Abstract
This study interviewed 182 pairs of patients and caregivers to explore the needs and demands for community programs for patients with chronic mental illness and to detect the factors associated with them. The most needed and demanded programs were structured day services (69.2 vs. 78.6%), club house (71.4 vs. 74.2%), and caregiver support (72.5 vs. 74.7%). The needs and demands perceived by both patients and caregivers ranged from 3.3 to 31.9%, while those perceived by either patients or caregivers ranged from 25.8 to 72.5%. Needs and demands for individual programs were higher in caregivers (67, 65.9%) than in patients (41.2, 42.9%) and the proportion of demand (42.3–78.6%) for the eight programs was greater than the need (25.8–72.5%) for programs. The results showed that married and younger caregivers needed and demanded active community programs and the patients with a higher level of education favored a club house with high autonomy.
Similar content being viewed by others
References
American Psychiatric Association. (2004). Practice guideline for the treatment of patients with schizophrenia (2nd ed.). Washington, DC: American Psychiatric Publishing Inc.
Anderson, R. L., & Lyon, J. S. (2001). Needs-based planning for persons with serious mental illness residing in intermediate care facilities. The Journal of Behavioral Health Services and Research, 28, 104–110.
Baronet, A. M., & Gerber, G. J. (1998). Psychiatric rehabilitation: Efficacy of four models. Clinical Psychology Review, 18, 189–228.
Department of Health. (2006). Health statistics. Taipei, ROC: Department of Health Press.
Department of Health. (2007). Health statistic of national health insurance. Taipei, ROC: Department of Health Press.
Higgins, L., Dey-Ghatak, P., & Davey, G. (2007). Mental health nurses’ experiences of schizophrenia rehabilitation in China and India: A preliminary study. International Journal of Mental Health Nursing, 16, 22–27.
Holloway, F., Carson, J., & Davis, S. (2002). Rehabilitation in the United Kingdom: Research, policy, and practice. Canadian Journal of Psychiatry, 47, 628–634.
Hwu, H. G., Rin, H., Chen, C. Z., Chang, S. H., Huang, M. G., & Yeh, L. L. (1995). A study on the personal-familial and clinical data of psychiatric inpatients in Taiwan. Chinese Journal of Psychiatry, 9, 16–31.
Kersten, P., Mclellan, L., Georges, S., Smith, J. A. E., & Mullee, M. A. (2000). To what extent are the needs of severely disabled people met by community rehabilitation services? A follow-up study. Disability ad Rehabilitation, 22, 855–861.
Latimer, E. (2005). Community-based care for people with severe mental illness in Canada. International Journal of Law and Psychiatry, 28, 561–573.
Lecomte, T., Wallace, C. J., Perreault, M., & Caron, J. (2005). Consumers’ goals in psychiatric rehabilitation and their concordance with existing services. Psychiatric Services, 56, 209–211.
Lemaire, G. S., & Mallik, K. (2005). Barriers to community integration for participants in community-based psychiatric rehabilitation. Archives of Psychiatric Nursing, 19, 125–132.
Macias, C., Barreira, P., Alden, M., & Boyd, J. (2001). The ICCD benchmarks for clubhouses: a practical approach to quality improvement in psychiatric rehabilitation. Psychiatric Services, 52, 207–213.
Nieves, E. J. (2002). The effectiveness of the assertive community treatment model. Administration and Policy in Mental Health, 29, 461–480.
Pinkney, A. A., Gerber, G. J., & Lafave, H. G. (1991). Quality of life after psychiatric rehabilitation: The clients’ perspective. Acta Psychiatry Scandinavian, 83, 86–91.
Roder, V., Zorn, P., Müller, D., & Brenner, H. D. (2001). Improving recreational, residential, and vocational outcomes for patients with schizophrenia. Psychiatric Services, 52, 1439–1441.
SPSS Inc. (2000). SPSS 11.0. Chicago, USA: SPSS Inc. Press.
Yeh, L. L., Hwu, H. G., Chen, C. H., Chen, C. H., & Wu, C. C. (2008). Factors related to perceived needs of chief caregivers of patients with schizophrenia. Journal of the Formosan Medical Association, 107, 644–652.
Acknowledgments
This study was supported by a grant from the Department of Health in Taiwan (No. DOH96-TD-M-113-045b). We thank Chiao-Chicy Chen, Chang-Jer Tsai (Taipei City Hospital); Joseph Jror-Serk Cheng (Bali Psychiatric Center); Happy Kuy-Lok Tan (Taoyuan Mental Hospital); Hong Chen (Tsaotun Psychiatric center); Ta-Jen Chang (Jianan Mental Hospital); Frank Huang-Chih Chou (Kaohsiung Kai-Suan Psychiatric Hospital); Chih-Yuan Lin (Yuli Veterans Hospital) in seven psychiatric hospitals.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Yeh, LL., Liu, SK. & Hwu, HG. Needs and Demands for Community Psychiatric Rehabilitation Programs from the Perspectives of Patients and Caregivers. Community Ment Health J 47, 415–423 (2011). https://doi.org/10.1007/s10597-010-9336-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10597-010-9336-y