Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
International Journal of Mental Health Systems
Published in: International Journal of Mental Health Systems 1/2018

Open Access 01-12-2018 | Research

Utilization of psychiatric rehabilitation services and influencing factors among people with psychotic disorders in rural communities of Guangxi, China

Authors: Hongye Luo, Edward B. McNeil, Qiming Feng, Hongheng Li, Qiang Chen, Xianjing Qin, Jun Feng, Sawitri Assanangkornchai

Published in: International Journal of Mental Health Systems | Issue 1/2018

Login to get access

Abstract

Objectives

To identify the rate and predictors of utilization of rehabilitation services among people with psychotic disorders in rural communities of Guangxi.

Study design

A cross-sectional survey was conducted among individuals with schizophrenia or other psychoses (severe mental disorder, ICD10: F20–F29), aged over 15 years, and their care-givers in Guangxi, China. Trained village doctors located individuals known to them and suspected as having schizophrenia or other psychoses within the target areas and recruited them into the study. Data on demographic characteristics, clinical symptoms and functions, treatment history, and reasons, if any, for non-utilization of mental health service were collected. Logistic regression was used to determine associated factors for utilization of mental health services.

Results

A total of 424 individuals experiencing psychosis (mean age 41.4 ± 13.0 years, 60.6% male) and 319 caregivers (mean age 55.3 ± 14.2 years) were interviewed. The median duration of disease was 13.4 years. 83.0% of patients had never used rehabilitation services. Greater use of rehabilitation was associated with having a non-organic disorder (OR = 11.6, 95% CI = 1.6–86.0) and living with a caregivers (OR = 3.2, 95% CI = 1.2–8.3). The top three reasons for not using rehabilitation services were lack of awareness (57.1%), lack of money (14.2%) and lack of belief in the service (12.8%).

