scholarly journals FACTORS CONTRIBUTING TO RELAPSE OF MENTAL HEALTH CARE USERS TREATED FOR SUBSTANCEINDUCED PSYCHOTIC DISORDER IN A PSYCHIATRIC HOSPITAL IN GAUTENG, SOUTH AFRICA

2016 ◽  
Vol 16 (1) ◽  
pp. 75-88
Author(s):  
S. Thothela ◽  
A.E. Van der Wath ◽  
E.S. Janse van Rensburg
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Hospital ◽  
Psychotic Disorder ◽  
Outpatient Department ◽  
Psychiatric Nurses ◽  
Therapeutic Programme ◽  
Data Saturation

This study explored the factors contributing to relapse of mental health care users (MHCUs) treated for substance-induced psychotic disorder in a public psychiatric hospital in Gauteng, South Africa. A qualitative, explorative, descriptive and contextual research design was followed. The study was conducted at the outpatient department of the hospital. Participants were selected purposefully from MHCUs visiting the outpatient department for follow-up. Ten semistructured interviews were used to collect data until data saturation occurred. The transcribed interviews and field notes were analysed using Tesch’s method of qualitative data analysis. The researcher and an independent coder reached consensus on the categories, sub-categories and themes. Trustworthiness was ensured through application of the strategies of dependability, transferability, conformability, credibility and authenticity. The findings explicated the factors contributing to relapse of MHCUs treated for substanceinduced psychotic disorder in a psychiatric hospital. These factors included psychological, physical and social factors. Recommendations were provided for psychiatric nurses in terms of therapeutic programme planning and involvement of the community and family in the management of MHCUs treated for substance-induced psychotic disorder. 

scholarly journals COVID-19, psychosocial issues, politics, and public mental health care

2021 ◽  
Vol 51 (2) ◽  
pp. 293-303
Author(s):  
Anthony L Pillay ◽  
Anne L Kramers-Olen
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Systems ◽  
Mental Health Policy ◽  
Public Mental Health ◽  
The Public ◽  
Care Systems ◽  
Public Mental Health Care

The COVID-19 pandemic heralded challenges that were both significant and unfamiliar, placing inordinate burdens on health care systems, economies, and the collective psyche of citizens. The pandemic underscored the tenuous intersections between public mental health care, politics, economics, and psychosocial capital. In South Africa, the inadequacies of the public health system have been laid bare, and the disproportionate privileges of the private health care system exposed. This article critically considers government responses to the COVID-19 pandemic, the psychosocial correlates of lockdown, politics, corruption, and public mental health policy in South Africa.

Optimizing a Halfway House to Meet Mental Health Care Users’ Occupational Needs

2021 ◽  
pp. 000841742110448
Author(s):  
Itumeleng Augustine Tsatsi ◽  
Nicola Ann Plastow
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Health Care ◽  
Mental Health Care ◽  
Thematic Analysis ◽  
Unmet Needs ◽  
Participatory Action ◽  
Halfway House ◽  
Health And Wellbeing ◽  
Halfway Houses

Background. Halfway houses (HwH) may support community reintegration of mental health care users and can be effective in meeting occupational needs of residents. However, they are not optimally used in South Africa. Purpose. This study aimed to improve the functioning of a HwH so that it better meets occupational needs of the resident mental health care users. It draws on Doble & Santha; ( 2008 ) seven occupational needs. Method. A four-phase Participatory Action Research methodology was used. We conducted thematic analysis to describe met and unmet needs within PAR phases. Findings. Occupational needs of accomplishment, renewal, pleasure and companionship were being met. However, coherence, agency and affirmation needs were not being met. An additional occupational need for interdependence, based on the African ethic of Ubuntu, was identified. Implications. HwH functioning affected residents’ experiences of health and wellbeing. Engagement in collective occupations can contribute to meeting the occupational need of interdependence.

scholarly journals Health professionals' views of services for schizophrenia – fragmentation and inequality

