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Process Evaluation of a Pilot Intervention for Psychosocial Rehabilitation for Service Users with Schizophrenia in North West Province, South Africa

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Abstract

This study investigated a non-specialist delivered programme for psychosocial rehabilitation for service users with schizophrenia in a low-resource South African setting. Forty-four service users with schizophrenia living in the community, receiving ongoing medication through primary care, participated in a structured support group. Quantitative measures (WHODAS 12 item, Brief Psychiatric Rating Scale and Internalized Stigma of Mental Illness Inventory) were assessed at baseline and 12 months. Sixteen service users were interviewed on their experiences. WHODAS data showed a small reduction. ISMI assessment showed a statistically significant reduction. Qualitative data revealed: improved self-esteem and increased illness knowledge, reduced risk taking, reduced social isolation and improved pro-social behavior, improved financial management and engagement in income generation activities as well as improved acceptance by the community. This study provides preliminary evidence on the benefits of this programme that warrant further study incorporating experimental methods.

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Acknowledgements

This study has been funded by UK aid from the UK Government, as part of the PRogramme for Improving Mental health carE (PRIME), however the views expressed do not necessarily reflect the UK Government’s official policies. CBS is supported by the South African Medical Research Council Intramural Career Development Fund. The authors gratefully acknowledge the support of the North West Province Mental Health Society and Palesa Mothibedi.

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Authors and Affiliations

  1. Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Cape Town, South Africa

    Carrie Brooke-Sumner

  2. Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa

    Carrie Brooke-Sumner

  3. Centre for Rural Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa

    One Selohilwe, Musawenkosi Sphiwe Mazibuko & Inge Petersen

Authors
  1. Carrie Brooke-Sumner
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  2. One Selohilwe
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  3. Musawenkosi Sphiwe Mazibuko
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  4. Inge Petersen
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Contributions

IP conceptualized the study and advised on all aspects of fieldwork, analysis and write up. OS managed field work and data collection. MSM conducted fieldwork and initial qualitative analysis. CBS reviewed and revised qualitative analysis and compiled the initial draft. All authors contributed to and agreed on the final manuscript.

Corresponding author

Correspondence to Carrie Brooke-Sumner.

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Brooke-Sumner, C., Selohilwe, O., Mazibuko, M.S. et al. Process Evaluation of a Pilot Intervention for Psychosocial Rehabilitation for Service Users with Schizophrenia in North West Province, South Africa. Community Ment Health J 54, 1089–1096 (2018). https://doi.org/10.1007/s10597-018-0318-9

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  • DOI: https://doi.org/10.1007/s10597-018-0318-9

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