DEVELOPMENT OF AN INTEGRATED TREATMENT AND REHABILITATION MODEL FOR DRUG PATIENTS THROUGH PARTICIPATORY COMMUNITY ENGAGEMENT: A CASE STUDY OF KHON KAEN PROVINCE'S PROTECTIVE COMMUNITY (LOMRAK) APPROACH

Abstract

This study employed an action research design with the objective of developing an integrated treatment and rehabilitation model for drug-dependent patients through participatory community engagement, based on the prototype “Lomrak Community” approach. The sample consisted of 280 participants, including administrators, personnel responsible for prevention, suppression, treatment, and follow-up, as well as patients. The study was conducted between December 16, 2024, and December 15, 2025, across 13 districts in Khon Kaen Province.

The research process comprised three phases: Phase 1 involved situational analysis; Phase 2 focused on developing the treatment and rehabilitation model using the PAOR (Plan-Act-Observe-Reflect) process; and Phase 3 evaluated the implementation of the model. Data were analyzed using descriptive statistics and paired t-test.

The results revealed that the Lomrak Community Model consists of six key components: case finding, screening, treatment, rehabilitation, referral, and follow-up, driven by the District Health Board. The effectiveness of treatment improved, as indicated by an increased retention rate,
a decreased relapse rate, improved social rehabilitation outcomes, and significantly higher family satisfaction (Mean difference = 0.47, t = -14.179, p-value < 0.001). In conclusion, the development of the model through the PAOR process effectively enhanced treatment outcomes for drug-dependent patients in both behavioral and social dimensions.

Recommendations: The Lomrak Community Model should be integrated and adopted as a provincial policy. Strengthening multidisciplinary teams and developing a centralized information system for continuous follow-up are recommended.