the death of a significant other. This paper describes an exploratory, cross-sectional, correlational study designed to examine the relationships among general coping style, hope, and anticipatory grief in a convenience sample of 61 family members of individuals with terminal cancer. The organizing framework for this study was based on grief theory, Lazarus and Folkman's (1984) theory of stress and coping, and Davies, Reimer, and Martens' (1990) transition framework. Data were collected by a four-part questionnaire comprising the Jalowiec Coping Scale (Jalowiec, 1987), the Herth Hope Index (Herth, 1991), the Non-Death Version of the Grief Experience Inventory (Sanders, Mauger, & Strong, 1985), and a background information sheet developed by the researcher. Findings revealed that family members experienced individual anticipatory grief patterns. Women experienced more despair and anger/hostility than men. Adult children, more highly educated family members, individuals not living with the ill person, and non-primary caregivers expressed more anger/hostility. Multiple regression results showed that emotive coping and hope accounted for significant proportions of the variance in despair, somatization, and loss of control. Emotive coping contributed significant variation in anger/hostility, whereas lack of hope accounted for a significant amount of the variation in social isolation. Neither the general coping styles nor hope significantly predicted death anxiety. Suggestions for research and nursing were indicated.

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33

Robinson, John Lee Sr. "An evaluative study of the progress of adult mentally ill residents in a Fulton County group home." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1991. http://digitalcommons.auctr.edu/dissertations/2450.

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The overall purpose of this research was to evaluate the progress of the residents who were living in a group home for the mentally ill located in the Fulton County area of Atlanta, Georgia. The study focused on evaluating residents functioning in daily activities, the extent to which they function in the group home and perform routine assignments by the use of an Individual Progress Rating Scale. Scores were obtained from March 19, through April 15, 1990 and from December 17, 1990 through January 13, 1991. The composite scores were used for the analysis of the data. The ecological perspective addresses environmental problems and needs which can thwart functioning in group home residents. The single system research methodology was employed to evaluate how effectively residents' needs in functioning were met. The study has been to effect a heightened awareness of how intervention strategies, when appropriately employed, can help to improve functioning in group home residents according to goals and objectives of the agency. There were only three residents who remained in the group home studied for a period of nine months in satisfying the evaluation. There was a 94.5% improvement shown in residents' functioning during the December 17, 1990 to January 13, 1991 period.

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34

Exley, Catherine Elizabeth. "Living with cancer : living with dying : the individual's experience." Thesis, Coventry University, 1998. http://curve.coventry.ac.uk/open/items/94145345-36cc-92ad-7d6f-f8aae99dc41d/1.

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This thesis explores the experience of living with cancer and a terminal prognosis from the dying individual's perspective. It is based on qualitative sociological research. My study group comprised nineteen hospice patients, eighteen women and one man, aged 27 to 67, all of whom had been diagnosed with cancer. Thirty focused interviews were conducted; each respondent was interviewed at least once with a sub-group being interviewed a second or third time dependent upon symptoms, willingness to participate again and the need to explore issues further. My thesis is a sociological account of respndents' views and experiences. Its focus is the management and negotiation of dying and death at an individual level. A central tenet of my thesis is how self-identity is constructed and negotiated in different social encounters, in both the public and the private sphere. With reference to the public sphere I consider respondents' experiences of communicating with health professionals, and the difficulties they encountered. Within this discussion I look at how respondents constructed understandings of their illness within the context of their own biographies. I also discuss individuals' experiences of treatment, and the choices they made about this. In addition, I examine respondents' hopes and fears for their own deaths, and I suggest the notion of a 'good enough' death may be useful in interpreting their views. Repsondents perceived they had a spoiled identity as a result of their cancer and dying status. As a result, they spent a great deal of time and effort engaging in emotional work, in order to reassert their more valued roles. Much has been written about the emotional work of paid and unpaid carers. Here I suggest attention must also be given to the work of dying individuals themselves. However, I do not conceive of this emotional work as selfless, rather I suggest such work has benefits for individuals themselves. Emotional work enabled them to reaffirm or renegotiate more valued self-identities while alive, but in addition, I suggest that it also meant that respondents were able to contribute towards their own 'disembodied' after-death identities.

