Development of an Integrated Thai Traditional Medicine Service Model for the Treatment of Patients with Substance Use Disorders, Alcohol Dependence, and Smoking Cessation at the Psychiatric and Substance Abuse Clinic, Don Mot Daeng Hospital, Ubon Ratchathani Province
Keywords:
Thai traditional medicine, substance use treatment, smoking cessation, integrated healthcare servicesAbstract
This study investigate the existing situation and service needs, develop an integrated Thai traditional medicine service model, and evaluate its quality and effectiveness among patients with substance use disorders, alcohol dependence, and those seeking smoking cessation services at the Psychiatric and Substance Abuse Clinic, Don Mot Daeng Hospital, Ubon Ratchathani Province. This action research sample size were 30 patients; (3) implementing the model for five weeks among 169 patients, comprising 54 patients with substance use disorders, 61 with alcohol dependence, and 54 seeking smoking cessation; and (4) refining the final model. The instruments included stress, craving, treatment adherence, holistic health, and satisfaction assessments. Data were analyzed using frequencies, percentages, means, standard deviations, paired t-tests, and content analysis. Statistical significance was set at 0.05.
Results: The developed model comprised six components: patient screening and assessment, individualized service planning, provision of Thai traditional medicine procedures and herbal remedies according to clinical indications, health counseling, multidisciplinary follow-up, and outcome assessment and referral. The overall quality of the model was rated at a very high level (4.68±0.27). Following implementation, mean stress scores decreased from 31.24±6.87 to 18.63±5.94, while mean craving scores decreased from 7.48±1.42 to 3.26±1.31. Mean treatment adherence scores increased from 6.92±1.88 to 11.08±1.37, and mean holistic health scores increased from 2.94±0.41 to 4.21±0.36. All outcomes differed significantly from baseline (p<0.001). Overall, 88.8% of patients attended at least four service sessions, and overall satisfaction was rated at a very high level (4.57±0.38).
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