{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T18:07:34Z","timestamp":1788977254505,"version":"build-2803163510"},"reference-count":56,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010897","name":"Newton Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010897","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001322","name":"South African Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>\n                    People with severe mental health conditions (SMHC) and caregivers in South Africa often experience poverty. The PRIZE trial found that recovery groups were acceptable, feasible and potentially effective in reducing relapse. Addressing economic needs was identified as a means to increase impact. This study aimed to understand the acceptability of poverty alleviation interventions as an adjunct to psychosocial interventions.We conducted two focus group discussions and 12 in-depth interviews with 14 people with SMHC and 13 caregivers in Eastern Cape Province, South Africa. An inductive thematic analysis was conducted. We identified four themes.\n                    <jats:italic>1: Financial insecurity as a defining influence on life.<\/jats:italic>\n                    Participants perceived financial security as crucial to recovery. However, financial insecurity was entrenched due to violence in neighbourhoods and fractured communities.\n                    <jats:italic>2: Government disability grants are not a panacea.<\/jats:italic>\n                    There were difficulties accessing disability grants. Whilst welcomed, they sometimes caused problems such as family disagreements about how the money was spent.\n                    <jats:italic>3: Group savings offer tentative hope if carefully managed.<\/jats:italic>\n                    Several caregivers had experiences of community-based credit unions. However, some were fearful of members absconding with funds. Participants emphasised that trust, safety and fairness are essential for successful group savings\n                    <jats:italic>. 4: Income-generating activities are desired but need capital and come with safety concerns.<\/jats:italic>\n                    Many had ideas and motivation for small businesses but needed financial capital. There were concerns that gaining wealth could make one a target of crime. Poverty alleviation interventions could positively impact the wellbeing of people with SMHC in South Africa as an adjunct to psychosocial interventions and psychiatric care. Approaches could include supporting access to social protection or existing savings groups, and nesting new savings groups or income generation initiatives into psychosocial interventions. Any model would need to incorporate mechanisms to ensure participants\u2019 safety and would be enhanced by public health interventions to build social capital and reduce violence.\n                  <\/jats:p>","DOI":"10.1371\/journal.pgph.0006551","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T17:28:11Z","timestamp":1788974891000},"page":"e0006551","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Poverty alleviation for people with severe mental health conditions in South Africa: A qualitative study"],"prefix":"10.1371","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9857-6766","authenticated-orcid":true,"given":"Laura","family":"Asher","sequence":"first","affiliation":[{"name":"Nottingham Centre of Public Health and Epidemiology, School of Medicine, University of Nottingham","place":["Nottingham, United Kingdom"]},{"name":"Institute of Mental Health, University of Nottingham","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bongwekazi","family":"Rapiya","sequence":"additional","affiliation":[{"name":"Mental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Francie Van Zijl Drive","place":["Parow Valley, South Africa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonginkosi","family":"Chiliza","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry, Nelson R Mandela School of Medicine, University of KwaZulu-Natal","place":["Durban, South Africa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7937-3226","authenticated-orcid":true,"given":"Charlotte","family":"Hanlon","sequence":"additional","affiliation":[{"name":"Centre for Clinical Brain Sciences, the University of Edinburgh","place":["Edinburgh, United Kingdom"],"department":["Division of Psychiatry"]},{"name":"School of Medicine, College of Health Sciences, Addis Ababa University","place":["Addis Ababa, Ethiopia"],"department":["Department of Psychiatry and WHO Collaborating Centre in Mental Health Research and Capacity Building"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inge","family":"Petersen","sequence":"additional","affiliation":[{"name":"Centre for Rural Health, College of Health Sciences, University of KwaZulu-Natal","place":["Durban, South Africa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie","family":"Brooke-Sumner","sequence":"additional","affiliation":[{"name":"Mental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Francie Van Zijl Drive","place":["Parow Valley, South Africa"]},{"name":"Alan J. 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CORRIGENDUM","volume":"34","author":"L Asher","year":"2025","journal-title":"Epidemiol Psychiatr Sci"},{"issue":"3","key":"pgph.0006551.ref025","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1080\/15332985.2016.1220439","article-title":"Community-based psychosocial rehabilitation for schizophrenia service users in the north west province of South Africa: A formative study","volume":"15","author":"C Brooke-Sumner","year":"2017","journal-title":"Soc Work Mental Health"},{"key":"pgph.0006551.ref026","unstructured":"National Stokvel Association Of South Africa. About Stokvels [Online]. 2025. Available: https:\/\/www.nasasa.co.za\/about-us\/about-stokvels\/ [Accessed 2026]."},{"key":"pgph.0006551.ref027","unstructured":"SAVEact. SAVEact Our Work [Online]. 2026. Available: https:\/\/saveact.org.za\/our-work\/ [Accessed]."},{"key":"pgph.0006551.ref028","doi-asserted-by":"crossref","first-page":"112978","DOI":"10.1016\/j.socscimed.2020.112978","article-title":"Urban upgrading and levels of interpersonal violence in Cape Town, South Africa: The violence prevention through urban upgrading programme","volume":"255","author":"R Matzopoulos","year":"2020","journal-title":"Soc Sci Med"},{"key":"pgph.0006551.ref029","doi-asserted-by":"crossref","first-page":"113474","DOI":"10.1016\/j.socscimed.2020.113474","article-title":"Associations between parental trauma, mental health, and parenting: A qualitative study in a high-adversity South African community","volume":"265","author":"H Christie","year":"2020","journal-title":"Soc Sci Med"},{"key":"pgph.0006551.ref030","volume-title":"Quarterly Labour Force Survey Quarter 1: 2025","author":"Statistics South Africa","year":"2025"},{"key":"pgph.0006551.ref031","volume-title":"Profile and Analysis District Development Model","author":"Nelson Mandela Bay Municipality","year":"2020"},{"issue":"2","key":"pgph.0006551.ref032","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"V Braun","year":"2006","journal-title":"Qualitative Research in Psychology"},{"issue":"4","key":"pgph.0006551.ref033","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","article-title":"Reflecting on reflexive thematic analysis","volume":"11","author":"V Braun","year":"2019","journal-title":"Qualitative Research in Sport, Exercise and Health"},{"key":"pgph.0006551.ref034","doi-asserted-by":"crossref","first-page":"100382","DOI":"10.1016\/j.ssmmh.2024.100382","article-title":"Intersectional discrimination, exclusion and the socio-political economy of global mental health: A systematic scoping review of the literature","volume":"7","author":"RA Burgess","year":"2025","journal-title":"SSM - 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