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There is relation between family attitudes and low of knowledge by relapsing schizophrenia patient (Utami, 2010). Public health practitioners have a role in changing the traditional way of thinking that Indonesia schizophrenia is caused by supernatural factors. Other studies have shown the importance of public health role in increasing knowledge and education level. The study showed that educational background and intellectual ability to learn complex concepts, is more important to schizophrenia recovery (Macpherson 2006). Public health practitioner should improving work together with families. Family facilitates schizophrenia patient to socialize with society. The investigations in the Mental Hospital, Surabaya Indonesia carried out by sample of schizophrenic patients aftercare. It shows that there is a very significant correlation between family support variable with social functioning. Family support affect social functioning of schizophrenic patient aftercare in the hospital for 69,9 %. Patients who had returned to the community should have the social skills to be able to adapt to stress (Ambari, 2010). According to WHO (2011) 76-85 % of cases of schizophrenia in Indonesia who did not get serious treatment in the first year (treatment gap). In developed countries, especially Britain an Amerika, the approach of intervention for schizophrenia using community based mental health services. In Southeast Asia only 50% of the countries that have a community-based mental health service (WHO, 2011). In indonesia has initiated community based ental health services and has been declared in National Meeting of Mental Health 2008. Indonesia has started to train clinic nurse in community mental health care and train general practitioner in community health centers in addition, specialist care program opens in the master level of university. Indonesia is very care families and patient which is participating in decisions about their care. The role of public health professionals is to organize public resources. In developed countries 88 % are alredy NGOS in mental health professionals is to patients schizophrenia whitin the family. In develoved countries, like united Kingdom, United States, Australia, 100 % have families and patients associations (Saxena, 2007). One of the role of public health is emphasis partnerships with all. Public health service as an umbrella in mental health service in Indonesia. Public health practitioner organize all of health worker involved of multidisciplinary, involving all health professionals and related worker. For example, in the event of Tsunami in Aceh with the death rate reached 200,000 people, has become an increased rate of mental

disorders by 51 %. Therefore, wider public health workforce of health professionals such as doctors, public health nurse, mental health nurses, psychology, pharmacist, teacher, social workwr are very important. For example after the tsunami disaster, the faculty of nursing, university of Indonesia, collected the national teams mental health totaling 49 people. Nurse specialist mental health nurse to train 686 health centers into community mental health nurse. Mental healt expert train 5376 volunteer as participant in community. Public health nurse formed 837 village of disaster preparedness that could potentially lead to mental disorder and schizophrenia.

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