Development of quality system for mental health and mental health Nongchik Hospital, Nongchik Pattani

Category Level 1. Personnel  Step 3 Personnel must have basic knowledge and skills in  There are at least 3 people who are responsible for mental health and mental mental health and mental healing. To be able to care for health including: physician / professional nurse / clinical psychologist / public the sick in the unsettled situation in the southern border health scholar / pharmacist provinces. Personnel in this area refer to personnel from  The physician can diagnose or treat mental illness and primary treatment. the multidisciplinary team needed, including physicians, (Anxiety {ASD,PTSD,Panic etc.},Depression,Suiside} Drug addiction) pharmacists, nurses, and psychologists. Clinical  Mental health and psychiatric nurse through specialized training in Psychologist In addition, there should be other relevant psychiatric nursing (4-month course) or master's degree in mental health and personnel. psychiatric nursing. Like a social worker Public health scholar physical  Responsible for mental health and mental health. Knowledge of basic mental therapist Therapist Which profession will depend on the health screening tools need and context of the hospital.  Psychological First Aid : PFA  Counselling  Critical mind care (basic)  Stress Management  psychiatric screening  Doctors have been trained in the field of Community Mental Health Prevention, or through Mental Health and Mental Health Training.  nurse and psychologist Responsible for mental health and  mental healing. The following courses are offered. (1) the use of tools - CRI-13 - M.I.N.I (2) mental health and mental remedies (at least 2 courses) - Critical Care (continuity) - Resilience Quotinet :RQ - Cognitive Behavior Therapy : CBT

Category Level

2. Service location  Step 3 Set up a property for mental health and heal the  The location of the mental health recovery center. The context of each agency. mind. It is considered that the person who receives the  There is a sign "Mental Health Recovery Center" service should have privacy and security. Mental  There is a library of knowledge dissemination on health promotion and mental security (Eg, the main clinic. It also promotes the remedies for the general public, including educational materials, etc. prevention, treatment, rehabilitation, mental health and  Mental health and psychiatric clinics are opened in conjunction with other healing of service providers and service providers in the clinics in the hospital. To make the service easy to access. context of unrest in the southern border provinces.  The location of the mental health recovery center. Separated only.  There are separate mental health and psychiatric clinics in the context of each hospital. Provide appropriate counseling services for inpatients in the context of the hospital. For example, there is a consulting room.

Category Level

3. Information Management  Step 3 Management Information System Support for the  Who is responsible for recording and storing data promotion, prevention, rehabilitation and transmission  There is a mental health risk register and a register of affected people in the of information of service recipients. In the midst of area. unrest in the southern provinces.  Record VMS and send report to Central (Server) by the 7th of next month.  Monthly performance report for Provincial Health Office, Basic Service web page.  There are reports of people who are at risk for having a mental health problem monthly.  There is a referral form for patients / affected people between agencies concerned. ARD, ARD, etc.  Monitoring data of affected people from VIS database or other relevant agencies.  Follow-up of risk groups / patients diagnosed with Common Disease, including 8 diseases: psychosis, substance abuse, anxiety, depression, mental retardation, neurological disease. Suicidal patients and other mental health problems are in the context of the hospital.  Timely delivery of information.  Analyze data and utilize the information to utilize the planning in the area  Have a plan / project At least 1 mental health per year.

Category Level

4. Mental Health and Mental Health Services  Step 3 The service is available to those who are affected  Psychological First Aid : PFA by the unrest in the southern border provinces. Easy  can screen / identify people with mental health problems and counseling / access to services. Equal quality of care and treatment psychological help by professional nurses / public health / psychologists in all care settings covering diagnostic issues.  can assess / screen mental health Use the following assessment / screening Counseling, drug promotion, prevention, treatment and method. rehabilitation of mental health standards.  Self-Stress Screening  Screening / Evaluation of Depression (2Q, 9Q, 8Q)

 Assess suicide (DS8)  Psychological Impact Assessment after Crisis (PISCES-18)  Strengths and Difficulties Questionnaire (SDQ)  The following mental health assessments are used.  Psychological Impact Assessment after Crisis (PISCES-18)  CRI-13,M.I.N.I.,CDI  Have psychic help. Stress management mental balance (Stablization)  There is a classification of psychiatric disorders (Anxiety {ASD,PTSD,Panic etc.},Depression,Suiside} Drug addiction) The doctor has and continuously monitored the symptoms.  Forward in case of complicated problems.  Have psychic help.  Stress Management  mental balance (Stablization)  Cognitive Behavior Therapy (CBT)  therapy group

Category Level  Diagnosis of psychiatric disorders / mental health problems and treatment (Anxiety {ASD,PTSD,Panic etc.},Depression,Suiside} Drug addiction) The doctor has and continuously monitored the symptoms.  There is a multidisciplinary team to take care of and responsible for the hospital's mental healing. Have and use CPG and Care map for patient care.  Conference Case  Forward in case of complicated problems.  Follow up and forward the data.

