The Development of Psychiatric Patients Care System in the Wang Thong Homeless Protection Center, Phitsanulok Province

Abstract

Research and development of the psychiatric patient care system at the Wang Thong Homeless Protection Center, Phitsanulok Province Divide the research into three phases. 1) Development of the care system: sample group of 10 interdisciplinary team members and 8 psychiatric patients through group discussions. 2) The study of the effects of the developed care system by testing it with 15 psychiatric patients. 3) Confirm the results of the care system development through a quasi-experimental study with one group pre test post group. The sample group consisted of 46 psychiatric patients who met criteria. Research instruments include 1. personal information questionnaire 2. life skills assessment in 6 areas 3. quality of life assessment 4. the psychiatric patients' functional capacity assessment 5. semi-structured interview 6. six-dimensional life skills development program. The content validity of the program and the interview was .94 and .92. The reliability values of the assessment from the Cronbach's alpha coefficient formula are .86, .92, and .94. Analyze the data using descriptive statistics content analysis and the paired t-test

The research findings indicate that the psychiatric patient care system at the Wang Thong Homeless Protection Center should include telemedicine services and 6 life skills rehabilitation program (18 activities) twice a week, each session lasting 90-120 minutes over a period of 9 weeks, including Self-care skills, household coexistence skills, social skills Work skills, relaxation skills, and community living skills. After the development of the care system, it was found that access to services increased, accounting for 74.47% (n = 315), continuing care was provided to 100% (n = 315), and the readmission was 99.37% (n = 2). After participating in the six-life skills rehabilitation program, a comparison of life skill, the psychiatric patients' functional capacity and quality of life scores were significantly higher after the experiment at the p<.001 level. Follow-up results showed that 7 participants were employed, and 2 returned to live with their families. This approach should be expanded to psychiatric service units that connect care to other shelters for the homeless.