Main Article Content
This ethnographic research aimed to study the definitions and situation of the problems of schizophrenia patients, and to synthesize the care of schizophrenia patients by the community based on the community context. It is believed that the study would reflect the working procedure of the persons involved in the development of care to meet the needs of schizophrenia patients. The study was conducted from December 2015 to March 2017 in a rural area of the Northeast. There were 83 informants, including the familys and neighbours 31 persons, the public sector 23 persons, the community leaders 15 persons and the government officials 14 persons. The data collection was administered by participatory observation, in-depth interviews and group discussion. Content analysis was employed to analyze the data.
Five main points were obtained from the study. 1. The definitions of schizophrenia patients given by the community included stressing people, people with brain diseases, crazy people, people who were threatened by superstition and disappointed by the Dhamma 2. The lifestyles of schizophrenia patients included relying on others, living alone, not having rights and opportunities and having the poor’s way of life. 3. There were the problems and the needs of care of schizophrenia patients. 4. The concrete care of the community for patients with schizophrenia that covered health and social dimensions were as follows: 1) care assistance, 2) care services, 3) strengthening, 4) potential development and 5) welfare and other services. 5) factors affecting care of schizophrenia patients by community.
There were four main community organizations cooperating in the care of schizophrenia patients, namely the public sector, village headmen, local government organizations and government agencies. This situation illustrated the development of schizophrenia patient care system by the community in five aspects: 1) the principles of community care system, 2) the education and the use of information, 3) the cooperation of four main organizations, 4) the development process and 5) the use of community mechanisms . The findings revealed that community empowerment and strengthening the community to develop the model of care of schizophrenia patients by the community that cover the health and social dimension.