The Development of a Community Participatory Treatment Model for Substance Abuse in Dong Mun Subdistrict, Nong Kung Si District, Kalasin Province.

Abstract

      This research aimed to 1) analyze the problems of substance abuse treatment in Dong Mun Sub-district, Nong Kung Si District, Kalasin Province, 2) develop a community-based treatment model for substance abusers, and 3) evaluate the community-based treatment model for substance abusers. This study employed Research and Development methodology using Participatory Action Research (PAR) combined with Mixed Methods Research. The sample consisted of 30 substance abusers receiving treatment, families, community leaders, public health officers, and village health volunteers. The research was conducted from January to December 2025. Research instruments included questionnaires, interview guides, observation forms, and recording forms. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data were analyzed through content analysis.

      The evaluation of the BI-HEART Model demonstrated a 73.3% success rate in substance cessation at 6 months, with a relapse rate of 26.7%, significantly lower than historical data from conventional treatment approaches. Quality of life, psychological resilience, and social support scores increased significantly (p<0.001). Factors associated with treatment success included psychological resilience level (OR=3.45), employment and income (OR=3.12), family support (OR=2.98), community support (OR=2.76), and participation in group activities (OR=2.54). The model's appropriateness was rated at the highest level (Mean=4.71), feasibility at a high level (Mean=4.01), and participant satisfaction at a high level (Mean=4.47).