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Long-Term Outcomes of Unlocking Chinese Patients with Severe Mental Illness
Zhang, Yun-Shu1; Li, Ke-Qing2; Sun, Jian-Hua1; Li, Wei1; Tong, Zhi-Hua1; Yan, Bao-Ping1; Ungvari, Gabor S.3; Ng, Chee H.4; Xiang, Yu-Tao5
2018-09
Source PublicationPSYCHIATRIC QUARTERLY
ISSN0033-2720
Volume89Issue:3Pages:757-763
Abstract

In 2006, the "unlocking program" was implemented in Hebei province, China to promote the human rights for people with severe mental illness who were physically restrained at home. We assessed the long term outcomes of the "unlocking program" following the provision of hospital and community psychiatric care over 10 years and explored their associated factors. A total of 107 patients with severe mental illness who were "unlocked" in the program were included. Outcome measures were collected with standardized rating scales at 2 separate time points in August 2012 and November 2016. Poor outcome was defined either as being relocked, or missing to follow up or death. In 2012, 36 patients (33.6%) had poor outcomes. Poor outcome was positively associated with follow-up length and less caregiver burden at baseline. By 2016, 53 patients (49.5%) were found to have poor outcomes. There was only a trend of positive association between poor outcome and less caregiver burden at baseline. Poor long-term outcomes were common in patients with severe mental illness following the "unlocking program". Evidence-based treatment strategies and mental health services to improve the outcomes and protect the human rights of patients subjected to being locked in the community are urgently needed.

KeywordChina Outcome Severe Mental Illness Unlocking
DOIhttp://doi.org/10.1007/s11126-018-9575-6
URLView the original
Indexed BySSCI ; SSCI
Language英语
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000441774100022
PublisherSPRINGER
The Source to ArticleWOS
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
Corresponding AuthorLi, Ke-Qing; Xiang, Yu-Tao
Affiliation1.Department of Sleep Medicine, Hebei Psychiatric Hospital, Hebei province, Baoding, China.
2.Department of Sleep Medicine, Hebei Psychiatric Hospital, Hebei province, Baoding, China
3.University of Notre Dame Australia / Marian Centre & Graylands Hospital, Perth, Australia.
4.Department of Psychiatry, University of Melbourne, Melbourne, VIC, Australia.
5.Unit of Psychiatry, Faculty of Health Sciences, University of Macau, 3/F, Building E12, Avenida da Universidade, Taipa, Macau, SAR, China
Corresponding Author AffilicationFaculty of Health Sciences
Recommended Citation
GB/T 7714
Zhang, Yun-Shu,Li, Ke-Qing,Sun, Jian-Hua,et al. Long-Term Outcomes of Unlocking Chinese Patients with Severe Mental Illness[J]. PSYCHIATRIC QUARTERLY,2018,89(3):757-763.
APA Zhang, Yun-Shu.,Li, Ke-Qing.,Sun, Jian-Hua.,Li, Wei.,Tong, Zhi-Hua.,...&Xiang, Yu-Tao.(2018).Long-Term Outcomes of Unlocking Chinese Patients with Severe Mental Illness.PSYCHIATRIC QUARTERLY,89(3),757-763.
MLA Zhang, Yun-Shu,et al."Long-Term Outcomes of Unlocking Chinese Patients with Severe Mental Illness".PSYCHIATRIC QUARTERLY 89.3(2018):757-763.
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