Original Research
COVID-19 experience of people with severe mental health conditions and families in South Africa
Submitted: 12 October 2023 | Published: 09 April 2024
About the author(s)
Carrie Brooke-Sumner, Mental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Cape Town, South AfricaBongwekazi Rapiya, Mental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Cape Town, South Africa
Bronwyn Myers, Mental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Cape Town, South Africa; Curtin Enable Institute, Curtin University, Perth, Australia; and Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
Inge Petersen, Centre for Rural Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
Charlotte Hanlon, Centre for Global Mental Health, Department of Health Service and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom; and Department of Psychiatry, College of Health Sciences, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia
Julie Repper, West London and St George’s Mental Health NHS Trust, London, United Kingdom; and Implementing Recovery Through Organisational Change (IMROC), Nottingham, United Kingdom
Laura Asher, Academic Unit of Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, United Kingdom
Abstract
Background: People with severe mental health conditions, such as schizophrenia, and their family caregivers are underserved in low- and middle-income countries where structured psychosocial support in the community is often lacking. This can present challenges to recovery and for coping with additional strains, such as a pandemic.
Aim: This study explored the experiences and coping strategies of people with lived experience of a severe mental health condition, and family caregivers, in South Africa during the initial stages of the coronavirus disease 2019 (COVID-19) pandemic.
Setting: This qualitative study was conducted in the Nelson Mandela Bay District, Eastern Cape, South Africa, in the most restrictive period of the COVID-19 lockdown.
Methods: Telephonic qualitative interviews were conducted with people with lived experience (n = 14) and caregivers (n = 15). Audio recordings were transcribed and translated to English from isiXhosa. Thematic analysis was conducted with NVivo 12.
Results: Participants described negative impacts including increased material hardship, intensified social isolation and heightened anxiety, particularly among caregivers who had multiple caregiving responsibilities. Coping strategies included finding ways to not only get support from others but also give support, engaging in productive activities and taking care of physical health. The main limitation was inclusion only of people with access to a telephone.
Conclusion: Support needs for people with severe mental health conditions and their families should include opportunities for social interaction and sharing coping strategies as well as bolstering financial security.
Contribution: These findings indicate that current support for this vulnerable group is inadequate, and resource allocation for implementation of additional community-based, recovery-focused services for families must be prioritised.
Keywords
Sustainable Development Goal
Metrics
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Crossref Citations
1. Introducing community-based mental health support in Serbia: A qualitative study on experiences and needs of long-term psychiatric users
Biljana Stanković, Petar Lukić, Irena Stojadinović, Jasmina Bogdanović, Maša Vukčević Marković
Cambridge Prisms: Global Mental Health vol: 11 year: 2024
doi: 10.1017/gmh.2024.81