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Papers by uwarren september
Social Work/Maatskaplike Werk, 2021
COVID-19 has exposed the inequalities and polarisation of South African communities and instituti... more COVID-19 has exposed the inequalities and polarisation of South African communities and institutions of higher learning on the continuum of privilege. As nine social work educators, we share our reflections on how we traversed the higher education space during the beginning of the pandemic, using an autoethnography lens, with the pedagogy of discomfort and critical social work theory as the threads in the complex tapestry of our stories. We describe our orientations as social work educators, the successes, challenges, and recommendations on reimagining and reframing learning and teaching in relation to student-institutional relationships, boundaries and support.
Caregivers of people with psychiatric illnesses experience challenges, which contribute significa... more Caregivers of people with psychiatric illnesses experience challenges, which contribute significantly to their burden of care and can result in health and mental health problems. The researcher was interested in the lived experiences of caregivers, which resulted in the following research questions: What are the lived experiences of caregivers caring for a comorbid bi-polar and substance-abuse patient, and what context and situations contribute to the problems? The goal of this research was to explore the experiences of family members caring for relatives admitted in a psychiatric hospital, and the contexts in which these occurred. The objectives were to explore and describe the lived experiences of family members caring for a relative with a co-morbid diagnosis of bi-polar and substance abuse, as well as the situations or contexts in which these experiences occur. These objectives were followed by the last objective of the research, which was to make recommendations to the multidisciplinary teams (MDTs) on services for family members caring for such a relative. A qualitative, phenomenological research approach was used for this study with explorative and descriptive research designs. The population for the study comprised families in the Western Cape caring for female relatives admitted to a psychiatric hospital with co-morbid bipolar and substance use disorder. The researcher purposively selected relatives of female inpatients admitted in a female admission ward. Families were chosen whose members were admitted for more than three months. In-depth phenomenological interviews were done with six participants until data saturation was reached. Phenomenological data analysis, focusing on the textural (lived experience) and structural (context in which it was experienced), were followed after data collection. v Findings comprised a composite description of the phenomena of both textural and structural description. The findings of this research resulted in conclusions and recommendations for MDTs and social work on interventions for family members caring for a family member with this mental condition. Findings from this study conclude what was found in the literature regarding challenges in the system leads to caregivers feeling burdened with their mentally ill relative, and that resources and support are lacking in communities. This led to recommendations aiming at MDTs, government and social workers working in institutions, to align with community social workers in order to strengthen working relationships with the aim of providing the necessary support services to families caring for mentally ill relatives. Future research suggestions are also aimed at supporting families caring for patients with a mental illness for which reasons for re-admissions will be assessed and evaluated.
Social Work/Maatskaplike Werk
COVID-19 has exposed the inequalities and polarisation of South African communities and instituti... more COVID-19 has exposed the inequalities and polarisation of South African communities and institutions of higher learning on the continuum of privilege. As nine social work educators, we share our reflections on how we traversed the higher education space during the beginning of the pandemic, using an autoethnography lens, with the pedagogy of discomfort and critical social work theory as the threads in the complex tapestry of our stories. We describe our orientations as social work educators, the successes, challenges, and recommendations on reimagining and reframing learning and teaching in relation to student-institutional relationships, boundaries and support.
International Journal of Mental Health and Addiction
People with comorbid bipolar and substance use disorders are complex, whose families experienced ... more People with comorbid bipolar and substance use disorders are complex, whose families experienced challenges contributing significantly to their burden of care. The aim of the study was to explore these lived experiences of family members caring for relatives, as well as the situations or contexts in which they experience these. A qualitative phenomenological research approach with explorative, descriptive research designs was adopted. Indepth phenomenological interviews were done with six purposive selected participants. Phenomenological data analyses focusing on the textural (lived experience) and structural (the context in which it was experienced) were followed after data collection. The lived experiences of participants included feelings of helplessness and emotional and physical exhaustion, as well as the causes of these feelings. The situations contributing to these feelings included non-compliance with prescribed medicine for bipolar disorder combined with drug abuse as well as a threat to the safety of the patient and others, stigmatisation, embarrassment and shame.
