Segui questo link per vedere altri tipi di pubblicazioni sul tema: Mental practice.
Tesi sul tema "Mental practice"
Cita una fonte nei formati APA, MLA, Chicago, Harvard e in molti altri stili
Vedi i top-50 saggi (tesi di laurea o di dottorato) per l'attività di ricerca sul tema "Mental practice".
Accanto a ogni fonte nell'elenco di riferimenti c'è un pulsante "Aggiungi alla bibliografia". Premilo e genereremo automaticamente la citazione bibliografica dell'opera scelta nello stile citazionale di cui hai bisogno: APA, MLA, Harvard, Chicago, Vancouver ecc.
Puoi anche scaricare il testo completo della pubblicazione scientifica nel formato .pdf e leggere online l'abstract (il sommario) dell'opera se è presente nei metadati.
Vedi le tesi di molte aree scientifiche e compila una bibliografia corretta.
1
Fjellman, Andreas. "Mental practice for military performance." Thesis, Swedish National Defence College, Swedish National Defence College, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:fhs:diva-836.
Testo completoAbstract (sommario):
<p>The aim was to examine whether the Swedish Armed Forces can use mental training to develop the soldiers and officers in the military profession, a secondary objective was to examine how mental training methods can be integrated into the Swedish Armed Forces' daily activities. The study was carried out in the form of a literature review. The search of literature was done in scientific and military data bases, and retrieval from the Department of Leadership and Management (ILM) in Karlstad. The literature and articles were reviewed which resulted in only 19 out of 64 collected works were judged to have acceptable scientific quality and be of relevance for the topic. The results of the survey show that the use of mental training techniques goal setting, imagery, self-talk and relaxation strategies can produce positive effects for individual development of soldiers and officers. First, by allowing them to improve performance and stress management ability, secondly by creating motivation. An integration of the mental training techniques requires a training of officers carried out by experts and an individual motivation in soldiers.</p>
2
Williams, Stacey L. "LGBTQ Mental Health and Practice." Digital Commons @ East Tennessee State University, 2019. https://youtu.be/wiCoDgasv4Q.
Testo completo
3
Cole, Whitney Graham. "Cortical Signal Modulation with Mental Practice." W&M ScholarWorks, 2008. https://scholarworks.wm.edu/etd/1539626570.
Testo completo
4
BERNARDI, NICOLO' FRANCESCO. "Mental practice: rehearsal strategies and sensorimotor outcomes." Doctoral thesis, Università degli Studi di Milano-Bicocca, 2013. http://hdl.handle.net/10281/41783.
Testo completoAbstract (sommario):
Mental practice (MP) is the cognitive rehearsal of a task in the absence of overt physical movements. It has been shown that MP allows performance improvements in various tasks, but little is known about the effectiveness of different strategies of MP and about
the exact sensorimotor mechanisms that underlie this improvement. Several strategies of MP are here investigated in relation to the practice outcome. In particular, in the context of music performance, it is shown that pitch imagery is strongly associated with better performance, regardless of the specific nature of the musical task. Conversely, structural/formal analysis appears to be important for music memorization, and motor imagery for fine motor control. In terms of sensorimotor outcomes of the practice, it is shown that MP results in improvements of movement velocity, movement anticipation and coarticulation. Additional experiments from force-field learning paradigm show that MP can also result in changes of somatosensory perception. Results are discussed in the context of the simulation theories of motor control.
5
Eisenbrandt, Lydia L., and Jill D. Stinson. "Serious Mental Illness in Rural Primary Care Practice." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/7895.
Testo completoAbstract (sommario):
Serious Mental Illness (SMI) is a severe and complex psychiatric condition with significant medical comorbidity. Although many patients with SMI utilize substantial healthcare resources, their healthcare outcomes are far worse than those of persons without SMI, often leading to early death. There are numerous barriers preventing these patients from obtaining optimal healthcare. The current study focused on available research emphasizing appropriate healthcare for persons with SMI who live in rural communities. The goals of the current study were to 1) to establish base rates of SMI presenting in rural primary care practices, 2) to identify and describe interventions to help individuals with SMI seek and adhere to appropriate treatment from their PCPs in rural areas, and 3) to investigate any existing interventions designed to educate or train primary care providers who serve patients with SMI, and to evaluate the effectiveness of such practices. This study involved a systematic review of the literature following the PRISMA guidelines. Results suggest that base rates of SMI in rural primary care settings have not been reported, and that there are few interventions available that are effective in increasing access to resources, adherence to treatment, and education for healthcare professionals working with patients with SMI. These findings have crucial implications for preventative healthcare screenings and medical and psychiatric interventions, yet more research is needed to determine whether these interventions could be feasible and successful for patients with SMI in rural community settings.
6
Wolff, Vincent James. "Spatial manipulation as a covariant of mental practice." PDXScholar, 1990. https://pdxscholar.library.pdx.edu/open_access_etds/4112.
Testo completoAbstract (sommario):
This experiment examined the relationship between a subject's ability to manipulate spatial relationships and utilize mental practice in the mirror drawing ability of 45 naive volunteer college students, using a six-pointed star track. The spatial manipulation abilities of all subjects were assessed with the Minnesota Paper Form Board Test, after which the subjects were divided into three treatment groups (no practice, mental practice, and physical practice) of 15 subjects using a blocked random design based upon their MPFBT scores. All three groups were trained in the mirror drawing task and given three physical practice pre-trials for familiarization. The physical practice group (PP) was given six, 80-second physical practice trials with a 40-second interpolated rest/reading period during which they read from a standardized poetry text. The mental practice group (MP) was given six, 80-second mental practice trials with the same 40- second interpolated rest/reading period, and the no practice group (NP) was allowed to read from the standardized text for an equal amount of time. Following administration of the treatment conditions, all subjects were given three physical practice post-trials in the mirror drawing task. The mean of pre-trials two and three were subtracted from the mean of the three post-trials to obtain an improvement score. The subjects' scores on the MPFBT were compared to their improvement scores using the Spearman Rank-Order Correlation (rho) test, but there was no significant correlation between the two abilities.
7
Marriott, William A. "Using mental practice to augment physical practice in a complex decision making environment." Thesis, Georgia Institute of Technology, 1996. http://hdl.handle.net/1853/24239.
Testo completo
8
SOARES, ADRIANA DE OLIVEIRA. "SOCIAL SERVICE AND MENTAL HEALTH: THE DEVELOPMENT OF A PRACTICE OR PRACTICE IN DEVELOPMENT?" PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2006. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=9543@1.
