Annual Review 2018/19

1 Contents About Cape Mental Health

2 About Cape Mental Health Our Vision Our Board Our Honorary 4 Mental Health Ambassadors’ Awards ...is that all people can be President Dr Amelia Jones Psychiatrists 5 Corporate Platinum Awards empowered to achieve the Vice-Presidents Emeritus Professor Tuviah Zabow 6 Time to Act Now: highest level of mental health Ken Sturgeon | Prof. Johannes John-Langba Dr Sean Baumann from the director’s desk and quality of life possible. Dr René Nassen 8 CMH Beneficiaries 2018-2019 Chairperson Tracy van der Heyden

9 Partnerships in support Deputy Chairperson Gary Pond of mental health Our Mission Treasurer Alan Crisp Origin 10 Community-based Living ...is to provide or facilitate Legal Advisor David Lotz Cape Mental Health (CMH) was 11 Community-based Psychosocial comprehensive, proactive and established in June 1913 and is the Committee Members Rehabilitation enabling mental health care services oldest mental health society in South Kim Cooper | Doreen Herbert in the . We are Africa. Then known as the South 12 Rural Mental Health Shona Sturgeon | Hombakazi Zide committed to challenging socially African Society for the Care of the 14 Service User Empowerment restrictive and discriminatory Consumer Representatives Feeble-minded, the organisation at 16 Access to Justice practices affecting the mental health Siphamandla Matiwane that time was committed to addressing of all people. Our work is underpinned for consumers with intellectual disability Right to Education vagrancy and prostitution among by a commitment to quality, Lucy-Ann Namukoko young women with a ‘mental handicap’ 17 Break the Stigma excellence and professionalism. for consumers with psychosocial disability on the streets of . 18 Staff Snapshot

19 CMH Employee of the Year 2018 Human Resources 2018-2019 20 Contact Details & Credits

“Radical mental health transformation is required in public health with a specific focus on mental health to impact on the recovery and wellness of the mental health user and to ultimately ensure that the benefits of the Sustainable Development Goals (SDGs) are realised in their lives. “I invite you to be barrier breakers. Help us to change the conversation. Let’s not be bystanders of stigma and discrimination but transformers, protagonists and activists for drastically improved mental health care in .”

Tracy van der Heyden, CMH Chairperson, 105th AGM, 16 August 2018

2 s part of senior management the training of mental health peer We can all be active Aat Cape Mental Health, we are supporters, the appointment agents in the promotion proud of the organisation’s history of service users as advocacy of mental health and the and footprint in mental health care officers within the organisation, and in the innovation and dedication and the Easy to Read project. support of persons with of the staff in our various projects, mental health problems. In the past decade, CMH’s strategic programmes and departments. Together focus has shifted from assisting We can take measures The organisation has been a participant, predominantly urban communities we can change to reduce the burden of and sometimes a catalyst, in all the towards servicing rural communities, lives and save depression and other major mental health debates over the as this is where resources, including years in our country, such as issues mental health resources, are severely lives mental health disorders. around incarceration of mental health limited and where the stigma of mental We can dism antle stigma patients, challenging stigmatising illness is most acute. Rural areas, in terminology, deinstitutionalisation, particular, are hard hit by the legacy and discrimination, psychosocial rehabilitation, access of Apartheid, sparse mental health and foster recovery to justice for victims with mental services, and inequitable financing. for individuals and disability, self-advocacy, the right Our organisation therefore provides their families. to education for children and youth low-cost solutions in rural and with severe/profound intellectual under-serviced areas of the disability, the need for training and Western Cape (including the career pathways for persons with mild Eden Karoo) for the provision of to moderate intellectual disability, mental health services by using and the development of the National a training and task-shifting Mental Health Policy Framework model with a specific focus on and Strategic Plan 2013-2020. We awareness-raising, psychosocial continue to break new ground with rehabilitation, access to initiatives such as task-shifting justice, advocacy and models to upscale mental health care, lobbying, consumer international exchange programmes self-advocacy and for persons with intellectual disability, peer support.

Santie Terreblanche (left) and Carol Bosch (right) CMH deputy directors

3 CMH Mental Health Ambassadors 2018

Cape Mental Health (CMH) launched the Mental Health Ambassador Awards at our AGM in August 2016. We continue this tradition by recognising people who promote and support our work, raise awareness about mental health widely in every aspect of their lives, and who speak out against stigma and discrimination. Recipients of Platinum Mental Health Ambassador Awards honoured at the 2018 AGM were Lucy-Ann Namukoko, Rose Foster and Cathy Williams.

Rose’s association with CMH started more than Lucy-Ann Namukoko 32 years ago. Her son Deon attended our Training Workshops Unlimited centre in Athlone. At the time, Lucy-Ann Namukoko is Chairperson of the Cape she completely immersed herself in the activities of Consumer Advocacy Body, an advocacy initiative run the workshop, advocating for services to meet the by and for service users with psychosocial disability. needs of the persons with intellectual disability. She has served on the boards of CMH and the South African Federation for Mental Health, representing After her son passed away, Rose maintained people with psychosocial disability, and has recently contact with the organisation, assisting as a been appointed as a CMH advocacy officer. relief worker and volunteer at Garden Cottage. She inspires and gives hope to others – her lived During this time she also hosted the residents of experience of mental illness enables her to speak this project at an annual Christmas celebration up about the challenges as well as the barriers at her home as some of the residents were not that people with mental disability face daily. able to spend Christmas with their families. She Rose Foster establishes the needs of the residents before rallying family and friends to treat the residents to “Self-advocates with psychosocial disability A relief worker and volunteer, Rose Foster, is new and different experiences each year, such as believe in the slogan ‘Nothing About Us acknowledged for her unwavering support and a high tea at the One and Only Hotel Cape Town, Without Us’. We have a significant role to play contribution to our Garden Cottage community- an outing to the V & A Waterfront which included in determining our recovery journey and in based residential programme for women with a boat trip, supper at The Capetonian Hotel Cape challenging stigma and discrimination that intellectual disability. Town, and a show at the Joseph Stone Theatre exclude people living with a mental health in Athlone. Annually, the residents also receive Rose has always been very active in her community, challenge from full participation in society. a care pack that includes toiletries and luxuries organising a soup kitchen for people diagnosed with I have chosen to be part of a structure that that are chosen with great care and thought. TB and HIV/Aids, coordinating services provided empowers and advocates for others so that at the Victim Support Room at the Athlone Police Despite ill health, she continues to make many our voices are heard.” Station, and serving on the Health Committee board personal sacrifices to ensure that the residents Lucy-Ann Namukoko CCAB Chairperson, of the Dr Abdurahmaan Day . are able to enjoy the spirit of Christmas each year. CMH board member & newly appointed advocacy officer

