Factors related to pasung on people with mental illness

Eka, Angelina Roida; Daulima, Novy Helena Catharina

doi:10.35654/ijnhs.v2i2.95

Cited by 11 publications

(19 citation statements)

References 7 publications

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“…That is, responses to the instrument are consistent and are reliable measures of the level of intention of the mentally ill patient’s family to use pasung 8 Dewi et al (2019) [ 32 ] The study demonstrated that family burden was significantly lower among those who received the combination of the two therapies (family psychoeducation and care decisions without pasung) compared to only family psychoeducation (p < .05). Those therapies decreased the family burden into the low category 9 Eka and Daulima (2019) [ 33 ] Ten studies were found. There were 3 main factors related to pasung: 1.…”

Section: Resultsmentioning

confidence: 99%

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The use of pasung for people with mental illness: a systematic review and narrative synthesis

Hidayat

Lawn

Muir‐Cochrane

et al. 2020

Int J Ment Health Syst

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Background Pasung is the term used in Indonesia and a number of other countries for seclusion and restraint of people with mental illness in the community, usually at home by their family. While pasung has been banned because it is contrary to human rights, its practice continues to exist within the community, particularly where community mental health services are limited, and in the absence of adequate social support, and pervasive negatives beliefs about mental illness. It is essential to understand the reasons for the ongoing use of pasung and to examine potential solutions. Methods A systematic review and narrative synthesis of peer-reviewed international literature was conducted to identify the socio-cultural contexts for pasung use, and interventions to address it. The analysis draws on the socio-ecological framework, which focused on relationships between the individual and their environment. Result Fifty published articles were included in the review; all studies were conducted in Asia and Africa, with 32 undertaken in Indonesia. Most studies were qualitative (n = 21). Others included one case–control study, one cross-sectional study, and seven surveys; only four studies examined the application of an intervention, and each used a pre and post methodology. Of these, two studies tested psychoeducational interventions which aimed to overcome family burden due to pasung, and each suggested a community mental health approach. The remaining two studies evaluated the intervention of ‘unlocking’; one study used a community-based culturally sensitive approach, and the other used a community-based rehabilitation program. Reasons for pasung given by family appear to be as a last resort and in the absence of other supports to help them care for the person with severe mental illness. Conclusion The findings highlight that a mixture of individual, interpersonal, community and policy interventions are needed to reduce the use of pasung. While consumer and carer involvement as part of a socio-ecological approach is understood to be effective in reducing pasung, an understanding of how to elaborate this in the management of pasung remains elusive. Review Registration CRD42020157543: CRD

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Section: Resultsmentioning

confidence: 99%

“…Several studies reported that myths and beliefs in the general population about mental disorders are associated with the increased use of pasung [6,7,33,35,36,42,49,51,57,58]. PWMD are often considered dangerous and/ or possessed by demons.…”

Section: Communitymentioning

confidence: 99%

The use of pasung for people with mental illness: a systematic review and narrative synthesis

Hidayat

Lawn

Muir‐Cochrane

et al. 2020

Int J Ment Health Syst

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“… 2 Also, community factors such as discrimination and stigma play an important role in the idea of pasung to patients with schizophrenia. 3 …”

Section: Introductionmentioning

confidence: 99%

The Fight against Stigma: Multilevel Stigma Interventions in Schizophrenia Patients

