Dimensions And Challenges Associated With Mental Health Support Groups In Zambia: A Service Provider Perspective

Introduction: The burgeoning impact of mental illness over the last two decades underscores a global health crisis, exacerbated by disparities faced by ethnic minorities in accessing quality care. Mental health challenges pose a significant burden on individuals, families, and the Zambian healthcare system. While significant advances have been made around mental health, there is still a significant bias towards pharmacological and counselling interventions while hardly prescribing support groups. This study sought to investigate the landscape of mental health support groups in Zambia by understanding the dimensions and challenges faced by facilitators. Materials and Methods: This was a mixed methodology study employing explanatory sequential design in which quantitative data will be sought first and supported by qualitative findings. The study involved 23 support groups facilitators majority (12 respondents) of whom were males. Results: The study found that support groups for mental health operate in private premises and institutions while other groups operate a hybrid of physical and virtual and others are completely virtual. Majority of the groups are organized by psychologists followed by non-medical facilitators who previously had mental disorders and felt the need to support others. Further, all facilitators had no competency specific for facilitating mental health support groups. Lack of financial support, general infrastructure and space for meetings, and network connectivity were challenges faced by facilitators while noting awareness and stigma reduction, recovery prognosis and improved service uptake as opportunities associated with effective mental health support groups. Conclusion: The study concludes that existing mental health support groups operating in community-based settings as well as hospitals are a resource for patients, facilitators, and health systems provided they are supported and staff are trained on facilitation.