scholarly journals What should a Universal School-Based Psychoeducational Programme to Support Psychological Well-Being amongst Children and Young People in South Africa Focus on and how should it be Delivered? A Multi-Stakeholder Perspective

Author(s):  
Bronwynè J. Coetzee ◽  
Hermine Gericke ◽  
Suzanne Human ◽  
Paul Stallard ◽  
Maria Loades

AbstractChildren and young people are vulnerable to developing mental health problems. In South Africa, this vulnerability is compounded by contextual risk factors such as community violence and poverty. However, mental health services are scarce and costly, which precludes access for many. Universal school-based mental health programmes can prevent the onset of mental health problems in children and young people and have been implemented to good effect in high-income settings. We sought to understand stakeholder perspectives on what such a programme should focus on and how it could be implemented in practice within the South African context. We interviewed children and young people (n = 22), parents (n = 21), teachers (n = 17), and school mental health counsellors (n = 6) recruited from two schools in the Western Cape, South Africa. Interviews were audio-recorded, transcribed verbatim and analysed thematically. We generated three overarching themes: ‘the value of a mental health and well-being programme’, ‘content and delivery’, and ‘practicalities and logistics’. Participants were optimistic about the potential value of such a programme. Developing content that was appropriate for group delivery, flexible and timed to fit within the school schedule was important. Finding ways to make activities meaningful for large classes was important logistically, as was determining to what extent leaners would feel comfortable participating alongside their peers. Participants felt that outsiders, as opposed to school staff, should deliver the programme and that parents should be involved where possible. Developing a mental health programme for children and young people in the South African context requires careful understanding of who the key role players in such an intervention will be and how exactly they want to be involved and, how the challenges associated with practicalities and logistics can be overcome.

2020 ◽  
Vol 15 (3) ◽  
pp. 141-160
Author(s):  
Anna Wilshire Jones Bornman ◽  
Carol Jean Mitchell

Purpose The purpose of this study was to explore children’s pathways through homelessness within the South African context, with particular attention paid to pathways out of homelessness. This study focusses on factors influencing children’s successful transitions out of homelessness. Design/methodology/approach A qualitative exploratory design was used, using interviews with nine children who had exited or were in the process of exiting homelessness. Interviews were conducted at a children’s shelter in Pietermaritzburg or in the children’s home environments. Interviews were analysed thematically. Findings An ecological framework was used to frame the factors influencing children’s pathways in, through and out of homelessness in the children’s narratives. These included institutions, relationships and intrapersonal strengths and resources. The study suggested that constructive relationships with shelter staff and parental figures, as well as intrapersonal strengths, were the most prominent factors in children successfully negotiating their way through their homelessness. The importance of a relationship with the paternal family within some African cultures was also a point of leverage. Research limitations/implications Implications for policy and practise include the need for systemic change, as well as greater support for shelters and shelter staff. The issue of rivalry in the shelter context and the role of the paternal family in the reintegration process require more research attention. The research is limited to homeless children in Pietermaritzburg, South Africa. Practical implications This study provided feedback to the shelter regarding their strategies for assisting homeless children off the streets. It further provided evidence for the importance of the work of the shelter, to strengthen advocacy efforts. This may be useful to others in similar circumstances. Social implications This study highlights the importance of macrosystemic interventions in the efforts to assist homeless children, while at the same time not ignoring the inter and intra, personal elements to enhancing their well-being. Originality/value This paper is singular in its exploration of factors influencing children’s successful transitions out of homelessness within the South African context.


2019 ◽  
Vol 49 (4) ◽  
pp. 518-535
Author(s):  
Kinyanjui Mungai ◽  
Amiena Bayat

The relationship between mental health and socioeconomic status is well established in the literature. The socioeconomic standing of a number of South Africans remains poor and slow changing, while the mental health of the most vulnerable remains both an economic and health problem for government. There is, however, a lack of studies that assess depressive symptoms using panel data. There is also a lack of studies that consider factors that influence transitions of adults into and out of Significant Depressive Symptoms, particularly in the South African context. Panel data from the National Income Dynamics Study were used for this study to assess these transitions. The data included information on various socioeconomic and health variables, as well as a section that assesses the emotional health of adults in South Africa. This emotional health section in National Income Dynamics Study was essentially a 10-item version of the Centre for Epidemiological Studies Depression scale. The study aimed to investigate how socioeconomic status is associated with the risk of adults transitioning into and out of Significant Depressive Symptoms in the South African context. The study found that the prevalence of adults who exhibited Significant Depressive Symptoms declined significantly in South Africa, despite the recent increase. Moreover, adults with a lower socioeconomic standing were identified as being particularly vulnerable to depression and struggled to transition out of Significant Depressive Symptoms.


