Developing the standards of mental health promotion and mental health problem prevention for community hospital

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Orawan Duangchant

Abstract

          Objective to develop and evaluate the standards for mental health promotion and mental health problems prevention for community hospitals.
          Materials and methods The standards developed consisted of 7 steps procedure through research. This was there implemented nationally in 778 community hospitals under Offi ce of Permanent Secretary, Ministry of Public Health. The evaluation was performed by public health staff in those hospitals using checklists before and 12 months after the implementation. The qualitative evaluation was conducted using in-depth interviews with purposive sampling 30 personnel who adopted the standard. The qualitative analyses were performed using content analysis, and the qualitative data were analyzed using percentage, mean, standard deviation and t-test.
          Results The standards of mental health promotion and mental health problems prevention for community hospitals consisted of four components including administration, services, network participation and information system. After the 12 months implementation, 421 hospitals returned the evaluation checklist. The results showed the means total scores and all the four components scores of the standards were increased signifi cantly (P<0.05) compared to baseline. The qualitative content analysis found that the standards supported an excellent relationship with the patient and their relatives, improved the patient’s treatment compliances and enhanced equally holistic quality cares.
          Conclusion This standard for mental health promotion and mental health problems prevention, could be used as a guideline for improving system for mental health promotion and mental health problems prevention services in community hospitals, both proactive and reactive, in consideration with the local contexts.

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