The role of human rights and personal dignity in the rehabilitation of chronic psychiatric patients. A rural therapeutic community in Yanbian, Jilin.
In 1983 the branch hospital of the Yanbian Community Psychiatric Hospital, a rural residential centre for 120 chronic psychiatric patients who have no means of financial support, adopted a new treatment philosophy that emphasised psychosocial rehabilitation and made the protection of patients' human rights and respect for their personal dignity the central organising principles for the hospital's treatment programme. From being a boarding facility for chronic psychiatric patients, the hospital became a thriving community. Comparison of the status of the 81 continuously resident schizophrenic patients before and after the policy change showed that (a) the proportion who actively participated in agricultural labour increased from 10% in 1982 to 38% in 1990; (b) the proportion who worked at non-agricultural jobs increased from 7% in 1982 to 22% in 1990; and (c) their mean yearly income increased from 1.67 Rmb in 1982 to 246.70 Rmb in 1990. Moreover, the number of successful suicides among all the patients in the hospital dropped from 13 in 1975-1982 to 1 in 1983-1990. We conclude that the success of psychiatric rehabilitation programmes depends on the extent to which they address the core issues of personal dignity and basic human rights.
Jin
D
D
Branch Hospital, Yanbian Community Psychiatric Hospital, Yanji City, Jilin, PRC.
Li
G
G
D002681:China; D002908:Chronic Disease; D003431:Cross-Cultural Comparison; D006806:Human Rights / Q000331:legislation & jurisprudence*; D006801:Humans; D010344:Patient Advocacy / Q000331:legislation & jurisprudence*; D012050:Rehabilitation, Vocational; D012424:Rural Population; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D012917:Social Adjustment; D013405:Suicide / Q000331:legislation & jurisprudence / Q000523:psychology; D013808:Therapeutic Community; D000092864:Suicide Prevention