Current Status of Psychiatric Care in Thailand

10.4103/TPSY.TPSY_22_23

Kamonporn Wannarit；Panate Pukrittayakamee；Pichet Udomratn

COVID-19 pandemic ； gender diversity ； mental health service ； lesbian ； gay ； bisexual ； transgender ； queer or questioning ； intersex ； asexual people

台灣精神醫學

37卷3期（2023 / 09 / 01）

103 - 112

英文

Background: Psychiatric care in Thailand has been established for a long time. It started with Thai traditional medicine and care, and later, it has been integrated with Western knowledge. In this review, the authors intended to highlight how clinical services and training in Thailand have been adjusted in regard to a changing society, environment, and the world. Methods: The authors collected information from the literature relevant to psychiatric care in Thailand, including organizations in charge of the mental well-being of health-care professionals and the general public, prescribing patterns of psychotropic drugs, psychotherapy, other interventions, and gender diversity issues. Results: Psychiatric care in Thailand is consistently improving in collaborating and networking among organizations and societies to unite psychiatrists with common interests. New specialty and sub-specialty trainings are also offered in response to the demands of residents and fellows as well as patients. There are also more training centers in the central and regional areas of Thailand. Adjusting and strategically managing psychiatric care have been done to deal with service disruption from the COVID-19 pandemic. Interventions, including pharmacological management, different types of psychotherapy, repetitive transcranial magnetic stimulation, and electroconvulsive therapy, have combined with Western knowledge and Eastern wisdom to deliver appropriate approaches for Thai people, including mental health care for patients with gender diversity. But the health security system and access to mental health care are areas are still needed to be further improved. Conclusion: Over the decades since mental health care has been recognized and increasingly aware, there are improvements in clinical services and academic training. The implementation of those services is still required to be monitored and improved for all populations in Thailand without discrimination.