2016 ◽  
Vol 42 (1) ◽  
Author(s):  
Llewellyn E. Van Zyl ◽  
Elzabe Nel ◽  
Marius W. Stander ◽  
Sebastiaan Rothmann

Orientation: Lack in congruence amongst industrial and organisational psychologists (IOPs) as to the conceptualisation of its profession poses a significant risk as to the relevance, longevity and professional identity of the profession within the South African context.Research purpose: This study aimed to explore the professional identity of IOPs within the South African context. Specifically, the aim of this study was four-fold: (1) to develop a contemporary definition for IOP, (2) to investigate IOP roles, (3) to determine how the profession should be labelled and (4) to differentiate IOP from human resource management (HRM) from IOPs’ perspectives within South Africa.Motivation for the study: IOPs do not enjoy the same benefits in stature or status as other professions such as medicine, finances and engineering in the world of work. IOPs need to justify its relevance within organisational contexts as a globally shared understanding of ‘what it is’, ‘what it does’ and ‘what makes it different from other professions’, which is non-existent. In order to enhance its perceived relevance, clarity as to IOPs professional identity is needed.Research design, approach and method: A post-positivistic qualitative content analytic and descriptive research design was employed in this study. Data from practising industrial and organisational psychology (IOP) within South Africa (N = 151) were gathered through an electronic web-based survey and were analysed through thematic content analysis.Main findings: The results indicate that IOP in South Africa seeks to optimise the potential of individuals, groups, organisations and the community by implementing scientific processes to support both individual and organisational wellness and sustainability. ‘Work Psychology’ was considered a more fitting professional designation or label than industrial and/or organisational psychology. The industrial psychologist’s major roles related to the well-being and development of employees. A clear distinction between a more dynamic, pro-active approach of IOP compared to a more transactional approach of HRM was also evident. IOP within South Africa appears to have a community development function.Practical/managerial implications: The longevity, relevance and impact of IOP as a profession requires alignment amongst practitioners as to shared common professional identity.Contribution/value-add: This study provides a contemporary understanding of the roles, functions, labels and unique value proposition of industrial and organisational psychology within the South African context.


2021 ◽  
Vol 3 ◽  
Author(s):  
Burne Van Zyl ◽  
Louis G. Lategan ◽  
Elizelle J. Cilliers ◽  
Sarel S. Cilliers

The United Nations Sustainable Development Goals (SDGs) intend to encourage liveable urban environments by 2030 with a main focus on strategies to achieve environmental and human well-being. In the same way, the multifunctionality principle of green infrastructure planning aims to develop and protect urban green spaces to provide several ecosystem services to increase human well-being whilst protecting the environment. With this in mind, this paper seeks to gather evidence on the nexus between multifunctionality and green infrastructure planning to achieve the SDGs within a South African context. The implementation of green infrastructure to this effect depends on creating awareness of different typologies of green infrastructure elements and the ecosystem services they provide to strengthen the implementation of the green infrastructure concept in urban planning practice. Within the aim of context-specific considerations to green infrastructure planning, green infrastructure typologies possible for implementation within a South Africa urban planning practice context are considerably more limited. A qualitative research approach is employed using case studies identifying specific examples to explore South African green infrastructure typologies and their multifunctionality. Different multifunctionality concepts are recognized by urban planners in South Africa. The research findings highlighted that multifunctionality achieved through green infrastructure planning should inform urban planning practice to promote the integration of ecological considerations. The paper ultimately provides a deeper insight into the expanding field of green infrastructure research in a South African context by underlining context-based multifunctional green infrastructure typologies and accordingly emphasizes, mainstreaming the ecosystem services concept as part of urban planning practice to address the SDGs locally.


Author(s):  
Madipoane Masenya (Ngwan’A Mphahlele)

The history of the Christian Bible’s reception in South Africa was part of a package that included among others, the importation of European patriarchy, land grabbing and its impoverishment of Africans and challenged masculinities of African men. The preceding factors, together with the history of the marginalization of African women in bible and theology, and how the Bible was and continues to be used in our HIV and AIDS contexts, have only made the proverbial limping animal to climb a mountain. Wa re o e bona a e hlotša, wa e nametša thaba (while limping, you still let it climb a mountain) simply means that a certain situation is being aggravated (by an external factor). In this chapter the preceding Northern Sotho proverb is used as a hermeneutical lens to present an HIV and AIDS gender sensitive re-reading of the Vashti character in the Hebrew Bible within the South African context.


