Abstract

BROOKE-SUMNER, Carrie et al. COVID-19 experience of people with severe mental health conditions and families in South Africa. S. Afr. j. psyc. [online]. 2024, vol.30, n.1, pp.1-8. ISSN 2078-6786.  http://dx.doi.org/10.4102/sajpsychiatry.v30i0.2207.

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 : COVID-19; family caregivers; lived experience; lockdown; schizophrenia; South Africa; severe mental health condition; psychosis.

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