Identifying community risk factors for HIV among South African adolescents with mental health problems: A qualitative study of parental perceptions

Kagee, Ashraf; Donenberg, Geri R.; Davids, A.; Vermaak, Redwaan; Simbayi, Leickness C.; Ward, Catherine L.; Naidoo, Pamela; Mthembu, Jacky

doi:10.2989/17280583.2013.872116

Cited by 5 publications

(3 citation statements)

References 51 publications

(57 reference statements)

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“…Brain damage, consequent neuropsychiatric morbidity, intellectual disability and epilepsy are more common in LMICs than in high-income countries, and these disorders impact on educational attainment [ 13 ]. In South Africa various factors such as HIV infection, substance use and exposure to violence increase the risk for mental health problems in children and adolescents even further [ 9 ]. Based on data from high-income countries, the overall estimated and adjusted 12-month prevalence rates for psychiatric disorders in children and adolescents was calculated in one of the South African provinces (Western Cape) in the and estimated to be 17% in 2006 [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, despite the evidence on the burden of CAMH problems, the rate of unmet needs in CAMH is still high especially in LMICs [ 5 ]. CAMH services have important roles in the prevention of mental disorders, in promotion of mental health and wellbeing of children and adolescents, in reduction of risk factors associated with mental illness, and in the provision of curative services using evidence-based strategies for those who require treatment [ 5 , 9 , 11 ]. Globally, the development, implementation and monitoring of CAMH services start with sound policies and planned service delivery models.…”

Section: Introductionmentioning

confidence: 99%

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Child and adolescent mental health policy in South Africa: history, current policy development and implementation, and policy analysis

Mokitimi

Schneider

Vries

2018

Int J Ment Health Syst

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BackgroundMental health problems represent the greatest global burden of disease among children and adolescents. There is, however, lack of policy development and implementation for child and adolescent mental health (CAMH), particularly in low- and middle-income countries (LMICs) where children and adolescents represent up to 50% of populations. South Africa, an upper-middle income country is often regarded as advanced in health and social policy-making and implementation in comparison to other LMICs. It is, however, not clear whether this is the case for CAMH. The national child and adolescent mental health policy framework of 2003 was developed to guide the establishment of CAMH policies provincially, using a primary care and intersectoral approach. This policy provided a framework for the nine South African provinces to develop policies and implementation plans, but it is not known whether this has happened. The study sought to examine the history and current state of CAMH policy development and implementation, and to perform a systematic analysis of all available CAMH service-related policies.MethodsA comprehensive search was performed to identify all provincial mental health and comprehensive general health policies across South African provinces. The Walt and Gilson policy triangle framework (1994) was used for analysis.ResultsNo South African province had a CAMH policy or identifiable implementation plans to support the national CAMH policy. Provincial comprehensive general health policies addressed CAMH issues only partially and were developed mainly to address the challenges with HIV/AIDS, TB, maternal and child mortality and adherence to the millennium development goals. The process of policy development was typically a consultative process with internal and external stakeholders. There was no evidence that CAMH professionals and/or users were included in the policy development process.ConclusionsIn spite of South Africa’s upper-middle income status, the absence of any publically-available provincial CAMH policy documents was concerning, but in keeping with findings from other LMICs. Our results reinforce the neglect of CAMH even at policy level in spite of the burden of CAMH disorders. There is an urgent need to develop and implement CAMH policies in South Africa and other LMICs. Further research will be required to identify and explore the barriers to policy development and implementation, and to service development and scale-up in CAMH.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Child and adolescent mental health policy in South Africa: history, current policy development and implementation, and policy analysis

Mokitimi

Schneider

Vries

2018

Int J Ment Health Syst

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“…South African adolescents are at increased risk of psychological maladjustment. This is a result of the country’s alarmingly high rates of crime and violence, which may lead to suicidal thoughts and suicide, hence the need for mental health interventions[ 12 , 13 ]. The mental health of students at universities is considered one of the most pressing public health areas in South Africa[ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Mental health implications of suicide rates in South Africa

Edeh,

Eseadi

2023

World J Clin Cases

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Mental health challenges are a severe issue that could lead to suicide if not properly addressed. South Africa has a significant burden of mental health issues, which contributes to the soaring rate of suicide. Adequate mental health-care provision could reduce the high suicide rate in South Africa. Since the apartheid regime, the country has made a series of efforts to improve mental health. This study aimed to review and examine available literature on mental health and suicide issues in South Africa and demonstrate the policy implications. This study adopted a narrative review approach. Electronic databases (PubMed, Scilit, Google Scholar and Semantic Scholar) were used to identify published articles in the English language with crucial search terms that included mental health, South African mental health policy, South Africa, suicide and policy. Literature suggests that at the provincial level, there are no adequate mental health policies, and the implementation of the country’s mental health policy is faced with many challenges, such as a shortage of professionals and finances. The review also showed that task sharing and counselling have been pilot-tested and shown to be effective methods for the prevention of mental illness and promotion of positive mental health. This study concludes that the mental health treatment gap still exists in South Africa, and this needs to be tackled using effective, multi-level counselling interventions and policy initiatives. Adequate mental health-care provision and effective implementation of mental health policy could reduce the high rate of suicide in South Africa.

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Behavioural and psychological control during adolescence: An ecological systems perspective

Damme

Naudé

2022

Journal of Psychology in Africa

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Identifying community risk factors for HIV among South African adolescents with mental health problems: A qualitative study of parental perceptions

Cited by 5 publications

References 51 publications

Child and adolescent mental health policy in South Africa: history, current policy development and implementation, and policy analysis

Child and adolescent mental health policy in South Africa: history, current policy development and implementation, and policy analysis

Mental health implications of suicide rates in South Africa

Behavioural and psychological control during adolescence: An ecological systems perspective

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