EFFECTS OF COMMUNITY PARTICIPATION CARE FOR CHRONIC PSYCHIATRIC PATIENTS IN THE NEW NORMAL ON THE RELAPSE OF PEOPLE WITH SCHIZOPHRENIA
Keywords:
Community participation, Persons with Schizophrenia, Relapse Rate, New Normal, Appointment AttendanceAbstract
Relapse in people with schizophrenia affects the patients themselves, their families, and their communities. Community-based care for psychiatric patients is crucial. The objective of this quasi-experimental research was to compare the relapse rate in people with schizophrenia and their appointment attendance rates before and after receiving the community participation care under the New Normal. The sample comprised the dyad of 35 people with schizophrenia and their 35 caregivers, and 15 village health volunteers, 10 village chiefs, one police officer, and one local government officer. This research used the community participation framework. Research instruments were the Family Caregiving Program and the Community Mental Health of Caring for Risky Chronic Manual. Data were analyzed using percentage, mean, standard deviation, and Paired-Samples t-tests.
The results revealed that: 1) the relapse rate after acquiring community participation care under the New Normal showed a statistically significant decrease compared with before (p<.05), and 2) the patient appointment attendance rate after receiving community participation care under the New Normal showed a statistically significant increase compared with before (p<.05). This program can be used for other communities for planning the community participation care for people with schizophrenia to prevent relapse continueingly.
References
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Fifth Edition. American Psychiatric Association, Pub - lishing: VA. https://doi.org/10.1176/appi.books.9780890425596
Anderson, C.M., Hogarty G.E., & Reiss D.J. (1980). Family treatment of adult schizophrenic patients: A Psycheducation approach. Schizophrenic Bulletin, 6(3), 490-505. https://doi.org/10.1093/schbul/6.3.490
Butthayothi, N. (2021). Process of the relapse prevention by community participation with multidisciplinary team for schizophrenic patients at Kosumphisai Hospital, Mahasarakham District, Mahasarakham Province. Academic Journal of Mahasarakham Provincial Public Health Office, 5(9), 77-88. https://thaidj.org/index.php/AJMP/article/view/9964
Choorat, N. (2016). The Study of Causes and Ways to Prevent a Recurrence of Schizophrenic Patients in The Community of Pi-leng District Health Care Promoting Hospitals which Experiencing Unrest Situation in the Southern Provinces of Thailand. Princess of Naradhiwas University Journal of Humanities and Social Sciences, 3(1), 24-36. https://li01.tci-thaijo.org/index.php/pnujr/article/view/243715
Cohen, J.M. & Uphoff, N.T. (1980). Participation’s place in rural development: Seeking clarity through specificity. World Development, 8(3), 213-235. https://doi.org/10.1016/0305-750X(80)90011-X
Department of Disease Control Ministry of Public Health. (2021). Reports on the COVID-19 Outbreak Situation. Department of Disease Control Ministry of Public Health, 50(3), 268-277. https://www.ph.mahidol.ac.th/thjph/journal/50_3/00.pdf
Department of Mental Health Ministry of Public Health. (2016). A Manual of Caring for Risky Chronic Mental Illness Patients in the Community for Primary Care Providers. Sangjan Printing Co., Ltd. 188/4-5 Soi Sangjan 67Charoen Krung Road Yan Nawa Subdistrict Sathon District Bangkok. https://shorturl.asia/2mPWS
Department of Mental Health. (2015-2016). Mental Health Department Policy of the Year 2015-2016. Available at: https://www.gov.uk/government/publications/monitoring-the-mental-health-act-2015-to-2016./ [Accessed on March 25, 2020]. https://assets.publishing.service.gov.uk/media/5a748df2ed915d0e8e3991f8/CQC_MHA_2015-2016_a.pdf
Dumrak, P., Wangtong, A., & Wangtong, A. (2014). Community Participation in Caring of Complex Chronic Schizophrenia Parients in Nongjik, Pattani Province. Journal of the Association of Researchers, 19(2), 92-103. https://so04.tci-thaijo.org/index.php/jar/article/view/241140/164110
Jaramillo-Gonzalez, L.E., Sanchez-Pedraza, R., & Herazo, M.I. (2014). The frequency of rehospitalization and associated factors in Colombian psychiatric patients: a cohort study. BMC Psychiatry, 2(14), 161. https://doi.org/10.1186/1471-244X-14-161
Mueser, K.T. & McGurk, S. (2004). Schizophrenia. The Lancet, 363(9426), 2063-2207. https://www.scirp.org/reference/ReferencesPapers?ReferenceID=1164979
Polit, D.F., & Hungler, B.P. (1999). Nursing Research: Principles and Methods. 6th Edition, Lippincott Williams & Wilkins, Philadelphia, PA. https://www.scirp.org/reference/referencespapers?referenceid=2591338
Seangpro, M.D. (2021). Developing care model for readmitted psychiatric patients with community participation. Medical Journal Of Srisaket Surin Buriram Hospitals, 36(2), 413-426. https://he02.tci-thaijo.org/index.php/MJSSBH/article/view/252861/172040
Shao, W.C., Chen, H., Chang, Y.F., Lin, W.C., & Lin, E.C.L. (2013). The relationship between medication adherence and rehospitalization: A prospective study of schizophrenia patients discharge from psychiatric acute wards. Hu Li Za Zhi, 60(5), 31-40. https://doi:10.6224/JN.60.5.31 https://pubmed.ncbi.nlm.nih.gov/24096463/
Stithyudhakarn, S., Yunibhand, J., & Phaokuntarakorn, W. (2021). The Effects of a Self-Management Program Organized with Families on Psychotic Symptoms in People with Chronic Schizophrenia in the Outpatient Department of Somdet Chaopraya Institute of Psychiatry. Royal Thai Navy Medical Journal, 48(1), 1-22. https://he01.tci-thaijo.org/index.php/nmdjournal/article/view/246132
Sungkate, C., Lapha, R., & Machara, S. (2021). Effects of Discharge Planning Program with Caregive Participation among Patients with Psychosis of In-patient Department Udonthani Hospital. Regional Health Promotion Center 9 Journal, 17(1), 105-120. https://he02.tci-thaijo.org/index.php/RHPC9Journal/article/view/260182
Tangmanokun, A. & Chaiyasong, S. (2521). Results of home visits to schizophrenia patients by the multidisciplinary team of the health service network, Don Mot Daeng District, Ubon Ratchathani Province. Health systems Research Institute(HSRI), 15(4), 436-55. https://kb.hsri.or.th/dspace/handle/11228/5453?locale-attribute=th
Tungpunkom, P., Watthanaphong, S., Rueangyot, L., Silpakit, P., & Mahatnirunkul, S. (2005, June). Caring for psychiatric patients at Home: program of psychiatric family caregiving. [Conference session]. Mental health and disasters Conference, Chiang Mai, Thailand.
Wang, X., Petrini, M., & Morisky, E.D. (2016). Comparison of the quality of life, perceived stigma and medication adherence of Chinese with Schizophrenia: A follow-up study. Archives of Psychiatric Nursing, 30(1), 41-46. https://doi.org/10.1016/j.apnu.2015.10.006
Wangnuea Hospital. (2020). Mental Health Performance Report. Psychiatry and Narcotics Subdivision of Wangnuea Hospital Lampang Province.
Downloads
Published
How to Cite
License
Copyright (c) 2024 Suranaree University of Technology
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
