The Development of a rehabilitation model for methamphetamine addicts at Phonsawan Hospital Nakhon Phanom Province.

Abstract

      This study aimed to 1) To study the problems and needs for a rehabilitation model for methamphetamine addicts; 2) To develop a rehabilitation model for methamphetamine addicts; and 3) To evaluate the effectiveness of the developed rehabilitation model for methamphetamine addicts at Phon Sawan Hospital, Nakhon Phanom Province. An Action research was conducted using the Cognitive Behavioral Therapy (CBT) concept combined with the concept of learning activity models in developing the model, and the concept of the Four Foundations of Mindfulness. The sample were several methamphetamine addicts from July to December 2025. Data collection tools included: 1) a general information questionnaire, 2) a methamphetamine cessation intention assessment scale, 3) a methamphetamine cessation behavior assessment scale, 4) a methamphetamine usage assessment scale, and 5) a satisfaction questionnaire. Experimental tools included: 1) a methamphetamine addiction rehabilitation model, 2) a cognitive and behavioral therapy manual for methamphetamine addicts, and 3) a model from the methamphetamine addicts. Data were analyzed using descriptive statistics (percentages, means, and standard deviations) and paired t-tests, with a statistical significance level of 0.05.

      Results of the study : 1) Problems and needs regarding the rehabilitation model for alcohol addiction included insufficient coverage of the target group and a lack of a network team for identification. Lack of follow-up in the target group, lack of skilled assessors, lack of referral for treatment, long distances, financial burden, lack of awareness of treatment, social stigma, lack of multidisciplinary team in treatment, lack of contextually appropriate treatment system, lack of follow-up system, and lack of guidelines for preventing relapse. 2) Model of treatment for patients with alcohol addiction consists of (1) Community Screening, which is screening at the Village Health Volunteer (VHV) and Sub-district Health Promotion Hospital (RPS.ST.) levels; (2) Comprehensive Treatment, which is a program with 4 phases: Phase 1, pre-admission phase to assess alcohol withdrawal symptoms; Phase 2, drug treatment phase (DETOX phase); Phase 3, rehabilitation phase. (Rehabilitation phase) in the form of a mini-Tanyarak, the intermediate phase (Intermediate Care) and the 4th phase, the follow-up phase (After phase) after treatment (3) Continuous Support is a self-help group for patients with alcohol addiction, such as the Buddy System and Line group, and (4) Collaborative Network is the definition of the roles of the network and agencies involved. And 3) The results of developing the treatment model for patients with alcohol addiction showed that after the experiment, the sample group had a greater intention to quit using methamphetamine and a greater behavior in quitting methamphetamine use than before the experiment. The amount of methamphetamine used decreased than before the experiment. The satisfaction of methamphetamine addicts and the satisfaction of the health team increased more than before the experiment, with statistical significance at 0.05.