Development of a Community-Based Care Model for Drug-Addicted Patients with Psychiatric Symptoms in Chiwasuttho Subdistrict Health Promoting Hospital, Chaturat District, Chaiyaphum Province

Abstract

     This study aimed to develop a community-based care model for drug-addicted patients with psychiatric symptoms in the service area of Chiwasuttho Subdistrict Health Promoting Hospital, Chaturat District, Chaiyaphum Province. Action research based on the Kemmis and McTaggart framework was employed using the Plan–Act–Observe–Reflect cycle. A total of 60 participants were purposively selected, including community leaders, village health volunteers, caregivers, and healthcare personnel. Data collection tools included questionnaires, assessment forms, and focus group discussions. Quantitative data were analyzed using descriptive statistics and paired t-test, while qualitative data were analyzed through content analysis.

     The findings revealed that the community context was characterized by easy access to drugs, social stigma, and discontinuity of treatment. The developed model emphasized integrated collaboration among stakeholders, capacity building of community leaders, a buddy system, home visits, and continuous community-based follow-up. After implementation, community participation significantly increased (p < .05). Patients showed improved continuity of care, reduced psychiatric symptoms and risky behaviors, better social adaptation, and more positive community attitudes toward patients.