Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย
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Item Internet-based mental health services through MSN program(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2011-01-24) Suwawute Vongtangswad; Arunya TuicomepeeObjective This study aimed to examine an internet-based mental health service throughMSN program from perspectives and experiences of service providers.Materials and methods Participants were 2 psychologists from a government agencywho provide internet-based mental health service through MSN program. Data were collectedthrough in-depth interview and analyzed with the qualitative research method.Results The internet-based mental health service through MSN program had certainadvantages: high accessibility, low cost, flexible service time, and greater convenience. However,the limitations were inconsistent connection when service providers were not adept at typewriting,decrease in significant non-verbal clues possibly leading to communication failure. The serviceproviders, then, must be aware of choices and use of words in addition to interpretation.Certain preparations for service giving were physical and mental readiness.Conclusion The internet-based mental health service through MSN program is anew form of service in Thailand- still with some advantages and limitation issues- that needsfurther study and development for greater effectiveness.Key words : internet, mental health services, MSN programthanyaItem Perception and Attitude toward Mental Illness(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-10-14) Somrak ChoovanichvongObjective To study perception and attitude of people toward; psychiatric patientsand their families, patientûs and familyûs works, and, psychiatric care and treatment.Materials and methods Samples were multistage random sampling in Bangkokduring Dec 2004-Feb 2005. Subjects were divided into 3 groups, i.e. a patient group composedof schizophrenic, major depression and bipolar disorders cases, a patientûs family group anda general people group. They were completed the questionnaires consisted of 3 parts. Thefirst part was the perception and attitude of all groups toward patients and their families.The second part was those towards patientsû and familiesû works. The third part was thosetowards psychiatric care and treatment. Descriptive statistics was analyzed.Results The family group had the highest score in the part of perception and attitudetoward patients and their families, the patient group had that score towards psychiatric careand treatment whereas the general people group had the lowest score in every part. The mostacceptable issue among 3 groups was that people with mental illness should live with theirfamily rather than living alone. The most acceptable issue about the perception and attitudeof people toward the patientûs and their familyûs works was that people with mental illnessshould avoid professional career. For psychiatric care and treatment, physicians must be responsiblefor the patients and their family on drug information.Conclusion All groups had agreed that patients should stay with their family andphysicians should inform patients and family on drugs information. All 3 groups had disagreedthat patients were looked down from their family members.Key words : attitude, mental illness, perceptionItem Factors associated with suicidal attempt in bipolar disorder patients(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2011-01-24) Chidchanok Ruengorn; Saiphon Sangharn; Onrumpa Chunchom; Putcharaporn Plibai; Wanida PumpaisarnchaiObjective To determine factors associated with suicidal attempt in bipolar patients.Materials and methods This cross-sectional analytical study determined various factorsnamely demographic characteristics, clinical factors, and social factors of bipolar disorder patientreceived medical care from Suanprung Hospital during January 2007 to January 2009. Datawere collected from medical records. Data analysis was performed by logistic regression analysisincluding univariate and multivariate analysis.Results Of all 213 bipolar patients, female accounted for 59.6%, average age 39.8years old, being married 43.2%, agriculturer or laborer 37.6%, educated in high school level43.7%, and had prior suicidal attempted 32.9%. At the present visit, 53 patients had suicidalattempt (24.9%). Method used the most for suicidal attempt was taking over dose of medication.Factors statistically significantly associated with suicidal attempt were as followed; a groupdiagnosed with psychosis, a group with 10-29 years of age, patients who had prior suicidalattempted before, unemployed, and receiving mood stabilizers medication; lithium or lithiumplus other medications. However, patients with psychotic symptoms such as hallucination hadsuicidal attempted less than those who did not have these symptoms.Conclusion Factors associated with suicidal attempt in bipolar disorder patients werebeing in a group diagnosed with psychosis, 10-29 years old, being unemployed, having priorsuicidal attempt, using mood stabilizers, lithium or lithium along with other medication. However,having psychotic symptoms at an index date was found to be a protective factor.Key words : bipolar disorder, suicidal attemptItem Standard of medical records, Department of Mental Health(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-08-24) Kiattibhoom VongrachitAbstract not availableItem