Graham Thornicroft is a professor of community psychiatry at the Institute of Psychiatry at Kings College London. He led the study. He feels the best way to treat people with mental illness in poor countries is to make care easy to get.
So, what we wanted to do in this study is to find out, can we develop a relatively simple and affordable type of treatment that will increase the number of people who get treatment and increase the quality of care, said Thornicroft.
Mr Thornicroft says trained health care workers visited the homes of 187 schizophrenic patients. These workers gave the patients medication and follow-up care between doctor visits. They told family members about how to care for the loved ones.
This in-home, community care was combined with visits to mental health centers. The progress of this group was then compared to a group of 95 patients who received care only at mental health centers. Mr Thornicroft says that a year later, the patients who received in-home care experienced major improvements.
For example, voices or delusions were less in the community treatment option. Secondly, the levels of disability were lower when people had community care as well as the medical treatment and third, people were more often likely to take their medication if they had the close support of coming to visit their homes rather than getting no follow-up between the doctors visits, said Thornicroft.
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