Schizophrenia Relapse Prevention Model Patients in Cho-I-Rong, Narathiwat Province with Multicultural Community Participation

Abstract

The objective was to study the model to prevent a relapse in Schizophrenic of patients in Cho-I-Rong, Narathiwat province with multicultural community participation. The samples of the study were 12 Schizophrenia patients’ relatives or cousins whom did not have the relapse record and some officials from network partners who took care of Schizophrenic patients in the community. This study was a qualitative research using focus group discussion method with 12 semi-structured questions. The 12 questions received Item-Objective Congruence (IOC) at 0.61.

The results of the research revealed that Schizophrenia relapse prevention process were found as follows: 1) providing knowledge 1.1 promote patient home visits; the officers having good relationship and interaction with patients 1.2 provide psychoeducation and the use of religious therapy 1.3 relatives or cousins taking action in observing and taking care of patients by using religious practices as a guideline in caring process, 2) raising awareness for continuing treatment 2.1 promote the way of picking up medicine near home 2.2 use religious principles to help in transforming beliefs, attitudes, and in raising awareness, 3) reducing and stopping using addictive substances 3.1 transfer patients to receive treatment at the hospital, provide therapy camp based on religious guidelines or having religious leaders training in the village 3.2 focus on individual case study and religious practices 3.3 provide information of patients’ relatives to village leader team, village health volunteers, officials from health department and soldiers in the area, 4) emotional management 4.1 provide training to patients and their relatives on emotional management 4.2 relatives observing patients’ symptoms and trying to reduce stimulation 4.3 use religious practices to calm down 4.4 psychiatric patients and their relatives meeting with psychologists to do mental status examination, 5) the community participation 5.1 the relatives bring patients to participate in religious activities in the community 5.2 religious leaders participate in the care process  5.5 encourage network partners to participate in the care process without discrimination and 6) do not create a stigma for each other 6.1 build up good consciousness for people in the community, based on religious principles 6.2 strengthen ‘life still has hope’ activities.