What a few rands can buy by Nomfundo Mogapi


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What a few Rands more can buy for mental health and violence prevention?

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What a few rands can buy by Nomfundo Mogapi

  1. 1. What a few Rands more can buy formental health and violenceprevention?By Nomfundo MogapiCentre for the Study of Violenceand Reconciliation 09 November2011
  2. 2. AIM• Highlight what the value investing in violence prevention• SA based on our experience in responding to mental health needs of victims of violence in lat two decades
  3. 3. INTRODUCTION• SCOPE OF VIOLENCE IN SA• 2 121 887 serious crimes were committed in the 2009/2010 calendar year.• Over 30% of these were contact crimes, and over 25% were property related crimes.• 30% of all crimes were assault with grievous bodily harm,• 10.1% were sexual offences (I in 9 report).• Violence is the second largest cause of death on SA
  4. 4. CONSEQUENCES OF VIOLENCE• HEALTH ▫ Disability ▫ Chronic illness related to stress-high blood, diabetes ▫ Injuries• MENTAL HEALTH ▫ Post Traumatic stress ▫ Impact on indirect victims ▫ Other cormobid: depression, other mental problems• ECONOMIC ▫ Trauma and violence are seen as the single largest loss of productivity in SA (work days loss, PTSD at work affecting performance) ▫ Worse in it is a death of a bread winner• OTHER SIGNIFICANT AREAS OF FUNCTIONING ▫ Parenting ▫ Education and schooling ▫ Workplace functioning
  5. 5. THE COST• BURDEN ON THE DEPARTMENT OF HEALTH ▫ Trauma Unit- Groote Schuur Hospital study on 969 patients with gun shot injuries in 1993 showed a cost of R3 858 331 to the hospital (van der Spuy and M Peden ,1997)- 13% of the cost ▫ 87% cost due to disability, premature death (R 10,828,219 ). ▫ Total cost of about: R 12,446,229 in that area only• PSYCHOSOCIAL AND MENTAL HEALTH: Civil society service provision vs. development and democracy• SOCIAL DEVELOPMENT: Victim empowerment programme, funding NGOs• COST OF POLICING: (trauma training, victim empowerment centers, burnout, police violence)• PRIVATE SECURITY: Multibillion industry
  6. 6. TICKING BOMB• From our experience: Country is unable to sustain the investment in addressing the consequences of crime ▫ Civil society closing down ▫ Overburden health system ▫ Over loaded social dev-shortages of social workers and psychologists ▫ Increasing frustration from victims who resort to ultra legal systems (mob justice) ▫ Current focus on policing as the key driver of violence prevention is not helpful ▫ Overburdened prisons (universities for hard core criminality) ▫ Overburdened police
  7. 7. SOMETHING NEEDS TO SHIFT• Desperately need to invest in a public health approach violence prevention initiatives that look at: ▫ Research: protective and risk factors ▫ Linking research with interventions ▫ Investing in localised interventions that could be scaled up ▫ Evaluation and impact studies on what works• Benefits of this: - Reduce the health, CJP costs towards other developmental priorities such as education, job creation - Reduced focus on mental health problems of mental health functioning that promotes successful and thriving individuals - Higher numbers of economically active people who contribute to the growth of the economy