Protection and advocacy agencies: national survey of efforts to prevent residential abuse and neglect.
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Government Agencies↗
Biomedical subjects
E M Nuehring
Publications and source records attributed to E M Nuehring.
Evaluating the impact of prevention programs aimed at children.
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Analysis of Variance↗
Intrapsychic effects of stigma: a process of breakdown and reconstruction of social reality.
Being stigmatized has intrapsychic consequences for the individual. Two aspects of the process by which these consequences occur are described: a breakdown of the person's systems of interpretation and valuation, which may lead to reality shock; and a reconstruction of those systems that takes into account the stigmatized characteristic. The latter aspect is associated with frequently noted sequels to stigma, including identity reconstruction, changes in affiliative patterns, and revisions of long-range plans and goals. Key elements in both major aspects are the master-status character of stigma or, in other words, its being a status that takes precedence over all others; the widespread knowledge of stereotypes associated with a given stigma; and the actual and imagined responses of others. The data are from an ethnographic study of a homosexual community, but the intrapsychic processes described may occur in conjunction with any stigma acquired after normative socialization, including stigmas resulting from a characteristic viewed by others as inappropriate for a status occupied by the individual, such as a black or female professional.
Adaptation, Psychological↗
Mastectomy: impact on patients and families.
Although the psychosocial implications of breast cancer and related surgery for the patient have received increasing recognition, little attention has been paid in the literature thus far to the impact of breast cancer on patients' families and friends. This article reviews the literature dealing with the "significant others" of patients and considers their personal reactions to the patient's illness, their influence on the patient's well-being, and their need for counseling.
Adult↗
Use of aftercare programs in community mental health clinics.
This study examines the differences in the use of community mental health clinics by patients discharged from state hospitals, based on personal and social characteristics of the patients. It also considers the relationship between patients' use of such aftercare and readmission to the hospital. The authors conclude that patients who continue in an aftercare program are more likely to be readmitted, regardless of their degree of psychiatric impairment.
Aftercare↗
Social workers in primary prevention: action and ideology in mental health.
Primary prevention and a public health model have been among the distinguishing innovations of the community mental health movement. Social work practice, however, has historically been involved in community intervention and environmental manipulation to offset social and psychological jeopardy. Given a long tradition of commitment to activity and techniques which are now hailed as mental health's "third revolution," this study explores the role of social work in primary prevention. Data are from a survey of three community mental health centers in which professional staff completed the Gottesfeld Critical Issues of Community Mental Health questionnaire, a time-distribution form, and a prevention questionnaire. In addition, all staff working in primary prevention were interviewed in depth. The total sample of this study of mental health professionals was 84. This study points to some interesting contradictions found between social work action and ideology in primary prevention. Also, social workers are compared with other professionals in order to isolate some primary prevention tasks and attitudes that appear unique to each.
Community Mental Health Services↗
The technological character of barriers to primary preventive activity in mental health: a framework for analysis.
In recent years a number of barriers to primary prevention have been discussed in the literature: deficiencies in resources, know-how, and motivation on the part of mental health practitioners; lack of mandate; community resistance; and organizational structural problems. This paper describes the ways in which such barriers stem from the nature of primary prevention as organizational technology in mental health. Specifically, primary prevention is handicapped by the limited rationality of the technologies involved, and the sources of nonrationality in the technology of prevention come to be perceived as external barriers.
Attitude to Health↗
Integrating mental health services into primary care for HIV-infected pregnant and non-pregnant women: Whole Life--a theoretically derived model for clinical care and outcomes assessment.
Poor women of color who are disproportionately both infected and affected by HIV/AIDS also face multiple lifestyle and psychosocial burdens that complicate effective delivery of health care, thereby contributing to their poorer prognosis. Addressing these factors within the context of HIV/AIDS primary care for women is the aim of Whole Life, a program to integrate mental health services into primary care for HIV-infected pregnant and non-pregnant women. Whole Life utilizes a theoretically derived clinical services model that provides data for both clinical care and patient outcomes research within the constraints of a clinical setting. During a woman's first two clinic visits, data are gathered in structured interviews with standardized instruments-adapted for relevance to the population-that meet clinical and service needs, as well as measure components of the Whole Life model. Interviews are conducted by existing front-line staff who have been trained in using these instruments to gather information typically recorded in clinical notes. The implementation of Whole Life to date clearly demonstrates the feasibility of mental health-primary care services integration in a publicly funded HIV primary care clinic serving poor women of color.
Adult↗
Single-subject evaluation: a tool for quality assurance.
The use of single-subject designs in peer review, in utilization review, and in other quality-assurance audits is encouraged. In this article, the authors present an overview of the methodologies of single-subject designs and quality assurance, and they provide examples of cases in which single-subject techniques furnished relevant quality-assurance documentation. Readers are referred to the literature for further study of the two frameworks under discussion.
Evaluation Studies as Topic↗