Disorders In Indonesia Research Articles

Pendekatan Saving Mothers Giving Life (SMGL) untuk Mencegah Komplikasi Ibu Post Partum

The most common complication that occurs in developing countries is bleeding, namely 27% (UNICEF, 2015). One of the post partum psychological disorders in Indonesia is baby blues, which is 0.9% (Banlitbangkes, 2018). One of the factors causing low utilization of maternal health services is cultural practices (WHO, 2018). The proportion of people who use traditional health services in Indonesia is 31.4% and those who use traditional health workers is 98.5%. The proportion of utilization of traditional health services in South Sumatra is 29.5%. Then the number of people who ask for help from traditional health workers is very high, namely 98.4% (Banlitbangkes, 2018). Community service results show that the health cadre team experienced increased knowledge and post partum maternal health problems were controlled by all mothers in Pegayut Village who gave birth and made postpartum visits to the village midwife. It can be concluded that the Saving Mothers Giving Life (SMGL) approach is a multi-system approach to reduce maternal mortality and to prevent post-partum maternal complications in Pegayut village.
 The most common complication that occurs in developing countries is bleeding, namely 27% (UNICEF, 2015). One of the post partum psychological disorders in Indonesia is baby blues, which is 0.9% (Banlitbangkes, 2018). One of the factors causing low utilization of maternal health services is cultural practices (WHO, 2018). The proportion of people who use traditional health services in Indonesia is 31.4% and those who use traditional health workers is 98.5%. The proportion of utilization of traditional health services in South Sumatra is 29.5%. Then the number of people who ask for help from traditional health workers is very high, namely 98.4% (Banlitbangkes, 2018). Community service results show that the health cadre team experienced increased knowledge and post partum maternal health problems were controlled by all mothers in Pegayut Village who gave birth and made postpartum visits to the village midwife. It can be concluded that the Saving Mothers Giving Life (SMGL) approach is a multi-system approach to reduce maternal mortality and to prevent post-partum maternal complications in Pegayut village.

Iodium fortification on traditional salt with spray different potassium iodate

The purpose of this study was to increase the iodine content of traditional salt after fortification of iodine with potassium iodate spray. In addition, this study also aims to determine the NaCl content and water content of traditional salt after potassium iodate fortification is carried out. This research is also expected to provide an alternative solution to increase the iodine content of salt by fortification of potassium iodate. And hopefully this research can help the government in handling cases of Iodine Deficiency Disorder in Indonesia. The treatments used were the addition of KIO3 solution with different weight of traditional salt P1 (50 gram traditional salt : 3 ml KIO3 solution), P2 (33,33 gram traditional salt : 3 ml KIO3 solution) dan P3 (25 gram traditional salt : 3 ml KIO3 solution). Potassium iodate fortification in traditional salt affects iodine and NaCl levels. Fortification of 3 ml potassium iodate with a salt weight of 25 grams (P3) produced the highest iodine content with an average of 64.74 ppm, an average NaCl content of 86.14 %, and an average water content of 3.7%.

Risk Factors Of Musculoskeletal Disorders (MSDs) Among ProductionWorkers In Bandung City, Indonesia

Background: The prevalence of musculoskeletal disorders in Indonesia in 2020 based on diagnoses made by health workers is 11.9% and based on diagnosis or symptoms is 24.7%. The results of a preliminary study of 5 workers using a Nordic Body Map (NBM) questionnaire showed that 100% of workers experienced MSDs complaints. The purpose of this study was to determine various factors associated with complaints of musculoskeletal disorders (MSDs) among workers in the production division of PT. X in Bandung City. Methods: This study is a quantitative research with a cross-sectional design. There were 64 workers selected as sample, using a simple random sampling technique. The research instrument utilized a Nordic body map questionnaire. Chi-square was used as a bivariate test. Results: There is a relationship between age and MSDs complaints (p-value = 0.000), years of service (p-value = 0.000), and work posture (p-value = 0.042). There is no relationship between smoking habits (p-value = 0.157), and body mass index (p-value =0.169) with complaints of MSDs. Conclusion: This study concluded that there is a relationship between age, years of service, and work posture with complaints of MSDs. There is no relationship between smoking habits and body mass index with MSDs complaints. Preventive measures should be promoted among the factors workers to reduce the risk of musculoskeletal disorders. Hence, workers should be given time to stretch for ± 5 minutes at rest to relax the muscles again.