Testo completoAbstract (sommario):
CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO<br>A presente dissertação traz uma reflexão sobre a prática
do Serviço Social em
sua relação com o campo da saúde mental, a partir do
discurso dos assistentes sociais
inseridos nos serviços de saúde mental do município de
Niterói. O estudo, de cunho
qualitativo, buscou conhecer como vem se desenvolvendo a
prática do Serviço
Social na Saúde Mental, suas especificidades, desafios e
contribuição para um campo
que se reconhece como interdisciplinar. Para tal,
reportamo-nos para a história da
profissão e sua relação com este campo de atuação,
refletindo sobre os marcos
teóricos do Movimento da Reforma Psiquiátrica brasileira e
suas implicações na
prática profissional. Com apoio na Sociologia das
Profissões, procurou-se
compreender o processo de profissionalização do Serviço
Social, os desafios e
entraves enfrentados por seus profissionais no campo em
questão. A analise
realizada evidencia que os profissionais entrevistados
consideram que o Campo da
Saúde Mental lhes exige uma atitude de maior flexibilidade
para com suas
intervenções, o que não deixa de ter seu preço, na medida
em que implica em uma
indefinição quanto à posição ocupada pela profissão no
referido campo.<br>This present dissertation brings forward a reflection
about the practice of Social
Service and its connection with the mental health field,
taking as a starting point the
speech of social workers that are involved in mental
health services in the city of
Niterói. This study, of quantitative purpose, has sought
to know how the practice of
Social Service has developed in Mental Health, its
specifications, challenges and
contribution to a field that is known for its
interdisciplinary quality. To accomplish
it, we refer back to the history of the profession and its
relation with this field,
reflecting on the theoretical marks of the Brazil`s
Movement for Psychiatric Reform
and its implications in professional practice. We have
sought to understand the
process of the professionalization of Social Service, the
challenges and hindrances
faced by their professionals in the Mental Health field
with the help of the Sociology
of Professions. The analysis undertaken shows that
interviewed professionals
consider that the Mental Health field demands a more
flexible attitude in their
interventions, which indicates they have to pay a price,
given that it means to not
have the position they occupy defined in the referred
field.
9
Vitorino, Murakawa Ana Janaina. "Transforming Expert Musical Practice: Conceptualising, Structuring, and Executing Practice Mastery." Thesis, The University of Sydney, 2019. http://hdl.handle.net/2123/21183.
Testo completoAbstract (sommario):
Practice has the potential to transform a musician’s expertise by elevating technical and musical limitations to full competence, allowing a musician to play masterfully at a professional level (Ericsson, Krampe, & Tesch-Römer, 1993; Johnston, 2002; Sloboda, Davidson, Howe, & Moore, 1996). While the research literature underlines some pedagogical and psychological principles on how to practise, there is a need to identify strategies, inspirations, thoughts, and artistic behaviours that will lead to practice mastery and excellence in performance (Cervion, Laws, Lettberg, & Lisboa, 2012; Gerle, 1983; Miksza, 2007). To date, most of the studies related to effective practice have been conducted with students in higher education (Hallam, 2001). This research aims to evaluate how professional performers conceptualise and approach practice, and to observe how they are able to make practice theory meaningful. Six performance experts participated in an interview regarding practice. The interviews explored how the participants address and structure practice, how they handle obstacles, and how they prepare for performances. The participants discussed the importance of mental preparation, and unanimously described the value of mental practice in the learning of new works. For these performers, practice was never the ultimate objective, only a means to achieve progress in performance and to convey to an audience the delivery of art. This study aims to redefine existing practice concepts by appraising musicians and pedagogues of current expert approaches and demonstrating how these are implemented. It will identify how knowledge of theory needs to be enacted to experience expert practice mastery. These findings will benefit and advance pre-professional performers in their pursuit of excellence in performance as they prepare for the music profession.
10
Shim, Margaret Cheng-Sim. "Embracing cultural diversity in occupational therapy mental health practice." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq39592.pdf.
Testo completo
11
Park, Jennifer S. "Assessing Spiritually Competent Practice Across Mental Health Graduate Students." Thesis, Regent University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3739778.
Testo completoAbstract (sommario):
<p> Standards for integration of spirituality and religion within mental health training continue to be ambiguous. Although increased attention has incorporated such diversity into multiculturalism, proficiency remains inadequate among non-religiously affiliated individuals and institutions. This study examined competence levels utilizing the Revised Spiritual Competence Scale II (SCS-R-II) and the Spiritual and Religious Competency Assessment (SARCA). Participants were 125 students attending accredited counseling, psychology, and social work schools in the United States. Counselor trainees scored highest on both measures as did students with very strong personal religious affiliation and attendees of Christian affiliated schools. Implications and future recommendations are discussed.</p>
12
Dulaney, Kristina. "Perinatal Mental Health: Screening, Integrated Practice, and Community Resources." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/8858.
Testo completo
13
Brooks, Robert. "Occupational practice in children and young people's mental health." Thesis, University of Huddersfield, 2016. http://eprints.hud.ac.uk/id/eprint/30195/.
Testo completoAbstract (sommario):
Introduction The use of occupation in occupational therapy has been regularly debated in the profession’s literature. More recently there has been a shift to consider occupation as the core construct of occupational therapy, which informs assessments, interventions and outcomes; this can be described as occupational practice. Studies exploring occupational practice have been limited; this study has sought to address this gap. Methods This was a mixed methods study. First, a United Kingdom survey of occupational therapy practice in children and young people’s mental health was conducted (n=27). The survey findings were analysed using descriptive statistics. The survey was used as a sampling platform for the second stage of the study. Underpinned by an ethnographic approach, the second study used an observer of participant, interview and document collection methods to explore occupational practice (n=2). A grounded theory approach was taken to data analysis. Findings The participants of the survey were 89% female, 49% were at a senior grade and 68% had been qualified for over 10 years. 81% worked in Child and Adolescent Mental Health Services tier 3 or 4. 52% participants had an undergraduate degree in occupational therapy; 64% had no further specialist formal qualifications. Additional training in sensory integration therapy was reported by 34% of participants. The Model of Human Occupation was identified as the most frequently used model of practice. The Sensory Profile was the most regularly used assessment. The participants reported that their interventions commonly focused on talking style therapies, psycho-education and group work. The ethnographic study revealed a tension at the study sites between the medical psychological and occupational practice discourses. To manage this tension, the participants used a generic and profession-specific practice to negotiate being ‘one of the team’ and being a ‘real occupational therapist’. Enacting occupational practice included using the Model of Human Occupation, referrals for occupational problems, conducting assessments of occupation, concluding occupational formulations, and using occupation as an intervention. Interventions were characterised as ‘talking about doing’ or ‘doing occupation’ and utilised strategies such as modelling, goal setting and setting a challenge. Conclusion The survey has offered a snapshot of occupational therapy practice. This may help the profession understand the demography and practices of the participants. The Occupational Practice Model for Children and Young People’s Mental Health, which has emerged from the ethnographic findings of this study, is presented as a tool to guide the use of occupation at the level of theory, perspective and intervention. Further qualitative studies are recommended to support the study findings and a systematic review is suggested to examine occupational therapy interventions in the field.
