Building a strategic alliance to end coercion of people with mental disorders in Indonesia

Abstract

Releasing these patients, however, is only the initial step. Providing alternative care in the community and within the formal health-care system is essential and requires local authority and professional support. To achieve this change Indonesia clearly needs international support, particularly research investment from developed countries and alliance with countries in the region to strengthen the mental health-care system. Considering that pasung is clearly a detrimental practice for both the individual and community health, and is against human right principles, international pressure on the government could help to tackle this issue immediately.

Case study: people with severe mental disorders with physical mobility barriers after in pasung

“…Nursing actions performed on both clients. The implementation strategy carried out by clients with problems with physical mobility barriers is a discussion of signs and symptoms, impacts, and how to perform ROM movements on clients (Irwanto et al, 2020). The ROM action taught to clients is passive ROM where the client can be assisted by the family to perform range of motion so that they can independently perform range of motion.…”

Psykisk helsearbeid under ulike kulturelle betingelser: refleksjoner rundt empatiens funksjon i arbeidet med å beskytte menneskerettighetene. Belyst med et eksempel fra Indonesia

“…Mangel på kunnskap innebaerer at familien tar i bruk sosiale og kulturelle foreskrevne modeller for å forstå (Broch, 2001). Annerledes oppførsel tolkes som «galskap» og at personen er besatt av onde ånder eller utsatt for hekseri (Irwanto et al, 2020;Patawari et al, 2020). Mange søker derfor behandling fra tradisjonelle helbredere dukun (sjaman).…”

An Evidence-Based Educational Intervention for Reducing Coercive Measures in Psychiatric Hospitals

“…1 Arguments for using coercive measures focus on preventing patients from harming themselves and others. 2 However, evidence supporting the benefits of coercive measures remains inconclusive 3 because such methods can lead to physical damage, psychological distress in patients and staff, 4 and even patient death. 5 Patients and frontline staff have raised concerns about the quality of psychiatric inpatient care.…”

“…The use of coercive measures in psychiatric hospitals is a global concern . Arguments for using coercive measures focus on preventing patients from harming themselves and others . However, evidence supporting the benefits of coercive measures remains inconclusive because such methods can lead to physical damage, psychological distress in patients and staff, and even patient death .…”