Early Detection Model of Drug Abuse Relapse in the City of Padang

The past year prevalence rate was 1.80% or 180 out of 10,000 Indonesians aged 15-64 years or equivalent to approximately 3.4 million people. The survey also found that drug abuse has penetrated into the countryside with very prominent drug use at a very productive age (25-49 years) and the prevalence rate in the past year of use above 2.5%. The various impacts of drug use can be overcome by conducting a rehabilitation program. The process of drug rehabilitation is a process given to drug addicts so that their mental, physical and social conditions improve, the existence of rehabilitation is expected to be able to reduce the adverse effects on physical and mental conditions and can reduce dependence and relapse due to drug use, so as to reduce the number of drug abusers. In this post-rehabilitation stage, drug abusers are prone to relapse. The case of relapse in drug users is very high, found in more than 50% of addicts in the last decade. Based on research, relapse rates are known to reach approximately 80 percent within the first six months, and occur as much as approximately 50 percent within two years. However, the various definitions of relapse have led to different relapse rates in Indonesia. The Ministry of Health in 2018 claimed that the relapse rate in Indonesia reached 24.3% while the relapse rate according to BNN stated that before the implementation of rehabilitation, Indonesia's relapse rate reached 90%. Indonesia's relapse rate after the implementation of rehabilitation at the Lido Bogor rehabilitation and therapy center is around 7%. Methods: This study uses a qualitative design with a phenomenological approach and aims to determine the determinants of early detection of relapse in drug abusers in Padang city. The informants in this study are drug abuser clients who are undergoing rehabilitation, in the post-rehabilitation program, and who have completed the rehabilitation program at HB Saanin Mental Hospital Padang, West Sumatera BNNP Clinic, and Yayasan Karunia Insani in Padang City, with a total of 6 people. In addition, the respondent sample consisted of 30 drug abusers who were undergoing rehabilitation. The analysis included instrument validity and reliability tests, expert analysis, and diagnostic test analysis. Results: Respondents' ages varied from 18 to 46 years old Factors that encourage relapse are the influence of friends and invitations from friends who use drugs. In addition, the absence of work and family problems also encourage relapse, Family, friends and community support for resilience, Informants revealed that rehabilitation programs can help informants from the risk of relapse, Informants confirmed that relapse can occur in anyone even in people undergoing intensive treatment, comprehensive and sustainable lecture programs can prevent relapse, Stress, depression, and social pressure factors affect the risk of relapse, the first signs of relapse felt by informants are unstable emotions. The developed relapse early detection model has significant predictive ability with an AUC of 78% and can predict the incidence of relapse with an accuracy between 60.2% and 95.8%. The model shows a strong correlation with the SSRS and has a 10,200 times greater chance of detecting relapse cases than the SSRS. Conclusion: Informants define relapse as a situation where someone who has used drugs uses drugs again, Factors that encourage relapse are the influence of friends and invitations from friends who use drugs. In addition, the absence of work and family problems also encourage relapse, Family, friends and community support for resilience, Informants revealed that rehabilitation programs can help informants from the risk of relapse, Informants confirmed that relapse can occur in anyone even in people undergoing intensive treatment, comprehensive and sustainable lecture programs can prevent relapse events, Stress, depression, and social pressure factors affect the risk of relapse, the first signs of relapse felt by informants are unstable emotions.