14
Frey, Nicolette. "Interprofessional Practice (IPP): from Text to Context." Thesis, Griffith University, 2016. http://hdl.handle.net/10072/367261.
Testo completoAbstract (sommario):
There is a significant gap between the theorising of interprofessional practice (IPP) and the existence of IPP in community healthcare teams who provide services to people with severe mental illness (SMI). This study aims to clarify the concept of IPP both in the literature and in self-identified teams focused on improving the physical health of people with SMI in Queensland. It is widely acknowledged that the physical health of people with SMI is poor and their healthcare needs remain unmet. The reasons for their poor health outcomes are multiple and complex, and as the complexities of their healthcare needs increase, so too does their reliance on the healthcare system. However, the healthcare system is also complex with multiple problems, including a lack of continuity, fragmentation of services, and shortages in workforce and skills.
In response to this complex situation, scholars and policymakers repeatedly call for the integration of care through multidisciplinary healthcare teams that practise in interprofessional ways. The challenges to the implementation of IPP are many, and include professional educational differences, a paucity of opportunities to learn together, and competition for limited resources. The community mental healthcare team is one place where an interprofessional approach is thought to be critical, especially to deliver services to those with multiple complex needs created by SMI and comorbidities. People with complex needs rely on multiple healthcare providers who are required to operate with continuity across disciplinary and organisational boundaries.<br>Thesis (PhD Doctorate)<br>Doctor of Philosophy (PhD)<br>School of Human Services and Social Work<br>Griffith Health<br>Full Text
15
Frank, Cornelia [Verfasser]. "Mental representation and learning: a perceptual-cognitive view on mental and physical practice / Cornelia Frank." Bielefeld : Universitätsbibliothek Bielefeld, 2014. http://d-nb.info/1064382142/34.
Testo completo
16
Benson-Martin, Janine. "The scope of ECT practice in South Africa." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/2793.
Testo completoAbstract (sommario):
Includes abstract.<br>Includes bibliographical references.<br>Electroconvulsive therapy (ECT) involves the administration of an electrical current to the brain in order to produce a tonic-clonic seizure which is deemed therapeutic. It is an effective and safe procedure for the treatment of severe mental illnesses such as major depression, mania and schizophrenia. Currently little is known about the characteristics of ECT practice in South Africa. This study aims to determine current electroconvulsive therapy (ECT) practice and to compare it with reported ECT practice internationally. This is a retrospective, descriptive study, to determine the characteristics of ECT practice in South Africa; data was collected using a self-report questionnaire. The study population consisted of doctors and nurses who practiced ECT in any 12 month period between 2011 and 2012. Both private and state facilities were included in the study. Initially contact was made with hospital mental health facilities to ascertain whether an ECT machine was present on site. Once formal approval was obtained from the appropriate designated bodies, questionnaires were sent to clinical staff involved in ECT at active sites. The 36-item questionnaire covered relevant questions on: utilization rates, equipment, staffing, practice and monitoring parameters, and indications for use. Forty two institutions had an ECT machine on site, of which thirteen institutions reported non-use. Questionnaires were sent to the 29 active ECT sites. Facilities responding to the questionnaire amounted to 83% (n=24), but of these, 21 units responded to the ECT utilization questions. ECT is performed as a modified procedure in six provinces by psychiatrists, registrars, medical officers and general practitioners. In-and outpatient ECT is offered in 79% (n=19) of hospitals. The number of persons treated with ECT/10 000 population per year (ppy) is 0.22 while the number of ECT procedures/10 000 ppy is 1.19. More patients in the private sector receive ECT as a treatment modality than in the public sector (U = 22, p = 0.045). ECT is performed in a minor theatre/operating room in 79% of units, while the rest is performed in a treatment room. All but one unit had a separate recovery room. Informed consent or assent was used in all institutions. Pre-ECT work-up most commonly involved a physical examination (95.5%, n = 21) and basic blood work investigations (87%, n=20). Bilateral, unilateral and bifrontal electrode placements are used, while various dosage- determination and monitoring methods are employed. The vast majority of patients (89.22%, n=869) receiving ECT are between the ages of 18 and 59. The most common indication for ECT is depression (84.77%, n=796). The utilization rate in South Africa is similar to that of countries like Bulgaria, Poland and India, but less than that of some high-income countries. Even though ECT practices in South Africa generally follow international guidelines, standardisation of practice is still recommended.
17
Lee, Hongting Claudia. "Mental practice with physiotherapy in gait rehabilitation in Chinese elderly /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36434541.
Testo completo
18
Gorry, Vanessa. "Developing Social Work Practice Skills within a Mental Health Context." Thesis, Laurentian University of Sudbury, 2013. https://zone.biblio.laurentian.ca/dspace/handle/10219/2065.
Testo completoAbstract (sommario):
This report explores my experiences and desire to develop my clinical skills while
completing an advanced practicum with the Mood and Anxiety Program through Health Sciences
North. The Mood and Anxiety Program works with individuals that had been diagnosed with a
mental illness and wanted to seek therapeutic assistance to learn how to manage symptoms and
challenges of their mental illness. In this instance, mental illness is a health condition that is
distinguished by considerable dysfunction in a person’s cognition, emotions, or behaviours that
could often reveal a disturbance in the psychological, biological, or developmental processes,
which could have underlying mental functioning.
Through this practicum, and as shown throughout this report, I was able to create and
achieve several goals that I felt would assist me in developing my clinical skills. I planned to
refine my skills by working as part of a multidisciplinary team; continuously reflecting on my
practice with the use of a journal and clinical supervision; completing assessments and cofacilitating
group therapy sessions; and, integrating theory into practice. I was also able to
critically reflect upon the theories that I used during my practicum; develop and improve my
self-awareness; enhance my therapeutic presence; and develop an understanding of how stigma
is present in the mental health field and could it acts as a barrier for people with a mental illness.
19
Smith, Peter M. "Efficacy of mental practice as a function of task complexity." Thesis, McGill University, 1986. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=65480.
Testo completo
20
Lee, Hongting Claudia, and 李康婷. "Mental practice with physiotherapy in gait rehabilitation in Chinese elderly." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B4501081X.
Testo completo
21
Anderson, Jeffrey Philip. "Promoting physical activity and mental well-being in general practice." Thesis, University of Exeter, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.312288.
Testo completo
22
Lindsey, Jaime Tabitha. "Protecting and empowering vulnerable adults : mental capacity law in practice." Thesis, University of Birmingham, 2018. http://etheses.bham.ac.uk//id/eprint/8527/.
