Development care model for Serious Mental Illness with High Risk to Violence (SMI-V) patients with community participation in Chana district, Songkhla.

Abstract

     This research aims to develop a tailored care system for psychiatric patients at risk of violence, fostering community involvement in Chana District, Songkhla Province, through participatory action research conducted and evaluate. The study focuses exclusively on Chana District, totaling 211 participants. Analytical methods encompass descriptive statistics (percentages, frequencies, means, and standard deviations), supplemented by inferential statistics such as the paired t-test, Qualitative data are subjected to comprehensive content analysis and discourse exchanges, harmonized with the study's research objectives.

     The research findings indicate several positive outcomes from project completion. Notably, there was a significant reduction in drug use among substance-dependent patients, especially those with milder symptoms who showed improved decision-making to avoid high-risk situations, reducing self-harm and violence. Caregivers also improved in comprehension, knowledge, and attitudes toward their patients, leading to increased engagement in patient-related activities. Furthermore, the mental health team demonstrated elevated professional expertise, including enhanced knowledge, negotiation skills, and proficiency in patient restraint, particularly in managing psychiatric crises with aggressive behavior. And in the end, concrete operational guidelines emerged in the area.