Thai Journal of Clinical Psychology (Online)

Guidelines for the Service of Serious Mental Illness and Substance Abuse with High Risk to Violence in Phuket Province

Passakorn Koomsiri, Jirati Wuttichan, Tayakorn Khantivivorn — Sat, 01 Nov 2025 00:00:00 +0700

Abstract

This article aims to compile and present knowledge concerning the care of individuals with psychiatric disorders and substance use who are at high risk of engaging in violent behavior. The focus is placed on applying psychological theories and care approaches within the specific context of Phuket Province. The content synthesizes both academic knowledge and practical field experiences and is organized into two main areas: (1) presenting essential knowledge related to individuals with psychiatric disorders and substance use who are at high risk of engaging in violent behavior, and (2) providing practical recommendations for managing and caring for this target group in the Phuket context. Findings from the review indicate that effective implementation requires the integration of multidisciplinary teams and active engagement of local stakeholders and community networks. Particularly, raising awareness, fostering understanding, and strengthening community capacity are critical components in surveillance systems, crisis response, and the delivery of mental health services. Additionally, the establishment of clear communication and coordination channels among involved agencies plays a vital role in enhancing the long-term effectiveness and sustainability of care systems for this high-risk population.

Keywords: Guidelines, Phuket Province, Serious mental illness and substance abuse, Violence

Gender Stereotype: Mental Health Challenges of LGBTQ+ After the Adoption of the Marriage Equality Law in Thailand

Thanawat Suwan Manee — Sat, 01 Nov 2025 00:00:00 +0700

Abstract

Thailand used the Civil and Commercial Code Amendment Act (No. 24) B.E. 2567, or “Marriage Equality Law,” which was formally declared and took effect on January 23, 2025. However, the LGBTQ+ community still faces challenges with discrimination and stigmatization based on gender identity, which may be caused by gender stereotypes derived from publications that frequently feature news about the LGBTQ+ community negatively. This results in unjust beliefs and perspectives in society, as well as preconceptions that the LGBTQ+ community frequently exhibits undesirable behavior. Furthermore, there are problems with social stratification and norms within the LGBTQ+ community, which contribute to stress, loneliness, anxiety, depression, and low self-esteem. The article aims to study and collect information regarding gender stereotypes. The author hopes that this article may prove useful to anyone interested in or involved in supporting the LGBTQ+ community, as well as others who want to use the data to understand and minimize discrimination based on gender produced by gender stereotypes toward the LGBTQ+ community. Additionally, this may serve as a guide for planning strategies to reduce the problem of gender stereotypes in society, care for the LGBTQ+ community's well-being with compassion, human rights, respect for individual differences, and encourage the LGBTQ+ community to live in their optimal physical and mental health and to be able to live in society with the highest quality.

Keywords: LGBTQ+, Gender stereotype, Mental Health

A Systematic Review of Factors Associated with Parental Participation in the Treatment of Children with Autism Spectrum Disorder from 2020 to 2024

Chonnikarn S. Prapavanond — Sat, 01 Nov 2025 00:00:00 +0700

Abstract

Objectives: The objective of this study was to review and synthesize empirical evidence on the factors that influence parent participation in the treatment of children with autism spectrum disorder (ASD).

Materials and methods: A systematic review of literature was conducted on studies published between 2020 and 2024. The research focused on articles from eight databases: Access Medicine, Cambridge Core, CEIC, EBSCO, Emerald, McGraw-Hill, Scopus, and Wiley. The PICo framework was used for the review, and Boolean to define terminology. Duplicate articles were excluded based on inclusion and exclusion criteria. The quality of the articles was assessed using the Critical Appraisal Skills Program, and data were extracted using research synthesis methods.

Results: A total of 18 articles were included in the review, and the findings highlighted three key areas. 1) Parental Factors: The psychological well-being of parents plays a significant role in their engagement with therapeutic interventions. Parents who experience better mental health and resilience are more likely to positively engage in treatment, whereas stress and anxiety hinder effective participation. Emotional regulation and the ability to confront challenges are crucial in promoting successful participation. 2) Family Factors: Family dynamics, including strong familial ties and financial conditions, also influence parental involvement. Parents with financial stability tend to be more cooperative in executing treatment programs. Early diagnosis and access to effective interventions further promote ongoing collaboration in treatment. 3) Social Factors: Social support is crucial for fostering a sense of community for both parents and children. The effectiveness of treatments enhances parental confidence in the treatment process, and positive therapeutic relationships have a beneficial impact on parents' mental health. Additionally, support programs play a role in enhancing collaboration among parents during the treatment process.

Conclusion: Parental, familial, and social factors collectively contribute to parent participation in the treatment of children with autism spectrum disorder.

