Inisiasi Ketangguhan Masyarakat dalam Mengatasi Adiksi NAPZA: Menelaah Program Rehabilitasi

Maria Goretti Adiyanti

Abstract


The problem of drug abuse and addiction cannot yet be resolved completely even though many addicts have done rehabilitation. This paper aims to analize intervention programs for drug addicts and propose alternative programs that emphasize psychological aspects. This paper begins by interpreting the implementation of the Drug Rehabilitation Center Practice and relaps after the addict completes rehabilitation. An understanding of addiction is needed to provide an understanding of the mental state of addicts and the process of change that must be experienced during the rehabilitation process. The recovery process through the Rehabilitation Institution will be discussed, especially in achieving "clean and sober" conditions. At the end of the article an alternative of psychological growth program is presented as a complementary program with the exsisting TC program. Psychological growth programs are expected to have a contribution to overcome psychological problems that until now have not been addressed

Keywords


addiction rehabilitation method; psychological growth; program alternative

References


Abolghasemi, A., & Rajabi, S. (2013). The role of self-regulation and affective control in predicting interpersonal reactivity of drug addicts. International Journal of High Risk Behaviors and Addiction, 2(1), 28–33. doi: 10.5812/ ijhrba.9919

Adiyanti, M. G., & Yuniarti, K. W. (2015). Memaknai kondisi residen therapeutic community. Laporan Penelitian. Yogyakarta: Fakultas Psikologi Universitas Gadjah Mada.

Adiyanti, M. G., Yuniarti, K. W., & Yana, I. P. (2014). Makna therapeutic community bagi konselor addict. Laporan Penelitian. Yogyakarta: Fakultas Psikologi Universitas Gadjah Mada.

Amalia, N. (2016). Efektivitas program rehabilitasi bagi korban penyalahgunaan NAPZA melalui pendekatan therapeutic community oleh lembaga Kunci Nandan. Skripsi (tidak dipublikasikan. Yogya­karta: Fakultas Ilmu Sosial dan Ilmu Politik Universitas Gadjah Mada.

Andez-Montalvo, J., López-Goñi, J. J., Illescas, C., Landa, N., & Lorea, I. (2008). Evaluation of a therapeutic community treatment program: A long-term follow-up study in Spain. Substance Use & Misuse, 43(10), 1362–1377. doi: 10.1080/10826080801922231

Ansell, E. B., Laws, H. B., Roche, M. J., & Sinha, R. (2015). Effects of marijuana use on impulsivity and hostility in daily life. Drug and Alcohol Dependence, 148, 136–142. doi: 10.1016/ j.drugalcdep.2014.12.029

Azad, A., & Hau, H. G. (2018). Adolescent females with limited deliquency - at risk of school failure. Children and Youth Service Review, 95, 384–396.

Azmi, A. A., Hussin, H., Ishak, S. I. D., & Daud, N. S. (2018). Drug addicts: Psychosocial factor contributing to relapse. MATEC Web of Conferences, 150, 1-6.doi: 10.1051/matecconf/ 201815005097

Barthelemy, O. J., Richardson, M. A., Cabral, H. J., & Frank, D. A. (2016). Prenatal, perinatal, and adolescent exposure to marijuana: Relationships with aggressive behaviour. Neuro­toxicology and Teratology, 58, 60–77. doi: 10.1016/j.ntt.2016.06.009

Bloom, M. (1996). Primary prevention practices (Issues in). California: Sage Publication.

BNN. (2015). Executive summary press release akhir tahun. Diunduh pada 20 Februari 2019 dari https://id.scribd.com/document/330343882/Press-Release-Akhir-Tahun-2015-Bnn

BNN, & Puslitkes UI. (2015). Laporan akhir survei nasional perkembangan penyalah­guna narkoba tahun anggaran 2014. Depok: BNN & Puslitkes UI.

