Perspectives of mental health service users on vocational rehabilitation in Namibia

African Journal of Disability

 
 
Field Value
 
Title Perspectives of mental health service users on vocational rehabilitation in Namibia
 
Creator Chimara, Munyaradzi van Biljon, Hester M. Adams, Fasloen van Niekerk, Lana
 
Subject Mental Health; Vocational Rehabilitation chronic mental illness; work opportunities; self-employment; stigma; collaborative action
Description Background: Occupational therapists provide vocational rehabilitation to mental health service users enabling them to purposefully and meaningfully engage in work. A vocational rehabilitation practice framework to guide occupational therapists working in mental healthcare settings is absent in Namibia.Objectives: The study explored contextual factors to consider in developing vocational rehabilitation practice framework from the views of mental health service users and their primary caregivers.Method: A qualitative collective case study design situated within an interpretivist paradigm was employed. Seven focus group discussions and 23 in-depth individual interviews were conducted with service users and primary caregivers purposively selected from two study sites where vocational rehabilitation service is provided. An inductive thematic analysis was conducted utilising ATLAS.ti.Results: Three themes emerged: (1) service users want to and need to work, and have the rights to equitable work opportunities; (2) obtaining and sustaining work is difficult because of stigma and discrimination; (3) collaborative action is needed to create equitable work opportunities.Conclusion: Occupational therapists should embrace an advocacy role to improve equitable work opportunities for chronic mental illness service users, and collaboration with employers and family members is crucial to achieve vocational rehabilitation outcomes.Contribution: The study contributes to the field of mental disability and informs vocational rehabilitation strategies for mental health service users.
 
Publisher AOSIS
 
Contributor Elizabeth Casson Trust African Collaborative Grant
Date 2025-08-29
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Qualitative case study design
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajod.v14i0.1631
 
Source African Journal of Disability; Vol 14 (2025); 10 pages 2226-7220 2223-9170
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://ajod.org/index.php/ajod/article/view/1631/3637 https://ajod.org/index.php/ajod/article/view/1631/3638 https://ajod.org/index.php/ajod/article/view/1631/3639 https://ajod.org/index.php/ajod/article/view/1631/3640
 
Coverage Africa; Namibia 2023 Adult (18 - 60 years): Mental health service users: Primary care-givers
Rights Copyright (c) 2025 Munyaradzi Chimara, Hester M. van Biljon, Fasloen Adams, Lana van Niekerk https://creativecommons.org/licenses/by/4.0
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