Stakeholders’ Views Regarding Their Role as Support System for People with Mental Illness and Their Families in Rural South Africa

Matsea, Thabisa; Ryke, Elma; Weyers, Mike

doi:10.1007/s10597-018-0337-6

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…Lack of preparation and stigma (Bredenberg, 1983 ; Mechanic and Rochefort, 1990 ; Fakhoury and Priebe, 2002 ; Aggett and Goldberg, 2005 ; PAHO, 2008 ; Manuel et al, 2012 ; Chan and Mak, 2014 ; O’Doherty et al, 2016 ) leads to hostile attitudes toward service-users challenging social integration (Bredenberg, 1983 ; Fakhoury and Priebe, 2002 ; Aggett and Goldberg, 2005 ; PAHO, 2008 ; O’Doherty et al, 2016 ). The attribution of dangerousness to individuals with SMI and the public acceptance of social control measures over recovery-oriented alternatives were also reported as barriers to PDI processes (Fakhoury and Priebe, 2002 ; Matsea et al., 2019 ).…”

Section: Resultsmentioning

confidence: 99%

“…Other facilitators included the continuity of care after discharge (Sytema et al, 1996 ) and specific actions such as: developing mobile teams and home interventions as they facilitate access to service for users who cannot physically access needed services (John et al, 2010 ), mitigating self-stigma dynamics by allowing an active participation of users in their treatment through shared decision-making with professional staff (Chan and Mak, 2014 ; Mayston et al, 2016 ; Matsea et al, 2019 ) and supporting mechanisms for primary care workers such as a 24 h hotline for assistance when it is required (Huang et al, 2017 ).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Moving psychiatric deinstitutionalization forward: A scoping review of barriers and facilitators

Montenegro

Moller

Irarrázaval

et al. 2023

Camb. prisms Glob. ment. health

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Psychiatric deinstitutionalization (PDI) processes aim to transform long-term psychiatric care by closing or reducing psychiatric hospitals, reallocating beds, and establishing comprehensive community-based services for individuals with severe and persistent mental health difficulties. This scoping review explores the extensive literature on PDI, spanning decades, regions, socio-political contexts, and disciplines, to identify barriers and facilitators of PDI implementation, providing researchers and policymakers with a categorization of these factors. To identify barriers and facilitators, three electronic databases (Medline, CINAHL, and Sociological Abstracts) were searched, yielding 2,250 references. After screening and reviewing, 52 studies were included in the final analysis. Thematic synthesis was utilized to categorize the identified factors, responding to the review question. The analysis revealed that barriers to PDI include inadequate planning, funding, and leadership, limited knowledge, competing interests, insufficient community-based alternatives, and resistance from the workforce, community, and family/caregivers. In contrast, facilitators encompass careful planning, financing and coordination, available research and evidence, strong and sustained advocacy, comprehensive community services, and a well-trained workforce engaged in the process. Exogenous factors, such as conflict and humanitarian disasters, can also play a role in PDI processes. Implementing PDI requires a multifaceted strategy, strong leadership, diverse stakeholder participation, and long-term political and financial support. Understanding local needs and forces is crucial, and studying PDI necessitates methodological flexibility and sensitivity to contextual variation. At the same time, based on the development of the review itself, we identify four limitations in the literature, concerning “time,” “location,” “focus,” and “voice.” We call for a renewed research and advocacy agenda around this neglected aspect of contemporary global mental health policy is needed.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Moving psychiatric deinstitutionalization forward: A scoping review of barriers and facilitators

Montenegro

Moller

Irarrázaval

et al. 2023

Camb. prisms Glob. ment. health

View full text Add to dashboard Cite

show abstract

“…Lack of preparation and stigma (Aggett & Goldberg, 2005; Bredenberg, 1983; Chan & Mak, 2014; Fakhoury & Priebe, 2002; Manuel et al, 2012; Mechanic & Rochefort, 1990; O’Doherty et al, 2016; PAHO, 2008) leads to hostile attitudes toward service-users challenging social integration (Aggett & Goldberg, 2005; Bredenberg, 1983; Fakhoury & Priebe, 2002; O’Doherty et al, 2016, PAHO, 2008). The attribution of dangerousness to individuals with SMI and the public acceptance of social control measures over recovery-oriented alternatives were also reported as barriers to PDI processes (Fakhoury & Priebe, 2002; Matsea et al, 2019)…”

Section: Resultsmentioning

confidence: 99%

“…Other facilitators included the continuity of care after discharge (Sytema et al, 1996) and specific actions such as: developing mobile teams and home interventions as they facilitate access to service for users who can’t physically access needed services (John et al, 2010), mitigating self-stigma dynamics by allowing an active participation of users in their treatment through shared decision-making with professional staff (Chan & Mak, 2014; Matsea et al, 2019; Mayston et al, 2016) and supporting mechanisms for primary care workers such as a 24 hr hotline for assistance when it is required (Huang et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

Moving psychiatric deinstitutionalisation forward: A scoping review of barriers and facilitators

Irarrázaval

Montenegro

Moller

et al. 2023

Preprint

View full text Add to dashboard Cite

Psychiatric deinstitutionalisation (PDI) processes aim to transform long-term psychiatric care by closing or reducing psychiatric hospitals, reallocating beds, and establishing comprehensive community-based services for individuals with severe and persistent mental health difficulties. This scoping review explores the extensive literature on PDI, spanning decades, regions, socio-political contexts, and disciplines, to identify barriers and facilitators of PDI implementation, providing researchers and policymakers with a categorization of these factors. To identify barriers and facilitators, three electronic databases (Medline, CINAHL, and Sociological Abstracts) were searched, yielding 2250 references. After screening and reviewing, 52 studies were included in the final analysis. Thematic synthesis was utilized to categorize the identified factors, responding to the review question. The analysis revealed that barriers to PDI include inadequate planning, funding, and leadership, limited knowledge, competing interests, insufficient community-based alternatives, and resistance from the workforce, community, and family/caregivers. In contrast, facilitators encompass careful planning, financing and coordination, available research and evidence, strong and sustained advocacy, comprehensive community services, and a well-trained workforce engaged in the process. Exogenous factors, such as conflict and humanitarian disasters, can also play a role in PDI processes. Implementing PDI requires a multifaceted strategy, strong leadership, diverse stakeholder participation, and long-term political and financial support. Understanding local needs and forces is crucial, and studying PDI necessitates methodological flexibility and sensitivity to contextual variation. At the same time, based on the development of the review itself, we identify four limitations in the literature, concerning "time", "location", "focus", and "voice". We call for a renewed research and advocacy agenda around this neglected aspect of contemporary global mental health policy is needed.

show abstract

A framework for a community-based programme for people with mental illness and their families in a rural setting

Matsea¹,

Ryke

Weyers

2021

Journal of Social Work Practice

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Stakeholders’ Views Regarding Their Role as Support System for People with Mental Illness and Their Families in Rural South Africa

Cited by 3 publications

References 17 publications

Moving psychiatric deinstitutionalization forward: A scoping review of barriers and facilitators

Moving psychiatric deinstitutionalization forward: A scoping review of barriers and facilitators

Moving psychiatric deinstitutionalisation forward: A scoping review of barriers and facilitators

A framework for a community-based programme for people with mental illness and their families in a rural setting

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