The Development of Community Based Treatment and Care Model for Drug User

Abstract

This study is Participatory Action Research (PAR) aims to develop a model and study the effectiveness of the community-based drug user rehabilitation model. There were 60 participants in this study. In-depth interviews, focus group, and participatory planning techniques were used the collect data. The PAR process consists of 1) Problem analysis and planning to develop 2) Action 3) Observation 4) Reflection for development. Data were analyzed using descriptive statistics, paired t-test and content analysis.

The results showed that PAR used a community-based process to solve the problem.  It is the use of resources from the community to develop the community's potential to be able to think, analyze, plan, implement, and follow up to solve community problems in a concrete way. The rehabilitation therapy model has four activities: 1) search and screening, 2) rehabilitation therapy, 3) training, and 4) follow-up. Results of implementing the model  (1) mean score on stress level of drug user, after using the Community Based Treatment and Care Model was statistically significantly lower (M = 7.4, SD = 2.0) than before (M = 12.1, SD = 4.1) at the 0.05 level, and mean score on quality of life level of drug user, after using the Community Based Treatment and Care Model was statistically significantly higher (M = 106.0, SD = 7.72) than before (M = 96.13, SD = 11.31) at the 0.05 level (2)The rate of complete treatment according to the criteria is as high as 100%. (3) The rate of stopping continued use for 1 month and 3 months is 80 percent and 66.66 percent, respectively.

In conclusion, rehabilitation therapy using community-based, drug users showed positive behavioral changes and got more accepted by family and community. This model should be extended to other communities and adapted to suit that local context.