Evaluation of the FAST Model for Intensive Rehabilitation at Thanyarak Pattani Hospital

Abstract

This evaluation research aimed to: (1) assess the context, inputs, processes, and outcomes, and (2) evaluate the strengths and limitations of the FAST Model implemented at Thanyarak Pattani Hospital. A total of 81 participants were included, comprising 10 administrators, 45 patients with substance use disorders, 12 rehabilitation team members, and 14 family caregivers. The research instruments consisted of questionnaires and assessment forms, which were validated by three experts, yielding Cronbach’s alpha coefficients ranging from .82 to .98. Data were analyzed using descriptive statistics, including percentages, means, and standard deviations, as well as content analysis. The findings revealed that

1. Overall, the implementation of the FAST Model was rated at a high level across all CIPP dimensions. The highest mean score was observed in the context dimension (M = 4.44, SD = 0.57), followed by outcomes (M = 4.32, SD = 0.74), processes (M = 3.88, SD = 0.53), and inputs (M = 3.74, SD = 0.73).

2. Key strengths included holistic care delivered by a multidisciplinary team with specialized expertise and a supportive learning environment, which contributed to positive behavioral changes and enabled patients to reintegrate into society without substance dependence and several limitations were identified: (1) some staff members had not received formal training in the FAST Model, (2) a lack of clear criteria for patient admission into the rehabilitation program, and (3) inconsistent family participation in the treatment process due to time constraints.

It is recommended that the hospital utilize the findings to refine the FAST Model's framework. Additionally, strengthening support systems is crucial for promoting sustained family involvement.