Normative data and psychometric properties of the Thai version of the Strengths and Difficulties Questionnaire (SDQ)(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2011-01-24) Wolfgang Woerner; Supavadee Nuanmanee; Andreas Becker; Yongyud Wongpiromsarn; Apichai MongkolObjective: To study normative data and psychometric properties of the Thai Strengthsand Difficulties Questionnaire (SDQ; parent-, teacher-, and self-rated forms), which addresses positiveand negative aspects of childrenûs and adolescentsû behaviour and generates clinically relevant scalescores.Materials and Methods: Using multistage random cluster sampling method, data werecollected in 13 provinces from parents, teachers, and as self-reports of 9,491 children aged between5 and 16 years. Evaluation methods included scale reliability analyses (Cronbachûs alpha), correlationswith age and among scales, testing for gender effects, and comparing urban and rural regions.A factor analysis examines the specific scale structure of the Thai parent-rated SDQ. Bandingsare recommended to identify normal, borderline, and abnormal score ranges.Results: Problem scores were higher than those observed in Western countries, stressingthe necessity to establish national norms. Thai SDQ norms identify probable behaviour problemsif the total difficulties score is 19-40 in the parent-rated form, 17-40 in the teacher form, and/or 19-40 in the self-report. Internal reliabilities were satisfactory for all but one subscale. Age andgender effects on SDQ scores as well as correlations between subscales were well in line withthe English original and its many other translated versions.Conclusion: The Thai SDQ was shown to possess sufficiently favourable psychometricproperties. Thus, this instrument promises to be a useful assessment and screening tool, as inother parts of the world. Ongoing validation studies and cross-cultural comparisons will providefurther culture-specific findings.Key words : child psychopathology, normative data, screening instrument, Strengths and DifficultiesQuestionnaire (SDQ)Item Stigma in context of professional psychological help seeking(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2011-01-24) Tanawat Poonyakanok; Arunya TuicomepeeObjective The purpose of this article was to review existing literature in topic abouteffects of stigma on psychological help seeking in mental health context by examining structureand effects of each type of stigma in causal relationship and also explore the way to mitigatestigma.Materials and methods Articles was obtained by searching through databases forexample PSYCInfo, Scopus, ProQuest and department of mental health database where keywordsare çstigma,é çstigmatized,é and çstigma of seeking help.éResults Stigma as a barrier to help seeking was an issue of interest in Thailandas can be seen from some published articles, however there were still lack of an empiricalresearch. After a thorough review articles, we found that there were 3 different types ofstigma i.e., public stigma, personal stigma, and self-stigma. Each type had unique effecton psychological help seeking. This article also summaried ways to reduce stigma of seekingpsychological help.Conclusion Stigma of seeking help was one of the factors that make people donot seek psychological help. Stigma of seeking help comprised of 3 types which had aneffect on both attitude and intention to seek help. There were three ways to mitigate effectsof stigma on psychological help seeking which include education, contact, and protest.Key words : stigma, psychological helpItem Self-esteem and defense mechanisms in abused adolescent girls(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Rachanee ChalongkuakulObjective: This study examined self-esteem, defense styles and compared between higher and lower self-esteem groups in abused adolescent girls. Materials and methods: Subjects were 147 girls, institute ordered by Child Protection Act in two governmental shelters, age 12 to 18 with a history of child abused answered self -reported questionnaires assessing education, family atmosphere, relationship to parent, self esteem (FSC Thai version) and defense mechanism organization (DSQ Thai version). Results: Mean age of the group was 15.4 (SD = 1.5) and 56.5 % were studying in secondary school. The family atmosphere and relationship with mother significantly correlated to self-esteem among abused adolescent girls. Adolescents who reporting higher self-esteem used more sublimation, while those with lower self-esteem showed more immature defense styles, and used more projection, acting out and displacement than the other group. Conclusion: There was significant correlation between family atmosphere, relationship with mother, defense styles, and self-esteem in abused adolescent girls. The results may lead to further research and treatment programs for enhancing self esteem and resiliency in abused children.Item Family relationships and health status of attempted suicide clients in Suratthani Hospital(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Khamikan Paitoon; Tanomsri Intanon; Wandee SuttharangseeObjective: The objective of this descriptive research was to study family relationships and health status of attempted suicide clients.Materials and methods: Subjects were specific selected from attempted suicide clients who came to receiving treatment at Suratthani Hospital from October 2004 to March 2005. A family relationship