1) The document discusses mental health issues in Indonesia, including the previous widespread use of stocks (restraints) to restrain mentally ill patients, which violated human rights. 2) It notes new policies and a 2014 mental health law that aim to reform the system, promote social inclusion, reduce stigma and discrimination, and prevent human rights violations. 3) The strategies discussed include a community-based approach involving primary health centers, hospitals, families, and spiritual/faith-based support for caregivers and patients.

1. 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.

2. Mental Disorder
Problem with Behavior:
Kognitive, Afective,
Psychomotor
Global Burden
Desease
Family – Care
Giver
Objective and
Subjective Burden
Health Belief
Choice ofTtreatment
Interaction
Supports
Mental
Health STIGMA
ModalityTherapy

3. Mental Health Disorder in Indonesia
Basic Research in Health , 2013
Website: www.litbang.depkes.go.id

4. Mental Health Disorder
in Indonesia
1.2
6
11.6
0
2
4
6
8
10
12
14
Psychosocial Problem
0.07
0.17
0.27
0
0.05
0.1
0.15
0.2
0.25
0.3
Serious Mental Ilness (Psychosis)

5. • 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)

6. 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)

7. Big Problem
Government, Community, and Family
Mal-Adaptive & Mis Choise ofTreatment
Homeless Psychiatric

8. Serious Mental Ilness with Stocks, 2013
20.0
18.2
16.0
14.3
12.0
8.0
4.0
0.0
10.7
City Village Indonesia
Website: www.litbang.depkes.go.id

9. Type of Stocks
• Restrain
• Seclusion
• Restrain + Seclusion
The End of Choice ofTreatment Indonesian People
for Client with Cronic Schizophrenia

10. Restrain
Restrain

11. Seclussion

12. Restrain + Seclussion
Restrain & Seclussion / Shackled

13. Indonesians
STOCKS:
The Most
Commotion
Incident of the
World

15. • It’sWrong
• Discrimination
• Neglected &Violent of Human Right
• It’s Stigma in a part of Indonesian
People
NOW... NOTYET
I’m so Sorry

16. NOW
Indonesia Concern
Solve: Mental Health
Problem
No Neglected & Save
Human Right

18. New.. Policy.. Refer to
• WHO Mental Health Action Plan 2013-2020
• ASEAN Mental HealthTaskforce
• 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)

19. Indonesian Mental Health Law
No. 18 / 2014
• New Spirit for:
• POLICY REFORMATION
• SOCIAL INCLUTION
• COMPLETELY REMOVE OF STIGMA
• REDUCTION OF DISCRIMINATION
• PREVENTION OFVIOLATION OF HUMAN RIGHT
Indonesian Free of Stocks, 2019.

20. Referal & Communication System
Primary Health
Centre (CMHN)
Family
/Patient
(SHG)
Mental
Hospital
(ACT)

21. • Mental Hospital –
• Public Health Care Center –
• Family & Community:
• Stressfull
• Objective & Subjective Burden
• Stigma
• Mis Knowledge & Choise ofTreatment
Community Based Approach
FamilyTreatment
Obstacle
Family Support

22. PELATIHAN KADER KESWA
DI PUSKESMAS TUMPANG
COMMUNITY BASED APPROACH

23. Spiritual Approach
Family Supported,
Suitable for Indonesian Culturally

24. •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

25. Supported and Motivation for Family – Care Giver
Pray to Allah
If you asked Allah for one thing
and received another
TRUSTING
Allah will giveYou

26. Cactus & Caterpillarr
Phylosophy
Don’t Forget

27. Once there was a man
who asked to Allah for a
flower & a butterfly
But instead Allah gave him a Cactus....

28. ....and a
Caterpillar.

29. 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.

30. 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.

31. 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.

32. 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