title: Bridging the gap: investigating challenges and way forward for intersectoral provision of psychosocial rehabilitation in South Africa.
abstract: BACKGROUND
  Intersectoral collaboration between government sectors such as Health and Social Development and non-governmental organisations (NGOs) in communities is crucial for provision of psychosocial rehabilitation (PSR) for those with severe mental illness. This study aims to provide recommendations for strengthening such intersectoral collaboration in South Africa and with relevance to other low and middle income countries (LMIC), particularly African countries.
  
  
  METHODS
  Twenty-four in-depth semi-structured interviews were conducted with 16 key informants from the South African Department of Health, two key informants from the Department of Social Development, four key informants from the NGO sector and one key informant from a service user organisation at national level. Framework analysis was conducted with NVivo 10 software.
  
  
  RESULTS
  Challenges to intersectoral work identified were lack of communication between sectors, problems delineating roles, and each sector's perception of lack of support from other sectors. Participant-identified strategies for addressing these challenges included improving communication between sectors, promoting leadership from all levels and formalising intersectoral relationships through appropriate written agreements; as well as ensuring that the available resources for PSR are effectively re-directed to district level.
  
  
  CONCLUSIONS
  This study has outlined several directions for progress to address challenges for intersectoral working for PSR in South Africa. These may be of relevance to other LMIC, particularly those in Africa. Political will and a long-term view will be necessary to realise these strategies.
authors.affiliation: School of Applied Human Sciences, Discipline of Psychology, University of KwaZulu-Natal, Durban, South Africa.
authors.forename: Carrie
authors.initials: C
authors.lastname: Brooke-Sumner
authors.affiliation: Department of Psychiatry and Mental Health, Alan J Flisher Centre for Public Mental Health, University of Cape Town, Cape Town, South Africa.
authors.forename: Crick
authors.initials: C
authors.lastname: Lund
authors.affiliation: School of Applied Human Sciences, Discipline of Psychology, University of KwaZulu-Natal, Durban, South Africa.
authors.forename: Inge
authors.initials: I
authors.lastname: Petersen
keywords: Community development; Community-based rehabilitation; Intersectoral collaboration; Mental health policy; Partnerships; Psychosocial rehabilitation; Severe mental illness