DDevelopment of Community-Based Care Model for Mental Health and Substance Abuse Patients in Khun Han District, Sisaket Province. Development of Community-Based Care Model for Mental Health and Substance Abuse Patients in Khun Han District, Sisaket Province.
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Abstract
This study aimed to develop a community-based care model for mental health and substance abuse patients in Khun Han District, Si Sa Ket Province, appropriate to the local context. A Research and Development approach was conducted in three phases: Phase 1, Cross-sectional Analytical Study (n = 385); Phase 2, Participatory Action Research (n = 60); and Phase 3 Quasi-Experimental Research with One Group Pretest-Posttest Design (n = 90), covering 12 sub-districts over nine months.
The results revealed that the key factors most strongly correlated with care effectiveness were administrative support, personnel knowledge and skills, and community participation. The developed model, named the "Khun Han Model" a community-based collaborative care model integrating health services, community participation, and inter-agency coordination, comprised four main components: 1) community-based patient screening and assessment, 2) capacity building for health personnel and public health volunteers, 3) continuous service delivery and follow-up, and 4) community network building and participation.
Effectiveness evaluation demonstrated that all indicators improved significantly (p < .001) with large effect sizes. Patient service accessibility showed the greatest improvement, followed by overall effectiveness and satisfaction. The Khun Han Model is contextually appropriate for rural settings and can be replicated in areas with similar characteristics, providing valuable evidence for mental health and substance abuse policy formulation at provincial and regional levels.
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