为患有精神疾病的人开发社区层面身体疾病干预模块的方法（CLIPMI）。
Methodology for Development of a Community Level Intervention Module for Physical Illness in Persons with Mental Illness (CLIPMI).
作者信息
Govindan Ramanujam, Rangaswamy Thara, John Sujit, Kandasamy Sunitha
机构信息
Tirunelveli Medical College, Tirunelveli, Tamil Nadu, India.
Schizophrenia Research Foundation, Chennai, Tamil Nadu, India.
出版信息
Indian J Psychol Med. 2020 Dec;42(6 Suppl):S94-S98. doi: 10.1177/0253717620973381. Epub 2020 Dec 19.
BACKGROUND AND OBJECTIVES
Medical illnesses seen in persons with psychiatric disorders are important but often ignored causes of increased morbidity and mortality. Hence, a community level intervention program addressing the issue is proposed.
MATERIALS AND METHODS
Patients with severe mental illnesses will be identified by a door-to-door survey and assessed for comorbid physical illnesses like anemia, hypertension, diabetes, and so on. They will then be randomized into two groups. The treatment as usual (TAU) group will not receive intervention from the trained community level workers, while the Intervention group will receive it.
RESULTS
The two groups will be compared for the prevalence and severity of comorbid physical illnesses. The expected outcome is compared to the TAU group, the intervention group will have a greater reduction in the morbidity due to physical illnesses and improved mental health.
CONCLUSION
If successful, the module can be incorporated into the community level mental health delivery system of the District Mental Health Program (DMHP).
背景与目标
在患有精神疾病的人群中出现的躯体疾病是导致发病率和死亡率增加的重要但常被忽视的原因。因此，提出了一项针对该问题的社区层面干预计划。
材料与方法
通过挨家挨户的调查识别患有严重精神疾病的患者，并评估其是否合并贫血、高血压、糖尿病等躯体疾病。然后将他们随机分为两组。常规治疗（TAU）组将不接受经过培训的社区层面工作人员的干预，而干预组将接受干预。
结果
比较两组合并躯体疾病的患病率和严重程度。预期结果是，与TAU组相比，干预组因躯体疾病导致的发病率将有更大幅度的降低，且心理健康状况将得到改善。
结论
如果成功，该模式可纳入地区精神卫生项目（DMHP）的社区层面精神卫生服务体系。
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