Breen A., Swartz L., Flisher A.J., Joska J.A., Corrigall J., Plaatjies L., McDonald D.A.
Department of Psychology, Stellenbosch University, South Africa; Human Sciences Research Council, South Africa; University of Cape Town, Cape Town, South Africa; Red Cross War Memorial Children's Hospital, Cape Town, South Africa; Lentegeur Hospital, Mitchell's Plain, South Africa; Queen's University, Kingston, Ont., Canada; Municipal Services Project, Canada; Department of Psychology, University of Stellenbosch, Private Bag XI, Matieland 7602, South Africa
Breen, A., Department of Psychology, Stellenbosch University, South Africa; Swartz, L., Department of Psychology, Stellenbosch University, South Africa, Human Sciences Research Council, South Africa, Department of Psychology, University of Stellenbosch, Private Bag XI, Matieland 7602, South Africa; Flisher, A.J., University of Cape Town, Cape Town, South Africa, Red Cross War Memorial Children's Hospital, Cape Town, South Africa; Joska, J.A., University of Cape Town, Cape Town, South Africa, Lentegeur Hospital, Mitchell's Plain, South Africa; Corrigall, J.; Plaatjies, L., Department of Psychology, Stellenbosch University, South Africa, ; McDonald, D.A., Queen's University, Kingston, Ont., Canada, Municipal Services Project, Canada
The integration of mental health services into primary health care and the shift towards community- and family-based care for chronic mental disorders has been associated with increased burden on households. At the same time, research investigating the impact of policies of cost recovery for basic services such as water and electricity has also indicated an increased burden on households. This study aimed to investigate the impact of these basic service reforms on households caring for a family member with a chronic mental disorder in Cape Town, South Africa. The findings indicate that factors associated with service reforms may increase the stress and burden experienced by households and in turn impact on the primary environment in which care is received. © 2007 Taylor & Francis.
health care; health services; mental health; article; caregiver; economic aspect; household; human; income; lowest income group; mental disease; mental health service; primary health care; South Africa; Caregivers; Chronic Disease; Community Mental Health Services; Cost of Illness; Delivery of Health Care, Integrated; Health Care Reform; Home Nursing; Humans; Mental Disorders; Primary Health Care; Social Conditions; South Africa; Africa; Cape Town; South Africa; Southern Africa; Sub-Saharan Africa; Western Cape