DEVELOPMENT OF REGULATIONS ON VOTING RIGHTS PEOPLE WITH MENTAL DISORDERS POST-CONSTITUTIONAL COURT RULING APPLIED

This research only focuses on the regulation of the right to vote in general elections, whether at the national or regional level, for people with mental disorders. The general paradigm is very varied regarding the mental condition of people with mental disorders. There is a crucial ambiguity regarding the intellectual capacity of people with mental disorders. The effect of the debate concerns granting them the right to vote as a constitutional right. This research aims to explore further the legal politics of regulating the right to vote for people with mental disorders in Indonesia. The research method used is normative legal research with a statutory and comparative approach. The results of this research show that people with mental disorders are subjects who are excluded from being granted the right to vote. This is confirmed in Article 57 paragraph (3) letter a of Law Number 8 of 2015. The meaning of this provision has shifted after Constitutional Court Decision Number 135/PUU-XIII/2015. Restrictions are granted only in cases of mental disorders and/or permanent memory according to mental health professionals who have lost the ability to choose. The ratio decidendi which is the argument is that the condition of people with mental and/or memory disorders is not permanent enough to eliminate their intellectual capacity to choose. As a result, people with mental disorders can participate in voting in national or regional elections as long as they are not declared by mental health professionals to be incompetent to vote.

Qualitative Evaluation of a Toddlers’ Speech Delay Early Detection Poster

The estimated number of 0 to 4-years-old children with speech disorders in Indonesia is 1.3 million people. If they are not treated properly, they will have serious consequences in adulthood. The Ministry of health of Indonesia has launched a speech disorder detection in The Child Development Monitoring Programs carried out by Posyandu cadres or Community Health Center officers. To support the program, a poster design for the early Detection of Speech Disorders in Toddlers (DeGabbi) has been created. Prior to dissemination, it is necessary to evaluate the effectiveness of the poster by conducting qualitative research. FGDs with toddlers’ mothers and posyandu cadres were conducted using an open interview guideline regarding the message, the language, and the appearance of the poster. Triangulation was carried out on Puskesmas officers, media design experts, and Indonesian language experts. Prior to the FGD, informants were asked to look at Degabbi's poster on the room wall for 5 minutes. Results of the FGD showed that all informants understood the poster messages that stated, "Whether the child is a speech delay or not at this age." Regarding the contents of the poster, one informant stated that could not understand the foreign terms, and another informant suggested to add arrows as a flow guide. Concerning the appearance, one informant thought it was better to use a stiffer material and increase the poster size. The triangulation on media design experts provided feedback relating to the images, layout, and flow of posters, while Indonesian language experts provided feedback on the diction of substitute words for foreign terms and the more effective sentences and phrases. After knowing the weaknesses of the DeGabbi poster, it then will be corrected. The DeGabbi poster is expected to be an effective and have leverage for early detection of speech disorders.

The Relationship between Knowledge and Community Stigma Against ODGJ Patients in the Long Mesengat Community Health Center Working Area

According to Law No. 18, mental health is a condition where an individual can develop physically, mentally, spiritually and socially so that the individual is aware of his own abilities, can overcome pressure, can work productively and is able to contribute to his community. The stigma against people with mental disorders in Indonesia is very strong. People who experience mental disorders are isolated, and their mental disorders can worsen. In general, people with severe mental disorders (schizophrenia) are treated and given treatment in hospitals. After improving and being sent home, there is no special ongoing treatment for the sufferer. This research uses a purposive sample technique with a cross-sectional research design. The sample size in this study was 88 people. The results of statistical tests using the chi-square test showed a p-value = 0.000 Knowledge of Community Stigma.

