mental health ysf inc sg
TRANSCRIPT
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
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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
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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