Model of community organization for psychiatric patients’ rights protection by monks

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Saovanee Kempudsa


          Objectives To present a model of community organization for psychiatric patients’ rights protection led by monks and its success factors.
          Materials and methods This qualitative study examined the community organization model delivered in Udom Sap Subdistrict, Wang Nam Khiao District, Nakhon Ratchasima Province. The participants were purposely selected from the contributors of the community organization and took part the in-depth interviews. The non-participatory observation was performed in the community. The data were collected between October 2017 and August 2018 and analyzed by using content analysis.
          Results This model of community organization comprised of the supporting systems that facilitated the initiation of the club and rehabilitation activities for patient and the main systems that organized the club and its activities, such as screening patients, monitored their adherence, and provided traditional rehabilitation. The outcomes of the model were the ability of recovery patients being reintegrated into the community, the sustainability of the club and the social
identity of the community. The success of the model was due to the unique community characteristics that included a unit of identity, unit of solution and unit of practice. The monks’ leadership skills in both transformational and transactional skills, the cohesion of community members with the common goals and the multi-networks collaboration were all crucial to the model’s success.
          Conclusion The model of community organization for psychiatric patients’ rights protection led by monks demonstrated its benefi t for psychiatric patients to receive better care and rehabilitation, support de-stigmatization and also better protect their rights.


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1. Department of Empowerment of Persons with Disabilities. Situational report on the disability in Thailand [Internet]. [cited 2017 Mar 31]. Available from: https://www.m-society. (in Thai)
2. Strategy and Planning Division. Mid-year population report฀2016. [Internet]. Nonthaburi: Strategy and Planning Division. Offi ce of the Permanent Secretary, Ministry of Public Health; 2017. [cited 2017 Jul 30]. Available from: les/Mid%20Population%202559.pdf. (in Thai)                                                                                                                                          3. Saxena S, Thornicroft G, Knapp M, Whiteford H. Resources for mental health: scarcity, inequity, and ineffi ciency. Global Mental Health 2007;370:878-89. Doi: 10.1016/S0140-6736(07)61239-2.
4. Khasnabis C, Heinicke Motsch K, editors. Community-based rehabilitation: CBR guidelines. Geneva: World Health Organization; 2010.
5. World Health Organization. Mental health action plan: 2013-2020. Geneva: World Health Organization; 2013.
6. Luckkanapichonchach T. Community work. Bangkok:Thammasat University; 1990. (in Thai)
7. Eng E, Hatch J, Callan A. Institutionalizing social support through the church and into the community.฀Health Educ Q 1985;12:81-92.
8. Corrigan PW, Garman AN. Transformational and transactional leadership skills for mental health teams. Community Mental Health J 1999;35:301-12.
9. Rsch N, Angermeyer MC, Corrigan PW. Mental illness stigma: concepts, consequences, and initiatives to reduce stigma. Eur Psychiatry 2005;20:529–39.
10. Griffi ths KM, Carron-Arthur B, Parsons A, Reid R. Effectiveness of programs for reducing the stigma associated with mental disorders. A meta-analysis of randomized controlled trials. World Psychiatry 2014;13:161-175. doi:10.1002/wps.20129.
11. Lancet Global Mental Health Group, Chisholm D, Flisher AJ, Lund V, Patel V, Saxena S, et al. Scale up services for mental disorders: a call for action. Lancet 2007;370:1241-52. doi: 10.1016/S0140-6736(07)61242-2.
12. Drew N, Funk M, Tang S, Lamichhane J, Chávez E, Katontoka S, et al. Human rights violations of people with mental and psychosocial disabilities: an unresolved global crisis. Lancet 2011; 378: 1664-75. doi: 10.1016/S0140-6736(11)61458-X.
13. Leavey G, Loewenthal K, King M. Challenges to sanctuary: The clergy as a resource for mental health care in the community. Soc Sci Med 2007;65:548-59.
14. Taylor RJ, Ellison CG, Chatters LM, Levin JS, Lincoln KD. Mental health services in faith communities: The role of clergy in black church. Soc Work 2000;45:73-87.
15. Singh H, Shah AA, Gupta V, Coverdale J, Harris TB. the effi cacy of mental health outreach programs to religious settings: a systematic review. Am J Psychiatr Rehabil 2012;15:290–8. doi:10.1080/15487768.2012.703557.
16. Sartorius N, Schulze H. Reducing the stigma of mental illness: a report from a global programme of the World Psychiatric Association. Cambridge: Cambridge University Press;2005.
17. Jacob KS, Sharan P, Mirza I, Garrido-Cumbrera M, Seedat S, Mari J, et al. Mental health systems in countries: where are we now? Lancet 2007;370:1061-77.