Category Level 4.1 Mental Health Care for Persons Affected by  Step 3 Unrest Situation  The physician can identify and classify risk / psychiatric patients from other Healing It is a process of assessing / screening diseases. It cannot be diagnosed at the ICD or CSM level. mental health and psychological well-being, as well as  The physician can diagnose Common Disease of all 8 diseases, namely, various forms of treatment for people affected by unrest psychosis, substance abuse, anxiety, depression, mental retardation, nervous in the southern border provinces. Relief from the system disorders. Suicidal patients and other mental health problems are in suffering suffered. the context of the hospital.  Inpatient primary care can be provided to patients diagnosed with the disease above.  The hospital's critical clinical risk management system  A review of important psychiatric and hospital psychiatric patients.

Category Level

4.2 Diagnosis and treatment  Step 3 The doctor will clearly understand the underlying  Is responsible for social and mental care. causes and mechanisms of the disease, as well as other  There is a system of social and mental care in the hospital. disorders detected by the physician, particularly in  The multidisciplinary team can integrate social and psychiatric care into the relation to everyday behaviors. The balance of the body, routine of the routine of all hospital services. including the processes and treatments, and the way  An assessment of social and psychiatric care in primary care patients. health care is continued, the doctor provides treatment by eliminating the cause of the disease. Problems in the patient can be edited manually. It is necessary to rely on techniques, techniques and expertise of the physician, especially for complicated diseases, diagnosis and treatment or other problems that may affect the treatment. Family problems, social problems, economics, etc.

Category Level 4.3 Providing social and mental care  Step 3 The use of communication skills allows the client  There are activities to promote and protect. Mental health problems in the to understand the psychosocial factors that affect his or organization include: her own illness, and how to resolve their problems  Organize Knowledge Board appropriately.  Provide mental health education (Psycho education)  Distribute mental healt  knowledge materials.  There is a mental health assessment / screening in the agency.  Published mental health knowledge through the voice line  There are campaigns to promote and prevent mental health problems for affected people and vulnerable groups in the community.  Organize Knowledge Board  Distribute mental health knowledge materials.  disseminate mental health knowledge through various media such as community radio,  Have screening / assessment activities Mental health problems in other clinics in the hospital.  Have screening / assessment activities Mental health problems in specific target groups include students, teachers, police, soldiers, health personnel, etc.  Training mental health knowledge for community leaders.  Training / educating mental health education to the public. Affected and vulnerable groups Allow the affected people / relatives / community leaders to participate in the promotion and prevention of mental health Problems in the community. Category Level 4.4 Promoting Mental Health Protection  Step 3 Promotion of mental health protection; It is the  There are activities to promote and protect. Mental health problems in the activity that will lead to increase the strength and organization include: integrity of the mind of the service recipient. In the  Organize Knowledge Board midst of unrest in the southern provinces.  Provide mental health education (Psycho education)  Distribute mental healt  knowledge materials.  There is a mental health assessment / screening in the agency.  Published mental health knowledge through the voice line  There are campaigns to promote and prevent mental health problems for affected people and vulnerable groups in the community.  Organize Knowledge Board  Distribute mental health knowledge materials.  disseminate mental health knowledge through various media such as community radio,  Have screening / assessment activities Mental health problems in other clinics in the hospital.  Have screening / assessment activities Mental health problems in specific target groups include students, teachers, police, soldiers, health personnel, etc.  Training mental health knowledge for community leaders.  Training / educating mental health education to the public. Affected and vulnerable groups Allow the affected people / relatives / community leaders to participate in the promotion and prevention of mental health problems in the community.  Co-ordinate cooperation in the prevention and promotion of mental health problems with local networks (public sector / civil society).  Planning for implementation, prevention, resolution of mental health problems in the area.  There are other affected families / mental health clubs and the club has ongoing activities.  One or more mental health promotion activities are planned.

Category Level 4.5 Medicinal system  Step 3 To administer the drug. To ensure proper use of  Focus on the management of any one way. To provide patients in the district medication, safety and risk of drug use. Have a good with the necessary psychiatric treatment as needed. Drug tolerance control, data collection system to take care of the problem, risk counseling and counseling about the correct use of drugs. Mental illness can be or incidence of drug errors. Adverse drug events were controlled. No recurrence and longer stay in the community. analyzed. To continue to develop the system. 1. The needs and management of patients in the area responsible for psychiatric treatment are continuously monitored. 2. Patient follow-up monitoring system. To reduce drug errors. 3. There are pharmacists in the care team. Can provide advice / counseling about the use of psychiatric drugs to patients / relatives / other personnel. 4. There is a record of psychiatric use of specific patients and is used in the treatment process.  Focus on the surveillance system to prevent or reduce the potential harm from the use of psychiatric drugs to prevent patients from using drugs. 1. Significant ADR monitoring in patients with psychiatric medications and corrective measures was identified. 2. There is a systematic monitoring of the symptoms that indicate the danger of using high alert drugs. 3. Drug allergy history and repeat dose management guidelines. 4. There are serious risk factors for fatal drug interactions with other (fatal drug interactions)  Focus on the evaluation of drug use and the results of the analysis. To plan and improve the service system to be more efficient and quality. Including the creation of new knowledge or processes in the care of patients with psychiatric drugs. Under existing resource constraints. 1. There are defined process and output indicators that indicate the success of the operation. 2. The data or indicators are collected and analyzed for processing. 3. The results of the analysis have been used to monitor and evaluate. Improvement or improvement 4. There are health promotion activities with medicines. Such as providing information Knowledge of psychiatric counseling to patients, patients or other personnel.