4 “At the Cape Town International Kite Festival, we fill the sky with Mental Health Ambassador’s Award kites for Cape Mental Health. It’s a reminder that everyone Year after year free-lance publicist Cathy of the festival to offer something fresh is vulnerable to mental illness Williams of On Course Communication each year. In the 2010 festival, she played – and, at times, we all has secured phenomenal coverage a key role in the successful introduction need a trusted friend, of the Cape Town International Kite of the Heritage Kite Competition; this counsellor or mental Festival – at local, regional, national added a new dimension to the festival health professional and international levels through printed that continues as a festival highlight to help us hold media, radio, television and online, as well and serves to raise interest in the onto the string as through social media. The coverage history of kiting in South Africa. and keep flying!” over the past five years alone has an On Course is a small PR agency with a estimated value of more than R20 million. big heart – and Cathy carries through Cathy Williams (left) Cathy brings a wealth of experience to her commitment to mental health with Nomphelo Metu (right) who handed over the event, and her creativity and insight promotion and awareness-raising in all her the award on behalf of have contributed greatly to the ability publicity on behalf of the organisation. Cape Mental Health

Corporate Platinum Awards 2018

A Corporate Platinum Award was opportunities for them to reach their bestowed on the following recipients potential within a community context. for having made a significant financial Patiswa Momoza, Programme Manager, or donation-in-kind contribution (of Directorate: Special Programmes, Sub- R500 000 or more) to Cape Mental Directorate: Services to Persons with Health for a number of years: Disabilities Programme, accepted the ApexHi Charitable Trust, represented award on behalf of the Department by Melissa Chetty, Client Portfolio of Social Development of the Manager at Tshikululu Social Investment, Western Cape Government. received the award for their care and The Department of Health of the development over the years of more Western Cape Government was than 1000 children attending our three represented by Sadia Abrahams who Special Education and Care Centres in received the award on behalf of Dr Saadiq , and Mitchells Kariem, Chief Director General: Emergency Plain. The Trust enabled us to address and Clinical Support Services in the the Right to Education of children with Western Cape Department of Health. severe and profound intellectual disability Patiswa Momosa, Dr Ingrid Daniels, Melissa and provide learning and development Chetty and Sadia Abrahams (left to right)

5 Time to Act Now

The World Health Organization (2018) states FROM THE DIRECTOR’S DESK that every 40 seconds someone dies by suicide.

Dr Ingrid Daniels, ental health disorders are on the to US$ 16 trillion between 2010 and Without mental CMH director, rise across the globe. This crisis 2030 if a collective failure to respond president-elect of the M health, there can World Federation for has necessitated that mental health is is not addressed. We are faced Mental Health a priority agenda item at every high- with an international mental health be no sustainable level international meeting. The World crisis and have been forewarned development. Health Organization (2018) states that over the last two decades of every 40 seconds someone dies by this imminent catastrophe. The Lancet Commission on Global suicide. Annually, this represents over Global denial and failure to invest Mental Health and Sustainable 800 000 people that die by suicide, in mental health over many years Development noted that the which is more than people dying by sustainable development goals have resulted in a shameful situation war and homicide put together. are not achievable without making in which lives are lost. Failure to significant improvements to For every suicide, there are many more invest in and increase access to treating, preventing and promoting people who attempt suicide every year. mental health has resulted in a mental health. They identify mental gross failure of our humanity. A prior suicide attempt is the single health as a humanitarian and Mental health continues to be most important risk factor for suicide development priority, providing misunderstood, ignored, stigmatised, in the general population. Suicide is evidence that mental health is underfunded and overlooked. the second leading cause of death indeed at the centre of sustainable among 15- to 29-year-olds, while 79% Patel et al. (2011) stated that “up development. We can thus conclude of global suicides occur in low and to nine out of ten people with a that there can be no sustainable middle-income countries (LMIC). mental problem do not receive even development without mental health. Every suicide is a tragedy that basic care in some countries”. This Docrat, Lund and Chisholm (2019) affects families, communities gap was not due to insufficient states that it is essential that the evidence about the effect of and entire countries, and has plans and policies developed to mental health problems or their long-lasting and devastating address the mental health burden effective treatments, but due to effects on those left behind. in South Africa reflect an increased “It is time to act on mental a range of barriers operating at all recognition that financing is a critical The World Economic Forum (2018) levels of the health system. This factor, not only in the realisation of health now. No more noted that mental health disorders are problem is particularly evident a viable mental health system but delays, no more denial, on the rise in every country in the world in LMICs where the gaps are the also for the long-term development no more inaction…” and could cost the global economy up largest (Patel, et al., 2011, p. 1). prospects of the country.

6 Inaction and failure to respond will result in the FROM THE DIRECTOR’S DESK continued increase in mental disorders and the loss of national human potential, capacity and capital.

Despite South Africa’s National Mental of this investment is the realisation community-based mental health funding “Act now. There is never Health Policy Framework and Strategic of the full potential of all our citizens. is being decreased in the hope that the any time but now, and Plans 2013-2020 (2013), investment in Inaction and failure to respond will result integration of mental health in the health there never will be any mental health remains dismal. The over- in the continued increase in mental system will facilitate greater coverage. time but now.” reliance on bio‑medical interventions disorders and the loss of national However, this coverage is not possible and a failure to integrate psychosocial human potential, capacity and capital. without increasing the investment Wallace D. Wattles interventions prejudice the health funding in mental health and increasing the The WHO (2019) states that for in favour of hospital-based interventions; budget to facilitate the latter. this is in direct conflict with integrated, every US$ put into scaled-up The World Economic Forum (2019) has multi-sectoral and multi-stakeholder treatment for common mental called for a world where everyone, collaborative approaches that place disorders, there is a return of US$4 in the person with the lived experience improved health and productivity. everywhere has someone to turn at the centre of mental health care. to when their mental health needs support. By 2030, it is predicted that Time is running out to fulfil the objectives Alarmingly, community- mental health problems will be the and implementation goals of South Africa’s based mental health leading cause of mortality and morbidity National Mental Health Policy Framework funding is being decreased globally. Currently, untreated mental and Strategic Plans 2013-2020 (2013), health problems account for 13% of while the burden of disease continues in the hope that the the total global burden of disease. to increase. The allocation of resources integration of mental to reduce this burden of disease is It is critical, therefore, that the goals astonishingly low. If this policy is meant to health in the health and milestones set within South address the inequities and imbalances in system will facilitate Africa’s National Mental Health Policy the provision of mental health care, then greater coverage. Framework and Strategic Plans 2013- clearly an urgent priority and resource 2020 (2013) and World Health Assembly and United Nations Resolutions signed allocation needs to be considered. Our core objective as the oldest lead to improve mental health for our nation The time to act is now; we have sufficient community-based mental health become deadlines. No more delays, research and evidence to determine what organisation in South Africa is to ensure no more denial, no more inaction… is required. If we are serious about saving that our innovative, person-centred lives, then action is required urgently. The interventions, as well as ongoing United Global Mental Health Campaign advocacy and lobbying, safeguard It is time to act now pleads for investment in lives. The return that no-one is left behind. Alarmingly, on mental health.

