The quality of psychiatric care policy of The Department of Mental Health and according to the quality of service standard that has been accredited by the Institute of Hospital Quality Improvement and Accreditation since 2003. in the domain of continuous care, JVSK faced a problem of discontinuation of treatment plans as mention earlier.
In 2005, personnel from local health service provider network seta up meeting to share and learn about psychiatric care problems in our area. We found the poor insight and poor adherence of patients, other villagers fear of patients and rejection of them, the emergency referral personnel' lack of psychiatric management knowledge and skills were common problems. Better communicationn was proposed to be the solution but lack of budget and programing personnel were major obstacles.
In 2007, one psychiatrist that can also do the network database programming developed SINAP, without additional budget, as a solution for communicating problems in the care network. We had two local primary health care units piloting this psychiatric communication and care system. We gave them knowledge of psychiatric evaluation and management, and prepared a good communication and referral system. Then we collated the data of use and presented the results at a meeting of the Sakaeo provincial health office.
In late 2007, there was a policy for other areas in Sakeo to participate in this new psychiatric network system. At the same time, the leader of Prajeenburi provincial hospital saw this system and decided to adapt this system to psychiatric care networks throughout Prajeenburi province.
In 2008, JVSK presented the results to a meeting of The Department of Mental Health, to other psychiatric hospitals' directors and other parts of the Department to illustrate the progression of this community psychiatric service facilitation system. Subsequently, we received support to extend the service to other areas.
Many civil service centers visited and studied this facilitation system, and in 2011, JVSK had another three psychiatric service centers join the SINAP database. In early 2011, we conducted a survey and found improvement points of the program and workload of network personnel.
In late 2011, JVSK shared and taught its psychiatric care and health referral network in Sakeo province. We trained some of villagers who volunteer to take care of psychiatric patients in their own communities ,and they were the good human resource for our continuous care network.
In June 2011, The Department of Mental Health received notification from The Office of the Public Sector Development Commission to extend the internet-facilitated psychiatric service, SINAP, through all 17 psychiatric service centers of The Department of Mental Health.
The road map of SINAP is for JVSK to be a project manager for the improvement of the internet-facilitated psychiatric service of The Department of Mental Health in 2011. The plan is to extend through about 3 of 17 psychiatric service centers every year in the 5 years from 2012, so that at the end, all 17 psychiatric service centers would join the SINAP model. At the same time, JVSK would be a resource of data for analyzing the costs of the service to be pronounced and granted by The National Health Security Office to implement all areas of the health care system.
Throughout the execution time, we had psychiatric service data from the SINAP database to analyze how the service was and what was the trend of service problems and knowledge sharing about improvements to the facilitated psychiatric service itself. This knowledge was then transferred to extend the psychiatric service model to apply to other countries that have same context of problems.