and a health status questionnaire were used in this study. Data were analyzed using descriptive statistics: frequency, percentages, mean, and standard deviation.Results: There were 98 attempted suicide clients were female and had average age twenty five years. They had family relationship at a moderate level. For each part, ineffective communication had the highest mean score followed by inflexible family structure and role performance deficit. The men score of health status were at a moderate level. Spiritual health had the highest mean score, followed by emotional health and social health, whereas physical health had the lowest mean score.Conclusion: Attempted suicide clients had ineffective communication among family at the high level, therefore, it is recommended for the training communication skills for people in various settings such as communication skill among parents and children, among siblings, and among spouses. And training communication skills in family for therapy and rehabilitation attempted suicide clients.Item Treatment of Chronic Major Depressive Disorder by(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-10-14) Pholphat LosatiankijObjective This report was to show the effectiveness of mindfulness therapyof two cases of patients with chronic major depressive disorder.Materials and methods Mindfulness practice in this report was based on theteaching of Pra-Ajahn Pramote Pamotecho. The 3 steps of modified mindfulnesstechniques were applied to the patients which are mind and body observation, emotiondistraction and bare attention of emotion.Results The first patient was diagnosed as major depressive disorder (MDD)for 5 years and his Montgomery Asberg Depression Rating Scale (MADRS) scoresdecreased from 36 prior to practice to 12 and 6, after 3 months and 3 years of practicingrespectively. He was able to stop taking medications for 3 years and had not relapsedsince then. The second patient was diagnosed as MDD for more than 20 years. HerMADRS score was 48 prior to mindfulness practice and decreased to 12 and 7, after3 months and 8 months of practicing respectively. She was able to decrease medicationsand had a better quality of life.Conclusion Modified techniques of mindfulness practice in this report helpedthese 2 cases of patients with MDD gain improvement and had a better quality of life.One of them was able to stop taking medications for 3 years.Key words : major depressive disorder, mindfulness, psychotherapyItem Mental Health Problems and Self-Healing of Tsunami(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-10-14) Urai Hatthakit; Parkpoom WitantirawatObjective This study aimed to describe mental health problems, self-healing andfactors enhancing self-healing of tsunami survivors in Lambom and Namkem Villages.Materials and methods This was a qualitative study. The data were collected usingfocus group discussions with members of House Construction Group (n = 8) and Lay ProtectionVolunteers Group (n = 9), and in-depth interviews with villagers (n = 21). The informants weretsunami survivors living in Lambom and Namkem Villages, Pung-Nga Province. Data were analyzedusing thematic analysis according to Polit \& Hunger.Results Mental health problems comprised stress and worry, fear, insomnia, andloneliness. Strategies used to heal themselves consisted of 5 aspects, firstly a group healingprocess: House Construction Group and Lay Protection Volunteers Group, secondly selfadaptation to live with risks and fears: rumor management, thirdly using time to heal self,fourthly avoiding to talk about the loss and trying to forget painful past events, and lastlydevelopment of psychological strength. Factors influencing self-healing were 1) having newchildren or grand children, 2) having new wife or husband, and 3) having sufficient socialsupport during the critical period.Conclusion The informants adopted group process, self adaptation and developmentof psychological strength to heal themselves and neglected to confront the problems and the useof mental health services. They believed that the time and the avoidance of talking about painfulpast events could heal mental health problems. Strategies should be used to integrate mental healthactivities to the services to be congruent with community health resources, beliefs and cultures.Key words : mental health problems, self-healing, tsunamiaItem The efficiency of Thai’s psychiatric hospitals by data(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-10-14) Bupawan Phauphanprasert; Paritat Silpakit; Alongkot Gongmanee; Supasit PannarunothaiObjective To identify the efficiency of 13 adult psychiatric hospitals under the MentalHealth Department.Materials and methods This retrospective research paper was collected data fromthe budget year 2008 consisting 5 input factors (personnel costs, operating cost fromgovernment budget, operating costs from hospital profit, number of beds, and number of hospitalofficials) and 4 output factors (number of outpatients, number of inpatients, length of stay,and a mean of relative weight of Diagnosis Related Group showing the complexity level oftreatment of each particular patient). Then these input and output data were analyzed by usingdata envelopment analysis (DEA) technique.Results The results, by constant return to scale (CRS) showed that 9 out of 13hospitals were on the overall efficiency frontier having an average CRS of 0.954. Variablereturn to scale (VRS) showed that there