The development of surveillance and care model for psychiatric diseases based on community participation, Kaolieo District, Nakhonsawan Province
Keywords:
Surveillance, Community participation, Psychiatric patientAbstract
This participatory action research aimed to develop a surveillance and care model for psychiatric diseases based on community participation in the Kaolieo District, Nakhon Sawan Province, and evaluate its effectiveness. The study subjects included the director group comprising the district chief, senior deputy district chief, superintendent police, hospital director, and public health executive, and the operational group comprising nurses, health officers, district health board, village health volunteers, community leaders, caregivers, and relatives. Tools utilized included a semi-structured focused group discussion guideline, semi-structured interview guideline, a questionnaire, and Kaolieo’s model. Data analysis employed percentages, means, and paired t-tests for quantitative data, and content analysis for qualitative data.
The results showed that the surveillance and care model for psychiatric diseases based on community participation is composed of two parts: 1) the supporting center, which comprises the director center, the data center, five buddy teams, and the emergency response team; and 2) the guidelines on surveillance and care, which consist of community surveillance, patient referral system, and community preparation. The effectiveness of model implementation demonstrated a statistically significant decrease in the need for care, higher drug compliance, and reduced aggressive behaviors and relapses of the patients at p-value < 0.05. Consequently, the surveillance and care model for psychiatric diseases based on community participation can effectively support the surveillance and care of psychiatric patients requiring more participation from other organizations, thus enabling patients to live appropriately with their families.
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