Evaluation of an Advocacy Programme for Mental Health Care Users in South Africa: A Mixed Methods Study.

Journal: Community mental health journal

Volume: 58

Issue: 4

Year of Publication: 2022

Affiliated Institutions:  Alan J. Flisher Centre for Public Mental Health, Department of Psychiatry & Mental Health, University of Cape Town, Sawkins Rd., Rondebosch, Cape Town, , South Africa. Alan J. Flisher Centre for Public Mental Health, Department of Psychology, Stellenbosch University, Matieland, , South Africa. Alan J. Flisher Centre for Public Mental Health, Department of Psychiatry & Mental Health, University of Cape Town, Sawkins Rd., Rondebosch, Cape Town, , South Africa. Katherine.sorsdahl@uct.ac.za.

Abstract summary 

This study evaluates the implementation of a national advocacy programme for mental health care users, conducted by the South African National Department of Health and the South African Federation for Mental Health. Semi-structured interviews were conducted with care users (n = 18), service providers (n = 9), support persons (n = 6), NGO directors (n = 4), and programme managers in the DoH (n = 4). Although informational benefits were highlighted from programme empowerment sessions, very few advocacy groups were subsequently established. Barriers to establishing and conducting advocacy groups included a lack of follow-up support, pervasive stigma from communities and health care workers, low self-confidence, and a lack of financial resources. Facilitators for establishment of groups included conducting empowerment sessions and identifying 'mental health champions' at clinics, improving mental health training for health workers, dispensing psychiatric medication to patients on the same day, providing funding for non-governmental organisations, conducting national awareness campaigns, and establishing holistic rehabilitation centres for care users.

Authors & Co-authors:  Davies T T Roomaney R R Lund C C Sorsdahl K K

Study Outcome 

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Statistics
Citations :  Botha, U. A., Koen, L., & Niehaus, D. J. (2006). Perceptions of a South African schizophrenia population with regards to community attitudes towards their illness. Social Psychiatry and Psychiatric Epidemiology, 41(8), 619–623.
Authors :  4
Identifiers
Doi : 10.1007/s10597-021-00877-8
SSN : 1573-2789
Study Population
Male,Female
Mesh Terms
Health Personnel
Other Terms
Advocacy;Community mental health;Service user involvement;South Africa;Stigma;Support groups
Study Design
Cross Sectional Study
Study Approach
Mixed Methods
Country of Study
South Africa
Publication Country
United States