Dukungan sosial untuk orang dengan gangguan jiwa di daerah miskin: studi kasus di Gunungkidul
Sri Surahmiyati(1*), Bambang Hastha Yoga(2), Mubasysyir Hasanbasri(3)
(1) Departemen Kebijakan dan Manajemen Kesehatan Fakultas Kedokteran Universitas Gadjah Mada
(2) Poliklinik Kesehatan Jiwa RSUP Dr. Sardjito Yogyakarta
(3) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author
Abstract
Social support for people with mental disorders in poor areas: a case study in Gunungkidul
Purpose
The purpose of this study was to describe the role of mental health cadres in the effort of community based mental health service at Wonosari II Health Center Gunungkidul.
Methods
Qualitative research was done by case study approach. The cadres were chosen purposively with the criteria of: having attended training or socialization of mental health, having at least 2 years work experience related to community mental health service, and still active. Data collection was done through in-depth interviews and document utilization.
Results
Cadres play an important role in providing social support. First, the cadre can show empathy to the family of people with mental disorders by building close relationships and facilitating the social acceptance of the community. Secondly, the cadres provide socialization related to mental disorders and mental health services. Third, approaches through home visits, referral assistance to health services, and health insurance and social assistance suggest that cadres facilitate access to care for people with mental disorders.
Conclusion
There was a high social awareness of cadres to families with mental disorders in poor neighborhoods. We found that poverty does not limit people to share with others, and social support helps prevent mental illness from getting worse.
Keywords
Full Text:
PDF (Bahasa Indonesia)References
- Idaiani S, Raflizar R. Faktor Yang Paling Dominan Terhadap Pemasungan Orang Dengan Gangguan Jiwa Di Indonesia (Factors Contributing to Shackling Practice of Psychotic People in Indonesia). Buletin Penelitian Sistem Kesehatan. 2015 Jan 30;18(1):11-7.
- Sulistyowati, K., Prapti, N.K., Sawitri, NK, Utami, PAS, Astuti, IW & Saputra, K.. Pemberdayaan keluarga melalui pemberian pendidikan kesehatan dalam merawat anggota keluarga dengan gangguan jiwa. Jurnal Keperawatan Jiwa. Volume, 2015 3(2), 141-144.
- Pramujiwati, D., Keliat, B. A., & Wardani, I. Y. Pemberdayaan keluarga dan kader ksehatan jiwa dalam penanganan pasien harga diri rendah kronik dengan pendekatan model precede L. Green di RW 06,07 dan 10 Tanah Baru Bogor Utara. Jurnal Keperawatan Jiwa 2013,1(2).
- Nur MM, Utami MS. Pemberdayaan Keluarga Dalam Proses Perawatan Klien Skizofrenia Melalui Pendidikan Kesehatan Di Rumah Sakit Jiwa. Berita kedokteran masyarakat. 2004;20(2004).
- Irmansyah I, Prasetyo YA, Minas H. Human rights of persons with mental illness in Indonesia: more than legislation is needed. International journal of mental health systems. 2009 Dec;3(1):14.
- Ruano AL, Dahlblom K, Hurtig AK, Sebastian MS. ‘If no one else stands up, you have to’: a story of community participation and water in rural Guatemala. Global health action. 2011 Dec 1;4(1):6412.
- Putri, A. S., Martiningtyas, M. A., Sagala, A. E. B., Erawan, G. N., Yana, I. P. A., Matulu, S., ... & Yolanda, Y. T. Era Baru Kesehatan Mental Indonesia: sebuah Kisah dari Desa Siaga Sehat Jiwa (DSSJ). Jurnal Psikolog ;2013;40(2), 169-180.
- Wasniyati A, Hasthayoga LB, Siwi Padmawati R. Evaluasi program Desa Siaga Sehat Jiwa (DSSJ) di wilayah Puskesmas Galur II kabupaten Kulon Progo Yogyakarta.
- Lund C, De Silva M, Plagerson S, Cooper S, Chisholm D, Das J, Knapp M, Patel V. Poverty and mental disorders: breaking the cycle in low-income and middle-income countries. The lancet. 2011 Oct 22;378(9801):1502-14.
- Allen J, Balfour R, Bell R, Marmot M. Social determinants of mental health. International Review of Psychiatry. 2014 Aug 1;26(4):392-407.
- Yin, R. K. Studi Kasus. 1st edn. Jakarta: PT. Raja Grafindo Persada. 2015.
- Lund C, De Silva M, Plagerson S, Cooper S, Chisholm D, Das J, Knapp M, Patel V. Poverty and mental disorders: breaking the cycle in low-income and middle-income countries. The lancet. 2011 Oct 22;378(9801):1502-14
- Corrigan PW, Watson AC. Understanding the impact of stigma on people with mental illness. World psychiatry. 2002 Feb;1(1):16.
- Corrigan PW, Druss BG, Perlick DA. The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest. 2014 Oct;15(2):37-70.
- Kakuma R, Minas H, van Ginneken N, Dal Poz MR, Desiraju K, Morris JE, Saxena S, Scheffler RM. Human resources for mental health care: current situation and strategies for action. The Lancet. 2011 Nov 5;378(9803):1654-63.
- Corrigan P. How stigma interferes with mental health care. American psychologist. 2004 Oct;59(7):614.
- Topor A, Ljungqvist I, Strandberg EL. Living in poverty with severe mental illness coping with double trouble. Nordic Social Work Research. 2016 Sep 1;6(3):201-10
- Love MB, Gardner K, Legion V. Community health workers: who they are and what they do. Health Education & Behavior. 1997 Aug;24(4):510-22.
- Balaji M, Chatterjee S, Koschorke M, Rangaswamy T, Chavan A, Dabholkar H, Dakshin L, Kumar P, John S, Thornicroft G, Patel V. The development of a lay health worker delivered collaborative community based intervention for people with schizophrenia in India. BMC health services research. 2012 Dec;12(1):42.
DOI: https://doi.org/10.22146/bkm.25649
Article Metrics
Abstract views : 3875 | views : 5085Refbacks
- There are currently no refbacks.
Copyright (c) 2017 Berita Kedokteran Masyarakat
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).