Background
Mental health recovery
Recovery-oriented services
Information and participation needs
Traditional view in Chinese setting
Recovery-oriented services in Asians
Objective of this study
Methods
Ethics, consent and permissions
Focus groups
Number | Percentage | |
---|---|---|
Professional group total | 7 | |
Gender | ||
Male | 3 | 42.86 |
Female | 4 | 57.14 |
Professional group | ||
Medical | 1 | 14.29 |
Nursing | 3 | 42.86 |
Occupational therapy | 1 | 14.29 |
Medical social work | 2 | 28.57 |
Years of experience in psychiatric services | ||
0–10 years | 1 | 14.29 |
11–20 years | 3 | 42.86 |
> 20 years | 3 | 42.86 |
Patient group total | 33 | |
Gender | ||
Male | 21 | 64.10 |
Female | 12 | 35.90 |
Age | ||
18–30 | 3 | 7.69 |
31–40 | 9 | 23.08 |
41–50 | 6 | 20.51 |
51–60 | 13 | 35.90 |
> 60 | 2 | 12.82 |
Primary diagnosis | ||
Schizophrenia | 28 | 87.18 |
Depression/Bipolar affective disorder/Schizoaffective disorder | 5 | 12.82 |
Education Level | ||
No formal education | 1 | 5.13 |
Primary | 3 | 12.82 |
Secondary | 26 | 74.36 |
Tertiary | 3 | 7.69 |
Current wards/units | ||
Acute wards | 8 | 23.08 |
Medium-stay wards | 15 | 41.03 |
Rehabilitation wards | 10 | 35.90 |
Relative group total | 6 | |
Gender | ||
Male | 2 | 33.33 |
Female | 4 | 66.67 |
Age | ||
18–40 | 0 | 0.00 |
41–60 | 4 | 66.66 |
> 60 | 2 | 33.33 |
Education Level | ||
No formal education | 0 | 0.00 |
Primary | 2 | 33.33 |
Secondary | 2 | 33.33 |
Tertiary | 2 | 33.33 |
Relationship with the patient | ||
Patient’s parent | 4 | 66.67 |
Patient’s child | 1 | 16.67 |
Patient’s sibling | 1 | 16.67 |
Development of survey questionnaire
Information needs (22 items) | Participation needs (16 items) |
---|---|
Information on the classifications of mental illnesses, signs and symptoms and factors contributing to relapse | Collaborating with professionals in setting treatment and care plans |
Information on the reasons for in-patient admission and related ordinance | Learning and practising self-management |
Information on different residential placements | Enquiring about personal needs and arrangements |
Information on daytime training placements after discharge from in-patient setting | Providing opinion on how to improve the services and facilities of ward |
Information on the criteria and arrangements for discharge | Keeping in touch with the outside world |
Information on the ways to raise self-image and overcome stigma adhered to people with mental illnesses | Expressing needs and following up whether needs are meet |
Information on hospital fees and application of financial assistance | Understanding the treatment and rehabilitation plans and providing enough information for healthcare professionals to take reference |
Information on the reasons behind the hospital rules and regulations | Learning from other patients |
Information on the daily routine and schedules of ward | Reporting discomfort actively |
Information on how to maintain good physical health | Expressing personal feelings |
Information on the arrangements at different stages of rehabilitation including pre-discharge arrangements | Preparing for the interview with healthcare professionals |
Information on the news from the outside world | Learning how to cope with stress and prevent relapse |
Information on patient’s right (including ways of expressing opinion and making enquiries) | Participating in vocational training |
Information on how relatives can accept, participate and help | Participating in social activities |
Information on job acquisition | Participating in training of domestic and self-care skill |
Information on stress management and relapse prevention | Learning how to take care of others |
Information on alcohol and substance misuse | |
Information on the schedule of meetings with healthcare professionals | |
Information on community services and resources | |
Information on the different kinds of care and rehabilitation services | |
Information on medication prescriptions | |
Information on the importance of psychiatric drug taking and its side effects |
Validation of the survey questionnaire
Participants of questionnaire survey
Statistical analysis
Results
Survey on needs of psychiatric inpatients
Number | Percentage | |
---|---|---|
Total | 183 | 100 |
Gender | ||
Male | 110 | 60.11 |
Female | 73 | 39.89 |
Age | ||
18–30 | 39 | 21.31 |
31–40 | 53 | 28.96 |
41–50 | 45 | 24.59 |
51–60 | 41 | 22.40 |
> 60 | 5 | 2.73 |
Primary Diagnosis | ||
Schizophrenia | 125 | 68.31 |
Depression/Bipolar affective disorder/Schizoaffective disorder | 58 | 31.69 |
Education Level | ||
No formal education | 5 | 2.73 |
Primary | 28 | 15.30 |
Secondary | 141 | 77.05 |
Tertiary | 9 | 4.92 |
Current wards/units | ||
Acute wards | 35 | 19.13 |
Medium-stay wards | 93 | 50.82 |
Rehabilitation wards | 55 | 30.05 |
Information needs
Information needs (22 items) | Frequency (n = 183) | Frequency rank |
---|---|---|
Information on the classifications of mental illnesses, signs and symptoms and factors contributing to relapse | 125 | 1 |
Information on the reasons for in-patient admission and related ordinance | 93 | 6 |
Information on different residential placements | 90 | 10 |
Information on daytime training placements after discharge from in-patient setting | 95 | 5 |
Information on the criteria and arrangements for discharge | 112 | 2 |
Information on the ways to raise self-image and overcome stigma adhered to people with mental illnesses | 93 | 7 |
Information on hospital fees and application of financial assistance | 107 | 4 |
Information on the reasons behind the hospital rules and regulations | 65 | |
Information on the daily routine and schedules of ward | 76 | |
Information on how to maintain good physical health | 91 | 9 |
Information on the arrangements at different stages of rehabilitation including pre-discharge arrangements | 82 | |
Information on the news from the outside world | 72 | |
Information on patient’s right (including ways of expressing opinion and making enquiries) | 93 | 8 |
Information on how relatives can accept, participate and help | 76 | |
Information on job acquisition | 87 | |
Information on stress management and relapse prevention | 81 | |
Information on alcohol and substance misuse | 42 | |
Information on the schedule of meetings with healthcare professionals | 60 | |
Information on community services and resources | 57 | |
Information on the different kinds of care and rehabilitation services | 46 | |
Information on medication prescriptions | 59 | |
Information on the importance of psychiatric drug taking and its side effects | 109 | 3 |
Participation needs
Participation needs (16 items) | Frequency (n = 183) | Frequency rank |
---|---|---|
Collaborating with professionals in setting treatment and care plans | 129 | 4 |
Learning and practising self-management | 132 | 3 |
Enquiring about personal needs and arrangements | 142 | 1 |
Providing opinion on how to improve the services and facilities of ward | 107 | |
Keeping in touch with the outside world | 135 | 2 |
Expressing needs and following up whether needs are meet | 119 | 6 |
Understanding the treatment and rehabilitation plans and providing enough information for healthcare professionals to take reference | 95 | |
Learning from other patients | 91 | |
Reporting discomfort actively | 121 | 5 |
Expressing personal feelings | 118 | 7 |
Preparing for the interview with healthcare professionals | 90 | |
Learning how to cope with stress and prevent relapse | 106 | |
Participating in vocational training | 116 | 9 |
Participating in social activities | 118 | 8 |
Participating in training of domestic and self-care skill | 111 | 10 |
Learning how to take care of others | 78 |