A Day Care Model for Chronic Psychotic Patients in Community Mental Health Center / 신경정신의학

ABSTRACT

OBJECTIVES: The purposes of this study were as follows introducing general structure and management of a day care model practiced in Community Mental Helth Center where a psychiatrist participates weekly as a consultant analyzing; the results after performing this model and then verifying appropriateness and validity; brooding the possibility of generalization as an effective day care model in Community Mental Health Service of a small city and promoting maintenance, rehabilitation and returning to community of chronic psychotic patients. METHODS: We performed this model from May 1997 to December 1998 for about 20 months. The subjects were composed of 33 psychotic patients. PANSS (Positve and Negative Sydrom Scale), QLS (Quality of Life Scale), LSSS (Life Satisfaction Self-Rating Scale) were administered twice before starting and after 6 months of participation in this program. RESULTS: 1) This model helped the maintenance and rehabilitation of chronic psychotic patients, reducing symptoms and increasing quality of life; 2) This model was useful in integrating multi-disciplinary personnel and therapeutic methods as a whole with a psychiatrist intervening the least; 3) This model enabled a psychiatrist as a consultant to manage and control all Community Mental Health Service with him participating weekly; 4) It is possible for this model to be easily applied to Community Mental Health Service in a small city. CONCLUSION: model will be likely to be applied effectively and efficiently to the Community Mental Health Service in a small city for maintenance, rehabilitation and returning to community of chronic psychotic patients.