Title : The effects of developing an empowerment enhancement model combined with the matrix program for outpatient rehabilitation among amphetamine users at udon thani hospital, with the participation of network partners
Abstract:
This study aimed to develop and evaluate an empowerment enhancement model integrated with the outpatient matrix program to improve treatment retention and promote abstinence among amphetamine users at Udon Thani Hospital, Thailand. The model emphasized the active participation of community networks and multidisciplinary partners to strengthen recovery, reduce relapse risk, and support long-term rehabilitation.
Methods: A continuous quality improvement framework (Plan–Do–Check–Act) was implemented during 2024–2025. The empowerment process comprised four steps:
1. Appreciative dialogue to build trust and rapport.
2. Critical consciousness to enhance awareness of the consequences of drug use.
3. Action to apply acquired skills in daily life.
4. Reflection to identify barriers and collaboratively develop solutions.
The intervention was delivered over 16 weeks (120 days), with telephone follow-up for individuals missing appointments for more than 14 days. Local network partners, including health-promoting hospitals, village health volunteers, community leaders, police, and military units, supported client monitoring, early relapse detection, and referral coordination. Treatment retention and remission rates were assessed before and after implementation.
Results: Between 2024 and 2025, the treatment retention rate increased substantially from 81.48% to 100%, indicating improved adherence and engagement. The remission rate showed a slight decline from 70.37% to 68.42%; However, participants reported increased motivation, self awareness, and readiness to maintain abstinence. strengthened collaboration with community networks improved communication, case surveillance, and the consistency of follow-up among high-risk individuals, contributing to overall program effectiveness.
Conclusions: The integration of empowerment process with the matrix program and community participation demonstrated effectiveness in enhancing the rehabilitation of amphetamine users. The model addressed psychosocial, behavioral, and environmental determinants of relapse and fostered intersectoral collaboration. This approach shows promise for sustainable adoption and scalability in other community health settings across Thailand.
Keywords: Amphetamine Users, Community participation, Empowerment, Matrix Program.
