Strategies for relapse prevention among people with schizophrenia in KwaZulu-Natal Province, South Africa: Healthcare providers' perspectives

dc.contributor.authorProtas,Joyce.
dc.date.accessioned2026-08-05T12:45:50Z
dc.date.available2026-08-05T12:45:50Z
dc.date.issued2025-03-10
dc.description.abstractIntroduction Relapse is a significant challenge among people with schizophrenia and is broadly recog- nized by the aggravation of positive or negative symptoms, the need for re-hospitalization, more intensive case management, and/or changes in medication. The quality of inpatient care and proper transition to outpatient care are crucial in reducing the risk of relapse. Healthcare providers play vital roles in ensuring the continuity of care after patients are discharged from the hospital. Little is known about the roles of preventing relapse from the perspective of healthcare providers. This study explored the currently existing strategies for preventing relapse from the perspective of healthcare providers. Methods We captured the view of healthcare providers providing services to psychiatric patients using a qualitative methodological approach with descriptive phenomenology. We con- ducted audio-recorded, in-depth interviews with 15 consenting clinical providers from a public psychiatric hospital in Durban, South Africa. To facilitate analysis, we used Dedoose software (SocioCultural Research Consultants, LLC [www.dedoose.com]), and the themes were inducted from the data. Results Six major themes inducted from the analysis: Preparing patients and caregivers for discharge; Developing consistent and caring therapeutic relationships; Using an active approach to transition; Working with patients and caregivers concurrently; Creating and sustaining interagency connections; and Facilitating alternative forms of treatment. Conclusions Discharge planning and preparation are needed to ensure smooth transitions from hos- pital to outpatient care for relapse prevention. The healthcare system should ensure the availability of human resources for health at all levels of health facilities, and multidisci- plinary teamwork will help a successful transition.
dc.identifier.citationMlay JP, Naidu T, Ramlall S, Patankar K, Israel K, Esquivel L, et al. (2025) Strategies for relapse prevention among people with schizophrenia in KwaZulu-Natal Province, South Africa: Healthcare providers’ perspectives. PLoS ONE 20(3): e0316313. https://doi.org/10.1371/journal.pone.0316313
dc.identifier.otherhttps://doi.org/10.1371/journal.pone.0316313
dc.identifier.urihttp://kuir.ku.ac.tz:4000/handle/123456789/1589
dc.language.isoen
dc.publisherPlos One
dc.subjectSchizophrenia
dc.subjectKwaZulu-Natal
dc.subjectHealthcare
dc.titleStrategies for relapse prevention among people with schizophrenia in KwaZulu-Natal Province, South Africa: Healthcare providers' perspectives
dc.typeArticle

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