Development of a Treatment Model for Alcoholic Patients at Phonsawan Hospital Nakhon Phanom Province.

Abstract

      This study aimed to study the problems and needs regarding the treatment model for alcohol dependence; 2) To develop a treatment model for alcohol dependence; and 3) To evaluate the effectiveness of the developed treatment model for alcohol dependence at Phon Sawan Hospital, Nakhon Phanom Province. This action research employed Cognitive Behavioral Therapy (CBT) principles combined with family involvement to help patients modify their thoughts, emotions, and behaviors appropriately. The sample were 35 alcohol dependence patients receiving treatment at Phonsawan Hospital between July and December 2025. Research instruments included: data collection tools: 1) a general information questionnaire, 2) an assessment scale for alcohol consumption behavior in patients with alcohol dependence, 3) an assessment scale for alcohol consumption in patients with alcohol dependence, 4) a satisfaction questionnaire for patients with alcohol dependence, and 5) a satisfaction questionnaire for the healthcare team; and experimental instruments: 1) an alcohol dependence treatment model, 2) a Cognitive Behavioral Therapy manual for alcohol dependence patients, 3) a model from alcohol dependence patients, and 4) an alcohol withdrawal symptom assessment scale. Data were analyzed using descriptive statistics, calculating percentages, means, and standard deviations. Comparisons were made using a paired t-test with a statistical significance level of 0.05.

      Results of the study : 1) Problems and needs regarding the treatment model for patients with alcohol addiction: problems with access to services include long distances, costs, and lack of referrals; problems with screening include a lack of assessment and referral for treatment; problems with treatment include a lack of a multidisciplinary team for treatment and a lack of a treatment system appropriate to the context; and problems with follow-up include a lack of follow-up on relapse. 2) The treatment model for patients with alcohol addiction consists of (1) Community Screening, which involves screening at the community health volunteer and sub-district hospital levels; (2) Comprehensive Treatment, with a program consisting of 4 phases: Phase 1, the pre-admission phase, involves assessing alcohol withdrawal symptoms; Phase 2, the drug treatment phase, is the DETOX phase in week 1; Phase 3, the rehabilitation phase. (Rehabilitation phase) is the phase in which patients with alcohol dependence receive treatment according to the psychosocial treatment process with cognitive and behavioral modification with family involvement in weeks 2-12 and phase 4, the follow-up phase (After phase), is the phase of preparing patients and families for discharge home after treatment, home visits and evaluation after completion of treatment. The total time is 16 weeks (4 months). (3) Continuous Support is a self-help group for patients with alcohol dependence, the Buddy System (peer support system) and the Line group, and (4) Collaborative Network is the definition of the roles of the network and agencies involved. And 3) The results of the development of the treatment model for patients with alcohol dependence: the average score of alcohol drinking behavior of patients with alcohol dependence was higher than before the experiment; the amount of alcohol consumed by patients with alcohol dependence decreased than before the experiment; the number of days without alcohol consumption by patients with alcohol dependence after discharge at 1, 2 and 3 months increased than before receiving treatment; satisfaction of patients with alcohol dependence was higher than before the experiment; and satisfaction of the health team was found to increase more than before the development of the system, which was statistically significant at 0.05.