ไทย Development of Social Care and Rehabilitation Centers for Drug Addicted Patients Who have Undergone Treatment from the Hospital before Returning to the Community, Non Sila District, Khon Kaen Province

Abstract

This action research aimed to study the development and evaluation of social care and rehabilitation centers for drug addicts who had undergone treatment at healthcare facilities before reintegration into the community. The study was conducted in four stages: planning, implementation, observation, and reflection, over the period from June to December 2023. Participants included doctors, professional nurses, public health officers, administrative officers, family members, and drug addicts, totaling 77 individuals. The research instruments comprised interview forms, group discussion forms, observation, and medical records. Quantitative data were analyzed using statistics such as frequency, percentage, and mean, while qualitative data were analyzed using content analysis. The study revealed the following results: 1) Problem Situation Analysis: It was found that the services did not meet medical quality standards. There were insufficient personnel and budgetary resources, and caregivers lacked the knowledge and skills needed to care for patients. 2)Development of the Social Care and Rehabilitation Center Model: The model included the following components: (1) Establishing a management committee (2) Developing guidelines for patient assessment (3) Preparing patients before undergoing treatment. (4) Providing facilities and necessary resources (5) Identifying target groups. (6) Conducting activities and providing care for 14 days (7) Establishing a referral system. (8) Setting up a discharge preparation system. Evaluation of the Model: The evaluation found that two patients successfully stopped using drugs, ten patients cooperated with ongoing treatment, and five patients continued to exhibit psychiatric symptoms and drug use. As a result, Non Sila District developed an effective model for operating social care and rehabilitation centers. The model included a system for identifying drug users, an efficient information referral system, clear and effective coordination, and integrated collaborative work.