Category Level 5. Forwarding  Step 3 Continued care in the community. And / or  One-way referral forwarding to a higher level of service. Provides clear  Two-way book forwarding and response patient information to service units involved in patient  Start to send patients with complex problems * care. Both within the organization and with outside  Receiving and transmitting patient information by means of time, problems, organizations. Taking into account the confidentiality of and needs of the patient, as well as transmitting the necessary information to patients is important. the patient.

 Faculty of Nursing, Mahidol University and other networks. In order to use

such information,it is a guideline for sharing care. *Refers to a complex disease, diagnosis and treatment, or other problems that may affect treatment, such as: Family problems, social problems, economics, etc. **Means referral to the relevant service unit without return data.

Category Level 6. Monitoring.  There are home visits for patients with mental health problems and those Key Points for Good Patient Care There is a wide affected by the registration and forwarding if necessary. range of follow-up and care for people with mental -Depression patients health problems in the community. In addition, they can -attempted suicide / suicide collaborate and coordinate with community health units. -Psychiatric patients. To provide continuity in patient monitoring and -people affected by the unrest integrate mental health activities into the community.  There are home visits for patients who meet the specific criteria. -Depression patients * Follow up with 9Q ≤7 points every month for a period of 6 months. -Psychiatric patients. * 1 in 1 month * 2nd time within 3 months * 3 times within 6 months  Suicide / Suicide Attempts * First, within 15 days after the event. - people affected by the unrest * 1 time within 2 weeks * 2nd time between 2 weeks to 1 month * 3 times between 1 month and 3 months  There are ongoing home visits to assess and monitor symptoms in a complicated way.  forward the necessary information to MRS. / ARD / ARD and others. For continuous care in the community.  Forward for treatment in complex cases.  There is an assessment of the need for rehabilitation, including the need for rehabilitation and the context of the patient / community.  A clear patient monitoring system was developed to assess the continuing needs of both the psychiatric clinic and the community in more than 80% of the patients.  analyze problems Jointly evaluate and find solutions.  Bring information from the follow-up visit to the house to attend the meeting to help plan the complex.  Can create appropriate psychiatric care networks in the community, in accordance with the context and needs of the people in the area.

Full report: Comprehensive and equitable services without leaving no one behind Project Title: Work in the red zone area without leaving anyone behind Organization: Nong Chik Hospital, Pattani,

