The mental health experiences and needs of methamphetamine users in Cape Town: A mixed-methods study
Year: 2015
Type: article
Study design: Observational Study
Abstract: BACKGROUND: South Africa has a burgeoning problem of methamphetamine use, particularly in the Western Cape. Although methamphetamine has been associated with elevated psychological distress, there has been little examination of the mental health needs of out-of-treatment methamphetamine users in South Africa. OBJECTIVE: To describe the mental health experiences and needs of out-of-treatment methamphetamine users in Cape Town. METHODS: Active methamphetamine users were recruited using respondent driven sampling techniques. Eligible participants (n=360) completed a computer-assisted assessment and clinical interview, where they provided data on mental health symptoms and treatment seeking behaviour. A subset of 30 participants completed qualitative in-depth interviews where they provided narrative accounts of their mental health experiences and needs. Analysis of the mixed-methods data was conducted using a concurrent triangulation strategy, whereby both methods contributed equally to the analysis and were used for cross-validation. RESULTS: About half of survey participants met screening criteria for depression and traumatic stress, and there were some indications of paranoia. Using substances to cope with psychological distress was common, with participants talking about using methamphetamine to numb their feelings or forget stressful memories. One-third of women and 13`% of men had previously tried to commit suicide. Despite the huge mental health burden in this population, very few had ever received mental health treatment. CONCLUSION: The data indicates a need for integrated care that addresses both substance use and psychiatric needs in this population. Mental health and drug treatment services targeting methamphetamine users should have a particular focus on suicide prevention.
Source: South African Medical Journal
DOI: 10.7196/samjnew.7910
Institutions: Duke University, South African Medical Research Council
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $311
Awards: The UCLA HIV/AIDS, Substance Abuse, and Trauma Training Program, HIV risk behaviors among methamphetamine users in Cape Town, South Africa, Neurobehavioral and fMRI Research in HIV Infection and Cocaine Dependence, G9000250626, Center for AIDS Research, Interdisciplinary Research Training Program in AIDS
OpenAlex ID: W2151978453