7 CMH Beneficiaries 2018–2019 CMH Levels of Intervention

Service User Numbers Mental Health Prevention & Promotion Gender LIFE SKILLS TRAINING 1 362 Through Social Work Services,T raining Workshops Unlimited, Rainbow Foundation & Fountain House

INFORMATION DISSEMINATION 3 805 233 Through PR & Communications, Learning for Life & all our community-based programmes 52% 48% 21 236 5 309 2 544 2 765 Early Intervention People reached Index service users through our holistic who benefit directly COUNSELLING family-focused from our services 29.5% African (1 568) Through Social Work Services, MindMatters, 5 114 Corporate Employee Assistance Programme, interventions Access to Justice, Training Workshops Unlimited Population 62.2% Coloured (3 301) (TWU), Rainbow Foundation & Fountain House

0.01% Indian (1) EARLY CHILDHOOD DEVELOPMENT 189 Through Special Education & Care Centres

7.3% White (385) v 1% Other (54) SUPPORT GROUPS 749 Through Social Work Services, TWU & Rainbow Foundation

44% Intellectual SERVICE USER EMPOWERMENT 2 336 Disability 886 Through Social Work Services, Access to Justice, TWU & Rainbow Foundation

Mental Emotional INCOME GENERATION Adjustment 10% Health 439 At Training Workshops Unlimited

531 Age Problems Profile

11.7% 38.5% 46.3% 3.5% Psychosocial 46% Alternative Care Disability 2 442 0-17 18-34 35-59 60-60+ 606 2 051 2 457 195 GROUP HOMES 19 Garden Cottage & Kimber House

8 Partnerships in Support of Mental Health

ape Mental Health values every contribution – Grants received from an anonymous international money, goods, services, and random acts of foundation, Astron Energy, Nedbank Foundation, C BETTER TOGETHER. kindness – that supports mental health care for The TK Foundation, Grandslots and AMSOL created vulnerable persons. We thank those who participated opportunities for skills development and improved the TM in the 24th Cape Town International Kite Festival, socio‑economic inclusion of more than 1000 service users. N L purchased charity tickets for the Old Mutual Two NATIONAL LOTTERIES COMMISSION Funding from the Charities Sector of the National Lotteries LOTTO FUNDED Oceans , dressed up as ’everyday heroes’ Commission (NLC) enabled us to buy a school bus to transport for Casual Day, used their MySchool Card, and children with severe and profound intellectual disability. participated in our community-based events. The NLC relies on funds from the processes of the National A diverse income stream included subsidies Lottery and is guided by the Lotteries Act and regulations as from the Departments of Social Development to funding allocations. The NLC wants to make a difference and Health, skills development grants from the to the lives of all South Africans, especially those more HWSETA and FP&M SETA, a vulnerable, and to improve the sustainability of beneficiary grant-in-aid, and regular donations from individuals, organisations. By placing emphasis on areas of greatest need trusts and foundations, and corporates. and potential, the NLC contributes to our country’s growth.

Memberships & Monetary Contributions Grant-makers, Trusts, Foundations & CSI Sponsorships & In-kind Contributions

Anonymous Donors • C M Abramowitz • B Alberts • V M Allison Far 27Four Investment Managers • Allan & Gill Gray Charitable Trust Aroma Drop-Inn Rosebank • Atlantic Oil • Aziza’s Food • Banks R & L F Amien • L Becker • J Betster • J Boese • C Bosch • P Boshoff AMSOL • Ann Kreitzer Will Trust • Anne Harris Children’s Charitable Hiring • Boston Breweries • Brian’s Racking & Shelving • Brightfields P Bosman • F Bozalek • J Bridget • C Burger • W Buys • Care Career Trust • Anglo American Chairman’s Fund • Astron Energy (Pty) Ltd Natural Trading Company • Cape Heritage Hotel • Cape Town & Connect • J Cooke • V Damster • G Damster • I Daniels • T du Toit Carl & Emily Fuchs Foundation • Carter Family Charitable Trust Suburban Clothing Guild • Cape Town Tourism • Caturra Africa S Ellis • ELRU Family • J Engelbrecht • Estate Late T A Gauntlett City of Cape Town • Clifford Harris Trust• Community Chest of Century City Properties Owners’ Association • Checkers • City of Cape D Fairhead • S Favit • E February • G Fester • Flanagan family the Western Cape • CTP Packaging • Dandelion Trust • David Graaff Town • Coca Cola Peninsula Beverages Company • Community Chest M Fredericks • A Fourie • E Fourie • N Funeka • D R Giles • Inner Foundation • David Stolper Foundation • Department of Health of the Western Cape • Core Catering CT • J Damster • M Daniels & the Wheel Club of Claremont • D Joubert • S Hadskins • E Harmer Department of Social Development • D G Murray Trust knitting ladies • Diel • Digital Express • E Kench • Elements Garden G Hastie • M Hewitt • D Keet • E Kench • D Kerby • T Kilshaw Din Din Trust • Douglas Jooste Trust • E R Tonneson Will Trust D Gardner • Genmatics • Green Scene • Cellar Tours H Kittmann • A Kosterman • E Krause • P Kuhn • V Lawton Foundation for Human Rights • F G Connock Charitable Trust Hellermann Tyton • Herold Gie Attorneys • Hewat Athletic Club • John C Lorenzi • D Lotz • B Malamoglou • R Marsh • R H McCready FP&M SETA • Frank Robb Charitable Trust • Grandslots Brown Media • Kayak CT • Kelvin Grove Club • Klein Constantia • Kyra MySchool Card • J Newmarch • P O’Connor • Oracle Academy Hangerman • HWSETA • Ian Dickie & Co. • J E T Lee Will Trust Foundation • Lewis Stores • Liberty Promenade • Linen Corporation House • A Paige • L Persse • J Peter • A Phaswana • N Philips Kurt & Joey Strauss Foundation • Lewis Stores • Lynette Croudace Mantelli’s • Marshall Hinds • Martin & East • Millenaar Architects Philwest Motors • The Poké Co. CT (Piers Rosholt & friends) Trust • Mary Oppenheimer & Daughters Foundation Neil Ellis Wines • Old Mutual • Office of the T Roos • Rotary Club of Claremont • SACAP • S Sherman Multikulturverein Völkverständigung • National Lotteries Premier Western Cape • On Course Communication • Optic Print J Simpas • SPAR DC • Springdale Primary • C & E Steyn • J Strydom Commission • Nedbank Foundation • Pamela Barlow Charitable Pacmar • PEAR Africa • Pick n Pay • Pinelands Presbyterian Church K B Sturgeon • S Sturgeon • Sygnia Asset Management • P Taberer Trust • Philip Schock Charitable & Educational Foundation Pioneer Foods • Planet Kids • Primedia • B Roland • Rhodes Food T Tickton • R Urson • B van der Berg • T Van der Heyden Polyoak Packaging • Rawbone Trust • Red Fibre • Rolf-Stephan Group • Sky Messaging • Sonnendal Dairies • Süpersonic • Sorbet D Van Zyl • J Viljoen • V3 Consulting Engineers • S Wagiet Nussbaum Foundation • St Ola’s Trust • Suzan Stehlik Charitable – • Standard Bank • The Foschini Group • The Nappy J Walters • I Watt • C Williams • P M Winter • Woolworths Financial Trust • Syringa Trust • The TK Foundation • T S Berwitz Will Warehouse • The Muize • Tytek Group • A Van Breda • Whale Watcher’s Services • M Wynne • Donations in memory of A Cockburn Trust • W R D Lewis Memorial Trust • Webber Wentzel Luxury Self-Catering Accommodation • Wynberg Boys’ High