DIAGNOSE OF MENTAL ILLNESS USING FORWARD CHAINING AND CERTAINTY FACTOR

The prevalence of mental disorders in Indonesia is increasingly significant, as seen from the 2018 Riskesdas data. Riskesdas records mental, emotional health problems (depression and anxiety) as much as 9.8%. This shows an increase when compared to the 2013 Riskesdas data of 6%. Based on these data, it can be said that many people still suffer from mental disorders. Meanwhile, the number of medical personnel, medicines and public treatment facilities for people with mental disorders is still limited. In addition, the lack of public awareness, concern and knowledge about mental health causes a lack of public interest in consulting a psychologist, so people tend to self-diagnose. One solution for self-diagnosis is to use an expert system. This study developed an expert system using the forward chaining method and certainty factor. Based on the research conducted, the results are as follows. First, the expert-based system that has been developed can help provide the results of a diagnosis that is carried out before there are complaints and will be detected early by efforts to increase awareness of the prevention of mental illness and reduce the tendency to self-diagnose. Second, applying the forward chaining method and certainty factor to this expert system can produce an accuracy rate of 95.918%. An expert has also validated these results; in this study, the expert was a psychologist at a hospital in Yogyakarta.

Characteristics of Low Back Pain (LBP) in The Lumbosacral Examination in Radiological Installations: A Case of Tidore Island Hospital and Jailolo Hospital, Indonesia

The International Classification of Disease (ICD) shows that Low Back Pain (LBP) is a condition of pain and discomfort in a person below the corner of the last rib (costal margin) and above the lower gluteal fold, accompanied by pain in the legs. Low Back Pain (LBP) is not a disease or a diagnosis but instead triggers the term used for pain syndromes in which anatomical structures are affected in various ways by the duration of pain. Low Back Pain cases worldwide vary annually, reaching 15 to 45%. WHO shows that 33% of the population in developing countries experience persistent back pain. The prevalence of musculoskeletal disorders in Indonesia is 11.9% based on diagnosis by health workers, 24.7% based on diagnosis or incidence, and about 4.73% in North Maluku. Prevalence has increased significantly at the age of 35 to 55 years. The Lumbosacral Vertebrae examination technique is an initial examination to determine the presence of LBP abnormalities in the lumbosacral. The most frequently used radiological procedure in cases of LBP is a lumbosacral examination using anteroposterior (AP) and lateral projections. This research used a descriptive and retrospective approach. This research was conducted at the Radiology Installation of Tidore Islands Hospital and Jailolo Hospital for one year, January-December 2021. The results showed that the lumbosacral check in patients with clinical Low Back Pain (LBP) in the Radiology Installation of Tidore Islands Hospital and Jailolo Hospital was 64 at the Tidore Islands Hospital and 72 at the Jailolo Hospital. The people with the highest age in the two hospitals is the age range of 46-55 years, dominated by women (57.8%) at the Tidore Islands City Hospital and men (59.7%) at Jailolo Hospital. Also, the characteristics of Low Back Pain (LBP) based on the lumbosacral examination were lumbar spondylosis (43.8%) at the Tidore Islands Hospital and (41.7%) at the Jailolo Hospital.

Occupational Asbestos Related Diseases in Indonesia: A Call for Urgent Action and Awareness

Despite many countries have either reduced or banned asbestos use, Indonesia has yet to ban the use of asbestos. Asbestos exposure poses significant health risks, particularly respiratory diseases such asbestos-related lung cancer, mesothelioma, and asbestosis known as an asbestos-related disease. According to the World Health Organization (WHO), asbestos is a major global health concern with millions of people exposed to its hazards and resulting in a significant number of deaths each year. We conducted a literature review study on the topic of asbestos-related diseases in Indonesia. Based on our findings, due to the large amount of asbestos being handled, it is expected that there should be hundreds to a thousand cases of asbestos-related disorders in Indonesia each year. Unfortunetely it is uncommon to find and diagnose cases of asbestos-related diseases in Indonesia. The lack of awareness, inadequate diagnosis, and underreporting of asbestos-related diseases contribute to the challenges faced in Indonesia. The study emphasizes the need for a comprehensive ban on asbestos, safer alternative materials, standardized medical surveillance for exposed workers, increased awareness and cooperation among stakeholders to eliminate asbestos-related diseases in Indonesia.

Validity and reliability test of the brief symptom rating scale 5 (BSRS-5) questionnaire in Indonesian version as an assessment tool for psychological disorders in Indonesia.

