A Model of Development for Community Based Treatment and Rehabilitation Related to Drugs Addiction Rehabilitation among Patients In Lahansai distinct, Buriram province.

Abstract

     This study aimed to develop a CBTx model appropriate to the context of Lahan Sai District, Buriram Province. A research and development (R&D) design with qualitative methodology was applied. Data were collected through focus group discussions, in-depth interviews, observation, and document review. Participants included 45 informants: community leaders, network partners, drug users, and family members. The study followed the Action Research framework and ensured trustworthiness through triangulation.

     The results revealed that the CBTx “Chum Chon Lom Rak” model consisted of four main steps: (1) raising awareness and community mobilization, (2) establishing a working group and integrating multi-sectoral collaboration, (3) implementing rehabilitation activities such as music therapy, exercise therapy, vocational training, and life-value enhancement activities, and (4) continuous follow-up and evaluation. Outcomes showed that 12 out of 15 drug users (80%) successfully reduced or quit drug use, and 86.7% reported improved physical and mental health. Families and communities increasingly accepted and supported patients, enabling their reintegration into society. Community participation significantly increased from a mean score of 3.35 to 4.20 (p<0.001), especially in “co-thinking” and “benefit-sharing.” In addition, local drug-related cases decreased by 25%.