Caputo, A. (2019). The experience of therapeutic community: Emotional and motivational dynamics of people with drug addiction following rehabilitation. International Journal of Mental Health and Addiction, 17(1), 151–165. doi: 10.1007/s11469-018-0008-4

Dayton, T. (2006). The set up: Living with addiction. Rockville, Maryland. Retrieved from https://www.tiandayton.com/wp-content/uploads/2013/03/The-Set-Up-Living-With-Addiction.pdf

De Leon, G. (2000). The therapeutic community: Theory, model, and method. New York: Springer Publishing Company, Inc.

Dragisic, T., Dickov, A., Dickov, V., & Mijatovic, V. (2015). Drug addiction as risk for suicide attempts. Materia Socio-Medica, 27(3), 188–191. doi: 10.5455/ msm.2015.27.188-191

Elliott, T. R., & Rath, J. F. (2011). Rehabilitation psychology. In E. M. Altmaier & J.-I. C. Hansen (Eds.), The Oxford Handbook of Counseling Psychology (First). Oxford University Press. doi: 10.1093/oxfordhb/9780195342314.013.0026

Fahrudin, A., & Nurdin, D. (2010). Coping strategies and relapse of substance abusers: A case study of the therapeutic community program in Indonesia. Asian Social Work and Policy Review, 4(2), 98–117. doi: 10.1111/j.1753-1411.2010.00040.x

Fajriah, E., Husaini, & Adenan. (2016). Pendekatan metode narcotics anonymous dalam pemulihan korban penyalahgunaan narkoba di Yayasan Lingkaran Harapan Banua Banjarmasin. Jurnal Berkala Kesehatan, 1(2), 96–106.

Flexon, J. L., Medrum, R. C., Young, J. T. N., & Lehmann, P. S. (2016). Low self-control and the dark triad: Disentangling the predictive power of personality traits on young adult substance use, offending and victimization. Journal of Criminal Justice, 46, 159–169. doi: 10.1016/j.jcrimjus.2016.05.006

Fooladi, N., Jirdehi, R., & Mohtasham-Amiri, Z. (2014). Comparison of depression, anxiety, stress and quality of life in drug abusers with normal subjects. Procedia Social and Behavioral Sciences, 159, 712-717.doi: 10.1016/j.sbspro.2014.12.459

Gordon, J. D., & Gordon, D. D. (1999). Penggunaan – penyalahgunaan – adiksi N.A.Z.A dalam perspektif Psikologi. Makalah Sarasehan. Jakarta

Gossop, M., Stewart, D., & Marsden, J. (2007). Attendance at narcotics anonymous and alcoholics anonymous meetings, frequency of attendance and substance use outcomes after residential treatment for drug dependence: A 5-year follow-up study. Addiction, 103, 119–125. doi: 10.1111/j.1360-0443.2007.02050.x

Gott, A. J., & Hetzel-Riggin, M. D. (2018). What did you expect? Substance use expectancies mediate the relationships between dark triad traits, substance use, and substance preference. Psychological Reports, 121(5), 831–852. doi: 10.1177/0033294118755094

Hadži-Pešić, M., Mitrović, M., Car, K. B., & Stojanović, D. (2014). Personality of alcohol addict according to the theory of transactional analysis. Procedia - Social and Behavioral Sciences, 127, 230-234.doi: 10.1016/j.sbspro.2014.03.246

Hoseinifar, J., Zirak, S. R., Shaker, A., Meamar, E., Moharami, H., & Siedkalan, M. M. (2011). Comparison of quality of life and mental health of addicts and non- addicts. Procedia - Social and Behavioral Sciences, 30, 1930-1934.doi: 10.1016/j.sbspro.2011.10.375

Ibrahim, F., Kumar, N., & Samah, B. A. (2011). Self-efficacy and relapsed addiction tendency: An empirical study. The Social Sciences, 6(4), 277–282.