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Falkenberg, Helena. "How privatization and corporatization affect healthcare employees' work climate, work attitudes and ill-health implications of social status /." Doctoral thesis, Stockholm : Department of Psychology, Stockholm University, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-37308.

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Evans, Deirdre Aileen. "From adolescence to adulthood : a study of the relationship between social factors and outcome for young psychiatric patients." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28714.

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Adolescents who were admitted to the Adolescent Psychiatric Unit at Vancouver General Hospital for assessment between 1981 and 1983 who were queried to be in the process of developing a long term psychotic illness were followed retrospectively after five to seven years. At the time of assessment the subjects were between 13 and 16 years of age. The study was intended to act as a pilot project for a larger study. In tune with a biopsychosocial emphasis, outcome was defined as a multi-directional and multi-dimensional concept, involving both positive and negative outcomes in a variety of dimensions. Independent variables were drawn from a structured interview which pertained to the subjects' experience with family relationships, peer relationships, use of treatment resources, educational and employment achievement, drug and alcohol usage, legal difficulties, and quality of life issues since their hospitalization. Three structured outcome measures were used as dependent variables. These included scales which assessed current levels of family functioning, satisfaction and happiness, and community adjustment. Bivariate analysis was conducted using SPSSX:3. The resulting description of the population indicated a heterogeneous group with a variety of outcomes. Although some of the subjects fit the profile for chronic mental illness, diagnosis did not predict outcome. Positive outcome appeared to be associated with stability in overall family functioning, and in particular with the subjects' reports of a positive relationship with their fathers; with the ongoing use of treatment resources; with ease in establishing peer relationships; with self-motivatioin in the area of employment; and with the ability of subjects to move from alternate school settings back into the regular system. Subjects who described their families as having problems with control issues and with task accomplishment appeared to have had trouble in a number of areas during the intervening couse. Acceptance of the need for ongoing treatment was associated with the subjects' characterization of their families as being within norms for social values and norms at the time of outcome, suggesting the tendency of families and treatment personnel who have similar values to ally. Subjects who had had minimal or sporadic contact with treatment resources described their families as being weak in most areas of functioning, and in particular in the area of values and norms. The findings suggest several avenues for further exploration in a larger study. They also support a consideration by treatment resource personnel of the need to involve families as resources in the treatment process, and point to areas in which treatment interventions can be made.
Arts, Faculty of
Social Work, School of
Graduate

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37

Goldberg, Adrienne L. "The Seriously Ill Patient's Broken Care Continuum| One Community's Action Response." Thesis, Capella University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10284174.

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The disconnect between what evidence-based research indicates is best care for the seriously ill patient and what is delivered is significant. Local communities are charged with addressing the impact of this breakdown in care for their residents. In a system initially designed to cure, medical care is focused now on slowing the progression of complex, chronic illnesses in an aging population. The opportunities for a breakdown in care are significant. This participant action research study explored factors contributing to the breakdown of care for the seriously ill in an isolated, medically under-served County in Northwestern U.S. The combined action research and appreciative inquiry approach in this study focused on what were the actionable interventions community stakeholders considered taking in supporting improvement in the care of the County’s population. Purposeful sampling of community providers identified 14 physicians, registered nurses and clinical social workers, who participated in semi-structured interviews. Data was analyzed through the theoretical lenses of general systems, complexity, and working whole systems theories. Issues related to trust, turf, and respect emerged as stakeholders minimized the role and effectiveness of others, and overemphasized both the capacity and burden of their agency or profession’s ability and responsibility to address the problem. Professional training and position in the medical hierarchy were linked to the perceptions of stakeholders across all work settings and need to be acknowledged in future collaborations across disciplines. County specific recommendations are included along with recommendations for additional research.

