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Stakeholders’ Views Regarding Their Role as Support System for People with Mental Illness and Their Families in Rural South Africa

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Abstract

The diverse needs associated with mental illness warrant for the provision of mental health care by various sources. The South African government recognises the involvement of stakeholders as a potential means of narrowing the gaps in mental health service delivery. This study explored the views of different stakeholders about their roles as support systems for people with mental illness and their families at Mashashane, a rural setting in Limpopo Province, South Africa. Seven focus group discussions were conducted with various stakeholders. This qualitative study employed content analysis to allow for comparison of stakeholders’ views. Stakeholders understanding of mental illness was based on reaction towards people with mental illness, causes of mental illness and the behaviour displayed by the ill individual. The identified formal and informal systems were seen as ineffective with regards to provision of support. Collaboration was recommended as a mechanism to improve mental health services. The findings contributed in the formulation of guidelines to improve support.

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References

  • Ama, N. O., & Seloilwe, E. S. (2010). Estimating the cost of care giving on caregivers for people living with HIV and AIDS in Botswana: A cross-sectional study. Journal of the International AIDS Society, 13(14), 1–8.

    Google Scholar 

  • Ama, N. O., & Seloilwe, E. S. (2011). Analysis of the burdens of caregivers providing care to people living with HIV/AIDS in Botswana. South African Family Practice, 53(1), 56–62.

    Article  Google Scholar 

  • Angermeyer, M. C., & Dietrich, S. (2006). Public beliefs about and attitudes towards people with mental illness: A review of population studies. Acta Psychiatrica Scandinavica, 113, 163–179.

    Article  CAS  PubMed  Google Scholar 

  • Babbie, E., & Mouton, J. (2012). The practice of social research. Cape Town: Oxford University Press.

    Google Scholar 

  • Byaruhanga, E., Cantor-Graae, E., Maling, S., & Kabakyenga, J. (2008). Pioneering work in mental health outreaches in rural, south-western Uganda. Journal of Mental Health and Psychosocial Support in Conflict Affected Areas, 6(2), 117–131.

    Google Scholar 

  • Campbell-Hall, V., Petersen, I., Bhana, A., Mjadu, S., Hosegood, V., Flisher, A. J., et al. (2010). Collaboration between traditional practitioners and primary health care staff in South Africa: Developing a workable partnership for community mental health services. Transcultural Psychiatry, 47(4), 610–628.

    Article  PubMed  Google Scholar 

  • Crawford, T. A., & Lipsedge, M. (2004). Seeking help for psychological distress: The interface of Zulu traditional healing and Western biomedicine. Mental Health, Religion & Culture, 7(2), 131–148.

    Article  Google Scholar 

  • Creswell, J. W., & Clark, V. L. P. (2007). Designing and conducting mixed method research. Thousand Oaks, CA: Sage Publications, Inc.

    Google Scholar 

  • Danaher, A. (2011). Reducing health inequities: Enablers and barriers to inter-sectoral collaboration. Toronto: Wellesley Institute.

    Google Scholar 

  • Dogar, I. M. (2007). Biopsychosocial model. Annals of Punjab Medical College, 1(1), 11–14.

    Google Scholar 

  • Faull, E. (2012). Christian religion and wellbeing. Ekklesiastikos Pharos, 94, 169–187.

    Google Scholar 

  • Friedman, I. (2005). Community health workers (CHWs). In P. Ijumba & P. Barron (Eds.), South African health review (pp. 176–189). Durban: Health Systems Trust

    Google Scholar 

  • Ganasen, K. A., Parker, S., Hugo, C. J., Stein, D. J., Emsley, R. A., & Seedat, S. (2008). Mental health literacy: Focus on developing countries. African Journal of Psychiatry, 11, 23–28.

    Article  CAS  PubMed  Google Scholar 

  • Greenwood, N., Ellmers, T., & Holley, J. (2014). The influence of ethnic group composition on focus group discussions. Medical Research Methodology, 14, 107–119.

    Article  PubMed  Google Scholar 

  • Grifitths, J., Maggs, H., & George, E. (2008). Stakeholder involvement. Geneva: World Health Organization.

    Google Scholar 

  • Knoetze, E. (2014). Legislative regulation of the developmental functions of traditional leadership—in conflict or cohesion with Municipal Councils? Speculum Juris, 1, 161–195.

    Google Scholar 

  • Livingston, J. D., Desmarais, S. L., Greaves, C., Parent, R., Verdun-Jones, S., & Brink, J. (2014). What influences perceptions of procedural justice among people with mental illness regarding their interactions with the police? Community Mental Health Journal, 50, 281–287.

    Article  PubMed  Google Scholar 

  • Magadla, N. I. N., & Kolwapi, X. X. (2013). Knowledge and skills police officers need to manage mental health care users. African Journal for Physical, Health Education, Recreation and Dance Supplement, 1, 167–176.

    Google Scholar 

  • Magezi, V. (2010). From periphery to the centre: Towards repositioning churches for a meaningful contribution to public health care. HTS. Teologiese Studies/Theological Studies, 68(2), 1–8.

