Ah. Yusuf
Faculty of Nursing, Airlangga University, Surabaya, Indonesia.
Problem with
Behavior;
Mental
Disorder
Family Therapy
Spiritual
Health Belief
Interaction
Support
Family
Coping
Mental
Health
Kognitive, afective,
psychomotor
Global
Burden
Desease
Objective &
Subjective
Burden
STIGMA
Modality
Therapy
Problem with
Behavior:
Mental
Disorder
Family Therapy
Spiritual
Health Belief
Interaction
Support
Family
Coping
Kognitive, afective,
psychomotor
Global
Burden
Desease
Objective
Subjective
Burden
Mental
Health
STIGMA
Mental Health Disorder in Indonesia
Basic Research in Health , 2013
Website: www.litbang.depkes.go.id
Psychosocial Problem
Sulteng
Sulsel
Jabar
DIY
NTT
Aceh
Jatim
NTB
6
Sulbar
8
Indonesia
Babel
Serious Mental Ilness (Psychosis)
DIY
Aceh
Sulsel
Bali
Jateng
Jatim
Babel
NTB
Sulteng
Bengkulu
Sumbar
Malut
Indonesia
Maluku
Pabar
NTT
Jabar
Sulbar
Gorontalo
Kaltim
Kalsel
Kepri
Papua
Sultra
Banten
DKI
Sumsel
Kalteng
0.2
Sulut
DKI
Malut
Kalsel
Banten
Maluku
Gorontalo
Jateng
Sumsel
Sumbar
Sumut
Bali
Papua
Sultra
Kaltim
Kalteng
12
Jambi
Riau
Sumut
Sulut
Lampung
Kalbar
0.25
Riau
14
Kepri
Pabar
Kalbar
Bengkulu
2
Jambi
0.1
Lampung
0.3
0.27
0.17
0.15
0.07
0.05
0
11.6
10
6
4
1.2
0
East Java Population : 38.000.000.
 Adult :

 70% X 38 mil = 26.600.000.

ESTIMATE the Psycho-social Problem (East Java 6,4)
 6,4 % x26.600.000 = 1.702.400 people
 Disturbed: Quality of Live, Quality Work of Live,
and Productivity


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 LOSS of ECONOMIC:
 PATIENT X Regional Salary
 58.520 client x 2.200.000 IDR = 128.744.000.000 IDR
 CARE GIVER 1 = 128.744.000.000 IDR
 TOTAL: 257.488.000.000,- IDR/Month
 Global
Burden Desease
Dr. Wediodiningrat Lawang : 600 bed
 Menur Mental Hospital
: 300 bed
 Psychiatric Unit General H : 100 bed


TOTAL : 1.000 bed
57.520 client
in Hospital with out Wall
(Homeless Psychiatric)
Big Problem
Government, Community, and
Family
Mal-Adaptive Coping & 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
◦ Restrain
◦ Seclusion
◦ Restrain + Seclusion
◦ The End of Choice of Treatment
Indonesian People for Client with Cronic
Schizophrenia
It’s Wrong
 Discrimination
 Neglected & Violent of Human Right
It’s Stigma in a part of Indonesian Population


Indonesia Concern
Solve: Mental Health Problem
No Neglected & Save Human Right




WHO Mental Health Action Plan 2013-2020
ASEAN Mental Health Taskforce
Sustainable Development Goals 2015-2030
Police 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)

New Spirit for:
◦ POLICE REFORMATION
◦ SOCIAL INCLUTION
◦ COMPLETELY REMOVE OF STIGMA
◦ REDUCTION OF DISCRIMINATION
◦ PREVENTION OF VIOLATION OF HUMAN
RIGHT
MENTAL
HOSPITAL
(ACT)
PATIENT/
FAMILY
(SHG)
PRIMARY
HEALTH
CENTER
(CMHN)



Mental Hospital –
Public Health Care Center –
Family & Community:
◦
◦
◦
◦
Stressfull
Objective & Subjective Burden
Stigma
Mis Knowledge & Choise of Treatment
Community Based Approach
Family Treatment
COMMUNITY BASED APPROACH
PELATIHAN KADER KESWA
DI PUSKESMAS TUMPANG