Psychological disorders in workers is associated with physical health problems and decreased work productivity costing the impact of workplace accidents. We can minimize these problems by introducing screening programs with a simple screening tool for psychological disorders. One of the questionnaires used in several countries to assess psychological disorders is the Brief Symptom Rating Scale - 5 (BSRS-5). Thus, this study aimed to assess the validity and reliability of the Brief Symptom Rating Scale - 5 (BSRS-5) in the Indonesian version. The BSRS-5 was translated into a local language (Bahasa), and experts judgment in the forward and backward translation process. What collected BSRS-5 data in a primary health care setting on 64 respondents. Internal reliability was tested using Cronbach's alpha. Factorial validity was done using exploratory factor analysis to investigate whether BSRS-5 items properly measure the underlying dimensions of psychological disorders. External (criterion) validity was analysed by looking at the relationship between BSRS-5 and Depression, Anxiety and Stress Scale -21 (DASS-21), using the coefficient correlation. The BSRS-5 questionnaire was produced from transcultural validation using the ISPOR method. The results of the construct validity test for all questions between (0.634-0.781) with a significance level <0.05. The factor analysis values for all statements >0.3 were all items having Eigenvalues >1 yielded into one factor. The instrument performed well in detecting common psychological disorders. The BSRS-5 had good internal reliability (α=0.770). The external validity test results with DASS-21 showed that BSRS-5 correlated with the DASS-21 dimensions of depression and stress with correlation values of 0.397 and 0.399. In opposition to correlated BSRS-5 with the dimension of anxiety in DASS-21 showed no correlation with a correlation value of 0.237. Therefore, another gold standard questionnaire is required to evaluate psychological distress based on each item in BSRS-5. The BSRS-5 is a satisfactory screening tool for identifying common psychological disorders such as Insomnia, Anxiety, Depression, Hostility, and Inferiority in the community. The absence of correlation with anxiety in this assessment tool needs another gold standard questionnaire, or professional assistance is required for further evaluation to follow up on psychological disorders.

Application of Sleep Hygene and Elderly Gymnastics Against Sleep Pattern Disorders in the Elderly

Introduction: Elderly are individuals aged 60 years and over. Sleep disturbance is a common problem that is often experienced by many elderly people. As they get older, their sleep patterns tend to change. Sleep disturbances in the elderly can be in the form of difficulty sleeping, maintaining sleep, frequent awakenings, and waking up early in the morning. The prevalence of sleep disorders in Indonesia is quite high, reaching 67%, while in the elderly it can reach up to 50% who experience some form of sleep disturbance. Objective: Of this study was to determine the application of sleep hygiene and exercise for the elderly against sleep disorders in the elderly. Method: The writing method used in this case study is a case study with a nursing care approach. Results and Discussion: Obtained after nursing care for 3 meetings were that the sleep patterns of the elderly improved as evidenced by the decrease in the results of the PSQI (Pittsburgh Sleep Quality Index) study. Conclusion: It can be concluded that the elderly who experience sleep pattern disorders can be given intervention or non-pharmacological therapy in the form of the application of sleep hygiene and elderly gymnastics

Feeling psychologically unsafe at school and university: bullying and youth living with depression in Indonesia

The prevalence of bullying in Indonesia was 41% among students aged fifteen. This study explored the experiences of being bullied at school/university and the psychological trauma of being bullied among youth with mental disorders in Indonesia. The study adopted a qualitative approach by conducting in‐depth one‐on‐one interviews through WhatsApp chat among twenty participants with mental disorders aged 18-25 from five municipalities in Indonesia (Padang, Jakarta, Yogyakarta, Banjarmasin, and Makassar). Data collection process was conducted from January to June 2022. The thematic analysis method was used for data analysis. Findings can be constructed into five themes: i) looking different: physical appearance, ii) sexual bullying, iii) toxic seniority at school/university, iv) unhealthy competition among students at school/university, and v) Being bullied and having mental health problems. Bullying prevention programs at schools and universities in Indonesia are needed to enhance bullying awareness among students and teachers at schools/universities and to achieve safety in schools/universities for students.

