Study of the Mini-Thanyarak Service Model in Thailand

Abstract

This research aims to conduct a developmental evaluation to assess the efficiency and improve the service model of Mini-Thanyarak facilities in Thailand. The study identified a total of 147 service establishments with 1,844 beds, comprising 112 intermediate care facilities and 35 long-term care facilities. Health District 10 demonstrated the highest service capacity with 254 beds, while Health District 3 had the least at 23 beds. In intermediate care, there were 2,298 service users, equating to a service rate of 220.96%, whereas long-term care recorded 340 users, with a service rate of 42.29 %. The majority of patients were found to be using methamphetamines (1,802 individuals), particularly in Health District 8, which had the highest number of service recipients at 376. The evaluation identified significant risks associated with service delivery, including unauthorized exits from facilities and altercations among patients. Additionally, a lack of resources and shortages of specialized personnel were critical limitations. Various training programs for staff were noted, emphasizing holistic rehabilitation activities for physical, mental, and social recovery, with a treatment duration of 1 to 3 months. The assessment results indicated budget constraints and limited facility capacity, recommending increased investment in infrastructure, personnel, and technology to enhance the quality of patient rehabilitation.