Exploring perceived barriers and facilitators to the delivery of primary mental health care in under-resourced communities in South Africa by registered counsellors in private practice
| dc.contributor.advisor | Roomaney, Rizwana | en_ZA |
| dc.contributor.author | Salt, Greer Maree | en_ZA |
| dc.contributor.other | Stellenbosch University. Faculty Arts and Social Sciences. Dept. of Psychology. | en_ZA |
| dc.date.accessioned | 2021-11-08T13:25:04Z | |
| dc.date.accessioned | 2021-12-22T14:18:50Z | |
| dc.date.available | 2021-11-08T13:25:04Z | |
| dc.date.available | 2021-12-22T14:18:50Z | |
| dc.date.issued | 2021-12 | |
| dc.description | Thesis (MA)--Stellenbosch University, 2021. | en_ZA |
| dc.description.abstract | ENGLISH ABSTRACT: Primary mental health care in low- to middle-income countries, including South Africa, is hampered by a lack of resources, including a lack of human resources. The registered counsellor is an academically trained mid-level mental health professional tasked with the provision of primary mental health care to communities. The introduction of this category was an attempt to close the treatment gap between South African communities in dire need of primary mental health care and the lack of human resources to do so. By 2017, however, almost half of these community- oriented mental health professionals were in private practice, and focusing on one- on-one counselling interventions, largely in urban areas. The purpose of this study was to explore whether registered counsellors in private practice could and did provide primary mental health care from their practices. In particular, the study explored the barriers and facilitators to the delivery of primary mental health care to diverse and under-resourced communities in South Africa by registered counsellors in private practice. The study was conducted among 19 registered counsellors in full- time or part-time private practice. Purposive and snowball sampling were used to recruit participants for the study. Thematic analysis was employed to analyse the data generated by the semi-structured interviews. The study used the Capability, Opportunity, Motivation (COM-B) model and the Theoretical Domains Framework (TDF) to frame and understand the data. The study found that the facilitators of the delivery of primary mental health care by registered counsellors in private practice related to their capability and motivation. Key facilitators included adequate training, knowledge, skills, interest and passion to provide this service. The barriers to providing primary mental health care were related to the lack of physical and social opportunities. The key barriers were the lack of employment opportunities in the public sector, and the lack of knowledge, recognition and engagement by government, other mental health and health professionals and communities. The barriers identified the areas where interventions can be implemented to ensure that the registered counsellor, a necessary mental health professional and resource, does not remain untapped, worse still, disappear. | en_ZA |
| dc.description.abstract | AFRIKAANSE OPSOMMING: Primêre geestesgesondheidsorg in lae- tot middelinkomste lande, insluitend Suid- Afrika, word belemmer deur ‘n gebrek aan hulpbronne, ook menslike hulpbronne. Die geregistreerde berader is ‘n akademies-opgeleide middelvlak geestesgesondheidsorg professionele persoon wat opgelei is om primêre geestesgesondheidsorg aan uiteenlopende en behoeftige gemeenskappe in Suid- Afrika te verskaf. Die instelling van hierdie kategorie was ‘n poging om the behandelingsgaping tussen Suid-Afrikaanse gemeenskappe met ‘n dringende behoefte aan geestesgesondheidsorg en die onvoldoende menslike hulpbronne te verminder. Nietemin, teen 2017, was amper die helfte van hierdie gemeenskapsgeorienteerde geestesgesondheidsorg professionele persone in privaat praktyk, met ‘n fokus op individuele berading, en hoofsaaklik in stedelike gebiede. Die doel van hierdie studie was om vas te stel of geregistreerde beraders in privaat praktyk primêre geestesgesondheidsorg kan of wel verskaf vanuit hulle privaat praktyke. In besonders, ondersoek hierdie studie the hindernisse en fasiliteerdes wat geregistreerde beraders in privaat praktyk ondervind wanneer hulle poog of slaag om primêre geestesgesondheidsorg aan diverse en behoeftige gemeenskappe te verskaf. Die studie is uitgevoer onder 19 geregistreerde beraders wat voltyds of deeltyds privaat praktyke bestuur het. Doelgerigte en sneeubal steekproefneming is gebruik om deelnemers te werf. Tematiese analiese is ingespan om die data van die semi-gestruktureerde onderhoude te analiseer. Die studie het die “Capability, Opportunity, Motivation” (COM-B) model en die “Theoretical Domains Framework “(TDF) gebruik as raamwerke om die data vas te vang en te verstaan. Die studie het gevind dat die fasiliteerders van die verskaffing van primêre geestesgesondheidsorg deur geregistreerde beraders in privaat praktyk verwant was aan die vermoë en motiveering van geregistreerde beraders. Hoof fasiliteerders het voldoende opleiding, kennis, vaardighede, belangstelling en passie om hierdie diens te lewer ingelsluit. Die hindernisse was verwant aan die gebrek aan fisiese en sosiale geleentheide om hierdie diens te lewer. Die hoof hindernisse was die gebrek aan werksgeleenthede in die openbare sektor, en die gebrek aan kennis, herkenning en betrekking deur die regering, ander geestesgesondhiedsorg- en gesondheidsorgprofessionele persone, en gemeenskappe. Die hindernisse het die gebiede geindentifiseer waar intervensies kan plaasvind om die geregistreerde berader te betrek sodat hierdie belangrike menslike hulpbron nie verdwyn nie. | af_ZA |
| dc.description.version | Masters | en_ZA |
| dc.format.extent | 121 pages | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/10019.1/123741 | |
| dc.language.iso | en_ZA | en_ZA |
| dc.publisher | Stellenbosch : Stellenbosch University | en_ZA |
| dc.rights.holder | Stellenbosch University | en_ZA |
| dc.subject | UCTD | en_ZA |
| dc.subject | Primary health care | en_ZA |
| dc.subject | Counseling psychology | en_ZA |
| dc.subject | Mental health counseling | en_ZA |
| dc.subject | Medical underservice areas | en_ZA |
| dc.title | Exploring perceived barriers and facilitators to the delivery of primary mental health care in under-resourced communities in South Africa by registered counsellors in private practice | en_ZA |
| dc.type | Thesis | en_ZA |