Applying The Community-Based Rehabilitation (CBR) to Improve The Quality of Life in Schizophrenia Patients

Authors

  • Uraiwan Kerdsang Behavioral Science Research Institute, Srinakharinwirot University
  • Ungsinun Intarakamhang Behavioral Science Research Institute, Srinakharinwirot University
  • Narisara Peungposop Behavioral Science Research Institute, Srinakharinwirot University
  • Theerayut Kerdsang Faculty of Nursing, Suratthani Rajabhat University

Keywords:

community-based rehabilitation, schizophrenia, quality of life

Abstract

Illness with schizophrenia, which is a chronic disease. It is a mental disability that requires continuous treatment and rehabilitation to reduce the disability, stigma, and to create a positive attitude from the people in the community to understand the patients and participate in the rehabilitation and care. Community-based rehabilitation is an important concept that can be used in the rehabilitation of schizophrenia patients. It consists of three integrations: 1) patients, 2) families, and 3) community. These are appropriately linked to each other in health, knowledge, occupation, and social services. The main objective of the CBR project is to improve the patients’ quality of life and independent living. Applied community-based rehabilitation concepts to improve the quality of life of schizophrenic patients. It is a proactive strategy in which community participation based on CBR processes were: 1) situation analysis, 2) plan and design, 3) action and establishment, and 4) monitor and evaluation. The important success factors for CBR consisted of service mind, data return, community participation, knowledge development, leadership, community context, strategy/process, and activities continued. These will provide through improve quality of life, health,  progress in remission of symptoms, living with others, feeling like a social part, responsibility, can work, and activity daily living normally. Therefore, CBR is an alternative service that is necessary for improving the quality of life of schizophrenia patients. So, professional providers should be understanding about CBR concept and how to apply it effectively.

References

Asher, L., Hanlon, C., Birhane, R., Habtamu, A., Eaton, J., Weiss, H. A., ... & De Silva, M. (2018). Community-based rehabilitation intervention for people with schizophrenia in Ethiopia. BMC Psychiatry, 18(1), 250.

Awad, A. G., & Voruganti, L. N. (2008). The burden of schizophrenia on caregivers: A review. Pharmacoeconomic, 26(2), 149-162.

Balaji, M., Chatterjee, S., Koschorke, M., Rangaswamy, T., Chavan, A., Dabholkar, H., Dakshin, L., Kumar, P., John, S., Thornicroft, G., & Patel, V. (2012). The development of a lay health worker delivered collaborative community-based intervention for people with schizophrenia in India. BMC Health Services Research, 12(1), 42

Chatterjee, S., Patel, V., Chatterjee, A., & Weiss, H. A. (2003). Evaluation of a community-based rehabilitation model for chronic schizophrenia in rural India. The British Journal of Psychiatry, 182(1), 57-62.

Chuwanitwong S. (2015). botbannāthikān. wārasān phư̄an rak sukkhaphāp čhit.[ Editorial. Journal of Mental Health Friends], 15(58).

Corrigan, P. W., & Mueser, K. T. (2008). Principles and Practice of Psychiatric Rehabilitation: An Empirical Approach. NY: The Guilford Press.

Danyuthasilpe Ch, Kalampakorn S. (2011). kāndūlǣ sukkhaphāp phūsūngʻāyu čheppūai rư̄arang nai chumchon. [Caring for Elderly with Chronic Illness in the Community], Journal of Public Health, 41(Special Issue on the 84th Birthday Celebration of King Bhumibol Adulyadej), 99-108.

Durmaz, H., & Okanli, A. (2014). Investigation of the effect of self - efficacy level of caregiver family members of the individuals with schizophrenia on burden of care. Archives of Psychiatric on Nursing, 28(4), 290-294.

ILO, UNESCO, & WHO. (1994). A strategy for rehabilitation, equalization of opportunities, poverty reduction and social inclusion of people with disabilities. Retrieved from www.who.int/disabilities/publications/cbr/en/index.html

Lakakul P, Kerdsang U. (2017). rāingān phon khrōngkān chumchon tonbǣp phư̄a kān fư̄nfū phūpūai čhittawēt nai rūpbǣp sūn kānrīanrū dūlǣ kanʻēng khlō̜ng hin rak čhit ʻamphœ̄ ʻāo lưk čhangwat Krabī . Surāt Thānī : rōngphayābān sūan sarān romrō̜wō̜ makap rōngphayābān songsœ̄m sukkhaphāp tambon bān nō̜ng lumphō̜ .[ Report on the results of the model community project for the rehabilitation of psychiatric patients in the form of a self-care learning center "Khlong Hin Rak Chit", Ao Luek District, Krabi Province. Surat Thani]. Suansaranrom Hospital and Ban Nong Lum Por Health Promoting Hospital.