Nong Chik Hospital has established a psychological health rehabilitation center. In early 2006, the main mission. It is the psychological support for the families affected. In both service and home visits, the affected people and their families have a psychological health unit and mental health team available immediately in the event of a crisis of their lives. This is a long-term mental health problem, and it is also a mental strengthening and enhancement of people's ability to adapt. There are 3 mental health rehabilitation center staff (one professional nurse and 2 psychiatrist) responsible for mental health rehabilitation. But now a days Increased of work, such as healing of those affected by under conditions, psychiatry, suicide, mental health, OSCC, physical work, home wards, and home health care. So that the member of rehabilitation center increased here are 7 people in the rehabilitation center for mental health rehabilitation. (Psychiatric and mental health) 3 people, 2 psychologists, 1 physical person, 1 volunteer) Beside of the conflict situation in 3 southern border provinces since 2004 until now, had more than 800 people affected, over 300 affected women. The widow group has been involved since 2004 and has been convened by the Nong Chik Hospital. This is an important part of helping the healing of the widow. The group was set up as a "Women's Association Club" in 2006, and the group met regularly to exchange information and learn together in every month. The problem is solved by the government as a partner in occupational training. Sufficiency Economy. In 2009, more over able to gather a group of orphans who were affected from the Southern situation. To develop a career for children and to cultivate the habit of saving and living happily and warmly in the family. Group self- reliance is a self-reliant part of the grouping for children affected by the situation. The number is increasing every year. In January 2009, an orphan group was set up. By the name "Ton khla pa mae su fun (Young plant lead mother to the goal)” has total 263 members from the beginning of the orphan group to trail their mothers to join the group and participate the activities in every month. The process of giving help, healing, primary care, and familiar. Context Nong Chik District is subdivided into 12 subdistricts, 76 villages located along the north west coast of the province. The region adjacent to the neighboring area is the north to the Gulf of Thailand. East is connected with Pattani District and Yarang. District South Contact with , , and west. (), where the population in most areas. Islamic religion is 89% and Buddhist 11%. They mostly labor in fishing, farming and gardening. Vision Provide mental health and psychiatric services. Quality standard service beneficiaries. Mission Provides services to promote the prevention and treatment of mental obstruction. Objective of the creativity Since the southern border . There is a conflict between the people and the authorities. The Thai government has set a national policy under the Southern Border Provinces Administration Act, BE 2553 (2010), Section 4, which requires the National Security Council Headquarters. The policy proposed to the National Security Council. To solve the conflict in the southern border provinces from 2004 to present. It has been around for 15 years and still continuing crisis. As well as it is a big problem for national security. It is an area where people feel unsafe in life and property. As a result, people in the area are distrustful of government officials. They cannot live as normal as in other areas. Especially the area where violent attacks are used. This led to conflict as a result, people do not trust in government officials and hard to reach the achievement in the areas. All the things make inconvenient to work in basic public health for the affected citizen and their families surround red zone. (Areas that not accessible to public officials) to provide services equivalent to those in the green area. (Normal area) Hence, active implementation in the red zone in order to provide basic public health services need to construct confidence, trust. and create a public service network. (Network partners) reduce work processes and the agency steps. Increased access to comprehensive public health services in the area. Solve all problems, obstacles, access to environmental services, income, society, economy, security and efficiency. Partner work to build a network of people in the community. Civil society Enhance the agility of accessing quality services in areas where there is a conflict and a fight. Especially the underprivileged, vulnerable groups affected in the red area. The public sector feels insecure to access difficult areas. (Normal government sector is easy to access. Feel safer) without leaving anyone behind Alignment with the Selected Category and Criteria Based on the concept of policy, practice and structure of the health circumstances in the area, it is found that providing comprehensive and equal services without leaving anyone behind. Increased access to quality public services. Increase the flexibility to implement concrete. To work proactively in the area. Partaking work in the provision of basic public health services that all recipients must receive equitably to reduce disparities in access to basic health services. Currently, red zone areas reach three times less health than green zone areas. Indicates the basic public health needs. Nevertheless, with distrust in the government. This led to the lack of service in the majority. They choose not to use the services of the government. Cause to the development of proactive services in the red zone area. The key man pulls in the area of trust so that they be able to Influence people in the area to join the team. Or a network. Helping people who live in conflicting areas have a confident to fight out. There are obstacles in the trust between the state and the people. This makes the state officials are unable to access the area and access to basic health services that strive to develop effective, efficient, proactive service processes in the red zone area. Creating a community network to be a central agent between officials and people in the area. The key man was born such as religious leaders, village headman, headman and people who are capable of being accepted by the villagers. That is whole for the public belief in the government. Do not look at the government as an enemy. The government can bring proactive services to the underprivileged in the area to cover and equal. To obtain a comprehensive and equal service with the cooperation of the community to be able to use daily life based on the conflict situation in the southern provinces that are different and hard to live. Alignment with the 2030 Agenda The commitment to increasing access to be equal services in the red zone area requires participatory, public-sector work. Riveted and public sectors in the area. “Understand, Access and Develop” This statement can be able to understand the context of the southern border. which has a multicultural society. The diversity of faith, religions, cultures and It also has a complex that is difficult to understand. Accessibility based on contextually. The needs of people experiencing crisis in the area to create acceptance and trust in the area. This is a work that reduces the inequality by finding the key man in the area (Key man is a religious leader, headman, executive of the SAO village headman and the people who are capable and acceptable to the villagers). To demonstrate the sincerity to solve the problem is to understand the people, the practical tasks and related tasks that access is accessible to all areas. The public mind and development is evolving in every aspect by working aggressively into space. To realize, listen to the ideas with objectivity and to build views and trust in state officials. By using the basic health information of people in the area, the less opportunity groups in the red and green zone areas access health services 3 times as much as compared to the population. The equal access to basic health services to provide the red zone areas with access to health services close to the green area that create security Increased confidence and public access to basic public health services. According to the SDGs 3, Number 3.8 is to achieve access to quality health services.

