Preparation Guidelines for the Release of Psychiatric Inmates: A Case Study of Nakhon Pathom Central Prison

Abstract

          This research article aimed to 1) study the processes, methods, and procedures of pre-release preparation for the psychiatric inmates; 2) examine the obstacles and challenges encountered in the pre-release preparation process; and 3) explore guidelines for developing an effective pre-release preparation model for the psychiatric inmates. This qualitative study utilized in-depth interviews with 12 key informants, with data gathered through both documentary research and field studies, and subsequently analyzed using content analysis.

           The study revealed that 1) the current transitional care for psychiatric inmates involved a multidisciplinary team operating across three phases: in-prison therapy via telemedicine, pre-release readiness assessments, and coordination with external networks to restore basic rights. 2) Key challenges included a lack of integrated digital data, a shortage of specialists, limited budgets, and social stigma, alongside family unreadiness, which elevates the risk of recidivism. 3) To address these issues, the development guidelines focus on elevating the system to the "Nakhon Pathom Model" by establishing MOUs with network partners to ensure seamless continuity of care. This included developing a digital database linked to medical rights, formulating individual development plans 2-3 months in advance, and establishing specialized halfway houses to create a community-based ecosystem. Adhering to international standards and a "bio-psycho-social" approach, the model aims to sustainably reintegrate individuals into society with human dignity.