The Development of a Drug User Care Community-Based Treatment and Extended Care Model: CBTx Model in Chanthaburi Province.
Article Sidebar
Main Article Content
Abstract
BACKGROUND: The drug problem is a serious issue in every country around the world. Drug use among people 15-64 years has increased by 26%. Therefore, community-based rehabilitation for drug users is crucial.
OBJECTIVES: To study the issues, develop a model, and evaluate the effectiveness of a community-based drug user care model in Chanthaburi Province.
METHODS: Research and development, analyzing the appropriateness and feasibility of the model, mean, and standard deviation, analyzing issues in drug user care in the community, using the model before and after receiving the Chanthaburi CBTx Model with the Wilcoxon Signed Ranks Test, setting the statistical significance level at 0.001.
RESULTS: The Chanthaburi CBTx model. Experimental results over a 4-week period showed significant improvements in risk behaviors related to substance use, family involvement, and continuity of care after using the model compared with the baseline (p<.001). The Chanthaburi CBTx Model is highly suitable and feasible for implementation (Mean=4.6, SD=0.4)
CONCLUSIONS: The Chanthaburi CBTx Model can be applied in Chanthaburi Province and has led to changes at the individual, family, and community levels, particularly by reducing risky behaviors, preventing relapse into substance use, and improving the sustainability of continuity of care.
Thaiclinicaltrials.org number, TCTR20250523001
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
United Nations Office on Drugs and Crime. World drug report 2025. 2025 [cited 2026 Mar 15]. Available from: https://www.unodc.org/documents/data-and-analysis/WDR_2025/WDR25_B1_Key_findings.pdf
Office of the Narcotics Control Board. Drug situation in Thailand 2022 [Internet]. 2022 [cited 2026 Mar 15]. Available from: https://www.oncb.go.th/pdfjs/web/viewer.html?file=/storage/file/content/th/result-prevent/679c9fdb3c26f2Sd1p.pdf&mode=preview
Drug Prevention and Suppression Administration Center. ). Strategic plan for treatment and rehabilitation of drug-dependent patients, fiscal years 2021-2023. Ministry of Public Health [Internet]. 2021 [cited 2026 Mar 15]. Available from: https://ncmc.moph.go.th/home/upload/web_download/rptk5fmp8q8sk0soko.pdf
Prochaska JO, DiClemente CC. Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol 1983;51:390-5.
Princess Mother National Institute on Drug Abuse Treatment. Community-based treatment (CBTx) guideline for community practitioners: A new approach to sustainable drug problem management. Nonthaburi: Princess Mother National Institute on Drug Abuse Treatment (PMNIDAT); 2021.
Best JW. Research in education. 3rd ed. New Jersey: Prentice Hall; 1977.
Phuipha T. The development of integrated treatment and rehabilitation model for drug addicts Sisaket province. Sisaket Journal of Research and Health Development 2025;4(3):59-73
Bronfenbrenner U. The ecology of human development: experiments by nature and design. Cambridge, MA: Harvard University Press;1979.
Gleason-Comstock J, Calhoun CB, Locke BJ, Boorle NVLD, Cobty K, McKenney T, et al. People who use drugs engagement in substance use disorder services and harm reduction: evaluation, challenges and future direction of a community-based intervention. Subst Abuse Treat Prev Policy [Internet]. 2024 [cited 2026 Mar 15];19(1):24. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11061983/pdf/13011_2024_Article_601.pdf
Hoeppner BB, Simpson HV, Weerts C, Riggs MJ, Williamson AC, Finley-Abboud D, et al. A nationwide survey study of recovery community centers supporting people in recovery from substance use disorder. J Addict Med 2024;18:274-81.
Bachhuber MA, Cunningham CO, Lincourt P, Jordan AE. Spatial accessibility of substance use disorder treatment programs, compared with other health care facilities, in New York State, 2024. Addict Sci Clin Pract [Internet]. 2025 [cited 2026 Mar 15];20(1):60. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC12312488/pdf/13722_2025_Article_592.pdf
Komjit N. Results of using participatory drug addiction treatment model in community Hua Thon subdistrict, Suwannaphum district. Journal of Environmental and Community Health 2024;9(6):355-65.