Tinjauan Kebijakan Kesehatan Mental di Indonesia: Menuju Pencapaian Sustainable Development Goals dan Universal Health Coverage

Mental health is a harmony in life that is created between the functions of the soul and the ability to overcome problems. Mental health policies are still limited and not yet integrated. Indonesia is also committed to achieving SDGs and UHC. The purpose of this research is to review mental health policies in Indonesia and evaluate the extent to which these policies support the achievement of the SDGs and UHC. This study uses a literature study to examine different methods. The article search strategy uses an online database, namely Google Scholar and this research uses a literature review methodology. There is a need for comprehensive mental health services to be made part of the SDGs and UHC. The government continues to pursue various mental health policies in order to reduce the prevalence of mental disorders in Indonesia. However, several mental health programs that have been prepared still have deficiencies in the implementation process. The lack of availability of psychotropic drugs at the puskesmas and the existence of a report format that is not yet uniform and the presence of mental health recording and reporting officers are obstacles in the practice of mental health policy in Indonesia. Therefore, sufficient quality data is needed to formulate effective policies so that efforts to deal with mental health at the primary and secondary health service levels are far more optimal. So that continuous improvement can be carried out to reduce the prevalence of mental disorders in Indonesia.

Barriers and facilitators to access mental health services among people with mental disorders in Indonesia: A qualitative study.

The care and treatment management of people with mental health problems has become a prominent global concern in recent years that requires consistent attention. However, the literature suggests that only a small percentage of individuals with mental health problems in Indonesia receive the necessary mental health care. Therefore, it is crucial to explore this gap. This study aimed to explore barriers and facilitators that affect access to mental health services among people with mental health disorders in Indonesia. The study employed a qualitative descriptive design and focused on individuals with depression, anxiety, or bipolar disorder. Data were collected through in-depth interviews conducted via WhatsApp chat with 90 participants aged 18-32, who were purposively selected from Sumatra, Java, Kalimantan, and Papua Islands in Indonesia between January and June 2022. Thematic analysis was used to analyze the data. The barriers to accessing mental health services included: 1) uneasy access to mental healthcare facilities, 2) stigma, lack of social support, and delay in receiving proper treatment, and 3) expensive treatment costs without national health insurance membership. Importantly, the facilitators to access mental health services included: 1) national health insurance membership, 2) support from spouse, family, and closest friends and its association with mental health literacy, and 3) self-help. The widespread distribution of mental health knowledge is recommended among healthcare providers, including public health practitioners and primary care nurses, to enhance their mental health literacy and competencies while rendering services to individuals with mental disorders. Additionally, efforts should be made to educate and promote awareness among caregivers and communities to reduce the stigma faced by those with mental disorders.

The Concept Of Self Healing For Children In Islamic Education (Perspective Of The Qur'an And Hadits)

&lt;em&gt;Recently, mental health has been frequently discussed because the number of mental disorders in Indonesia has increased significantly in each period. Considering that alternative medicine is rarely used due to the rapid development of the times, this research has the aim of opening up people's thinking about alternative medicine, one of which is the Al-Qur'an. This research is a library research by analyzing several sources such as books, scientific articles and others. The independent variable in this study is self-healing, while the dependent variable is self-healing from the perspective of the Qur'an and Hadith.&lt;/em&gt;&lt;em&gt;In the span of 14 centuries, healing with the Qur'an has become something that is well known to Muslims. They treat all diseases with the Qur'an because they believe in the word of Allah SWT related to healing. In fact, onIn a history it is explained that the Prophet Muhammad once did ruqyah himself when he was sick by reading the letter al-Mu'awwidhatain, namely the letter al-Falaq and the letter an-Nas. Further research can be carried out by studying several surahs, certain verses which are believed by Muslims to be very effective medicines for various diseases, especially mental illnesses&lt;/em&gt;

Epidemiological Analysis of Mental Health Disorders in Patients at Psychiatric Hospitals in the Special Region of Yogyakarta, Indonesia