Jakubczyk, A., Trucco, E. M., Kopera, M., Kobyliński, P., Suszek, H., Fudalej, S., … Wojnar, M. (2018). The association between impulsivity, emotion regulation, and symptoms of alcohol use disorder. Journal of Substance Abuse Treatment, 91, 49–56. doi: 10.1016/ j.jsat.2018.05.004

Järvinen, M. (2017). From wanting to willing - controlled drug use as a treatment goal. Social Science & Medicine, 176, 69–76. doi: 10.1016/ j.socscimed.2017.01.030

Johnson, K. W., Pan, Z., Young, L., Vanderhoff, J., Shamblen, S., Browne, T., … Suresh, G. (2008). Therapeutic community drug treatment success in Peru: A follow-up outcome study. Substance Abuse: Treatment, Prevention, and Policy, 3(26), 1–15. doi: 10.1186/1747-597X-3-26

Johnson, K. W., Young, L., Shamblen, S., Suresh, G., Browne, T., & Chookhare, K. W. (2012). Evaluation of the therapeutic community treatment model in Thailand: Policy implications for compulsory and prison-based treatment. Substance Use & Misuse, 47(8–9), 889–909. doi: 10.3109/ 10826084.2012.663279

Kadam, M., Sinha, A., Nimkar, S., Matcheswalla, Y., & De Sousa, A. (2017). A comparative study of factors associated with relapse in alcohol dependence and opioid dependence. Indian Journal of Psychological Medicine, 39(5). doi: 10.4103/IJPSYM.IJPSYM_356_17

Karow, A., Reimer, J., Schafer, I., Krausz, M., Haasen, C., & Verthein, U. (2010). Quality of life under maintenance treatment with heroin versus methadone in patients with opioid dependence. Drug and Alcohol Dependence, 112, 209–215. doi: 10.1016/j.drugalcdep.2010.06.009

Kassel, J. D., Weinstein, S., Skitch, S. A., Veilleux, J., & Mermelstein, R. (2005). The Development of Substance Abuse in Adolescence: Correlates, Causes and Consequences. In B. L. Hankin & J. R. Z. Abela (Eds.), Development of psychopathology: A vulnerability-stress perspective (pp. 355–384). California: Sage Publication.

Kelly, T. H., & Bardo, M. T. (2016). Emotion regulation and drug abuse: Implications for prevention and treatment. Drug and Alcohol Dependence, 163(Suppl. 1), S1–S2. doi: 10.1016/j.drugalcdep.2016.02.038

Kipper, D., & Whitney, S. (2010). The Addiction solution: Unraveling the mysteries of addiction cutting-edge brain science. New York: Rodale Inc.

Kusrohmaniah, S. (2004). Kinerja kognitif pada pengguna NAPZA (Narkotika, Psikotropika, dan Zat Adiktif lainnya) ditinjau dari lama menggunakan dan banyaknya jenis napza yang digunakan. Tesis (tidak dipublikasikan). Yogya­karta: Fakultas Psikologi Universitas Gadjah Mada.

Lai, H. M. X., Cleary, M., Sitharthan, T., & Hunt, G. E. (2015). Prevalence of comorbid substance use, anxiety and mood disorders in epidemiological surveys, 1990-2014: A systematic review and meta-analysis. Drug and Alcohol Dependence, 154, 1–13.

Larimer, M. E., Palmer, R. S., & Marlatt, G. A. (1999). Relapse prevention: An overview of Marlatt’s cognitive-behavioral model. Alcohol Research and Health, 23(2), 151–160.

Lee, H., Shin, S.-K., & Park, S.-Y. (2014). Effects of a therapeutic community on Korean substance abusers in prison. Journal of Social Service Research, 40, 481–490. doi: 10.1080/01488376.2014.922401

Lu, L., Liu, Y., Zhu, W., Shi, J., Liu, Y., Ling, W., & Kosten, T. R. (2009). Traditional medicine in the treatment of drug addiction. The American Journal of Drug and Alcohol Abuse, 35, 1–11. doi: 10.1080/00952990802455469

Malivert, M., Fatséas, M., Denis, C., Langlois, E., & Auriacombe, M. (2012). Effectiveness of therapeutic communities: A systematic review. European Addiction Research, 18, 1–11. doi: 10.1159/000331007

Moore, T. M., & Stuart, G. M. (2005). A review of the literature on marijuana and interpersonal violence. Aggression and Violent Behavior, 10, 171–192. doi: 10.1016/j.avb.2003.10.002

National Institute on Drug Abuse. (2015). Research report series: Therapeutic communities. Retrieved from https://www.drugabuse.gov/publications/research-reports/therapeutic-communities/what-are-therapeutic-communities

Newman, B. M., & Newman, P. R. (2012). Life-span Development: A Psychosocial Approach. Canada: Wardswort Cengage Learning.