9 FOR COMMUNITY-BASED LIVING Independent Living & Inclusion in the Community

rticle 19 of the United Nations Convention on Cape Mental Health first responded to the need for in quarterly residents’ meetings and representation at Athe Rights of Persons with Disabilities (UNCRPD) community-based living for persons with mental quarterly self-advocacy meetings and group homes holds State Parties to the Convention (of which disability in 1952, and currently provides Garden Cottage meeting coordinated by the Western Cape Forum for South Africa is one) responsible for ensuring that and Kimber House (which opened in 1985 and 1991 Intellectual Disability, Garden Cottage residents are the rights of persons with mental disability are respectively), accommodating a total of 19 residents. able to exercise self-advocacy in voicing their needs. protected: and this includes their right to live Most people with a mental disability rely on a modest monthly Kimber House (KH) offers a holistic residential independently, to be included in the community, disability grant (currently R1 780) as their sole income. Their programme for 11 men and women with a psychosocial and to be afforded a choice of services to support economic dependency and need for personal support or disability that aims to reduce relapses of persons their inclusion and participation in society. care thrust them into living arrangements that compromise and limit admissions to acute psychiatric services. Twenty-five years into democracy, millions of South or limit their independence and inclusion in the community. KH residents develop independent living skills through Africans are still denied the basic right to land and to Our two group homes follow a ‘recovery model’ that is inclusive decision-making in the running of the home, reasonable living conditions. It is unlikely, therefore, based on the principles of psychosocial rehabilitation and participation in monthly ’climate’ and support meetings, that the State and local government will be able to dedicated to achieving successful community integration and access to recreational, social and vocational adequately address the need for community-based, and satisfactory quality of life for our residents. opportunities. They are able to participate in monthly independent living for persons with mental disability. EXCO and General Meetings of the Cape Consumer Garden Cottage (GC) offers a comprehensive supervised Advocacy Body, CMH Self-advocacy meetings and It falls upon organisations like Cape Mental residential care programme for 8 women with intellectual other relevant advocacy liaison initiatives. Health to implement community-based living disability that is inclusive of all nutritional needs, that is aligned with the Integrated National and In recognition of the lived experience of the residents as physical health, social and recreational opportunities, Provincial Disability Strategies and properly mental health care users and their ability to make a valuable safety and security, life and work skills opportunities. managed as a key objective in the rehabilitation contribution to society, a resident from each of the group and integration of persons with mental disability. The GC programme involves residents in decision-making homes has been trained as a peer supporter to provide in the home and integrates its residents into family help and support to service users within a structured and community life where appropriate. By participating and carefully managed peer support programme. “Community living and participation means being able to live where and with whom you choose; work and earn a living wage; participate in meaningful community Garden Cottage for women with intellectual disability activities based on personal interests; have relationships with friends, family 24-hour Individual Vocational and significant others; be physically and supervised Development skills training living Plans at TWU emotionally healthy; be able to worship Greatest Life Skills Socialisation, Self- Enhanced where and with whom you choose (if Structure & level of Training & integration & advocacy mental health stability independence Psycho- access to & peer & overall desired); have opportunities to learn, grow Supported Comprehensive possible education Vocational community support well-being and make informed choices; and carry out living & Care Plans, resources skills training after-hours Medic Alert & responsibilities of citizenship such as paying at Fountain telephonic Adherence House taxes and voting”. support Support AAIDD (American Association for Intellectual and Developmental Disabilities) Kimber House for residents with psychosocial disability

10 FOR COMMUNITY-BASED PSR Psychosocial Rehabilitation

ape Mental Health’s community-based Fountain House (SA) is a voluntary person-centred The Rainbow Foundation psychosocial support Cpsychosocial programmes provide a vital service community-based mental health programme, groups have been an important component of our in the holistic rehabilitation of more than 1000 based on the international Fountain House PSR strategy since being formalised in 1995. Regular service users annually. Of huge concern is that clubhouse model and the only specialised service attendance of 26 community-based support groups the new Community-Oriented Primary Care (COPC) of its kind in South Africa. Our day programme in meeting weekly across the greater Cape Town area model may be regarded as an adequate service to Observatory started in 1986 with 27 members as a helped 326 persons in the past year to manage their persons with psychosocial disability and will impact social support centre for people with psychosocial symptoms and improve their functioning in the key on the continued funding that our community- disability. A graded continuum of care, training life areas of living, learning, working and socialising. based PSR Support Groups programme receives and support options now reaches 617 members The programme offers skills training, psycho-education, from the Department of Health as a specialised at our two centres in Observatory and Mitchells craft activities and social events, and fosters a sense supplementary service to the COPC service. Plain (the latter opened officially in November 2018 of belonging and community inclusion. Empowerment in partnership with the Department of Health, The Department of Health has decided to include of group members was high on the agenda with 20 Klipfontein and Structure). mental health support under the umbrella of group leaders benefiting from 12 training sessions in chronic diseases or conditions, based on the Fountain House uses psychosocial rehabilitation peer support and self-advocacy and the provision of premise that primary health care will be able to principles to provide holistic rehabilitation, operational manuals to assist with group facilitation. primary care and support for its members and provide a comprehensive service that will meet the All our PSR programmes facilitate peer-driven activities contributes to service transformation priorities in psychosocial rehabilitation needs of persons with including mental health promotional activities, that it prevents rehospitalisation and relapses and psychosocial disabilities (alongside the treatment sharing of recovery stories and peer orientation ensures that persons with psychosocial disability provided to patients with conditions such as diabetes, to the programme (through a buddy system). hypertension, HIV/AIDS and TB, for instance). have the opportunity to live in the community. PSR is a cost-effective and replicable model of The programme offers life skills, crisis care It is unlikely, however, that primary health care service delivery, facilitating recovery in people management, psycho-education, skills development, workers will have the time, designated focus, expert with psychosocial disability and offering a solution vocational enrichment activities through on-the- training, qualifications and experience, to provide the to the mental health care gap in under-resourced job training, as well as socialisation and recreational rehabilitation and level of support needed by service communities. The value of this recovery model has activities. Various work placements for 68 members users to ensure their wellness and recovery and to been recognised by The Nedbank Foundation who has included permanent employment with the necessary prevent rehospitalisation and institutionalisation. provided substantial funding for our PSR continuum of support as reasonable accommodation, transitional Ultimately this new model on its own without a services and by the Department of Social Development employment placements (TEP), Learnerships, referral pathway to a specialised community- who initiated 7 PSR groups in the Eden Karoo as a Internships, Further Education and Training based mental health service such as our result of task-shifting training provided by CMH. opportunities and volunteerism, enabling them to gain PSR support groups may, in the long term, work experience and improve their employability. prove to be an inadequate, inappropriate and economically unsustainable solution to Fountain House members also drive the Cape community-based mental health care, resulting Consumer Advocacy Body (CCAB) – supported in devastating consequences for the recovery by FH staff – providing opportunities for 322 journey of service users, untold suffering for members this past year to advocate and Improved lobby for equal access to human rights. Personal Community them and their families and even loss of life. Quality Recovery Integration of Life FOR RURAL MENTAL HEALTH Rural Service Expansion

