Social workers’ perspectives on the recovery-oriented mental health practice in Tshwane, South Africa

Bila, Nontembeko Joyce

doi:10.1080/15332985.2018.1554547

Cited by 13 publications

(15 citation statements)

References 28 publications

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“…To begin with, the findings echo the predominant focus on clinical recovery in healthcare settings in other parts of the world (Le Boutillier et al, 2015 ; Slade, 2009 ), including LMICs (Adewuya & Oguntade, 2007 ; Bila, 2019 ; Humphries et al, 2015 ; Rashed, 2015 ). Although service providers are aware of personal recovery, they focus on clinical recovery.…”

Section: Discussionsupporting

confidence: 54%

“…A qualitative study conducted in Ethiopia revealed that healthcare workers favoured a biomedical approach to recovery while other stakeholders saw medication as only one care component (Mall et al, 2017 ). A qualitative study exploring social worker perspectives of recovery from SMI was conducted in Tshwane, South Africa revealed a lack of knowledge and skills around recovery-oriented practices, a biomedical focus on illness and deficits, and stereotypical attitudes towards mental illness, which influenced practice (Bila, 2019 ). Research indicates that the attitudes of healthcare providers (Egbe et al, 2014 ) impede recovery, and this needs to be better understood (Egbe et al, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

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Service Providers Perspectives on Personal Recovery from Severe Mental Illness in Cape Town, South Africa: A Qualitative Study

Gamieldien

Galvaan

Myers

et al. 2021

Community Ment Health J

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Severe mental illnesses (SMI) contribute significantly to the global burden of disease. In low-and-middle-income countries (LMICs), the treatment gap impacts the clinical and personal recovery of people living with an SMI. The drive to reduce this treatment gap in LMICs makes it pertinent to understand service providers’ views on recovery from SMI. Semi-structured interviews and focus groups with service providers from health services and non-profit organisations in the Western Cape Province, South Africa, were conducted in this qualitative study. Seventeen participants were purposively selected, and data were thematically analysed. Three major themes emerged: delineating recovery, available services supporting recovery from SMI, and facilitators and barriers to recovery at the service level. Health services favoured clinical over personal recovery. Participants thought that many service users’ personal recovery from SMI was hindered by intersecting social, economic, cultural, and political inequalities that extended beyond the influence of the health sector.

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Section: Discussionsupporting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Service Providers Perspectives on Personal Recovery from Severe Mental Illness in Cape Town, South Africa: A Qualitative Study

Gamieldien

Galvaan

Myers

et al. 2021

Community Ment Health J

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“…Many social workers support recovery because it aligns with social work ethics, values, and principles (Bila, 2019;Clossey et al, 2018); however, social work has also been criticized for conforming to dominant structures that reproduce stigma (Williams et al, 2015). Cameron and McGowan (2013) argue that "simply re-branding a service 'recovery' or haphazardly incorporating the word recovery in a logo or mission statement does not equate with practising in a recovery oriented manner" (p. 25).…”

Section: Contribution To Social Work Knowledge Policy and Practicementioning

confidence: 99%

Resisting Recovery Rhetoric: A Critical Discourse Analysis and Counter Perspectives from People With Substance Use Issues in Rural Ontario

McNeil

2022

csw

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The recovery concept informs research, policies, and practices related to mental health and substance use in Canada, which has consequences for people with substance use issues in rural areas. Although recovery is espoused as a personal journey with no “right” approach, dominant representations of recovery permeate public and private minds to (re)produce an ideal presumably urban-centered recovery, which may stigmatize people in rural communities. This qualitative, exploratory study draws on Foucauldian and intersectionality principles to examine power relations embedded in recovery discourse. A critical discourse analysis (CDA) using van Dijk’s Sociocognitive Approach (SCA) is applied to 40 semi-structured interviews with people who experience substance use issues in rural Ontario. Findings indicate that although dominant assumptions of substance use recovery are reinforced by people with lived experience in rural spaces, they are also rejected and resisted in ways that expose oppression, counter dominance, and promote more equitable alternatives.

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“…Following in their footsteps, other developed European countries, such as Scotland, Norway, Germany, the Netherlands, and Italy, have also incorporated this orientation into their healthcare services. Later, several non-European countries, such as Israel [ 9 ], Hong Kong [ 10 ], and South Africa [ 11 , 12 ], also adopted this approach to care. Recently, Chang et al [ 13 ] provided a report of recovery-oriented mental health services in Taiwan.…”

Section: Introductionmentioning

confidence: 99%

The principles of recovery-oriented mental health services: A review of the guidelines from five different countries for developing a protocol to be implemented in Yogyakarta, Indonesia

et al. 2023

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Background Recovery-oriented mental health service has become the focus of global change in mental health services. Most of North industrialized countries have adopted and implemented this paradigm in the last two decades. Only recently that some developing countries are trying to follow this step. In Indonesia’s case, there has been little attention to developing a recovery orientation by mental health authorities. The aim of this article is to synthesize and analyze the recovery-oriented guidelines from five industrialized countries that we can use as a primary model for developing a protocol to be implemented in community health centre in Kulonprogo District, Yogyakarta, Indonesia. Method We used a narrative literature review by searching for guidelines from many different sources. We found 57 guidelines, but only 13 from five countries met the criteria, including five guidelines from Australia, one from Ireland, three from Canada, two from the UK, and two from the US. To analyze the data, we used an inductive thematic analysis to explore the themes of each principle as described by the guideline. Result The results of the thematic analysis revealed seven recovery principles, including (1) cultivating positive hope, (2) establishing partnerships and collaboration, (3) ensuring organizational commitment and evaluation, (4) recognizing the consumer’s rights, (5) focusing on person-centeredness and empowerment, (6) recognizing an individual’s uniqueness and social context, and (7) facilitating social support,. These seven principles are not independent, rather they are interrelated and overlap each other. Conclusion The principle of person-centeredness and empowerment is central to the recovery-oriented mental health system, while the principle of hope is also essential to embracing all the other principles. We will adjust and implement the result of the review in our project focusing on developing recovery-oriented mental health service in the community health center in Yogyakarta, Indonesia. We hope that this framework will be adopted by the central government in Indonesia and other developing countries.

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Social workers’ perspectives on the recovery-oriented mental health practice in Tshwane, South Africa

Cited by 13 publications

References 28 publications

Service Providers Perspectives on Personal Recovery from Severe Mental Illness in Cape Town, South Africa: A Qualitative Study

Service Providers Perspectives on Personal Recovery from Severe Mental Illness in Cape Town, South Africa: A Qualitative Study

Resisting Recovery Rhetoric: A Critical Discourse Analysis and Counter Perspectives from People With Substance Use Issues in Rural Ontario

The principles of recovery-oriented mental health services: A review of the guidelines from five different countries for developing a protocol to be implemented in Yogyakarta, Indonesia

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