Mental well-being for all people in KwaZulu-Natal through an
appropriate mental health and substance abuse programmes within
the primary health care approach
To develop policy guidelines and support programmes
to promote mental well-being by:
- Developing and implementing mental health and substance abuse
- Improving planning and monitoring of mental health and
substance abuse services through research, information systems
and the development of norms and standards;
- Assisting districts to provide comprehensive mental health and
substance abuse services with an emphasis on community-based
- Assisting with development of human resources and capacity
- Ensuring the human rights of people with mental disability and
shifting community attitudes towards the mentally ill;
- Limiting the cause and effect of mental illness and
disabilities focusing on the population at risk;
- Preventing and / or reducing the demand and harm of
psychoactive substances; and
- Limiting the cause and effect of violence.
- The full implementation of the Mental Health Care Act No. 17 of 2002.
- The reintegration of Mental Health into the Primary Health
Care with enhanced intersectoral collaboration to provide
multidisciplinary mental health care.
- Improved infrastructure development and upgrading thus
ensuring proper facilities for mental health care service
- Human resource development and mental health skills training.
- Improving quality of care and continuous evaluation and
assessment of levels of care.
- Intensify programmes for the prevention and treatment of
- Support and strengthening of partnerships with community based
Key Result Areas:
Services offered by Mental Health and Substance Abuse:
- Facilitate the implementation of the Mental Health Care Act
- Technical support and guidance for the integration of Mental Health into the district health system
- Development of a policy for forensic psychiatric services
- The development of a seclusion room policy for all hospitals providing a mental health service.
- Develop a clinical audit system for mental health
- Improve the quality of mental health care by establishing minimum norms and standards.
- Support and strengthening of partnerships with community based organisations
- Intensify programmes for the prevention and treatment of substance abuse
- Development of strategic programmes and policies that will
inform the operational activities of the Mental Health
- Provision of expert advice in the field of mental health and substance abuse.
- Engagement with other stakeholders in the field of mental
health to encourage a participative framework for the
development of mental health services.
- Informing Department of Health management of potential risks
and threats to the effective implementation of mental health
- Develop strategies and policies to enhance and improve mental
health service delivery in KZN.
- Advise the component of health systems and policy development
on any matters relating to mental health and substance abuse.
- Provide support and technical advice to the various mental
health programmes within the province.
- Provide technical assistance and support for the
implementation of such policies and strategies.
- Leadership in the formulation and control of strategic
planning for the mental health and substance abuse component
- Ensure aligned commitment to the strategic objectives of the KZN Dept of Health
- Monitoring and evaluation of the quality and levels of
services delivered as well as the financial performance and
ensure that the mental health and substance abuse component
displays orientation towards quality improvement, high service
levels and effective financial management
- Mental Health Care Users in KZN
- Mental Health Practitioners and other Allied disciplines
- Non-governenmental Organisations in the mental health and substance sector
- Governmental stakeholders viz Social development, Education, Justice, correctional Services etc
- Academic institutions e.g. UKZN
Statistics relative to Mental Health and Substance Abuse
- 4 Specialised psychiatric hospitals in the province
- 2 long-term care and rehabilitation centres
- 50 hospitals listed to provide 72 hour assessments for mental health care users
- Provision of forensic psychiatric services in 3 psychiatric hospitals
- 2 Child and Adolescent mental health units recently developed, awaiting opening
- 4 Mental Health Review Boards
- Support and Subsidisation to 32 mental health NGO’s
- Substance abuse detoxification provided at Emergency Rooms of Regional hospitals
Other information relating to the Programme
- The programme interacts with various other
programmes at Head Office in order to provide as holistic and
integrated a programme as possible eg Healthy Lifestyles,
Disability and Rehabilitation, Employee Assistance Programme,
Maternal, Child and Women’s Health etc.
- Interaction with other governmental departments at all levels
encourages and fosters intersevtoral collaboration between our
programme and the relevant programmes of other departments.
- Our programme is represented at a national forum for mental
health and substance abuse at the National Department of Health,
making our programme aligned to national priorities.
Legislation that Mental
Health and Substance Abuse adheres to.
Mental Health Care Act (17/2002)
and General Regulations
National Health Act, No. 61 of 2003 and it’s Regulations
Tobacco Products Control Amendment Act, No. 12 of 1999
Medicines and Related Substances Control Amendment Act, No. 90 of 1997
Health Professions Act, 1974
South African Medical Council Act
International Health Regulations Act, 1974
Pharmacy Amendment Act, No. 6 of 1995
Nursing Amendment Act, No. 5 of 1995
Medical, Dental and Supplementary Professions Amendment Act, No. 89 of 1997
Pharmacy Amendment Act, No. 88 of 1997
Nursing Amendment Act, No. 19 of 1997
Tobacco Products Control Amendment Act, No. 12 of 1999
Pharmacy Amendment Act, No. 1 of 2000
Traditional Health Practitioners Act No. 35 of 2004