Development of a Treatment and Rehabilitation Model for Substance Users in Prathai District, Nakhon Ratchasima Province

Abstract

This study is an action research project aimed at examining the substance use situation among substance users, developing a treatment and rehabilitation model for substance users, and evaluating the outcomes of the developed treatment and rehabilitation model in Prathai District, Nakhon Ratchasima Province. The research instruments consisted of a document analysis form, focus group discussion guide, questionnaire, treatment and rehabilitation follow-up form, and in-depth interview guide. The sample groups comprised the following: (1) 84 substance users classified in the green-tier group; (2) 5 medical and public health personnel; (3) 20 health network partners; and (4) 30 caregivers of substance users. Quantitative data were analyzed using percentages and means, while qualitative data were analyzed through categorical classification.

The research findings revealed that: (1) Eighty-four green-tier substance users underwent treatment and rehabilitation provided by the multidisciplinary team of Prathai Hospital and its health networks. A key challenge identified from previous operations was that substance users faced social stigmatization. (2) Overall, substance users demonstrated a moderate level of knowledge, accounting for 61.90 percent. The treatment and rehabilitation model was collaboratively designed and developed with health network partners under the conceptual framework known as the PRATHAI Model, which encompasses the following components: (2.1) Clear Planning (Plan); (2.2) Awareness Raising (Realize); (2.3) Academic Promotion (Academic); (2.4) Continuous Monitoring (Track); (2.5) Mutual Assistance (Help); (2.6) Acceptance (Accept); and (2.7) Recognition of Importance (Importance). (3) In terms of outcome evaluation, following the completion of treatment and rehabilitation, substance users were able to reintegrate into society. Drug-related cases in Prathai District declined, and the developed treatment and rehabilitation model was found to be appropriate and practically applicable in real-world settings. Recommendations: The treatment and rehabilitation of substance users should be regarded as a shared responsibility among all relevant agencies, and continuous behavioral monitoring of substance users should be consistently maintained.