Comparative Evaluation Of The Efficacy Of Gmhat-Pc Critical Care Pathways And Contemporary Care Of Mental Disorders In Improving The Quality Of Care And Satisfaction Among Patients With Common Mental Disorders

Abstract

Background: World Health Organization reported that mental and behavioural disorders account for about 12 percent of the global burden of diseases. A shortage of mental health workers has increased over time and due to limited availability of mental health education and awareness, it has created a healthcare crisis. Mental illness is still widely stigmatized in India, and many people with mental health issues are reluctant to seek help due to the fear of being judged or discriminated against. This makes it difficult to raise awareness about mental health and to encourage people to seek treatment.  In India, there is a shortage of mental health professionals with only one psychiatrist per 100,000 people and one mental health worker per 10,000 people. And, in world 970 million people struggle with some mental illness or drug abuse. 1 in 4 people will be affected by a mental illness at some point in their lives. 14.3% of deaths worldwide, or approximately 8 million deaths each year, are attributable to mental disorders.

Objectives:

1. To assess the quality of care and satisfaction among patients with common mental disorders before the intervention in psychiatry units.
2. To implement the care as per the GMHAT-PC critical care pathways while caring the patients diagnosed with common mental disorders in experimental group.
3. To implement the contemporary care while caring the patients diagnosed with common mental disorders in control group.
4. To assess quality of care and satisfaction among patients with mental disorders after the implementation of GMHAT-PC critical care pathways.
5. To identify the relationship between quality of care and satisfaction in patients with common mental disorders.
6. To associate the findings with selected demographic variables.

Study design: It is a two arm trial, interventional hospital based study.

Setting: This study will be conducted in selected hospitals of Wardha district, Maharashtra, India.

Methodology: The participants will be 200 patients suffering with common mental disorders with stratified random sampling technique; participants will be allocated to control and experimental groups through randomization.

1. Experimental group will receive GMHAT-PC critical care pathways.
2. Control group will receive contemporary care and treatment. The experimental group will receive care for the first seven days and then supervise for the next two months. The outcome will be obtained during the intervention on every 15th day in three phases. After intervention, the primary outcome will be GMHAT-PC will be determined by critical care pathways. The secondary outcome i.e. quality of care and satisfaction will be measured after implementation of care pathways.

Expected results: Utilization of GMHAT-PC critical care pathways in clinical settings, improvement in quality of care and satisfaction.

Limitations: Only trained nursing personnel will be included from selected research centre of the University.

Conclusion: This study result will contribute GMHAT-PC critical care pathways for nursing personnel as a standardized pattern for individualized & quality care to patients with common mental disorders.