The development of service deliveries in mini Thanyalak at Naduang hospital: The civil societal perspective.

Abstract

     This study was participatory action research (PAR) aimed to examine the situation of psychiatric and substance use disorder services provided through the Mini Thanyarak and to develop a service delivery model for the Mini Thanyarak at Na Duang Hospital: civil societal perspective. The data were collected from March to June 2026. Research instruments included a data recording form, satisfaction survey and focus group discussion guidelines. The data analysis by descriptive statistic, inferential statistic and thematic analysis.

     Results: The findings revealed that 86.0% of participants were male, with a mean age of 34.2 years (S.D.=10.67). Participants completed lower secondary education or below (87.3%), were unemployed (57.3%), and had no income (42.7%). A history of substance use among family members was reported by 12.7% of participants. Methamphetamine use was found in 86.7% of cases, cannabis use in 14.0%, and alcohol consumption in 91.3%. Based on the V2 assessment, 70.0% of participants were classified in the orange-risk group. The developed service model emphasized collaborative care involving families, community networks, village security posts, police officers, community leaders, village health volunteers, and local government organizations. Key interventions included budget support, vocational funding to promote sustainable livelihoods, comprehensive community environmental improvements to reduce drug-related risk factors, and the establishment of community-based treatment and social rehabilitation centers for long-term recovery.