ural mental health is not well integrated Cape Mental Health’s current multi-year strategy for the Telephonic conferences twice a year play a vital role in Rinto rural health care in South Africa and period 2018-2021, themed ‘Beyond 100 Years of Service keeping partners informed and ensuring that our strategy the provision of mental health services, Excellence’, has taken us through a phase of ‘disruptive maintains momentum and achieves maximum impact. as described by Dr Ingrid Daniels at a rural thinking’ in which we have challenged the status quo of The Strategic Operations plan of Cape Mental Health is conference in 2014, is fragmented, limited or non- mental health service delivery in the Eden Karoo and implemented through the Strategic Operations Committee existent’, particularly in remote rural areas. worked closely with our Eden Karoo partners to address (SOC) that meets monthly, and through its four working the ‘gap’ in mental health service delivery. Community-based service providers carry the SOC hubs, viz. Referrals Pathway, Training, Mental Health burden of providing mental health care in rural Our rural partners in the Eden Karoo Intersectoral Promotion, and Advocacy and Self-Advocacy that draw areas to about half of our country’s population Task Team have included the Department of Social members from across the organisation’s various projects but are poorly equipped to meet this challenge. Development (DoSD), the Department of Health, MEND and programmes. (Mental Health Education and Networking Drive), and Task-shifting offers a cost-effective and sustainable Working in synergy and complementing one another, Uhambo Foundation (a training service provider in the solution to mental health service delivery that the hubs were able to action the following: does not rely entirely on specialists (psychiatrists, disability sector), to implement an integrated high- psychologists, clinicians, social workers, and nurses) level plan for upscaling of mental health services. The • Research the 7 Eden Karoo districts of Kannaland, George, but harnesses the potential of non-specialist health SA Police Services is the newest member to join the Bitou, Oudtshoorn, Beaufort West, Mossel Bay and care workers (such as community health workers, Intersectoral Task Team, a most welcome addition to the Hessequa to assess and verify resources and develop user- traditional healers, and spiritual healers) to provide multi-sectoral partnership. friendly Mental Health Referral Pathways for each district. services under the supervision of specialists. The challenge to our government is to recognise that treating persons with a mental disability through a bio-psychosocial intervention (focusing on medication and psychosocial rehabilitation) offers a better prognosis for recovery and sustained mental health and is more cost-effective in the Referral Mental Health long run than the cost of mental illness going Pathways Awareness &

untreated or, indeed, hospitalisation without a Promotion Task-shifting continuum of care provided for service users on being discharged into the care of the community. Training Self-Advocacy The task-shifting model adopted by Cape Mental Health in the Eden Karoo offers a critical mechanism to shift knowledge to non-specialist health

workers, social workers, and other stakeholders, hubs working Four and to upscale mental health service delivery. Strengthening referral Active engagement & connections/resources delivery of mental health Training participants are empowered to intervene awareness & promotion appropriately and timeously when dealing with Training of social workers, Establishing self-advocacy groups, persons with mental disability, whilst a multi-sectoral nurses and non-specialists piloting PSR, Advocacy & Support approach ensures that mental health care receives (health workers & others) Workshop Toolkit, Peer interventions the buy-in and coordinated response that it deserves.

12 “I would like to extend a word of immense gratitude to you [René Minnies] and Anna-Beth [Aylward] for the training presented in the Eden Karoo Region. What an “inspiring experience! Your enthusiasm and energy are contagious and much needed in this programme. Thanks for the practical inputs and tools that equipped and empowered our staff component. The training will definitely enable us to render an efficient service to persons with disabilities especially those with mental disabilities.”

Adri Petersen Department of Social Development

• Develop training materials and a PSR Toolkit and Training • Start a WhatsApp group and an email support line On the domestic front, we are committed to involving all Manual that covers the following areas: Understanding for group facilitators, as well as a quarterly Skype CMH staff as far as possible in our strategic operations plan Disability; Disability Inclusion; The PSR Philosophy; Advocacy meeting with the DoSD. and we therefore provide regular feedback to staff at staff Group Work, and the Development of Support Groups. and project meetings. • Develop a PSR Group Activity newsletter in • Present 2 two-day workshops in June 2018 for a total to support group activities and issue the Our 2018/19 strategic plan culminated in an organisational Strategic Planning Workshop in June 2019 that celebrated of 41 social workers from the DoSD and MEND on how first activity sheet on the making of paper beads. to run psychosocial rehabilitation (PSR) support groups: our achievements and explored the way forward. • Engage actively in mental health awareness and the workshop in Oudtshoorn drew participants from There is still much for us to do, however, to narrow the promotion through the media (specifically the Oudtshoorn, Kannaland, Beaufort-West, Murraysburg, mental health service delivery gap in the Eden Karoo. Prince Albert and Laingsburg, and participants from George Herald and Eden FM 93,8) to promote the We need to deepen collaborative partnerships with Mossel Bay, Hessequa, George, Bitou, Knysna and the PSR groups and raise awareness of accessing government stakeholders, hold the Provincial Department George Regional Office attended the George workshop. these services. of Health accountable to implement the National Mental • Provide each district with a carefully packaged PSR • Offer a dedicated telepsychiatry hotline Health Policy Framework Strategic Plan 2013-2020, call for mental health to be prioritised within the National ‘starter kit’ in a blue bucket to equip social workers and and email address staffed by CMH 3 social Health Insurance (NHI) plans and deliverables, and ensure social auxiliary workers with the tools needed to start up workers to offer professionals, especially social that self-advocacy and peer support become central and run community-based groups. workers, with immediate and expert guidance to treatment interventions. • Serve as a catalyst for the successful launch by the in case management of service users with a DoSD of 7 new PSR support groups in Van Wyksdorp, mental disability. Without adequate funding and willing Oudtshoorn, Laingsburg, Murraysburg, Kannaland, and • Update the Referral Pathways to include the implementation partners, mental health service George (the latter has two groups), reaching 98 direct 7 PSR support groups that started as a result users will remain amongst the most underserved beneficiaries and 392 indirect beneficiaries. of our training. and marginalised of people.