Significance Three southern border provinces in Thailand Including Pattani, Yala and Narathiwat. These are the areas which a disaster area, a war of unrest. The Thai government declared a red zone area, which caused the unrest in Nong Chik district in , southern of Thailand. It is a space with a weapon used. The area divided in red and green zone. As a result, the less opportunity groups in the red zone area. No basic health services. Especially when the accident occurs cause of the loss of life. At present, Nong Chik district has more than 300 deaths, more than 1,000 injuries, more than 30 disabilities, more than 10 schools and public places damaged, and many families lost their families. They have suffered from many factors, create insecurity in life and property. They cannot live as normal as other areas in Thailand these things affect the people in the red zone area. No basic health services. Nong Chik is a district which located in Pattani Province. This area is in conflict with the government. Approximately 50,000 people live in the red area. Approximately 10,000 people access basic health services, accounting for 20% of the population in the red. Obviously, there are still 40,000 people in the population,This 80% of whom do not have access to the services. Cause of lack income. Nong Chik Hospital tried to support. However, it is not trusted by the people in the area because it is a state official who does not provide basic public health services. Therefore, health officials are trying to establish trust. Commitment to equal access to services. By creating a key man in the area. Create Network Collaboration that shows sincerity to arise to practical solutions. Listen to the idea with neutrality. Create a view of understanding and trust in government officials. It lasts up to 15 years. Finally, it can be used to deliver public health services. As a result, people living in the red area receive more health services. Percentage 66.18, which can be accessed differently from green areas, can be modeled for other government agencies. Learn how to increase access to restricted areas. However, Key man's service development is a community network where people in most areas respect and trust. To proactively drive the red zone area along with the public health staff to provide these people with the basic health services they need. The key to knowing people in the area known as the best home to make people feel warm. Encourage and let people in the area feel abandoned. As a result, people in the red zone area in Nong Chik district received more services. More trust government officials and open the area to the government agencies to jointly develop the community. More organize activities in the community. But the operation needs time to prove activate as well.

Innovation Situation of unrest in southern border part provinces of Thailand reduce confidence in government services. There is no trust between state officials and the public. As a result of the decline in public service. Although the service is necessary. More than 15 years to build trust in accessing basic public health services in the red Innovative database system for accessing public health services in Nong Chik District. For basic system storage increased confidence in the service system and reduce the number of government-backed services. According to the National Child Protection Commission assigned the Subcommittee on Protection of Child Welfare Affected by Violent Disaster in the Southern Border Provinces The committee is tasked to monitor the implementation of child protection for children affected by the violence in the southern border provinces. By the Subcommittee on Child Welfare Affected by Disaster Violence in the Three Southern Border Provinces Meeting with relevant agencies in Pattani area. Yala and Narathiwat to monitor the database of people affected by disasters. It focuses on information on children and uses information on people affected by disasters. As a result of this meeting resolved to reconsider the rehabilitation of mental health. Nong Chik Hospital, Nong Chik District Disaster Relief Center, Pattani Provincial Social Development and Human Security Office, Administrative Organization, Subdistrict Administrative Organization, Pattani Primary Educational Service Area Office1, Bo Thong Health Promotion Hospital, Deep South Coordination Center (DSCC), Bo Thong Municipality Office to place the database system on. The Committee on Child Care Medications in Nong Chik district.

Mental Health Recovery Center Nong Chik hospital

Nong Chik District Public Mental Health Center 15 Health Office Database of children and families Pattani Provincial Social Nong Chik District Development and Human affected in Remediation Office Security Office Nong Chik district, Pattani.

Pattani Primary Educational Service Area Office1 UNICEF

Tambon Tuyong Administration Organization

The following data collection to the database of children affected by the southern situation of Nong Chik Hospital in Pattani Province, in currently, there are children who affected in Nong Chik District. Pattani Province. Most of the females are 51.03%, mostly Buddhist. 53.10% of affected children. Most of the Nong Chik are in primary school. Accounted for 26.53% And there are children that are affected. At risk of mental health. Accounted for 18.96% in areas from the above innovations. It is a development mechanism that enhances access to integrated government services. such as Nong Chik District Remediation Office, Nong Chik District Public Health Agent and affected person in the area. The district has a database of affected children and families to ensure that each family is truly cared for, not touched, and allows staff to meet local residents. Communicate, input, acknowledge, resolve, integrate problems. (Started in 2012) is the information system of public health services, health screening, basic health problems and the provision of assistance from government agencies to victims and affected families in the red zone area of Nong Chik District. Pattani Province Nowadays, it is possible to expand and develop a map of access to basic public health services. By using Google Map, it is easier for government officials to reach out to less opportunity groups. Timely and constantly reduce health problems. (Transferability) Driving the access to Basic Health Services in the red zone area of Nong Chik District Pattani Province. It has been expanded to other provinces until the development of an experimental database on health issues in war victims and those affected in the southern border provinces in Thailand. This is due to the integration of the system. The development and expansion of the database service for war victims in the southern border provinces. Instinctive as a prototype of basic health services. “Nong chik Model” to the district, province and neighboring countries, such as study tours to Malaysia and Indonesia. To implement basic health services in their own country. Until won the national championship in 2018. From the Department of Mental Health Ministry of Public Health, the research was published in journals such as the Journal of Researchers' Association Received awards for participation in various forums such as R2R national outstanding 5 years (2012-2016) to build participatory care system. "Nong Chik people do not leave people behind"

