The Effect of a Community-Based Rehabilitation Program on Psychotic Disorders

Chatterjee et al. (2009) conducted a longitudinal study examining the effect of community-based rehabilitation on psychotic disorders in Madhya Pradesh, India. All 256 individuals received a community-based intervention package comprising psychotropic medications, psychoeducation, adherence management, psychosocial rehabilitation and support for livelihoods. They found significant reductions in levels of disability. SHG membership, family engagement with the program and medication adherence were found to be independent determinants of good outcomes. Lack of formal education, schizophrenia diagnosis and dropping out of the program were independent determinants of poor outcomes. SHGs were particularly helpful in engaging local communities to restore social roles to people with psychoses. The groups supported social inclusion in mainstream community activities and helped to reduce discrimination. 

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