The Case for an Independent Licensing Board for Psychology

1992 ◽  
Vol 22 (4) ◽  
pp. 228-239 ◽  
Author(s):  
Victor Nell
Keyword(s):  
Mental Health ◽  
Professional Development ◽  
South Africa ◽  
Human Service ◽  
Medical Profession ◽  
Human Welfare ◽  
Information Giving ◽  
Medical Gaze ◽  
Mental Health Settings

Medicine and psychology are constrained to collaborate with one another in their common human service enterprise, but are methodologically separated by psychology's loquacity, its dependence on words, and the silence of the medical gaze, its wordlessness. If psychology is co-opted by the politically more powerful medical profession, it cannot attain its full human welfare potential. Its professional development is stunted, it is subordinated to psychiatry in mental health settings, and prevented from communicating effectively with its clients by the imposition of information giving constraints appropriate to medicine but alien to psychology. In this paper the author argues that in South Africa there cannot be a liberatory psychology until there is an autonomous psychology, governed by a statutorily independent licensing board.

scholarly journals Provider-initiated HIV counselling and testing (PICT) in the mentally ill

2013 ◽  
Vol 19 (3) ◽  
pp. 5
Author(s):  
M Y H Moosa ◽  
F Y Jeenah
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Hiv Testing ◽  
Mentally Ill ◽  
Ethical Dilemmas ◽  
Outpatient Services ◽  
Mentally Ill Persons ◽  
Psychiatric Admissions ◽  
Mental Health Settings ◽  
Hiv Counselling And Testing

<p>The prevalence of HIV infection is substantially higher in mentally ill individuals than in the general population. Despite this, HIV testing is not yet standard practice among the mentally ill population, and many mental health settings do not encourage HIV testing. This paper discusses provider-initiated HIV counselling and testing (PICT) and some of the ethical dilemmas associated with it, on the basis that PICT may be used to increase the number of mentally ill persons tested for HIV. The authors conclude that PICT should be promoted to all psychiatric admissions and mentally ill individuals receiving outpatient services, and that this is within the parameters of existing policies and legislations in South Africa.</p>

Can Virtual Replace In-person Coaching? Experimental Evidence on Teacher Professional Development and Student Learning in South Africa

2021 ◽  
Author(s):  
Jacobus Cilliers ◽  
Brahm Fleisch ◽  
Janeli Kotzé ◽  
Nompumelelo Mohohlwane ◽  
Stephen Taylor ◽  
...  
Keyword(s):  
Professional Development ◽  
South Africa ◽  
Language Proficiency ◽  
Oral Language ◽  
Low Cost ◽  
Reading Proficiency ◽  
Home Language ◽  
Oral Language Proficiency ◽  
Virtual Coaching ◽  
Negative Effect

Virtual communication holds the promise of enabling low-cost professional development at scale, but the benefits of in-person interaction might be difficult to replicate. We report on an experiment in South Africa comparing on-site with virtual coaching of public primary school teachers. After three years, on-site coaching improved students' English oral language and reading proficiency (0.31 and 0.13 SD, respectively). Virtual coaching had a smaller impact on English oral language proficiency (0.12 SD), no impact on English reading proficiency, and an unintended negative effect on home language literacy. Classroom observations show that on-site coaching improved teaching practices, and virtual coaching led to larger crowding-out of home language teaching time. Implementation and survey data suggest technology itself was not a barrier to implementation, but rather that in-person contact enabled more accountability and support.

Anxiety Disorders’ Effect on College and University Students’ Mental Health: A Common and Growing Concern

2020 ◽  
Vol 9 (2) ◽  
pp. 82-90
Author(s):  
Matthew J. Pesko
Keyword(s):  
Mental Health ◽  
Anxiety Disorders ◽  
University Students ◽  
Best Practice ◽  
Epidemiological Studies ◽  
Student Population ◽  
Adult Student ◽  
College And University ◽  
The Past ◽  
Mental Health Settings

Anxiety disorders are commonly experienced by college and university students and should be routinely assessed in mental health settings. Epidemiological studies suggest that the burden of these illnesses has greatly expanded even over the past decade. Factors that contribute to the experience of an anxiety disorder in a young adult student population are considered herein. The best practice for evaluation and treatment of these disorders is presented based on the review of available literature in this field. Special attention is paid to the concept of resilience as it pertains to anxiety disorders in the student population.

scholarly journals Relationships with caregivers and mental health outcomes among adolescents living with HIV: a prospective cohort study in South Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yulia Shenderovich ◽  
Mark Boyes ◽  
Michelle Degli Esposti ◽  
Marisa Casale ◽  
Elona Toska ◽  
...  
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Cohort Study ◽  
Mental Health Problems ◽  
Health Problems ◽  
Sub Saharan Africa ◽  
Depression Symptoms ◽  
Sub Saharan ◽  
Positive Caregiving ◽  
Living With Hiv

