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.
 Problem with Behavior:
Modality Therapy Kognitive, Afective,
Psychomotor
Mental Disorder

Global Burden
Health Belief Desease
Choice of Ttreatment
Interaction Family – Care
Supports Giver
Objective and
Subjective Burden

Mental
Health STIGMA
Mental Health Disorder in Indonesia
Basic Research in Health , 2013

Website: www.litbang.depkes.go.id
 Mental Health Disorder
in Indonesia
0.3 0.27
0.25
Serious Mental Ilness (Psychosis)
0.2 0.17
0.15

0.1 0.07
0.05

14

12 Psychosocial Problem 11.6

10

8
6
6

2 1.2
0
 ESTIMATE of PSYCHOSIS
(National: 1,7/1000)

• 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
 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 client
in Hospital with-out Wall
(Homeless Psychiatric)
Homeless Psychiatric

Big Problem
Government, Community, and Family

Mal-Adaptive & Mis Choise of Treatment

 Serious Mental Ilness with Stocks, 2013

20.0
18.2

16.0
14.3

12.0 10.7

8.0

4.0

0.0
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

 Indonesians
STOCKS:
The Most
Commotion
Incident of the
World
 I’m so Sorry
• It’s Wrong
• Discrimination
• Neglected & Violent of Human Right
• It’s Stigma in a part of Indonesian
People

NOW... NOT YET

 NOW
Indonesia 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 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

Mental
Hospital
(ACT)

Family
/Patient
(SHG)

Primary Health
Centre (CMHN)
 Obstacle
• Mental Hospital –
• Public Health Care Center –
• Family & Community:
• Stressfull
• Objective & Subjective Burden
• Stigma Family Support
• Mis Knowledge & Choise of Treatment

Community Based Approach

Family Treatment
 COMMUNITY BASED APPROACH

PELATIHAN KADER KESWA

DI PUSKESMAS TUMPANG
 Family Supported,
Suitable for Indonesian Culturally

Spiritual Approach
 Spirituality
• 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
 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
 Don’t Forget

Cactus & Caterpillarr

Phylosophy
 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