An assessment of mental health programs at community health centers in north Minahasa, Indonesia

Authors

  • Jessica Gloria Mogi Medical Doctor, Tinoor Community Health Center, Tomohon, North Sulawesi, Indonesia
  • Gustaaf A. E. Ratag Department of Community Medicine, Sam Ratulangi University, Manado, North Sulawesi, Indonesia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20214556

Keywords:

Community health center, Community survey, Mental health service

Abstract

Background: The Indonesian government recognizes the importance of mental health issues as indicated by the inclusion of such issues as indicators in the national program, the Healthy Indonesian Program with Family Approach (PIS-PK). This program is enforced in community health centers (puskesmas) in every regency in the country. However, the continually increasing number of mental disorder cases and the intense stigmatization of people with these disorders indicate the need to re-evaluate the capacity and delivery of designated centers’ mental health programs.

Methods: This community survey involved interviewing the program directors of four community health centers in north Minahasa using the WHO-AIMS 2.2 questionnaire.

Results: Very little effort has been made to improve mental health facilities and programs. Examples of aspects of health facilities that are lacking include training for health workers, the provision of psychotropic drugs, and supported employment or occupational rehabilitation.

Conclusions: Community health centers are primary healthcare facilities for society. Therefore, mental health services should be implemented as one of their main programs.

References

Ministry of Health Republic of Indonesia. The Role of Families in Supporting Community Mental Health. Available from: https://www.kemkes.go.id/ article/print/16100700005/peran-keluarga-dukung-kesehatan-jiwa-masyarakat.html. Accessed on 27 September 2021.

Agency of Health Research and Development Ministry of Health Republic of Indonesia. Main Results of Riskesdas 2018. 2019. Available from: https://www.litbang.kemkes.go.id/hasil-utama-riskesdas-2018/. Accessed on 27 September 2021.

Harimurti P, Prawira J, Hort K. The Republic of Indonesia Health System Review Asia Pacific Observatory on Health Systems and Policies. Health Syst Transit. 2017;7(1).

World Health Organization. (‎2019)‎. Suicide in the world: global health estimates. World Health Organization. Available from: https://apps.who.int/iris/handle/10665/326948. Accessed on 27 September 2021.

Ministry of Health Republic of Indonesia’s Center of Data and Information. Situation and Prevention of Suicide. Jakarta; 2019.

Ministry of Health Republic of Indonesia. General guideline of healthy Indonesian program with family approach. Jakarta: Ministry of Health Republic of Indonesia; 2016:8.

Saxena S, Lora A, van Ommeren M, Barrett T, Morris J. World Health Organization Assessment Instrument for Mental Health Systems WHO-AIMS version 2.2. 2005. Available from: https://www. who.int/mental_health/evidence/AIMS_WHO_2_2.pdf. Accessed on 27 September 2021.

BPS-Statistics of Minahasa Utara. Minahasa Utara in Figures. BPS-Statistics of Minahasa Utara, editor. Minahasa Utara: BPS-Statistics of Minahasa Utara; 2021:3-5.

House of Representatives Republic of Indonesia. Keswa Law Number 18 of 2014. House of Representatives Republic of Indonesia; 2014.

Saribu EID, Napitupulu RAV. Is there any regulation to protect people with mental disorders in Indonesia? Case study of pasung. Indones J Int Law. 2010;7(3):516-34.

Ministry of Health Republic of Indonesia’s Center of Data and Information. Disabilitas [Disability]. Jakarta Selatan; 2019.

Human Rights Watch. Living in hell: abuses against people with psychosocial disabilities in Indonesia. 2005 by Human Rights Watch. Available from: https://www.hrw.org/sites/default/files/report_pdf/indonesia0316_brochure_web.pdf. Accessed on 18 August 2021.

Idaiani S, Riyadi EI. The mental health system in Indonesia: the challenge of meeting needs. J Res Res Dev Health Serv. 2018;2(2):70-80.

Bandelow B, Michaelis S, Wedekind D. Treatment of anxiety disorders. Dialogues Clin Neurosci. 2017;19(2):93-107.

Dold M, Li C, Tardy M, Khorsand V, Gillies D, Leucht S. Benzodiazepines for schizophrenia. Cochrane Database Syst Rev. 2012;(11).

Irmansyah I, Prasetyo YA, Minas H. Human rights of persons with mental illness in Indonesia: more than legislation is needed. Int J Ment Health Syst. 2009;3(14):1-10.

Rahmah F. Planning and Procurement of Drugs at Puskesmas “X” Based on Minister of Health Regulation Number 74 of 2016. J Adm Kesehat Indonesia. 2018;6(1):15.

World Health Organization. Mental Health Atlas 2017 Country Profile: Indonesia. 2017 Jan. Available from: https://www.who.int/publications/ m/item/mental-health-atlas-2017-country-profile-indonesia. Accessed on 18 August 2021.

Lora A, Hanna F, Chisholm D. Mental health service availability and delivery at the global level: an analysis by countries’ income level from WHO’s Mental Health Atlas 2014. Epidemiol Psychiatr Sci. 2020;29(2):1-12.

Lempp H, Abayneh S, Gurung D, Kola L, Abdulmalik J, Evans-Lacko S, et al. Service user and caregiver involvement in mental health system strengthening in low-and middle-income countries: a cross-country qualitative study. Epidemiol Psychiatr Sci. 2018;27(01):29-39.

World Health Organization. Mental Health Action Plan 2013-2020. Geneva: WHO Document Production Service; 2013:15.

Raja S, Underhill C, Shrestha P, Sunder U, Mannarath S, Wood SK, et al. Integrating mental health and development: a case study of the basic needs model in Nepal. PLOS Med. 2012;9(7):e1001261.

Wallcraft J, Amering M, Freidin J, Davar B, Froggatt D, Jafri H, et al. Partnerships for better mental health worldwide: WPA recommendations on best practices in working with service users and family carers. World Psychiatr. 2011;10(3):229-36.

Tambuyzer E, Pieters G, Van Audenhove C. Patient involvement in mental health care: One size does not fit all. Health Expect. 2014;17(1):138-50.

Silván-Ferrero P, Holgado PF, Jiménez J, Pérez-Garín D. Benefits of employment in people with mental illness: differential mediating effects of internalized stigma on self-esteem. J Community Appl Soc Psychol. 2021;(May):1-16.

Lopez M, Laviana M, Alvarez F, González S, Fernández M, Peláez V, et al. Productive activity and employment of people with severe mental disorder: Some action proposals based on the available information. Rev la Asoc Española Neuropsiquiatría. 2004;24(89):31-65.

Modini M, Joyce S, Mykletun A, Christensen H, Bryant RA, Mitchell PB, et al. The mental health benefits of employment: Results of a systematic meta-review. Australas Psychiatr. 2016;24(4):331-6.

Modini M, Tan L, Brinchmann B, Wang MJ, Killackey E, Glozier N, et al. Supported employment for people with severe mental illness: systematic review and meta-analysis of the international evidence. Br J Psychiatr. 2016;209(1):14-22.

Downloads

Published

2021-11-24

How to Cite

Mogi, J. G., & Ratag, G. A. E. (2021). An assessment of mental health programs at community health centers in north Minahasa, Indonesia. International Journal Of Community Medicine And Public Health, 8(12), 5707–5713. https://doi.org/10.18203/2394-6040.ijcmph20214556

Issue

Section

Original Research Articles