Abstract
ObjectivesTo identify the rate and predictors of utilization of rehabilitation services among people with psychotic disorders in rural communities of Guangxi.Study designA 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.ResultsA 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%).ConclusionsThese 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.
Highlights
Mental disorders occur at high rates in every country, and have already become a global challenge, especially in fast-growing developing countries such as China [1, 2]
Greater use of rehabilitation was associated with having a non-organic disorder (OR = 11.6, 95% confidence intervals (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%). 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
Summary
Mental disorders occur at high rates in every country, and have already become a global challenge, especially in fast-growing developing countries such as China [1, 2]. Psychiatric rehabilitation is an important part of a mental health service It promotes recovery, community integration, and improves quality of life for patients who. Psychiatric rehabilitation services focus on helping patients develop skills and access resources needed to increase their ability to be successful and satisfied in the living, working, learning, and social environments of their choice [5]. They are especially related to the improvement of functioning and quality of life [6]. Psychiatric rehabilitation aims to reintegrate patients with severe mental disorders into society and help them to live fulfilling lives [7, 8]. Psychiatric rehabilitation services include medications for treatment-resistant psychosis and affective disorders, physical health promotion, psychological interventions such as cognitive behavioral therapy and family interventions, occupational therapy, and supported employment [9]
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