|Abstract: ||Background: Bipolar Disorder is second most common illness for psychosis.
Patients with bipolar disorder sometimes are on stable condition,
rather than patients with schizophrenia most of time have poor outcome,
which result in heavy burden for caregivers. The purpose of this research is
to explore the induced needs of health care and social care for chief caregiver
with bipolar disorder.
Methods: Face to face interviews are carried out for twelve chief
caregivers with bipolar disorders after adopting the Institution Review
Board (IRB) recommendations. The study subjects recruit from the
Psychiatric Hospital and Mental Rehabilitation Association in Taipei city.
The interviews were recorded and transcribed, and the data analysis based
on grounded theory.
Results: The study results found that chief caregivers with bipolar
disorder induced healthcare needs from the process of taking care of
patients, which include the information for psychiatric diseases, twentyfour
hours psychia-tric emergency services, consultation for patient care by
telephone, psychiatric acute wards, intensive care unit for psychiatry, a
helper at admission, home care, day care services, rehabilitation services
and psychiatric chron-ic wards. The induced social care needs for chief
caregivers include house-keeping, respite care, institutional respite care,
subsidize, job arrangement, living replacement, family group and case
management. Most caregivers are not aware of mental healthcare system
and unsure how to seek for ser-vices.
Conclusions: This study suggests offering the compressive and
continuity services for patient and caregivers with bipolar. Further, to
provide more information about bipolar disorder for the publics and
caregivers with bipolar disorder. In future research, this study advances to
elucidate induced needs for caregivers with bipolar disorder amongst
different area and demographic characteristics of patients.