Background: Mental disorder is a condition of decreasing all psychiatric conditions that result in deviant behavior. WHO estimates that one in eight people in the world lives with a mental disorder in the world. The COVID-19 pandemic that has occurred since 2019 has had an impact and has had a major impact on the mental health of people in the world and in Indonesia. The Special Region of Yogyakarta is the province with the highest cases of mental disorders in Indonesia based on the results of the 2013 and 2018 Basic Health Research (Riskesdas) surveys. The purpose of this study was to determine the epidemiological description of mental disorders per classification in inpatients at Mental Hospitals in the Special Region of Yogyakarta in 2019-2021.Subjects and Method: This study used a quantitative descriptive method, sourced from secondary data from Mental Hospitals in the Special Region of Yogyakarta for the period 2019 - 2021. The population in this study was 4,413, with a total sample of 3,919. The inclusion criteria are data of inpatients with mental disorders recorded in the recapitulation of medical records of inpatients at the Mental Hospital for the period 2019 to 2021. Exclusion criteria are incomplete data. The sampling technique used is total sampling. The person variable consists of a classification of mental disorders, age, gender, education level, occupation, marital status, health insurance, and end of care. The instrument used in this research is a dummy table. Data from this study were analyzed descriptively by looking at the frequency and proportion of each variable studied.Results: The results showed that the highest disease classification was F20-F29 (schizophrenia, schizotypal disorder, and delusional disorder) 76.72%. Most of them were aged 25-44 years (55.60%), male (61.55%), graduated from high school or equivalent (46.54%), did not work (66.90%), and were not married (57.29%). Most of them use national health insurance (62.95%), end of treatment with doctor's approval (97.86%), and length of stay ≤ 42 days (95.1%). Most of the patients came from Sleman Regency (37.25%) and from urban areas (71.37%).Conclusion: Most patients with mental disorders are in productive age. People with mental disorders are an economic burden that must be borne by their families and the government. So there is a need for comprehensive prevention efforts to reduce the incidence of mental disorders in the community.Keywords: mental disorders, epidemiological studies, schizophreniaCorrespondence: Siti Kurnia Widi Hastuti, Faculty of Public Health Universitas Ahmad Dahlan. Jl Prof Dr Soepomo Warungboto Umbulharjo, Special Region of Yogyakarta, Indonesia. Email: kurnia.widihastuti@ikm.uad.ac.id. Mobile: +62813-2843-3256.Indonesian Journal of Medicine (2023), 08(02): 204-218https://doi.org/10.26911/theijmed.2023.08.02.10

THE RELATIONSHIP BETWEEN ANXIETY AND BRUXISM IN ADULTS

ABSTRACTBackground: Anxiety disorder is a psychological condition that includes worry, anxiety, and restlessness. The prevalence of emotional anxiety disorders in Indonesia is 9.9%, anxiety can cause somatic symptoms causing irritability, muscle tension and restlessness which results in the appearance of parafunctional oral activities such as bruxism. Bruxism is a bad habit of grinding and clenching teeth excessively inadvertently which involves the activity of the masticatory muscles, resulting in clinical problems in the involved teeth, such as attrition, tooth fracture, and increased sensitivity and degree of tooth mobility, exostosis and torus of the jawbone, hypertrophy of the masticatory muscles, periodontal tissue damage, and causes headaches and temporomandibular joint damage Purpose: The purpose of the literature study was to determine the relationship between anxiety and bruxism in adults Material and Methods: All reviewed articles were obtained from searching Google Scholar, Pubmed and Science Direct data sources which have a maximum journal publication time of 10 years. Results: The review was conducted in 22 journals that were responding with the inclusion criteria such as journals available in the form of full text in Indonesian or English, the subjects of the journal were people who have an adult age suffering from anxiety and bruxism. Conclusion: there is a relation between anxiety and bruxism in adult.Keywords: Adult, Anxiety, Bruxism.