Abstract Background Mental health problems may impact adherence to anti-retroviral treatment, retention in care, and consequently the survival of adolescents living with HIV. The adolescent-caregiver relationship is an important potential source of resilience. However, there is a lack of longitudinal research in sub-Saharan Africa on which aspects of adolescent-caregiver relationships can promote mental health among adolescents living with HIV. We draw on a prospective longitudinal cohort study undertaken in South Africa to address this question. Methods The study traced adolescents aged 10–19 initiated on antiretroviral treatment in government health facilities (n = 53) within a health district of the Eastern Cape province. The adolescents completed standardised questionnaires during three data collection waves between 2014 and 2018. We used within-between multilevel regressions to examine the links between three aspects of adolescent-caregiver relationships (caregiver supervision, positive caregiving, and adolescent-caregiver communication) and adolescent mental health (depression symptoms and anxiety symptoms), controlling for potential confounders (age, sex, rural/urban residence, mode of infection, household resources), n=926 adolescents. Results Improvements in caregiver supervision were associated with reductions in anxiety (0.98, 95% CI 0.97–0.99, p=0.0002) but not depression symptoms (0.99, 95% CI 0.98–1.00, p=.151), while changes in positive caregiving were not associated with changes in mental health symptoms reported by adolescents. Improvements in adolescent-caregiver communication over time were associated with reductions in both depression (IRR=0.94, 95% CI 0.92–0.97, p<.0001) and anxiety (0.91, 95% CI 0.89–0.94, p<.0001) symptoms reported by adolescents. Conclusions Findings highlight open and supportive adolescent-caregiver communication and good caregiver supervision as potential factors for guarding against mental health problems among adolescents living with HIV in South Africa. Several evidence-informed parenting programmes aim to improve adolescent-caregiver communication and caregiver supervision, and their effect on depression and anxiety among adolescents living with HIV should be rigorously tested in sub-Saharan Africa. How to improve communication in other settings, such as schools and clinics, and provide communication support for caregivers, adolescents, and service providers through these existing services should also be considered.

scholarly journals Correction to: Using behavioral insights to design implementation strategies in public mental health settings: a qualitative study of clinical decision-making

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Briana S. Last ◽  
Simone H. Schriger ◽  
Carter E. Timon ◽  
Hannah E. Frank ◽  
Alison M. Buttenheim ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Qualitative Study ◽  
Clinical Decision Making ◽  
Public Mental Health ◽  
Implementation Strategies ◽  
Clinical Decision ◽  
Mental Health Settings

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals Effects of COVID-19 on the economy and mental health of young people in South Africa: opportunities for strengthening social protection programmes by integrating mental health

2021 ◽  
Vol 51 (2) ◽  
pp. 199-204
Author(s):  
Alejandra Álvarez-Iglesias ◽  
Emily Garman ◽  
Crick Lund
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Young People ◽  
Child Support ◽  
Social Protection ◽  
Psychological Impact ◽  
Sub Saharan Africa ◽  
Physical And Mental Health ◽  
Protection Measures ◽  
Employment Education

The majority of COVID-19 cases in sub-Saharan Africa are found in South Africa, where one third of young people are not in employment, education or training. As the world continues to fight the COVID-19 virus spread, an increasing volume of studies are analysing and trying to predict the consequences of the pandemic on the economy and on physical and mental health. This article describes the economic and psychological impact of COVID-19 in South Africa’s youth specifically, the efforts made to tackle these issues, and the opportunities to integrate mental health into the country’s social protection measures, such as the Child Support Grant.

scholarly journals Exploring the impact of a complex intervention for women with depression in contexts of adversity: A pilot feasibility study of COURRAGE-plus in South Africa

2021 ◽  
pp. 002076402110102
Author(s):  
Rochelle A Burgess ◽  
Niklas Jeske ◽  
Shahana Rasool ◽  
Ayesha Ahmad ◽  
Anna Kydd ◽  
...  
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Narrative Therapy ◽  
Mental Distress ◽  
Social Intervention ◽  
Friedman Test ◽  
Time Points ◽  
Symptoms Of Depression ◽  
The Impact ◽  
Collective Narrative

Background: Depression is a leading cause of disease burden worldwide but is often undertreated in low- and middle-income countries. Reasons behind the treatment gap vary, but many highlight a lack of interventions which speak to the socio-economic and structural realties that are associated to mental health problems in many settings, including South Africa. The COURRAGE-PLUS intervention responds to this gap, by combining a collective narrative therapy (9 weeks) intervention, with a social intervention promoting group-led practical action against structural determinants of poor mental health (4 weeks), for a total of 13 sessions. The overall aim is to promote mental health, while empowering communities to acknowledge, and respond in locally meaningful ways to social adversity linked to development of mental distress. Aim: To pilot and evaluate the effectiveness of a complex intervention – COURRAGE-PLUS on symptoms of depression as assessed by the Patient Health Questionnaire (PHQ-9) among a sample of women facing contexts of adversity in Gauteng, South Africa. Methods: PHQ-9 scores were assessed at baseline, post collective narrative therapy (midline), and post social intervention (endline). Median scores and corresponding interquartile ranges were computed for all time points. Differences in scores between time points were tested with a non-parametric Friedman test. The impact across symptom severities was compared descriptively to identify potential differences in impact across categories of symptom severity within our sample. Results: Participants’ ( n = 47) median depression score at baseline was 11 (IQR = 7) and reduced to 4 at midline (IQR = 7) to 0 at endline (IQR = 2.5). The Friedman test showed a statistically significant difference between depression scores across time points, [Formula: see text](2) = 49.29, p < .001. Median depression scores were reduced to 0 or 1 Post-Intervention across all four severity groups. Conclusions: COURRAGE-PLUS was highly effective at reducing symptoms of depression across the spectrum of severities in this sample of women facing adversity, in Gauteng, South Africa. Findings supports the need for larger trials to investigate collective narrative storytelling and social interventions as community-based interventions for populations experiencing adversity and mental distress.

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