A model of community youth mental health support services in the global South: A description and use of school-based services delivered by a non-governmental organisation in South Africa

IF 2.4 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review Pub Date : 2024-10-11 DOI:10.1016/j.childyouth.2024.107967

Suzanne Human , Maria E. Loades , Hermine Gericke , Gerrit Laning , Meriel Bartlett , Bronwynè J. Coetzee

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引用次数: 0

Abstract

Objective

Young people in low- and middle-income countries (LMICs), including South Africa, are disproportionately affected by multiple risk factors for developing mental health problems and there are numerous barriers to accessing mental health care. In such contexts non-governmental organisations (NGOs) play a key role in providing support. We report on the mental health care services provided by NGO Community Keepers in South Africa.

Method

Community Keepers (CK) offers psychosocial support to young people, parents, and teachers, during regular school hours, and free of charge. At the end of 2019, CK was based at 23 schools in 12 areas in the Western Cape Province, South Africa. In this paper we describe the model of service provision and present descriptive statistics from retrospective observational service data using routinely collected quantitative data from 2019, including details about referrals received, referral sources and reasons, and feedback received from children, parents, and teachers on the psychosocial support CK delivered.

Results

During 2019, 34 676 individuals accessed 18 169 psychosocial support sessions rendered by CK. The most common referral source of learners to CK was self-referrals (40.6%), and the main referral reasons were emotional (psychological) problems, behaviour problems, or family (community) problems. At termination of therapy 320 (79.2%) learners said they strongly agreed that they would recommend CK to someone at their school. At termination of therapy with learners, 95 (39.3%) teachers rated CK’s services as excellent, 139 (57.4%) teachers gave a rating of good, and 204 (79.7%) parents reported an improvement in their relationship with their children.

Conclusions

CK is an example of how psychosocial support can be embedded in schools in a LMIC. CK’s multifaceted model of service delivery could be used by other school-based mental health care service providers in other LMICs to inform and/or refine the services that they wish to offer.

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全球南方社区青少年心理健康支持服务模式：南非非政府组织提供的校本服务的描述和使用情况

目标在包括南非在内的中低收入国家（LMICs），年轻人过多地受到心理健康问题多种风险因素的影响，而且在获得心理健康护理方面存在诸多障碍。在这种情况下，非政府组织（NGOs）在提供支持方面发挥着关键作用。我们报告了非政府组织 "南非社区守护者"（Community Keepers）在南非提供的心理健康护理服务。截至 2019 年底，CK 在南非西开普省 12 个地区的 23 所学校开展工作。在本文中，我们介绍了服务提供模式，并利用 2019 年例行收集的定量数据对回顾性观察服务数据进行了描述性统计，包括收到的转介详情、转介来源和原因，以及儿童、家长和教师对 CK 提供的社会心理支持的反馈。最常见的学习者转介来源是自我转介（40.6%），主要转介原因是情绪（心理）问题、行为问题或家庭（社区）问题。在治疗结束时，有 320 名（79.2%）学习者表示非常同意他们会向学校里的其他人推荐长江学者。在终止对学习者的治疗时，95 名（39.3%）教师将长江学者的服务评为优秀，139 名（57.4%）教师评为良好，204 名（79.7%）家长表示他们与子女的关系有所改善。其他低收入国家的校本心理健康服务提供者也可以借鉴 CK 的多层面服务模式，并对其希望提供的服务加以改进。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Children and Youth Services Review Multiple-

CiteScore

6.30

自引率

6.10%

发文量

303

期刊介绍： Children and Youth Services Review is an interdisciplinary forum for critical scholarship regarding service programs for children and youth. The journal will publish full-length articles, current research and policy notes, and book reviews.