were 11 hospitals on the technical efficiency frontierwith an average VRS of 0.972.Conclusion There were 9 psychiatric hospitals having high overall efficiency and11 psychiatric hospitals having high technical efficiency. However, there were some limitationsin some specific areas in psychiatric hospitals.Key words : efficiency, data envelopment analysis (DEA) model, psychiatric hospitalItem The effect of cognitive-behavioral therapy program, with social support, on early relapse prevention of alcohol use disorder patients(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2011-01-24) Sukuma Saengduenchai; Wiladlak Chuawanlee; Oraphin Choochom; Pichai SaengcharnchaiObjective To examine the result of cognitive-behavioral therapy program, with socialsupport, on readiness for early relapse prevention of alcohol use disorder patients.Materials and methods The participants consisted of 59 alcohol use disorder patients,and classified as problem drinker and alcohol dependent. The patients were randomly assignedinto experimental (10 problem drinkers and 20 alcohol dependents) and control groups (11 problemdrinkers and 18 alcohol dependents). The experimental group received cognitive-behavioral therapyprogram that was developed by the researcher of 10 activity for 2 weeks. Evaluation for five timeswere pre-test, post-test and follow up in the first, second and third month by readiness for earlyrelapse prevent questionnaire, and alcohol consumption report. The data were analyzed by utilizingMANCOVA and Chi-square.Results Effect of treatment program on readiness for early relapse prevention were notstatistically different in problem drinkers and alcohol dependents. The follow up assessments in thefirst and second month showed that the number of alcohol use disorder patients in experimentalgroup and control group were not statistically different in early relapse prevention. However thefollow up assessment in the third month revealed that the number of alcohol use disorder patientsin experimental group had more non-relapse than control group.Conclusion The cognitive-behavioral therapy program, with social support increase the intentionand self-efficacy in early relapse prevention. Additionally the therapy program could extend theduration of non-relapse in the experimental group when compared to the patients in the controlgroup.Key words : cognitive-behavioral therapy, early relapse prevention, social support, alcoholItem Psychosocial factors and tattooing in adolescents(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Nunthana SripinijObjective: To study psychosocial factors related to tattooing including reasons influencing decision-making, complication awareness and Perceived barriers to tattoo. Materials and methods: Samples were all the first and second year students, 520 students in Chuntaburi Rajabhut University. Fourteen questionnaires were used and grouped into 3 topics as mentioned in objectives above. Data were statistic analysed with percentage, mean, standard deviation, chi-squares. Results: Tattooing population was 19%, mostly were male. The tattooed reasons were fashion, membership, spiritual enhancement, self expression and independency. For the non-tattooed considered about complicated removal and two perceived barrier issues: parental criticism and serious infection such as HIV infection, hepatitis. Conclusion: The related psychosocial factors were tattooed reasons, complication awareness and perceived barrier issues. All finding results should be fruitfully compelled to tattoo-interested teen.Item The use of aripiprazole as an alternative medication to methylphenidate for treatment of attention-deficit/hyperactivity disorder(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2011-01-24) Warawat Chaichan; Mantana KittipeerachonObjective To evaluate efficacy and adverse events of the use of aripiprazole for treatment of pediatric patients with attention-deficit/hyperactivity disorder (ADHD).Materials and methods Pediatric patients, ages 6-15 years, with ADHD who visited Nakhonsawan Rajanakarindra Psychiatric Hospital during January to July 2010, and had received methylphenidate or had not received any treatment volunteered to receive an alternative medication, aripiprazole, for a period of 10 weeks. Outcomes were evaluated by using the Swanson, Nolan and Pelham version IV (SNAP-IV), Clinical Global Impression – Severity scale (CGI-Severity), and Continuous Performance Test (CPT). Statistical analysis was performed using descriptive statistics and Friedman test.Results The sample included a total of 29 pediatric patients with ADHD. There were 17 patients who did not receive any treatment at the baseline. Results showed a significantly decrease from baseline in their ADHD symptoms, both inattentive symptoms and hyperactive/impulsivity symptoms, when receiving aripiprazole. There were 12 patients who used to received methylphenidate before the study. No difference from baseline in their ADHD symptoms were seen when receiving aripiprazole. The commonly observed adverse event was weight gain, and no serious adverse event was observed.Conclusion Aripiprazole reduced ADHD symptoms in pediatric patients, and can be used as an alternative medication to methylphenidate for controlling their symptoms during 10 weeks without any serious adverse events. However, due to a number of limitations, further studies are warranted to confirm.Key words : alternative