Psychology Department, Stellenbosch University, Matieland, Western Cape, South Africa.
Int J Soc Psychiatry. 2022 Feb;68(1):82-89. doi: 10.1177/0020764020981126. Epub 2020 Dec 13.
South Africa is a low and middle income country facing many challenges in public mental health care and implementation of recovery.
To contribute to what barriers and facilitators to recovery might be for service users in South Africa, from the perspective of service users, carers and service providers from three psychiatric hospitals in the Western Cape province.
Interviews and focus groups were conducted with service users, carers and service providers. Interviews and focus groups were transcribed and analysed using atlas.ti software and reflexive thematic analysis, from the bottom up.
The barriers, and generated, were found to be the most salient. The facilitators to recovery generated were and . The need for support was identified as an underlying component to all these themes.
Barriers and facilitators to recovery seemed to have both intrapersonal and external sources that intersect at times. Recovery needs to be supported at an individual level, especially through an under-utilised resource such as peer support work, but in conjunction with the development of recovery-enabling environments in services and communities in South Africa.
南非是一个中低收入国家，在公共精神卫生保健和实施康复方面面临诸多挑战。
从西开普省三家精神病院的服务使用者、照顾者和服务提供者的角度出发，探讨南非服务使用者在康复方面可能存在的障碍和促进因素。
对服务使用者、照顾者和服务提供者进行了访谈和焦点小组讨论。使用 atlas.ti 软件和自下而上的反思性主题分析对访谈和焦点小组讨论的记录进行了转录和分析。
产生的障碍和促进因素是最显著的。产生的促进康复的因素是 和 。需要支持被确定为所有这些主题的一个基本组成部分。
康复的障碍和促进因素似乎既有内在的也有外在的来源，有时会相互交叉。康复需要在个人层面上得到支持，特别是通过利用同伴支持工作等尚未充分利用的资源，但同时也需要在南非的服务和社区中发展有利于康复的环境。
