{"id":"https://openalex.org/W2151978453","doi":"https://doi.org/10.7196/samjnew.7910","title":"The mental health experiences and needs of methamphetamine users in Cape Town: A mixed-methods study","display_name":"The mental health experiences and needs of methamphetamine users in Cape Town: A mixed-methods study","publication_year":2015,"publication_date":"2015-09-21","ids":{"openalex":"https://openalex.org/W2151978453","doi":"https://doi.org/10.7196/samjnew.7910","mag":"2151978453","pmid":"https://pubmed.ncbi.nlm.nih.gov/26449695","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4677279"},"language":"en","primary_location":{"id":"doi:10.7196/samjnew.7910","doi":"https://doi.org/10.7196/samjnew.7910","is_oa":true,"landing_page_url":"https://doi.org/10.7196/samjnew.7910","pdf_url":"http://www.samj.org.za/index.php/samj/article/download/9223/6945","source":{"id":"https://openalex.org/S147026946","display_name":"South African Medical Journal","issn_l":"0256-9574","issn":["0256-9574","2078-5135"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["dhet","doaj","dongbi-c","doyens","jpps-2","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-40","russia-white-list-2","scielo","vabb-shw"],"host_organization":"https://openalex.org/P4310315351","host_organization_name":"Health and Medical Publishing Group","host_organization_lineage":["https://openalex.org/P4310315351"],"host_organization_lineage_names":["Health and Medical Publishing Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"South African Medical Journal","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"http://www.samj.org.za/index.php/samj/article/download/9223/6945","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5076664274","display_name":"Melissa H. Watt","orcid":"https://orcid.org/0000-0003-1317-3536","observed_orcids":["https://orcid.org/0000-0003-1317-3536"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Melissa H Watt","raw_affiliation_strings":["Duke University Duke Global Health Institute. melissa.watt@duke.edu","Duke University, Duke Global Health Institute, Durham, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Duke University Duke Global Health Institute. melissa.watt@duke.edu","institution_ids":["https://openalex.org/I170897317"]},{"raw_affiliation_string":"Duke University, Duke Global Health Institute, Durham, NC, USA","institution_ids":["https://openalex.org/I170897317"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081576281","display_name":"BRONWYN J. MYERS","orcid":"https://orcid.org/0000-0003-0235-6716","observed_orcids":["https://orcid.org/0000-0003-0235-6716","https://orcid.org/0000-0003-2870-8556"]},"institutions":[{"id":"https://openalex.org/I10947320","display_name":"South African Medical Research Council","ror":"https://ror.org/05q60vz69","country_code":"ZA","type":"other","lineage":["https://openalex.org/I10947320"]}],"countries":["ZA"],"is_corresponding":false,"raw_author_name":"Bronwyn Myers","raw_affiliation_strings":["Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Tygerberg, Cape Town, South Africa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Tygerberg, Cape Town, South Africa","institution_ids":["https://openalex.org/I10947320"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015762593","display_name":"Sheri L. Towe","orcid":"https://orcid.org/0000-0002-3447-5384","observed_orcids":["https://orcid.org/0000-0002-3447-5384"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sheri L Towe","raw_affiliation_strings":["Duke University, Duke Global Health Institute, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Duke Global Health Institute, Durham, NC, USA","Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Duke Global Health Institute, Durham, NC, USA","Duke University, Duke Global Health Institute, Durham, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Duke University, Duke Global Health Institute, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Duke Global Health Institute, Durham, NC, USA","institution_ids":["https://openalex.org/I170897317"]},{"raw_affiliation_string":"Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Duke Global Health Institute, Durham, NC, USA","institution_ids":["https://openalex.org/I170897317"]},{"raw_affiliation_string":"Duke University, Duke Global Health Institute, Durham, NC, USA","institution_ids":["https://openalex.org/I170897317"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5082665221","display_name":"Christina S. Meade","orcid":"https://orcid.org/0000-0002-0864-1123","observed_orcids":["https://orcid.org/0000-0002-0864-1123"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christina S Meade","raw_affiliation_strings":["Duke University, Duke Global Health Institute, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Duke Global Health Institute, Durham, NC, USA","Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Duke Global Health Institute, Durham, NC, USA","Duke University, Duke Global Health Institute, Durham, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Duke University, Duke Global Health Institute, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Duke Global Health Institute, Durham, NC, USA","institution_ids":["https://openalex.org/I170897317"]},{"raw_affiliation_string":"Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Duke Global Health Institute, Durham, NC, USA","institution_ids":["https://openalex.org/I170897317"]},{"raw_affiliation_string":"Duke University, Duke Global Health