Resources and Sustainability Operating resources with (4M) 1. Man Developer Leadership Features with a wide vision. The commitment to work, courage, decision-making and multi-task management. The sector offers both aggressive and receptive service concepts. The importance of sustainability is recognized by the Director of Nong Chik Hospital. Support In terms of personnel and staff, building sites, cooperation and staff from other sectors in the area who took part in mental health rehabilitation in children affected by unrest in the area. 2. Money Funds from various organizations such as UNICEF, Southern Border Provinces Administrative Center Southern Border Provinces Administration Centre (SBPAC), and the Office of Social Development and Human Security, Pattani Province. It is a support unit. The great development of the aid system has made the implementation of the system smoother. 3. Material Supported sources as below: • Nong Chik Hospital Mental Health Rehabilitation Center • Mental Health Center 15 • The Social Development and Human Security office, Pattani • The Pattani Educational Service Area 1 office • the Academic Coordinating Center office for Assistance to People Affected by the Unrest in the Southern Border Provinces Deep South Coordination Center (DSCC) 4. Management Academic / Network Speaker Sub-district Health Promoting Hospital And the Office of the Academic Coordinator Assistance Center for those affected by the unrest in the southern border provinces. Deep South Coordination Center (DSCC), etc. All sectors are fully involved. It reflects the social, intellectual and economic capital that is conducive to the development of the service system. In conclusion: In process continuing and sustainable development activities comprehensive social, economic and environmental dimensions. The inputs include people, money, materials and management. All sectors are fully involved. It also requires the following elements. Is (1) Create engagement with community networks. By inviting them to the public health service. Do not discriminate against the target group, taking into account the value of human equality. (2) Survey data on the needs of victims and families through networks. By support the problems and needs. Even if they do not accept the government. (3) Increased access to welfare services such as the provision of proactive services in the red zone area to the network. (4) Coordinate with related agencies to know the problems in order to drive the work in the same direction. Incorporate problems in the area. But the service covers all dimensions. Cannot do just one single element or one element. It depends on many factors. Used in operation. Reflect on social costs. Intellectual capital and economic capital are conducive to the development of the care system for people affected by the situation. By using affected people and families. The community is truly a base. The public health service is better. Impact The problem of the situation in the area led to the Ministry of Public Health plans for implement the policy of the Ministry of Public Health. By pushing the hospital's affiliates to work on remedies for people affected by the southern border unrest. The establishment of a mental health rehabilitation center in the area since 2006 began the establishment of a mental health rehabilitation center. Nong Chik Hospital Has been formally assessed by various agencies. By self-assessment and assessment internal and external organizations. Include 1. Self-Assessment The assessment method is divided into individual to consist of (1) Personnel is a multidisciplinary team including physicians, pharmacists, nurses and psychologists. Clinical psychologists must have basic knowledge and mental health skills. And heal the mind to be able to take care of patients in the context of unrest in the southern border provinces with the standard that the profession will depend on the need and context of the hospital is important. (2) place of service set up a property for mental health and heal the mind. The service is considered. The specificity should take into account privacy / security. Mental security (Clinical Outreach. "I do not care" (3) Management Information System Support for activities to promote prevention, treatment, rehabilitation and transmission of information of the recipient. 2. Receive external evaluation, such as representing the province, the sermon, the implementation of mental healing. From health zone 12 After evaluating, it can be used to develop aggressive government services, with the help of Key man as a public service partner to increase access to public health services. People from the southern border provinces disaster war when these people lack the leaders of the family make goals and lifestyle riskier by changing social conditions. In terms of the current economic crisis. Faced with many problems that occurred not one day. Whether it be a crime, robbery, murder, stealth, trouble, children, youth and women. Drug problem Family issues and many other problems, the Ministry of Health plans to operate according to the Ministry of Public Health. By pushing the hospital's affiliates to work on medications for people affected by the southern border unrest. Serving the people of the Southern Border Provinces Disaster War (Red Area of Nong Chik District) in Thailand to receive basic public health services. Through the measure, "70 percent of those affected by the unrest in the southern border provinces have been continually cured," which is a basic need for disaster victims. That common need of war in space to reduce the health risks that will affect the long term. Mental Health Recovery Center Nong Chik Hospital It is important to work with a multidisciplinary team in and around Key man area. Provide basic public health services in the area. To implement the policy of the Ministry of Public Health. From the past, the Center for healing, mental health and psychiatric rehabilitation. Nong Chik Hospital The results can be achieved after using a proactive approach with a trusted network in the red area. Throughout the measure, 99.08 percent of those affected by the unrest situation in the southern border provinces have been continually cured. The result in a better way. Those affected by the situation in South and the Red Families area. Dare to get more basic health services through local service network. More trust in the government. Reduce the feeling of loneliness It is neglected from less taken care by the government. It can also handle problems in the area.