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Chan, Yuen Mei-yuk Peggy. "Problems encourtered by discharged mentally ill patients and their families : case study of four young male schizophrenics and their families /." [Hong Kong : University of Hong Kong], 1985. http://sunzi.lib.hku.hk/hkuto/record.jsp?B1234865X.

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Garde, Maria Salomé. "Mentally ill homeless and companion pets." CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2186.

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The present study assessed the relationship between mentally ill homeless and their companion pets and questioned if the pets acted as a barrier for them to receive shelter and other services. The study also sought to find if pets acted as a communication tool between this population and society. themselves because they are mentally vulnerable and victims of a mental disorder.

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Page, William D. "Ministering to the shepherd a guide for when terminal illness strikes the pastor's family /." Theological Research Exchange Network (TREN), 2007. http://www.tren.com/search.cfm?p002-0837.

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Oen, Suk-ling. "An exploratory study on the family support for patients of the day hospital at Yaumatei Psychiatric Centre /." [Hong Kong : University of Hong Kong], 1991. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13117178.

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Chan, Kon-hang Tommy. "The role and experiences of approved social worker (ASWs) relating to the impletmentation of sections 31(1) & 71A of the Mental Health Ordinance (revised 1989) /." Hong Kong : University of Hong Kong, 1994. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13991577.

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Rodriguez, Priscilla. "DISCUSSING SEXUAL HEALTH TOPICS WITH SEVERELY MENTALLY ILL CLIENTS: AN EXPLORATION OF SOCIAL WORK PRACTITIONERS’ PREPAREDNESS." CSUSB ScholarWorks, 2018. https://scholarworks.lib.csusb.edu/etd/738.

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Mental health professionals have an important role to play in assessing and addressing the needs of their clients, including those with severe mental illness. Research, however, has demonstrated a reluctance toward discussing sexual health topics with severely mentally ill clients. The purpose of this study was to explore social work practitioners’ attitudes and preparedness toward addressing the sexual health need of clients who are mentally challenged to a great extent. Under the qualitative research paradigm, this study sampled 8 licensed clinical social workers who currently work in the United States. Thematic analysis of interview data generated four major themes. First, social workers harbor positive attitudes toward mental health; second, social work practitioners perceived themselves as prepared to address sexual health concerns with clients; third, sexual health discussions with severely mentally ill clients should be a part of the solution, not of the problem; and fourth, empowerment of clients and normalization of mental health are ways to combat discomfort toward discussing sexual health issues with clients. Implications for research and practice are discussed.

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Galinsky, Jayne. "A grounded theory study of dream fulfilment in children and young people with life-threatening and long-term conditions and their families." Thesis, University of Stirling, 2015. http://hdl.handle.net/1893/23180.

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Background: This thesis examines the impact of dream or wish fulfilment on seriously ill children and their families. Dream or wish fulfilment is operationalised as the actualisation of a seriously ill child’s wish by a charity that provides desired experiences. Anecdotal reports suggest that the experience of having a dream or a wish fulfilled can provide seriously ill children and their families with a sense of hope and time away from illness. However, little empirical research has been conducted in this area. This thesis reports the impact of dream fulfilment on the psychosocial well-being of ill children and their families. The research questions are: what is the experience of having a dream fulfilled for the child? What is the impact of dream fulfilment on the family? Methods: A constructivist grounded theory methodology was adopted, using theoretical sampling to recruit families from across the UK. Twenty-one families were interviewed, including 15 dream recipients, 8 siblings, and 24 parents. Analysis followed the grounded theory methodology of simultaneous data collection and development of theory, resulting in analytic interpretations of participants’ worlds. Results and Conclusions: This thesis reports for the first time a theory and accompanying theoretical model, that explain the impact of dream fulfilment on families’ lives. The generated theory suggests that dream fulfilment was conceptualised as an alternative milestone in seriously ill children and their families’ lives. Additionally, the dream experience shifted perceptions of illness by providing instances and experiences where illness did not underscore family life. Findings additionally suggest that the dream fulfilment process provided families with ill children, who often felt excluded and stigmatised from services, with a period of much needed support. Findings also highlight the unintended negative consequences of dream fulfilment. Implications for Dreams Come True, and other dream and wish fulfilment organisations are discussed.

