The Development of Care System for Psychiatric Drug Patients Serious Mental Illness with High Risk to Violence (SMI-V)
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Abstract
This action research aimed to 1) develop a care system for high-risk drug-dependent psychiatric patients prone to violence, and 2) study the effectiveness of the care system for high-risk drug-dependent psychiatric patients prone to violence. The research was conducted in three stages: 1) Studying the situation and problems of high-risk drug-dependent psychiatric patients prone to violence at the individual, family, and community levels, as well as community structural factors. The participants were selected using purposive sampling: 30 high-risk drug-dependent psychiatric patients, 30 caregivers, and 30 mental health and psychiatric staff, totaling 90 participants. The research instrument was an in-depth interview guide. Data was analyzed using content analysis. 2) Developing the care system for high-risk drug-dependent psychiatric patients prone to violence. The target group was the 30 mental health and psychiatric staff. 3) Studying the effectiveness of the system. The sample group was the 30 high-risk drug-dependent psychiatric patients. The research instruments included 1) a psychiatric symptom assessment scale and 2) an overall competency assessment scale. Data were analyzed using descriptive statistics and paired t-tests.
The research findings revealed that: 1) The development of a system for caring for high-risk drug-addicted psychiatric patients prone to violence resulted in a patient group management system, guidelines for reporting incidents and providing first aid to patients in mental health crises, and practical guidelines for caring for drug-addicted psychiatric patients that can be implemented in other areas. 2) Following the pilot test of the system, the average psychiatric symptom score of the sample group decreased from 61.6 points to 59.6 points, and the average score assessing overall mental, social, and occupational capabilities increased from 43.96 to 48.46.
The developed system resulted in a decrease in the average psychiatric symptom score and an increase in overall capability scores. Therefore, this developed system should be piloted in other areas to compare cost-effectiveness and health outcomes for drug-addicted psychiatric patients.
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