Stakeholder Engagement Initially active in the area, the initiative was shared with local volunteers in the area. Build strong associations to be trust. Understand the role of each other. The health of the people in the area. (Basic health) To be clear determine a responsibility in the public health officer. Suppose there are village volunteers as intermediaries to reduce the distrust between the public and the public. Key man. The main function of the certification. Reduce paranoia and the correct understanding to people in the area by drawing public officials to participate in community activities, such as religious activities. In addition, there is a network of families affected by disasters in the area. Increase access to basic health services and create new perspectives. The public confidence in the state. opportunity for other government agencies. To participate in community development. Until achieving a sustainable development agenda 2030 Lessons Learned Remedies are to link all sectors of society through medical, social, and other approaches. It is based on the context of the space. Understand the problem of the area, environment, economy, society, culture, limitations, and deepness. For all these to reduce conflict divide the party, divide the opposition and make it easier to reach the area. To build trust, cooperation and see the real problems. To analyze the situation. Determine the core issues of common problem solving. The role of various agencies in networking that’s lead to participatory work. In order to achieve the 15 year sustainability with the implementation of trust in the southern border provinces in Thailand. Create a good feeling in the operation of state officials. Change the public's view to access and receive more basic health services. It's just space. Believe that many areas will suffer the same problems. From this research learn that. Each area has a key man. This is the heart of the network. To drive and overcome difficult work just need to find it. But it also requires other factors to support. In addition to the 4M core, the time, commitment, unity, unification in the work and the principle of sincere care provides a neutral service at every level with human heart. At last do not forget to look at the background in the area for whole sustainable remains development.

Experience stories reflect the actual operation of the Nong Chik Psychiatric Service Network in Pattani Province.

I HAVE TO FIGHT! from that day to this day, it is the great loss of the family caused by the unrest in the southern provinces. The visit was a family visit to the loss of this unrest. The incident killed some innocent people and caused some to get disabled. Make their lives and families suffer and lose the role of family leaders. On May 1, 2008 was the day of the incident. At about 7:00 PM, which is the prayer period. There are 12 worshipers.While doing the same. I heard A voice like something rolling in the back of the 12 people for a while to hear the explosion. One victim died in the accident and another 11 were seriously injured. Neighbors help injured people send to Nong jik Hospital. The following day, 10 people died in the hospital and 10 were disabled. Mr. Sama Hayeeuma,Age 63 years old, who has both legs disabled. Mr. Sama said that. It happens very quickly. After hearing the bomb. Self to remove it. Remember nothing When I wake up, I see myself lying in bed. It feels strange This is not my home. Looking left, sitting wife. Right side view, the children sit and why the children in Bangkok. Come back later, why do you think that what happened to them? I do not think so. I feel that my legs hurt. I can not lift up my legs. Children look at each other, but no one speaks. I opened the blanket to see my leg legs go? It's shocking! Then asked the children and wife, "Where did my legs go?" My wife told me that I was bombed when I was knocked out. The doctor said that the legs must be cut. If you do not cut, you may lose your life. My wife and children decided to cut the doctor, I regret the discouragement in life. How can you live without walking your legs? What are you doing? I will send someone who will make money for my family, I am very stressful, but good that the government does not abandon me. The remedies to relieve the suffering of the family. Village Health Volunteers Nurse and rehabilitation center for mental health and physical therapy. Nong jik Hospital Including the Prime Minister Chatchai Jehpor Prime Minister Sub-district Administration Organization Lipasango that visit me often. I am very supportive of my own family. Make me live My children and my wife take good care of me. I want to live peacefully. Aman Ibadah (religious practice) with God I think that Allah Almighty test me. And when the new nursing program. Love the homeland For a better life. Sponsored by Osotspa To help support my trade. While waiting for help from Pattani Social Development and Human Security. Or Sub-district Administration Organization . Make me live more valuable. Because after the incident. I did not do anything professionally. Because help yourself. But as long as it is encouraged to do business at home. It gives me peace of mind and I think that my life is worth living for myself. Thanks Osotspa The quality of life of the victims.

Mr. RoSeh Hayeeuma, Age 60 years old, a brother of Mr. Sama Hayeeuma, who was affected by the unrest in the southern border provinces, But Mr. Roseh left his left leg, but also went to where. Mr. Roseh said I do not remember what it was like. I know it's already in the hospital. I have to say that I have not had a chance to do that. "We were beaten! Look at your legs, see the bandage is full and try to move legs look very hurt legs. I was scared that I had to lose my leg.But I was lucky than my brother. To lose both legs. I still go to work. And good that the government does not abandon me as well. I have to remedy with my family to relieve the pain of a neighbor. And Nong jik Hospital Come visit me often. I am very supportive of my family, and my wife and I take good care of me. The family of my brother as well, and the survival of the family and especially Prime Minister Chatchai came to help improve the bathroom for me. After the visit with new nursing staff. Love the homeland It allows me to use the bathroom more easily, not as difficult as before. Because after that, I was physically moving. Toilet The toilet is difficult because it is a toilet seat. Thank you very much. I was worried about the quality of my life.