Northam, J. C., & Magor-Blatch, L. E. (2016). Adolescent therapeutic community treatment – an Australian perspective. Therapeutic Communities: The International Journal of Therapeutic Communities, 37(4), 204–212. doi: 10.1108/TC-01-2016-0002

Orwat, J., Samet, J. H., Tompkins, C. P., Cheng, D. M., Dentato, M. P., & Saitz, R. (2011). Factors associated with attendance in 12-step groups (Alcoholics Anonymous/Narcotics Anonymous) among adults with alcohol problems living with HIV/AIDS. Drug and Alcohol Dependence, 113, 165–171. doi: 10.1016/j.drugalcdep.2010.07.021

Pillon, S. C., O’Brien, B., & Chavez, K. A. P. (2005). The relationship between drugs use and risk behaviors in Brazillian university students. Rev Latino-Am Enfermagem, 13, 1169–1176.

Pourmovahed, Z., Yassini A., S. M., Dehghani, H., & Askari, J. (2013). Factors responsible for addiction from the viewpoint of wives of addicts. In Procedia - Social and Behavioral Sciences (Vol. 84, pp. 719–722). Elsevier B.V. doi: 10.1016/j.sbspro.2013.06.633

Prangley, T., Pit, S. W., Rees, T., & Nealon, J. (2018). Factors influencing early withdrawal from a drug and alcohol treatment program and client perceptions of successful recovery and employment: A qualitative study. BMC Psychiatry, 18(301), 1–11. doi: 10.1186/s12888-018-1864-y

Prianto, P. H. (2007). Penerapan pendekatan therapeutic community terhadap korban penyalahgunaan NAPZA di PSPP “Sehat Mandiri” Yogyakarta. Tesis (tidak dipublikasikan). Yogyakarta: Fakultas Ilmu Sosial dan Politik Universitas Gadjah Mada.

Primadi, O. (2014). Gambaran umum penyalahgunaan narkoba. Buletin Jendela Data dan Informasi Kesehatan, Semester 1.

Purwandari, E. (2015). Model kontrol sosial perilaku remaja bersisiko penyalahgunaan NAPZA. Disertasi (tidak dipublikasikan). Yogyakarta: Fakultas Psikologi Universitas Gadjah Mada.

Raesei, A., Sarani, H., Arbabisarjou, A., & Mojahed, A. (2015). The most common reasons and incentives of tendency to addiction in prisons and rehabilitation centres of Zahedan (Iran). Global Journal of Health Science, 7(4), 329–334.

Rafaiee, R., Olyaee, S., & Sargolzaiee, A. (2013). The relationship between the type of crime and drugs in addicted prisoners in Zahedan Central Prison. International Journal of High Risk Behaviors and Addiction, 2(3), 139–140. doi: 10.5812/ijhrba.13977

Rath, J. F., & Elliott, T. R. (2012). Psychological models in rehabilitation psychology. In P. Kennedy (Ed.), The oxford handbook of rehabilitation psychology (First). Oxford University Press. doi: 10.1093/oxfordhb/9780199733989.013.0003

Ritchwood, T. D., DeCoster, J., Metzger, I. W., Bolland, J. M., & Danielson, C. K. (2016). Does it really matter which drug you choose? An examination of the influence of type of drug on type of risky sexual behavior. Addictive Behaviors, 60, 97–102. doi: 10.1016/j.addbeh.2016.03.022

Rostami, R., Zarei, J., Zamiri, S., & Larijani, R. (2010). Childhood abuse history among male addicts in comparison with non-addict population. Procedia-Social and Behavioral Sciences, 5, 738-740.doi: 10.1016/j.sbspro.2010.07.175

Rusnáková, M. (2014). Codependency of the members of a family of an alcohol addict. Procedia-Social and Behavioral Sciences, 132, 647–653. doi: 10.1016/j.sbspro.2014.04.367

Rutherford, H. J. V, & Mayes, L. C. (2017). Parenting and addiction: Neurobiological insights. Current Opinion in Psychology, 15, 55–60. doi: 10.1016/j.copsyc.2017.02.014

Santrock, J. W. (2016). A topical approach to life-span development (7th ed.). New York: McGraw-Hill.