Psychodynamic & Bowenian Family Therapies
Experiental Family Therapy
Behavioral & Cognitive – Behavioral Family
Thrapies
Structural Family Theraphy
Strategic & Systemic Family Therapies
Solution – Focused & Narrative Family
Therapies
MODEL
MAJOR
THEORIEST
Psychodynamic Nathan Ackerman 
and Bowenian

FT

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
Bowen
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TREATMENT TECHNIQUE
Transference
Dream and Dayream Analysis
Confrontation
Focusing on Strengths
complementary
Genograms
Going Home Again
Detriangulation
Person to Person Relationship
Differentiation of Self
Asking Questions
MODEL
Experiential FT
MAJOR
THEORIEST
Virginia Satir
Carl Whitaker
TREATMENT TECHNIQUE
 Modelling of Effective
Communication Using “I”
Messaging
 Sculpting
 Choreography
 Play Therapy
 Filial Therapy
 Humor
 Touch
 Props
 Family Reconstruction
 Family Drawings
 Puppet Interviews
MODEL
Behavior and
Coqnitive Behavior
FT
MAJOR
THEORIEST
Gerald Patterson
Neil Jacobson
 Behavioral Parents
Training
 Marriage / Couple
Therapies Education
 Functional Family
TherapBehavioral
Parents Training
 Marriage / Couple
Therapies Education
 Treatment of Sexual
Dysfunctioning
 Functional Family
Therapy
TREATMENT TECHNIQUE
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Education
Communication and Problem Solving
Strategies
Operant Conditioning
Contracting
Classical Conditioning
Coaching
Contigency Constracting
Extinction
Positive Reinforcement
Quid pro Quo
Reciprocity
Shaping
Systematic Desenitization
Time Out
Chatting
Premack Principle
Disrupting Irrational Thoughts
Thought Stopping
Self Instructional Training
Modelling and Role Playing
MODEL
Strucutural FT
MAJOR
THEORIEST
Salvador
Minuchin
TREATMENT TECHNIQUE
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Joining
Disequilbrium Techniques
Enactment
Working with Spontaneus
Interaction
Boundary Making
Intensity
Restructuring
Shaping Competence
Diagnosing
Adding Cohnitive Constructions
MODEL
Strategic and
Systemic FT
MAJOR
THEORIEST
Jay Haley
(Strategic)
Mara Selvini
Palazzoli
(Systemic)
TREATMENT TECHNIQUE
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Reframing
Directive
Paradox
Ordeals
Pretend
Positioning
Hypothesizing
Positive Conotation
Circular Cuestioning
Invariant/Variant Prescriptions
Rituals
MODEL
SolutionFocused and
Narrative FT
MAJOR
THEORIEST
Steve deShazer
Bill O’Halon
(Solution
Focused)
Michael White
(Narrative)
TREATMENT TECHNIQUE
 Externalization of the Problem
 Influence (Effect) of the Problem
on the Person
 Influence (Effect) of the Problem
on the Problem
 Raising Dillemas
 Predicting Serbacks
 Using Questions
 Letters
 Celebrations and Certificates
Spiritual Approach
Someone with severe stress will seek
comfort and strength from God
 The core of all the values ​of human
spirituality is prayer
 Prayer contains the component of
direction, obedience, and acceptance
(DOA)



Direction, Obedience & Acceptance: Mental
Ilness is can be Solve
Patient with Mental Ilness:
◦ 33 % total recovery
◦ 33 % social recovery
◦ 33 % permanent in mentally ilness

That all of considers of this is the will of God.
This is a good thing, just not a helplessness
and despair families
BE PATIENCE
Patience is not weakness, it is the power of patience
Patience is not apathy but a zest for life
Patience is not sentimentality but perseverance
Patience is not pessimistic but optimistic
Patient is not silent but patience is unyielding
struggle
BE POSITIVE ALWAYS

If your society is
unfair to you,
how about her?
TRUST
Allah will give You
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