[Effectiveness of home help service for psychiatric patients. The results of a model project in S city].
OBJECTIVE
The purpose of this study was to evaluate the effectiveness of a home help service project for psychiatric patients in S city.


METHODS
To assess the effectiveness of the home help service, home help service providers at S city in 1997 were invited to hearings and the transcripts were examined qualitatively. Based on the results, interview questions were developed. We then interviewed 28 home help providers who were providing or had completed the service project, as well as care managers as of July 1998. Home help providers divided their patient stories retrospectively into three time frames: before starting home care, one month after starting providing care and at the present. Amount of care provided and patients' self care level were scored and averages ere compared for the three time frames.


RESULTS
The analysis of the hearing data revealed parameters for the effectiveness of home help service for psychiatric patients to be as follows: 1) enhanced ability of daily living, such as taking meals, maintaining hygiene and shopping, (primary effectiveness: 5 items); and 2) developing social function, such as being motivated, maintaining personal relationship, extending social life, and decreasing family burden, (secondary effectiveness: 9 items). The amount of care needed was found to be significantly decreased and social function was significantly enhanced on comparisons between before starting home care and one month later, as well as between before starting home care and the present.


CONCLUSIONS
Home help service for psychiatric patients is not only useful for enhancing patients' ability to succeed in daily living tasks, but also for developing their social functioning. Effectiveness was also identified in the level of patients' behavior. The results provide reasonable grounds for extended use of the home help service.
Kayama
M
M
University of Tokyo.
Asukai
N
N
Miyake
Y
Y
Tanoue
M
M
Minakawa
K
K
D006699:Home Care Services; D006701:Home Nursing; D006801:Humans; D001523:Mental Disorders / Q000451:nursing*; D010865:Pilot Projects; D014041:Tokyo