Text in English / It is common knowledge that the social work profession in Africa, including its theories, methods, and models, has been implanted from the global North (Europe) and North America. Scholarship within social work has confirmed that there are challenges of relevance and appropriateness of Westernised social work interventions, and consequently, their effectiveness in a context outside the Euro-North American axis. It is against this backdrop that the researcher explored the African family, its experiences, and its coping strategies when raising a child with Down syndrome as well as the nature of social work services they received and whether such services were congruent with the family’s existential condition and subjectivities. A retrospective qualitative study following a phenomenological design was conducted. Research data were collected from a sample drawn using purposive and snowball techniques, through the use of semi-structured interviews. Qualitative data analysis process adapted from Terre Blanche, Durrheim and Painter (2006:33) was used. The findings revealed the existence of a paradoxical relationship between Eurocentrism underlying social work practice and the Afrocentric worldview. The typical African family raising a child with DS was found to be characterised by a unique form and structure consistent with a clan system different from the conventional Eurocentric concept of family. It was also found that despite the pressure and assault exerted by modernity, colonization and apartheid on the traditional African clan system, it remained resilient and retained its unique character distinct from the western nuclear family system. In relation to dealing with challenges associated with raising a child with DS, the African clan’s concerns were found to transcend pre-occupation with the etiology and treatment of the condition as emphasized in the western paradigm. Without discounting the significance of the etiology and treatment of the condition, the African clan draws on its spirituality and affection to consider the purpose and function of the condition in the bigger scheme of things. Social work as a helping profession seemed to be unpopular amongst African clans raising children with DS. The findings were used to develop indigenised social work practice guidelines for social workers assisting African families raising children with DS. / Social Work / Ph. D. (Social Work)

The purpose of this study was to develop an empowerment model for families of mentally handicapped children in Moletši district in Limpopo Province. To achieve this purpose, the study consisted of four steps, namely exploring the meaning of empowerment in the context of families with mentally handicapped children; developing and describing a model for empowerment of such families; formulating guidelines for the implementation of the model, and evaluating the implementation of the model. A qualitative, explorative, descriptive and contextual theory-generative design was used. The population of the study was all families who had mentally handicapped children in Moletši district of the Polokwane and Aganang municipalities. Semi-structured interviews, assessment guides and case studies were conducted with the families to evaluate the effectiveness of the model and whether the families reached self-efficacy in the care, treatment and rehabilitation of their mentally handicapped children. Non-probability, purposive sampling was used in order to obtain relevant information from the correct participants. Concepts were identified and analysed, which led to the development of the model for empowerment of families with mentally handicapped children. The model was applied in practice, where the families’ problems were identified and planned for, and the plans were put into action by means of case studies, and monitoring and evaluation was done through observation, interviews, discussion and meetings.The results revealed that the families proved to be independent and reached self-efficacy in the care, treatment and rehabilitation of their mentally handicapped children. The model is a unique contribution to nursing education, research, administration and practice and sets guidelines for a new field in the practice of psychiatric nursing. / Health Studies / D. Litt. et Phil.

The purpose of this study was to develop an empowerment model for families of mentally handicapped children in Moletši district in Limpopo Province. To achieve this purpose, the study consisted of four steps, namely exploring the meaning of empowerment in the context of families with mentally handicapped children; developing and describing a model for empowerment of such families; formulating guidelines for the implementation of the model, and evaluating the implementation of the model. A qualitative, explorative, descriptive and contextual theory-generative design was used. The population of the study was all families who had mentally handicapped children in Moletši district of the Polokwane and Aganang municipalities. Semi-structured interviews, assessment guides and case studies were conducted with the families to evaluate the effectiveness of the model and whether the families reached self-efficacy in the care, treatment and rehabilitation of their mentally handicapped children. Non-probability, purposive sampling was used in order to obtain relevant information from the correct participants. Concepts were identified and analysed, which led to the development of the model for empowerment of families with mentally handicapped children. The model was applied in practice, where the families’ problems were identified and planned for, and the plans were put into action by means of case studies, and monitoring and evaluation was done through observation, interviews, discussion and meetings.The results revealed that the families proved to be independent and reached self-efficacy in the care, treatment and rehabilitation of their mentally handicapped children. The model is a unique contribution to nursing education, research, administration and practice and sets guidelines for a new field in the practice of psychiatric nursing. / Health Studies / D. Litt. et Phil.

The purpose of this study was to investigate the possibility of implementing community based care for moderately mentally retarded persons in a specific centre in the Port Elizabeth area. The objectives of the study were to identify • the needs of the moderately mentally retarded children. • the physical, psychosocial and vocational rehabilitation means of meeting these needs. • how involved the communities, parents and government were in the care of moderately mentally retarded children. A quantitative, exploratmy and descriptive design was used. A sample of 50 moderately mentally retarded children was utilised. Data were collected by means of questionnaires and semi-structured interviews. The major research findings indicate that community care for MMRPs could only be feasible with sufficient resources, expertise and community involvement. All these aspects appeared to be lacking in the centre where this research was conducted raising questions as to benefits which the mentally retarded children and their parents and the community could derive from these services. However recommendations were made on identified shortcomings, problems and needs. / Health Science / M.A.(Nursing Science)

The purpose of this study was to investigate the possibility of implementing community based care for moderately mentally retarded persons in a specific centre in the Port Elizabeth area. The objectives of the study were to identify • the needs of the moderately mentally retarded children. • the physical, psychosocial and vocational rehabilitation means of meeting these needs. • how involved the communities, parents and government were in the care of moderately mentally retarded children. A quantitative, exploratmy and descriptive design was used. A sample of 50 moderately mentally retarded children was utilised. Data were collected by means of questionnaires and semi-structured interviews. The major research findings indicate that community care for MMRPs could only be feasible with sufficient resources, expertise and community involvement. All these aspects appeared to be lacking in the centre where this research was conducted raising questions as to benefits which the mentally retarded children and their parents and the community could derive from these services. However recommendations were made on identified shortcomings, problems and needs. / Health Science / M.A.(Nursing Science)