Conclusions

These findings indicate a high unmet need for psychiatric rehabilitation services among people with psychotic disorders in rural areas of Guangxi. Strategies such as outreach programme and collaborative and partnership network with the local community are needed to encourage people with psychotic disorders in rural communities to increase their utilization of rehabilitation services.
Literature
1.
WHO. Integrating mental health into primary care: a global perspective. Geneva: World Health Organization; 2008.
2.
WHO. Mental health. Geneva: World Health Organization; 2012.
3.
Changhui C, et al. Epidemiology investigation for Schizophrenia in seven areas of China. Chin J Psychiatry. 1998;31(2):72–4.
4.
Poon A, Joubert L, Mackinnon A, Harvey C. A longitudinal population-based study of carers of people with psychosis. Epidemiol Psychiatr Sci. 2017;26:265–75.CrossRefPubMed
5.
About PRA. Psychiatric rehabilitation association. Archived from the original on 15 February 2015. Accesses 15 Feb 2015.
6.
Our History. Psychiatric rehabilitation association. Archived from the original on 7 November 2016. Accessed 17 Nov 2016.
7.
Rangaswamy T, Sujit J. Psychosocial rehabilitation in developing countries. Int Rev Psychiatry. 2012;24(5):499–503.CrossRefPubMed
8.
Craig T, Garety P, Power P, et al. The Lambeth Early Onset (LEO) Team: randomised controlled trial of the effectiveness of specialised care for early psychosis. BMJ. 2004;329:1067–71.CrossRefPubMedPubMedCentral
9.
Morgan C, Lappin J, Heslin M, Donoghue K, Lomas B, Reininghaus U, et al. Reappraising the long-term course and outcome of psychotic disorders: the AESOP-10 study. Psychol Med. 2014;44:2713–6.CrossRefPubMedPubMedCentral
10.
Roessler W. Psychiatric rehabilitation today: an overview. World Psychiatry. 2006;5(3):151.
11.
Killaspy H. Contemporary mental health rehabilitation. East Asian Archives of Psychiatry. 2014;24(3):89.PubMed
12.
Psychosocial Rehabilitation Association of Canada. PSR/RPS Canada.
13.
Kazdin AE. Addressing the treatment gap: a key challenge for extending evidence-based psychosocial interventions. Behav Res Ther. 2017;88:7–18.CrossRefPubMed
14.
De Hert M, Detraux J, Peuskens J. Practice of and services for psychosocial rehabilitation of people with schizophrenia in Belgium. Giorn Ital Psicopat. 2010;16:255–65.
15.
Klinkenberg WD, Calsyn RJ. Predictors of receipt of aftercare and recidivism among persons with severe mental illness: a review. Psychiatr Serv. 1996;47(5):487–96.CrossRefPubMed
16.
Aviram U. Promises and pitfalls on the road to a mental health reform in Israel. Isr J Psychiatry Relat Sci. 2010;47(3):171.PubMed
17.
Struch N, et al. People with severe mental disorders in Israel: an integrated view of the service systems. Jerusalem: Myers-JDC-Brookdale Institute; 2009.
18.
World Health Organization. WHO-AIMS report on mental health system in Nepal. Geneva: World Health Organization; 2007.
19.
Kamenov K, et al. Needs and unmet needs for rehabilitation services: a scoping review. Disab Rehab. 2018: 1–11.
20.
Bo W, et al. Epidemiology investigation for mental disorder on urban and rural residents in Guangxi Zhuang Autonomous Region. Guangxi Med Univ J. 2010;12(6):951–6.
21.
Bo W, et al. Epidemiology investigation of mental disorder in rural area of Guangxi Zhuang Autonomous Region. Mod Prevent Med. 2011;10:1801–5.
22.
Zhang J, et al. A study of mental rehabilitation states and its relative factors of patients with schizophrenia in community. Med J Chin People′s Health. 2006;18(3):168–71.
23.
Zhang Q, et al. The current situation and suggestions of community rehabilitation service resource in Shanghai Changning district. Shanghai J Prevent Med. 2016;28(7):19–24.
24.
WHO. Mental health atlas ddsf. Geneva: World Health Organization; 2005.
25.
Hogarty GE, et al. Family psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia: I. One-year effects of a controlled study on relapse and expressed emotion. Arch Gen Psychiatry. 1986;43(7):633–42.CrossRefPubMed
26.
Li N, et al. Mental health service use among Chinese adults with mental disabilities: a national survey. Psychiatric Serv. 2013;64(7):638–44.CrossRef
27.
Man DW, Law KM, Chung RC. Cognitive training for Hong Kong Chinese with schizophrenia in vocational rehabilitation. Hong Kong Med J. 2012;18(6):18–22.PubMed
28.
Gandotra S, et al. A preliminary study of rehabilitation needs of in-patients and out-patients with schizophrenia. Indian J Psychiatry. 2004;46(3):244.PubMedPubMedCentral
29.
Li D, et al. Measuring perceived rehabilitation needs of people with schizophrenia in mainland China. Admin Policy Ment Health Ment Health Serv Res. 2014;41(5):636–46.CrossRef
30.
Barton R. Psychosocial rehabilitation services in community support systems: a review of outcomes and policy recommendations. Psychiatric Serv. 1999;50(4):525–34.CrossRef
31.
Jenkins R. Making psychiatric epidemiology useful: the contribution of epidemiology to government policy. Acta Psychiatr Scand. 2001;103:2–14.CrossRefPubMed
32.
Li D, Tsui MC, Yuan GZ. China’s new Mental Health Law needs to tackle manpower imbalance of professionals in schizophrenia psychosocial rehabilitation. Int J Soc Psychiatry. 2014;60(4):410–1.CrossRefPubMed
33.
Wig N, Srinivasmurthy R. An approach to organizing rural psychiatric services. A report from WHO project “Strategies for extending mental health care”. Geneva: World Health Organization; 1981.
34.
35.
Kay SR, Fiszbein A, Opfer LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull. 1987;13(2):261.CrossRefPubMed
36.
Phutane VH, et al. Barriers to discharge of patients from a government-run day-care psychiatric rehabilitation center in India. Asian J Psychiatry. 2012;5(1):34–7.CrossRef
37.
38.
van Busschbach J, Wiersma D. Does rehabilitation meet the needs of care and improve the quality of life of patients with schizophrenia or other chronic mental disorders? Commun Ment Health J. 2002;38(1):61–70.CrossRef
39.
Hou SY, et al. Exploring the burden of the primary family caregivers of schizophrenia patients in Taiwan. Psychiatry Clin Neurosci. 2008;62(5):508–14.CrossRefPubMed
40.
41.
Barbato A. Psychosocial rehabilitation and severe mental disorders: a public health approach. World Psychiatry. 2006;5(3):162.PubMedPubMedCentral
42.
Bell MD, Lysaker PH. Psychiatric symptoms and work performance among persons with severe mental illness. Psychiatric Serv. 1995;46(5):508–10.CrossRef
43.
Shihabuddeen T, et al. Rehabilitation needs and disability in persons with Schizophrenia and the needs of the care givers. Delhi Psychiatry J. 2012;15(1):118–21.
44.
Xiao S. Critical challenge to Chinese mental health service system. Chin Ment Health J. 2009;23:844–7 (in Chinese).
Metadata
Title
Utilization of psychiatric rehabilitation services and influencing factors among people with psychotic disorders in rural communities of Guangxi, China
Authors
Hongye Luo
Edward B. McNeil
Qiming Feng
Hongheng Li
Qiang Chen
Xianjing Qin
Jun Feng
Sawitri Assanangkornchai
Publication date
01-12-2018
Publisher
BioMed Central
Published in
International Journal of Mental Health Systems / Issue 1/2018
Electronic ISSN: 1752-4458
DOI
https://doi.org/10.1186/s13033-018-0197-z

Other articles of this Issue 1/2018

International Journal of Mental Health Systems 1/2018 Go to the issue

Debate

Forty years without mental hospitals in Italy

Research

Perceptions about pasung (physical restraint and confinement) of schizophrenia patients: a qualitative study among family members and other key stakeholders in Bogor Regency, West Java Province, Indonesia 2017

Research

Validation of the WHO self-reporting questionnaire-20 (SRQ-20) item in primary health care settings in Eritrea

Research

The long-term effects of a prevention program on the number of critical incidents and sick leave days

Research

The right place? Users and professionals’ constructions of the place’s influence on personal recovery in community mental health services

Review

Systematic review of pathways to mental health care in Brazil: narrative synthesis of quantitative and qualitative studies