International experts’ perspectives on a curriculum for psychologists working in primary health care: implication for Indonesia

Setiyawati, Diana; Colucci, Erminia; Blashki, Grant; Wraith, Ruth; Minas, Harry

doi:10.1080/21642850.2014.929005

Cited by 4 publications

(1 citation statement)

References 37 publications

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“…Therefore, health system strengthening and enhancing community awareness should happen concurrently to avert human rights violations and delays in seeking mental healthcare services. In addition to improving accessibility, affordability, and quality of mental health services, integrating psychologists in the primary health care system is regarded as a key step towards scaling up mental health services [ 45 , 46 ]. This was initiated in Sleman District, Yogyakarta Province of Indonesia in 2004 [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Perceptions about pasung (physical restraint and confinement) of schizophrenia patients: a qualitative study among family members and other key stakeholders in Bogor Regency, West Java Province, Indonesia 2017

Laila

Mahkota

Krianto

et al. 2018

Int J Ment Health Syst

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BackgroundThe UN resolution recommends treating all mentally ill patients with humanity and respect. However, social stigma continues to prevail for patients with schizophrenia. Physical restraint and confinement of the mentally ill is a well-known phenomenon in Indonesia and is termed as pasung.ObjectiveTo explore the perceptions of family members of patients of schizophrenia and other key stakeholders concerning pasung in Bogor Regency, West Java Province 2017.MethodsThis qualitative exploratory study was conducted in Bogor Regency, West Java Province from May to June 2017. This study involved 12 key stakeholders including family members, neighbors, community leaders, and mental health officers. In-depth interviews were conducted with family members (n = 3) who practiced pasung for patients with schizophrenia and key informant interviews of neighbors, community leaders (two household heads and one from a health cadre) (n = 3) and mental health officers of puskesmas (three midwives). Data triangulation was performed by interviewing residents and mental health workers. Content analysis was conducted and themes were identified based on valid inference and interpretation.ResultsFamily members and society in general perceived that pasung is necessary for security reasons due to the patient’s aggressive behavior such as physical violence to neighbors, stealing food etc. According to community leaders, families often do not respond to patient’s request to be released from pasung. Family members had financial constraints to seek mental healthcare and were also dissatisfied with available services. Healthcare providers highlighted the poor knowledge and prevailing misconceptions about schizophrenia in the community.ConclusionConcurrent efforts to strengthen basic mental health services and health education regarding schizophrenia, prevalent misconceptions, and importance of timely and appropriate treatment are needed, especially in rural settings.

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Section: Discussionmentioning

confidence: 99%

Perceptions about pasung (physical restraint and confinement) of schizophrenia patients: a qualitative study among family members and other key stakeholders in Bogor Regency, West Java Province, Indonesia 2017

Laila

Mahkota

Krianto

et al. 2018

Int J Ment Health Syst

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Suicide first aid guidelines for Indonesia: a Delphi consensus study

Setiyawati

Jatmika

Puspakesuma

et al. 2022

Journal of Mental Health

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Indonesian experts' perspectives on a curriculum for psychologists working in primary health care in Indonesia

Setiyawati

Blashki

Wraith

et al. 2014

Health Psychology and Behavioral Medicine

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Mental health is a critical issue in Indonesia, since its population ranks among the top five in the world and the prevalence of common mental disorders is 11.6% of the adult population. However, the need to build an effective mental health-care system that is accessible to the whole population has only been recently addressed. The Aceh tsunami in 2004 brought to the forefront an unexpected window of opportunity to build a mental health-care system. Integration of mental health care into primary health care is a key strategy to close the treatment gap for people with mental disorders. Existing integration of psychologists into primary health care is a big step to meet the shortage of mental health-care specialists. As primary mental health care is an emerging field, the perspectives of Indonesian experts on Indonesian mental health care are needed to develop a curriculum for training psychologists to work in primary health care. In this study, data have been collected through semi-structured interviews with 24 Indonesian mental health experts, and three focus group discussions with 26 psychologists. Overall, experts agreed that to be able to work in primary health-care psychologists should have roles and training ranging from clinical to advocacy skills. Participants also agreed that psychologists should work in the community and contribute to primary health care as service providers and that strong collaborations between psychologists and other primary health-care providers are the key; these can be developed partly through referral and by respecting each other's unique strengths.

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International experts’ perspectives on a curriculum for psychologists working in primary health care: implication for Indonesia

Cited by 4 publications

References 37 publications

Perceptions about pasung (physical restraint and confinement) of schizophrenia patients: a qualitative study among family members and other key stakeholders in Bogor Regency, West Java Province, Indonesia 2017

Perceptions about pasung (physical restraint and confinement) of schizophrenia patients: a qualitative study among family members and other key stakeholders in Bogor Regency, West Java Province, Indonesia 2017

Suicide first aid guidelines for Indonesia: a Delphi consensus study

Indonesian experts' perspectives on a curriculum for psychologists working in primary health care in Indonesia

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