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<p>There are limited studies evaluating the effectiveness and feasibility of various models of community mental healthcare services in the Indian context. Home-based care is an important part of community mental health services. The present study was conducted to explore the feasibility of home-based mental healthcare care in the community setting. The study utilised medical record review of patients undergoing treatment under the “Rythm” community psychiatry service. Socio-demographic, clinical, and service delivery data was extracted from the files. All the patients who were visited by the homecare team over the last 2&#xa0;years were included in the study. The following data were collected using a structured Performa; age, gender, diagnosis, total number of home visits, average number of visits per patient, distance from the clinic, services offered during home visits, interventions, benefits to patients and their families, and outcomes. We also listed the challenges faced by our community mental healthcare team while delivering the home based mental healthcare services. The study included 228 patients receiving regular community based mental healthcare from 10 community clinics in two districts of Kerala and one district of Tamil Nadu. The mean age of patient was 52.2&#xa0;years with age ranging from 9 to 95&#xa0;years. Most common diagnosis was non-affective psychosis (27%), followed by bipolar disorder (14%), major neurocognitive disorder (14%), intellectual disability with behavioural problems (9%) and major depressive disorder (7%). A total of 586 home care visits were conducted across 10 community clinics for 228 patients, averaging 2.57 home visits per patient. The average distance to a patient’s home from the clinic (or outpatient service point) during home care was 6.7&#xa0;km. Out of 228 cases, home care is still ongoing for 68 (29.82%) patients as part of continuity of care. Thirty-six patients (15.80%) have transitioned to exclusive outpatient care, while 42 (18.42%) cases have dropped out of treatment for various reasons. Home care services are essential for understanding the psychosocial support and environment of the patient, which are critical aspects to consider in rehabilitation services. Early symptom identification and management, along with a considerable reduction in the cost of treatment, lead to greater satisfaction and a reduced burden of illness for both patients and caregiver.</p>

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Transforming Mental Health Care: A Chart-Based Study of Home-Based Services

  • 期刊论文

  • 发表日期：

    2025年4月19日

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  • M. Vaseel,
  • T. S. Febina,
  • P. C. Anver,
  • Mohammed Jezeel Nalakath,
  • N. A. Uvais

摘要

There are limited studies evaluating the effectiveness and feasibility of various models of community mental healthcare services in the Indian context. Home-based care is an important part of community mental health services. The present study was conducted to explore the feasibility of home-based mental healthcare care in the community setting. The study utilised medical record review of patients undergoing treatment under the “Rythm” community psychiatry service. Socio-demographic, clinical, and service delivery data was extracted from the files. All the patients who were visited by the homecare team over the last 2 years were included in the study. The following data were collected using a structured Performa; age, gender, diagnosis, total number of home visits, average number of visits per patient, distance from the clinic, services offered during home visits, interventions, benefits to patients and their families, and outcomes. We also listed the challenges faced by our community mental healthcare team while delivering the home based mental healthcare services. The study included 228 patients receiving regular community based mental healthcare from 10 community clinics in two districts of Kerala and one district of Tamil Nadu. The mean age of patient was 52.2 years with age ranging from 9 to 95 years. Most common diagnosis was non-affective psychosis (27%), followed by bipolar disorder (14%), major neurocognitive disorder (14%), intellectual disability with behavioural problems (9%) and major depressive disorder (7%). A total of 586 home care visits were conducted across 10 community clinics for 228 patients, averaging 2.57 home visits per patient. The average distance to a patient’s home from the clinic (or outpatient service point) during home care was 6.7 km. Out of 228 cases, home care is still ongoing for 68 (29.82%) patients as part of continuity of care. Thirty-six patients (15.80%) have transitioned to exclusive outpatient care, while 42 (18.42%) cases have dropped out of treatment for various reasons. Home care services are essential for understanding the psychosocial support and environment of the patient, which are critical aspects to consider in rehabilitation services. Early symptom identification and management, along with a considerable reduction in the cost of treatment, lead to greater satisfaction and a reduced burden of illness for both patients and caregiver.