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The design and process of a family and community-based intervention for relapse prevention in people living with schizophrenia in Iran

Author

Listed:
  • Maryam Zabihi Poursaadati
  • Masoomeh Maarefvand
  • Jafar Bolhari
  • Samaneh Hosseinzadeh
  • Jagdish Khubchandani

Abstract

Background: People living with schizophrenia (PLS) suffer frequent relapse accompanied by emergency room visits, premature mortality, lower quality of life and a substantial social and economic burden on families and health systems. There is a dearth of community-based relapse prevention interventions (RPIs) in Iran. Aims: To determine an ideal model for a community-based RPIs for PLS. Methods: A qualitative study with 27 experts in Iran was carried out to understand the ideal RPIs for PLS and the key components of such interventions. Results: In 16 semi-structured interviews and 8 group-discussions, the participants identified six major stages of family and community-based RPIs including preparation, social mobilization, local team formation, design an RPI, implementing the RPI, participatory monitoring, and evaluation of the RPI. Conclusions: Given the suboptimal healthcare systems and lack of professionals and services, PLS in Iran may benefit from family and community-based RPIs. Our findings warrant pilot testing of such initiatives across developing communities like Iran to improve health outcomes of PLS.

Suggested Citation

  • Maryam Zabihi Poursaadati & Masoomeh Maarefvand & Jafar Bolhari & Samaneh Hosseinzadeh & Jagdish Khubchandani, 2023. "The design and process of a family and community-based intervention for relapse prevention in people living with schizophrenia in Iran," International Journal of Social Psychiatry, , vol. 69(3), pages 587-601, May.
    • Handle: RePEc:sae:socpsy:v:69:y:2023:i:3:p:587-601
    DOI: 10.1177/00207640221124438
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    References listed on IDEAS

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    1. Mark Pennington & Paul McCrone, 2017. "The Cost of Relapse in Schizophrenia," PharmacoEconomics, Springer, vol. 35(9), pages 921-936, September.
    2. Patricia Bach & Brandon Gaudiano & Steven Hayes & James Herbert, 2013. "Acceptance and commitment therapy for psychosis: intent to treat, hospitalization outcome and mediation by believability," Psychosis, Taylor & Francis Journals, vol. 5(2), pages 166-174.
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