| dc.description.abstract | Some families in the Free State Province, specifically in Thabo-Mofutsanyana district, are families living with mentally ill family members. The families accompany the mentally ill family members to designated clinics which offer primary, secondary and tertiary mental health services, and all these levels of care provide care, treatment and rehabilitation of mentally ill persons (SA, 2002:2). Despite the care that these families give to their mentally ill family members, it seemed that they find it difficult to cope living with a mentally ill family member. This is supported by Zergaw, Hailemariam, Alem and Kebed (2008:191) who indicate the economic impact, disruption of daily life, work and family relationships experienced by families living with a mentally ill family member. This was also evident in a study by Du Plessis, Greeff and Koen (2004:4), that, because of a lack of a formal support system for families living with mentally ill family members, and lack of necessary skills to take on the responsibility of caring for mentally ill relatives, mentally ill family members relapse and are readmitted in the mental health care institutions. Adding to this, in most of the families living with mentally ill family members in the Thabo-Mofutsanyana district, it is not known how they cope and are supported. Once there is a clear understanding of how families experience living with mentally ill family members, health care practitioners can give better support to families living with mentally ill family members. The research objective of this study was to explore and describe the experiences of families living with a mentally ill family member in the Thabo-Mofutsanyana district, to explore and describe the strengths of families living with a mentally ill family member, and to formulate guidelines to support families living with mentally ill family members.
A qualitative, phenomenological design was used which enabled the researcher to understand the way in which the families experience living with a mentally ill family member. The population studied in this research consisted of families living with mentally ill family members in the Thabo-Mofutsanyana district in South Africa. The purposive sampling was used to select participants with the assistance of a mediator. Permission to conduct research was negotiated with the district manager. Voluntary and informed consent in writing was obtained from all the participants. The sample size was determined by data saturation, which was reached after 14 interviews. Data analysis was carried out simultaneously with data collection. In consensus discussions, the researcher and the co-coder reached consensus on the main and sub themes. From the research findings, five main themes were identified. The first two themes are the positive and negative experiences of living with a mentally ill family member. The third theme is the concerns of family in staying with a mentally ill family member. The fourth theme is the strengths in coping with a mentally ill family member. The last theme is ways in which family members as families wanted to be supported. It could be concluded that the experience of families living with mentally ill family members in Thabo-Mofutsanyana district need to be supported. In order to address this support holistically and to enhance quality of life and to lessen the burden the families experience in living with a mentally ill family member, the support should firstly be addressed individually and then as a family. Following that, the collective support can be addressed by a support network system through involvement of the department of health, clinics, rehabilitation centres, community, mental health care workers, giving of medication and establishment support of groups of families living with mental health care users.
From these findings the researcher proposed guidelines to support families living with mentally ill family members, and to increase knowledge in these families on how to handle a mentally ill family member. The researcher also compiled recommendations for nursing practice, nursing education and nursing research in families living with mental health care users. | en_US |
