Browsing by Author "Lukic, Hannah"

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    A scoping review of the trauma interventions for children in South Africa
    (University of the Western Cape, 2024) Lukic, Hannah; Isaacs, Serena
    For many South African children, exposure to many traumatic events and experiences, such as maltreatment, physical and sexual abuse, and community violence, is commonplace in their daily lives. Despite this, there is a scarcity of research that explores the nuances of the South African trauma landscape, as well as the interventions which are implemented to address it. This scoping review aimed to address both gaps by providing an outline of the unique characteristics of childhood trauma in South Africa and a synthesis of the interventions implemented to date. The search terms that were utilised to do so, were: trauma AND intervention OR treatment OR therapy OR “randomised controlled trial” AND child OR adolescent OR teenager OR youth AND “South Africa” OR “South African”. The electronic databases consulted for this review were EBSCOhost Web (Academic Search Complete, APA PsychArticles, CINHL Plus with Full Text, ERIC, Health Source: Nursing/Academic Edition and MEDLINE) and PubMed. This search yielded 2165 outputs, of which 19 were included in this review and subject to quantitative and narrative analysis. This study found that three distinct descriptors were used to describe childhood trauma in South Africa, namely: an exceptionally high prevalence of trauma, poly-victimisation and the inherently ongoing nature of trauma exposure. Each of these presented unique complexities for treatment. Of the interventions reviewed in this study, art and play therapies emerged as the most commonly utilised treatment approach, followed by trauma-focused cognitive-behavioural therapy (TF-CBT). While this study provides an overview of existing South African literature, it also aims to encourage future research in this field by highlighting its scarcity.
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    Exploring primary mental health care nurses’ perceptions of the post-treatment needs of women admitted for psychiatric treatment
    (SAGE Publications Inc., 2024) Fraser, Khelsey; Lukic, Hannah; Mamabolo, Koketso Nelly
    Primary mental health care nurses are an essential workforce that provide necessary inpatient psychiatric treatment. Continuity of care has become a significant aspect of the provision of mental health services. However, caring for South African healthcare users comes with challenges, including difficulties accompanying the provision of care for acutely ill patients with complex mental health problems. Therefore, this study explored the perceptions and experiences of primary mental healthcare nurses concerning the continuity of care required in post-inpatient psychiatric treatment for mental health users from low-income communities in the Western Cape. Through undertaking a study using a qualitative exploratory design and purposive sampling technique, and in which nine primary mental healthcare nurses from two psychiatric hospitals in the Western Cape were interviewed, the researchers were able to obtain a deeper understanding of the participants’ experiences. Four themes were identified during the reflexive thematic analysis namely: the roles and responsibilities of primary mental healthcare nurses, the lack of support within the current continuity-of-care system, barriers to continuity of care for women patients, and suggested improvements for quality of mental healthcare. It was evident that both women patients and primary mental healthcare nurses experienced various forms of marginalisation, discrimination, and gendered oppression. This intersectionality accentuates systemic issues within the current public healthcare system and highlights the stigmatisation of mental illness, especially among women. Overall, primary mental healthcare nurses have a plethora of roles and responsibilities within the primary healthcare sector, which hinder their ability to provide mental health services to women patients. Their reports highlight the needs of a specific patient population that first need to translate into changes that will assist in improving their roles as primary mental healthcare nurses. Their shared experiences of a lack of support from South Africa’s healthcare system were the focal points of this study.