dc.description.abstract |
In order to advance mental health care services, there has been a shift from the
biomedical model to recovery-oriented care. Recovery has been steadily gaining ground
as a guiding principle for mental health services, and has progressed from the lived
experiences of people who use such services (Care Services Improvement Partnership
[CSIP], 2007:iv). This is based on the premise that everyone should be involved in mental
health services, and given the opportunity to work together and integrate various skills
and experiences (CSIP, 2007:iv). Nationally and internationally, there is an increasing
interest in the concept of “recovery,” particularly in the field of mental health and
psychiatry. Consequently, professional bodies, health care agencies, and governments
have become increasingly interested in focusing on recovery as the guiding principle for
mental health policy, practice, and service (Osborn, 2012:8).
This empirical study was conducted in Limpopo Province. The research sites were the
Departments of Health and Social Development - Capricorn, Vhembe and Mopani
Districts for the first phase. The second phase was conducted in the Vhembe and Mopani
districts. The study followed a mixed-methods approach (qualitative and quantitative).
The first phase was based on a qualitative approach, and the second phase on a
quantitative approach. For the first phase, the participants included thirteen mental health
care users (MHCUs) from Evuxakeni, Shiluvana and Hayani Hospitals. Five caregivers
from Mapapila Village in Malamulele. Fourteen social workers from Capricorn, Vhembe
and Mopani Districts and sixteen social workers from Malamulele, Hayani, Nkhensani,
Evuxakeni, Shiluvana, Polokwane, and Seshego Hospitals. Lastly, eight social work
managers from Malamulele, Giyani, Polokwane, Thohoyandou and the DSD provincial office. For the second phase, thirty-seven social workers were trained using a pre-test of
a preliminary intervention programme, and subsequently the post-test was administered.
A mixed-methods approach was employed using the exploratory sequential mixedmethods design. An intervention research was implemented. A collective case study
design was selected for the first phase (qualitative) and a one-group pre-test post-test
design (pre-experimental design) was implemented as a pilot study (quantitative).
The qualitative findings and the literature review contributed to the development of a
Collaborative Recovery-oriented Mental Health Care Programme (CROCMEHC). It was
evident from the findings that MHCUs and caregivers have unmet needs and that social
workers lacked knowledge in mental health care. Therefore, the findings from the first
phase determined the content of the preliminary intervention programme. From the
quantitative findings, it was concluded that the CROCMEHC programme will need to be
refined; however, the results were promising for future development of this intervention
programme. It is therefore recommended that the CROCMEHC programme be refined
and its effectiveness improved. The CROCMEHC programme has the potential to
capacitate social workers in mental health care, especially in the rural areas of South
Africa. |
en_ZA |
dc.identifier.citation |
Bila, NJ 2017, A recovery-oriented social work programme in mental health care in a rural area of South Africa, PhD Social Work Thesis, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/74605> |
en_ZA |