The Indonesian Free of Stocks for Mental Illness

The Family - Care Giver, Need of Supports

Dr. Ah. Yusuf, S.Kp., M.Kes.Departement of Psychiatric and Community

Faculty of Nursing, Airlangga University, Surabaya, Indonesia.

Mental Disorder

Problem with Behavior:

Kognitive, Afective, Psychomotor

Global Burden DeseaseFamily –

Care Giver Objective and

Subjective Burden

Health BeliefChoice of

TtreatmentInteraction Supports

Mental Health STIGMA

Modality Therapy

Mental Health Disorder in IndonesiaBasic Research in Health , 2013

Website: www.litbang.depkes.go.id

Mental Health Disorderin Indonesia

Lampun

gJam

bi

Beng

kulu

Kalba

rPab

arKe

pri Riau

Kalte

ngKa

ltim Sultra

Papua Ba

liSum

ut

Sumba

r

Sumsel

Jaten

g

Goronta

loMalu

kuBa

nten

Kalse

lMalu

tDKI

Sulut

Babel

Indon

esia

Sulba

rNTB

Jatim Ace

hNTT DIY

Jabar

Sulsel

Sulten

g0

4

8

12

1.2

6

11.6

Psychosocial Problem

Kalba

r

Lampun

gSul

utSum

ut Riau

Jambi

Kalte

ng

Sumsel DKI

Bante

nSul

traPap

uaKe

priKa

lselKa

ltim

Goronta

loSul

bar

Jabar NTT

Pabar

Maluku

Indon

esia

Malut

Sumbar

Beng

kulu

Sulten

gNTB

Babe

lJat

imJat

eng

Bali

Sulsel Ace

h DIY0

0.10.20.3

0.070.17

0.27

Serious Mental Ilness (Psychosis)

• East Java Population: 38 Mil• Adult 70 %:

• 70% X 38 Mil = 26.600.000. person

• ESTIMATE of PSYCHOSIS (East Java: 0,22 %)• 0.22 X 26,6 Mil = 58.520 People

ESTIMATE of PSYCHOSIS (National: 1,7/1000)

Mental Hospital in East Java

• Dr. Wediodiningrat Lawang : 600 bed• Menur Mental Hospital : 300 bed• Psychiatric Unit General H : 100 bed• TOTAL : 1.000 bed capacity

57.520 clientin Hospital with-out Wall

(Homeless Psychiatric)

Big ProblemGovernment, Community, and Family

Mal-Adaptive & Mis Choise of Treatment

Homeless Psychiatric

Serious Mental Ilness with Stocks, 2013

20.0 18.2

16.0 14.3

12.0

8.0

4.0

0.0

10.7

City Village Indonesia

Website: www.litbang.depkes.go.id

Type of Stocks• Restrain• Seclusion

• Restrain + Seclusion

The End of Choice of Treatment Indonesian People for Client with Cronic Schizophrenia

Restrain Restrain

Seclussion

Restrain + Seclussion

Restrain & Seclussion / Shackled

IndonesiansSTOCKS:The Most

Commotion Incident of the World

• It’s Wrong• Discrimination

• Neglected & Violent of Human Right

• It’s Stigma in a part of Indonesian People

NOW... NOT YET

I’m so Sorry

NOWIndonesia Concern

Solve: Mental Health Problem

No Neglected & Save Human Right

New.. Policy.. Refer to

• WHO Mental Health Action Plan 2013-2020• ASEAN Mental Health Taskforce• Sustainable Development Goals 2015-2030• Policy Statement:

• National Development Plan 2014-2019: Change of people structure, Epidemiologycal transition to increase of Healthy Elderly and prevent of Mental Ilness.

• Target: increase public health status: decreasing un-infectious desease (heart attack, diabetes, stroke, hypertention, & mental health)

Indonesian Mental Health LawNo. 18 / 2014

• New Spirit for: • POLICY REFORMATION• SOCIAL INCLUTION• COMPLETELY REMOVE OF STIGMA• REDUCTION OF DISCRIMINATION• PREVENTION OF VIOLATION OF HUMAN

RIGHT

Indonesian Free of Stocks, 2019.

Referal & Communication System

Primary Health Centre (CMHN)

Family /Patient (SHG)

• Mental Hospital –• Public Health Care Center –• Family & Community:

• Stressfull• Objective & Subjective Burden• Stigma • Mis Knowledge & Choise of Treatment

Community Based ApproachFamily Treatment

Obstacle

Family Support

PELATIHAN KADER KESWADI PUSKESMAS TUMPANG

COMMUNITY BASED APPROACH

Spiritual Approach

Family Supported, Suitable for Indonesian Culturally

• Someone with severe stress will seek comfort and strength from God

• The core of all the values of human spirituality is prayer

• Stressfull family member with Schizofrenia Faith, Belief, Mental Ilness is can be Solve

• Be Positive Always and don’t Forget: Pray to Allah

Spirituality

Supported and Motivation for Family – Care GiverPray to Allah

If you asked Allah for one thing and received another

TRUSTINGAllah will give You

Cactus & CaterpillarrPhylosophy

Don’t Forget

Once there was a man who asked to Allah for a flower & a butterfly

But instead Allah gave him a Cactus....

....and a Caterpillar.

The man was sad, he didn’t understand why his request was mistaken.

Then he thought:Oh well, Allah has too many people to care for...

And decided not to question.

After some time, the man went to check up on his request that he had left forgotten.

To his surprise, from the thorny & ugly cactus a beautiful flower had grown.

And the unsightly carterpillar had been transformed into the

most beautiful butterfly.

Allah always does things right!

His way is always the best way,

even if to us it seems all wrong.If you asked Allah for one thing &

received another, TRUST.

You can be sure that He will always give you what you need at the

appropriate time.

What you want...

....is not always what you need!

ALLAH never fails to grant our petitions, so keep on going for Him without doubting or

murmuring.

Today’s THORN...Is tomorrow’s

FLOWER! Thank You