The Perspectives of Males with Serious Mental Disorders on their Community Integration following a Residential-based Rehabilitation Programme in South Africa: "It's a catch-22 situation".
Introduction: Residential-based rehabilitation programmes were introduced by the Western Cape Department of Health in 2008 to relieve the burden of long-term hospitalization in South Africa. In South Africa, more men than women of working age require long-term support from public mental health servi...
| Publicado en: | South African Journal of Occupational Therapy Vol. 51; no. 1; pp. 63 - 72 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Occupational Therapy Association of South Africa
Apr2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149736363&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149736363 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00382337 25J6 jtl: South African Journal of Occupational Therapy issn: 00382337 maglogo: N pubinfo: dt: Apr2021 vid: 51 iid: 1 pid: 30274 pub: Occupational Therapy Association of South Africa artinfo: ui: 149736363 149736363 149736363 10.17159/2310-3833/2021/vol51n1a9 149736363 ppf: 63 ppct: 9 formats: fmt: @attributes: type: P tig: atl: The Perspectives of Males with Serious Mental Disorders on their Community Integration following a Residential-based Rehabilitation Programme in South Africa: "It's a catch-22 situation". aug: au: Gamaldien, Fadia Galvaan, Roshan Duncan, Madeleinde affil: Senior Clinical Educator, Division of Occupational Therapy, Department of Health and Rehabilitation, University of Cape Town, Cape Town sug: subj: Mental Disorders Psychiatric Patients Psychosocial Factors Mental Health Services Continuity of Patient Care Community Reintegration Recovery Human South Africa Health Services Needs and Demand Purposive Sample Semi-Structured Interview Thematic Analysis Qualitative Studies Audiorecording Data Analysis Software Funding Source ab: Introduction: Residential-based rehabilitation programmes were introduced by the Western Cape Department of Health in 2008 to relieve the burden of long-term hospitalization in South Africa. In South Africa, more men than women of working age require long-term support from public mental health services. Most of these healthcare users live in communities characterised by poverty and unemployment. There is limited research on male mental health service users' perspectives on the impact that residential-based rehabilitation programmes have on their community integration. The aim of the study was to inform the continuum of care for people with serious mental disorders to better align residential-based rehabilitation and primary care public mental health services with the recovery needs of mental health service users. Method: An instrumental case study design was applied, and five male participants were identified through purposive sampling. Observations, semi-structured interviews, community maps and document analysis were used to collect data. Thematic cross-case analysis of qualitative data was done. Findings: The theme, It's a catch-22 situation, describes the participants' ambivalence towards the residential-based rehabilitation programme's contribution to their community reintegration after discharge. Three categories, namely 'It's not just what you call it', 'There's no one size for all', and 'It's tricky choosing between places to go and things to do', capture how the perceived inflexibility of the programme curtailed their adjustment to community living. Conclusion: Participants proposed co-constructing their recovery plan with mental health professionals so that it is more personalised in supporting them as they adapt to emergent occupational challenges. It is recommended that a seamless continuum of support between different levels of care should be implemented. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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