Results of Long-Term Treatment and Rehabilitation of Drug Addicts "Mini Thanyarak" Case study of Akat Amnuay Hospital, year 2023

Authors

  • Jirattikal Suttawanit Akat Amnuay Hospital
  • Patcharin Mungkhampha Akat Amnuay Hospital
  • Nava Phanawong Akat Amnuay Hospital

Keywords:

Treatment and rehabilitation, Drug addicts, Mini Thanyarak

Abstract

Background:. According to policies and strategies towards drugs, the perspective towards addicts has changed from viewing them as addicts to patients who require treatment. Patients’ access to rehabilitation and treatment leads to a shortage of hospital beds. Therefore, a concept of developing a long-term treatment and rehabilitation model has been introduced under the name “Mini Thanyarak”, which can be applied to community hospitals. Objective: To study the results of long-term treatment and rehabilitation of drug addicts “Mini Thanyarak” model, which was a case study at Akat Amnuay Hospital. Method: This research was evaluation research. The sample group was a group of 13 people who received treatment and rehabilitation between August and November 2023.. The tools used were guidelines for the implementation of long-term rehabilitation of drug and narcotic users in community hospitals, using the Mini Thanyarak model, and a manual for cognitive and behavioral therapy in drug and substance addicts in the rehabilitation period by Saengdueanchai S, et al. Data were collected from individual records, activity records and observations. Data analysis was done by using qualitative data with classification to inductively analyze and  interpret meanings, draw conclusions, and explain the phenomena. Quantitative data were collected by using frequency, percentage and average analysis. Results: The recipients remained in the treatment and rehabilitation system for 90 days without any complications. When using psychosocial therapy, there were positive behavioral changes and self-defense skills. Follow-up results 3 months after treatment were excellent; it was found that 84.6% did not return to drug use again. Conclusion: The Mini Thanyarak model results in no relapse into addiction and behavioral changes. Thus, the model could be used to stop drug addiction.

References

United Nations on Drugs and Crime. Community-based treatment for drug users and addicts [Internet]. 2014 [cited 2023 Jun 15]. Available from: https://www.unodc.org/roseap/uploads/archive/documents/cbtx/cbtx-brief-TH.pdf

Office of the Narcotics Control Board Ministry of Justice. Action plan for drug prevention and suppression 2022 [Internet]. 2022 [cited 2023 Jun 15]. Available from: http://www.pmnidat.go.th/thai/downloads/serviceplan/SP02-65.pdf

Office of the Secretary of the Committee for Treatment and Rehabilitation of Narcotic Addicts Ministry of Public Health. National information system for treatment and rehabilitation of steroid addicts [Internet]. 2023 [cited 2023 Jun 15]. Available from: https://antidrugnew.moph.go.th/Identity/STS/Forms/Account/Login?ReturnUrl

Akat Amnuay Hospital. Report on the results of drug treatment operations in the Psychiatry and Drugs Group, year 2023. Staple document.

Public Health Administration Division. Community-centered approaches to drug user rehabilitation. Samut Sakhon: Born to Be; 2018.

Thongpanich C. Mini Thanyarak – Expand area, reduce congestion, increase opportunities to access treatment and rehabilitation for drug addicts [Internet]. 2023 [cited 2023 Jun 15]. Available from: https://healthserv.net/healthupdate/223468

Thongpanich C. Opens "Mini Thanyarak" in community hospitals, helping 91% of patients stop taking drugs expands across the country, according to the mgronline [Internet]. 2023 [cited 2024 Jun 25]. Available from: https://mgronline.com/qol/detail/9660000063894

Kemmis, S & McTaggart, R. The Action Research Planer (3rd ed.). Victoria : Deakin University,1988.

Thanyarak Khon Kaen Hospital. Guidelines for long-term rehabilitation of drug and substance users in community hospitals using the mini-thanyarak model. Khon Kaen: KTTX; 2023.

Wongsuwan P. Concepts of psychiatric disease. Bangkok: Danex Inter Corporation; 2022.

Saengdueanchai S, Nilban S, Meesin W. Handbook: Cognitive and behavioral therapy in drug and substance addicts in the rehabilitation period. Boromarajonani National Institute for Drug Addiction Treatment and Rehabilitation Ministry of Public Health; 2020.

Wongpanarak N, Boonruang P. Relationships among hope, self-esteem, and the perceptions of spiritual dimension of people with drugs dependence in the Northeastern Region of Thailand. J Royal Thai Army Nurses 2017;18(2):47-54.

Phongphanupat T, Bonkhunthod P, Rungtanakiat P, Prasongkul N, Saengngam T, Munluan K. Effects of life skill development program for drug addiction prevention of secondary school students in I-San Subdistrict, Mueang District, Buriram Province. Medical Journal Srisaket Surin Buriram Hospitals 2022;37(3):559-68.

Ar-Rahimi A, Laiphaporn S, Jeawkok J, Saengthong T. Pattern of self-defense against substance re-use of substance abusers in Pattani Province: a case study of drug treatment patients in Ban Saen Suk Treatment Center and the Pondok Institute for Youth Development. Complete research report of the Center for the Study of Drug Problems (SEC) [Internet]. 2023 [cited 2023 Jun 15]. Available from: https://cads.in.th/cads/content?id=181Creswell

Niamluang M. The Development of a drug addict therapy model using cognitive behavior. therapy.Journal of Addiction Research and Academic Sciences 2023; 1(1):71-76.

Sirinanunth Y, Sriruecha C, Isrankura Na Ayudhya V. Effectiveness of the motivational interviewing program on change readiness and treatment needs among the amphetamine Addicts, Si Chomphu District, Khon Kaen Province. Academic Journal of Community Public Health 2023;9(2):159-68.

Jarutatsanangkoon A, Suparochanee S, Kaewyot K. The Deverlopment of cognitive and behavioral therapy manual on negative automatic thoughts in patients with schizoprenia. The Journal of Psychiatric and Mental Health 2021;33(2):105-21.

Yiamsuriyomg D. Therapeutic community drug rehabilitation center [dissertation]. Bangkok: Sripatum University; 2017.

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Published

15-09-2024

How to Cite

1.
Suttawanit J, Mungkhampha P, Phanawong N. Results of Long-Term Treatment and Rehabilitation of Drug Addicts "Mini Thanyarak" Case study of Akat Amnuay Hospital, year 2023. J DMS [Internet]. 2024 Sep. 15 [cited 2024 Nov. 21];49(3):145-53. Available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/269152

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Original Article