    Google Scholar 

  • Mahilall, R. (2009). Motivations and expectations of a locally specific group of volunteer home based carers serving people with HIV/AIDS in the Mariannhill region. Published Master’s Thesis. University of South Africa (Online).

  • Mamba, S. T., & Ntuli, B. E. (2014). Activities and challenges in caring for chronically ill patients: Experiences of home-based carers in Soweto, South Africa. African Journal for Physical, Health Education, Recreation and Dance, 1(2), 409–419.

    Google Scholar 

  • Mavundla, T. R., Toth, F., & Mphelane, M. L. (2009). Caregiver experience in mental illness: A perspective from a rural community in South Africa. International Journal of Mental Health Nursing, 18, 357–367.

    Article  PubMed  Google Scholar 

  • Mokgobi, M. G. (2014). Western-trained health care practitioners’ knowledge of and experiences with traditional healing. African Journal for Physical, Health Education, Recreation and Dance Supplement, 2, 1–13.

    Google Scholar 

  • Munikwa, J., Mutopa, S., & Maphosa, C. (2012). The nature and causes of para-suicide cases handled by traditional leaders in Hurungwe District in Zimbabwe. Journal of Human Ecology, 37(2), 93–102.

    Article  Google Scholar 

  • Ndetei, D. M., Khasakhala, L. I., Kingori, J., Going, A., & Raja, S. (2008). The complementary role of traditional and faith healers and potential liaisons with Western-style mental health services in Kenya. Retrieved from http://www.utsouthwestern.edu/psychiatryandfreedom.

  • Ndetei, D. M., Mbwayo, A. W., Mutiso, V. N., Khasakhala, L. I., & Chege, P. M. (2013). Traditional healers and their provision of mental health services in Cosmopolitan Informal Settlements in Nairobi. Kenya African Technology Policy Studies ATPS, Working paper 67.

  • Nsereko, J. R., Kizza, D., Kigozi, F., Ssebunya, J., Ndyanabangi, S., Flisher, A. J., et al. (2011). Stakeholder’s perceptions of help-seeking behaviour among people with mental health problems in Uganda. International Journal of Mental Health Systems, 5(5), 1–9.

    Google Scholar 

  • Petersen, I., & Lund, C. (2011). Mental health service delivery in South Africa from 2000 to 2010: One step forward, one step backward. South African Medical Journal, 101(10), 751–757.

    PubMed  Google Scholar 

  • Pierce, R. (2009). Research methods in politics. Thousand Oaks: Sage Publications Inc.

    Google Scholar 

  • Ross, E. (2010). Inaugural lecture: African spirituality, ethics and traditional healing—Implications for indigenous South African social work education and practice. South African Journal of Bioethics and Law, 3(1), 44–51.

    Google Scholar 

  • Schmidt, L., & Monaghan, J. (2012). Intensive family support services: A consultative model of education and support. American Journal of Psychiatric Rehabilitation, 15, 26–43.

    Article  Google Scholar 

  • Skeen, S., Kleintjies, S., Lund, C., Petersen, I., Bhana, A., Flisher, A. J., et al. (2010). Mental Health is everybody’s businesses: Roles for an inter-sectoral approach in South Africa. Health Policy and Planning, 22(6), 611–623.

    Google Scholar 

  • Sorsdahl, K., Stein, D. J., Grimsrud, A., Seedat, S., Flisher, A. J., Williams, D. R., et al. (2009). Traditional healers in the treatment of common mental disorders in South Africa. The Journal of Nervous and Mental Disease, 197(6)), 434–441.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sorsdahl, K. R., Flisher, A. J., Wilson, Z., & Stein, D. J. (2010). Explanatory models of mental disorders and treatment practices among traditional healers in Mpumalanga, South Africa. African Journal of Psychiatry, 13, 284–290.

    Article  CAS  PubMed  Google Scholar 

  • Taljaard, L. (2012). Clarifying the role of the SAPS in mental healthcare. African Journal of Psychiatry, 374–376.

  • Watson, A. C., Morabito, M. S., Draine, J., & Ottati, V. (2008). Improving police response to persons with mental illness: A multi-level conceptualization CIT. International Journal of Law and Psychiatry, 31, 359–368.

    Article  PubMed  PubMed Central  Google Scholar 

  • World Health Organization. (2013). Mental health action plan 2013–2020. Geneva: World Health Organization.

    Google Scholar 

  • Yin, R. Y. (2003). Case study research: Design and methods (3rd ed.). Thousand Oaks: Sage Publications.

    Google Scholar 

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Correspondence to Thabisa Matsea.

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Authors declare that there are no known conflicts of interest.

Ethical Approval

The study was approved by the Ethics Committee of the North-West University, Potchefstroom with reference number NWU-00125-11-A1.

Informed Consent

Informed consent was obtained from all individual participants. Participants were reimbursed for transportation.

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Matsea, T., Ryke, E. & Weyers, M. Stakeholders’ Views Regarding Their Role as Support System for People with Mental Illness and Their Families in Rural South Africa. Community Ment Health J 55, 672–679 (2019). https://doi.org/10.1007/s10597-018-0337-6

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  • DOI: https://doi.org/10.1007/s10597-018-0337-6

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