Strategy Implementation of Community Mental Health Networks, Udon Thani Province

Abstract

This research aimed to study the strategy implementation of community mental health networks (CMHN), assess the mental health of the people and case study of caregiver needs in the community of Nong Bua, Udon Thani province. This cross-sectional descriptive research in Udon Thani pilot study and case study of caregiver needs in the community of Nong Bua at 1-7 of Makkeng sub-district, Mueang district, Udon Thani province. Data collected from April to May 2018, the sample consisted of 85 health personnel, 235 CMHN, 348 people and 5 family caregivers. The SWOT analysis was used, service information, participatory questionnaire, mental Health Screening (alpha= 0.91), satisfaction questionnaire (alpha= 0.85) and in-depth interview case study of caregiver. The descriptive statistics were used include percentage, mean, standard deviation, content analysis and triangulation method.

Results shown that the strategy implementation of community mental health networks (CMHN) 1) strategies, strengths and opportunities by developing human resources, Determine service quality guidelines. 2)turnover strategy by educating mental health operations. Health volunteers and relatives. 3)strategies for disseminating or extending coverage by health volunteers and community leaders to promote participation in mental health activities and screening people with mental health problems. 4)strategy by the publicity of mental health hot line 1323, set up a consulting group coordinating, 5)strategic transmission system and monitoring. After the development of health service units, there is a specific responsibility, mental health referral system, psychiatry and substance abuse, Total number of patients in health service unit average 39.14 per day (mean=39.14, SD=23.10), new patient were diagnosed with 48.5% of psychosis 1-5, 48.5% of anxiety patients and depression of 45.8%, respectively. The involvement of CMHN was better than the original found that they were involved to planning and assistance of the mental health allowances, promote to work and volunteer 100%. Mental health status of the people average mental symptom was 0.74 (mean=0.74, SD=1.56). Results shown that case study of family caregivers were need for the government to set a health care policy for family caregivers and relevant legislation, the government involved visiting the care of psychosis patients as close consultant, encourage family caregivers to be financially prepared, health promotion, pay the subsistence allowance, capacity Development and vocational training, the local government and CMHN should set up a caregiver club.

Conclusion: this strategy implementation of CMHN in Udon Thani province should set up the community hospital, the community health center and the district health promotion hospital used for mental health services in community in target.