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Treatment and Rehabilitation in Thailand
Dr. Paskorn Chaivanichsiri
Deputy Director General, Department of Medical Services
Ministry of Public Health
Major
strategies
Supply
Potential Demand
Demand
Management
Treatment Systems
1. Voluntary System
2. Compulsory System
3. Correctional System
Drug treatment facilities in Thailand
7 Treatment centers of DMS
Thanyarak Maehongson
Hospital Thanyarak Chiang mai
Hospital
Thanyarak Khonkean
Hospital
Thanyarak Udonthani
Hospital
PMNIDAT
Thanyarak Songkhla
Hospital
Thanyarak Pattani
Hospital
1. Providing treatment and rehabilitation service for drug dependence
both as out-patient and in-patient
2. Transferring knowledge and practical skills as Training center in drug
addiction treatment and rehabilitation for medical staffs or paramedical in
both public and private hospitals and drug addiction centers
3. Serve as referral center for identification of drug dependence
consumption cases of the Ministry of Public Health
4. Licensing and accreditation any drug treatment clinics and rehabilitation
centers
5. Developing a process or working system in treatment and rehabilitation
which is consistent with the country law and policy
6. Directing 6 Thanyarak Hospitals in the region
Responsibility and Function of PMNIDAT,DMS
Treatment and Rehabilitation Activities
Treatment
Goal
Abstinence
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2012 2013 2014 2015 2016
72.75 69.94 65.56 60.49 58.42
25.97 28.34 32.48 36.78 37.99
1.28 1.71 1.95 2.73 3.59
Abuse Dependence Severe
Total patients who received treatment
0%
20%
40%
60%
80%
100%
2017 2018
6.64 4.45
67.46 64.78
25.9 30.77
User Abuse Dependence
Screening by ASSIST
Severity
11
year 2012 2013 2014 2015 2016 2017
Total 355545 357087 263853 165354 126785 202389
number % number % number % number % number % number % Methamphetamine 292208 82.19 301186 84.35 222371 84.28 131487 79.52 96899 76.43 156406 80.078 Heroin 3619 1.02 3460 0.97 3749 1.42 4219 2.55 4169 3.29 4181 2.141 Marijuana(Cannabis) 15705 4.42 16028 4.49 13789 5.23 10448 6.32 8854 6.98 13314 6.817
Opium 3847 1.08 3620 1.01 3609 1.37 4475 2.71 3362 2.65 3087 1.580 Inhalants 5252 1.48 3808 1.07 2740 1.04 2388 1.44 1609 1.27 1098 0.562
Metadone 255 0.07 271 0.08 359 0.14 401 0.24 489 0.39 384 0.197
Mophin 15 0.00 6 0 7 0 6 0 16 0.01 22 0.011
Ecstasy 221 0.06 190 0.05 210 0.08 229 0.14 192 0.15 283 0.145
Cocain 31 0.01 29 0.01 32 0.01 29 0.02 16 0.01 18 0.009 Kratom 10754 3.02 8008 2.24 4911 1.86 1954 1.18 2007 1.58 6256 3.203
ICE 3225 0.91 16100 4.51 8865 3.36 6970 4.22 6364 5.02 8196 4.196
Other 20334 5.72 4377 1.23 3204 1.21 2748 1.66 2613 2.27 3 0.002
12
yearTotalAge number % number % number % number % number % number %
< 7 2 0.00 3 0.00 1 0.00 0 0.00 0 0.00 19 0.01 7-11 89 0.03 44 0.01 21 0.01 14 0.01 13 0.01 17 0.01 12-17 49290 13.86 43200 12.10 29421 11.15 16270 9.84 13416 10.58 18363 9.40 18-24 127414 35.84 122618 34.34 93380 35.39 55388 33.50 40469 31.92 71003 36.35 25-29 65846 18.52 61092 17.11 47315 17.93 29757 18.00 22508 17.75 33201 17.00 30-34 52665 14.81 51796 14.51 41003 15.54 25818 15.61 18983 14.97 26440 13.54 35-39 30027 8.45 31551 8.84 27115 10.28 18373 11.11 14235 11.23 20935 10.72 > 39 30707 8.64 31462 8.81 28492 10.80 21984 13.30 17161 13.54 24482 12.53
2015165354
2016126785
2017195318
2012355545
2013357087
2014263853
UNGASS 2016
Paradigm shift in Addiction Treatment Concept
**Society Free of Abuse
-Balance-comprehensive and integrated approach
-Human rights
** Drug Free World
Abstinence based treatment
Drug Addict /Dependence Learning Disorder
Behavioral Disorder
Social Problem
Brain Disease
Mental problem
Chronic Relapsing Disease
Addiction transform Legislation
PP&P : Health Literacy In All Policy
Harm reduction : MMT , Drop in center
Community Based Treatment and Rehabilitation
Community Based
Hospital Based
Medical Model
Social Model/ Social Rehab
Goals : Occupational, Education, Home, Social/Family relationship, Quality of life
Addiction Treatment Concept
19
Coordination of Services
Community-Based Drug Treatment & Care Approach
Coordination of Services
20
Coordination of Services
Treatment Goal
The Royal Grandmother Princess Songklanakarin
“ Are the drug users human?
If the answer is YES Can we help them ?
If we can that means we give them a new life.
So,we should help them as good as we can”