Testo completoAbstract (sommario):
This thesis uses a socio-legal methodology to investigate how mental capacity law balances protection and empowerment of vulnerable adults in cases concerning capacity to: consent to sex, marry and decide on contact. The thesis questions answered are: 1) Who is understood to be vulnerable in mental capacity law and why? 2) To what extent do vulnerable adults participate in mental capacity law proceedings? 3) What forms of knowledge are valued in mental capacity law? 4) How do mental capacity law interventions balance protection and empowerment in relation to adults vulnerable to abuse? These questions are answered by analysing empirical data collected through Court of Protection observations, case file reviews and social worker interviews. I argue that mental capacity law views its subjects as inherently vulnerable, usually because of their disability, in contrast to viewing adults as being vulnerable for situational reasons. Contributing to vulnerability theory, I argue that vulnerability needs to be understood in situational, embodied and relational terms, rather than as caused by features inherent to the individual, such as their mental disability. Viewing adults as vulnerable in situational ways can lead to more nuanced interventions to protect them from abuse whilst ensuring they are empowered as decision-makers.
23
Hunt, Sally Grace. "Producing single homelessness : descriptive practice in community mental health casework." Thesis, Goldsmiths College (University of London), 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.425790.
Testo completoAbstract (sommario):
This is a case study of a community-based interdisciplinary team of Mental Health professionals who work with homeless people in a large English city. Its aim is to 'unpack' the team's decision-making processes. Such processes construct the client as vulnerable in terms of mental health and/or homelessness. The analysis shows the ways in which client description is an organised social accomplishment and is contexted in related research in the sociology of mental illness. Following Goffman (1974) and Gubrium (1989), data are analysed against a background of changing and laminated frames and local cultures. A charge of deviancy is brought and then debated (McHugh 1970). The relation of this analysis to ethical and policy issues is discussed
24
Joseph, Todd Allen. "The effect of mental practice type on dart-throwing performance." [Tampa, Fla.] : University of South Florida, 2004. http://purl.fcla.edu/fcla/etd/SFE0000509.
Testo completo
25
Huang, Jo-Ying Angela. "Effective harp pedagogy - A Study of Techniques, Physical and Mental." Thesis, University of Canterbury. Centre for Fine Arts, Music and Theatre, 2011. http://hdl.handle.net/10092/6256.
Testo completoAbstract (sommario):
This study examines the techniques required to effectively play the modern concert harp. Following a study of the main harp performing methods and an examination of the most popular instructional books published in recent times, this study explores and analyses the practice techniques of harp playing. It investigates and identifies general current practice techniques in music, and sees ways in which these may be incorporated into the learning of the harp. A number of musical excerpts are selected as the bases of specific practice plans which are designed to demonstrate how physical and mental techniques may be combined to support accurate and musical harp playing. The practice techniques and plans are assessed and supported by referring them to teachers and senior students. These research participants provided useful information regarding their own learning experiences and observations on the place that technical studies played in the growth of their own performance skills.
26
Finn, Natalie K. "Identifying Targets for Quality Improvement in a Community Child Mental Health Agency." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/6107.
Testo completoAbstract (sommario):
The implementation of evidence-based practices has great potential to improve the quality of children’s services; however, with a large variety of available practices, it can be challenging to select targets for quality improvement in community-based treatment. This study used a method called relevance mapping to identify how thoroughly evidence-based programs could cover a specific population of children seeking services at a large public agency and identify practice elements relevant to these clients. A therapist survey was used to examine current practice at the agency. Eight therapists at the agency reported on their practice delivery for 141 clients. Results from relevance mapping and therapist surveys were combined to create practice profiles for two predominant diagnostic categories seen at the agency: substance use and depression. These practice profiles were used to identify three areas of interest for agency quality improvement with regard to practice element delivery: Agency Strengths, Opportunities, and Weaknesses. Results demonstrate a potential blueprint for tailoring specific feedback to an agency for use in quality improvement efforts.
27
Davis, Meagan Chase. "Adolescent Depression Screening in Primary Care Practice." Thesis, The University of Arizona, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13864970.
Testo completoAbstract (sommario):
<p> <b>Purpose:</b> The purpose of this DNP quality improvement project was to increase primary care provider knowledge about indications for adolescent depression screening. </p><p> <b>Background:</b> Approximately 13.3% of adolescents experienced depression in the past year. In Oklahoma alone, rates are increasing, with depression totaling 60% of all mental health illness among adolescents. Primary care providers see approximately 75% of adolescents; however, mental health conditions are missed 84% of the time. Current clinical guidelines recommend screening for adolescent depression during wellness visits or when risk factors are present. </p><p> <b>Methods:</b> The providers of interest were nurse practitioners, physicians, and physician assistants providing primary care to children between the ages of 12 and 17 in a private pediatric practice group consisting of three clinics. The Model for Improvement guided the process of developing, implementing, and evaluating an educational intervention through use of a pre-test/post-test quantitative design. An email invited participants to complete an anonymous pre-test survey to evaluate knowledge and beliefs surrounding adolescent depression, then view an educational presentation on adolescent depression and screening guidelines, then complete a post-survey to evaluate any changes in knowledge and intention to screen. Results were shared with clinic representatives to help refine the education for future testing cycles and other clinic sites. </p><p> <b>Results:</b> Data collection took place over one week. Five providers completed both the pre-test and post-test surveys. Provider knowledge scores significantly increased 29% after participating in the education and self-reported knowledge on screening increased. </p><p> <b>Conclusions:</b> DNP quality improvement projects like this help develop strategies to increase best practices, leading to improved patient outcomes. Nurse-led improvement programs like this contribute to healthcare literature and the advancement of the nursing profession by developing patient-centered interventions applicable to a wide variety of providers. Results may be used to develop strategies to increase and align provider practices with best standards to help promote early identification and treatment of adolescents with depression. </p><p>
28
Mielke, Susan. "Mental Practice In Music Performance: A Literature-Based Glossary and Taxonomy." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35863.
Testo completoAbstract (sommario):
Mental practice is a strategy that can be used to acquire the necessary skills for piano and other music performance. This type of practice strategy involves the use of imagery as opposed to the motor skills used in physical practice. In a preliminary review of piano pedagogy material and recent scientific literature, the benefits of mental practice were established. However, this review also revealed a lack of clarity in the use of terminology which sometimes interfered with readability. In order to better understand this problem of terminology, 33 current studies on mental practice in music performance were collected and examined for both the quantity and quality of term usage. Terms were identified and recorded using existing terminology and classification methods. Terminological records were created for each term appearing more than twice in the literature. In total, 83 records were created. Issues related to frequency of use (repetition), use of multiple terms (synonymy), lack of term definitions, and the need for clarity in term usage (semantic vagueness and ambiguity) were then analyzed using these records. This term analysis process resulted in the creation of a glossary and taxonomy. The glossary of 21 terms and corresponding hierarchical taxonomy (tree diagram) are proposed as an aid to help clarify the terminology of mental practice in music performance. Given the value of mental practice in learning to play music it is important to develop and maintain terminology that will facilitate both the understanding of existing literature and the design of future studies.
