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. 2018 Apr 17:12:17.
doi: 10.1186/s13033-018-0197-z. eCollection 2018.

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

Hongye Luo  1   2 , Edward B McNeil  2 , Qiming Feng  1 , Hongheng Li  1 , Qiang Chen  3 , Xianjing Qin  1 , Jun Feng  1 , Sawitri Assanangkornchai  2
Affiliations

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

Hongye Luo et al. Int J Ment Health Syst. .

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.

Keywords: Influencing factors; People with psychotic disorders; Psychiatric rehabilitation services; Rural communities; Severe mental disorder.

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References

    1. WHO . Integrating mental health into primary care: a global perspective. Geneva: World Health Organization; 2008.
    1. WHO . Mental health. Geneva: World Health Organization; 2012.
    1. Changhui C, et al. Epidemiology investigation for Schizophrenia in seven areas of China. Chin J Psychiatry. 1998;31(2):72–74.
    1. Poon A, Joubert L, Mackinnon A, Harvey C. A longitudinal population-based study of carers of people with psychosis. Epidemiol Psychiatr Sci. 2017;26:265–275. doi: 10.1017/S2045796015001195. - DOI - PMC - PubMed
    1. About PRA. Psychiatric rehabilitation association. Archived from the original on 15 February 2015. Accesses 15 Feb 2015.

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