The Livelihood Activity Of Basic Needs Model Impacts On The Social Function Of Patients With Mental Disorders In Rural Areas

Objective:As from abroad in the 1950 of the 20 th century began to advocate patients hospitalized with community mental health service systems as a new model of treatment of mental disorders.In the 1990 of the 20 th century,our country raised the issue of mental disorder related to community rehabilitation,but since there is no appropriate service standards and service models,and the serious shortage of services to community mental health services staff,leading to slow development of community mental health services in China.Patients living in the community were not controlled,and social dysfunction.Based on BasicNeeds model introduced into China for the first time,discuss BasicNeeds mode of livelihood activities in support of the social function of patients with mental disorders in rural areas,using a variety of scales to conduct an overall evaluation,for the rehabilitation of people with mental disorders in rural China providing new treatments based on.Method:Since June-1-2015 to December-1-2015,shunping County in Baoding City,during joined BasicNeeds project and meet into and excluded standard of spirit obstacles and epilepsy patients 75 people as research object,which into patients are meet(1)DSM-5 in the provides of spirit obstacles patients;(2)function General evaluation volume table GAF ? 50 points;(3)age for 16 age above,gender unlimited,education unlimited;(4)Clinical Global Impression-Severity scale(CGI-S)?4 points;(5)in research area live over 6 months of resident population(6)voluntary signed informed agreed book;according to patients whether joined BasicNeeds mode livelihoods activities group intervention for principles,will meet into conditions of patients is divided into research group and control group;research group of patients in continued taking drug and regularly health mission of based on established livelihoods activities group and provides production for livelihoods activities intervention,for 12 months.The control group provides with the same frequency in the intervention group of free medical supplies and health education,and no other intervention,and 12 months.When into group and the 12 month late on patients and family respectively for WHO Disability Assessment Schedule Chinese version(WHO-DAS II),and Global Assessment Function(GAF),the MOS item short from health survey(SF-36),and Perceived Social Support Scale(PSSS),and Mental illness stigma of assessment scales,and family burden interview schedule.(FBIS),and Medication Adherence Report Scale and perceived devaluation discrimination scale(PDD)assessment.Results:Final analysis of results of 70 patients,of which 29 cases of patients with schizophrenia,depression and 8 cases,23 patients with mental disorders due to epilepsy,intellectual disability in 10 cases.Before the intervention group patients and their families in General and no significant difference in baseline assessment scales.After Intervention:(1)research group patients WHO-DAS II scale scored obviously reduced and and control group compared difference has significantly statistics meaning(P<0.01);(2)research group patients GAF function General scale scored obviously improve and and control group compared difference has significantly statistics meaning(P<0.01)(3)research group patients SF-36 health survey questionnaire body health scored obviously improve and and control group compared difference has significantly statistics meaning(P<0.01),research group mental health scored improve and and control group compared difference has statistics meaning(P<0.05);(4)research group patients understanding social support scale scored obviously improve and and on As group compared difference has significantly statistics meaning(P<0.01);(5)research group patients disease shame sense scale scored reduced but and control group compared difference no statistics meaning;(6)research group patients family burden scale scored significantly reduced and and control group compared difference has significantly statistics meaning(P<0.01);sadly research group patients Medication Adherence Report Scale scored improve and and control group compared difference has statistics meaning(P<0.05);(8)research group patients perceived devaluation discrimination scale reduced and and control group compared difference has statistics meaning(P<0.01).Logistic regression results showing that effect patients social function recovery factors for patients family income level and patients disability degree level,patients family income for effect patients social function are positive effect factors,family income more high patients social function recovery degree more good,and patients disability degree level in patients social function rehabilitation in the up negative role,patients disability degree more high tips patients social function recovery degree more poor;and other factors on effect patients social function has no difference.Conclusion:BasicNeeds mode of livelihood support interventions can reduce disability,reduce stigma,and patients with reduced family burden and reduce the level of stigma to the families and to improve patient compliance,social functions,improve the quality of life and raise the level of social support.