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 Desease Family Care Giver Objective and Subjective Burden Health Belief Choice of Ttreatment Interaction Supports Mental Health STIGMA Modality Therapy Mental Health Disorder in Indonesia Basic Research in Health, 2013 Website: Mental Health Disorder in Indonesia East Java Population: 38 Mil Adult 70 %: 70% X 38 Mil = person ESTIMATE of PSYCHOSIS (East Java: 0,22 %) 0.22 X 26,6 Mil = 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 : bed capacity TOTAL : bed capacity client in Hospital with-out Wall (Homeless Psychiatric) Big Problem Government, Community, and Family Mal-Adaptive & Mis Choise of Treatment Homeless Psychiatric Serious Mental Ilness with Stocks, CityVillageIndonesia Website: Type of Stocks Restrain Seclusion Restrain + Seclusion The End of Choice of Treatment Indonesian People for Client with Cronic Schizophrenia Restrain Seclussion Restrain + Seclussion Restrain & Seclussion / Shackled IndonesiansSTOCKS: The Most Commotion Incident of the World Its Wrong Discrimination Neglected & Violent of Human Right Its Stigma in a part of Indonesian People NOW... NOT YET Im so Sorry NOW Indonesia Concern Solve: Mental Health Problem No Neglected & Save Human Right New.. Policy.. Refer to WHO Mental Health Action Plan ASEAN Mental Health Taskforce Sustainable Development Goals Policy Statement: National Development Plan : 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 Law No. 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 (ACT) Mental Hospital Public Health Care Center Family & Community: Stressfull Objective & Subjective Burden Stigma Mis Knowledge & Choise of Treatment Community Based Approach Family Treatment Obstacle Family Support PELATIHAN KADER KESWA DI 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 dont Forget: Pray to Allah Spirituality Supported and Motivation for Family Care Giver Pray to Allah If you asked Allah for one thing and received another TRUSTING Allah will give You Cactus & Caterpillarr Phylosophy Dont Forget Once there was a man who asked to Allah for a flower & a butterfly Once there was a man who asked to Allah for a flower & a butterfly But instead Allah gave him a Cactus.... Caterpillar.....and a Caterpillar. The man was sad, he didnt understand why his request was mistaken. Then he thought: Oh well, Allah has too many people to care for... 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. 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. Todays THORN... Is tomorrows FLOWER! Thank You Is tomorrows FLOWER! Thank You