Patil Sandeep, Patil Verappa, Tekkalaki Bheemsain, Chate Sameeran, Patil N M
Department of Psychiatry, Jawaharlal Nehru Medical College, Belagavi, Karnataka, India.
District Mental Health Programme, Bagalkot, Karnataka, India.
J Neurosci Rural Pract. 2022 Aug 7;13(3):510-514. doi: 10.1055/s-0042-1750708. eCollection 2022 Jul.
Most patients admitted in day care center are suffering from schizophrenia who do not recover fully due to nagging negative symptoms and cognitive deficits which linger and persist making the patients unfit and unacceptable for employment. But regular employment can help in recovery. In this way, day care centers would help in recovery of patients and hence the need for these kinds of centers. In India, day care centers are in infancy stage and to a larger extent are inadequately used. There is no data available from psychiatry day care center run as public-private partnership (PPP) project in a tertiary care general hospital psychiatry unit (GHPU). This model is first of its kind in India. Here, we narrate experiences gained in last 2 years. This article narrates the challenges and opportunities in a psychiatry day care center in PPP model. It a cross-sectional study. Description of day care center: Day care center was started as PPP model called Manasadhara model in the state of Karnataka, first of its kind in India. Patients currently asymptomatic are recruited into the center after initial interview/assessment of patients and family members from the in-charge psychiatrist after obtaining informed consent. Data are analyzed using mean and median mode. A -value of < 0.05 was considered significant. Appropriate statistical methods were applied. Total number of patients recruited in the study were 33 ( = 33). Mean age of the patients was 34.5 (7.4) years. Majority (51.52%) of patients were in the age group of between 26 and 35 years. Majority (51.52%) of patients' age of onset of illness fell between 21 and 30 years, and 63.64% of patients' duration of illness ranged between 11 and 15 years. Running a day care center in PPP model that too in a GHPU set up is difficult. Skills in which patients need to be trained should be decided based on patients' profile and cultural basis of the place. Common problems faced were poor placements, transportation, financial difficulties, and poor funding.
大多数日间护理中心收治的患者患有精神分裂症，由于持续存在的负面症状和认知缺陷，他们无法完全康复，这些症状长期存在，导致患者无法胜任工作且不被社会接受。但规律就业有助于康复。这样一来，日间护理中心将有助于患者康复，因此这类中心很有必要。在印度，日间护理中心尚处于起步阶段，在很大程度上未得到充分利用。在一家三级综合医院精神科病房（GHPU）以公私合营（PPP）项目形式运营的精神科日间护理中心，目前尚无相关数据。这种模式在印度尚属首例。在此，我们讲述过去两年所获得的经验。 本文讲述了公私合营模式下精神科日间护理中心面临的挑战与机遇。 这是一项横断面研究。日间护理中心的描述：日间护理中心以名为“Manasadhara模式”的公私合营模式在卡纳塔克邦启动，这在印度尚属首例。 经过主管精神科医生对患者及其家属进行初步访谈/评估并获得知情同意后，将目前无症状的患者招募进中心。 数据采用均值和中位数模式进行分析。P值<0.05被认为具有统计学意义。应用了适当的统计方法。 本研究招募的患者总数为33名（n = 33）。患者的平均年龄为34.5（7.4）岁。大多数（51.52%）患者年龄在26至35岁之间。大多数（51.52%）患者的发病年龄在21至30岁之间，63.64%的患者病程在11至15年之间。 在公私合营模式下，尤其是在综合医院精神科病房设立日间护理中心并非易事。需要根据患者情况和当地文化基础来确定对患者进行培训的技能。面临的常见问题包括安置不佳、交通问题、经济困难和资金不足。