29
Geanellos, Rene, and res cand@acu edu au. "Explicating Practice Knowledge: A hermeneutic inquiry into adolescent mental health nursing." Australian Catholic University. School of Nursing and Human Movement, 1997. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp220.11092009.
Testo completoAbstract (sommario):
Through this hermeneutic study I sought to explicate the practice knowledge of nursing on residential adolescent mental health units. I did this by seeking to understand what nurse's and adolescent's stories of nursing, or being nursed, revealed about the knowledge informing practice within that context. Seven nurses and seven young people shared their experiences. Taped and written stories, and survey material, provided texts for analysis and interpretation. As stories centred around specific nurse-adolescent interactions they pointed to the knowledge informing practice within those encounters. Thus, practice knowledge was explicated through interpretation of the actual experiences of nurses and adolescents. Study findings were conceptualised as sub-elements, elements and a meta-element of practice knowledge. Ninety one
30
Abbott, Simon Nicholas. "Using the law in social work Approved Mental Health Professional practice." Thesis, University of Sussex, 2018. http://sro.sussex.ac.uk/id/eprint/77773/.
Testo completoAbstract (sommario):
The research study focuses on how social work Approved Mental Health Professionals (AMHPs) use the law in practice. AMHPs in England and Wales have statutory powers under the Mental Health Act 1983 (MHA) to detain people in hospital for assessment and/or treatment. The stakes in this area of law and social work are high: practitioners deal with important issues concerning individual liberty that have profound implications in relation to the power of the state to intervene in the lives of citizens, where notions of autonomy, protection, coercion and care sit in tension. The study explores the relationship between law and social work practice by interpreting meanings contained in case stories told by social work AMHPs about recent Mental Health Act assessments that they undertook. Eleven social work AMHPs, purposively selected from three different local authorities in England, participated in the study, which used qualitative in-depth interviews to collect data about using the law in circumstances where compulsory admission to hospital was a possibility. The use of case stories encouraged participants to provide a rich description of events as they unfolded over time. The data were analysed using Framework analysis (Ritchie and Spencer 1994). Computer Assisted Qualitative Data Analysis in the form of NVIVO was utilized to manage the data, and to support data analysis. Five themes are presented in the findings chapter: understanding the referral situation; understanding the individual; understanding the situation causing concern; community versus containment, and relationships and resources. The study contributes to knowledge by illuminating how the use of law in practice is an inherently socio-relational undertaking, involving embodied practice. Bourdieu's (1977) concept of habitus is used to make sense of participants' accounts of the action that unfolds when they use the law. A further contribution is made to knowledge on legal literacy in social work, where there is little empirical research focusing on how social workers use the law, and still less on how mental health social workers use the law to consider compulsory powers under mental health legislation. The organisational factors impacting on how participants relate to the law are outlined and discussed drawing on legal consciousness theory (Ewick and Sibley 1998; Sibley 2005), together with an account of how participants adapt to this, drawing on street level bureaucracy (Lipsky 1990). The thesis explores the distinction in practice between medical and social perspectives occupied by AMHPs when they use the law in circumstances where compulsory admission to psychiatric hospital is a possibility. The study findings suggest that AMHPs' perspectives are holistic and social and can be understood as occupying a socio-medical-juridical perspective. The most important factor in the decision to use compulsory powers in mental health law to detain a person involves the AMHP taking a wide perspective in terms of their understanding of the individual that is relational to the understanding of others, and understanding the person in their environment in relation to how they relate to others. The thesis outlines that the social and family situation of the person assessed, combined with views of others, and particularly the impact of risk on others, is the most influential factor in the decision to detain. This leads to the further argument that notwithstanding a holistic and social perspective, this does not necessarily lead to less coercive interventions. Medical and social perspectives thus often lead to the same conclusions in relation to decisions to use the law to detain.
31
Foster, Lei. "Narrative self-inquiry to capture transformation in mental health nursing practice." Thesis, University of Bedfordshire, 2013. http://hdl.handle.net/10547/322297.
Testo completoAbstract (sommario):
The aim of the study is to identify and map the process of transformation of the practice of a mental health nurse from everyday practice to desirable practice (that is, the realisation of mental health Recovery) through self-inquiry into a series of narratives derived from that practice. Recovery is desirable in terms of clinical governance and is also desirable practice for mental health nurses as a standard to which they should practice. A series of reflexive narratives signposted the transformative journey and also captured the lived experience of transformation. Experiences from practice were captured as spontaneous stories. Guided reflection obtained insights from these stories, and the insights derived from the stories were subsequently reflexively deepened by inquiring into them. In time the cues in the model of guided reflection became internalized to the extent that practitioner narratives arose that already embedded insights. Self-inquiry into these practitioner narratives indicated the nature and the felt affect of constraints met within practice. The affect of these constraints upon the individual practitioner and upon the ability of the individual practitioner to achieve desirable practice is indicated by self-inquiry into them. The result of the study was the realisation that transformation is unable to take place without the individual practitioner being fully aware of who one is, in order that s/he may effect transformation and change. Whilst self-inquiry into the narratives indicated the constraints upon the individual practitioner, the psychological unpreparedness also indicated by that self-inquiry indicated why that the tension between the reality of practice and desirable practice could not be adequately explored. The thesis takes the form of a narrative about writing narratives. The narratives illustrate the norms and values that affect individual practice both vertically (that is, from the organisation and the government), and horizontally (that is, from colleagues and managers), and how an individual practitioner experiences these as obstructive to delivering the service they desire. There have been no narratives written by practitioners about the journey to realise Recovery in their practice; and the structure of the narratives as performances is unique to this subject of thesis by a mental health nurse.
32
Blee, Tinemakomboreroashe A. P. "Community mental health team members' perceptions of team formulation in practice." Thesis, University of Lincoln, 2015. http://eprints.lincoln.ac.uk/22338/.
