Pathways to care among patients with mental illness at two psychiatric facilities in Johannesburg, South Africa
Bibliographic Data
| ID | 19271729 |
|---|---|
| Authors | Michael Galvin (0000-0003-2123-5020, Department of Psychiatry, corresponding author), William Byansi (0000-0003-2880-9357, Boston College), Lesley Chiwaye (0009-0006-0715-4960, University of the Witwatersrand), Zoleka Luvuno (0009-0008-6522-6971, University of the Witwatersrand), Aneesa Moolla (0000-0002-1233-680X, University of the Witwatersrand) |
| Year | 2023 |
| Volume | 69 |
| Issue | 8 |
| Pages | 2059-2067 |
| Publication date | 2023-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Social Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 0020-7640 • E-ISSN: 1741-2854 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/00207640231188037 |
| PMID | 37477344 |
| OpenAlex | W4384924793 |
| Language | EN |
| Citations received | 2 |
| References cited | 42 |
BACKGROUND: A patient's pathway to care is often characterized by a sequence of actions taken to remedy ill-health. Research exploring the help-seeking behavior of individuals with mental health problems in sub-Saharan Africa is relatively limited. This study assessed the perceptions and experiences of mental illness and treatment among patients with mental illness at two psychiatric facilities in Johannesburg, South Africa. METHODS: 309 interviewer administered surveys were conducted between January and July 2022. We used a logistic regression model to examine factors associated with receiving treatment for mental illnesses from traditional healers. Semi-structured interviews were conducted with 18 participants during the same period. Interviews were transcribed and translated into English. Data were managed using NVivo 11 software and thematically analyzed. FINDINGS: Results showed that 144 (47%) patients sought mental health care from traditional healers. Higher anxiety symptoms, number of people in the household, believing that traditional medicine can cure mental illnesses, and township living were associated with seeking mental healthcare from traditional healers. Qualitative analysis indicated that participants often believed that mental illness was due to bewitchment and consulted with multiple traditional healers, thus spending large amounts of money for treatment and ultimately delaying access to biomedical care. CONCLUSION: Collaborative approaches between traditional healers and biomedical professionals show promise in terms of allowing for improved identification and treatment of individuals with mental disorders
Anxiety · Family medicine · Interview · Mental health · Mental health care · Mental illness · Psychiatric medication · Psychiatry · Qualitative research · Family Caregiving in Mental Illness · Medicine · Mental Health Treatment and Access · Schizophrenia research and treatment
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| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 2 |