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Silver, Thelma. "An exploratory study of families of the substance abusing mentally ill: Burden, stigma and social support." Case Western Reserve University School of Graduate Studies / OhioLINK, 1995. http://rave.ohiolink.edu/etdc/view?acc_num=case1058802022.

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Yeung, Pin-mui Maggie. "A case management model in the halfway house services of the Mental Health Association of Hong Kong : a preliminary study of effectiveness /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36787334.

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47

Wong, Oi-ling. "Supervision and teamwork in halfway houses for the ex-mentally ill : from institutional care to community care /." Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19470319.

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Hamm, Kimberly C. "Community management : the implications of residential living and case management of the severely mentally ill." Virtual Press, 1989. http://liblink.bsu.edu/uhtbin/catkey/722154.

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Research in community management of the severely mentally ill has been scarce. Two primary components of community care in particular need evaluation, residential arrangements and styles of "case management." The purpose of this study was to evaluate the interaction of two types of residential arrangements (single- and double-occupancy) and two types of case management ("assertive" and "limited") in a 2 X 2 design. Participants were individuals with a severe mental illness served by CMHS, Inc. Individuals were matched on DSM-III-R diagnoses and sex: 8 had roommates and received assertive case management, 5 had roommates and limited case management, 5 lived alone and received assertive case management, and 5 lived alone with limited case management. Data were obtained from three independent sources: (1) each client was interviewed using the Denver Community Mental Health Questionnaire (DCMHQ) and the Inventory of Socially Supportive Behaviors (ISSB) on four separate occasions over three consecutive months; (2) frequency of client contact with family members over the same time interval was tracked by case managers; and (3) concurrent attendance in day treatment sessions, diagnosis, number of previous hospitalizations, and approximate number of months of previous hospitalization were obtained from community mental health center records. DCMHQ scores for acute symptoms and interpersonal conflict were combined into an index called problems, while ISSB scores measured social support received. Monthly follow-ups for three consecutive months were used to obtain stable estimates of problems and support. Significant positive correlations were found between family involvement and problems, family involvement and residential arrangements, social support and problems, group attendance percentage and age, problems and social support, and a marginal relationship between residence and social support. Statistically significant negative correlations were found between case management and problems, social support and number of previous hospitalizations, group attendance percentage and problems, and residence and age. In multiple regression involving all predictors, the variables other than roommating and case management, (i.e., average family involvement, number of previous hospitalizations, program attendance, and age, considered together) predicted both problems reported and support received, while as second and third steps in the regression analysis case management and residence did not significantly predict problems or social support. In other words, once chronicity (i.e., number of previous hospitalizations), family contact, age, and group attendance were controlled, case management and residence both vanished as predictors. Future studies should consider these factors, and other aspects of the natural context, when evaluating community interventions for the mentally ill in a more controlled experimental design. With respect to developing new research for community adjustment, recommendations for more controlled studies were made and two new community intervention procedures were described.
Department of Psychological Science

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Shockey, Tracy Lee. "The issues faced by mentally ill gays and lesbians." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2119.

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This project is significant to social work because it addresses a topic that has not been given much attention. This particular population has not been studied much and we know little about the issues that are important to mentally ill gays and lesbians. Even in schools of social work this particular topic is frequently overlooked, and when it is discussed it is usually in relation to another topic.

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Wong, Oi-ling, and 王愛玲. "Supervision and teamwork in halfway houses for the ex-mentally ill: from institutional care to communitycare." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1995. http://hub.hku.hk/bib/B31977972.

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