Outcomes of people with psychotic disorders in a community-based rehabilitation programme in rural India

There is little evidence of the feasibility, acceptability and impact of services for the care of people with psychotic disorders in low- and middle-income countries. To describe the scaling up and impact of a community-based rehabilitation programme for people with psychotic disorders in a very-low...

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Bibliographic Details
Published in:British journal of psychiatry 2009-11, Vol.195 (5), p.433-439
Main Authors: Chatterjee, Sudipto, Pillai, Aravind, Jain, Sumeet, Cohen, Alex, Patel, Vikram
Format: Article
Language:English
Subjects:
Adherence
Bipolar disorder
Community
Community based treatment
Community Mental Health Services - organization & administration
Community-based programs
Data collection
Developing countries
Disability
Dropping out
Educational Status
Emotional disorders
Feasibility
Feasibility Studies
Female
Health services
Humans
India
Intervention
LDCs
Low income groups
Male
Medical diagnosis
Medically Underserved Area
Mental disorders
Mental health
Middle Aged
Outcome Assessment (Health Care)
Program Evaluation
Psychiatrists
Psychiatry
Psychoeducational treatment
Psychoses
Psychosis
Psychosocial factors
Psychosocial rehabilitation
Psychotic Disorders - rehabilitation
Psychotropic drugs
Referral and Consultation - organization & administration
Rehabilitation
Rural areas
Rural communities
Rural Health Services - organization & administration
Schizophrenia
Scholarships & fellowships
Self help
Social factors
Socioeconomic Factors
Young Adult
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Summary:There is little evidence of the feasibility, acceptability and impact of services for the care of people with psychotic disorders in low- and middle-income countries. To describe the scaling up and impact of a community-based rehabilitation programme for people with psychotic disorders in a very-low-resource setting. Longitudinal study of people with psychotic disorders who had been ill for an average of 8 years in a rural Indian community. All individuals received a community-based intervention package comprising psychotropic medications, psychoeducation, adherence management, psychosocial rehabilitation and support for livelihoods. The primary outcome was change in disability scores. The cohort consisted of 256 people with psychotic disorders (schizophrenia, bipolar affective disorder and other psychosis) of whom 236 people completed the end-point assessments (92%), with a median follow-up of 46 months. There were significant reductions (P
ISSN:0007-1250
1472-1465
DOI:10.1192/bjp.bp.108.057596