Challenges of Providing Home Care for a Family Member with Serious Chronic Mental Illness: A Qualitative Enquiry.

Journal: International journal of environmental research and public health

Volume: 17

Issue: 22

Year of Publication: 2021

Affiliated Institutions:  Department of Public Health, Sefako Makgatho Health Sciences University, Pretoria , South Africa. Weskoppies Psychiatric Hospital, Pretoria , South Africa.

Abstract summary 

The South African Mental Health Act of 2002 advocates the de-institutionalization of treatment of patients with mental disorders, so that the mental health care users or patients are treated in their communities. Although this approach is often used to discharge patients from hospital, no feasibility assessments are conducted to ascertain adequate care for these patients. The objective of the study was to explore the experiences of family members who provide home care for patients with serious mental disorders. A qualitative explorative design was used to interview 20 primary caregivers whose family members were readmitted to a public psychiatric hospital in Pretoria. Data were analysed using NVivo version 11. The findings are that caring for patients with serious mental illness at home is difficult, sometimes unbearable, because the families have to deal with violence perpetrated by the patients, safety concerns, financial difficulties and emotional turmoil, and wish that the patients would be kept in institutions. The absence of required skills and resources to care for the mentally ill at home exposes the patients and their families to emotional, financial and social difficulties, and results in unfavourable outcomes for both the patients and their families.

Authors & Co-authors:  Mokwena Kebogile Elizabeth KE Ngoveni Amukelane A

Study Outcome 

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Statistics
Citations :  Vigo D., Thornicroft G., Atun R. Estimating the true global burden of mental illness. Lancet Psychiatry. 2016;3:171–178. doi: 10.1016/S2215-0366(15)00505-2.
Authors :  2
Identifiers
Doi : 8440
SSN : 1660-4601
Study Population
Male,Female
Mesh Terms
Caregivers
Other Terms
South African Mental Health Act of 2002;caregivers;families;homecare;mental disorders
Study Design
Cross Sectional Study
Study Approach
Qualitative
Country of Study
South Africa
Publication Country
Switzerland