Testo completoAbstract (sommario):
Objectives: Team formulation is expected to support multidisciplinary team members to work effectively with their clients, meet their clients’ needs and broaden their psychological knowledge. There remains a lack of research evidence regarding the perceptions of team formulation among Community Mental Health Team (CMHT) members. This study addressed the following research questions; (1) what are considered helpful or unhelpful aspects of team formulation? (2) what are the processes or mechanisms that lead to unhelpful or helpful aspects of team formulation? (3) what is the impact of team formulation on professionals’ clinical practice? and (4) what are the factors that may influence these outcomes? Design: An inductive qualitative design was used, utilising a contextualist, critical-realist paradigm. Methods: 12 CMHT members who attended team formulation were recruited from three sites within the British National Health Service. In each site, an individual interview with a clinical psychologist and a focus group with three professionals were conducted. An inductive thematic analysis was used. RESULTS Attendees across the three teams reported that although team formulation was optional, a low priority and outside of their usual way of working, this was engaged by those who perceived a value in it. Participants reported that this process required a safe environment which would not threaten attendees’ job securities; and identified factors that enable this. Although attendees predominately reported helpful aspects of engaging in team formulation, these could also be perceived as unhelpful (apart from validation). The helpful aspects of team formulation involved other professionals’ contributions. Attendees reported that team formulation impacted on their clinical practice by (1) Page 3 of 273 providing alternative ways of working with clients and meeting their clients’ needs and (2) justifying discontinuation of clinical work. Across all teams, participants reported that ideas derived from team formulation, integrated into care plans (CPs) were integral and that these CPs were valued outcomes/products of team formulation. Participants reported that CPs were helpful in justifying attendees’ engagement in team formulation, prioritising ideas and making these achievable, and providing a rationale for professionals to flexibly test ideas. Participants did not report unhelpful aspects of CPs as products of team formulation. There were conflicting perceptions across the teams regarding the factors that influenced the use of CPs e.g., psychologists expected CPs to be used but also reported that this was not required as attendees adopted alternative perspectives. Conclusions: This study found that attendees reported that other professionals’ contributions enabled them to work effectively with their clients and meet their clients’ needs. Attendees did not outline broadening their psychological knowledge as suggested by the professional document published by the Division of Clinical Psychology (2011). This study’s findings suggests that each CMHT may benefit from discussing (1) clear expectations of team formulation, as this process can be perceived as different for attendees, (2) what aspects enable team formulation to be safe and ascertain how this could be achieved, (3) the unhelpful aspects of engaging in team formulation and ways of managing these, and (4) agreeing on their expectations of the outcomes or use of the products of team formulation i.e., are professionals expected to use CPs, adopt alternative perspectives, or both. If CPs are expected to be utilised then CMHTs may require support from their managers.
33
Geanellos, Rene. "Explicating practice knowledge: A hermeneutic inquiry into adolescent mental health nursing." Thesis, Australian Catholic University, 1997. https://acuresearchbank.acu.edu.au/download/b0a1307ef18a8d9fdef6b5ff503ebd7a7a67dda1e5cf7684e8094ea562b6187f/130117356/64876_downloaded_stream_101.pdf.
Testo completoAbstract (sommario):
Through this hermeneutic study I sought to explicate the practice knowledge of nursing on residential adolescent mental health units. I did this by seeking to understand what nurse's and adolescent's stories of nursing, or being nursed, revealed about the knowledge informing practice within that context. Seven nurses and seven young people shared their experiences. Taped and written stories, and survey material, provided texts for analysis and interpretation. As stories centred around specific nurse-adolescent interactions they pointed to the knowledge informing practice within those encounters. Thus, practice knowledge was explicated through interpretation of the actual experiences of nurses and adolescents. Study findings were conceptualised as sub-elements, elements and a meta-element of practice knowledge. Ninety one ""sub-elements of practice knowledge"" were identified and defined. These subelements illustrate how nurses work with adolescents. The subelements were grouped into four ""elements of practice knowledge"" and defined. The elements are: (I) engaging in therapeutic relationships, (2) providing a therapeutic milieu, (3) guiding the potential for change, and (4) facilitating positive outcomes. These elements point to the reasons behind nursing actions. Through examination of the sub-elements and elements the ""meta-element of practice knowledge"" was developed and defined. The meta -element ""fostering a functional self' describes the aim and outcomes of adolescent mental health nursing practice by noting the way nurses foster the adolescent's reintegration and wellness. A paucity of adolescent mental health nursing research has resulted in the knowledge informing practice within the specialty remaining virtually unknown.;The study findings are thus salient as they: (l) reveal the practice knowledge of adolescent mental health nursing, (2) identify theories used in practice, (3) provide a basis for theory testing research, (4) assist nurse education by noting the how, what and why of practice and the therapeutic outcomes from the use of practice knowledge, and (5) attest to the contribution adolescent mental health nurses make to adolescents, families and society.
34
Vigus, Tracy Lynn. "THE PHYSIOLOGICAL CORRELATES OF INTERNAL AND EXTERNAL IMAGERY (MENTAL PRACTICE, ELECTROMYOGRAPHY)." Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275467.
Testo completo
35
Carey, Mary Janet Marcella 1948. "Self-actualization profiles of counselors: Private practice vs. mental health agencies." Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/291784.
Testo completoAbstract (sommario):
The purpose of this study was to determine the employment setting in which effective counselors were most likely to be employed. Because the effective counselor matches one-for-one with the personal characteristics of the self-actualized person, it was hypothesized that if self-actualized counselors could be identified at a significant level in either the agency or private practice setting, clients would have an improved probability of being counseled by an effective counselor by choosing a counselor in that setting. Thirty-one counselors returned completed research materials which included the Personal Orientation Inventory and Demographics form. The results indicated that counselors in agencies differ significantly from counselors in private practice in the number of questions left unanswered. No other differences were significant, although differences were noted between counselors who combined both agency and private practice when compared to counselors who worked exclusively in either agencies or private practice. Recommendations for further study based on the results were proposed.
36
McCauley, Mathew. "An investigation into the practice of mental healthcare during operational deployments : psychosocial implications for military mental health professionals." Thesis, University of Warwick, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.436292.
Testo completo
37
Smith, Stephanie Lynn. "Clinical Practice Guideline: Posttraumatic Stress Disorder Screening Tool for Patients." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7750.
Testo completoAbstract (sommario):
The National Institute of Health has estimated that over 1 million new cancer cases will occur yearly. Posttraumatic stress disorder (PTSD) is commonly associated with near death experiences or traumatic events, such as cancer diagnosis and treatment. There is a lack of knowledge and awareness by healthcare professionals in identifying PTSD in cancer patients. In this population, PTSD symptoms often contribute to anxiety, and there is no standardized protocol being used to screen these individuals for the trauma they are facing or have faced. The purpose of this project was to develop a clinical practice guideline for screening cancer patients for PTSD in a clinic population serving cancer patients. The stress theory developed by Lazarus and Folkman guided this project. The project questions were to identify the most appropriate screening tool for PTSD in cancer patients and recommend a clinical practice guideline to the clinic healthcare providers. Five widely used PTSD screening tools were reviewed. Based on the project question the Clinician Administered PTSD Scale was identified as the most appropriate for this clinic setting and patient population. An expert panel consisting of 3 experienced psychiatric nurse practitioners reviewed the proposed guideline using the AGREE II tool. Using a scale of 1 (strongly disagree) to 7 (strongly agree), the team members agreed with a score of 5 or higher in each domain with the proposed guideline. Utilization of this guideline will promote a positive social change towards mental health awareness and improve the quality of life for these patients and their families.
38
Arfa, Katie J. "Exercise and Clinical Practice| Integration Issues and Knowledge in Mental Health Professionals." Thesis, Alliant International University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10634172.