Keywords: Autistic children, Systematic review, Parent participation, Treatment

The Effects of Individual Counseling Based on Reality Therapy on Resilience and Stress among Drug Detoxification Patients

Falsana Abdulrahman, Preenapa Choorat, Sarinda Puti — Sat, 01 Nov 2025 00:00:00 +0700

Abstract

Objectives: (1) To examine the effects of individual counseling based on reality therapy on resilience and stress levels among drug detoxification patients; (2) To analyze the nature of problems, fundamental needs, behavior modification planning, perceived changes in resilience, and stress management after counseling.

Materials and methods: This mixed-methods study used purposive sampling to select 10 drug detoxification patients with stress scores above 41. Each participant received 10 sessions of individual counseling based on reality therapy (1 hour/session, twice a week). Data were collected using a Resilience Scale and Stress Scale (reliability coefficients α = .98 and .90), intake forms, counseling records, and reflective journals. Quantitative data were analyzed using the Wilcoxon Signed-Rank Test, and qualitative data were analyzed using content analysis.

Results: After counseling, participants showed a statistically significant increase in resilience and a significant decrease in stress (p < .01). The results of the qualitative analysis indicated the following major themes resistance to treatment, family relationships, emotional behaviors, and belief systems. Fundamental needs identified were love and belonging, power, and survival. All participants planned to reduce or discontinue drug use, perceived improvements in resilience, and demonstrated stress management strategies, such as relaxation techniques.

Conclusion: Individual counseling based on reality therapy helps enhance resilience and reduce stress in drug detoxification patients. Further comparative research with diverse populations and alternative therapeutic approaches is recommended to improve treatment efficacy.

Keywords: Drug detoxification patients, Individual counseling, Reality therapy, Resilience, Stress

Development of Norm the Thai Child and Adolescent Behavior Checklist Appropriated for Thai Context Confirmatory: Confirmatory Factor Analysis of the Thai Youth Checklist

Rattanasak Santitadakul, Wimonwan Panyawong — Sat, 01 Nov 2025 00:00:00 +0700

Abstract

Objectives: This research aimed to perform a confirmatory factor analysis (CFA) on the three forms of the Thai youth checklist (TYC): the parent, teacher, and self-report forms.

Materials and methods: The study assessed the structural validity of the Thai youth checklist (TYC) using confirmatory factor analysis to determine the empirical data aligned with the Thai-language version's component structure. The sample comprised 1,609 participants aged 6 to 18 years. The parameters were estimated using the Robust Weight Least Square Mean and Variance Adjusted Chi-square (WLSMV) method.

Results: The confirmatory factor analysis revealed that all three forms of the TYC have an eight-syndrome factor structure, which demonstrated a good fit with the empirical data. The fit indices met the required criteria: SRMR ranged from 0.066 to 0.067, RMSEA ranged from 0.023 to 0.026, CFI ranged from 0.950 to 0.952, and TLI ranged from 0.946 to 0.950. The Median factor loadings for the items ranged from 0.551 to 0.825.

Conclusion: The three forms of the Thai youth checklist maintain a good acceptable structural composition within the current Thai context, despite the syndrome groupings differing from the original US version. The study suggests that, in addition to developing overall behavioral problem criteria, future research should focus on establishing normative data for each syndrome.

Keywords: Child and adolescent mental health, Construct validity, Thai youth checklist

The Development of a Board Game to Enhance Understanding of Depression: A Preliminary Study

Sat, 01 Nov 2025 00:00:00 +0700

Abstract

Depression is a major mental health issue that is commonly found in Thai society. A clear understanding of depression can help individuals cope more effectively when faced with such conditions. Board games are one of the effective tools that can promote learning.

Objectives: This study aimed to 1) develop a prototype board game to enhance understanding of depression, 2) evaluate the effectiveness of the developed board game, and 3) explore players' perspectives and experiences of playing the game.

Materials and methods: The participants were 22 undergraduate students, selected through purposive sampling. The research instruments included a board game to enhance understanding of depression, a semi-structured interview, and a knowledge test on depression. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data were analyzed through content analysis.

Results: The results indicated that the prototype board game version 1.0 was well-designed, with complete game components, engaging experiences, multimedia elements, and entertainment value. The content of the game covered causes, symptoms, and treatments of depression. Expert evaluation confirmed its effectiveness. The participants showed a statistically significant increase in knowledge about depression after playing the board game at the .05 level. Participants expressed that the game was a creative and useful learning tool, effectively enhancing their understanding of depression. Moreover, the game components were aesthetically and creatively designed. The gameplay was described as fun, engaging, and challenging, fostering enjoyment and awareness of the game’s educational value.

Conclusion: The developed board game can be effectively utilized to promote understanding of depression.

Keywords: Board Game, Depression, Undergraduate students