COMMUNITY-BASED AND NETWORK-DRIVEN STRATEGIC FRAMEWORK FOR SCREENING, IDENTIFICATION, AND REHABILITATION OF INDIVIDUALS WITH SUBSTANCE USE DISORDERS IN AMNAT CHAROEN PROVINCE

Abstract

This research is a research and development project aimed at examining the current situation, problems, and needs; developing a strategy; pilot testing the strategy; and improving and disseminating a community and network-centered strategy for screening, identifying, and rehabilitating drug users, addicts, and patients in Amnat Charoen Province. The study was divided into four phases from December 2023 to December 2024. The sample groups were classified as follows: 350 individuals for the needs assessment, 1,680 research participants, 267,360 individuals undergoing screening, and 252 individuals for satisfaction evaluation. Data were collected using questionnaires, assessment forms, record forms, and interview guidelines for focus group discussions. Data were analyzed using descriptive statistics and content analysis.

The findings of this study revealed three major components. 1) Current situation and problem assessment: The essential requirements for community- and network-based screening, identification, and rehabilitation of drug users included strong support from community leaders and local administrative organizations, as well as clear policies and operational plans. 2) Development of strategies for screening, identifying, and rehabilitating drug users, substance users, and individuals with substance use disorders: The operational process consisted of seven steps: (1) preparation, (2) case finding and screening, (3) summarizing screening results and returning information to the community, (4) treatment using the CBTx model and evaluation of treatment outcomes, (5) referral for sustainability and assessment of satisfaction among drug users, substance users, individuals with substance use disorders, their families, and the community, (6) follow-up and monitoring for relapse, and (7) network empowerment evaluation. 3) After piloting the strategy, the majority of screened individuals (over 99.62%) were classified as normal. Only 0.38% (1,007 individuals) tested positive, among whom 253 (25.89%) were identified as dependent users. A total of 20.56% (160 individuals) completed all nine CBTx sessions. Additionally, 52.44% (408 individuals) with positive urine test results completed the treatment program. The overall relapse rate was 4.94% (38 individuals), and 4) Strategy refinement and dissemination: At this stage, a network empowerment evaluation component was added to enhance participation, strengthen community ownership, and build the capacity of local networks.