Sarasvita, R., & Raharjo, B. (2014). Program wajib lapor pecandu narkotika. Buletin Jendela Data Dan Informasi Kesehatan Kemenkes RI, 29–41.

Sharifi, H., Kharaghani, R., Sigari, S., Emami, H., Sadr, M., & Masjedi, M. R. (2012). Common methods to treat addiction in treatment-rehabilitation centers in Tehran. Iranian Journal of Public Health, 41(4), 63–68.

Smith, J. M., & Estefan, A. (2014). Families parenting adolescence with substance abuse-recovering the mother’s voice: A narative literature review. Journal of Family Nursing, 20(4), 415–441.

Smith, P. H., Homish, G. G., Leonard, K. E., & Collins, R. L. (2013). Marijuana withdrawal and aggression among a representative sample of U.S. marijuana users. Drug and Alcohol Dependence, 132, 63–68. doi: 10.1016/j.drugalcdep.2013.01.002

Sofuoglu, M., DeVito, E. E., Waters, A. J., & Carroll, K. M. (2013). Cognitive enhancement as a treatment for drug addictions. Neuropharmacology, 64, 452–463. doi: 10.1016/j.neuropharm.2012.06.021

Solinas, M., Thiriet, N., Chauvet, C., & Jaber, M. (2010). Prevention and treatment of drug addiction by environmental enrichment. Progress in Neurobiology, 92, 572–592. doi: 10.1016/j.pneurobio.2010.08.002

Soyez, V. (2004). The influence of social networks on retention in and success after therapeutic community treatment. Orthopedagogissche Reeks Gent, 16.

Steinberg, L. (2011). Adolescence (9th ed.). New York: McGraw-Hill.

Sumantri, A. (2017). Baru 16 ribu pecandu narkoba direhabilitasi sepanjang tahun ini. Retrieved February 2, 2019, from https://mediaindonesia.com/read/detail/123380-baru-16-ribu-pecandu-narkoba-direhabilitasi-sepanjang-tahun-ini

Vanderplasschen, W., Colpaert, K., Autrique, M., Rapp, R. C., Pearce, S., Broekaert, E., & Vandevelde, S. (2013). Therapeutic communities for addictions: A review of their effectiveness from a recovery-oriented perspective. The Scientific World Journal, 2013, 1–22. doi: 10.1155/2013/427817

Wayman, C. (2013). Group versus individual therapy in adolescent substance abuse treatment: Finding interventions that work. Counselor Education Master's Theses. 152.

Whitesell, M., Bachand, A., Peel, J., & Brown, M. (2013). Familial, social, and individual factors contributing to risk for adolescent substance use. Journal of Addiction, 2013, 1–9. doi: 10.1155/2013/579310

Wingo, A. P., Ressler, K. J., & Bradley, B. (2014). Resilience characteristics mitigate tendency for harmful alcohol and illicit drug use in adults with a history of childhood abuse: A cross-sectional study of 2024 inner-city men and women. Journal of Psychiatric Research, 51, 93–99.

Zamani, Z. A., Nasir, R., Desa, A., Khairudin, R., & Yusooff, F. (2014). Family functioning, cognitive distortion and resilience among clients under treatment in drug rehabilitation centres in Malaysia. Procedia - Social and Behavioral Sciences, 2, 150–154. doi: 10.1016/j.sbspro.2014.04.401

Zhu, W., Zhang, Y., Huang, Y., & Lu, L. (2017). Chinese herbal medicine for the treatment of drug addiction. International Review of Neurobiology, 135, 279–295. doi: 10.1016/bs.irn.2017.02.013

Zilberman, N., Yadid, G., Efrati, Y., Neumark, Y., & Rassovsky, Y. (2018). Personality profiles of substance and behavioral addictions. Addictive Behaviors, 82, 174–181. doi: 10.1016/j.addbeh.2018.03.007


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