1. Thanaudom, K,Jampathong, N,Udomratn, P(2018).One hundred thirty years of psychiatric care in Thailand: past, present, and future.Taiwan J Psychiatry,32,9-17.
   連結：
2. Alibudbud, R(2023).Gender and sexuality in mental health: Perspectives on lesbians, gays, bisexuals, and transgender (LGBT) rights and mental health in the ASEAN region.Front Sociol,8,1174488.
3. Anuwatgasem, C,Awirutworakul, T,Vallibhakara, SA(2020).The effects of mindfulness and self-compassion-based group therapy for major depressive disorder: a randomized controlled trial.J Med Assoc Thai,103,856-863.
4. Aunjitsakul, W,Udomratn, P(2016).Cognitive behavioral therapy for insomnia (CBT-I).J Psychiatr Assoc Thai,61,89-106.
5. Beck, JS(2021).Cognitive Behavior Therapy: Basics and Beyond.New York:Guilford Press.
6. Chanpattana, W(2010).One hundred twenty years of mental health care in Thailand and the development of electroconvulsive therapy.J ECT,26,11-13.
7. Chanpattana, W,Kunigiri, G,Kramer, BA(2005).Survey of the practice of electroconvulsive therapy in teaching hospitals in India.J ECT,21,100-104.
8. Charernboon, T,Phanasathit, M(2011).Psychotherapy practices and training experiences: A national survey of young Thai psychiatrists.J Med Assoc Thai,94(Suppl 7),S95-S101.
9. Charnsil, C,Suttajit, S,Boonyanaruthee, V(2012).An open-label study of adjunctive repetitive transcranial magnetic stimulation (rTMS) for partial remission in major depressive disorder.Int J Psychiatry Clin Pract,16,98-102.
10. Chinvararak, C,Kerdcharoen, N,Pruttithavorn, W(2022).Mental health among healthcare workers during COVID-19 pandemic in Thailand.PLoS One,17,e0268704.
11. Chung, SW,Hoy, KE,Fitzgerald, PB(2015).Theta-burst stimulation: A new form of TMS treatment for depression?.Depress Anxiety,32,182-192.
12. Disayavanish, C,Disayavanish, P(2007).A Buddhist approach to suicide prevention.J Med Assoc Thai,90,1680-1688.
13. Dong, M,Zeng, LN,Zhang, Q(2019).Prescription of antipsychotic and concomitant medications for adult Asian schizophrenia patients: Findings of the 2016 research on Asian psychotropic prescription patterns (REAP) survey.Asian J Psychiatr,45,74-80.
14. Guadamuz, TE,Cheung, DH,Boonmongkon, P(2019).Illicit drug use and social victimization among Thai sexual and gender minority adolescents.Subst Use Misuse,54,2198-2206.
15. Hao, Q,Wang, D,Xie, M(2021).Prevalence and risk factors of mental health problems among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.Front Psychiatry,12,567381.
16. Hongsanguansri, S,Charatcharungkiat, N,Alfonso, CA(2018).Psychotherapy training experiences among four child and adolescent psychiatry residency training centers in Thailand.J Med Assoc Thai,101,261-268.
17. Jatchavala, C,Udomratn, P(2019).Women and gender, diversity and mental health.Diversity in Global Mental Health: Gender, Lifespan, Access to Care, Treatment and Social Strata,Basel:
18. Khaikham, L(2022).The recognition of LGBTQIA+ rights as human rights in Thailand’s six public universities.J Hum Right Peace Stud,8,287-316.
19. Kiatsinsap, J,Thongtong, S(2021).Village health volunteers: Roles of community mental health care in the situation of the COVID-19 outbreak.Udonthani Hosp Med J,29,314-323.
20. Kittayarak, K,Ittasakul, P(2022).Electroconvulsive therapy practice in Thailand: a Nationwide survey.Neuropsychiatr Dis Treat,18,2477-2484.
21. Komwong, D,Prasanthanakul, J,Phanasathit, M(2022).Prevalence of mental health problems and associated factors of Thai healthcare workers during the first wave of COVID-19 pandemic.J Public Hlth Dev,20,106-119.
22. Krisanaprakornkit, T,Paholpak, S,Tassaniyom, K(2010).Transcranial magnetic stimulation for treatment resistant depression: six case reports and review.J Med Assoc Thai,93,580-586.
23. Kunno, J,Supawattanabodee, B,Sumanasrethakul, C(2022).Burnout prevalence and contributing factors among healthcare workers during the COVID-19 pandemic: A cross-sectional survey study in an urban community in Thailand.PLoS One,17,e0269421.
24. Leiknes, KA,Jarosh-von Schweder, L,Høie, B(2012).Contemporary use and practice of electroconvulsive therapy worldwide.Brain Behav,2,283-344.
25. Maslach, C,Leiter, MP(2016).Understanding the burnout experience: Recent research and its implications for psychiatry.World Psychiatry,15,103-111.
26. Minas, I(ed.),Lewis, M(ed.)(2017).Mental Health in Asia and the Pacific: Historical and Cultural Perspectives.New York:Springer.
