Development of a Drug Addiction Treatment Model to Promote One-Year Treatment Retention, Nadun Hospital, Maha Sarakham Province.
Keywords:
drug addiction treatment, treatment retention, case management, research and development, community hospitalAbstract
This research and development study aimed to examine the situation and factors related to treatment retention among patients with drug use problems, to develop a treatment model promoting one-year retention, and to evaluate the model at Nadun Hospital, Maha Sarakham Province, Thailand. The study comprised four phases following the action research cycle. The model was developed with a 16-member multidisciplinary team, staff of sub-district health promoting hospitals, community leaders, and village health volunteers. The evaluation sample comprised 139 new outpatients admitted between October 2023 and September 2024, compared with a historical group of 71 patients treated in fiscal year 2023. Data were analyzed using descriptive statistics, the chi-square test, and thematic analysis. Dropout was related to patient, family, provider, and service system factors.
The resulting NADUN Model consists of five components: Need-based assessment, Alliance building, Distance-free follow-up, Unity of family and community, and Navigation by a case manager. After implementation, the one-year retention rate rose from 84.51% to 90.65%, a difference of 6.14 percentage points (95% CI: −3.57 to 15.85), which was not statistically significant (χ² = 1.75, p = .186). Satisfaction with the model among patients and the multidisciplinary team was at a high level (M = 4.46, SD = 0.52 and M = 4.38, SD = 0.50, respectively).
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