medication, aripiprazole, attention-deficit/hyperactivity disorder*Nakhonsawan Rajanakarindra Psychiatric HospitalItem The anger control program for patients with substance induced psychosis(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-08-24) Sombut PratakkunvongsaObjective To develop and evaluate the effect of anger control program in substance induced psychosis patients. Materials and Methods Subjects were 40 substances induced psychosis patients entered to a control or an experiment group by voluntary. The study group received anger control program for six 1- hour sessions within two weeks. The average mean scores of anger control knowledge, Brief Psychiatric Rating Scale, violence scale, and length of stay were analyzed by t-test. Results Violence behaviors and length of stay of patients with substance induced psychosis after using anger control program was significantly lower than before using anger control program and improve control group.Conclusion The anger control program could empower substance induced psychosis patients to deal with anger leading to reduce in violence behaviors and length of stay Key words : anger control program, substance induced psychosisItem Adverse event in psychiatric hospital by Thai HA Psychiatric(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-10-14) Paritat Silpakit; Suwut Mahatnirunkul; Prayad PrapapromObjective To develop a psychiatric trigger tool on identifying adverse eventin Thai psychiatric patients and develop risk identifying system using trigger tool.Materials and methods Trigger tool was developed by the multidisciplinaryteam based on triggers of Harvard Medical Practice Study (HMPS). Data were collectedfor 15 trigger indicators from 9 sources. After pilot trial in Suanprung Psychiatric Hospitaland harmonization training for multidisciplinary teams from 7 participated psychiatrichospitals, a cross-sectional medical record review was conducted to identify adverseevents in medical record of the patients who were discharged from 7 psychiatric hospitalduring October 2007.Results Four hundred twenty two medical records were reviewed. The totalpatients-days were 97,745 days. Three hundred fifty three adverse events were identifiedwith mean rate of 5.1 per 1,000 patients days or 24.6 per 100 patients. The first threetriggers that detected most adverse events are; antibiotic receiving trigger, infection inhospital and unplanned readmission with the same diagnosis within 28 days respectively.Conclusion Psychiatric trigger tool can be used to detect adverse events moreeffectively in psychiatric patients. However, for efficiency, only the highly sensitivetrigger indicators which supported by the convenient retrievable completed data sourcesshould be used.Key words : adverse event, psychiatric, trigger toolItem Prototype development : learning disable children remedial teaching programs for parents(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Sansanee SudprasertObjective: This research aimed at developing the prototype of learning disable children (LD) teaching program for parents on reading and spelling the Mae Kon final consonant system. Materials and methods: This research and development comprised the prototype which were developed following to the innovative knowledge and technology research and development standard. This innovation was experimented on the sample of LD children and parents, with knowledge training to the parents. Parents remedial taught their children, adhering to the teaching plan and using the learning media improved by the curriculum, for 5 weeks, 3 - 4 days per week. During the experiment, there were 5 times of result follow - up weekly by using the measure tools for parental knowledge, attitude, and skill, and children’s reading and spelling capacity. The data were analyzed by the descriptive statistics and were compared by Wilcoxon matched pair test on pre and post experiments parental scores in knowledge, attitude, and skill, and children’s capacity on reading and spelling. Results: Four innovative prototypes were learning disabilities remedial teaching curriculum for parents, handbooks, teaching plan, and learning media on Mae Kon reading and spelling. They were experimented on 8 pairs of parents and their 7-to-10-year-old children. After the remedial classes, parents, after the training, possessed knowledge, attitude, and skill at higher score, while the children assessed a higher score in reading and spelling with significance. Conclusion: Innovative prototype on LD children remedial teaching which experimented on parents and children improved parents’ knowledge, attitude, and teaching skill, and increased the children’s capacity in reading and spelling.Item The intelligence quotient of thai children(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2011-01-24) Somchai Chakrabhand; Apichai Mongkol; Bundit SornpaisarnObjective The objective of this study is to measure the intelligence quotient with sex, educational level, educational type and region factor of children in Thailand. Materials and methods The representative sampling was divided into Four-stage systematic sampling with probability proportional to size. The sampling was conducted on a 7,391 students, (3,933 males and 3,458 females) between the ages of 3-11 years in 15 provinces such as Bangkok, Chonburi, Nakon Ratchasima, Chiang Mai, Phetchaboon, and Songkla. All sampled students were in the pubic education system belonging to the Office of Primary Education Commission, Bangkok, the Office of Private Education Promotion Commission, the Department of Local Administration, and the Ministry of Interior. All subjects were interviewed by clinical psychologists during December 2005-February 2007. The test of the intelligent capability of children between the ages of 2-15 years developed by clinical psychologists of the Department of Mental Health was applied in this study.Results Data were representative of 3 years to 12 years children in Thailand population but sex and educational type factors were not. The average intelligence quotient in Thai students is 103.1 (S.D 16.9); the elementary average was 110.7(S.D.