Testo completoAbstract (sommario):
<p> Decades of research attest to the psychological benefits of exercise, documenting improved psychological functioning for specific disorders as well as biological systems. Notable trends include reduction of psychological symptoms (e.g., anxiety, depression), increases in self-esteem, facilitation of neurogenesis, enhancement of cognitive functioning, and improvements in stress response. The majority of these studies call for increased utilization of exercise interventions within clinical practice. However, decades of exercise research and the two existing studies on practice habits suggest that exercise continues to be widely underutilized. The data suggest that clinicians believe exercise is beneficial; they report high confidence and rates of utilization in exercise interventions; however, they also report low levels of education in exercise psychology. It was hypothesized that one possible cause for this persistent research-practice gap may be mental health professionals' (MHPs) misperceptions of their own competence, namely the Dunning-Kruger phenomenon. <i>Methods: </i> An original, electronic survey was disseminated to MHPs via email, social media posting, and snowball sampling. Eighty-three clinicians completed the survey, which collected data on beliefs and practice habits; perceptions of confidence and competence; and research knowledge. <i>Results:</i> Findings supported previous observations, documenting high levels of confidence amongst MHPs despite low levels of exercise education. Knowledge of research was poor; data suggest that the Dunning-Kruger phenomenon is a factor in the ongoing research-practice gap within exercise psychology. <i>Conclusions: </i> This is the first study to measure fact-based competence of MHPs and offer an explanation for the longstanding underutilization of exercise. Findings suggest that clinicians may be at risk for overestimating their own abilities in areas that are less familiar. Further research is needed regarding MHPs’ exercise-related competence in order to elucidate the complex nature of factors examined here.</p><p>
39
Newnham, Elizabeth A. "Informing best practice in mental health : using feedback to improve clinical outcomes." University of Western Australia. School of Psychology, 2009. http://theses.library.uwa.edu.au/adt-WU2010.0096.
Testo completoAbstract (sommario):
[Truncated abstract] Physical healthcare uses a suite of tools for measuring response to treatment. However, reliable systems of regular patient monitoring are rare in mental healthcare. Mental health services often measure a treatment response from pre- to post- therapy, yet measurement between those occasions is less common. This omission is problematic since arguably there is a need for an alarm system in psychotherapy (Andrews & Page, 2005). A substantial minority of patients do not experience reliable change following treatment, and a small proportion deteriorates (Hansen, Lambert, & Forman, 2002; Newnham, Harwood, & Page, 2007). Without monitoring, it is not always possible to know which patients are progressing poorly. Since the publication of Howard and colleagues' (1996) proposal that patient progress be monitored routinely during therapy and the results fed back to clinicians to direct treatment, this monitoring regime has garnered attention in the United States and Europe (Lambert, 2007; Lutz, et al., 2006). Findings in outpatient psychotherapy have demonstrated that providing real-time feedback on patient progress to clinicians and patients significantly improves clinical outcomes for those patients demonstrating a negative response to treatment (Harmon et al., 2007; Lambert et al., 2001; Lambert et al., 2002). What is not yet apparent is how these processes would generalize to inpatient and day patient (i.e. patients attending hospital for a whole day of treatment) psychiatric care. Inpatients often present with greater severity and are treated in an intensive setting. ... Deviations from this expected pattern would highlight possible differences between inpatient and outpatient care. To develop an appropriate system for monitoring patient progress, it was important to first define clinically significant recovery in inpatient psychiatric care, and provide criteria for clinicians to judge outcome in routine practice (Newnham, Harwood, & Page, 2007). Second, a quick and easy-to-administer system of progress monitoring and real-time feedback was developed to enhance treatment decision making (Newnham, Hooke, & Page, 2009). Third, the system was evaluated to determine clinical effectiveness. Using the World Health Organizations Wellbeing Index, a program for monitoring patient progress and providing feedback to clinicians and patients was established at Western Australia's largest private psychiatric service. The sample consisted of 1308 consecutive inpatients and day patients whose primary diagnoses were predominantly depressive (67.7%) and anxiety (25.9%) disorders. Feedback to patients and clinicians was effective in reducing depressive symptoms (F (1,649) = 6.29, p<.05) for those patients at risk of poor outcome, but not effective in improving wellbeing (F (1,569) = 1.14, p>.05). The findings support the use of progress monitoring and feedback in psychiatric care to improve symptom outcomes, but raise questions about changes in wellbeing during psychotherapy. The effectiveness study was conducted as a historical cohort trial, consistent with quality improvement efforts, and replication with a randomized controlled design is warranted. Feedback of progress information appears to be an important process within psychotherapy, and further investigation of the means by which clinicians and patients use that information is necessary.
40
Smith, David. "The psychophysiological and performance effects of learning motor skills through mental practice." Thesis, Manchester Metropolitan University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.327714.
Testo completo
41
Fendt-Newlin, Meredith Leah. "Enhancing mental health practice in Sierra Leone : a social intervention development study." Thesis, University of York, 2018. http://etheses.whiterose.ac.uk/20671/.
Testo completoAbstract (sommario):
Inadequacy in mental health care in low and middle-income countries has been an important contributor to the rising global burden of disease. The evidence base is building for innovative solutions to reduce the mental health treatment gap. However, what has largely been missing is the development of interventions which incorporate the nature of the social environment that contributes to the risk, cause, and maintenance of mental health conditions. This thesis aimed to explore the potential for social interventions to reduce the mental health treatment gap (greater than 95%) and the burden on resource-poor services in Sierra Leone. This thesis presents a methodological framework for social intervention development in low-resource settings. First, a feasibility and acceptability study examined stakeholder perceptions (n=59) using rapid ethnographic methods. Second, the evidence base and feasibility findings were modelled and validated in focus groups with Sierra Leone stakeholders (n=9) and members of the United Kingdom the Diaspora community (n=5). Third, a pilot study assessed the impact of the adapted intervention on district level mental health nurses’ knowledge, skills, attitudes, and behaviour (n=20) using qualitative data and a training evaluation tool developed co-productively with stakeholders. The intervention model endured several iterations as the context in the country changed due to the Ebola outbreak. The pilot study showed post-training improvement of skills in communicating and building relationships with service users, identifying assets and linking to community resources. Barriers to embed the model into nurse practice were identified such as stigma, reluctance to change from district health managers and policy makers, and significant financial and time constraints. This study suggests that it is important to harness local understanding of mental health conditions, build capacity of the existing workforce and enhance community engagement with services for mental health social intervention strategies to be effective.
42
Gladstone, Jacob. "Are Martial Arts an Effective Self-Care Practice for Mental Health Professionals?" Antioch University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1525695951584473.
Testo completo
43
Young, Jessica. "More than a prayer: Pastors' perception and practice of mental health services." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/55.
