EFFECTS OF COMMUNITY CASE MANAGEMENT ON PSYCHOTIC SYMPTOMS OF COMPLEX SCHIZOPHRENIA PATIENTS IN CHATURAPHARK PHIMAN DISTRICT ROI-ET PROVINCE

Abstract

Purposes : To compare the psychotic symptoms of schizophrenic patients  before  and  after receiving a case management care in the community and to compare the overall abilities of schizophrenic patients before  and  after receiving case management care in the community.

Study design : This research were a quasi-experimental research. 

Materials and Methods : The participant group were schizophrenic patients living in Hua Chang sub-district. The participant received a case management in community. The  research instruments  were 1) the case management in  community  2)  the  Brief  Psychiatric Rating Scale (BPRS) and 3) the Global Assessment of Functioning Scale (GAF). Data were analyzed by descriptive statistics and Paired t - test.

Main findings :  1) The mean score of  psychotic symptoms after receiving case management (37.2 ± 3.67) was lower than before receiving case management (57.2 ± 7.56) significantly (p<.001)  and 2) The mean score of total  ability care of schizophrenia after receiving case management (64.5 (± 9.82) was higher than before receiving case management (49.2 ± 7.03) significantly (p<.001).

Conclusion and recommendations : The case management in community can improve psychotic  symptoms  and  overall abilities among complex schizophrenic patients. Therefore, case management should provide for caring of complex schizophrenic patients in the community.