Background. A significant number of patients with
severe psychiatric disorders remain untreated in
the community although health services are available. The factors related
to non-treatment are not well understood.Method. A door-to-door survey was conducted on an Indian urban
population of 100 000 using
standardized screening and clinical instruments as a part of a larger epidemiological
study.
Treatment status was determined from multiple sources of information.Results. Nearly one-third of 261 schizophrenia patients were
found never to have received
treatment. They were older in age and ill for a longer duration than
those who had been treated and
were more symptomatic and severely disabled. They were more often uneducated
and divorced and
lived with larger extended/joint families. This last factor was
considered as being the important
factor in determining whether the patient received treatment.Conclusion. The larger extended/joint family, which
was able to compensate and cope with the
dysfunctional member, seemed to be the crucial factor related to non-treatment
of the schizophrenic patient.