Thesis (M. Medicine (Psychiatry)) -- University of Limpopo, 2022 / BACKGROUND: The challenge of sexual offence crimes against women and children is notably increasing worldwide with an accompanying impact on the mental and physical well-being of the victims and society, in general. Despite the impact, sexual offenders remain a complex group, not well studied in forensic psychiatry settings globally. Previous studies identify psychosocial factors and mental illness associated with sexual offending. Adequate care, treatment and rehabilitation of sexual offenders are crucial to reduce the impact of sexual offence and re-offending. AIMS: To determine the demographic variations, clinical factors, and observation outcomes in terms of diagnosis, fitness to stand trial, and criminal responsibility among the alleged sexual offenders referred to Thabamoopo Hospital. OBJECTIVES: To determine the prevalence of mental disorders among alleged sexual offenders, to determine the number of offenders fit or unfit to stand trial and who are criminal or not criminally responsible, to determine factors associated with vulnerability to sexual offending behaviour. METHOD: This study is based on a review of clinical records and files and psychiatrists' observation reports of all alleged sexual offenders referred by the courts for forensic psychiatric observation between the period January 2015 to December 2018 at Thabamoopo Hospital. RESULTS: The sample consists of 94 participants, only one female; all were black Africans. The majority were in middle adulthood, unemployed, of a lower level of education and not married. All participants had been charged with rape. A large number of the alleged sexual offenders were diagnosed with mental conditions. The most common diagnoses were Intellectual disability disorders, psychotic disorders and substance-related disorders. More than half of the sample was fit to stand trial and criminally responsible. CONCLUSION: More than half of the participants charged with rape were found fit to stand trial and to be criminally responsible. A significant number were diagnosed with mental illness. The outcomes of being unfit to stand trial and not being criminally responsible were common among mentally ill sexual offenders. The results signify that this group of offenders needs adequate psychiatric care, treatment and rehabilitation in order to reduce sexual offending and re-offending due to the impact of mental illness.

MA ( Psychology) / Department of Psychology

MCur / Department of Advanced Nursing Science

MA (Psychology) / Department of Psychology / Background: Given that there is 57.7 million HIV-diagnosed people living in South Africa and the government has established the largest public antiretroviral programme in the whole world but only 53% are adhering. Adherence remains a challenge, due to presence of mental health issues among HIV diagnosed. Aim: The aim of this study was to investigate adherence to antiretroviral therapy and mental health of HIV-diagnosed patients in Vhembe District, Limpopo Province. Methods: This was a mixed method study using a combination of quantitative and qualitative research approaches. In the quantitative approach, triangulation was utilised in the form of a questionnaire and patients records. Simple random sampling was used to select 134, descriptive analysis using SPSS version 25. For the qualitative approach, a phenomenological research designs was considered and convenience sampling was used to select fifteen participants (15). Data was collected using semi-structured interview; responses were analysed using a computer-aided program called, ATLAS ti. Results: The self-report of adherence was 94.8 %, objectively 39.6% of CD4 count <200c/mm3 at baseline and 34.3% CD4 count after six months was found. 16.5% of females and 2% of males defaulted treatment and 14.9% of missed medical appointments 1-6 times. This study also revealed the mental health issues that HIV-diagnosed patients are struggling with after the diagnosis include the stages of grief, stress, depression, anxiety, mistrust, shame, stigma and discrimination. Recommendation: Effective strategies need to be enhanced and tailor made in effort to encourage patients to take ART diligently. The healthcare providers, community members and the government should be made aware of mental health issues. / NRF