Field Trip 4 : Drug Addiction Treatment Center, Department of Psychiatry and Neurology, Phramongkutklao Hospital

History Under the supervision of the Medical Department, Phramongkutklao Hospital is the army secondary hospital that provides treatment for soldiers, government officers, employees, workers, family members as well as general public, treating to 2,000 patients daily. The hospital also provides training to medical personnel such as medical residents in many fields, medical students, nursing students, medical corps NCO students and NCO students in other fields. The hospital has 1,200 beds capacity, which can be expanded to 1,600 beds. Moreover, there has been a working group, supervised by the Division of Psychiatry and Neurology, responsible for alcohol and drug addiction treatment since 1961.

Operational Guideline The responsibility related to alcohol and drug addiction includes treatment, personnel training and research on drug psychiatry. Each year there are 1,000 – 1,200 patients coming in for treatment in the Drug Addiction Treatment Center, over 70 percent of which are civilian. The top three drugs used are alcohol, amphetamine, and heroin. Over 70 percent of patients have alcoholic problems.

Relevancy to Alcohol The PMK model of alcoholic rehabilitation is the treatment project in the rehabilitation stage for alcoholics. Patients are admitted to the psychiatric ward for 28 days. This treatment model is developed from the 12 Treatment Stages of Alcoholics Anonymous or AA and the Minnesota Model. The main approaches of PMK Model are Health & Psychological Education, Buddhism the twelve steps, Relaxation & Recreation Therapy, Cognitive-Behavioral Therapy and Family Counseling.

The key approaches for change of patients’ behavior are Motivational Style and Spirituality Rehabilitation & Buddhism the Twelve Steps, which are efficient in helping patents to rely on themselves and live their lives with consciousness and awareness of their emotion and inappropriate thoughts. PMK Model can solve the problem right to the point and has a long lasting effect with a very high success rate. 70 percent of patients, once cured, do not come back to drinking. 80 percent of patients stay in the hospital until the treatment session ends.

Main Activities Alcohol and drug treatment programs include drug clinic, smoking clinic, toxic cure for in-patients, rehabilitation program for in-patients using PMK Model, Matrix program rehabilitation for out-patients, Alcoholics Anonymous or AA Group, Risk Reduction from alcohol drinking in community. Global Alcohol Policy Conference Field Trip 4 : Phramongkutklao Addiction Treatment Center Department of Psychiatry & Neurology Phramongkutklao Hospital Tuesday 14 February 2012

Trip Manager/ Translator: Ms.Kitiporn Tupsart Tel : 082 454 2198 Speakers: Col. Nawaporn Hirunviwatgul, Project leader of Matrix Intensive Out-patient Program Col.Pichai Saengcharnchai , Project leader of PMK Model*

Time Topic Moderator/ Speaker Place 12.30 -13.30 hrs. Depart from Impact Convention - Kitiporn 1st floor, Impact Center to Phramongkutklao Hospital Convention Center 13.30-14.00 hrs. - Welcome remarks - Col. Nawaporn Hirunviwatgul 15th Floor - Overview presentation - Col.Pichai Saengcharnchai Lt.Gen.Aroon Showanasai Conference Room 14.00–14.20 hrs. Group A - Attending Psychiatrist 15th Floor Alcoholic Anonymous (AA) & Head of Nursing Staff Class Number 1 Group B - Attending Psychiatrist 15th Floor ward 15/1 (female) & Head of Nursing Staff ward 15/1 (female) ward 15/2 (male) ward 15/2 (male) 14.20-14.40 hrs. Group B - Attending Psychiatrist 15th Floor Alcoholic Anonymous (AA) & Head of Nursing Staff Class Number 1 Group A - Attending Psychiatrist 15th Floor ward 15/1 (female) ward 15/2 (male) & Head of Nursing Staff ward 15/1 (female) ward 15/2 (male) 14.40-15.00 hrs. Coffee Break 15th Floor Lt.Gen.Aroon Showanasai Conference Room 15.00–15.20 hrs. Group A - Attending Psychiatrist Building 8, 1st Floor PMK Model: Recreation activities & Head of Nursing Staff Drug Addiction Treatment Center Group B - Former alcohol addicts PMK Model: Self-help group 15.20-15.40 hrs. Group B - Attending Psychiatrist PMK Model: Recreation activities & Head of Nursing Staff Group A - Former alcohol addicts PMK Model: Self-help group 15.40-16.30 hrs. Visit Phaya Thai Palace - Phaya Thai Palace staff Phaya Thai Palace 16.30-18.00 hrs. -Depart from Phramongkutklao Hospital -Arrive at the hotel around 18.00 (depending on the traffic)

PMK Model = Phramongkutklao Model

Ramathibodi Hosp. Location Phramongkutklao Hospital is located on 315 Children Hosp. , , , 10400, 22 kilometers to the east of Impact Convention Center and from there, takes Chai Building Intersection approximately 1 hour to travel.

Phra Mongyutklao Hosp.