Surveillance model development Screening for mental health in the community Buriram Province.

Abstract

     This study is a research and development (R&D) to develop a surveillance model. Screening for mental health in the community Buriram Province is divided into 5 phases: Phase 1) assessing the current problem, Phase 2) drafting a surveillance and screening model, Phase 3) improving and developing, Phase 4) putting the model to trial, and Phase 5. ) Model Evaluating. The study period is between October 2019 -January 2023. Data analyzed by Frequency distribution, percentage, mean, standard deviation, and Dependent t – test.
     The results of the study found that patient caregivers Most are female. and is an elderly person aged 60 years and over but has no congenital disease and has a career as a farmer. 57.78 percent have an income of 5000 to 10,000 baht per month. The caregiver has a sibling relationship with the patient. Accounting for 35.56 percent. The family structure is characterized as a single family. Accounting for 76.67 percent. The average length of patient care was 15.12 years. The overall picture of family relationships is at a moderate level. But there is a lack of support for patients to earn an income and build a career. Overall, the objective and subjective burdens were moderate. The results of the analysis of the relationship between the predictive variables and the dependent variables found that the community service system Leading person caring for mental health patients in the community Caring for patients and relatives and mental health operations in the community There is a positive relationship with statistical significance at the 0.01 level. leading to drafting a surveillance model Mental health screening With the participation of stakeholders, the "BRM Model" or "Buriram Model" will bring the model to trial in 2022.Results of operations according to the developed model (Model Evaluating) found that in 2020 patients will receive services on average 3.11 times/person/year, which is less than in the period after the implementation of the developed system. It was found that patients receiving mental health and psychiatric services in outpatient services increased to 4.77 times/person/year at the level (t-test) = -5.468, with statistical significance at the 0.05 level of murder rate. The dead body decreased. and the percentage of depressed patients accessing services has increased.