Journal of the Association of Researchers. Vol 19 No.2 May – August 2014. Angkana Wangthong, et al. Community participation in the care of chronic schizophrenia patients. NongChik District, Pattani Province. Background and significance of the problem. Schizophrenia is the most prevalent disease. It is estimated that around 1-1.5% of the world population. And the incidence of the disease is about 2.5-5: 1000 people per year (American Psychiatric Association [APA], 1995, cited in Kankook Sirisathien, 2007). The number of outpatients receiving services from mental health services increased from 1,022,504 in 2009 to 1,055,548 and 1,0912,646 in FY 2010 and 2011, respectively. (Department of Mental Health, 2011). It can be seen that the rate of mental illness is likely to increase. And still a major public health problem. The loss of the economy and resources of the country, while the number of personnel involved, such as psychiatrists, psychiatric nurses and other personnel. There are insufficient resources to drive care for schizophrenic patients at home (Suchitra Nampai, 2005). Schizophrenia is a disorder characterized by emotional, behavioral and perceptual symptoms. The two groups are characterized by positive and negative symptoms. The disease progresses chronically and severely. There are 3 stages. Prodominal phase, active phase, and residual phase (Mannos, Laytrakul, and Pramote Suksanit, 2005). The schizophrenia often not cured. Patients will have chronic disease. Most of the time there is a relapse. They need to be hospitalized periodically. As a result, the family life efficiency of caregivers (caregivers) was significantly declined becayse it takes a long time in caring. Also,it’s related to policy of caring schizophrenia pateints which focus on psychiatric patients to maintain a continuum at home. If the need to be hospitalized, they for a very short time.( Boonthawatchai, 2002). Mental Health Recovery Center NongChik District, Pattani Province There are about 338 psychiatric patients in the community who are classified as schizophrenic. (67.7%), depression (22.1%), and anxiety disorder (GAD) 10.2%. Most of them return to the community. Patients or relatives do not see significant therapeutic succession. Think about it. The lack of drug treatment resulted in patients with mental health crisis. And back to the original disease. (Mental Health Remedies Center, 2011) Family and community influence on schizophrenia care. Community and organizations takes big role to participate in the care of schizophrenic patients. It must be based on cooperation and effective implementation which effectively reduce the number of patients with schizophrenia who return to hospital. The cost of the hospital and the state is another way. (Tasanee Anantapanpong, 1997) Therefore, the research team was interested to studyabout community participation in caring for schizophrenic patients in Amphoe Nong Chik, Changwat Pattani. We want to encourage patients to receive treatment. And continue to take medicine. Also, we have to find ways to give service and solve problems in the community between patients, families and communities to prevent recurrence, reduce the problem of patients in crisis, and assist family 1 Journal of the Association of Researchers. Vol 19 No.2 May – August 2014. Angkana Wangthong, et al. members in caring for patients. This will affect the quality of life and dignity in society (Jaruwanpada, 2002). Research Objectives To study community participation in care chronic complications of schizophrenia. Research scope This study is a study of community participation in caring for chronic schizophrenic patients in Nong Chik District, Pattani Province. from June 2011 to April 2012. Literary review and concept A study of community participation in caring for patients with chronic schizophrenia in Nong Chik district, Pattani province. The research team adapted some of the activities from the participatory community participation model of Saranrom Hospital (Nattaya Kongwatmai,2006) The following activities are defined: 1.1 Friends meet friends, aiming to build community relationships, be praised warmth, have a positive feeling. and be a part of the community. 1.2 Understand different perspective, among to learn to how live happily together Look at each other's good things to understand. The defect occurred to the person. Learn to pick good things. Accept the good of other person's admiration. Encourage Bug fixes Bring harmony to yourself and your community. 1.3 Love and commitment, aiming to explore the problem. Recognize the potential of self and others, and build self-esteem. 1.4 Our Perception of Psychiatric Patients The purpose of this study was to investigate the problem of schizophrenia. The effects of family and community caregivers. Feeling the power of sympathy Provide understanding to caregivers. Families push for energy, help and support. More knowledge of the bugs to make a give encouragement to disease to the sick and the symptoms of the person. I’ll give you a positive idea. Intentional intent or intent. The direction of care. 1.5 Our expectations for psychiatric patients are intended to explore the need for patients. It is a mutual hope. 1.6 Finding a way to help people with mental illness can help them find a way to think critically and physically. 