13 FOR SERVICE USER EMPOWERMENT Self-advocacy & Peer Support

ervice users should be major role-players Advocacy Initiatives within CMH CMH started an Advocates’ Pressure Group that meets in matters that concern their well- monthly with representatives from both users with S Our PSR staff supports the Cape Consumer Advocacy being, in accordance with the slogan of the psychosocial disability and those with intellectual disability. Body (CCAB) that operates under the auspices of CMH and is disability rights movement in South Africa, Attendees include 6 service users and their supporters from managed by a committee of service users elected by service viz. ‘Nothing about us without us’. TWU, and 6 members from CCAB. This provides service users users. CCAB facilitates psycho-education for its members and with a forum to participate in advocacy initiatives relating Self-advocacy is embedded in CMH’s various educates the public about the rights and responsibilities of to current issues such as disclosure of one’s disability, social programmes and projects and this past year we persons with psychosocial disability (as set out in the Mental security grants, voting rights, discrimination, violations of have taken this to a new level, piloting initiatives Health Care Act, Act 17 of 2002). It aims to reduce stigma human rights, safety, awareness-raising and training. such as a TWU Women’s Committee, an Advocates’ through awareness campaigns in broadcast and printed Pressure Group, a Self-Advocacy Hub, Voter media, and addresses any form of discrimination and unjust Self-Advocacy Hub meetings occur every second month, Education, a Self-Advocacy Exchange Programme, practice. CCAB networks with local and national mental where a brief overview is given on the issues discussed Peer Support, Mental Health Advocacy Officers, and health consumer bodies and represents consumers at several by the pressure group and how they would like the hub the development of an Easy-to-Read programme national forums and liaison meetings, including the board of members to address those issues. Meetings are attended to empower service users with low literacy levels. Cape Mental Health, the Facilities Board by 2 CMH board members representing TWU and CCAB and the South African Federation for Mental Health (SAFMH). (along with a supporter), the two managers of PSR and All Training Workshops Unlimited (TWU) programmes TWU respectively, and a CMH deputy director. The service and activities are designed and implemented to meet users in the hub require minimal support and are also the specific needs of trainees in the range of severe to given the opportunity to empower other service users. borderline intellectual disability. TWU trainees are elected Persons with a mental disability face significant challenges to participate in the advocacy-based TWU Trainee in asserting their constitutionally entitled rights — and this Committee where issues arising at workshop level are raised includes the right to vote. CMH supports the belief that, at monthly meetings held at each of the 4 workshops. The with voter education and reasonable accommodation as respective chairpersons then report to a quarterly Trainee required, service users are capable of making informed Council meeting attended by the four chairpersons, the decisions. In the light of the May 2019 South African TWU General Manager and the chairpersons’ supporters general elections, Fountain House prepared members (staff members). The Trainee Council chairperson, in turn, to enjoy their right to vote (especially as many had never “As a self-advocate and an advocate for reports to the CMH board and also participates at national voted before), by organising a session with the Electoral persons living with intellectual disability, I level through SAMHAM (the South African Mental Health Commission (IEC) with a mock voting process. Various believe that – despite my disability – I have a Advocacy Movement) of the SAFMH to drive advocacy political parties were also invited to share their mental voice that needs to be heard to ensure that and raise awareness of stigma and discrimination. health manifestos and explain what those parties intended my rights and those living with intellectual The newly formed TWU Women’s Committee is a doing for persons with disabilities. At TWU, a job coach disability are protected and respected. Too platform for representatives with intellectual disability to trained members of the training committee on the voting often we are ignored and excluded and left speak on behalf of all women attending our workshops, process, adopting a step-by-step procedure to familiarise behind, while others make decisions for us.” raising awareness about their rights and addressing their them with the process. A mock voting procedure provided Siphamandla Matiwane Chairperson of the TWU Trainee Council, needs. The chairperson of the committee also attends practical experience and culminated in the counting of CMH board member and newly appointed advocacy officer Trainee Council meetings to represent the women. votes and the announcement of successful candidates.

14 Self-advocacy Exchange Programme An application to ENGAGEMENT GLOBAL gGmbH for a self-advocacy exchange programme resulted in funding awarded by the Federal Ministry for Economic Cooperation and Development in under the “weltwärts extracurricular exchange projects in the context of Agenda 2030”. This facilitated two three-week exchange programmes of persons with Easy to Read (ETR) intellectual disability between South Africa and Germany in order to promote networks that would strengthen self-advocacy within governance structures. Two CMH service-providers, viz. Gabriel Lekeur and Shavonne Samaai (previously ervice users with intellectual disability TWU trainees and currently employed by CMH head office and TWU respectively), Shave the right to access information participated in the South-North exchange in July 2018, accompanied and that is easy to read and comprehensible, supported by CMH staff members and self-advocate supporters Thomas empowering them to learn and make their Bezuidenhout and Carol Bosch. Subsequently, two German self-advocacy own decisions. The investment of funding exchange delegates along with their supporters visited South Africa in by AMSOL enabled TWU to commission our September/October 2018 on the North-South Exchange leg and enjoyed a full Learning for Life programme to develop and exciting programme. the first Easy-to-Read programme and dictionary of terms/pictures in South Africa. The outcomes of the exchange programme included, amongst others, the roll-out of a Peer Support programme for service users with intellectual disability and the The ETR task team consists of senior development and piloting of the Easy-to-Read programme in South Africa. management as well as the ETR project manager, relevant project managers votes on a selection of images for Peer Support and staff, an independent contractor, each word to choose the best one and a committee of members with to feature in the ETR dictionary. Two CMH has piloted a peer support programme across the organisation to equip intellectual disability carefully selected translators are translating the words persons with mental disability with the knowledge and know-how to offer support as proofreaders. The training of the into Afrikaans and isiXhosa as the and help to other service users, strengthened by the HWSETA intern. Ten service proofreaders and their supporters took words and symbols are voted in. users (5 with psychosocial disability and 5 with intellectual disability) were trained place in January 2019 in order to orientate by our Learning for Life programme in various aspects of lay counselling and peer them to the ETR project goals and prepare All agendas, minutes of meetings, and support, and professional staff at CMH were assigned to these peer supporters as them for their roles and responsibilities. other relevant documents at CMH will mentors and to provide debriefing as required. A leading proof-reader is Gabriel Lekeur be written in ETR in future and will be proofread by at least one person who has been a vocal advocate for the with intellectual disability who has Mental Health Advocacy Officers Easy-to-Read programme since being read and understood the information exposed to this programme in Germany. The role of the person with lived experience is key to the successful expansion of (in line with the criteria of ETR Europe mental health care services. CMH has harnessed this resource by employing 12 The aim is to compile a dictionary of 500 to qualify as an ETR document). This mental health advocacy officers (all former service users with either intellectual words covering 7 selected categories programme will be rolled-out across or psychosocial disability) on a 12-month internship from 1 June 2019. They of words chosen by the proof-reading CMH with the phased-in training of all will assist with mental health promotion, peer support, raising the profile of our committee that relate to everyday life and key staff to ensure they know how to advocacy strategy and providing quality assurance of CMH’s services. the work environment. The committee write in ETR and use the ETR dictionary.

