ประสิทธิผลรูปแบบการดูแลผู้ป่วยจิตเวชใช้สารเสพติดที่มีความเสี่ยงสูงต่อการก่อความรุนแรงโดยกระบวนการมีส่วนร่วมของภาคีเครือข่าย จังหวัดจันทบุรี
Abstract
This one-group pretest–posttest quasi-experimental study aimed to compare the knowledge and situational assistance skills of multidisciplinary team members and caregivers, as well as to examine the caregivers’ quality of life. The sample consisted of two groups: 20 multidisciplinary team members and 10 caregivers of psychiatric patients with substance use disorders. Research instruments included: (1) a participatory network-based care model for psychiatric patients with substance use disorders who were at high risk of violent behavior. A 2-day workshop was conducted, followed by home visits over a 4-week period. (2) a questionnaire for multidisciplinary team members, and (3) a questionnaire for caregivers. The reliability of the knowledge questionnaire (KR-20) and situational assistance skills questionnaire (Cronbach’s alpha) was .92 and .91, respectively, for the team members, and .89 and .87 for the caregivers. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test.
The results showed that, after participating in the 2-day workshop, both the knowledge and situational assistance skills of the multidisciplinary team members and caregivers significantly improved compared to before the intervention. In addition, after 4-week follow up the caregivers’ quality of life significantly improved at the .05 level.
The participatory network-based care model for psychiatric patients with substance use disorders at high risk of violent behavior can be adapted and applied in other contexts with similar settings.
References
World Health Organization. Mental health [Internet]. Geneva: World Health Organization; 2024 [cited 2025 Jul 7]. Available from: https://www.who.int/news-room/fact-sheets/detail/mental-health
Mental Health Knowledge Repository. Prevalence of self-control disorders: National mental health epidemiological survey 2023. [In-Thai]
Lekmeechai S. Prevalence and Associated Factors of Violence in Psychiatric Patients Admitted as Inpatients of Phaholpolpayuhasena Hospital. Phaholpolphayuhasena Hospital Journal. 2024;12(2):60-75. [In-Thai] Available from: https://he04.tci-thaijo.org/index.php/PPHJ/article/view/1001/894
Department of Mental Health, Ministry of Public Health. WHOQOL-BREF-THAI: A World Health Organization Quality of Life assessment. 2024. [In-Thai]
Department of Mental Health, Ministry of Public Health. Guidelines for continuous follow-up care of psychiatric patients with alcohol/drug/substance addiction (pilot version). Prosperous Plus Co., Ltd.; 2020. [In-Thai]
Tungchutaweesub T, Pongnanthakunkij P, Kwanpool S. Development of a care model psychiatric on high-risk substance toward violence by the participation process of network partners, Chanthaburi Province. 2024. [In-Thai] Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/276597
Muang District Public Health Office. Data on psychiatric patients using substances. 2024. [In-Thai]
Chanthaburi Provincial Public Health Office. Data on psychiatric patients using substances: Non-communicable diseases, mental health, and substance abuse division. 2025. [In-Thai]
Kemmis S, McTaggart R. The action research planner. 3rd ed. Geelong: Deakin University Press; 1992
Saengchan Printing Partnership Ltd. Manual for the care of chronically mentally ill patients at risk in the community for primary care personnel. Bangkok: Saengchan Printing Partnership Ltd. 2016. [In-Thai]
Prosperous Plus Co., Ltd. Manual for the care system of psychiatric patients at high risk of violence for institutions/hospitals under the Department of Mental Health. Bangkok: Prosperous Plus Co., Ltd. 2016. [In-Thai]
Department of Mental Health, Ministry of Public Health. Guidelines for the care of psychiatric patients at high risk of violence for psychiatric institutions/hospitals under the Department of Mental Health. 2020. [In-Thai]
Bloom BM. Learning for mastery. Center for the Study of Evaluation of Instructional Programs. 1968;1:1-12.
Best JW. Research in education. 4th ed. New Jersey: Prentice Hall; 1981.
World Health Organization. WHOQOL-BREF: Introduction, administration, scoring, and generic version of the assessment. Geneva: World Health Organization; 1996. Available from: https://www.who.int/publications/i/item/WHOQOL-BREF
Prakirana P, Sawangthaisong C, Boonmee D, Chantanui K, Chaison O. Guidelines for the care of drug addicts with mental illness and high risk of violence with community participation in Yangsisurach District, Mahasarakham Province. J Environ Health Commun Health. 2024;9(6):218-28. [In-Thai]
Walaisee K. Development of a care model for serious mental illness with high risk to violence in the community through the participation process of network partners, Selaphum District, Roi-et Province. J Environ Community Health. 2023;8(3):909-917. [In-Thai] Available from: https://he03.tci-thaijo.org/index.php/ech/article/view/1864/1393
Suksamarnwong C. Development care model for serious mental illness with high risk to violence (SMI-V) patients with community participation in Chana District, Songkhla. J Health Environ Educ. 2023;8(4):374-383. [In-Thai]
Borirak C, Moolsart S, Keawpan W. The model of volunteer development for basic response to disaster in the community, Yala Province. SCNJ. 2023;10(2):1-12. [In-Thai]
Sriharaksa P. Caring for schizophrenic patients at risk of violence through the use of participatory case management in the community, Muang District, Sakon Nakhon Province: A case study in Khamin Subdistrict, Mueang District, Sakon Nakhon Province. J Health Environ Educ. 2022;8(1):436-47. [In-Thai]
Sinthusopa W. The effects of a group social support program on quality of life in schizophrenia’s caregivers [Master’s thesis]. Bangkok: Chulalongkorn University; 2017. [In-Thai] htpp://doi 10.58837/CHULA.THE.2017.1114
Chudpimai R. Development of a care model for chronic psychiatric patients at-risk groups in the community through participatory process of network partners, Lamplaimat District, Buriram Province. Regional Health Promotion Center 9 Journal. 2022;16(3):851-67. [In-Thai]
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
