Development of direct observe treatment short course (DOTS) program in Schizophrenia treatment at Don Mod Daeng Hospital, Ubon Ratchathani province

Abstract

Objectives : To develop supportive program with DOTS to enhance the medication compliance of schizophrenic patient and to construct the role of the village health volunteers in taking care of† schizophrenic patient in
community.

Method : This research of team work (R2R) using the Directly observed treatment Short - Course A Quasi experimental study by studies of patients with schizophrenia and matched with the Department of. Were 46 people at Don Mod Daeng Hospital Ubon Ratchathani province in the period from 1 January. 2011.

Results : The patients experienced the adverse event from antipsychotic drug including, extrapyramidal symptoms, tremor and dry mouth. The assessment using PANSS-T showed that†19 patients were classified in stable state,†17 patients†were classified in better state, and†6 patients†were classified in worsen state. Furthermore,†10 patients can archive to recovery state and no suicidal during the treatment period. The medication compliance rate was more than 95 percent. Conclusion:Applying DOTS can enhance the effectiveness of Schizophrenia treatment program, in order to increase the medication compliance. Furthermore, the VHVs might have an important role on taking care of schizophrenic patients in community.