15 FOR ACCESS TO JUSTICE Psycho-legal Services FOR THE RIGHT TO EDUCATION

ccording to Africa Check’s Fact Sheet on South Since 1990 SAVE has been the only dedicated service n November 2010 the High Court of South Africa AAfrica’s crime statistics released by the S A of its kind in Africa. Now known as the Access to Iin the Western Cape ruled that the State should Police Services, the statistics for sexual offences Justice programme, it has extended its reach from a take reasonable measures to ensure that “every and rape continue to rise. It is impossible to source sole focus on complainants with intellectual disability child in the Western Cape who is severely and an accurate measure of rape statistics of persons to include clients with psychosocial disability. profoundly intellectually disabled has affordable with mental disability, but our understanding is access to a basic education of an adequate quality”. This past year we provided 102 victims with psychometric that the number of unreported cases is very high and that relatively few cases proceed to court. and psychosocial assessments and received 67 More than 8 years since the High Court ruling, subpoenas for our psychologists to provide expert CMH continues to face challenges in employing The White Paper on the Rights of Persons with witness. Social workers offered court preparation and ‘adequate’ staff, with ‘adequate’ facilities and Disabilities acknowledges that the SA Police Services support to 239 complainants and their families. We also ‘adequate’ transport for our learners. Funding do not have the required disability-service skills and trained a total of 24 Legal Aid lawyers and FCS officers, from the Department of Health, the Department are reluctant to respond to complaints involving and liaised with the Victim Empowerment Programme of Social Development (DoSD), the National persons with intellectual disability (Department of of the DoSD and the oversight committees at the Lotteries Commission, the City of Cape Town, Social Development, 2016). Our systems are failing Wynberg, Cape Town and Parow Magistrates’ Courts and various trusts and foundations including the these victims who are ‘easy prey’ for sexual predators to improve communication among role players. Suzan Stehlik Charitable Trust, has ensured the and generally regarded as unreliable witnesses. survival of our Special Education and Care centres Despite the endorsement of the National Department In April 2013 the Cabinet of South Africa of Social Development and the National Prosecuting in Khayelitsha, Heideveld and Mitchells Plain for recommended that CMH’s Sexual Abuse Victim Authority, and funding partnerships with the DoSD in children with severe and profound intellectual Empowerment (SAVE) programme be integrated the Western Cape, the Mary Oppenheimer & Daughters disability (CSPID). Yet our reality still falls far into the public sector gender-based violence Foundation and Webber Wentzel, barriers remain to short of the vision of the High Court ruling. intervention system. Winner of a Zero Project 2015 the replication of this best practice response to cases The Department of Education has received part Innovative Practice Award, SAVE was also mentioned of sexual assault of persons with mental disability. in the Convention on the Rights of Persons with of a conditional grant from National Treasury that Disabilities (CRPD) Country Report Presentation will be used to appoint 2 additional CSPID teams and prepare Special Schools through training and to the Joint Select and Portfolio Committee as The 2017-2018 annual report of the Judicial capacity building to accommodate CSPID in the longer a model that should be replicated nationally. Inspectorate for Correctional Services (ICS) shows that suicide by mentally ill patients has term. The SECCs (run by NPOs such as CMH) received The time has come for our Access to Justice increased in correctional centres across the training kits, but no funding towards operational programme to be available countrywide to offer country. Justice has clearly not been realised costs. The DoSD launched a transport pilot for healing for victims and to successfully convict for the many inmates with mental illness who selected centres to receive 1 of 8 refurbished buses perpetrators in terms of the Sexual Offences Act are incarcerated with other inmates because over a 3-year period and cover transport costs to of 2007. Extensive training is needed among public of long waiting lists and overcrowding in the value of over R1 million per centre with the view prosecutors and the Family Violence, Child Protection state mental facilities. Inspector Judge Johan to rolling out this initiative beyond the pilot phase. and Sexual Offences (FCS) Units of the SAPS in van der Westhuizen of the ICS has called dealing with complainants with mental disability; for “a well-coordinated process involving all CMH remains concerned at the slow pace of training and support should also be available to role players, from social workers to judges, implementation of the High Court ruling and that stakeholders in the solution and methodology from the time of arrest up to the time of another generation of learners with SPID in South offered by CMH’s psycho-legal programme. release”, in order to address this situation. Africa will be denied access to quality education.

16 TO BREAK THE STIGMA Mental Health Awareness & Promotion

ith one in four persons globally experiencing Our Social Work Department offered CMH conducted three campaigns Wa mental health disorder at some point schools’ intervention programmes during the year focusing on the in their lives, the issue of mental illness is at 12 schools in under-resourced rights of persons with psychosocial universally relevant. According to the World communities, reaching 1 175 learners disability to access integrated and Health Organization (WHO), stigma, discrimination, in mainstream and LSEN (learners with upscaled community-based mental and neglect prevent people with mental health special educational needs) schools, health services, the importance of conditions from accessing care and treatment. in order to foster positive lifestyle mental health in the workplace, and choices and good mental health. Our the right to employment for persons We see the consequences of inadequate mental MindMatters programme continued with intellectual disability. We reached health care in our schools, in the workplace, providing a comprehensive school- 3 802 084 people through radio, in primary health care services and state based programme targeting 1 764 television and newspaper, information institutions — including prisons. The impact of learners (and their educators) at two tables, and distribution of information depression and other mental health disorders is participating schools in the South and posts on social media. The evident in all sectors of society, but especially in Peninsula in order to build resilience October Mental Health Campaign vulnerable groups such as children and youth. and connectedness. Through a ’whole complemented our #RiseUpAndFly The theme for World Mental Health Day on 10 school’ approach, we engage with campaign for the 24th Cape Town October focused on “Young People and Mental school communities to promote early International Kite Festival. The two-day Health in a Changing World”. Our youth are intervention and prevention of mental event, Africa’s biggest kite festival, was vulnerable, especially in communities where health conditions, and to save lives preceded by 3 pre-festival community social injustice, civil unrest, and exposure to through knowledge and support. The ‘fly’s’ in Heideveld, Khayelitsha and violence, bullying, and cyber-bullying are rife. Department of Education needs to Mitchells Plain. The media campaign Research has shown that in the 15-24 age group, invest in mental health services in reached 3 782 154 people, raising suicide is the fastest-growing cause of death all schools and tertiary institutions, awareness of mental health and and responsible for 9% of all teen deaths. however, if we are to see any large-scale promoting CMH’s community- shift in the well-being of our youth. based mental health services. The best way of combatting ignorance, stigma, and prejudice is through increasing awareness and knowledge of mental health conditions.

Pheiffer Komber of Dance Alive dances for joy at the Cape Town International Kite Festival (right). Photograph: Brenton Geach

The infographic (far right) was developed by CMH and funded by the Nedbank Foundation in support of the October Mental Health Awareness Campaign 2018.