Upaya Perlindungan Hukum Terhadap Hak Kesehatan Jasmani Pasien Gangguan Jiwa Berat di Indonesia

Often with the development of national development which is in line with the 1945 Constitution, the health sector is one part of the national development that the government is trying to achieve the degree of health. Which as high as possible. To guarantee the right to health for every Indonesian citizen, the arrangement is legal protection that is certain for the people in seeking justice. In this regard, the legal issues that occur in Indonesia concern the right to health for people with severe mental disorders who are often underestimated in society and receive a negative stigma that hinders the fulfillment of their right to health. In this case, patients with psychiatric disorders do not only have problems in the psychological sphere but can also have problems in the physical (physical) sphere. This study aims to analyze legal protection for fulfilling the physical health rights of patients with severe mental disorders in Indonesia using normative research methods by collecting legal material sources through positive law legislation and other legal sources of literature to answer the problem solving of these legal issues as a whole. prescriptive. From a review of the regulations of Law no. 36 of 2009 concerning Health found that the right to health is an equal right for all Indonesian citizens, and the services provided are anti-discrimination. In accordance with Law no. 44 of 2009 concerning Hospitals, hospitals have an obligation to provide services and care for patients both medically and non-medically by implementing a referral system according to hospital classification.

The Effect of Grhasia Sadewa on the Response Time of Requests for People with Mental Disorders Evacuation at Grhasia Hospital Yogyakarta

Background: The prevalence of severe mental disorders in Indonesia have increased, as well as in the Special Region of Yogyakarta. Healthy Indonesia Program Data with a Family Approach shows that only 46% of people with mental disorders in Yogyakarta receive care and treatment. Grhasia Hospital as a hospital with mental health specialization owned by the Special Region of Yogyakarta Government carried out an innovation based on digital technology which was named Grhasia Ready to Evacuate People with Mental Disorders (Grhasia Sadewa). Grhasia Sadewa is expected to facilitate access to referrals and reduce the length of the people with mental disorders evacuation process that has been carried out so far. Purpose: Determine the effect of Grhasia Sadewa on the response time of requests for people with mental disorders evacuation at Grhasia Hospital Yogyakarta. Methods: This study uses a quasi-experimental posttest-only design with a control group. The research participants were 64 users of people with mental disorders evacuation services at Grhasia Hospital in 2021-2022. Data were obtained secondary from service documentation at Grhasia Hospital. Data analysis using the Mann-Whitney test. Results: The mean response time to requests for evacuation for people with mental disorders in the group not using the Grhasia Sadewa application was 4924.60 minutes, while the mean for the group using the Grhasia Sadewa application was 373.43 minutes. The results of the Mann-Whitney Test show p value = 0.00 (less than 0.05) so it can be concluded that there is an effect of Grhasia Sadewa on the response time of requests for people with mental disorders evacuation at Grhasia Hospital Yogyakarta. Conclusion: The response time for evacuation requests for people with mental disorders is faster after Grhasia Sadewa is applied. Grhasia Sadewa needs to be socialized to the community and health centers in the Special Region of Yogyakarta to facilitate access to mental health services for the community.

The Effect of Mental Posyandu Community Health Worker Training on Knowledge and Attitudes about Handling Patients with Mental Disorders in Indonesia

Introduction: The number of Patients with Mental Disorders in the Sumberpucung District is very high at 246 individuals. Mental Health Posyandu has yet to be founded in the Sumberpucung Health Center region. This s is due to the absence of Community Health Workers (CHWs) and their lack of mental health competence. It is established that mental health training for CHWs influences the knowledge and attitudes of CHWs about mental health. However, the Sumberpucung Community Health Center has never offered mental health training. Methods: This quantitative study with Quasi Experiment Design approach and the One Group Pretest-Posttest Design. Thirty-three individuals were sampled using the complete sampling technique. Research instruments using pretest and post-test questionnaires. The questionnaire underwent both validity and reliability testing. The intervention took the form of training consisting of distributing mental health-related materials and a workshop on the five implementation tables for mental health posts. Wilcoxon Sign-Rank Test uses non-parametric statistics in contrast to other tests. Results: The Wilcoxon Sign-Rank Test yielded a P value of 0.002 (&lt;0.005) for several tests of CHW knowledge in the pre-and post-tests. This study reveals that between the pre-and post-tests, understanding of CHW is significantly altered. The Wilcoxon Sign-Rank Test revealed a P value of 0,038 (&lt;0,005) between the pre-and post-tests of the attitudes of the CHWs. This study reveals that the attitudes of CHWs change considerably between the pre- and post-test. Conclusion: Mental health CHW training influences mental health CHW knowledge and attitudes.