The Development of Community Care System for Schizophrenic Patients with the Participation of Primary Care Units and Community Network Partners Chuen Chom District, Mahasarakham Province

Abstract

          This action research aimed to develop a community care system for schizophrenic patients by participation of primary care units and affiliate networks in Chuen Chom District. Carried out between August 2021 - September 2022.The sample group consisted of 1) the group that developed the service system were multidisciplinary team in the hospital and 2) Schizophrenic patients/caregivers, total of 234 people. The research tools were: 1) in-depth interview questions, focus group discussion; 2) knowledge assessment form. 3) Patient Care Skills Assessment Form 4) Network Partner Participation Questionnaire 5) Follow-up form for schizophrenic patients in the community 9 aspects. Analyzed data by descriptive statistics with paired t-test and content analysis.

          The research results showed that the developed community care system for schizophrenic patients consisted of 1) participatory management of the network 2) care system, surveillance in the community. “Project Appreciation of Tum Home Village, reaching the mind, living happily” 3) Developing the potential of personnel 4) Develop standards, guidelines, manuals, and guidelines for monitoring shared throughout the network 5) Develop an information system linking from the hospital to the community 6) Take lessons from, organize a forum to exchange and learn to reflect problems. After implementing the system, it was found that the participation of network partners was at a high level with an average of 4.44 points (SD = 0.54). Caregivers and network partners had increased knowledge and attitudes in all aspects, with an average of 4.36 points (SD = 0.40). After the operation, caregivers and network partners had significantly more caring skills than previously. Outcomes tended to improve as absenteeism decreased to 17.99%, recurrence decreased to 15.83%, referrals to higher capacity hospitals decreased to 12.95, and there were no patients were locked up again.