Study and development of Serious Mental Illness with High Risk to Violence Under Participative Management of District Health Board, Na Chueak District, Maha Sarakham Province

Abstract

Purposes: To develop a care model for psychiatric patients at high risk of violence under the participatory management of the District Quality of Life Development Committee, Na Chueak District, Maha Sarakham Province.

Study design : The research design is an action research.

Materials and Methods : The sample group was the Quality of Life Development Committee of Na Chueak District and stakeholders. Lost The implementation period is October 2023 - December 2024. The research is divided into 3 phases: Phase 1: Study the context of the area. Analyze the situation of the care for psychiatric patients at high risk of violence. Collect qualitative data using the document analysis form. Phase 2: Develop a model for caring for psychiatric patients at high risk of violence. Collect qualitative data using in-depth interviews and focus group discussions. Phase 3: Evaluate the model for caring for psychiatric patients at high risk of violence using the UCCARE process performance evaluation form. Analyze data using descriptive statistics, including numbers, percentages, and qualitative analysis.

Main finding : Na Chueak District has a model for caring for psychiatric patients at high risk of violence under the participatory management of the District Quality of Life Development Committee, consisting of 1) Appointing a working group/specifying clear roles of workers 2) Developing the potential of network partners (3) Participatory data collection, analysis, and problem determination 4) Preparing annual project plans and budgets for psychiatric patients 5) Procuring and allocating budgets 6) Participation from all sectors 7) Planning, monitoring, and evaluating operations (8) Lessons learned 9) Returning information to the community and stakeholders. When assessing the quality of life development standards according to the UCCARE process for caring for psychiatric patients at high risk of violence, it was found that it passed the highest performance evaluation criteria, which was 5 points (integrated) in all 6 areas. After the model development, there were clearer results in solving problems and there was improvement from the previous year. The sample group was satisfied with the developed model for caring for psychiatric patients at high risk of violence, accounting for 100 percent.

Conclusion and Recommendations : The results of this study indicate that key success factors include multi-sectoral integration, clear policies, strong committees and teams, participatory problem analysis and definition, support plans and budgets, and continuous monitoring and evaluation.