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Prehospital emergency care provider’s understanding of their responsibilities towards a mental health care user, during a behavioural emergency

Background: Prehospital emergency care providers in South Africa are regularly called to assist with the management of mental healthcare users. The Mental Health Care Act no 17 of 2002 regulates mental healthcare in South Africa but makes no reference to the roles and responsibilities of prehospital...

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Main Author: Stander, Charnelle
Other Authors: Hodkinson, Peter
Format: Thesis
Language:English
Published: Division of Emergency Medicine 2020
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access_status_str Open Access
author Stander, Charnelle
author2 Hodkinson, Peter
author_browse Hodkinson, Peter
Stander, Charnelle
author_facet Hodkinson, Peter
Stander, Charnelle
author_sort Stander, Charnelle
collection Thesis
description Background: Prehospital emergency care providers in South Africa are regularly called to assist with the management of mental healthcare users. The Mental Health Care Act no 17 of 2002 regulates mental healthcare in South Africa but makes no reference to the roles and responsibilities of prehospital emergency care providers in the provision of mental healthcare, rather giving the South African Police Services authority over the wellbeing of a mental healthcare user outside the hospital setting. Aims: To investigate what prehospital emergency care providers understand their responsibilities are towards a mental healthcare user and the community during the management of a behavioural emergency. Setting: Prehospital emergency care providers from the three main levels of care, currently operational within the boundaries of Pretoria. Methods: A grounded theory qualitative study design was chosen using semi-structured focus groups for each level of prehospital emergency care; Basic Life Support, Intermediate Life Support and Advanced Life Support. Data from each focus group was collected through audio recordings, transcribed and analysed using a framework approach. Results: A total of 19 prehospital emergency care providers from all three main levels of care participated in the focus group discussions (4 BLS, 6 ILS and 9 ALS). Four main themes were identified: Perceptions of behavioural emergencies, responsibilities, understanding of legislation and barriers experienced. Conclusion: Participants placed high value on their moral and medical responsibilities towards a mental healthcare user and would like to have the backing of legislation to fulfil their role. There is a desire for better education, skill development and awareness of mental healthcare in the prehospital emergency care setting.
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:32:51.499Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2020
publishDateRange 2020
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publisher Division of Emergency Medicine
publisherStr Division of Emergency Medicine
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spelling oai:open.uct.ac.za:11427/31266 Prehospital emergency care provider’s understanding of their responsibilities towards a mental health care user, during a behavioural emergency Stander, Charnelle Hodkinson, Peter Dippenaar, Enrico Emergency Medicine Background: Prehospital emergency care providers in South Africa are regularly called to assist with the management of mental healthcare users. The Mental Health Care Act no 17 of 2002 regulates mental healthcare in South Africa but makes no reference to the roles and responsibilities of prehospital emergency care providers in the provision of mental healthcare, rather giving the South African Police Services authority over the wellbeing of a mental healthcare user outside the hospital setting. Aims: To investigate what prehospital emergency care providers understand their responsibilities are towards a mental healthcare user and the community during the management of a behavioural emergency. Setting: Prehospital emergency care providers from the three main levels of care, currently operational within the boundaries of Pretoria. Methods: A grounded theory qualitative study design was chosen using semi-structured focus groups for each level of prehospital emergency care; Basic Life Support, Intermediate Life Support and Advanced Life Support. Data from each focus group was collected through audio recordings, transcribed and analysed using a framework approach. Results: A total of 19 prehospital emergency care providers from all three main levels of care participated in the focus group discussions (4 BLS, 6 ILS and 9 ALS). Four main themes were identified: Perceptions of behavioural emergencies, responsibilities, understanding of legislation and barriers experienced. Conclusion: Participants placed high value on their moral and medical responsibilities towards a mental healthcare user and would like to have the backing of legislation to fulfil their role. There is a desire for better education, skill development and awareness of mental healthcare in the prehospital emergency care setting. 2020-02-24T12:10:21Z 2020-02-24T12:10:21Z 2019 2020-02-24T09:00:09Z Master Thesis Masters MPhil http://hdl.handle.net/11427/31266 eng application/pdf Division of Emergency Medicine Faculty of Health Sciences
spellingShingle Emergency Medicine
Stander, Charnelle
Prehospital emergency care provider’s understanding of their responsibilities towards a mental health care user, during a behavioural emergency
thesis_degree_str Master's
title Prehospital emergency care provider’s understanding of their responsibilities towards a mental health care user, during a behavioural emergency
title_full Prehospital emergency care provider’s understanding of their responsibilities towards a mental health care user, during a behavioural emergency
title_fullStr Prehospital emergency care provider’s understanding of their responsibilities towards a mental health care user, during a behavioural emergency
title_full_unstemmed Prehospital emergency care provider’s understanding of their responsibilities towards a mental health care user, during a behavioural emergency
title_short Prehospital emergency care provider’s understanding of their responsibilities towards a mental health care user, during a behavioural emergency
title_sort prehospital emergency care provider s understanding of their responsibilities towards a mental health care user during a behavioural emergency
topic Emergency Medicine
url http://hdl.handle.net/11427/31266
work_keys_str_mv AT standercharnelle prehospitalemergencycareprovidersunderstandingoftheirresponsibilitiestowardsamentalhealthcareuserduringabehaviouralemergency