Testo completoAbstract (sommario):
While African Americans show similar rates of mental health concerns, they seek and obtain significantly fewer traditional mental health services (MHS) as compared to other groups. One alternative to traditional forms of MHS is the use of church-based resources, such as pastoral counseling. Pastors frequently report counseling as a large part of their duties. Therefore, their perceptions about mental health have a major impact on services that parishioners receive. This online survey assessed 40 pastors' perceptions about mental health services, as well as perceived needs for information or training. Attitudes about mental health were significantly related to variety of counseling provided and frequency of counseling. Attitudes toward mental health, church size, and pastoral education did not significantly predict counseling or referral. Topics discussed in counseling and desires for more training were evaluated and areas for future intervention are discussed in light of results from this study.
44
McEvers, Sara Elizabeth, and Sara Elizabeth McEvers. "Adolescent Mental Health in Primary Care: A Needs Assessment for Improving Practice." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624513.
Testo completoAbstract (sommario):
Background: Youth and young adults have the highest incidence and prevalence of mental health issues, and most do not receive the services they need. Mental health is an essential component of wellness, and primary care providers (PCPs) serve a critical role in promoting mental well-being, identifying problems, facilitating and coordinating services, and managing and monitoring mental health outcomes. Many barriers exist to incorporating mental health into routine primary care for adolescents, and little is known about the specific nature of the obstacles that impede the quality improvement process related to integrating mental and physical health and how to overcome them.
Objectives: The purpose of this DNP project was to gain insight into the PCP role, exploring perceptions, current practices, and barriers related to screening, identifying, and managing adolescent mental health needs, understand the challenges and opportunities, and guide future quality improvement projects that reflect and respond to the needs of adolescents in the local community in effective and sustainable ways.
Methods: The project was designed as a needs assessment, and conducted as an anonymous 20 question survey that was distributed to 13 local PCPs that routinely provide primary care services to the community’s adolescent population.
Results: Nine of the surveys were completed and returned. Time constraints and competing demands were dominant concepts, reported as primary barriers to screening, collaboration with mental health professionals, and addressing mental health in general. The participants articulated the need for high-quality professional mental health involvement, improved collaboration, inter-professional development, and inter-agency cooperation to successfully promote mental health and provide excellent care that improves outcomes. They also displayed an interest in innovative solutions and organizational restructuring to better coordinate mental health services.
Conclusion: This project offered preliminary insight into the challenges faced by PCPs addressing adolescent mental health in primary care, and generated ideas for further exploration to guide quality improvement initiatives designed to support the providers' capacity to incorporate mental health into routine care, and contribute to the community’s efforts in promoting mental health for local youth. PCPs occupy esteemed roles in the community, and their perspectives and insight are invaluable.
45
Riebe, Jason D. "Mental health counseling in the schools school psychologists' perceptions and current practice /." Online version, 2008. http://www.uwstout.edu/lib/thesis/2008/2008riebej.pdf.
Testo completo
46
Mey, Amary. "Optimising practice of Australian community pharmacists and support staff in mental health." Thesis, Griffith University, 2015. http://hdl.handle.net/10072/366677.
Testo completoAbstract (sommario):
In Australia, mental illness accounts for nearly 30% of the burden of non-fatal disease. Nearly half of all Australians aged between 16 and 85 years will experience a mental health disorder in their lifetime. For people experiencing depression and anxiety, management is commonly provided in primary care settings. Although the appropriate use of medication is an integral part of effective management for these conditions, psychosocial issues such as stigma and discrimination, and medication related issues such as side effects and delayed onset of beneficial effects can result in medication being used sub-optimally. This can limit provision of care, and consequently, delay recovery from mental illness. Strategies are therefore needed to improve the medication management and subsequent health outcomes for Australian mental health consumers. With an extensive network of practices across Australia, and as the primary suppliers of medication to the public, community pharmacists and pharmacy support staff are well placed to provide support to mental health consumers and their caregivers, subsequently playing a greater role in mental health. However, preliminary studies indicate community pharmacy staff lacked the skills and confidence required to be effective in a mental health care role.<br>Thesis (PhD Doctorate)<br>Doctor of Philosophy (PhD)<br>School of Pharmacy<br>Griffith Health<br>Full Text
47
Huermann, Rosalia Rodriguez. "Dreamwork with Children: Perceptions and Practice of School-Based Mental Health Professionals." BYU ScholarsArchive, 2007. https://scholarsarchive.byu.edu/etd/1237.
Testo completoAbstract (sommario):
Forty nine public school mental health practitioners (i.e., school counselors, school psychologists, and school social workers) completed a survey about working with dreams when counseling students. Most practitioners in this sample reported having at least one student bring up dreams during counseling and spent some time in counseling working with students' dreams. Practitioners addressed dreams more frequently in situations where the student was having troubling dreams or nightmares, and/or was dealing with death and grief. They also acknowledged working with dreams with students who were diagnosed with Post Traumatic Stress Disorder, were emotionally disturbed, suffered from recurrent dreams, were depressed, and had learning disabilities. This study shows that practitioners were less likely to talk about dreams with students who had adjustment disorders, psychosis, were oppositional or ill, struggled with substance abuse problems, or had eating disorders. Furthermore, most practitioners indicated receiving no training and did not feel competent to work with children's dreams. However, most surveyed practitioners were interested in learning more about dreams in general.
48
Nguh, Florence. "A Practice Guideline for Triaging Mental Health Patients in the Emergency Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7946.
Testo completoAbstract (sommario):
Today's emergency departments (EDs) are challenged with increasing numbers of patients with behavioral health (BH) issues and associated management problems. Patients presenting in the ED are increasingly in need of BH services due to a lack of available services in the community. The implication is that ED staff are faced with conducting a comprehensive review of their systems and processes for BH care delivery to ensure that the needs of this population are safely met. Specifically, this DNP project addressed the lack of evidence-based screening tools for the ED triage area for patients with BH issues. The purpose was to develop a clinical practice guideline targeting an improved triage process for providers with BH patients in the ED setting. Using a modified Delphi technique and the AGREE II model, an expert panel comprised of ED leadership was convened to (a) identify challenges; (b) review a clinical practice guideline that addressed the identified challenges; and (c) approve the implementation of the clinical practice guideline, which included an evidence-based BH screening tool that identified BH needs and expedites the appropriate process of care. Key findings included two 2 components: the expert panel agreed to full implementation of the BH screening tool including the use of the accompanying software, after an in-depth educational process is completed for the ED staff. Potential implications for positive social change include the ability to readily and effectively screen BH patients and provide them with proper BH care while reducing the overall wait time and improving the patient's ED care experience.
49
Bennett, Joanna. "Community psychiatric nurse practice in assessing side effects of antipsychotic drugs." Thesis, University of Hertfordshire, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.309696.
Testo completo
50
Brand, Nancy Hancock. "Psychologists' approaches to evaluating client progress in psychotherapy practice /." View online ; access limited to URI, 2007. http://0-digitalcommons.uri.edu.helin.uri.edu/dissertations/AAI3276974.
Testo completo