Author(s):  
Khosi Kubeka ◽  
Sharmla Rama

Combining the theories of intersectionality and social exclusion holds the potential for structural and nuanced interpretations of the workings of power, taking systemic issues seriously but interpreting them though social relations that appear in local contexts. An intersectional analysis of social exclusion demonstrates to what extent multiple axes of social division—be they race, age, gender, class, disability or citizenship—intersect to result in unequal and disparate experiences for groups of youth spatially located in particular communities and neighborhoods. A common reference point is therefore power and how it manifests at the intersection of the local and global. A South African case study is used to explore the subjective measures and qualitative experiences of intersectionality and social exclusion further. The unique ways that language intersects with space, neighborhood, and race in the South African context, enables opportunities in education and the labor market, with profound implications for forms of social exclusion.


BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e033317
Author(s):  
Rachel M Hiller ◽  
Sarah L Halligan ◽  
Richard Meiser-Stedman ◽  
Elizabeth Elliott ◽  
Emily Rutter-Eley

ObjectivesYoung people who have been removed from their family home and placed in care have often experienced maltreatment and there is well-developed evidence of poor psychological outcomes. Once in care, foster carers often become the adult who provides day-to-day support, yet we know little about how they provide this support or the challenges to and facilitators of promoting better quality carer–child relationships. The aim of this study was to understand how carers support the emotional needs of the young people in their care and their views on barriers and opportunities for support.Design and participantsParticipants were 21 UK foster carers, recruited from a local authority in England. They were predominantly female (86%), aged 42–65 years old and ranged from those who were relatively new to the profession (<12 months’ experience) to those with over 30 years of experience as a carer. We ran three qualitative focus groups to gather in-depth information about their views on supporting their foster children’s emotional well-being. Participants also completed short questionnaires about their training experiences and sense of competence.ResultsOnly half of the sample strongly endorsed feeling competent in managing the emotional needs of their foster children. While all had completed extensive training, especially on attachment, diagnosis-specific training for mental health problems (eg, trauma-related distress, depression) was less common. Thematic analysis showed consistent themes around the significant barriers carers faced navigating social care and mental health systems, and mixed views around the best way to support young people, particularly those with complex mental health needs and in relation to reminders of their early experiences.ConclusionsFindings have important implications for practice and policy around carer training and support, as well as for how services support the mental health needs of young people in care.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Darren Sharpe ◽  
Mohsen Rajabi ◽  
Clement Chileshe ◽  
Sitali Mayamba Joseph ◽  
Ibrahim Sesay ◽  
...  

Abstract Background The mental health impact of the COVID-19 pandemic and quarantining on children and young people (CYP) living in low- and middle-income countries (LMICs) has yet to be fully comprehended. CYP in LMICs are at utmost risk, given the COVID-19-related restrictions and social distancing measures, resulting in reduced access to school-based services for nutritional and mental health needs. This study examined mental health of CYP during the first COVID-19 lockdown in Zambia and Sierra Leone. Method A total of 468 disabled and disadvantaged CYP aged 12 to 25 completed a planning tool that comprised the short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS), as well as open-ended questions covering social connectedness, physical distancing and educational challenges during the lockdown. The community coaches screened individuals and families who could be eligible to receive emergency aid, and based on a convenience sample following distribution of aid, recipients were invited to complete the planning tool. Results The data showed that participants in the global south have increasing anxieties and fears centred on accessing offline educational resources and income loss in the family effecting food security and their ability to return to education. Mean (SD) SWEMWBS scores for all participants in Zambia and Sierra Leone, were 19.61 (3.45) and 21.65 (2.84), respectively. Mental well-being scores were lower in females, children aged 12–14 and participants with two or more disabilities. Factors significantly associated with poor mental wellbeing in the sample were: type of disability, nationality, peer relationships, connection to others during the pandemic, knowledge about COVID-19, worry about the long-term impact of COVID-19, and the types of self-isolating. Conclusion The study shows that participants who self-reported low levels of COVID-19 health literacy also scored low on the mental wellbeing self-assessment. Yet, despite undoubted limited resources, these CYP are doing well in identifying their needs and maintaining hope in the face of the problems associated with COVID-19 in countries where stigma persists around mental ill-health.


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