1.7 Our task is to share a plan to share our hopeful behavior. Has a duty assignment determine activities. It can be seen that community participation in the care for chronic schizophrenia patients in Nong Chik District, Pattani which is the leading factor and source of benefits to individuals. The community has been involved in the care of patients with chronic schizophrenia. Comprehensive care for chronic schizophrenia patients. The community is using the resources in the community. To live together happily. Happiness is a benefit. Together, everyone takes into consideration. (Wassana,2003) Terminology Community involvement means that the community is actively involved in the operation. And sincerely by mutual consent. Consider the solution sharing responsibility in the social co- thinking, decision-making to achieve happiness. Satisfaction (Nattaya Kongwatmai,2006) 2 Journal of the Association of Researchers. Vol 19 No.2 May – August 2014. Angkana Wangthong, et al. Care for chronic schizophrenia patients at home refers to the treatment of schizophrenia patients with symptoms. It is enough to stay at home in his old society by having a relative, families, community and medical personnel visit. Home to follow up, rehabilitate and promote health, mental health and prevent recurrence as well. Community family to help.(Jalee Jalornsup and group 2005) Method This research is a qualitative research. The research and data collection are as follows. The sample size is from a community of chronic schizophrenic patients in the area. Nong Chik District, Pattani Province Group SizeSample of 50 people by sampling method. (Simple Random Sampling) using the contact list.There is a mental health rehabilitation center in Nong Chik District.Pattani Research tools Quantitative data is Personal Information Inquiries Is the answer as. Built- in tool And community participation activities. In the care of patients with chronic schizophrenia complex Nong Chik.Pattani Province The research team has adapted some sub-activities. From the community participation model 7Activities of Saranrom Hospital (Nattaya Kongwatmai, 2006) and Quality control by 3 experts. Steps to collect information Quantitative Research Team 50 questionnaires were used. Asking volunteers to do interviews and observation sessions took 30 - 60 minutes. Five groups of 10 people after the group. Interviews The research team removes all the tapes and checks. Information obtained when the information is incomplete. We had a phone call. Ask for more information from the sample. Information with data collection, the saturation data. Then discontinued the data. Data analysis Knowledge gained from answering the questionnaire analyzed by frequency. Percentage and mean The data obtained from the interviews were analyzed using multiple reading methods. Moderate issues Classified Compared to the data provided by other data providers. Adjust the categories to be clearer. Reduce duplication And more cover up repeatedly. Until a new category is found. Reliability of data The research team summarizes the issues after every interview with the informants to confirm the accuracy of the researcher's thoughts and feelings. (investigator triangulation) Research result Part 1: Quantitative data found that 36.00% of the sample was between 25-34 years old. 64.00% were female. 88.00% were Muslims, 77% were married, 60.00% high school graduate, 52.00 percent were employee, 48.00 percent of the sample had a social status as a public health volunteer, and 56.00% had a relationship with the patient, a public health officer, and an administrative officer. Secondly, 14.00% had a father relationship. Part 2 Qualitative information consists of community participation. 7 activities can be summarized into 3 cycles as follows. 3 Journal of the Association of Researchers. Vol 19 No.2 May – August 2014. Angkana Wangthong, et al. 1st Cycle Link Creating a participation in this circuit. Each sample performs from a subjective attitude. Sense of thought for patients with chronic schizophrenia. As words I have to take care of villagers in the area. I know that many people in the area are sick. I do not want to get sick. Fear will come, but I sympathize with him "(G2) The acquisition of sample participation in the care of patients with chronic schizophrenia is complex. Engagement activities: 1. Friends Activity Create a relationship. Start by greeting Purpose of this study is to create a relationship. The research team was familiar and had good relationships with the sample and had worked together before. And the samples themselves have volunteered to care for patients. It is willing to provide information in order to summarize the knowledge to others to continue. Samples were dared to ask questions from the research team. The research team has built trust. By the familiarity that has worked together before.