Sudipto Chatterjee|Aravind Pillai|Sumeet Jain|Alex Cohen|Vikram Patel
Outcomes of people with psychotic disorders in a community-based rehabilitation programme in rural India
University College London|Harvard University|Sangath|London School of Hygiene & Tropical Medicine|Sangath|London School of Hygiene & Tropical Medicine|Sangath|London School of Hygiene & Tropical Medicine
little evidence feasibility acceptability impact services care people psychotic disorders low middleincome countriesto describe scaling impact communitybased rehabilitation programme people psychotic disorders verylowresource settinglongitudinal study people psychotic disorders ill average 8 years rural indian community individuals received communitybased intervention package comprising psychotropic medications psychoeducation adherence management psychosocial rehabilitation support livelihoods primary outcome change disability scoresthe cohort consisted 256 people psychotic disorders schizophrenia bipolar affective disorder psychosis 236 people completed endpoint assessments 92 median followup 46 months significant reductions p005 levels disability cohort vast majority 835 engaged programme multivariate analyses lower baseline disability scores family engagement programme medication adherence member selfhelp group independent determinants good outcomes lack formal education diagnosis schizophrenia dropping programme independent determinants poor outcomescommunitybased rehabilitation feasible acceptable intervention beneficial impact disability majority people psychotic disorders lowresource settings impact disability influenced combination clinical programme social determinants