Caregivers’ knowledge, attitude, and help-seeking behaviour regarding mental health disorders in Tshwane, South Africa: A cross-sectional study

Abstract

Mental health disorders remain a major public health concern, affecting individuals across diverse populations. Family caregivers play a critical role in the care and support of individuals diagnosed with mental health disorders, with their level of knowledge, attitudes, and help-seeking behaviours influencing the effectiveness and urgency to which care is provided. This study aimed to assess the level of knowledge, attitudes, and help-seeking behaviour among family members of people diagnosed with mental health disorders in the Tshwane District, Gauteng Province. A cross-sectional study design was used, and data were collected from a randomly selected sample of 377 family caregivers in district hospitals using a self-administered questionnaire. The questionnaire incorporated items adapted from the Mental Health Knowledge Schedule to assess knowledge, the Community Attitudes toward the Mentally Ill scale to evaluate attitudes, and the Attitudes Toward Seeking Professional Psychological Help scale to assess help-seeking behaviours. Data were analysed using Stata version 17. The findings revealed that 63.23% of participants demonstrated good knowledge of mental health care, while 65.61% expressed positive attitudes toward individuals living with mental health disorders. Despite this, 60.05% of family caregivers showed reluctance in seeking professional psychological help and often resorted to a combination of medical and traditional treatment approaches. Although most caregivers were knowledgeable about mental health conditions, some lacked awareness of available mental health services and relied heavily on traditional healing practices, delaying access to professional care. Cultural beliefs and stigma were found to significantly influence caregivers’ help-seeking behaviours, highlighting the need for interventions that focus on mental health education, stigma reduction, and increased awareness of professional support services.