This study would not have been achieved without helping and supporting by directors, coordinators, patients,caregivers and all concerned from Khonkaen rajanagarindra psychiatric hospital,Banphai hospital in khonkaen, Chiangyuen hospital in mahasarakham and Medical service at samlium primary care srinakarind hospital. Therefore, I would like to express my deeply gratitude to all of you. I wish the course which I have got the opportunity to attend will fulfil my knowlegde to be one of the good hand to develop our country in the future.