The development of a treatment and rehabilitation model for drug addicts and Intermediate care of Mini Thanyarak, Na Wa Hospital, Nakhon Phanom Province.

Abstract

      This action research aimed to study the model and outcome of treatment and rehabilitation of intermediate care drug users at Mini Thanyarak, NaWa Hospital, Nakhon Phanom Province. The sample group was Drug and substance users the specified criteria and were purposive sampling 30 people. Single sample group, pretest-posttest design. The instruments used for data collection included a family functioning assessment form and a mid-term treatment outcome assessment form. Data analysis: General data were analyzed using counts, percentages, family functioning assessment forms, and mid-term treatment outcome assessment forms. The analysis used mean and standard deviation. The comparison before and after participating in the activities was done using Pair t-test.

     The study results found that, The use of action research process in rehabilitation treatment model has 4 steps as follows: 1) comprehensive assessment of the addicted patient's condition, 2) therapy activities in Mini Thanyarak, 3) evaluation, and 4) continuous care. Results of model implementation: After participating in family duties activities, including: problem solving, communication, roles, emotional response, and general functioning, was at a high level, while emotional response and emotional attachment were at a moderate level. Before-after comparison of the activity, problem solving, role communication, emotional engagement, behavioral control, and general functioning were significantly different at the .05 level. Emotional responses were not statistically different. Comparison of average scores of the evaluation of intermediate care treatment found that: Drug withdrawal symptoms, mental symptoms, physical symptoms, emotional symptoms, family cooperation symptoms, and social symptoms (relationships with others) were significantly different at the .05 level. Depression (9Q) and suicide (8Q) were not statistically different after. Follow-up within 30 days after discharge 70% of the sample group did not detect methamphetamine in their urine.