However, it appears that the reintegration of mental health care users is not always carried out properly. Little is known about the experiences of mental health service users regarding their reintegration into the community after discharge from Libode district.
Problem statement
To explore barriers to community reintegration of mental health care users in Libode District. Barriers to community reintegration of mental health care users in Libode district.
Purpose of the study
Research objectives
To explore the lived experiences of community reintegration of mental health care users attending a primary health care clinic in Libode district. To explore the factors that can help with the reintegration into the community of mental health care users in Libode district.
Research questions
Significance of the study
4 of mental health service users attending primary health care in Libode District. This study was therefore conducted to explore and describe the community reintegration experiences of mental health service users attending primary care.
Operational definitions
The significance of this study was fourfold: first, in practice, the findings of this study can help to make recommendations about the care of mental health care users in relation to their reintegration into society. Mental health care unit” means a health institution that provides care, treatment and rehabilitation services only for users with mental illness (Gazette, 2002; p 12).
Introduction
Deinstitutionalisation and reintegration into the community
The survivors experienced reintegration into the community of psychiatric users after discharge from hospital. This study explored the experiences of reintegration of mental health care users in Libode District.
Importance of psychosocial rehabilitation in the reintegration
- The club house model
The importance of primary health care in the reintegration
Discharge planning is an important aspect in the reintegration into the community of mental health care users. Factors that can help reintegration into the community of mental health care users in Libode district. Barriers to community reintegration of mental health care users were noted as Theme 3 (refer to Table 2).
In this study, lack of skills training was a barrier to community reintegration of mental health service users. The stigma attached to mental health service users was a barrier to their reintegration into the community. My research topic is: The lived experiences of community reintegration of mental health service users in Libode district.
The reintegration into the community: SA perspective
Discharge planning
The lived experiences of reintegration into the community of mental health care users were transcribed verbatim and analyzed using Tesch's approach (Creswell, 2009). Stigma, discrimination and social isolation were some of the barriers to the reintegration of mental health care users. This study was conducted with the aim of exploring the lived experiences of reintegration into the community of mental health care users in the district of Liboda.
The research shows that mental health service users have experienced many challenges in reintegrating into the community. This will also determine whether mental health service users are suitable for reintegration into the community. The interview aimed to explore the lived experiences of mental health service users' reintegration into the community.
Research design
Research setting
This study was conducted at a mental health clinic in Libode District, Eastern Cape (EC) because it is a local rural clinic accessible to many members of the community and is within a health unit that provides 72-hour assessment and care for users of mental health services. According to Statistics South Africa (2001), the area has a population of 450 000, most of whom live in rural areas, and is served by 14 primary care services.
Population
Participants
- Inclusion criteria
- Exclusion criteria
In this study, the sample size was initially composed of two mental health care users who attended a mental health care clinic in Libode district. Mental health care users who cannot give informed consent, such as those with acute psychosis.
Data collection procedure
The sister-in-charge had a list of mental health care users who had been discharged from mental hospitals and given appointment dates to see the doctor again for review. The potential participants who would take part in the study were selected by the researcher and the sister-in-charge who played a role in the advocacy for the users.
Description of the participants
He has a history of defaulting on treatment because there is no money for transport to visit the clinic. He has been diagnosed with schizophrenia, and was admitted to and discharged from the mental hospital in April 2010.
Interview process
Translation and transcription
Participants were given pseudonyms and only pseudonyms were available to the translator to maintain confidentiality.
Data analysis
Data material for each category was collected in one place and then preliminary analysis was done. Following the steps as outlined, the researcher identified potentially useful verbatim quotes to include in the findings to illustrate key themes.
Trustworthiness
27 The researcher provided sufficient descriptive data of community reintegration experiences of mental health care users attending primary health care in Libode district in the research report. The researcher ensured neutrality by confirming the data with the participants through paraphrasing, reflecting and summarizing what they wanted to say.
Bracketing
Reliability refers to the stability of data over time and under conditions (Polit &. Hungler, 1999). Conformability refers to the objectivity or neutrality of the data, such that there is a potential for congruence between two or more independent people about the accuracy, relevance, or meaning of the data (Pilot & Hungler, 1999).
Ethical consideration
- Conceptual framework
- Living
- Learning
- Working
- Socialising
The researcher's aim was to describe the lived experience of community reintegration of mental health service users after hospital discharge. From the analysis of the data, three key themes emerged that represented the lived experiences of reintegration into the community of mental health service users.
Medication compliance
The burden of care of mental health care users was evident in all participants interviewed. Social relationships of mental health care users with their families and community members were a barrier to their reintegration into the community. It is clear that the community-based care of mental health care users is dependent on their families.
There is a need to improve the quality of life of mental health service users in the communities.
Burden of care
Individual functioning
All participants were able to function independently in performing household tasks and taking care of personal hygiene. It is not clear whether mental health service users are functioning at their optimal levels, as the majority of participants were busy with household tasks during the morning sessions; it was not clear if they were busy all day.
Inadequate skills, training and education
The results indicated that there were limited positive aspects of community reintegration experienced by mental health care users. Stigma and discrimination attached to mental health care users by community members was a barrier to their reintegration into society. Study Title: The Lived Experiences of Psychiatric Users Regarding Their Reintegration into Society by Attending Primary Health Care Services in Libode District.
An exploration and description of the experiences of reintegration into the community of psychiatric users attending primary health care services in the libode district.
Unemployment and vocational skills
Stigma and discrimination
In this study, other participants reported stigmatization, but it appears that family members and communities lack knowledge and understanding of mental illness. One way to tackle stigma and discrimination is to ensure that more information is available to families, friends and the general public, allowing for a better understanding of mental health problems (Lloyd, Waghorn, Best and Gemmell, 2008).
Social relations
Impact of reintegration into the community
For some mental health service users, non-compliance contributed negatively due to destructive behavior such as breaking windows, resulting in a financial burden on their families. Some would like to receive disability benefits so that they can meet their needs and provide financial assistance to their families.
Community resources
Summary of findings, limitations of the study, recommendations and conclusion 5.1 Summary of findings. The summary of findings is based on the three objectives of the study: first, to explore the lived experiences of the.
Experiences of reintegration into the community
Barriers to their reintegration into the community
The study revealed that there is still a lack of insight and understanding in the awareness of the mental health care users. It appears that there is a lack of a support system between mental health care users and community care.
Limitations of the study
The signs of relapse caused a negative impact as mental health care users presented destructive behaviors such as breaking windows, aggression and violence towards their families and friends. Psychiatry's inability to adapt to family life may be because they are not financially independent.
Recommendations
- Recommendation for practice
- Recommendations for education
- Recommendation for policy
- Recommendation for future research
Both mental health service users and the families caring for the mentally ill should be involved in support groups. In South Africa, despite the good intentions of legislation and existing policies, mental health service users are still struggling.
Conclusion
Struggle for social integration in the community – experiences of people with mental health problems. Integrating mental health into primary health care in the Eastern Cape. School of Nursing, University of Kwa-Zulu Natal. I wish to explore and describe the experiences of mental health care users regarding their reintegration into the community following primary health care services in Libode district.
I will conduct interviews with the aim of researching and describing the experiences of users of mental health services regarding their reintegration into the community by visiting primary health care services.