LeeLakraiwan, C. (2007). Community Based Care for Mentally Ill Persons: A Case Study in an Urban Community, Khon kaen Province. (Dissertation for The Degree of Doctor of Philosophy). Khon kaen University, Khon kaen.

Liberman, R. P. & Kopelowicz, A. (2002). Recovery from schizophrenia: A challenge for the 21st century. International Review of Psychiatry, 14(4), 245-255

Liberman, R. P. (1992). Handbook of psychiatric rehabilitation. Allyn and Bacon.

Luprasong, S., Thanee S., Saithanu K., & Choomuang, K. (2017). Quality of Life of Psychiatric Patients and Their Caregivers in Ubonratchathani Province. Bulletin of Suanprung, 33(3), 175-88.

Mannan, H., & Turnbull, A. (2007). A review of community based rehabilitation evaluations: quality of life as an outcome measure for future evaluations. Asia Pacific Disability Rehabilitation Journal, 18(1), 29-45.

Moore, D., (2008). Textbook of Clinical Neuropsychiatry. (2nd ed). CRC Press Taylor & Francis Group.

Phiman W, Suriyathai Ch, Chaisalee, Phondaeng P, Khanpaeng K. (2011). kānphatthanā rūpbǣp bō̜rikān fư̄nfū samatthaphāp khonphikān dōi chumchon. [Development Model of Community Rehabilitation ]. Tawungpha Hospital.

Phiusuwan M. (2013). CBR Guidelines khō̜ng ʻOngkān ʻAnāmai Lōk chabap phāsā Thai. [CBR Guidelines of the World Health Organization, Thai version]. (community-based rehabilitation). Premium Express Publishing.

Phutharot P. (2018). kānphatthanā rūpbǣp kāndūlǣ tō̜nư̄ang nai phūpūai čhittaphēt . [Development of a continuing care model to reduce recurrence in schizophrenia patients], Journal of Health Science, 27(3), 478-486.

Puspitosari, W. A., Wardaningsih, S., & Nanwani, S. (2019). Improving the quality of life of people with schizophrenia through community based rehabilitation in Yogyakarta Province, Indonesia: A quasi experimental study. Asian journal of psychiatry, 42, 67-73.

Rossler, W., Joachim Salize, H., Van Os, J., & Riecher-Rossler, A. (2005). Size of burden of schizophrenia and psychotic disorder. European Neuropsychopharmacology, 15(4), 399-409.

Shao, W. C., Chen, H., Chang, Y. F., Lin, W. C., & Lin, E. C. L. (2013). The relationship between medication adherence and rehospitalization: A prospective study of schizophrenia patients discharge from psychiatric acute wards. Hu Li Za Zhi, 60(5), 31-40.

Velema, J. P., Ebenso, B., & Fuzikawa, P.L. (2008). Evidence for the effectiveness of rehabilitation-in-the-community programs. Leprosy Review, 79(1), 65-82.

Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., & Burstein, R. (2013). Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet, 382(9904), 1575–1586.

WHO. (2004). CBR: A strategy for rehabilitation, equalization of opportunities, poverty reduction, and social inclusion of people with disabilities. www.who.int/disabilities/publications/cbr/en/index.html.

WHO. (2010). Community-based rehabilitation: CBR guidelines. https://www.who.int/publications/i/item/9789241548052

World Health Organization. (2013). CBR Guidelines khō̜ng ʻOngkān ʻAnāmai Lōk chabap phāsā Thai. [CBR Guidelines of the World Health Organization, Thai version]. (Community-Based Rehabilitation). Premium Express.

Downloads

Published

2022-01-31

How to Cite

Kerdsang, U. ., Intarakamhang, U. ., Peungposop, N. . ., & Kerdsang, T. (2022). Applying The Community-Based Rehabilitation (CBR) to Improve The Quality of Life in Schizophrenia Patients. Journal of Behavioral Science for Development, 14(1), 134–152. Retrieved from https://so02.tci-thaijo.org/index.php/JBSD/article/view/247634