17 CMH Staff Snapshot as at 31 March 2019

The Administration, Donor Pumza Mbanzi • Deslynn Nel • Zimbini Ogle Special Education & Care Centres (SECCS) General Manager Development, and Finance Shamila Ownhouse • Kulthum Roopen including Erika, Heideveld & Thomas Bezuidenhout Departments; Social Development Mastura Salasa-Schaffers • Andreas Selela Manager Services; Corporate Social Work; Nokuthula Shabalala • Kayzhan Simons Staff Mpilo Khumalo Garden Cottage; Learning for Life; Kim Simpson • Philasande Sithole Rezaana Abrahams • Germaine Baartman Mindmatters SA; Access To Justice; Teri-Sue Smith • Labeequah Spocter Staff Faisal Bawa • Monica Chauke Public Relations & Communication Sarah Jessica Strachan Alvin Cloete • Gwendoline Daniels Cleo Abrahams • Ernest Beja • Esmé Sullivan • Phelokazi Tshemese Nolani Bogacwi • Bathabile Bomvana Faith de Klerk Bridgette English Senior Management Yolanda van Rooyen (Intern HR Officer) Xoliswa Buqa • Thomazile Dali Namhla Finini • Aubrey Fortune • Keith Ganga Dr Ingrid Daniels (Director) Khusela Veleko • Clara Dybbroe Viltoft Nomawethu Dotwana • Danielle Johnson Pauline Groepes • Angeline Hansen Santie Terreblanche (Deputy Director) Jenny Walters • Chesna Zietsman Zaakierah Johnson • Faith Jones Samantha Hendricks • Chantal Hess Carol Bosch (Deputy Director) Shaunay Karriem • Sherlane Labans Joan Jansen • Russell Jones • Faizel Karaan

Brigitte van der Berg (Management Secretary) René Maarman • Thami Majodina Tebatso Khotloko • Onwaba Kula Psychosocial Rehabilitation (PSR) Boniswa Makana • Prince Mdazuka Evelyn Lakay • Claudette Louw Managers including Fountain House SA Ruwayda Meyer • Nomakwezi Mhlawuli Doreen Mabongo • Nontyatyambo Makendlana Jennifer Bester (Social Work) (Observatory and Mitchell’s Plain), the Phindeka Mini • Margaret Molefe Thebakaza Manono • Bukelwa Mbaphantsi Nazley Morta • Nombongo Mpateni Willemien Buys (Administration) Rainbow Foundation and Kimber House Simon Mngomeni • Monika Moleleki Taryn du Toit (Learning for Life) Nontando Mpofu • Zoleka Nongawuza Mpontsheng Msila • Sandra Nicolaai Sandra Ellis (Donor Development) Managers Wendy Ntantiso • Vuyiswa Ntoni Colleen October • Izolda Oosterwyk Insauf Parker • Thandeka Qaungule Wasima Fisher (Access to Justice) Anna-Beth Aylward (Rainbow Foundation) Sonia Peters • Zanokhanyo Qengwa Jamie-Lee Shears • Steven Smith • Stuwart Musekiwa (Finance) (Fountain House SA) Lloyd Rhoda Shavonne Samaai René Minnies Bukelwa Sombo • Kutala Soqaga Dylan Oktober (PR & Communications) Elanza Skippers • Chantal Stemmet Ingrid Williams • Zingisa Venfolo Haseena Parker (Social Work) Staff Nobesuthu Titise • Portia Toso Farren van Rhyn • Vanessa Vorster Colleen Bloemstein • Claudia Cogill Staff Faldelah Fillander • Bukiwe Fosi Training Workshops Unlimited (TWU) Christopher Adonis • Tamaryn Angel Nkosinathi Gungqisa (HWSETA Peer Support including Training Workshops in Ra’eesah Arendse • Shamilah Cassiem Coordinator) • Henriette Jafta Athlone, Mitchell’s Plain, Retreat and Wayne Cloete • Greg Damster Andiswa Mananga • Nondibane Mdyidwa Khayelitsha (Nonceba), Garden Pot Tasneema Davids • Feroza de Leeuw Talita Mqhayi • Nocawe Mxobo Centre, Siyakwazi Integration Company, Ntombentle Dlokovu • Ferial Edwards Ashley Petersen • Lael Samuels Eco-Carwash Solutions, and the Eagles Yvonne Foster • Nkosinathi Gungqisa Danielle Wassung • Kim Windell Project (Athlone and Mitchell’s Plain) Karen Hans • Gaynor Heneke Jeanine Hundermark • Fatiema Ismail Farenaaz Jacobs • Jeffeynore Jordaan Cecilia Jackson (CJ) spent 26 years at TWU nurturing trainees and colleagues Rafiq Kamaldien• Gabriel Lekeur alike. Assertive and strong, the life of the party, mother figure for many and friend Musiegh Madatt • Thobeka Mafilika-Mapuko to all, her passing in 2018 at the age of 62 left a void no-one can fill. We remember Cindy Manho • Wanda Mangolwane her advice: “Skat [dear], life will knock you down, but you have to fight back.” Susan Manson • Jonathan Manuel

18 CMH Employee of Human Resources 2018-2019 the Year 2018 159 Employees 13 Board Members Gender

Brigitte van der Berg was recognised as Employee of the Year 2018 22% 78% 46% 54% by the CMH Rewards and 35 124 6 7 Recognition Committee for her exceptional work as Management Secretary. 32% African (51) 31% African (4) Population 57% Coloured (91)

3% Indian (4) 31% Coloured (4) 7% White (11) 38% White (5) rigitte ensures that the office of the organisation. She is highly respected within 1% Other (2) Bdirector runs like a well-oiled machine, the organisation by her colleagues, the CMH which enables the director to operate at board, the public, and other stakeholders, for Disabilities the highest level required to efficiently and her work ethic, skills, and professionalism. effectively run a large NGO. This allows the She performs her duties with dedication and in great detail with respect to deadlines. 9% 31% director to delegate responsibilities to her, 14 4 (2 Consumer knowing it will be executed with excellence She facilitates the smooth running of Reps) and within the required time frame. She the monitoring and evaluation meetings is the ‘face’ and ‘voice’ of the director’s with government departments by office and an excellent ambassador preparing the resource room with all for the organisation. She is truly the the required logistics, documents, and director’s right hand and a resource and records. Her knowledge of our policies and assistant to the deputies and managers. procedures enables staff to access the 521 Volunteers = 1 500 working days necessary documentation and records. Brigitte manages the director’s office with discretion, excellence, and the utmost Brigitte contributes to the CMH brand Majority women; Ages 18 – 91; From 11 countries (South Africa, Canada, Denmark, DRC, confidentiality, even though she has access excellence in everything she does and Germany, Mauritius, the Netherlands, the Philippines, , USA & ) to information at the highest level of the is a worthy recipient of this award.

19 Contact Us Credits We urge people to become mental Cape Mental Health We gratefully acknowledge Reg. No. 003-264 NPO the contributions of: health advocates PBO Ref. No. 30004456 Ingrid Daniels, CMH Director in attitude, word, Section 18A Approved Santie Terreblanche B-BBEE Certified CMH Deputy Director and deed. EEA Compliant Carol Bosch, CMH Deputy Director 22 Ivy Street Sandra Ellis, CMH Donor Development Observatory 7925 Manager/Author and Editor Dylan Oktober, CMH PR & Private Bag X7 Communications Manager Observatory 7935 CMH managers and staff South Africa who contributed information and photographs T +27 21 447 9040 F +27 21 448 8475 Sulize Terreblanche Photographer and Videographer [email protected] Natalie Nolte, Graphic Designer www.capementalhealth.co.za www.natalienolte.com

Facebook @capementalhealth Facebook @CTKiteFest Instagram @capementalhealth CMH is a level one B-BBEE Instagram @CTKiteFest contributor (135% B-BBEE Twitter @CMH_NGO procurement recognition level). Twitter @CTKiteFest The 2018/2019 CMH annual report #LetHopeFly & audited financial statements #CTKiteFest2019 are available on request.