Developing guidelines for Psychiatric Patients' home Visits with Community Participation Center.

Abstract

     This study was research and development aimed to develope community-based home visit practices for psychiatric patients and examine the result of the developed practices. The PDCA. continuous quality improvement framework, which includes PLAN: analyzing the issues related to home visits for psychiatric patients and designing care plans; DO: conducting workshops and brainstorming sessions with community participation; CHECK: evaluating the outcomes of the implemented practices; ACTION: analyzing the results and reviewing the incidents of the implemented practices. The sample was selected through purposive sampling. The service providers are 8 nurses and 22 community members. The service recipients are 6 relatives and psychiatric patients. The study period was from October 2022 to October 2023. The tools used for data collection include the participatory home visit guidelines for psychiatric patients, the knowledge assessment on community home visits for psychiatric patients for nurses, the knowledge assessment of community psychiatric patients for community stakeholders, and the satisfaction assessment of the guidelines.
     Result: guidelines for Psychiatric Patients' home Visits with Community Participation Center including 1. A nursing assessment form: 1). Chronic psychiatric patient follow-up form 2). Overt Aggression assessment form 3). Depression and Suicide assessment form 4). Psychiatric Patients' home Visit record form. 2. The assessment form for community members and family members including: 1). Mental health symptom assessment 2). The assessment for 7 warning signs of potential violence . The results after implementing the guidelines showed that 1) the service providers, specifically: Nurses, had a statistically significant increase in knowledge about visiting psychiatric patients' homes at the level of .002 Their satisfaction with the use of the guidelines exceeded the target of 80% and reached a high level of 92.50%, statistically significant at the level of .002 Community stakeholders had a statistically significant increase in knowledge of caring for psychiatric patients at the level of .000 Their satisfaction with the use of the guidelines was at a high level of 84.90%, statistically significant at the level of .01 The service recipients, specifically the relatives, had a statistically significant increase in knowledge of caring for psychiatric patients at the level of .001 Their satisfaction with the use of the guidelines was at a high level of 91.33%, statistically significant at the level of .02  Additionally, the incidence rate after the implementation of the guidelines ((Jul.-Oct. 2023) showed a decrease of 1 case, accounting for 16.66%