Bachtiar

Windarwati

Keliat

et al. 2020

Journal of Public Health Research

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Background: Stigma is one of the main factors causing pasung (physical restraint or confinement in Indonesian terms) in schizophrenia patients. It is the main obstacle to reducing the number of pasung throughout the world. Thus, there is a need for appropriate interventions to reduce stigma in schizophrenia patients who go through pasung. This study aims to identify multilevel stigma interventions in people with schizophrenia who go through pasung (physical restraint and confinement). It can be applied and adapted to various cultural contexts. Design and Methods: Quasi-experimental research with pretest and post-test analysis consists of 82 people with schizophrenia who go through pasung. Respondents were divided into the intervention group and the control group. A multilevel stigma intervention was given to the intervention group for three months.Results: There was a significant difference in the average stigma score in the control group (moderate category stigma) and the intervention group (mild category stigma) after multilevel stigma intervention (p-value = 0.04). The average stigma score of schizophrenia patients in the intervention group decreased by 8.2%, while the average stigma score in the control group increase of 20.4%.Conclusions: Multilevel stigma interventions are effective in reducing stigma in people with schizophrenia who go through pasung. We underline that multilevel stigma interventions through collaboration from various parties can provide great opportunities in stigma reduction programs in people with schizophrenia who go through pasung.

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“…The reported studies included different subjects of the research. The family or caregivers of the patients as the subject of the study were reported in 17 studies (puji Lestari zumratil Ch, 2010; Suharto et al , 2014; Suswinarto et al , 2015; Empati et al , 2016; Nihayati et al , 2016; Aprilia Wulan, 2017; Suhron, 2017; Sunarno and Suryani, 2017; Yusuf et al , 2017; Buanasari et al , 2018; Laila et al , 2018; Dewi et al , 2019; Dwijayanti and Dharmawan, 2019; Katuuk et al , 2019; Yunita et al , 2020), the patients in 13 studies (Minas and Diatri, 2008; Puteh et al , 2011; Marthoenis et al , 2012; Rahayu et al , 2016; Tanra and Roosdy, 2017; Achir Yani Syuhaimie Hamid and Catharina Daulima, 2018; Aiyub, 2018; Laila et al , 2018; Novy Helena et al , 2018; Eka and Daulima, 2019; Rokhman et al , 2019), the community in two studies (Suryani et al , 2011; Syarniah et al , 2016), and the mix of family and the patients in two studies (Husmiati, 2016; Fitrikasari, 2012).…”

Section: Resultsmentioning

confidence: 99%

Restraint and confinement of psychiatric patients in community: a scoping review of pasung in Indonesia

Dahniar

Asnurianti

Amna

et al. 2021

MHSI

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Purpose The practice of restraint and confinement of patients with mental disorders is common in Indonesia. This practice is known as pasung and is usually carried out by the family or the villagers in community settings. The previous separated studies have investigated the reasons for, methods, duration and consequences of applying pasung to the patients. A scoping review is needed to study the existing practice of restraint and confinement in Indonesian communities. This study aims to review the published studies on the practice of restraint and confinement of people with mental illness (PWMI) in Indonesia. Design/methodology/approach A scoping review method was used to identify studies on the practices of restraint and confinement of PWMI. A search of Science Direct, PubMed database and Google Scholar for articles was conducted. Findings There is an increasing interest in studying the pasung-related aspects among Indonesian mental health practitioners. The studies included the patients, family, caregivers and community as the research subjects. Various elements of pasung; the actors, duration, reason, the consequences and the challenges in releasing pasung have been reported. Stakeholders should consider many factors related to pasung to achieve the free pasung program in Indonesia. Research limitations/implications Pasung is a practice that exists in a significant number in Indonesia. Although researchers have sounded the importance of the pasung as a problem in the community, much has to be done to alleviate the inhuman treatment of PWMI. Originality/value This paper adds to the literature on the research concerning the practice of restraint and confinement of PWMI. The findings could be uses as the basis of the improvement of policy on mental health services, not only in Indonesia but also in other countries where the practice of restraint and confinements of PWMI in the community settings is existing.

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Factors related to pasung on people with mental illness

Cited by 11 publications

References 7 publications

The use of pasung for people with mental illness: a systematic review and narrative synthesis

The use of pasung for people with mental illness: a systematic review and narrative synthesis

The Fight against Stigma: Multilevel Stigma Interventions in Schizophrenia Patients

Restraint and confinement of psychiatric patients in community: a scoping review of pasung in Indonesia

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