Intensive Family Support Services: A Consultative Model of Education and Support

Stakeholders' Views Regarding Their Role as Support System for People with Mental Illness and Their Families in Rural South Africa

The diverse needs associated with mental illness warrant for the provision of mental health care by various sources. The South African government recognises the involvement of stakeholders as a potential means of narrowing the gaps in mental health service delivery. This study explored the views of different stakeholders about their roles as support systems for people with mental illness and their families at Mashashane, a rural setting in Limpopo Province, South Africa. Seven focus group discussions were conducted with various stakeholders. This qualitative study employed content analysis to allow for comparison of stakeholders' views. Stakeholders understanding of mental illness was based on reaction towards people with mental illness, causes of mental illness and the behaviour displayed by the ill individual. The identified formal and informal systems were seen as ineffective with regards to provision of support. Collaboration was recommended as a mechanism to improve mental health services. The findings contributed in the formulation of guidelines to improve support.

Integrating family work into the treatment of young people with severe and complex depression: a developmentally focused model

AIM

Although models of family intervention are clearly articulated in the child and early adolescent literature, there is less clarity regarding family intervention approaches in later adolescence and emerging adulthood.

METHODS

This study provides the rationale and intervention framework for a developmentally sensitive model of time-limited family work in the outpatient treatment of complex youth depression (15-25 years).

RESULTS

Derived from current practice in the Youth Mood Clinic (YMC) at Orygen Youth Health, Melbourne, a stepped model of family intervention is discussed. YMC aims to provide comprehensive orientation, assessment and education to all families. For some, a family-based intervention, delivered either by the treating team or through the integration of a specialist family worker, offers an important adjunct in supporting the recovery of the young person. Developmental phases and challenges experienced by the young person with respect to family/caregiver involvement are discussed in the context of two case studies.

CONCLUSIONS

A developmentally sensitive model is presented with particular attention to the developmental needs and preferences of young people. Formal evaluation of this model is required. Evaluation perspectives should include young people, caregivers, the broader family system (i.e. siblings) and the treating team (i.e. case manager, doctor and family worker) incorporating outcome measurement. Such work determines how best to apply a time-limited family-based intervention approach in strengthening family/caregiver relationships as part of the young person's recovery from severe and complex depression.

Strategies to destigmatize mental illness in South Africa: Social work perspective

Stigma is a contributing factor to non-help-seeking behavior and social isolation of mental health-care users. The study examined social workers' perspective regarding strategies that can be implemented to destigmatize mental illness in South Africa. A qualitative study method was adopted. Data were sourced through focus group discussions with social work students and telephone interviews with social workers working in hospitals. Data were analyzed using a thematic approach. Active involvement, education, and awareness campaigns, creating opportunities for improved well-being and constant support, were identified as relevant strategies. Given that stigma is multidimensional, various strategies are important if mental illness is to be destigmatized.