=15.13) the primary school average was 97.3(S.D =16.0)the male average was 102.3 (S.D.= 16.9) and the female average was 103.9 (S.D. =16.9), Bangkok was the best average intelligence among region factor. Demonstrated school was the best average intelligence among school type factor.Conclusion The study found that the average intelligence quotient in kindergarten 1 – grade 6 students between the ages of 3 – 12 years was 103.1. The elementary average intelligence quotient was higher than the primary school average intelligence quotient get that may show trend higher. Key words : children, intelligence quatientItem Spiritual well-being and hospital accreditation(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-08-24) Orawan Silpakit; sukon ChomchuenObjective To survey spiritual well-being of Srithanya Hospital’s staff during intensive hospital accreditation (HA) preparation for the hospital re-accreditation on May 29, 2009.Materials and methods Purposive sampling was applied during 14-20 May 2009. There were a head, a subhead and sub-ordinate staff from all clinical and back office units. They completed the questionnaires consisting personal data which included HA participation, regularity of dharma practice and 3 mental health status questionnaires; namely, Srithanya stress questionnaire (ST-5), Mental Health Indicator (15 items) and Spiritual well-being questionnaire. Mean scores of 3 questionnaires were compared by ANOVA. Multiple logistic regression applied for regular dharma practice, stress, mental health status and HA participation.Results There were 198 copies from 214 distributions. Staff had normal mental health status at 82.6% and rated them at high HA participation was 37.6% and regular daily dharma practice at 10.7%. From ST-5, 70.7% of staff did not have stress. Staff having high HA participation and regular dharma practice had significant higher mean scores of Mental Health Indicator and Spiritual wellbeing than others and they also had less mean score of stress. Staff who regularly dharma practiced had 2.8 times significantly participated in HA than those who did not whereas mental health status scores did not have an effect on HA participation significantly.Conclusion Most staff had normal mental health status and did not have stress problem during intensive HA preparation. Staff who regularly dharma practiced and highly HA participated had better mean scores of mental health status and stress than other staff. Dharma practice should be promoted in order to enhance mental quality and capacity.. Key words : hospital accreditation, spiritual well-beingItem Effectiveness of parent training program for children with attention-deficit/hyperactivity disorder(Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย, 2010-02-12) Porntip Wachiradilok; Manutsawee Mueangkhwa; Thanachoti ThiamsaengObjective: This experimental study examined the effectiveness of parent training program for children with attention-deficit/hyperactivity disorder (ADHD), based on a cognitive behavioral concept. Materials and methods: The sample consisted of 90 caregivers of ADHD children attending treatment at out-patient service of Child and Adolescent Mental Health Rajanagarinda Institution. A randomized controlled trial was performed on the caregivers together with pre-test and post-test. The subjects were randomly and equally assigned into 3 groups: group a for 6 week sessions parent training program, group b for attending psycho-education, and group c for routine care. The instrument was a set of questionnaire including: knowledge, attitude, skills for behavioral management in ADHD, and symptoms of ADHA. Data were collected at one month prior to the beginning of the program, immediately after the intervention, and at 3-month follow-up. Data were analyzed using repeated measures ANOVA. Results: The pattern of treatment in each group effects knowledge, attitude, skills and symptom of ADHD children. The subjects in parent training program were able to help reducing ADHD core symptoms of their children at 3-month follow-up significantly, and achieved higher score in terms of knowledge, attitudes, and skills for behavioral management in ADHD than those of the psycho-education group and routine care group at 3-month follow-up, according to the post-test. However, difference in knowledge between the parent training program and the psycho-education were not statistically significant. Conclusion: The parent training program for ADHD children based on a cognitive behavioral concept can help them to acknowledge, alert their awareness, program recognition, and improving behavioral management of ADHD’s caregivers. Moreover, following-up to review skills, monitoring the progress, and encouraging motivation should be done regularly.