Strengths of families to limit relapse in mentally ill family members

Tlhowe, Tlhalefi T.; Plessis, Emmerentia du; Koen, Magdalena P.

doi:10.4102/hsag.v22i0.1019

Cited by 3 publications

(2 citation statements)

References 8 publications

(15 reference statements)

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“…Similarly, another study had reported that generally family members were supportive; they often expressed distress at having lost their sick relative, although he or she was just not the same person as before. 12 …”

Section: Discussionmentioning

confidence: 99%

How do family members perceive re-integration of male state patients into their families in South Africa? A qualitative analysis

Lavhelani¹,

Maluleke

Mulaudzi³

et al. 2020

South African Journal of Psychiatry

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Background: State patients are admitted to a psychiatric hospital after being declared as such by the magistrate courts as a result of not found fit to stand trial for the offence they had committed. After successful rehabilitation of state patients at the psychiatric hospital, they need to be re-integrated into their families. Family members’ perceptions regarding re-integration of male state patients are not largely explored in the scientific body of knowledge.Aim: The aim of the study was to determine the perceptions of family members regarding reintegration of male state patients into their families.Setting: This study was conducted in Vhembe District of Limpopo province, South Africa.Method: A qualitative approach using explorative, descriptive and contextual designs was adopted. In-depth interviews were conducted with 10 family members who were purposefully sampled, and data were thematically analysed using Tech Open Coding method.Results: Three themes emerged, namely, family members understand re-integration; family members’ expectations from a mental healthcare user; and threat to re-integration as perceived by family members.Conclusion: Data revealed that family members have varied perceptions regarding re-integration. These perceptions were based on the behaviour displayed or an offence committed by the mental healthcare user before admission and how participants experienced it. The study recommends that an investigation is to be conducted on the kind of support family members need regarding re-integration of state patients into their families.

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Section: Discussionmentioning

confidence: 99%

How do family members perceive re-integration of male state patients into their families in South Africa? A qualitative analysis

Lavhelani¹,

Maluleke

Mulaudzi³

et al. 2020

South African Journal of Psychiatry

View full text Add to dashboard Cite

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“…Over recent decades, the responsibility of caregiving to people with severe mental illness has shifted from institutions to families, and family members are considered valuable resources for providing care and support to these patients (Tlhowe et al, 2017). Accordingly, some children and adolescents live with a mentally ill family member, participate in caregiving or even assume a primary caregiver role (Hinshaw, 2018).…”

Section: Introductionmentioning

confidence: 99%

Caregiver or care receiver: Adolescents' experience of caregiving to a parent with severe mental illness: A qualitative study

Rahmani

Roshanghar

Gholizadeh

et al. 2022

Child & Family Social Work

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Exploring the experiences of adolescent caregivers of mentally ill parents is essential to understand their challenges and identify their care needs. Using a qualitative research design, 18 caregiving adolescents shared their experiences of living with and providing care to a parent with a severe mental illness. The analysis of the interviews resulted in the emergence of three main categories: (1) emotional exhaustion with associated subthemes of ‘ongoing worries’, ‘fear of loneliness’, ‘feeling of shame and guilt’ and ‘fear of discrimination and stigma’; (2) being trapped in a difficult situation with subthemes of ‘living a compromised life’, ‘alienating from peers’ and ‘caregiver rather than care receiver; and (3) adapting to the situation with subthemes of developing new skills and growing accountability. The study findings suggest that adolescent caregivers of parents with severe mental illness experience significant challenges and psychological distress associated with their caregiving role. They need to be supported by health care providers to develop strategies to adjust to their situation and maintain health and well‐being.

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Family Members’ Support Needs to Prevent and Manage Relapse of Mental Health Care Users Living with Schizophrenia in Gauteng, South Africa

Thwala

Havenga

Bester

2022

AJNM

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Mental health care users (MHCUs) living with schizophrenia experience an altered reality with regard to cognition and perceptions. Research shows that between 37% and 58% of patients diagnosed with schizophrenia relapse due to poor treatment compliance; lack of insight into their illness; and non-adherence to medication. The aim of the current study was to explore and describe the views of family members on preventing and managing relapse of MHCUs, and their support needs with regard to preventing and managing relapse of MHCUs at a selected government psychiatric hospital in Gauteng, South Africa. An exploratory, descriptive and contextual research design was followed. Fourteen family members of MHCUs were purposively sampled from the hospital outpatient department. Data was collected through in-depth individual interviews. Ethical considerations were adhered to, and approval was obtained from the Institutional Review Board and gatekeepers. Written informed consent was obtained from each participant. The findings of the study indicated that violence, financial burden, emotional burden and stigmatisation by the community were challenges experienced by family members. The family members were of the view that substance use and non-adherence led to relapse of MHCUs. Thus, the family members viewed themselves as a source of emotional support who provided supervision and monitoring. Enhanced health care provider support and improved health care services to MHCUs and their family members are needed. Relapse could be addressed by means of a holistic integrated and multidisciplinary approach to the care, treatment and rehabilitation of MHCUs.

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Strengths of families to limit relapse in mentally ill family members

Cited by 3 publications

References 8 publications

How do family members perceive re-integration of male state patients into their families in South Africa? A qualitative analysis

How do family members perceive re-integration of male state patients into their families in South Africa? A qualitative analysis

Caregiver or care receiver: Adolescents' experience of caregiving to a parent with severe mental illness: A qualitative study

Family Members’ Support Needs to Prevent and Manage Relapse of Mental Health Care Users Living with Schizophrenia in Gauteng, South Africa

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