South African Journal of Psychology, Volume 54, Issue 1, Page 65-75, March 2024.
Primary mental healthcare nurses are an essential workforce that provide necessary inpatient psychiatric treatment. Continuity of care has become a significant aspect of the provision of mental health services. However, caring for South African healthcare users comes with challenges, including difficulties accompanying the provision of care for acutely ill patients with complex mental health problems. Therefore, this study explored the perceptions and experiences of primary mental healthcare nurses concerning the continuity of care required in post-inpatient psychiatric treatment for mental health users from low-income communities in the Western Cape. Through undertaking a study using a qualitative exploratory design and purposive sampling technique, and in which nine primary mental healthcare nurses from two psychiatric hospitals in the Western Cape were interviewed, the researchers were able to obtain a deeper understanding of the participants’ experiences. Four themes were identified during the reflexive thematic analysis namely: the roles and responsibilities of primary mental healthcare nurses, the lack of support within the current continuity-of-care system, barriers to continuity of care for women patients, and suggested improvements for quality of mental healthcare. It was evident that both women patients and primary mental healthcare nurses experienced various forms of marginalisation, discrimination, and gendered oppression. This intersectionality accentuates systemic issues within the current public healthcare system and highlights the stigmatisation of mental illness, especially among women. Overall, primary mental healthcare nurses have a plethora of roles and responsibilities within the primary healthcare sector, which hinder their ability to provide mental health services to women patients. Their reports highlight the needs of a specific patient population that first need to translate into changes that will assist in improving their roles as primary mental healthcare nurses. Their shared experiences of a lack of support from South Africa’s healthcare system were the focal points of this study.

South African Journal of Psychology, Volume 54, Issue 1, Page 51-64, March 2024.
Counselling psychology in South Africa has recently emerged from a tumultuous period, stemming from regulatory efforts in 2011, which negatively impacted on the profession’s status and viability. While the definition and scope of counselling psychology arguably demonstrate improvements in aligning with global practices, concerns persist surrounding the work opportunities and professional experiences of counselling psychologists, particularly those in the early stages of their careers. This study aimed to gain an in-depth understanding of the professional experiences of early career counselling psychologists in South Africa. The pool of participants were 10 early career counselling psychologists (females = 7, males = 3, period in service = 1–10 years). The participants completed semi-structured interviews on their early career professional experiences, as well as the meanings they attributed to these experiences. An interpretative phenomenological analysis of the data revealed three group experiential themes: (1) the complexity of finding and securing work; (2) navigating an array of personal, professional, and systemic challenges, and (3) self-acquiring support. The findings suggest that despite the unique and valuable skills and knowledge counselling psychologists possess, the participants struggled to successfully transition into the workforce, resulting in feelings of anxiety, frustration, and professional disillusionment. The findings indicate enhanced support is needed at various levels to address the needs and bolster the wellbeing, utilisation, and retention of counselling psychologists in their transition into the South African workforce.