Social Work/Maatskaplike Werk, 2021
COVID-19 has exposed the inequalities and polarisation of South African communities and instituti... more COVID-19 has exposed the inequalities and polarisation of South African communities and institutions of higher learning on the continuum of privilege. As nine social work educators, we share our reflections on how we traversed the higher education space during the beginning of the pandemic, using an autoethnography lens, with the pedagogy of discomfort and critical social work theory as the threads in the complex tapestry of our stories. We describe our orientations as social work educators, the successes, challenges, and recommendations on reimagining and reframing learning and teaching in relation to student-institutional relationships, boundaries and support.
Caregivers of people with psychiatric illnesses experience challenges, which contribute significa... more Caregivers of people with psychiatric illnesses experience challenges, which contribute significantly to their burden of care and can result in health and mental health problems. The researcher was interested in the lived experiences of caregivers, which resulted in the following research questions: What are the lived experiences of caregivers caring for a comorbid bi-polar and substance-abuse patient, and what context and situations contribute to the problems? The goal of this research was to explore the experiences of family members caring for relatives admitted in a psychiatric hospital, and the contexts in which these occurred. The objectives were to explore and describe the lived experiences of family members caring for a relative with a co-morbid diagnosis of bi-polar and substance abuse, as well as the situations or contexts in which these experiences occur. These objectives were followed by the last objective of the research, which was to make recommendations to the multidisciplinary teams (MDTs) on services for family members caring for such a relative. A qualitative, phenomenological research approach was used for this study with explorative and descriptive research designs. The population for the study comprised families in the Western Cape caring for female relatives admitted to a psychiatric hospital with co-morbid bipolar and substance use disorder. The researcher purposively selected relatives of female inpatients admitted in a female admission ward. Families were chosen whose members were admitted for more than three months. In-depth phenomenological interviews were done with six participants until data saturation was reached. Phenomenological data analysis, focusing on the textural (lived experience) and structural (context in which it was experienced), were followed after data collection. v Findings comprised a composite description of the phenomena of both textural and structural description. The findings of this research resulted in conclusions and recommendations for MDTs and social work on interventions for family members caring for a family member with this mental condition. Findings from this study conclude what was found in the literature regarding challenges in the system leads to caregivers feeling burdened with their mentally ill relative, and that resources and support are lacking in communities. This led to recommendations aiming at MDTs, government and social workers working in institutions, to align with community social workers in order to strengthen working relationships with the aim of providing the necessary support services to families caring for mentally ill relatives. Future research suggestions are also aimed at supporting families caring for patients with a mental illness for which reasons for re-admissions will be assessed and evaluated.
Social Work/Maatskaplike Werk
COVID-19 has exposed the inequalities and polarisation of South African communities and instituti... more COVID-19 has exposed the inequalities and polarisation of South African communities and institutions of higher learning on the continuum of privilege. As nine social work educators, we share our reflections on how we traversed the higher education space during the beginning of the pandemic, using an autoethnography lens, with the pedagogy of discomfort and critical social work theory as the threads in the complex tapestry of our stories. We describe our orientations as social work educators, the successes, challenges, and recommendations on reimagining and reframing learning and teaching in relation to student-institutional relationships, boundaries and support.
International Journal of Mental Health and Addiction
People with comorbid bipolar and substance use disorders are complex, whose families experienced ... more People with comorbid bipolar and substance use disorders are complex, whose families experienced challenges contributing significantly to their burden of care. The aim of the study was to explore these lived experiences of family members caring for relatives, as well as the situations or contexts in which they experience these. A qualitative phenomenological research approach with explorative, descriptive research designs was adopted. Indepth phenomenological interviews were done with six purposive selected participants. Phenomenological data analyses focusing on the textural (lived experience) and structural (the context in which it was experienced) were followed after data collection. The lived experiences of participants included feelings of helplessness and emotional and physical exhaustion, as well as the causes of these feelings. The situations contributing to these feelings included non-compliance with prescribed medicine for bipolar disorder combined with drug abuse as well as a threat to the safety of the patient and others, stigmatisation, embarrassment and shame.