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Behavioural Medicine

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    Challenges in developing and integrating community clinical psychology services in non-urban areas of KwaZulu-Natal = Izinselelo ekuthuthukiseni kanye nokuhlanganisa imisebenzi yesayikholoji yezifo zengqondo emphakathi osezindaweni zasemakhaya KwaZulu Natali.
    (2023) Siyothula , Evy-Terressah Busisiwe.; Pillay , Anthony Lingum.
    The World Health Organization continues to encourage the integration of mental health services into primary health care. Primary health care was identified as a means to facilitate community access to health services closer to where people live. In this thesis, the researcher explores the progress (or lack of progress) in developing and integrating community clinical psychology services in the non-urban areas of KwaZulu-Natal (KZN), South Africa, in response to the World Health Organization’s call to invest in the integration of mental health services into primary health care. The researcher explored the clinical psychology integration process from different perspectives, namely, the distribution of clinical psychology services in non-urban areas of KwaZulu-Natal and the clinical psychologist-population ratio, the experiences and views of clinical psychologists and health care providers working in non-urban areas, as well as non-urban service users' mental health knowledge and preferences when they receive clinical psychology services. A mixed-method study design using quantitative and qualitative research approaches was utilised to provide a broader perspective of integrating clinical psychology services in non-urban areas of KZN. The first two studies of the present research were published in the local psychology journal. The third study, which documented the experiences of clinical psychology services by other health professionals working in KZN non-urban areas, was submitted for publication, and the last study, which documented mental health knowledge and clinical service preferences of KZN non-urban service users, is in manuscript format, ready for journal submission. The first three studies highlighted inequitable distribution and inadequate mental health resources, particularly focusing on clinical psychology services, between the urban and non-urban areas of KZN. Both the clinical psychologists and other health care providers expressed the need for training and access to information that empowers them to work confidently in resource-constrained settings. The fourth study highlighted service users’ priority focus on receiving clinical psychology services with less concern over demographic preferences (in terms of the clinical psychologists’ age, gender or language) when consulting clinical psychologists. Iqoqa. Inhlangano yezizwe yezempilo iyaqhubeka nokugqugquzela ukuhlanganiswa kwemisebenzi ephathelene nempilo yengqondo ukuba inikezwe usizo lokuqala. Unakekelo lokuqala lwezempilo lwahlonzwa njengento yokwenza ukuba umphakathi uhlomule emisebenzini yezempilo eseduze lapho behlala khona. Kulo mqulucwaningo, umcwaningi uphenya inqubekela phambili ekuthuthukiseni nokuhlanganisa imisebenzi yesayikholoji yezifo zengqondo emphakathini ezindaweni zasemakhaya KwaZulu-Natali, eNingizimu Afrika, ukuphendula okucelwa inhlangano yezizwe kwezempilo ngokuba kutshalwe ekuhlanganisweni kwemisebenzi yezengqondo ukuba usizo lokuqala lokunakekela kwezempilo. Umcwaningi uphenya indlela okuhlanganiswa ngayo imisebenzi yesayikholoji yezifo zengqondo ngokwemibono eyahlukene, njengokuhanjiswa kwemisebenzi yesayikholoji yezifo zengqondo ezindaweni ezisemakhaya KwaZulu-Natali kanye nenani lomphakathi wezazi zesayikholoji, ulwazi lwakamuva kanye nemibono yochwepheshe balo mkhakha wobusayikholoji kanye nabahlinzeka ngonakekelo lwezempilo abasebenza ezindaweni zasemakhaya, kanye nabasemakhaya abasebenzisa ulwazi lwengqondo ngezempilo kanye nokukhetha ngesikhathi bethola imisebenzi yesayikholoji yezifo zengqondo. Ucwaningo oluyisifanekisomumo esindlelangxube olusebenzisa Izindlelakwenza zocwaningo oluyikhwantithethivu kanye noluyikhwalithethivu lwasetshenziswa ukunikeza umbono obanzi ekuhlangnisweni kwemisebenzi yesayikholoji yezifo zengqondo ezindaweni zasemakhaya KwaZulu-Natali. Ucwaningo olubili lokuqala lwalolu cwaningo lwashicilelwa ejenelini yesayikholoji. Ucwaningo lwesithathu, olwaqopha ulwazi lwakamuva lemisebenzi yesayikholoji yezifo zengqondo ngabanye bezisebenzi bezempilo abasebenza emakhaya aKwaZulu-Natali, kwahanjiswa ukuze kushicilelwe, kanye nocwaningo lokugcina olwaqapha ulwazi ngezempilo zengqondo kanye nemisebenzi yesayikholoji yezifo zengqondo okukhethwe abantu abalusebenzisayo basemakhaya aKwaZulu-Natali isesesimweni somqulu ongakashicilelwa. Izifundo ezintathu zokuqala zigqamisa ukungasatshalaliswa ngokulinganayo kanye nokunganeli kokusetshenziswa kwezempilo ezithinta ingqondo, ikakhulukazi okubhekene ngqo nemisebenzi yesayikholoji, phakathi kwabasezindaweni zasemadolobheni nezasemakhaya KwaZulu-Natali. Kokubili izifundangqondo zezifo zengqondo kanye nabahlinzeka ngonakekelo lwezempilo, baphefumula ngesidingo soqeqesho kanye nokuthola ulwazi olubanikeza amandla okuba basebenze ngokuzethemba ezizindeni ezintula izinsizakusebenza. Ucwaningo lwesine lugqamisa abamukela usizo ngokugxila ekutholeleni imisebenzi yesayikholoji yezifo zengqondo ngaphandle kokunaka izibalo ezincamela (ikakhulukazi ubuchwepheshe bengqondo ngokweminyaka yokuzalwa, ubulili nolimi) ngesikhathi bebonana nezifundangqondo zezifo zengqondo.