Sriramalu Sudhir Babu, Elangovan Aravind Raj, Isaac Mohan, Kalyanasundaram Janaki Raman
Department of Psychiatric Social Work, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru 560029, Karnataka, India.
University of Western Australia, Faculty of Health and Medical Sciences, Fremantle Hospital, Fremantle, WA 6160, Australia; NIMHANS, Bengaluru 560029, Karnataka, India.
Asian J Psychiatr. 2022 Jan;67:102944. doi: 10.1016/j.ajp.2021.102944. Epub 2021 Nov 25.
Identification, enrollment, and retention in treatment are challenging processes in mental health care. The present paper highlights the challenges in tracing and reenrolling non-adherent persons with mental illness for treatment in a rural community mental health center. Unclear address, phone numbers not in use, relocation from the given address, no further contact details etc. are the barriers to trace and make the home visits. A detailed review of the medical record, having a network with the village informal health care workers and groups, utilizing peer group support, etc., are the facilitators for tracing the treatment non-adherent persons in the community.
在精神卫生保健中,识别、招募和维持治疗是具有挑战性的过程。本文强调了在农村社区精神卫生中心追踪和重新招募未坚持治疗的精神疾病患者进行治疗时所面临的挑战。地址不明、电话号码停用、从给定地址搬迁、没有进一步的联系方式等都是追踪和进行家访的障碍。详细审查病历、与乡村非正式卫生保健工作者和团体建立联系网络、利用同伴群体支持等,都是在社区中追踪未坚持治疗者的促进因素。