27. Moallef, S,Salway, T,Phanuphak, N(2022).The relationship between sexual and gender stigma and suicide attempt and ideation among LGBTQI+populations in Thailand: Findings from a national survey.Soc Psychiatry Psychiatr Epidemiol,57,1987-1997.
28. Newman, PA,Reid, L,Tepjan, S(2021).LGBT+ inclusion and human rights in Thailand: a scoping review of the literature.BMC Public Health,21,1816.
29. Nochaiwong, S,Ruengorn, C,Thavorn, K(2021).Global prevalence of mental health issues among the general population during the coronavirus disease-2019 pandemic: a systematic review and metaanalysis.Sci Rep,11,10173.
30. Pitanupong, J,Karakate, A,Tepsuan, L(2022).Attitudes toward longacting injectable antipsychotics among schizophrenia patients in Southern Thailand: a multihospital-based cross-sectional survey.Siriraj Med J,74,193-201.
31. Pityaratstian, N,Piyasil, V,Ketumarn, P(2015).Randomized controlled trial of group cognitive behavioural therapy for post-traumatic stress disorder in children and adolescents exposed to tsunami in Thailand.Behav Cogn Psychother,43,549-561.
32. Ratta-Apha, W,Sitdhiraksa, N,Saisavoey, N(2009).Postgraduate psychiatric training in Thailand.Seishin Shinkeigaku Zasshi,111,1238-1243.
33. Shonin, E,Van Gordon, W,Slade, K(2013).Mindfulness and other Buddhist-derived interventions in correctional settings: a systematic review.Aggress Violent Behav,18,365-372.
34. Siritienthong, J,Awirutworakul, T,Vallibhakara, SA(2018).Comparative effectiveness of mindfulness-based therapy in sleep quality of chronic insomnia compared to standard cognitive behavioral therapy [CBT-I]: a randomized controlled trial.J Med Assoc Thai,101,269-273.
35. Tan, KKH,Saw, ATW(2022).Prevalence and correlates of mental health difficulties amongst LGBTQ people in Southeast Asia: a systematic review.J Gay Lesbian Ment Health,1-20.
36. Theppornpitak, W,Hemrungrojn, S,Thienwiwatnukul, K(2023).Effectiveness of internet-based CBT-I for the treatment of chronic subthreshold to moderate insomnia.Front Neurol,14,1180339.
37. Tunsuchart, K,Lerttrakarnnon, P,Srithanaviboonchai, K(2020).Benefits of brief group cognitive behavioral therapy in reducing diabetes-related distress and HbA1c in uncontrolled type 2 diabetes mellitus patients in Thailand.Int J Environ Res Public Health,17,5564.
38. Tunthanathip, S,Laeheem, K,Buayom, P(2021).Lockdown stress and burnout of public health personnel during the coronavirus disease 2019 outbreak in Southern Thailand.Nurs Midwifery Stud,10,181-187.
39. Turakitwanakan, W,Kitporntheranunt, M,Pongpaplud, P(2017).The effect of Buddhist psychotherapy on depressive symptom in adjustment disorder caused by physical disease patients.J Med Assoc Thai,100,195.
40. Udomratn, P(2008).The assimilation of current Western psychotherapeutic practice in Thailand.IFP Newsletter,6,13-16.
41. Udomratn, P(2007).The teaching and training of psychiatry in Thailand.Int Psychiatry,4,41-42.
42. Udomratn, P(2007).Buddhism and psychiatry in Thailand.J Psychiatr Assoc Thai,52,335-336.
43. Udomratn, P(2010).Psychiatry and Theravada Buddhism.Religion and Psychiatry: Beyond Boundaries,Chichester:
44. Udomratn, P(2007).Mental health and psychiatry in Thailand.Int Psychiatry,4,11-14.
45. Udomratn, P(2023).Mental health of LGBTQ+.J Ment Health Thai,31,A1-A3.
46. Udomratn, P(2022).The development of psychiatric sleep medicine in Thailand.J Psychiatr Assoc Thailand,67,297-303.
47. Udomratn, P,Panprecha, C,Theeramoke, V(1985).Electroconvulsive therapy in Somdet Chaopraya Hospital.J Psychiatr Assoc Thai,30,13-27.
48. Udomratn, P,Srisurapanont, M(2016).Psychiatry in Thailand.Routledge Handbook of Psychiatry in Asia,London:
49. Udomratn, P,Vasiknanonte, S(2009).Pattern of prescribing antipsychotic drugs in Thailand.ASEAN J Psychiatry,10,75-82.
50. Ularntinon, S,Piyasil, V,Ketumarn, P(2008).Assessment of psychopathological consequences in children at 3 years after tsunami disaster.J Med Assoc Thai,91(Suppl 3),S69-S75.
51. Wainipitapong, S,Burakitpachai, S,Bumphenkiatikul, T(2022).Complex psychiatric comorbidities in Thai trans women: a case series.F1000Res,11,74.
52. Wannarit, K,Supanya, S,Charnsil, C(2022).Wannarit K, Supanya S, Charnsil C: World suicide prevention day in Bangkok, Thailand. Bull AFPA 2022; 9: 22..
53. Wongpiromsarn, Y(2020).Mental health and the COVID-19 crisis in Thailand.J Ment Health Thai,28,280-291.
54. World Health Organization: Regional Office for South-East Asia(2022).Addressing Mental Health in Thailand.New Delhi:World Health Organization.