Illustration : Mr. RoSeh Hayeeuma

Mr.Kaday Samoh , Age 59 years old , is the one affected by the right leg disability. Can walk, but walking is not as convenient as it should be. Like many other people who were hit at the same point, they were injured and had to be treated continuously with Nong jik Hospital. "I had diabetes already. I have been with children and children. I like everyone else who always cheer me on. "I've been through a lot of things lately. My wife died a motorbike accident. I am very sorry and discouraged to lose my partner. However, it must always be thought of as a test of God (Allaah) is unmistakable to the patience. The distillery in this world. I have to stick to the mind to do good things. What do you think? Because of the difficult movement. Where to find work? I have to support the opening of the barber shop from Sub-district Administration Organization . And do not need more help. The project considers that it should provide the best support to track the results of the request, even if we do not use the project budget. For better quality of life. I have a poem. "Some life distillation severely troubled. But ... some life Have fun always bring happiness. But do not forget that suffering or happiness. Is the conclusion in front the Absolutely.

Story of the healing experience without leaving anyone behind. Nong Chik District, Pattani Province, Thailand.

I JUST HAVE ONE

Mother G1P0A0 22 years old Birth by Vacuum The normal baby, but the mother had a weak arm after birth. Maternity history was previously in Bannungstar. She birth at Nongjik Hospital before having a history of malaria while pregnant after 2 weeks of hospital stay, the mother had a slight weakness in her arms, normal blood pressure, and good blood pressure at Nong Chik Hospital, sent to Pattani Hospital after returning from the hospital, his father and mother had a history of not being able to help themselves, limbs unable to lift, left ventricular tachycardia life is a life-saving tool to eat. Private business, The more the days of the symptoms, the better the lack of care, because each person has their own obligations to do. The father of the patient must leave the job for take care of the child fully. Parents must become the pillars of the family in the family. Previously, most of the income came from the daughters who went to Malaysia to send back to the family once a month. But now the daughter is sick, the main lack of income to support the family. The husband decided to divorce with his wife sick. I cannot help myself poorly and take her daughter just two months to raise. The father also said that. "Symptoms of the patient have deteriorated. That's a good thing that good at healing. The father took the place, but he still did not get better. The encouragement that was given by her husband yesterday. Now there is no leftover. "Father also said" Sometimes I feel discouraged seeing my son in this condition. This is the only way to keep up with your daughter and family as long as possible. Even though there is no hope for the same. What can the staff do now? It is the healing of the father.It is a paternal heart remedy. Mother and patient because of time to talk about husband and child. The patient is anxious to cry, the more asked what it is. Patients will be more vocal. No one knows what the patient is crying for. But guess that it may miss the baby and husband, from that day until today, almost a year. The husband never returned to visit the patient again. "... in the moment of the life of a pimper, we have only one person to comfort ..."

Certificate of support documentation demonstrates continuity of work.

Selected for academic presentation on Mental Health Crisis at National Symposium on Mental Health Crisis. 2nd time Annual Report 2008. The Vigil of the South: To build strength and peace.

Selected for academic presentation on Mental Health Crisis at National Symposium on Mental Health Crisis. 2nd time Annual Report 2008. The Vigil of the South: To build strength and peace.

Awarded the Academic Presentation Award for Mental Health Crisis. Development Type / Case Study. The Vigil of the South: To build strength and peace.

Winner Award, Hot short film presentation at Pattani Provincial Quality and Innovation Festival Annual Report 2009

VIS SECURITY: 3 Steps to a Southern Border Health Annual Report 2009

Award winning poster presentation type, VIS link security remedy. Annual 2010

Re: Environment and healing

Support for the Smile District Coordination with the mobile operator to serve the public. Fiscal year 2013

Tales Contest "Promotion and prevention of mental health problems. Mental Health and Psychiatric Administration " In the project, a workshop on mental health performance evaluation under the district health system Annual of 2018

Shields Awards of support documentation demonstrates continuity of work.

Winner Award, Contest for community mental rehabilitation center In the southern border provinces of 2008

Winner Award, Research Type Mental health with behavioral and mental problems from disasters. Care Guidelines: Future Perspectives, Annual 2010

Academic Presentations by Poster, Quality Development, Mental Health and Psychiatric Services. Annual 2010

Tells from the mental health and psychiatric service network. At the Integrated Mental Health Conference of Thailand Annual 2011

The Nursing Association of Thailand, South Branch Outstanding nursing year 2011

District mental health operations Type of local government or community Year 2012