Institute, Durham, NC, USA","institution_ids":["https://openalex.org/I170897317"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":5732,"currency":"ZAR","value_usd":311},"apc_paid":{"value":5732,"currency":"ZAR","value_usd":311},"fwci":1.8294,"has_fulltext":true,"cited_by_count":30,"citation_normalized_percentile":{"value":0.8520744,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"105","issue":"8","first_page":"685","last_page":"685"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10043","display_name":"Substance Abuse Treatment and Outcomes","score":0.926800012588501,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10043","display_name":"Substance Abuse Treatment and Outcomes","score":0.926800012588501,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11860","display_name":"HIV, Drug Use, Sexual Risk","score":0.024000000208616257,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.012199999764561653,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/methamphetamine-use","display_name":"methamphetamine use","score":0.9810000061988831},{"id":"https://openalex.org/keywords/mental-health-needs","display_name":"mental health needs","score":0.8949999809265137},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.621999979019165},{"id":"https://openalex.org/keywords/traumatic-stress","display_name":"traumatic stress","score":0.9200000166893005},{"id":"https://openalex.org/keywords/paranoia","display_name":"paranoia","score":0.9890000224113464},{"id":"https://openalex.org/keywords/suicide-attempts","display_name":"suicide attempts","score":0.6549999713897705},{"id":"https://openalex.org/keywords/substance-use-as-coping","display_name":"substance use as coping","score":0.777999997138977},{"id":"https://openalex.org/keywords/treatment-seeking-behavior","display_name":"treatment-seeking behavior","score":0.8640000224113464},{"id":"https://openalex.org/keywords/suicide-prevention","display_name":"suicide prevention","score":0.9309999942779541},{"id":"https://openalex.org/keywords/cape-town","display_name":"Cape Town","score":0.6990000009536743}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.7743111848831177},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.719342827796936},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.594419538974762},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5304578542709351},{"id":"https://openalex.org/C2779998236","wikidata":"https://www.wikidata.org/wiki/Q223270","display_name":"Loneliness","level":2,"score":0.5149234533309937},{"id":"https://openalex.org/C2776640315","wikidata":"https://www.wikidata.org/wiki/Q7315941","display_name":"Respondent","level":2,"score":0.449063241481781},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.4392126798629761},{"id":"https://openalex.org/C2781105514","wikidata":"https://www.wikidata.org/wiki/Q1229994","display_name":"Paranoia","level":2,"score":0.42957472801208496},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.32636308670043945},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.17689824104309082},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7196/samjnew.7910","doi":"https://doi.org/10.7196/samjnew.7910","is_oa":true,"landing_page_url":"https://doi.org/10.7196/samjnew.7910","pdf_url":"http://www.samj.org.za/index.php/samj/article/download/9223/6945","source":{"id":"https://openalex.org/S147026946","display_name":"South African Medical Journal","issn_l":"0256-9574","issn":["0256-9574","2078-5135"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["dhet","doaj","dongbi-c","doyens","jpps-2","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-40","russia-white-list-2","scielo","vabb-shw"],"host_organization":"https://openalex.org/P4310315351","host_organization_name":"Health and Medical Publishing Group","host_organization_lineage":["https://openalex.org/P4310315351"],"host_organization_lineage_names":["Health and Medical Publishing Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"South African Medical Journal","raw_type":"journal-article"},{"id":"pmid:26449695","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/26449695","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:4677279","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4677279","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"S Afr Med J","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.7196/samjnew.7910","doi":"https://doi.org/10.7196/samjnew.7910","is_oa":true,"landing_page_url":"https://doi.org/10.7196/samjnew.7910","pdf_url":"http://www.samj.org.za/index.php/samj/article/download/9223/6945","source":{"id":"https://openalex.org/S147026946","display_name":"South African Medical Journal","issn_l":"0256-9574","issn":["0256-9574","2078-5135"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["dhet","doaj","dongbi-c","doyens","jpps-2","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-40","russia-white-list-2","scielo","vabb-shw"],"host_organization":"https://openalex.org/P4310315351","host_organization_name":"Health and Medical Publishing Group","host_organization_lineage":["https://openalex.org/P4310315351"],"host_organization_lineage_names":["Health and Medical Publishing Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"South African Medical Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"score":0.8799999952316284,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G559873855","display_name":"The UCLA HIV/AIDS, Substance Abuse, and Trauma Training Program","funder_award_id":"R25DA035692","funder_id":"https://openalex.org/F4320337347","funder_display_name":"National