The development of mental health service system for schizophrenia inmates in Public Health Region 10
Keywords:
mental health service system, offending, schizophrenia inmatesAbstract
Objectives: To analyze the situation of the mental health service system for inmates with psychiatric conditions in Public Health Region 10 and to improve the system of continuing care in schizophrenia inmates after return back to the community.
Methods: We applied the 3-step research and development process consisting of 1) analyzing the situation and assessing the care of inmates with psychiatric conditions using in-depth interviews and group discussions, these data were analyzed by content analysis, 2) designing and developing a program of care for schizophrenia inmates and 3) testing the feasibility of the program implementation in a pilot prison. We also assessed the symptoms of schizophrenia inmates using the Prasri Assessment Schizophrenia Scale (PASS 8). Descriptive statistics were then conducted.
Results: Of the total inmates with psychiatric conditions in Public Health Region 10, 62.1% (n=167) schizophrenia inmates have been found. There exists a gap of care for psychiatric inmates, both during imprisonment and after back to the community. Families and communities are most concerned that patients will relapse and repeated the offenses. The program, "From prisons back to community", has been developed which focused on preparing schizophrenia inmates along with the preparation of local health personnel and inmates' family and community during imprisonment. After the program implementation in pilot prisoner, 6 schizophrenic inmates with the average age of 41.5 and average psychotic symptoms score 10.7 points were scheduled release. The results of three cases preliminary follow-up visits after leaving the prison for 2 weeks and 1 month found that the patients had stable psychotic symptoms and had no recidivism.
Conclusion: The "From prisons back to community" program was found to be feasible in the mental health service system for inmates in Public Health Region 10. The program could help the continuing of care in schizophrenia inmates after back to the community.
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