2000 ◽  
Vol 24 (2) ◽  
pp. 47-50 ◽  
Author(s):  
Peter Haddad ◽  
Martin Knapp
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Great Britain ◽  
Mental Health Care ◽  
Inner City ◽  
Health Professionals ◽  
Psychiatric Nurses ◽  
Mental Health Care System ◽  
Educational Grant ◽  
Community Psychiatric

There has been much debate about effective treatments, service configurations and costs within Britain's mental health care system, but it has largely taken place in academic and management circles. We were interested in the views of those providing care. We organised a meeting of community psychiatric nurses, general practitioners and consultant psychiatrists (funded with an educational grant from Zeneca Pharmaceuticals). Participants worked in various parts of Great Britain, including rural and inner city areas. The authors facilitated the discussion, the emphasis of which was on participants' clinical experience.

Health care practitioners' perceptions of public mental health care in the Eastern Cape, South Africa

2014 ◽  
Vol 24 (4) ◽  
pp. 370-374 ◽  
Author(s):  
Dalena van Rooyen ◽  
Kegan Topper ◽  
David Morton ◽  
Joanitha Strümpher ◽  
Isabell Schierenbeck ◽  
...  
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Health Care ◽  
Mental Health Care ◽  
Public Mental Health ◽  
Eastern Cape ◽  
Health Care Practitioners ◽  
Public Mental Health Care

Restraints practices among psychiatric nurses in state mental health-care setting, Karnataka, India

2019 ◽  
Vol 16 (2) ◽  
pp. 98
Author(s):  
SunandaGovinder Thimmajja ◽  
Sreevani Rentala ◽  
RaveeshBevinahalli Nanjegowda ◽  
Prasanth Bevoor
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Care Setting ◽  
State Mental Health ◽  
Health Care Setting ◽  
Psychiatric Nurses ◽  
State Mental

scholarly journals Admission experiences of psychiatric patients in tertiary care: An implication toward Mental Health Care Bill, 2013

2017 ◽  
Vol 08 (01) ◽  
pp. 089-095 ◽  
Author(s):  
Vijayalakshmi Poreddi ◽  
Rajalakshmi Ramu ◽  
Sugavana Selvi ◽  
Sailaxmi Gandhi ◽  
Lalitha Krishnasamy ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Hospital ◽  
Psychotic Disorders ◽  
Psychiatric Patients ◽  
Care Center ◽  
Tertiary Care ◽  
Perceived Coercion ◽  
Negative Pressures

ABSTRACT Background: Coercion is not uncommon phenomenon among mental health service users during their admission into psychiatric hospital. Research on perceived coercion of psychiatric patients is limited from India. Aim: To investigate perceived coercion of psychiatric patients during admission into a tertiary care psychiatric hospital. Materials and Methods: This was a cross-sectional descriptive survey carried out among randomly selected psychiatric patients (n = 205) at a tertiary care center. Data were collected through face-to-face interviews using structured questionnaire. Results: Our findings revealed that participants experienced low levels of coercion during their admission process. However, a majority of the participants were threatened with commitment (71.7%) as well as they were sad (67.8%), unpleased (69.7%), confused (73.2%), and frightened (71.2%) with regard to hospitalization into a psychiatric hospital. In addition, the participants expressed higher levels of negative pressures (mean ± standard deviation, 3.76 ± 2.12). Participants those were admitted involuntarily (P > 0.001), diagnosed to be having psychotic disorders (P > 0.003), and unmarried (P > 0.04) perceived higher levels of coercion. Conclusion: The present study showed that more formal coercion was experienced by the patients those got admitted involuntarily. On the contrary, participants with voluntary admission encountered informal coercion (negative pressures). There is an urgent need to modify the Mental Health Care (MHC) Bill so that treatment of persons with mental illness is facilitated. Family member plays an important role in providing MHC; hence, they need to be empowered.

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