Institute on Drug Abuse"},{"id":"https://openalex.org/G5691941743","display_name":"HIV risk behaviors among methamphetamine users in Cape Town, South Africa","funder_award_id":"R03DA033828","funder_id":"https://openalex.org/F4320337347","funder_display_name":"National Institute on Drug Abuse"},{"id":"https://openalex.org/G8002179465","display_name":"Neurobehavioral and fMRI Research in HIV Infection and Cocaine Dependence","funder_award_id":"K23DA028660","funder_id":"https://openalex.org/F4320337347","funder_display_name":"National Institute on Drug Abuse"},{"id":"https://openalex.org/G9000250626","display_name":null,"funder_award_id":"AI064518","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G9000901635","display_name":"Center for AIDS Research","funder_award_id":"P30AI064518","funder_id":"https://openalex.org/F4320337355","funder_display_name":"National Institute of Allergy and Infectious Diseases"},{"id":"https://openalex.org/G9000915112","display_name":"Interdisciplinary Research Training Program in AIDS","funder_award_id":"T32AI007392","funder_id":"https://openalex.org/F4320337355","funder_display_name":"National Institute of Allergy and Infectious Diseases"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337347","display_name":"National Institute on Drug Abuse","ror":"https://ror.org/00fq5cm18"},{"id":"https://openalex.org/F4320337355","display_name":"National Institute of Allergy and Infectious Diseases","ror":"https://ror.org/043z4tv69"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2151978453.pdf","grobid_xml":"https://content.openalex.org/works/W2151978453.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W1995348931","https://openalex.org/W1996506241","https://openalex.org/W2004664745","https://openalex.org/W2018746495","https://openalex.org/W2024374498","https://openalex.org/W2045198415","https://openalex.org/W2052448138","https://openalex.org/W2071420552","https://openalex.org/W2077992585","https://openalex.org/W2100376493","https://openalex.org/W2113612964","https://openalex.org/W2132322340","https://openalex.org/W2165167678","https://openalex.org/W2167284547","https://openalex.org/W2171391007","https://openalex.org/W4288400169"],"related_works":["https://openalex.org/W2072641225","https://openalex.org/W4417147044","https://openalex.org/W4287447514","https://openalex.org/W2141624423","https://openalex.org/W2258607673","https://openalex.org/W172277325","https://openalex.org/W2001267309","https://openalex.org/W4396974369","https://openalex.org/W2125517210","https://openalex.org/W1970257875"],"abstract_inverted_index":{"BACKGROUND:":[0],"South":[1,39],"Africa":[2],"has":[3,17,25],"a":[4,72,119,214,241],"burgeoning":[5],"problem":[6],"of":[7,29,34,50,92,104,112,139,155,181,185],"methamphetamine":[8,16,36,52,59,171,237],"use,":[9],"particularly":[10],"in":[11,38,54,199,227],"the":[12,30,44,113,129,194],"Western":[13],"Cape.":[14],"Although":[15],"been":[18,26],"associated":[19],"with":[20,161,166],"elevated":[21],"psychological":[22,162],"distress,":[23],"there":[24,151],"little":[27],"examination":[28],"mental":[31,45,83,106,196,207],"health":[32,46,84,107,197,208,231],"needs":[33,49,226],"out-of-treatment":[35,51],"users":[37,53,60,238],"Africa.":[40],"OBJECTIVE:":[41],"To":[42],"describe":[43],"experiences":[47,108],"and":[48,75,86,109,131,147,150,183,224,232],"Cape":[55],"Town.":[56],"METHODS:":[57],"Active":[58],"were":[61,132,152],"recruited":[62],"using":[63,118,170],"respondent":[64],"driven":[65],"sampling":[66],"techniques.":[67],"Eligible":[68],"participants":[69,94,141,167],"(n=360)":[70],"completed":[71,95],"computer-assisted":[73],"assessment":[74],"clinical":[76],"interview,":[77],"where":[78,99],"they":[79,100],"provided":[80,101],"data":[81,115,212],"on":[82,244],"symptoms":[85],"treatment":[87,234],"seeking":[88],"behaviour.":[89],"A":[90],"subset":[91],"30":[93],"qualitative":[96],"in-depth":[97],"interviews":[98],"narrative":[102],"accounts":[103],"their":[105,174],"needs.":[110],"Analysis":[111],"mixed-methods":[114],"was":[116,164],"conducted":[117],"concurrent":[120],"triangulation":[121],"strategy,":[122],"whereby":[123],"both":[124,221],"methods":[125],"contributed":[126],"equally":[127],"to":[128,159,172,190],"analysis":[130],"used":[133],"for":[134,145,216],"cross-validation.":[135],"RESULTS:":[136],"About":[137],"half":[138],"survey":[140],"met":[142],"screening":[143],"criteria":[144],"depression":[146],"traumatic":[148],"stress,":[149],"some":[153],"indications":[154],"paranoia.":[156],"Using":[157],"substances":[158],"cope":[160],"distress":[163],"common,":[165],"talking":[168],"about":[169],"numb":[173],"feelings":[175],"or":[176],"forget":[177],"stressful":[178],"memories.":[179],"One-third":[180],"women":[182],"13`%":[184],"men":[186],"had":[187,204],"previously":[188],"tried":[189],"commit":[191],"suicide.":[192],"Despite":[193],"huge":[195],"burden":[198],"this":[200,228],"population,":[201],"very":[202],"few":[203],"ever":[205],"received":[206],"treatment.":[209],"CONCLUSION:":[210],"The":[211],"indicates":[213],"need":[215],"integrated":[217],"care":[218],"that":[219],"addresses":[220],"substance":[222],"use":[223],"psychiatric":[225],"population.":[229],"Mental":[230],"drug":[233],"services":[235],"targeting":[236],"should":[239],"have":[240],"particular":[242],"focus":[243],"suicide":[245],"prevention.":[246]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":6},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}