The Evaluation of the Developed of Serious Mental Illness with High Risk to Violence Care System in the Community, Amnat Charoen Province

Abstract

Objective: This evaluation research aimed to assess the care system covering the item of context, import factors, implementation process, impact of the care system, effectiveness of the care system, sustainability of the care system, and transfer of the care system; and to study problems and provide policy recommendations.

          Methods The assessment model applied Stufflebeam and Shinkfield’s (2007) CIPPIEST assessment model. Both quantitative and qualitative analytic instruments were used. The samples were comprised of 91 psychiatric patient at-risk group, 91 relatives of the patients, and 130 network members in 7 districts of Amnat Charoen Province. The study was done between January 2023 and June 2023. 

          Results: The results found that in 1) the context was at the highest level; 2) the input results were at a high level; 3) in item of process, participations of the network were at high level; 4) the product results were at a high level; 5) the impact, all scores on the psychiatric rehabilitation skills were at level 4, scores on relatives’ happiness index were at normal; 6) on the effectiveness of the care system, satisfaction with the home visiting system was at the most, and the overall number of mental crisis remained constant during this time; 7) on the sustainability of the care system; and 8) the transfer of the care system, the means were at high.

          Conclusion: This model for caring Serious Mental Illness with High Risk to Violence in the community proactive healthcare in community emphasized the participations of all stakeholders. The results created positive development which were supported for patients, families and stakeholders living together with good quality of lives.